Sodium channels are excellent targets of both natural and synthetic insecticides with high insect selectivity. Indoxacarb, its active metabolite DCJW, and metaflumizone (MFZ) belong to a relatively new class of sodium channel blocker insecticides (SCBIs) with a mode of action distinct from all other sodium channel-targeting insecticides, including pyrethroids. Electroneutral SCBIs preferably bind to and trap sodium channels in the inactivated state, a mechanism similar to that of cationic local anesthetics. Previous studies identified several SCBI-sensing residues that face the inner pore of sodium channels. However, the receptor site of SCBIs, their atomic mechanisms, and the cause of selective toxicity of MFZ remain elusive. Here, we have built a homology model of the open-state cockroach sodium channel BgNa v 1-1a. Our computations predicted that SCBIs bind in the inner pore, interact with a sodium ion at the focus of P1 helices, and extend their aromatic moiety into the III/IV domain interface (fenestration). Using model-driven mutagenesis and electrophysiology, we identified five new SCBI-sensing residues, including insect-specific residues. Our study proposes the first three-dimensional models of channelbound SCBIs, sheds light on the molecular basis of MFZ selective toxicity, and suggests that a sodium ion located in the inner pore contributes to the receptor site for electroneutral SCBIs.Voltage-gated sodium channels are transmembrane proteins whose activation triggers fast inflow of sodium ions into the cell, causing the rising phase of the action potential. Eukaryotic voltage-gated sodium channels comprise the pore domain and four voltage-sensing domains within a single polypeptide chain of four homologous repeats. Each repeat includes six transmembrane helical segments (S1-S6) connected by extra-and intracellular loops. A voltage-sensing domain contains helices S1-S4. The pore domain is formed by quartets of the outer helices (S5s), the pore-lining inner helices (S6s), and extracellular membrane re-entering P-loops, which are contributed by the four repeats. The voltage-sensing domains are connected to the pore domain by linker helices S4-S5 (L45). Upon membrane depolarization, the positively charged helices (S4s) move outward, inducing opening of the activation gate, which is formed by cytoplasmic parts of the S6s. The selectivity filter is composed of Asp, Glu, Lys, and Ala residues from the ascending parts of the four P-loops and divides the ion-conducting pathway into the following two parts: the outer pore, which is exposed to the extracellular space, and the inner pore, which in the open channel is exposed to the cytoplasm.Sodium channels are excellent targets of both natural and synthetic insecticides. Several classes of sodium channel-targeting insecticides are highly insecticidal, but less toxic to mammals and are widely used for controlling arthropod pests and human disease vectors (1). Pyrethroids are a large class of synthetic compounds structurally derived from pyrethrins and are broadly ...