Muscarinic Receptor Action describes the physiological and pharmacological effects mediated by the activation of the five distinct muscarinic acetylcholine receptor (mAChR) subtypes (M1-M5), which are G-protein coupled receptors. These actions are typically slow, sustained, and modulatory, influencing functions such as heart rate, smooth muscle contraction, glandular secretion, and, crucially, central nervous system functions like memory and attention. This system represents the primary effector pathway of the parasympathetic nervous system.
Origin
The term is rooted in the early 20th-century observation that the mushroom alkaloid muscarine mimicked the effects of acetylcholine at postganglionic parasympathetic nerve endings, distinguishing these receptors from the nicotinic type. The subsequent cloning and pharmacological characterization of the five distinct subtypes refined the understanding of their varied actions across different tissues.
Mechanism
Upon binding acetylcholine, muscarinic receptors initiate a cascade of intracellular events by coupling to G-proteins, rather than opening an ion channel directly. For example, M1, M3, and M5 subtypes typically couple to Gq proteins, leading to the mobilization of intracellular calcium, while M2 and M4 couple to Gi proteins, often inhibiting adenylyl cyclase and slowing heart rate. This diverse signaling mechanism allows for a wide range of modulatory effects on cellular excitability and hormonal signaling pathways.
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