Target intelligence / Profile preview

Human muscarinic acetylcholine receptor M1 (M1)

Target
M1
Molecular classification
G protein-coupled receptor, Receptor, Rhodopsin-like class A GPCR
01

Overview

Muscarinic acetylcholine receptors (M1, M2, M3, M4, and M5) are a family of G protein-coupled receptors (GPCRs) activated by the neurotransmitter acetylcholine. Each subtype exhibits unique tissue distribution and physiological roles. M1: Mainly in central nervous system (CNS), especially cerebral cortex and hippocampus; involved in cognitive functions and memory. M2: Primarily in the heart; mediates decreased heart rate and contractility. M3: Found in smooth muscle and glandular tissue; regulates smooth muscle contraction (e.g., bronchi, bladder, gut) and glandular secretion. M4 & M5: Expressed in the CNS; thought to modulate dopamine release and participate in cognitive and neuropsychiatric functions. All five subtypes are implicated in various diseases, including neurodegenerative, psychiatric, respiratory, and cardiovascular disorders. These receptors are key drug targets—muscarinic antagonists are used to treat bradycardia, overactive bladder, and chronic obstructive pulmonary disease, while efforts are underway to develop subtype-selective drugs for CNS disorders. The high conservation of the acetylcholine-binding pocket poses a challenge for drug selectivity, driving research toward allosteric modulators.

Other names
Muscarinic acetylcholine receptor M1mAChR M1CHRM1 (gene symbol for M1)M1 receptor
02

Mechanism of action

Antagonists: Block acetylcholine binding, inhibit receptor activation - Agonists: Stimulate receptor, mimic acetylcholine effects - Allosteric modulators: Bind non-orthosteric site, altering response to acetylcholine

03

Biological functions

Signal transductionNeurotransmission (especially in CNS)Modulation of cognitive functions (e.g., learning and memory)
04

Disease associations

Neurodegenerative disease (e.g., Alzheimer's disease)Psychiatric disease (e.g., schizophrenia)Cardiovascular disease (e.g., arrhythmias)Overactive bladderChronic obstructive pulmonary diseaseOther (addiction, Parkinson’s disease, etc.)
05

Safety considerations

Anticholinergic side effects (dry mouth, blurred vision, constipation, urinary retention)Cognitive impairment (especially in elderly and dementia patients)Cardiac arrhythmia (via M2 antagonism)Increased risk of heat stroke (due to impaired sweating, M3)Tachycardia, confusion, blurred vision, glaucoma exacerbation
06

Interacting drugs

Atropine

9 more in the full profile.

07

Biomarkers

No generally accepted standardized biomarkers for patient selection; research is ongoing on M1/M4 expression in neurological and psychiatric disorders

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