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The Journal of Neuroscience, November 15, 1998, 18(22):9294-9302
Depolarization Stimulates Initial Calcitonin Gene-Related Peptide
Expression by Embryonic Sensory Neurons In Vitro
Xingbin
Ai,
Sally E.
MacPhedran, and
Alison K.
Hall
Department of Neurosciences, Case Western Reserve University,
Cleveland, Ohio 44106-4975
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ABSTRACT |
The neuropeptide calcitonin gene-related peptide (CGRP) is
expressed by one-third of adult rat lumbar dorsal root ganglion (DRG)
neurons, many of which mediate pain sensation or cause vasodilation. The factors that regulate the developmental expression of CGRP are
poorly understood. Embryonic DRG neurons initially lack CGRP. When
these neurons were stimulated in culture by serum or persistent 50 mM KCl application, the same percentage of
CGRP-immunoreactive (CGRP-IR) neurons developed in vitro
as was seen in the adult DRG in vivo. The addition of
the L-type calcium channel blockers, 5 µM nifedipine or
10 µM verapamil, dramatically decreased the proportion of
CGRP-IR neurons that developed, although the N-type calcium channel
blocker, 2.5 µM -conotoxin, was less effective. By
contrast, the sodium channel blocker 1 µM tetrodotoxin
had no effect on CGRP expression after depolarization. Fura-2
ratiometric imaging demonstrated that mean intracellular free calcium
levels increased from 70 to 135 nM with chronic
depolarization, and the addition of nifedipine inhibited that increase.
Only a subpopulation of neurons had elevated calcium concentrations
during chronic depolarization, and they were correlated with CGRP
expression. Key signal transduction pathways were tested
pharmacologically for their role in CGRP expression after
depolarization; the addition of the CaM kinase inhibitor KN-62 reduced
the proportion of CGRP-IR neurons to basal levels. By contrast, protein
kinase A and protein kinase C were not implicated in the
depolarization-induced CGRP increases. These data suggest that
depolarization and the subsequent Ca2+-based signal
transduction mechanisms play important roles in the de
novo expression of CGRP by specific embryonic DRG neurons.
Key words:
sensory ganglion; calcitonin gene-related peptide; depolarization; signal transduction; ion channel; calcium imaging
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INTRODUCTION |
Adult sensory ganglia are composed
of distinct neuronal populations, but the factors that generate this
diversity remain unclear. For example, neuropeptides, including
calcitonin gene-related peptide (CGRP), often are found in
small-sized neurons that constitute approximately one-third of the
dorsal root ganglion (DRG) and that can innervate skin and viscera (Lee
et al., 1985 ; Gibbins et al., 1987 ; Molander et al., 1987 ; O'Brien et
al., 1989 ; McCarthy and Lawson, 1990 ; Noguchi et al., 1990 ; Kashiba et
al., 1991 ). CGRP is localized in polymodal nociceptors and is a potent
vasodilator (Brain et al., 1985 ; Wallengren and Hakanson, 1987 ; Holzer,
1988 ; Scott, 1992 ). Although CGRP first appears in lumbar DRG in
vivo when peripheral target connections are functional on
embryonic day 18 (E18) (Narayanan et al., 1971 ; Saito, 1979 ; Kudo and
Yamada, 1985 ; Marti et al., 1987 ; Kucera et al., 1988 ; Fitzgerald,
1991 ), cell culture studies with E14 rat DRG indicate that de
novo CGRP expression occurs in the absence of those target
contacts (Hall et al., 1997 ). Transcription and steady-state CGRP mRNA
levels in cell lines can be upregulated by cAMP, forskolin, phorbol
ester, and nerve growth factor or can be inhibited by glucocorticoids, retinoic acid, and vitamin D (deBustros et al., 1985 , 1986 ; Haller-Brem et al., 1988 ; Naveh-Many and Silver, 1988 ; Lindsay and Harmar, 1989 ;
Russo et al., 1992 ; Tverberg and Russo, 1992 ). Although these studies
have identified candidate CGRP regulators, little is known about the
initiation of CGRP expression in primary sensory neurons. At least one
report suggests caution in assuming that primary sensory neurons and
cell lines use equivalent CGRP regulatory mechanisms (Watson et al.,
1995 ). The required combination of factors needed for the generation of
CGRP containing neurons in the DRG remains poorly defined.
