Binding of cocaine to the dopamine transporter (DAT) protein blocks synaptic dopamine clearance, triggering the psychoactive effects associated with the drug; the discrete drug-protein interactions, however, remain poorly understood. A longstanding postulate holds that cocaine inhibits DAT-mediated dopamine transport via competition with dopamine for formation of an ionic bond with the DAT transmembrane aspartic acid residue D79. In the present study, DAT mutations of this residue were generated and assayed for translocation of radiolabeled dopamine and binding of radiolabeled DAT inhibitors under identical conditions. When feasible, dopamine uptake inhibition potency and apparent binding affinity K i values were determined for structurally diverse DAT inhibitors. The glutamic acid substitution mutant (D79E) displayed values indistinguishable from wild-type DAT in both assays for the charge-neutral cocaine analog 8-oxa-norcocaine, a finding not supportive of the D79 "salt bridge" ligand-docking model. In addressing whether the D79 side chain contributes to the DAT binding sites of other portions of the cocaine pharmacophore, only inhibitors with modifications of the tropane ring C-3 substituent, i.e., benztropine and its analogs, displayed a substantially altered dopamine uptake inhibition potency as a function of the D79E mutation. A single conservative amino acid substitution thus differentiated structural requirements for benztropine function relative to those for all other classical DAT inhibitors. Distinguishing the precise mechanism of action of this DAT inhibitor with relatively low abuse liability from that of cocaine may be attainable using DAT mutagenesis and other structure-function studies, opening the door to rational design of therapeutic agents for cocaine abuse.Millions of individuals worldwide are addicted to cocaine, a public health crisis that also carries a substantial burden to society in the form of medical expenses, lost earnings, and increased crime associated with psychostimulant abuse. Although therapeutics including buprenorphine and methadone are clinically accessible to treat opiate abuse and addiction, no such Food and Drug Administration-approved medication is available for the treatment of cocaine addiction. Pharmacological and behavioral studies have established that the euphoric and addictive effects of cocaine are initiated by its binding to the dopamine transporter (DAT) protein, blocking clearance of dopamine from central nervous system synapses and thereby prolonging dopaminergic neurotransmission in brain areas associated with reward (Ritz et al., 1987). The DAT is therefore a logical target for development of medications for cocaine abuse. Elucidating the relationship between the DAT and its substrates and inhibitors is essential, especially regarding cocaine points of contact with the DAT protein relevant to its inhibition of dopamine uptake.Because dopamine and all classical DAT inhibitors possess a protonated nitrogen atom, a longstanding model for cocaine