The relationship between structure and pharmacological action in parasympathomimetic drugs has been extensively studied, notably by Hunt (1915), Hunt and Renshaw (1925, 1929, 1933, Bovet and Bovet-Nitti (1948), and Holton and Ing (1949). These and other studies have shown that few modifications in the acetylcholine molecule are permissible if the same order of pharmacological activity is to be retained. For instance, replacement of one of the methyl groups by ethyl caused little change in activity, but the substitution of n-propyl or longer aliphatic groups, or the substitution of more than one methyl by ethyl, led to a pronounced decrease in activity (Holton and Ing, 1949). Substitution of a ,8-methyl group had little effect on muscarinic activity but almost abolished nicotinic activity (Simonart, 1932). On the other hand a-methyl substitution reduced muscarinic activity without appreciable effect on nicotinic activity. Increase in the separation between the quaternary nitrogen and the ester group to 3 carbons in acetyl-y-homocholine had little effect on the activity (Hunt, 1915); and finally tertiary, secondary, and primary amino ethyl acetates were much less active than acetylcholine (Stehle, Melville, and Oldham, 1936).Similar studies on the specificity of the cholinesterases have shown that, although these enzymes are sensitive to the nature of the acyl group, they are extraordinarily unspecific for the alcoholic part of the ester (Adams, 1949), so that even non-basic esters are vigorously split and may sometimes be hydrolysed faster than acetylcholine (e.g., isopropenyl acetate-Burgen, unpublished).Until recently, in default of other evidence, it had been assumed that choline acetylase was specific. Doubt was thrown on this when Banister, Whittaker, and Wijesundera (1953) demonstrated the presence of propionylcholine in ox spleen. Gardiner and Whittaker (1954) and Berman, Wilson, and Nachmansohn (1953) were able to show that acetone powder extracts of pigeon brain and squid ganglia could synthesize propionylcholine or butyrylcholine if propionate or butyrate were added to the incubate in place of acetate. The only suggestion that choline acetylase might also be non-specific for choline, too, was the finding of Korey, Braganza, and Nachmansohn (1951) that choline acetylase from the squid head ganglion was able to acetylate dimethyl ethanolamine as fast as choline, but that ethanolamine, monomethylethanolamine, and diethylethanolamine were not acetylated at all.The present work was undertaken to study systematically the effects of modification of the choline molecule on the rate of acetylation by choline acetylase and also to attempt to find specific inhibitors of the acetylase.Since the acetyl esters of many of the bases studied have negligible biological activity it was not possible to use the usual bioassay methods for estimating the rate of acetylation. The most satisfactory solution to this problem was the use of a highly purified preparation of choline acetylase and the measurement of the rate at which...