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The Journal of Neuroscience, June 1, 2001, 21(11):3819-3829
Synapse-Glia Interactions at the Mammalian Neuromuscular
Junction
Danielle
Rochon,
Isabelle
Rousse, and
Richard
Robitaille
Centre de Recherche en Sciences Neurologiques and Département
de Physiologie, Université de Montréal, Montréal,
Quebec, Canada H3C 3J7
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ABSTRACT |
Perisynaptic Schwann cells (PSCs) play critical roles in regulating
and stabilizing nerve terminals at the mammalian neuromuscular junction
(NMJ). However, although these functions are likely regulated by the
synaptic properties, the interactions of PSCs with the synaptic
elements are not known. Therefore, our goal was to study the
interactions between mammalian PSCs in situ and the
presynaptic terminals using changes in intracellular
Ca2+ as an indicator of cell activity. Motor nerve
stimulation induced an increase in intracellular
Ca2+ in PSCs, and this increase as greatly
reduced when transmitter release was blocked. Furthermore, local
application of acetylcholine induced Ca2+ responses
that were blocked by the muscarinic antagonist atropine and
mimicked by the muscarinic agonist muscarine. The nicotinic antagonist
-bungarotoxin had no effect on Ca2+ responses
induced by acetylcholine. Local application of the cotransmitter ATP
induced Ca2+ responses that were unaffected by the
P2 antagonist suramin, whereas local application of adenosine induced
Ca2+ responses that were greatly reduced by the A1
receptor antagonist 8-cyclopentyl-1,3-dimethylxanthine (CPT). However,
the presence of the A1 antagonist in the perfusate did not block
responses induced by ATP. Ca2+ responses evoked by
stimulation of the motor nerve were reduced in the presence of CPT,
whereas atropine almost completely abolished them.
Ca2+ responses were further reduced when both
antagonists were present simultaneously. Hence, PSCs at the mammalian
NMJ respond to the release of neurotransmitter induced by stimulation
of the motor nerve through the activation of muscarinic and adenosine
A1 receptors.
Key words:
adenosine; acetylcholine; Ca2+; perisynaptic Schwann cell; transmitter release; neuromuscular junction; synapse-glia interactions
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INTRODUCTION |
Recent evidence indicates that there
are dynamic, bidirectional interactions between glial cells and
neurons. Indeed, not only are glial cells modulated by nerve-evoked
transmitter release but they, in turn, modulate neuronal activity
(Nedergaard, 1994 ; Parpura et al., 1994 ; Pfrieger and Barres, 1997 ;
Bezzi et al., 1998 ; Newman and Zahs, 1998 ; Robitaille, 1998 ).
The vertebrate neuromuscular junction (NMJ) is an interesting
preparation to study synapse-glia interactions because it is a simple
synapse where the anatomical relationship between presynaptic, postsynaptic, and glial elements is maintained. Perisynaptic Schwann cells (PSCs) or terminal Schwann cells, glial cells at this synapse, have been studied at the amphibian NMJ and have been shown to detect
synaptic activity, as revealed by an elevation in intracellular calcium
(Jahromi et al., 1992 ; Robitaille, 1995 ). PSCs possess purinergic and
muscarinic receptors as well as neurokinin-1 (NK-1) receptors for
substance P (Robitaille, 1995 ; Robitaille et al., 1997 ; Bourque and
Robitaille, 1998 ), and their activity is governed by these receptors
(Georgiou et al., 1994 , 1999 ; Bourque and Robitaille, 1998 ). Moreover,
as a consequence of synaptic activity, PSCs modulate the efficacy of
the synapse by regulating transmitter release (Robitaille, 1998 ;
Castonguay and Robitaille, 2001 ).
PSCs also modulate nerve growth and synapse maintenance. Although
recent evidence has been obtained at the amphibian NMJ (Herrera et al.,
2000 ; Koirala et al., 2000 ), most evidence has been obtained at the
mammalian NMJ. For instance, processes extended by PSCs after
denervation influence the regrowth of motor axons to the muscles and
their guidance back to denervated NMJs (Son et al., 1996 ). Furthermore,
immunocytochemical markers specific for Schwann cells, synapses, and
motor axons were used to show that motor axons navigate along the
processes extended by PSCs from the damaged nerve endings (Son and
Thompson, 1995a ,b ). The guidance of axons by PSCs lead to clustering of
motor units, a phenomenon typical of many neurogenic pathologies (Son
et al., 1996 ). Notwithstanding the functional importance of PSCs, very
little is known about their properties at the mammalian NMJ where, in
fact, no evidence of direct modulation of synaptic activity is
available andä where the properties are not characterized. Moreover,
although synapse-glia interactions appear to be a common phenomenon at
chemical synapses (Araque et al., 1999 ; Castonguay et al., 2001 ), it is
still unclear how much the properties of these interactions differ
between related synapses. Hence, this study aimed to characterize PSCs
properties at the mammalian NMJ to determine functional similarities
and differences with the properties of the amphibian NMJ.
We report that, similar to PSCs at amphibian NMJ, PSCs at the mammalian
NMJ respond to the release of neurotransmitters induced by stimulation
of the motor nerve via activation of muscarinic receptors. However, the
role of the purinergic receptors of PSCs at the mammalian NMJ differs
where A1 adenosine receptors, but not P2 receptors, contribute to the
activation of PSCs. Hence, these results indicate that although
synapse-glia interactions are present at chemical synapses in
situ, these interactions are governed by specialized features
related to the synapse with which glial cells are associated.
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MATERIALS AND METHODS |
Nerve-muscle preparation. Experiments were performed
at room temperature on levator auris longus nerve-muscle
preparations dissected from CD1 mice (22-24 gm; Charles River
Laboratories, Wilmington, MA). Muscles were removed under deep
anesthesia (midazolam and hypnorm dissolved in water). The normal
Ringer's solution contained (in mM): 124 NaCl, 5 KCl, 1.25 NaH2PO4, 2 MgCl2, 2 CaCl2, 26 NaHCO3, and 10 glucose. A 0 Ca2+/5 mM
Mg2+ physiological solution contained (in
mM): 124 NaCl, 5 KCl, 1.25 NaH2PO4, 5 MgCl2, 26 NaHCO3, and 10 glucose. Solutions were oxygenated with a gas mixture of 95%
O2 and 5% CO2.
