Cholinesterase

acetylcholinesterase (Yt blood group)
Diagram of Pacific electric ray acetylcholinesterase. From PDB: 1EA5​.
Identifiers
Symbol	ACHE
Alt. symbols	YT
NCBI gene	43
HGNC	108
OMIM	100740
RefSeq	NM_015831
UniProt	P22303
Other data
EC number	3.1.1.7
Locus	Chr. 7 q22
Search for Structures Swiss-model Domains InterPro

butyrylcholinesterase
Cartoon diagram of human butyrylcholinesterase. From PDB: 1P0I​.
Identifiers
Symbol	BCHE
Alt. symbols	CHE1
NCBI gene	590
HGNC	983
OMIM	177400
RefSeq	NM_000055
UniProt	P06276
Other data
EC number	3.1.1.8
Locus	Chr. 3 q26.1-26.2
Search for Structures Swiss-model Domains InterPro

Template:FixBunching In biochemistry, cholinesterase is a family of enzymes that catalyze the hydrolysis of the neurotransmitter acetylcholine into choline and acetic acid, a reaction necessary to allow a cholinergic neuron to return to its resting state after activation.

Types

There are two types:

• Acetylcholinesterase (EC 3.1.1.7) (AChE), also known as RBC cholinesterase, erythrocyte cholinesterase, or (most formally) acetylcholine acetylhydrolase, found primarily in the blood and neural synapses
• Pseudocholinesterase (EC 3.1.1.8) (BChE or BuChE), also known as plasma cholinesterase, butyrylcholinesterase, or (most formally) acylcholine acylhydrolase, found primarily in the liver.

The difference between the two types of cholinesterase has to do with their respective preferences for substrates: the former hydrolyses acetylcholine more quickly; the latter hydrolyses butyrylcholine more quickly.

History

In 1968, Walo Leuzinger et al. successfully purified and crystallized the enzyme from electric eels at Columbia University, NY.

The 3D structure of acetylcholinesterase was first determined in 1991 by Joel Sussman et al. using protein from the Pacific electric ray.

Clinically-useful quantities of butyrylcholinesterase were synthesized in 2007 by PharmAthene, through the use of genetically-modified goats.

Clinical significance

An absence or mutation of the pseudocholinesterase enzyme leads to a medical condition known as pseudocholinesterase deficiency. This is a silent condition that manifests itself only when people that have the deficiency receive the muscle relaxants succinylcholine or mivacurium during a surgery.

Pseudocholinesterase deficiency may also affect local anaesthetic selection in dental procedures. The enzyme plays an important role in the metabolism of ester-based local anaesthetics, a deficiency lowers the margin of safety and increases the risk of systemic effects with this type of anaesthetic. The selection of an amide-based solution is recommended in such patients.

Elevation of plasma pseudocholinesterase was observed in 90.5% cases of acute myocardial infarction.

The presence of acetylcholinesterase in the amniotic fluid may be tested in early pregnancy. A sample of amniotic fluid is removed by amniocentesis, and presence of AChE can confirm several common types of birth defect, including abdominal wall defects and neural tube defects.

Butyrylcholinesterase can be used as a prophylactic agent against nerve gas and other organophosphate poisoning.

Cholinesterase inhibitors

A cholinesterase inhibitor (or "anticholinesterase") suppresses the action of the enzyme. Because of its essential function, chemicals that interfere with the action of cholinesterase are potent neurotoxins, causing excessive salivation and eye-watering in low doses, followed by muscle spasms and ultimately death (examples are some snake venoms, and the nerve gases sarin and VX). One counteracting medication is pralidoxime.

Among the most common acetylcholinesterase inhibitors are phosphorus-based compounds, which are designed to bind to the active site of the enzyme. The structural requirements are a phosphorus atom bearing two lipophilic groups, a leaving group (such as a halide or thiocyanate), and a terminal oxygen. The entry on Lawesson's reagent has some details on one sub-class of the phosphorus-based compounds.

Benzodiazepines, eg temazepam have an inhibitory effect on cholinesterase.

Outside of biochemical warfare, anticholinesterases are also used for reversing medication induced paralysis during anesthesia; as well as in the treatment of myasthenia gravis, glaucoma, and Alzheimer's disease. Such compounds are used for killing insects in a range of products including sheep dip, organophosphate pesticides, and carbamate pesticides. In addition to acute poisoning as described above, a semi-acute poisoning characterized by strong mental disturbances can occur. Also, prolonged exposure can cause birth defects.

Pop culture

• On season eight of Law and Order: SVU, Olivia Benson is taken to the hospital after being exposed to organophosphates, where she is told her cholinesterase level is low.
• In the film The I Inside, Simon Cable is poisoned with cholinesterase inhibitors and he is given atropine and pralidoxime to help reverse the poison. The doctor is also shown dispensing a diazepam at the beginning of the movie, which is contraindicated in cholinesterase inhibition.
• In the film The Rock, Dr. Goodspeed (Nicolas Cage) describes the effects of the chemical weapon VX gas as a cholinesterase inhibitor to John Mason (Sean Connery) as they remove guidance chips from the rocket designed to deliver the gas into San Francisco from Alcatraz.

Additional images

• 
  Acetylcholine
• 
  Choline
• 
  Acetic acid
• 
  Butyrylcholine

External links

• ATSDR Case Studies in Environmental Medicine: Cholinesterase Inhibitors, Including Insecticides and Chemical Warfare Nerve Agents U.S. Department of Health and Human Services
• Movies at weizmann.ac.il showing the structure of acetylcholinesterase and interactions with various inhibitors.
• Proteopedia Acetylcholinesterase
• PDB Molecule of the Month Cholinesterase
• Acetylcholinesterase at the U.S. National Library of Medicine Medical Subject Headings (MeSH)
• Pseudocholinesterase at the U.S. National Library of Medicine Medical Subject Headings (MeSH)