Release Date: 2024-05-28

Signal Transmission

Merve Nur Gecin (Author), Aykut Oruc (Author), Kadriye Yagmur Oruc (Author), Hakki Oktay Seymen (Author)

Release Date: 2024-05-28

Signal transmission in neurons is a fundamental process that underpins brain function and behavior. This intricate communication system relies on the precise operation of ion channels and neurotransmitters. Neurons communicate through electrical signals known as action potentials. An action potential begins when a neuron receives a sufficient stimulus, causing a rapid change in the electrical [...]

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Work TypeBook Chapter
Published inAlzheimer’s Disease From Molecular Mechanisms to Clinical Practices
First Page37
Last Page76
DOIhttps://doi.org/10.69860/nobel.9786053359166.2
ISBN978-605-335-916-6 (PDF)
LanguageENG
Page Count40
Copyright HolderNobel Tıp Kitabevleri
Licensehttps://nobelpub.com/publish-with-us/copyright-and-licensing
Signal transmission in neurons is a fundamental process that underpins brain function and behavior. This intricate communication system relies on the precise operation of ion channels and neurotransmitters. Neurons communicate through electrical signals known as action potentials. An action potential begins when a neuron receives a sufficient stimulus, causing a rapid change in the electrical charge across its membrane. Neurotransmitters are chemical messengers that transmit signals across the synaptic cleft to the postsynaptic neuron. Common neurotransmitters include glutamate, gamma-aminobutyric acid (GABA), acetylcholine, dopamine, serotonin, and norepinephrine. Each neurotransmitter binds to specific receptors on the postsynaptic membrane, causing ion channels to open or close, which alters the postsynaptic membrane potential. This section delves into the mechanisms of signal transmission within neurons, detailing action potential generation and propagation and the roles of ion channels and membrane potential. It offers a comprehensive analysis of synaptic transmission, explaining how neurons communicate through neurotransmitters and receptor interactions, emphasizing their role in brain information processing. Additionally, it explores the impact of metabolic dysfunctions on neuronal health, addressing how disturbances in energy metabolism can lead to neuron dysfunction and neurological diseases like Alzheimer’s. The section underscores the importance of maintaining metabolic integrity for neuronal survival and optimal function, providing a thorough understanding of neuronal physiology.

Merve Nur Gecin (Author)
Istanbul Cerrahpasa University
https://orcid.org/0000-0002-0375-6538
3Merve Nur Geçin was born in 1997. She completed her primary and secondary education at Kırşehir Primary School. She completed her primary and secondary education at Kırşehir Primary School and Kırşehir Anatolian Teacher High School, respectively. In 2020, she graduated from Kırıkkale University Faculty of Veterinary Medicine, earning the title of ’Veterinarian’. Her thirst for knowledge and academic excellence led her to start her academic career as a Lecturer at Istanbul University Aziz Sancar Experimental Medicine Research Institute, Department of Laboratory Animal Science, in 2021. The same year, she was appointed as the ’Responsible Veterinarian’ in the Experimental Animals Laboratory of the Department of Laboratory Animals. In 2022, she successfully completed the master’s thesis program in veterinary anatomy at Aksaray University Faculty of Veterinary Medicine, earning the title of ’MSc. ’ Her academic journey continues to flourish as she embarked on the Physiology PhD program at Istanbul – Cerrahpaşa University Health Sciences Institute, where she is currently pursuing her doctoral education.

Aykut Oruc (Author)
Istanbul Cerrahpasa University
https://orcid.org/0000-0001-8043-7971
3Specialist Aykut Oruç completed his medical education at Gazi University Faculty of Medicine between 2005 and 2011. From 2013 to 2014, he worked as a resident doctor in the Pediatric Surgery Department at Istanbul University, Cerrahpaşa Faculty of Medicine. Between 2014 and 2018, he completed his medical specialization in the Department of Physiology at Istanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, with his thesis titled "The Role of Glycogen Synthase Kinase-3-Beta in the Potential Neuroprotective Effect of Metformin in Rats Induced with Glutamate Neurotoxicity". In 2018, Dr. Oruç received the Actelion Pulmonary Vascular Science Award and successfully completed his Electrophysiology & Clinical Electrophysiology training at Mayo Clinic in 2021. His research focuses on neurophysiology and electrophysiology, and he continues to work actively in these fields. He also provides clinical contributions at the Neurophysiology Research Laboratory, founded by Prof. Dr. Hakkı Oktay Seymen. Since 2023, Dr. Oruç has been a researcher in the TÜBİTAK 1004 Center of Excellence Support Program, under the project titled "Development of Biomarkers and Advanced Technological Warning Systems for the Diagnosis, Treatment, and Monitoring of Diseases Leading to Neuronal Damage." He is specifically involved in the sub-project "Development and Optimization of Perfect Electrodes for the Electro-Neurophysiological Diagnosis of Neuronal Damage in Experimental and Human Models”.