Calcium imaging of mammalian PSCs. Muscles were
incubated for 90 min at room temperature in a physiological solution
saturated with 95% O2 and 5%
CO2 and containing 20 µM
fluo-3 AM (Molecular Probes, Eugene, OR; Tsien, 1989 ), 0.02% pluronic
acid (Molecular Probes), and 0.5% dimethylsulfoxide (Sigma, St. Louis,
MO). Muscles were then pinned down in a recording chamber coated with
Sylgard. Partial chelation of heavy metal ions was achieved using 20 µM tetrakis (2-pyridylmethyl)
ethylenediamine (Molecular Probes) to limit binding of these
ions to fluo-3. Changes in fluorescence intensity were monitored using
a Bio-Rad (Hercules, CA) 600 laser-scanning confocal microscope
equipped with an argon ion laser. The 488 nm laser line was attenuated
to 1% intensity, and a long-pass filter with cutoff at 515 nm was used
to detect the emitted fluorescence. A 40× water immersion lens was
used (0.75 NA; Olympus, Tokyo, Japan). Surface NMJs were located using
transmitted light microscopy. The intensity of fluorescence
(F) was measured over the area of the PSCs cell body,
and the relative changes in fluorescence intensity were expressed as % F/F = (F F
rest)/Frest × 100.
Drug applications. ATP, adenosine, muscarine, and
acetylcholine (20 µM) were dissolved in the
same saline as that in the recording chamber. Drugs were applied
directly by micropressure (5-10 PSI; pulse duration, 200 msec) to
selected cells with a micropipette (tip diameter, 2-4 µM) using a
Picospritzer II (General Valve, Fairfield, NJ). The local
application of the agonists induced a slight movement of the muscle
fiber that moved briefly out of focus resulting in a small deflection
in the fluorescence level (see Figs. 3-7). The micropipette was
positioned near the PSC somata under visual control at high
magnification (40× water immersion objective). There was no increase
in fluorescence when Ringer's solution was applied alone. When several
applications were performed on the same cells, a recovery period of at
least 15 min was allowed between each application. For the
Ca2+-free/5 mM
Mg2+ experiments, preparations were
perfused in the modified physiological solution for 25-30 min before
the experiments. Some antagonists ( -bungarotoxin, -conotoxin
MVIIC) were applied directly in the recording chamber in a closed bath,
whereas suramin, 8-cyclopentyl-1,3-dimethylxanthine (CPT), and atropin
were applied by bath perfusion.
Stimulation of the motor nerve. Nerve-muscle preparations
were processed for fluo-3 AM loading as described above. Stimulation of
the distal end of the cut motor nerve (50 Hz, 30 sec) was achieved using a suction electrode. To prevent muscle contractions evoked by
transmitter release, cholinergic receptors were blocked with -bungarotoxin ( -BuTx; 20 µM; Molecular
Probes). Preparations were allowed to rest for 20-25 min between
trains of stimuli when several trains were performed on the same preparation.
Immunocytochemistry. After some experiments, muscles were
fixed using 4% paraformaldehyde for 10 min and rinsed for at least 30 min in three changes of Ringer's solution. Muscles were then permeabilized in 20°C methanol for 6 min, washed again in Ringer's solution for 30 min, and nonspecific staining was blocked using Ringer's solution's containing 0.3% Triton X-100 and 0.2% dry milk.
Muscles were incubated overnight at room temperature with a rabbit
antibody solution raised against cow S-100 (Dako, Carpinteria, CA)
prepared in the solution indicated above (dilution 1:400). After
incubation in the primary antibody, muscles were rinsed in three
changes of Ringer's solution for 30 min and incubated in secondary
antibody for 1 hr at room temperature. The secondary antibody was an
anti-rabbit conjugated to biotin-SP (Jackson ImmunoResearch, West
Grove, PA: 1:500) and revealed using avidin FITC (1:100; for 2 hr).
Finally, muscles were rinsed for 10-15 min in Slowfade antifade
reagent (Molecular Probes). Preparations were mounted onto glass slides
in Slowfade antifade under a coverslip. Images of the same NMJs studied
for Ca2+ imaging were collected under
immersion oil with a 40× lens (Nikon), using the Bio-Rad 600 confocal microscope.
Statistics. Results are presented as mean ± SEM. A Student paired t test was used when a
treatment was performed on the same cell (control vs drug), and an
ANOVA was used for comparison between different groups. Both tests were
used at a confidence level of 95% ( = 0.05).
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RESULTS |
Identification of PSCs at the mammalian NMJ
The validity of the study of synapse-glia interactions at the
mammalian NMJ relies on our ability to identify PSCs. However, unlike
PSCs at the frog NMJ, mammalian PSCs are not so easily recognized in
bright-field illumination. Mammalian NMJs have an oval shape and are
more compact than amphibian NMJs. They terminate in a slight elevation
of the muscle fiber, just after the myelin sheath where the nerve
terminal forms a compact junction (Salpeter, 1987 ). The identification
of PSCs was achieved based on these characteristics.
We first confirmed that these criteria of identification were reliable
by labeling PSCs using an antibody against the calcium-binding protein
S-100, which is used as a general marker for Schwann cells (Son and
Thompson, 1995a ). First, cells were identified by transmitted light
according to the criteria indicated above, and preparations were loaded
with the permeant fluorescent Ca2+
indicator fluo-3 AM (Fig.
1A). A brief local
application of muscarine increased Ca2+
fluorescence in the cell body of the presumed PSCs (Fig.
1B) that subsequently decreased back to baseline (see
also Figs. 3 and 4). The nerve-muscle preparation was then processed
for immunohistochemistry, and the presence of S-100 was revealed. The
same NMJ was then found, and an image of S-100 labeling was taken using
the confocal microscope. As shown in Figure 1C, the same
cells identified as PSCs corresponding to our criteria and that showed
a Ca2+ response induced by muscarine were
also labeled by S-100. These results indicate that they were Schwann
cells at the NMJ, and hence, that the criteria used to identify PSCs
were appropriate. Also, the myelinating Schwann cells that were also
loaded with fluo-3 were also labeled by S-100 (data not shown).

