␣-Latrotoxin (LTX) causes massive release of neurotransmitters via a complex mechanism involving (i) activation of receptor(s) and (ii) toxin insertion into the plasma membrane with (iii) subsequent pore formation. Using cryo-electron microscopy, electrophysiological and biochemical methods, we demonstrate here that the recently described toxin mutant (LTX N4C ) is unable to insert into membranes and form pores due to its inability to assemble into tetramers. However, this mutant still binds to major LTX receptors (latrophilin and neurexin) and causes strong transmitter exocytosis in synaptosomes, hippocampal slice cultures, neuromuscular junctions, and chromaffin cells. In the absence of mutant incorporation into the membrane, receptor activation must be the only mechanism by which LTX N4C triggers exocytosis. An interesting feature of this receptormediated transmitter release is its dependence on extracellular Ca 2؉ . Because Ca 2؉ is also strictly required for LTX interaction with neurexin, the latter might be the only receptor mediating the LTX N4C action. To test this hypothesis, we used conditions (substitution of Ca 2؉ in the medium with Sr 2؉ ) under which LTX N4C does not bind to any member of the neurexin family but still interacts with latrophilin. We show that, in all the systems tested, Sr 2؉ fully replaces Ca 2؉ in supporting the stimulatory effect of LTX N4C . These results indicate that LTX N4C can cause neurotransmitter release just by stimulating a receptor and that neurexins are not critical for this receptor-mediated action.␣-Latrotoxin (LTX) 1 stimulates exhaustive release of neurotransmitters in vertebrates. This toxin has been extensively used to probe molecular mechanisms that control exocytosis of both synaptic vesicles (SVs) and large dense-core vesicles (LDCVs) in such diverse models as brain, neuromuscular junctions, and endocrine cells (for reviews see Refs. 1-3).LTX acts only after binding to presynaptic receptors (4). Once receptor-bound, the toxin can trigger exocytosis by several mechanisms: (i) activation of the receptors (5-8), (ii) formation of non-selective pores in the membrane (9 -11), and (iii) hypothetical intracellular interaction with the exocytotic machinery (12).Because toxin pores damage cell membranes and produce strong cytotoxic effects (e.g. 13-15), only the receptor-transduced LTX action is likely to reveal intact, physiologically important exocytotic mechanisms. Unfortunately, this action is difficult to study using the wild-type LTX (LTX WT ) because it easily inserts into membranes and forms ionic pores (9 -11, 16). This problem could be overcome by designing LTX mutants that would lack the propensity of membrane insertion, and a promising toxin variant has been described recently (LTX N4C ) (17). This mutant had the same affinity for the receptors as LTX WT (17) but failed to form pores in synaptosomes or receptor-transfected BHK cells (8). Lacking the major (ionophore) activity, LTX N4C was originally thought to be altogether inactive (12, 17). However, we h...