Kadriye Yagmur Oruc (Author)
İstinye University
https://orcid.org/0000-0002-3747-5136
3Research Assistant Kadriye Yağmur Oruç completed her undergraduate studies in Biology at Abant Izzet Baysal University between 2010 and 2015, with a curriculum that included extensive English instruction. During 2013-2014, she continued her biology education at College of Nyíregyháza in Hungary through the Erasmus program. From 2015 to 2016, she completed an internship at the University of Ulm, Institute of Comparative Molecular Endocrinology in Germany. Between 2016 and 2019, she completed her master’s degree at Istanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Physiology, with a thesis titled “The Effect of Titanium (Ti) and Titanium 500 (Ti 500) Implantation on Rat Macrophage Subgroup Activation,” earning the title of MSc. Since 2019, she has been advancing her PhD research program with his advisor, Prof. Dr. Hakkı Oktay Seymen, in the Department of Physiology at Istanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine. In 2019, she began working as a research assistant in the Department of Physiology at Istinye University Faculty of Medicine and continues to hold this position. Her research areas include neurophysiology, endocrinology, and immunology. Since 2023, Yağmur Oruç has been a researcher in the TÜBİTAK 1004 Center of Excellence Support Program project titled “Development of Biomarkers and Advanced Technological Warning Systems for the Diagnosis, Treatment, and Monitoring of Diseases Leading to Neuronal Damage,” specifically in the sub-project “Development and Optimization of Perfect Electrodes for the Electro-Neurophysiological Diagnosis of Neuronal Damage in Experimental and Human Models”.

Hakki Oktay Seymen (Author)
Professor, Istanbul Cerrahpasa University
https://orcid.org/0000-0001-5096-747X
3Completed his medical education at Istanbul University, Istanbul Faculty of Medicine between 1981 and 1987. He then completed his medical specialization at Istanbul University, Cerrahpaşa Faculty of Medicine, Department of Physiology between 1987 and 1990, with his thesis titled "Examination of Erythrocyte Parameters, Osmotic Fragility, Viscosity, and Erythrocyte Membrane Proteins in Splenectomized Organisms." In 1999, he was awarded the title of professor. Dr. Seymen has made significant contributions to research in the fields of neurophysiology and ocular electrophysiology, establishing various laboratories in these areas. As of 2024, Prof. Dr. Seymen has a Web of Science H-index of 11. He continues to contribute to the scientific and clinic community at Istanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine by founding the Ocular Electrophysiology (VEP-ERG) Laboratory and the Neurophysiology Research Laboratory. Since 2023, Prof. Dr. Seymen has been the project director of the sub-project titled "Development and Optimization of Perfect Electrodes for the Electro-Neurophysiological Diagnosis of Neuronal Damage in Experimental and Human Models," under the TÜBİTAK 1004 Center of Excellence Support Program project "Development of Biomarkers and Advanced Technological Warning Systems for the Diagnosis, Treatment, and Monitoring of Diseases Leading to Neuronal Damage".

  • Chrysafides SM, Bordes SJ, Sharma S. Physiology, Resting Potential. 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538338/ (Accessed April 2023).

  • Kandel ER, Koester JD, Mack SH, Siegelbaum SA. Membrane potential and the passive electrical properties of the neuron. In: JD Koester, SA Siegelbaum, (eds). Principles of Neural Science, 6th ed. New York: McGraw-Hill; 2021. p. 191-193.

  • Aria MM (ed). Bioelectricity and excitable membranes. In: Electrophysiology Measurements for Studying Neural Interfaces. Chapter 1.

  • Gatenby RA, Frieden BR. Cellular information dynamics through transmembrane flow of ions. Sci Rep. 2017;7(1):15075.

