The multiple combinations of nAChR subunits identified in central nervous s
tructures posses distinct pharmacological and physiological properties. A g
rowing number of data have shown that compounds interacting with neuronal n
AChRs have, both in vivo and in vitro, the potential to be neuroprotective
and that treatment with nAChR agonists elicit long-lasting improving of cog
nitive performance in a variety of behavioural tests in rats, monkeys and h
umans. Epidemiological and clinical studies suggested also a potential neur
oprotective/trophic role of (-)-nicotine in neurodegenerative disease, such
as Alzheimer's and Parkinson's disease. Taken together experimental and cl
inical data largely indicate a neuroprotective/trophic role of nAChR activa
tion involving mainly alpha 7 and alpha 4 beta 2 nAChR subtypes, as evidenc
ed using selective nAChR antagonists, and by potent nAChR agonists recently
found displaying efficacy and/or larger selective affinities than (-)-nico
tine for neuronal nAChR subtypes. A neurotrophic factor gene regulation by
nAChR signalling has been taken into consideration as possible mechanism in
volved in neuroprotective/trophic effects by nAChR activation and has evide
nced an involvement of the fibroblast growth factor (FGF-2) gene as a targe
t of nAChR signalling. These findings suggested that FGF-2 could be involve
d, according to the FGF-2 neurotrophic functions, in nAChR mechanisms media
ting the neuronal survival, trophism and plasticity. (C) 2000 Elsevier Scie
nce B.V. All rights reserved.