The voltage sensors of domains II and IV of sodium channels are important determinants of activation and inactivation, respectively. Animal toxins that alter electrophysiological excitability of muscles and neurons often modify sodium channel activation by selectively interacting with domain II and inactivation by selectively interacting with domain IV. This suggests that there may be substantial differences between the toxinbinding sites in these two important domains. Here we explore the ability of the tarantula huwentoxin-IV (HWTX-IV) to inhibit the activity of the domain II and IV voltage sensors. HWTX-IV is specific for domain II, and we identify five residues in the S1-S2 (Glu-753) and S3-S4 (Glu-811, Leu-814, Asp-816, and Glu-818) regions of domain II that are crucial for inhibition of activation by HWTX-IV. These data indicate that a single residue in the S3-S4 linker (Glu-818 in hNav1.7) is crucial for allowing HWTX-IV to interact with the other key residues and trap the voltage sensor in the closed configuration. Mutagenesis analysis indicates that the five corresponding residues in domain IV are all critical for endowing HWTX-IV with the ability to inhibit fast inactivation. Our data suggest that the toxin-binding motif in domain II is conserved in domain IV. Increasing our understanding of the molecular determinants of toxin interactions with voltage-gated sodium channels may permit development of enhanced isoform-specific voltage-gating modifiers.Voltage-gated sodium channels (VGSCs) 3 play critical roles in the generation and propagation of action potentials. Nine VGSC ␣ subunit subtypes (Nav1.1-1.9) have been cloned and characterized from mammals (1). These subtypes are expressed in different excitable tissues and are involved in distinct physiological functions such as neurotransmitter release, muscle contraction, secretion, and pain sensation (2-4). The nine ␣ subunits share a common four-domain (DI-DIV) structure, in which each domain has six transmembrane segments (S1-S6) (1). Based on distinct functional behaviors during channel activity, the six transmembrane segments are generally separated into two structural components (5). The central pore module is the basis for the ion conduction pathway and is formed by the S5-S6 region of the channel. The voltage sensor modules are formed by the S1-S4 regions and are essentially independent structures that directly respond to changes in the transmembrane potential with conformational alterations that are coupled to opening and closing of the pore module. VGSCs undergo voltage-dependent activation subsequently followed by fast inactivation through successive activities of the voltage sensors in the four domains. The S4 segments in the voltage sensors of DI, DII, and DIII are determinants of channel activation, whereas that of DIV is predominantly involved in channel inactivation (5-8). The four membrane-spanning segments (S1-S4) of the voltage sensors of mammal VGSCs exhibit high sequence similarity in the four domains, but the amino acids and sequenc...