Edited by Wolfgang PetiNicotinic acetylcholine receptors (nAChRs) containing ␣6 and 4 subunits are expressed by dorsal root ganglion neurons and have been implicated in neuropathic pain. Rodent models are often used to evaluate the efficacy of analgesic compounds, but species differences may affect the activity of some nAChR ligands. A previous candidate ␣-conotoxin-based therapeutic yielded promising results in rodent models, but failed in human clinical trials, emphasizing the importance of understanding species differences in ligand activity. Here, we show that human and rat ␣6/␣34 nAChRs expressed in Xenopus laevis oocytes exhibit differential sensitivity to ␣-conotoxins. Sequence homology comparisons of human and rat ␣64 nAChR subunits indicated that ␣6 residues forming the ligand-binding pocket are highly conserved between the two species, but several residues of 4 differed, including a Leu-Gln difference at position 119. X-ray crystallography of ␣-conotoxin PeIA complexed with the Aplysia californica acetylcholine-binding protein (AChBP) revealed that binding of PeIA orients Pro 13 in close proximity to residue 119 of the AChBP complementary subunit. Sitedirected mutagenesis studies revealed that Leu 119 of human 4 contributes to higher sensitivity of human ␣6/␣34 nAChRs to ␣-conotoxins, and structure-activity studies indicated that PeIA Pro 13 is critical for high potency. Human and rat ␣6/␣34 nAChRs displayed differential sensitivities to perturbations of the interaction between PeIA Pro 13 and residue 119 of the 4 subunit. These results highlight the potential significance of species differences in ␣64 nAChR pharmacology that should be taken into consideration when evaluating the activity of candidate human therapeutics in rodent models.Nicotinic acetylcholine receptors (nAChRs) 5 are ligandgated ion channels formed by the pentameric assembly of individual subunits. There are 16 genes in mammals that encode these subunits and are represented by the Greek symbols ␣1-␣7, ␣9, ␣10, 1-4, ␦, ⑀, and ␥ (1). nAChRs are expressed by neurons in both the central and peripheral nervous systems and are involved in diverse physiological processes (2), including fast synaptic transmission (3), the modulation of neurotransmitter release (4 -10), and numerous immunological processes (11,12).Native nAChRs containing the ␣6 subunit are broadly classified into two subtype categories: those that contain the 2 subunit and those that contain the 4 subunit. The ␣62* subtype (the asterisk denotes the potential presence of additional subunits in native receptors) has a limited distribution profile in the nervous system but is abundantly expressed in certain regions of the brain and spinal cord (13)(14)(15)(16)(17)(18)(19). The ␣64* subtype probably has an even more restricted expression profile. Functional evidence for ␣64* nAChR expression in sensory neurons of rat and mouse dorsal root ganglia (DRG) has been demonstrated (20, 21), although their functional role in these cells is mostly unknown.DRG contain neuron...