One important cue that can regulate neuropeptide expression is neuronal
activity. In peripheral neurons and neural cell lines, membrane
depolarization increases vasoactive intestinal peptide, substance P
(Sun et al., 1992 ; Adler and Fink, 1993 ), neuropeptide Y (Higuchi et
al., 1996 ), preprotachykinin mRNA (Noguchi et al., 1988 ), or pituitary
adenylate cyclase-activating polypeptide (Brandenburg et al., 1997 ). In
many neurons the elevation of extracellular potassium leads to an
increase in intracellular calcium, which can interact with calmodulin
and modulate calcium-binding enzymes such as CaM kinases, protein
kinases, and adenylyl cyclases. These effectors for second messenger
molecules then mediate cellular responses by activating transcription
factors that alter immediate early and delayed response gene expression
(Misra et al., 1994 ; Ghosh and Greenberg, 1995 ; Bito et al., 1997 ). In
most cases, depolarization increases peptide expression in neurons that
already synthesize the neuromodulator. By contrast, the early
development of the catecholaminergic phenotype in some sensory neurons
also can be regulated by neuronal activity (Hertzberg et al., 1995 ; Brosenitsch et al., 1998 ). It is not known whether depolarization can
affect de novo peptide expression. Embryonic DRG neurons are spontaneously active during the period just preceding and during the
formation of functional peripheral target contacts (Fitzgerald, 1987 ).
Thus, early neuronal activity may play a critical role in the
neuropeptide differentiation of sensory neurons.
To test the role of neuronal activity in the onset of CGRP expression
and to elucidate factors that regulate CGRP expression, embryonic rat
DRG neurons were cultured in chemically defined medium and depolarized
them with 50 mM KCl. Because little is known about the link
between calcium entry and the regulation of delayed response genes
important for neuronal function, the role of calcium influx and
calcium-mediated signaling pathways was examined by ratiometric imaging
and by pharmacological analyses. These studies demonstrate that
depolarization is sufficient to induce CGRP expression in DRG neurons.
Further, molecular components of the signal transduction systems that
regulate the onset of CGRP expression were identified.
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MATERIALS AND METHODS |
Cell culture. E14.5 DRG were dissected from Sprague
Dawley rats (Zivic Miller, Zelienople, PA). The dissociation, plating, and survival assays were as described (Hall et al., 1997 ).
Approximately 4000 DRG cells were plated in each 0.32 cm2 well. Growth medium consisted of Neurobasal
chemically defined medium (Life Technologies, Grand Island, NY)
with B-27 serum-free supplement (Life Technologies), 3 mM
glutamine, and nerve growth factor (NGF; 25 ng/ml, Austral Biological,
San Ramon, CA). The potassium concentration of Neurobasal growth medium
(NB) was 5 mM (NB5). To depolarize cells, we added a stock
solution of 4 M KCl to vary the [K+]
between 10 and 75 mM. In some cases, 5% heat-inactivated
rat serum (RS) was added to L15/CO2 medium with NGF.
Iso-osmolar control medium consisted of 1% mannose in NB5 medium,
which empirically produced an osmolarity equivalent to Neurobasal
medium with 50 mM KCl (NB50).
In some experiments, pharmacological agents were added to cultures in
NB50 at the time of plating, and one-half of the medium was exchanged
with fresh medium every 1 or 2 d. The agents used were the
following: 1 µM tetrodotoxin (TTX; Na+
channel blocker; Calbiochem, La Jolla, CA) (Elliott and Elliott, 1993 ),
10 µM nifedipine or 10 µM verapamil
(Calbiochem) (Gault and Siegel, 1997 ), 2.5 µM
-conotoxin GVIA ( -Con; Sigma, St. Louis, MO) (McCleskey et al.,
1987 ), 1 µM
{1-[N,O-bis(5-isoquinolinesulfonyl)-N-methyl-L-tyrosyl]-4-phenylpiperazine} (KN-62; Calbiochem) (Tokumitsu et al., 1990 ), 2 µM
{N-[2-((p-bromocinnamyl;)amino)ethyl]-5-isoquinolinesulfonamide, HCl} (H-89; Calbiochem) (Findik et al., 1995 ), and 1 µM
bisindolylmaleimide III (BIM III; Calbiochem) (Toullec et al., 1991 ).
For compounds dissolved in dimethyl sulfoxide (DMSO), the control
cultures included 0.1% DMSO in the growth medium.
Immunocytochemistry. Cells were fixed in 4%
paraformaldehyde and 0.1 M PO4, pH 7.4, for 30 min at room temperature (RT). After being washed, the cells were
permeabilized with dilution buffer containing 0.2% Triton X-100/PBS,
20% goat serum, and 0.01% sodium azide for 2 hr and then were
incubated in primary antibody (rabbit anti-CGRP, 1:300; Amersham,
Arlington Heights, IL) overnight at 4°C. After being rinsed, the
secondary antibody (biotin-conjugated goat anti-rabbit IgG, 1:250;
Chemicon, Temecula, CA) was applied to the cultures. The staining was
visualized with avidin-horseradish peroxidase and a diaminobenzidine
(DAB) chromagen. In each case at least 200 neurons were counted per
well, and triplicate wells in each of at least two independent
experiments were quantified. Data were compared between groups by using
an unpaired Student's t test.
