Target intelligence / Profile preview

Cholinergic receptor muscarinic 4 (CHRM4 (often abbreviated as M4 or M4R in the literature))

Target
CHRM4 (often abbreviated as M4 or M4R in the literature)
Molecular classification
G protein-coupled receptor (GPCR), Receptor, Muscarinic acetylcholine receptor family
01

Overview

Cholinergic receptor muscarinic 4 (CHRM4 or M4R) is a subtype of muscarinic acetylcholine receptor that belongs to the G protein-coupled receptor family. It mediates cellular responses to the neurotransmitter acetylcholine mainly by coupling to Gi/o proteins, leading to inhibition of adenylate cyclase and decreased cAMP production. M4 receptors are widely expressed in the brain, particularly in the striatum and forebrain, where they are involved in the regulation of dopamine signaling, synaptic plasticity, and feedback inhibition of neurotransmitter release. Functionally, the M4 receptor plays important roles in learning, memory, motor control, and behavioral responses to drugs of abuse. Dysregulation of M4 signaling has been implicated in the pathophysiology of schizophrenia, movement disorders such as Parkinson’s disease, and cognitive impairment in neurodegenerative diseases like Alzheimer’s. M4 is a validated therapeutic target, with several orthosteric and allosteric modulators being developed to treat CNS disorders with improved selectivity and safety relative to nonselective muscarinic agents[1][2][3][4][5][6].

Other names
Muscarinic acetylcholine receptor M4M4 muscarinic receptorM4RCHRM4
02

Mechanism of action

Agonists: Activate G protein-coupled signaling (primarily Gi/o-mediated inhibition of adenylate cyclase). Allosteric modulators: Bind to less-conserved allosteric sites, enhancing or modulating agonist responses. Antagonists: Block acetylcholine binding or receptor activation, inhibiting downstream signaling. Dual actions (orthosteric and allosteric coupling).

03

Biological functions

Signal transduction (through G protein pathways including inhibition of adenylate cyclase)Modulation of neurotransmitter release (notably acetylcholine and dopamine)Regulation of synaptic plasticity and neuronal excitabilityLearning and memory processesFeedback inhibition of transmitter release
04

Disease associations

SchizophreniaNeurodegenerative disease (notably, Alzheimer’s disease)Substance use disorders/addictionMovement disorders (e.g., Parkinson’s disease, dystonia)Other psychiatric disorders
05

Safety considerations

Nonselective muscarinic antagonists cause cholinergic side effects (dry mouth, constipation, cognitive impairment, etc.)Need for subtype-selective ligands to minimize off-target effectsPotential central nervous system side effects due to broad brain expressionMovement and neuropsychiatric adverse events possible with modulation
06

Interacting drugs

Iperoxo (orthosteric agonist)

5 more in the full profile.

07

Biomarkers

CHRM4 mRNA or protein levels (possible, but not established as clinical biomarkers)No well-established clinical biomarkers for patient selection or efficacy monitoring specifically for M4

Beyond the preview

Go deeper on Cholinergic receptor muscarinic 4 (CHRM4 (often abbreviated as M4 or M4R in the literature)).

Explore the evidence, development activity, and competitive landscape with Gosset’s full data platform.

Drug pipeline

Full profile access

Explore the programs pursuing this target and their development progress.

  • Drug candidates
  • Developers
  • Development stage

Clinical trials

Full profile access

Follow the clinical studies evaluating therapies directed at this target.

  • Trial design
  • Status
  • Readouts

Competitive landscape

Full profile access

Compare approaches across drug candidates, modalities, and indications.

  • Programs
  • Modalities
  • Indications

Literature & evidence

Full profile access

Investigate the research and source evidence behind target biology and development.

  • Publications
  • Sources
  • Analysis

Patents

Full profile access

Explore patent activity around therapies and technologies addressing this target.

  • Patents
  • Assignees
  • Technologies

Research & analysis

Full profile access

Connect target biology, drug development, and emerging evidence in your research.

  • Biology
  • Development news
  • Analysis

Bring the full picture into focus.

See how Gosset can support your research on Cholinergic receptor muscarinic 4 (CHRM4 (often abbreviated as M4 or M4R in the literature)).

Explore the full profile

Gosset Free

Get started with Gosset.

Enter your work email and we’ll be in touch with next steps.

Work email preferred.

Book a call