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Figure 1.
Identification of PSCs at the mammalian NMJ.
A, False color confocal image of a mammalian NMJ loaded
with the fluorescent Ca2+ indicator fluo-3 AM. The
range of false colors reflects the level of Ca2+
level, where blue indicates a low level of
Ca2+, and green-red indicates a high
level. Two PSCs (arrows) at rest before local
application of muscarine. B, The same PSCs as in
A, after application of muscarine (20 µM).
Note the rise in fluorescence induced by muscarine. C,
Labeling of PSCs of the same NMJ with anti-S100, a calcium binding
protein used as a general marker for Schwann cells. Note that the two
cells that responded to muscarine were also labeled by the S100
antibody. Scale bar, 20 µm.
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Nerve-evoked Ca2+ responses in perisynaptic
Schwann cells
The sensitivity of mouse PSCs to synaptic transmission and
transmitter release was established by monitoring changes in
intracellular Ca2+ during synaptic
activity induced by repetitive stimulation of the motor nerve. As shown
in Figure 2A, a train
of stimuli (50 Hz, 30 sec) triggered an increase in fluorescence. This
was observed in all PSCs tested (n = 10) with a mean of
157 ± 15% F/F. This elevation in
intracellular Ca2+ occurred, on average,
with a delay to onset of 1.5 sec after the beginning of the
stimulation, and the time to reach the maximum amplitude was 15 ± 2 sec. Ca2+ responses decayed to baseline
in 82.2 ± 12 sec, which occurred well after the interruption of
nerve stimulation. In addition, in all PSCs studied, the initial
Ca2+ response was always followed by a
second smaller elevation that occurred after a partial recovery of the
initial response. Nerve stimulation at lower frequencies (10, 15, or 25 Hz) resulted in smaller Ca2+ responses
than the ones obtained with stimulation at 50 Hz (data not shown). As
seen in Figure 2A, a second train of stimuli given 20 min after the first one (break in the x-axis) hardly
elicited a Ca2+ response. The mean
amplitude of the response was only 14 ± 15% F/F(n = 5). These results
indicate that PSCs detect and are sensitive to synaptic activity. In
contrast to the PSCs, and although loaded with fluo-3, no
Ca2+ responses were detected from the
myelinating Schwann cells present at the last myelinated segment of the
motor nerve (data not shown).

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Figure 2.
Nerve-evoked Ca2+ responses in
PSCs. Ca2+ responses obtained using the fluorescent
Ca2+ indicator fluo-3 AM and monitored using a
Bio-Rad 600 confocal microscope. Blue indicates low
level of calcium, and red indicates a high level.
A, Changes in fluorescence
(% F/F) before, during
(bar), and after motor nerve stimulation (50 Hz, 30 sec). Note that relative increase in Ca2+
fluorescence to a second train of stimuli applied 20 min later (break
in the x-axis) was much reduced. B,
Ca2+ response in the same PSC as in
A, before (1), during
(2), and after (3-5)
transmitter release induced by repetitive stimulation of the motor
nerve (50 Hz, 30 sec). The corresponding time at which each image was
taken is illustrated on the graph in A with the
corresponding number of the figure above. C, Changes in
fluorescence (% F/F) before,
during (bar), and after motor nerve stimulation (50 Hz,
30 sec) in the presence of -conotoxin MVIIC (1 µM).
Note that the increase in the intensity of the fluorescence was
strongly reduced when transmitter release was blocked by -conotoxin
MVIIC, a P/Q-type Ca2+ channel blocker. Different
preparation than A and B.
D, Mean ± SEM of amplitude of
Ca2+ responses in PSCs elicited by nerve stimulation
in the absence and in the presence of -conotoxin MVIIC
(p = 0.001; Student's paired
t test). Scale bar: B, 10 µm.
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Is transmitter release required to elicit
Ca2+ responses?
The response of PSCs to synaptic activity could be attributable to
an increase of extracellular K+ ions
during high-frequency stimulation that would depolarize the cell and
open voltage-gated Ca2+ channels
(MacVicar, 1984 ; Newman, 1986 ; Barres et al., 1990 ; Robitaille et al.,
1996 ) or to the release of neurotransmitters (Jahromi et al., 1992 ;
Reist and Smith, 1992 ; Robitaille, 1995 ). To distinguish between the
two possibilities, the Ca2+-dependent
release of neurotransmitters was prevented by blocking the
Ca2+ channels that trigger this process.
If transmitter release is required to elicit
Ca2+ responses observed in PSCs, these
should be reduced in the presence of the
Ca2+ channel blocker. However,
Ca2+ responses in PSCs should remain
unchanged if they are caused by K+
accumulation. Transmitter release was blocked using the toxin -conotoxin MVIIC ( -CgTx), which binds irreversibly to P/Q-type Ca2+ channel. It was used at
concentrations known to completely block evoked transmitter release at
the mouse NMJ (Katz et al., 1996 ). After blockade of transmitter
release by -CgTx (1 µM; data not shown), the nerve-evoked
Ca2+ signal in PSCs was on average 9 ± 2% F/F (n = 6) (Fig.
2C). This represents a reduction of 94% in the size of the
Ca2+ responses in comparison to the ones
obtained in the absence of -CgTx MVIIC (Fig. 2D).
Thus, substances released by the nerve terminal during evoked activity
are necessary for the induction of Ca2+
responses in PSCs, suggesting that PSCs are sensitive to transmitters released during synaptic activity. The residual
Ca2+ response in PSCs in the presence of
-CgTx MVIIC is likely attributable to the depolarization of the cell
caused by K+ accumulation during synaptic
activity (Jahromi et al., 1992 ; Robitaille et al., 1996 ).
Can ACh trigger Ca2+ responses at the
mammalian NMJ?
