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Volume 17, Number 21,
Issue of November 1, 1997
pp. 8129-8136
Copyright ©1997 Society for Neuroscience
Neurokinin 1 Receptor Internalization in Spinal Cord Slices
Induced by Dorsal Root Stimulation Is Mediated by NMDA Receptors
Juan Carlos G. Marvizón1,
Vicente Martínez1,
Eileen F. Grady3,
Nigel W. Bunnett3, 4, and
Emeran A. Mayer1, 2
1 CURE: Digestive Diseases Research Center,
Neuroenteric Disease Program, Department of Medicine, and
2 Department of Physiology, University of California, Los
Angeles, California 90073, and 3 Departments of Surgery and
4 Physiology, University of California, San Francisco,
California 94143
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
FOOTNOTES
REFERENCES
ABSTRACT
The excitability of spinal neurons that transmit pain is modulated
by glutamate and substance P (SP). Glutamate is an excitatory neurotransmitter in the dorsal horn, and its effects are enhanced by SP
acting on neurokinin 1 receptors (NK1Rs). We assessed activation of
NK1Rs by studying their internalization in spinal cord slices. NK1Rs
were localized in sections from the slices by using
immunohistochemistry combined with fluorescence and confocal
microscopy. Incubating the slices with SP induced internalization in
most NK1R-positive neurons in laminae I, IIo, and X
and in half of NK1R-positive neurons in laminae III-V. SP-induced
internalization was abolished by the specific NK1R antagonist L-703,606
(1 µM). Stimulating the dorsal root with long-duration
(0.4 msec) pulses evoked EPSPs in dorsal horn neurons with latencies
consistent with the conduction speed of A - and C-fibers.
High-frequency (100 Hz) stimulation of the dorsal root with these
pulses induced NK1R internalization in neurons in laminae
I-IIo of the stimulated side of the slice but not in the
contralateral side or in other laminae. Stimulation at lower
frequencies (1 and 10 Hz) failed to elicit significant internalization,
suggesting that the release of SP is frequency-dependent. Internalization produced by the 100 Hz tetanus was mimicked by NMDA and
blocked by an NMDA antagonist, 2-amino-5-phosphonopentanoic acid, but
not by the AMPA and kainate antagonist CNQX. The NK1R antagonist
L-703,606 abolished the internalization produced by 100 Hz stimulation
or NMDA. Therefore, the release of SP in the dorsal horn appears to be
controlled by NMDA receptors.
Key words:
C-fibers;
central sensitization;
dorsal horn;
glutamate
receptor;
internalization;
LTP;
NK1 receptor;
NMDA receptor;
slices;
substance P
INTRODUCTION
Many instances of hyperalgesia seem
to be caused by an increase in the excitability of spinal sensory
neurons, termed central sensitization, induced by an increased activity
of nociceptive afferents (McMahon et al., 1993 ; Yaksh, 1993 ;
Zieglgänsberger and Tolle, 1993 ). Phenomena related to central
sensitization include "wind-up," a progressive increase in the
number of action potentials evoked per stimulus when afferent fibers
are repeatedly stimulated (Mendell, 1966 ; Dickenson and Sullivan,
1987 ), and long-term potentiation (LTP) of dorsal horn synapses (Randic
et al., 1993 ; Liu and Sandkühler, 1995 ). LTP of excitatory
synapses in nociceptive pathways may cause hyperalgesia, and its long
duration could explain the persistence of certain types of chronic
pain.
Substantial evidence suggests that neurokinin and glutamate receptors
play an important role in mediating central sensitization (Xu et al.,
1992 ). SP causes a prolonged depolarization of dorsal horn neurons
(Murase and Randic, 1984 ), enhances their responses to C-fiber input,
and participates in wind-up (Kellstein et al., 1990 ), whereas NMDA
receptors are required for the induction of both wind-up (Davies and
Lodge, 1987 ; Dickenson and Sullivan, 1987 ) and LTP (Randic et al.,
1993 ; Liu and Sandkühler, 1995 ) in the dorsal horn. Numerous
observations indicate that glutamate and neurokinins act
synergistically in the dorsal horn. Spinal application of SP and
glutamate increases the responses of dorsal horn neurons to mechanical
stimulation of the skin (Dougherty et al., 1995 ). Glutamate and SP
coexist in primary afferent terminals (Battaglia and Rustioni, 1988 ; De
Biasi and Rustoni, 1988 ), whereas neurokinin 1 receptors (NK1Rs) and
glutamate receptors are coexpressed in dorsal horn neurons, which have
responses to glutamate that are enhanced by SP (Womack et al., 1988 ;
Randic et al., 1990 ; Rusin et al., 1993a ,b ). Conversely, presynaptic
NMDA receptors found in afferent terminals in the dorsal horn may
control the release of SP and other neuropeptides (Liu et al., 1994b ,
1997 ).
After agonist binding, NK1Rs are internalized (Mantyh et al., 1995 ;
Grady et al., 1996 ), a process that appears to mediate receptor
resensitization (Garland et al., 1996 ). Recent studies (Mantyh
et al., 1995 ) have used the internalization of NK1Rs in dorsal
horn neurons to demonstrate their activation by noxious stimulation in vivo. Spinal cord slices with
attached dorsal roots allow controlled application of drugs
and electrical stimulation and preserve many of the synapses present in
the intact tissue. These characteristics make this preparation suitable
to study the internalization of NK1Rs in dorsal horn neurons as a
marker of their activation by various stimuli. Here, we have used
spinal cord slices (1) to observe NK1R internalization induced in
vitro; (2) to determine whether endogenous neurokinins are
released in the slices by electrical stimulation of the dorsal root;
and (3) to investigate whether NMDA receptors are involved in
neurokinin release.
