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The Journal of Neuroscience, 1999:RC9:1-6

RAPID COMMUNICATION
Multiple G Protein-Coupled Receptors Initiate Protein Kinase C Redistribution of GABA Transporters in Hippocampal Neurons

Matthew L. Beckman1, 2, Eve M. Bernstein1, and Michael W. Quick1

1 Department of Neurobiology and 2 The Medical Scientist Training Program, University of Alabama at Birmingham, Birmingham, Alabama 35294-0021


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Neurotransmitter transporters function in synaptic signaling in part through the sequestration and removal of neurotransmitter from the synaptic cleft. A recurring theme of transporters is that many can be functionally regulated by protein kinase C (PKC); some of this regulation occurs via a redistribution of the transporter protein between the plasma membrane and the cytoplasm. The endogenous triggers that lead to PKC-mediated transporter redistribution have not been elucidated. G-protein-coupled receptors that activate PKC are likely candidates to initiate transporter redistribution. We tested this hypothesis by examining the rat brain GABA transporter GAT1 endogenously expressed in hippocampal neurons. Specific agonists of G-protein-coupled acetylcholine, glutamate, and serotonin receptors downregulate GAT1 function. This functional inhibition is dose-dependent, mimicked by PKC activators, and prevented by specific receptor antagonists and PKC inhibitors. Surface biotinylation experiments show that the receptor-mediated functional inhibition correlates with a redistribution of GAT1 from the plasma membrane to intracellular locations. These data demonstrate (1) that endogenous GAT1 function can be regulated by PKC via subcellular redistribution, and (2) that signaling via several different G-protein-coupled receptors can mediate this effect. These results raise the possibility that some effects of G-protein-mediated alterations in synaptic signaling might occur through changes in the number of transporters expressed on the plasma membrane and subsequent effects on synaptic neurotransmitter levels.

Key words: biotinylation; GAT1; hippocampus; neurotransmitter uptake; protein trafficking; seven-helix receptor


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Plasma membrane GABA transporters are members of a large family of Na+-dependent neurotransmitter reuptake proteins, located on neurons and glia, that function in part to regulate neurotransmitter levels in the synaptic cleft. Not only can GABA transporters regulate neuronal signaling (Dingledine and Korn, 1985; Hablitz and Lebeda, 1985; Solis and Nicoll, 1992; Isaacson et al., 1993), but transporter function also can be regulated. Functional modulation, demonstrated for most members of the transporter family (for review, see Gegelashvili and Schousboe, 1997; Beckman and Quick, 1998), can occur through a variety of second messengers. These factors can exert their effects directly (e.g., by phosphorylation; Casado et al., 1993; Conradt and Stoffel, 1997; Huff et al., 1997; Ramamoorthy et al., 1998) or by regulating the interaction of the transporter with other nerve terminal proteins, such as syntaxin (Beckman et al., 1998).

A common feature of many transporters is functional regulation by protein kinase C (PKC) (Casado et al., 1993, Corey et al., 1994, Sato et al., 1995; Loo et al., 1996; Conradt and Stoffel, 1997; Huff et al., 1997; Qian et al., 1997; Apparsundaram et al., 1998b; Zhu et al., 1998). The effects of PKC occur in part through changes in the number of functional surface transporters (Qian et al., 1997; Quick et al., 1997; Davis et al., 1998). The majority of experiments demonstrating this effect have been performed on cloned transporters in heterologous expression systems using pharmacological agents that activate or inhibit PKC. Therefore, the physiological signals that trigger PKC-mediated transporter modulation in endogenous systems are not known.

Receptor-mediated signaling may be one such trigger. 5-HT transport can be increased (1) by adenosine receptor activation in basophilic leukemia cells (Miller and Hoffman, 1994) and (2) by histamine receptor activation in platelets (Launay et al., 1994). In astrocytes, glutamate transport is increased after glutamate application; the effect is prevented with kainate receptor antagonists (Gegelashvili et al., 1996). Signals mediated through G-protein-coupled receptors are a likely trigger for PKC-mediated neurotransmitter transporter regulation because (1) specific G-protein-mediated pathways result in PKC activation, and (2) such receptors are abundant on both neurons and glia. Support for this hypothesis comes from studies showing that the norepinephrine transporter expressed in a neuroblastoma cell line can be regulated by activation of muscarinic receptors (Apparsundaram et al., 1998b). Unfortunately, expression levels of the transporter in this system were too low to directly test whether modulation by muscarinic receptors was correlated with a redistribution of the transporter. In the present report, we show that several G-protein-coupled receptors can regulate both GABA transporter function and its subcellular distribution in neurons that endogenously express these molecules.


    MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Cell culture. Primary hippocampal cultures were prepared from postnatal day 0-3 rats by mincing tissue in alpha -MEM supplemented with cysteine, glucose, and 100 U papain. Tissue was incubated for 20 min at 37°C, followed by gentle trituration, dilution, and plating. To obtain pure neuronal cultures, mixed cultures were treated for 48 hr with 10 µM cytosine arabinoside (Sigma, St. Louis, MO); treatment was initiated 24 hr after plating.

[3H]GABA uptake assays. Neurons were rinsed three times in 1× HBSS and allowed to equilibrate for 10 min in the final wash. Drugs of interest were applied at the start of the assay and remained present throughout (15 min). GABA was added to initiate the assay. The final [3H]GABA concentration of the assay solution was 100 nM; the total GABA concentration of the assay solution was 30 µM. The assay was terminated by rapidly rinsing the cells three times with 1× HBSS, followed by solubilization in 300 µl of 0.005% SDS at 37°C for 2 hr. Aliquots were used for scintillation counting and to determine protein concentrations. Statistical analyses of the uptake data were performed using SPSS. Two-sample comparisons were made using t tests; multiple comparisons were made using one-way ANOVAs followed by Tukey's honestly significant difference post hoc test.

Biotinylation experiments. Biotinylation experiments were performed essentially as described (Qian et al., 1997; Davis et al., 1998). Cells were grown in 100 mm tissue culture dishes to 80% confluence. The cells were rinsed twice with 37°C PBS/Ca/Mg (in mM: 138 NaCl, 2.7 KCl, 1.5 KH2PO4, 9.6 Na2HPO4, 1 MgCl2, and 0.1 CaCl2, pH 7.4). The cells were next incubated with 2 ml of a solution containing 1 mg/ml sulfo-NHS biotin (Pierce, Rockford, IL) in PBS/Ca/Mg for 20 min at 4°C with gentle shaking. Unless otherwise noted, drugs of interest were applied at room temperature for 5 min before addition of biotin. The biotinylation solution was removed by two washes in PBS/Ca/Mg plus 100 mM glycine and quenched in this solution by incubating the cells at 4°C for 45 min with gentle shaking. The cells were lysed with 1 ml of radioimmunoprecipitation assay (RIPA) buffer (in mM: 100 Tris-Cl, pH 7.4, 150 NaCl, 1 mM EDTA, 1% Triton X-100, 1% sodium deoxycholate, 0.1% SDS, 1 µg/ml leupeptin, 1 µg/ml aprotinin, and 250 µM PMSF) at 4°C for 60 min. The cell lysates were centrifuged at 20,000 × g at 4°C for 60 min. The supernatant fractions (300 µl) were incubated with an equal volume of immunopure immobilized monomeric avidin beads (Pierce) at room temperature for 60 min. The beads were washed three times with RIPA buffer, and adsorbed proteins were eluted with SDS sample buffer (62.5 mM Tris-Cl, pH 6.8, 2% SDS, and 100 mM beta -mercaptoethanol) at room temperature for 30 min.

Western analyses. Analysis was performed on aliquots (1) taken before incubation with beads (total cell lysate), (2) of the supernatant fraction after adsorption and centrifugation (intracellular fraction), and (3) of the bead eluate (biotinylated fraction). Western blotting was performed using anti-GAT1 antibody 346J (Beckman et al., 1998) as described (Corey et al., 1994), and visualized using ECL reagents (Amersham, Arlington Heights, IL). Monoclonal anti-actin antibodies (Sigma) were used to normalize protein levels. Immunoreactive bands were scanned and quantitated with ImageQuant (Molecular Dynamics, Sunnyvale, CA).


