Cell signaling occurs through two main types: electrical signals using ions and chemical signals using signaling molecules. The majority (60-70%) of drugs bind to G protein-coupled receptors (GPCRs). Muscle contraction, writing, and boxing occur due to nicotinic acetylcholine receptor ion channels. Signaling molecules act by binding to receptors and are also called ligands. Signaling molecules can be agonists, which stimulate pathways, or antagonists, which inhibit pathways. End targets of cell signaling include transport proteins, cytoskeleton, enzymes, and genes. Signaling mediators include adapter proteins, effectors, cAMP as a second messenger, and protein kinases. Scaffold proteins cause localization of signaling mediators