The Choline Transporter Resurfaces: New Roles for Synaptic Vesicles?
Mol. Interv. 2004 4: 22-37.
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Cognitive processes require the proper function of cholinergic neurons, as does signal transmission at neuromuscular junctions. Indeed, the increased synthesis and output of acetylcholine (ACh) can ameliorate diseases involving impaired cholinergic activity. Once released into the synapse, ACh is quickly hydrolyzed, thus terminating the ACh activation of postsynaptic receptors. Further release of ACh requires the reuptake of choline, mediated by the choline transporter (CHT) at presynaptic neurons, which is the rate-limiting step in the production of acetylcholine. Subsequent to choline reuptake, ACh is efficiently produced by choline acetyltransferase and put into synaptic vesicles by the vesicular ACh transporter. Knowing how CHT function is regulated may lead to intelligently designed interventions to mitigate deficient cholinergic function.