Adequate cochlear blood supply by the spiral modiolar artery (SMA) is critical for normal hearing. ACh may play a role in neuroregulation of the SMA but several key issues including its membrane action mechanisms remain poorly understood. Besides its well-known endothelium-dependent hyperpolarizing action, ACh can induce a depolarization in vascular cells. Using intracellular and whole-cell recording techniques on cells in guinea pig in vitro SMA, we studied the ionic mechanism underlying the ACh-depolarization and found that: 1) ACh induced a DAMP-sensitive depolarization when intermediate conductance K Ca channels were blocked by charybdotoxin or nitrendipine. The ACh-depolarization was associated with a decrease in input resistance (R input ) in high membrane potential (V m ) (~−40 mV) cells but with no change or an increase in R input in low V m (~−75 mV) cells. ACh-depolarization was attenuated by background membrane depolarization from ~−70 mV in the majority of cells; 2) ACh-induced inward current in smooth muscle cells embedded in a SMA segment often showed a U-shaped I/V curve, the reversal potential of its two arms being near E K and 0 mV respectively; 3) ACh-depolarization was reduced by low Na + , zero K + or 20 mM K + bath solutions; 4) ACh-depolarization was inhibited by La 3+ in all cells tested, by 4-AP and flufenamic acid in low V m cells, but was not sensitive to Cd 2+ , Ni 2+ , nifedipine, niflumic acid, DIDS, IAA94, linopirdine or amiloride. We conclude that ACh-induced vascular depolarization was generated mainly by activation of a TRP-like non-selective cation channel and by inactivation of an inward rectifier K + channel.