The (Na ؉ ؉ Cl ؊ )-coupled ␥-aminobutyric acid (GABA) transporter GAT-1 keeps synaptic levels of this neurotransmitter low and thereby enables efficient GABAergic transmission. Extracellular loops (III, IV, and V) have been shown to contain determinants for GABA selectivity and affinity. Here we analyze the role of extracellular loop IV in transport by cysteine scanning mutagenesis. Fourteen residues of this loop have been replaced by cysteine. GABA transport by eight of the fourteen mutants is markedly more sensitive to inhibition by membrane-impermeant methane thiosulfate reagents than wild-type. Mutant A364C has high activity and is potently inhibited by the sulfhydryl reagent. GABA transport by the A364C/C74A double mutant, where the only externally accessible cysteine residue of the wild-type has been replaced by alanine, is also highly sensitive to the sulfhydryl reagents. Maximal sensitivity is observed in the presence of the cosubstrates sodium and chloride. A marked protection is afforded by GABA, provided sodium is present. This protection is also observed at 4°C. The non-transportable analogue SKF100330A also protects the double mutant against sulfhydryl modification in the presence of sodium but has the opposite effect in its absence. Electrophysiological analysis shows that upon sulfhydryl modification of this mutant, GABA can no longer induce transport currents. The voltage dependence of the transient currents indicates an increased apparent affinity for sodium. Moreover, GABA is unable to suppress the transient currents. Our results indicate that part of extracellular loop IV is conformationally sensitive, and its modification selectively abolishes the interaction of the transporter with GABA.Most neurotransmitters are removed from the synaptic cleft by sodium-and chloride-dependent neurotransmitter transporters, and this process is essential to maintain efficient synaptic transmission (for a review see Refs. 1 and 2). These transporters form a large family, including transporters for biogenic amines and amino acids and four different GABA 1 transporters. One of the best examples of the importance of these neurotransmitter transporters comes from studies of dopamine transporter knock-out mice; the decay of extracellular dopamine in brain slices of such mice is about 100 times longer than normal (3).GAT-1, the first member of the family to be identified, was purified to homogeneity in a form active upon reconstitution (4) and subsequently cloned (5). The transporter catalyzes electrogenic sodium:chloride:GABA cotransport with a stoichiometry of 2:1:1 (6 -9). It should be noted, however, that there is still some dispute on this issue. In a recent report (10), it has been proposed that during sodium-coupled GABA transport obligatory chloride out /chloride in exchange takes place. GAT-1, as well as the other members of the family, is predicted to have twelve transmembrane domains linked by hydrophilic loops with the amino and carboxyl termini residing inside the cell (5). Studies on the serotonin tran...