The receptors represent unique nonopioid and nonphencyclidine binding sites that are distinct from other known neurotransmitters or hormone receptors (4). Initially, Martin et al. (5) proposed the receptors as opioid receptors based on the psychomimetic effects of N-allyl-normetazocine (SKF-10047), which could not be explained by -or -opioid receptors (5). This hypothesis, however, was later corrected when the receptors were found to be insensitive to a common opioid receptor antagonist, naloxone (6 -8). Two well known subtypes of the receptor have been identified, the -1 receptor and the -2 receptor, which are distinguishable by their ligand binding properties and molecular weights (2, 9). They are ubiquitously expressed in different tissues, such as brain, adrenal gland, testis, ovary, spleen, lung, heart, blood leukocytes, and cancer cells (10 -15).Pharmacological studies have indicated that the -1 receptor is able to bind a wide range of compounds, including opiates (7,16,17), antipsychotics (18), antidepressants (18), antihistamines (16), phencyclidine-like compounds (19), -adrenergic receptor ligands (7, 16), serotonergic compounds (16), cocaine and cocaine analogs (1, 20, 21), cholesterol (22), steroids (23-25), and neuropeptides (25), although intriguingly no known natural specific ligands have been discovered. In addition, -1 receptor knock-out mice are viable and fertile, showing no overt constitutive phenotype (26). However, the broad tissue distribution as well as the ability to bind different classes of ligands allows the -1 receptor to mediate various cellular events, such as modulation of voltage-gated K ϩ channels (27), calcium release (28), regulation of lipid compartmentalization on the endoplasmic reticulum (29), and "ligand-operated" chaperoning activity at "mitochondrion-associated endoplasmic reticulum membranes" (30). Regulation of cocaine effects (31, 32), neuroprotective effects (33), increase in extracellular acetylcholine levels (34), and inhibition of proliferative responses to mitogens (35) have also been ascribed to the -1 receptor. A role in psychostimulant actions has been proposed for the -1 receptor, based on methamphetamine binding (36).The -1 receptor has been cloned from different mammalian species, including guinea pigs (37), humans (38, 39), rats (40, 41), and mice (42), and shares about 90% identity and 95% similarity across these species. However, the -2 receptor has not been cloned yet. The cloned -1 receptor has 223 amino acids and shares 30% identity and 67% similarity with a yeast sterol C8-C7 isomerase (ERG2), which is involved in cholesterol synthesis (43). Interestingly, unlike the yeast sterol isomerase, the -1 receptor does not possess any sterol isomerase activity (37) and, in addition, shares no sequence homology with any known mammalian proteins, including the mammalian C8-C7 sterol isomerase. Hydrophobicity analysis indicates that the receptor and fungal sterol isomerases are topologically similar, each containing three hydrophobic regions. The first hydro...