Messenger RNAs and the cognate gene(s) encoding choline acetyltransfer
ase (ChAT) and the vesicular acetylcholine transporter (VAChT) have be
en cloned from mammals and several other animal classes in the last de
cade. These have provided molecular tools for investigating acetylchol
ine synthesis and packaging into synaptic vesicles, the genesis of cho
linergic vesicles, and the development and senescence of the cholinerg
ic nervous system. VAChT and ChAT have been found to share a common ge
ne locus and regulatory elements for gene transcription. The cholinerg
ic gene locus represents a previously undiscovered type of neuronal tr
anscriptional unit controlling chemically coded neurotransmission. In
vitro assays for the transport function of VAChT have shed light on th
e bioenergetics of amine accumulation in secretory vesicles. Manipulat
ion of VAChT expression in vivo has demonstrated unequivocally the pri
macy of vesicular exocytosis as the mode of transmitting quanta of ace
tylcholine at the neuromuscular junction, as in vivo manipulation of a
cetylcholinesterase levels has demonstrated the importance of acetylch
oline metabolism in the regulation of complex functions such as cognit
ion. Light and electron microscopic visualization of VAChT, complement
ing previous ChAT immunohistochemistry, has improved understanding of
the genesis and function of the cholinergic vesicle, neuron, and synap
se. These advances should accelerate the development of ''cholinergic'
' pharmacological and gene therapeutic approaches to treatment of huma
n diseases that are associated with cholinergic surfeit and insufficie
ncy.