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  6. <p><strong>The dark side of stress (learned helplessness)</strong>&nbsp;</p>
  7. <hr />
  8. Acetylcholine is the "neurotransmitter" of cholinergic nerves, including the parasympathetic system.
  9. Cholinesterase (or acetylcholinesterase) is an enzyme that destroys acetylcholine, limiting the action of the
  10. cholinergic nerves. Attaching a phosphate group to the cholinesterase enzyme inactivates it, prolonging and
  11. intensifying the action of cholinergic stimulation.
  12. <hr />
  13. The autonomic nervous system has traditionally been divided into the sympathetic-adrenergic system, and the
  14. parasympathetic-cholinergic system, with approximately opposing functions, intensifying energy expenditure and
  15. limiting energy expenditure, respectively. The hormonal system and the behavioral system interact with these
  16. systems, and each is capable of disrupting the others. Disruptive factors in the environment have increased in
  17. recent decades.
  18. <hr />
  19. Living is development; the choices we make create our individuality. If genetically identical mice grow up in a
  20. large and varied environment, small differences in their experience will affect cell growth in their brains,
  21. leading to large differences in their exploratory behavior as they age (Freund, et al., 2013). Geneticists used
  22. to say that "genes determine our limits," but this experiment shows that an environment can provide both
  23. limitations and opportunities for expanding the inherited potential. If our environment restricts our choices,
  24. our becoming human is thwarted, the way rats' potentials weren't discovered when they were kept in the standard
  25. little laboratory boxes. An opportunity to be complexly involved in a complex environment lets us become more of
  26. what we are, more humanly differentiated. A series of experiments that started at the University of California
  27. in 1960 found that rats that lived in larger spaces with various things to explore were better at learning and
  28. solving problems than rats that were raised in the standard little laboratory cages (Krech, et al., 1960).
  29. Studying their brains, they found that the enzyme cholinesterase, which destroys the neurotransmitter,
  30. acetylcholine, was increased. They later found that the offspring of these rats were better learners than their
  31. parents, and their brains contained more cholinesterase. Their brains were also larger, with a considerable
  32. thickening of the cortex, which is considered to be the part mainly responsible for complex behavior, learning
  33. and intelligence. These processes aren't limited to childhood. For example, London taxi drivers who learn all
  34. the streets in the city develop a larger hippocampus, an area of the brain involved with memory. The 1960s
  35. research into environmental enrichment coincided with political changes in the US, but it went against the
  36. dominant scientific ideas of the time. Starting in 1945, the US government had begun a series of projects to
  37. develop techniques of behavior modification or mind control, using drugs, isolation, deprivation, and torture.
  38. In the 1950s, psychiatry often used lobotomies (about 80,000, before they were generally discontinued in the
  39. 1980s) and electroconvulsive "therapy," and university psychologists tortured animals, often as part of
  40. developing techniques for controlling behavior. The CIA officially phased out their MKultra program in 1967, but
  41. that was the year that Martin Seligman, at the University of Pennsylvania, popularized the idea of "learned
  42. helplessness." He found that when an animal was unable to escape from torture, even for a very short time, it
  43. would often fail to even try to escape the next time it was tortured. Seligman's lectures have been attended by
  44. psychologists who worked at Guantanamo, and he recently received a no-bid Pentagon grant of $31,000,000, to
  45. develop a program of "comprehensive soldier fitness," to train marines to avoid learned helplessness. Curt
  46. Richter already in 1957 had described the "hopelessness" phenomenon in rats (“a reaction of hopelessness is
  47. shown by some wild rats very soon after being grasped in the hand and prevented from moving. They seem literally
  48. to give up,”) and even how to cure their hopelessness, by allowing them to have an experience of escaping once
  49. (Richter, 1957, 1958).&nbsp; Rats which would normally be able to keep swimming in a tank for two or three days,
  50. would often give up and drown in just a few minutes, after having an experience of "inescapable stress." Richter
  51. made the important discovery that the hearts of the hopeless rats slowed down before they died, remaining
  52. relaxed and filled with blood, revealing the dominant activity of the vagal nerve, secreting acetylcholine. The
  53. sympathetic nervous system (secreting noradrenaline) accelerates the heart, and is usually activated in stress,
  54. in the "fight or flight" reaction, but this radically different (parasympathetic) nervous activity hadn't
  55. previously been seen to occur in stressful situations. The parasympathetic, cholinergic, nervous system had been
  56. thought of as inactive during stress, and activated to regulate processes of digestion, sleep, and repair.
  57. Besides the cholinergic nerves of the parasympathetic system, many nerves of the central nervous system also
  58. secrete acetylcholine, which activates smooth muscles, skeletal muscles, glands, and other nerves, and also has
  59. some inhibitory effects. The parasympathetic nerves also secrete the enzyme, cholinesterase, which destroys
  60. acetylcholine. However, many other types of cell (red blood cells, fibroblasts, sympathetic nerves, marrow
  61. cells), maybe all cells, can secrete cholinesterase. Because cholinergic nerves have been opposed to the
  62. sympathetic, adrenergic, nerves, there has been a tendency to neglect their nerve exciting roles, when looking
  63. at causes of excitotoxicity, or the stress-induced loss of brain cells. Excessive cholinergic stimulation,
  64. however, can contribute to excitotoxic cell death, for example when it's combined with high cortisol and/or
  65. hypoglycemia. Drugs that block the stimulating effects of acetylcholine (the anticholinergics) as well as
  66. chemicals that mimic the effects of acetylcholine, such as the organophosphate insecticides, can impair the
  67. ability to think and learn. This suggested to some people that age-related dementia was the result of the
  68. deterioration of the cholinergic nerves in the brain. Drugs to increase the stimulating effects of acetylcholine
  69. in the brain (by inactivating cholinesterase) were promoted as treatment for Alzheimer's disease. Although
  70. herbal inhibitors were well known, profitable new drugs, starting with Tacrine, were put into use. It was soon
  71. evident that Tacrine was causing serious liver damage, but wasn't slowing the rate of mental deterioration. As
  72. the failure of the cholinergic drug Tacrine was becoming commonly known, another drug, amantadine (later, the
  73. similar memantine) was proposed for combined treatment. In the 1950s, the anticholinergic drug atropine was
  74. proposed a few times for treating dementia, and amantadine, which was also considered anticholinergic, was
  75. proposed for some mental conditions, including Creutzfeldt-Jacob Disease (Sanders and Dunn, 1973). It must have
  76. seemed odd to propose that an anticholinergic drug be used to treat a condition that was being so profitably
  77. treated with a pro-cholinergic drug, but memantine came to be classified as an anti-excitatory "NMDA blocker,"
  78. to protect the remaining cholinergic nerves, so that both drugs could logically be prescribed simultaneously.
  79. The added drug seems to have a small beneficial effect, but there has been no suggestion that this could be the
  80. result of its previously-known anticholinergic effects. Over the years, some people have suspected that
  81. Alzheimer's disease might be caused partly by a lack of purpose and stimulation in their life, and have found
  82. that meaningful, interesting activity could improve their mental functioning. Because the idea of a "genetically
  83. determined hard-wired" brain is no longer taught so dogmatically, there is increasing interest in this therapy
  84. for all kinds of brain impairment. The analogy to the Berkeley enrichment experience is clear, so the
  85. association of increasing cholinesterase activity with improving brain function should be of interest. The
  86. after-effect of poisoning by nerve gas or insecticide has been compared to the dementia of old age. The
  87. anticholinergic drugs are generally recognized for protecting against those toxins. Traumatic brain injury, even
  88. with improvement in the short term, often starts a long-term degenerative process, greatly increasing the
  89. likelihood of dementia at a later age. A cholinergic excitotoxic process is known to be involved in the
  90. traumatic degeneration of nerves (Lyeth and Hayes, 1992), and the use of anticholinergic drugs has been
  91. recommended for many years to treat traumatic brain injuries (e.g., Ward, 1950: Ruge, 1954; Hayes, et al.,
  92. 1986). In 1976 there was an experiment (Rosellini, et al.) that made an important link between the enrichment
  93. experiments and the learned helplessness experiments. The control animals in the enrichment experiments were
  94. singly housed, while the others shared a larger enclosure. In the later experiment, it was found that the rats
  95. "who were reared in isolation died suddenly when placed in a stressful swimming situation," while the
  96. group-housed animals were resistant, effective swimmers. Enrichment and deprivation have very clear biological
  97. meaning, and one is the negation of the other. The increase of cholinesterase, the enzyme that destroys
  98. acetylcholine, during enrichment, serves to inactivate cholinergic processes. If deprivation does its harm by
  99. increasing the activity of the cholinergic system, we should expect that a cholinergic drug might substitute for
  100. inescapable stress, as a cause of learned helplessness, and that an anticholinergic drug could cure learned
  101. helplessness. Those tests have been done: "Treatment with the anticholinesterase, physostigmine, successfully
  102. mimicked the effects of inescapable shock." "The centrally acting anticholinergic scopolamine hydrobromide
  103. antagonized the effects of physostigmine, and when administered prior to escape testing antagonized the
  104. disruptive effects of previously administered inescapable shock." (Anisman, et al., 1981.) This kind of
  105. experiment would suggest that the anticholinesterase drugs still being used for Alzheimer's disease treatment
  106. aren't biologically helpful. In an earlier newsletter I discussed the changes of growth hormone, and its
  107. antagonist somatostatin, in association with dementia: Growth hormone increases, somatostatin decreases. The
  108. cholinergic nerves are a major factor in shifting those hormones in the direction of dementia, and the
  109. anticholinergic drugs tend to increase the ratio of somatostatin to growth hormone. Somatostatin and
  110. cholinesterase have been found to co-exist in single nerve cells (Delfs, et al., 1984). Estrogen, which was
  111. promoted so intensively as prevention or treatment for Alzheimer's disease, was finally shown to contribute to
  112. its development. One of the characteristic effects of estrogen is to increase the level of growth hormone in the
  113. blood. This is just one of many ways that estrogen is associated with cholinergic activation. During pregnancy,
  114. it's important for the uterus not to contract. Cholinergic stimulation causes it to contract; too much estrogen
  115. activates that system, and causes miscarriage if it's excessive. An important function of progesterone is to
  116. keep the uterus relaxed during pregnancy. In the uterus, and in many other systems, progesterone increases the
  117. activity of cholinesterase, removing the acetylcholine which, under the influence of estrogen, would cause the
  118. uterus to contract. Progesterone is being used to treat brain injuries, very successfully. It protects against
  119. inflammation, and in an early study, compared to placebo, lowered mortality by more than half. It's instructive
  120. to consider its anticholinergic role in the uterus, in relation to its brain protective effects. When the brain
  121. is poisoned by an organophosphate insecticide, which lowers the activity of cholinesterase, seizures are likely
  122. to occur, and treatment with progesterone can prevent those seizures, reversing the inhibition of the enzyme
  123. (and increasing the activity of cholinesterase in rats that weren't poisoned) (Joshi, et al., 2010). Similar
  124. effects of progesterone on cholinesterase occur in menstrually cycling women (Fairbrother, et al., 1989),
  125. implying that this is a general function of progesterone, not just something to protect pregnancy. Estrogen,
  126. with similar generality, decreases the activity of cholinesterase. DHEA, like progesterone, increases the
  127. activity of cholinesterase, and is brain protective (Aly, et al., 2011). Brain trauma consistently leads to
  128. decreased activity of this enzyme (Östberg, et al., 2011; Donat, et al., 2007), causing the acetylcholine
  129. produced in the brain to accumulate, with many interesting consequences. In 1997, a group (Pike, et al.) created
  130. brain injuries in rats to test the idea that a cholinesterase inhibitor would improve their recovery and ability
  131. to move through a maze. They found instead that it reduced the cognitive ability of both the injured and normal
  132. rats. An anticholinergic drug, selegeline (deprenyl) that is used to treat Parkinson's disease and, informally,
  133. as a mood altering antiaging drug, was found by a different group (Zhu, et al., 2000) to improve cognitive
  134. recovery from brain injuries. One of acetylcholine's important functions, in the brain as elsewhere, is the
  135. relaxation of blood vessels, and this is done by activating the synthesis of NO, nitric oxide. (Without NO,
  136. acetylcholine constricts blood vessels; Librizzi, et al., 2000.) The basic control of blood flow in the brain is
  137. the result of the relaxation of the wall of blood vessels in the presence of carbon dioxide, which is produced
  138. in proportion to the rate at which oxygen and glucose are being metabolically combined by active cells. In the
  139. inability of cells to produce CO2 at a normal rate, nitric oxide synthesis in blood vessels can cause them to
  140. dilate. The mechanism of relaxation by NO is very different, however, involving the inhibition of mitochondrial
  141. energy production (Barron, et al., 2001). Situations that favor the production and retention of a larger amount
  142. of carbon dioxide in the tissues are likely to reduce the basic "tone" of the parasympathetic nervous system, as
  143. there is less need for additional vasodilation. Nitric oxide can diffuse away from the blood vessels, affecting
  144. the energy metabolism of nerve cells (Steinert, et al., 2010). Normally, astrocytes protect nerve cells from
  145. nitric oxide (Chen, et al., 2001), but that function can be altered, for example by bacterial endotoxin absorbed
  146. from the intestine (Solà, et al., 2002) or by amyloid-beta (Tran, 2001), causing them to produce nitric oxide
  147. themselves. Nitric oxide is increasingly seen as an important factor in nerve degeneration (Doherty, 2011).
  148. Nitric oxide activates processes (Obukuro, et al., 2013) that can lead to cell death. Inhibiting the production
  149. of nitric oxide protects against various kinds of dementia (Sharma &amp; Sharma, 2013; Sharma &amp; Singh,
  150. 2013). Brain trauma causes a large increase in nitric oxide formation, and blocking its synthesis improves
  151. recovery (Hüttemann, et al., 2008; Gahm, et al., 2006). Organophosphates increase nitric oxide formation, and
  152. the protective anticholinergic drugs such as atropine reduce it (Chang, et al., 2001; Kim, et al., 1997).
  153. Stress, including fear (Campos, et al., 2013) and isolation (Zlatković &amp; Filipović, 2013) can activate the
  154. formation of nitric oxide, and various mediators of inflammation also activate it. The nitric oxide in a
  155. person's exhaled breath can be used to diagnose some diseases, and it probably also reflects the level of their
  156. emotional well-being. The increase of cholinesterase by enriched living serves to protect tissues against an
  157. accumulation of acetylcholine. The activation of nitric oxide synthesis by acetylcholine tends to block energy
  158. production, and to activate autolytic or catabolic processes, which are probably involved in the development of
  159. a thinner cerebral cortex in isolated or stressed animals. Breaking down acetylcholine rapidly, the tissue
  160. renewal processes are able to predominate in the enriched animals. Environmental conditions that are favorable
  161. for respiratory energy production are protective against learned helplessness and neurodegeneration, and other
  162. biological problems that involve the same mechanisms. Adaptation to high altitude, which stimulates the
  163. formation of new mitochondria and increased thyroid (T3) activity, has been used for many years to treat
  164. neurological problems, and the effect has been demonstrated in animal experiments (Manukhina, et al., 2010).
  165. Bright light can reverse the cholinergic effects of inescapable stress (Flemmer, et al., 1990). During the
  166. development of learned helplessness, the T3 level in the blood decreases (Helmreich, et al., 2006), and removal
  167. of the thyroid gland creates the "escape deficit," while supplementing with thyroid hormone before exposing the
  168. animal to inescapable shock prevents its development (Levine, et al., 1990). After learned helplessness has been
  169. created in rats, supplementing with T3 reverses it (Massol, et al., 1987, 1988). Hypothyroidism and excess
  170. cholinergic tone have many similarities, including increased formation of nitric oxide, so that similar
  171. symptoms, such as muscle inflammation, can be produced by cholinesterase inhibitors such as Tacrine, by
  172. increased nitric oxide, or by simple hypothyroidism (Jeyarasasingam, et al., 2000; Franco, et al., 2006).
  173. Insecticide exposure has been suspected to be a factor in the increased incidence of Alzheimer's disease
  174. (Zaganas, et al., 2013), but it could be contributing to many other problems, involving inflammation, edema, and
  175. degeneration. Another important source of organophosphate poisoning is the air used to pressurize airliners,
  176. which can be contaminated with organophosphate fumes coming from the engine used to compress it. Possibly the
  177. most toxic component of our environment is the way the society has been designed, to eliminate meaningful
  178. choices for most people. In the experiment of Freund, et al., some mice became more exploratory because of the
  179. choices they made, while others' lives became more routinized and limited. Our culture reinforces routinized
  180. living. In the absence of opportunities to vary the way you work and live to accord with new knowledge that you
  181. gain, the nutritional, hormonal and physical factors have special importance. Supplements of thyroid and
  182. progesterone are proven to be generally protective against the cholinergic threats, but there are many other
  183. factors that can be adjusted according to particular needs. Niacinamide, like progesterone, inhibits the
  184. production of nitric oxide, and also like progesterone, it improves recovery from brain injury (Hoane, et al.,
  185. 2008). In genetically altered mice with an Alzheimer's trait, niacinamide corrects the defect (Green, et al.,
  186. 2008). Drugs such as atropine and antihistamines can be used in crisis situations. Bright light, without excess
  187. ultraviolet, should be available every day. The cholinergic system is much more than a part of the nervous
  188. system, and is involved in cell metabolism and tissue renewal. Most people can benefit from reducing intake of
  189. phosphate, iron, and polyunsaturated fats (which can inhibit cholinesterase; Willis, et al., 2009), and from
  190. choosing foods that reduce production and absorption of endotoxin. And, obviously, drugs that are intended to
  191. increase the effects of nitric oxide (asparagine, zildenafil/Viagra, minoxidil/Rogaine) and acetylcholine
  192. (bethanechol, benzpyrinium, etc.) should be avoided.
