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The Journal of Neuroscience, December 15, 2000, 20(24):9135-9144
Specialized Synapse-Associated Structures within the Calyx of
Held
Kevin C.
Rowland1, 3,
Nancy K.
Irby2, 3, and
George A.
Spirou1, 2, 3
Departments of 1 Physiology and
2 Otolaryngology, and 3 Sensory Neuroscience
Research Center, West Virginia University School of Medicine,
Morgantown, West Virginia 26506-9200
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ABSTRACT |
The calyx of Held exhibits fast glutamatergic neurotransmission at
high rates with low temporal jitter and has adapted specialized synaptic mechanisms to support its functional demands. We report the
presence in calyces of an atypical arrangement of subcellular organelles, called the mitochondria-associated adherens complex (MAC).
We demonstrate that MACs are located adjacent to synapses and contain
membranous elements linked with coated and uncoated vesicles.
Mitochondria that form MACs have more complex geometries than other
mitochondria within the calyx and can extend between clusters of
synapses. We estimate that the calyx contains 1600 MACs, 2400 synapses,
and 6200 readily releasable vesicles. We also identify synaptic vesicle
endocytotic regions close to MACs and synapses and hypothesize that
calyces are composed of multiple activity modules, each containing
machinery for vesicle release and recycling.
Key words:
auditory brainstem; calyx of Held; mitochondria; punctum
adherens; synapse; synaptic vesicle recycling
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INTRODUCTION |
The calyx of Held is one of the
largest nerve terminals in the CNS (Held, 1893 ). Along with large and
modified end-bulbs of Held delivered by auditory nerve fibers onto
cochlear nucleus neurons (Cant and Morest, 1979 ; Tolbert and Morest,
1982 ; Fekete et al., 1984 ), these complex nerve terminals are key
elements in brainstem circuitry that subserves sound localization
(Morest, 1968 ). Spontaneous activity (generated in the absence of
sound) can exceed 100 spikes/sec at the calyx terminal, and
sound-driven activity at the most sensitive frequency of the calyceal
neuron can approach 600 spikes/sec (Spirou et al., 1990 ). Temporal
synchrony of calyceal neurons to a preferred phase of a low-frequency
sound exceeds that found in the auditory nerve, and it can entrain
(fire on every cycle of the stimulus sinusoid) at rates approaching 1 kHz (Joris et al., 1994a ,b ).
High activity rates place demands on endocytotic mechanisms to maintain
a pool of releasable vesicles. Some neurons, such as retinal bipolar
cells, possess specialized structures called synaptic ribbons that are
involved in vesicle trafficking, and therefore have unique mechanisms
to solve their demands for synaptic activity (von Gersdorff and
Matthews, 1999 ). It is plausible that the calyceal terminal, because of
its extremely high spike rate and the temporal precision required to
accomplish its task of sound localization, also uses unique structures
and mechanisms.
A noteworthy arrangement of organelles, consisting of a mitochondrion
located near the presynaptic membrane and tethered via filaments to a
punctum adherens, was first described in nerve terminals of the spinal
cord (Gray, 1963 ). In the auditory system, this structure was noted in
large and modified end-bulbs of auditory nerve fibers (Cant and Morest,
1979 ; Tolbert and Morest, 1982 ). More recently, we described this
structure, which we named the mitochondria-associated adherens complex
(MAC), in large collateral terminals of calyceal axons that are found
in the superior olivary complex (Spirou et al., 1998 ). Given the
diversity of cellular elements that comprise the MAC, it could perform
various functions in the nerve terminal, including calcium buffering,
supplying energy for synaptic vesicle fusion and recycling, processing
recycled vesicle membrane, and cell adhesion. The presence of MACs in
other large terminals of the auditory brainstem prompted our
investigation of their presence in calyceal terminals and a more
detailed examination of their structure and relationship to synapses.
In this report, we reveal an intertwined spatial arrangement of MACs
and synaptic structures and offer several hypotheses about possible
functions of the structural components of the MAC in synaptic transmission.
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MATERIALS AND METHODS |
Five adult cats were used in this study. Three cats were
processed for electron microscopy and two cats were processed for PEP-19 immunocytochemistry. All animals were deeply anesthetized by an
intramuscular injection of xylazine (2 mg/kg) and ketamine (10 mg/kg),
followed by a pentobarbital injection (40 mg/kg, i.v.), before
transcardial perfusion. The protocol used for PEP-19
immunocytochemistry is described elsewhere (Berrebi and Mugnaini, 1991 ;
Spirou and Berrebi, 1996 ; Berrebi and Spirou, 1998 ) and is summarized
briefly here.
Immunocytochemistry. Two animals were perfused
transcardially with 0.9% saline solution, followed by 1 l of
fixative (4% formaldehyde, 0.5% zinc dichromate, 0.1% glutaraldehyde
in 0.75% saline, pH 4.8), then by 1 l of the same fixative with
glutaraldehyde removed. Brains were dissected after 1 hr and immersed
in 30% sucrose in saline for cryoprotection. After cryoprotection,
frozen sections taken at 25-40 µm thickness were immersed in
blocking and detergent solution for 1 hr (5% normal donkey serum,
0.5% Triton X-100 in 0.5 M Tris buffer). Sections were
incubated in rabbit polyclonal antiserum to PEP-19 protein (diluted to
1:2000 in 1% normal donkey serum and 0.1% Triton X-100), which was
revealed by using the standard Elite avidin-biotin peroxidase method
(Vector Laboratories, Burlingame, CA) or the peroxidase/anti-peroxidase
method (Sternberger, 1979 ).
