tracellular accumulation of cyclic adenosine monophosphate (cAMP) and/or cyclic guanosine monophosphate (cGMP) by inhibiting phosphodiesterase (PDE)
[1][2][3] ; (2) inhibition of mitochondrial respiration
[4][5][6][7][8] , and (3) effects on Ca 2+ movement [9] . Although these different mechanisms have been proposed, efforts to compare and evaluate the 3 concepts in various smooth muscles have been neglected.
We recently reported that papaverine inhibits smoothmuscle contraction mainly by the accumulation of cAMP and/or cGMP due to the inhibition of PDE in tonic muscle, such as rat aorta [10] and bovine trachea [11] , but by inhibiting mitochondrial respiration in phasic muscle, such as guinea pig ileum [10] , urinary bladder [12] and rat uterus [13] .