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  277. endothelial dysfunction and dementia: Pharmacological interdiction by histone deacetylase and inducible
  278. nitric oxide synthase inhibitors.</strong>&nbsp;Sharma B, Sharma PM. Pharmacol Biochem Behav. 2013
  279. Feb;103(4):821-30.&nbsp;<strong>&nbsp;Pharmacological inhibition of inducible nitric oxide synthase (iNOS) and
  280. nicotinamide adenine dinucleotide phosphate (NADPH) oxidase, convalesce behavior and biochemistry of
  281. hypertension induced vascular dementia in rats.&nbsp;</strong>Sharma B, Singh N. J Neurol Neurosurg
  282. Psychiatry. 1973 Aug;36(4):581-4.<strong>&nbsp;Creutzfeldt-Jakob disease treated with amantidine. A report of
  283. two cases.&nbsp;</strong>Sanders WL, Dunn TL. Neuroscientist. 2010 Aug;16(4):435-52.&nbsp;<strong>Nitric
  284. oxide signaling in brain function, dysfunction, and dementia.</strong>&nbsp;Steinert JR, Chernova T,
  285. Forsythe ID. FASEB J. 2001 Jun;15(8):1407-9.<strong>&nbsp;Amyloid beta-peptide induces nitric oxide production
  286. in rat hippocampus: association with cholinergic dysfunction and amelioration by inducible nitric oxide
  287. synthase inhibitors.&nbsp;</strong>Tran MH, Yamada K, Olariu A, Mizuno M, Ren XH, Nabeshima T. Genes Nutr.
  288. 2009 December; 4(4): 309–314.<strong>&nbsp;Dietary polyunsaturated fatty acids improve cholinergic transmission
  289. in the aged brain</strong>&nbsp;Willis LM, Shukitt-Hale B, Joseph JA. Toxicology. 2013 May
  290. 10;307:3-11.&nbsp;<strong>Linking pesticide exposure and dementia: what is the evidence?</strong>&nbsp;Zaganas
  291. I, Kapetanaki S, Mastorodemos V, Kanavouras K, Colosio C, Wilks MF, Tsatsakis AM. Exp Neurol. 2000
  292. Nov;166(1):136-52.&nbsp;<strong>Postinjury administration of L-deprenyl improves cognitive function and enhances
  293. neuroplasticity after traumatic brain injury.</strong>&nbsp;Zhu J, Hamm RJ, Reeves TM, Povlishock JT,
  294. Phillips LL. Neurochem Int. 2013 Sep;63(3):172-9.&nbsp;<strong>Chronic social isolation induces NF-κB activation
  295. and upregulation of iNOS protein expression in rat prefrontal cortex.</strong>&nbsp;Zlatković J, Filipović
  296. D. J Biol Chem. 2006 Feb 24;281(8):4779-86.&nbsp;<strong>Hypothyroid phenotype is contributed by mitochondrial
  297. complex I inactivation due to translocated neuronal nitric-oxide synthase.&nbsp;</strong>Franco MC, Antico
  298. Arciuch VG, Peralta JG, Galli S, Levisman D, López LM, Romorini L, Poderoso JJ, Carreras MC. Laboratory of
  299. Oxygen Metabolism, University Hospital, Facultad de Medicina, University of Buenos Aires, 1120-Buenos Aires,
  300. Argentina. Although transcriptional effects of thyroid hormones have substantial influence on oxidative
  301. metabolism,<span><strong>&nbsp;how thyroid sets basal metabolic rate remains obscure.</strong></span>
  302. <span><strong>Compartmental localization of nitric-oxide synthases is important for nitric</strong></span>
  303. <span><strong>oxide signaling. We therefore examined liver neuronal nitric-oxide synthase-alpha</strong></span>
  304. <span><strong>(nNOS) subcellular distribution as a putative mechanism for thyroid effects on</strong></span>
  305. <span><strong>rat metabolic rate. At low 3,3',5-triiodo-L-thyronine levels, nNOS mRNA increased</strong></span>
  306. <span><strong>by 3-fold, protein</strong></span>&nbsp;expression by one-fold, and nNOS was selectively
  307. translocated&nbsp; to mitochondria without changes in other isoforms. In contrast, under thyroid hormone
  308. administration, mRNA level did not change and nNOS remained predominantly localized in cytosol. In
  309. hypothyroidism, nNOS translocation resulted in enhanced&nbsp; mitochondrial nitric-oxide synthase activity with
  310. low O2 uptake. In this context, NO utilization increased active O2 species and peroxynitrite yields and
  311. tyrosine&nbsp; nitration of complex I proteins that reduced complex activity. Hypothyroidism was also associated
  312. to high phospho-p38 mitogen-activated protein kinase and decreased phospho-extracellular signal-regulated kinase
  313. 1/2 and cyclin D1 levels.
  314. <span><strong>Similarly to thyroid hormones, but without changing thyroid status, nitric-oxide&nbsp;</strong
  315. ></span>
  316. <span><strong>synthase inhibitor N(omega)-nitro-L-arginine methyl ester increased basal</strong></span>
  317. <span><strong>metabolic rate, prevented mitochondrial nitration and complex I derangement, and&nbsp;</strong
  318. ></span>
  319. <span><strong>turned mitogen-activated protein kinase signaling and cyclin D1 expression back</strong></span>
  320. <span><strong>to control pattern. We surmise that nNOS spatial confinement in mitochondria is a</strong></span>
  321. <span><strong>significant downstream effector of thyroid hormone and hypothyroid phenotype.</strong></span>
  322. &nbsp;Toxicology. 2013 May 10;307:3-11.<strong>&nbsp;Linking pesticide exposure and dementia: what is the
  323. evidence?&nbsp;</strong>Zaganas I, Kapetanaki S, Mastorodemos V, Kanavouras K, Colosio C, Wilks MF,
  324. Tsatsakis AM. J Pharmacol Exp Ther. 2000 Oct;295(1):314-20.<strong>&nbsp;Nitric oxide is involved in
  325. acetylcholinesterase inhibitor-induced myopathy in rats.&nbsp;</strong>Jeyarasasingam G, Yeluashvili M, Quik
  326. M. Neuroreport. 2000 Apr 27;11(6):1173-6.<strong>&nbsp;Tacrine, a reversible acetylcholinesterase inhibitor,
  327. induces myopathy.</strong>&nbsp;Jeyarasasingam G, Yeluashvili M, Quik M. Biochem Biophys Res Commun. 2002
  328. Jan 11;290(1):97-104. NO synthesis, unlike respiration, influences intracellular oxygen tension. Coste J, Vial
  329. JC, Faury G, Deronzier A, Usson Y, Robert-Nicoud M, Verdetti J. We have developed a new phosphorescent probe,
  330. PdTCPPNa(4), whose luminescence properties are affected by local variations of intracellular oxygen tension
  331. (PO(2)). Spectrofluorometric measurements on living human umbilical venous endothelial cells loaded with this
  332. molecule show that a decrease in extracellular oxygen tension induces a decrease of PO(2), illustrating the
  333. phenomenon of oxygen diffusion and validating the use of this probe in living cells. Moreover, KCN- or
  334. 2,4-dinitrophenol-induced modifications of respiration do not lead to detectable PO(2) variations, probably
  335. because O(2) diffusion is sufficient to allow oxygen supply. On the contrary,<strong>&nbsp;activation by
  336. acetylcholine or endothelial nitric oxide synthase (eNOS), which produces NO while consuming oxygen, induces
  337. a significant decrease in PO(2), whose amplitude is dependent on the acetylcholine dose, i.e., the eNOS
  338. activity level.&nbsp;</strong>Hence, activated cytosolic enzymes could consume high levels of oxygen which
  339. cannot be supplied by diffusion, leading to PO(2) decrease. Other cell physiology mechanisms leading to PO(2)
  340. variations can now be studied in living cells with this probe. Science. 1984 Jan 6;223(4631):61-3.&nbsp;<strong
  341. >Coexistence of acetylcholinesterase and somatostatin-immunoreactivity in neurons cultured from rat
  342. cerebrum.</strong>&nbsp;Delfs JR, Zhu CH, Dichter MA. Genes Nutr. 2009 December; 4(4): 309–314.<strong
  343. >&nbsp;Dietary polyunsaturated fatty acids improve cholinergic transmission in the aged brain</strong
  344. >&nbsp;Willis LM, Shukitt-Hale B, Joseph JA. Toxicology. 2013 May 10;307:3-11. Linking pesticide exposure and
  345. dementia: what is the evidence? Zaganas I, Kapetanaki S, Mastorodemos V, Kanavouras K, Colosio C, Wilks MF,
  346. Tsatsakis AM. s sufficient for oxidative phosphorylation (references in ref. 1). These findings indicate that,
  347. in execution of these tasks, the involved brain tissue switches to aerobic glycolysis. Acta Neurochir Suppl.
  348. 1997;70:130-3. Topical application of insulin like growth factor-1 reduces edema and upregulation of neuronal
  349. nitric oxide synthase following trauma to the rat spinal cord. Sharma HS, Nyberg F, Gordh T, Alm P, Westman J.
  350. &nbsp;Toxicol Appl Pharmacol. 2013 Aug 3. pii: S0041-008X(13)00326-8.&nbsp;<strong>Arsenic toxicity induced
  351. endothelial dysfunction and dementia: Pharmacological interdiction by histone deacetylase and inducible
  352. nitric oxide synthase inhibitors.</strong>&nbsp;Sharma B, Sharma PM. 2. Pharmacol Biochem Behav. 2013
  353. Feb;103(4):821-30.&nbsp;<strong>&nbsp;Pharmacological inhibition of inducible nitric oxide synthase (iNOS) and
  354. nicotinamide adenine dinucleotide phosphate (NADPH) oxidase, convalesce behavior and biochemistry of
  355. hypertension induced vascular dementia in rats.&nbsp;</strong>Sharma B, Singh N. CNS and CVS Research Lab.,
  356. Pharmacology Division, Department of Pharmaceutical Sciences and Drug Research, Faculty of Medicine, Punjabi
  357. University, Patiala 147002, Punjab, India.&nbsp;<a href="mailto:bhupeshresearch@gmail.com" target="_blank"
  358. >bhupeshresearch@gmail.com</a>
  359. Cognitive disorders are likely to increase over the coming years (5-10). Vascular dementia (VaD) has
  360. heterogeneous pathology and is a challenge for clinicians. Current Alzheimer's disease drugs have had limited
  361. clinical efficacy in treating&nbsp; VaD and none have been approved by major regulatory authorities specifically
  362. for&nbsp; this disease. Role of iNOS and NADPH-oxidase has been reported in various pathological conditions but
  363. there role in hypertension (Hypt) induced VaD is still unclear. This research work investigates the salutiferous
  364. effect of aminoguanidine (AG), an iNOS inhibitor and 4'-hydroxy-3'-methoxyacetophenone (HMAP), a NADPH oxidase
  365. inhibitor in Hypt induced VaD in rats. Deoxycorticosterone acetate-salt (DOCA-S) hypertension has been used for
  366. development of VaD in rats. Morris water-maze was used for testing learning and memory. Vascular system
  367. assessment was done by testing endothelial function. Mean arterial blood pressure (MABP), oxidative stress
  368. [aortic superoxide anion, serum&nbsp; and brain thiobarbituric acid reactive species (TBARS) and brain
  369. glutathione (GSH)], nitric oxide levels (serum nitrite/nitrate) and cholinergic activity (brain acetyl
  370. cholinesterase activity-AChE) were also measured. DOCA-S treated rats have shown increased MABP with impairment
  371. of endothelial function, learning&nbsp; and memory, reduction in serum nitrite/nitrate &amp; brain GSH levels
  372. along with increase in serum &amp; brain TBARS, and brain AChE activity. AG as well as HMAP significantly
  373. convalesce Hypt induced impairment of learning, memory, endothelial function, and alterations in various
  374. biochemical parameters. It may be concluded&nbsp; that AG, an iNOS inhibitor and HMAP, a NADPH-oxidase inhibitor
  375. may be considered&nbsp; as potential agents for the management of Hypt induced VaD. Copyright © 2012 Elsevier
  376. Inc. All rights reserved. [Curr Pharm Des. 2010;16(25):2837-50. Nitric oxide: target for therapeutic strategies
  377. in Alzheimer's disease. Fernandez AP, Pozo-Rodrigalvarez A, Serrano J, Martinez-Murillo R. "<strong>data
  378. implicating nitric oxide (NO) in the progression of the disease. The three isoforms of the NO-synthesizing
  379. enzyme (NOS) operate as central mediators of amyloid beta-peptide (Aβ) action, giving rise to elevated
  380. levels of NO that contributes to the maintenance, self-perpetuation and progression of the disease.</strong
  381. >&nbsp;"] J Neuropathol Exp Neurol. 2007 Apr;66(4):272-83. Nitric oxide synthase 3-mediated neurodegeneration
  382. after intracerebral gene delivery. de la Monte SM, Jhaveri A, Maron BA, Wands JR. "<strong>increased nitric
  383. oxide synthase 3 (NOS3) expression correlates with apoptosis in cortical neurons and colocalizes with
  384. amyloid precursor protein (APP)-amyloid beta (Abeta) deposits in the brain."</strong>
  385. Neuroscience. 2000;101(2):283-7.&nbsp;<strong>Nitric oxide synthase inhibitors unmask acetylcholine-mediated
  386. constriction of cerebral vessels in the in vitro isolated guinea-pig brain.</strong>&nbsp;Librizzi L, Folco
  387. G, de Curtis M. Pharmacology. 2000 Feb;60(2):82-9. Choline is a full agonist in inducing activation of neuronal
  388. nitric oxide synthase via the muscarinic M1 receptor. Carriere JL, El-Fakahany EE. Glia. 2003 Jan
  389. 15;41(2):207-11. Alzheimer's disease is associated with a selective increase in alpha7 nicotinic acetylcholine
  390. receptor immunoreactivity in astrocytes. Teaktong T, Graham A, Court J, Perry R, Jaros E, Johnson M, Hall R,
  391. Perry E. 16. Neuroscientist. 2010 Aug;16(4):435-52.&nbsp;
  392. <strong>Nitric oxide signaling in brain function, dysfunction, and dementia.</strong>
  393. Steinert JR, Chernova T, Forsythe ID. Neurotoxicity at the Synaptic Interface, MRC Toxicology Unit, University
  394. of Leicester, Leicester, UK. Nitric oxide (NO) is an important signaling molecule that is widely used in the
  395. nervous system. With recognition of its roles in synaptic plasticity (long-term potentiation, LTP; long-term
  396. depression, LTD) and elucidation of calcium-dependent, NMDAR-mediated activation of neuronal nitric oxide
  397. synthase (nNOS), numerous molecular and pharmacological tools have been used to explore the physiology and
  398. pathological consequences for nitrergic signaling. In this review, the authors summarize the current
  399. understanding of this subtle signaling&nbsp; pathway, discuss the evidence for nitrergic modulation of ion
  400. channels and homeostatic modulation of intrinsic excitability, and speculate about the pathological consequences
  401. of spillover between different nitrergic compartments in contributing to aberrant signaling in neurodegenerative
  402. disorders. Accumulating evidence points to various ion channels and particularly voltage-gated potassium
  403. channels as signaling targets, whereby NO mediates activity-dependent control of intrinsic neuronal
  404. excitability; such changes could underlie broader mechanisms of synaptic plasticity across neuronal networks. In
  405. addition,&nbsp;<strong>the inability to constrain NO diffusion suggests that spillover from</strong>
  406. <strong>endothelium (eNOS) and/or immune compartments (iNOS) into the nervous system</strong>
  407. <strong>provides potential pathological sources of NO and where control failure in these&nbsp;</strong>
  408. <strong>other systems could have broader neurological implications.&nbsp;</strong>Abnormal NO signaling could
  409. therefore contribute to a variety of neurodegenerative pathologies such as&nbsp; stroke/excitotoxicity,
  410. Alzheimer's disease, multiple sclerosis, and Parkinson's disease. Neurosci Bull. 2011 Dec;27(6):366-82. Nitric
  411. oxide in neurodegeneration: potential benefits of non-steroidal anti-inflammatories. Doherty GH.18.&nbsp;
  412. Neuroscience. 2010 Dec 15;171(3):859-68. Low energy laser light (632.8 nm) suppresses amyloid-β peptide-induced
  413. oxidative and inflammatory responses in astrocytes. Yang X, Askarova S, Sheng W, Chen JK, Sun AY, Sun GY, Yao G,
  414. Lee JC. Neurosci Behav Physiol. 2010 Sep;40(7):737-43.&nbsp;<strong>Prevention of neurodegenerative damage to
  415. the brain in rats in experimental Alzheimer's disease by adaptation to hypoxia.</strong>&nbsp;Manukhina EB,
  416. Goryacheva AV, Barskov IV, Viktorov IV, Guseva AA, Pshennikova MG, Khomenko IP, Mashina SY, Pokidyshev DA,
  417. Malyshev IY. &nbsp;Physiol Behav. 1990 Jul;48(1):165-7.
  418. <strong>Thyroparathyroidectomy produces a progressive escape deficit in rats.</strong>
  419. Levine JD, Strauss LR, Muenz LR, Dratman MB, Stewart KT, Adler NT. Department of Anatomy, University of
  420. Pennsylvania, Philadelphia. Abnormal thyroid status and affective disorders have been associated in the human
  421. clinical literature. It has recently been shown&nbsp;<strong>that pretreatment with thyroid</strong>
  422. <strong>hormone can prevent escape deficits produced by inescapable shock in an animal</strong>
  423. <strong>analogue of depression.</strong>&nbsp;In this report we provide evidence that&nbsp;<strong
  424. >hypothyroid</strong>
  425. <strong>status can produce an escape deficit in rats.</strong>&nbsp;While sham-operated rats improved their
  426. performance on a simple escape task over three days of testing, thyroparathyroidectomized rats showed a
  427. pronounced decrease in their responses. Markov transition analysis was used to obtain conditional probabilities
  428. of escaping given a prior escape or failure to escape for the two groups. This analysis shows that the structure
  429. of the data set may be similar for the two groups. These results suggest that if intact rats learn to escape,
  430. then hypothyroid rats may learn not to escape. 1. Pharmacol Biochem Behav. 1990 Aug;36(4):775-8.
