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The Journal of Neuroscience, May 15, 2000, 20(10):3663-3675
From Plaque to Pretzel: Fold Formation and Acetylcholine Receptor
Loss at the Developing Neuromuscular Junction
Maria Julia
Marques,
José-Angel
Conchello, and
Jeff W.
Lichtman
Department of Anatomy and Neurobiology, Washington University
School of Medicine, St. Louis, Missouri 63110
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ABSTRACT |
Although there has been progress in understanding the initial steps
in the formation of synapses, less is known about their subsequent
maturation (Sanes and Lichtman, 1999 ). Two alterations on the
postsynaptic side of the mammalian neuromuscular junction occur during
early postnatal life: acetylcholine receptors (AChRs) disappear from
parts of the developing junction as all but one axonal inputs are
removed, and the topography of the postsynaptic membrane becomes more
complicated as gutters and folds are established. We have studied the
maturation of the AChR distribution and postsynaptic topography
simultaneously by imaging labeled AChRs at the mouse neuromuscular
junction in a new way, using reflected light confocal microscopy. At
birth postsynaptic receptors were localized in irregular patches within
a spoon-shaped plaque. Beginning several days later, receptor regions
within a single endplate were divided into differentiated and less
organized compartments. Folds generally oriented orthogonal to the long
axis of the muscle fiber were seen in developing gutters, although the
orientation of the gutters seemed to be imposed by the branching
pattern of the nerve. Eventually, superficial regions lacking AChR
labeling were apparent in all junctions. In junctions denervated in the
neonatal period both gutter formation and the disappearance of
superficial receptors regions were prevented. We suggest that tension
between growing muscle fibers and the relatively inelastic synaptic
terminals that adhere to them causes the topographic features of the
postsynaptic membrane. This view provides a mechanical explanation for
gutters, folds, and the location of folds at sites of neurotransmitter release.
Key words:
reflected light confocal microscopy; postsynaptic
membrane topography; acetylcholine receptor distribution; neuromuscular
junction development; synapse elimination; active zones
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INTRODUCTION |
The use of fluorescently tagged
-bungarotoxin to label acetylcholine receptors (AChRs) at the
neuromuscular junction has shown that there is a dramatic maturational
alteration in receptor distribution in early postnatal life. At birth,
AChRs are arranged in an oval plaque in what appears to be a relatively
uniform density. Over several weeks this plaque perforates
(Nyström, 1968 ; Steinbach, 1981 ; Slater, 1982 ; Balice-Gordon and
Lichtman, 1993 ) such that the regions that maintain AChRs become the
pretzel-shaped branches of the mature singly innervated neuromuscular
junction, whereas regions that lose membrane-associated AChRs also lose
nerve terminal innervation during the process of synapse elimination
(Balice-Gordon and Lichtman, 1993 ; Gan and Lichtman, 1998 ). Although
fluorescence labeling of AChRs allows for the study of the overall
distribution of receptors during development, this technique has not
been useful in studying alterations in the three-dimensional topography
of the muscle fiber membrane as neuromuscular junctions mature. Hence, the formation of gutters (primary synaptic clefts) and the elaboration of folds within the gutters could not be related to the changes occurring in the location of AChRs.
Techniques that are useful for studying three-dimensional topography of
synapses, such as scanning (Fahim et al., 1983 ; Desaki and Uehara,
1987 ) and transmission (Teraväinen, 1968 ; Kelly and Zacks, 1969 ;
Bennett and Pettigrew, 1974 ; Matthews-Bellinger and Salpeter, 1983 )
electron microscopy, are not ideal for assaying changes in AChR
distribution. On the other hand, fluorescence techniques useful for the
study of receptor distribution do not have the resolution to permit
analysis of three-dimensional topography. In the present work a
technique is described in which biotin-bungarotoxin bound to
avidin-horseradish peroxidase (HRP) is used to deposit a highly
reflective substance on the AChRs of the neuromuscular junction. By
using reflected light confocal microscopy to generate three-dimensional
image reconstructions, we were able to obtain a highly resolved
topography of the AChR-rich region that exceeded the resolution of
fluorescence imaging. With this new approach the gutters, the folds,
and the overall AChR distribution could all be viewed at the same time
throughout development.
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MATERIALS AND METHODS |
Animals and muscle preparation. Neonatal mice were
obtained from breeding colonies established in our animal care
facility. Pregnant females were isolated and checked daily. The date of birth was designated postnatal day 0 (P0), and the pups were weaned on
P21. Embryos [embryonic day 15 (E15) and E19] were obtained from
timed pregnant females (CF1B strain, Harlan Sprague Dawley, Indianapolis, IN), and their prenatal age was confirmed from external physical characteristics. Forty animals (six adults and 34 young animals ranging in age from E15-E20 postpartum) were used.
Animals were anesthetized by an intraperitoneal injection of sodium
pentobarbital, and the muscle was fixed. The protocol for fixation
involved cardiac perfusion with Ringer's solution, followed by cold
fixative freshly prepared (2% paraformaldehyde and 0.1%
glutaraldehyde in PBS, pH 7.4). Embryos were removed from the mother
after fixation. Both sternomastoid muscles were removed, pinned out on
Sylgard-coated (Dow, Midland, MI) dishes, and washed for 3-4 min with
Ringer's solution. In some animals the sternomastoid muscle was
denervated on P10 by cutting the muscle nerve; 7 d later the
animals were killed, and the muscles were removed as above.
