The present study was designed to reexamine the muscarinic acetylcholine receptor subtype mediating carbacholinduced contraction of human urinary bladder and to investigate the underlying signal transduction. Based upon the nonselective tolterodine, the highly M 2 -selective (R)-4-{2-[3-(4-methoxy-benzoylamino)-benzyl]-piperidin-1-ylmethyl}-piperidine-1-carboxylic acid amide , and the highly M 3 -selective darifenacin and 3-
In contrast, trans-4-[(1R)-1-aminoethyl]-N-4-pyridinylcyclohexanecarboxamide (Y 27,632) (1-10 M), an inhibitor of rho-associated kinases, concentration dependently and effectively attenuated the carbachol responses. We conclude that carbachol-induced contraction of human urinary bladder via M 3 receptors largely depends on Ca 2ϩ entry through nifedipine-sensitive channels and activation of a rho kinase, whereas phospholipase D and store-operated Ca 2ϩ channels contribute only in a minor way. Surprisingly, phospholipase C or protein kinase C do not seem to be involved to a relevant extent.Muscarinic acetylcholine receptors are the physiologically most important mechanism to elicit contraction of the urinary bladder (Andersson, 1993). M 2 and M 3 muscarinic receptors coexist in the bladder of various mammalian species, including humans, but the expression of M 2 receptors is much greater than that of the M 3 receptors (Wang et al., 1995;Goepel et al., 1998;Yamanishi et al., 2000;Kories et al., 2003). Nevertheless, the contractile response to the exogenous agonist carbachol and to endogenous agonist released by field stimulation have been attributed predominantly if not exclusively to M 3 receptors in rats (Longhurst et al