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Muscarinic
acetylcholine
receptor M2
Guanine
nucleotide-
binding protein
G(i) subunit
alpha-1
Adenylyl
Cyclase
Sodium/potassium
ATPase
cAMP-dependent
protein kinase
catalytic
subunit alpha
L type Calcium
channel
Gβ
Gγ
High affinity
choline
transporter 1
Vesicular
acetylcholine
transporter
Choline O-
acetyltransferase
Acetylcholine
cAMP
Atropine
Choline
Choline
Acetylcholine
Acetylcholine
Na
+
Na
+
K
+
K
+
Ca
+
Ca
+
Atropine
Acetyl-CoA
CoA
ATP
PP
i
ATP
GTP
Gi/o signalling
Due to decreased signalling,
adenylyl cyclase is less
inhibited leading to
increased produciton of
cAMP.
Magnesium
Magnesium
Synaptic Vesicle
Increased cAMP production
increases the amount of
calcium influx into
cardiomyocyte cells.
Increased calcium influx and
ATPase activity leads to
more contraction of the
muscle, leads to increased
heart rate and AV node
conduction.
Atropine inhibits the
binding of acetylcholine to
the muscarinic receptor.
Less receptor activation
leads to decreased
downstream signalling.
Increased cAMP production
increases action potential
concentration movement
promoting action potentials.
Cardiomyocyte
Cytosol
Vagus Nerve
Vagus nerves release
acetylcholine onto SA/VA
node cells that binds to
muscarinic receptors
(Specifically M2)
Atropine is administered as
an intravenous injection
CHRM2
GNAI1
ADCY9
FXYD2
PRKACA
CACNA2D2
GNB1
GNG2
SLC5A7
SLC18A3
CHAT
Acetylcholine
cAMP
Atropine
Choline
Choline
Acetylcholine
Acetylcholine
Sodium
Sodium
Potassium
Potassium
Calcium
Calcium
Atropine
Acetyl-CoA
Coenzyme A
Adenosine
triphosphate
Pyrophosphate
Adenosine
triphosphate
Guanosine
triphosphate
Gi/o signalling