Electron microscopy. The animals used for electron
microscopy were perfused transcardially with an initial calcium-free
Ringer's solution followed by a mixture of 2% paraformaldehyde and
2.5% glutaraldehyde in 0.1 M phosphate buffer. The
brainstem was cut into 150 µm sections in the coronal plane,
post-fixed with osmium tetroxide (0.5%), and stained en bloc with
aqueous uranyl acetate (2%), dehydrated, and flat-embedded in Epon.
Tissue containing the medial nucleus of the trapezoid body (MNTB),
which is innervated by calyces of Held, was re-embedded and trimmed for
cutting ultrathin sections (60-70 nm). Sequential sections were
collected and stained with 0.5% uranyl acetate and 3% lead citrate
using an automatic grid stainer (Leica, Nussloch, Germany).
Construction of en face diagrams. Individual
calyces of Held were tracked in serial ultrathin sections and
photographed by using a Jeol 1010 electron microscope at 80 kV with
magnifications of 4,000-20,000×. To create en face
diagrams, presynaptic membranes and mitochondria were traced from
electron micrographs onto transparencies and coded as either synaptic
junctions or punctum adherens. Marks for registration of serial
sections were added to the tracing by visual determination of the best
alignment of all mitochondria on adjacent sections. Synapses were
identified as clusters of synaptic vesicles directly associated with
dense projections of the presynaptic membrane. Punctum adherens were
identified by symmetrically distributed membrane densities without
association of synaptic vesicles. Tracings of the coded presynaptic
membrane were scanned into a computer and measured using NIH Image.
Total surface areas of synaptic junctions and puncta adherentia were calculated by summing their lengths on individual sections and by
multiplying by the section thickness. En face diagrams were created by mapping the location of synapses and punctum adherens relative to register marks (as measured in NIH Image) using graphing software (Excel, Microsoft). The locations of the vesicular chain or
mitochondrial plaque of each MAC were plotted on the en
face diagram by placing a symbol over its corresponding punctum
adherens. Distances from the edges of the vesicular chain or
mitochondrial plaque to the nearest synapse were measured on the
en face diagram by using NIH Image. Data are reported as
mean ± SD unless indicated otherwise.
Mitochondria morphology. To create three-dimensional models
of mitochondria, electron micrographs were scanned and imported into
software for alignment of serial sections (Align, Kristen Harris), and
outlines of the mitochondria were marked using software (Trace,
Kristen Harris; synapses.bu.edu). Virtual reality modeling language
files were created (Trace) and viewed with a three-dimensional graphics
program (Amapi3D, TGS).
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RESULTS |
The calyx of Held is organized into distinct segments
The calyx of Held is a complex nerve terminal composed of numerous
branches linked to swellings of various sizes that, in composite,
envelope the postsynaptic cell body. A camera lucida drawing of a calyx
and a photomicrograph through a single focal plane (Fig.
1A, inset)
are shown in Figure 1A. Leading to the calyx is a
large axon, 5-10 µm diameter in cats, which at the base of the
terminal branches into two to four thick stalks (each 3-5 µm
diameter; labeled st in Fig.
1A,B) that extend along the postsynaptic cell body surface to the opposite pole of the cell (Fig.
1B). These stalks usually terminate abruptly, but
give rise along their distance to thin processes termed necks (Lenn and Reese, 1966 ) (labeled n in Fig.
1A,E), which connect in series to
large and small swellings (labeled sw in Fig.
1A,E). The necks have varying
lengths (2.83 ± 2.0 µm; n = 70) but a
relatively consistent diameter of ~1 µm (0.99 ± 0.42 µm;
n = 70).

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Figure 1.
The calyx of Held is a large, complex nerve
terminal that envelops the postsynaptic neuron and has multiple
synaptic sites. A, Camera lucida and light micrograph
(inset) of a calyx revealed by antibodies against the
putative calcium binding protein PEP-19. The calyceal axon
(ax) branches into four stalks (st, two
of which are labeled), which themselves branch through narrow necks
(n) of varying length into bulb-shaped swellings
(sw) of various sizes. Black and
stippled areas represent more superficial focal planes
than light and dark gray areas. Scale
bar, 5 µm. B, Electron micrograph of a stalk
(st) portion of the calyx of Held that wraps halfway
around the MNTB cell body (cb). Regions of close
apposition between presynaptic and postsynaptic membrane alternate with
regions of wide separation, called the EES (next to
asterisks). The end of the stalk contacts a somatic
appendage (sa). Boxed region is shown in
D. Scale bar, 2 µm. C, Elements of the
MAC: mitochondrion (m), mitochondrial plaque
(mp, solid arrows), filaments
(f), punctum adherens (pa,
open arrows), and vesicular chain (vc,
dotted arrows). Scale bar, 100 nm. D,
Electron micrograph of the boxed outline in
B reveals mitochondria surrounding a central core of
neurofilaments (nf). Synapses
(s) and MACs (M) are
interspersed along the stalk and occupy most of the regions of
apposition between presynaptic and postsynaptic membranes.
