We have uncovered a significant allosteric response of the D 2 dopamine receptor to physiologically relevant concentrations of sodium (140 mM Our findings demonstrate how key interactions can be modulated by occupancy at an allosteric site and are consistent with a mechanism in which sodium binding enhances the affinity of selected ligands through dynamic changes that increase accessibility of substituted benzamides and 1,4-DAP ligands to the orthosteric site and accessibility of 1,4-DAPs to V2.61(91)F.Sodium ions have been shown to modulate dopamine receptors, and allosteric modulation by sodium ions has been shown to drive the conformational equilibrium of heterotrimeric G protein-coupled receptors (GPCRs) toward an agonist low-affinity state (for review, see Schetz, 2005). In dopamine receptors, like in other heterotrimeric GPCRs, the highly conserved and negatively charged aspartic acid at position 2.50 (the generic numbering system is defined in Ballesteros and Weinstein, 1995) has been identified as a sodium interaction site. For example, charge-neutralizing mutations in the D 2 or the D 4 receptor [e.g., D2.50(80)N or D2.50(80)A] make them sodium-insensitive, whereas a charge-sparing mutation [e.g., D2.50(80)E] retains much of the sodium sensitivity (Neve et al