Choline acetyltransferase

Last updated
Choline acetyltransferase
Identifiers
EC no. 2.3.1.6
CAS no. 9012-78-6
Databases
IntEnz IntEnz view
BRENDA BRENDA entry
ExPASy NiceZyme view
KEGG KEGG entry
MetaCyc metabolic pathway
PRIAM profile
PDB structures RCSB PDB PDBe PDBsum
Gene Ontology AmiGO / QuickGO
Search
PMC articles
PubMed articles
NCBI proteins
CHAT
Protein CHAT PDB 2fy2.png
Available structures
PDB Ortholog search: PDBe RCSB
Identifiers
Aliases CHAT , CHOACTASE, CMS1A, CMS1A2, CMS6, choline O-acetyltransferase
External IDs OMIM: 118490 MGI: 88392 HomoloGene: 40693 GeneCards: CHAT
Orthologs
SpeciesHumanMouse
Entrez
Ensembl
UniProt
RefSeq (mRNA)

NM_009891

RefSeq (protein)

NP_034021

Location (UCSC) Chr 10: 49.61 – 49.67 Mb Chr 14: 32.13 – 32.19 Mb
PubMed search [3] [4]
Wikidata
View/Edit Human View/Edit Mouse

Choline acetyltransferase (commonly abbreviated as ChAT, but sometimes CAT) is a transferase enzyme responsible for the synthesis of the neurotransmitter acetylcholine. ChAT catalyzes the transfer of an acetyl group from the coenzyme acetyl-CoA to choline, yielding acetylcholine (ACh). ChAT is found in high concentration in cholinergic neurons, both in the central nervous system (CNS) and peripheral nervous system (PNS). As with most nerve terminal proteins, ChAT is produced in the body of the neuron and is transported to the nerve terminal, where its concentration is highest. Presence of ChAT in a nerve cell classifies this cell as a "cholinergic" neuron. In humans, the choline acetyltransferase enzyme is encoded by the CHAT gene. [5]

Contents

History

Choline acetyltransferase was first described by David Nachmansohn and A. L. Machado in 1943. [6] A German biochemist, Nachmansohn had been studying the process of nerve impulse conduction and utilization of energy-yielding chemical reactions in cells, expanding upon the works of Nobel laureates Otto Warburg and Otto Meyerhof on fermentation, glycolysis, and muscle contraction. Based on prior research showing that "acetylcholine's actions on structural proteins" were responsible for nerve impulses, Nachmansohn and Machado investigated the origin of acetylcholine. [7]

An enzyme has been extracted from brain and nervous tissue which forms acetylcholine. The formation occurs only in presence of adenosinetriphosphate (ATP). The enzyme is called choline acetylase.

Nachmanson & Machado, 1943 [6]

The acetyl transferase mode of action was unknown at the time of this discovery, however Nachmansohn hypothesized the possibility of acetylphosphate or phosphorylcholine exchanging the phosphate (from ATP) for choline or acetate ion. [6] It was not until 1945 that Coenzyme A (CoA) was discovered simultaneously and independently by three laboratories, [8] [9] [10] Nachmansohn's being one of these. Subsequently, acetyl-CoA, at the time called “active acetate,” was discovered in 1951. [11] The 3D structure of rat-derived ChAT was not solved until nearly 60 years later, in 2004. [12]

Structure

The 3D structure of ChAT has been solved by X-ray crystallography PDB: 2FY2 . Choline is bound in the active site of ChAT by non-covalent interactions between the positively charged amine of choline and the hydroxyl group of Tyr552, in addition to a hydrogen bond between choline's hydroxyl group and a histidine residue, His324.

The choline substrate fits into a pocket in the interior of ChAT, while acetyl-CoA fits into a pocket on the surface of the protein. The 3D crystal structure shows the acetyl group of acetyl-CoA abuts the choline binding pocket – minimizing the distance between acetyl-group donor and receiver.