AChR staining. Muscles were incubated with
biotin- -bungarotoxin (b-BTX; 1 µg/ml; Molecular Probes, Eugene,
OR) for 4 hr at room temperature and then extensively washed with
Ringer's solution (Baxter, Deerfield, IL). After that, they were
incubated overnight with avidin-HRP (a-HRP; 1 µg/ml; Molecular
Probes). A dark gray HRP reaction product was deposited by using the
Vector SG kit (Vector Laboratories, Burlingame, CA). Then the muscles
were washed in cold 30% ethanol for 4 min, dehydrated, and mounted in
Permount. In some muscles, AChRs were tagged fluorescently with
tetramethyl-rhodamine-bungarotoxin (rh-BTX; 5 µg/ml; Molecular
Probes) for 30 min at room temperature, washed with Ringer's, and
mounted in Vectashield Mounting Medium (Vector Laboratories) to lessen bleaching.
Frog neuromuscular junctions also were stained and observed with
confocal reflected light. Frogs were cold-anesthetized and pithed.
Cutaneous pectoris and sartorius muscles were dissected out from
Rana pipiens in Ringer's-Frog solution and pinned out in a
Sylgard Petri dish. The muscles were incubated in b-BTX (1 µg/ml;
Molecular Probes) for 4 hr at room temperature and after a washing in
PBS incubated in a-HRP (1 µg/ml; Molecular Probes) overnight at
4°C. After several washes with Ringer's-frog, HRP was visualized by
using the Vector SG kit. Muscles were fixed with a cold solution of 2%
paraformaldehyde and 0.1% glutaraldehyde in PBS for 1 hr, washed with
PBS for 4-5 min, dehydrated, and mounted in Permount for observation.
The mouse and frog preparations maintained their AChR labeling for >1 year.
Confocal microscopy. Muscles were examined with the
reflected light port of a laser-scanning confocal microscope (Odyssey, Noran Instruments, Middleton, WI) linked to an upright microscope (Optiphot-2, Nikon, Tokyo, Japan), using a 100×, 1.4 numerical aperture Plan Apo oil objective (Nikon). The excitation source was the
528.7 line of an argon-ion laser. Reflected light confocal used a
small pinhole aperture (diameter of 0.1 µm in specimen space).
Optical sections were collected at 0.1 µm intervals, and the number
of images in the z-plane varied from 40 to 80. The stacks of images
were processed into stereo pairs or movies (using a maximum voxel ray
tracing algorithm) with locally modified volume-rendering software on a
Sun computer (Sparc 370 with TAAC board). An index of junctional area
was measured by taking the product of the maximum length of the
junction in the long axis of the muscle fiber and the maximum width of
the junction in the orthogonal axis.
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RESULTS |
Reflected light confocal microscopy: Theory
The principal aim of this work was to study the development of the
postsynaptic membrane at the neuromuscular junction. We were interested
in using a technique that would highlight the location of AChRs in the
postsynaptic membrane, because a number of lines of evidence suggest
that the distribution of AChRs undergoes major changes during early
development. We also wanted a technique that provided topographic
(three-dimensional) views of the postsynaptic membrane.
We took advantage of the high refractive index of the reaction product
of HRP deposited at sites containing AChRs (see Materials and Methods),
which allowed for visualization with epi-illumination reflected light
(i.e., the microscope objective was used both to illuminate and view
the specimen). With this technique the postsynaptic membrane of adult
mouse neuromuscular junctions shows a bright reflection (Fig.
1). The reflection at high magnification and with high numerical aperture objectives showed alternating bright
and dark bands reminiscent of SEM images of postsynaptic folds (see,
for example, Fahim et al., 1983 ; Ogata and Yamasaki, 1985 ; Desaki and
Uehara, 1987 ).

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Figure 1.
Visualizing the three-dimensional topography of
the AChR distribution in the postsynaptic membrane of an adult mouse
neuromuscular junction. Left, Red/green overlay of the
three-dimensional topography of the AChR-rich neuromuscular junction
(for viewing with red, the right eye, and for viewing with green, the
left eye glasses). Middle, Right, Stereo
pairs (for crossed eye viewing: left eye views right image) of the same
junction (note that subsequent three-dimensional figures are all
displayed this same way). In this reconstruction the depth of the
junctional gutter (going into the plane of the page) and the pattern of
alternating bright and dark bands are visible (especially at the
bottom of the gutters). Orientation of the folds shows a
tendency that they be orthogonal to the long axis of the muscle fiber
(doubleheaded arrow). Thus gutters coursing parallel to
the long axis of the muscle fiber have folds that generally run
transversely (a), whereas branches that run
perpendicular to the long axis often have folds that run parallel to
the long axis of the gutter (b). Scale bar, 4 µm.