Asterisk underlies the extended extracellular space.
Scale bar, 250 nm. E, Electron micrograph of a neck
(n) that connects two swellings
(sw), the latter of which contains synapses
(s). Scale bar, 1 µm.
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Synaptic junctions are found in the calyceal stalks and swellings.
Numerous zones containing synapses alternate along the entire length of
the stalks with regions where the presynaptic and postsynaptic
membranes separate (Fig. 1B, asterisks;
boxed area amplified in D). Synaptic junctions
are also formed with somatic appendages (labeled sa in Fig.
1B) that extend away from the cell body along the
sides and end of each stalk. Synaptic junctions are rarely found on the
side of the stalk that faces away from the postsynaptic cell body. That
side of the stalk is usually apposed to glial processes and myelinated
axons. The same arrangement of synapses is found in large and small
swellings (data not shown). Necks are not in apposition to the
postsynaptic surface, contain neurofilaments, are unmyelinated, and
lack synaptic junctions (Fig. 1E).
Regions of apposition of the presynaptic and postsynaptic
membranes contain not only synaptic junctions but also specialized organelle assemblies that we have named the MAC (Fig.
1C) (Spirou et al., 1998 ). The key elements of this
structure are a punctum adherens (pa), thought to
attach the membranes of two cells, tethered via filaments
(f) that extend ~180 nm (179 ± 12.7 nm; n = 26) away from the membrane to a dense plaque
called the mitochondrial plaque (mp), which is oriented
parallel to the membrane and subjacent to a mitochondrion. The
mitochondrial surface is typically flattened where it faces the
mitochondrial plaque, and its cristae are oriented perpendicular to its
flattened surface. Within the filaments are found membranous structures
that are tubular or vesicular in appearance, called the vesicular chain
[vc, after Tolbert and Morest (1982) ]. MACs are common
elements within the calyx, and in many individual ultrathin sections
are often located adjacent to synapses (Fig. 1D).
Their apparent proximity to synapses and associations with membranous,
often vesicular structures are suggestive of a role for MACs in
synaptic function.
The adjacency of mitochondria-associated adherens complexes and
synapses is revealed by serial section electron microscopy
To determine the spatial association between MACs and synapses,
serial ultrathin sections (60-70 nm) of the MNTB, where calyces of
Held are located, were collected and processed for electron microscopy.
Representative serial sections from a small swelling are pictured in
Figure
2A-E. In
A, a MAC (M1) with its mitochondrion (m1), mitochondrial plaque, vesicular chain (vc),
filaments, and punctum adherens is located at the left portion of the
swelling. The vesicular chain of MAC-M1 (A-C) is
composed of vesicular and tubular membranes. A synapse
(B-E, s1) lies adjacent to MAC-M1. The dense projections of s1, thought to represent vesicle-docking sites, are evident in Figure 2C-E. Mitochondrion
m1 forms a second MAC in the three sections after Figure
2E (data not shown). The region of cell membrane
containing MAC-M1 and s1 at the left part of the swelling is isolated
by a region of wide separation between the presynaptic and postsynaptic
membrane from another region, in the middle of the swelling, which
contains another MAC (M2) and synapse (s2). These
enlarged spaces have been noted in calyces of several species [rat,
Lenn and Reese (1966) ; bat, Nakajima (1971) , Petelina (1975) ; cat,
Jean-Baptiste and Morest (1975) , Casey and Feldman (1985) ] and are
called extended extracellular spaces (EESs) (Fig. 2,
asterisks). MAC-M2 exhibits a more complex arrangement of
vesicular and tubular membrane (Fig.
2B-D) that merges with a group of
synaptic vesicles, some of which are associated with dense projections
of s2 (Fig. 2C-E). The middle region of the
swelling is separated by another EES from a third region of membrane
apposition at the right of the swelling. This MAC (M3) also
partly overlies its adjacent synapse (Fig. 2C-E,
s3). Therefore, the spatial relationship between MACs and
synapses is complex and is best revealed by mapping the location of
MACs and synapses on the presynaptic membrane surface.

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Figure 2.
Serial sections indicate that MACs are adjacent to
synapses. These serial sections of a swelling in contact with an MNTB
cell body (cb) reveal three regions of membrane
apposition (left, middle, and
right) separated by an EES (asterisks;
rightmost EES is only marked in A). Three MACs
(M1, A-C;
M2, B; M3,
C-E) and their associated mitochondria
(m1, m2, and m3 in
A; m3 labeled again in C)
and vesicular chain (vc) are adjacent to synapses
(s1, s2, and s3). Large
coated vesicles are budding from the side of the terminal facing away
from the MNTB cell and postsynaptically from the extended extracellular
space (C, D, solid
arrows). Bumps in the presynaptic membrane (E,
open arrows) at the synapse could indicate vesicle
fusion or retrieval sites. A coated vesicle (E,
solid arrow) is located adjacent to the presynaptic
membrane. Scale bar (shown in E for
A-E): 200 nm.
