Summary:The effects of the anticholinesterases tetrahy droaminoacridine (THA) and physostigmine on local ce rebral glucose utilization (LCG U) were studied in the conscious rat, using the autoradiographic [14C]deoxyglu cose technique. THA (5 mg/kg i.p.) increased LCGU sig nificantly in 8 of the 43 regions studied. A higher dose of THA (10 mg/kg) produced a metabolic activation in 19 of the 43 regions. LeGU increased in cortical areas (indud ing parietal and temporal cortices), the septohippocampal system, the thalamus, the lateral habenula, the basolat era! amygdala, the superior colliculus, and the substantia nigra. Scopolamine (4 mg/kg i.p.) reversed the THA induced LeGU increase. Physostigmine (0.2 and 0.5 mg/ kg) increased LeGU in 15 and 22 regions, respectively. The average magnitude of the change induced by 0.5 mg/ Local cerebral glucose utilization (LCGU) is a reliable measure of local cerebral metabolism. De creased LCG U is a consistent finding in dementia of the Alzheimer type (especially in parietal and tem poral cortices) and correlates with the severity of cognitive impairment (Benson et aI., 1983; Fried land et aI., 1985; Duara et aI., 1986).Although deficits in several neurotransmitters oc cur in Alzheimer's disease, the involvement of the cholinergic system seems to be the most severe and the most consistent (Bowen et aI., 1985). Clinical trials attempting to increase the synthesis of acetyl choline (ACh) by the administration of the ACh pre cursors choline or lecithin or to stimulate muscarin- Abbreviations used: ACh, acetylcholine; AChE, acetylcholin esterase; AMB, atropine methylbromide; ChAT, choline acetyl transferase; DG, 2-deoxY-D-glucose; HMB, hexamethonium bromide; LCGU, local cerebral glucose utilization; THA, tet rahydroaminoacridine.
855kg of physostigmine was similar to that observed after THA at 10 mg/kg, but the topography of the effects was somewhat different. Physostigmine increased LeGU in the preoptic magnocellular area, the brainstem, and the cerebellum but not in the parietal cortex. The effects in the septohippocampal system were smaller than those in duced by THA. The regional topography of the LeGU increase overlapped the distribution of the M2 muscarinic receptors and that of acetylcholinesterase activity. These data suggest that the major effects of THA and physo stigmine on LCGU result from their anticholinesterase action.