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In distinction to the many points of scattered light induced by HRP
reaction product seen in retrogradely HRP-labeled cells viewed in dark
field (see, for example, Lichtman et al., 1984 ), the reflection seen
after labeling of the AChRs at the adult neuromuscular junction
appeared specular (i.e., mirror-like). Such reflections occur when
reflecting surfaces are continuous over distances that are greater than
the wavelength of the reflecting light. A specular reflection obeys
Snell's law such that the angle of each incident ray will be coplanar,
equal, and opposite the angle of each reflected ray. If the reflection
from the neuromuscular junction is specular, the light collected by the
microscope objective should be critically dependent on the tilt of each
part of the postsynaptic membrane. In particular, light should be
collected most efficiently from the parts of the receptor-rich membrane
that are oriented orthogonal to the optical axis. It is known that
AChRs are located both at the tops of the folds and part way down the
sides (Flucher and Daniels, 1989 ). Thus in observing a postsynaptic
fold from above the tops of the folds, we should see more light
reflected back into the objective than from the infolded regions (Fig.
2, top). Therefore, membrane
regions oriented at progressively more extreme angles should return
correspondingly less light through the objective. The folds are but a
small part of the entire postsynaptic topography, which is arranged in
large gutter-shaped troughs (Fig. 2, bottom). The folds on
the sides of the gutter will be angled such that they return less light
than those at the bottom of the gutter, in part because of stacks of
multiple reflecting surfaces that prevent efficient illumination and
detection.

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Figure 2.
Principle of reflected light imaging of the
postsynaptic membrane as a function of the tilt angle.
Top, Shown is the predicted amount of reflected light
signal from various parts of a single junctional fold. Although
receptors are present partway down the fold, the reflected light signal
is collected preferentially from the parts of the membrane that are
most orthogonal to the optical axis. This dependence on angle is
explained by Snell's law of reflection; the incident light rays
(solid lines) give rise to reflected rays (dashed
lines) that are diverted from the aperture of the objective
when the reflecting surface is tilted (see first section of Results).
This effect results in a progressively dimmer signal collected by the
objective when the membrane is tilted progressively more.
Bottom, A schematic view of the gutter or primary
synaptic cleft and junctional folds in cross section. AChRs are highly
concentrated at the tops of the folds (dark lines).
AChRs on folds that are sitting at the bottom of the gutter reflect
much of their light back into the objective, because their tops are
oriented orthogonal to the optical axis. On the sides of the gutter the
folds are stacked in a way that prevents light from being collected
efficiently.
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These expectations were borne out (see Fig. 1). The bottom and the top
of the gutter (both orthogonal to the optical axis) were typically more
reflective than the sides. In addition, the alternation of bright and
dark bands seemed to be associated with the finer grain topography of
the folds; these bands had a spatial frequency of ~1.6 dark
bands/µm, which is in line with the frequency of folds from electron
microscopic studies of the sternomastoid (Salpeter, 1987 ). However,
because the widths of the tops and infoldings are somewhat similar in
mammals (see, for example, Padykula and Gautier, 1970 ), we could not be
sure whether the bright reflections were from the tops or infolded
regions. To determine whether it was the tops of folds that were the
source of the bright reflecting bars (as should be the case if the
reflection were specular), we viewed the AChRs in the postsynaptic
membrane of frog neuromuscular junctions. Frog junctions have folds
that typically are spaced at regular intervals, with the interfold regions being (unlike mammalian junctions) substantially longer than
the width of the folds themselves. We observed that the reflected light
image of frog postsynaptic membrane (Fig.
3) showed wide areas that reflected
light, interrupted by fine dark lines at regular intervals (Fig. 3,
arrows), confirming that the tops of the folds were
reflecting light preferentially. Interestingly, the brightly reflecting
regions showed some variability in reflection (Fig. 3,
asterisks), which may be related to a higher density of
AChRs on the tops of folds described previously (Shotton et al.,
1979 ).

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Figure 3.
AChRs in the postsynaptic membrane of an adult
frog neuromuscular junction show that the reflected light signal is
preferentially from the tops of the folds. Folds are seen at regular
intervals as fine dark lines (arrows).
Some variability in reflection seen at the tops may represent
differential density of AChRs (asterisks). Scale bar, 5 µm.
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Close inspection of images of the postsynaptic membrane of mammalian
junctions also supported the idea that the tops of the folds were
reflecting light preferentially. We found, for example, that the dark
bands were all approximately the same width (at the diffraction limit,
~0.2 µm), whereas the bright reflecting bands were wider and more
variable in width (0.5-1 µm, on average) (Fig.
4, left). This is consistent
with the electron microscopic data indicating that the width of the
fold is relatively constant and below 0.2 µm, whereas the distance
between folds can vary (Salpeter, 1987 ).

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Figure 4.
Comparison of fluorescence and reflected light
confocal images of postsynaptic receptor labeling. AChRs in the
postsynaptic membrane of two different adult mouse neuromuscular
junctions were labeled for reflected light (left) or
fluorescence (right). Better resolution of the folds was
achieved with reflected light because of the orientation dependence of
the reflection. A second difference is that the folds do not reflect
light (and appear as dark bands), whereas they are
highlighted preferentially in fluorescence. Conversely, the tops of the
folds are bright in reflected light but relatively dim in fluorescence
imaging.
