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FP-TZTP is a small molecule muscarinic acetylcholine receptor agonist with high selectivity for the M2 subtype. It is primarily used as a radioligand in positron emission tomography (PET) imaging to study muscarinic M2 receptor distribution and function in the brain. The compound can be labeled with fluorine‑18 ([18F]FP-TZTP) or carbon‑11 for PET studies. Its main research application is in neurodegenerative diseases such as Alzheimer's disease, where it enables noninvasive measurement of cholinergic system integrity and function[1][7][10]. FP-TZTP binds selectively to M2 receptors and its binding can be competitively inhibited by endogenous acetylcholine or other muscarinic agonists[6][10]. It does not have approved therapeutic indications but serves as an important tool compound for neuroscience research.
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