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The Journal of Neuroscience, June 15, 1998, 18(12):4588-4602
Dopamine Neurons Make Glutamatergic Synapses In
Vitro
David
Sulzer1, 2, 5,
Myra
P.
Joyce1, 5,
Ling
Lin1, 5,
Daron
Geldwert1, 5,
Suzanne N.
Haber6,
Toshiaki
Hattori7, and
Stephen
Rayport1, 3, 4, 5
Departments of 1 Psychiatry, 2 Neurology,
and 3 Anatomy and Cell Biology and 4 Center for
Neurobiology and Behavior, Columbia University, New York, New York
10032, 5 Department of Neuroscience, New York State
Psychiatric Institute, New York, New York 10032, 6 Department of Neurobiology and Anatomy, University of
Rochester, Rochester, New York 14642, and 7 Department
of Anatomy and Cell Biology, University of Toronto, Toronto, Ontario,
Canada M5S 1A8
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ABSTRACT |
Interactions between dopamine and glutamate play prominent roles in
memory, addiction, and schizophrenia. Several lines of evidence have
suggested that the ventral midbrain dopamine neurons that give rise to
the major CNS dopaminergic projections may also be glutamatergic. To
examine this possibility, we double immunostained ventral midbrain
sections from rat and monkey for the dopamine-synthetic enzyme tyrosine
hydroxylase and for glutamate; we found that most dopamine neurons
immunostained for glutamate, both in rat and monkey. We then used
postnatal cell culture to examine individual dopamine neurons. Again,
most dopamine neurons immunostained for glutamate; they were also
immunoreactive for phosphate-activated glutaminase, the major source of
neurotransmitter glutamate. Inhibition of glutaminase reduced glutamate
staining. In single-cell microculture, dopamine neurons gave rise to
varicosities immunoreactive for both tyrosine hydroxylase and glutamate
and others immunoreactive mainly for glutamate, which were found near
the cell body. At the ultrastructural level, dopamine neurons formed
occasional dopaminergic varicosities with symmetric synaptic
specializations, but they more commonly formed nondopaminergic
varicosities with asymmetric synaptic specializations. Stimulation of
individual dopamine neurons evoked a fast glutamatergic autaptic EPSC
that showed presynaptic inhibition caused by concomitant dopamine
release. Thus, dopamine neurons may exert rapid synaptic actions via
their glutamatergic synapses and slower modulatory actions via their dopaminergic synapses. Together with evidence for glutamate
cotransmission in serotonergic raphe neurons and noradrenergic locus
coeruleus neurons, the present results suggest that glutamatergic
cotransmission may be the rule for central monoaminergic neurons.
Key words:
glutamate; cotransmission; mesolimbic; nigrostriatal; cell culture; ventral tegmental area
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INTRODUCTION |
Ventral midbrain (VM) dopamine (DA)
neurons play a pivotal role in the organization of movement and
behavior (Iversen, 1995 ; Williams and Goldman-Rakic, 1995 ; Montague et
al., 1996 ). Degeneration of substantia nigra (SN) DA neurons gives rise
to Parkinson's disease, whereas aberrant activity of ventral tegmental
area (VTA) DA neurons appears to underlie psychosis in schizophrenia
(Egan and Weinberger, 1997 ). Natural rewards are potent activators of VTA DA neurons, so that psychostimulants that cause supraphysiological release of DA may reinforce their own use, accounting in part for their
addicting properties (Robinson and Berridge, 1993 ; Di Chiara, 1995 ;
Mirenowicz and Schultz, 1996 ). Thus, the synaptic actions of DA neurons
have been the focus of considerable interest; however, they have been
difficult to resolve (Grenhoff and Johnson, 1997 ). DA appears to be
released in more of a paracrine than a synaptic manner. Single DA
neuron spikes evoke overflow of DA beyond the synapse (Garris et al.,
1994 ), and DA receptors as well as the DA transporter are often found
at a distance from release sites (Pickel et al., 1996 ), together
raising the question as to the role of the synaptic specializations of
DA neurons.
Several lines of evidence suggest that DA neurons release an excitatory
amino acid such as glutamate (GLU). An early study showed that SN
stimulation evoked fast EPSPs in striatal (STR) neurons (Kitai et al.,
1976 ), although this was later ascribed to the collateral activation of
cortical afferents (Wilson et al., 1982 ). In a recent study,
stimulation of DA neuron axons in the median forebrain bundle evoked
fast non-DAergic excitation as well as slower DAergic excitation
(Gonon, 1997 ). Although the fast response could result from
attributable to activation of fibers of passage, in SN-STR cortex
slice cocultures in which such fibers should be lacking, stimulation of
the SN also evoked fast excitatory responses in STR neurons (Plenz and
Kitai, 1996 ).
Because most DA neurons immunostain for phosphate-activated glutaminase
(PAG), the biosynthetic enzyme (EC 3.5.1.2) for neurotransmitter GLU,
DA neurons may also be GLUergic (Kaneko et al., 1990 ). Single DA
neurons examined at the ultrastructural level appear to have not only
DAergic terminals, identified by staining for the DA synthetic enzyme
tyrosine hydroxylase (TH), that have symmetric synaptic specializations
(associated with inhibitory actions), but also non-DAergic terminals,
identified by orthograde [3H]leucine transport,
that have asymmetric synaptic specializations (associated with
excitatory actions) (Hattori et al., 1991 ). In the nucleus accumbens
(nAcc), a major mesolimbic target, immunostaining for DA itself reveals
terminals with symmetric as well as asymmetric specializations (Ikemoto
et al., 1996 ). Finally, 6-hydroxy-DA lesions of DA neuron cell bodies
reduce the number of terminals with asymmetric specializations in the
STR by 20% (MacMillan et al., 1997 ), possibly reflecting the loss of
non-DAergic terminals of DA neurons. These morphological observations
are consistent with the possibility that some DA neuron synapses
mediate fast excitation.
To address this issue, we have first shown that most DA neurons in the
intact brain as well as postnatal VTA cell culture immunostain for GLU.
GLU immunostaining appears to reflect neurotransmitter GLU, based on a
comparative analysis of neurotransmitter immunostaining and on
demonstrating that inhibition of PAG leads to a reduction in GLU
immunostaining (as would be expected if the GLU visualized reflects
neurotransmitter GLU). In dual-immunostained single-cell microcultures,
we have seen that DA neurons give rise to two sets of varicosities, one
set that is both DAergic and GLUergic and another set that appears to
be mainly GLUergic. At the ultrastructural level, single DA neurons
give rise to synapses with both DAergic symmetric and non-DAergic
asymmetric synaptic specializations. Stimulating DA neurons in
microculture elicited strong GLUergic autaptic excitation that was
modulated by concomitant DA release via a presynaptic mechanism.