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A comparison of fluorescently labeled and reflected light images of
AChRs in the postsynaptic membrane showed the advantages of reflected
light imaging (Fig. 4). We found that the orientation dependence of the
reflection allowed the reflected images to have greater contrast than
fluorescence images of comparable samples. Because fluorescence
emission is isotropic, part of the fluorescence signal is always
directed into the objective irrespective of the orientation of the
labeled membrane. In addition, with fluorescence, regions of the
membrane at steep angles give greater signals because the
fluorescence from multiple depths adds together. Thus the infolded
region (which, because of its steep angle, appears dark in reflected
light) is the brightest part of the image with fluorescence because
nearby AChR-rich membrane regions sum. This summing cannot be
ameliorated by confocal microscopy, because the optical depth of focus
even with confocal (~0.75 µm) is much wider than the thickness of a
membrane so that the intensity of the fluorescence signal is going to
be brighter for any membrane that is tilted.
Features of the adult neuromuscular junction
The reconstructions of adult mouse neuromuscular junctions showed
an unexpected relation between the orientation of the folds and the
orientation of the muscle fiber. In particular, folds tended to run
transverse to the long axis of the muscle fiber. Thus when the gutters
were running parallel to the long axis of the muscle fiber, the folds
were always transverse to the length of the gutters (see Fig. 1,
a; 19 branches in 10 junctions), but when the gutters ran
circumferentially, the folds tended to be parallel with the long axis
of the gutters (see Fig. 1, b; 10 of 12 branches in six
junctions). This relation indicates a role for the muscle fiber in
establishing the folding pattern and suggests a mechanism that could
lead to fold formation (see Discussion).
Neuromuscular junction development
By taking multiple reflected light confocal optical sections and
reconstructing them, we obtained views of the three-dimensional topography of the receptor-rich regions of the postsynaptic membrane. Approximately 740 neuromuscular junctions from 80 sternomastoid muscles
in mice ranging in age from E17-P15 from were studied. Forty-two
representative examples were chosen for detailed analysis and reconstruction.
Previous work has shown that there is variability between junctions
during early postnatal life because of a developmental "wave," such
that junctions at several different stages of maturation coexist at the
same time (Balice-Gordon and Lichtman, 1993 ; Colman et al., 1997 ; Gan
and Lichtman, 1998 ). It is thus difficult to establish unambiguous
evidence for the steps in the dynamic process with techniques that
provide only a single time point snapshot of any particular cellular
element. Thus far, however, we have been unable to use reflected light
to see the maturation of the neuromuscular junction in living animals.
Despite this caveat, we have observed a number of morphological
features, detailed below, that change as a function of age.
Embryonic period (E17-E19)
The receptor aggregates seen on fibers of 17-d-old embryos
appeared as loose accumulations of small patches of receptors, and
three-dimensional reconstructions showed that they were mainly in one
plane (Fig. 5). We found, as expected,
that in the late embryonic period the postsynaptic AChR plaques were
oval or round. The reconstructions indicated that these plaques were
slightly concave relative to the nearby muscle fiber membrane,
typically in the shape of a spoon (see Discussion). Within the plaque
the receptors were arranged in patches that resembled cobblestones (2-3 µm in diameter) that were separated by well defined dark bands,
presumably because of nascent folding of the postsynaptic membrane
(Fig. 5).

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Figure 5.
AChR distribution at neuromuscular junctions in
the late embryonic period, E17 and E19. Before birth the postsynaptic
AChR plaque on each muscle fiber is typically oval. Often the plaque is
indented relative to the muscle fiber membrane. Within the plaque,
patches of AChRs are arranged as cobblestones (2-3 µm in diameter)
separated by dark bands that may represent nascent folding of the
postsynaptic membrane. Left panels, Red/green stereo
pair. Middle, Right panels, Stereo pairs (left eye views
right image). Scale bar, 4 µm.
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Early postnatal period (P01-P04)
At birth, all of the endplates studied were still oval. However,
with regard to the membrane topography, some junctions resembled embryonic junctions (~40%; n = 60), whereas others
showed more complexity. One trend was that the AChR-positive regions
tended to break apart into smaller regions than seen at earlier ages. Rather than appearing as cobblestones, in most junctions during the
first few postnatal days the receptors were grouped into hundreds of
small elongated patches. The elongated receptor patches were aligned
approximately in a radial pattern from one point near the side of the
junction (Fig. 6, arrows),
which may be related to the point of nerve entry. At most junctions the
continuous outline of the plaque was interrupted by indentations at one
of its edges, leading for the first time to obvious asymmetry in the
overall shape. Given that in adult neuromuscular junctions the site of
nerve entry contains few AChRs (see for example, Balice-Gordon and
Lichtman, 1993 ), the early developing asymmetry probably also is
related to the fact that the nerve entry is from one side. Indeed, in
the neonatal period the receptor distribution is always frayed and
missing at the nerve terminal entrance site (Fig.
7). In addition to fraying at one of its
edges, the plaques also began to show an increase in topographical
complexity, possessing one or more bulges and creases (see Fig. 6). At
this stage the endplate resembles a crumpled blanket thrown into a
shallow oblong hole.

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Figure 6.
AChR distribution at the neuromuscular junction
during the early postnatal period, P01 and P04. At birth (P01) AChRs
were distributed in many small elongated regions that had a radial
pattern from one point in the endplate, which we presume is the point
of nerve entry (*). At later periods (P04) AChRs started to show a
topographical segregation so that coexisting within the same junction
were AChRs in creases (c) and in bulges
(b). Left panels, Red/green stereo
pair. Middle, Right panels, Stereo pairs (left eye views
right image). Scale bar, 4 µm.