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Maps indicating the location of MACs and synapses were made in the
swelling and stalk compartments of the calyx (Fig.
3A,B). Densities of the presynaptic and postsynaptic membrane, when viewed using magnification of at least 4000×, could be classified as synapse
or punctum adherens regions of MACs. Electron micrographs were scanned
into a computer and aligned, and the membrane areas occupied by
synapses and MACs were coded in dark gray and black, respectively. The
membrane of the nerve terminal that did not face the postsynaptic cell
was not included in the analysis, and the remaining membrane was
unfolded into a flat sheet. The resulting en face maps
revealed that MACs and synapses formed clusters that were separated by
large distances. Inspection of the composite electron micrographs
revealed that non-MAC or synapse-containing membrane (coded in light
gray) was primarily occupied by the EES. In the en face map
of the swelling shown in Figure 3A, the clusters were
composed of MACs forming a core surrounded by synapses, except at the
periphery of the swelling where synapses were found without associated
MACs. Inspection of the composite micrographs revealed that these were
regions along the side of the swellings that faced somatic appendages
of the MNTB cell. An intertwined arrangement of MACs and synapses was
also found in stalks (Fig. 3B). Here, MACs were interspersed
with synapses and found in regions that apposed somatic appendages
(Fig. 3B, right side).

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Figure 3.
The interdigitated spatial relationship of
synapses and MACs is revealed in en face views of the
flattened presynaptic membrane. Lengths of membrane that contain
synapses are coded dark gray, and
punctum adherens components of MACs are coded black.
Other regions of membrane, primarily composed of extended extracellular
space, are coded light gray. Small white
circles represent the vesicular chain and mitochondrial plaque
components of MACs. A, En face diagram
through one swelling portion of a calyx (77 serial sections).
B, En face diagram through one stalk
portion of a calyx (36 serial sections). C, The shortest
distance from the mitochondrial plaque or vesicular chain components of
MACs to synapses averaged 202 ± 94.9 nm (arrow).
D, The shortest distance from synapses to the nearest
MAC often could exceed 500 nm, reflecting a category of synapses that
are not located near MACs (as shown in A).
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The adjacency of MACs and synapses was quantified by measuring the
distance, on the en face diagram, from the vesicular chain or mitochondrial plaque portion of the MAC (Fig.
3A,B, small white circles) to the nearest synapse. The mean distance from these components of the MAC to the edge of the nearest synapse was 202 ± 94.9 nm, or approximately five synaptic vesicle diameters (Fig. 3C). However, the distance from some synapses to the nearest
MAC could approach 1 µm (Fig. 3D), consistent with the
absence of MACs in some regions of membrane apposition (Fig.
3A). These distances were measured from five series of
sections taken from four calyces in two animals, each having a
composite thickness of 1.3-4.8 µm. The same spatial relationship
between MACs and synapses was also evident in another five
reconstructions, taken from five calyces (four of which are from a
third animal), each having a composite thickness of at least 0.5 µm.
Construction of en face diagrams from serial sections
affords the opportunity to estimate the number of synapses and MACs in
each calyx of Held. In each en face diagram, individual
synapses and puncta adherentia were outlined, and their surface area
was calculated by summing the lengths measured from the micrographs and
then multiplying by the section thickness. The average sizes for each
en face diagram are reported in Table
1. Overall, synaptic junction surface
area averaged 70,079 nm2 and occupied
11.6% of the presynaptic membrane surface, whereas MACs surface area
averaged 54,622 nm2 and occupied 5.8% of
the presynaptic membrane surface. The postsynaptic MNTB cell body is
nearly spherical in shape and ~35 µm in diameter. Using published
measurements that the calyx covers on average 38% of the postsynaptic
cell body in cats [our calculation from Smith et al. (1991 , 1998 )],
we estimate that the calyx of Held contains ~2400 synaptic junctions
and 1600 MACs. The number of synapses is larger than that estimated for
large synaptic end-bulb terminals in the ventral cochlear nucleus
(Ryugo et al., 1996 ).
Vesicular and tubular membrane structures in the
nerve terminal
Arrangements of membrane within the MAC can take the form of two
to four linked vesicular structures or, more commonly, of combinations
of tubular and vesicular membrane that can extend along the sides of
the mitochondrion away from the cell membrane (Fig.
4F, dotted
arrow). The tubular networks are curved and branched, have a
twisted appearance, and appear to be fused or in the process of budding
round vesicles that are the size of synaptic vesicles (Fig.
4B,E,F,
arrowheads). Some membranous structures are non-round, with
profiles that are approximately the size of synaptic vesicles (vesicular chain of M1 in Figs. 2A and
4E).

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Figure 4.
