Butyrylcholinesterase is a serine hydrolase that catalyzes the hydrolysis of esters in the
body. Unlike its sister enzyme acetylcholinesterase, butyrylcholinesterase has a broad substrate scope
and lower acetylcholine catalytic efficiency. The difference in tissue distribution and inhibitor sensitivity
also points to its involvement external to cholinergic neurotransmission. Initial studies on butyrylcholinesterase
showed that the inhibition of the enzyme led to the increment of brain acetylcholine
levels. Further gene knockout studies suggested its involvement in the regulation of amyloid-beta, a
brain pathogenic protein. Thus, it is an interesting target for neurological disorders such as Alzheimer’s
disease. The substrate scope of butyrylcholinesterase was recently found to include cocaine, as well as
ghrelin, the “hunger hormone”. These findings led to the development of recombinant butyrylcholinesterase
mutants and viral gene therapy to combat cocaine addiction, along with in-depth studies on
the significance of butyrylcholinesterase in obesity. It is observed that the pharmacological impact of
butyrylcholinesterase increased in tandem with each reported finding. Not only is the enzyme now
considered an important pharmacological target, it is also becoming an important tool to study the
biological pathways in various diseases. Here, we review and summarize the biochemical properties of
butyrylcholinesterase and its roles, as a cholinergic neurotransmitter, in various diseases, particularly
neurodegenerative disorders.
Scopolamine as a drug is often used to treat motion sickness. Derivatives of scopolamine
have also found applications as antispasmodic drugs among others. In neuroscience-related research, it
is often used to induce cognitive disorders in experimental models as it readily permeates the bloodbrain
barrier. In the context of Alzheimer’s disease, its effects include causing cholinergic dysfunction
and increasing amyloid-β deposition, both of which are hallmarks of the disease. Hence, the application
of scopolamine in Alzheimer’s disease research is proven pivotal but seldom discussed. In this review,
the relationship between scopolamine and Alzheimer’s disease will be delineated through an
overall effect of scopolamine administration and its specific mechanisms of action, discussing mainly
its influences on cholinergic function and amyloid cascade. The validity of scopolamine as a model of
cognitive impairment or neurotoxin model will also be discussed in terms of advantages and limitations
with future insights.
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