Table 4

Pharmacological characterization of muscarinic receptor subtypes

M1M2M3M4M5
Potency orderAcetylcholine and carbachol do not discriminate subtypes
Selective agonists
Antagonists4-a
 Atropine9.0–9.79.0–9.38.9–9.89.1–9.68.9–9.7
 Pirenzepine7.8–8.56.3–6.76.7–7.17.1–8.16.2–7.1
 4-DAMP8.6–9.27.8–8.48.9–9.38.4–9.48.9–9.0
 Methoctramine7.1–7.87.8–8.36.3–6.97.4–8.16.9–7.2
 Himbacine6.9–7.48.0–8.36.9–7.48.0–8.86.1–6.3
 AF-DX 1166.4–6.97.1–7.25.9–6.66.6–7.06.6
 AF-DX 3847.3–7.58.2–9.07.2–7.88.0–8.76.3
 Tripitramine8.4–8.89.4–9.67.1–7.47.8–8.27.3–7.5
 pFHHSi D7.2–7.56.0–6.97.8–7.97.57.0
  • 4-DAMP, 4-diphenylacetoxy-N-methyl piperidine methiodide. Antagonist affinities are expressed as −logK i or −log K B values. Adapted from Alexander and Peters (1999), Birdsall et al. (1998), Caulfield (1993), Caulfield et al. (1998), and Eglen and Watson (1996).

  • 4-a No subtype-selective agonists of high intrinsic efficacy are available; thus, muscarinic receptor subtypes are pharmacologically defined by a combination of several antagonists.