MATERIALS AND METHODS
Reagents. CNQX, 2-amino-5-phosphonopentanoic acid
(AP-5), L-703,606, and NMDA were from Research Biochemicals
International (Natick, MA). Metofane (methoxyflurane) was from
Pitman-Moore (Mundelein, IL). PBS (in mM: 138 NaCl, 2.7 KCl, and 10 Na+ phosphate, pH 7.4) and thiorphan
were obtained from Sigma Chemical Co. (St. Louis, MO). SP was from
Molecular Research Laboratories (Durham, NC). Slow Fade was from
Molecular Probes (Eugene, OR). All other reagents were purchased from
standard commercial sources.
Slice preparation. Transverse slices of 400 µm, some with
one dorsal root attached, were cut from a lumbar segment (L2-L5) of
the spinal cord of a young rat (14-28 d) using a Vibratome (Technical
Products International, Inc., St. Louis, MO), as described previously
(Randic et al., 1993 ). Slices were kept in artificial CSF (ACSF; in
mM: 124 NaCl, 1.9 KCl, 26 NaHCO3, 1.2 KH2PO4, 1.3 MgSO4,
2.4 CaCl2, and 10 glucose, bubbled with 95%
O2 and 5% CO2, pH 7.4, 305 mOsm) except
during their preparation, when NaCl was iso-osmotically replaced by
sucrose (215 mM), and the concentration of KCl was
increased to 5 mM. Immediately after cutting, slices were
incubated at 35°C for 1-1.5 hr in ACSF containing 5 mM
KCl.
Electrophysiology. Intracellular recordings from neurons in
laminae I-II were performed using sharp electrodes as described previously (Randic et al., 1993 ). Recording electrodes (100-200 M )
were pulled from aluminosilicate glass tubing (1.0 mm outer diameter,
0.53 mm inner diameter) and filled with 3 M potassium acetate and 10 mM KCl, pH 7.2. Slices were kept submerged
in a recording chamber perfused at 3-6 ml/min with ACSF at 35°C.
Neurons were impaled by slowly advancing the recording electrode and
oscillating the capacity compensation circuit of an Axoprobe 1A
amplifier (Axon Instruments, Foster City, CA). Recordings were
performed from neurons that had a resting membrane potential negative
to 50 mV, action potentials that overshot 0 mV, and membrane
resistance >60 M .
EPSPs were evoked by stimulating the whole root distally (3-7 mm) from
the slice with a hook platinum bipolar electrode connected to a Grass
S-88 stimulator through a stimulus-isolating unit operating in capacity
mode. The duration of the electrical pulses was 0.4 msec, and their
intensity was adjusted in the range of 5-30 V to yield EPSPs of 5-20
mV without evoking action potentials. Sweeps (200 msec), including the
response to a current step ( 0.1 to 0.3 nA, 30-50 msec) and the
evoked EPSP, were analyzed on-line (Neuropro; RC Electronics, Santa
Barbara, CA) to measure baseline membrane potential and resistance, and
the latency, amplitude, and slope of the evoked EPSP. Conduction speeds
were calculated by dividing the length of the root stimulated by the
latency of the evoked EPSPs. LTP or long-term depression (LTD) were
induced with a 100 Hz tetanus (three trains of 1 sec every 10 sec,
pulses identical to those used to sample EPSPs) after sampling EPSPs at
0.03 Hz for at least 10 min to establish a baseline, and assessed by
recording evoked EPSPs for an additional 20-80 min.
Slice treatments. The procedure for electrical stimulation
of the dorsal root was similar to that used to evoke EPSPs. One dorsal
root was used to stimulate the corresponding dorsal horn, whereas the
contralateral dorsal horn served as control. Lack of good contact
between the root and the slice usually derives from not cutting the
slice precisely at the point of entrance of the root, or from damage to
the root at its point of contact with the slice. Slices were inspected
for damage to the root using a dissection microscope, and those judged
unsatisfactory were discarded. Slices were placed in the recording
chamber perfused at 3-6 ml/min with ACSF at 35°C, and the whole
dorsal root was stimulated with square pulses of 20 V and 0.4 msec
duration. Stimulation consisted of 300 pulses in three trains at 100 Hz
(1 sec) or 10 Hz (10 sec) separated by 10 sec or 1 train at 1 Hz (5 min). After stimulation, slices were kept in the chamber for 10-15 min
and then fixed. The stimulated side of the slice was marked with a V-shaped cut in the ventral horn. To avoid bias, this mark was only
used to identify the stimulated side of the sections after the cells
were counted.
Drug treatment was done by either incubating the slices at 35°C in
2-5 ml of ACSF bubbled with 95% O2 and 5%
CO2 containing the appropriate concentration of drug or, in
experiments in which the root was stimulated, by adding the drug to
ACSF perfused through the recording chamber.
