> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/target/chrm2-56d31e09-fc97-58d5-9fa2-9834eff15faf
> Record changed: 2026-10-13

# CHRM2

ENSG00000181072

Target class

GPCR

Chromosome

7

Approved drugs

14

Clinical candidates (approved and in development)

20

## Clinical evidence

**Approved drugs**

14

**Clinical candidates (approved and in development)**

20

## Druggability

**Chemical probe available**

Yes

## Names

**Target name**

CHRM2

**Gene name**

Cholinergic receptor muscarinic 2

**Gene symbol**

CHRM2

**Protein name**

Muscarinic acetylcholine receptor M2

## Classification

**Gene biotype**

Protein coding

**Gene family**

Cholinergic receptors muscarinic|MicroRNA protein coding host genes

**Target class**

GPCR

**Target type**

Human gene

## Expression and localisation

**Tissues expressed in**

8

**Highest tissue expression**

29.36

**Tissue specificity (Gini)**

0.867

**Tissue specificity (tau)**

0.964

## Pathways and interactions

**KEGG gene identifiers**

- hsa:1129

**Protein interaction confidence**

0.814538

**Protein interaction partners**

26

### Reactome pathways (4)

- R-HSA-390648
- R-HSA-418594
- R-HSA-8856825
- R-HSA-8856828

## Genomic location

**End position**

137020255

**Start position**

136868652

**Chromosome**

7

**Strand**

Forward

## Identifiers

**Ensembl gene ID**

ENSG00000181072

**HGNC ID**

HGNC:1951

Source: [www.genenames.org](https://www.genenames.org/data/gene-symbol-report/#!/hgnc%5Fid/HGNC:1951)

**NCBI Gene ID**

1129

**UniProt ID**

P08172

## Cellular location

- Cell membrane
- Multi-pass membrane protein . Postsynaptic cell membrane
- Multi-pass membrane protein . Note=Phosphorylation in response to agonist binding promotes receptor internalization. .

### Publication evidence (3)

- PubMed 22278061  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/22278061/)
- PubMed 24256733  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/24256733/)
- PubMed 3443095  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/3443095/)

## Tissue expression

**Tissue specificity (tau)**

0.96371

**Expression inequality (Gini)**

0.867009

### Highest expression

Expression in transcripts per million

**Colon - Sigmoid**

29.36

**Bladder**

12.47

**Heart - Atrial Appendage**

10.81

**Heart - Left Ventricle**

7.37

**Colon - Transverse**

7.21

### All tissues (54)

Expression in transcripts per million

- Colon - Sigmoid29.36
- Bladder12.47
- Heart - Atrial Appendage10.81
- Heart - Left Ventricle7.37
- Colon - Transverse7.21
- Esophagus - Gastroesophageal Junction7.15
- Esophagus - Muscularis2.82
- Brain - Hypothalamus1.01
- Lung0.91
- Brain - Frontal Cortex (BA9)0.76
- Testis0.66
- Stomach0.5
- Cervix - Ectocervix0.47
- Brain - Anterior cingulate cortex (BA24)0.44
- Brain - Cortex0.4
- Brain - Caudate (basal ganglia)0.39
- Brain - Putamen (basal ganglia)0.38
- Cervix - Endocervix0.33
- Vagina0.28
- Cells - Cultured fibroblasts0.21
- Brain - Nucleus accumbens (basal ganglia)0.18
- Liver0.17
- Brain - Amygdala0.16
- Brain - Cerebellar Hemisphere0.16
- Brain - Hippocampus0.15

And 29 more, listed on the interactive page.

## Biological functions

### Biological processes (10)

- GO:0007186  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0007186)
- GO:0007187  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0007187)
- GO:0007188  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0007188)
- GO:0007193  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0007193)
- GO:0007197  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0007197)
- GO:0007207  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0007207)
- GO:0007213  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0007213)
- GO:0007399  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0007399)
- GO:0008016  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0008016)
- GO:0009615  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0009615)

### Cellular components (3)

- GO:0005886  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0005886)
- GO:0016020  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0016020)
- GO:0030669  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0030669)

### Molecular functions (3)

- GO:0005515  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0005515)
- GO:0016907  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:0016907)
- GO:1990763  
Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/QuickGO/term/GO:1990763)

## On-target safety

- decreased pupil diameter  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: decreased pupil diameter  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- pulmonary hemorrhage  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: pulmonary hemorrhage  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- peripheral edema  
### Effects

  - Inhibition/Decrease/Downregulation: general  
### Studies

  - clinical: peripheral edema  
### Biological samples

  - cardiovascular system  
Evidence source  
Source: [doi.org](https://doi.org/10.1002/9781118098141.ch2)
- vagal effects (key role in control of heart rate and smooth muscle activity)  
### Effects