Calcium measurement. Intracellular free
Ca2+ was monitored with the fluorescent dye fura-2
AM (Molecular Probes, Eugene, OR). Cells were grown on
poly-L-lysine/laminin-coated No. 1 glass coverslips affixed
to 60 mm Petri plates (Fisher Scientific, Pittsburgh, PA), and cells
were loaded with 4 mM fura-2 AM in NB growth medium at
37°C for 20 min. After being washed, the cultures were replaced with
fresh growth medium and maintained at 37°C for an additional 20 min
to allow for complete hydrolysis of the dye. Coverslips then were
placed on the stage of a Zeiss Axiovert 405M microscope (Oberkochen,
Germany) prewarmed to 37°C, and intracellular fura-2 was excited at
350 and 380 nm with a xenon lamp. A Hamamatsu SIT camera or Princeton
CCD camera was used to collect information. The fluorescence
signal at 510 nm was collected, and the ratio of the fluorescence at
the two excitation wavelengths was calculated by MetaFluor analysis
software (Universal Imaging, West Chester, PA). Areas on the same
coverslips without cells were recorded as background images.
Intracellular free [Ca2+] was calculated according
to Grynkiewicz et al. (1985) : [Ca2+] = KD × Fmin/Fmax × (R Rmin/Rmax R), where KD = 225 nM, R is the ratio value,
Rmin is the ratio value in a calcium-free solution, Rmax is the ratio value of a saturated
calcium solution (1 mM CaCl2),
Fmin is the fluorescence intensity of the
calcium-free solution at 380 nm, and Fmax is the
intensity of a 1 mM calcium solution at 380 nm. Actual
values were obtained by using point-to-point correlations obtained from
specific free calcium standards between 0 and 40 µM
(Molecular Probes). In some cases, cells cultured in NB50 for 4 d
on a glass-etched grid (Bellco Glass, Vineland, NJ) were subjected to
calcium imaging, followed by immunocytochemistry for CGRP.
RNA isolation and PCR. Total cellular RNA was isolated with
RNAzol (Sigma) from each well of a six well plate containing 100,000 DRG cells. Five micrograms of total RNA was DNase I-treated and reverse-transcribed. Primers for CGRP (sense primer
5'-ATGCAGATGAAAGTCAGGGA-3' and antisense primer
5'-GGGGCTATTATCTGTTCAAG-3', recommended by Andy Russo,
University of Iowa) or elongation factor 1 (sense 5'-TTCACTGCTCAGGTGATTATCC-3' and antisense
5'-GGCAGCATCACCAGACTTCAAGA-3') were added in 20 mM
Tris-HCl, pH 8.4, 50 mM KCl, and 2 mM
MgCl2, layered with mineral oil, and subjected to 35 cycles of PCR amplification (denatured at 94°C for 45 sec, annealed
at 55°C for 45 sec, and extended at 72°C for 1 min) in a PTC-200
Peltier thermal cycler. PCR products were separated in a 2% agarose
gel and detected after ethidium bromide staining and UV illumination.
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RESULTS |
Embryonic sensory ganglia harvested before CGRP was detectable and
before functional connection with targets had occurred in
vivo subsequently became CGRP-immunoreactive (CGRP-IR) over time
in serum-containing cultures, demonstrating that CGRP expression is an
intrinsic property of a subpopulation of DRG neurons (Hall et al.,
1997 ). However, this culture system was not appropriate for identifying
factors that regulate CGRP expression because of the uncertainties as
to the nature and activity of trophic substances within RS. To
understand further the cellular and molecular mechanisms that regulate
de novo CGRP expression, we developed a chemically defined
culture system and investigated the factors required for CGRP expression.
Depolarization elicited CGRP expression in embryonic
sensory neurons
To test the role of depolarization in CGRP expression, we placed
E14.5 DRG cells in basal NB5 or depolarizing NB50 medium for 8 d,
a period in which CGRP expression develops and stabilizes. The stimulus
used, 40-50 mM KCl, is a common tissue culture
manipulation used to mimic aspects of neuronal depolarization, and it
can alter neuropeptide expression in a variety of neurons (for recent
examples, see Rao et al., 1992 ; Higuchi et al., 1996 ; MacArthur and
Eiden, 1996 ; Brandenburg et al., 1997 ; Brosenitsch et al., 1998 ). CGRP expression was examined with immunocytochemistry (Fig.
1A). Few neurons
maintained in NB5 medium for 8 d were CGRP-IR (8% ± 0.8). In
contrast, CGRP immunoreactivity was detected in approximately one-third
of the neurons in depolarizing NB50 (29.3% ± 1.7). The same
proportion of CGRP-IR neurons was present in NB50 and in serum-containing media (p = 0.73), and
depolarization in the presence of RS did not increase the percentage of
CGRP-IR neurons further (p = 0.11). From these
data we infer that depolarization and serum affected a single
responsive population of DRG neurons. Neuronal survival in all
conditions was ~80% (Fig. 1B), suggesting that the
changes in CGRP-IR neurons were attributable to CGRP regulation rather
than to selective survival. To rule out the possibility that the
increase in the percentage of CGRP-IR neurons in NB50 medium was
attributable to an osmolarity change, we added 1% mannose to NB5
medium to produce a control medium with osmolarity empirically similar
to NB50; in such mannose-containing medium, CGRP expression remained as
low as that in basal NB5 medium (p = 0.98).
