“…40 However, a series of recent studies demonstrated that at a low substrate concentration, hydrolysis of ACh is rate-determined by the acylation reaction, 2, 41, 46 which is consistent with our recently reported study. 47 Despite extensive studies on the catalytic mechanisms of cholinesterase-catalyzed hydrolysis of ACh/ATCh, 1-2, 15, 27-30, 33-34, 36, 38, 48-50 questions remain for the mechanism of the substrate activation for BChE-catalyzed hydrolysis of ACh/ATCh. For example, what is the main factor leading to the observed substrate activation effect?…”