Objective-Determining the role of specific muscarinic (M) receptor subtypes mediating responses to acetylcholine (ACh) has been limited by the specificity of pharmacological agents. Deletion of the gene for M 5 receptors abolished response to ACh in cerebral blood vessels but did not affect dilation of coronary arteries. The goal of this study was to determine the M receptors mediating responses to ACh in coronary circulation using mice deficient in M 2 or M 3 receptors (M 2 Ϫ/Ϫ, M 3 Ϫ/Ϫ, respectively). Methods and Results-Coronary arteries from respective wild-type, M 2 Ϫ/Ϫ, or M 3 Ϫ/Ϫ mice were isolated, cannulated, and pressurized. Diameter was measured with video microscopy. After preconstriction with U46619, ACh produced dose-dependent dilation of coronary arteries that was similar in wild-type and M 2 Ϫ/Ϫ mice. In contrast, dilation of coronary arteries from M 3 Ϫ/Ϫ mice to ACh was reduced by Ϸ80% compared with wild type. The residual response to ACh was atropine insensitive. Relaxation of coronary arteries to other stimuli was similar in M 2 Ϫ/Ϫ and M 3 Ϫ/Ϫ mice. Similar results were obtained in aorta rings. Key Words: acetylcholine Ⅲ muscarinic receptors Ⅲ genetically altered mice A cetylcholine (ACh) is an important mediator of neurogenic vasodilation in coronary circulation 1,2 as well as a major investigative tool for studies of endothelial function in experimental animals and in patients. [3][4][5] Endothelial dysfunction, defined as impaired vasodilation to ACh, has been observed in many studies of cardiovascular diseases and may be associated with risk factors for coronary artery disease. [3][4][5] In some cases, vascular responses to ACh are selectively altered, [3][4][5] whereas responses to other endothelium-dependent dilators are minimally affected. To understand these mechanisms, including changes that occur with vascular dysfunction, it is important to define muscarinic (M) signaling at the molecular level. Although M receptor antagonists prevent ACh-induced relaxation, 6,7 identification of specific M receptor subtypes mediating vascular relaxation to ACh has long been hampered by the lack of M antagonists with high selectivity for a single receptor subtype. 8 In addition, overlapping expression patterns of different M receptors and identification of multiple M receptors within a given tissue contribute to the difficulty in linking specific M receptors with a specific physiological or pathophysiological response. 9 Five major classes of M receptors, denoted M 1 through M 5 , have been identified using pharmacological and molecular approaches. 8 Depending on the specific receptor subtype, a wide variety of phenotypes has been observed in M receptordeficient mice. 10 These phenotypes have been reviewed recently in detail. 10 Depending on the vascular bed and animal species, vascular relaxation or contraction to ACh has been suggested to be mediated by activation of different M receptors on the basis of pharmacological data. 6,[11][12][13][14][15][16][17][18][19][20][21] In cerebral circulati...