Acetylcholine muscarinic receptors are a family of five G-protein-coupled r
eceptors widely distributed in the central nervous system and in peripheral
organs. Activation of certain subtypes of muscarinic receptors (M-1, M-3,
M-5) has been found to modulate DNA synthesis in a number of cell types. In
several cell types acetylcholine, by activating endogenous or transfected
muscarinic receptors, can indeed elicit cell proliferation. In other cell t
ypes, however, or under different experimental conditions, activation of mu
scarinic receptors has no effect, or inhibits DNA synthesis. A large number
of intracellular pathways are being investigated to define the mechanisms
involved in these effects of muscarinic receptors; these include among othe
rs, phospholipase D, protein kinases C and mitogen-activated-protein kinase
s. The ability of acetylcholine to modulate DNA synthesis through muscarini
c receptors may be relevant in the context of brain development and neoplas
tic growth.