# Computational Studies toward the Identification of CB2R-M1R Dual Modulators

**Authors:** Israa H. Isawi, Rufaida Al-Zoubi, Rima Hajjo, Rayan M. Obeidat, Islam H. AlKhawaldeh, Omar M. Al Kilani, Mahmoud J. Alhaj Hasan, Paula Morales

PMC · DOI: 10.1021/acsomega.5c07866 · 2026-02-19

## TL;DR

This paper explores using dual-target drugs for neurodegenerative diseases by targeting CB2R and M1R receptors computationally.

## Contribution

A novel computational pipeline identifies dual modulators for CB2R and M1R receptors.

## Key findings

- A network pharmacology analysis mapped the pharmacological landscape of dual-target ligands.
- Molecular docking identified chemotypes with potential dual regulation of CB2R and M1R.
- The study provides chemical starting points for future experimental validation.

## Abstract

The complex and multifactorial nature of different neurodegenerative
disorders hampers the capacity to identify effective treatments. Therefore,
instead of relying solely on monotherapies or combination therapies,
which typically come with dosing complications and limited synergy,
multitarget-directed ligand strategies have emerged as one of the
most dynamic and promising approaches to improve outcomes for such
diseases. This study sought to identify dual modulators that specifically
target cannabinoid receptor type 2 (CB2R) and muscarinic acetylcholine
receptor subtype 1 (M1R), two receptors involved in various physiological
and neurological processes and frequently implicated in disorders
like Alzheimer’s, Parkinson’s, and chronic pain. Herein,
we utilized a comprehensive computational pipeline starting with a
network pharmacology analysis to map the pharmacological landscape
of the dual-targeted ligands. Thereafter, molecular descriptors were
employed to uncover structural similarities between CB2R agonists
and M1R-positive allosteric modulators. Promising candidates were
further evaluated for their binding affinities to the corresponding
receptors by molecular docking studies. Collectively, these integrated
computational approaches yielded a shortlist of chemotypes with the
potential for dual regulation of CB2R and M1R. These findings provide
a computational foundation and potential chemical starting points
for future experimental studies aimed at exploring CB2R–M1R
dual modulation in intricate neurodegenerative disorders and related
conditions.

## Linked entities

- **Proteins:** Cnr2 (cannabinoid receptor 2), CHRM1 (cholinergic receptor muscarinic 1)

## Full-text entities

- **Genes:** PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, LHFPL5 (LHFPL tetraspan subfamily member 5) [NCBI Gene 222662] {aka DFNB67, TMHS, dJ510O8.8}, VN1R17P (vomeronasal 1 receptor 17 pseudogene) [NCBI Gene 441931] {aka GPCR}, ABCB1 (ATP binding cassette subfamily B member 1) [NCBI Gene 5243] {aka ABC20, CD243, CLCS, ENPAT, GP170, MDR1}, ACHE (acetylcholinesterase (Yt blood group)) [NCBI Gene 43] {aka ACEE, ARACHE, N-ACHE, YT}, PGP (phosphoglycolate phosphatase) [NCBI Gene 283871] {aka AUM, G3PP, PGPase}, RAP1A (RAP1A, member of RAS oncogene family) [NCBI Gene 5906] {aka C21KG, G-22K, KREV-1, KREV1, RAP1, SMGP21}, AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, BCHE (butyrylcholinesterase) [NCBI Gene 590] {aka BCHED, CHE1, CHE2, E1}, GNAI1 (G protein subunit alpha i1) [NCBI Gene 2770] {aka Gi, HG1B, NEDHISB}, HDAC9 (histone deacetylase 9) [NCBI Gene 9734] {aka HD7, HD7b, HD9, HDAC, HDAC7B, HDAC9B}, CHRM1 (cholinergic receptor muscarinic 1) [NCBI Gene 1128] {aka HM1, M1, M1R}, FAAH (fatty acid amide hydrolase) [NCBI Gene 2166] {aka FAAH-1, FAAH1, PSAB}
- **Diseases:** chronic pain (MESH:D059350), MTDLs (MESH:D051556), beta-amyloid (MESH:C000718787), dementia (MESH:D003704), neurological illnesses (MESH:D009461), IFD (MESH:D012640), cognitive decline (MESH:D003072), XP (MESH:D014983), pain-related disorders (MESH:D013001), neurodegeneration (MESH:D019636), Parkinson's (MESH:D010300), cancer (MESH:D009369), AD (MESH:D000544), neuroinflammation (MESH:D000090862)
- **Chemicals:** morpholine (MESH:C037574), quinoline (MESH:C037219), water (MESH:D014867), CP 55,940 (MESH:C054649), endocannabinoid (MESH:D063388), acetylcholine (MESH:D000109), indoles (MESH:D007211), lipid (MESH:D008055), indazoles (MESH:D007191), anandamide (MESH:C078814), Hydrogen (MESH:D006859), pyrazole (MESH:C031280), naphthalene (MESH:C031721), AM1241 (MESH:C439263), JWH-133 (MESH:C432747), calcium (MESH:D002118), HU 308 (MESH:C402416), Indole (MESH:C030374), MK-7622 (-), oxygen (MESH:D010100), cyclohexyl carboxamide (MESH:C017159), PF-06827443 (MESH:C000622247), IXO (MESH:C000591650), salt (MESH:D012492), pyrrolopyridazine (MESH:C508945), WIN 55,212-2 (MESH:C070417), hydrocarbon (MESH:D006838), benzohydrazide (MESH:C006712), IP (MESH:C041508)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Rattus norvegicus (brown rat, species) [taxon 10116], Homo sapiens (human, species) [taxon 9606]
- **Mutations:** A 20 A

## Figures

12 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12961564/full.md

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Source: https://tomesphere.com/paper/PMC12961564