Nicotinic acetylcholine receptors (AChRs) are composed of ␣, , ␥, and ␦ subunits, assembled into ␣ 2 ␥␦ pentamers. A highly conserved feature of ionotropic neurotransmitter receptors, such as AChRs, is a 15-amino acid cystine "loop." We find that an intact cystine loop is necessary for complete AChR assembly. By preventing formation of the loop with 5 mM dithiothreitol, AChR subunits assemble into ␣␥ trimers, but the subsequent steps in assembly are blocked. When ␣ subunit loop cysteines are mutated to serines, assembly is blocked at the same step as with dithiothreitol. In contrast, when  subunit loop cysteines are mutated to serines, assembly is blocked at a later step, i.e. after assembly of ␣␥␦ tetramers and before the addition of the second ␣ subunit. After formation of the cystine loop, the ␣ subunit undergoes a conformational change, which buries the loop. This conformational change is concurrent with the step in assembly blocked by removal of the disulfide bond of the cystine loop, i.e. after assembly of ␣␥ trimers and before the addition of the ␦ subunit. The data indicate that the ␣ subunit conformational change involving the cystine loop is key to a series of folding events that allow the addition of unassembled subunits.The molecular events involved in subunit folding and assembly of large oligomeric proteins remain largely uncharacterized. The subunit folding and oligomerization events that take place during the assembly of ion channels are particularly complex, since the finished product requires the correct oligomeric arrangement and subunit stoichiometry for proper function (1). In terms of their structure, the best characterized ion channels are the muscle-type nicotinic acetylcholine receptors (AChRs), 1 which are the neurotransmitter receptors responsible for rapid signaling between motor neurons and skeletal muscle. Muscle-type AChRs are composed of four distinct, homologous subunits, ␣, , ␥, and ␦, which assemble into pentamers with the subunit stoichiometry of ␣ 2 ␥␦.Although AChR assembly is a slow process that takes ϳ2 h to complete (2), assembly intermediates have been difficult to isolate. A number of laboratories turned to expression of less than the full complement of subunits in different heterologous expression systems to isolate assembly intermediates (3-6).Based on their findings, the "heterodimer" model was proposed, where the ␣ subunit must first fold or "mature," as assayed by the formation of the ␣-bungarotoxin (BuTx) binding site and antigenic epitopes, before assembling with other subunits. The mature ␣ subunit assembles with ␥ or ␦ subunits in parallel to form ␣␥ and ␣␦ heterodimers, and the heterodimers associate together and with  subunits to form ␣ 2 ␥␦ pentamers.We have developed techniques that have allowed isolation of assembly intermediates in cells stably expressing all four AChR subunits (7, 8) and have obtained results at odds with the heterodimer model. Instead of heterodimers, two partially assembled complexes, ␣␥ trimers and ␣␥␦ tetramers, were isol...