Our data indicate that neurotransmitter substances released during
synaptic activity are necessary to elicit fully developed Ca2+ responses in PSCs. As primary
candidates, ACh and ATP appear particularly important because ACh is
the main neurotransmitter at this synapse and ATP is coreleased at an
equimolar concentration (Silinsky, 1975 ; Smith, 1991 ). If substances
such as the cotransmitters ATP and ACh released by the active nerve
terminal induce PSC Ca2+ signals, then
application of these substances alone should mimic the effects induced
by stimulation of the motor nerve.
The ability of PSCs to respond to ACh applied locally was examined
first. ACh was applied directly by micropressure (5-10 PSI) to
selected PSCs. As shown in Figure
3A, local application of ACh
(20 µM) induced a
Ca2+ response in all PSCs tested (350 ± 18% F/F; n = 10). Because the Ca2+ response obtained by stimulation
of the motor nerve decreased during consecutive trains of stimuli (Fig.
2A), we wondered whether the
Ca2+ responses induced by local
applications of ACh would also be susceptible to rundown. Indeed, a
second application of ACh evoked responses that were significantly
smaller than the first ones (249 ± 19%
F/F vs 357 ± 30%
F/F for control; n = 5;
p = 0.0006; Student's paired t test) (Fig.
3A, break in the x-axis).

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Figure 3.
Ca2+ responses of PSCs to local
application of ACh. A, Changes in fluorescence over time
caused by the local application of ACh (20 µM) for 200 msec in normal physiological solution. Application of ACh caused a
Ca2+ response in all PSCs studied. A second
application 20 min later (break in the x-axis) induced
smaller changes in fluorescence. B, Changes in
fluorescence caused by the local application of ACh (20 µM, 200 msec) in the presence (solid line)
and in the absence (dashed line) of external
Ca2+ for the same PSCs. Ca2+ was
replaced by 5 mM Mg2+. Note that ACh
application induced larger changes in fluorescence in the absence of
external Ca2+. C, Mean ± SEM of
relative changes in Ca2+ responses induced by a
first and a second application of ACh (20 µM) and for
application of ACh in absence of external
Ca2+.
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We next investigated whether the rise in intracellular
Ca2+ triggered by ACh was attributable to
an entry of extracellular Ca2+ or caused
by the release from intracellular stores. To distinguish between the
two possibilities, extracellular Ca2+ was
removed and replaced by a 5 mM
Mg2+ physiological solution, and the
ability of PSCs to respond to locally applied ACh was tested again. As
shown in Figure 3B, on all PSCs tested,
Ca2+ responses were elicited by a local
application of ACh in 0 Ca2+/5
Mg2+ 20 min after a first application in
normal Ca2+, indicating that ACh induced
the release of Ca2+ from internal stores.
Surprisingly, the size of Ca2+ responses
induced by ACh in 0 Ca2+/5
Mg2+ was significantly larger than the
size of the responses obtained in the presence of extracellular
Ca2+ (421 ± 15%
F/F vs 343 ± 22%
F/F for control; n = 5;
p = 0.001; Student's paired t test) (Fig.
3B,C). This indicates that, although the contribution of
internal stores is essential for the induction of
Ca2+ responses by ACh, the presence of
extracellular Ca2+ downregulates the
activation of the release of Ca2+ from
internal stores by ACh (Fig. 3C).
Muscarinic receptors mediate ACh effects
For a better understanding of the role of glial cells at the
synapse, it is necessary to further characterize the cellular receptors
and functions of these glial cells. To determine the type of
cholinergic receptors involved, we first used -BuTx, an antagonist
of the nicotinic ACh receptors (AChRs). If
Ca2+ responses to ACh were caused by
nicotinic AChRs, they should be blocked by the nicotinic cholinergic
antagonist -BuTx. To test the effectiveness of -BuTx (20 µM), preparations were perfused with the antagonist for
at least 30 min before local application of ACh on PSCs was performed.
This concentration blocks completely the activity of the nicotinic
postsynaptic receptors at the frog NMJ (Jahromi et al., 1992 ). As shown
in Figure 4, A and
B, the ability of PSCs to respond to ACh was not affected by
the presence of -BuTx. Indeed, Ca2+
responses to ACh were still obtained in the presence of the toxin in
all cells tested, and the size of the Ca2+
responses (317 ± 13% F/F;
n = 5) was not significantly different from the control
responses obtained on the same cells before the application of -BuTx
(Student's paired t test; p > 0.05).

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Figure 4.
Ca2+ responses of PSCs to local
application of muscarine. A, Changes in fluorescence
caused by the local application of acetylcholine (20 µM,
200 msec) in the presence of -BuTx (20 µM). The
increase in the intensity of fluorescence induced by the local
application of ACh was unaffected by -BuTx. B,
Comparison of mean ± SEM of Ca2+ responses
induced by ACh alone, in the presence of -BuTx, and in the presence
of atropine. C, Changes in fluorescence over time caused
by the local application of muscarine (20 µM) for 200 msec in normal physiological solution. Application of muscarine caused
a Ca2+ response in all PSCs studied. A second
application 20 min later (break in the x-axis) induced
smaller changes in fluorescence. D, Changes in
fluorescence caused by the local application of muscarine (20 µM) in the presence (solid line) and in
the absence (dashed line) of external
Ca2+ for the same PSCs. Ca2+ was
replaced by 5 mM Mg2+. Note that
muscarine induced larger changes in fluorescence in the absence of
external Ca2+. E, Comparison of
mean ± SEM of Ca2+ responses induced by a
first and a second application of muscarine (left) and
application of muscarine in presence and absence of external
Ca2+ (right).
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The lack of effect of the nicotinic antagonist suggests that PSC AChRs
are not nicotinic but rather, that the
Ca2+ response induced by ACh was likely
because of the activation of muscarinic receptors. If this were the
case, muscarinic antagonists such as atropine should prevent
Ca2+ responses to ACh. As shown in Figure
4B, the presence of atropine almost completely
abolished Ca2+ responses elicited by ACh
in all cells tested (n = 15). The mean size of the
responses was only 14 ± 6% F/F, which
is significantly smaller than the responses obtained from the same
cells by a first application of ACh (Student's paired t
test; p = 0.001).