  431. <strong>Bright light blocks the capacity of inescapable swim stress to supersensitize a</strong>
  432. <strong>central muscarinic mechanism.</strong>
  433. Flemmer DD, Dilsaver SC, Peck JA. Department of Psychiatry, Ohio State University. Clinical and basic
  434. researchers have proposed that muscarinic cholinergic mechanisms mediate some effects of chronic stress. Chronic
  435. inescapable (forced) swim stress depletes brain biogenic amines and is used to produce learned helplessness in
  436. rats. Behavioral and biochemical characteristics of animals in the state of learned helplessness lead some
  437. investigators to believe this condition provides a useful animal model of depression.&nbsp;<strong>Inescapable
  438. swim stress</strong>
  439. <strong>also produces supersensitivity to the hypothermic effect of the muscarinic</strong>
  440. <strong>agonist oxotremorine in the rat.&nbsp;</strong>The authors previously demonstrated that bright&nbsp;
  441. light potently induces subsensitivity of a central muscarinic mechanism involved&nbsp; in the regulation of core
  442. temperature under a variety of circumstances. They now&nbsp; report using a repeated measures design that
  443. inescapable swim stress of five days duration produces supersensitivity to oxotremorine (increase in thermic
  444. response&nbsp; of 405%). This&nbsp;<strong>supersensitivity is reversed within five days by treatment
  445. with</strong>
  446. <strong>bright light, despite continuation of daily swim stress. Daily inescapable swim</strong>
  447. <strong>stress was continued beyond cessation of treatment with bright light.&nbsp;</strong>Five days later,
  448. supersensitivity to the hypothermic effect of oxotremorine was once again&nbsp; evident. Pharmacol Biochem
  449. Behav. 1986 Aug;25(2):415-21.&nbsp; Neurochemical and behavioral consequences of mild, uncontrollable shock:
  450. effects&nbsp; of PCPA.&nbsp; Edwards E, Johnson J, Anderson D, Turano P, Henn FA.&nbsp; The present experiments
  451. examined the role of the serotonergic system in the&nbsp; behavioral deficit produced by uncontrollable shock.
  452. In Experiment 1:&nbsp; Establishment of model, the behavioral potential of the Sprague-Dawley rat was&nbsp;
  453. defined. When exposed to mild uncontrollable stress such as a 0.8 mA electric&nbsp; footshock, a significant
  454. percentage of rats developed a shock escape deficit&nbsp; which was evident when subsequently placed in a shock
  455. escape paradigm. Serotonin&nbsp; depletion was produced by chronic treatment with p-chlorophenylalanine.
  456. Biogenic&nbsp; amine levels and 5-HT levels were monitored in various brain areas using HPLC.&nbsp; Following
  457. chronic treatment with PCPA, the shock escape capability of the&nbsp; Sprague-Dawley rat was
  458. assessed.&nbsp;<strong>The severe depletion of 5-HT in various brain&nbsp;</strong>
  459. <strong>regions was highly correlated with a dramatic improvement in the shock escape&nbsp;</strong>
  460. <strong>scores. Thus, the detrimental effects of exposure to a mild course of inescapable&nbsp;</strong>
  461. <strong>shock can be prevented by chronic treatment with PCPA</strong>. These experiments&nbsp; implicate the
  462. serotonergic system as a possible mediator of the "learned&nbsp; helplessness" phenomenon.&nbsp; Biol
  463. Psychiatry. 1985 Sep;20(9):1023-5.&nbsp; Triiodothyronine-induced reversal of learned helplessness in
  464. rats.&nbsp; Martin P, Brochet D, Soubrie P, Simon P.&nbsp; Pharmacol Biochem Behav. 1982 Nov;17(5):877-83.&nbsp;
  465. Evidence for a serotonergic mechanism of the learned helplessness phenomenon.&nbsp; Brown L, Rosellini RA,
  466. Samuels OB, Riley EP.&nbsp; The present experiments examined the role of the serotonergic system in the&nbsp;
  467. learned helplessness phenomenon. In Experiment 1, a 200 mg/kg dose of&nbsp; 1-tryptophan injected 30 min prior
  468. to testing disrupted acquisition of Fixed&nbsp; Ratio 2 shuttle escape behavior. In Experiment 2, a 100 mg/kg
  469. dose of 5-HTP&nbsp; produced interference with the acquisition of the escape response. Furthermore,&nbsp; this
  470. interference was prevented by treatment with the serotonergic antagonist&nbsp; methysergide. In Experiment 3,
  471. animals were pretreated with a subeffective dose&nbsp; of 1-tryptophan in combination with subeffective exposure
  472. to inescapable shock.&nbsp; These animals showed a deficit in the acquisition of FR-2 shuttle escape. In&nbsp;
  473. Experiment 4, combined exposure to a subeffective dose of 5-HTP and inescapable&nbsp; shock (40 trials) resulted
  474. in an acquisition deficit. This deficit was reversed&nbsp; by methysergide. Experiment 5 showed that the
  475. detrimental effects of exposure to&nbsp; prolonged (80 trials) of inescapable shock can be prevented by
  476. treatment with&nbsp; methysergide. These studies implicate the serotonergic system as a possible&nbsp; mediator
  477. of the learned helplessness phenomenon.&nbsp; 45. Med Hypotheses. 2004;63(2):308-21. Brain cholinesterases: II.
  478. The molecular and cellular basis of Alzheimer's disease. Shen ZX. 2436 Rhode Island Avenue #3, Golden valley, MN
  479. 55427-5011, USA.
  480. <a href="mailto:zhengxshen@yahoo.com" target="_blank">zhengxshen@yahoo.com</a>
  481. Currently available evidence demonstrates that cholinesterases (ChEs), owing to their powerful enzymatic and
  482. non-catalytic actions, unusually strong electrostatics, and&nbsp;<strong>exceptionally ubiquitous presence and
  483. redundancy in their</strong>
  484. <strong>capacity as the connector, the organizer and the safeguard of the brain,&nbsp;</strong>play fundamental
  485. role(s) in the well-being of cells, tissues, animal and human lives,&nbsp; while they present themselves
  486. adequately in quality and quantity. The widespread&nbsp; intracellular and extracellular membrane networks of
  487. ChEs in the brain are also subject to various insults, such as aging, gene anomalies, environmental hazards,
  488. head trauma, excessive oxidative stress, imbalances and/or deficits of organic constituents. The loss and the
  489. alteration of ChEs on the outer surface membranous network may initiate the formation of extracellular senile
  490. plaques and induce an&nbsp; outside-in cascade of Alzheimer's disease (AD). The alteration in ChEs on the
  491. intracellular compartments membranous network may give rise to the development of intracellular neurofibrillary
  492. tangles and induce an inside-out cascade of AD. The abnormal patterns of glycosylation and configuration changes
  493. in ChEs may be reflecting their impaired metabolism at the molecular and cellular level and causing the
  494. enzymatic and pharmacodynamical modifications and neurotoxicity detected in brain tissue and/or CSF of patients
  495. with AD and in specimens in laboratory experiments. The inflammatory reactions mainly arising from
  496. ChEs-containing neuroglial cells may facilitate the pathophysiologic process of AD. It is proposed that brain
  497. ChEs may serve as a central point rallying various&nbsp; hypotheses regarding the etio-pathogenesis of AD. 3.
  498. Neurology. 2011 Mar 22;76(12):1046-50. doi: 10.1212/WNL.0b013e318211c1c4. Cholinergic dysfunction after
  499. traumatic brain injury: preliminary findings from a PET study. Östberg A, Virta J, Rinne JO, Oikonen V, Luoto P,
  500. Någren K, Arponen E, Tenovuo O. Department of Neurology, University of Turku and Turku University Central
  501. Hospital, Turku, Finland. OBJECTIVE: There is evidence that the cholinergic system is frequently involved in the
  502. cognitive consequences of traumatic brain injury (TBI). We studied whether the brain cholinergic function is
  503. altered after TBI in vivo using PET. METHODS: Cholinergic function was assessed with
  504. [methyl-(11)C]N-methylpiperidyl-4-acetate, which reflects the acetylcholinesterase (AChE) activity, in 17
  505. subjects more than 1 year after a TBI and in 12 healthy controls. All subjects had been without any centrally
  506. acting drugs for at least 4 weeks. RESULTS: The AChE activity was significantly lower in subjects with TBI
  507. compared&nbsp;
  508. <hr />
  509. 0.004). CONCLUSIONS: Patients with chronic cognitive symptoms after TBI show widely lowered AChE activity across
  510. the neocortex. © 2011 by AAN Enterprises, Inc. 9. Brain Inj. 2007 Sep;21(10):1031-7. Alterations of
  511. acetylcholinesterase activity after traumatic brain injury in rats. Donat CK, Schuhmann MU, Voigt C, Nieber K,
  512. Schliebs R, Brust P. Institute of Interdisciplinary Isotope Research, Permoserstasse 15, 04318 Leipzig,
  513. Germany.&nbsp;<a href="mailto:donat@iif-leipzig.de" target="_blank">donat@iif-leipzig.de</a>
  514. OBJECTIVE: The cholinergic system is highly vulnerable to traumatic brain injury&nbsp; (TBI). However, limited
  515. information is available to what extent the degrading enzyme acetylcholinesterase (AChE) is involved. The
  516. present study addresses this&nbsp; question. METHOD: Thirty-six anaesthetized Sprague-Dawley rats were subjected
  517. to sham operation or to TBI using controlled cortical impact (CCI). The AChE activity was histochemically
  518. determined in frozen brain slices at 2, 24 and 72 hours after TBI. RESULTS: High enzyme activity was observed in
  519. regions rich in cholinergic innervation such as the olfactory tubercle, basal forebrain, putamen and superior
  520. colliculi.<strong>&nbsp;Low activity was found in the cortex, cerebellum and particularly in</strong>
  521. <strong>the white matter. A decrease of AchE activity (20-35%) was found in the</strong>
  522. <strong>hippocampus and hypothalamus already at 2 hours after TBI.&nbsp;</strong>An increase of approximately
  523. 30% was found in the basal forebrain at 2 and 24 hours. No changes&nbsp; occurred at 72 hours. CONCLUSION: The
  524. findings are consistent with impairment of the cholinergic neurotransmission after TBI and suggest the
  525. involvement of the AChE in short-term regulatory mechanisms. 35. Res Commun Chem Pathol Pharmacol. 1990
  526. Jun;68(3):391-4. Increase of muscarinic receptor following kainic acid lesions of the nucleus basalis
  527. magnocellularis in rat brain: an autoradiographic study. Katayama S, Kito S, Yamamura Y. Third Department of
  528. Internal Medicine, Hiroshima University School of Medicine, Japan. We observed changes in cholinergic markers in
  529. rat brain seven days after lesioning the nucleus basalis magnocellularis (nbm) with kainic acid. In
  530. histochemical preparations stained for acetylcholinesterase (AChE),&nbsp;<strong>there was a</strong>
  531. <strong>marked loss of large AChE reactive neurons within and beneath the nbm on the</strong>
  532. <strong>injected side, and the AChE positive fibers were greatly decreased particularly</strong>
  533. <strong>in the IV-VI layers of the frontal and parietal cortices ipsilateral to the</strong>
  534. kainate lesion. Using in vitro receptor autoradiography, we found a significant increase (about 25%) in 3H-QNB
  535. binding sites in the I-IV layers of the ipsilateral frontal and parietal cortices (p 0.05, Student's
  536. t-test).&nbsp;<strong>The area</strong>
  537. <strong>with decreased AChE activity&nbsp;</strong>and increased density in 3H-QNB binding sites corresponded to
  538. the innervation of the cholinergic system arising from the nbm. The increase of density in 3H-QNB binding sites
  539. was considered to reflect the postsynaptic denervation supersensitivity. 36. Hum Exp Toxicol. 1992
  540. Nov;11(6):517-23. Long-term study of brain lesions following soman, in comparison to DFP and metrazol poisoning.
  541. Kadar T, Cohen G, Sahar R, Alkalai D, Shapira S. Department of Pharmacology, Israel Institute for Biological
  542. Research, Ness-Ziona, Israel. The long-term histopathological effects of acute lethal (95 micrograms kg-1)
  543. and&nbsp; sublethal (56 micrograms kg-1) doses of soman were studied in rats and were compared to lesions caused
  544. by equipotent doses of either another cholinesterase (ChE) inhibitor, DFP (1.8 mg kg-1), or a
  545. non-organophosphorus convulsant, metrazol (100 mg kg-1). Severe toxic signs were noted following one LD50 dose
  546. administration of all the compounds, yet only soman induced brain lesions. Moreover, even when administered at a
  547. sublethal dose (0.5 LD50), soman induced some histological changes without any clinical signs of intoxication.
  548. Soman-induced brain lesions were assessed quantitatively using a computerized image analyser. The analysis was
  549. carried out for up to 3 months following administration, and a dynamic pattern of pathology was shown. The
  550. cortical thickness and area of CA1 and CA3 cells declined significantly as early as 1 week post-exposure. No
  551. pathological findings were detected following DFP and metrazol&nbsp; administration. It is therefore suggested
  552. that brain lesions are not common for all ChE inhibitors and that convulsions per se are not the only factor
  553. leading to brain damage following the administration of soman. The degenerative process (found also with the
  554. sublethal dose of soman) might be due to a secondary effect, unrelated to soman's clinical toxicity, but leading
  555. to long-term brain injuries. 42. J Neurotrauma. 1997 Dec;14(12):897-905.<strong>&nbsp;Effect of
  556. tetrahydroaminoacridine, a cholinesterase inhibitor, on cognitive performance following experimental brain
  557. injury.&nbsp;</strong>Pike BR, Hamm RJ, Temple MD, Buck DL, Lyeth BG. Department of Psychology, Virginia
  558. Commonwealth University, Medical College of Virginia, Richmond 23284-2018, USA. An emerging literature exists in
  559. support of deficits in cholinergic neurotransmission days to weeks following experimental traumatic brain injury
  560. (TBI). In addition, novel cholinomimetic therapeutics have been demonstrated to improve cognitive outcome
  561. following TBI in rats. We examined the effects of repeated postinjury administration of a cholinesterase
  562. inhibitor, tetrahydroaminoacridine (THA), on cognitive performance following experimental TBI. Rats were either
  563. injured at a moderate level of central fluid percussion TBI (2.1+/-0.1 atm) or were surgically prepared but not
  564. delivered a fluid pulse (sham injury). Beginning 24 h after TBI or sham injury, rats were injected (IP) daily
  565. for 15 days with an equal volume (1.0 ml/kg) of either 0.0, 1.0, 3.0, or 9.0
  566. <hr />
  567. respectively). Cognitive performance was assessed on Days 11-15 after injury in a Morris water maze
  568. (MWM).&nbsp;<span><strong>Analysis of maze latencies over days indicated that</strong></span>
  569. <span><strong>chronic administration of THA produced a dose-related impairment in MWM</strong></span>
  570. <span><strong>performance in both the injured and sham groups, with the 9.0 mg/kg dose</strong></span>
  571. <span><strong>producing the largest deficit. T</strong></span>he 1.0 and 3.0 mg/kg doses of THA impaired MWM
  572. performance without affecting swimming speeds. Thus, the results of this investigation do not support the use of
  573. THA as a cholinomimetic therapeutic for the treatment of cognitive deficits following TBI. 43. Toxicol Lett.
  574. 1998 Dec 28;102-103:527-33. Chronic effects of low level exposure to anticholinesterases--a mechanistic review.
  575. Ray DE. Medical Research Council Toxicology Unit, Leicester, UK.&nbsp;<a
  576. href="mailto:der2@le.ac.uk"
  577. target="_blank"
  578. >der2@le.ac.uk</a>
  579. High dose exposure to anticholinesterases which results in symptomatic poisoning&nbsp; can have lasting
  580. consequences due to the trauma of intoxication, excitotoxicity,&nbsp; secondary hypoxic damage, and (for some
  581. agents) a delayed onset polyneuropathy (OPIDN). The potential effects of low level exposure are less well
  582. defined. The most reliable data comes from controlled clinical trials with specific agents. A&nbsp; single dose
  583. of sarin or repeated doses of metrifonate or mevinphos, have produced only transient adverse effects at doses
  584. causing substantial acetylcholinesterase&nbsp; inhibition. Other data comes from epidemiological surveys. These
  585. have often used&nbsp; more sensitive indices than the clinical studies, but are less reliable due to the
  586. difficulty of defining exposure and matching control and exposed populations. Subtle, mainly cognitive,
  587. differences between exposed and non-exposed populations are sometimes seen. Low level exposure can cause a
  588. reversible down-regulation of&nbsp; cholinergic systems, and a range of non-cholinesterase effects that are
  589. structure-specific, and do not always parallel acute toxicity. Novel protein targets sensitive to low level
  590. exposure to some organophosphates are known to exist in the brain, but their functional significance is not yet
  591. understood. 44. Exp Neurol. 2000 Nov;166(1):136-52. Postinjury administration of L-deprenyl improves cognitive
  592. function and enhances&nbsp; neuroplasticity after traumatic brain injury. Zhu J, Hamm RJ, Reeves TM, Povlishock
  593. JT, Phillips LL. Department of Anatomy, Medical College of Virginia, Richmond, Virginia 23298-0709, USA. The rat
  594. model of combined central fluid percussion traumatic brain injury (TBI) and bilateral entorhinal cortical lesion
  595. (BEC) produces profound, persistent cognitive deficits, sequelae associated with human TBI. In contrast to
  596. percussive TBI alone, this combined injury induces maladaptive hippocampal plasticity. Recent reports suggest a
  597. potential role for dopamine in CNS plasticity after trauma. We have examined the effect of the dopamine enhancer
  598. l-deprenyl on cognitive function and neuroplasticity following TBI. Rats received fluid percussion TBI, BEC
  599. alone, or combined TBI + BEC lesion and were treated once daily for 7 days with l-deprenyl, beginning 24 h after
  600. TBI alone and 15 min after BEC or TBI + BEC. Postinjury motor assessment showed no effect of l-deprenyl
  601. treatment. Cognitive performance was assessed on days 11-15 postinjury and brains from the same cases examined
  602. for dopamine beta-hydroxylase immunoreactivity (DBH-IR) and acetylcholinesterase (AChE) histochemistry.
  603. Significant cognitive improvement relative to untreated injured cases was observed in both TBI groups following
  604. l-deprenyl treatment; however, no drug effects were seen with BEC alone. l-Deprenyl attenuated injury-induced
  605. loss in DBH-IR over CA1 and CA3 after TBI alone. However, after combined TBI + BEC, l-deprenyl was only
  606. effective in protecting CA1 DBH-IR. AChE histostaining in CA3 was significantly elevated with&nbsp; l-deprenyl
  607. in both injury models.&nbsp;<strong>After TBI + BEC, l-deprenyl also increased AChE</strong>
  608. <strong>in the dentate molecular layer relative to untreated injured cases. These results</strong>
  609. <strong>suggest that dopaminergic/noradrenergic enhancement facilitates cognitive</strong>
  610. recovery after brain injury and that noradrenergic fiber integrity is correlated&nbsp; with enhanced synaptic
  611. plasticity in the injured hippocampus. Copyright 2000 Academic Press. J Neurotrauma. 1992 May;9 Suppl
  612. 2:S463-74.&nbsp;<strong>Cholinergic and opioid mediation of traumatic brain injury.</strong>&nbsp;Lyeth BG,
  613. Hayes RL. Psychosom Med. 1976 Jan-Feb;38(1):55-8.<strong>&nbsp;Sudden death in the laboratory rat.&nbsp;</strong
  614. >Rosellini RA, Binik YM, Seligman MP. Vulnerability to sudden death was produced in laboratory rats by
  615. manipulating their developmental history. Rats who were reared in isolation died suddenly when placed in a
  616. stressful swimming situation. Handling of these singly-housed rats from 25 to 100 days of age potentiated the
  617. phenomenon. However, animals who were&nbsp; group housed did not die even when they had been previously handled.