Homology

ChAT is very conserved across the animal genome. Among mammals, in particular, there is very high sequence similarity. Human and cat (Felis catus) ChAT, for example, have 89% sequence identity. Sequence identity with Drosophila is about 30%. [13]

Forms of ChAT

There are two forms of ChAT: Soluble form and membrane-bound form. [14] The soluble form accounts for 80-90% of the total enzyme activity while the membrane-bound form is responsible for the rest of 10-20% activity. [15] However, there has long been a debate on how the latter form of ChAT is bound to the membrane. [16] The membrane-bound form of ChAT is associated with synaptic vesicles. [17]

Common and peripheral isoforms of ChAT

There exist two isoforms of ChAT, both encoded by the same sequence. The common type ChAT (cChAT) is present in both the CNS and PNS. Peripheral type ChAT (pChAT) is preferentially expressed in the PNS in humans, and arises from exon skipping (exons 6-9) during post-transcriptional modification. Therefore, the amino acid sequence is very similar; however, pChAT is missing parts of the sequence present in cChAT. The pChAT isoform was discovered in 2000 based on observations that brain-derived ChAT antibodies failed to stain peripheral cholinergic neurons as they do for those found in the brain. This gene splicing mechanism which leads to cChAT and pChAT differences has been observed in various species, including both vertebrate mammals and invertebrate mollusks, suggesting this mechanism leads to some yet-unidentified evolutionary advantage.

Function

synthesis and transportation of ACh in cells Cholinergic enzymes and transporters.png
synthesis and transportation of ACh in cells

Cholinergic systems are implicated in numerous neurologic functions. Alteration in some cholinergic neurons may account for the disturbances of Alzheimer disease. The protein encoded by this gene synthesizes the neurotransmitter acetylcholine. Acetylcholine acts at two classes of receptors in the central nervous system  muscarinic and nicotinic  – which are each implicated in different physiological responses. The role of acetylcholine at the nicotinic receptor is still under investigation. It is likely implicated in the reward/reinforcement pathways, as indicated by the addictive nature of nicotine, which also binds to the nicotinic receptor. The muscarinic action of acetylcholine in the CNS is implicated in learning and memory. The loss of cholinergic innervation in the neocortex has been associated with memory loss, as is evidenced in advanced cases of Alzheimer's disease. In the peripheral nervous system, cholinergic neurons are implicated in the control of visceral functions such as, but not limited to, cardiac muscle contraction and gastrointestinal tract function.

It is often used as an immunohistochemical marker for motor neurons (motoneurons).

Mutations

Mutants of ChAT have been isolated in several species, including C. elegans, Drosophila, and humans. Most non-lethal mutants that have a non-wild type phenotype exhibit some activity, but significantly less than wild type.

In C. elegans, several mutations in ChAT have been traced to the cha-1 gene. All mutations result in a significant drop in ChAT activity. Percent activity loss can be greater than 98% in some cases. Phenotypic effects include slowed growth, decreased size, uncoordinated behavior, and lack of sensitivity toward cholinesterase inhibitors. [19] Isolated temperature-sensitive mutants in Drosophila have all been lethal. Prior to death, affected flies show a change in behavior, including uncontrolled movements and a change in electroretinogram activity. [20]

The human gene responsible for encoding ChAT is CHAT. Mutations in CHAT have been linked to congenital myasthenic syndrome, a disease which leads to general motor function deficiency and weakness. Further symptoms include fatal apnea. Out of ten isolated mutants, 1 has been shown to lack activity completely, 8 have been shown to have significantly decreased activity, and 1 has an unknown function. [21]

Clinical significance

Alzheimer's disease

The Alzheimer's disease (AD) involves difficulty in memory and cognition. The concentrations of acetylcholine and ChAT are remarkably reduced in the cerebral neocortex and hippocampus. [22] Although the cellular loss and dysfunction of the cholinergic neurones is considered a contributor to Alzheimer disease, it is generally not considered as a primary factor in the development of this disease. It is proposed that the aggregation and deposition of the Beta amyloid protein, interferes with the metabolism of neurones and further damages the cholinergic axons in the cortex and cholinergic neurones in the basal forebrain. [23]

Amyotrophic lateral sclerosis

The amyotrophic lateral sclerosis (ALS) is one of the most common motor neuron diseases. A significant loss of ChAT immunoreactivity is found in ALS. [24] It is hypothesized that the cholinergic function is involved in an uncontrolled increase of intracellular calcium concentration whose reason still remains unclear. [25]

Drugs

Neostigmine methylsulfate, an anticholinesterase agent, has been used to target ChAT. In particular, use of neostigmine methylsulfate has been shown to have positive effects against congenital myasthenic syndrome. [26]

Exposure to estradiol has been shown to increase ChAT in female rats. [27]

See also

Related Research Articles

<span class="mw-page-title-main">Neurotransmitter</span> Chemical substance that enables neurotransmission

A neurotransmitter is a signaling molecule secreted by a neuron to affect another cell across a synapse. The cell receiving the signal, or target cell, may be another neuron, but could also be a gland or muscle cell.