We next investigated the ability of the muscarinic agonist muscarine to
evoke Ca2+ responses. Local application of
muscarine (20 µM) induced a
Ca2+ response in all cells on which it was
applied (n = 15) with a mean amplitude of 275 ± 43% F/F (Fig. 4C). Similar to our
observation using ACh, a second application of muscarine caused
Ca2+ elevations that were significantly
smaller than the ones obtained with a first application (150 ± 12% F/F; n = 9;
p = 0.02; Student's paired t test) (Fig.
4C,E).
If indeed ACh-induced Ca2+ responses are
solely mediated by muscarinic receptors, muscarine-induced
Ca2+ responses in PSCs should also be
mediated by internal stores with a regulation by extracellular
Ca2+. This was tested by measuring
Ca2+ responses in the absence of external
Ca2+ where muscles were perfused with 0 mM Ca2+ and
5 mM
Mg2+ for 30 min. In these conditions,
application of muscarine (20 µM) evoked
Ca2+ responses that were significantly
larger (360 ± 30% F/F;
n = 6; p = 0.003; Student's paired
t test) (Fig. 4D,E) than the responses obtained after a first application on the same cell in the presence of
Ca2+. These results indicate that,
similarly to ACh-mediated Ca2+ responses,
Ca2+ responses induced by muscarine were
attributable to the release of Ca2+ from
internal stores and regulated by extracellular
Ca2+. As a whole, these data indicate that
AChRs of the mammalian PSCs are of the muscarinic type.
Can ATP and adenosine trigger Ca2+ responses at
the mammalian NMJ?
At the frog NMJ, application of ATP to PSCs induces the release of
Ca2+ from internal stores (Jahromi et al.,
1992 ; Robitaille, 1995 ) because of the activation of
P2X and P2Y receptors
(Robitaille, 1995 ). To examine the involvement of endogenous purines in
the modulation of mammalian PSCs in situ and to test whether
ATP and adenosine can activate PSCs, changes in intracellular
Ca2+ induced by local application of ATP
and adenosine were monitored.
ATP (20 µM) induced Ca2+
responses in all PSCs tested (299 ± 30%
F/F; n = 41) (Fig.
5A), whereas local
applications of adenosine (20 µM) resulted in a
rise of fluorescence of 441 ± 51% F/F
also in all PSCs tested (n = 19) (Fig. 5B).
A second application of ATP evoked responses that were significantly
smaller than the first response (207 ± 30% F/F vs 246 ± 38% F/F for control; n = 8; p = 0.0004) (Fig. 5A). Similarly, a second application of
adenosine evoked responses that were significantly smaller than the
first response (314 ± 52% F/F vs 450 ± 77% F/F;
n = 11; p = 0.0004; Student's paired
t test) (Fig. 5B).

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Figure 5.
Ca2+ responses of PSCs to local
application of ATP and adenosine. A, Changes in
fluorescence over time caused by the local application of ATP (20 µM) for 200 msec in normal physiological solution.
Application of ATP caused a Ca2+ response in all
PSCs studied. A second application 20 min later (break in the
x-axis) induced smaller changes in fluorescence.
B, Changes in fluorescence over time caused by the local
application of adenosine (20 µM) for 200 msec in normal
physiological solution. Application of adenosine caused a
Ca2+ response in all PSCs studied. A second
application 20 min later (break in the x-axis) induced
smaller changes in fluorescence. C, Changes in
fluorescence caused by the local application of ATP (20 µM, 200 msec) in the presence (solid line)
and in the absence (dashed line) of external
Ca2+ for the same PSCs. Note that ATP induced larger
changes in fluorescence in the absence of external
Ca2+. D, Changes in fluorescence
caused by the local application of adenosine in the presence
(solid line) and in the absence (dashed
line) of external Ca2+ for the same PSCs.
Note that adenosine induced larger changes in fluorescence in the
absence of external Ca2+. E,
Comparison of mean ± SEM of Ca2+ responses
induced by a first and a second application of ATP
(left) and the application of ATP in the presence and in
the absence of external Ca2+ (right).
F, Comparison of mean ± SEM of
Ca2+ responses induced by a first and a second
application of adenosine (left) and application of
adenosine in the presence and in the absence of external
Ca2+ (right).
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In most glial cells (Salter and Hicks, 1994 ), including PSCs at the
amphibian NMJ (Jahromi et al., 1992 ; Robitaille, 1995 ), purinergic
agonists elicit an elevation in intracellular
Ca2+ that involves the release of
Ca2+ from internal stores. This
possibility was tested by replacing extracellular
Ca2+ ions by
Mg2+ (5 mM). As shown in
Figure 5C, Ca2+ responses
induced by local application of ATP still induced
Ca2+ responses in all mammalian PSCs
tested, even in the absence of Ca2+ in the
solution, pointing toward a critical role of
Ca2+ internal stores in the production of
the Ca2+ responses. On average, the
amplitude of the Ca2+ responses was
461 ± 98% F/F. However, similar to
ACh-induced Ca2+ responses, local
application of ATP in absence of extracellular Ca2+ evoked
Ca2+ responses that were significantly
larger than the ones evoked by a first application of ATP on the same
cells (273 ± 42% F/F for control;
n = 11; p = 0.02; Student's paired
t test) (Fig. 5C). Similarly, adenosine also
caused Ca2+ responses in absence of
external Ca2+ that were significantly
larger than those obtained in the presence of
Ca2+ (497 ± 72%
F/F vs 428 ± 6%
F/F; n = 8; p = 0.001; Student's paired t test) (Fig. 5D).
These results indicate that PSCs at the mammalian NMJ detect adenosine
and ATP and that these substances induce the release of
Ca2+ from internal stores via a mechanism
that is negatively regulated by external
Ca2+ (Fig. 5E,F).
Are purinergic receptors present on PSCs?