  618. J Neurol Neurosurg Psychiatry. 1973 Aug;36(4):581-4. Creutzfeldt-Jakob disease treated with amantidine. A report
  619. of two cases. Sanders WL, Dunn TL. The treatment of two cases of Creutzfeldt-Jakob disease with amantidine is
  620. described. The first case made a remarkable initial improvement which was sustained for two months, but then
  621. deteriorated and died. Histological examination of the brain showed changes consistent with early
  622. Creutzfeldt-Jakob disease. The second case which was clinically one of Creutzfeldt-Jakob disease has now been
  623. followed for 30 months since the start of treatment and appears to be cured. It is considered that amantidine
  624. has a definite effect in this disease and it is suggested that its mode of action, though unknown, is more
  625. likely to be metabolic than antiviral. Free PMC Article Arch Int Pharmacodyn Ther. 1986 Mar;280(1):136-44.
  626. Effect of stress and glucocorticoids on the gastrointestinal cholinergic enzymes. Oriaku ET, Soliman KF.
  627. (Glucocorticoids lower AChE) Cardiovasc Res. 1990 Apr;24(4):335-9. Sympathectomy alters acetylcholinesterase
  628. expression in adult rat heart. Nyquist Battie C, Moran N. &nbsp; Harris LW, Garry VF, Jr, Moore RD. Biosynthesis
  629. of cholinesterase in rabbit bone marrow cells in culture. Biochem Pharmacol. 1974 Aug;23(15):2155–2163. &nbsp;
  630. &nbsp; &nbsp; Heller M, Hanahan DJ. Human erythrocyte membrane bound enzyme acetylcholinesterase. Biochim
  631. Biophys Acta. 1972 Jan 17;255(1):251–272.&nbsp; J Cell Biol. 1976 June 1; 69(3): 638–646. Bartos EM. Properties
  632. of growth-related acetylcholinesterase in a cell line of fibroblastic origin Behav Brain Res&nbsp; 2000
  633. Jul;112(1-2):33-41 Impaired escape performance and enhanced conditioned fear in rats following exposure to an
  634. uncontrollable stressor are mediated by glutamate and nitric oxide in the dorsal raphe nucleus. Grahn RE,
  635. Watkins LR, Maier SF. Department of Psychology, Connecticut College, Box 5275, 270 Mohegan Avenue, 06320-4196,
  636. New London, CT 06320-4196, USA.&nbsp;<a href="mailto:regra@conncoll.edu" target="_blank">regra@conncoll.edu</a>
  637. Exposure to uncontrollable aversive events produces a variety of behavioral consequences that do not occur if
  638. the aversive event is controllable. Accumulating evidence suggests that exaggerated excitation of serotonin
  639. (5-HT) neurons in the dorsal raphe nucleus (DRN) is sufficient to cause these same behaviors, such as poor
  640. shuttlebox escape performance and enhanced conditioned fear that occur 24 h after exposure to inescapable
  641. tailshock (IS). The aim of the present studies was to explore the possibility that N-methyl-D-aspartate (NMDA)
  642. receptor activation and nitric oxide (NO) formation within the DRN might be involved in mediating the behavioral
  643. consequences of IS. To this end, either the NMDA receptor antagonist 2-amino-5-phosphonovaleric acid (APV) or
  644. the nitric oxide synthase inhibitor Nw-nitro-L-arginine methyl ester (L-NAME), was microinjected into the DRN
  645. before IS or before testing 24 h later. Blocking NMDA receptors with APV in the DRN during IS prevented the
  646. usual impact of IS on escape responding and conditioned fear. However, injection of APV at the time of testing
  647. only reduced these effects. The DRN was shown to be the critical site mediating blockade of these behavioral
  648. changes since injection of APV lateral to the DRN did not alter the behavioral consequences of IS. Conversely,
  649. L-NAME was most effective in reversing the effects of IS when administered at the time of testing. These results
  650. suggest that there is glutamatergic input to the DRN at the time of IS that produces long-lasting changes in DRN
  651. sensitivity. This plasticity in the DRN is discussed as a possible mechanism by which IS leads to changes in
  652. escape performance and conditioned fear responding. and prolonged depression causes shrinkage of this area. The
  653. high cortisol associated with depression is undoubtedly one of the factors causing brain shrinkage during
  654. stress. Cushing's disease, in which the adrenal glands produce far too much cortisol, causes shrinkage of the
  655. brain, and when the disease is cured by normalizing the level of cortisol, the brain size is restored. There are
  656. two very different kinds of stress reaction. The best known "fight or flight reaction" could be called more
  657. accurately "struggle to adapt." Another, less discussed kind, might appear to be a "give up and die or get
  658. depressed" reaction, but it involves many processes that are protective and adaptive in certain circumstances.
  659. &nbsp;tone and heart rate; drown easily. The role of acetylcholine, (Anisman, et al., 1981). A situation of
  660. extreme restraint causes very rapid damage to the tissues, with bleeding ulcers of the stomach and intestine,
  661. shrinking of the thymus gland, and, if the animal survives for a while, atrophy of the brain. (Doi, et al.,
  662. 1991; Gatón, et al., 1993) LH, somatotropin, GH, Ach. caffeine progest Behav Brain Res. 2012 Mar
  663. 17;228(2):294-8. doi: 10.1016/j.bbr.2011.11.036. Epub 2011 Dec 8. Parental enrichment and offspring development:
  664. modifications to brain, behavior and the epigenome. Mychasiuk R, Zahir S, Schmold N, Ilnytskyy S, Kovalchuk O,
  665. Gibb R. University of Lethbridge, Canadian Centre for Behavioural Neuroscience, Canada.
  666. <a href="mailto:r.mychasiuk@uleth.ca" target="_blank">r.mychasiuk@uleth.ca</a>
  667. 4. Biomed Pharmacother. 2012 Jun;66(4):249-55. doi: 10.1016/j.biopha.2011.11.005. Epub 2011 Dec 21.
  668. Cholinesterase activities and biochemical determinations in patients with prostate cancer: influence of Gleason
  669. score, treatment and bone metastasis. Battisti V, Bagatini MD, Maders LD, Chiesa J, Santos KF, Gonçalves JF,
  670. Abdalla FH, Battisti IE, Schetinger MR, Morsch VM. Departamento de Química, Centro de Ciências Naturais e
  671. Exatas, Universidade Federal de Santa Maria, Campus Universitário, 97105-900 Santa Maria, RS, Brazil.&nbsp;
  672. <a href="mailto:battistivanessa@gmail.com" target="_blank">battistivanessa@gmail.com</a>
  673. Prostate cancer (PCa) is the sixth most common type of cancer worldwide. Cholinesterase is well known as having
  674. non-cholinergic functions such as cellular proliferation and differentiation, suggesting a possible influence of
  675. cholinesterase in tumorogenesis. Thus, the aim of this study was to investigate the whole blood
  676. acetylcholinesterase (AChE) and plasma butyrylcholinesterase (BChE) activities and some biochemical parameters
  677. in PCa patients. This study was performed in 66 PCa patients and 40 control subjects. AChE and BChE activities
  678. were determined in PCa patients and the influence of the Gleason score; bone metastasis and treatment in the
  679. enzyme activities were also verified. Furthermore, we also analyzed possible biochemical alterations in these
  680. patients.
  681. <strong>AChE and BChE activities decreased in PCa patients in relation to the control</strong>
  682. <strong>group and various biochemical changes were observed in these patients. Moreover,&nbsp;</strong>
  683. <strong>Gleason score, metastasis and treatment influenced cholinesterase activities and&nbsp;</strong>
  684. <strong>biochemical determinations. Our results suggest that cholinesterases activities</strong>
  685. <strong>and biochemical parameters are altered in PCa. These facts support the idea that&nbsp;</strong>
  686. <strong>t</strong>he drop in the cholinesterase activity and the consequent increased amount of acetylcholine
  687. could lead to a cholinergic overstimulation and increase the cell proliferation in PCa. Copyright © 2011
  688. Elsevier Masson SAS. All rights reserved. 4. Biomed Pharmacother. 2012 Jun;66(4):249-55. doi:
  689. 10.1016/j.biopha.2011.11.005. Epub 2011 Dec 21. Cholinesterase activities and biochemical determinations in
  690. patients with prostate cancer: influence of Gleason score, treatment and bone metastasis. Battisti V, Bagatini
  691. MD, Maders LD, Chiesa J, Santos KF, Gonçalves JF, Abdalla FH, Battisti IE, Schetinger MR, Morsch VM.
  692. Departamento de Química, Centro de Ciências Naturais e Exatas, Universidade Federal de Santa Maria, Campus
  693. Universitário, 97105-900 Santa Maria, RS, Brazil.&nbsp;
  694. <a href="mailto:battistivanessa@gmail.com" target="_blank">battistivanessa@gmail.com</a>
  695. Prostate cancer (PCa) is the sixth most common type of cancer worldwide. Cholinesterase is well known as having
  696. non-cholinergic functions such as cellular proliferation and differentiation, suggesting a possible influence of
  697. cholinesterase in tumorogenesis. Thus, the aim of this study was to investigate the whole blood
  698. acetylcholinesterase (AChE) and plasma butyrylcholinesterase (BChE) activities and some biochemical parameters
  699. in PCa patients. This study was performed in 66 PCa patients and 40 control subjects. AChE and BChE activities
  700. were determined in PCa patients and the influence of the Gleason score; bone metastasis and treatment in the
  701. enzyme activities were also verified. Furthermore, we also analyzed possible biochemical alterations in these
  702. patients. AChE and BChE activities decreased in PCa patients in relation to the control group and various
  703. biochemical changes were observed in these patients. Moreover,&nbsp; Gleason score, metastasis and treatment
  704. influenced cholinesterase activities and&nbsp; biochemical determinations. Our results suggest that
  705. cholinesterases activities and biochemical parameters are altered in PCa. These facts support the idea
  706. that&nbsp; the drop in the cholinesterase activity and the consequent increased amount of acetylcholine could
  707. lead to a cholinergic overstimulation and increase the cell proliferation in PCa. Copyright © 2011 Elsevier
  708. Masson SAS. All rights reserved. 1. Zhongguo Ying Yong Sheng Li Xue Za Zhi. 2012 May;28(3):253-4, 262.
  709. [Progesterone exerts neuroprotective effect on hypoxic-ischemic encephalopathy-induced brain damage via
  710. inhibition expression of inducible nitric oxide synthase and nitric oxide production]. [Article in Chinese] Wang
  711. XY, Li XJ, Li DL, Wang CR, Guo XP.
  712. <a href="mailto:wxyinwxyin@163.com" target="_blank">wxyinwxyin@163.com</a>
  713. 2. Mol Reprod Dev. 2012 Oct;79(10):689-96. doi: 10.1002/mrd.22075. Epub 2012 Sep 11. Roles of cytokines and
  714. progesterone in the regulation of the nitric oxide generating system in bovine luteal endothelial cells.
  715. Yoshioka S, Acosta TJ, Okuda K. Laboratory of Reproductive Physiology, Graduate School of Natural Science and
  716. Technology, Okayama University, Okayama, Japan. Nitric oxide (NO) produced by luteal endothelial cells (LECs)
  717. plays important roles in regulating corpus luteum (CL) function, yet the local mechanism regulating NO
  718. generation in bovine CL remains unclear. The purpose of the present study was to elucidate if tumor necrosis
  719. factor-α (TNF), interferon γ (IFNG), and/or progesterone (P4) play roles in regulating NO generating system in
  720. LECs. Cultured bovine LECs obtained from the CL at the mid-luteal stage (Days 8-12 of the cycle) were treated
  721. for 24 hr with TNF (2.9 nM), IFNG (2.5 nM), or P4 (0.032-32 µM). NO production was increased by TNF and IFNG,
  722. but decreased by P4 (P &lt; 0.05). TNF and IFNG stimulated the relative steady-state amounts of inducible nitric
  723. oxide synthase (iNOS) mRNA and iNOS protein expression (P &lt; 0.05), whereas P4 inhibited relative steady-state
  724. amounts of iNOS mRNA and iNOS protein expression (P &lt; 0.05). In contrast, endothelial nitric oxide synthase
  725. (eNOS) expression was not affected by any treatment. TNF and IFNG stimulated NOS activity (P &lt; 0.05) and
  726. 1400W, a specific inhibitor of iNOS, reduced NO production stimulated by TNF and IFNG in LECs
  727. (P &lt; 0.05)<strong>. Onapristone,</strong>
  728. <strong>a specific P4 receptor antagonist, blocked the inhibitory effect of P4 on NO</strong>
  729. production in LECs (P &lt; 0.05). The overall findings suggest that TNF and IFNG accelerate luteolysis by
  730. increasing NO production via stimulation of iNOS expression and NOS activity in bovine LECs. P4, on the other
  731. hand, may act in maintaining CL function by suppressing iNOS expression in bovine LECs. Mol. Reprod. Dev. 79:
  732. 689-696, 2012. © 2012 Wiley Periodicals, Inc. Copyright © 2012 Wiley Periodicals, Inc. 3. J Neurochem. 2012
  733. Jul;122(1):185-95. doi: 10.1111/j.1471-4159.2012.07753.x. Progesterone prevents mitochondrial dysfunction in the
  734. spinal cord of wobbler mice. Deniselle MC, Carreras MC, Garay L, Gargiulo-Monachelli G, Meyer M, Poderoso
  735. JJ,&nbsp; De Nicola AF. Laboratory of Neuroendocrine Biochemistry, Instituto de Biologia y Medicina
  736. Experimental-CONICET, Buenos Aires, Argentina. In the Wobbler mouse, a mutation of the Vps54 protein increases
  737. oxidative stress&nbsp; in spinal motoneurons, associated to toxic levels of nitric oxide and hyperactivity of
  738. nitric oxide synthase (NOS). Progesterone neuroprotection has been reported for several CNS diseases, including
  739. the Wobbler mouse neurodegeneration. In the present study, we analyzed progesterone effects on
  740. mitochondrial-associated parameters of symptomatic Wobbler mice. The activities of mitochondrial respiratory
  741. chain complexes I, II-III and IV and protein levels&nbsp; of mitochondrial and cytosolic NOS were determined in
  742. cervical and lumbar cords from control, Wobbler and Wobbler mice receiving a progesterone implant for 18 days.
  743. We found a significant reduction of complex I and II-III activities in mitochondria and increased protein levels
  744. of mitochondrial, but not cytosolic nNOS, in the cervical cord of Wobbler mice.&nbsp;<strong>Progesterone
  745. treatment prevented the&nbsp;</strong>
  746. <strong>reduction of complex I in the cervical region and the increased level of</strong>
  747. <strong>mitochondrial nNOS.</strong>&nbsp;Wobbler motoneurons also showed accumulation of amyloid precursor
  748. protein immunoreactivity and decreased activity and immunostaining of MnSOD. Progesterone treatment avoided
  749. these abnormalities. Therefore, administration of progesterone to clinically afflicted Wobblers (i) prevented
  750. the abnormal increase of mitochondrial nNOS and normalized respiratory complex I; (ii) decreased amyloid
  751. precursor protein accumulation, a sign of axonal degeneration, and (iii) increased superoxide dismutation. Thus,
  752. progesterone neuroprotection decreases mitochondriopathy of Wobbler mouse cervical spinal cord. © 2012 The
  753. Authors. Journal of Neurochemistry © 2012 International Society for Neurochemistry. Comp Biochem Physiol C. 1993
  754. Sep;106(1):125-9.<strong>&nbsp;The role of the neurotransmitters acetylcholine and noradrenaline in the
  755. pathogenesis of stress ulcers.&nbsp;</strong>Gatón J, Fernández de la Gándara F, Velasco A. People with
  756. Cloninger's "harm avoidance" personality trait, which is closely associated with serotonin (Hansenne, et al.,
  757. 1999), are more likely to develop dementia (Clément, et al., 2010). These observations are consistent with the
  758. stress-susceptibility of people with high serotonin exposure, and to the effects of cortisol on nerves and
  759. glucose-derived energy production. Jpn J Surg. 1991 Jan;21(1):43-9.
  760. <strong>Participation of the parasympathetic nervous system in the development of</strong>
  761. <strong>activity-stress ulcers.</strong>
  762. Doi K, Iwahashi K, Tsunekawa K.17. J Auton Nerv Syst. 1987 Oct;20(3):265-8. Adrenergic modulation of gastric
  763. stress pathology in rats: a cholinergic link. Ray A, Sullivan RM, Henke PG. Department of Psychology, St.
  764. Francis Xavier University, Antigonish, Nova Scotia, Canada. The effects of some adrenergic drugs were evaluated
  765. on cold restraint-induced gastric ulcers in rats. The beta-adrenergic antagonist, (+/-)-propranolol (1 and&nbsp;
  766. 10 mg/kg), as well as the beta-agonist, isoproterenol (0.05 and 0.5 mg/kg) potentiated the gastric pathology. On
  767. the other hand, the alpha-agonist, clonidine (0.5 mg/kg) attenuated and the alpha-antagonist, yohimbine (1
  768. mg/kg) aggravated stress ulcer development. The anticholinergic agent, atropine methylnitrate (1 mg/kg), reduced
  769. both the frequency and severity of stress ulcers and also antagonized the potentiating effects of
  770. (+/-)-propranolol, isoproterenol and yohimbine. The results suggest a cholinergic role in the adrenergic
  771. modulation of gastric stress pathology. Psychopharmacology (Berl). 1981;74(1):81-7.
