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Cholinergic System Lecture Notes

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Cholinergic System Lecture Notes

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BB30044: The Cholinergic System (SW)
Introduction:
Acetylcholine: first neurotransmitter discovered
 In 1921, Otto Loewi stimulated the vagus nerve of one frog heart and
observed the reduction in heart rate. He applied a fluid sample from this
heart to another frog heart and observed a reduction in heart rate in this
recipient heart.
 Inferred that synaptic signalling uses a chemical messenger that was
present in the transferred fluid. Named it Vagusstoff as it was released
from vagus nerve.
 Henry Dale identified the chemical messenger as acetylcholine (ACh).
 Jointly awarded the 1936 Nobel Prize for Medicine

ACh is a major transmitter in the ANS
 Acetylcholine is a major neurotransmitter
outside of the brain, in the autonomic
nervous system (ANS). Acts in both:
 Acetylcholine is the neurotransmitter
used the neuromuscular junctions—
released in order to activate muscles.
 Acetylcholine is also a neurotransmitter
in the autonomic nervous system:
 Internal transmitter for the
sympathetic nervous system, acts at
sympathetic ganglia (chain of neurons
outside spinal cord)
 The final product released by the
parasympathetic nervous system at end
points of vagus nerve-derived signals for
decreased HR, bronchoconstriction, stimulation of peristalsis and
secretion.


Cholinergic Pathways in the Brain
 Cholinergic innervation is widespread throughout the brain (not as
abundant as GABA or glutamate)
 Cholinergic projection neurons (have cell bodies in one brain region and
project to another, so signal between different regions) occur in 2 main
loci:
1. Basal forebrain: role in memory and cognition. Comprised of nucleus
basalis and medial septal nucleus. Cholinergic neuron axons project into
the hippocampus, and these projections degenerate in AD.
2. Midbrain nuclei: roles in arousal, reward, motor control
 Local cholinergic interneurons (short axons, mediate signalling within a
single brain region): striatum has the highest density of ACh in the brain

A Cholinergic Synapse

,  ACh synthesised from Acetylcoenzyme A (from mitochondria) and choline
by ChAT (Choline AcetylTransferase)
 ACh packaged into vesicles by Vesicular ACh Transporter (VAChT) –
mediated by proton exchange
 Released by Ca2+-dependent exocytosis
 Interacts with postsynaptic Muscuranic and/or Nicotinic receptors
 Removed by degradation by Acetylcholinesterase (AChE) – such
breakdown via enzyme activity is unique amongst classical
neurotransmitters (glutamate, serotonin and GABA taken up by
transporters)
 Choline recycled back into presynaptic terminal by Choline Transporter
(ChT) – Na+ symporter. Resythesis of acetylcholine.
 Both Choline acetyltransferase and VAChT are unique to the cholinergic
system – they can therefore be used to identify cholinergic neurons in the
brain:
 ChAT and VAChT immunoreactive neurons visualised in the basal
forebrain of postmortem human brains. Can observe degeneration of
these neurons in AD.
 These markers were therefore crucial in identifying ACh as being
involved in early stages of AD.

Two classes of ACh receptors:
 Aceytlcholine is a Choline molecule that has been
acetylated at the Oxygen atom (acetyl group = methyl
group CH3 + carbonyl CO). Made up of a quarternary
amines, nitrogen and oxygen atom (choline). Oxygen
atom has ester oxygen and methyl group CH3 added.
 Muscarinic receptor (mAChR) is a GPCR (metabotropic) –
recognises the nitrogen and ester oxygen of ACh
 Nicotinic receptor (nAChR) is a ligand-gated ion channel (ionotropic) –
recognises the nitrogen and CH3 of ACh
 Selective agonists: both receptors bind to ACh, but muscarine ligand binds
specifically to muscarinic receptors and nicotine to nicotinic receptors.
 Selective antagonists: muscarinic receptors can be blocked by Atropine ,
nicotinic receptors can be blocked by d-Tubocurarine.

Muscarinic receptors
 5 subtypes of mAChR (M1-M5), coded for by 5 genes
 7 transmembrane spanning GPCR with an extracellular N-terminus, large
intracellular loop between TM domains 5-6 and an intracellular C terminus.
 Intracellular loop and intracellular C-terminus contain phosphorylation
sites
 Aromatic amino acids such as tyrosine have been identified in the agonist
binding site, and these amino acids are found primarily in TM regions 3, 5,
6 & 7. The ACh binding site being within the TM domain suggests that the
binding site is buried within the membrane.
 X-Ray crystallography used to identify molecular structure, e.g. binding
site identified by agonist tiotropium (occupies the site long enough to
make crystals, unlike ACh)

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