    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

To test the possibility that G-protein-coupled receptors are an endogenous trigger for GABA transporter regulation, we applied the G-protein-coupled acetylcholine receptor agonist muscarine to hippocampal neurons and examined its effect on GABA uptake (Fig. 1A). Neurons treated with a saturating concentration of muscarine showed an approximately twofold decrease in GABA uptake. This decrease was mediated predominantly by the rat brain GABA transporter GAT1, because application of SKF89976A (Larsson et al., 1988), a GABA transporter antagonist with relatively high affinity for GAT1 compared with other GABA transporters, reduced GABA uptake in these cultures by >90%. The muscarine-induced decrease in transport was prevented by co-application of atropine, a muscarinic acetylcholine receptor antagonist. Nicotine, a nicotinic acetylcholine receptor agonist with little effect on muscarinic acetylcholine receptors, had no effect on GABA uptake. The effect on GABA uptake was muscarine concentration-dependent (Fig. 1B), with a half-maximal effective concentration of ~820 nM. Taken together, these data suggest that muscarinic acetylcholine receptors can mediate alterations in GAT1 function in hippocampal neurons.



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Figure 1.   G-protein-coupled receptors regulate GABA transport in hippocampal cultures. A, Downregulation of GABA transporter GAT1 function by muscarinic receptor activation. Drug concentrations (micromolar) are shown below the abscissa; drugs were present for the duration of the assay. Data are from three experiments, four wells per condition per experiment. GABA uptake under control conditions ranged from 574 to 813 fmol/min per mg of protein. *Experimental conditions that resulted in a significant difference (p < 0.05) between groups. B, Muscarine inhibition of GABA transport is dose-dependent. Muscarine (filled circles) was applied at the indicated concentrations. Addition of 10 µM atropine (open circles) was included in some wells treated with 1 µM muscarine. Data are from three experiments, three wells per condition per experiment. GABA uptake under control conditions was 521 fmol/min per mg of protein. C, Glutamate and serotonin also downregulate GABA transport. Glutamate (open circles), serotonin (filled circles), and dopamine (filled square) were applied at the indicated concentrations. Data are from two experiments, four wells per condition per experiment. Mean GABA uptake under control conditions was 457 fmol/min per mg of protein. D, Multiple receptors likely mediate decreases in GABA transport through the same mechanism. Drug concentrations (micromolar) are shown below the abscissa. Data are from two experiments, four to six wells per condition per experiment. Mean GABA uptake under control conditions was 761 fmol/min per mg of protein. *Experimental conditions that resulted in a significant difference (p < 0.05) between groups.

To see whether other receptors might also affect GABA transporter function, we repeated the uptake studies in the presence of various known transmitters that have receptors in the hippocampus (Fig. 1C). Both serotonin and glutamate induced decreases in GABA uptake in a dose-dependent manner; dopamine had no effect. These data are consistent with the hypothesis that receptors that are coupled to G-proteins that lead to PKC activation can regulate GABA transport. Dopamine receptors, which couple to G-proteins that do not lead to PKC activation, failed to have an effect.

Of course, muscarine, glutamate, and serotonin also activate receptors other than those linked to increases in PKC. To determine specific receptor classes that alter GABA uptake, we performed additional experiments using specific receptor agonists and antagonists (Table 1). As also shown in Figure 1, the nonspecific muscarinic acetylcholine receptor agonist muscarine decreased GABA uptake. This decrease was blocked by atropine and 4-diphenylacetoxy-N-methyl-piperidine (4-DAMP), a muscarinic acetylcholine receptor antagonist that has high affinity for the M1, M3, and M5 muscarinic receptor subtypes. The decrease was not prevented by himbacine, a receptor antagonist that has high affinity for the M2 and M4 receptor subtypes. These data support the idea that GABA uptake can be regulated by the M1, M3, and M5 receptor subtypes; these muscarinic subtypes specifically lead to PKC activation.


