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The Journal of Neuroscience, March 15, 1999, 19(6):2081-2089
The Distribution of Neurons Expressing Calcium-Permeable AMPA
Receptors in the Superficial Laminae of the Spinal Cord Dorsal
Horn
Holly S.
Engelman,
Thomas B.
Allen, and
Amy B.
MacDermott
Department of Physiology and Cellular Biophysics and the Center for
Neurobiology and Behavior, Columbia University, New York, New York
10032
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ABSTRACT |
The superficial dorsal horn is a major site of termination of
nociceptive primary afferents. Fast excitatory synaptic transmission in
this region is mediated mainly by release of glutamate onto postsynaptic AMPA and NMDA receptors. NMDA receptors are known to be
Ca2+-permeable and to provide synaptically localized
Ca2+ signals that mediate short-term and long-term
changes in synaptic strength. Less well known is a subpopulation of
AMPA receptors that is Ca2+-permeable and has been
shown to be synaptically localized on dorsal horn neurons in culture
(Gu et al., 1996 ) and expressed by dorsal horn neurons in
situ (Nagy et al., 1994 ; Engelman et al., 1997 ). We used
kainate-induced cobalt uptake as a functional marker of neurons
expressing Ca2+-permeable AMPA receptors and
combined this with markers of nociceptive primary afferents in the
postnatal rat dorsal horn. We have shown that cobalt-positive neurons
are located in lamina I and outer lamina II, a region strongly
innervated by nociceptors. These cobalt-positive neurons colocalize
with afferents labeled by LD2, and with the most dorsal region of
capsaicin-sensitive and IB4- and LA4-positive afferents. In contrast,
inner lamina II has a sparser distribution of cobalt-positive neurons.
Some lamina I neurons expressing the NK1 receptor, the receptor for
substance P, are also cobalt positive. These neurons are likely to be
projection neurons in the nociceptive pathway. On the basis of all of
these observations, we propose that Ca2+-permeable
AMPA receptors are localized to mediate transmission of nociceptive information.
Key words:
dorsal horn; calcium-permeable AMPA receptors; glutamate; cobalt; spinal cord; NK1 receptor; dorsal root ganglia; nociception
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INTRODUCTION |
Nociceptive transmission is often
strengthened under pathological conditions, resulting in hyperalgesia,
allodynia, or chronic pain. In the spinal cord dorsal horn, glutamate
is a fast excitatory transmitter that mediates much of the nociceptive
signaling and may be responsible for induction of central sensitization
associated with altered nociception. Glutamate is released from both
primary afferents and excitatory interneurons onto postsynaptic NMDA
and non-NMDA glutamate receptor subtypes (Yoshimura and Jessell, 1990 ). Ca2+ entry through NMDA receptors is known to
activate Ca2+-sensitive signaling cascades and
potentiate synaptic transmission (for review, see McBain and Mayer,
1994 ). Some AMPA and kainate receptors also have significant
Ca2+ permeability (for review, see Hollmann and
Heinemann, 1994 ; Jonas and Burnashev, 1995 ) and may activate pathways
leading to synaptic strengthening (Gu et al., 1996 ; Jia et al., 1996 ;
Mahanty and Sah, 1998 ).
AMPA receptors are multimeric assemblies of four cloned subunits:
GluR1-4 (or GluRA-D). The GluR2 (GluRB) subunit determines the
Ca2+ permeability of these ligand-gated ion
channels. GluR2 transcripts undergo RNA editing, producing a one-amino
acid change in the channel pore that decreases Ca2+
permeability (Burnashev et al., 1992 ). Recent studies suggest that one
edited GluR2 subunit is sufficient to cause low receptor Ca2+ permeability (Washburn et al., 1997 ). AMPA
receptors lacking GluR2 have Ca2+ permeability
ratios up to
PCa/PNa = 3 (Hollmann et al., 1991 ; Hume et al., 1991 ; Burnashev et al., 1992 ;
Geiger et al., 1995 ; Jia et al., 1996 ).
Calcium-permeable non-NMDA receptors have been demonstrated in dorsal
horn neurons in vitro by Ca2+ detection
using indicator dyes (Reichling and MacDermott, 1993 ), ion permeability
studies (Goldstein et al., 1995 ), and pharmacology (Gu et al., 1996 ).
These receptors participate in synaptic transmission in
vitro (Gu et al., 1996 ) and may also be present at synaptic sites
in vivo. In dorsal horn C1 glomeruli, a higher percentage of
postsynaptic AMPA receptor clusters is immunopositive for GluR1 than
for GluR2 (Popratiloff et al., 1996 ), suggesting that AMPA receptors
lacking GluR2 may participate in synaptic transmission between dorsal
root ganglia (DRG) and dorsal horn neurons.
To determine the role of Ca2+-permeable non-NMDA
receptors in nociceptive sensory transmission, we functionally
identified dorsal horn neurons expressing these receptors using the
kainate-induced cobalt-loading technique (Pruss et al., 1991 ).
Previously, Nagy et al. (1994) used this method to demonstrate cobalt
loading of cells in all laminae of the hemisected spinal cord
preparation, including the superficial dorsal horn. We extended these
studies in spinal cord slices, using more specific antagonists of
non-NMDA receptors to verify that this technique is specific for
Ca2+-permeable AMPA receptors. We localized
cobalt-positive neurons with respect to AMPA receptor subunits and
markers of nociceptive afferents. We found that
Ca2+-permeable AMPA receptors are expressed by
subsets of superficial dorsal horn neurons, including putative
projection neurons. Other studies indicate that these receptors are
also expressed by inhibitory dorsal horn neurons in culture
(Albuquerque and MacDermott, 1998 ) and in situ (Spike et
al., 1998 ). These observations indicate a complex role for
Ca2+-permeable AMPA receptors in the circuitry of
the spinal cord dorsal horn.
A preliminary account of this work has been published previously in
abstract form (Engelman et al., 1997 ).
