ReviewBritish journal of pharmacology2006
Muscarinic receptors: their distribution and function in body systems, and the implications for treating overactive bladder.
Review in British journal of pharmacology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 204 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
204 citing papers in PubMed, 8 syntheses or guidelines pooled it, 629 citations in OpenAlex.
- Effect ofFrontiers in pharmacology · 2025Pooled it
- "Exploring the Link Between Oral Lichen Planus and Xerostomia: A Systematic Literature Review".Immunity, inflammation and disease · 2024Pooled it
- The impact of pharmacotherapy on sexual function in female patients being treated for idiopathic overactive bladder: a systematic review.BMC women's health · 2024Pooled it
- Pooled it
- Updating the evidence on drugs to treat overactive bladder: a systematic review.International urogynecology journal · 2019Pooled it
- Prevalence and Predictors of Clozapine-Associated Constipation: A Systematic Review and Meta-Analysis.International journal of molecular sciences · 2016Pooled it
- The efficacy and safety of mirabegron in treating OAB: a systematic review and meta-analysis of phase III trials.International urology and nephrology · 2014Pooled it
- Overactive bladder drugs and constipation: a meta-analysis of randomized, placebo-controlled trials.Digestive diseases and sciences · 2011Pooled it
- Effect of Oral Mirabegron on Catheter-Related Bladder Dysfunction After Elective Gynecological Surgery Under General Anesthesia: A Randomized, Placebo-Controlled, Double-Blind Study.International urogynecology journal · 2026Trial
- Effects of dexamethasone on catheter-related bladder discomfort and emergence agitation: a prospective, randomized, controlled trial.Korean journal of anesthesiology · 2022Trial
- The effect of the anticholinergic burden on duration and severity of delirium in older hip-surgery patients with and without haloperidol prophylaxis: A post hoc analysis.Brain and behavior · 2021Trial
- Long-acting antimuscarinic therapy in patients with chronic obstructive pulmonary disease receiving beta-blockers.Respiratory research · 2021Trial
- Which antimuscarinic agents used in the treatment of overactive bladder increase heart rate? a prospective randomized clinical trial.International urology and nephrology · 2019Trial
- The effects of the selective muscarinic M3 receptor antagonist darifenacin, and of hyoscine (scopolamine), on motion sickness, skin conductance & cognitive function.British journal of clinical pharmacology · 2018Trial
- Comparison of solifenacin and fesoterodine in treatment of overactive bladder.Saudi medical journal · 2015Trial
- A phase II dose-ranging study of mirabegron in patients with overactive bladder.International urogynecology journal · 2013 · on this mapTrial
- Efficacy and safety of once-daily NVA237 in patients with moderate-to-severe COPD: the GLOW1 trial.Respiratory research · 2011Trial
- Comparison of selective M3 and nonselective muscarinic receptor antagonists on gastrointestinal transit and bowel habits in humans.American journal of physiology. Gastrointestinal and liver physiology · 2010Trial
- Activity of aclidinium bromide, a new long-acting muscarinic antagonist: a phase I study.British journal of clinical pharmacology · 2010Trial
- Contribution of the M3 muscarinic receptors to the vasodilator response to acetylcholine in the human forearm vascular bed.British journal of clinical pharmacology · 2008Trial
144 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
1. The effectiveness of antimuscarinic agents in the treatment of the overactive bladder (OAB) syndrome is thought to arise through blockade of bladder muscarinic receptors located on detrusor smooth muscle cells, as well as on nondetrusor structures. 2. Muscarinic M3 receptors are primarily responsible for detrusor contraction. Limited evidence exists to suggest that M2 receptors may have a role in mediating indirect contractions and/or inhibition of detrusor relaxation. In addition, there is evidence that muscarinic receptors located in the urothelium/suburothelium and on afferent nerves may contribute to the pathophysiology of OAB. Blockade of these receptors may also contribute to the clinical efficacy of antimuscarinic agents. 3. Although the role of muscarinic receptors in the bladder, other than M3 receptors, remains unclear, their role in other body systems is becoming increasingly well established, with emerging evidence supporting a wide range of diverse functions. Blockade of these functions by muscarinic receptor antagonists can lead to similarly diverse adverse effects associated with antimuscarinic treatment, with the range of effects observed varying according to the different receptor subtypes affected. 4. This review explores the evolving understanding of muscarinic receptor functions throughout the body, with particular focus on the bladder, gastrointestinal tract, eye, heart, brain and salivary glands, and the implications for drugs used to treat OAB. The key factors that might determine the ideal antimuscarinic drug for treatment of OAB are also discussed. Further research is needed to show whether the M3 selective receptor antagonists have any advantage over less selective drugs, in leading to fewer adverse events.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.