Nicotinic receptors (acetylcholine receptors, AChRs) play key roles in synaptic transmission throughout the nervous system. AChRs mediate neuromuscular transmission in nematodes, and they are targets for antiparasitic drugs. The anthelmintic agents levamisole and pyrantel, which are potent agonists of nematode muscle AChRs, are partial agonists of mammalian muscle AChRs. To further explore the structural basis of the differential activation of AChR subtypes by anthelmintics, we studied the activation of ␣7 AChRs using the high-conductance form of the ␣7-5-hydroxytryptamine-3A receptor, which is a good model for pharmacological studies involving the extracellular region of ␣7. Macroscopic and single-channel current recordings show that levamisole is a weak agonist of ␣7. It is interesting that pyrantel is a more potent agonist of ␣7 than acetylcholine (ACh). To identify determinants of this differential activation, we replaced residues of the complementary face of the binding site by the homologous residues in the muscle subunit and evaluated changes in activation. The mutation Q57G does not affect the activation by either ACh or levamisole. However, it increases EC 50 values and decreases the maximal response to pyrantel. Kinetic analysis shows that gating of the mutant channel activated by pyrantel is profoundly impaired. The decreased sensitivity of ␣7-Q57G to pyrantel agrees with its weak action at muscle AChRs, indicating that when glycine occupies position 57, as in the mammalian muscle AChR, pyrantel behaves as a partial agonist. Thus, position 57 located at the complementary face of the binding site plays a key role in the selective activation of AChRs by pyrantel.Cysteine-loop receptors are pentameric ligand-gated ion channels that play key roles in chemical synapses throughout the nervous system. In vertebrates, the cysteine-loop receptor superfamily consists of two families of cation-selective channels: the nicotinic acetylcholine (AChR) and the 5-hydroxytryptamine type 3 receptors (5HT 3 Rs); and two families of anionic channels: the ␥-aminobutyric acid and the glycine receptors (Le Novére and Changeux, 2001;Lester et al., 2004). In invertebrates, this superfamily also includes ␥-aminobutyric acid-gated cationic channels and ACh-, serotonin-, glutamate-, and histamine-gated chloride channels (Jones and Sattelle, 2003;Putrenko et al., 2005).AChR subunits are classified as ␣, which contain a disulfide bridge involved in the recognition and binding of agonists, and non-␣ subunits, which lack this motif. To date, several ␣ and non-␣ subunits have been identified. Receptors can be either heteromeric, composed of ␣ and non-␣ subunits, or homomeric, composed of five identical ␣ subunits. Each subunit is divided into an N-terminal or ligand-binding domain and a transmembrane region. The binding sites are located at the interface between two subunits (Brejc et al., 2001;Sine, 2002). Results from affinity labeling and sitedirected mutagenesis studies on AChR, which were later supported by the structural...