“…860 However, underlying causes of the acetylcholine neurotransmitter shortage, which leads to cognitive decline, 62 must be described in a unified view of AD. The most obvious explanation for acetylcholine deficiency in AD according to the MT/Zn dysfunction hypothesis is that free Zn 2+ inhibits choline acetyltransferase 985 or pyruvate dehydrogenase, which produces acetylcoenzyme A. 986 …”