<span class="mw-page-title-main">Acetylcholine</span> Organic chemical and neurotransmitter

Acetylcholine (ACh) is an organic compound that functions in the brain and body of many types of animals as a neurotransmitter. Its name is derived from its chemical structure: it is an ester of acetic acid and choline. Parts in the body that use or are affected by acetylcholine are referred to as cholinergic. Substances that increase or decrease the overall activity of the cholinergic system are called cholinergics and anticholinergics, respectively.

<span class="mw-page-title-main">Choline</span> Chemical compound and essential nutrient

Choline is a cation with the chemical formula [(CH3)3NCH2CH2OH]+. Choline forms various salts, for example choline chloride and choline bitartrate.

<span class="mw-page-title-main">Acetyl-CoA</span> Chemical compound

Acetyl-CoA is a molecule that participates in many biochemical reactions in protein, carbohydrate and lipid metabolism. Its main function is to deliver the acetyl group to the citric acid cycle to be oxidized for energy production. Coenzyme A consists of a β-mercaptoethylamine group linked to the vitamin pantothenic acid (B5) through an amide linkage and 3'-phosphorylated ADP. The acetyl group of acetyl-CoA is linked to the sulfhydryl substituent of the β-mercaptoethylamine group. This thioester linkage is a "high energy" bond, which is particularly reactive. Hydrolysis of the thioester bond is exergonic (−31.5 kJ/mol).

<span class="mw-page-title-main">Cholinergic</span> Agent which mimics choline

Cholinergic agents are compounds which mimic the action of acetylcholine and/or butyrylcholine. In general, the word "choline" describes the various quaternary ammonium salts containing the N,N,N-trimethylethanolammonium cation. Found in most animal tissues, choline is a primary component of the neurotransmitter acetylcholine and functions with inositol as a basic constituent of lecithin. Choline also prevents fat deposits in the liver and facilitates the movement of fats into cells.

<span class="mw-page-title-main">Cholinesterase</span> Esterase that lyses choline-based esters

The enzyme cholinesterase (EC 3.1.1.8, choline esterase; systematic name acylcholine acylhydrolase) catalyses the hydrolysis of choline-based esters:

<span class="mw-page-title-main">Transferase</span> Class of enzymes

A transferase is any one of a class of enzymes that catalyse the transfer of specific functional groups from one molecule to another. They are involved in hundreds of different biochemical pathways throughout biology, and are integral to some of life's most important processes.

<span class="mw-page-title-main">Nicotinic acetylcholine receptor</span> Acetylcholine receptors named for their selective binding of nicotine

Nicotinic acetylcholine receptors, or nAChRs, are receptor polypeptides that respond to the neurotransmitter acetylcholine. Nicotinic receptors also respond to drugs such as the agonist nicotine. They are found in the central and peripheral nervous system, muscle, and many other tissues of many organisms. At the neuromuscular junction they are the primary receptor in muscle for motor nerve-muscle communication that controls muscle contraction. In the peripheral nervous system: (1) they transmit outgoing signals from the presynaptic to the postsynaptic cells within the sympathetic and parasympathetic nervous system, and (2) they are the receptors found on skeletal muscle that receive acetylcholine released to signal for muscular contraction. In the immune system, nAChRs regulate inflammatory processes and signal through distinct intracellular pathways. In insects, the cholinergic system is limited to the central nervous system.

<span class="mw-page-title-main">End-plate potential</span>

End plate potentials (EPPs) are the voltages which cause depolarization of skeletal muscle fibers caused by neurotransmitters binding to the postsynaptic membrane in the neuromuscular junction. They are called "end plates" because the postsynaptic terminals of muscle fibers have a large, saucer-like appearance. When an action potential reaches the axon terminal of a motor neuron, vesicles carrying neurotransmitters are exocytosed and the contents are released into the neuromuscular junction. These neurotransmitters bind to receptors on the postsynaptic membrane and lead to its depolarization. In the absence of an action potential, acetylcholine vesicles spontaneously leak into the neuromuscular junction and cause very small depolarizations in the postsynaptic membrane. This small response (~0.4mV) is called a miniature end plate potential (MEPP) and is generated by one acetylcholine-containing vesicle. It represents the smallest possible depolarization which can be induced in a muscle.

