In vitro autoradiography on tissue sections and receptor assay in cortical membrane homogenates revealed that pirenuzepine h-affinity muscarink sites (Ml) decrease in affinity in the prefrontal cortex and in other cortical areas of aged rhesus monkey (Macaca miudta). Carbachol competition experiments detected only a single, low-affinity da of sites in old monkeys, while two classes of sites (low and hh affity) were observed in young adults. The change in affinity in the aged monkeys is not accomaed by a decrease in the density ofthese sites and, further, the age-related decline in the affinity ofthe Ml site is reversible. In the presence of Mg2e, the Ml muarnic receptors in the aged monkeys were capable of forming carbachol high-affinity sites. These results provide evidence for agedependent funtional changes in receptor activity in cerebral cortex and indicate that these receptors maintain a degree of plasticity that could be a strategc target for research aimed at treatment of memory disorders in aged humans.Memory decline during aging has been extensively documented in rodents (1, 2), nonhuman primates (3, 4), and humans (5). Although the aging process seems to impinge on several neurotransmitter systems, special emphasis has been placed on the role of the cortical cholinergic innervation in geriatric memory dysfunction (6). Studies in rodents have shown a consistent decline in cortical acetylcholine (ACh) synthesis and release during aging (7-9), although little or no change occurs in cortical choline acetyltransferase activity (1,8,6,10). Further, the cholinergic basal forebrain neurons that project to the cortex undergo an age-related decrease in size though their number is apparently not diminished (11).In the present study we have examined the status of the Ml muscarinic cholinergic receptor in aged rhesus monkey, a species that exhibits behavioral impairment and cortical pathological changes remarkably similar to those observed in elderly humans (4,6,12). Ml sites are present in high concentration in the primate neocortex (13,14) and are involved in cortical cholinergic excitation (15). However, little is known about changes in these cortical receptors with age. In aged rats, there have been conflicting reports of decrease (16) or no change (17) in binding-site density. Only two recent studies have examined the status of ACh receptors in monkey cortex during aging, and both found a decrease of nicotinic and muscarinic receptors, mainly in temporal (18,19) and parahippocampal (18) cortex. Neither study found any significant decreases in the affinity of binding sites in aged monkey cortex.In the present study we confirm that the number of Ml sites does not change with age but we provide evidence for changes in the molecular structure of the cortical receptor or of the coupled effector systems able to alter the affinity of these sites. To obtain this evidence, we studied the binding of the highly selective compound pirenzepine (PZ) (20) to the Ml sites in nine distinct areas of monkey cortex both i...