35Triple negative tumors are more aggressive than other breast cancer subtypes 36 and there is a lack of specific therapeutic targets on them. Since muscarinic receptors 37 have been linked to tumor progression, we investigated the effect of metronomic 38 therapy employing a traditional anti-cancer drug, paclitaxel plus muscarinic agonists at 39 low doses on this type of tumor. We observed that MDA-MB231 tumor cells express 40 muscarinic receptors, while they are absent in the non-tumorigenic MCF-10A cell line, 41 which was used as control. The addition of carbachol or arecaidine propargyl ester, a 42 non-selective or a selective subtype 2 muscarinic (M 2 ) receptor agonist respectively, 43 plus paclitaxel reduces cell viability involving a down-regulation in the expression of 44 ATP "binding cassette" G2 drug transporter and epidermal growth factor receptor. We 45 also detected an inhibition of tumor cell migration and anti-angiogenic effects produced 46 by those drug combinations in vitro and in vivo (in NUDE mice) respectively. Our 47 findings provide substantial evidence about M 2 receptors as therapeutic target for the 48 treatment of triple negative tumors. 49 50 51 Breast cancer is yet the most frequent type of malignancy in women and 52 represents a major and unsolved problem for public health [1]. Luminal and triple 53 negative (TN) represent the two opposite ends of the molecular classification of breast 54 tumors and they thoroughly differ regarding treatment and patients´survival [2]. The TN 55 tumors are typically larger in size, higher grade than other breast cancers, and they also 56 exhibit an aggressive clinical behavior, frequently resulting in early metastatic 57 dissemination, particularly to visceral sites. As a result of these characteristics, TN 58 breast cancers are associated with poor prognosis in comparison to luminal breast 59 tumors [3]. Considering the treatment of TN tumors, classical modalities have improved 60 the overall outlook and quality of life for women with this type of breast cancer.61However, because of recurrence and/or the development of resistance to cytotoxic drugs 62 administered to patients, produced by a complex mechanism mediated by different types 63 of proteins such as ATP "binding cassette" (ABC) transporters, a considerable amount 64 of patients still succumb to this disease highlighting the need to find new therapeutic 65 approaches [4]. Regarding the latter, the usage of low dose chemotherapy with short 66 drug free intervals, named metronomic therapy has emerged as a novel regimen for 67 cancer treatment [5]. It exerts very low incidence of side effects and could add new 3 68 beneficial actions on immune system and tumor microenvironment [6]. This new 69 strategy also needs the identification of new therapeutic targets to improve the benefits 70 for breast cancer patients. 71 Non-neuronal cholinergic system (nNCS) has been involved either in 72 physiological or in pathological processes. The nNCS is formed by acethylcholyne 73 (ACh), the enzymes...