Cell surface muscarinic cholinergic receptors have been characterized and quantified for the first time, in intact, isolated adult rat cardiomyocytes. The cells were previously established as functionally fully compatible with cellular responses in intact cardiac tissue. The specific binding of the hydrophilic radioligand, [3H]-NMS, (N-methyl-[3H]-scopolamine methylchloride) was found to be stereo-specific saturable, reversible and of high affinity. Binding of [3H]-NMS demonstrated appropriate drug specificity and was positively correlated with increasing cell concentrations. Bmax for [3H]-NMS binding to ventricular myocytes, enzymatically dissociated from adult male rats, was 15.8 ± 1.03 fmol 25 × 103 cells (at 4°C) and KD was 0.27 ± 0.05 nm (n = 14). Binding assays performed at a higher incubation temperature (30°C) yielded z higher Bmax value ( 22.1 ± 1.6 fmol 25 × 103 cells; n = 11; P < 0.005 vs. Bmax at 4°C) but an unchanged KD (0.23 ± 0.06 nm). Pretreatment of myocytes with the muscarinic agonist carbachol (1 mm) at 37°C resulted in a reduction (down-regulation) in specific binding of the hydrophilic ligand [3H]-NMS. The magnitude of this reduction and its rate of recovery were dependent on the time of the exposure to carbachol. Exposures of 30-60 min elicited down-regulation by 35% (Bmax = 14.29 ± 1.66 changed to 9.5 ± 1.79 fmol 25 × 103 cells, without change in KD P < 0.01, n = 4). The down-regulation of the muscarinic receptors by carbachol was insensitive to application of bacitracin - an inhibitor of endocytosis. On the other hand preincubation with 10-9m atropine, a muscarinic antagonist, hindered the agonist-induced receptor "loss" from the cell surface confirming the muscarinic nature of these receptors. We conclude that our preparation of intact, isolated ventricular cardiomyocytes is ideally suited for the study of cell surface muscarinic receptor regulation under physiological and pathological conditions. © 1990.