Takeuchi T, Tanaka K, Nakajima H, Matsui M, Azuma Y-T. M 2 and M3 muscarinic receptors are involved in enteric nervemediated contraction of the mouse ileum: findings obtained with muscarinic-receptor knockout mouse. Am J Physiol Gastrointest Liver Physiol 292: G154 -G164, 2007; doi:10.1152/ajpgi.00173.2006.-The involvement of muscarinic receptors in neurogenic responses of the ileum was studied in wild-type and muscarinic-receptor (Mreceptor) knockout (KO) mice. Electrical field stimulation to the wild-type mouse ileum induced a biphasic response, a phasic and sustained contraction that was abolished by tetrodotoxin. The sustained contraction was prolonged for an extended period after the termination of electrical field stimulation. The phasic contraction was completely inhibited by atropine. In contrast, the sustained contraction was enhanced by atropine. Ileal strips prepared from M2-receptor KO mice exhibited a phasic contraction similar to that seen in wild-type mice and a sustained contraction that was larger than that in wild-type mice. In M3-receptor KO mice, the phasic contraction was smaller than that observed in wild-type mice. Acetylcholine exogenously administrated induced concentration-dependent contractions in strips isolated from wild-type, M2-and M3-receptor KO mice. However, contractions in M3-receptor KO mice shifted to the right. The sustained contraction was inhibited by capsaicin and neurokinin NK2 receptor antagonist, suggesting that it is mediated by substance P (SP). SP-induced contraction of M2-receptor KO mice did not differ from that of wild-type mice. SP immunoreactivity was located in enteric neurons, colocalized with M 2 receptor immunoreactivity. These results suggest that atropine-sensitive phasic contraction is mainly mediated via the M 3 receptor, and SP-mediated sustained contraction is negatively regulated by the M2 receptor at a presynaptic level.M2-and M3-receptor knockout mouse; neurogenic response; acetylcholine-mediated phasic contraction; substance P-mediated tonic contraction ACETYLCHOLINE (ACh) is released from cholinergic nervous terminals in the myenteric plexus, resulting in the contraction of intestinal smooth muscle through activation of muscarinic (M) receptors (9). Five subtypes of M receptors have so far been identified (39). It is well known that M 2 and M 3 receptors are present on the smooth muscle cells of gastrointestinal tracts and are expressed at ratios of 70 -80% and 20 -30%, respectively (6). A role of both M receptors in smooth muscle contraction was indicated by the examination of the effects of M-receptor subtype-specific antagonists on the contraction induced by exogenous M-receptor agonists (7). In the guinea pig and canine ileum, contractions induced by various Mreceptor agonists (carbachol, muscarine, and methacholine) were most strongly inhibited by the M 3 -receptor antagonist 4-diphenylacetoxy-N-methyl-piperidine methiodide (12, 27). In contrast, activation of the M 2 receptor in rat and guinea pig ileum was reported to inhibit isoproterenol...