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Human muscarinic acetylcholine receptor M3 DREADD and Human muscarinic acetylcholine receptor M4 DREADD (hM3Dq and hM4Di)

Target
hM3Dq and hM4Di
Molecular classification
G protein-coupled receptor (GPCR), Receptor (engineered/modified), Muscarinic acetylcholine receptor family (M3/M4)
01

Overview

hM3Dq and hM4Di are engineered G protein-coupled receptor (GPCR) constructs derived from the human M3 and M4 muscarinic acetylcholine receptors, respectively, and are the most widely used chemogenetic DREADDs (Designer Receptors Exclusively Activated by Designer Drugs). These receptors have been mutated so that they do not respond to endogenous acetylcholine but can be selectively activated by synthetic ligands, most commonly clozapine-N-oxide (CNO). hM3Dq (Gq-coupled) activation leads to neuronal excitation through calcium signaling, whereas hM4Di (Gi-coupled) induces neuronal inhibition via GIRK channel activation and hyperpolarization. DREADDs are powerful tools for non-invasively and reversibly controlling cellular activity in vivo and are widely used in neuroscience research to dissect neural circuits and behaviors. However, metabolic conversion of CNO to clozapine in many species is a key safety and interpretability concern. DREADDs are not therapeutic targets but are used to experimentally manipulate signaling pathways in biological models.

Other names
DREADD (Designer Receptor Exclusively Activated by Designer Drug)Gq-DREADD (for hM3Dq)Gi-DREADD (for hM4Di)Chemogenetic receptor (collective)hM3 muscarinic DREADD (hM3Dq)hM4 muscarinic DREADD (hM4Di)Human muscarinic DREADD
02

Mechanism of action

hM3Dq: Upon ligand (CNO/clozapine) binding, this receptor activates Gq signaling, leading to stimulation of phospholipase C, production of IP3/DAG, and increased intracellular calcium, resulting in cellular excitation. hM4Di: Upon ligand binding, this receptor activates Gi signaling, leading to inhibition of adenylate cyclase, decreased cAMP, activation of GIRK channels, hyperpolarization, and neuronal inhibition.

03

Biological functions

Signal transduction (Gq or Gi pathway-specific)Neuromodulation (excitation or inhibition of neuronal firing)Cellular activation or silencing (context-dependent)
04

Disease associations

Experimental roles in neurodegenerative diseasesExperimental roles in epilepsyExperimental roles in other neurological disorders for study of circuits, not as direct therapeutic targetsResearch tools in psychiatry, addiction, and behavior studiesPreclinical neuroscience as a model system
05

Safety considerations

CNO to clozapine back-conversion: In vivo, CNO can be metabolized to clozapine, potentially leading to off-target effects and complicating interpretation of experimental results, especially in humans and nonhuman primatesOff-target activity of converted clozapineLack of translational application as therapeutics: These receptors are research tools and not themselves therapeutic targets approved for drugs
06

Interacting drugs

Clozapine-N-oxide (CNO)

3 more in the full profile.

07

Biomarkers

Reporter genes: hM3Dq/hM4Di are often tagged (e.g., HA-tag, fluorescent protein such as mCitrine) for localization and verification of expression in target cells for efficacy monitoring in researchNo established clinical biomarkers: These are experimental tools, not standard clinical targets

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