Activation of different types of G-protein-linked and ionotropic presy
naptic receptors has been shown to regulate neurotransmitter release t
hroughout the central and peripheral nervous systems. In the case of G
-protein-linked receptors, three major mechanisms have been suggested:
(a) inhibition of Ca channels in the nerve terminal; (b) the activati
on of presynaptic K channels, resulting in a reduction in the effectiv
eness of the action potential; and (c) direct modulation of one or mor
e components of the neurotransmitter vesicle release apparatus. In the
case of ionotropic presynaptic receptors, inhibition of release may b
e achieved through depolarization of the terminal and inactivation of
Na and Ca channels. Activation of presynaptic ionotropic receptors tha
t are appreciably Ca permeable can also enhance the release of transmi
tters as a result of their ability to raise [Ca](i) in the terminal di
rectly. Many transmitters employ several of these mechanisms, thus all
owing considerable flexibility in the presynaptic regulation of transm
itter release.