Binding of acetylcholine (ACh) to nicotinic ACh receptors in the resting state leads to an open state and in the continued presence of ACh to a closed, desensitized state (1, 2). These receptors consist of five subunits that are either homologous or identical (3, 4). The subunits have a large extracellular domain, four membrane-spanning segments (M1-M4), and an intracellular domain. The subunits surround a central channel. The structure of the extracellular domain is known in great detail thanks to a wealth of biochemical and mutagenetic results (3, 4), a high-resolution structure of a homopentameric ACh-binding protein homologous to the extracellular domain of the ACh receptor (5), and cryoelectron microscopy of two-dimensional crystals of ACh receptor in membrane (6). The threedimensional structures of the membrane domain and the cytoplasmic domain are less well established.The structure of the membrane domain and the channel have been studied in receptors from electric cells and muscle, subunit composition (␣1) 2 (1)␥␦ or (␣1) 2 (1)␦, and homopentameric neuronal receptor composition (␣7) 5 (3, 4). The channel lumen is lined by the M2 segments from the five subunits Fig. 1A). Residues in M2 were labeled by photoactivated (9, 10) and electrophilic (11) noncompetitive inhibitors. In addition, mutations of residues in M2 altered the effectiveness of open-channel blockers (12, 13). All of the residues that line the channel lumen in the M2 segments of the mouse-muscle ACh receptor ␣ and  subunits were identified by the substituted cysteine accessibility method, which identifies Cys accessible to water and to small, polar reagents, and the pattern of accessibility conformed largely to an exposed stripe of an ␣-helix (14, 15).Residues in the M1 segments also contribute to the channel lining. Quinacrine azide (17), a derivative of the open-channel blocker quinacrine (18)(19)(20), photolabeled residues at the extracellular end of ␣M1 specifically in the open state of the receptor (21-23). In addition, a number of substituted Cys in the outer third of M1 are accessible from the channel lumen either in the resting state or in the open state (15,24,25). The pattern of accessibility was inconsistent with a regular secondary structure in this region. The accessibility of residues in the outer third of M1 is consistent, at least in the open state, with a funnel-shaped lumen (26) lined with alternating M1 strands and M2 helices at its wide outer end and by just five M2 helices at its narrow inner end ( Fig. 1B; refs. 14, 15, 24, 25, and 27).The narrow inner end of the channel contains rings of aligned residues in the M1-M2 loops and the inner ends of M2 that are the principal determinants of conductance (28), size selectivity (29-31), and charge selectivity (32). The resting (activation) gate has been proposed to be in the middle of the membrane (33) or alternatively at the inner end of the channel (34). Furthermore, the gate in the desensitized state has been proposed to extend from the inner end to the middle of the c...