Target intelligence / Profile preview

Muscarinic acetylcholine receptor M1 (CHRM1) and muscarinic acetylcholine receptor M3 (CHRM3) (CHRM1, CHRM3)

Target
CHRM1, CHRM3
Molecular classification
G protein-coupled receptor, Receptor, Muscarinic acetylcholine receptor family
01

Overview

Muscarinic acetylcholine receptor M1 (CHRM1) and muscarinic acetylcholine receptor M3 (CHRM3) are members of the G protein-coupled receptor (GPCR) family that mediate the effects of acetylcholine in the central and peripheral nervous systems. CHRM1 is primarily expressed in the CNS, where it regulates cognitive functions, memory, and synaptic plasticity, and modulates neurotransmitter release and interplay with glutamatergic systems, impacting conditions such as Alzheimer’s disease and schizophrenia. CHRM3 is broadly expressed in peripheral tissues including smooth muscle and exocrine glands, mediating contraction, secretion, and vascular responses such as nitric oxide-mediated vasodilation. Both CHRM1 and CHRM3 are implicated in diverse diseases; notably, CHRM3 promotes certain cancers and fibrotic responses, while CHRM1 may have protective or opposing roles depending on the context. These receptors are validated therapeutic targets, but successful clinical exploitation requires high subtype selectivity to avoid widespread adverse effects due to their pervasive physiological functions.

Other names
Muscarinic acetylcholine receptor 1M1 receptorM1RAcetylcholine receptor M1Muscarinic acetylcholine receptor 3M3 receptorM3RAcetylcholine receptor M3
02

Mechanism of action

Agonists stimulate receptor-mediated Gq/PLC/intracellular calcium signaling Antagonists block receptor-mediated signaling, inhibiting physiological responses such as smooth muscle contraction, secretion, or neurotransmission Allosteric modulators potentiate or inhibit receptor response to acetylcholine

03

Biological functions

Signal transductionRegulation of neurotransmitter release and synaptic plasticitySmooth muscle contraction (CHRM3)Glandular secretion (CHRM3)Modulation of cognitive function (CHRM1)Regulation of gene transcription and cell calcium levels
04

Disease associations

Cancer (notably gastrointestinal, pancreatic, colon, liver, and prostate)Neurodegenerative disease (e.g., Alzheimer’s disease, schizophrenia)Cardiovascular disease (e.g., regulation of blood pressure, vascular function)Inflammatory and autoimmune diseases
05

Safety considerations

Broad tissue expression leads to off-target effects (e.g., dry mouth, blurred vision, urinary retention)CNS penetrant drugs risk cognitive or neuropsychiatric side effectsSubtype specificity is essential to minimize undesirable side effects, as broad muscarinic antagonists cause significant peripheral and CNS effectsCardiovascular risks, particularly with non-selective modulation
06

Interacting drugs

Pirenzepine (M1-selective antagonist)

9 more in the full profile.

07

Biomarkers

CHRM1 or CHRM3 protein/RNA expression in specific tissues or tumors for patient selection (e.g., GI cancer, CNS disorders)Functional imaging or physiological response (e.g., salivary secretion, pupillary constriction) for efficacy monitoring

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