                              
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Table 1.   Effect of receptor agonists and antagonists on GABA uptake

Glutamate also exerts its effects through G-protein-coupled receptors (Table 1). trans-(1S,3R)-1-amino-1,3-cyclopentanedicarboxylic acid (ACPD), a metabotropic glutamate receptor agonist, decreased GAT1 function; this decrease was prevented by co-application of methyl-4-carboxyphenylglycine (MCPG), a metabotropic receptor antagonist. Application of S-3,5-dihydroxyphenylglycine (DHPG), a specific agonist of group I metabotropic receptors, mimicked the trans-ACPD effects. L-AP-4, a specific agonist of group III metabotropic receptors, did not affect GABA uptake. Because group I metabotropic receptors are specifically linked to PKC activation, glutamate also exerts its effects on GABA uptake via receptors that activate PKC. The same is true of serotonin, because alpha -methyl(ME)-5-HT, a specific agonist of PKC-activating 5-HT2 receptors, decreased GABA uptake.

One question is whether these multiple receptor systems can act synergistically to regulate GAT1 function. To test this hypothesis, subsaturating concentrations of muscarine (0.3 µM) and trans-ACPD (1 µM), applied individually and together, were used to decrease GABA uptake (Fig. 1D). Although application of either agonist resulted in a decrease in GABA transport, co-application further reduced GAT1 function. A related question is whether these different transmitter systems are exerting their effects on the same population of transporters. For example, the various receptors may be located on different subpopulations of neurons. In this scenario, using saturating agonist concentrations at each of two different receptors should lead to a greater reduction in GABA uptake compared with the results obtained stimulating either receptor alone. In the presence of both muscarine (10 µM) and trans-ACPD (100 µM), the decrease in uptake was comparable with that seen with either agonist alone. Taken together, these data suggest that different G-protein-coupled receptors can act together to affect the same population of GABA transporters.

Are the receptor-mediated decreases in GAT1 function PKC-dependent? To answer this question, we examined muscarine-mediated changes in GABA transport in the presence of activators and inhibitors of PKC (Fig. 2A). Consistent with the idea that PKC and muscarine are acting through the same pathway, application of the PKC-activating phorbol ester PMA mimicked the muscarine-induced effect. Furthermore, co-application of both compounds had no synergistic effect on transport. The inactive phorbol ester 4alpha -phorbol 12,13-didecanoate had no effect on transport, suggesting a PKC-mediated effect of PMA. Stronger support for the idea that the muscarine-induced decrease in GABA transport is PKC-mediated comes from experiments involving the PKC inhibitor staurosporine. Co-application of staurosporine reversed both the PMA-induced decrease and the muscarine-induced decrease in GAT1 function.



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Figure 2.   Receptor-mediated regulation of GABA transport occurs via protein kinase C. Drug concentrations (micromolar) are shown below the abscissa; drugs were present for the duration of the assay. *Experimental conditions that resulted in a significant difference (p < 0.05) between groups or compared with control. A, Regulation of GABA transport by muscarine in the presence of PKC activators and inhibitors. Data are from three experiments, four to six wells per condition per experiment. GABA uptake under control conditions ranged from 461 to 733 fmol/min per mg of protein. B, Botulinum toxin prevents the muscarine-mediated decrease in GABA transport. Data are from three experiments, four to six wells per condition per experiment. GABA uptake under control conditions ranged from 583 to 645 fmol/min per mg of protein.

Previously, we showed that PKC can mediate its reduction in GABA transport, at least in part, by increasing the association of the transporter with syntaxin 1A; specific cleavage of syntaxin 1A by botulinum toxin C1 (BONT/C1) prevents the PKC-mediated decrease in GAT1 function (Beckman et al., 1998). Thus, if muscarinic receptor activation decreases GABA transport via PKC, cleavage of syntaxin 1A by BONT/C1 should prevent the decrease. Application of BONT/C1 caused an increase in GAT1 function (Fig. 2B); co-application of PMA or muscarine failed to alter this BONT/C1-mediated increase in GABA transport, consistent with the idea that G-protein-coupled receptors can exert their effects on transport via PKC and syntaxin. Figure 2B also makes another important point. Transport through GAT1 is voltage-dependent, and some of the decrease in uptake seen with receptor activation could be attributable to changes in membrane potential (e.g., via G-protein effects on ion channels). The evidence that, in the presence of BONT/C1, uptake is increased to similar values in the absence or presence of muscarine argues against a decrease in uptake attributable to a decrease in membrane potential. The evidence that PKC exerts its effects on transport in cells under voltage-clamp conditions (Qian et al., 1997; Quick et al., 1997) also argues against an effect attributable to changes in membrane potential.