  • Wright SH. Generation of resting membrane potential. Adv Physiol Educ. 2004;28(1-4):139-142.

  • Clay JR. Determining K channel activation curves from K channel currents often requires the Goldman-hodgkin-Katz equation. Front Cell Neurosci. 2009; 3:20.

  • Fedosova NU, Habeck M, Nissen P. Structure and Function of Na, K-ATPase-The Sodium-Potassium Pump. Compr Physiol. 2021;12(1):2659-2679.

  • Suhail M. Na, K-ATPase: Ubiquitous Multifunctional Transmembrane Protein and its Relevance to Various Pathophysiological Conditions. J Clin Med. 2010;2(1):1–17.

  • Ek-Vitorin JF, Burt JM. Structural basis for the selective permeability of channels made of communicating junction proteins. Biochim Biophys Acta. 2013;1828(1):51–68.

  • Pivovarov AS, Calahorro F, Walker RJ. Na+/K+-pump and neurotransmitter membrane receptors. Invertebr Neurosci. 2018;19(1):1.

  • Pirahanchi Y, Jessu R, Aeddula NR. Physiology, Sodium Potassium Pump. 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537088/ (Accessed 13 March 2023).

  • Sun J, Zheng Y, Chen Z, Wang Y. The role of Na+ -K+ -ATPase in the epileptic brain. CNS Neurosci Ther. 2022; 28(9):1294–1302.

  • Xu N. On the concept of resting potential--pumping ratio of the Na⁺/K⁺ pump and concentration ratios of potassium ions outside and inside the cell to sodium ions inside and outside the cell. J Membr Biol. 2013;246(1):75-90.

  • Kurbel S. Are extracellular osmolality and sodium concentration determined by Donnan effects of intracellular protein charges and of pumped sodium? J Theor Biol. 2008 Jun 21;252(4):769-72.

  • Nguyen MK, Kurtz I. Determinants of plasma water sodium concentration as reflected in the Edelman equation: Role of osmotic and Gibbs-Donnan equilibrium. Am J Physiol Renal Physiol. 2004;286(5): F828-F837.

  • Nguyen MK, Kurtz I. Quantitative interrelationship between Gibbs-Donnan equilibrium, osmolality of body fluid compartments, and plasma water sodium concentration. J Appl Physiol. 2006;100(4):1293-1300.

  • Grider MH, Belcea CQ, Covington BP et al. Neuroanatomy, Nodes of Ranvier. 2023 July 24. In: StatPearls [Internet]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537273/ (Accessed 2024 Jan).

  • Eijkelkamp N, Linley JE, Baker MD, Minett MS, Cregg R, Werdehausen R et al. Neurological perspectives on voltage-gated sodium channels. Brain. 2012;135(Pt 9):2585-612.

  • Lindsly C, Gonzalez-Islas C, Wenner P. Elevated intracellular Na+ concentrations in developing spinal neurons. J Neurochem. 2017;140(5):755-765.

  • Gao BX, Ziskind-Conhaim L. Development of ionic currents underlying changes in action potential waveforms in rat spinal motoneurons. J Neurophysiol. 1998 Dec;80(6):3047-61.

  • Bean BP, Koester JD. Propagated Signaling: The Action Potential. In: Kandel JD, Mack SH, Siegelbaum SA, (Eds). Principles of Neural Science, 6th ed. New York: McGraw-Hill; 2021. p. 211-212.

  • Li Q. Geometric basis of action potential of skeletal muscle cells and neurons. Open Life Sci. 2022;17(1):1191-1199.

  • Quandt FN, Davis FA. Action potential refractory period in axonal demyelination: a computer simulation. Biol Cybern. 1992;67(6):545–552.

  • Li-Smerin Y, Hackos DH, Swartz KJ. Alpha-helical structural elements within the voltage-sensing domains of a K (+) channel. J Gen Physiol. 2000;115(1):33-50.

  • Li Q, Wanderling S, Paduch M, Medovoy D, Singharoy A, McGreevy R et al. Structural mechanism of voltage-dependent gating in an isolated voltage-sensing domain. Nat Struct Mol Biol. 2014;21(3):244-52.

  • Tan XF, Bae C, Stix R, Fernández-Mariño AI., Huffer K, Chang TH et al. Structure of the Shaker Kv channel and mechanism of slow C-type inactivation. Sci Adv. 2022;8(11): eabm7814.