Capsaicin injection. In vivo noxious stimulation
was performed as described (Mantyh et al., 1995 ). Male Sprague Dawley
rats (2 months old) were anesthetized with enflurane and injected
subcutaneously in the hindpaw with 20 µl of capsaicin dissolved (5 mg/ml) in 5% polyoxyethylenesorbitan mono-oleate (Tween 80). After 7 min the rats were deeply anesthetized with sodium pentobarbital (60 mg/kg of body weight) and perfused through the ascending aorta with 100 ml of 0.1 M PBS, pH 7.4, followed by 500 ml of PBS
containing 4% paraformaldehyde and saturated picric acid (4°C). The
lumbar spinal cord was then removed and processed like the slices.
Immunohistochemistry. The procedure used was similar to that
described by Mantyh et al. (1995) . Slices were fixed in PBS containing 4% paraformaldehyde and saturated picric acid for 3-16 hr at 4°C and cryoprotected by incubating with 20% sucrose in phosphate buffer
(0.1 M, pH 7.4) for 12-24 hr at 4°C. Each slice was then frozen on dry ice and cut into transverse sections (50 µm, six to
eight sections per slice). Sections were washed once with PBS and twice
with PBS containing 1% normal goat serum and 0.3% Triton X-100. Then,
sections were incubated at room temperature for 1 hr, and at 4°C for
36-40 hr, with the anti-NK1R primary antibody diluted 1:3000 in PBS
containing 10% normal goat serum and 0.3% Triton X-100. The primary
antibody was a polyclonal rabbit antibody (11826-5, a generous gift
from Dr. Steve Vigna, Duke University Medical Center, Durham, NC)
raised against a 15 amino acid peptide sequence at the C-terminal of
the rat NK1R (Vigna et al., 1994 ; Mantyh et al., 1995 ). After three
washes with PBS, sections were incubated for 2 hr at room temperature
with the secondary antibody (goat anti-rabbit IgG FITC,
affinity-purified; Cappel, Durham, NC) diluted 1:100 in PBS, 10%
normal goat serum, and 0.3% Triton X-100. Sections were washed three
more times with PBS and mounted in Slow Fade.
Confocal microscopy. Neurons were studied as described
(Grady et al., 1996 ) using an MRC 1000 confocal microscope, (Bio-Rad, Hercules, CA) equipped with a krypton-argon laser (488, 565, and 647 nm lines) and T1 and T2A filter blocks, attached to a Zeiss Axiovert
microscope. Sections were observed with a Plan Apochromat 100× oil
immersion objective with a numerical aperture of 1.4 ( 0.7). Images
were collected using an aperture of 2-5 mm and zoom of 1-3. Optical
sections were taken at 0.5 µm intervals through the tissue. The
combination of objective and microscope settings used resulted in a
resolution in the x- and y-axis of 170-200 nm
and in the z-axis of 230-400 nm. Images of 768 × 420 pixels were obtained and processed using Adobe Photoshop 3.0, (Adobe Systems Inc., Mountain View, CA) and printed using a Fujix Pictography 3000 printer.
Neuron counting. A Leitz Orthoplan (E. Leitz, Inc.,
Rockleigh, NJ) fluorescence microscope fitted with a 50× oil immersion objective (Leitz NPL Fluotar) was used to count NK1R immunoreactive neuronal somas. Counting was done according to the following procedure: (1) the observation field was moved systematically along each of the
Rexed laminae while focusing up and down through the section to view
the neurons; (2) neurons were considered to have internalized receptors
when 10 endosomes were observed inside the soma and proximal
dendrites contiguous with it; (3) neurons were grouped in the following
regions: laminae I-IIo, laminae III-V, and lamina X; (4) in each section, all NK1R-positive neuronal somas in these regions were counted and classified as having or not having
internalized NK1Rs, except that in some experiments only neurons in
laminae I-IIo were counted; (5) at least five (and
frequently all) of the six to eight sections obtained per slice were
examined; (6) neurons in the right and left side of the sections were
counted separately; (7) in stimulated slices, the right and left side of each section was labeled as stimulated or contralateral by locating
a notch carved in the ventral horn (see Slice treatments); (8) another
investigator independently reexamined the sections to verify the
counting; (9) data of the sections were added, and results were
expressed as percentage of NK1R-positive neurons showing
internalization in each region per slice or hemislice (stimulated or
contralateral side); and (10) results of three or four slices were
averaged to calculate the mean ± SEM.
Prism software (GraphPad Software, San Diego, CA) was used for data
processing and statistical analysis. The statistical significance of
differences between pairs of values was determined by performing a
one-way ANOVA for each lamina followed by Bonferroni's multiple comparison test.
RESULTS
NK1R immunoreactive neurons in spinal cord slices
The NK1R was localized by immunofluorescence in fixed sections
prepared from live transverse spinal cord slices. The NK1R covered most
of the somatic and dendritic surface of the neurons. Sections prepared
directly from a fixed rat, labeled using the same immunohistochemistry
procedure, yielded high-quality images (Fig.
1G) similar to those in
earlier reports (Mantyh et al., 1995 ). Sections prepared from the
slices also gave images of good quality (Fig.
1A-F), although sometimes they had a slightly
higher background. We expected to find some variability in the number of NK1R-immunoreactive neurons between the different histological sections obtained from a slice, because neurons in the surface of the
slice tend to be damaged when cutting with the Vibratome, whereas cells
inside the slice are better protected. Sections superficial to the
slice (first and last cut) could be identified because they have
rugged, broken edges. These superficial sections did have less neurons
and uneven thickness, and they were often discarded after sectioning or
excluded from the cell counting. We found little variability in the
number of NK1R-positive neurons between the rest of the sections from a
slice.
