Allosteric modulators of muscarinic receptors act at a site apart from
the common ligand binding site of the receptor protein. These compoun
ds affect both of the molecular events that determine the level of equ
ilibrium binding, namely ligand association and dissociation. As a con
sequence, ligand binding can be elevated, reduced or remain unchanged,
depending on the receptor subtype, the type of ligand and the type of
allosteric modulator. Thus, allosterically acting drugs represent a n
ovel approach for affecting muscarinic receptors, Notably, they may ac
t as subtype-selective enhancers of acetylcholine binding. This might
be exploited therapeutically, to improve cognition or to promote antin
ociception, for example.