“…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. Unlike the orthosteric binding sites, the allosteric binding sites demonstrate substantial heterogeneity across the five muscarinic receptors and thus have been the target for the more recently developed drugs.…”