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Chemical compound
L -α-Glycerophosphorylcholine (alpha-GPC ,choline alfoscerate ,sn -glycero-3-phosphocholine ) is a naturalcholine compound found in the brain. It is also aparasympathomimetic acetylcholine precursor[1] which has been investigated for its potential for the treatment ofAlzheimer's disease [2] and otherdementias .[3]
Alpha-GPC rapidly deliverscholine to the brain across theblood–brain barrier and is a biosynthetic precursor ofacetylcholine .[2] It is a non-prescription drug in most countries. TheFDA determined that intake of no more than 196.2 mg/person/day is consideredgenerally recognized as safe (GRAS).[4]
Industrially, alpha-GPC is produced by the chemical or enzymatic deacylation ofphosphatidylcholine enriched soyaphospholipids followed bychromatographic purification .Alpha-GPC may also be derived in small amounts from highly purified soylecithin as well as from purified sunflower lecithin.[5] [6]
Alpha-GPC metabolizes totrimethylamine n-oxide in the gastrointestinal tract, which has implications for cardiovascular health. In one study, risk of stroke over a ten-year period was increased by about 40% in users of alpha-GPC.[7]
^ De Jesus Moreno Moreno M (January 2003). "Cognitive improvement in mild to moderate Alzheimer's dementia after treatment with the acetylcholine precursor choline alfoscerate: a multicenter, double-blind, randomized, placebo-controlled trial".Clinical Therapeutics .25 (1): 178–93.doi :10.1016/S0149-2918(03)90023-3 .PMID 12637119 .
^a b Parnetti L, Mignini F, Tomassoni D, Traini E, Amenta F (June 2007). "Cholinergic precursors in the treatment of cognitive impairment of vascular origin: ineffective approaches or need for re-evaluation?".Journal of the Neurological Sciences .257 (1–2): 264–9.doi :10.1016/j.jns.2007.01.043 .PMID 17331541 .S2CID 34661218 .
^ Doggrell SA, Evans S (October 2003). "Treatment of dementia with neurotransmission modulation".Expert Opinion on Investigational Drugs .12 (10): 1633–54.doi :10.1517/13543784.12.10.1633 .PMID 14519085 .S2CID 46175609 .
^ "Generally Recognized as Safe (GRAS) Determination for the Use of AlphaSize® Alpha-Glycerylphosphoryl Choline" (PDF) .United States Food and Drug Administration. 25 January 2012. Archived fromthe original (PDF) on 24 December 2013.
^ Traini E, Bramanti V, Amenta F (December 2013). "Choline alphoscerate (alpha-glyceryl-phosphoryl-choline) an old choline- containing phospholipid with a still interesting profile as cognition enhancing agent".Current Alzheimer Research .10 (10): 1070–9.doi :10.2174/15672050113106660173 .PMID 24156263 .
^ Scapicchio PL (July 2013). "Revisiting choline alphoscerate profile: a new, perspective, role in dementia?".The International Journal of Neuroscience .123 (7): 444–9.doi :10.3109/00207454.2013.765870 .PMID 23387341 .
^ Lee G, Choi S, Chang J, Choi D, Son JS, Kim K, et al. (November 2021)."Association of L-α Glycerylphosphorylcholine With Subsequent Stroke Risk After 10 Years" .JAMA Network Open .4 (11): e2136008.doi :10.1001/jamanetworkopen.2021.36008 .PMC 8613599 .PMID 34817582 .
mAChRs Tooltip Muscarinic acetylcholine receptors
Agonists Antagonists
3-Quinuclidinyl benzilate
4-DAMP
Aclidinium bromide (+formoterol )
Abediterol
AF-DX 250
AF-DX 384
Ambutonium bromide
Anisodamine
Anisodine
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AQ-RA 741
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Benzydamine
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BIBN 99
Biperiden
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Camylofin
CAR-226,086
CAR-301,060
CAR-302,196
CAR-302,282
CAR-302,368
CAR-302,537
CAR-302,668
Caramiphen
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Clidinium bromide
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CS-27349
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DAU-5884
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EA-3167
EA-3443
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Hexahydrodifenidol
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HL-031,120
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Isopropamide
J-104,129
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Mamba toxin 3
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PD-102,807
PD-0298029
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Propiverine
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Revefenacin
Rociverine
RU-47,213
SCH-57,790
SCH-72,788
SCH-217,443
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Tridihexethyl
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Typical antipsychotics (e.g.,chlorpromazine ,chlorprothixene ,cyamemazine (cyamepromazine) ,loxapine ,mesoridazine ,thioridazine )
Umeclidinium bromide (+vilanterol )
WIN-2299
Xanomeline
Zamifenacin
Precursors (andprodrugs )
nAChRs Tooltip Nicotinic acetylcholine receptors
Agonists (andPAMs Tooltip positive allosteric modulators )
5-HIAA
6-Chloronicotine
A-84,543
A-366,833
A-582,941
A-867,744
ABT-202
ABT-418
ABT-560
ABT-894
Acetylcholine
Altinicline
Anabasine
Anatabine
Anatoxin-a
AR-R17779
Bephenium hydroxynaphthoate
Butinoline
Butyrylcholine
Carbachol
Choline
Cotinine
Cytisine
Decamethonium
Desformylflustrabromine
Dianicline
Dimethylphenylpiperazinium
Epibatidine
Epiboxidine
Ethanol (alcohol)
Ethoxysebacylcholine
EVP-4473
EVP-6124
Galantamine
GTS-21
Ispronicline
Ivermectin
JNJ-39393406
Levamisole
Lobeline
MEM-63,908 (RG-3487)
Morantel
Nicotine (tobacco )
NS-1738
PHA-543,613
PHA-709,829
PNU-120,596
PNU-282,987
Pozanicline
Pyrantel
Rivanicline
RJR-2429
Sazetidine A
SB-206553
Sebacylcholine
SIB-1508Y
SIB-1553A
SSR-180,711
Suberyldicholine
Suxamethonium (succinylcholine)
Suxethonium (succinyldicholine)
TC-1698
TC-1734
TC-1827
TC-2216
TC-5214
TC-5619
TC-6683
Tebanicline
Tribendimidine
Tropisetron
UB-165
Varenicline
WAY-317,538
XY-4083
Antagonists (andNAMs Tooltip negative allosteric modulators )
Precursors (andprodrugs )