Fig. 1.
Fluorescent confocal images of NK1R-immunoreactive
neurons in the dorsal horn. Arrowheads indicate surface
labeling, and arrows indicate NK1Rs internalized in
endosomes. A-F, Spinal cord slices were incubated for
10 min at 35°C with ACSF alone (A, C) or containing 100 nM SP (B, D, E, F).
A, Lamina I neurons in a control slice (1 optical
section). B, Lamina I neuron showing NK1R
internalization after incubation with SP (8 optical sections).
C, Lamina III neuron in a control slice (1 optical
section). D, Lamina III neuron in a slice incubated with
SP (5 optical sections). E, F, Lamina I neuron in a slice incubated with SP; single central
(E) and superficial (F) optical sections show internalization
in the soma and the dendrites, respectively. G, Lamina
III neuron with a dendrite projecting dorsally to lamina I (at the
bottom) in a section cut from the lumbar (L4) spinal
cord of a rat injected with capsaicin (100 µg) in the hindpaw. This
panel is a computer-generated juxtaposition of two confocal images, one
in lamina III (28 optical sections) and other in laminae I and II (34 optical sections). Scale bar: A, G, 20 µm;
B, 13.3 µm; C-F, 11.6 µm.
[View Larger Version of this Image (111K GIF file)]
Earlier reports (Bleazard et al., 1994 ; Liu et al., 1994a ; Brown et
al., 1995 ; Mantyh et al., 1995 ), indicated that NK1R-positive neurons
are found in all of the Rexed laminae of the dorsal horn except lamina
II. Our observations confirmed these reports. However, although
NK1R-positive neurons were practically absent in the internal portion
of lamina II (lamina IIi), some NK1R-positive neurons appear to be present in the outermost portion of lamina II
(lamina IIo). The number of NK1R-immunoreactive
neurons per slice was as follows: laminae I and IIo,
195 ± 15 (n = 15); laminae III and IV, 238 ± 30 (n = 9); laminae V, 93 ± 13 (n = 9); and lamina X, 28 ± 7 (n = 15). Some large NK1R-positive neurons were found in the lateral
spinal nucleus (27 ± 3 neurons per slice; n = 15), i.e., the dorsalmost part of the dorsolateral white matter. Several neurons in laminae III and IV had a large, dorsally directed dendritic arbor that traversed lamina II and spread in lamina I (see
Figs. 1G, 5D).
Fig. 5.
Fluorescent confocal images of NK1R-immunoreactive
neurons in slices electrically stimulated. Stimulation consisted of
three trains of 1 sec at 100 Hz separated by 10 sec, delivered to one of the dorsal roots. Arrowheads indicate surface
labeling, and arrows indicate internalized NK1R.
A-C, Single optical sections. A, Lamina
I neuron in the contralateral side showing surface immunoreactivity. B, Lamina I neuron in the stimulated side showing
extensive NK1R internalization. C, Lamina III neuron in
the contralateral side. D, Lamina III neuron in the
stimulated side with a dendrite projecting to lamina I (at the
top); this is a computer-generated juxtaposition of two
confocal images of four (top) or five
(bottom) optical sections. Scale bar: A,
B, 10 µm; C, D, 20 µm. E,
Model of the synergistic action of SP and glutamate at a dorsal horn
synapse. 1, Noxious stimuli produce presynaptic
depolarization and glutamate release. 2, Presynaptic
NMDA receptors are activated by glutamate and depolarization, letting
Ca2+ inside the presynaptic button.
3, Increases in presynaptic calcium concentration
trigger SP release. 4, SP binds to NK1Rs in surrounding neurons starting the internalization process. 5,
Activated NK1Rs increase postsynaptic responses to glutamate.
[View Larger Version of this Image (103K GIF file)]
In untreated slices (control in Figs. 2,
4; n = 4 slices), NK1R immunoreactivity was localized
to the cell surface in practically all NK1R-positive neurons in laminae
III-V (99 ± 0.2%, 224-530 NK1R-positive neurons per slice) or
lamina X (98 ± 2%, 9-48 NK1R-positive neurons per slice) and
most NK1R-positive neurons in laminae I-IIo (82 ± 2%, 148-294 NK1R-positive neurons per slice). It is unlikely that the
baseline internalization in laminae I-IIo was caused by a
continuous release of neurokinins, because it was not abolished by
incubating the slices for 40 min with the NK1R antagonist L-703,606 (1 µM; Fig. 2). It may be attributable to neurokinin release
during preparation of the slices and the inability of a few neurons to recycle the receptor to the membrane during the recovery period. Confocal microscopy confirmed the absence of internalization in untreated slices; surface immunofluorescence was detected in single optical sections taken through the center of neurons in laminae I and
III (Fig. 1A,C).
Fig. 2.
Percentage of NK1R-positive neurons showing
internalization after incubation with SP and a NK1R antagonist. Slices
were incubated at 35°C in ACSF bubbled with 95% O2 and
5% CO2 as follows: Control, no additions;
L, 1 µM L-703,606 for 40 min;
SP, 100 nM SP for 10 min;
SP+thio, 10 µM thiorphan for 20 min adding
100 nM SP during the last 10 min; SP+L, and
1 µM L-703,606 for 40 min adding 100 nM SP
during the last 10 min. Bars represent the percentage of NK1-positive neurons with internalization in laminae
I-IIo, III-V, or X. Values are mean ± SEM of
three slices, except the control (4 slices). Significant differences
(ANOVA, p < 0.001) were found between control and
SP, control and SP+thio, SP and L, and SP and SP+L in all three
regions. Less pronounced inhibition of internalization was obtained
with 100 nM L-703,606 (data not shown).