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MATERIALS AND METHODS |
Preparation of slices. Postnatal day 6-14 (P6-14)
rat pups were anesthetized with isoflurane and decapitated, and their
spinal cords were dissected out in ice-cold Krebs' buffer containing (in mM): 125 NaCl, 2.5 KCl, 26 NaHCO3,
1.25 NaH2PO4, 25 glucose, 2 CaCl2, 1 MgCl2 bubbled with 95%
O2/5% CO2. The lumbar spinal cord of
each pup was glued by its ventral side with cyanoacrylate to a 2% agar
block, and 400 µm slices were prepared using the Vibratome Series
1000. Slices were left to recover in bubbled Krebs at 37°C for 1 hr.
In a few cases, slices were made with DRG attached (as in the case of
capsaicin-induced cobalt loading).
Agonist-induced cobalt loading. To minimize cell
depolarization over long periods and possible
Ca2+-associated damage to cells, we followed the
example of Pruss et al. (1991) , who used a low-sodium and
low-Ca2+ bath during agonist application. We used
bicarbonate buffer instead of HEPES buffer in our bath solution to
better approximate in vivo conditions for these neurons.
Although cobalt can form an insoluble salt with bicarbonate, we
empirically found that at the concentrations used we did not see a precipitate.
Slices were transferred into a prestimulation solution of
95%O2/5%CO2-bubbled low-sodium,
low-calcium Krebs' solution containing (in mM): 50 NaCl,
2.5 KCl, 26 NaHCO3, 1.25 NaH2PO4, 25 glucose, 0.5 CaCl2, 2 MgCl2, with either 135 sucrose or 80 NMDG to adjust for the low sodium, at room temperature
for 15 min. This solution and the stimulation solution always contained
0.5 µM TTX and either a non-NMDA receptor antagonist or
an equal volume of its vehicle (DMSO or water). Antagonists were used
at the following concentrations: CNQX, 50 µM; GYKI 53655, 100 µM; APV, 100 µM. For joro spider toxin
(JsTx) treatment, 5 or 10 µM JsTx was applied with 250 µM kainate in the prestimulation solution, with control
slices also receiving the same concentration of kainate.
For stimulation of loading, the above solutions were replaced with
identical solutions containing 250 µM kainate and 1.5 mM CoCl2, or kainate and cobalt were
added to the above solutions to these final concentrations. For
capsaicin-induced cobalt loading, 10 µM capsaicin and 1.5 mM CoCl2 were added. The slices were incubated in these solutions at room temperature for 20 min and were then treated
with normal Krebs' solution (without divalent cations) containing 5 mM EDTA for 10 min. They were then rinsed in normal Krebs' solution and incubated in a 0.12% solution of
(NH4)2S in normal Krebs' solution for
5-6 min. They were rinsed again in normal Krebs' solution and fixed
in cold 4% paraformaldehyde in 0.1 M phosphate buffer
(PB) overnight at 4°C.
The following day, slices were rinsed in 0.1 M phosphate
buffer and then switched to a solution of 30% sucrose in 0.1 M phosphate buffer until they equilibrated. The slices were
mounted with OCT for cryostat sectioning. Sections of 15-30
µm were prepared and mounted on Superfrost Plus slides. These
sections were processed to enhance the CoS reaction product by silver
intensification (Davis, 1982 ), or first processed for immunocytochemistry.
Silver intensification. The sections were incubated in a 2%
solution of sodium tungstate for 10 min, followed by 15-20 min in
developer consisting of one part 5% sodium tungstate, eight parts
AgNO3 solution (355 ml of distilled water, 15 ml of 1%
Triton X-100, 1.5 gm of sodium acetate·3H2O,
30 ml of glacial acetic acid, and 0.5 gm of silver nitrate), and one
part 0.25% ascorbic acid. The sections were rinsed again in 2% sodium
tungstate and then mounted in either 50% glycerol/50% PBS, Gel/Mount,
2.5% 1,4-diazabicyclo[2,2,2]octane (DABCO) in 90% glycerol/10% PBS
for slides containing Cy3-labeled fluorescent antibodies, or ProLong
Antifade for slides containing Alexa 488-conjugated secondary antibodies.
Preparation of fixed spinal cords. Perfusion of rat pups for
studying the in situ distribution of antigens was performed
under isoflurane anesthesia. Each animal was perfused by injection of 20 ml 0.1 M PB followed by 20 ml of 4% paraformaldehyde
fixative into the heart. The spinal cord and DRGs were dissected out
and post-fixed for 2 hr to overnight in 4% paraformaldehyde. After rinsing in 0.1 M PB, the spinal cord and DRGs were
transferred to 30% sucrose in 0.1 M phosphate buffer until
the tissue equilibrated. The lumbar enlargement was isolated and
mounted in OCT for production of transverse sections. Fresh frozen DRGs
were prepared by mounting unfixed DRGs directly in OCT; 15-30 µm
sections were prepared as described for slices.
Immunocytochemistry. Primary antibodies were diluted in PBS
with 0.1% Triton X-100 and 1% normal goat serum (PBS-TG). Monoclonal mouse anti-GluR2 or polyclonal rabbit anti-GluR1 were used at concentrations of 1 µg/ml. Polyclonal anti-NK1 antisera were diluted 1:5000. LA4 ascites fluid was diluted 1:100, and LD2 supernatant was
diluted 1:1. For staining with IgG antibodies, sections were first
incubated in a blocking solution of 10% normal goat serum in PBS with
0.1% Triton X-100. Primary antibody solution was applied overnight at
4°C for IgM antibodies or for 2 hr at room temperature. Parallel
sections were routinely incubated in the same solutions lacking primary
antibody for a negative control. Sections were rinsed and incubated in
Cy3-conjugated secondary antibodies (goat anti-mouse IgG, goat
anti-rabbit IgG, or goat anti-mouse IgM) diluted 1:500 in PBS-TG.