Together with morphological studies in the intact brain (Hattori et
al., 1991 ), these observations show that DA neurons release GLU and may
do so selectively at a subset of their synapses.
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MATERIALS AND METHODS |
Preparation of brain sections. Following animal
protocols approved by Columbia University, NYS Psychiatric Institute,
and the University of Rochester, adult male rats and old world monkeys (Macaqua nemestrina) were deeply anesthetized with ketamine
and perfused with 4°C heparinized saline followed by 0.3%
glutaraldehyde and 4% paraformaldehyde; 0.1 mg/ml ketamine was added
to the saline to maintain GLU blockade during fixation, which markedly
reduced background GLU staining. Free-floating cryostat sections (50 µm) were double fluorescence immunostained as described below.
Cell culture. Mass cultures were prepared from the VTA,
ventral midbrain, nAcc, cerebellum, and hippocampus of postnatal day 2 (P2)-P4 rat pups using our previously established methodology for VTA
and nAcc neurons (Rayport et al., 1992 ; Shi and Rayport, 1994 ). Animal
protocols were approved by the Institutional Animal Care and Use
Committees of Columbia University and the NYS Psychiatric Institute. On
the first of 2 culture days, two pups were anesthetized with ketamine
and then chilled in ice chips; their cerebral cortices were
enzymatically dissociated as a source of astrocytes. One hour before
use, microwell dishes that had been prepared in advance (by making
12-mm-diameter circular holes in the bottoms of Petri dishes and
attaching poly-D-ornithine-coated coverslips to form 100 µl microwells) were coated with laminin. Dissociated cortical cells
were then plated; 1 hr later, they were washed vigorously with cold
medium to dislodge most cells, leaving only tightly adherent
astrocytes. Astrocytes reached near confluence after ~1 week; further
division was then inhibited with fluorodeoxyuridine.
On the second of 2 culture days, 20 pups were prepared as described
above. A 2-mm-thick midline sagittal slice was made, and the VTA was
isolated in a 2 × 2 × 2 mm cube following established landmarks (Rayport et al., 1992 , their Fig. 4). This cube was further
divided, and the resulting 1 × 1 × 1 mm segments were incubated in papain at 32°C under continuous oxygenation with gentle
agitation for 90 min. The papain was quenched with 10% calf serum, and
the tissue segments were dissociated by gentle trituration in the
presence of DNase. Neurons were resuspended in serum-free media (to
which 1% serum was added to ensure glial longevity) and plated onto
the preestablished cortical astrocytic monolayers in the microwells.
Cultures were maintained in a total volume of 2.5 ml, which filled the
whole dish, and were never fed. Except as noted, 0.5 mM
kynurenate (KYN) (Sigma, St. Louis, MO) was included in the culture
medium to block excitotoxicity.
Microcultures were prepared following established methods (Segal and
Furshpan, 1990 ). Briefly, coverslips were coated with agarose to create
a substrate unfavorable for cell attachment and then mounted to make
microwell dishes. Collagen (Vitrogen 100, Collagen Corporation) was
applied as an aerosol to form substrate islands (50-150 µm in
diameter) that were favorable for cell attachment. On the first culture
day, dissociated cortical cells were plated to form a glial substrate
on the collagen-coated areas; unattached cells were washed away with
cold medium after 2 hr. Astrocytes grew to confluence on the collagen
dots after ~1 week; a typical microwell had ~50 glial islands. On
the second culture day, dissociated VTA cells were plated at a density
titrated to maximize the number of single neuron microcultures.
Glutaminase inhibition. Glutaminase inhibition studies were
performed on mass cultures. The 6-diazo-5-oxo-norleucine (DON) enantiomers (Sigma) were applied for 20 hr at a concentration of 5 mM. Cultures were then fixed for TH-GLU
immunocytochemistry. Occasionally very intense GLU+
cells were seen, possibly resulting from upregulation of PAG after
inhibition with L-DON (Kaneko et al., 1992 ); this reduced the overall diminution in GLU staining. Consistent with this, there was
massive GLU-mediated cell death in L-DON-treated cultures if GLU receptors were not blocked pharmacologically. Therefore, this
series of experiments was performed using the standard concentration of
kynurenate and 10 µM CNQX (Tocris).
Immunocytochemistry. For immunostaining, cells were fixed
with 0.3% glutaraldehyde and 4% paraformaldehyde and permeabilized with 1% Triton X-100. This relatively high concentration of Triton X-100 maximized penetration of antisera, so that in the case of TH
staining we found stained cells throughout the depth of sections and in
cultures saw that cell bodies (typically the thickest parts of the
culture) were stained completely. Primary antisera were applied
overnight in the culture microwells at 4°C with slow agitation. Secondary antibodies were applied at room temperature for 1 hr. We used
fluorescein or rhodamine secondary antisera at 1:200 (Chemicon, Temecula, CA) or the ABC method with diaminobenzidine (DAB) as the
chromagen (Vectastain Elite kit). For double or triple staining, we
used the following antibody combinations: a 1:200 dilution of a
polyclonal anti-TH antiserum (Chemicon) and a 1:2000 dilution of a
monoclonal anti-GLU antiserum (Glu2, 1:2000; Incstar, Stillwater, MN)
(McDonald et al., 1989 ) with fluorescence; 1:10,000 anti-TH polyclonal
with DAB followed by 1:50 anti-synaptophysin monoclonal (Chemicon) and
1:2000 anti-GLU by fluorescence; 1:2 anti-TH monoclonal (Boehringer
Mannheim, Indianapolis, IN) and 1:1000 polyclonal anti-GABA (Sigma);
1:200 anti-TH and 1:250 anti-PAG monoclonal IgM (a gift from Takeshi
Kaneko, University of Kyoto) (Kaneko et al., 1990 ) with fluorescence.
For cell counts, scaled images (see below) were displayed using NIH
Image software 1.61 (Wayne Rasband, National Institutes of Health;
http://rsb.info.nih.gov/nih-image) with a 32-color pseudocolor scale.
Representative fields were examined to identify cells that were clearly
positive and ones that were clearly negative. Using these levels of
staining for reference, other fields were then scored.
