.-One of the defining characteristics of the epithelial sodium channel (ENaC) is its block by the diuretic amiloride. This study investigates the role of the extracellular loop of the ␣-subunit of ENaC in amiloride binding and stabilization. Mutations were generated in a region of the extracellular loop, residues 278-283. Deletion of this region, WYRFHY, resulted in a loss of amiloride binding to the channel. Channels formed from wild-type ␣-subunits or ␣-subunits containing point mutations in this region were examined and compared at the single-channel level. The open probabilities (P o) of wild-type channels were distributed into two populations: one with a high P o and one with a low P o. The mean open times of all the mutant channels were shorter than the mean open time of the wild-type (high-P o) channel. Besides mutations Y279A and H282D, which had amiloride binding affinities similar to that of wild-type ␣-ENaC, all other mutations in this region caused changes in the amiloride binding affinity of the channels compared with the wild-type channel. These data provide new insight into the relative position of the extracellular loop with respect to the pore of ENaC and its role in amiloride binding and channel gating. open probability; extracellular loop; channel pore; sodium channel; single-channel recording EPITHELIAL SODIUM CHANNELS (ENaC) play a critical role in the control of blood pressure and regulation of total body sodium balance. Although the original work in which the channel components were cloned suggested that functional channels consist of three subunits, ␣, , and ␥ (5), under appropriate circumstances, ␣-subunits alone can form sodium-permeable channels (12,13,17). It has been proposed that some of the diversity in conductance, gating, and selectivity of functional ENaC may be due to different subunit combinations. The expression of ␣-subunits alone, rather than the expression of all three subunits together, depends on the environmental conditions to which renal epithelial cells (A6) (7) or alveolar type II cells (14) are exposed. However, regardless of which channel type is expressed, one of the defining characteristics of all these channels is their block by the diuretic amiloride, a substituted pyrazinoylguanidine. The tertiary structure of all the subunits is similar: each subunit is predicted to span the membrane twice, to have a large extracellular loop, and to have short intracellular NH 2 and COOH termini (2, 6). Because amiloride blocks the channel from the extracellular surface of the channel protein, it is possible that one or more of the extracellular loops could play a role in amiloride's interaction with and block of the channel by stabilizing amiloride in the channel pore.About 70% of each ENaC subunit is extracellular. Structure-function studies of the extracellular loop have focused primarily on the region immediately preceding and including the second transmembrane (M2) domain of ␣-ENaC. These data have implicated these regions in binding to amiloride and also play a role in...