Agrin and its receptor MuSK are required for the formation of the postsynaptic apparatus at the neuromuscular junction (NMJ). In the current model the local deposition of agrin by the nerve and the resulting local activation of MuSK are responsible for creating and maintaining the postsynaptic apparatus including clusters of acetylcholine receptors (AChRs). Concomitantly, the release of acetylcholine (ACh) and the resulting depolarization disperses those postsynaptic structures that are not apposed by the nerve and thus not stabilized by agrin-MuSK signaling. Here we show that a miniaturized form of agrin, consisting of the laminin-binding and MuSK-activating domains, is sufficient to fully restore NMJs in agrin mutant mice when expressed by developing muscle. Although miniagrin is expressed uniformly throughout muscle fibers and induces ectopic AChR clusters, the size and the number of those AChR clusters contacted by the motor nerve increase during development. We provide experimental evidence that this is due to ACh, because the AChR agonist carbachol stabilizes AChR clusters in organotypic cultures of embryonic diaphragms. In summary, our results show that agrin function in NMJ development requires only two small domains, and that this function does not depend on the local deposition of agrin at synapses. Finally, they suggest a novel local function of ACh in stabilizing postsynaptic structures.acetylcholine ͉ MuSK ͉ synapse formation O ne of the fundamental questions in neuroscience is how synapse formation between neurons and their targets is controlled during development. Current evidence indicates that initial stages of target recognition and synapse formation are driven by cell-adhesive interactions, and that later stages require electrical activity (1). The easy accessibility of the neuromuscular junction (NMJ) for experimental manipulation has allowed investigating synapse formation at both the molecular and physiological levels. NMJ formation critically depends on agrin, an extracellular matrix molecule released by the nerve (2, 3); the muscle-specific receptor tyrosine-kinase MuSK, which is activated by agrin (4); the low-density lipoprotein receptor-related protein 4 (5); and two intracellular adaptors, Dok-7 (6) and rapsyn (7), which bind to activated MuSK and the acetylcholine receptor (AChR), respectively. Of these, agrin and MuSK are the most upstream components, because forced expression in nonsynaptic regions of the muscle is sufficient to induce postsynaptic structures (8-11). Only certain splice variants of agrin, which differ in expression and in inserts localized in the most Cterminal laminin G (LG)-like domain, are capable of inducing AChR aggregation and MuSK activation (12).In contrast to postsynaptic differentiation, the molecular mechanisms that initiate presynaptic differentiation are less well understood. In addition, the role of agrin at early stages of NMJ formation is still debated (13-15), because developing muscle forms AChR clusters without nerve contact (16, 17), possibly by...