Imaging. Both Nomarski differential interference contrast
and epifluorescence images were acquired with a chilled CCD digital camera (Star1 Camera, Photometrics; IP-Lab Spectrum 3.1 software, Signal Analytics, running on a Power Macintosh). Throughout a given
experiment, imaging parameters were held constant, the epifluorescence field iris was stopped down to just outside the region of interest to
reduce background light scattering, and 2 or 5 sec exposures were made
with the camera in the high-gain mode. Varicosity staining was resolved
by digital deconvolution of stacks of images to obtain confocal slices
using MicroTome 2.0 (VayTek) running under IP-Lab Spectrum. For
display, the 12 bit IP-Lab images (4095 shades of gray) were converted
to 8 bit images (256 shades of gray), scaling the extremes of the image
intensity range to the full 8 bit dynamic range.
Color images and merges were made by placing the individual 8 bit
monochrome images in the red or green red-green-blue channels of 24 bit color images (NIH Image software or IP-Lab Spectrum). Plates were
made using Adobe Photoshop 4.0 and Macromedia FreeHand 7.
Electron microscopy. For electron microscopy, cultures were
stained for TH using the ABC reaction and DAB and then dehydrated and
embedded following established protocols (Harris and Rosenberg, 1993 ).
Dishes were inspected at the light microscopic level to find compact
single-neuron microcultures, which were then serial sectioned. The
relatively high Triton X-100 concentration assured antibody
penetration, as was reflected at the ultrastructural level in TH
staining throughout DA neuron cell bodies. Although this approach
unavoidably damaged membranes, compared with conventional electron
microscope preservation techniques (cf. Sulzer and Rayport, 1990 ;
Rayport et al., 1992 ), presynaptic and postsynaptic specializations were well preserved.
Electrophysiology. For recordings, cultures were placed on
the stage of an inverted microscope (Zeiss), and the medium was replaced with oxygenated extracellular solution containing (in mM): 135 NaCl, 3 KCl, 2 CaCl2, 2 MgCl2, 10 glucose, and 10 HEPES, pH 7.35, at room
temperature. The bath was perfused continuously in some experiments
using a gravity flow system. Electrodes were pulled on a Flaming-Brown
P-80 PC micropipette puller (Sutter). The intracellular solution
contained (in mM): 140 gluconic acid, 0.1 CaCl2, 2 MgCl2, 1 EGTA, 2 ATP-Na2, 0.1 GTP-Na, and 10 HEPES, pH 7.25, with KOH.
Electrode resistances were 4-7 M . After formation of a gigaohm
seal, whole-cell mode was achieved with brief suction. In some
experiments, cells were recorded using the nystatin perforated patch
technique (Korn et al., 1991 ). Voltage and current signals were
recorded using an Axoclamp 2A or Axopatch 200 interfaced to a Pentium
PC (TL1-25 interface; Axon Instruments, Foster City, CA) running
pClamp 6.0 (Axon) or a PowerMacintosh (Instrutech ITC-16 interface)
running Pulse Control 4.7 (Richard J. Bookman, University of Miami;
http://chroma.med.miami.edu/cap) under IgorPro 3.0 (Wavemetrics).
Off-line data analysis was performed using Microsoft Excel and IgorPro.
Numerical data are expressed as mean ± SEM, and significance of
differences were evaluated by t test. Drugs were applied by
local perfusion using a Y-tube system (Greenfield and Macdonald, 1996 ).
At the end of experiments, cells were fixed on the stage of the
microscope, their x,y coordinates were noted, the field was
imaged, and a circle was scribed on the underside of the coverslip
(Zeiss objective maker) to facilitate relocation of recorded cells
after immunocytochemistry.
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RESULTS |
GLU staining of DA neurons in situ
Because known GLUergic neurons display strong cytoplasmic GLU
immunoreactivity (Storm-Mathisen and Ottersen, 1990 ), we double immunostained VM sections (coronal sections including both the SN and
VTA) for TH and GLU (Glu2 monoclonal) to determine whether DA neurons
were GLU+. In rat, we found that 91 ± 4% of
DA neurons were GLU+ (n = 1551 neurons in 13 sections from four rats) (Fig.
1A).
The incidence of colocalization in SN and VTA was not significantly different, so the data were combined. The presence of
GLU DA neurons suggests that metabolic GLU, which
should be present at the same level in all DA neurons, does not
contribute significantly to the GLU staining of DA neurons in
vivo. To rule out staining of GLU that acts as a GABA precursor,
we double-stained sections for GLU and GABA; within the SN and VTA,
GABA+ cell bodies were always
GLU (Fig. 1B). Moreover, double
staining for TH and GABA showed that TH+ neurons
were always GABA (Fig. 1C), as
previously reported (Kosaka et al., 1987 ). In the monkey, 86 ± 6% of DA neurons were GLU+ (n = 714 neurons in four sections from four monkeys) (Fig.
1D). We were unable to assess how the GLU
immunostaining of DA neurons compared with that of known GLUergic
neurons in the hippocampus and cortex, because afferent staining was so
intense in those areas that cell body staining could not be
resolved.

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Figure 1.
Immunostaining of DA neurons in VM
sections for GLU and GABA. Coronal sections of rat and monkey VM were
double-immunofluorescence-stained for the DA synthetic enzyme TH and
GLU or GABA. A, In rat VM, the majority of DA neurons
(A1) were GLUergic (A2);
occasional DA neurons (A2, arrow)
were non-GLUergic. In a color merge (A3), in
which colocalization appears yellow, neuronal nuclei
appear red, reflecting selective GLU staining because TH
is cytoplasmic. The dense cortical GLUergic projection to the DA cell
groups accounts for the strong GLUergic staining of the neuropil.
B, GLUergic (B1) neurons are not
GABAergic (B2), arguing that precursor GLU does
(Figure legend continues). not account for GLU staining; this is shown as a color
merge in B3. In this field, both
GLU+ neurons are GABA
(B2, arrows). C,
Furthermore, DA neurons (C1) are never GABAergic
(C2); this is seen more clearly in the color
merge (C3). In this field, all nine DA neurons
are GABA (some are indicated by
C2, arrows). D, In
monkey VM, the majority of DA neurons (D1) were
GLUergic (D2). Occasional DA neurons
(D2, arrow) were non-GLUergic.
This is shown as a color merge in D3.