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Figure 7.
Site of nerve entry associated with frayed
appearance of AChRs in the postsynaptic membrane. The left
panels show the AChR distribution labeled with rhodamine-tagged
-bungarotoxin of a P4 (top) and P8
(bottom) neuromuscular junction from the sternomastoid
muscle. In each case the junctional edge is uneven on one side
(arrows). The right panels show nerve
terminal staining with neurofilament antibody
(green) superimposed on the receptor labeling
(red). In these two junctions, as is invariably the
case, the nerve terminal entry direction corresponds with the uneven
receptor staining (compare the axon entry in each junction with the
arrows in the left panels). The P4
neuromuscular junction is multiply innervated by a large and a small
caliber axon. We have observed that the multiple axons always enter the
junction from the same side.
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First postnatal week (P06)
During the first postnatal week the junctions increase in area
(see Table 1). In addition to the
increase in length and width, the receptor-rich areas became sorted
into two categories. Some parts of the plaque showed clear evidence of
organized folding, whereas other regions were more disorganized and
less reflective than the areas with obvious folds (Fig.
8). Three-dimensional reconstructions
showed that sometimes these two kinds of receptor regions were at
different depths. The sites with organized folds generally were
arranged as elongated depressions or channels, suggesting that they
were the precursors of the primary synaptic clefts. The disorganized
receptor regions were, in contrast, located either on more superficial
or in deeper regions of the muscle fiber membrane. Interestingly, in
some junctions the two kinds of areas were segregated into separate
contiguous regions of the neuromuscular junction (see Fig. 8,
dashed line). Because competing axons segregate their
synapses to separate regions during synapse elimination at this same
stage (Gan and Lichtman, 1998 ), the differences in receptor topography
and staining may be related to synapse elimination.

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Figure 8.
AChR distribution at the end of the first
postnatal week, P06. At many neuromuscular junctions the topographical
areas of the postsynaptic membrane become segregated into two well
defined categories; some parts of the receptor pattern show organized
folding, whereas other regions have more disorganized and less
intensely reflecting receptor labeling. The smoothness of the edges is
more obvious. Based on previous work (Balice-Gordon and Lichtman,
1993 ), in this junction the nerve is probably entering from the
left (asterisk). Left
panels, Red/green stereo pair. Middle,
Right panels, Stereo pairs (left eye views right image).
Scale bar, 4 µm.
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At many junctions the process by which organized folds become
established in the deeper regions was suggested. We observed that such
receptor-rich areas showed some dimpling by small dark circles (Fig.
9). It is likely that these circles
represent the "pits" described by Desaki and Uehara (1987) with
scanning electron microscopy. The coalescence of such pits may generate
the more continuous folds eventually seen (Fig. 9,
asterisks). In addition, at these ages the density of folds
is sometimes lower and more "frog-like" than in adult mouse
junctions (see Fig. 3), with relatively wide areas between the folds.
In these interfold regions, nascent new folding is evident (Fig. 9,
brackets).

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Figure 9.
High-magnification image of a P06 neuromuscular
junction suggests the steps in fold formation. At this age small dark
pits (P) are seen. In addition, oblong dark pits
appear to be coalescing into contiguous folds
(asterisks). At some sites in which AChR reflection is
high there is an unusually large distance between adjacent folds
(brackets). Because such large interfold distances are
rarely seen at adult mammalian neuromuscular junctions, these sites
presumably will undergo fold formation soon. Indeed, a faint, dim
broken line sometimes was observed in the middle of such interfold
regions, which may be the earliest stage in fold
formation.
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Second postnatal week (P08-P15)
Measurements of endplate area (Table 1) show, as had been
described previously (Balice-Gordon et al., 1993 ), a transient net
reduction in the area of endplates at the beginning of the second
postnatal week (P08). This loss of area is likely the consequence of
the loss of receptor-rich regions during synapse elimination. Consistent with this loss of area, reflected light imaging of AChR
staining at most endplates shows sites that lack AChR signal by the
second postnatal week (Figs. 10,
11). In all junctions the loss of
receptor staining not only sculpts the outside edges of the oval plaque
but also removes AChRs from the interior so that one or more large
regions lacking reflection are present within the junction (Fig. 11).
Initially, the receptor-poor areas are small (see, for example, Fig.
10), but as junctions continue to enlarge, the sizes of the
receptor-poor areas also enlarge. As the holes enlarge, they connect to
the outside of the junction by extended regions lacking receptor
staining (Fig. 11, bottom panels, dashed arrow).
The fragmentation of the plaque into receptor-rich and receptor-poor
areas gives rise to its branched appearance.

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Figure 10.
AChR distribution at neuromuscular junctions at
the beginning of the second postnatal week, P08-P10. By the second
postnatal week it was common to see receptor-rich and receptor-poor
areas within the neuromuscular junction. The two endplates shown here,
still mainly oval, represent the early stages of this process. Areas
lacking reflection appear as small holes and strips of different sizes
(arrows). With subsequent growth the receptor-rich areas
increase in area, and the size of the receptor-poor areas also
increases. Left panels, Red/green stereo pair.