  - Activation/Increase/Upregulation: general  
### Studies

  - clinical: vagal effects (key role in control of heart rate and smooth muscle activity)  
### Biological samples

  - cardiovascular system  
Evidence source  
Source: [doi.org](https://doi.org/10.1002/9781118098141.ch2)
- decreased/increased heart rate  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: decreased/increased heart rate  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- bronchospasm  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: bronchospasm  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- frothing  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: frothing  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- cough  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: cough  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- decreased PR interval  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: decreased PR interval  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- increased body temperature  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: increased body temperature  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- increased heart rate  
### Effects

  - Inhibition/Decrease/Downregulation: acute  
### Studies

  - preclinical: increased heart rate  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- palpitations  
### Effects

  - Inhibition/Decrease/Downregulation: general  
### Studies

  - clinical: palpitations  
### Biological samples

  - cardiovascular system  
Evidence source  
Source: [doi.org](https://doi.org/10.1002/9781118098141.ch2)
- blurred vision  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: blurred vision  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- increased/decreased blood pressure  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: increased/decreased blood pressure  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- pulmonary congestion  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: pulmonary congestion  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- sweating  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: sweating  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- tachycardia  
### Effects

  - Inhibition/Decrease/Downregulation: general  
### Studies

  - clinical: tachycardia  
### Biological samples

  - cardiovascular system  
Evidence source  
Source: [doi.org](https://doi.org/10.1002/9781118098141.ch2)
- ptosis  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: ptosis  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- muscle cramps  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: muscle cramps  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- bronchoconstriction  
### Effects

  - Inhibition/Decrease/Downregulation: acute  
### Studies

  - preclinical: bronchoconstriction  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- bronchorrhea  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: bronchorrhea  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- decreased/increased respiratory rate  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: decreased/increased respiratory rate  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- tremors  
### Effects

  - Inhibition/Decrease/Downregulation: acute  
### Studies

  - preclinical: tremors  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- exhaustion  
### Effects

  - Activation/Increase/Upregulation: acute  
### Studies

  - preclinical: exhaustion  
### Biological samples (3)

  - nervous system
  - respiratory
  - cardiovascular  
PubMed 28216264  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/28216264/)
- dysrhythmia  
### Effects

  - Inhibition/Decrease/Downregulation: general  
### Studies

  - clinical: dysrhythmia  
### Biological samples

  - cardiovascular system  
Evidence source  
Source: [doi.org](https://doi.org/10.1002/9781118098141.ch2)

And 5 more, listed on the interactive page.

## Off-target safety

- tachycardia  
### Effects

  - Inhibition/Decrease/Downregulation: general  
### Studies

  - preclinical: tachycardia  
### Biological samples

  - cardiovascular system  
PubMed 23197038  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/23197038/)
- reflex  
### Effects

  - Activation/Increase/Upregulation: general  
### Studies

  - preclinical: reflex  
### Biological samples

  - cardiovascular system  
PubMed 23197038  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/23197038/)
- increased blood pressure  
### Effects

  - Activation/Increase/Upregulation: general  
### Studies

  - preclinical: increased blood pressure  
### Biological samples

  - cardiovascular system  
PubMed 23197038  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/23197038/)
- tremors  
### Effects

  - Inhibition/Decrease/Downregulation: general  
### Studies

  - preclinical: tremors  
### Biological samples

  - cardiovascular system  
PubMed 23197038  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/23197038/)
- negative chronotropy and inotropy  
### Effects

  - Activation/Increase/Upregulation: general  
### Studies

  - preclinical: negative chronotropy and inotropy  
### Biological samples

  - cardiovascular system  
PubMed 23197038  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/23197038/)
- receptor binding  
### Studies

  - biochemical: NVS\_GPCR\_hM2, is one of one assay component(s) measured or calculated from the NVS\_GPCR\_hM2 assay. It is designed to make measurements of radioligand binding, a form of binding reporter, as detected with scintillation counting signals by Filter-based radiodetection technology.  
### Biological samples

  - cell-free  
Evidence source  
Source: [www.epa.gov](https://www.epa.gov/chemical-research/exploring-toxcast-data-downloadable-data)
- bronchoconstriction  
### Effects

  - Inhibition/Decrease/Downregulation: general  
### Studies

  - preclinical: bronchoconstriction  
### Biological samples

  - cardiovascular system  
PubMed 23197038  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/23197038/)
- decreased heart rate  
### Effects

  - Activation/Increase/Upregulation: general  
### Studies

  - preclinical: decreased heart rate  
### Biological samples

  - cardiovascular system  
PubMed 23197038  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/23197038/)
- decreased cardiac conduction (PR interval)  
### Effects

