Acetylcholine (ACh), the major neurotransmitter released by efferent nerve fibers in the cochlea, has been shown to activate a Ca 2+-dependent K + conductance in outer hair cells (OHCs). Previously we reported that this ACh operated conductance is permeable to Cs +. The purpose of the present study was to characterize further this Cs +-permeable channel and its dependency on Ca 2+ using isolated OHCs and the patch clamp technique in the whole cell configuration. The changes in the ACh response were examined when Cs +, Ba 2+, Cd 2+, N-methyl-D-glucamine (NMG +) and tetraethylammonium (TEA +) were placed in the external or internal solutions. Cs + substituted for K + in carrying the ACh-evoked Ca 2+-dependent K + current. When NMG +TEA + was substituted for internal K + ACh-evoked an inward and an outward current, and Cs + substituted for external K + blocked the outward but not the inward current evoked by ACh suggesting it was carried by K +. In the NMG +TEA + condition, when the cell was held at different V h values for an extended period of time, the ACh-induced K + current rectified. In Ba 2+ (3 mM) with zero Ca 2+ ACh failed to induce any detectable current and the ACh response slowly recovered from the Ba 2+ block, suggesting a block at an intracellular site. Cd 2+ (1 mM) readily and reversibly blocked ACh-induced currents even when carried by Cs +. This data suggests that ACh opens a channel selective for K +, conductive to Cs + and dependent on Ca 2+.
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