Target intelligence / Profile preview

Muscarinic acetylcholine receptor M1, Muscarinic acetylcholine receptor M3, Muscarinic acetylcholine receptor M5 (M1, M3, M5)

Target
M1, M3, M5
Molecular classification
G protein-coupled receptor, Receptor
01

Overview

The muscarinic acetylcholine receptors M1, M3, and M5 are members of the GPCR superfamily and are activated by the neurotransmitter acetylcholine. These subtypes preferentially couple to Gq proteins, which activate phospholipase C and trigger downstream calcium signaling. M1, M3, and M5 play critical roles in both the central and peripheral nervous systems, mediating diverse physiological effects such as smooth muscle contraction, glandular secretion, vasodilation, cognition, and regulation of metabolic functions. Although these subtypes share high sequence homology, their tissue expression profiles and physiological roles differ. They are implicated in various diseases, from neurodegenerative disorders to metabolic and cardiovascular diseases. Drug development targeting these receptors faces the challenge of limited subtype-selectivity, leading to side effects when non-selective agents are used.

Other names
M1 receptorM3 receptorM5 receptorCHRM1CHRM3CHRM5 (human genes)Cholinergic receptor muscarinic M1M3M5
02

Mechanism of action

Agonists: Stimulate the receptor, leading to activation of the Gq/11 pathway, increased phospholipase C activity, inositol trisphosphate (IP3) and diacylglycerol (DAG) formation, and elevated intracellular calcium, which stimulates muscle contraction and glandular secretion. Antagonists: Block receptor function, reducing cholinergic signaling. Allosteric modulators: Bind and modify receptor response to acetylcholine.

03

Biological functions

Signal transductionRegulation of smooth muscle contractionModulation of glandular (exocrine) secretionVasodilation (primarily M3)Central nervous system neurotransmission and neuroplasticityRegulation of insulin and glucose homeostasis (notably M3)
04

Disease associations

Neurodegenerative disease (e.g. Alzheimer’s disease, schizophrenia: roles for M1 and M4)Cardiovascular disease (notably via M3 and endothelial function)Metabolic disease/Diabetes (roles in pancreatic beta cell function, particularly M3)Drug addiction (evidence for M1, M4, and M5)
05

Safety considerations

Lack of subtype-selective drugs (risk of broad cholinergic/anticholinergic side effects, e.g., dry mouth, blurred vision, tachycardia, CNS effects)Central nervous system side effects (cognitive impairment, confusion, particularly in the elderly)Potential for dysregulation of autonomic and metabolic functions (e.g. alterations in insulin secretion, cardiovascular responses)
06

Interacting drugs

Muscarinic agonists (e.g. pilocarpine, cevimeline)

2 more in the full profile.

07

Biomarkers

No routinely used clinical biomarkers for patient selection specific to these subtypes. Research markers include mRNA/protein expression levels in tissues and brain regions. Potential PET ligands in research for CNS expression.

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