Despite its long history of use and abuse in human culture, the molecular basis for alcohol action in the brain is poorly understood. The recent determination of the atomic-scale structure of GLIC, a prokaryotic member of the pentameric ligand-gated ion channel (pLGIC) family, provides a unique opportunity to characterize the structural basis for modulation of these channels, many of which are alcohol targets in brain. We observed that GLIC recapitulates bimodal modulation by n-alcohols, similar to some eukaryotic pLGICs: methanol and ethanol weakly potentiated proton-activated currents in GLIC, whereas n-alcohols larger than ethanol inhibited them. Mapping of residues important to alcohol modulation of ionotropic receptors for glycine, γ-aminobutyric acid, and acetylcholine onto GLIC revealed their proximity to transmembrane cavities that may accommodate one or more alcohol molecules. Site-directed mutations in the pore-lining M2 helix allowed the identification of four residues that influence alcohol potentiation, with the direction of their effects reflecting α-helical structure. At one of the potentiation-enhancing residues, decreased side chain volume converted GLIC into a highly ethanol-sensitive channel, comparable to its eukaryotic relatives. Covalent labeling of M2 positions with an alcohol analog, a methanethiosulfonate reagent, further implicated residues at the extracellular end of the helix in alcohol binding. Molecular dynamics simulations elucidated the structural consequences of a potentiation-enhancing mutation and suggested a structural mechanism for alcohol potentiation via interaction with a transmembrane cavity previously termed the "linking tunnel." These results provide a unique structural model for independent potentiating and inhibitory interactions of n-alcohols with a pLGIC family member.cys-loop receptor | Gloeobacter violaceus H umans have produced and consumed ethanol for industrial, recreational, and medical purposes for millennia, with a broad spectrum of effects on human health. In fact, ethanol is one of several alcohols that cause intoxication and anesthesia. Despite the widespread historical role of alcohol in society, the molecular basis of alcohol pharmacology remains unclear.Current models of alcohol action on the central nervous system support a role for proteins including ion channels. Indeed, intoxicating concentrations of ethanol modulate several ion channels in vitro (1). The phenomenon of alcohol cutoff, by which n-alcohols increase in potency with carbon chain length up to a certain size (2), supports the presence of discrete protein sites capable of binding alcohols with increasing affinity up to a certain molecular volume (3). Alcohol cutoffs vary among ion channels and can be altered by point mutations (4), supporting the presence of specific alcohol binding sites in proteins. Further evidence for direct binding comes from alcohol analogs, such as diazirine derivatives (5) and methanethiosulfonate (MTS) reagents (6), which can covalently modify accessible protein ...