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Amanita muscaria (fly agaric): from a shamanistic hallucinogen to the search for acetylcholine.

M R Lee, E Dukan, I Milne

The journal of the Royal College of Physicians of Edinburgh March 1, 2018 DOI: 10.4997/JRCPE.2018.119 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Historical analysis Peer reviewed
Keywords Dale Loewi Acetylcholine Atropine Hyoscine Ipratropium Muscarine Physostigmine Pilocarpine Neurotransmitters: parasympathetic signals Cholinergic receptors Fundamental biological process Medical legacy Pivotal insight
Citations 29
Key points Argues that research on Amanita muscaria's bioactive compounds led to the discovery of acetylcholine as the parasympathetic neurotransmitter and the development of cholinergic and anticholinergic drugs.

Abstract

The mushroom Amanita muscaria (fly agaric) is widely distributed throughout continental Europe and the UK. Its common name suggests that it had been used to kill flies, until superseded by arsenic. The bioactive compounds occurring in the mushroom remained a mystery for long periods of time, but eventually four hallucinogens were isolated from the fungus: muscarine, muscimol, muscazone and ibotenic acid. The shamans of Eastern Siberia used the mushroom as an inebriant and a hallucinogen. In 1912, Henry Dale suggested that muscarine (or a closely related substance) was the transmitter at the parasympathetic nerve endings, where it would produce lacrimation, salivation, sweating, bronchoconstriction and increased intestinal motility. He and Otto Loewi eventually isolated the transmitter and showed that it was not muscarine but acetylcholine. The receptor is now known variously as cholinergic or muscarinic. From this basic knowledge, drugs such as pilocarpine (cholinergic) and ipratropium (anticholinergic) have been shown to be of value in glaucoma and diseases of the lungs, respectively.