  772. <strong>Cholinergic influences on escape deficits produced by uncontrollable stress.</strong>
  773. Anisman H, Glazier SJ, Sklar LS. A series of experiments assessed the potential role of acetylcholine (ACh) in
  774. the escape interference produced by inescapable shock.&nbsp;<strong>Treatment with the</strong>
  775. <strong>anticholinesterase, physostigmine, successfully mimicked the effects of</strong>
  776. <strong>inescapable shock.&nbsp;</strong>That is, the drug disrupted performance when escape was prevented for 6
  777. s on any given trial, thereby necessitating sustained active responding. When escape was possible upon shock
  778. onset, the drug treatment did not influence performance.&nbsp;<strong>The centrally acting anticholinergic
  779. scopolamine</strong>
  780. <strong>hydrobromide antagonized the effects of physostigmine, and when administered</strong>
  781. <strong>prior to escape testing antagonized the disruptive effects of previously</strong>
  782. <strong>administered inescapable shock.</strong>&nbsp;In contrast, the peripherally acting agent scopolamine
  783. methylbromide did not influence the effects of these treatments, suggesting that the effects of physostigmine
  784. and inescapable shock involved central ACh changes. Scopolamine hydrobromide administered prior to inescapable
  785. shock did not prevent the escape interference from subsequently appearing, but this effect could not be
  786. attributed to state dependence. It was argued that the interference of escape following uncontrollable stress
  787. was due to non-associative motor deficits. Alterations of the escape deficits by scopolamine were due to
  788. elimination of the motor disruption. Curr Opin Oncol. 2005 Jan;17(1):55-60. DNA methylation and cancer therapy:
  789. new developments and expectations. Esteller M. Cancer Epigenetics Laboratory, Spanish National Cancer Centre
  790. (CNIO) Madrid, Spain.&nbsp;<a href="mailto:mesteller@cnio.es" target="_blank">mesteller@cnio.es</a>
  791. PURPOSE OF REVIEW: In addition to having genetic causes, cancer can also be considered an epigenetic disease.
  792. The main epigenetic modification is DNA methylation, and patterns of aberrant DNA methylation are now recognized
  793. to be a&nbsp; common hallmark of human tumors. One of the most characteristic features is the inactivation of
  794. tumor-suppressor genes by CpG-island hypermethylation of the CpG&nbsp; islands located in their promoter
  795. regions. These sites, among others, are the targets of DNA-demethylating agents, the promising chemotherapeutic
  796. drugs that are the focus of this article. RECENT FINDINGS: Four exciting aspects have recently arisen at the
  797. forefront of the advancements in this field: first, the development of new compounds with DNA-demethylating
  798. capacity that are less toxic (for example, procaine) and may be administered orally (for example,
  799. zebularine);&nbsp; Science. 2013 May 10;340(6133):756-9. &nbsp;
  800. <strong>Emergence of individuality in genetically identical mice.</strong>
  801. Freund J, Brandmaier AM, Lewejohann L, Kirste I, Kritzler M, Krüger A, Sachser N, Lindenberger U, Kempermann G.
  802. CRTD-DFG Research Center for Regenerative Therapies Dresden, Technische Universität Dresden, Dresden, Germany.
  803. Comment in &nbsp; &nbsp; Science. 2013 May 10;340(6133):695-6. Brain plasticity as a neurobiological reflection
  804. of individuality is difficult to capture in animal models. Inspired by behavioral-genetic investigations of
  805. human&nbsp; monozygotic twins reared together, we obtained dense longitudinal activity data on 40 inbred mice
  806. living in one large enriched environment. The exploratory activity of the mice diverged over time, resulting in
  807. increasing individual differences with advancing age. Individual differences in cumulative roaming entropy,
  808. indicating the active coverage of territory, correlated positively with&nbsp; individual differences in adult
  809. hippocampal neurogenesis. Our results show that factors unfolding or emerging during development contribute to
  810. individual differences in structural brain plasticity and behavior. The paradigm introduced&nbsp; here serves as
  811. an animal model for identifying mechanisms of plasticity underlying nonshared environmental contributions to
  812. individual differences in behavior. Neurobiol Aging. 1995 Jul-Aug;16(4):523-30. Delayed onset of Alzheimer's
  813. disease with nonsteroidal anti-inflammatory and histamine H2 blocking drugs. Breitner JC, Welsh KA, Helms MJ,
  814. Gaskell PC, Gau BA, Roses AD, Pericak-Vance MA,&nbsp; Saunders AM. If each opportunity we have to choose expands
  815. our curiosity,&nbsp; we go beyond our inheritance to become something unique but also universal, that is, more
  816. fully human. J Neurobiol. 1976 Jan;7(1):75-85. Effects of environment on morphology of rat cerebral cortex and
  817. hippocampus. Diamond MC, Ingham CA, Johnson RE, Bennett EL, Rosenzweig MR. … strains of rats. KRECH D,
  818. ROSENZWEIG MR, BENNETT EL.… 19. Pharmacol Biochem Behav. 1986 Sep;25(3):521-6. Cholinergic function and memory:
  819. extensive inhibition of choline acetyltransferase fails to impair radial maze performance in rats. Wenk G,
  820. Sweeney J, Hughey D, Carson J, Olton D. The present study investigated the effects of a potent inhibitor of
  821. choline acetyltransferase (ChAT), BW813U, on the choice accuracy of rats in the radial arm maze. BW813U (100
  822. mg/kg, IP) produced a rapid (within 1 hour) and substantial decrease in ChAT activity throughout the brain,
  823. ranging from 66% (hippocampus) to 80% (caudate nucleus) that lasted up to 5 days.&nbsp;<strong>A single
  824. injection (50 mg/kg, IP)</strong>
  825. <strong>into rats with lesions (using ibotenic acid) in the nucleus basalis</strong>
  826. <strong>magnocellularis and medial septal area, decreased ChAT activity by 75% and 60% in</strong>
  827. <strong>the cortex and hippocampus, respectively. Lesioned and unlesioned rats were</strong>
  828. <strong>trained on the radial arm maze until they reached a criterion level of</strong>
  829. <strong>performance.&nbsp;</strong>Each rat then received an injection of BW813U (50 or 100 mg/kg, IP). Choice
  830. accuracy was not impaired at any time following the injection. The lack of effect on performance may be due to 2
  831. possible factors: The radial maze retention paradigm chosen may not be sufficiently difficult, or the decrease
  832. in acetylcholine production was not sufficient to affect behavior. Compensation by non-cholinergic neural
  833. systems might account for the insensitivity of the rats to significant cholinergic depletion. Psychol Aging.
  834. 1988 Dec;3(4):399-406. Genotype-environment interaction in personality development: identical twins reared
  835. apart. Bergeman CS, Plomin R, McClearn GE, Pedersen NL, Friberg LT. Center for Developmental and Health
  836. Genetics, Pennsylvania State University, University Park 16802. The focus of this study is to identify specific
  837. genotype-environment (GE) interactions as they contribute to individual differences in personality in later
  838. life. In behavioral genetics, GE interaction refers to the possibility that individuals of different genotypes
  839. may respond differently to specific environments. A sample of 99 pairs of identical twins reared apart, whose
  840. average age is 59 years, has been studied as part of the Swedish Adoption/Twin Study of Aging (SATSA).
  841. Hierarchical multiple regression was used to detect interactions between personality and environmental measures
  842. after the main effects of genotype and environment were removed. Analyses yield evidence for 11 significant
  843. interactions that provide the first evidence for GE interaction in human development using specific
  844. environmental measures. Thus, in addition to the main-effect contributions of heredity and environment, GE
  845. interactions contribute to individual differences in personality as measured in the second half of the life
  846. course.
  847. <span>Wikipedia:</span>
  848. <strong>Excitability and inhibition</strong>
  849. <span>[<a
  850. href="http://en.wikipedia.org/w/index.php?title=Acetylcholine&amp;action=edit&amp;section=8"
  851. target="_blank"
  852. ><span>edit source</span></a>&nbsp;|&nbsp;<a
  853. href="http://en.wikipedia.org/w/index.php?title=Acetylcholine&amp;veaction=edit&amp;section=8"
  854. target="_blank"
  855. ><span>edit</span><span>beta</span></a>]</span>
  856. <p>
  857. Acetylcholine also has other effects on neurons. One effect is to cause a slow&nbsp;<a
  858. href="http://en.wikipedia.org/wiki/Depolarization"
  859. target="_blank"
  860. ><span>depolarization</span></a>
  861. <span><sup>[</sup><a href="http://en.wikipedia.org/wiki/Wikipedia:Citation_needed" target="_blank"><span><em
  862. >citation needed</em></span></a><sup>]</sup></span>&nbsp;by blocking a tonically active K<span
  863. >+</span>
  864. <span></span>&nbsp;current, which increases neuronal excitability. Alternatively, acetylcholine can activate
  865. non-specific cation conductances to directly excite neurons.<a
  866. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-Haj-Dahmane-10"
  867. target="_blank"
  868. ><span>[10]</span></a>&nbsp;An effect upon postsynaptic&nbsp;<a
  869. href="http://en.wikipedia.org/wiki/Muscarinic_acetylcholine_receptor_M4"
  870. target="_blank"
  871. ><span>M4-muscarinic ACh receptors</span></a>&nbsp;is to open&nbsp;<a
  872. href="http://en.wikipedia.org/wiki/Inward-rectifier_potassium_ion_channel"
  873. target="_blank"
  874. ><span>inward-rectifier potassium ion channel</span></a>&nbsp;(K<span><sub>ir</sub></span>) and cause
  875. inhibition.<a href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-Eggermann-11" target="_blank"><span
  876. >[11]</span></a>&nbsp;The influence of acetylcholine on specific neuron types can be dependent upon the
  877. duration of cholinergic stimulation. For instance, transient exposure to acetylcholine (up to several
  878. seconds) can inhibit cortical pyramidal neurons via M1 type muscarinic receptors that are linked to Gq-type
  879. G-protein alpha subunits.&nbsp;<strong>M1 receptor activation can induce calcium-release from intracellular
  880. stores, which then activate a calcium-activated potassium conductance which inhibits&nbsp;</strong
  881. >pyramidal neuron firing.<a
  882. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-Gulledge1-12"
  883. target="_blank"
  884. ><span>[12]</span></a>&nbsp;<strong>On the other hand, tonic M1 receptor activation is strongly
  885. excitatory.&nbsp;</strong>Thus, ACh acting at one type of receptor can have multiple effects on the same
  886. postsynaptic neuron, depending on the duration of receptor activation.<a
  887. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-Gulledge2-13"
  888. target="_blank"
  889. ><span>[13]</span></a>&nbsp;Recent experiments in behaving animals have demonstrated that cortical neurons
  890. indeed experience both transient and persistent changes in local acetylcholine levels during cue-detection
  891. behaviors.<a href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-Sarter1-14" target="_blank"><span
  892. >[14]</span></a>
  893. </p>
  894. <p>
  895. In the cerebral cortex, tonic ACh inhibits layer 4&nbsp;<a
  896. href="http://en.wikipedia.org/wiki/Medium_spiny_neuron"
  897. target="_blank"
  898. ><span>medium spiny neurons</span></a>, the main targets of thalamocortical inputs while exciting<a
  899. href="http://en.wikipedia.org/wiki/Pyramidal_cell"
  900. target="_blank"
  901. ><span>pyramidal cells</span></a>&nbsp;in layers 2/3 and layer 5.<a
  902. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-Eggermann-11"
  903. target="_blank"
  904. ><span>[11]</span></a>&nbsp;This filters out weak sensory inputs in layer 4 and amplifies inputs that reach
  905. the layers 2/3 and layer L5 excitatory microcircuits. As a result, these layer-specific effects of ACh might
  906. function to improve the signal noise ratio of cortical processing.<a
  907. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-Eggermann-11"
  908. target="_blank"
  909. ><span>[11]</span></a>&nbsp;At the same time, acetylcholine acts through nicotinic receptors to excite
  910. certain groups of inhibitory interneurons in the cortex, which further dampen down cortical activity.<a
  911. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-Gulledge3-15"
  912. target="_blank"
  913. ><span>[15]</span></a>
  914. </p>
  915. <p>
  916. <strong>Role in decision making</strong>
  917. <span>[<a
  918. href="http://en.wikipedia.org/w/index.php?title=Acetylcholine&amp;action=edit&amp;section=9"
  919. target="_blank"
  920. ><span>edit source</span></a>&nbsp;|&nbsp;<a
  921. href="http://en.wikipedia.org/w/index.php?title=Acetylcholine&amp;veaction=edit&amp;section=9"
  922. target="_blank"
  923. ><span>edit</span><span>beta</span></a>]</span>
  924. </p>
  925. <p>
  926. One well-supported function of acetylcholine (ACh) in cortex is increased responsiveness to sensory stimuli,
  927. a form of&nbsp;<a href="http://en.wikipedia.org/wiki/Attention" target="_blank"><span>attention</span></a
  928. >.<a
  929. href="http://en.wikipedia.org/w/index.php?title=Phasic&amp;action=edit&amp;redlink=1"
  930. target="_blank"
  931. ><span>Phasic</span></a>&nbsp;increases of ACh during visual,<a
  932. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-16"
  933. target="_blank"
  934. ><span>[16]</span></a>&nbsp;auditory&nbsp;<a
  935. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-17"
  936. target="_blank"
  937. ><span>[17]</span></a>&nbsp;and somatosensory&nbsp;<a
  938. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-18"
  939. target="_blank"
  940. ><span>[18]</span></a>&nbsp;stimulus presentations have been found to increase the firing rate of neurons in
  941. the corresponding primary sensory cortices. When cholinergic neurons in the basal forebrain are lesioned,
  942. animals' ability to detect visual signals was robustly and persistently impaired.<a
  943. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-19"
  944. target="_blank"
  945. ><span>[19]</span></a>&nbsp;In that same study, animals' ability to correctly reject non-target trials was
  946. not impaired, further supporting the interpretation that phasic ACh facilitates responsiveness to stimuli.
  947. Looking at ACh's effect on thalamocortical connections, a known pathway of sensory information, in vitro
  948. application of cholinergic&nbsp;<a href="http://en.wikipedia.org/wiki/Agonist" target="_blank"><span
  949. >agonist</span></a>&nbsp;<a href="http://en.wikipedia.org/wiki/Carbachol" target="_blank"><span
  950. >carbachol</span></a>&nbsp;to mouse auditory cortex enhanced thalamocortical activity.<a
  951. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-Hsieh-20"
  952. target="_blank"
  953. ><span>[20]</span></a>&nbsp;In addition, Gil et al. (1997) applied a different cholinergic agonist,&nbsp;<a
  954. href="http://en.wikipedia.org/wiki/Nicotine"
  955. target="_blank"
  956. ><span>nicotine</span></a>, and found that activity was enhanced at thalamocortical synapses.<a
  957. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-Gil-21"
  958. target="_blank"
  959. ><span>[21]</span></a>This finding provides further evidence for a facilitative role of ACh in transmission
  960. of sensory information from the thalamus to selective regions of cortex.
  961. </p>
  962. <p>
  963. An additional suggested function of ACh in cortex is suppression of intracortical information transmission.
  964. Gil et al. (1997) applied the cholinergic agonist&nbsp;<a
  965. href="http://en.wikipedia.org/wiki/Muscarine"
  966. target="_blank"
  967. ><span>muscarine</span></a>&nbsp;to neocortical layers and found that&nbsp;<a
  968. href="http://en.wikipedia.org/wiki/Excitatory_post-synaptic_potentials"
  969. target="_blank"
  970. ><span>excitatory post-synaptic potentials</span></a>&nbsp;between intracortical synapses were depressed.<a
  971. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-Gil-21"
  972. target="_blank"
  973. ><span>[21]</span></a>&nbsp;In vitro application of cholinergic agonist carbachol to mouse auditory cortex
  974. suppressed intracortical activity as well.<a
  975. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-Hsieh-20"
  976. target="_blank"
  977. ><span>[20]</span></a>&nbsp;Optical recording with a voltage-sensitive dye in rat visual cortical slices
  978. demonstrated significant suppression in intracortical spread of excitement in the presence of ACh.<a
  979. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-22"
  980. target="_blank"
  981. ><span>[22]</span></a>
  982. </p>
  983. <p>
  984. Some forms of learning and plasticity in cortex appear dependent on the presence of acetylcholine. Bear et
  985. al. (1986) found that the typical synaptic remapping in&nbsp;<a
  986. href="http://en.wikipedia.org/wiki/Striate_cortex"
  987. target="_blank"
  988. ><span>striate cortex</span></a>&nbsp;that occurs during&nbsp;<a
  989. href="http://en.wikipedia.org/wiki/Monocular_deprivation"
  990. target="_blank"
  991. ><span>monocular deprivation</span></a>&nbsp;is reduced when there is a depletion of cholinergic projections
  992. to that region of cortex.<a
  993. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-23"
  994. target="_blank"
  995. ><span>[23]</span></a>&nbsp;Kilgard et al. (1998) found that repeated stimulation of the&nbsp;<a
  996. href="http://en.wikipedia.org/wiki/Basal_forebrain"
  997. target="_blank"
  998. ><span>basal forebrain</span></a>, a primary source of ACh neurons, paired with presentation of a tone at a
  999. specific frequency, resulted in remapping of the&nbsp;<a
  1000. href="http://en.wikipedia.org/wiki/Auditory_cortex"
  1001. target="_blank"
  1002. ><span>auditory cortex</span></a>&nbsp;to better suit processing of that tone.<a
  1003. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-24"
  1004. target="_blank"
  1005. ><span>[24]</span></a>Baskerville et al. (1996) investigated the role of ACh in&nbsp;<a
  1006. href="http://en.wikipedia.org/w/index.php?title=Experience-dependent_plasticity&amp;action=edit&amp;redlink=1"
  1007. target="_blank"
  1008. ><span>experience-dependent plasticity</span></a>&nbsp;by depleting cholinergic inputs to the&nbsp;<a
  1009. href="http://en.wikipedia.org/wiki/Barrel_cortex"
  1010. target="_blank"
  1011. ><span>barrel cortex</span></a>&nbsp;of rats.<a
  1012. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-25"
  1013. target="_blank"
  1014. ><span>[25]</span></a>&nbsp;The cholinergic depleted animals had a significantly reduced amount of
  1015. whisker-pairing plasticity. Apart from the cortical areas, Crespo et al. (2006) found that the activation of
  1016. nicotinic and muscarinic receptors in the&nbsp;<a
  1017. href="http://en.wikipedia.org/wiki/Nucleus_accumbens"
  1018. target="_blank"
  1019. ><span>nucleus accumbens</span></a>&nbsp;is necessary for the acquisition of an appetitive task.<a
  1020. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-achcorrelation-26"
  1021. target="_blank"
  1022. ><span>[26]</span></a>
  1023. </p>
  1024. <p>
  1025. ACh has been implicated in the reporting of expected uncertainty in the environment&nbsp;<a
  1026. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-27"
  1027. target="_blank"
  1028. ><span>[27]</span></a>&nbsp;based both on the suggested functions listed above and results recorded while
  1029. subjects perform a behavioral cuing task.&nbsp;<a
  1030. href="http://en.wikipedia.org/wiki/Reaction_time"
  1031. target="_blank"
  1032. ><span>Reaction time</span></a>&nbsp;difference between correctly cued trials and incorrectly cued
  1033. trials,&nbsp;<span><strong>called the cue validity, was found to vary inversely with ACh&nbsp;</strong
  1034. ></span>levels in primates with pharmacologically (e.g. Witte et al., 1997) and surgically (e.g. Voytko
  1035. et al., 1994) altered levels of ACh.<a
  1036. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-28"
  1037. target="_blank"
  1038. ><span>[28]</span></a>
  1039. <a href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-29" target="_blank"><span>[29]</span></a
  1040. >&nbsp;The result was also found in&nbsp;<a
  1041. href="http://en.wikipedia.org/wiki/Alzheimer%27s_disease"
  1042. target="_blank"
  1043. ><span>Alzheimer's disease</span></a>&nbsp;patients (Parasuraman et al., 1992) and smokers after nicotine
  1044. (an ACh agonist) consumption.<a
  1045. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-30"
  1046. target="_blank"
  1047. ><span>[30]</span></a>
  1048. <a href="http://en.wikipedia.org/wiki/Acetylcholine#cite_note-31" target="_blank"><span>[31]</span></a
  1049. >&nbsp;The inverse covariance is consistent with the interpretation of ACh as representing expected
  1050. uncertainty in the environment, further supporting this claim.
