In biochemistry, cholinesterase is a term which refers to one of the two enzymes (EC3.1.1.7 (http://www.expasy.org/cgi-bin/nicezyme.pl?3.1.1.7)):
Acetylcholinesterase (AChE), also known as RBC cholinesterase, erythrocyte cholinesterase, or (most formally) acetylcholine acetylhydrolase, found primarily in the blood and neuralsynapses
Pseudocholinesterase, also known as plasma cholinesterase, butyrylcholinesterase, or (most formally) acylcholine acylhydrolase, found primarily in the liver
The difference between the two types of cholinesterase has to do with their respective preferences for substrates: the former hydrolyses acetylcholine more quickly; the latter hydrolyses butyrylcholine more quickly.
Cholinesterase Inhibitors
A cholinesterase inhibitor is known as an anticholinesterase. Because of its essential function, chemicals that interfere with the action of cholinesterase are potent neurotoxins, causing excessive salivation and eye watering in low doses, followed by muscle spasms and ultimately death. Outside of biochemical warfare, anticholinesterases are used are also used in anesthesia or in the treatment of myasthenia gravis, glaucoma and Alzheimer's disease.
Serum cholinesterase is a test for the enzymesacetylcholinesterase (also known as RBC cholinesterase) and pseudocholinesterase (also known as butyrylcholinesterase or plasma cholinesterase), which act to break down acetylcholine, a chemical critical in the transmission of nerve impulses.
Acetylcholinesterase is found in nerve tissue and red blood cells, and pseudocholinesterase is found primarily in the liver.