<span class="mw-page-title-main">Synaptosome</span>

A synaptosome is an isolated synaptic terminal from a neuron. Synaptosomes are obtained by mild homogenization of nervous tissue under isotonic conditions and subsequent fractionation using differential and density gradient centrifugation. Liquid shear detaches the nerve terminals from the axon and the plasma membrane surrounding the nerve terminal particle reseals. Synaptosomes are osmotically sensitive, contain numerous small clear synaptic vesicles, sometimes larger dense-core vesicles and frequently one or more small mitochondria. They carry the morphological features and most of the chemical properties of the original nerve terminal. Synaptosomes isolated from mammalian brain often retain a piece of the attached postsynaptic membrane, facing the active zone.

Neuromodulation is the physiological process by which a given neuron uses one or more chemicals to regulate diverse populations of neurons. Neuromodulators typically bind to metabotropic, G-protein coupled receptors (GPCRs) to initiate a second messenger signaling cascade that induces a broad, long-lasting signal. This modulation can last for hundreds of milliseconds to several minutes. Some of the effects of neuromodulators include: alter intrinsic firing activity, increase or decrease voltage-dependent currents, alter synaptic efficacy, increase bursting activity and reconfiguration of synaptic connectivity.

<span class="mw-page-title-main">Hemicholinium-3</span> Chemical compound

Hemicholinium-3 (HC3), also known as hemicholine, is a drug which blocks the reuptake of choline by the high-affinity choline transporter at the presynapse. The reuptake of choline is the rate-limiting step in the synthesis of acetylcholine; hence, hemicholinium-3 decreases the synthesis of acetylcholine. It is therefore classified as an indirect acetylcholine antagonist.

<span class="mw-page-title-main">Vesicular acetylcholine transporter</span> Protein-coding gene in the species Homo sapiens

The Vesicular acetylcholine transporter (VAChT) is a neurotransmitter transporter which is responsible for loading acetylcholine (ACh) into secretory organelles in neurons making acetylcholine available for secretion. It is encoded by Solute carrier family 18, member 3 (SLC18A3) gene, located within the first intron of the choline acetyltransferase gene. VAChT is able to transport ACh into vesicles by relying on an exchange between protons (H+) that were previously pumped into the vesicle diffusing out, thus acting as an antiporter. ACh molecules are then carried into the vesicle by the action of exiting protons. Acetylcholine transport utilizes a proton gradient established by a vacuolar ATPase.

<span class="mw-page-title-main">Acetylcholinesterase</span> Primary cholinesterase in the body

Acetylcholinesterase (HGNC symbol ACHE; EC 3.1.1.7; systematic name acetylcholine acetylhydrolase), also known as AChE, AChase or acetylhydrolase, is the primary cholinesterase in the body. It is an enzyme that catalyzes the breakdown of acetylcholine and some other choline esters that function as neurotransmitters:

<span class="mw-page-title-main">Glucosamine-phosphate N-acetyltransferase</span>

In enzymology, glucosamine-phosphate N-acetyltransferase (GNA) is an enzyme that catalyzes the transfer of an acetyl group from acetyl-CoA to the primary amine in glucosamide-6-phosphate, generating a free CoA and N-acetyl-D-glucosamine-6-phosphate.

<span class="mw-page-title-main">CHRNA6</span> Protein-coding gene in the species Homo sapiens

Cholinergic receptor, nicotinic, alpha 6, also known as nAChRα6, is a protein that in humans is encoded by the CHRNA6 gene. The CHRNA6 gene codes for the α6 nicotinic receptor subunit that is found in certain types of nicotinic acetylcholine receptors found primarily in the brain. Neural nicotinic acetylcholine receptors containing α6 subunits are expressed on dopamine-releasing neurons in the midbrain, and dopamine release following activation of these neurons is thought to be involved in the addictive properties of nicotine. Due to their selective localisation on dopaminergic neurons, α6-containing nACh receptors have also been suggested as a possible therapeutic target for the treatment of Parkinson's disease. In addition to nicotine, research in animals has implicated alpha-6-containing nAChRs in the abusive and addictive properties of ethanol, with mecamylamine demonstrating a potent ability to block these properties.

<span class="mw-page-title-main">Naphthylvinylpyridine</span> Chemical compound

Naphthylvinylpyridine (NVP) is a naphthalene derivative that possesses anticholinergic activity similar to that of atropine. However, NVP's method of acetylcholine (ACh) antagonism involves inhibiting the enzyme choline acetyltransferase.

