Paying Attention to Your Acetylcholine, Part 1
Structural Organization of Nicotinic Receptors

Stephen M. Stahl, M.D., Ph.D.


Issue: Nicotinic cholinergic receptors exist in multiple forms in the brain and may be important in mediating diverse cognitive functions such as memory and attention.


 

This is the first of a 2-part series on nicotinic cholinergic receptors. Here we will discuss how recent advances in the understanding of nicotinic cholinergic receptors1,2 have elucidated their molecular structures. In the second part, we will present our current understanding of the psychopharmacologic functions of nicotinic cholinergic receptors. These developments form the basis for novel treatment strategies for cognitive disturbances, particularly those associated with Alzheimer's disease or schizophrenia, which will be discussed in a future Brainstorms.

Organization of the Nicotinic Receptor

Nicotinic receptors belong to the superfamily of receptors called ligand-gated ion channels. One of the best known members of this family is the gamma-aminobutyric acid (GABA)-benzodiazepine-chloride channel complex. These types of receptors are composed of 5 subunits that together create a central ion channel (Figure 1), which allows for the passage of calcium into the cell (Figure 2).

Summary

The structure of nicotinic receptors has been elucidated. How these structures lead to specific functions will be discussed in part 2.

References

1. Halladay MW, Dart MJ, Lynch JK. Neuronal nicotinic acetylcholine receptors as targets for drug discovery. J Med Chem 1997;40:4169-4194

2. Picciotto MR, Caldarone BJ, King SL, et al. Nicotinic receptors in the brain: links between molecular biology and behavior. Neuropsychopharmacology 2000;22:451-465

3. Maelicke A, Albuquerque EX. New approach to drug therapy in Alzheimer's dementia. Drug Discovery Today 1996;2:53-59

4. Albuquerque EX, Alkondon M, Pereira EFR, et al. Properties of neuronal nicotinic acetylcholine receptors: pharmacological characterization and modulation of synaptic function, J Pharmacol Exp Ther 1997;280:1117-1136