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GLU staining of DA neurons in vitro
We then used postnatal cell cultures made from restricted
dissections of the VTA, in which 50% of the neurons are DAergic (Rayport et al., 1992 ) and the others are almost entirely GABAergic (L. Lin and S. Rayport, unpublished observations), to ask whether the GLU
immunoreactivity reflects neurotransmitter GLU. As in brain sections,
we found by double immunostaining that in vitro 84 ± 5% of VTA DA neurons were GLU+ (n = 1503 neurons in 12 cultures prepared on five separate culture days)
(Fig.
2A). We
obtained similar levels of colocalization in SN cultures. We
corroborated these results using a polyclonal GLU antiserum (Arnel, New
York, NY) (Hepler et al., 1988 ); moreover, a recent EM study using this
antibody (Smith et al., 1996 ) revealed significant GLU staining of DA
neuron dendrites in the intact VM.

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Figure 2.
Immunostaining of DA neurons for GLU in
vitro. To evaluate GLU staining of DA neurons, mass cultures of
VTA, cerebellum, and hippocampus were immunostained for GLU and GABA.
A, In vitro the majority of DA neurons in
VM cultures (A1) were GLUergic
(A2); occasional DA neurons
(A2, arrow) were non-GLUergic. In
the color merge (A3), in which colocalization
appears yellow, neuronal nuclei appear
red, reflecting selective GLU staining. A neuron that is
neither TH+ nor GLU+ is seen
(A3, arrow). B, In
a cerebellar culture in which granule cells, which are small and
GLUergic, can be distinguished from Purkinje cells, which are large and
GABAergic, only the putative large Purkinje cell stains for GABA
(B1), whereas the two granule cells do not stain
(arrows). However, both the Purkinje cell as well as the
granule cells appear GLUergic (B2). This is seen
more clearly in the color merge (B3). In this
experiment, all large neurons were GABA+ and
GLU+ (n = 16), whereas all small
neurons were only GLU+ (n = 40).
This indicates that in vitro GABA neurons contain
appreciable GLU, which is likely to be present as a precursor to GABA.
C, Hippocampal neurons are either GLUergic (majority) or
GABAergic (minority). In this culture, occasional cells stained for
GABA (C1, arrow), whereas most
stained for GLU (C2). In this experiment, 100% of
GABA+ neurons were also GLU+,
whereas 27% of GLU+ neurons were
GABA+ (n = 38). So again, GLU
staining appears to identify cells that are GLUergic as well as
GABAergic cells, whereas GLU is likely present as a precursor to GABA.
D, Immunostaining of precursor GLU was not so much of a
confound in VTA cultures because most DA neurons were not GABAergic
(D1) and most GABA neurons were not DAergic
(D2). However, occasional DA neurons were
GABAergic (D3) (see Results for
incidence).
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We used cell cultures from brain regions with well characterized cell
types to verify further the specificity of the Glu2 GLU antiserum. In
cultures from cerebellum, in which small cells are GLUergic granule
cells and large cells are GABAergic Purkinje cells, we found that
granule cells were GLU+ and
GABA . Purkinje cells were
GABA+, but they were also GLU+
(Fig. 2B). Similarly, in cultures from hippocampus
(Fig. 2C) and nucleus accumbens (data not shown), most
GLU+ cells were GABA ,
consistent with their being bona fide GLUergic neurons, whereas GABA+ cells were almost always
GLU+. This indicates that in vitro, Glu2
recognizes both GLUergic neurons and GABAergic neurons, in which GLU is
likely to be present as a GABA precursor. This differs from the
situation in the intact brain (Ottersen and Storm-Mathisen, 1984 ; Conti
et al., 1987 ), presumably because neurons in culture are quiescent so
that precursor GLU levels build up to immunocytochemically detectable
levels.
Contrary to the situation in the intact VTA and SN, some DA neurons
appear to be GABAergic. In a previous study, 2% of SN and 0.6% of VTA
DA neurons in high-purity postnatal cultures were GABA+ (Masuko et al., 1992 ). In our cultures (Fig.
2D), 11 ± 1.6% of DA neurons were
GABA+ (n = 299 cells in eight
cultures). These TH+/GABA+ VM
neurons may derive from a minority population of SN reticulata neurons
that send collateral projections to both the tectum and the striatum
and contain both DA and GABA (Campbell et al., 1991 ). In contrast,
hypothalamic DA neurons are extensively GABAergic (Schimchowitsch et
al., 1991 ). Subtracting the fraction of DA neurons that are GABAergic
(in which GLU staining may reflect precursor GLU) from the fraction
that are GLUergic (reported above) yielded a corrected incidence of
73% of DA neurons that are GLUergic.
To examine a marker more specific to neurons using GLU as a
transmitter, we double stained DA neurons for PAG (Fig.
3). We found that 51.2% of DA neurons
were PAG+ (n = 78 neurons). In nAcc
cultures, which do not contain intrinsic GLUergic neurons, there was no
PAG staining (Fig. 3B), whereas in hippocampal cultures, in
which the majority of neurons are GLUergic, many neurons stained for
PAG (Fig. 3C). If in fact PAG activity gives rise to the
neurotransmitter GLU visualized by immunostaining, then inhibition of
PAG should reduce the incidence of GLU staining of DA neurons (Fig.
4). So, we pretreated cultures with the
irreversible PAG inhibitor 6-diazo-5-oxo-L-norleucine (L-DON) and its inactive enantiomer D-DON.
L-DON reduced the incidence of GLU colocalization in DA
neuron cell bodies from 89 ± 7% to 59 ± 12%, whereas
D-DON had no effect (91 ± 8%) (n = 50 cells in each of three cultures per condition in three experiments). GLU staining of thin processes and varicosities (which we have shown
previously to be axonal) was largely eliminated by L-DON (Fig. 4C2).

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Figure 3.
PAG immunostaining in vitro.
A, In a VTA culture, six neurons are shown
(A1, numbered). All the neurons
in the field except for neuron 2 are DA neurons
(A2); the level of TH staining varies in
vitro as it does in vivo (Bayer and Pickel,
1990 ). In A3 and in subsequent panels, staining
intensity is shown on a pseudocolor scale in which warmer colors
reflect more intense staining. Of the DA neurons, all except for neuron
1 show high levels of immunoreactivity for PAG. The
non-DA neuron (neuron 2) is PAG+.
B, In nAcc, which is composed principally of GABAergic
neurons (with a minority population of cholinergic neurons) and has no
GLUergic neurons, there was no PAG staining. In this field, all six
neurons are PAG . C, In contrast, in
hippocampus in which most neurons are GLUergic, most neurons stain for
PAG. Here the 13 neurons in the field show varying degrees of PAG
staining.