[View Larger Version of this Image (33K GIF file)]
Fig. 4.
Percentage of NK1R-positive neurons in laminae
I-IIo showing internalization after dorsal root
stimulation or incubation with NMDA. One dorsal root was used to
stimulate the corresponding side of the slice, whereas the
contralateral side served as control. Open bars
represent slices that were not electrically stimulated; filled
bars represent the stimulated side of the slices; and
hatched bars represent the contralateral side.
Stimulation was as follows: Control, no stimulation;
1 Hz, one train of 5 min at 1 Hz; 10 Hz,
three trains of 10 sec at 10 Hz every 10 sec; 100 Hz,
three trains of 1 sec at 100 Hz every 10 sec; 100 Hz+L,
5 µM L-703,606 perfused for 10 min before and after 100 Hz; 100 Hz+AP-5, 50 µM AP-5 perfused for 5 min before and after 100 Hz; 100 Hz+CNQX, 5 µM CNQX perfused for 10 min before and after 100 Hz;
NMDA, 100 µM NMDA for 1 min followed by
ACSF for 10 min; NMDA+L, 100 µM NMDA for 1 min and 5 µM L-703,606 for 10 min before and after NMDA.
Values are mean ± SEM of four slices (control, 100 Hz, 100 Hz+CNQX, NMDA) or three slices (rest). ***Significantly different from
control (p < 0.001, ANOVA and Bonferroni's
test); these three bars are also significantly different
(p < 0.05) from any other bars in the
figure.
[View Larger Version of this Image (32K GIF file)]
NK1R internalization produced by SP application
Incubating spinal cord slices with SP (100 nM) induced
NK1R internalization into multiple discrete vesicles, as determined by
confocal microscopy (Fig. 1B,D-F). SP was
applied for 10 min, the time required for the internalization process
to reach its peak (Mantyh et al., 1995 ). Single confocal optical
sections confirmed that the internalization occurred both in the soma
(Fig. 1E) and the dendrites (Fig.
1F). Internalization occurred in all regions of the
dorsal horn (p < 0.001 compared with control
slices) and was blocked (p < 0.001 compared
with SP alone; Fig. 2) by the specific, nonpeptide NK1R antagonist
L-703,606 (1 µM, Cascieri et al., 1992 ). Hence, NK1Rs and
the mechanisms mediating their internalization were functional in the
slices.
SP-induced NK1R internalization (Fig. 2, n = 3 slices)
was observed in nearly all NK1R-positive neurons in laminae
I-IIo (92 ± 3%, 123-196 NK1R-positive neurons per
slice), lamina X (79 ± 21%, 4-24 NK1R-positive neurons per
slice), and the lateral spinal nucleus (98 ± 2%, 21-27
NK1R-positive neurons per slice), but only in 50 ± 5% of
NK1R-positive neurons in laminae III-V (187-204 NK1R-positive neurons
per slice). To ensure that SP penetrates the slices, we used it at
relatively high concentrations, 100 nM, 30 and 600 times
the KD of SP for low- and high-affinity binding sites in the spinal cord, respectively (Routh and Helke, 1995 ). We
wondered whether this difference was because of a greater degradation of SP in laminae III-V by endogenous neutral endopeptidase (NEP, EC3.4.24.11). Combining SP with the NEP inhibitor thiorphan (10 µM) resulted in a small increase (to 63 ± 4%;
p < 0.05 compared with SP alone) in the number of
neurons with internalized NK1Rs in this area (Fig. 2), which is
consistent with reports showing that peptidase inhibitors increase
extracellular SP in the deep dorsal horn (Duggan et al., 1992 ).
Thiorphan alone did not increase NK1R internalization in any of the
regions studied (p > 0.05, data not shown). In
any case, 35% of the neurons in laminae III-V failed to show
internalization in the presence of SP combined with thiorphan,
suggesting that some neurons in laminae III-V may be unable to
internalize the NK1R in their somas. Neurons in laminae III-V
consistently internalized NK1R less readily than lamina I neurons in
all treatments used in this study, including noxious stimulation
in vivo (Fig. 1G) (Mantyh et al., 1995 ).
NK1R internalization induced by electrical stimulation of the
dorsal root
To verify that root stimulation elicited action potentials that
reached the dorsal horn, we performed intracellular recordings from
neurons in laminae I and II. Electrical pulses (5-30 V, 0.4 msec)
delivered to the root evoked EPSPs in 14 of 14 neurons recorded. In
agreement with earlier reports (Li and Bak, 1976 ; Yoshimura and
Jessell, 1990 ; Randic et al., 1993 ; Liu and Sandkühler, 1995 ), pulses of relatively long duration (0.4 msec) evoked EPSPs with long
latencies consistent with the conduction speed of C- and A -fibers.