  • Schoppa NE, Sigworth FJ. Activation of shaker potassium channels. I. Characterization of voltage-dependent transitions. J Gen Physiol. 1998;111(2):271–294.

  • Catacuzzeno L, Sforna L, Franciolini F, Eisenberg RS. Multiscale modeling shows that dielectric differences make NaV channels faster than KV channels. J Gen Physiol. 202;153(2): e202012706.

  • Bar-Gad I, Ritov Y, Bergman H. The neuronal refractory period causes a short-term peak in the autocorrelation function. J Neurosci Methods. 2001;104(2):155–163.

  • Bacmeister CM, Huang R, Osso LA, Thornton MA, Conant L, Chavez AR et al. Motor learning drives dynamic patterns of intermittent myelination on learning-activated axons. Nat Neurosci. 2022;25(10):1300-1313.

  • Grider MH, Jessu R, Kabir R. Physiology, Action Potential. 2023 May 8. In: StatPearls [Internet]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538143/ (Accessed 2024 Jan).

  • Catterall WA. Voltage-gated calcium channels. Cold Spring Harb Perspect Biol. 2011;3(8): a003947.x

  • Turner RW, Anderson D, Zamponi GW. Signaling complexes of voltage-gated calcium channels. Channels. 2011;5(5):440-448.

  • Dolphin AC. Functions of Presynaptic Voltage-gated Calcium Channels. Function (Oxford, England). 2021;2(1): zqaa027.

  • Cain SM, Snutch TP. T-type calcium channels in burst-firing, network synchrony, and epilepsy. Biochim Biophys Acta. 2013;1828(7):1572–1578.

  • Simms BA, Zamponi GW. Neuronal voltage-gated calcium channels: structure, function, and dysfunction. Neuron. 2014;82(1):24-45.

  • Caire MJ, Reddy V, Varacallo M. Physiology, Synapse. 2023 Mar 27. In: StatPearls [Internet]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526047/ (Accessed 2024).

  • Li YC, Kavalali ET. Synaptic Vesicle-Recycling Machinery Components as Potential Therapeutic Targets. Pharmacol Rev. 2017;69(2):141-160.

  • Rusakov DA, Savtchenko LP, Zheng K, Henley JM. Shaping the synaptic signal: molecular mobility inside and outside the cleft. Trends Neurosci. 2011 Jul;34(7):359-69.

  • Barberis A. Postsynaptic plasticity of GABAergic synapses. Neuropharmacology. 2020 Jan 1; 169:107643.

  • Holz RW, Fisher SK: Synaptic Transmission. In: Siegel GJ, Agranoff BW, Albers RW, et al., editors. Basic Neurochemistry: Molecular, Cellular and Medical Aspects, 6th ed. Philadelphia: Lippincott-Raven; 1999.

  • Kim YJ, Serpe M. Building a synapse: a complex matter. Fly. 2013;7(3):146-52.

  • Keshishian H, Chiba A, Chang TN, Halfon MS, Harkins EW, Jarecki J et al. Cellular mechanisms governing synaptic development in Drosophila melanogaster. J Neurobiol. 1993 Jun;24(6):757–787.

  • Cover KK, Mathur BN. Axo-axonic synapses: Diversity in neural circuit function. J Comp Neurol. 2021 Sep;529(9):2391-2401.

  • Peters A, Palay SL. The morphology of synapses. J Neurocytol. 1996 Dec;25(12):687–700.

  • Fortney K, Tweed D. Biological plausibility of kernel-based learning. BMC Neurosci. 2007;8(Suppl 2):P199.

  • Jabeen S, Thirumalai V. The interplay between electrical and chemical synaptogenesis. J Neurophysiol. 2018 Oct 1;120(4):1914-1922.

  • Martin EA, Lasseigne AM, Miller AC. Understanding the Molecular and Cell Biological Mechanisms of Electrical Synapse Formation. Front Neuroanat. 2020; 14:12.

  • Goodenough DA, Paul DL. Gap junctions. Cold Spring Harb Perspect Biol. 2009 Jan 1;1(1): a002576.

  • Glasgow SD, McPhedrain R, Madranges JF, Kennedy TE, Ruthazer ES. Approaches and Limitations in the Investigation of Synaptic Transmission and Plasticity. Front Synaptic Neurosci. 2019; 11:20.

