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

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

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Cholinergic Innervation<br />

Cholinergic neurons form extensive networks with each other <strong>and</strong> with<br />

glutamatergic <strong>and</strong> GABAergic neurons. Cholinergic neurons also interconnect<br />

with other neuromodulator systems, such as networks using dopamine,<br />

norepinephrine, serotonin <strong>and</strong> histamine, to modulate sensory information relayed<br />

by glutamate synapses. Neuroplasticity is essential to the continuous updating<br />

these neural networks <strong>and</strong> some cholinergic axons are particularly plastic (Farris et<br />

al., 1995). At both central <strong>and</strong> peripheral sites, cholinergic receptor activation<br />

leads to cytoskeletal responses. Centrally, muscarinic acetylcholine receptors,<br />

which utilize G-protein mechanisms, far out number nicotinic acetylcholine<br />

receptors, which are ionotropic in nature. In the periphery, nicotinic acetylcholine<br />

receptors predominate. Despite marked differences in receptor mechanisms, the<br />

binding of acetylcholine to either muscarinic or nicotinic acetylcholine receptors<br />

triggers cytoskeletal protein interactions with other cytoskeletal proteins at central<br />

<strong>and</strong> peripheral sites (Woolf, 2006).<br />

Cholinergic neurons comprise less than one percent of neurons in the<br />

nervous system, yet they appear to be involved in the most intriguing <strong>and</strong><br />

enigmatic of neural functions, ranging from gross observable movement to<br />

consciousness. Cholinergic systems orchestrate activity across groups of muscle<br />

cells <strong>and</strong> in conjunction monoamines - dopamine, norepinephrine, serotonin <strong>and</strong><br />

histamine neuronal assemblies in cortical fields. The end result is a unified action,<br />

either behavioral or cognitive, which because of inherent neuroplasticity can be<br />

honed through the learning process to become purposeful action (Woolf &<br />

Butcher, 2010).<br />

With a few exceptions, cholinergic neurons assume a ventral or basal<br />

location. This ventral or basal location is consistent with the motor <strong>and</strong> “cognitive<br />

action” functions of cholinergic neurons. Mesopontine cholinergic neurons are<br />

located in the laterodorsal tegmental nucleus <strong>and</strong> the pedunculopontine tegmental<br />

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