“…A similar straightforward physiological role for desensitization of ligand-gated ion channels is far from apparent-neurotransmitter is generally not around long enough to provide the continuous stimulation necessary to desensitize these receptors under physiological conditions (Clements, 1996). However, for receptors that desensitize rapidly (e.g., those comprised of ␣7 subunits), or those with high affinities for ACh, which therefore remain bound with agonist for some time after free transmitter is cleared (e.g., ␣42*-nAChRs), desensitization may accumulate during periods of repetitive stimulation, and either lead to loss of response, or if reopening of channels is favorable, would allow prolongation of the synaptic response (Jones and Westbrook, 1996;Paradiso and Brehm, 1998). 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.…”