antagonist PN200-110 by 2-25-fold. Both amino acid residues conserved among Ca 2؉ channels and those specific to L-type Ca 2؉ channels were found to be required for high affinity dihydropyridine binding. In addition, mutation F1462A increased the affinity for the dihydropyridine Ca 2؉ antagonist PN200-110 by 416-fold with no effect on the affinity for the Ca 2؉ agonist Bay K8644. The residues in transmembrane segments IIIS6 and IVS6 that are required for high affinity binding are primarily aligned on single faces of these two ␣ helices, supporting a "domain interface model" of dihydropyridine binding and action in which the IIIS6 and IVS6 interact to form a high affinity dihydropyridine receptor site on L-type Ca 2؉ channels.Voltage-gated Ca 2ϩ channels mediate Ca 2ϩ influx in response to membrane depolarization and thereby initiate cellular activities such as secretion, contraction, and gene expression. Several types of voltage-gated Ca 2ϩ channels have been distinguished by their physiological and pharmacological properties and have been designated L, N, P/Q, R, and T (for review see Refs. 1-3). L-type Ca 2ϩ channels are the molecular targets for the dihydropyridine, phenylalkylamine, and benz(othi)azepine classes of calcium channel blockers that are widely used in the therapy of cardiovascular diseases. These drugs are thought to bind to three separate but allosterically coupled receptor sites on L-type Ca 2ϩ channels (4, 5). The L-type Ca 2ϩ channels consist of the pore-forming ␣ 1 subunits of 190 -250 kDa in association with disulfide-linked ␣ 2 ␦ subunits of approximately 140 kDa, intracellular  subunits of 55-72 kDa, and, for the skeletal muscle L-type channel, an additional transmembrane ␥ subunit of 33 kDa (for review see Ref. 6). The ␣ 1 subunits confer the characteristic pharmacology and functional properties of each channel type, but their function is modulated by association with the auxiliary subunits. The pore-forming ␣ 1 subunits can be divided into two distinct families, L-type and non-L-type, which share less than 40% amino acid identity. The L-type