Target intelligence / Profile preview

Human muscarinic acetylcholine receptor M4 (DREADD mutated) (CHRM4 DREADD)

Target
CHRM4 DREADD
Molecular classification
G protein-coupled receptor, Receptor
01

Overview

The **Human muscarinic acetylcholine receptor M4 DREADD** is an engineered version of the human muscarinic acetylcholine receptor M4 (CHRM4), part of the G protein-coupled receptor family, modified for chemogenetic research. The DREADD (Designer Receptor Exclusively Activated by Designer Drugs) mutation disables native activation by acetylcholine and enables selective activation by synthetic ligands, typically clozapine-N-oxide (CNO). Naturally, M4 receptors function as Gi/o-coupled inhibitory autoreceptors, modulating acetylcholine and dopamine release in the central nervous system, influencing movement, cognition, and neuropsychiatric disorders[1][2][5]. The DREADD technology is a powerful research tool for selectively controlling neuron populations in vivo, but it is not a native physiological target or a therapeutic molecule itself and requires exogenous gene expression. The term "M4 DREADD" refers specifically to the mutated receptor, not the wild-type, and its clinical utility is confined to research applications due to concerns about selectivity and safety.

Other names
Muscarinic acetylcholine receptor M4 DREADDhM4Diengineered human muscarinic receptor M4 DREADDDesigner Receptor Exclusively Activated by Designer Drugs M4
02

Mechanism of action

(DREADD system) Activation by synthetic ligand CNO (not activated by acetylcholine) triggers Gi/o signaling, inhibiting adenylyl cyclase and reducing cAMP levels, leading to inhibition of neuronal activity.\n(Native) Activation by acetylcholine or selective agonist leads to coupling to Gi/o proteins, inhibiting neurotransmission[1][2].

03

Biological functions

Signal transductionInhibition of neurotransmitter (acetylcholine) releaseModulation of dopaminergic neurotransmissionRegulation of movement and cognition
04

Disease associations

Neurodegenerative diseaseSchizophreniaMovement disorders (e.g., Parkinson’s disease, dystonia)Alzheimer’s disease
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Safety considerations

Off-target effects and metabolic conversion of CNO to clozapine in vivoPotential for unintended modulation of endogenous pathways if used therapeuticallyNon-specific activation if CNO doses are too highImmunogenicity or expression-related effects in gene therapy/research applications
06

Interacting drugs

Clozapine-N-oxide (CNO) (specific to DREADD system)

3 more in the full profile.

07

Biomarkers

There are no established clinical biomarkers for selection/monitoring, as the DREADD is an engineered research tool and not in human therapy.

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