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Succinylcholine is an agonist of muscle-type nicotinic acetylcholine receptors (nAChRs).1 It activates the muscle-type α1β1δε subunit-containing nAChR (EC50 = 10.8 µM in X. laevis oocytes expressing the human receptor) then induces desensitization of the receptor. It is selective for the muscle-type nAChR over α3β2, α3β4, α4β2, or α7 subunit-containing neuronal nAChRs (IC50s = >100 µM). Succinylcholine (600 µg) induces neuromuscular block in isolated rat phrenic nerve-diaphragm preparations stimulated via the phrenic nerve.2 Formulations containing succinylcholine have been used as an adjunct to general anesthesia for its muscle relaxant properties.
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1. Activation and inhibition of human muscular and neuronal nicotinic acetylcholine receptors by succinylcholine. Anesthesiology 104(4), 724-733 (2006).
2. The neuromuscular blocking action of suxamethonium on the rat diaphragm. J. Pharm. Pharmacol. 14(1), 177-181 (1962).