Sometimes mounting of sections was followed by image acquisition,
unmounting in PBS, and subsequent silver intensification as above. DRG
fresh-frozen sections from P13 pups were similarly stained for LA4 and
LD2, but without Triton X-100 in dilution buffers.
For staining with IB4, sections were incubated with IB4-biotin at a
concentration of 5-10 µg/ml in PBS-TG for 2 hr at room temperature.
Parallel sections were routinely incubated in the same solutions
lacking IB4 for a negative control. Sections were then rinsed and
incubated with streptavidin-Alexa 488 at 10 µg/ml for 45 min.
Monoclonal mouse anti-GluR2 and polyclonal rabbit anti-GluR1 were
purchased from Chemicon (Temecula, CA). Rabbit anti-NK1 antisera were a
gift from S. R. Vigna (Duke University). LA4 and LD2 were a gift
from J. Dodd (Columbia University). Cy3-conjugated secondary antibodies
were from Jackson ImmunoResearch (West Grove, PA). Alexa 488-conjugated
secondary antibodies, streptavidin-Alexa 488, and ProLong Antifade were
from Molecular Probes (Eugene, OR). Gel/Mount and Superfrost Plus
slides were from Fisher Scientific (Pittsburgh, PA). IB4-biotin, DABCO,
capsaicin, TTX, and all salts for solutions were from Sigma (St. Louis,
MO). Kainate was from RBI (Natick, MA), CNQX and APV were from Tocris
(Ballwin, MO), and JsTx-3 was from RBI and Calbiochem (La Jolla, CA).
GYKI 53655 was a generous gift from Eli Lilly (Indianapolis, IN).
Analysis of distribution of cobalt-positive neurons and
IB4-positive fibers. Digital images of cobalt staining and IB4
staining of double-labeled sections were acquired with a Dage RC300 CCD camera. For each of 16 IB4 fluorescence images, a 120 × 100 µm box was placed on the lateral edge of the IB4 staining. The box extended through laminae I and II and part of lamina III. Pixel values
from 0-255 gray levels were averaged vertically to produce one
intensity value for each column of pixels within the box, resulting in
average intensity values over the horizontal extent of the box of the
IB4 data. The box from the IB4 image was placed at the same coordinates
on the corresponding transmitted light image of the same section, and
average gray values for each column were again calculated for the
cobalt staining. The data from the two sets of average intensities were
normalized for maximum and minimum, the IB4 data were inverted, and
both sets of data were plotted as a function of distance from the
lateral edge of the IB4 staining (see Fig. 5). Normalized values were
used when averaging data from multiple sections.
Analysis of NK1 and cobalt colocalization. Sections of
kainate-induced cobalt-labeled slices were stained for NK1
receptor-like immunoreactivity (NK1-LI). Silver intensification was
used to detect kainate-induced cobalt signaling in NK1-LI-positive
cells. Cells that retained their NK1-LI after silver intensification were checked for the presence of cobalt. A cell was considered positive
for NK1-LI if the edge of its soma was rimmed with NK1 staining. Many
of these cells also had visible NK1-LI processes.
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RESULTS |
Patterns of kainate-induced cobalt loading
Application of 250 µM kainate and 1.5 mM
cobalt to spinal cord slices in the presence of 0.5 µM
TTX caused staining of presumptive neuronal cell bodies and some
processes from the most dorsal to the most ventral laminae. In the
dorsal horn, the staining seemed to occur along laminar boundaries. We
reliably saw staining in lamina I and in the more dorsal aspect of
lamina II, but saw sparser staining in what appeared to be the more
ventral portion of lamina II. In laminae III and IV, we again saw a
denser staining (Fig. 1A,C,E). We
occasionally observed staining in the lateral spinal nucleus (Fig.
1A). The gap seen in presumptive inner lamina II was
not always present, although in some cases this may have been because
of the angle of the section. In addition, the area around the central
canal and ventral motorneurons varied in the number of cobalt-positive
neurons.

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Figure 1.
Kainate-induced cobalt loading in the dorsal horn:
antagonism by CNQX, GYKI 53655, and JsTx. A, B,
Kainate-induced cobalt loading in a P9 rat spinal cord slice is shown.
Slices were treated with 250 µM kainate
(A) or 250 µM kainate plus 50 µM CNQX (B). White
lines in A delineate our approximations of
dorsal horn laminae. A subpopulation of neurons in the most dorsal
laminae, lamina I (LI) and outer lamina II
(LIIo), show strong evidence of kainate-induced
cobalt loading (black cells), with fewer cobalt-positive
cells in inner lamina II (LIIi), and more
cobalt-positive cells in the more ventral laminae (e.g., lamina III). A
white arrowhead points to a cobalt-positive cell in the
lateral spinal nucleus. CNQX blocked kainate-induced cobalt loading of
cells throughout the spinal cord. C, D, Kainate-induced
cobalt loading in a P10 rat spinal cord slice is shown. Slices were
treated with 250 µM kainate (C) or
250 µM kainate plus 100 µM GYKI 53655 (D). E, F, Kainate-induced cobalt
loading in a P10 rat spinal cord slice is shown. Slices were treated
with 250 µM kainate (E) or 250 µM kainate plus 5 µM JsTx
(F). A few sparse cells are labeled in the
presence of GYKI 53655 (D) or JsTx
(F). Scale bars, 40 µm.
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Antagonism of kainate-induced cobalt loading
To ensure that kainate-induced cobalt loading in each experiment
resulted from activation of non-NMDA receptors rather than poor slice
health or kainate acting on another target, we routinely included
control slices incubated with kainate plus 50 µM CNQX, a
competitive antagonist of non-NMDA receptors. All cobalt loading in the
dorsal horn was blocked in the presence of this antagonist (Fig.
