“…Alternatively, in the CNS, mismatches between cholinergic terminals and postsynaptic receptors may require ACh to act over a distance (Zoli, 2000), which could lead to desensitization of nAChRs under certain conditions; for example, when acetylcholinesterase is inhibited, endogenous activation of presynaptic nAChRs on dopaminergic terminals in striatum undergoes profound desensitization (Zhou et al, 2001)-a process that may occur during the treatment of Alzheimer's disease using cholinesterase inhibitors. Likewise, if the selective ␣7*-nAChR agonist, choline, is utilized as an "ambient" central transmitter, desensitization of these receptors would become an important feature of their physiology (Alkondon et al, 1997). Desensitization of nAChRs during chronic exposure to nicotine may not only lead to receptor up-regulation (Fenster et al, 1999b), but likely has a critical role in promoting other forms of synaptic plasticity: in the hippocampus, nicotine facilitated long-term potentiation is mimicked by the selective antagonist MLA, implying that desensitization of ␣7 nAChRs contributes to this effect (Fujii et al, 2000).…”