Coated and noncoated vesicles appear fused with
the vesicular chain component of the MAC. A, A
mitochondrion forms a MAC (M) adjacent to
a synapse (s). The vesicular chain
(vc) leads into a branched tubular network adjacent to
the mitochondrion, to which coated vesicles (solid
arrows) appear fused. A coated vesicle at the synapse
(open arrow) appears to be in the process of
endocytosis. B, Two mitochondria form side-by-side MACs
(M); the edge of a synapse
(s) is adjacent to one of the MACs. The vesicular
chain forms a tubular or flattened structure to which vesicles appear
fused (arrowheads). C, Coated vesicles
(solid arrows) are located next to the vesicular chain
and just inside the presynaptic membrane. D, A coated
pit (open arrow) is located at the end of a membrane
invagination, at the edge of the EES (asterisk is within
glial process inside the EES), and near a MAC. E,
F, Noncoated vesicles (arrowheads) appear
fused to the vesicular chain, which appears flattened in
E and tubular, bending along the side of the
mitochondrion (dotted arrow), in F. A
coated vesicle (open arrow) appears to be in the final
stage of budding from the presynaptic membrane. Scale bar (shown in
F for A-F): 250 nm.
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Coated vesicles in the nerve terminal, presumably recaptured from the
presynaptic membrane, are the same size as synaptic vesicles and can be
found in proximity to and fused to tubular networks associated with
MACs (Figs. 2E,
4A,C, solid arrows). Coated vesicles appear to emerge from synaptic zones or adjacent areas
of presynaptic membrane (Fig. 4A,F,
open arrows). Synaptic zones also contain structures that
could represent vesicle fusion sites or the early stages of vesicle
reuptake (Fig. 2E, open arrows at
s2). The EES appears to be a common site of membrane
recycling (Figs. 2C, 4D, open
arrows), as originally observed using scanning (freeze-fracture)
and transmission electron microscopy (Heuser and Reese, 1973 ; Gulley et
al., 1978 ). All areas of the presynaptic nerve terminal membrane seem
capable of endocytotic events, so we measured the prevalence of coated
pits, presumably representing endocytosing vesicles, in different
regions of the presynaptic membrane. Most coated pits were found
immediately adjacent to the synapse (27%) or at the edge of the EES
(42%). Large endocytotic coated pits and vesicles are often located
post-synaptic to the EES or associated with membrane that faces away
from the MNTB cell and are probably not involved in synaptic vesicle
recycling (Fig. 2C, solid arrows). On the basis
of the presence of MAC and synapse-containing regions of membrane
apposition, flanked by EES and endocytotic profiles, we propose that
the calyx is composed of numerous activity modules, each with a
self-contained system of vesicle recycling.
Are there subpopulations of mitochondria in the calyx of Held?
Mitochondria that form MACs have structural specializations in the
precise orientation of their cristae and flattened edge where
they abut the mitochondrial plaque. The branched and curving appearance
of mitochondria in individual electron micrographs (Fig. 2,
m3) was suggestive that MAC-forming mitochondria were more
complex structurally than other mitochondria in the nerve terminal. To
investigate this hypothesis, mitochondria were reconstructed across
serial sections, and their complexity was determined by counting the
number of tips, or ends, of processes. For example, the electron
micrograph in Figure 5A
reveals what appear to be four presynaptic mitochondria. In the next
two sections in the series (Fig.
5B,C), three of the profiles
(labeled m in Fig. 5A) merge into a single
mitochondrion. Three-dimensional reconstruction of this mitochondrion
(Fig. 5D,E) reveals the three limbs
seen in the serial sections (labeled m). The mitochondrion
has four tips and forms two MACs (punctum adherens, green;
mitochondrial plaque, orange) that are adjacent to synapses
(red). The analysis of geometric complexity revealed
distinct populations of mitochondria in the calyx. Most mitochondria
did not form MACs and had two ends and were therefore vermiform in
shape, although they may have a bend or curve along their length (Table
2). Mitochondria that formed MACs had a
greater tendency to be complex (p < 0.001; Fisher's Exact Test), could form MACs along more than one process, and
often had a process that extended away from the membrane into the core
of the stalk or swelling (Fig. 2, m3; Fig.
5F,G, top limb of mitochondrion).
Location of a mitochondrion within 200 nm of the presynaptic membrane,
in a region of presynaptic and postsynaptic membrane apposition, was a
strong predictor that it formed a MAC.

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Figure 5.
Mitochondria can form more than one MAC and have
complex geometry. A-C, Three limbs of a single,
MAC-forming mitochondrion (m). One MAC
(M) and its adjacent synapse
(s) are pictured. Asterisks
indicate EES. Scale bar, 250 nm. D, E,
Orthogonal views of a three-dimensional reconstruction of the complex
mitochondrion pictured in A-C. The
mitochondrion (blue), mitochondrial plaques
(orange bars), puncta adherentia
(green), and synapses (red) are
depicted. F, G, Three-dimensional
reconstruction of a second complex mitochondrion (end and side views)
with its associated MAC and synaptic structures. The two long limbs of
this mitochondrion extend >1 µm in length.
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Structural correlates of vesicle release probability
The multitude of synapses in a single calyx and the requirement
for the calyx to transmit high rates of activity to the MNTB cell may
dictate that not all synapses release a vesicle with each invading
action potential. MAC-associated synapses may have greater capacity to
sustain vesicle release during the later stages of a spike train. The
number of synaptic vesicles that are in position to be released is
thought to be the structural equivalent of the readily releasable pool
(von Gersdorff et al., 1996 ; Schikorski and Stevens, 1997 ). We counted
in serial sections the number of synaptic vesicles that were docked in
calyceal synapses to determine whether MAC-associated synapses have a
greater number of docked vesicles. Synaptic vesicles were classified as
docked if there was no resolvable distance between their membrane and
the presynaptic membrane or dense projections of the synaptic junction
(Fig. 6A). There was no
difference in the mean number of docked synaptic vesicles in
MAC-associated synapses (2.6 ± 1.71) from those synaptic junctions positioned farther (>500 nm) from the MAC (2.6 ± 1.5), and therefore their distributions are combined (Fig.
