ABSTRACT-The function of 5-hydroxytryptamine (5-HT) receptors, especially the 5-HT4 receptor, in the urinary bladder were examined in preparations isolated from the guinea pig by in vitro receptor autoradiography and determinations of mechanical activity and acetylcholine (ACh) release. Specific The bladder functions are controlled by the integration of excitatory, inhibitory and sensory nerve activity in the spinal cord, pons and forebrain; and 5-hydroxytryptamine (5-HT) has been identified as an inhibitory neurotransmitter in the micturition reflex pathway at spinal and supraspinal sites (1). In vivo studies have shown that the 5-HT1A receptor of some 5-HT receptor subtypes are important in the micturition reflex pathway (2 -4), especially at the spinal site (4). In vitro study has shown that 5-HT causes contractions of urinary bladder preparations from several mammals (5). In most species, activation of 5-HT 2 receptor has been reported to cause contractions due to direct stimulation of smooth muscle cells of cat (6, 7) and human (8) urinary bladder. Activation of 5-HT 3 receptor causes neurogenic contractions mediated by stimulation of the receptor located on the excitatory neurons in the cat (7), mouse (9), guinea pig (10), rabbit (11, 12), and human (13, 14). The 5-HT4 receptor has been suggested to be located on the excitatory neurons of urinary bladder and its activation facilitates cholinergic transmission in humans (14,15), while in the monkey urinary bladder, the 5-HT4 receptor is located post-junctionally and its activation causes inhibition of neurogenic contractions (16). In the guinea pig urinary bladder, it has been reported by mechanical experiments that 5-HT2A and 5-HT4 receptors are involved in enhancing purinergic transmission and the 5-HT 3 receptor is involved in enhancing cholinergic transmission (10).In order to elucidate the function of 5-HT receptor subtypes, especially 5-HT4 receptor in the urinary bladder, and interaction between localization and function of 5-HT 4 receptor, we examined effects of 5-HT and 5-HT antagonists on the responses to 5-HT using mechanical activity, acetylcholine (ACh) release and in vitro receptor autoradiography.