A unified theory of presynaptic chemical neurotransmission.

The mechanism of neurotransmission and its modulation involves the direct role of calcium on membranes, and calcium's ability to activate synergistically and simultaneously a host of interdependent enzymatic cascades in synaptic and coated vesicles and the presynaptic plasma membrane. Enzymatic products formed can either amplify or depress synaptic vesicle exocytosis and synaptic vesicle regeneration via the coated pit/vesicle system. Rate amplification produced by a series of parallel, multistepped, interconnected enzymatic cascades as well as the optimal geometric spatial orientation of synaptic vesicles induced by presynaptic structures is hypothesized to explain how neurotransmitter is released within 200 musec upon calcium entry into the axon terminal.