Middle, Right panels, Stereo pairs (left
eye views right image). Scale bar, 4 µm.
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Figure 11.
AChR distribution at neuromuscular junctions
during the middle of the second postnatal week, P10-P11. Continued
loss of postsynaptic sites causes perforations in the receptor density
to enlarge and coalesce. Gutters containing well developed folds
(presumably associated with nerve branches) are quite obvious
(arrows). Areas that lose AChRs are superficial and
appear as crests between adjacent deeper gutters. At the neuromuscular
junction shown from P10, the bottom part of the junction appears to be
terraced with receptor staining at two or more distinct depth levels.
At the endplate from P11 it is clear the idea that the loss of AChR
staining sculpts the outside edges, and these points are connected to
the interior holes by channels lacking reflection (dashed
arrow). Left panels, Red/green stereo pair.
Middle, Right panels, Stereo pairs (left eye views right
image). Scale bar, 4 µm.
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Three-dimensional reconstructions showed that the regions that lost
AChR staining are (or become) superficial (Fig. 11). The gutters
typically contain organized folds, and they become more obvious as
receptor staining outside these regions becomes less common (Fig. 11,
solid arrows).
We have noticed that in nearly all junctions the radial pattern
mentioned above (see Fig. 6) also is associated with an emerging asymmetry between the two sides of the oval plaque. It was noted previously that the multiple axons entering a neuromuscular junction invariably entered from the same side (Balice-Gordon and Lichtman, 1993 ). When we restudied those images, we noted that the entry side of
the nerve was associated with an irregular border of the receptor
plaque (see Fig. 7) [see also Balice-Gordon and Lichtman (1993) , their
Figs. 2, 9, 10, 14-16]. One side (opposite the point of nerve entry
and the origin of the radial branching pattern) maintains its oval
shape, whereas the other side is more irregular. This asymmetry is
increasingly prevalent in the second postnatal week. Even young adult
junctions maintain this asymmetry in that the branches opposite the
nerve entry zone usually trace out an oval pattern (Fig.
12). We have found that the irregular
surface can be on either the left or right relative to the long axis of the muscle fiber or the upper or lower border. These various positions for the irregular surface are consistent with the fact that the nerve
enters the junction from either side or from the upper or lower
border.

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Figure 12.
Asymmetry in postsynaptic AChR distribution.
Shown is the rhodamine-bungarotoxin-labeled AChR distribution at a P06
(top) and P15 (bottom) neuromuscular
junction. In both cases one side (lower; Smooth)
maintains its smooth oval shape whereas the opposite side is fuzzier
(Irregular); as suggested by numerous observations of
in vivo endplates stained for both nerve and receptors,
the nerve entry side is irregular (Balice-Gordon and Lichtman, 1993 ).
Scale bar, 3 µm.
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By the end of the second postnatal week most of the junctions appear to
have made the transformation from plaque to fully branched form (Fig.
13). Although the branches are crowded
together, each appears as a well defined gutter depressed below the
surrounding muscle fiber membrane.

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Figure 13.
AChR distribution during the late second
postnatal week, P15. By the end of the second postnatal week, despite
their compact size, most of the endplates have attained the adult form.
Well defined gutters containing receptors arranged in distinct patterns
of folds are seen. Folds are oriented orthogonal to the long axis of
the muscle (arrow). Because the sides of the gutter are
steep, only the folds at the bottom of the gutters reflect much light
back into the objective. Left panels, Red/green stereo
pair. Middle, Right panels, Stereo pairs
(left eye views right image). Scale bar, 4 µm.
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In addition, by the end of the second postnatal week most superficial
areas no longer show evidence of AChRs, suggesting that, albeit small,
junctions have attained their mature receptor distribution.
Denervation in the second postnatal week
To determine, once gutter formation and AChR loss had begun, how
autonomous these processes were, we denervated the sternomastoid muscle
during the second postnatal week and then viewed the junctions either
3 d later (denervations on P07, n = 19) or 1 week
later at a time when junctions normally appear to be relatively mature (denervations on P10, n = 10). We found that denervated
junctions appeared not to progress at all from the time of their
denervation. Furthermore, in the case of the longer denervations the
junctions appeared to regress. Thus junctions denervated at P07 and
viewed 3 d later retained characteristics seen at P07. For
example, the denervated junctions showed relatively few perforations as
compared with contralateral control muscles and were often still
oval-shaped. In addition, there were less obvious gutters. In junctions
denervated at P10 and viewed at P17 we found evidence of gutter
formation, and fold elaboration was only partially present (Fig.
14). Last, there were only hints of
areas that were in the process of losing AChRs (Fig. 14).

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Figure 14.
AChR topography and distribution do not mature at
denervated neonatal neuromuscular junctions. At P17, 10 d after
the sternomastoid muscle is denervated, the postsynaptic AChR
distribution is oval, and well defined gutters are not present. Both of
these features are seen commonly in junctions of much younger ages.
Left panels, Red/green stereo pair.
Middle, Right panels, Stereo pairs (left
eye views right image). Scale bar, 4 µm.
|
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DISCUSSION |
This work adds to the extensive literature on neuromuscular
junction structure by providing a topographical representation of
location of AChRs. Additionally, this is the first optical technique
capable of generating a high-resolution topography of the junctional
folding pattern; it requires no sectioning or nerve removal procedure
as is needed in electron microscopical approaches.