1B), implicating ligand-gated non-NMDA receptors
in the pathway to cobalt entry (84 slices treated with kainate alone, 68 with kainate and CNQX; 22 animals). The NMDA receptor antagonist APV
(100 µM) did not block kainate-induced cobalt loading in
slices (data not shown). To test whether depolarization alone leads to cobalt loading, slices were treated with bath solution containing 50 mM KCl. As demonstrated previously in cultured cerebellar
neurons (Pruss et al., 1991 ) and in the hemisected spinal cord
preparation (Nagy et al., 1994 ), this solution did not elicit cobalt
entry, indicating that kainate was not acting simply by depolarization (data not shown). We also performed a more depolarizing control with
125 mM KCl (data not shown). This solution elicited
staining in the dorsal horn in a pattern different from that of kainate and cobalt, with some cell bodies and some punctate staining present. This pattern was not blocked by 50 µM GYKI 53655 or by 50 µM CNQX and may be caused by release of an unknown
transmitter with a cobalt-permeable receptor.
Kainate is an agonist at both AMPA- and kainate-preferring subtypes of
non-NMDA receptors. There is evidence for expression of both of these
receptor subtypes within the spinal cord, as well as in primary
afferents innervating the dorsal horn (Huettner, 1990 ; Tolle et al.,
1993 ; Petralia et al., 1994 ; Tachibana et al., 1994 ). To test whether
kainate-induced cobalt loading is caused by activation of AMPA or
kainate receptors, we used GYKI 53655, a selective noncompetitive
antagonist of AMPA receptors. We used 100 µM GYKI 53655, a concentration that should fully block AMPA receptors but only 20% of
kainate receptor current (Wilding and Huettner, 1995 ). GYKI 53655 blocked kainate-induced cobalt loading in dorsal horn neurons (Fig.
1C,D) (nine slices each condition; three animals). This
indicates that activation of AMPA receptors, but not kainate receptors,
is necessary for kainate-induced cobalt loading. At a concentration of
50 µM, GYKI 53655 also abolished kainate-induced cobalt
loading (data not shown) (four slices; one animal).
To discern whether the cobalt loading required current flow directly
through the Ca2+-permeable subtype of AMPA receptor
or was secondary to activation of Ca2+-impermeable
receptors, we used JsTx, an antagonist of
Ca2+-permeable non-NMDA receptors. This toxin has
been shown to block AMPA and kainate receptors lacking subunits edited
at the Q/R site in the channel pore (Blaschke et al., 1993 ). In
contrast, receptors with subunits containing an arginine at this
position are not Ca2+-permeable and are not blocked
by this antagonist. This toxin is both use-dependent and
voltage-dependent (Blaschke et al., 1993 ; Iino et al., 1996 ). To
maximize the use-dependent block with JsTx, we applied it with kainate
before addition of cobalt to the slice (see Materials and Methods).
Only a few cells in dorsal horns treated with kainate and 5-10
µM JsTx were stained relative to control slices treated
with kainate alone (Fig. 1E,F) (eight slices
each condition; three animals). JsTx blocked kainate-induced cobalt
loading of neurons most effectively in the superficial dorsal horn, but
interestingly, often did not block staining of more ventral cells in
the spinal cord (data not shown). The reduction of staining in the
dorsal horn in the presence of JsTx suggests that cobalt entry is
dependent on Ca2+-permeable AMPA receptors. Taken
together, these antagonist data suggest that in postnatal spinal cord
dorsal horn, Ca2+-permeable AMPA receptors are
responsible for kainate-induced cobalt uptake.
GluR1 and GluR2 subunit expression and kainate-induced
cobalt loading
In a given cell, the ratio of GluR2 expression to that of other
AMPA receptor subunits has been shown to correlate inversely with the
percentage of assembled AMPA receptors that are
Ca2+-permeable and therefore cobalt-permeable
(Geiger et al., 1995 ). We predicted that inner lamina II would have a
higher ratio of GluR2 to other subunits than more superficial dorsal
horn regions because it has a smaller number of cells with
kainate-induced cobalt uptake. We focused on subunits GluR1 and GluR2
because these are known to be present in the substantia gelatinosa
within the second postnatal week, both by in situ
hybridization and by immunostaining (Jakowec et al., 1995a ,b ). We first
determined the distribution of GluR1 and GluR2 in transverse spinal
cord sections and then performed double labeling of slices using
kainate-induced cobalt loading and immunocytochemistry to GluR1 and
GluR2 (Fig. 2). We performed simultaneous
immunostaining for GluR1 and GluR2 in fixed sections of spinal cord
(Fig. 2A-C) (two animals). GluR2 staining is
strongest in the superficial dorsal horn, where it appears to be most
prominent in lamina II (Fig. 2B). GluR1 is concentrated in the more dorsal area of this lamina (Fig.
2A,C), whereas GluR2 staining is stronger in inner
lamina II (Fig. 2C). This pattern is similar to that seen by
Popratiloff et al. (1996) in the adult rat using antibodies to GluR1
and GluR2/3 subunits. It is consistent with our earlier observation
that cobalt-permeable AMPA receptors are present on neurons in outer
lamina II and lamina I, and sparser in inner lamina II.

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Figure 2.
GluR1 and GluR2 distribution in spinal cord dorsal
horn: double labeling with kainate-induced cobalt uptake.
A-C, GluR1 staining (red, A) and GluR2
staining (green, B) are shown in the same
transverse section from a P10 rat spinal cord. Images of GluR1 and
GluR2 staining are superimposed in C. GluR1 is present
in many cells throughout the spinal cord and forms a laminar pattern in
the superficial dorsal horn, strongest in outer lamina II. GluR2 is
also found in lamina II and is strongest slightly ventral to the area
of highest GluR1 expression. D-F, Kainate-induced
cobalt loading (D) and GluR1 staining
(E) were performed sequentially on the same
sections using tissue from a P8 rat spinal cord slice (see Materials
and Methods). The GluR1 (E) and kainate
(D) patterns have been superimposed in
F to reveal that the area of high GluR1 expression
corresponds to that with kainate-induced cobalt loading.
G-I, Kainate-induced cobalt loading
(G) and GluR2 staining
(H) were performed sequentially using
tissue from a P10 rat spinal cord slice (see Materials and Methods).
