The vesicular acetylcholine transport system

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Abstract

In recent years an acetylcholine uptake mechanism has been described in isolated synaptic vesicles. The drug 2-(4-phenylpiperidino) cyclohexanol (AH5183; vesamicol) has been shown to be a potent inhibitor of vesicular acetylcholine storage. Vesamicol acts in a stereoselective non-competitive manner at a site distinct from the transport ATPase and the acetylcholine transporter active site. The drug represents the prototype of a new series of pharmacological agents used to investigate prejunctional cholinergic transmission.

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  • Cited by (156)

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      2017, Bioorganic and Medicinal Chemistry
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      Noninvasive in vivo imaging based on radiolabeled VAChT ligands using PET (positron emission tomography) or SPECT (single-photon emission computed tomography) is a promising option for visualization of such cholinergic neuronal processes and thus might support early diagnostics of AD.7,8 So far, the development of VAChT radiotracers is based on vesamicol (trans-2-(4-phenylpiperidino)cyclohexanol, Fig. 1), the single known chemical lead compound, that binds with high affinity to an allosteric site of the transporter.9,10 However, radiolabeled vesamicol itself is not suitable for specific VAChT imaging due to its insufficient selectivity caused by the additional binding to the σ1 and σ2 receptors11,12, which are both as well expressed in cholinergic brain regions.

    • New systematically modified vesamicol analogs and their affinity and selectivity for the vesicular acetylcholine transporter - A critical examination of the lead structure

      2015, European Journal of Medicinal Chemistry
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      Nevertheless, PET, with fluorine-18 as the currently most widely used radionuclide, is superior regarding its detection efficiency, spatial resolution, and quantification. The previous development of VAChT radiotracers was based on the single known chemical lead compound vesamicol (trans-2-(4-phenylpiperidino)cyclohexanol), that binds with high affinity to an allosteric site of the transporter [11–13]. However, vesamicol also demonstrates substantial affinity to the sigma receptors σ1 and σ2, which are distributed in cholinergic brain regions, thereby impairing the possibility of specific in vivo imaging [14,15].

    • Structural changes of benzylether derivatives of vesamicol and their influence on the binding selectivity to the vesicular acetylcholine transporter

      2005, European Journal of Medicinal Chemistry
      Citation Excerpt :

      Neurodegenerative disorders like Alzheimer's disease as well as physiological ageing processes are characterised by a profound loss of central cholinergic neurons which is accompanied by deficiencies in cholinergic neurotransmission [1–7]. The vesicular acetylcholine transporter (VAChT), localised in cholinergic nerve terminals [8,9], is responsible for the transport of acetylcholine into presynaptic vesicles [10,11]. Therefore, radioligands which bind specifically to the VAChT, are assumed to provide a tool for studying the density of central cholinergic neurons using PET (positron emission tomography) or SPECT (single photon emission computed tomography).

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