6B). The low-calcium transcardial rinse that we used
may have stopped vesicle fusion before fixation, but perhaps permitted
reloading of vesicle docking sites in both MAC-associated and
MAC-independent synapses. Using the estimate that each action potential
evokes release of 0.2 of the readily releasable synaptic vesicle pool
(Schneggenburger et al., 1999 ), we suggest that synapses having three
or more docked vesicles are most likely to release a quantum of
neurotransmitter upon depolarization (Fig. 6B,
rightmost portion of distribution). Multiplying our
distribution of the docked vesicles per synapse by our estimate of the
number of synaptic junctions in the calyx, we calculate that the calyx
contains 6200 readily releasable synaptic vesicles. Although the number
of docked vesicles per synapse is a factor of 5-7 lower in the calyx
than in hippocampal boutons (Harris and Sultan, 1995 ; Schikorski and
Stevens, 1997 ), the great majority of hippocampal boutons contain only
one active site. The large number of synapses in the calyx terminal may
provide enough of a safety net that limits the rate at which individual synapses need to refill their docking sites, especially if the released
fraction of vesicles declines during a spike train. Investigation of
the effects of stimulus history on vesicle priming will require development of an in vitro preparation with appropriate
ultrastructure preservation that permits counting of docked
vesicles.

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Figure 6.
Synapses vary in the number of docked vesicles.
A, Two synaptic vesicles (arrows) are
docked at the presynaptic membrane, alongside hypothesized docking
structures called dense projections (dp).
B, Distribution of the number of docked vesicles found
in individual synapses. Mean number of docked vesicles is 2.53 ± 1.61; n = 56.
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DISCUSSION |
Our fundamental finding is that the MAC is intertwined with
synapses and is found in the prototypical fast, glutamatergic nerve
terminal, the calyx of Held. Because of its proximity to synapses and
the component organelles from which it is constructed, we hypothesize
that the MAC plays a central role in high rate, temporally precise
neurotransmission that is a hallmark of the calyx terminal (Guinan and
Li, 1990 ). The presence of coated, presumably endocytosing, vesicles
adjacent to fusion sites and in locations encircling MAC/synapse
clusters suggests that the calyx is composed of multiple activity
zones, each being an engine for releasing and recharging its vesicle
store. Increasingly, evidence points to a central role for mitochondria
in regulating exocytosis on a fast time scale (Kaftan et al., 2000 )
(see below). The MAC is the most highly ordered structural arrangement
of which we are aware, linking mitochondria to synaptic junctions, and it may play an integral role in synaptic transmission in the calyx.
Auditory brainstem circuits
The presence of MACs in end-bulbs and modified end-bulbs of Held
in the cochlear nucleus (Cant and Morest, 1979 ; Tolbert and Morest,
1982 ), in large collateral terminals of calyceal axons in the superior
olive (Spirou et al., 1998 ), and in calyces of Held implies their
importance in neural circuits that subserve the early stages of sound
localization (Fig. 7A).
MAC-containing end-bulbs activate spherical bushy cells (Cant and
Morest, 1979 ), which excite binaural cells of the medial superior olive
(MSO) bilaterally and lateral superior olive ipsilaterally.
MAC-containing modified end-bulbs activate globular bushy cells
(Tolbert and Morest, 1982 ), which in turn excite ipsilateral cells of
the lateral nucleus of the trapezoid body (LNTB) via MAC-containing
modified end-bulbs (Spirou et al., 1998 ) and contralateral cells of the MNTB via calyces (now shown to also contain MACs). LNTB cells provide
inhibitory input to the MSO (our unpublished data), and MNTB cells
inhibit cells of the MSO and LSO (Moore and Caspary, 1983 ; Smith,
1995 ). Therefore, MAC-containing terminals drive both excitatory and
inhibitory inputs to binaural comparator neurons.

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Figure 7.
Auditory brainstem circuitry. A,
Auditory nerve (AN) fibers end in large,
MAC-containing nerve terminals (*) onto spherical
(SBC) and globular (GBC) bushy cells of
the cochlear nucleus. GBCs project ipsilaterally, via MAC-containing
modified end-bulbs (*), to cells of the posteroventral lateral
nucleus of the trapezoid body (pvLNTB) and
contralaterally, via MAC-containing calyces (*), to cells of the
medial nucleus of the trapezoid body (MNTB). Cells of
the medial superior olive (MSO) and lateral superior
olive (LSO) compare bilateral excitatory (from spherical
bushy cells) and inhibitory (from LNTB and MNTB cells) inputs to assign
a location to a sound source in space. B, Hypothesized
functions of the MAC [M; composed of a mitochondrial
plaque (mp), vesicular chain (vc),
filaments (f), punctum adherens
(pa), and a mitochondrion]. MNTB postsynaptic
cell is at bottom; EES, extended
extracellular space. Hypotheses: #1, The vesicular chain
is a reservoir for newly formed synaptic vesicles. #2,
The close proximity of mitochondria to the presynaptic membrane allows
for calcium buffering at synapses. #3, Calcium
(Ca) is shuttled through the mitochondrion to other
active zones of the terminal. #4, Orientation of cristae
facilitates calcium diffusion. #5, Mitochondria support
neurosecretion by manufacture of glutamate (Glut)
neurotransmitter and refilling synaptic vesicles. #6,
Stabilization of the presynaptic membrane during high rates of activity
is achieved by the punctum adherens. #7, Puncta
adherentia determine tonotopic innervation of the MNTB during
development.
