Acetylcholinesterase inhibitors and cholinergic modulation in Myasthenia Gravis and neuroinflammation

  • Talma Brenner
  • , Eran Nizri
  • , Michal Irony-Tur-Sinai
  • , Yasmine Hamra-Amitay
  • , Itzhak Wirguin

    Research output: Contribution to journalArticlepeer-review

    36 Scopus citations

    Abstract

    The cholinergic network affects various cellular functions including neurotransmission, and immune reactions. In Myasthenia Gravis (MG), diagnosis and symptomatic therapy are based on cholinergic modulation by acetylcholinesterase inhibitors (AChEI). In Alzheimer's disease (AD) a neurodegenerative disorder associated with inflammatory pathology, cholinergic systems cell loss occurs early. Treatments with special AChEI enhance cholinergic transmission and may act as anti-inflammatory agent via immunocompetent cells expressing α-7 acetylcholine receptor (AChR). In Multiple Sclerosis (MS) an inflammatory T-cell-mediated disease, demyelination and neurodegeneration follow neuroinflammation. MS treatment includes anti-inflammatory and immunomodulatory drugs. AChEI can induce cholinergic up-regulation with subsequent effect on neuroinflammation via α-7-AChR expressing cells. These effects are additional to the cognitive benefit induced by AChEI.

    Original languageEnglish
    Pages (from-to)121-127
    Number of pages7
    JournalJournal of Neuroimmunology
    Volume201-202
    Issue numberC
    DOIs
    StatePublished - 15 Sep 2008

    Keywords

    • Acetylcholinesterase inhibitors
    • Alzheimer's disease
    • Inflammation
    • Multiple Sclerosis
    • Myasthenia Gravis
    • α-7-Acetylcholine receptor

    ASJC Scopus subject areas

    • Immunology and Allergy
    • Immunology
    • Neurology
    • Clinical Neurology

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