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Muscarinic acetylcholine receptor (subtype-specific: M1, M2, M3, M4, or M5) (mAChR (subtype-specific: M1, M2, M3, M4, M5))

Target
mAChR (subtype-specific: M1, M2, M3, M4, M5)
Molecular classification
G protein-coupled receptor, Receptor, Rhodopsin-like GPCR (Class A)
01

Overview

Muscarinic acetylcholine receptors are a family of five G protein-coupled receptor subtypes (M1, M2, M3, M4, M5) that mediate the effects of the neurotransmitter acetylcholine in the central and peripheral nervous systems and in various tissues. M1, M3, and M5 primarily couple to Gq/11 proteins to activate phospholipase C, increasing intracellular calcium and protein kinase C activity, leading to excitatory cellular responses. M2 and M4 primarily couple to Gi/o proteins that inhibit adenylyl cyclase and decrease cAMP, producing inhibitory effects. They play essential roles in modulating heart rate, smooth muscle tone, glandular secretion, cognitive processes, and are therapeutic targets in numerous disorders including neurodegenerative diseases, cardiovascular and respiratory diseases, and overactive bladder[1][4][5][6].

Other names
Muscarinic receptorCholinergic receptor, muscarinicmAChR (with relevant subtype)Acetylcholine receptor, muscarinic
02

Mechanism of action

Agonists increase receptor-mediated signal transduction via G proteins (Gq/11 for M1/M3/M5; Gi/o for M2/M4). Antagonists inhibit receptor-mediated downstream signaling. Inverse agonists stabilize inactive receptor states, reducing constitutive activity. Allosteric modulators alter receptor affinity or efficacy for endogenous agonists.

03

Biological functions

Signal transductionModulation of neurotransmissionRegulation of heart rateSmooth muscle contraction and relaxationGlandular secretionCognitive processes
04

Disease associations

Neurodegenerative disease (e.g., Alzheimer's, Parkinson's)Cardiovascular disease (e.g., arrhythmias)Respiratory disease (e.g., chronic obstructive pulmonary disease, asthma)Overactive bladderPsychiatric conditions (e.g., schizophrenia)AddictionSjögren’s syndromeGastrointestinal disorders
05

Safety considerations

Nonselective blockade can produce anticholinergic syndrome (dry mouth, blurred vision, tachycardia, urinary retention, constipation, confusion)Risk of cognitive impairment, especially in elderlyPotential exacerbation of cardiovascular or respiratory conditionsExcessive stimulation: bradycardia, bronchoconstriction, or increased glandular secretions
06

Interacting drugs

Atropine

9 more in the full profile.

07

Biomarkers

Expression levels of mAChR subtypes in tissues (sometimes used in research and potentially certain clinical diagnostics)Null (no standardized, widely used clinical biomarkers for patient selection)

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