Acetylcholine (ACh) is an organic chemical compound found naturally in the body that acts as a neurotransmitter in the brain, spinal cord, and musculoskeletal system. It is responsible for controlling a wide range of motor and autonomic functions. These include the regulation of heart rate, breathing, muscle contractions, and digestion, as well as memory, learning, and sleep. ACh is also involved in coordinating responses to stimuli and in the transmission of pain signals throughout the body. Acetylcholine is produced in two primary types of cells located in the brain and throughout the nervous system: cholinergic neurons and non-neuronal cells. Release of ACh from the cholinergic neurons is regulated by two interacting pathways: the cholinergic presynaptic and the non-cholinergic postsynaptic. The presynaptic pathways involve the release of ACh from cholinergic neurons, whereas the postsynaptic pathways involve the binding of ACh to the postsynaptic neurons or receptors. ACh acts as a chemical messenger between neurons and other cells in the body, and is essential for proper communication between these structures. ACh binds to two major types of receptors: nicotinic and muscarinic. Nicotinic receptors are located in the synapses between neurons, and are responsible for creating rapid, excitatory responses in the neurons they connect. Muscarinic receptors are found on postsynaptic neurons, and typically cause slower, inhibitory responses.
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