Whereas arginine vasopressin binds to its receptor subtypes V 1 R and V 2 R with equal affinity of approximately 2 nM, nonpeptide antagonists interact differently with vasopressin receptor subtypes. The V 2 R antagonist binding site was mapped by site-directed mutagenesis at six selected amino acid positions, K100D, A110W, M120V, L175Y, R202S, and F307I, predicted to be involved in antagonist binding differences between V 2 R and V 1 R. These mutations did not alter the affinity for arginine vasopressin. However, the affinity for six nonpeptide receptor,5-tetrahydro-1H-benzazepine monohydrochloride], was altered to varying degrees, resulting in differences up to 6000-fold. Replacement of the small alanine for the bulky tryptophan in position 110 resulted in a reduced affinity for all six antagonists. In contrast, replacement of the large methionine for the smaller valine in position 120 caused a dramatic increase in affinity, up to a K i of 7 fM for OPC31260. Molecular modeling revealed that the binding sites for arginine vasopressin and the nonpeptide antagonists are partially overlapping. Whereas arginine vasopressin binds on the extracellular surface of V 2 R, the nonpeptide antagonists penetrate deeper into the transmembrane region of the receptor, in particular OPC21268. The mutagenesis data point to significant differences in the shape of the V 1 R and V 2 R antagonist binding pockets. The most important factor determining the specificity of nonpeptide antagonists seems to be the shape of the binding pocket on the receptor.Arginine vasopressin (AVP), the antidiuretic hormone, is a cyclic nonapeptide that modulates various physiological functions, such as water reabsorption, blood volume, blood pressure, cellular proliferation, and adrenocorticotropic hormone secretion (Thibonnier et al., 1998(Thibonnier et al., , 2001). The antidiuretic effect of AVP is mediated by the vasopressin V 2 receptor (V 2 R), a member of the large family of G protein-coupled receptors (Robben et al., 2004). V 2 R is a 41-kDa seven-transmembrane protein of 371 residues (Birnbaumer et al., 1992). V 2 R is expressed in the basolateral membrane of epithelial cells of the renal distal tubule and the collecting ducts (Hermosilla et al., 2004;Robben et al., 2004). In the collecting duct of the kidney, AVP binds to the V 2 R, thereby activating