The GluR2 (H) and kainate-induced cobalt
(G) patterns have been superimposed in
I to reveal that the area of high GluR2 expression
corresponds to that of the gap in kainate-induced cobalt loading in the
superficial dorsal horn. Scale bars, 40 µm.
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We immunostained sections of kainate-induced cobalt-loaded slices to
colocalize GluR1 and GluR2 with cobalt-positive neurons. In the example
shown in Figure 2D-F, cobalt-positive cells were found laterally in laminae I and III and with lighter cobalt-positive cell density medially. GluR1 staining was again localized to a band in
the superficial dorsal horn, and it colocalized with the dorsal
clusters of cobalt-positive neurons in the lateral region (Fig.
2F) (three slices; one animal). In a different
preparation, the area of strongest GluR2 staining (Fig. 2G)
(17 slices; four animals) was located laterally between the regions of
cobalt-positive cells in outer lamina II and those in lamina III (Fig.
2H,I). GluR1 and cobalt loading are both
strongly expressed in the same outer region of lamina II, suggesting
that this region of low GluR2 and high GluR1 expression has cells with
Ca2+-permeable AMPA receptors.
Calcium-permeable AMPA receptors and nociceptive afferents
To better localize neurons expressing
Ca2+-permeable AMPA receptors in the developing
dorsal horn, we compared their distribution with that of nociceptive
afferent fibers. Capsaicin acts selectively on nociceptor primary
afferents (for review, see Fitzgerald, 1983 ), and the capsaicin
receptor is directly permeable to cobalt (Winter, 1987 ; Wood et al.,
1988 ). As reported previously (Nagy et al., 1993 ), application of
capsaicin to the DRG in the presence of cobalt allows detection of
capsaicin-sensitive neurons. In our experiments, capsaicin induced
cobalt loading in the soma and processes of small-diameter sensory
neurons in the DRG (Fig. 3A) (one slice; one animal).

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Figure 3.
Capsaicin-induced cobalt entry serves as a marker
for nociceptive DRG neurons and their nerve terminals in the dorsal
horn. Kainate-induced cobalt-loaded cells are found in the region of
capsaicin- responsive nociceptive afferents. A,
Capsaicin (10 µM) caused cobalt loading of a
subpopulation of small neurons in the DRG (A) of
a P6 rat. B, C, Capsaicin-induced cobalt loading also
labeled the central processes of DRG neurons (B, C) in
slices from a P9 rat. The central terminals of the capsaicin-sensitive
primary afferents are seen to innervate laminae I and II of the spinal
cord. The boxed area in B is magnified in
C, where presumptive afferent axons and terminals are
seen in a punctate pattern. D, E, Kainate- and
capsaicin-induced cobalt loading in the same P6 slice. Kainate-induced
cobalt-positive neurons (black spots in the area of the
superficial dorsal horn) are present in the region of
capsaicin-sensitive nociceptive fibers (fine black
speckling) (D). In another section from
the same spinal cord, the kainate-induced cobalt loading was blocked
with 50 µM CNQX, leaving the capsaicin-induced staining
pattern more apparent (E). Scale bars: A,
B, D, E, 40 µm; C, 10 µm.
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Application of capsaicin and cobalt to spinal cord slices resulted in a
punctate pattern of staining in laminae I and II of the dorsal horn
(Fig. 3B) (18 slices; five animals). Higher magnification revealed that the puncta seemed to surround cell bodies, as would be
expected of primary afferent fibers (Fig. 3C). Expression of capsaicin receptors on the central terminals of primary afferents has
been demonstrated previously by binding of the potent capsaicin receptor agonist resiniferotoxin in the dorsal horn (Szallasi et al.,
1995 ). No staining of dorsal horn neurons was seen with capsaicin-induced cobalt loading, in contrast to the pattern seen with
kainate-induced cobalt loading. Application of both kainate and
capsaicin with cobalt resulted in labeling of both dorsal horn cell
bodies and afferents (Fig. 3D). Labeled superficial dorsal
horn neurons were concentrated in the outermost region of capsaicin
staining. Simultaneous application of kainate, capsaicin, and CNQX
together with cobalt blocked only the kainate-induced dorsal horn cell
body labeling, leaving the labeling of afferent fibers unaffected (Fig.
3E). These results demonstrate that neurons in the areas of
the superficial dorsal horn receiving nociceptive afferent input
contain Ca2+-permeable AMPA receptors.
Nociceptors can be classified into subpopulations according to
expression of peptides, enzymes, and surface markers. We examined the
colocalization of kainate-induced cobalt-positive dorsal horn neurons
with three surface markers of lamina II afferent fibers: IB4, LD2, and
LA4. The lectin IB4 labels small-diameter afferents that downregulate
TrkA expression during the first 3 postnatal weeks and become sensitive
to the trophic factor GDNF (Molliver and Snider, 1997 ; Molliver et al.,
1997 ). They project to inner lamina II in adult rat spinal cord
(Molliver et al., 1995 ). In the second postnatal week, IB4 appears to
label afferents projecting throughout lamina II [(Figs.
4A,C (two animals),
5B]. We first compared the
distribution of IB4 with GluR1 and GluR2 staining. The strongest GluR1
and GluR2 staining overlapped with IB4-positive lamina II. Figure
4A,B shows that GluR1 staining is strongest in the
dorsal portion of IB4-positive superficial dorsal horn or outer lamina
II. Figure 4C,D shows that GluR2 staining is strongest in
the ventral portion of IB4-positive dorsal horn or inner lamina II.
These results suggest that the high density of cobalt-positive neurons
will be in the dorsal region of IB4-positive fibers, consistent with
the results obtained with capsaicin-sensitive fibers.

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Figure 4.
The primary afferent marker, IB4, overlaps with
GluR1- and GluR2-positive areas in the superficial dorsal horn.
