OH 44106-4970, USA 1. Acetylcholine (ACh)-induced rebound stimulation of the cAMP-regulated Cl-current was studied in isolated guinea-pig ventricular myocytes using dialysing and dialysis-limiting configurations of the whole-cell patch-clamp technique. 2. Exposure to and subsequent washout of ACh produced a transient rebound stimulation of the Cl-current. However, this rebound response was only observed in the presence of submaximally stimulating concentrations of the cAMP-producing agonists isoprenaline (Iso) or histamine. ACh-induced rebound stimulation was not observed in the presence of maximally stimulating concentrations of Iso, nor was it observed in the absence of Iso. 3. To prevent saturation of responses during rebound, the effects of ACh were studied in the presence of a subthreshold concentration of Iso (0-001 /M). Varying 4. Rebound stimulation of the Cl-current could also be elicited by washing in 2 /UM atropine during exposure to ACh, instead of washing out ACh. Furthermore, ACh-induced rebound was blocked by the M2 muscarinic receptor antagonist methoctramine but not by the Ml receptor antagonist pirenzepine. Rebound was also blocked in pertussis toxin (PTX)-treated myocytes.5. ACh-induced rebound stimulation was not blocked by: (a) L-NMMA, an inhibitor of nitric oxide synthase activity; (b) Methylene Blue, LY-83583, and ODQ, inhibitors of cGMP production; or (c) milrinone, an inhibitor of cGMP-dependent phosphodiesterase activity. 6. These results indicate that ACh can stimulate cAMP-regulated ion channel activity in cardiac ventricular myocytes by facilitating fl-adrenergic and histaminergic responses. This is opposite to the inhibitory actions more typically associated with muscarinic receptor stimulation in ventricular myocardium. This stimulatory effect of ACh is mediated through M2 muscarinic receptors and a PTX-sensitive G-protein, but it does not appear to involve the production of nitric oxide or cGMP.Parasympathetic stimulation exerts negative inotropic as channels, generally associated with atrial and pacemaker well as negative chronotropic effects on the heart. These cells of the heart. The indirect effects are due to antagonism inhibitory effects are mediated through the actions of the of sympathetic responses mediated by,f-adrenergic receptor neurotransmitter acetylcholine (ACh) at muscarinic stimulation of ion channels through a cAMP-protein cholinergic receptors (Loffelholz & Pappano, 1985). These kinase A (PKA)-dependent mechanism in all areas of the responses to muscarinic receptor stimulation involve both heart (Hartzell, 1988 (Hollenberg, Carriere & Barger, 1965;Levy, 1971;Burke & Calaresu, 1972;Loeb & Vassalle, 1979;Gilmour & Zipes, 1985 L-Type Ca!+ current was blocked by adding 1 /UM nisoldipine or 100 JSM Cd2+ to extracellular solutions. Na+ current and T-type Ca!+ current were inactivated by using a holding potential of -30 mV. Electrodes with resistances between 0 5 and 1P5 MQ2 were used for all experiments. When the perforated-patch technique was used, electrical acces...