The Conus magus peptide toxin -conotoxin MVIIA is considered an irreversible, specific blocker of N-type calcium channels, and is now in clinical trials as an intrathecal analgesic. Here, we have examined the action of MVIIA on mutant and wild type calcium channels transiently expressed in tsA-201 cells. Although we have shown previously that mutations in a putative external EF-hand motif in the domain IIIS5-H5 region alters block by both -conotoxin GVIA and MVIIA (Feng, Z. P., Hamid, J., Doering, C., Bosey, G. M., Snutch, T. P., and Zamponi, G. W. (2001) J. Biol. Chem. 276, 15728 -15735), the introduction of five point mutations known to affect GVIA blocking (and located downstream of the EFhand) affected MVIIA block to a smaller degree compared with GVIA. These data suggest that despite some overlap, MVIIA and GVIA block does not share identical channel structural determinants. At higher concentrations (ϳ3 M), MVIIA reversibly blocked L-, P/Q-, and R-type, but not T-type channels, indicating that the overall architecture of the MVIIA site is conserved in all types of high voltage-activated calcium channels. A kinetic analysis of the MVIIA effects on the N-type channel showed that MVIIA blocked resting, open, and inactivated channels. Although the development of MVIIA block did not appear to be voltage-, nor frequency-dependent, the degree of recovery from block strongly depended on the potential applied during washout. Interestingly, the degree of washout was highly variable and appeared to weakly depend on the holding potential applied during toxin application. We propose a model in which N-type calcium channels can form both reversible and irreversible complexes with MVIIA.A number of predatory species such as spiders, scorpions, and fish hunting mollusks have developed venoms to rapidly stun and kill their prey. Their venoms typically contain a mixture of potent peptide toxins that have evolved to specifically bind to voltage-and ligand-gated ion channels (1). Among calcium channel blocking peptides, -conotoxin GVIA (isolated from Conus geographus) and -conotoxin MVIIA (isolated from Conus magus) are perhaps the most widely known. Both of these toxins are thought to specifically block the pore of N-type calcium channels from a variety of species. Block by both toxins is considered to be virtually irreversible at normal membrane potentials (i.e. Refs. 2 and 3), but complete reversibility can be obtained upon strong hyperpolarization (4), or by removal of extracellular divalent carrier ions (5). Our current understanding of the molecular basis of N-type channel block came initially from a study by Ellinor et al. (6) who showed that block of transiently expressed N-type channels by -conotoxin GVIA was dramatically attenuated by sequence substitution in the domain III S5-S6 region of the Ca v 2.2 ␣ 1 subunit. More recently, Feng et al. (7) showed that additional point mutations in an EF-hand consensus motif in this region affected the development of, and recovery from, block by both GVIA and MVIIA, consistent...