Allosteric modulation of nicotinic acetylcholine receptors as a treatment strategy for Alzheimer's disease.

Abstract:

:The basic symptoms of Alzheimer's dementia, i.e., a loss in cognitive function, are due to impaired nicotinic cholinergic neurotransmission. To compensate for this impairment by drug treatment, blockers of the acetylcholine-degrading enzyme acetylcholinesterase are applied, even though this approach obviously is prone to many side-effects, including those of muscarinic nature. We have recently described a novel class of nicotinic acetylcholine receptor ligands which, similar to the action of benzodiazepines on GABA(A) receptors, allosterically potentiate submaximal nicotinic responses. The sensitizing effect is a consequence of facilitated channel opening in the presence of allosterically potentiating ligand (APL). Representative members of this class of ligands are the plant alkaloids physostigmine, galanthamine, and codeine. Because APLs could enhance nicotinic neurotransmission under conditions of reduced secretion and/or increased degradation of acetylcholine or reduced acetylcholine-sensitivity of nicotinic acetylcholine receptors, they could have a preventive and corrective action on impaired but still functioning nicotinic neurotransmission.

journal_name

Eur J Pharmacol

authors

Maelicke A,Albuquerque EX

doi

10.1016/s0014-2999(00)00093-5

keywords:

subject

Has Abstract

pub_date

2000-03-30 00:00:00

pages

165-70

issue

1-3

eissn

0014-2999

issn

1879-0712

pii

S0014-2999(00)00093-5

journal_volume

393

pub_type

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