Target intelligence / Profile preview

Muscarinic acetylcholine receptor M1 or Muscarinic acetylcholine receptor M2 (M1 or M2)

Target
M1 or M2
Molecular classification
G protein-coupled receptor, Receptor, Seven-transmembrane domain receptor
01

Overview

Muscarinic acetylcholine receptors M1 and M2 are subtypes of G protein-coupled receptors that bind acetylcholine and transmit signals predominantly in the parasympathetic nervous system for a wide range of physiological responses. M1 receptors are primarily expressed in the central nervous system and mediate cognitive and memory functions, while M2 receptors are mainly found in the heart, where they control heart rate and contractility. Clinically, they are targets for drugs addressing neurological disorders, cardiac arrhythmias, and various autonomic dysfunctions. Agonists and antagonists targeting these receptors are widely used therapeutically, but careful management of side effects and selectivity is necessary due to their broad expression and critical roles in homeostasis[1][2][5][7].

Other names
CHRM1Muscarinic acetylcholine receptor M1mAChR1CHRM2Muscarinic acetylcholine receptor M2mAChR2
02

Mechanism of action

Agonists: Mimic acetylcholine to activate muscarinic receptors, leading to parasympathetic effects (e.g., smooth muscle contraction, increased gland secretion, slowing heart rate, CNS modulation)[2][4] Antagonists: Competitively inhibit acetylcholine binding and block muscarinic signaling, thereby reducing parasympathetic tone (e.g., increased heart rate, reduced smooth muscle contraction, reduced glandular secretions)[5]

03

Biological functions

Signal transductionRegulation of heart rate (primarily M2)Modulation of smooth muscle contractionCentral nervous system neurotransmission (M1 especially)Parasympathetic nervous system function
04

Disease associations

Neurodegenerative disease (including Alzheimer disease, schizophrenia, and Parkinson disease)Cardiovascular disease (especially for M2, in heart rate and rhythm control)Overactive bladderRespiratory diseases (asthma, COPD, via muscarinic antagonists)Gastrointestinal and urogenital disorders
05

Safety considerations

Agonists: Overactivation can lead to bradycardia (dangerously slow heart rate), hypotension, diarrhea, bronchoconstriction, excessive salivation/sweatingAntagonists: Dry mouth, blurred vision, constipation, cognitive impairment/confusion, tachycardia, urinary retention, risk of mydriasis/glaucoma exacerbationCNS effects (delirium, especially in elderly) with antimuscarinic agents
06

Interacting drugs

Bethanechol

13 more in the full profile.

07

Biomarkers

Choline acetyltransferase levels (CNS cholinergic deficit in Alzheimer disease)Not routinely used as direct biomarkers; more research required for target-specific patient selection

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