<span class="mw-page-title-main">Choline transporter</span> Protein-coding gene in the species Homo sapiens

The high-affinity choline transporter (ChT) also known as solute carrier family 5 member 7 is a protein in humans that is encoded by the SLC5A7 gene. It is a cell membrane transporter and carries choline into acetylcholine-synthesizing neurons.

<span class="mw-page-title-main">Cholinergic neuron</span> Type of nerve cell

A cholinergic neuron is a nerve cell which mainly uses the neurotransmitter acetylcholine (ACh) to send its messages. Many neurological systems are cholinergic. Cholinergic neurons provide the primary source of acetylcholine to the cerebral cortex, and promote cortical activation during both wakefulness and rapid eye movement sleep. The cholinergic system of neurons has been a main focus of research in aging and neural degradation, specifically as it relates to Alzheimer's disease. The dysfunction and loss of basal forebrain cholinergic neurons and their cortical projections are among the earliest pathological events in Alzheimer's disease.

<span class="mw-page-title-main">Neuronal lineage marker</span> Endogenous tag expressed in different cells along neurogenesis and differentiated cells

A neuronal lineage marker is an endogenous tag that is expressed in different cells along neurogenesis and differentiated cells such as neurons. It allows detection and identification of cells by using different techniques. A neuronal lineage marker can be either DNA, mRNA or RNA expressed in a cell of interest. It can also be a protein tag, as a partial protein, a protein or an epitope that discriminates between different cell types or different states of a common cell. An ideal marker is specific to a given cell type in normal conditions and/or during injury. Cell markers are very valuable tools for examining the function of cells in normal conditions as well as during disease. The discovery of various proteins specific to certain cells led to the production of cell-type-specific antibodies that have been used to identify cells.

