The authors investigated the role of muscarinic receptors in functional con
trol of coronary arteries affected by intimal thickening due to arterioscle
rosis. They first examined the genetic subtypes of muscarinic receptors exp
ressed in human coronary arteries. Twelve samples of human coronary artery,
obtained by autopsy from eight subjects, were examined for the expression
of four genetic subtypes of muscarinic receptor, mi to m4, by reverse trans
cription and polymerase chain reaction (RT-PCR). Two subtypes, m2 and m3, w
ere found to be expressed in the coronary artery. The m2 gene was expressed
in seven of the 12 vessels, and m3 in eight of the 12. Expression of both
m2 and m3 genes was observed in five of the :12 vessels. Neither the mi nor
m4 was expressed in these samples. These results indic;lte that the m2 and
m3 genes are mainly expressed in the coronary arteries and suggest that th
ese patterns of expression are differentially controlled to induce the dive
rsity of contraction/relaxation reactions induced in the coronary arteries
by acetylcholine.