  1051. </p>
  1052. <li>
  1053. <span><strong>12•.</strong><a
  1054. href="http://en.wikipedia.org/wiki/Acetylcholine#cite_ref-Gulledge1_12-0"
  1055. target="_blank"
  1056. ><strong>^</strong></a></span>&nbsp;Gulledge, AT; Stuart, GJ (2005). "Cholinergic inhibition of
  1057. neocortical pyramidal neurons".&nbsp;<em>Journal of Neuroscience</em>&nbsp;<strong>25</strong>&nbsp;(44):
  1058. 10308–20.&nbsp;<a href="http://en.wikipedia.org/wiki/Digital_object_identifier" target="_blank"><span
  1059. >doi</span></a>:<a href="http://dx.doi.org/10.1523%2FJNEUROSCI.2697-05.2005" target="_blank"><span
  1060. >10.1523/JNEUROSCI.2697-05.2005</span></a>.&nbsp;<a
  1061. href="http://en.wikipedia.org/wiki/PubMed_Identifier"
  1062. target="_blank"
  1063. ><span>PMID</span></a>&nbsp;<a href="http://www.ncbi.nlm.nih.gov/pubmed/16267239" target="_blank"><span
  1064. >16267239</span></a>.
  1065. </li>
  1066. <li>
  1067. <span><a href="http://en.wikipedia.org/wiki/Acetylcholine#cite_ref-Gulledge2_13-0" target="_blank"><strong
  1068. >^</strong></a></span>
  1069. <span>&nbsp;Gulledge, AT; Bucci, DJ; Zhang, SS; Matsui, M; Yeh, HH (2009).&nbsp;<a
  1070. href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2745329"
  1071. target="_blank"
  1072. >"M1 Receptors Mediate Cholinergic Modulation of Excitability in Neocortical Pyramidal Neurons"</a
  1073. >.&nbsp;<em>Journal of Neuroscience</em>&nbsp;<strong>29</strong>&nbsp;(31): 9888–902.&nbsp;<a
  1074. href="http://en.wikipedia.org/wiki/Digital_object_identifier"
  1075. target="_blank"
  1076. ><span>doi</span></a>:<a href="http://dx.doi.org/10.1523%2FJNEUROSCI.1366-09.2009" target="_blank"
  1077. >10.1523/JNEUROSCI.1366-09.2009</a>.<a
  1078. href="http://en.wikipedia.org/wiki/PubMed_Central"
  1079. target="_blank"
  1080. ><span>PMC</span></a>&nbsp;<a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2745329" target="_blank"
  1081. >2745329</a>.&nbsp;<a href="http://en.wikipedia.org/wiki/PubMed_Identifier" target="_blank"><span
  1082. >PMID</span></a>&nbsp;<a href="http://www.ncbi.nlm.nih.gov/pubmed/19657040" target="_blank"
  1083. >19657040</a>.</span>
  1084. </li>
  1085. <li>
  1086. <span><a href="http://en.wikipedia.org/wiki/Acetylcholine#cite_ref-Sarter1_14-0" target="_blank"><strong
  1087. >^</strong></a></span>
  1088. <span>&nbsp;Parikh, V; Kozak, R; Martinez, V; Sarter, M (2007).&nbsp;<a
  1089. href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2084212"
  1090. target="_blank"
  1091. >"Prefrontal acetylcholine release controls cue detection on multiple time scales"</a>.&nbsp;<em
  1092. >Neuron</em>&nbsp;<strong>56</strong>&nbsp;(1): 141–54.&nbsp;<a
  1093. href="http://en.wikipedia.org/wiki/Digital_object_identifier"
  1094. target="_blank"
  1095. ><span>doi</span></a>:<a href="http://dx.doi.org/10.1016%2Fj.neuron.2007.08.025" target="_blank"
  1096. >10.1016/j.neuron.2007.08.025</a>.<a
  1097. href="http://en.wikipedia.org/wiki/PubMed_Central"
  1098. target="_blank"
  1099. ><span>PMC</span></a>&nbsp;<a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2084212" target="_blank"
  1100. >2084212</a>.&nbsp;<a href="http://en.wikipedia.org/wiki/PubMed_Identifier" target="_blank"><span
  1101. >PMID</span></a>&nbsp;<a href="http://www.ncbi.nlm.nih.gov/pubmed/17920021" target="_blank"
  1102. >17920021</a>.</span>
  1103. </li>
  1104. <li>
  1105. <span><a href="http://en.wikipedia.org/wiki/Acetylcholine#cite_ref-Gulledge3_15-0" target="_blank"><strong
  1106. >^</strong></a></span>&nbsp;Gulledge, AT; Park, SB; Kawaguchi, Y; Stuart, GJ (2007). "Heterogeneity
  1107. of phasic cholinergic signaling in neocortical neurons".<em>Journal of neurophysiology</em>&nbsp;<strong
  1108. >97</strong>&nbsp;(3): 2215–29.&nbsp;<a
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  1111. ><span>doi</span></a>:<a href="http://dx.doi.org/10.1152%2Fjn.00493.2006" target="_blank"><span
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  1115. ><span>PMID</span></a>&nbsp;<a href="http://www.ncbi.nlm.nih.gov/pubmed/17122323" target="_blank"><span
  1116. >17122323</span></a>.
  1117. </li>
  1118. <li>
  1119. <span><a href="http://en.wikipedia.org/wiki/Acetylcholine#cite_ref-16" target="_blank"><strong>^</strong></a
  1120. ></span>
  1121. <span>&nbsp;Spehlmann R, Daniels JC, Smathers CC (1971).&nbsp;<a
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  1125. >Brain</em>&nbsp;<strong>94</strong>&nbsp;(1): 125–38.&nbsp;<a
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  1132. ><span>PMID</span></a>&nbsp;<a href="http://www.ncbi.nlm.nih.gov/pubmed/4324030" target="_blank"
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  1134. </li>
  1135. <li>
  1136. <span><a href="http://en.wikipedia.org/wiki/Acetylcholine#cite_ref-17" target="_blank"><strong>^</strong></a
  1137. ></span>
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  1151. </li>
  1152. <li>
  1153. <span><a href="http://en.wikipedia.org/wiki/Acetylcholine#cite_ref-18" target="_blank"><strong>^</strong></a
  1154. ></span>
  1155. <span>&nbsp;Stone TW (September 1972).&nbsp;<a
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  1166. </li>
  1167. <li>
  1168. <span><a href="http://en.wikipedia.org/wiki/Acetylcholine#cite_ref-19" target="_blank"><strong>^</strong></a
  1169. ></span>
  1170. <span>&nbsp;McGaughy J, Kaiser T, Sarter M (April 1996).&nbsp;<a
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  1336. 1. Pharmacol Res. 2011 Jun;63(6):525-31.&nbsp; Endothelin receptor antagonists: potential in Alzheimer's
  1337. disease. Palmer J, Love S. Dementia Research Group, Institute of Clinical Neurosciences, School of
  1338. Clinical&nbsp; Sciences, University of Bristol, Frenchay Hospital, Bristol BS16 1LE, United Kingdom.&nbsp;<a
  1339. href="mailto:jen.palmer@bristol.ac.uk"
  1340. target="_blank"
  1341. >jen.palmer@bristol.ac.uk</a>
  1342. Alzheimer's disease (AD) is believed to be initiated by the accumulation of neurotoxic forms of Aβ peptide
  1343. within the brain. AD patients show reduction of cerebral blood flow (CBF), the extent of the reduction
  1344. correlating with the impairment of cognition.&nbsp;<span><strong>There is evidence that cerebral hypoperfusion
  1345. precedes</strong></span>
  1346. <span><strong>and may even trigger the onset of dementia in AD. Cerebral hypoperfusion impairs&nbsp;</strong
  1347. ></span>
  1348. <span><strong>neuronal function, reduces the clearance of Aβ peptide and other toxic</strong></span>
  1349. <span><strong>metabolites from the brain, and upregulates Aβ production. Studies in animal</strong></span>
  1350. <span><strong>models of AD have shown the reduction in CBF to be more than would be expected</strong></span>
  1351. <span><strong>for the reduction in neuronal metabolic activity.&nbsp;</strong></span>Aβ may contribute to the
  1352. reduction in CBF in AD, as both Aβ<span>₁₋₄₀</span>&nbsp;and Aβ<span>₁₋₄₂</span>&nbsp;induce cerebrovascular
  1353. dysfunction. Aβ<span>₁₋₄₀</span>&nbsp;acts directly on cerebral arteries to cause cerebral smooth muscle cell
  1354. contraction. Aβ<span>₁₋₄₂</span>&nbsp;causes increased neuronal production and release&nbsp; of endothelin-1
  1355. (ET-1), a potent vasoconstrictor, and upregulation of endothelin-converting enzyme-2 (ECE-2), the enzyme which
  1356. cleaves ET-1 from its inactive precursor. ET-1 and ECE-2 are also elevated in AD, making it likely that
  1357. upregulation of the ECE-2-ET-1 axis by Aβ<span>₁₋₄₂</span>&nbsp;contributes to the chronic reduction of CBF in
  1358. AD. At present, only a few symptomatic treatment options exist for AD. The involvement of ET-1 in the
  1359. pathogenesis of endothelial dysfunction associated with elevated Aβ indicates the potential for endothelin
  1360. receptor antagonists in the treatment of AD. It has already been demonstrated that the endothelin receptor
  1361. antagonist bosentan, preserves aortic and carotid endothelial function in Tg2576 mice, and our findings suggest
  1362. that endothelin receptor antagonists may be beneficial in maintaining CBF in AD. Copyright © 2011 Elsevier Ltd.
  1363. All rights reserved. Fiziol Zh SSSR Im I M Sechenova. 1975 Oct;61(10):1466-72. [Amine receptors in brain
  1364. vessels]. [Article in Russian] Edvinsson L, Owman Ch. Isolated middle cerebral arteries from cats and pial
  1365. arteries from humans (obtained during lobe resection) were studied in a sensitive in vitro system allowing a
  1366. detailed pharmacological characterization of various amine receptors and related dissociation constants. It was
  1367. found that the adrenergic receptors comprise contractile (alpha) and dilatory (beta) receptors.<strong
  1368. >&nbsp;Acetylcholine induced</strong>
  1369. <strong>dilation (at low doses) as well as constriction (at high doses) both responses</strong>
  1370. <strong>being inhibited in a comparative way by atropine.</strong>&nbsp;Experiments with selective inhibitors
  1371. showed the presence of specific histamine H2 (dilatory) receptors;&nbsp;<strong>at&nbsp;</strong>
  1372. <strong>high doses histamine contracted the vessels in a non-specific way.</strong>
  1373. <strong>5-Hydroxytryptamine was the most efficient vasoconstrictor agent, and the</strong>
  1374. response could be blocked by the serotonin-antagonist, methysergide. Behav Neurosci. 2007 Jun;121(3):491-500.
  1375. Exposure to enriched environment improves spatial learning performances and enhances cell density&nbsp;<strong
  1376. >but not choline acetyltransferase activity in the hippocampus of ventral subicular-lesioned rats.</strong>
  1377. Dhanushkodi A, Bindu B, Raju TR, Kutty BM. Department of NeurophysiologyNational Institute of Mental Health and
  1378. Neuro Sciences (NIMHANS Deemed University), Bangalore, India. The authors demonstrated the efficacy of enriched
  1379. housing conditions in promoting the behavioral recovery and neuronal survival following subicular lesion in
  1380. rats. Chemical lesioning of the ventral subiculum impaired the spatial learning performances in rats. The lesion
  1381. also induced a significant degree of neurodegeneration in the CA1 and CA3 areas of the hippocampus and
  1382. entorhinal cortex. Exposure to enriched housing conditions improved the behavioral performance and partially
  1383. attenuated the neurodegeneration in the hippocampus. The choline acetyl transferase (ChAT) activity in the
  1384. hippocampus remained unchanged following ventral subicular lesion and also following exposure to an enriched
  1385. environment. The study implicates the effectiveness of activity-dependent neuronal plasticity induced by
  1386. environmental enrichment in adulthood following brain insult. Copyright (c) 2007 APA, all rights reserved. Horm
  1387. Behav. 2013 Jul 27. pii: S0018-506X(13)00139-6. Progesterone and vitamin D: Improvement after traumatic brain
  1388. injury in middle-aged rats. Tang H, Hua F, Wang J, Sayeed I, Wang X, Chen Z, Yousuf S, Atif F, Stein DG.
  1389. Department of Emergency Medicine, Emory University, Atlanta, GA 30322, USA. Progesterone (PROG) and vitamin D
  1390. hormone (VDH) have both shown promise in treating traumatic brain injury (TBI). Both modulate apoptosis,
  1391. inflammation, oxidative stress, and<strong>excitotoxicity.</strong>&nbsp;We investigated whether 21days of VDH
  1392. deficiency would alter cognitive behavior after TBI and whether combined PROG and VDH would improve behavioral
  1393. and morphological outcomes more than either hormone alone in VDH-deficient middle-aged rats given bilateral
  1394. contusions of the medial frontal cortex. PROG (16mg/kg) and VDH (5μg/kg) were injected intraperitoneally 1h
  1395. post-injury. Eight additional doses of PROG were injected subcutaneously over 7days post-injury. VDH deficiency
  1396. itself did not significantly reduce baseline behavioral functions or aggravate impaired cognitive outcomes.
