The potential functional roles of M 3 muscarinic receptors in mouse atria were examined by pharmacological and molecular biological techniques, using wild-type mice, muscarinic M 2 or M 3 receptor single knockout (M 2 KO, M 3 KO), and M 2 and M 3 muscarinic receptor double knockout mice (M 2 /M 3 KO). Realtime quantitative reverse transcriptase-polymerase chain reaction analysis showed that the M 2 receptor mRNA was expressed predominantly in mouse atria but that the M 1 , M 3 , M 4 , and M 5 receptor subtypes were also expressed at low levels. Carbachol (10 nM-30 M) decreased the spontaneous beating frequency of right atria isolated from wild-type mice. Studies with subtype-preferring antagonists and atria from M 2 KO mice confirmed that this activity is mediated by the M 2 receptor subtype. In left atria from wild-type mice, carbachol decreased the amplitude of electrical field stimulation-evoked contractions (negative inotropic action), but this inhibition was transient and was followed by a gradual increase in contraction amplitude (positive inotropic response). In atria from M 3 KO mice, the transient negative inotropic action of carbachol changed to a sustained negative inotropic action. In contrast, in atria from M 2 KO mice, carbachol showed only positive inotropic activity. In atria from M 2 /M 3 double KO mice, carbachol was devoid of any inotropic activity. These observations, complemented by functional studies with subtype-preferring antagonists, convincingly demonstrate that atrial M 3 muscarinic receptors mediate positive inotropic effects in mouse atria. Physiologically, this activity may serve to dampen the inhibitory effects of M 2 receptor activation on atrial contractility.Muscarinic receptor stimulation by acetylcholine plays an important role in parasympathetic control of cardiac functions such as heart rate (chronotropic action), conduction velocity (dromotropic action), and contractility (inotropic action). Muscarinic receptors are prototypic members of the superfamily of G protein-coupled receptors, and molecular cloning studies have demonstrated the existence of five distinct mammalian muscarinic receptor subtypes (M 1 -M 5 ) (Caulfield and Birdsall, 1998). Based on their differential G protein-coupling properties, the five receptors can be subdivided into two major functional classes. The M 1 , M 3 , and M 5 receptors preferentially couple to G q/11 proteins, whereas the M 2 and M 4 receptors are selectively linked to G i/o proteins (Caulfield and Birdsall, 1998;Lanzafame et al., 2003). It is well documented that the heart predominantly expresses the M 2 receptor subtype (Brodde and Michel, 1999;Dhein et al., 2001). After activation of cardiac M 2 receptors, the activated ␣ subunit of G i proteins inhibits adenylate cyclase activity, resulting in a decrease of cytoplasmic cAMP, whereas the ␥ subunit of the G i proteins directly activates the inwardly rectifying muscarinic K ϩ channel (Yamada et al., 1998;Dhein et al., 2001). However, the M 2 receptor is not the only muscarinic ...