  • Vos M, Lauwers E, Verstreken P. Synaptic mitochondria in synaptic transmission and organization of vesicle pools in health and disease. Front Synaptic Neurosci. 2010; 2:139.

  • Vizi ES, Fekete A, Karoly R, Mike A. Non-synaptic receptors and transporters involved in brain functions and targets of drug treatment. Br J Pharmacol. 2010;160(4):785-809.

  • Südhof TC, Rizo J. Synaptic vesicle exocytosis. Cold Spring Harb Perspect Biol. 2011;3(12): a005637.

  • Sauvola CW, Littleton JT. SNARE Regulatory Proteins in Synaptic Vesicle Fusion and Recycling. Front Mol Neurosci. 2021; 14:733138.

  • Xu Y, Wan W. Acetylation in the regulation of autophagy. Autophagy. 2023;19(2):379-387.

  • Augustine GJ, Burns ME, DeBello WM, Hilfiker S, Morgan JR, Schweizer FE et al. Proteins involved in synaptic vesicle trafficking. J Physiol. 1999 Nov 1;520 Pt 1(Pt 1):33-41.

  • Burgoyne RD, Morgan A. Cysteine string protein (CSP) and its role in preventing neurodegeneration. Semin Cell Dev Biol. 2015; 40:153-9.

  • Ramakrishnan NA, Drescher MJ, Drescher DG. The SNARE complex in neuronal and sensory cells. Mol Cell Neurosci. 2012;50(1):58-69.

  • Bennett MK, Calakos N, Scheller RH. Syntaxin: a synaptic protein implicated in docking of synaptic vesicles at presynaptic active zones. Science. 1992;257(5067):255–259.

  • Rodarte EM, Ramos MA, Davalos AJ, Moreira DC, Moreno DS, Cardenas EI et al. Munc13 proteins control regulated exocytosis in mast cells. J Biol Chem. 2018;293(1):345-358.

  • Jahn R. Principles of exocytosis and membrane fusion. Annals of the New York Academy of Sciences. 2004; 1014:170–178.

  • Wang S, Ma C. Neuronal SNARE complex assembly guided by Munc18-1 and Munc13-1. FEBS open bio. 2022;12(11):1939–1957.

  • Rizo J. Molecular Mechanisms Underlying Neurotransmitter Release. Annu Rev Biophys. 2022; 51:377–408.

  • Magdziarek M, Bolembach AA, Stepien KP, Quade B, Liu X, Rizo J. Re-examining how Munc13-1 facilitates opening of syntaxin-1. Protein Sci. 2020;29 (6):1440-1458.

  • Gage PW. Ion channels and postsynaptic potentials. Biophys Chem. 1988;29(1-2):95–101.

  • Syrovatkina V, Alegre KO, Dey R, Huang XY. Regulation, Signaling, and Physiological Functions of G-Proteins. J Mol Biol. 2016;428(19):3850–3868.

  • Fiorillo CD, Williams JT. Glutamate mediates an inhibitory postsynaptic potential in dopamine neurons. Nature. 1998 Jul 2;394(6688):78–82.

  • Hyman SE. Neurotransmitters. Curr Biol. 2005;15(5):R154–R158.

  • Yoon BE, Lee CJ. GABA as a rising gliotransmitter. Front Neural Circuits. 2014; 8:141.

  • Lakard S, Pavel IA, Lakard B. Electrochemical Biosensing of Dopamine Neurotransmitter: A Review. . 2021;11(6):179.

  • De Deurwaerdere P, Di Giovanni G. 5-HT interaction with other neurotransmitters: An overview. Prog Brain Res. 2021; 259:1–5.

  • Silverberg AB, Shah SD, Haymond MW, Cryer PE. Norepinephrine: hormone and neurotransmitter in man. Am J Physiol Cell Physiol. 1978;234(3): E252–E256.

  • Lieberman P. The basics of histamine biology. Ann Allergy Asthma Immunol. 2011;106(2 Suppl): S2–S5.

  • Picciotto MR, Higley MJ, Mineur YS. Acetylcholine as a neuromodulator: cholinergic signaling shapes nervous system function and behavior. Neuron. 2012;76(1):116–129.

  • Meldrum BS. Glutamate as a neurotransmitter in the brain: review of physiology and pathology. J Nutr. 2000;130 (4S Suppl):1007S–15S.