  - Activation/Increase/Upregulation: general  
### Studies

  - preclinical: decreased cardiac conduction (PR interval)  
### Biological samples

  - cardiovascular system  
PubMed 23197038  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/23197038/)
- decreased cardiac action potential duration  
### Effects

  - Activation/Increase/Upregulation: general  
### Studies

  - preclinical: decreased cardiac action potential duration  
### Biological samples

  - cardiovascular system  
PubMed 23197038  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/23197038/)

## Related records

### Trials (583)

- "Death Rattle" - A Double Blind, Randomly Controlled, Crossover Trial
- 0.6 vs. 1.2 mg Atropine Together With Neostigmine 2.5 mg on Heart Rate in Patient Receiving Muscle Relaxant
- A 12 Week Study to Confirm the Effectiveness of 8mg of Fesoterodine Compared to 4mg of Fesoterodine
- A 12-Week Study to Evaluate the Efficacy of Darifenacin to Increase the Warning Time in Patients With Overactive Bladder.
- A 2 Part Study Examining Doses Of GSK961081 In Healthy Volunteers And Then In COPD Patients
- A 4-week Dose-Ranging, Dose-Interval, Efficacy, Safety and Tolerability Study of GSK961081 in Subjects With Chronic Obstructive Pulmonary Disease (COPD)
- A Bioequivalence Study Of 4 Mg Fesoterodine Extended-Release Tablets (Toviaz™) In Healthy Subjects
- A Bioequivalence Study Of 8 Mg Fesoterodine Extended-Release Tablets (Toviaz™) In Healthy Subjects
- A Clinical Study in Patients With Overactive Bladder With Leakage of Urine, to Find Out if the Medicine, Fesoterodine, Works in Those Patients Who Did Not Have Enough Response to the Medicine, Tolterodine.
- A Clinical Study to Assess the Effect on Pharmacokinetics of Dosing Mirabegron (YM178) and Solifenacin Simultaneously
- A Clinical Study to Investigate How Solifenacin Fluid is Taken up, How Long it Stays in the Body and How Effective and Safe it is in Treating Children Aged From 6 Months to Less Than 5 Years With Symptoms of Neurogenic Detrusor Overactivity (NDO)
- A Clinical Trial To Assess Fesoterodine On Treatment Satisfaction And Symptom Improvement In Overactive Bladder Patients
- A Comparison of a New Drug to Treat Overactive Bladder vs. Placebo
- A Comparison of Tolterodine and Placebo Treatments on Nocturnal Frequency and Sleep Quality in Women After Menopause.
- A Comparison Study of Oxybutynin and Botulinum Toxin for Neurogenic Detrusor Overactivity
- A Confirmatory Safety and Efficacy Study of BBI-4000 in Subjects With Axillary Hyperhidrosis
- A Confirmatory Study of KUC-7483 in Patients With Overactive Bladder
- A Dose Ascending, Study To Examine The Safety, Tolerability, Pharmacokinetics And Pharmacodynamics Of GSK233705B.
- A Dose Titration Study of CPC-201 in Patients With Dementia of Alzheimer's Type
- A Double-Blind, Paralleled Study Comparing Efficacy/Safety of Solifenacin to Tolterodine in Overactive Bladder Patients

### Drugs (31)

- Afacifenacin Muscarinic acetylcholine receptor antagonist
- Alcuronium Muscarinic acetylcholine receptor M2 positive allosteric modulator
- ASM-024 Muscarinic acetylcholine receptor M2 antagonist
- Atropine Muscarinic acetylcholine receptor M2 antagonist
- Atropine sulfate Muscarinic acetylcholine receptor M2 antagonist
- Batefenterol Muscarinic acetylcholine receptor M2 antagonist
- Bethanechol Muscarinic acetylcholine receptor M2 agonist
- Bethanechol chloride Muscarinic acetylcholine receptor M2 agonist
- Darifenacin Muscarinic acetylcholine receptor M2 antagonist
- Darifenacin hydrobromide Muscarinic acetylcholine receptor M2 antagonist
- Darotropium Muscarinic acetylcholine receptor antagonist
- Darotropium bromide Muscarinic acetylcholine receptor antagonist
- Fesoterodine Muscarinic acetylcholine receptor M2 antagonist
- Fesoterodine fumarate Muscarinic acetylcholine receptor M2 antagonist
- Glycopyrronium Muscarinic acetylcholine receptor inhibitor
- Glycopyrronium tosylate Muscarinic acetylcholine receptor inhibitor
- Oxybutynin Muscarinic acetylcholine receptor M2 antagonist
- Oxybutynin chloride Muscarinic acetylcholine receptor M2 antagonist
- Propantheline Muscarinic acetylcholine receptor M2 antagonist
- Propantheline bromide Muscarinic acetylcholine receptor M2 antagonist

---

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