We investigated the subtype of prejunctional muscarinic receptors associated with inhibition of acetylcholine (ACh) released from the mouse bladder. We measured endogenous ACh release in the bladder obtained from the wild-type mice and muscarinic 1–5 (M 1–M 5) receptor knockout (KO) mice. Electrical field stimulation increased ACh release in all bladder preparations obtained from wild-type and M 1–M 5 receptor KO mice. The amount of ACh released from M 1–M 3 and M 5 receptor KO mice was equal to that in the wild-type mice. In contrast, the amount of electrical field stimulation–induced ACh release in M 4 receptor KO mice was significantly larger than that in the wild-type mice, but the extent of increase was small. Atropine increased electrical field stimulation–induced ACh release to levels found in wild-type mice in all M 1–M 5 receptor KO mice. In M 2/M 4 receptor double KO mice, the amount of electrical field stimulation–induced ACh release was equivalent to that in the M 4 receptor KO mice. The cholinergic component of electrical field stimulation–induced contraction (in the presence of α,β-methylene ATP) in the detrusor of M 4 receptor KO mice was no different from that in the detrusor of wild-type mice. M 4 receptor immunoreactivity was located between smooth muscle cells, colocalized with choline acetyltransferase immunoreactivity. These results indicate that the prejunctional inhibitory muscarinic receptors are of the M 4 and non-M 2 receptor subtypes. The nature of the non-M 2 receptors remains unknown.
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