A, B, Staining with the lectin IB4
(A) and antibodies to GluR1
(B) are shown from the same transverse section
from fixed P10 rat spinal cord. The area of IB4-positive terminals has
been outlined in white dashes to compare the
distribution of IB4-positive terminals with that of GluR1. Note that
IB4 spans the outer and inner regions of lamina II in this preparation.
GluR1 staining is seen in the outermost region of IB4 staining.
C, D, Staining with the lectin IB4
(C) and antibodies to GluR2
(D) are shown in this transverse section from
fixed P10 rat spinal cord. The area of IB4-positive terminals has been
outlined in white dashes to compare the distribution of
IB4-positive terminals with that of GluR2. GluR2 staining is seen in
the innermost region of IB4 staining. Scale bars, 40 µm.
|
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Figure 5.
IB4-positive terminals and kainate-induced cobalt
loading overlap in the outermost region of IB4 staining. A,
B, Kainate-induced cobalt loading is seen in this section from
a P12 rat spinal cord slice (A). IB4 labeling of
the same section is shown in B. A box is
placed around a 120 × 100 µm area at the most lateral edge of
IB4 staining that was used for the analysis shown in C.
C, Plots of IB4 and cobalt intensity over the 120 µm
from the lateral edge of IB4 staining for the section displayed in
A and B. Intensity values are averaged
pixel values over 100 µm at each distance from the lateral border of
IB4 staining. Values have been normalized (see Materials and Methods).
D, Plots of IB4 and cobalt intensity over the 120 µm
from the lateral edge of IB4 staining for average values of 10 sections
from multiple slices of the same preparation as A and
B (data not shown). Error bars represent the SEM for
normalized cobalt and IB4 staining over this region. In both
C and D, it can be seen that the peak of
the kainate-induced cobalt signal in superficial dorsal horn falls in
the outermost region of IB4 staining. Scale bars, 40 µm.
|
|
After kainate-induced cobalt loading, sections were prepared and
stained with IB4 (Fig. 5) (eight slices; two animals). We analyzed the
relative distribution of IB4-positive fibers and cobalt-positive dorsal
horn neurons by plotting the average density of both the cobalt and IB4
signals for a given distance from the lateral edge of the IB4 staining
(Fig. 5C) (see Materials and Methods). Two patterns of
distribution of IB4 and cobalt-positive cells were seen in the lateral
dorsal horn. In the majority of sections examined (10/16), cobalt and
IB4 colocalized in the dorsal-most region of IB4 staining (Fig.
5A,B). In other sections (6/16), cobalt and IB4 did not have
as obvious a relationship in the lateral dorsal horn (data not shown),
although the cobalt signal did appear to segregate to the dorsal half
of the IB4 region in the medial dorsal horn. To better see the relative
staining patterns, we averaged the data for the 10/16 sections that
seemed to show a segregation of cobalt-positive cells in the lateral
dorsal horn (Fig. 5D). The most cobalt-positive region
correlated with the outermost region of IB4 staining, and cobalt
loading was decreased in lateral inner lamina II in these 10 sections.
Monoclonal antibodies LD2 and LA4 recognize lactoseries carbohydrate
epitopes on the soma and projections of different populations of small
diameter DRG neurons (Fig.
6A,D) (Dodd and
Jessell, 1985 ). LD2 marks afferents in the outer portion of lamina II
(Fig. 6B), whereas LA4 staining reveals afferents
throughout lamina II at this stage of development (Fig.
6E), similar to IB4.

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Figure 6.
Lactoseries carbohydrate antigens LD2 and LA4 mark
subsets of small-diameter DRG neurons and their terminals in the dorsal
horn. Kainate-induced cobalt-positive neurons coincide with the area of
LD2-positive afferents (presumptive LIIo), but are
sparser in the ventral area of LA4-positive afferents.
A, The monoclonal antibody LD2 stains a subpopulation of
small-diameter DRG neurons. A section from a P13 rat DRG is shown.
B, LD2-positive primary afferents project primarily to
LIIo. This section is from a P11 slice that underwent
kainate-induced cobalt loading. The border of LA4 staining is predicted
using an alternate section from the same slice stained for LA4 (shown
in E) and is marked off with white
dashes. Comparison of the staining for LD2 versus LA4 reveals
that LD2 distribution is restricted to the most dorsal region of LA4
staining. C, The pattern of kainate-induced cobalt
loading is shown for the same section as in B. The
predicted border for the LA4 stain is outlined with black
dashes. The area labeled by LD2 directly overlaps with that of
cobalt-positive dorsal horn cells in what we presume to be
LIIo (compare with B). D, The
monoclonal antibody LA4 also stains a subpopulation of small-diameter
DRG neurons in P13 rat DRG. E, LA4-positive afferents
project throughout LII in this alternate section from the same P11
slice as in B and C (note the wider band
of staining for LA4 as compared with LD2 in B).
Dashed lines mark the border of the LA4 staining here
and in F. F, The pattern of kainate-induced cobalt
loading is shown for the same section as in E. The inner
LA4-positive region of the dorsal horn from another section of the same
spinal cord has fewer cobalt-positive dorsal horn neurons than the
outermost region. Scale bars, 40 µm.
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|
After slices were treated with kainate and cobalt to reveal cells
expressing Ca2+-permeable AMPA receptors, sections
were prepared and stained with either monoclonal antibody LA4 or LD2.
As with IB4, the region of low cobalt density corresponded to the
ventral-most area of LA4 staining (Fig. 6F) (29 slices; eight animals). The area labeled by LD2 directly overlapped
with that of kainate-positive cells in presumptive outer lamina II
(Fig. 6C) (13 slices; three animals). This confirms that
most kainate-induced cobalt-positive cells are present in lamina I and
in outer lamina II, areas receiving innervation from specifically
labeled subpopulations of nociceptive primary afferents.