We found that during the first few postnatal weeks the postsynaptic
membrane at individual neuromuscular junctions is a mosaic of two
different regions. Some regions of the membrane are less reflective and
have less organized folding, whereas other areas show folds and are
associated with newly forming gutters. The transition from polyneuronal
to single innervation is associated with a disappearance of AChRs at
the underlying postsynaptic sites (Balice-Gordon and Lichtman, 1993 ;
Gan and Lichtman, 1998 ). It is possible that the sites that showed
reduced AChR reflection are associated with synapses that are
eliminated. This suggests that eliminated synapses generally may not be
associated with receptor-rich postsynaptic membranes having primary
synaptic clefts and secondary folds. It is not clear, however, whether
the absence of folds at sites losing AChRs is because such sites never
differentiated folds or, alternatively, because these sites have
undergone a process of dedifferentiation.
This work provides insight into the mechanism that generates the
patterns of branches within a neuromuscular junction and the
arrangement of folds within each branch. We saw that the nascent gutters of the future primary synaptic clefts fan out in a radial pattern in the oval plaque of AChRs (see, for example, Figs. 6, 10).
The entry site also is associated with postsynaptic remodeling, because
virtually all junctions became asymmetric; the outlines of the original
oval AChR plaque remained evident at those edges of the junction that
are not near the site of nerve entry, whereas the loss of AChRs
disrupted the oval outline at the entry zone. Because the multiple
inputs always approach the plaque from the same side (Balice-Gordon and
Lichtman, 1993 ) and probably innervate the muscle shortly after
entering the junction, the loss of all but one axon will lead
inevitably to the disappearance of some nerve terminal sites near the
entry zone. In addition, myelination of the preterminal axon can extend
gradually into the entry zone of the neuromuscular junction.
Myelination also causes a loss of AChRs at sites in which the overlying
nerve becomes ensheathed [Balice-Gordon and Lichtman (1993) , their
Fig. 16]. Thus the nerves play a role in determining the branching
pattern in the pretzel-shaped neuromuscular junction.
The muscle, however, is also apparently responsible for dictating some
aspects of synaptic organization. We observed that mammalian junctions
often have folds that run transverse to the long axis of the muscle
fiber irrespective of the orientation of the gutters (see Fig. 1). Thus
when junctional gutters were running in the long axis of the muscle
fiber, the folds were transverse to the gutters, but when the gutters
were running transverse to the long axis, the folds often were parallel
to the gutter orientation. Previous scanning electron microscopical
studies based on smaller sample sizes had noted that folds often were
transverse to gutters (Ogata and Yamasaki, 1985 ; Desaki and Uehara,
1987 ), which may be related to the fact that more gutters run along the
long axis of the muscle fiber than in the transverse direction (see
Fig. 13). Similarly, in frog neuromuscular junctions the folds are also generally transverse to the long axis of the primary synaptic clefts,
but these gutters also predominantly run parallel to the long axis of
the fibers (Shotton et al., 1979 ). Thus, in contrast to the situation
for the organization of the branches of the primary synaptic cleft, the
pattern of junctional folds seems to be imposed at least partially by
the orientation of the muscle fiber.
This ability of the muscle to determine the orientation of the
junctional folds has motivated us to consider an explanation for the
origin of junctional folds based on the forces exerted on the
postsynaptic membrane as a consequence of the growth of muscle fibers
and adhesion to the nerve. Analogous arguments have related tension
forces that act in the developing brain to the origin of sulci and gyri
and other structural features of the CNS (Van Essen, 1997 ). The
hypothesis we came up with also provides a conceptual framework for
thinking about the origin of three other topographical features
observed in this study: the concavity of the junctional gutters, the
concavity of the early spoon-shaped junctional plaque, and the
reasoning for active zones that overlie postsynaptic folds.
We consider the consequences for the topography of the synapse that
result from acknowledging that sites of synaptic contact are tightly
adhesive for the pre- and postsynaptic membranes. Evidence for this
strong adhesion comes from the requirement of harsh acid or proteolytic
treatments to strip nerve terminals from muscle fibers (Kuffler and
Yoshikami, 1975 ; Fahim et al., 1983 ; Wilkinson and Lunin, 1994 ). We
also consider the fact that the elongation and widening of muscle
fibers during normal growth are associated with intercalary
membrane addition throughout the muscle fiber, as seen in the
intercalary enlargement of the AChR distribution as muscle fibers grow
(Balice-Gordon and Lichtman, 1990 ; Balice-Gordon et al., 1990 ).
The intercalary membrane addition in muscle fibers thus may cause the
established sites of adhesion with the nerve terminal via the
intervening basal lamina to be pushed apart by new membrane insertion
in the growing muscle fiber. If the connective tissue between the nerve
and muscle is relatively inelastic, the adhesion between nerve
terminals and muscle fibers will exert forces on the muscle fiber
membrane associated with muscle growth. The direction of the tension
forces will require either that the muscle fiber curl around the nerve
and embrace it and/or that the nerve stretch to keep the adhesive sites
in the basal lamina from breaking (Fig. 15). The concave shape of the AChR
plaque in neonatal animals thus may be a consequence of the inability
of the nerve to enlarge as fast as the expansion of the muscle fiber
membrane. Disproportionate growth between muscle and nerve also may be
the explanation for the subsequent sinking of the synaptic gutters as
the muscle continues to add membrane at sites near contact with less
quickly growing nerve terminal branches (Fig. 15).

