Non-Alzheimer's dementia due to lobar atrophy had choline acetyltransf
erase activities comparable with control rather than Alzheimer's disea
se values, based on 3 autopsy proven cases on Pick's disease and biops
ies from 3 examples of dementia of frontal lobe type. Muscarinic choli
nergic receptors were relatively spared only in Alzheimer's disease. S
erotonin receptors were markedly reduced (based on Pick cases) whereas
measures that reflected presynaptic serotonergic activity were either
not affected or increased. Cerebrospinal fluid and brain tissue measu
rements suggested that inhibitory interneurones and dopamine release w
ere relatively spared. There was no in vitro evidence of hypometabolis
m.