Neurons cultured in different media maintained their pseudounipolar
morphology (Fig. 1C), although their overall size and CGRP
distribution varied. In depolarizing medium, neuronal perikarya were
approximately the same diameter as in RS but were bigger than those in
basal medium. In serum-containing cultures, CGRP immunoreactivity often was detected throughout the whole cell body and processes. However, the
majority of neurons cultured in depolarizing NB50 had CGRP immunoreactivity in a perinuclear, Golgi-like distribution.

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Figure 1.
CGRP expression was induced by serum or
depolarization. Dissociated lumbar E14.5 DRGs were plated in basal
defined NB5 medium containing 5 mM KCl or in depolarizing
NB50 medium containing 50 mM KCl and compared with cultures
in rat serum (RS). After 8 d the CGRP-IR neurons
were quantified. A, The percentage of CGRP-IR neurons.
In either depolarizing medium or in serum a similar proportion of
neurons expressed CGRP, and the effects of depolarization and serum
were not additive. By contrast, few neurons expressed CGRP in NB5
medium or in the iso-osmolarity control. Asterisks
indicate the conditions under which CGRP-IR neurons were equivalent
(p > 0.1) and that also differed from basal
NB5 values (p < 0.0001). B,
Cell survival was good in all conditions, with ~80% of neurons alive
after 8 d. Four independent experiments with each variable in
triplicate were performed for A and B.
C, CGRP immunocytochemistry in cultures with NB5
(5), NB50 (50), and
RS. Few neurons in NB5 were lightly CGRP-immunoreactive
(CGRP-IR). In NB50, some neurons had intense staining in the cell body
and particularly in the perinuclear region. Intense CGRP staining was
observed in the whole cell body of some neurons cultured in
RS. D, The proportion of CGRP-IR neurons
increased with increased KCl concentration. The concentration of KCl
was varied from basal levels (NB5) to medium containing
75 mM KCl (NB75); CGRP-IR neurons were
counted after 8 d in culture. Five or six independent experiments
with each concentration were performed in triplicate. Approximately
85% of the neurons survived in each condition.
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To determine how much KCl was required to induce CGRP immunoreactivity,
we varied the concentration of KCl in Neurobasal growth medium.
Increases in CGRP-IR neurons were observed only when KCl was applied at
a concentration of 25 mM or higher (Fig.
1D). The maximal induction of CGRP expression was
reached when cells were cultured in NB growth media containing 50 mM KCl. No further increase of the percentage of CGRP-IR
neurons was detected at a KCl concentration of 75 mM.
Because the maximal induction of CGRP expression in embryonic sensory
neurons was reached with 50 mM KCl (Fig.
1D), NB50 was used in subsequent studies.
Maintained depolarization was required for increased
CGRP expression
To learn whether depolarization-induced increases in CGRP
expression required a transient or prolonged signal or if neurons had a
critical period in which stimulation must occur, we exposed cells to
depolarizing NB50 medium for portions of the culture period and then
switched to the basal NB5 medium, or vice versa. After a total of 8 or
10 d in culture, cells were fixed and stained for CGRP (Fig.
2). No difference in cell survival was
observed in any condition, such that ~80% neurons present on day 1 were alive after 8 or 10 d in culture. The highest level of CGRP
expression was observed in cultures maintained in NB50 for 8 d. At
least 4 d in depolarizing medium were required to increase the
proportion of CGRP-IR neurons above basal levels. The proportion of
CGRP-IR neurons depended on the length of time in depolarizing medium and was not influenced by whether depolarization occurred early or late
in the culture period. These data suggest that neurons maintained in
basal medium for at least 4 d remained competent to respond to
depolarizing signals delivered later in the culture period and that
there did not appear to be a critical period during which
depolarization had an effect.

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Figure 2.
Maintained depolarization was required to elicit
CGRP expression. Dissociated E14.5 DRG cells were maintained in NB5 or
NB50. Growth media were switched at days 2, 4, or 6. After a total of 8 or 10 d the cultures were processed for CGRP immunocytochemistry.
The proportion of CGRP-IR neurons was quantified, and the data
represent the mean and SEM of eight independent experiments. The
highest proportion of CGRP-IR neurons was seen with 8 d of
depolarization (chronic or applied after 2 d in NB5 had the same
results; p = 0.73). CGRP expression decreased if
NB50 was removed during the culture period.