Correlation with NK1-positive lamina I neurons
In the adult lumbar spinal cord, long projection neurons account
for ~30% of the neurons in lamina I (Bice and Beal, 1997 ), and
>70% of the spinothalamic lamina I neurons express the NK1 receptor,
the receptor for substance P (Marshall et al., 1996 ). We used the NK1
receptor as a marker to examine expression of Ca2+-permeable AMPA receptors by lamina I projection
neurons. Of 38 NK1-LI lamina I cells surveyed, 13 were found to be
cobalt positive (Fig. 7A,B).
The cobalt stain in these cells was usually not as strong as other
cells in the slice and seemed at an intermediate level. This
observation correlates with the overlap of NK1-LI and partial
cobalt-positive cells seen in cultures of dorsal horn neurons
(Albuquerque and MacDermott, 1998 ; C. Albuquerque, C. J. Lee,
A. C. Jackson, and A. B. MacDermott, unpublished
observation). An NK1-LI neuron in the lateral spinal nucleus also
appeared to be cobalt positive (Fig. 7C,D). Cells in this
nucleus are known to be NK1 positive (Marshall et al., 1996 ) and
project to the same nociceptive brain nuclei as lamina I projection
neurons (Swett et al., 1985 ). These data demonstrate that some of the
NK1-LI neurons in lamina I express Ca2+-permeable
AMPA receptors.

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Figure 7.
Some NK1-positive neurons also exhibit
kainate-induced cobalt loading. A, B, Kainate-induced
cobalt loading is shown in this P8 slice (A). The
arrowhead marks a lamina I neuron that projects in the
transverse plane and is double-labeled for the NK1 receptor
(B). C, D, Kainate-induced cobalt
loading is shown in a neuron of the lateral spinal nucleus
(arrowhead), which is seen below the border of the
dorsal horn (C). This neuron is also NK1 positive
(D). Scale bars, 20 µm.
|
|
 |
DISCUSSION |
Our work suggests that kainate-induced cobalt loading in the
spinal cord dorsal horn occurs through
Ca2+-permeable AMPA receptors on the basis of
pharmacological evidence for the involvement of non-NMDA receptors with
CNQX, AMPA receptors with GYKI 53655, and
Ca2+-permeable non-NMDA receptors with JsTx. We have
shown that neurons expressing Ca2+-permeable AMPA
receptors are present in the superficial dorsal horn in a laminar
distribution. Cells expressing Ca2+-permeable AMPA
receptors are present in lamina I and outer lamina II, areas innervated
by specific subsets of capsaicin-sensitive afferents. The low number of
neurons with Ca2+-permeable AMPA receptors in inner
lamina II correlates with the high expression of GluR2 in that region
as compared with other AMPA receptor subunits. NK1-positive neurons in
lamina I and in the lateral spinal nucleus are positive for
Ca2+-permeable AMPA receptors. It is known that
Ca2+-permeable AMPA receptors are expressed at
synapses and mediate changes in synaptic strength in cultured dorsal
horn neurons (Gu et al., 1996 ). Our data suggest that these receptors
may mediate synaptic transmission and modulate synaptic strength in
specific laminae of the superficial dorsal horn.
Colocalization with nociceptive afferent markers
Many dorsal horn neurons expressing
Ca2+-permeable AMPA receptors are within the region
of the superficial dorsal horn that receives nociceptive input in
postnatal animals, as indicated by the pattern of capsaicin-induced
cobalt loading of primary afferent terminals (Fig. 3). Previous studies
suggest that there are at least three nonoverlapping subpopulations of
nociceptive fibers in the rat, all of which show some capsaicin
sensitivity (Nagy et al., 1981 ; Nagy and Hunt, 1982 ; for review, see
Lawson, 1992 ). These subgroups are defined by the expression of the
neuromodulators substance P or somatostatin, or by the enzyme
fluoride-resistant acid phosphatase (FRAP). Afferents in each group
project to specific areas of the dorsal horn. In adult spinal cord,
substance P-positive fibers tend to project to lamina I and outer
lamina II (Todd and Spike, 1993 ). However, DRG neurons expressing
somatostatin and FRAP have a different distribution, as revealed by
staining with monoclonal antibodies LD2 and LA4, which do not detect
substance P-positive afferents. These antibodies recognize epitopes
that appear exclusively on DRG neurons and not on descending or
intrinsic spinal cord fibers (Dodd and Jessell, 1985 ). LD2 marks 100%
of somatostatin-positive neurons and a small percentage (15%) of the
FRAP-positive population in both intact DRG and cultured neurons. LA4
also labels 100% of the somatostatin-positive DRG neurons and >90%
of the FRAP-positive population (Dodd and Jessell, 1985 ), indicating
distribution on a wider population of afferents. Our data suggest that
the highest density of neurons expressing
Ca2+-permeable AMPA receptors in the superficial
dorsal horn are in the regions innervated by nociceptors containing
substance P (lamina I and outer lamina II) or somatostatin (outer
lamina II).
Patterns of IB4, LD2, and LA4 staining vary postnatally in the
developing superficial dorsal horn. Laminar boundaries and primary
afferent terminal fields change somewhat over the first 3 postnatal
weeks (Coimbra et al., 1986 ). During the first postnatal week, the
width of inner lamina II is smaller than outer lamina II, and
FRAP-positive terminals, which are a subset of IB4- and LA4-positive
terminals, are found throughout most of inner lamina II. By P15, outer
lamina II is becoming smaller than inner lamina II, and the
FRAP-positive terminals are increasingly restricted to the dorsal
portion of inner lamina II (Coimbra et al., 1986 ). Our studies were all
performed using animals between P6 and P14, a time when the relative
widths of inner and outer lamina II and the FRAP-positive (and LA4- and
IB4-positive) band of terminals are changing. Our estimation of laminar
and sublaminar borders is therefore based on the distribution of our
afferent markers at this stage of development.
