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Vol. 55, Issue 3, 497-507, March 1999
Department of Medicine, University of Montreal, Montreal, Quebec,
Canada (Z.W.), and
Research Center, Montreal Heart Institute, Montreal,
Quebec, Canada (H.S., H.W., Z.W.)
M2 receptors have long been believed to be the only
functional subtype of muscarinic acetylcholine receptor (mAChR) in the heart, although recent studies have provided evidence for the presence
of other subtypes. We performed a detailed study to clarify this issue.
In the presence of tetramethylammonium (1 µM to 10 mM), a novel
K+ current with both delayed rectifying and inward
rectifying properties (IKTMA) was activated in single
canine atrial myocytes. 4-Aminopyridine (0.05-2 mM) also induced a
K+ current (IK4AP) with characteristics similar
to but distinct from those of IKTMA. Both IKTMA
and IK4AP were abolished by 1 µM atropine.
IK4AP, but not IKTMA, was minimized by
treatment with pertussis toxin. IKTMA was markedly
decreased by 4-diphenylacetoxy-N-methylpiperidine methiodide (a selective antagonist for M3 subtype) but was
not altered by pirenzepine (for M1), methoctramine (for
M2), and tropicamide (for M4). Tropicamide
substantially reduced IK4AP, but the antagonists for other
mAChR subtypes had no effects on IK4AP. By comparison, IKACh (ACh-induced K+ current) was
significantly depressed by methoctramine but was unaltered by other
antagonists. Results from displacement binding of
[methyl-3H]N-scopolamine
methyl chloride with pirenzepine, methoctramine, 4-diphenylacetoxy-N-methylpiperidine methiodide, or
tropicamide revealed the coexistence of multiple mAChR subtypes in
canine atrium. Cloning of cDNA fragments and detection of mRNAs coding for M2, M3, and M4 provided further
supporting evidence. Our results suggest that 1) multiple subtypes of
mAChRs (M2/M3/M4) coexist in the
dog heart and 2) different subtypes of mAChRs are coupled to different
K+ channels. Our findings represent the first functional
evidence for the physiological role of cardiac M3 and
M4 receptors.
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