EPSPs in the experiment shown in Figure 3
appeared to be monosynaptic, because they had a constant latency of 12 msec. From this latency value and the length of dorsal root stimulated (5 mm), we calculated a conduction speed of 0.4 m/sec, which is consistent with the conduction speed of C-fibers (Li and Bak, 1976 ;
Swett and Bourassa, 1981 ). High-frequency stimulation of the dorsal
root (three trains of 1 sec at 100 Hz, separated 10 sec) potentiated
synaptic responses in three of four dorsal horn neurons (Fig. 3). In
these three neurons, EPSP amplitudes were increased to 155 ± 10%
(n = 3) of baseline for up to 80 min, suggesting that
LTP was induced. In the remaining neuron, EPSP amplitude was
substantially decreased for 80 min after the tetanus (data not shown),
suggesting the induction of LTD. The presence of LTP and LTD in these
synapses has been demonstrated by other investigators (Randic et al.,
1993 ; Liu and Sandkühler, 1995 ).
Fig. 3.
EPSPs and LTP of dorsal horn synapses.
Intracellular recording from a dorsal horn neuron (laminae I-II) in a
spinal cord slice. The resting membrane potential of the neuron was
63 mV, its input resistance was 160 M , and its time constant was 5 msec. The cell was held at 71 mV by passing current ( 20 to 60 pA)
through the recording electrode. EPSPs were evoked every 30 sec by
stimulating the dorsal root, 5 mm away from the slice, with pulses of
8.8 V and 0.4 msec. Evoked EPSPs had a constant latency of 12 msec. At
the time indicated by the arrow, a tetanus was delivered
to the root consisting of pulses (8.8 V, 0.4 msec) delivered at 100 Hz
in three trains of 1 sec duration separated by 10 sec intervals. Current injection was stopped for 2 min during the tetanus.
A, Evoked EPSPs during the baseline (average of 32 sweeps) and after the tetanus (average of 40 sweeps excluding
post-tetanic potentiation). B, Horizontal
lines represent averages of the amplitude of the evoked EPSPs
before (4.4 ± 0.3 mV, n = 32) and after
(8.7 ± 0.3 mV, n = 40) the tetanus. The
increase in EPSP amplitude after the tetanus was very significant
(p < 0.0001, t test). The
experiment was repeated three times with similar results.
[View Larger Version of this Image (18K GIF file)]
We then investigated whether electrical stimulation of the dorsal root
entering the slice was able to induce NK1R internalization through the
release of endogenous SP. Pulses of 20 V and 0.4 msec were delivered
using a bipolar electrode stimulating the whole root. After
high-frequency stimulation (100 Hz, three trains of 1 sec) of the
dorsal root (Fig. 4; n = 4 slices), the percentage of NK1R-positive neurons with internalized
receptors was increased in laminae I-IIo of the stimulated
side (to 53 ± 3%; p < 0.001; 84-124
NK1R-positive neurons per hemislice), but not of the contralateral side
(18 ± 2%; 59-136 NK1R-positive neurons per hemislice). Figure 5A,B shows confocal images of
representative neurons in the contralateral and stimulated side of the
slice, respectively. The increase in internalization produced by
high-frequency stimulation was abolished by the NK1R antagonist
L-703,606 (5 µM, Fig. 4), perfused for 10 min before and
after the tetanus. Hence, this stimulation protocol appears to induce
the release of endogenous SP or other neurokinins from primary afferent
terminals or secondary dorsal horn neurons. Crisp surface
immunoreactivity was found in neuronal somas in deeper laminae of the
stimulated side of the slices (Fig. 5C,D); neurons with
internalization were 2 ± 1% in laminae III-V (of 80-187
NK1R-positive neurons per slice) and 8 ± 4% in lamina X (of
7-53 NK1R-positive neurons per slice). Nevertheless, some internalization could be detected in dendrites of lamina III neurons projecting into lamina I (Fig. 5D, top), although
this was less clear than in sections prepared directly from rats
injected with capsaicin (Fig. 1G).
Stimulation with the same number of pulses at lower frequencies (three
trains at 10 Hz for 10 sec or one train at 1 Hz for 5 min; Fig. 4)
failed to increase NK1R internalization in laminae I-IIo
neurons over control levels (p > 0.05).
Moreover, laminae I-IIo neurons with internalized NK1Rs
were significantly (p < 0.01) more numerous in
dorsal horns stimulated at 100 Hz than in dorsal horns stimulated at 1 or 10 Hz, suggesting that the release of SP from afferent terminals is
frequency-dependent.
NK1R internalization induced by NMDA receptor activation
It has been suggested that NMDA autoreceptors control the release
of neuropeptides in the dorsal horn (Liu et al., 1994b ). To test this
hypothesis, the NMDA receptor antagonist AP-5 (50 µM) was
perfused through the chamber containing the slices for 5 min before and
5 min after the 100 Hz tetanus was delivered to the dorsal root (Fig.
4; n = 3 slices). AP-5 significantly decreased
(p < 0.001) NK1R internalization in laminae
I-IIo of the stimulated side of the slices to 22 ± 5% (90-122 NK1R-positive neurons per hemislice), a value not
significantly different from control (p > 0.05), confirming the hypothesis. In contrast, CNQX (5 µM; Fig. 4), an antagonist of AMPA and kainate receptors
(Honoré et al., 1988 ), perfused for 10 min before and 10 min
after the tetanus, did not decrease the internalization produced by the 100 Hz tetanus in laminae I-IIo, indicating that
non-NMDA glutamate receptors are not involved in the control of SP
release.