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Depolarization in vitro increased the amount of CGRP mRNA in
DRG cultures (Fig. 3). A 4 d period
was required for sufficient CGRP peptide to be present in the cells so
that it could be detected by immunohistochemistry. CGRP mRNA is likely
to be present before peptide can be detected. For that reason, to learn
if CGRP mRNA was affected by treatments even before peptide changes
were apparent, we assayed cultures at earlier times. CGRP mRNA was
assayed by RT-PCR from DRG cultures grown in NB5 or NB50 and compared
with the expression of the transcription factor elongation factor 1 mRNA. As expected, no CGRP mRNA was present in dissociated DRG from
which total RNA was immediately extracted. However, CGRP mRNA was
present in both depolarized and nondepolarized neurons after 2 d.

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Figure 3.
CGRP mRNA increased in DRG cultures with
depolarization. Dissociated E14.5 DRG cells were placed in tissue
culture in basal or depolarizing conditions. At the time indicated,
total RNA was extracted and prepared for RT-PCR with primers specific
for -CGRP or the transcription factor elongation factor 1
(EF1 ). In control cultures total RNA was extracted immediately (low
K+, 0 d), and no CGRP mRNA was detected. After
2 d, CGRP mRNA was present in depolarizing (high
K+, 2 d) and basal (low K+,
2 d) conditions. This result was obtained in three independent
assays.
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L-type calcium channel activity was necessary for
depolarization-induced CGRP expression
Because depolarization leads to ionic fluxes across the plasma
membrane, we examined the possibility that voltage-activated calcium or
sodium channels were required for the CGRP response by adding specific
pharmacological agents to NB50 (Table 1). DRG neurons express a variety of calcium and sodium ion channels (Fedulova et al., 1985 , 1994 ; Scroggs and Fox, 1991 , 1992 ; Ogata and
Taebayashi, 1992 ; Elliott and Elliott, 1993 ). The addition of the
L-type calcium channel blockers, 10 µM nifedipine or
verapamil, for the entire culture period reduced the proportion of
CGRP-IR neurons in depolarizing medium by 60 and 75%, respectively,
suggesting that calcium influx is important for CGRP expression. The
effect of nifedipine was concentration-dependent, with similar
reductions in CGRP expression observed at 20, 10, and 5 µM nifedipine (unpaired t test,
p > 0.1), but in control CGRP expression was observed at 1 µM nifedipine (p > 0.4987;
from triplicate wells in two experiments). The N-type
Ca2+ channel blocker -conotoxin reduced CGRP
expression, but less effectively than L-type blockers. By contrast, the
inhibition of sodium channels with tetrodotoxin had little or no effect
on CGRP expression. It is important to note that neuronal survival remained high even in these drugs, indicating no overt effects on
survival.
Neurons had elevated intracellular calcium in
depolarized cultures
To test that calcium was involved in increased CGRP expression
under chronic depolarizing conditions, we visualized intracellular free
calcium concentrations by ratiometric imaging with fura-2 AM (Fig.
4). In general, intracellular free
calcium levels were low in unstimulated cultures (NB5). Chronically
depolarized neurons (NB50 at 4 d) had higher mean intracellular
free calcium levels. The average intracellular calcium concentration in
neurons cultured in NB5 for 4 d was 70 nM, whereas
depolarized neurons had an average intracellular calcium concentration
of 135 nM. The calcium elevation in depolarized cultures
was inhibited completely by the L-type calcium channel blocker
nifedipine (Fig. 4D).

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Figure 4.
Calcium imaging revealed that DRG neurons
maintained in depolarizing NB50 had elevated free intracellular
calcium. A, Mean free intracellular calcium increased
with depolarization and was reduced to basal levels after nifedipine
treatment. Free intracellular Ca2+ levels were
measured in neurons at day 4. DRG cells were grown for 4 d in
NB5,NB50, or NB50 with 10 µM nifedipine before
they were loaded with fura-2 AM. Free [Ca2+]
inside the cell was quantified. At least 300 neurons from three
independent experiments were analyzed for each condition.
B-D, Ratio histograms. The distributions of free
calcium values from neurons cultured in NB5, NB50, or NB50 with 10 µM nifedipine for 4 d are shown in histograms. Most
neurons in NB50 had ratios similar to those in NB5, whereas a distinct
subpopulation had "higher Ca2+" levels.
E, Free calcium levels were higher in a subpopulation of
neurons cultured in NB50 for 4 d, shown in the ratio measurement
with light blue pseudocolor. Similar observations were
obtained in six independent experiments.
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Depolarized neurons not only had an increased mean calcium level, but a
subpopulation of depolarized DRG neurons at 4 d had fura-2
fluorescence ratios higher than any neurons observed in nondepolarizing
media (Fig. 4C,E). The responsive "higher calcium" population with mean values above 0.2 µM was not the only
group that could respond to depolarizing signals. When cultures in
basal NB5 medium were depolarized with 50 mM KCl for 2 hr
before being loaded with fura-2 AM, all neurons responded uniformly,
and the mean intracellular free calcium increased to 597 nM. Thus, all neurons in these cultures were capable of
responding to short-term depolarization, but only a subpopulation
exhibited elevated intracellular calcium levels after chronic stimulation.
