TABLE 1

Some transmitters and modulators producing contraction or relaxation of the bladder

Transmitter/Receptor Effect on the Bladder Site of Action
ACh, muscarinic M3, M2 Contraction Detrusor
ACh, muscarinic M2, M4 Inhibitory, relaxation Prejunctional
ACh, muscarinic M1, M3 Excitatory, contraction Prejunctional
ACh, nicotinic Excitatory, contraction Intramural ganglia
NA, β3, β2 Relaxation Detrusor
NA, α1 Contraction Trigone (bladder base)
NA, α2 Inhibitory, relaxation Cholinergic nerve terminals
ATP, P2X1 Contraction Detrusor
ATP, P2X3 Excitatory, contraction Afferent nerves
Nitric oxide Inhibitory, relaxation Afferent nerves
5-HT, 5-HT2 Contraction Detrusor
Histamine, H1 Contraction Detrusor
Prostanoids, EP, TP Contraction Detrusor
Prostanoids, EP, TP Excitatory, contraction Afferent nerves
Leukotrienes, LTB4 Contraction Detrusor
Angiotensins, AT1 Contraction Detrusor
Bradykinin, B2 Contraction Detrusor
Endothelins, ETA Contraction Detrusor
Tachykinins, NK2 Contraction Detrusor
Vasopressin, V1 Contraction Detrusor
VIP, VPAC1/VPC2 Relaxation Detrusor
PTHrP Relaxation Detrusor
  • ACh, acetylcholine.