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MACs are also present in rat calyces of Held (our unpublished data)
[also see Casey and Feldman (1985) , their Figs. 5, 8, 19, 20, 22, although the presence of MACs was not noted by these authors], but
their prominence and association with synapses has not been determined.
MACs have been described in terminals of some olivo-cochlear fibers
that project from cells of the superior olive onto cell bodies of
spiral ganglion neurons [monkeys: Kimura et al. (1987 ; humans:
Rask-Andersen et al. (2000) ]. It is not known whether these
olivo-cochlear neurons generate high rates of temporally synchronous
activity, in common with other MAC-containing auditory system neurons.
The only other report of MACs of which we are aware is by Gray (1963)
in his original description of this structure in the spinal cord. The
cell type giving rise to nerve terminals containing MACs was not
determined, nor have we found subsequent descriptions of this structure
in more recent studies of the spinal cord. Structures bearing
similarity to MACs, called filamentous contacts, have been described in
thalamic relay nuclei (Colonnier and Guillery, 1964 ; Lieberman and
Spacek, 1997 ). However, filamentous contacts are segregated from most
synapses in the terminal. They do exhibit a vesicular chain-like
membrane (called agranular reticulum) located between mitochondria and the presynaptic punctum adherens. The mitochondrial cristae are less
strictly oriented than in the MAC and occasionally filaments extend
from the reticular membrane to the punctum adherens, but there is no
mitochondrial plaque. Filamentous contacts feature a similar network of
punctum adherens, filaments, and reticulum in the postsynaptic cell,
incorporate tight junctions, and are also found at dendrodendritic and
somasomatic junctions. They most likely play roles in intercellular
communication that are distinct from MACs.
Vesicle recycling and the readily releasable pool
The vesicular chain component of MACs and synapses points to roles
in vesicle membrane recycling. Generally two modes of vesicle recycling
are thought to occur at nerve terminals: full fusion of vesicles with
the presynaptic membrane followed by clathrin-mediated endocytosis
(Heuser and Reese, 1973 ) and partial fusion of vesicle membrane
followed by rapid, clathrin-independent disassociation from the
presynaptic membrane (also known as "kiss-and-run") (Ceccarelli et
al., 1973 ; for review, see von Gersdorff and Matthews, 1999 ). Clathrin-coated endocytotic vesicles may fuse with endosomal
intermediates that bud new synaptic vesicles, but recent evidence
indicates that fusion with endosomes may not be part of the life cycle
of the vesicle (Murthy and Stevens, 1998 ), even in the case of
clathrin-coated vesicles (Takei et al., 1996 ). Coated vesicles are a
common feature in calyx terminals and bud from synaptic zones, but more
frequently from edges of the EES that form a border around MAC-synapse
clusters. Coated vesicles are frequently located near and sometimes
appear fused with the vesicular chain component of the MAC, so
recycling through endosomal intermediates may support replenishment of
vesicle stores in the calyx of Held. Therefore in the calyx the
distinction between recycling and reserve (to sustain high activity
rates) vesicle pools may be blurred (Kuromi and Kidokoro, 1999 ).
Kiss-and-run may also be at play in calyx terminals but cannot be
resolved with certainty using electron microscopy.
The calyx, like many other central synapses, exhibits
frequency-dependent synaptic depression that is caused mainly by
depletion of the readily releasable pool of synaptic vesicles (Borst et al., 1995 ; von Gersdorff and Matthews, 1997 ; Wang and Kaczmarek, 1998 ).
In rats, the readily releasable pool size in the calyx was estimated to
be 700 vesicles (Schneggenburger et al., 1999 ). Using docked vesicles
as a morphological indicator, we estimate that 6200 vesicles constitute
the readily releasable pool in calyces, which may reflect the larger
size of calyces in cats than in rats.
Hypothesized functions of the MAC
The conglomerate elements of the MAC result in a structure that,
because of its uniqueness, is somewhat enigmatic in nature. In this
section we offer several hypotheses (schematized in Fig. 7B)
about the function of several MAC components and characteristics as a
framework for investigating MAC functions in large auditory system
nerve terminals.
