SUMMARYWe studied the mechanism of action of methylene blue (Mblue), a putative guanylyl cyclase inhibitor, on the L-type calcium current (I Ca ) and the muscarinic activated K ϩ current (I K,ACh ) in rat ventricular and atrial myocytes, respectively, and on the binding of [3 H]quinuclidinyl benzylate in rat ventricular membranes. Superfusion, but not internal dialysis, with 30 M Mblue antagonized the inhibitory effect of acetylcholine (ACh, 1 M) on -adrenergic stimulation of I Ca with isoprenaline (Iso, 10 nM or 1 M). However, Mblue had no effect on the basal I Ca or on the stimulation of I Ca by Iso in the absence of ACh. The activation of I K,ACh by 3 M ACh was also antagonized by Mblue in a dose-dependent manner. In contrast, Mblue had no effect on the activation of I K,ACh by either guanosine-5Ј-O-(3-thio)-triphosphate or guanosine-5Ј-(,␥-imido)triphosphate. Chlorpromazine (CPZ), a piperazine derivative like Mblue, also inhibited the muscarinic activation of I K,ACh in a dose-dependent manner. The specific binding of [ 3 H]QNB, a muscarinic ligand, to rat ventricular membranes was displaced in a dose-dependent manner by Mblue and CPZ. The piperazine derivatives behaved like competitive antagonists of [ 3 H]QNB binding, exhibiting equilibrium dissociation constant (K i ) values of 187 nM for Mblue and 366 nM for CPZ. In conclusion, Mblue exerts antimuscarinic effects on I Ca and I K,ACh in rat cardiac myocytes that are best explained by the binding of Mblue to the M2 subtype of muscarinic receptors. This property probably contributes to the antimuscarinic effect of the putative guanylyl cyclase inhibitor reported in previous studies.Mblue has been shown to antagonize the production of cGMP in various tissues and is generally accepted as a selective antagonist of the NO-sensitive isoform of guanylyl cyclase (1-5). As such, Mblue is often used to study the roles of NO and cGMP in the effects of neurotransmitters and hormones. For instance, Mblue antagonizes the effect of ACh on the relaxation of coronary vessels (6, 7).In the heart, Mblue was soon recognized as an inhibitor of the response to ACh (Ref. 8 and references therein). Because ACh, like NO donors, can increase cGMP levels in cardiac myocytes (for reviews, see Refs. 9 and 10), a likely mechanism for the cardiac effect of Mblue was the inhibition of guanylyl cyclase. Consistent with this hypothesis are the recent findings that Mblue (i) inhibits cGMP production induced by ACh in isolated guinea pig cardiomyocytes (11), (ii) prevents the inhibitory effect of ACh on the L-type Ca 2ϩ channel current (I Ca ) (12-15), (iii) prevents the inhibitory effect of ACh on the cAMP-stimulated Cl Ϫ current (16), and (iv) antagonizes the effects of NO donors on cardiac contractility (17, 18) and I Ca (12,14,19 Previous studies have questioned the mechanism of action of Mblue and suggested that Mblue is not a direct guanylyl cyclase inhibitor. Indeed, Mblue is a superoxide anion generator, and this anion, which is a potent NO scavenger, may