  1397. Combination therapy showed moderate improvement in preserving spatial and reference memory but was not
  1398. significantly better than PROG monotherapy. However, combination therapy significantly reduced neuronal loss and
  1399. the proliferation of reactive astrocytes, and showed better efficacy compared to VDH or PROG alone in preventing
  1400. MAP-2 degradation. VDH+PROG combination therapy may attenuate some of the potential long-term, subtle,
  1401. pathophysiological consequences of brain injury in older subjects. © 2013. KEYWORDS: Yang, glutamate stimulates
  1402. DNA repair; methylation of dna during stress, hydrophobic Life Sci 1998;62(17-18):1717-21&nbsp; Induction of
  1403. inducible nitric oxide synthase and heme oxygenase-1 in rat glial cells. Kitamura Y, Matsuoka Y, Nomura Y,
  1404. Taniguchi T Department of Neurobiology, Kyoto Pharmaceutical University, Japan.&nbsp; Recent observations
  1405. suggest a possible interaction between the nitric oxide (NO)/NO synthases and carbon monoxide (CO)/heme
  1406. oxygenases systems. We examined the effects of lipopolysaccharide (LPS), interferon-gamma (IFN-gamma), and NO
  1407. donor such as S-nitroso-N-acetylpenicillamine (SNAP) on induction of inducible NO synthase (iNOS) and heme
  1408. oxygenase-1 (HO-1) in mixed glial cells and in rat hippocampus. In in vitro glial cells, treatment with LPS
  1409. induced the expression of 130-kDa iNOS after 6 h, and NO2- accumulation and enhancement of the protein level of
  1410. 33-kDa HO-1 after 12 h. In addition, treatment with SNAP induced HO-1 expression after 6 h. Although a NOS
  1411. inhibitor, such as N(G)-nitro-L-arginine (NNA), did not change LPS-induced iNOS expression, the inhibitor
  1412. s<strong>uppressed both NO2- accumulation and the enhancement of HO-1.</strong>&nbsp;Immunocytochemistry showed
  1413. that LPS-treatment induced iNOS-immunoreactivity predominantly in microglia, while this treatment induced
  1414. HO-1-immunoreactivity in both microglia and astrocytes. These results suggest that endogenous NO production by
  1415. iNOS in microglia causes autocrine- and paracrine-induction of HO-1 protein in microglia and astrocytes in rat
  1416. brain.&nbsp;
  1417. <p>&nbsp;</p>
  1418. 4. Proc Soc Exp Biol Med. 1994 Oct;207(1):43-7. Dietary restriction modulates the norepinephrine content and
  1419. uptake of the heart&nbsp; and cardiac synaptosomes. Kim SW, Yu BP, Sanderford M, Herlihy JT. Department of
  1420. Physiology, University of Texas Health Science Center at San Antonio 78284. The present study was designed to
  1421. examine the effects of long-term dietary restriction on cardiac sympathetic nerves and neurotransmitter. The
  1422. food intake of male, 6-week-old Fischer 344 rats was reduced to 60% of the intake of control&nbsp; rats fed ad
  1423. libitum. The body and heart weights of rats diet restricted for 4.5 months were less than those of the ad
  1424. libitum fed animals, while the heart weight to body weight ratios were higher<strong>. The norepinephrine (NE)
  1425. content of hearts from</strong>
  1426. <strong>restricted rats (1073 +/- 84 ng/g wet wt) was higher than controls (774 +/- 38</strong>
  1427. <strong>ng/g wet wt), although the total amoun</strong>t of NE per heart was unchanged. Similarly, the cardiac
  1428. synaptosomal P2 fraction from restricted rats possessed a higher NE content (24.1 +/- 2.4 ng/mg protein) than
  1429. the P2 fraction of ad libitum fed controls (13.7 +/- 1.3 ng/mg protein). The desmethylimipramine-sensitive
  1430. norepinephrine uptake of the P2 fraction from restricted rats was significantly higher than that of control rats
  1431. (9.44 +/- 1.33 vs 4.75 +/- 0.35 ng/mg protein/hr). The NE uptakes of the two groups were similar when uptake was
  1432. normalized to endogenous NE levels. These results demonstrate that long-term dietary restriction affects cardiac
  1433. sympathetic nerve endings and suggest that part of the beneficial action of life-long dietary restriction on the
  1434. age-related decline in cardiovascular regulation may be related to changes in cardiac sympathetic nerves. Int J
  1435. Cancer. 1985 Apr 15;35(4):493-7. Muscarinic cholinergic receptors in pancreatic acinar carcinoma of rat. Taton
  1436. G, Delhaye M, Swillens S, Morisset J, Larose L, Longnecker DS, Poirier GG. The active enantiomer of tritiated
  1437. quinuclidinyl benzilate (3H(-)QNB) was used as a ligand to evaluate the muscarinic receptors. The 3H(-)QNB
  1438. binding characteristics of muscarinic cholinergic receptors obtained from normal and neoplastic tissues were
  1439. studied to determine changes in receptor properties during neoplastic transformation. Saturable and
  1440. stereospecific binding sites for&nbsp; 3H(-)QNB are present in homogenates of rat pancreatic adenocarcinoma. The
  1441. proportions of high- and low-affinity agonist binding sites are similar for neoplastic and normal tissues. The
  1442. density of muscarinic receptors is higher in neoplastic (200 femtomoles/mg protein) than in normal pancreatic
  1443. homogenates (80&nbsp; femtomoles/mg protein). The muscarinic binding sites of the neoplastic and fetal&nbsp;
  1444. pancreas show similar KD values which are higher than those observed for normal pancreas. 17: Cancer Res. 1986
  1445. Nov;46(11):5706-14. Muscarinic receptor coupling to intracellular calcium release in rat pancreatic acinar
  1446. carcinoma. Chien JL, Warren JR. Analysis by sodium dodecyl sulfate-polyacrylamide gel electrophoresis of
  1447. cholinergic receptor protein affinity labeled with the muscarinic antagonist [3H]propylbenzilylcholine mustard
  1448. revealed a major polypeptide with molecular weight of 80,000-83,000 in both acinar carcinoma and normal acinar
  1449. cells of rat pancreas. Muscarinic receptor protein is therefore conserved in pancreatic acinar carcinoma. A
  1450. small but significant difference was detected in the affinity of carcinoma cell receptors (Kd approximately 0.6
  1451. nM) and normal cell receptors (Kd&nbsp; approximately 0.3 nM) for reversible binding of the muscarinic
  1452. antagonist drug, N-methylscopolamine. In addition, carcinoma cell muscarinic receptors displayed homogeneous
  1453. binding of the agonist drugs carbamylcholine (Kd approximately 31 microM) and oxotremorine (Kd approximately 4
  1454. microM), whereas normal cell receptors demonstrated heterogeneous binding, with a minor receptor population
  1455. showing high affinity binding for carbamylcholine (Kd approximately 3 microM) and oxotremorine (Kd approximately
  1456. 160 nM), and a major population showing low affinity binding for carbamylcholine (Kd approximately 110 microM)
  1457. and oxotremorine (Kd approximately 18 microM). Both carcinoma and normal cells exhibited concentration-dependent
  1458. carbamylcholine-stimulated increases in cytosolic free Ca2+, as measured by 45Ca2+ outflux assay and
  1459. intracellular quin 2 fluorescence. However, carcinoma cells were observed to be more sensitive to Ca2+
  1460. mobilizing actions of submaximal carbamylcholine concentrations, demonstrating 50% maximal stimulation of
  1461. intracellular Ca2+ release at a carbamylcholine concentration (approximately 0.4 microM) approximately one order
  1462. of magnitude below that seen for normal cells. These results indicate altered muscarinic receptor coupling to
  1463. intracellular Ca2+ release in acinar carcinoma cells, which&nbsp; manifests as a single activated receptor state
  1464. for agonist binding, and increased sensitivity of Ca2+ release in response to muscarinic receptor stimulation.
  1465. 1: Anticancer Drugs. 2008 Aug;19(7):655-71. Neurotransmission and cancer: implications for prevention and
  1466. therapy. Schuller HM. Experimental Oncology Laboratory, Department of Pathobiology, College of Veterinary
  1467. Medicine, University of Tennessee, 2407 River Drive, Knoxville, TN 37996, USA.&nbsp;<a
  1468. href="mailto:hmsch@utk.edu"
  1469. target="_blank"
  1470. >hmsch@utk.edu</a>
  1471. Published evidence compiled in this review supports the hypothesis that the development, progression, and
  1472. responsiveness to prevention and therapy of the most common human cancers is strongly influenced, if not
  1473. entirely orchestrated, by an imbalance in stimulatory and inhibitory neurotransmission. The neurotransmitters
  1474. acetylcholine, adrenaline, and noradrenaline of the autonomic nervous system act as powerful upstream regulators
  1475. that orchestrate numerous cell and tissue functions, by releasing growth factors, angiogenesis factors and
  1476. metastasis factors, arachidonic acid, proinflammatory cytokines, and local neurotransmitters from cancer cells
  1477. and their microenvironment. In addition, they modulate proliferation, apoptosis, angiogenesis, and metastasis of
  1478. cancer directly by intracellular signaling downstream of neurotransmitter receptors. Nicotine and the
  1479. tobacco-specific nitrosamines have the documented ability to hyperstimulate neurotransmission by both branches
  1480. of the autonomic nervous system. The expression and function of these neurotransmitter pathways are cell type
  1481. specific. Lifestyle, diet, diseases, stress, and pharmacological treatments&nbsp; modulate the expression and
  1482. responsiveness of neurotransmitter pathways. Current&nbsp; preclinical testing systems fail to incorporate the
  1483. modulating effects of neurotransmission on the responsiveness to anticancer agents and should be amended
  1484. accordingly. The neurotransmitter gamma-aminobutyric acid has a strong inhibitory function on sympathicus-driven
  1485. cancers whereas stimulators of cyclic adenosine monophosphate/protein kinase A signaling have strong inhibitory
  1486. function on parasympathicus-driven cancers. Marker-guided restoration of the physiological balance in
  1487. stimulatory and inhibitory neurotransmission represents&nbsp; a promising and hitherto neglected strategy for
  1488. the prevention and therapy of neurotransmitter-responsive cancers. Psychological stress in IBD: new insights
  1489. into pathogenic and ...
  1490. <a href="http://www.ncbi.nlm.nih.gov/" target="_blank">www.ncbi.nlm.nih.gov</a>&nbsp;› Journal List › Gut ›
  1491. v.54(10); Oct 2005 by JE Mawdsley - ‎2005 - ‎Cited by 255 - ‎Related articles Psychological stress has long been
  1492. reported anecdotally to increase disease ..... atropine and was more marked in cholinesterase deficient
  1493. Wistar-Kyoto rats. Neuropsychopharmacology. 2002 May;26(5):672-81.&nbsp; Sexual diergism of
  1494. hypothalamo-pituitary-adrenal cortical responses to low-dose physotigmine in elderly vs. young women and men.
  1495. Rubin RT, Rhodes ME, O'Toole S, Czambel RK. Center for Neurosciences Research, MCP Hahnemann University School
  1496. of Medicine, Allegheny General Hospital, Pittsburgh, PA 15212, USA.&nbsp;<a
  1497. href="mailto:rubin@wpahs.org"
  1498. target="_blank"
  1499. >rubin@wpahs.org</a>
  1500. We previously demonstrated that the reversible cholinesterase inhibitor, physostigmine (PHYSO), administered to
  1501. normal young adult women and men (average age 35 years) at a dose that produced few or no side effects, resulted
  1502. in a sex difference (sexual diergism) in hypothalamo-pituitary-adrenal cortical (HPA) axis responses:
  1503. Plasma&nbsp;<strong>ACTH(1-39), cortisol, and arginine vasopressin (AVP)</strong>
  1504. <strong>concentrations increased to a significantly greater extent in the men than in</strong>
  1505. <strong>the women.&nbsp;</strong>To explore the effect of age on these sexually diergic hormone responses, in
  1506. the present study we used the same dose of PHYSO (8 microg/kg IV) to stimulate ACTH(1-39), cortisol, and AVP
  1507. secretion in normal elderly, non-estrogen-replaced women and elderly men (average ages 73 years and 70 years,
  1508. respectively). The subjects underwent three test sessions 5-7 days apart: PHYSO, saline control, and a second
  1509. session of PHYSO. Serial blood samples were taken for hormone analyses before and after pharmacologic
  1510. challenge.As with the previously studied younger subjects, PHYSO administration produced no side effects in
  1511. about half the elderly subjects and mild side effects in the other half, with no significant female-male
  1512. differences.&nbsp;<span><strong>The hormone responses were</strong></span>
  1513. <span><strong>2-5 fold greater in the elderly subjects t</strong></span>han in the younger subjects, but in
  1514. contrast to the younger subjects, the elderly men did not have significantly greater hormone responses to PHYSO
  1515. administration than did the elderly women. The ACTH(1-39) and AVP responses to PHYSO for the two sessions were
  1516. significantly positively correlated in the men (+0.96, +0.91) but not in the women. None of the hormone
  1517. responses was significantly correlated with the presence or absence of side effects in either group of
  1518. subjects.These results indicate<span><strong>&nbsp;a greater sensitivity of the HPA axis to low-dose PHYSO, and
  1519. a loss of</strong></span>
  1520. <span><strong>overall sex differences in hormone responses, in elderly compared with younger</strong></span>
  1521. <span><strong>subjects.&nbsp;</strong></span>The lack of a difference in side effects between the elderly women
  1522. and men and the lack of significant correlations between presence or absence of side effects and hormone
  1523. responses suggest that the increase in hormone responses with aging is due to correspondingly increased
  1524. responsiveness of central cholinergic systems and/or the HPA axis, and not to a nonspecific stress response.
  1525. Horm Behav. 2013 Feb;63(2):284-90.&nbsp; Progesterone and neuroprotection. Singh M, Su C. Department of
  1526. Pharmacology and Neuroscience, Institute for Aging and Alzheimer's Disease Research, Center FOR HER, University
  1527. of North Texas Health Science Center at Fort Worth, Fort Worth, TX 76107, USA.&nbsp;<a
  1528. href="mailto:meharvan.singh@unthsc.edu"
  1529. target="_blank"
  1530. >meharvan.singh@unthsc.edu</a>
  1531. Numerous studies aimed at identifying the role of estrogen on the brain have used the ovariectomized rodent as
  1532. the experimental model. And while estrogen intervention in these animals has, at least partially, restored
  1533. cholinergic, neurotrophin and cognitive deficits seen in the ovariectomized animal, it is worth considering that
  1534. the removal of the ovaries results in the loss of not only circulating estrogen but of circulating progesterone
  1535. as well. As such, the various deficits associated with ovariectomy may be attributed to the loss of progesterone
  1536. as well. Similarly, one must also consider the fact that the human menopause results in the precipitous decline
  1537. of not just circulating estrogens, but in circulating progesterone as well and as such, the increased risk for
  1538. diseases such as Alzheimer's disease during the postmenopausal period could also be contributed by this loss of
  1539. progesterone. In fact, progesterone has been shown to exert neuroprotective effects, both in cell models, animal
  1540. models and in humans.&nbsp;<strong>Here, we review the evidence that supports the neuroprotective effects of
  1541. progesterone and discuss the various mechanisms that are thought to mediate these protective
  1542. effects.</strong>&nbsp;We also discuss the receptor pharmacology of progesterone's neuroprotective effects
  1543. and present a conceptual model of progesterone action that supports the complementary effects of
  1544. membrane-associated and classical intracellular progesterone receptors.<strong>&nbsp;In addition, we discuss
  1545. fundamental differences in the neurobiology of progesterone and the clinically used, synthetic progestin,
  1546. medroxyprogesterone acetate that may offer an explanation for the negative findings of the combined
  1547. estrogen/progestin arm of the Women's Health Initiative-Memory Study (WHIMS) and suggest that the type of
  1548. progestin used may dictate the outcome of either pre-clinical or clinical studies that addresses brain
  1549. function.</strong>
  1550. Brain Res. 2005 Jul 5;1049(1):112-9.&nbsp;<strong>Progesterone treatment inhibits the inflammatory agents that
  1551. accompany traumatic brain injury.</strong>&nbsp;Pettus EH, Wright DW, Stein DG, Hoffman SW. Department of
  1552. Cell Biology, Emory University, Atlanta, GA 30322, USA. Progesterone given after traumatic brain injury (TBI)
  1553. has been shown to reduce the initial cytotoxic surge of inflammatory factors. We used Western blot techniques to
  1554. analyze how progesterone might affect three inflammation-related factors common to TBI: complement factor C3
  1555. (C3), glial fibrillary acidic protein (GFAP), and nuclear factor kappa beta (NFkappaB). One hour after bilateral
  1556. injury to the medial frontal cortex, adult male rats were given injections of progesterone (16 mg/kg) for 2
  1557. days. Brains were harvested 48 h post-TBI, proteins were extracted from samples, each of which contained tissue
  1558. from both the contused and peri-contused areas, then measured by Western blot densitometry. Complete C3, GFAP,
  1559. and NFkappaB p65 were increased in all injured animals. However, in animals given progesterone post-TBI,<strong
  1560. >&nbsp;NFkappaB p65 and the</strong>
  1561. <strong>inflammatory metabolites of C3 (9 kDa and 75 kDa)</strong>&nbsp;were decreased in comparison to
  1562. vehicle-treated animals. J Leukoc Biol 1996 Mar;59(3):442-50&nbsp; Progesterone inhibits inducible nitric oxide
  1563. synthase gene expression and nitric oxide production in murine macrophages. Miller L, Alley EW, Murphy WJ,
  1564. Russell SW, Hunt JS Department of Pathology and Laboratory Medicine, University of Kansas Medical Center, Kansas
  1565. City, USA.&nbsp; The purpose of this study was to determine whether the female hormones estradiol-l7 beta (E2)
  1566. and progesterone (P4) influence inducible nitric oxide synthase (iNOS) and the production of nitric oxide (NO)
  1567. by interferon-gamma(IFN-gamma)-and lipopolysaccharide (LPS)-activated mouse macrophages. Treatment with P4 alone
  1568. caused a time- and dose-dependent inhibition of NO production by macrophage cell lines (RAW 264.7, J774) and
  1569. mouse bone marrow culture-derived macrophages as assessed by nitrite accumulation. RAW 264.7 cells transiently
  1570. transfected with an iNOS gene promoter/luciferase reporter-gene construct that were stimulated with
  1571. IFN-gamma/LPS in the presence of P4 displayed reduced luciferase activity and NO production. Analysis of RAW
  1572. 264.7 cells by Northern blot hybridization revealed concurrent P4-mediated reduction in iNOS mRNA. These
  1573. observations suggest that P4-mediated inhibition of NO may be an important gender-based difference within
  1574. females and males that relates to macrophage-mediated host defense.&nbsp; J Reprod Immunol 1997 Nov
  1575. 15;35(2):87-99&nbsp; Female steroid hormones regulate production of pro-inflammatory molecules in uterine
  1576. leukocytes. Hunt JS, Miller L, Roby KF, Huang J, Platt JS, DeBrot BL Department of Anatomy and Cell Biology,
  1577. University of Kansas Medical Center, Kansas City 66160-7400, USA.&nbsp;<a
  1578. href="mailto:jhunt@kumc.edu"
  1579. target="_blank"
  1580. >jhunt@kumc.edu</a>&nbsp; Estrogens and progesterone could be among the environmental signals that govern
  1581. uterine immune cell synthesis of pro-inflammatory substances. In order to investigate this possibility, we first
  1582. mapped expression of the inducible nitric oxide synthase (iNOS) and tumor necrosis factor-alpha (TNF-alpha)
  1583. genes in the leukocytes of cycling and pregnant mouse uteri, then tested the ability of estradiol-17 beta (E2)
  1584. and progesterone to influence gene expression. Immunohistochemistry, in situ hybridization, and other
  1585. experimental approaches, revealed that the iNOS and TNF-alpha genes are expressed in mouse uterine mast cells,
  1586. macrophages and natural killer cells (uNK). Gene expression in each cell type was noted to be dependent upon
  1587. stage of the cycle or stage of gestation, implying potential relationships with levels of female hormones and
  1588. state of cell differentiation or activation. Further in vivo and in vitro experiments showed that individual
  1589. hormones have cell type-specific effects on synthesis of iNOS and TNF-alpha that are exerted at the level of
  1590. transcription. In uterine mast cells, iNOS and TNF-alpha are promoted by E2 whereas preliminary studies in
  1591. macrophages suggest that transcription and translation of the two genes are unaffected by E2 but are inhibited
  1592. by progesterone.&nbsp; Hypothyroidism increases NO; T3, vs helpless; hypothyroid, escape deficit, Levine, et
  1593. 1990.
  1594. <strong>choline is increased in AD CSF Elble R;, Carriere;</strong>
  1595. Genes Nutr. 2009 December; 4(4): 309–314.<strong>&nbsp;Dietary polyunsaturated fatty acids improve cholinergic
  1596. transmission in the aged brain</strong>&nbsp;Willis LM, Shukitt-Hale B, Joseph JA. 28. Bloj B, Morero RD,
  1597. Farias RN, Trucco RE (1973) Membrane lipid fatty acids and regulation of membrane-bound enzymes. Allosteric
  1598. behaviour of erythrocyte Mg 2+-ATPase (Na++ K+)-ATPase and acetylcholinesterase from rats fed different
  1599. fat-supplemented diets. Biochim Biophys Acta 311:67–79. [PubMed] 29. Vajreswari A, Narayanareddy K (1992) Effect
  1600. of dietary fats on erythrocyte membrane lipid composition and membrane-bound enzyme activities. Metabolism
  1601. 41:352–358. [PubMed] 30. Vajreswari A, Rupalatha M, Rao PS (2002) Effect of altered dietary n-6-to-n-3 fatty
  1602. acid ratio on erythrocyte lipid composition and membrane-bound enzymes. J Nutr Sci Vitaminol 48:365–370.