The presence of Ca2+-permeable AMPA
receptor-expressing neurons in lamina I and outer lamina II is
consistent with studies of AMPA receptor subunit expression at
glomerular synapses between DRG afferents and dorsal horn neurons in
adult rats (Popratiloff et al., 1996 ). Electron microscopic studies
with GluR1- and GluR2-specific antibodies in adult rat spinal cord
indicate that postsynaptic receptor composition varies at different
morphological subtypes of glomeruli in the dorsal horn. The central
boutons of C1 glomeruli are capsaicin-sensitive and are thought to
arise from unmyelinated C fibers; these glomeruli are concentrated in
outer lamina II and the dorsal aspect of inner lamina II
(Ribeiro-da-Silva and Coimbra, 1984 ; Ribeiro-da-Silva, 1995 ).
Structures postsynaptic to C1 central boutons contain a higher ratio of
GluR1 to GluR2 than do receptors postsynaptic to C2 central boutons,
which are concentrated in ventral inner lamina II (Popratiloff
et al., 1996 ). This suggests that Ca2+-permeable
AMPA receptors are present at synapses between nociceptive DRG
afferents and dorsal horn neurons in the adult spinal cord. Our data
indicate that this may also be true in the postnatal superficial dorsal
horn, although both high-threshold nociceptive afferents and
low-threshold non-nociceptive afferents innervate this region during
the second postnatal week (Fitzgerald et al., 1994 ).
Ca2+-permeable AMPA receptors at local synapses
between dorsal horn neurons have not yet been identified.
Identity of neurons expressing Ca2+-permeable
AMPA receptors
We have shown some coexpression of
Ca2+-permeable AMPA receptors and NK1 receptors by
lamina I and lateral spinal nucleus neurons. This raises the
possibility that NK1-positive projection neurons, the output neurons of
the spinal nociceptive circuit, use Ca2+-permeable
AMPA receptors to mediate or modulate synaptic transmission, as dorsal
horn neurons in culture have been shown to do (Gu et al., 1996 ).
Ablation of NK1-positive lamina I neurons elicits a reduction in
capsaicin-induced hyperalgesia in mice (Mantyh et al., 1997 ),
indicating that these lamina I neurons are important in this modulated
pain response. Projection neurons in the auditory pathway have also
been shown to possess Ca2+-permeable AMPA receptors
(Otis et al., 1995 ). It is possible that other sensory systems use
these receptors on neurons projecting to higher processing centers.
Although we did not investigate the localization of
Ca2+-permeable AMPA receptors in inhibitory
interneurons in our study, other studies suggest that some neurons
expressing Ca2+-permeable AMPA receptors in lamina
II may be GABAergic. Approximately 30% of the neurons in both lamina I
and lamina II are GABAergic by immunocytochemical identification (Todd
and Sullivan, 1990 ). Recently, Spike et al. (1998) showed that 78% of
GluR1-immunoreactive neurons are also GABA-positive, whereas 96% of
the GluR2/3-positive neurons were negative for GABA and glycine. This
suggests that GABAergic neurons express low levels of GluR2, but
significant GluR1, and would therefore have
Ca2+-permeable AMPA receptors. We have shown
recently that ~30% of neurons in dorsal horn cultures are GABAergic
and that nearly 60% of those GABAergic neurons express
Ca2+-permeable AMPA receptors (Albuquerque and
MacDermott, 1998 ; C. Albuquerque, C. J. Lee, A. C. Jackson,
and A. B. MacDermott, unpublished observations). These
observations are consistent with the known expression of
Ca2+-permeable AMPA receptors in inhibitory
interneurons in other areas of the nervous system (Yin et al., 1994 ;
Geiger et al., 1995 ). The observation that many of the postsynaptic
dendrites in C1 glomeruli arise from GABAergic neurons (Bernardi et
al., 1995 ) suggests that Ca2+-permeable AMPA
receptors may modulate signals between primary nociceptive afferents
and inhibitory interneurons.
Possible role of Ca2+-permeable AMPA receptors
at dorsal horn synapses
Ca2+-permeable AMPA receptors are one example
of many receptors that have a laminar distribution in the dorsal horn
(for review, see Coggeshall and Carlton, 1997 ). This pattern may
reflect laminar synaptic connections with inputs from primary
afferents, descending efferents, or interneurons. The superficial
dorsal horn itself has a heterogeneous distribution of neuronal cell
types, even within individual laminae (Willis and Coggeshall, 1991 ). On
the basis of our observations and those of C. Albuquerque, C. J. Lee, A. C. Jackson and A. B. MacDermott (unpublished
observations) and Spike et al., (1998) , we hypothesize that
Ca2+-permeable AMPA receptors mediate synaptic
transmission onto NK1 receptor-bearing projection neurons and onto
GABAergic interneurons, where they may enhance synaptic transmission
under conditions of tetanic activation as shown recently for inhibitory
interneurons in the amygdala (Mahanty and Sah, 1998 ). Enhancement of
synaptic activation of projection neurons is expected to potentiate
nociceptive signaling, whereas the converse is predicted for GABAergic
neurons. How these excitatory and inhibitory influences interact within the dorsal horn remains to be deciphered. Recent studies indicate that
antagonism of non-NMDA receptors is antinociceptive in the tail-flick
assay and reduces certain forms of inflammation-induced hyperalgesia
(Lutfy et al., 1997 ; Szekely et al., 1997 ). It will be interesting to
see whether the Ca2+-permeable subset of these
receptors modulates pathological pain responses.
 |
FOOTNOTES |
Received Sept. 18, 1998; revised Dec. 3, 1998; accepted Jan. 6, 1999.
This work was supported by the American Paralysis Association and
National Institutes of Health. We thank Susan Morton for help with
monoclonal antibody harvesting, Jane Dodd for providing antibodies and
valuable advice on the immunocytochemistry, C. Justin Lee for help in
getting the project started, and Cristóvão Albuquerque, C. Justin Lee, and Charalampos Labrakakis for comments on this manuscript.
Correspondence should be addressed to Holly S. Engelman, Department of
Physiology and Cellular Biophysics, Columbia University, 630 W. 168th
Street, BB1106, New York, NY 10032.
 |
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