  • Hernandes MS, Troncone LR. Glycine as a neurotransmitter in the forebrain: a short review. J Neural Transm. 2009;116(12):1551–1560.

  • Burnstock G. Historical review: ATP as a neurotransmitter. Trends Pharmacol Sci. 2006;27(3):166–176.

  • Werner FM, Coveñas R. Classical neurotransmitters and neuropeptides involved in generalized epilepsy in a multi-neurotransmitter system: How to improve the antiepileptic effect? Epilepsy Behav. 2017;71(Pt B):124–129.

  • Giuliodori MJ, Zuccolilli G. Postsynaptic potential summation and action potential initiation: function following form. Adv Physiol Educ. 2004;28(1-4):79–80.

  • Smart TG, Paoletti P. Synaptic neurotransmitter-gated receptors. Cold Spring Harb Perspect Biol. 2012;4(3):a009662.

  • Comitato A, Bardoni R. Presynaptic Inhibition of Pain and Touch in the Spinal Cord: From Receptors to Circuits. Int J Mol Sci. 2021;22(1):414.

  • Sheng M, Kim E. The postsynaptic organization of synapses. Cold Spring Harb Perspect Biol. 2011;3(12):a005678.

  • De-Paula VJ, Radanovic MM, Diniz BS, Forlenza OV. Alzheimer’s disease. Sub-Cell Biochem. 2012; 65:329–352.

  • Cipriani G, Dolciotti C, Picchi L, Bonuccelli U. Alzheimer and his disease: A brief history. Neurol Sci. 2011; 32:275–279.

  • Blass JP. Alzheimer’s disease. Dis Mon. 1985; 31:1–69.

  • Terry RD, Davies P. Dementia of the Alzheimer type. Annu Rev Neurosci. 1980; 3:77–95.

  • Rathmann KL, Conner CS. Alzheimer’s disease: Clinical features, pathogenesis, and treatment. Drug Intell Clin Pharm. 1984; 18:684–691.

  • Yiannopoulou KG, Papageorgiou SG. Current and future treatments in Alzheimer disease: An update. J Cent Nerv Syst Dis. 2020;12.

  • Molinuevo JL, Ayton S, Batrla R, Bednar MM, Bittner T, Cummings J, et al. Current state of Alzheimer's fluid biomarkers. Acta Neuropathol. 2018;136(6):821-853.

  • Ferreira-Vieira TH, Guimaraes IM, Silva FR, Ribeiro FM. Alzheimer's disease: Targeting the Cholinergic System. Curr Neuropharmacol. 2016;14(1):101-15.

  • Livingston G, Huntley J, Sommerlad A, Ames D, Ballard C, Banerjee S et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet. 2020; 396:413–446.

  • Schachter AS, Davis KL. Alzheimer’s disease. Dialogues Clin Neurosci. 2000; 2:91–100.

  • McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM. Clinical diagnosis of Alzheimer’s disease: Report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology. 1984; 34:939–944.

  • Neugroschl J, Wang S. Alzheimer’s disease: Diagnosis and treatment across the spectrum of disease severity. Mt Sinai J Med N Y. 2011; 78:596–612.

  • McKhann GM, Knopman DS, Chertkow H, Hyman BT; Jack CR Jr, Kawas CH et al. The diagnosis of dementia due to Alzheimer’s disease: Recommendations from the National Institute on Aging-Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease. Alzheimer’s Dement J Alzheimer’s Assoc. 2011; 7:263–269.

  • Mayeux R, Stern Y. Epidemiology of Alzheimer disease. Cold Spring Harb Perspect Med. 2012;2: a006239.

  • Perl DP. Neuropathology of Alzheimer’s disease. Mt Sinai J Med N Y. 2010; 77:32–42.

  • Ho TNT, Abraham N, Lewis RJ. Structure-Function of Neuronal Nicotinic Acetylcholine Receptor Inhibitors Derived from Natural Toxins. Front Neurosci. 2020; 14:609005.

  • Arias HR. Topology of ligand binding sites on the nicotinic acetylcholine receptor. Brain Res Brain Res Rev. 1997;25(2):133-91.

  • Hoskin JL, Al-Hasan Y, Sabbagh MN. Nicotinic Acetylcholine Receptor Agonists for the Treatment of Alzheimer's Dementia: An Update. Nicotine Tob Res. 2019;21(3):370-376.

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