To verify the presence of adenosine and ATP receptors on the
mammalian PSCs, the ability of these agonists to evoke
Ca2+ responses in PSCs was tested in the
presence of antagonists for P2 and P1 receptors. Suramin, a
nonselective P2 receptor antagonist was first tested.
Ca2+ responses induced by ATP should be
abolished in the presence of this antagonist if they are mediated by
the activation of P2 receptors. After eliciting a
Ca2+ response by ATP on PSCs, the
preparations were perfused with suramin (100 µM), and the
ATP was applied locally on the same cells. As shown in Figure
6, Ca2+
responses were still induced by local applications of ATP (20 µM) (289 ± 34% F/F;
n = 6) (Fig. 6A), and the average
amplitude of the responses was not significantly different from
responses evoked by the same cells before application of the antagonist (Student's paired t test; p = 0.239). It is
unlikely that the lack of effect was attributable to the inability of
suramin to block P2 receptors because the same solution blocked
ATP-induced responses at PSCs of amphibian NMJs (Robitaille, 1995 ).
Hence, this result suggests that ATP raised intracellular
Ca2+ by mechanisms that do not activate P2
receptors.

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Figure 6.
Ca2+ responses of PSCs to local
application of ATP and adenosine in presence of purinergic antagonists.
A, Changes in fluorescence caused by the local
application of ATP before and after (break in the
x-axis) a 20 min perfusion with suramin (100 µM), a nonspecific P2 antagonist. Note that the increase
in the intensity of fluorescence induced by the local application of
ATP was unaffected by the presence of suramin. B,
Changes in fluorescence caused by the local application of adenosine
before and after a 20 min perfusion with CPT (10 µM).
C, Changes in fluorescence in four PSCs of an NMJ caused
by the local application of ATP in the presence of the A1 receptor
antagonist CPT (20 µM). Inset, False color
confocal images of the four PSCs at rest (Rest), at the
peak of the Ca2+ response (Peak), and
after recovery (Recov). Note that the
increase in the intensity of fluorescence induced by the local
application of ATP was unaffected by the presence of CPT. Scale bar, 10 µm.
|
|
However, Ca2+ responses evoked by
adenosine were almost completely abolished in the presence of CPT (10 µM), an A1 receptor antagonist (32 ± 6%
F/F; n = 5) (Fig.
6B). This value was significantly smaller than the
responses obtained on the same cells before the application of the
antagonist in the perfusate (Student's paired t test;
p = 0.001). This suggests that the adenosine-induced
Ca2+ responses were mediated by the
activation of A1 receptors.
Ectoenzymes present in the synaptic cleft (Salter et al., 1993 ;
Ziganshin et al., 1993 ) will cause the dephosphorylation of ATP and
lead to adenosine formation. Because adenosine appears as an active
substance at the mammalian NMJ and because ATP can be exogenously
degraded into adenosine, it is possible that the Ca2+ responses evoked by local
applications of ATP were attributable to the indirect activation of A1
receptors. This possibility was tested by locally applying ATP in the
presence of CPT. As shown in Figure 6C, the presence of CPT
(10-20 µM) in the perfusion did not block
Ca2+ responses induced by ATP. The average
amplitude of the Ca2+ responses was
384 ± 86% F/F (n = 7),
which is not significantly different from control (ANOVA;
p > 0.05). These results suggest that the action of
ATP was not mediated by an indirect activation of A1 receptors and,
hence, would be produced by other ATP-dependent mechanisms.
Endogenous ACh and adenosine mediate nerve-evoked
Ca2+ responses in PSCs
Our results indicate that functional muscarinic and A1 adenosine
receptors are present on PSCs of the mammalian NMJ. We next wondered
whether ACh and adenosine released by the presynaptic terminal during
synaptic activity could mediate the activation of PSCs and the
triggering of the nerve stimulation-evoked
Ca2+ responses in PSCs. Because
nerve-evoked Ca2+ responses decrease
during consecutive trains of stimuli (Fig. 2A), the
effects of the two different blockers on nerve-evoked Ca2+ responses were tested on different
preparations, and each preparation was stimulated only once.
We first examined the impact of blockade of ACh receptors on
nerve-evoked Ca2+ responses. The blockade
of ACh receptors with atropine (20 µM) greatly reduced
the amplitude of Ca2+ responses induced by
stimulation of the motor nerve to 33 ± 3% F/F (n = 5) (Fig.
7A). This value is
significantly smaller than the one obtained in the absence of atropine
(157 ± 15% F/F; one-way ANOVA,
p < 0.05) (Fig. 7A, gray zone), indicating
that the activation of ACh receptors was necessary for optimal
Ca2+ responses and, hence, activation of
PSCs during synaptic transmission. The remnant of
Ca2+ responses still induced by synaptic
activity was not caused by the inefficacy of atropine because local
applications of muscarine on the same cells tested in these experiments
could not elicit any Ca2+ responses (data
not shown).

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Figure 7.
Nerve-evoked Ca2+ responses in
PSCs in presence of atropine and CPT. A, Changes in
fluorescence of a PSC before, during (bar), and after
repetitive motor nerve stimulation (50 Hz, 30 sec) after 20 min
perfusion with atropine (20 µM), a muscarinic antagonist.
The boxed gray zone illustrates the mean ± SEM of nerve-evoked Ca2+ responses obtained from the
10 PSCs in absence of any antagonists (Fig. 2A).
B, Changes in fluorescence of a PSC before, during
(bar), and after repetitive motor nerve stimulation (50 Hz, 30 sec) after 20 min perfusion with CPT (10 µM), an
A1 antagonist. The gray zone illustrates the mean ± SEM of nerve-evoked Ca2+ responses obtained
from the 10 cells in absence of any antagonists. C,
Changes in fluorescence of a PSC before, during (bar),
and after repetitive motor nerve stimulation (50 Hz, 30 sec) after 20 min perfusion with CPT (10 µM) and atropine (20 µM). Note that the repetitive stimulation of the motor
nerve did not induce any Ca2+ response in the PSC.