  1603. [PubMed] 31. Foot M, Cruz TF, Clandinin MT (1983)&nbsp;<strong>Effect of dietary lipid on synaptosomal
  1604. acetylcholinesterase activity.</strong>&nbsp;Biochem J 211:507–509. [PMC free article] [PubMed] 33.
  1605. Srinivasarao P, Narayanareddy K, Vajreswari A, Rupalatha M, Prakash PS, Rao P (1997) Influence of dietary fat on
  1606. the activities of subcellular membrane-bound enzymes from different regions of the brain. Neuochem Int
  1607. 31:789–794. [PubMed]
  1608. <em>The protective effect of anticholinergic drugs, such as atropine or scopolamine, against various
  1609. degenerative brain processes might lead a person to wonder whether the Berkeley enrichment experiments might
  1610. not have been neurologically exactly the opposite of the stress experiments of Richter and Seligman, that
  1611. is, reducing cholinergic processes with enrichment, increasing them with impoverishment of choices and
  1612. experience.&nbsp; A drug, pilocarpine,&nbsp;</em>
  1613. USING THE BRAIN FOR LIFE Living is development; the choices we make create our individuality. If genetically
  1614. identical mice grow up in a large and varied environment, small differences in their experience will affect cell
  1615. growth in their brains, leading to large differences in their exploratory behavior as they age (Freund, et al.,
  1616. 2013). Geneticists used to say that "genes determine our limits," but this experiment shows that an environment
  1617. can provide both limitations and opportunities for expanding the inherited potential. If our environment
  1618. restricts our choices, our becoming human is thwarted, the way rats' potentials weren't discovered when they
  1619. were kept in the standard little laboratory boxes. An opportunity to be complexly involved in a complex
  1620. environment lets us become more of what we are, more humanly differentiated. A series of experiments that
  1621. started at the University of California in 1960 found that rats that lived in larger spaces with various things
  1622. to explore were better at learning and solving problems than rats that were raised in the standard little
  1623. laboratory cages (Rosenzweig, 1960). Studying their brains, they found that the enzyme cholinesterase, which
  1624. destroys the neurotransmitter, acetylcholine, was increased. They later found that the offspring of these rats
  1625. were better learners than their parents, and their brains contained more cholinesterase. Their brains were also
  1626. larger, with a considerable thickening of the cortex, which is considered to be the part mainly responsible for
  1627. complex behavior, learning and intelligence.&nbsp; These processes aren't limited to childhood. For example,
  1628. London taxi drivers who learn all the streets in the city develop a larger hippocampus, an area of the brain
  1629. involved with memory.&nbsp; The 1960s research into environmental enrichment coincided with political changes in
  1630. the US, but it went against the dominant scientific ideas of the time. Starting in 1945, the US government had
  1631. begun a series of projects to develop techniques of behavior modification or mind control, using drugs,
  1632. isolation, deprivation, and torture. In the 1950s, psychiatry often used lobotomies (about 80,000, before they
  1633. were generally discontinued in the 1980s) and electroconvulsive "therapy," and university psychologists tortured
  1634. animals, often as part of developing techniques for controlling behavior.&nbsp; The CIA officially phased out
  1635. their MKultra program in 1967, but that was the year that Martin Seligman, at the University of Pennsylvania,
  1636. popularized the idea of "learned helplessness." He found that when an animal was unable to escape from torture,
  1637. even for a very short time, it would often fail to even try to escape the next time it was tortured.&nbsp;
  1638. Seligman's lectures have been attended by psychologists who worked at Guantanamo, and he recently received a
  1639. no-bid Pentagon grant of $31,000,000, to develop a program of "comprehensive soldier fitness," to train marines
  1640. to avoid learned helplessness.&nbsp;
  1641. <p>&nbsp;</p>
  1642. Curt Richter already in 1957 had described the "hopelessness" phenomenon in rats (“a reaction of hopelessness is
  1643. shown by some wild rats very soon after being grasped in the hand and prevented from moving. They seem literally
  1644. to give up,”) and even how to cure their hopelessness, by allowing them to have an experience of escaping once
  1645. (Richter, 1957).&nbsp; Rats which would normally be able to keep swimming in a tank for two or three days, would
  1646. often give up and drown in just a few minutes, after having an experience of "inescapable stress." Richter made
  1647. the important discovery that the hearts of the hopeless rats slowed down before they died, remaining relaxed and
  1648. filled with blood, revealing the dominant activity of the vagal nerve, secreting acetylcholine.&nbsp; The
  1649. sympathetic nervous system (secreting noradrenaline) accelerates the heart, and is usually activated in stress,
  1650. in the "fight or flight" reaction, but this radically different (parasympathetic) nervous activity hadn't
  1651. previously been seen to occur in stressful situations. The parasympathetic, cholinergic, nervous system had been
  1652. thought of as inactive during stress, and activated to regulate processes of digestion, sleep, and repair.
  1653. Besides the cholinergic nerves of the parasympathetic system, many nerves of the central nervous system also
  1654. secrete acetylcholine, which activates smooth muscles, skeletal muscles, glands, and other nerves, and also has
  1655. some inhibitory effects. The parasympathetic nerves also secrete the enzyme, cholinesterase, which destroys
  1656. acetylcholine. However, many other types of cell (red blood cells, fibroblasts, sympathetic nerves, marrow
  1657. cells), maybe all cells, can secrete acetylcholine. Because cholinergic nerves have been opposed to the
  1658. sympathetic, adrenergic, nerves, there has been a tendency to neglect their nerve exciting roles, when looking
  1659. at causes of excitotoxicity, or the stress-induced loss of brain cells. Excessive cholinergic stimulation,
  1660. however, can contribute to excitotoxic cell death, for example when it's combined with high cortisol and/or
  1661. hypoglycemia. Drugs that block the stimulating effects of acetylcholine (the anticholinergics) as well as
  1662. chemicals that mimic them, such as the organophosphate insecticides, can impair the ability to think and learn.
  1663. This suggested to some people that age-related dementia was the result of the deterioration of the cholinergic
  1664. nerves in the brain. Drugs to increase the stimulating effects of acetylcholine in the brain (by inactivating
  1665. cholinesterase) were promoted as treatment for Alzheimer's disease.&nbsp; Although herbal inhibitors were well
  1666. known, profitable new drugs, starting with Tacrine, were put into use. It was soon evident that Tacrine was
  1667. causing serious liver damage, but wasn't slowing the rate of mental deterioration. As the failure of the
  1668. cholinergic drug Tacrine was becoming commonly known, another drug, amantadine (later, the similar memantine)
  1669. was proposed for combined treatment. In the 1950s, the anticholinergic drug atropine was proposed a few times
  1670. for treating dementia,&nbsp; and amantadine, which was also considered anticholinergic, was proposed for some
  1671. mental conditions, including Creutzfeldt-Jacob Disease (Sanders and Dunn, 1973). It must have seemed odd to
  1672. propose that an anticholinergic drug be used to treat a condition that was being so profitably treated with a
  1673. pro-cholinergic drug, but memantine came to be classified as an anti-excitatory "NMDA blocker," to protect the
  1674. remaining cholinergic nerves, so that both drugs could be prescribed simultaneously. The added drug seems to
  1675. have a small beneficial effect, but there has been no suggestion that this could be the result of its
  1676. previously-known anticholinergic effects. Over the years, some people have suspected that Alzheimer's disease
  1677. might be caused partly by a lack of purpose and stimulation in their life, and have found that meaningful,
  1678. interesting activity could improve their mental functioning. Because the idea of a "genetically determined
  1679. hard-wired" brain is no longer taught so dogmatically, there is increasing interest in this therapy for all
  1680. kinds of brain impairment. The analogy to the Berkeley enrichment experience is clear, so the association of
  1681. increasing cholinesterase activity with improving brain function should be of interest. The after-effect of
  1682. poisoning by nerve gas or insecticide has been compared to the dementia of old age. The anticholinergic drugs
  1683. are generally recognized for protecting against those toxins. Traumatic brain injury, even with improvement in
  1684. the short term, often starts a long-term degenerative process, greatly increasing the likelihood of dementia at
  1685. a later age. A cholinergic excitotoxic process is known to be involved in the traumatic degeneration of nerves
  1686. (Lyeth and Hayes, 1992), and the use of anticholinergic drugs has been recommended for many years to treat
  1687. traumatic brain injuries (e.g., Ward, 1950: Ruge, 1954; Hayes, et al., 1986). In 1976 there was an experiment
  1688. (Rosellini, et al.) that made an important link between the enrichment experiments and the learned helplessness
  1689. experiments. The control animals in the enrichment experiments were singly housed, while the others shared a
  1690. larger enclosure. In the later experiment, it was found that the rats "who were reared in isolation died
  1691. suddenly when placed in a stressful swimming situation," while the group-housed animals were resistant,
  1692. effective swimmers. Enrichment and deprivation have very clear biological meaning, and one is the negation of
  1693. the other.&nbsp; The increase of acetylcholinesterase, the enzyme that destroys acetylcholine, during
  1694. enrichment, serves to inactivate cholinergic processes. If deprivation does its harm by increasing the activity
  1695. of the cholinergic system, we should expect that a cholinergic drug might substitute for inescapable stress, as
  1696. a cause of learned helplessness, and that an anticholinergic drug could cure learned helplessness. Those tests
  1697. have been done: "Treatment with the anticholinesterase, physostigmine, successfully mimicked the effects of
  1698. inescapable shock." "The centrally acting anticholinergic scopolamine hydrobromide antagonized the effects of
  1699. physostigmine, and when administered prior to escape testing antagonized the disruptive effects of previously
  1700. administered inescapable shock." (Anisman, et al., 1981.) This kind of experiment would suggest that the
  1701. anticholinesterase drugs still being used for Alzheimer's disease treatment aren't biologically helpful. In an
  1702. earlier newsletter I discussed the changes of growth hormone, and its antagonist somatostatin, in association
  1703. with dementia: Growth hormone increases, somatostatin decreases. The cholinergic nerves are a major factor in
  1704. shifting those hormones in the direction of dementia, and the anticholinergic drugs tend to increase the ratio
  1705. of somatostatin to growth hormone. Somatostatin and cholinesterase have been found to co-exist in single nerve
  1706. cells (Delfs, et al., 1984). Estrogen, which was promoted so intensively as prevention or treatment for
  1707. Alzheimer's disease, was finally shown to contribute to its development. One of the characteristic effects of
  1708. estrogen is to increase the level of growth hormone in the blood. This is just one of many ways that estrogen is
  1709. associated with cholinergic activation. During pregnancy, it's important for the uterus not to contract.
  1710. Cholinergic stimulation causes it to contract; too much estrogen activates that system, and causes miscarriage
  1711. if it's excessive. An important function of progesterone is to keep the uterus relaxed during pregnancy. In the
  1712. uterus, and in many other systems, progesterone increases the activity of cholinesterase, removing the
  1713. acetylcholine which, under the influence of estrogen, would cause the uterus to contract. Progesterone is being
  1714. used to treat brain injuries, very successfully. It protects against inflammation, and in an early study,
  1715. compared to placebo, lowered mortality by more than half. It's instructive to consider its anticholinergic role
  1716. in the uterus, in relation to its brain protective effects. When the brain is poisoned by an organophosphate
  1717. insecticide, which lowers the activity of cholinesterase, seizures are likely to occur, and treatment with
  1718. progesterone can prevent those seizures, reversing the inhibition of the enzyme (and increasing the activity of
  1719. cholinesterase in rats that weren't poisoned) (Joshi, et al., 2010). Similar effects of progesterone on
  1720. cholinesterase occur in women (Fairbrother, et al., 1989), implying that this is a general function of
  1721. progesterone, not just something to protect pregnancy. Estrogen, with similar generality, decreases the activity
  1722. of cholinesterase. DHEA, like progesterone, increases the activity of cholinesterase, and is brain protective
  1723. (Aly, et al., 2011). Brain trauma consistently leads to decreased activity of this enzyme (Östberg, et al.,
  1724. 2011; Donat, et al., 2007), causing the acetylcholine produced in the brain to accumulate, with many interesting
  1725. consequences. In 1997, a group (Pike, et al.) created brain injuries in rats to test the idea that a
  1726. cholinesterase inhibitor would improve their recovery and ability to move through a maze. They found instead
  1727. that it reduced the cognitive ability of both the injured and normal rats. An anticholinergic drug, selegeline
  1728. (deprenyl) that is used to treat Parkinson's disease and, informally, as a mood altering antiaging drug, was
  1729. found by a different group (Zhu, et al., 2000) to improve cognitive recovery from brain injuries. One of
  1730. acetylcholine's important functions, in the brain as elsewhere, is the relaxation of blood vessels, and this is
  1731. done by activating the synthesis of NO, nitric oxide. (Without NO, acetylcholine constricts blood vessels;
  1732. Librizzi, et al., 2000.) The basic control of blood flow in the brain is the result of the relaxation of the
  1733. wall of blood vessels in the presence of carbon dioxide, which is produced in proportion to the rate at which
  1734. oxygen and glucose are being metabolically combined by active cells. In the inability of cells to produce CO2 at
  1735. a normal rate, nitric oxide synthesis in blood vessels can cause them to dilate. The mechanism of relaxation by
  1736. NO is very different, however, involving the inhibition of mitochondrial energy production (Barron, et al.,
  1737. 2001). Situations that favor the production and retention of a larger amount of carbon dioxide in the tissues
  1738. are likely to reduce the basic "tone" of the parasympathetic nervous system, as there is less need for
  1739. additional vasodilation. Nitric oxide can diffuse away from the blood vessels, affecting the energy metabolism
  1740. of nerve cells (Steinert, et al., 2010). Normally, astrocytes protect nerve cells from nitric oxide (Chen, et
  1741. al., 2001), but that function can be altered, for example by bacterial endotoxin absorbed from the intestine
  1742. (Solà, et al., 2002) or by amyloid-beta (Tran, 2001), causing them to produce nitric oxide themselves. Nitric
  1743. oxide is increasingly seen as an important factor in nerve degeneration (Doherty, 2011). Nitric oxide activates
  1744. processes (Obukuro, et al., 2013) that can lead to cell death. Inhibiting the production of nitric oxide
  1745. protects against various kinds of dementia (Sharma &amp; Sharma, 2013; Sharma &amp; Singh, 2013). Brain trauma
  1746. causes a large increase in nitric oxide formation, and blocking its synthesis improves recovery (Hüttemann, et
  1747. al., 2008; Gahm, et al., 2006). Organophosphates increase nitric oxide formation, and the protective
  1748. anticholinergic drugs such as atropine reduce it (Chang, et al., 2001; Kim, et al., 1997). Stress, including
  1749. fear (Campos, et al., 2013) and isolation (Zlatković and Filipović, 2013) can activate the formation of nitric
  1750. oxide, and various mediators of inflammation also activate it. The nitric oxide in a person's exhaled breath can
  1751. be used to diagnose some diseases, and it probably also reflects the level of their emotional well-being. The
  1752. increase of cholinesterase by enriched living serves to protect tissues against an accumulation of
  1753. acetylcholine. The activation of nitric oxide synthesis by acetylcholine tends to block energy production, and
  1754. to activate autolytic or catabolic processes, which are probably involved in the development of a thinner
  1755. cerebral cortex in isolated or stressed animals. Breaking down acetylcholine rapidly, the tissue renewal
  1756. processes are able to predominate in the enriched animals. Environmental conditions that are favorable for
  1757. respiratory energy production are protective against learned helplessness and neurodegeneration, and other
  1758. biological problems that involve the same mechanisms. Adaptation to high altitude, which stimulates the
  1759. formation of new mitochondria and increased thyroid (T3) activity, has been used for many years to treat
  1760. neurological problems, and the effect has been demonstrated in animal experiments (Manukhina, et al., 2010).
  1761. Bright light can reverse the cholinergic effects of inescapable stress (Flemmer, et al., 1990). During the
  1762. development of learned helplessness, the T3 level in the blood decreases (Helmreich, et al., 2006), and removal
  1763. of the thyroid gland creates the "escape deficit," while supplementing with thyroid hormone before exposing the
  1764. animal inescapable shock prevents its development (Levine, et al., 1990). After learned helplessness has been
  1765. created in rats, supplementing with T3 reverses it (Massol, et al., 1987, 1988).&nbsp; Hypothyroidism and excess
  1766. cholinergic tone have many similarities, including increased formation of nitric oxide, so that similar
  1767. symptoms, such as muscle inflammation, can be produced by cholinesterase inhibitors such as Tacrine, by
  1768. increased nitric oxide, or by simple hypothyroidism (Jeyarasasingam, et al., 2000; Franco, et al., 2006).
  1769. Insecticide exposure has been suspected to be a factor in the increased incidence of Alzheimer's disease
  1770. (Zaganas, et al., 2013), but it could be contributing to many other problems, involving inflammation, edema, and
  1771. degeneration. Another important source of organophosphate poisoning is the air used to pressurize airliners,
  1772. which can be contaminated with organophosphate fumes coming from the engine used to compress it.&nbsp; Possibly
  1773. the most toxic component of our environment is the way the society has been designed, to eliminate meaningful
  1774. choices for most people. In the experiment of Freund,&nbsp;<em>et al.</em>, some mice became more exploratory
  1775. because of the choices they made, while others' lives became more routinized and limited. Our culture reinforces
  1776. routinized living. In the absence of opportunities to vary the way you work and live to accord with new
  1777. knowledge that you gain, the nutritional, hormonal and physical factors have special importance. Supplements of
  1778. thyroid and progesterone are proven to be generally protective against the cholinergic threats, but there are
  1779. many other factors that can be adjusted according to particular needs. Niacinamide, like progesterone, inhibits
  1780. the production of nitric oxide, and also like progesterone, it improves recovery from brain injury (Hoane, et
  1781. al., 2008). In genetically altered mice with an Alzheimer's trait, niacinamide corrects the defect (Green, et
  1782. al., 2008). Drugs such as atropine and antihistamines can be used in crisis situations. Bright light, without
  1783. excess ultraviolet, should be available every day.&nbsp; The cholinergic system is much more than a part of the
  1784. nervous system, and is involved in cell metabolism and tissue renewal. Most people can benefit from reducing
  1785. intake of phosphate, iron, and polyunsaturated fats (which can inhibit cholinesterase; Willis, et al., 2009),
  1786. and from choosing foods that reduce production and absorption of endotoxin. And, obviously, drugs that are
  1787. intended to increase the effects of nitric oxide and acetylcholine should be avoided. © Ray Peat Ph.D. 2016. All
  1788. Rights Reserved. www.RayPeat.com
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