Vesicular chain
Recovery from synaptic depression of postsynaptic current
amplitude is more rapid at high rates of stimulation at calyceal and
hippocampal synapses (Stevens and Wesseling, 1998 ; Wang and Kaczmarek,
1998 ). Despite the reduced amplitude of postsynaptic currents,
postsynaptic action potentials are reliably generated in brain slices
at stimulus rates exceeding 500 Hz (Wu and Kelly, 1993 ). We hypothesize
(Fig. 7B, #1) that vesicular chain membrane provides a reservoir for rapid formation of new vesicles under conditions of sustained, high rates of activity.
Mitochondrion, mitochondrial plaque, and filaments: a system to
regulate calcium levels
In the calyx, multiple calcium channels open to induce the release
of single quanta, so the calcium load on the terminal can be very high
(Borst and Sakmann, 1999a ). Accumulating evidence indicates that
mitochondria in nerve terminals, especially those nearest the synapse,
increase their calcium conductance and sequester calcium during a train
of impulses (David et al., 1998 ; Jonas et al., 1999 ; Pivovarova et al.,
1999 ; Zenisek and Matthews, 2000 ). Activity-dependent changes in
presynaptic calcium concentration can reach 5-10 µM at
200 nm from the synapse (Neher, 1998 ) and are likely detected by the
mitochondrial component of the MAC, tethered at about that distance.
Indeed, immediately after tetanic pulse trains, recovery from
depression in the calyx is independent of membrane calcium currents
(Forsythe et al., 1998 ) and may be caused in part by calcium re-release
from MAC components. We hypothesize (Fig. 7B, #2)
that the mitochondrial (and perhaps vesicular chain) components of the
MAC are positioned precisely by the mitochondrial plaque and filaments
to cooperate with other calcium-buffering entities in the terminal.
Proper calcium buffering will affect facilitation or depression of
vesicle release during successive action potentials (Forsythe et al.,
1998 ; Bellingham and Walmsley, 1999 ; Borst and Sakmann, 1999b ; Wu and
Borst, 1999 ).
Mitochondrial geometry and cristae: an intracellular conduit for
calcium movement
Mitochondria most likely participate with endosomal structures,
such as endoplasmic reticulum, in an elaborate calcium-buffering network that can shuttle calcium signals through the cytoplasm within
organelles (Babcock et al., 1997 ; Rizzuto et al., 1998 ). We hypothesize
(Fig. 7B, #3) that the complex geometry of many MAC-associated mitochondria, perhaps together with the vesicular chain,
may subserve this function, shuttling calcium from one activity module
across the EES to another activity module and thereby affecting release
probability at synapses several micrometers away. Furthermore, we
propose (Fig. 7B, #4) that the cristae of MAC-associated mitochondria are oriented perpendicular to the membrane
to facilitate diffusion away from the synaptic region to other ends of
the mitochondrion. Cristae of neuronal mitochondria can form lamellar,
rather than tubular, structures (Perkins et al., 1997 ) that should have
high capacity for calcium diffusion.
Mitochondrial biochemistry: possible source of energy
and neurotransmitter
Tethering mitochondria near synaptic structures may link the
upregulation of Krebs' cycle enzymatic activity by calcium to increased ATP production (Denton and McCormack, 1980 ) to support synaptic mechanisms activated by neural activity. Also, mitochondria can manufacture glutamate from -ketoglutarate, which in pancreas has
a direct effect on insulin secretion (Maechler and Wollheim, 1999 ). We
hypothesize (Fig. 7B, #5) that MAC-associated
mitochondria may manufacture glutamate for use as a neurotransmitter,
which is then used to refill recycled synaptic vesicles (Maycox et al., 1988 ).
Punctum adherens: synaptic stabilization and development
We have hypothesized previously (Fig. 7B,
#6) that the punctum adherens component of the MAC
provides needed stability to the calyx-MNTB neuron contact to sustain
high rates of neural activity and high-capacity membrane recycling
(Spirou et al., 1998 ). The punctum adherens component of the MAC may
play an additional role during early formation of the synapse. The
cadherin protein family may be sufficiently diverse (Kohmura et al.,
1998 ; Brose, 1999 ; Serafini, 1999 ) to underlie the tonotopic pattern by
which calyceal growth cones innervate the appropriate MNTB cells to preserve this fundamental organizing principle of auditory neural circuits (Fig. 7B, #7). A similar role in
forming retinotopic connections was proposed for filamentous contacts
(Colonnier and Guillery, 1964 ). The development of suitable
experimental preparations and probes will form the basis for
investigating these and other hypotheses about functions of this
atypical organelle assembly.
 |
FOOTNOTES |
Received Aug. 2, 2000; revised Oct. 6, 2000; accepted Oct. 9, 2000.
This work was supported by National Science Foundation Grant IBN
9728933. We thank Albert Berrebi for expertise in PEP-19 immunocytochemistry, Brian Pope and Marcia Feinberg for technical assistance, and Erika Hartweig for training in the collection of serial
sections. We thank members of the Sensory Neuroscience Research Center,
William Wonderlin, and Philip Smith for critical review of this
manuscript, Peter Mathers for insightful discussions of data, and
George Augustine for reading an earlier version of this paper.
Correspondence should be addressed to Dr. George A. Spirou, Box 9200, Department of Otolaryngology, West Virginia University School of
Medicine, Morgantown, WV 26506-9200. E-mail:
gspirou{at}wvu.edu.
 |
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