To test the hypothesis that these "higher calcium" neurons
expressed CGRP, we grew neurons on gridded coverslips in NB50 medium for 4 d. The neurons were subjected to calcium imaging, followed immediately by immunocytochemistry for CGRP. E14 neurons grown for
4 d have only just begun to express CGRP, and the peptide is
detectable by immunochemistry in approximately one-half the neurons
that will eventually be CGRP-IR at 8 d in vitro (Hall et al., 1997 ). Nonetheless, CGRP-IR neurons were correlated with neurons that had higher free calcium levels (Fig.
5). In a total of 737 neurons from four
independent experiments, 63 were CGRP-IR and 181 were "higher
calcium" neurons. Twenty-eight CGRP-IR neurons were in the "higher
calcium" subpopulation. Thus, higher calcium neurons were twice as
likely to be CGRP-IR as average calcium neurons (15.1% ± 2.7 SEM of
high Ca2+ neurons were CGRP-IR, whereas 6.8% ± 1.4 SEM of non-high Ca neurons visualized at 4 d were CGRP-IR;
p = 0.028).

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Figure 5.
Higher intracellular calcium levels were
correlated with CGRP immunoreactivity. DRG cells were grown for 4 d in depolarizing NB50 on gridded coverslips, and free intracellular
calcium was visualized by fura-2 fluorescence ratiometric imaging
(A). Although many neurons had basal free calcium
levels, some contained higher free calcium and appeared
blue in pseudocolor (arrows). The cells
were fixed and processed for CGRP immunocytochemistry
(B), and the same neurons were located on gridded
coverslips. Peptide expression was only just detectable at this early
stage and appeared in a perinuclear, Golgi-like location in neurons.
CGRP immunoreactivity was more likely to be found in neurons with
elevated calcium (arrows).
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By contrast, the addition of the calcium ionophore ionomycin did not
increase CGRP immunoreactivity. Ionomycin (1 µM)
application rapidly increased free calcium levels (mean free calcium
concentration ~360 nM) as compared with control cultures
(~50 nM), but chronic application of ionomycin for 2 or
8 d did not increase CGRP expression or affect survival (data not
shown). These data support the notion that the route of calcium entry
may be important for neuronal phenotypic differentiation (Ghosh and
Greenberg, 1995 ).
Depolarization-induced CGRP expression was dependent on CaM
kinase pathways
To begin to understand which signaling cascades were involved in
the depolarization-induced increase of CGRP, we added agents that
inhibit CaM kinases, PKA or PKC, to depolarizing NB50 medium. In
general, neuronal survival was good in all drugs, although the PKC
inhibitor BIM III (Table 2) reduced
neuronal survival (p < 0.05). KN-62 (1 µM), which inhibits CaM kinase (Tokumitsu et al., 1990 ;
Enslen et al., 1994 ), completely blocked the effects of 50 mM KCl on CGRP expression such that the percentage of
CGRP-IR neurons dropped to basal levels. In fact, KN-62 concentrations between 0.1 and 2 µM were equally effective in blocking
CGRP increases (p < 0.45). By contrast, H-89, a
selective PKA inhibitor, did not have inhibitory effects at 2 µM (p > 0.05). This concentration of H-89 is sufficient to inhibit PKA activity in other studies (Findik
et al., 1995 ). Although the PKC inhibitor BIM III reduced CGRP-IR
neurons by ~40% (p < 0.05), this effect may
have been the result of differential neuronal survival. The
concentrations of KN-62 and H-89 used in these experiments were close
to or in excess of their pKi values of 0.9 and 0.048 µM (Chijiwa et al., 1990 ; Tokumitsu et al., 1990 ).
These studies suggest that depolarization-mediated effects on CGRP
induction are mediated via calcium and a calcium/calmodulin kinase
signal transduction pathway.
Whereas in some cases KN-62 can block L-type calcium channels (Li et
al., 1992 ), the addition of this drug in short-term studies did not
alter free intracellular calcium increases after depolarization. To
determine whether KN-62 altered free calcium, we examined DRG neurons
cultured for 2 d in nondepolarizing medium for free calcium changes after depolarization with NB50 and after depolarization in the
presence of nifedipine or KN-62. The addition of KCl to raise the
potassium concentration to 50 mM resulted in rapid
increases in free calcium (average fluorescence ratio, 0.39 ± 0.17 SEM) in most neurons at 20 min after stimulation. The addition of
nifedipine, which blocks L-type channels, reduced intracellular calcium
levels (to average fluorescence ratios of 0.22 ± 0.01 SEM),
whereas intracellular calcium fluorescent ratios with KN-62 were
unaffected (0.35 ± 0.19 SEM; p < 0.0711). Thus,
the reduction in CGRP expression with the addition of KN-62 resulted
from an inhibition of a CAM kinase pathway rather than from an
alteration in free calcium.