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Figure 15.
Hypothesis for the role of adhesion in
generating three-dimensional topography of the neuromuscular junction.
Shown are three stages in the development of the mammalian
neuromuscular junction. Left, When nerve first contacts
the muscle, sites of adhesion are established between the nerve
terminal plasmalemma and the membrane of the myofiber via molecules
that extend into the basal lamina (red and blue
lines). Three sites of synaptic adhesion are labeled
a-a', b-b', and c-c'.
Middle, as the muscle fiber grows to keep pace with the
enlargement of the body, new membrane
(green) is inserted in the membrane. This
insertion causes an intercalary expansion of the postsynaptic site
(Balice-Gordon and Lichtman, 1990 ; Balice-Gordon et al., 1993 ). As a
result of this postsynaptic growth, tension is exerted on the sites of
adhesion, causing the muscle fiber to curl around the less elastic
nerve terminal. Thus the adhesive struts go from a parallel to a radial
orientation at points a, b, and
c. As new membrane is added, new adhesive
interconnections are established (red lines).
Right, As the muscle fiber continues to grow
preferentially in the orientation of its long axis, more new membrane
is inserted. It is likely that presynaptic sites undergoing exocytosis
and endocytosis cannot maintain adhesive interconnections; thus the
underlying postsynaptic membrane can infold at presynaptic active zones
(black triangles).
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If preferential muscle fiber growth is not matched by an equivalently
rapid growth of the nerve terminal, then the nerve will prevent the
elongation of the postsynaptic territory attached to it. In the
presence of this restraining force any newly inserted muscle fiber
membrane would have to fold to accommodate the constraints imposed by
attachment to the nerve terminal. One location in which such infolding
might occur is at sites in which there are few adhesive connections
between the nerve and the underlying muscle. Adhesive connections are
thought to occur around, but not at, release sites of central synapses
(Uchida et al., 1996 ). Similarly, at the neuromuscular junction there
is evidence of adhesive struts adjacent to active zones but an absence
of adhesion at the release sites in which the basal lamina pulls away
slightly from the nerve terminal [see, for example, Heuser (1980) , his
Fig. 7]. Muscle fiber membrane expansion thus would be selectively
permissible at those sites, explaining why active zones overlie
postsynaptic folds. In addition, if in early postnatal life muscle
growth happens to be preferential in the long axis of the fiber, then
the preferred orientation of folds would be transverse to the long axis.
This conceptual framework also provides a potential explanation for the
loss of folds seen in denervated adult muscles although AChRs are
maintained (Loring and Salpeter, 1980 ) and for the complete arrest in
fold and gutter formation in development that follows the denervation
described here. In adult denervated muscles the disappearance of folds
may be accounted for by the membrane loss associated with muscle fiber
atrophy. Consistent with this is that there is a 1-2 week lag before
folds disappear and a similar lag before atrophy is severe. On the
other hand, the absence of tension forces associated with nerve in
neonatal denervation could be the reason that fold and cleft formation
ceases after denervation in neonates.
The fact that the depths of folds vary between muscle types and species
also may be explained by differences in the growth potential or
elasticity of nerve terminals. For example, human neuromuscular
junctions are typically smaller than mouse junctions, although often
they are located on muscle fibers that are much larger. Human
junctions, however, do have much longer junctional infoldings and
deeper gutters (Engel and Santa, 1971 ). Thus the relative lack of nerve
elongation in human muscle may explain why the folds and clefts are so
deep and complex but the junctions are so small when compared with
mouse. Although such mechanical explanations do not explain the
functional significance of folds, they may be helpful in considering a
number of questions related to the alignment of folds with active zones
and the reasons why certain molecular perturbations cause changes in
junctional folding (see, for example, Deconinck et al., 1997 ; Grady et
al., 1997 ).
 |
FOOTNOTES |
Received Nov. 3, 1999; revised Feb. 18, 2000; accepted Feb. 28, 2000.
Financial support was received from Fundo de Amparo × Pesquisa do
Estado de Sao Paulo (93/3419-7; 95/6110-2), Fundo de Apoio ao Ensino e
à Pesquisa, and Conselho Nacional de Pesquisas (to M.J.M.)
and the Muscular Dystrophy Association, National Institutes of Health,
and Bakewell NeuroImaging Fund.
Correspondence should be addressed to Dr. Jeff W. Lichtman, Department
of Anatomy and Neurobiology, Box 8108, Washington University School of
Medicine, 660 South Euclid, St. Louis, MO 63110. E-mail: jeff{at}thalamus.wustl.edu.
Dr. Marques's present address: Departamento de Anatomia, Instituto de
Biologia, Universidade Estadual de Campinas, UNICAMP, Campinas
Sao Paulo, Brasil 13083-970. E-mail: marques{at}obelix.unicamp.br.
Dr. Conchello's present address: Institute of Biomedical Computing,
Washington University, Old Shriner's 2229, Box 8036, St. Louis, MO 63110.
 |
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