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Muscarinic M1, M3, Nicotinic,GABAA and GABAB Receptor ...

Muscarinic M1, M3, Nicotinic,GABAA and GABAB Receptor ...

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upregulation of muscarinic <strong>M3</strong> mRNA level during hypoglycemic condition<br />

compared to diabetic. This is concordant with our receptor binding studies.<br />

Immunohistochemistry study using confocal microscope confirmed a similar<br />

expression pattern in localization of muscarinic <strong>M1</strong>, <strong>M3</strong> receptors in the cerebral<br />

cortex of control <strong>and</strong> experimental rats. Highest levels of muscarinic <strong>M1</strong> <strong>and</strong> <strong>M3</strong><br />

receptors are in cerebral cortex (Brann et al., 1988) which shows the importance<br />

of cholinergic neurotransmission in cerebral cortex; which in the present study<br />

showed altered by recurrent hypoglycemia. <strong>Muscarinic</strong> <strong>M3</strong> receptors are<br />

implication in synaptic inhibition. Inhibition of excitatory transmission by <strong>M3</strong><br />

receptors has been reported (Sugita et al., 1991; Hsu et al., 1995; Auerbach &<br />

Segal, 1996). Alterations of mAChR were reported in several neurological <strong>and</strong><br />

psychiatric diseases. Cholinergic deficits are accompanied by alterations of the<br />

mAChR in various cerebral regions. Previous reports showed that activation of<br />

muscarinic <strong>M1</strong> cholinergic receptors produced an increase of glucose utilization<br />

(Hosey, 1992). The functional regulation of muscarinic receptors is a<br />

compensatory mechanism to facilitate insulin secretion <strong>and</strong> maintenance of<br />

normoglycemia in diabetic rats. Our findings showed cholinergic hypofunction<br />

mediated through muscarinic <strong>M1</strong> <strong>and</strong> <strong>M3</strong> receptors in the cerebral cortex which is<br />

suggested to depress the overall function mediated by cerebral cortex. The results<br />

showed the importance of maintaining euglycemia during diabetes treatment with<br />

insulin therapy.<br />

Cerebellum<br />

Cerebellum is a region of the brain that plays an important role in the<br />

integration of sensory perception, memory consolidation, coordination <strong>and</strong> motor<br />

control. In order to coordinate motor control, there are many neural pathways<br />

linking the cerebellum with the cerebral motor cortex <strong>and</strong> the spinocerebellar tract<br />

(Roberta & Peter, 2003). There is currently enough anatomical, physiological <strong>and</strong><br />

theoretical evidence to support the hypothesis that cerebellum is the region of the<br />

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