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Figure 4.
PAG inhibition reduces GLU immunostaining. In an
untreated culture (A), a field is shown with two
DA neurons (A1), both of which are
GLU+ (A2,
A3). GLU staining was not diminished when
cultures were pretreated with D-DON (5 mM for
20 hr), the inactive enantiomer of the irreversible PAG inhibitor
(B); here three of three TH+
cells (B1) are GLU+
(B2, B3). In contrast,
with L-DON (5 mM for 20 hr), the active
enantiomer, there was a significant reduction in the GLU staining of DA
neurons; here two of the four DA neurons in the field
(C1) were GLU
(C2, arrows). Although the
reduction in cell body staining is not complete, there was an almost
complete loss of GLU staining in DA neuron processes
(C2, arrowheads;
C3). This field also contains one
TH /GLU+ neuron
(C3, arrow), which most likely
was GABAergic (see Results) and, as would be expected, showed strong
GLU staining after PAG inhibition.
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Identification of two sets of synaptic varicosities
To examine the relationship between the DAergic and GLUergic
synapses of single DA neurons, we first TH immunostained single VTA
neurons in microculture. We found that the intensity of TH staining
varied considerably both in the processes and varicosities of single DA
neurons, consistent with the possibility that the cells have
non-DAergic release sites (Fig.
5A).
Second, we immunostained the same microcultures for the intrinsic
synaptic vesicle membrane protein synaptophysin (SYN); this revealed a
number of TH /SYN+ release
sites. Third, we immunostained for GLU; this revealed that the
TH release sites were GLU+.
Such
TH /SYN+/GLU+
release sites were found in 75% of the single cell microcultures so
examined (n = 8). They were invariably near the cell
body, regardless of the size of the microculture. In single DA neuron microcultures that were double-immunofluorescence-stained for TH and
GLU, the majority of varicosities stained for both transmitters, whereas a minority stained for GLU alone (Fig. 5B).
TH /GLU+ sites were seen near
the cell body overlaying the proximal dendrites, whereas the
TH+/GLU+ sites were more
peripherally distributed in the microculture, and in most instances not
in contact with dendrites.

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Figure 5.
DA neurons have two overlapping sets of synaptic
varicosities. A, Single DA neurons in microcultures were
identified after TH staining with DAB (A1). The
culture was subsequently stained for SYN to identify presynaptic sites
and then for GLU. As the DAB reaction product obscured any fluorescence
immunostaining, subsequent fluorescence immunostaining was consequently
restricted to TH areas; this revealed several
SYN+ presynaptic sites near the cell body
(A2; the two most prominent ones are identified
by arrows). Immunostaining for GLU revealed that these
sites were GLU+ (A3,
A4). B, To examine the
relationship between putative DAergic and GLUergic synaptic sites, we
double (Figure legend continues). immunofluorescence stained single DA neurons in
microcultures for TH and GLU. Many varicosities double stained for TH
(B1) and for GLU (B2).
Just above the cell body (the outlined region is shown 3× enlarged in
each bottom panel), a cluster of smaller
varicosities (bottom panel of B2,
arrows) stains primarily for GLU. Thus, DA neurons
appear to have varicosities that are both DAergic and GLUergic and
others that are just GLUergic.
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We examined single TH+ neurons in compact
microcultures (Fig. 6, inset)
at the ultrastructural level (n = 4). We used a high detergent concentration to maximize antibody penetration. Although this
unavoidably damaged membrane preservation, presynaptic and postsynaptic
specializations were, in fact, more easily discerned. Somatic TH
staining was patchy. Regions of intense staining as well as regions of
light staining each gave rise to lightly and intensely TH-stained
processes that intermingled in the neuritic field (Fig.
6A). Within individual processes, TH staining
sometimes abruptly started and stopped (Fig. 6B).
Synaptic specializations were mainly found near the cell body. Rare
TH+ presynaptic terminals made symmetric synapses
(Fig. 6C); most presynaptic terminals were
TH and made asymmetric synapses (Fig.
6D). In each of the four single-cell islands
examined, there were two or three symmetric specializations and six to
eight asymmetric specializations. Invariably, symmetric specializations
were made by TH+ axonal varicosities, whereas
asymmetric specializations were made by TH
terminals; this association was highly significant
( 2 = 21.5; df = 1; p < 0.0001). Axo-axonic synapses were not seen.

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Figure 6.
Ultrastructure of a DA neuron in single cell
microculture. Sections are shown from a single DA neuron grown in
microcultures and TH-stained using DAB (inset). To
maximize antibody penetration, we used a relatively high detergent
concentration. Although this solubilized membranes, resulting in an
apparent degradation of the quality of ultrastructural preservation, it
enhanced the visualization of synaptic specializations.
A, In the cell body, TH staining was distributed in a
patchy pattern throughout weakly stained cytoplasm.
TH+ processes emerged from intensely stained regions
(filled arrows); nearby, TH
processes emerged from unstained regions (open arrows).
B, Within the neuropil, distinctly stained and unstained
processes intermingled with each other; in some cases within a single
process, a stained portion (filled arrow) was
clearly distinguishable from an unstained portion (open
arrow). C, Single TH-immunoreactive neurons
formed morphological synapses on themselves (autapses). Those autapses
were in close proximity to the cell body (as seen at the light level;
Fig. 5). In this cell, a total of eight autapses with clear
postsynaptic specializations were identified after serial sectioning;
one autapse showed presynaptic TH staining and had symmetric synaptic
membrane specializations. D, The other autapses had
asymmetric synaptic specializations with no detectable immunostaining
of the presynaptic elements. Two of the seven TH
boutons (data not shown) made asymmetric synaptic contacts with
TH+ dendritic elements. TH+
varicosities at a distance from the cell body had accumulations of
synaptic vesicles but lacked presynaptic or postsynaptic densities
(data not shown).
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DA neurons make GLUergic autapses
To test for synaptic release of GLU, we recorded from single VTA
neurons in microcultures. In a series of 52 consecutive VTA neurons, 28 were DA neurons (TH+) closely matching their
incidence in our routine VTA cultures (Rayport et al., 1992 ).