After a recovery period of 5 min, ATP (20 µM) was locally
applied on the PSC, which elicited a Ca2+
response.
|
|
We next tested the impact of the A1 antagonist CPT on
Ca2+ responses evoked by stimulation of
the motor nerve. As shown in Figure 7B,
Ca2+ responses were reduced to 98 ± 6% F/F (n = 6) (Fig.
7B) in the presence of CPT. Although the reduction in the
size of Ca2+ responses was more modest
than the effect of the muscarinic antagonist, the size of the
Ca2+ responses was significantly smaller
than the control ones (one-way ANOVA; p < 0.05) (Fig.
7B, gray zone). This indicates that the activation of
adenosine receptors is important to generate the Ca2+ responses induced by nerve-evoked
transmitter release. The partial blockade of the responses was not
attributable to the inefficacy of CPT to antagonize the A1 receptors
because local application of adenosine on the same cells did not induce
any Ca2+ responses (data not shown).
Finally, we tested the impact on Ca2+
responses of both the muscarinic and A1 receptor antagonists together.
As shown in Figure 7C, Ca2+
responses were primarily reduced in the presence of the two antagonists in which the mean Ca2+ response was only
22 ± 8% (N = 4; n = 8). This
value is significantly different from the mean response obtained in
control condition (i.e., without any antagonist; one-way ANOVA,
p < 0.05). The remaining Ca2+ elevation is consistent with the
Ca2+ response observed when transmitter
release was blocked using -CgTx MVIIC, possibly because of the
depolarization of PSCs by K+
accumulation during repetitive nerve stimulation. The inability to elicit Ca2+ responses was not caused by
a lack of cell responsivity because local application of ATP (brake in
x-axis) induced Ca2+ responses
in all cells tested (N = 3; n = 7).
 |
DISCUSSION |
We present here direct evidence that mammalian PSCs in
situ respond to the release of neurotransmitters induced by
stimulation of the motor nerve, as indicated by an elevation of
intracellular Ca2+ level. This elevation
originated mainly from the release of Ca2+
from internal stores and muscarinic and adenosine A1 receptors are the
main two receptor systems involved in the communication between the
nerve terminal and the PSCs. Furthermore, extracellular Ca2+ negatively affects the ability of
PSCs to respond to neurotransmitters. It is concluded that, like glial
cells at other synapses, synapse-glia interactions are also taking
place at the mammalian NMJ but with particularities associated with
this synapse.
Cholinergic receptor on the mammalian PSCs
When expressed by glial cells, including PSCs of the amphibian NMJ
(Robitaille et al., 1997 ), cholinergic receptors have always been
determined to be of the muscarinic type, mainly linked to internal
Ca2+ stores regulated by an inositol
1,4,5-trisphosphate receptor (Hamprecht, 1986 ). Here we show that PSCs
of the mammalian NMJ are no exception and that the cholinergic
receptors are of the muscarinic type as indicated by the lack of
effects of nicotinic antagonists and by the ability of muscarine to
induce Ca2+ responses, whereas atropine
blocked ACh-induced responses. The blockade of
Ca2+ responses by the nonspecific
muscarinic antagonist atropine also indicates that PSCs of the
mammalian NMJ, unlike the ones at the amphibian NMJ, express a typical
muscarinic pharmacology (Robitaille et al., 1997 ). Moreover,
muscarinic-dependent Ca2+ responses in
glial cells also share another characteristic, that is, the rundown of
the response after repetitive applications of cholinergic agonists
(Dave et al., 1991 ; Jahromi et al., 1992 ; Robitaille et al., 1997 ).
Purinergic receptors on the mammalian PSCs
It is now established that ATP is released during synaptic
transmission (Smith, 1991 ; Zimmermann, 1994 ) and is involved in intercellular signaling in various systems (Sneddon and Burnstock, 1984 ; Benham, 1989 ; Salter and Hicks, 1994 ; Zimmermann, 1994 ; Lyons et
al., 1995 ). Adenosine and ATP receptors are widely distributed (Burnstock, 1990 ; Salter et al., 1993 ) and are present on several types
of glial cells such as cultured astrocytes (Lai and Wong, 1991 ; Salter
and Hicks, 1994 ), glioma cells (Chueh et al., 1994 ), microglial cells
(Walz et al., 1993 ), and glial cells of the rat optic nerve
(Kriegler and Chiu, 1993 ). Moreover, ATP appears necessary for the
spread of Ca2+ waves in a syncytium of
astrocytes (Guthrie et al., 1999 ).
The results of the present study suggest that PSCs possess adenosine
receptors of A1 type, as indicated by the blockade of adenosine-induced
Ca2+ responses by CPT, an A1 receptor
antagonist. However, and somewhat unexpectedly,
Ca2+ responses induced by local
applications of ATP were not blocked by suramin, a nonspecific P2
receptor antagonist indicating that the effects observed with ATP were
not attributable to the activation of P2 receptors. In addition,
adenosine released during synaptic activity triggers
Ca2+ responses, as indicated by the
significant reduction of Ca2+ responses
elicited by nerve stimulation in the presence of CPT. However, at the
amphibian NMJ, ATP released during synaptic transmission activates
PSCs, whereas endogenous adenosine had no apparent effect on
nerve-evoked Ca2+ responses (Robitaille,
1995 ).
Because of the presence of ecto-ATPases (Zimmermann, 1994 ), one
possibility might have been that ATP-induced responses were caused by
the indirect activation of adenosine receptors as a consequence of ATP
degradation into adenosine. However, our results are not consistent
with this possibility because ATP-induced
Ca2+ responses persisted even in the
presence of the adenosine receptor antagonist. An alternative
possibility might be that ATP acted via ectoprotein-kinases because
they are known to be located on the surface of several cells
(Zimmermann, 1994 ) and that they require the presence of
Mg2+ ions (Ehrlich et al., 1986 ),
conditions in which our experiments were performed.