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DISCUSSION |
The same proportion of CGRP-IR neurons that develop in
vivo (Hall et al., 1997 ) was elicited in vitro by
stimulating embryonic sensory neurons with high potassium, suggesting
that membrane depolarization and perhaps neuronal activity play
critical roles in the initial development of this sensory neuron
phenotype. This observation not only confirmed our previous finding
that initial CGRP expression is independent of target tissues but also
provides an important model system for investigating the cellular and
molecular mechanisms that regulate de novo CGRP expression.
Our analysis with pharmacological agents and calcium ratiometric
imaging suggested that intracellular calcium changes and subsequent
calcium-based signal transduction pathways were required for
activity-induced CGRP expression in embryonic sensory neurons. An
important aspect of this study is that it links depolarization with
neuropeptide regulation via a CaM kinase pathway.
These experiments make no assumption about the order of action of
particular signaling components and are intended to begin to identify
"players" in the signaling cascade. Given the lag time between
depolarization and the observed increases in CGRP immunoreactivity, a
complex cascade of intervening events involving changes in second and
third messengers may be very time-dependent.
Depolarization of developing sensory neurons in high potassium in
vitro may mimic physiological processes. Sensory afferents of DRG
neurons have a high level of activity during embryogenesis, but not at
birth or in the adult (Fitzgerald, 1987 ). In vivo, lumbar
DRG neurons begin to fire on E16, and the firing peaks at E18/19, just
the time period in which the functional contacts have been established
and CGRP first can be detected. The firing may be triggered by chemical
stimuli from peripheral targets or membrane properties of the DRG
neurons themselves (Scott, 1992 ).
In our study, Ca2+ entry via L-type calcium channels
was important for depolarization-induced CGRP expression in embryonic
sensory neurons. Voltage-dependent calcium channels, especially L-type channels, have a long open time and are implicated in increasing the
expression of c-fos (Greenberg et al., 1986 ; Bading et al., 1993 ; Misra et al., 1994 ), tyrosine hydroxylase (Brosenitsch et al.,
1998 ), nicotinic ACh receptor subunit genes (DeKoninck and Cooper,
1995 ), and GABA receptor genes (Gault and Siegel, 1997 ). Because L-type
calcium channels require strong depolarization for activation, they
usually are triggered experimentally in cultured cells by increasing
extracellular potassium to 50 mM. In the present study,
nifedipine and verapamil dramatically decreased the proportion of
CGRP-IR neurons. The blockade of Ca2+ entry by
nifedipine was confirmed by direct visualization of free intracellular
Ca2+ with calcium imaging on cultures at day 4. Although their effects were dramatic, none of these calcium channel
blockers showed complete inhibition of the depolarization-induced CGRP
expression. One explanation for the partial effect by channel blockers
is that the activation of CGRP expression by depolarization was not
linked to a single type of voltage-activated Ca2+
channel. Another possibility is that calcium-induced calcium release
from intracellular stores contributes to the intracellular free
Ca2+ level (Clapham, 1995 ). This notion may be
unlikely, because ionomycin treatment did not increase CGRP. A third
possibility is that a Ca2+-independent mechanism
also contributes to CGRP induction after depolarization. Future studies
using combinations of drugs or agents that deplete intracellular
Ca2+ stores will differentiate among these
possibilities. Although our data implicate calcium entry via L-type
calcium channels in CGRP regulation, the activity of other calcium
channels cannot be ruled out. Chronic depolarization by high potassium
is likely to inactivate other channels, including the N-type channels.
By contrast, L-type calcium channels have been implicated in the regulation of a number of neuronal genes (Higuchi et al., 1996 ; Gault
and Siegel, 1997 ; Brosenitsch et al., 1998 ).
The elevation of intracellular calcium in DRG neurons maintained in
depolarizing conditions may reflect calcium entry through voltage-sensitive or ligand-gated channels as well as calcium release
from intracellular stores. DRG neurons also express a variety of
receptor-mediated Ca2+ channels, such as NMDA
receptors, that can be associated with depolarization-induced gene
expression (Bading et al., 1993 ). However, the addition of 100 µM AP-V, a potent and selective NMDA receptor blocker,
failed to inhibit CGRP expression (data not shown), suggesting that
NMDA receptor was not involved in depolarization-induced CGRP
expression in developing sensory neurons.
CGRP expression in depolarized sensory neurons was detected when the
mean free intracellular Ca2+ level was elevated in
the population. Indeed, a distinct subset of "higher
Ca2+" neurons in depolarized cultures at day 4 was
correlated with the CGRP-IR neurons just detectable in the population.