Individual action potentials sometimes evoked reverberatory activity
similar to the epileptiform-like activity described in single GLUergic
hippocampal neurons in microcultures (data not shown) (Segal, 1991 ). In
most cells, large autaptic EPSPs were seen. These were almost
completely blocked by the GLU antagonist KYN and completely blocked by
removal of extracellular Ca2+ (Fig.
7A).

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Figure 7.
DA neurons make GLUergic EPSPs in microculture.
A, Under whole-cell current clamp, a single VTA neuron
in a microculture was stimulated with brief depolarizing current pulses
(traces shown are averages of 6 stimulations). A large EPSP was evoked
with fixed latency (solid line), which was completely
blocked by local perfusion with Ca2+-free saline
(dashed line), and recovered fully in physiological
saline (data not shown). KYN (at a high concentration that completely
blocks NMDA receptors via action at the allosteric glycine site and
competitively blocks AMPA receptors with lesser potency) significantly
attenuated the EPSP (gray line).
B, In another cell recorded in
Mg2+-free saline, a large fixed latency EPSP was
evoked, which was followed by a prolonged depolarization; in some
traces this went on to trigger recurrent spikes (i.e.,
epileptiform-like activity). This EPSP was largely blocked by CNQX; APV
attenuated the later phase of the EPSP.
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We found that 61% of DA neurons in these microcultures made excitatory
autapses (n = 17 of 28) but never inhibitory ones. Application of the D2 antagonist sulpiride (1 µM)
revealed no DA-dependent synaptic components (n = 14).
Furthermore, we saw no DAergic component in the synaptic response with
perforated patch recordings (n = 10), arguing against a
washout problem. We found that 8% of TH neurons
made autaptic EPSPs (n = 2 of 24; these might have been DA neurons that were so disrupted after recording that they were spuriously deemed negative); another 8% of TH
neurons made autaptic IPSPs (n = 2 of 24). Excitatory
autapses could be blocked with either APV or CNQX (Fig. 7B),
whereas inhibitory autapses were blocked with the GABAA
antagonist bicuculline (10 µM; data not shown). Although
some VTA DA neurons immunostained for GABA (see above), the absence of
autaptic IPSPs in DA neurons argues that GABA is not a cotransmitter in
these neurons.
The incidence of excitatory autapses was increased by growing cultures
in 0.5 mM KYN, as was done in most of the experiments reported. In a separate series of cultures grown without KYN, we found
excitatory autapses in 25% of DA neurons (n = 2 of 8), showing that excitatory autapses did not arise as an artifact of
growing cells in KYN. Arguing against a presynaptic change, we found no
significant difference in the incidence of GLU immunostaining of DA
neurons between cultures grown in KYN (76 ± 15%) and control cultures (88 ± 3%), nor were there differences in the incidence of DA neurons with TH /SYN+
synapses. Most likely KYN upregulates GLU receptors (Furshpan and
Potter, 1989 ) and thus facilitated the detection of autapses. Growing
cultures under D2 blockade with sulpiride did not, however, reveal any
DAergic synaptic components.
Presynaptic modulation of GLU release
To see whether released DA might exert modulatory actions, we
voltage clamped VTA DA neurons (identified by subsequent TH immunostaining) in single-cell microcultures (Fig.
8). Cells were stimulated every 10 sec
with a brief depolarizing step to elicit a stable EPSC. Application of
the D2 antagonist sulpiride augmented autaptic EPSCs (n = 4 of 4; 123 ± 3% of control), whereas the D2 agonist
quinpirole inhibited EPSCs (n = 4 of 4; 40 ± 13%). Sulpiride could be blocking the action of ambient DA; however, two of these experiments were performed with continuous local perfusion
so that ambient DA should have been washed away. Therefore, the DA
appeared to be released by the cell itself.

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Figure 8.
D2 modulation of GLUergic EPSC. In a neuron,
subsequently shown to be TH+, a large autaptic EPSC
was recorded under voltage clamp. This was almost completely blocked by
CNQX (EPSC was 4% of control; traces shown are averages of 10 stimulations; traces during drug application are shown in
gray). The reversible D2 antagonist sulpiride enhanced
the EPSC (117%; shown here and in subsequent traces without the
initiating action current), whereas the D2 agonist quinpirole markedly
attenuated the autaptic EPSC (76%). This suggests that concomitant DA
release modulates the GLUergic EPSC.
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We examined this in detail in DA neurons identified by the presence of
an excitatory EPSC that increased in amplitude with sulpiride
application (because D2 receptors are mainly found on DA neurons in VTA
cultures; Rayport et al., 1992 ; Rayport and Sulzer, 1995 ; Kim et al.,
1997 ; Rayport, 1998 ). As before, quinpirole inhibited (65 ± 5%)
and sulpiride augmented (111 ± 5%) autaptic EPSCs
(n = 10 cells). We then rested cells for a minimum of 2 min and examined the first two EPSCs in a stimulation series. Under
control conditions (saline), the second EPSC (evoked 10 sec later) was
significantly smaller than the first, whereas in the presence of
sulpiride there was no significant difference between the two EPSCs
(Fig. 9). Sulpiride did not affect the
amplitude of the initial EPSC, ruling out a role for ambient DA and
showing that DA action is mainly attributable to activity-dependent
release. We repeated this experiment in reserpinized cells (90 min of 1 µM reserpine, which depletes >90% of DA content in VTA
cultures; Sulzer et al., 1996 ) and found no decrement in the autaptic
EPSC at the second stimulation (n = 9 cells).

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Figure 9.
Activity-dependent DA release modulates the EPSC.
A, When two stimulations were delivered separated by 10 sec, the second EPSC was significantly smaller
(A1) in contrast to the same stimulation in the
presence of 1 µM sulpiride (A2).
Cells were rested for a minimum of 2 min between experimental trials.
B, In another cell after exposure to reserpine (1 µM for 90 min) there was no significant reduction in EPSC
size at stimulation 2. C, Overall in 10 such
experiments, there was a significant DA-dependent inhibition at
stimulation 2.
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The lack of a DAergic PSC component suggests that the DA action is
presynaptic. To test this, we examined the effects of DA on the paired
pulse ratio (PPR); an increase in the PPR during inhibition indicates a
presynaptic mechanism (Davies et al., 1990 ; Manabe et al., 1993 ). Cells
were rested for 2 min and then stimulated with a pair of depolarizing
pulses separated by 35 msec. Quinpirole increased the PPR (Fig.
10), whereas in sulpiride the PPR did
not change (data not shown). To show that activity-dependent DA release presynaptically inhibits GLU release, we compared the PPR at two paired
stimulations separated by 10 sec (Fig.
