“…After the 2004 patent filing by Eli Lilly (Rubio and Hillard, 2006), studies on molecules such as LY2033298 (Chan et al, 2008;Nawaratne et al, 2008Nawaratne et al, , 2010Leach et al, 2010Leach et al, , 2011Suratman et al, 2011;Gannon and Millan, 2012;Valant et al, 2012) and others, e.g., VU10010 Shirey et al, 2008;Bridges et al, 2010 [http://www.ncbi.nlm.nih.gov/books/NBK143196/]; Lewis et al, 2010;Dencker et al, 2012;Salovich et al, 2012;Huynh et al, 2013;Le et al, 2013), explored the structureactivity relationship around this scaffold and the in vivo efficacy of such molecules in animal models. Concomitant structure-function work using methods such as site-directed mutagenesis have allowed the mapping of the various ligand binding sites to the M 4 receptor and, in one instance, the M 2 receptor, and revealed critical regions involved in the receptor activation mechanism (Nawaratne et al, 2008(Nawaratne et al, , 2010Leach et al, 2011;Suratman et al, 2011;Valant et al, 2012).…”