Abstract-We examined K+-induced relaxation instead of contraction in the pres ence of Ca-antagonists by measuring isometric tension in the tracheal smooth muscle isolated from guinea pigs. Cumulative administration of KCI (10-90 mM) induced a concentration-dependent contraction. When the muscle was pretreated with low concentrations of Ca-antagonists, cumulative administration of KCI caused a mild contraction, followed by a moderate relaxation. In the muscle pretreated with high concentrations of Ca-antagonists, KCI revealed a concentration-related relaxation without contraction. The potency ratios of Ca-antagonists to reverse the KCI-induced contraction to relaxation were nifedipine : verapamil : diltiazem= 94:4:1. This order of potency was quite similar to that of Ca-antagonists to relax the muscle precontracted with KCI (30 mM). Magnitudes of KCI (30 mM)-induced relaxation in the presence of Ca-antagonists were similar to those caused by Ca antagonists in the KCI (30 mM)-precontracted muscles. Thus, K+-induced relax ation in the airway smooth muscle in the presence of Ca-antagonists may be due to the voltage-dependent increase in binding of Ca-antagonists to calcium channels.It has been generally accepted that the airway smooth muscle displays a concen tration-related contraction by the adminis tration of KCI (10-2-9 x 10-2 M) in terms of a depolarization mechanism. On the other hand, it has been shown that Ca-antagonists cause a relaxation of the airway smooth muscle pre contracted with KCI due to the blocking effect of extracellular Ca" entering through voltage dependent Ca" channels (1-3). Among the various kinds of Ca-antagonists, the effects of nifedipine and verapamil on airway smooth muscle have been well-documented.In in vitro studies, verapamil has been shown to reverse the contraction of tracheal smooth muscle in guinea pigs (4, 5) and in dogs (6), while nifedipine was even more effective than verapamil in guinea pigs (7). The preventive effect of nifedipine on human bronchocons triction has been also reported in vitro (8. 9) and in vivo (10, 11). However, there is no available literature concerning the relative potencies for various kinds of Ca-antagonists, including diltiazem and nicardipine, on the airway tone. Since Ca-antagonists with dif ferent chemical structures may act on the smooth muscle through different subcellular mechanisms, we initially compared the po tencies of nifedipine, nicardipine, verapamil and diltiazem to relax the isolated tracheal smooth muscle precontracted with KCI (30 mM). We further studied the effect of KCI on these preparations pretreated with diltiazem. Interestingly, KCI-induced relaxation instead of contraction was found in the preparation pretreated with a high concentration of diltiazem. To examine whether such a relaxa tion could be seen with other Ca-antagonists, we investigated the concentration-response effects for KCI in the presence of the Ca antagonists, i.e., diltiazem, verapamil and nifedipine, at various concentrations.To ex 388 Y. Koga et al. plore...