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

Target
CHRM1 (for M1), CHRM3 (for M3)
Molecular classification
G protein-coupled receptor (GPCR), Receptor
01

Overview

Muscarinic acetylcholine receptors M1 and M3 are two members of the five muscarinic receptor subtypes, both part of the GPCR superfamily. M1 receptors are primarily expressed in the central nervous system, where they regulate higher cognitive functions, learning, memory, and neural plasticity. M3 receptors are widely distributed in peripheral tissues, including smooth muscle, exocrine glands, and pancreatic beta cells, controlling smooth muscle contraction, glandular secretion, and insulin release. Both receptors are coupled to Gq/11 proteins, leading to activation of phospholipase C and generation of intracellular calcium signals. Dysregulation or dysfunction of these receptors is implicated in various diseases, including neurodegenerative disorders (notably Alzheimer’s disease, via M1) and metabolic and respiratory conditions (notably diabetes and asthma/COPD, via M3). While both are crucial therapeutic targets, the lack of highly subtype-selective ligands presents significant drug development and safety challenges[1][2][4][5][6][7][8].

Other names
M1 receptormAChR M1Acetylcholine receptor M1CHRM1M3 receptormAChR M3Acetylcholine receptor M3CHRM3
02

Mechanism of action

Agonists: Activate receptor to increase downstream signaling (Gq/11-mediated PLC activation, ↑IP₃/Ca²⁺) Antagonists: Inhibit acetylcholine binding, block receptor-mediated responses (bronchodilation, reduced gland secretion) Positive allosteric modulators: Enhance response to endogenous acetylcholine without direct activation Negative allosteric modulators: Diminish receptor activation

03

Biological functions

Signal transductionRegulation of neurotransmissionModulation of cognitive function (especially M1; learning and memory)Smooth muscle contraction (M3)Glandular secretion (M3)Regulation of insulin secretion (M3)
04

Disease associations

Neurodegenerative disease (especially Alzheimer's disease, mainly via M1)Schizophrenia and psychiatric/neurological disorders (mainly M1)Diabetes (M3, due to its role in insulin secretion)Respiratory/obstructive diseases (M3: asthma, COPD)Other: Select neurological and GI disorders, substance abuse disorders
05

Safety considerations

Dose-limiting adverse effects due to poor subtype selectivity (e.g., peripheral cholinergic effects—dry mouth, constipation, urinary retention for M3 drugs; CNS effects for M1 drugs)Risk of cognitive impairment with nonselective antagonistsCardiovascular effects, especially with off-target or nonselective agents
06

Interacting drugs

Xanomeline

10 more in the full profile.

07

Biomarkers

Not well established for direct patient selection; gene/protein expression (CHRM1 and CHRM3), ligand binding in neuroimaging, or related downstream signaling pathways are used in research contexts

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