Because the calcium measurements we have done revealed the
intracellular Ca2+ level at the specific time these
neurons were imaged, it is not clear whether this subset of "higher
Ca2+" neurons differed uniquely from others by
their electrical properties so that they were capable of maintaining
high calcium levels or if they represented a changing subpopulation of
DRG neurons that happened to have higher free calcium levels at that
instant. It will be important to observe calcium changes over time in
these cultures to learn whether neurons sustain increased calcium for long periods. Interestingly, no such "higher
Ca2+" subsets were observed in depolarized
cultures at day 2 (data not shown), further suggesting that calcium
homeostasis changes over time in culture.
A common mechanism by which elevated intracellular
Ca2+ regulates gene expression is by the activation
of calmodulin. The calcium/calmodulin complex then binds and modulates
multiple regulatory proteins, such as CaM kinases and calcineurin
(Enslen and Soderling, 1994 ; Bito et al., 1996 , 1997 ). KN-62, which
abolished the increase in CGRP caused by depolarization, blocks CaM
kinase IV and V as well as CaM kinase II (Tokumitsu et al., 1990 ;
Enslen et al., 1994 ), a finding that suggests that membrane
depolarization acts via CaM kinase pathways to initiate CGRP
expression. One CaM kinase, CaM kinase IV, is localized in many DRG
neurons (Sakagami et al., 1994 ) and is implicated in regulating gene
expression (Sun et al., 1996 ). Previous studies on CaM kinase IV in
embryonic and adult DRG indicated that it is detectable in rat DRG as
early as E15 and is expressed preferentially in small neurons in
sensory ganglion (Sakagami et al., 1994 ; Ji et al., 1996 ). However, CaM kinase IV expression is not well correlated with CGRP in adult DRG
neurons and was not confined to CGRP-IR neurons in our RS-containing cultures (data not shown). It is important to recognize that
pharmacological probes, but not direct biochemical enzyme assays,
implicate these messengers in effecting CGRP expression in the
developing DRG. Alternatively, changes in neuronal gene expression can
be regulated by neuronal activity via the phosphorylation of cAMP
response element-binding protein (CREB) by various
Ca2+-dependent protein kinases, including CaM
kinases (Misra et al., 1994 ; Bito et al., 1996 ). However, our
preliminary immunocytochemical study with antibodies against pCREB did
not reveal a correlation of pCREB with CGRP at 4 d (data not
shown), suggesting either that the depolarization-induced CGRP
expression is not mainly attributable to the activation of CREB or that
pCREB-mediated events occurred at earlier times.
Stimulation by depolarization or serum resulted in the same proportion
of CGRP-IR neurons with a similar onset of expression, suggesting that
these stimuli are eliciting the phenotype in a competent population
rather than inducing plastic populations of neuronal precursors to
express CGRP. For this reason, to understand how that subpopulation
becomes defined during development, we must address which factors
restrict CGRP to one-third of DRG neurons. It is not clear which active
agent in RS results in CGRP expression.
Although this study demonstrates changes in CGRP immunoreactivity that
follow specific stimuli, it reflects steady-state CGRP amounts and does
not identify which cellular processes limit the CGRP changes. In
particular, it is not clear if depolarization directly increases
transcription or if increases in CGRP immunoreactivity reflect changes
in peptide processing. The amount of CGRP mRNA present after 2 d
of stimulation is increased with high KCl, suggesting but not proving
that transcriptional events are regulated by depolarization. It is
unlikely that depolarization increases peptide storage, however,
because depolarization generally causes peptide release. CGRP gene
expression is regulated in part at the transcriptional level, as
indicated by promoter analysis in thyroid C cell lines (deBustros et
al., 1985 , 1986 ; Haller-Brem et al., 1988 ; Naveh-Many and Silver, 1988 ;
Lindsay and Harmar, 1989 ; Russo et al., 1992 ; Tverberg and Russo,
1992 ). The 5' flanking sequence of the calcitonin/CGRP gene contains a
cAMP-responsive element (CRE; Watson and Latchman, 1995 ) and an
E-box/helix-loop-helix (HLH) enhancer region (Peleg et al., 1990 ;
Tverberg and Russo, 1993 ). It is interesting to speculate that the
E-box/HLH imparts depolarization sensitivity of CGRP expression,
because this motif acts as a depolarization response element in other
neuronal genes (Su et al., 1995 ; Higuchi et al., 1996 ; Walke et al.,
1996 ).
In combination, these data demonstrate that CGRP expression during
embryonic development of the DRG is sensitive to depolarization and
raise the possibility that neuronal activity plays an important role
in the differentiation of DRG neuronal phenotypes.
 |
FOOTNOTES |
Received June 1, 1998; revised Aug. 4, 1998; accepted Aug. 17, 1998.
This study was supported by National Institutes of Health (NS-30842 and
NS-23678) and the March of Dimes (FY98-0506). We thank Drs. Richard
Zigmond and Ben Strowbridge for helpful critiques of this manuscript.
Correspondence should be addressed to Dr. Alison K. Hall, Department of
Neurosciences, Case Western Reserve University, School of Medicine,
Cleveland, OH 44106-4975.
 |
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