Previous studies in heterologous expression systems or in immortalized cell lines showed that PKC can exert some of its effects by causing a redistribution of transporters between the plasma membrane and the cytoplasm. To test this hypothesis in primary hippocampal neurons endogenously expressing the GABA transporter, and to provide further support for the hypothesis that the receptor-activated effects on transport are PKC-mediated, we performed saturation analyses on GABA uptake and surface biotinylation experiments on GAT1 protein (Fig. 3). Untreated and muscarine-treated neurons were subjected to uptake experiments at various GABA concentrations. Saturation analysis demonstrated that muscarine induced a reduction in the maximum velocity of transport, with no change to the apparent affinity of GABA for the transporter (Fig. 3A). These data are consistent with a reduction in the number of functional transporters and comparable with previous data showing PMA modulation of GABA transport (Beckman et al., 1998).



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Figure 3.   Receptor activation causes a redistribution of GAT1. A, Saturation analysis of muscarine-mediated changes in transport. GABA uptake in hippocampal neurons was determined at various GABA concentrations in the absence (filled circles) or presence (open circles) of 10 µM muscarine (left panel). An Eadie-Hofstee transformation of these data is shown in the right panel. Data shown are from one experiment, six wells per concentration. The experiment was repeated twice with similar results. B, Changes in surface GAT1 immunoreactivity as assessed by surface biotinylation. Representative immunoblot shows GAT1 immunoreactivity from nonbiotinylated (I) and biotinylated (S) fractions for cultures untreated or treated with muscarine (10 µM) or PMA (1 µM). Quantitation of intracellular (open bars) and surface (filled bars) GAT1 immunoreactivity is shown in the graph. Data, plotted as a percentage of total immunoreactivity, are from densitometric measurements made on three separate immunoblots. C, Time course of muscarine-mediated GAT1 redistribution. Neurons were treated with saline (untreated) or 10 µM muscarine for 1 min. Biotinylating reagent was then added 0.5, 1, 2, or 5 min after muscarine treatment. The representative immunoblots show GAT1 immunoreactivity for the biotinylated fraction at these time points. Quantitation of GAT1 immunoreactivity is shown in the graph for neurons in control solution (filled circles) or muscarine (open circles).

More direct evidence for a redistribution of transporters in response to receptor activation comes from surface biotinylation experiments. GAT1 immunoreactivity after biotinylation of surface proteins was examined in untreated neurons and neurons treated with either muscarine or PMA (Fig. 3B). As shown both in the representative immunoblot and in the bar graph of densitometry measurements (Fig. 3B, bottom panel), untreated neurons show a majority of GAT1 immunoreactivity in the biotinylated (surface) fraction. Incubation of cells with muscarine or PMA caused a decrease in surface GAT1 immunoreactivity and an increase in the amount of GAT1 immunoreactivity in the nonbiotinylated (intracellular) fraction. Comparable data were seen when neurons were treated with trans-APCD (data not shown). The immunoblot data correlate well with the functional changes in uptake, suggesting that PKC-activating G-proteins may exert their effect on transport, at least in part, by causing a redistribution of GABA transporters. The evidence that PMA and muscarine produced comparable effects lends support to the idea that muscarine mediates its effects through PKC. In addition, the redistribution occurred in the presence of cycloheximide (data not shown), suggesting that the modulation is attributable to a redistribution of transporters rather than to synthesis of new transporter protein.

The contribution of this form of transporter regulation to cell signaling will in part be determined by the rate at which receptor-mediated redistribution of the transporter occurs. To determine this, we examined the amount of GAT1 immunoreactivity in the biotinylated fraction of a cell treated with muscarine and then biotinylated at 0.5, 1, 2, and 5 min after removal of muscarine (Fig. 3C). In untreated control cultures, the amount of GAT1 immunoreactivity in the biotinylated fraction remained constant over the 5 min period; in the muscarine-treated cells, the amount of GAT1 immunoreactivity was reduced by 50% within 1 min of the end of muscarine treatment. These results are consistent with the evidence that muscarine reduces the number of surface GAT1 molecules and demonstrate that the redistribution occurs rapidly after muscarine treatment. The time course of the decrease in surface biotinylation in muscarine-treated cells was comparable with the time course of uptake inhibition measured in parallel cultures (data not shown).


