“…Drugs have typically been developed to target the orthosteric binding site for the endogenous ligands of G protein-coupled receptors, however the five muscarinic receptors share considerable orthosteric binding site homogeneity (see Eglen, 2005Eglen, , 2006. As a consequence it is very difficult to target a specific muscarinic receptor at this site without manipulating any of the remaining four receptors and producing unwanted side-effects and/or receptor down-regulation/drug desensitization (Lenz et al, 1994;Mirza et al, 2003;Mullaney et al, 1993;Thomas et al, 2009). Fortunately, it has been discovered that the M1 (Espinoza-Fonseca and Trujillo-Ferrara, 2005), M2 (Holzgrabe et al, 2000), M3 (Jooste et al, 2005), M4 (Kennedy et al, 2009) and M5 receptors all exhibit a secondary, allosteric binding site.…”