Growing body of evidence indicates that the functional responses of cells to muscarinic acetylcholine receptors (mAChRs) are mediated by multiple receptor subtypes. It is commonly thought that the M-2 receptor is the only functional mAChR subtype in the heart and little data regarding the potential roles of other subtypes in cardiac tissues has been reported. In the present study, we provide functional evidence for the presence and physiological function of an M-3 receptor in canine atrial myocytes. Using whole-cell patch-clamp techniques, we consistently found that pilocarpine, an mAChR agonist, induced a K+ current similar to but distinct from the classical delayed rectifier K+ current. Same observations were obtained when choline or tetramethylammonium (TMA) was applied to the bath. The currents were abolished by 1 mu M atropine. Antagonists selective to M-1 (pirenzepine, 100 nM), M-2 (methoctramine 100 nM), or M-4 (tropicamide 200 nM) receptors failed to alter the currents. Conversely, three different M-3-selective inhibitors, p-F-HHSiD (20-200 :nM), 4-DAMP methiodide (2-10 nM) and 4-DAMP mustard (4-20 nM), all produced concentration-dependent suppression of the currents. A cDNA fragment representing the M-3 receptor was isolated from dog atrial RNA and the mRNA level of this construct was 0.7 +/- 0.1 pg/mu g total RNA, as quantified by the competitive RT-PCR methods. Our data strongly suggested that an M-3 receptor exists and is coupled to a K+ channel in the heart. (C) 1999 Elsevier Science Inc.