“…Biperiden has a high affinity for the M1 receptor (Bolden et al, 1992), which is primarily located in the hippocampus and the cerebral cortex, but also in the cerebellum, striatum and thalamus (Levey, 1993). Neuroimaging, anatomical and lesion studies have identified a cortical-subcortical network underpinning procedural learning, engaging a frontalparietal network (Eliassen et al, 2001;Hardwick et al, 2013;Müller et al, 2002;Rivera-Urbina et al, 2022;Tzvi et al, 2016) and the motor cortex, cerebellum, basal ganglia and ventral intermediate nucleus of the thalamus (Hardwick et al, 2013;Roy et al, 2019;Terzic et al, 2022;Voegtle et al, 2022Voegtle et al, , 2023. The presence of M1 receptors in the network underpinning procedural learning suggests a potential impact of biperiden on motor learning.…”