References

  1. 1 2 3 GRCh38: Ensembl release 89: ENSG00000070748 - Ensembl, May 2017
  2. 1 2 3 GRCm38: Ensembl release 89: ENSMUSG00000021919 - Ensembl, May 2017
  3. "Human PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
  4. "Mouse PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
  5. Strauss WL, Kemper RR, Jayakar P, Kong CF, Hersh LB, Hilt DC, Rabin M (February 1991). "Human choline acetyltransferase gene maps to region 10q11-q22.2 by in situ hybridization". Genomics. 9 (2): 396–8. doi: 10.1016/0888-7543(91)90273-H . PMID   1840566.
  6. 1 2 3 Nachmansohn D, Machado AL (1943). "The Formation of Acetylcholine. A New Enzyme: Choline Acetylase". J. Neurophysiol. 6 (5): 397–403. doi:10.1152/jn.1943.6.5.397.
  7. Berman R, Wilson IB, Nachmansohn D (September–October 1953). "Choline acetylase specificity in relation to biological function". Biochimica et Biophysica Acta. 12 (1–2): 315–24. doi:10.1016/0006-3002(53)90150-4. PMID   13115440.
  8. Lipmann F, Kaplan NO (1946). "A Common Factor in the Enzymatic Acetylation of Sulfanilamide and of Choline". J. Biol. Chem. 162 (3): 743–744. doi: 10.1016/S0021-9258(17)41419-0 .
  9. Lipton MA (1946). "Mechanism of the enzymatic synthesis of acetylcholine". Fed. Proc. 5 (1 Pt 2): 145. PMID   21066687.
  10. Nachmansohn D, Berman M (1946). "Studies on choline acetylase; on the preparation of the coenzyme and its effect on the enzyme". J. Biol. Chem. 165 (2): 551–63. doi: 10.1016/S0021-9258(17)41168-9 . PMID   20276121.
  11. Jones DH, Nelson WL (1968). "A method for isolation of coenzyme A products". Anal. Biochem. 26 (3): 350–7. doi:10.1016/0003-2697(68)90195-4. PMID   5716187.
  12. Govindasamy L, Pedersen B, Lian W, Kukar T, Gu Y, Jin S, Agbandje-McKenna M, Wu D, McKenna R (November 2004). "Structural insights and functional implications of choline acetyltransferase". Journal of Structural Biology. 148 (2): 226–35. doi:10.1016/j.jsb.2004.06.005. PMID   15477102.
  13. Oda Y (November 1999). "Choline acetyltransferase: the structure, distribution and pathologic changes in the central nervous system". Pathology International. 49 (11): 921–37. doi:10.1046/j.1440-1827.1999.00977.x. PMID   10594838. S2CID   23621617.
  14. Tandon A, Bachoo M, Weldon P, Polosa C, Collier B (1996). "Effects of colchicine application to preganglionic axons on choline acetyltransferase activity and acetylcholine content and release in the superior cervical ganglion". J. Neurochem. 66 (3): 1033–41. doi:10.1046/j.1471-4159.1996.66031033.x. PMID   8769864. S2CID   44586742.
  15. Pahud G, Salem N, van de Goor J, Medilanski J, Pellegrinelli N, Eder-Colli L (25 May 1998). "Study of subcellular localization of membrane-bound choline acetyltransferase in Drosophila central nervous system and its association with membranes". European Journal of Neuroscience. 10 (5): 1644–53. doi:10.1046/j.1460-9568.1998.00177.x. PMID   9751137. S2CID   24196247.
  16. Bruce G, Hersh LB (December 1987). "Studies on detergent released choline acetyltransferase from membrane fractions of rat and human brain". Neurochem Res. 12 (12): 1059–66. doi:10.1007/bf00971705. PMID   2450285. S2CID   4336737.
  17. Carroll PT (1994). "Membrane-bound choline-O-acetyltransferase in rat hippocampal tissue is associated with synaptic vesicles". Brain Res. 633 (1–2): 112–8. doi:10.1016/0006-8993(94)91529-6. PMID   8137149. S2CID   1139292.
  18. Rand, James. "Acetylcholine". WormBook.
  19. Rand JB, Russell RL (February 1984). "Choline acetyltransferase-deficient mutants of the nematode Caenorhabditis elegans". Genetics. 106 (2): 227–48. doi:10.1093/genetics/106.2.227. PMC   1202253 . PMID   6698395.
  20. Greenspan RJ (1980). "Mutations of choline acetyltransferase and associated neural defects". Journal of Comparative Physiology. 137 (1): 83–92. doi:10.1007/BF00656920. S2CID   45897606.
  21. Ohno K, Tsujino A, Brengman JM, Harper CM, Bajzer Z, Udd B, Beyring R, Robb S, Kirkham FJ, Engel AG (13 February 2001). "Choline acetyltransferase mutations cause myasthenic syndrome associated with episodic apnea in humans". Proceedings of the National Academy of Sciences. 98 (4): 2017–2022. Bibcode:2001PNAS...98.2017O. doi: 10.1073/pnas.98.4.2017 . PMC   29374 . PMID   11172068.
  22. Bartus RT, Dean RL, Beer B, Lippa AS (30 July 1982). "The cholinergic hypothesis of geriatric memory dysfunction". Science. 217 (4558): 408–14. Bibcode:1982Sci...217..408B. doi:10.1126/science.7046051. PMID   7046051.
  23. Geula C, Mesulam MM, Saroff DM, Wu CK (January 1998). "Relationship between plaques, tangles, and loss of cortical cholinergic fibers in Alzheimer disease". J Neuropathol Exp Neurol. 57 (1): 63–75. doi: 10.1097/00005072-199801000-00008 . PMID   9600198.
  24. Oda Y, Imai S, Nakanishi I, Ichikawa T, Deguchi T (December 1995). "Immunohistochemical study on choline acetyltransferase in the spinal cord of patients with amyotrophic lateral sclerosis". Pathol Int. 45 (12): 933–9. doi:10.1111/j.1440-1827.1995.tb03418.x. PMID   8808298. S2CID   23763400.
  25. Morrison BM, Morrison JH (January 1999). "Amyotrophic lateral sclerosis associated with mutations in superoxide dismutase: a putative mechanism of degeneration". Brain Res Brain Res Rev. 29 (1): 121–35. doi:10.1016/s0165-0173(98)00049-6. PMID   9974153. S2CID   28937351.
  26. Greer M, Schotland M (July 1960). "Myasthenia gravis in the newborn". Pediatrics. 26: 101–8. doi:10.1542/peds.26.1.101. PMID   13851666. S2CID   8672902.
  27. Luine VN (August 1985). "Estradiol increases choline acetyltransferase activity in specific basal forebrain nuclei and projection areas of female rats". Experimental Neurology. 89 (2): 484–90. doi:10.1016/0014-4886(85)90108-6. PMID   2990988. S2CID   1525252.

Further reading