Current concepts regarding the regulation and coupling of muscarinic m
(3) receptors to G-proteins and various effecters are discussed. The l
ast few years have provided much evidence that although muscarinic m(1
), m(3) and m(5) subtypes couple predominantly via pertussis toxin-ins
ensitive G-proteins (Gq/11) to activate phosphoinositidase C (PIC), in
teractions with other G-proteins (Gi, Go, Gs) can be readily observed
in cells expressing recombinant muscarinic receptors even at relativel
y low levels. The significance of this diversity and the potential for
agonist ''trafficking'' could open up opportunities for novel approac
hes to selective agonist action. Finally, mechanisms underlying the re
gulation of muscarinic m(3) coupling through Gq/11 to PIC are discusse
d. In particular, our recent studies on precursor lipid depletion, whe
ther regulation is receptor or cell specific and the identification an
d role of receptor kinases are briefly reviewed.