The discovery of the first neurotransmitter acetylcholine - was soon follow
ed by the discovery of its hydrolysing enzyme, acetylcholinesterase. The ro
le of acetylcholinesterase in terminating acetylcholine-mediated neurotrans
mission made it the focus of intense research for much of the past century.
But the complexity of acetylcholinesterase gene regulation and recent evid
ence for some of the long-suspected 'non-classical' actions of this enzyme
have more recently driven a profound revolution in acetylcholinesterase res
earch. Although our understanding of the additional roles of acetylcholines
terase is incomplete, the time is ripe to summarize the evidence on a remar
kable diversity of acetylcholinesterase functions.