To investigate the hypothesis further, spinal cord slices were
incubated with 100 µM NMDA without electrical stimulation
(Fig. 4; n = 4 slices). Exposure to NMDA was kept short
(1 min) to minimize possible cell damage caused by neurotoxicity and
was followed by a 10 min incubation in the absence of drug to leave
time for internalization to occur. This treatment resulted in a
significant (p < 0.001) increase in the number
of neurons with internalized NK1R in laminae I-IIo (to
54 ± 5%; 144-433 NK1R-positive neurons per slice) but not in
laminae III-V (4 ± 2%; p > 0.05; 235-371 NK1R-positive neurons per slice) or lamina X (5 ± 3%;
p > 0.05; 19-34 NK1R-positive neurons per slice). The
effect of NMDA was abolished by the NK1R antagonist L-703,606 (5 µM; Fig. 4; p < 0.001 compared with NMDA
alone). Hence, NMDA receptors do appear to mediate SP release in the
dorsal horn, and this effect seems to be restricted to laminae I and
II.
DISCUSSION
Frequency dependence of SP release
High-frequency stimulation (100 Hz) of the dorsal root induced
internalization of NK1Rs in laminae I-IIo neurons. The
internalization was abolished by an SP antagonist, indicating that this
stimulation elicited the release of endogenous SP. The same number of
pulses delivered at lower frequencies (1 or 10 Hz) failed to produce NK1R internalization. It is possible that 1-10 Hz stimulation elicits
some SP release in the dorsal horn but in amounts too low to induce
significant NK1R internalization, particularly considering that some SP
may leak out of the slices. In any case, our results show that more SP
is released at 100 Hz than at 1-10 Hz. There is evidence that many
neuropeptides are released more effectively at higher frequencies of
stimulation (Duggan et al., 1995 , and references therein). However,
there is not a consensus on the role of stimulation frequency in
controlling SP release from the spinal cord; although initial reports
(Go and Yaksh, 1987 ) showed that SP release was enhanced by increasing
the stimulation frequency from 12 to 20 Hz, Duggan et al. (1995) found
that SP release was unchanged over a frequency range of 0.5-20 Hz but
also reported that a greater release of SP was produced by a series of
short bursts at high frequency (three pulses at 50-300 Hz).
Another issue is the type of fibers stimulated by our protocol.
Intracellular recordings showed that the pulses used evoked EPSPs with
latencies consistent with the conduction speed of A - and C-fibers
(Li and Bak, 1976 ; Swett and Bourassa, 1981 ). However, because C-fibers
do not follow 100 Hz (McCarthy and Lawson, 1989 ; Waddell and Lawson,
1990 ), at least some of the SP that elicits the internalization may be
released from A -fibers, which follow 100 Hz and contain SP in 20%
of their terminals (McCarthy and Lawson, 1989 ; Waddell and Lawson,
1990 ). Alternatively, our stimulation protocol may have produced short
bursts of high frequency in C-fibers before they failed to follow the
stimulation; these short bursts may be sufficient to elicit substantial
SP release from their terminals (Duggan et al., 1995 ; Ribeiro-da-Silva
and Claudio Cuello, 1995 ). Because SP may diffuse out of the slice, it
is possible that release from both A - and C-fibers is necessary to
produce internalization. Another possibility is that high-frequency
stimulation of A - and A -fibers decrease presynaptic inhibition of
C-fibers. When comparing our observations with in vivo
results, it has to be kept in mind that slices lack bulbospinal control
and input from other spinal segments. Nevertheless, slices with
attached roots will be a valuable tool in future studies elucidating
what type of afferent activity causes SP release.
Role of NMDA receptors in SP release
Our findings are consistent with the hypothesis that NMDA
autoreceptors control the release of neuropeptides in the dorsal horn
(Liu et al., 1994b ). NK1R internalization produced by 100 Hz
stimulation of the dorsal root was blocked by the NMDA receptor antagonist AP-5. Moreover, a short incubation with NMDA also elicited NK1R internalization in laminae I-IIo. The internalization
produced by both 100 Hz stimulation and NMDA application was abolished by an NK1R antagonist, indicating that this internalization was caused
by the release of endogenous SP controlled by NMDA receptors. A recent
report (Liu et al., 1997 ) showed a similar increase in NK1R
internalization after intrathecal injection of NMDA, which produced
pain behavior.
In contrast with the effect of AP-5, CNQX, an antagonist of AMPA and
kainate receptors (Honoré et al., 1988 ), did not decrease the
NK1R internalization produced by 100 Hz stimulation, indicating that
non-NMDA glutamate receptors do not mediate the release of SP.
Furthermore, CNQX should block synaptic transmission between primary
afferents and dorsal horn neurons, because non-NMDA glutamate receptors
mediate most of the excitatory synaptic transmission in the dorsal horn
(Yoshimura and Jessell, 1990 ; Randic et al., 1993 ). Hence, the lack of
effect of CNQX suggests that SP is released from primary afferents,
which contain half of the neurokinins present in the dorsal horn (Ogawa
et al., 1985 ).
The most plausible explanation for these findings is that the release
of SP in the dorsal horn is controlled by presynaptic NMDA receptors in
the primary afferents. Alternative explanations are (1) that SP is
released by secondary neurons having NMDA receptors postsynaptic to
primary afferents; and (2) that postsynaptic NMDA receptors control
neurokinin release from the primary afferents by means of a retrograde
messenger such as nitric oxide (Schuman and Madison, 1991 ). The first
possibility has to be ruled out, because blocking postsynaptic NMDA
receptors does not appreciably decrease synaptic transmission in the
dorsal horn (Yoshimura and Jessell, 1990 ; Randic et al., 1993 ), whereas
all the internalization elicited by dorsal root stimulation appears to
be NMDA receptor-dependent (Fig. 4). Moreover, as discussed above, the
lack of inhibition of the internalization by CNQX suggests that SP is
released from primary afferents.
