The effects of carbamate anticholinesterases, pyridostigmine and physo
stigmine, on the function of the nicotinic receptor (nAChR) in TE671 c
ells was studied, precluding their inhibition of acetylcholine hydroly
sis by carbachol usage, In radioassay, the simultaneous application of
carbachol and carbamates dose-dependently decreased carbachol-induced
Na-22(+) influx, compared with carbachol activation alone. Increasing
cell preincubation in the presence of carbamates, however, potentiate
d influx at low concentrations in a time-dependent manner. This facili
tating effect of carbamates, even at high concentrations, was signific
antly increased by washing out these drugs and was blocked by pretreat
ment with diisopropylfluorophosphate. Similar results were also obtain
ed in whole-cell patch-clamp study. There were insignificant changes i
n desensitization properties during facilitation. It is thus supposed
that facilitation cannot be explained by the inhibition of acetylcholi
ne hydrolysis, These results support a previous hypothesis that acetyl
cholinesterase might modulate nAChR by an unknown mechanism. In additi
on, the clinical effects of carbamates may be partly attributed to thi
s facilitation, (C) 1998 John Wiley & Sons, Inc.