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

G-proteins transduce signals from cell surface receptors for neurotransmitters and other molecules to intracellular second messengers and ion channels (Simon et al., 1991; Hepler and Gilman, 1992; Conklin and Bourne, 1993). One subset of G-proteins (the Galpha q family) is responsible for coupling receptor-mediated signals to phospholipase C activation; in turn, phospholipase C catalyzes hydrolysis of phosphotidyl 4,5-bisphosphate to create inositol trisphosphate and diacylglycerol. Inositol trisphosphate causes release of Ca2+ from intracellular stores, and diacylglycerol activates PKC (Berridge, 1993; Smrcka and Sternweis, 1993; Kuang et al., 1996). In the present report, we show that activation of three different receptors that couple to this pathway can reduce uptake of GABA in hippocampal neurons that endogenously express these molecules. Furthermore, we show that the reduction in uptake is PKC-mediated and is correlated with a redistribution of the GABA transporter GAT1 from the plasma membrane to intracellular locations.

The evidence that botulinum toxin C1 prevents the receptor-mediated inhibition of GABA uptake suggests that syntaxin 1A may play a role in this process. We have shown previously that syntaxin 1A regulates GABA uptake in heterologous expression systems and that this effect is regulatable by PKC (Beckman et al., 1998). However, we do not have evidence, to date, that syntaxin 1A also plays a role in the subcellular redistribution of the transporter. The evidence that PKC can regulate some transporters directly (Ramamoorthy et al., 1998) suggests that multiple mechanisms may play a role in both transport inhibition and transporter redistribution. Furthermore, we do not know the extent to which net transporter internalization is responsible for the decrease in uptake; our data only demonstrate that the time course of these two events is similar after receptor activation. Interestingly, maximal muscarinic receptor-mediated effects on GABA transport and GAT1 transporter redistribution occurred within ~1 min. This is faster than the muscarinic receptor effects on norepinephrine transporters expressed in neuroblastoma cells (~30 min; Apparsundaram et al., 1998a). Although this difference maybe attributable to transporter differences in response to PKC, an intriguing possibility is that in hippocampal neurons, the endogenous receptors, G-proteins, protein kinases, and transporters form a tightly linked complex that results in efficient transporter mobilization.

A physiological role for GABA transporters has been elucidated in experiments involving specific GABA uptake inhibitors. These inhibitors prolong responses mediated by GABAA receptors (Isaacson et al., 1993), and both prolong and increase responses mediated by G-protein-coupled GABAB receptors (Dingledine and Korn, 1985; Solis and Nicoll, 1992; Isaacson et al., 1993). GABA transporters also play a physiological role in retinal horizontal cells in which efflux through the transporter is a principal mode of neurotransmitter release (Schwartz, 1987). Receptor-mediated modulation of neurotransmitter transport may add to the repertoire by which transmitter-mediated activity can regulate neuronal signaling. Because receptor-mediated modulation results in a decrease in the number of plasma membrane transporters, several mechanisms may play a role in altering the neuronal signal. At slow synapses (see Lester et al., 1994), the decrease in transmitter transport, per se, will alter postsynaptic receptor-mediated responses. At fast synapses, signals will be modulated because of a reduction in the number of diffusion sinks (i.e., transporter binding sites) available for transmitter sequestration (Diamond and Jahr, 1997). In addition, some transporters exhibit both nonstoichiometric, substrate-dependent ionic fluxes and substrate-independent leak currents (Sonders and Amara, 1996) that will be reduced because of transporter redistribution.


    FOOTNOTES

Received Jan. 6, 1999; revised March 10, 1999; accepted March 16, 1999.

This work was supported by W. M. Keck Foundation Grant 931360 and National Institutes of Health Grant DA10509 (to M.W.Q.).

Correspondence should be addressed to Michael W. Quick, Department of Neurobiology, CIRC 446, University of Alabama at Birmingham, 1719 Sixth Avenue South, Birmingham, AL 35294-0021.


    REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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