# Acetylcholine
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**Acetylcholine** or **ACh** is a [[neurotransmitter]] which plays multiple roles such as:
- motor function
- [[autonomic nervous system]] (both sympathetic and parasympathetic)
- sleep and arousal
- pain perception
- memory
- leaning, specifically focused learning (paying close attention)
- leads to new long-term memory formation.
**Acetylcholinesterase** is an enzyme that lives in synapses that cleaves ACh into acetate and choline, which are then reabsorbed by the neuron and moved by [[neurons|retrograde transport]] to the soma, where they are recombined into ACh.
[[Anticholinergics]] are a class of medication that reduce ACh activity.
## Cholinergic Receptors
**Cholinergic receptors** are any receptor that receives acetylcholine as a neurotransmitter. There are two types of cholinergic receptors, **muscarinic** and **nicotinic** receptors.
## Imbalances with Acetylcholine
- increased levels of acetylcholine can contribute to:
- [[depression]]
- decreased levels of acetylcholine can contribute to:
- [[Alzheimer's disease]]
- [[Huntington's disease]]
- [[Parkinson's disease]]
- [[myasthenia gravis]] is a condition which destroys the acetylcholine receptors on muscle cells, effectively blocking it's usage
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