The functional integrity of the neuromuscular synapse requires that su
fficient numbers of acetylcholinesterase (AChE) molecules be localized
on the specialized extracellular matrix between the nerve terminal an
d the post-synaptic membrane. Multiple interrelated levels of regulati
on are necessary to accomplish this complex task including the spatial
and temporal restriction of AChE mRNA expression within the muscle fi
ber, local translation and assembly of AChE polypeptides, and focused
accumulation of AChE molecules on the extracellular matrix. This is ac
complished in part through the organization of other extracellular mat
rix molecules into a complex which further associates with acetylcholi
ne receptors and their accompanying molecules. Finally, the mature neu
romuscular junction contains molecules which can act as receptors for
the attachment of AChE which in turn may allow for the turnover of thi
s enzyme at the synapse. This brief review will focus mainly on contri
butions from our laboratory towards understanding the mechanisms invol
ved in organizing AChE molecules at the neuromuscular synapse. ((C)Els
evier, Paris).