11). In saline, the PPR increased with
the second stimulation, whereas in sulpiride there was no change (the
PPR was 1.02 ± .04 in saline vs 0.93 ± .05 in sulpiride;
p < 0.05 using t test). Therefore, DA
released during the first stimulation apparently increased the PPR at
the second stimulation.

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Figure 10.
DAergic presynaptic inhibition of GLU release.
A, To determine whether the locus of the D2 inhibition
was presynaptic, we examined the effects of quinpirole on paired pulse
responses. In saline, there was modest increase in the PPR
(A1, 112%). Quinpirole both diminished the size
of the response (A2), in this case to 71% of
the response in saline, and increased the PPR (137%).
B, In 10 experiments quinpirole significantly increased
PPR favoring presynaptic action.
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Figure 11.
Activity-dependent presynaptic inhibition.
A, A cell was stimulated with two sets of paired pulses
separated by 10 sec. In saline (A1), there was
an increase in the PPR from stimulation 1 to stimulation 2, as well as
a decrement in the first response at stimulation 2, whereas in
sulpiride (A2) there was neither an increase in
the paired pulse ratio between stimulation 1 and stimulation 2 nor a
decrease in the first response of the pair at stimulation 2. B, In 10 experiments, there was a significant difference
in the PPR between saline and sulpiride at stimulation 2, consistent with activity-dependent D2-mediated presynaptic
inhibition.
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DISCUSSION |
We have found that GLU appears to be a cotransmitter in DA
neurons. DA neurons immunostain for GLU both in rat and monkey brain,
arguing that this coincidence of staining is phylogenetically conserved. DA neurons in vitro stain similarly for GLU.
Immunostaining single DA neurons in microcultures reveals both
DAergic-GLUergic and purely GLUergic synapses. At the ultrastructural
level, non-DAergic synapses of DA neurons show asymmetric synaptic
specializations of the kind associated with excitation, whereas rarer
DAergic synapses show symmetric synaptic specializations. Stimulation of single DA neurons in microcultures evokes
Ca2+-dependent EPSPs mediated by both NMDA and AMPA
receptors, indicating that GLU is synaptically released. Although the
neurons also release DA, it has no appreciable postsynaptic effect but
rather presynaptically inhibits GLU release.
Does GLU content imply that a neuron is GLUergic?
We have seen that most DA neurons immunostain for GLU,
confirming the original observations of Ottersen et al. (1984) . GLU could, however, be either neurotransmitter, precursor, or metabolic GLU. The observation that GLU immunostaining of DA neurons is comparable in intensity to that of known GLUergic neurons in
hippocampal cultures suggests that DA neurons are GLUergic, because the
highest levels of GLU immunostaining appear to reflect neurotransmitter GLU (Storm-Mathisen and Ottersen, 1990 ). Although neurotransmitter content is not synonymous with release, with sufficient cytoplasmic GLU
content, non-GLUergic neurons show exocytic GLU release (Dan et al.,
1994 ). The presence of PAG, the principal synthetic enzyme for
neurotransmitter GLU (Kaneko et al., 1995 ), in DA neurons in the intact
brain (Kaneko et al., 1990 ) and in culture argues that the GLU
visualized is in fact neurotransmitter GLU (Hamberger et al., 1979 ;
Kaneko and Mizuno, 1994 ) and is not metabolic. Furthermore, it argues
against the GLU being precursor to GABA, because PAG is not found in
GABAergic neurons (Kaneko and Mizuno, 1994 ). Inhibition of PAG reduces
GLU immunostaining of cell bodies and largely eliminates GLU
immunostaining of axons and axonal varicosities, consistent with
previous observations that GLU in axonal processes is more susceptible
to activity-dependent depletion (Osen et al., 1995 ) and therefore
reflects neurotransmitter GLU.
DA neurons have two sets of terminals
The possibility that DA neurons make two morphologically
distinct types of synapses has been extensively debated (for review, see Hattori, 1993 ; Groves et al., 1994 ). On one hand, terminals with
asymmetric synaptic specializations of the kind classically associated
with excitatory actions have been identified by degeneration after
6-hydroxy-DA SN lesions or by orthograde radiolabeling from the SN. On
the other hand, immunostaining for TH or DA has identified terminals
with symmetric specializations classically associated with inhibitory
actions (Pickel et al., 1981 ). Both kinds of terminals have been
identified with uptake of the false transmitters
-methylnorepinephrine (Kaiya and Namba, 1981 ) and 5-hydroxy-DA
(Groves et al., 1994 ), which produce electron-dense deposits in
monoaminergic synaptic vesicles. A recent examination of
DA-immunostained processes in the medial nAcc of the monkey revealed
synapses with asymmetric specializations in contact with dendrites and
dendritic spines as well as en passant profiles with rarer synaptic
specializations (Ikemoto et al., 1996 ). Whether terminals with
asymmetric specializations belong to DA neurons has been questioned
(Groves et al., 1994 ); however, given that the nigrostriatal projection
is ~95% DAergic (van der Kooy et al., 1981 ; Silva et al., 1990 ),
degeneration after chemical lesions of the SN or orthograde labeling
from the SN most likely identifies DA neuron terminals (Hattori, 1993 ). Hattori et al. (1991) addressed this issue directly using orthograde labeling with [3H]leucine and immunocytochemical
staining for TH and showed that there are two sets of varicosities, one
set that is double-labeled and has symmetric specializations and a
second set that is solely radiolabeled and has asymmetric synaptic
specializations.
Our morphological observations in single-cell microcultures, in which
we can be assured that all the processes arise from a single neuron,
indicate that DA neurons indeed have two types of chemical synapses
with distinct synaptic morphologies (Fig. 12). The synapses are segregated to
different postsynaptic domains, with GLUergic terminals localized to
proximal dendrites and the TH-GLU varicosities more peripherally
distributed and apparently not contacting major dendritic branches.
Taken together with the synaptic physiology, our morphological
observations indicate that DA neurons make DAergic varicosities that
are involved in volume transmission and make GLUergic varicosities that
mediate rapid excitatory transmission. Supporting this conclusion,
Gonon (1997) showed that stimulation of DA neuron axons in the median
forebrain bundle evokes either fast non-DAergic excitation or delayed
D1-mediated excitation. If this dual action results from activation of
both GLUergic and DAergic terminals of DA neurons, then the two sets of
terminals would appear to have different postsynaptic targets. In
contrast, serotonergic raphe neurons in single-cell microculture, which
also release GLU as a cotransmitter, show slow serotonergic inhibition
as well as fast GLUergic excitation (Johnson, 1994 ) and have a single
set of synapses with two different vesicle types (Johnson and Yee,
1995 ). So although both DAergic and serotonergic neurons appear to use
GLU as a cotransmitter, they do so in strikingly different ways.

