Agonist-induced potentiation of acetylcholine sensitivity in denervated skeletal muscle.

The entire surface membrane of denervated skeletal muscle is sensitive to the neuromuscular transmitter, acetylcholine (ACh), whereas in innervated muscle only the junctional area is sensitive. It has been proposed that this difference is due to a 'trophic' effect exerted by ACh in innervated muscle to keep the extrajunctional regions of the surface membrane insensitive to its depolarising action. Several studies have demonstrated an agonist-induced potentiation of ACh sensitivity, followed by desensitisation, at the endplate region of normal muscles. The potentiation has been attributed to a cooperative action of ACh on the receptors. Desensitisation of the extrajunctional regions of denervated muscles by ACh has also been described. We now provide evidence that the transmitter itself potentiates the ACh contracture and depolarisation responses of the denervated muscles of the rat in vitro and that it produces this effect by increasing the number of available ACh receptors on the surface membrane.