Small conductance calcium-activated potassium channels show a distinct pharmacology. Some, but not all, are blocked by the peptide toxin apamin, and apamin-sensitive channels are also blocked by d-tubocurarine. Cloned SK channels (small conductance calcium-activated potassium channel) recapitulate these properties. We have investigated the structural basis for these differences and found that two amino acid residues on either side of the deep pore are the primary determinants of sensitivity to apamin and differential block by d-tubocurarine. Therefore, the pharmacology of SK channels compared with other potassium channels correlates with structural differences in the outer pore region. However, introduction of a tyrosine residue in the position analogous to that which determines sensitivity to external tetraethylammonium for voltagegated potassium channels endows SK channels with an equivalent tetraethylammonium sensitivity, indicating that the outer vestibules of the pores are similar. The pharmacology of channels formed in oocytes coinjected with SK1 and SK2 mRNAs, or with SK1-SK2 dimer mRNA, show that SK subunits may form heteromeric channels.Small conductance calcium-activated potassium channels (SK channels) 1 are responsible for the slow afterhyperpolarization (sAHP) following an action potential. With sustained stimulus, spike frequency adaptation occurs where the repetitive firing of action potentials is self-limiting, because the depth and time course of the sAHP are extended, preventing the membrane potential from reaching threshold (1-4). The sAHP demonstrates a distinct pharmacology. In hippocampal interneurons, the sAHP is blocked by the peptide toxin, apamin (5, 6), while in pyramidal cells, it is not affected (7). Apaminsensitive sAHPs (8, 9) and SK channels (10) are also sensitive to the plant alkyloid, d-tubocurarine (dTC). Therefore, the structural relationship between the channels underlying apamin-sensitive and apamin-insensitive sAHPs was unclear.Recently, the amino acid sequences of several SK channels have been described (11). Compared with other cloned K ϩ channels, and consistent with their distinct pharmacology and biophsyical properties, SK channels form a separate branch of the potassium channel family tree. They show no clear homology to other K ϩ channels except in part of the pore region. Heterologously expressed SK2 channels are blocked by apamin with an IC 50 of 60 pM, while highly homologous SK1 channels are not blocked by 100 nM apamin. Also, SK2 channels are more sensitive to dTC than SK1 channels (11). In situ hybridization studies in rat brain showed a good correlation between the pattern of apamin-sensitive SK channel mRNAs, SK2 and SK3, and radiolabeled apamin binding sites, while SK1 mRNA was detected in cell types with apamin-insensitive AHPs (11-14).Apamin-sensitive SK channels have been implicated in several important physiological processes. In the central nervous system, the sensory motor portion of the inferior colliculis is capable of seizure generating activity,...