Evidence map›Paper›PMID 23062057›Full record

ArticleBritish journal of pharmacology2013

Agonists with supraphysiological efficacy at the muscarinic M2 ACh receptor.

R Schrage, W K Seemann, J Klöckner, C Dallanoce, K Racké, E Kostenis, M De Amici, U Holzgrabe, K Mohr

Abstract readComparative Study
In one paragraph

Article in British journal of pharmacology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

  1. Article
  2. Review
  3. Diazepine Agonists of the 5-HTJournal of medicinal chemistry · 2025
    Article
  4. Article
  5. Visualizing agonist-induced M2 receptor activation regulated by aromatic ring dynamics.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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  14. Article
  15. Article
  16. Activation mechanism of the μ-opioid receptor by an allosteric modulator.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  17. Review
  18. Article
  19. Fusion with Promiscuous GαInternational journal of molecular sciences · 2021
    Article
  20. Control of Brain State Transitions with a Photoswitchable Muscarinic Agonist.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

R SchragePharmacology & Toxicology Section, Institute of Pharmacy, University of Bonn, Bonn, Germany.
W K Seemann
J Klöckner
C Dallanoce
K Racké
E Kostenis
M De Amici
U Holzgrabe
K Mohr

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeArtificial agonists may have higher efficacy for receptor activation than the physiological agonist. Until now, such 'superagonism' has rarely been reported for GPCRs. Iperoxo is an extremely potent muscarinic receptor agonist. We hypothesized that iperoxo is a 'superagonist'. EXPERIMENTAL APPROACH: Signalling of iperoxo and newly synthesized structural analogues was compared with that of ACh at label-free M2 muscarinic receptors applying whole cell dynamic mass redistribution, measurement of G-protein activation, evaluation of cell surface agonist binding and computation of operational efficacies. KEY

resultsIn CHO-hM2 cells, iperoxo significantly exceeds ACh in Gi /Gs signalling competence. In the orthosteric loss-of-function mutant M2 -Y104(3.33) A, the maximum effect of iperoxo is hardly compromised in contrast to ACh. 'Superagonism' is preserved in the physiological cellular context of MRC-5 human lung fibroblasts. Structure-signalling relationships including iperoxo derivatives with either modified positively charged head group or altered tail suggest that 'superagonism' of iperoxo is mechanistically based on parallel activation of the receptor protein via two orthosteric interaction points. CONCLUSION AND IMPLICATIONS: Supraphysiological agonist efficacy at muscarinic M2 ACh receptors is demonstrated for the first time. In addition, a possible underlying molecular mechanism of GPCR 'superagonism' is provided. We suggest that iperoxo-like orthosteric GPCR activation is a new avenue towards a novel class of receptor activators.

Indexed as

AcetylcholineAnimalsCell LineCHO CellsCricetulusFibroblastsGTP-Binding ProteinsHumansIsoxazolesLungMuscarinic AgonistsQuaternary Ammonium CompoundsReceptor, Muscarinic M2Receptors, G-Protein-CoupledSignal TransductionAcetylcholineGTP-Binding ProteinsiperoxoIsoxazolesMuscarinic AgonistsQuaternary Ammonium CompoundsReceptor, Muscarinic M2Receptors, G-Protein-Coupled

Identifiers

PMID23062057
PMCPMC3651662

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.