ABSTRACT2-(4-Phenylpiperidino)cyclohexanol (AH-5183) is a noncompetitive and potent inhibitor of high-affinity acetylcholine transport into cholinergic vesicles. It is reported here that [3H]AH5183 binds specifically and saturably to slide-mounted sections of the rat forebrain (Kd = 1.1 to 2.2 x 10-8 M; Bm.. = 286 to 399 fmol/mg of protein). The association and dissociation rate constants for [3HJAH5183 binding are 8.6x 106 M-1*min-1 and 0.18 mini1, respectively. Bound[31H]AH5183 can be displaced by nonradioactive AH5183 and by the structural analog (2a,3,f,4A,8,8Aa)-decahydro-3-(4-phenyl-l-piperidinyl)-2-naphthalenol but not by 10 ,uM concentrations of the cholinergic drugs acetylcholine, choline, atropine, hexamethonium, eserine, or hemicholinium-3 or by the structurally related compounds 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine, 1-methyl-4-phenylpyridine, (±)-N-allylnormetazocine (SKF 10,047), levoxadrol, or dexoxadrol. Brittain and coworkers (1, 2) reported that 2-(4-phenylpiperidino)cyclohexanol (AH5183), a structural isomer of hydroxylated phencyclidine, inhibits the coaxially stimulated contractions of the isolated guinea pig ileum. Because AH5183 did not affect the contractions elicited by the addition of acetylcholine (AcCho) to the bath, it was proposed that AH5183 produces a "selective prejunctional inhibition" of cholinergic neurotransmission (1, 2). Based on the pharmacological characteristics of the neuromuscular blockade produced by AH5183 in vivo (1, 2), in vitro, and in situ (3-5), Marshall hypothesized that AH5183 inhibits the loading of AcCho into synaptic vesicles. In support of Marshall's hypothesis, synaptic vesicles isolated from the electric organ of Torpedo californica, a model system for the mammalian cholinergic synapse (6), have been shown to acquire AcCho by an active transport process that is pharmacologically distinct from other cholinergic systems (7). AH5183 is the most potent inhibitor of this transport system, half inhibiting AcCho uptake at 40 nM in a noncompetitive manner (7, 8). AH5183 also has been found to inhibit the uptake of newly synthesized AcCho into synaptic storage vesicles in PC12 cells (9, 10) and, presumably as a secondary effect, to inhibit the release of AcCho from the cat superior cervical ganglion in situ (11) MATERIALS AND METHODS Materials. The following chemicals were used in this study: AcCho chloride (Fluka); atropine sulfate, choline chloride, eserine sulfate, hemicholinium-3, and hexamethonium bromide (Sigma); (+)-N-allylnormetazocine (SKF 10,047) (Smith Kline & Beckman); and 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MePhH4Py) and 1-methyl-4-phenylpyridine (MePhPy+) (Research Biochemicals, Wayland, MA).[3H]AH5183 (15) MePhPy+, 1-methyl-4-phenylpyridine; MePhH4Py, 1-methyl-4-phnenyl-1,2,3,6-tetrahydropyridine . XTo whom reprint requests should be addressed.The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely ...