We investigated the subtypes of the muscarinic receptor mediating short-term heterologous desensitization in the isolated ileum. Treatment of the ileum from C57BL/6 mice with acetylcholine (30 M) for 20 min caused a subsequent decrease in contractile sensitivity to both prostaglandin F 2␣ (PGF 2␣ ) and the muscarinic agonist, oxotremorine-M. This subsensitivity was characterized by 7-and 3-fold increases in the EC 50 values of the agonists, respectively, with no significant effect on the maximal response. The subsensitivity to PGF 2␣ was prevented in both M 2 and M 3 muscarinic receptor knockout mice. Similarly, the subsensitivity to oxotremorine-M was prevented in M 2 knockout mice. Acetylcholine-mediated desensitization of histamine-induced contractions in the guinea pig ileum was inhibited by both M 2 -and M 3 -selective muscarinic antagonists with high potency, although careful analysis of the data suggested behavior more consistent with an M 2 antagonistic profile. Modeling studies showed that the competitive antagonism of response contingent upon activation of two receptor subtypes should exhibit a pharmacological profile similar to that of the least sensitive signaling pathway. Our results demonstrate that muscarinic agonist-mediated short-term heterologous desensitization of intestinal smooth muscle is contingent upon activation of both M 2 and M 3 muscarinic receptors and that activation of either receptor by itself is insufficient to cause desensitization.It has long been known that the sensitivity of gastrointestinal smooth muscle to the contractile effects of muscarinic agonists decreases after incubation of the tissue with moderate to high concentrations of agonist for relatively short periods (i.e., 5-30 min) (Cantoni and Eastman, 1946;Dale, 1958;Paton, 1961). The mechanism for this short-term desensitization seems to be at a locus downstream from the muscarinic receptor because muscarinic agonist-mediated desensitization is characterized by a decrease in sensitivity to other spasmogens as well. Such a generalized subsensitivity is not surprising considering the metabolic costs required to maintain tonic muscle contraction for several minutes. Thus, prolonged contraction caused by continuous exposure to a muscarinic agonist causes a decreased responsiveness of the contractile machinery to subsequent activation by muscarinic as well as other heterologous agents. It seems likely, therefore, that the muscarinic receptor subtypes mediating heterologous desensitization may be the same as those eliciting contraction.In isolated ileum, subtype-selective muscarinic antagonists inhibit the contractile response to agonists in a manner