Although the second explanation cannot be ruled out, there is strong
evidence supporting the presence of NMDA autoreceptors in the dorsal
horn. NMDA receptors have been detected on the presynaptic terminals of
afferent fibers using electron microscopy immunohistochemistry (Liu et
al., 1994b ). Other reports show that NMDA receptors are expressed in
most dorsal root ganglion neurons, including the small cells related to
C- and A -fibers (Sato et al., 1993 ). Furthermore, glutamate coexists
with SP in primary afferent terminals in the dorsal horn (Battaglia and
Rustioni, 1988 ; De Biasi and Rustoni, 1988 ). Nevertheless, experiments
ruling out the involvement of retrograde messengers in SP release
elicited by NMDA application are necessary to confirm that these NMDA
receptors are indeed presynaptic.
Sites of release of SP
NMDA and high-frequency stimulation produced internalization
exclusively in neurons in laminae I-IIo, although
internalization seems to occur also in the dendrites of laminae III-V
neurons that extend into lamina I. This is probably attributable to the fact that SP is released in laminae I and II in amounts too small to
reach laminae III-V (Liu et al., 1994a ; Duggan et al., 1995 ; Ribeiro-da-Silva and Claudio Cuello, 1995 ). Alternative explanations are that internalization mechanisms are less active in laminae III-V,
as suggested by the limited internalization produced by SP in this
region, or that laminae III-V have a higher content of NEP.
Studying SP release in spinal cord slices has two potential problems:
(1) released SP may diffuse out of the slices before it can reach
deeper laminae; and (2) dorsal root fibers running rostrally before
entering the dorsal horn are severed in the slices. Nevertheless, these
problems do not invalidate our conclusion that SP release occurs mainly
in laminae I and II, because NK1R internalization elicited by NMDA
application to the slices or by noxious stimulation in vivo
(Fig. 1G) (Mantyh et al., 1995 ) was also restricted to
laminae I and II.
NK1Rs and dorsal horn LTP
LTP of synapses between afferent fibers, including C-fibers, and
neurons in the superficial dorsal horn has been described by other
investigators (Randic et al., 1993 ; Liu and Sandkühler, 1995 ). We
have replicated these results here to show that the same 100 Hz tetanus
that we used to produce NK1R internalization is able to induce LTP,
confirming the integrity of the synapses. Both dorsal horn LTP and NK1R
internalization are induced by high-frequency stimulation and require
the activation of NMDA receptors. In vivo field potential
recordings (Sandkühler et al., 1995 ) have shown that NK1R
antagonists block the induction of dorsal horn LTP, raising the
possibility that NK1Rs participate in dorsal horn LTP. The main problem
with this idea is that LTP can be induced in half of the neurons in
laminae I and II (Randic et al., 1993 ), whereas NK1R-positive neurons
are scarce in lamina II (Liu et al., 1994a ) and represent only 5-10%
of the neurons in lamina I (Brown et al., 1995 ). Hence, LTP can be
induced in neurons lacking NK1Rs. Further studies are necessary to
elucidate whether the similarities between the production of LTP and SP
release in the dorsal horn are purely coincidental, or whether neurons
with NK1Rs somehow participate in the induction of LTP in other
neurons.
Conclusion
Our results are consistent with the following model for the
synergistic action of neurokinins and glutamate in the dorsal horn
(Fig. 5E). (1) Noxious stimuli induce high-frequency action potentials in A - and C-fibers, producing presynaptic depolarization and glutamate release from these terminals. (2) Presynaptic
depolarization and extracellular glutamate activate NMDA autoreceptors,
which let calcium inside the presynaptic button. (3) This produces a further increase in the intracellular calcium concentration of the
synaptic button, triggering SP release from dense core vesicles. (4) SP
binds to NK1Rs in surrounding neurons, starting the internalization process. (5) Activated NK1Rs increase postsynaptic responses to glutamate (Randic et al., 1990 ; Rusin et al., 1993a ,b ) through signal
transduction pathways, leading to an increase in neuronal excitability.
FOOTNOTES
Received April 2, 1997; revised Aug. 8, 1997; accepted Aug. 12, 1997.
This work was supported by National Science Foundation Grant
IBN-9510314 to E.F.G., National Institutes of Health Grants DK40919 and
DK48351 to E.A.M, DK43207 and DK39957 to N.W.B, and DK41301 to CURE:
Digestive Diseases Research Center. A pilot and feasibility grant to
J.C.M. and access to facilities in the Morphology/Imaging Core and
Animal Models Core were provided by CURE: Digestive Diseases Research
Center. We thank Dr. Mirjana Randic, Dr. Rok Cerne, Dr. Lawrence
Kruger, Dr. Thomas O'Dell, Dr. Catia Sternini, and Dr. Nicholas Brecha
for their advice and Dr. Steve Vigna for the NK1R antibody.
Correspondence should be addressed to Juan Carlos G. Marvizón,
University of California Los Angeles Neuroenteric Disease Program, West
Los Angeles Veterans Administration Medical Center, Building 115, 11301 Wilshire Boulevard, Los Angeles, CA 90073.
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