Glial cells detect neuronal activity and synaptic transmission
Glial cells at CNS synapses detect the release of
neurotransmitters induced by neuronal activity (Porter and McCarthy,
1996 , 1997 ; Carmignoto et al., 1998 ; Grosche et al., 1999 ). This does not require the activation of a complex multicellular network because
similar results were obtained at the frog NMJ where PSCs detect and are
modulated by synaptic activity generated by a single synapse (Jahromi
et al., 1992 ; Georgiou et al., 1994 , 1999 ; Robitaille, 1995 ; Robitaille
et al., 1997 ; Bourque and Robitaille, 1998 ).
The data presented here demonstrate that mammalian PSCs can also detect
synaptic activity and that a number of
Ca2+-dependent cascades of events are
likely triggered in PSCs as a consequence of the
Ca2+ elevations. This observation is
consistent with the properties reported for all other synapses at which
synapse-glia interactions have been studied (Araque et al., 1999 ;
Castonguay et al., 2001 ). Indeed, synaptic activity will trigger an
elevation of intracellular Ca2+ in PSCs as
a result of its release from internal stores. Moreover, this activation
is frequency dependent and is regulated by the main neurotransmitters
present at the synapse, regulating G-protein-coupled receptors. Hence,
the results obtained at the mouse NMJ further support the concept that
synapse-glia interactions are ubiquitous at chemical synapses where
glial processes are present.
Because synapse-glia interactions are dependent on the release of
neurotransmitters by chemical synapses (Araque et al., 1999 ; Castonguay
et al., 2001 ), it is expected that the activity of perisynaptic glial
cells will be governed by the main neurotransmitters found at the
synapses with which they are associated. In the present study, it is
shown that PSCs activation requires the release of neurotransmitter, as
shown by the blockade of transmitter release with -CgTx MVIIC. In
particular, ACh released during synaptic transmission modulates the
activity of the PSCs because Ca2+
responses were almost completely abolished in the presence of the
muscarinic receptor antagonist atropine. Consistent with this observation and similar to ACh-induced
Ca2+ responses, we found that
Ca2+ responses induced by evoked
transmitter release also showed a pronounced rundown when elicited by
repetitive trains of stimuli. This property was also present at PSCs of
the amphibian NMJ (Jahromi et al., 1992 ) where a large part of this
rundown was shown to be caused by endogenously released substance P
that activates NK-1 receptors leading to reduced efficacy of purinergic
and muscarinic receptor systems (Bourque and Robitaille, 1998 ).
Functional differences of mammalian and amphibian PSCs
Although mammalian and amphibian PSCs share a number of
properties, there are a few major functional differences (Table
1). First, the type of receptors present
are different. Indeed, PSCs of the amphibian NMJ lack sensitivity to
general muscarinic antagonists, in particular to atropine, whereas we
showed in this study that mammalian PSCs were atropine-sensitive. Also,
the purinergic receptors are different because, unlike mouse PSCs,
there is evidence in amphibian PSCs of two ATP receptor subtypes
(P2X, P2Y) in addition to
A1 receptors (Robitaille, 1995 ). The second major difference resides in
the molecular machinery associated with the receptors. Indeed,
repetitive Ca2+ elevations were observed
in mammalian PSCs after single applications of muscarine or stimulation
of the motor nerve. This was not observed at amphibian PSCs where
muscarine induced a single, large increase in
Ca2+ (Jahromi et al., 1992 ; Robitaille,
1995 ; Robitaille et al., 1997 ). Moreover, the
Ca2+ responses appear negatively regulated
by external Ca2+ at mammalian but not at
amphibian PSCs. The presence of the negative regulation by external
Ca2+ are consistent with a
calcium-dependent/calcium-release phenomenon that would only be present
in mammalian PSCs. This negative Ca2+
regulation may contribute to the genesis of the repeated
Ca2+ elevations observed in PSCs and to
the more pronounced rundown of consecutive
Ca2+ responses elicited at mammalian PSCs.
These differences will have major impacts on the functions of PSCs
because different types of receptors will have different regulatory
actions resulting the production of different second messengers. Also,
the different Ca2+ regulation in PSCs will
result in the induction of different Ca2+-dependent mechanisms. Hence, although
amphibian and mammalian NMJs show fundamental synapse-glia
interactions, the properties of these interactions differ.
Properties of synapse-glia interactions as a function of
synapse identity
Based on our data, we propose that, although synapse-glia
interaction is a common phenomenon at chemical synapses associated with
glial cells, the nature and the extend of the interactions will be
fine-tuned according to the properties and function of the synapse with
which they are associated. Because perisynaptic glial cells are
involved in the modulation of synaptic transmission (Parpura et al.,
1994 ; Robitaille, 1998 ; Araque et al., 1999 ; Castonguay et al., 2001 ),
their involvement in the regulation of synaptic functions will be tuned
according to their functional properties and, hence, adjusted to their
synaptic environment. This adaptation to the synaptic environment is
essential for perisynaptic glial cells to actively and effectively
modulate synaptic efficacy and neuronal activity. Thus, it will be
critical to establish the properties of the regulation of synaptic
efficacy by PSCs at the mouse NMJ and determine how the different
properties of PSCs at this synapse will influence their regulation of
synaptic activity. Moreover, because of the importance of PSCs in the
regulation of numerous crucial aspects of the synapse, a malfunction of
Schwann cells (Scherer, 1997 ) will undoubtedly impair its functions.
 |
FOOTNOTES |
Received Nov. 2, 2000; revised March 16, 2001; accepted March 19, 2001.
This work was supported by Grant MT14137 from the Canadian Institute of
Health Research (CIHR), by awards from the EJLB Research Foundation and
The Alfred P. Sloan Foundation, and by a team grant from Fonds pour la
Formation de Chercheurs et de l'aide à la Recherche to
R.R. I.R. was sponsored by a studentship from Schering, and R.R.
was a Junior II Scholar from the Fonds de la Recherche en Santé
du Québec and a CIHR Investigator. We thank Rhoda L. Kenigsberg
and Vincent F. Castellucci for their comments and suggestions on this manuscript.
Correspondence should be addressed to Richard Robitaille,
Département de physiologie, Université de Montréal,
P. O. Box 6128, Station "Centre-Ville", Montréal,
Quebec, Canada H3C 3J7. E-mail: richard.robitaille{at}umontreal.ca.
 |
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