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Figure 12.
Relationship of DA neuron terminals in
microculture. To illustrate the relationship between the two sets of DA
neuron synapses, a schematic of a single DA neuron in microculture is
shown. Regions of TH staining are shaded gray; DAergic
synaptic vesicles in DAergic varicosities are shown in
white, whereas GLUergic vesicles in GLUergic terminals
are shown in black. DA neuron axons commonly arise from
dendrites (Hausser et al., 1995 ). The area outlined by the
rectangle is expanded as an inset that
shows DA release (small white dots) from a DAergic
varicosity. This overflows to TH GLUergic
terminals, binds to D2 receptors, and mediates presynaptic inhibition.
D2 autoreceptors are also present on DAergic varicosities (Rayport,
1998 ), which would inhibit DA release (Cragg and Greenfield, 1997 ). GLU
receptors (GluR) are shown as forming the postsynaptic
densities of asymmetric synaptic specializations.
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Excitatory autapses of DA neurons
Autaptic EPSPs show both NMDA and AMPA components, consistent with
our immunocytochemical observations that GLU itself is the
neurotransmitter. Other excitatory amino acid candidates that have been
seen in DA neurons such as N-acetyl-aspartyl-glutamate (Sekiguchi et al., 1992 ) or the spontaneously occurring DA breakdown product trihydroxyphenylalanine (Rosenberg et al., 1991 ) are more selective agonists (Trombley and Westbrook, 1990 ; Newcomer et al.,
1995 ). The neuropeptides cholecystokinin and neurotensin have been
found in rat DA neurons (Hökfelt et al., 1984 ) and might account
for the excitatory actions; however, they do not have GLU receptor
activity. Moreover, their expression may be superfluous in the rat
(Bowers, 1994 ), because they are not found in DA neurons in primates
(Savasta et al., 1990 ; Berger et al., 1991 ).
In contrast to the strong excitatory responses, we saw no direct
DAergic responses, although VTA neurons in culture express D2-like DA
receptors (Rayport and Sulzer, 1995 ) and are inhibited, just as in the
slice (Lacey et al., 1988 ) by the D2 agonist quinpirole (Rayport et
al., 1992 ; Kim et al., 1997 ). Furthermore, the cells show electrochemically detectable quantal DA release from axonal varicosities (Pothos et al., 1998 ). If the DA release were from the
same varicosities mediating the excitatory response, which show close
synaptic appositions, then one must postulate that the DA receptor
density on the proximate postsynaptic membranes is not sufficient to
mediate a measurable action. There may also have been subtle
modulations of membrane currents that went undetected in our
experiments. However, our ultrastructural observations indicate that
synapses with asymmetric specializations that putatively mediate the
excitatory response are invariably TH .
Furthermore, TH+ symmetric synapses are rare,
arguing that most DA release emanates from nonsynaptic sites, either
the more peripheral varicosities in the microcultures or from
somatodendritic regions.
Somatodendritic DA release (Cheramy et al., 1981 ) might contribute to
the modulation of the GLUergic EPSC. However, VMAT staining is mainly
seen in axonal varicosities, both in the intact brain (Nirenberg et
al., 1996 ) and in vitro (Pothos et al., 1998 ), making somatodendritic release a less likely source. Furthermore, the observation that some DA cells with autaptic EPSCs are inhibited by
quinpirole but do not show a response to sulpiride argues that the DA
release is not as reliable as one would expect if the release were from
immediately adjacent dendrites. Therefore, it appears more likely that
the released DA derives from overflow from DAergic varicosities that
are at some distance from the GLUergic synapses, much as it does in the
intact brain (Garris et al., 1994 ). Depending on the spatial
relationships and the functional status of the DAergic and GLUergic
varicosities, the released DA might or might not modulate GLU
release.
The inhibition of autaptic excitation by DA could be attributable to
either postsynaptic modulation of GLU receptor sensitivity or to
presynaptic modulation of GLU release. Postsynaptic modulation appears
unlikely for three reasons. First, DA responses show rapid washout
under whole-cell recording conditions (Rayport et al., 1992 ), whereas
quinpirole modulation persisted for the duration of most experiments.
Second, in paired pulse facilitation experiments quinpirole increased
facilitation, consistent with a presynaptic locus of action (Davies et
al., 1990 ; Manabe et al., 1993 ). Third, stimulation of DA neurons
caused an increase in paired pulse facilitation, showing that evoked DA
release presynaptically inhibits GLU release.
Implications
The idea that monoaminergic neurons as a class might release GLU
was originally suggested by Kaneko et al. (1990) , who showed that
monoaminergic neurons in each of the three major CNS monoaminergic cell
groups immunostain for PAG. Not only do serotonergic raphe neurons make
GLUergic EPSPs in microcultures (Johnson, 1994 ), but noradrenergic
neurons also immunostain for GLU and mediate excitatory actions (Liu et
al., 1995 ). Thus, GLU colocalization appears to be the rule for the
major CNS monoaminergic projections, so that the cells may exert rapid
synaptic as well as slower modulatory actions.
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FOOTNOTES |
Received Jan. 20, 1998; revised April 1, 1998; accepted April 6, 1998.
This work was supported by National Institutes of Health grants to
S.R., D.S., and S.N.H., the Burroughs Wellcome Fund (S.R.), the
Columbia Schizophrenia Research Fund, the Medical Research Council of
Canada (T.H.), and the Parkinson's Disease Foundation (D.S.). S.R. is
a Burroughs Wellcome Scholar in Experimental Therapeutics. We are
grateful to Arnold R. Kriegstein and J. John Mann for their comments.
We thank Michael M. Segal for sharing with us his microculture technique, Takeshi Kaneko for providing the PAG antibody, Amelia J. Eisch for suggesting the use of L-DON, and Rachel
Yarmolinsky and Eve Vaag for computer-imaging support.
Correspondence should be addressed to Dr. Stephen Rayport, Columbia
University, Departments of Psychiatry and Neuroscience, 722 West 168th
Street, NYSPI Unit 62, New York, NY 10032-2603.
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