The ability of muscarinic cholinergic receptors (mAChRs) to regulate the volume-sensitive efflux of two organic osmolytes, namely, taurine and D-aspartate, from human SH-SY5Y neuroblastoma cells has been examined. Incubation of the cells with hypoosmolar buffers resulted in an efflux of both osmolytes, with the threshold for release occurring at approximately 225 mOsM for taurine and D-aspartate. Inclusion of oxotremorine-M (Oxo-M), a muscarinic agonist, resulted in a marked enhancement of the volume-dependent efflux of both osmolytes and increased the threshold osmolarity for taurine and D-aspartate release to 340 (isotonic) and 320 mOsM, respectively. Maximum agonist stimulation of osmolyte release (350% of basal) was observed in the range of 225 to 250 mOsM. Oxo-M-stimulated osmolyte efflux was inhibited by muscarinic antagonists with a rank order of ,4]benzodiazepin-6-one, a pharmacological profile identical to that obtained for M 3 mAChRstimulated phosphoinositide hydrolysis. Agonist-stimulated efflux of both osmolytes could be inhibited by inclusion of either anion channel blockers known to inhibit the volume-sensitive organic anion channel (VSOAC) or by a tyrosine kinase inhibitor ␣-cyano-(3,4-dihydroxy)cinnamonitrile. The results indicate that the activation of M 3 mAChRs on SH-SY5Y neuroblastoma facilitates the ability of these cells to respond to very limited reductions in osmolarity via a release of osmolytes. mAChR-stimulated osmolyte efflux is mediated via a VSOAC and seems to require the activity of a tyrosine kinase.Although most cells possess homeostatic mechanisms for the maintenance of cell volume, these are particularly important to cells in the central nervous system (CNS) because of restrictions of the skull. Even modest alterations in brain volume can have profound effects on cell-cell signaling because the spatial relationship between neurons, astrocytes, and the extracellular space becomes compromised. Brain swelling, which can occur in response to conditions such as hyponatremia, inappropriate secretion of antidiuretic hormone, or after polydypsia, can lead to the compression of small blood vessels, and subsequently, cerebral anoxia and ischemia. Death can result from the displacement of brain parenchyma through the foramen magnum and the ensuing cardiac and respiratory arrest (Pasantes-Morales et al., 2000). To counter these deleterious changes, neural cells initially restore their osmotic balance via a loss of K ϩ and Cl Ϫ ions. However, because large changes in ion concentrations can adversely impact excitability, cells subsequently use "compatible" or nonperturbing organic osmolytes to counter changes in osmolarity without compromising cell function. In the CNS, the three quantitatively major organic osmolytes are taurine, glutamate, and myo-inositol. Organic osmolytes are released from neural cells via a volume-sensitive organic anion channel (VSOAC), a channel that has been extensively characterized both electrophysiologically and pharmacologically, although its molecular s...