Obejctive To study the activity of anti peptide antibodies against the second extracellular loop of human M 2 muscarinic receptors on cAMP production and inward calcium currents (I Ca ) in guinea pig ventricular myocytes A comparison was also made with those of a muscarinic receptor agonist Methods cAMP content was determined by radioimmunoassay and the I Ca in guinea pig single ventricular cells were recorded by the whole cell patch clamp technique Results Both the muscarinic receptor agonist, carbachol (Carb 10?μmol/L), and anti peptide antibodies (Abs 100?nmol/L) could decrease basal cAMP levels (by 46 9%±4 2% and 60 2%±4 6%, respectively) and basal I Ca Both Carb (10?μmol/L) and Abs (100?nmol/L) could also inhibit the isoprenaline induced (Iso 0 8?μmol/L) increases in cAMP production (from 108 2±7 0 to 88 4±7 2? pmol/mg·protein/min for Carb and 88 6±5 1? pmol/mg· protein/min for Abs, respectively) and the increases in I Ca The muscarinic receptor antagonist atropine (Atr) was able to prevent these effects of Carb and Abs Conclusions Anti peptide antibodies against an epitope located in the second extracellular loop of human M 2 muscarinic receptors, similar to muscarinic receptor agonist, could decrease the basal I Ca and β receptor agonist stimulated increase of I Ca by decreasing the basal and β receptor agonist stimulated increase of cAMP production, and therefore could have an effect on their target receptor These results further suggest that autoimmunity may participate in the pathogenesis of human cardiomyopathy and the second extracellular loop of human M 2 muscarinic receptor could be the main immunodominant region. Obejctive To study the activity of anti peptide antibodies against the second extracellular loop of human M 2 muscarinic receptors on cAMP production and inward calcium currents (I Ca) in guinea pig ventricular myocytes A comparison was also made with those of a muscarinic receptor agonist Methods cAMP content was determined by radioimmunoassay and the I Ca in guinea pig single ventricular cells were recorded by the whole cell patch clamp technique Results Both the muscarinic receptor agonist, carbachol (Carb 10 μmol / L), and anti peptide antibodies (Abs 100 nmol / L) could reduce basal cAMP levels (by 46 9% ± 4 2% and 60 2% ± 46%, respectively) and basal I Ca Both Carb (10 μmol / L) and Abs (100 nmol / L) could also inhibit the isoprenaline induced increase in cAMP production (from 108 2 ± 7 0 to 88 4 ± 7 2 pmol / mg · protein / min for Carb and 88 6 ± 5 1 pmol / mg · protein / min for Abs, respectively) and the increase in I Ca The muscarinic receptor antagonist atropine (Atr) was able to prevent these effects of Carb and Abs Conclusions Anti peptide antibodies against an epitope located in the second extracellular loop of human M 2 muscarinic receptors, similar to muscarinic receptor agonist, could decrease the basal I Ca and β receptor agonist stimulated increase of I Ca by decreasing the basal and β receptor agonist stimulated increase of cAMP production, and therefore could have an effect on their target receptor These results further suggest that autoimmunity may participate in the pathogenesis of human cardiomyopathy and the second extracellular loop of human M 2 muscarinic receptor could be the main immunodominant region.