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The Journal of Neuroscience, September 1, 2001, 21(17):6522-6531

ATP P2X Receptor-Mediated Enhancement of Glutamate Release and Evoked EPSCs in Dorsal Horn Neurons of the Rat Spinal Cord

Terumasa Nakatsuka and Jianguo G. Gu

McKnight Brain Institute of the University of Florida and Division of Neuroscience, Department of Oral Surgery, College of Dentistry, University of Florida, Gainesville, Florida 32610


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Presynaptic ATP P2X receptors have been proposed to play a role in modulating glutamate release from the first sensory synapse in the spinal cord. Using spinal cord slice preparations and patch-clamp recordings from dorsal horn neurons in lamina V of the rat spinal cord, we showed that the activation of P2X receptors by alpha ,beta -methylene-ATP (alpha beta m-ATP) resulted in a large increase in the frequency of spontaneous EPSCs (sEPSCs) and miniature EPSCs (mEPSCs). The increases in mEPSC frequency by alpha beta m-ATP were not blocked by the Ca2+ channel blocker, 30 µM La3+, but were abolished in a bath solution when Ca2+ was omitted. The increases in mEPSC frequency by alpha beta m-ATP were blocked completely by the P2 receptor antagonist pyridoxalphosphate-6-azophenyl-2',4'-disulfonic acid (PPADS) at 10 µM. Furthermore, the EPSCs evoked by dorsal root stimulation were potentiated by alpha beta m-ATP as well as by the ecto-ATPase inhibitor ARL67156 and were depressed in the presence of P2 receptor antagonists PPADS (10 µM) and suramin (5 µM). The effects of these compounds on the evoked EPSCs were associated with the changes in glutamate release probability of primary afferent central terminals. Our results indicate that alpha beta m-ATP-sensitive P2X receptors play a significant role in modulating excitatory sensory synaptic transmission in the spinal cord, and the potential role of endogenous ATP is suggested.

Key words: ATP; purinergic receptors; EPSCs; glutamate release; primary afferent fibers; patch-clamp technique; spinal cord slice preparation


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

ATP P2X receptors, a family of nonselective cation channels gated by extracellular ATP (Jahr and Jessell, 1983; Krishtal et al., 1983; Khakh et al., 2001), may play an important role in somatic sensory transmission. P2X receptors are highly expressed on different functional types of primary sensory neurons (Vulchanova et al., 1997; Xiang et al., 1998; Guo et al., 1999; Li et al., 1999; Petruska et al., 2000). Immunocytochemical evidence shows the presence of different types of P2X receptors in both peripheral and central terminals of primary afferent fibers (Vulchanova et al., 1996, 1998; Guo et al., 1999; Novakovic et al., 1999). Activation of P2X receptors at peripheral sensory nerve endings may initiate sensory impulses and may be associated with nociceptive and non-nociceptive sensory signals (Cook et al., 1997; Sawynok and Reid, 1997; Dowd et al., 1998; Tsuda et al., 2000). At central terminals P2X receptors have been proposed to play a role in modulating glutamate release from sensory synapses, based on a previous study that used a coculture system of dorsal root ganglion (DRG) and dorsal horn (DH) neurons (Gu and MacDermott, 1997). Consistent with this hypothesis, ATP has been shown to have presynaptic effects in lamina II of the DH (Li and Perl, 1995), and activating presynaptic P2X receptors could have facilitative effects on sensory spinal transmission to lamina II of the DH (Li et al., 1998). Khakh and Henderson (1998) also have demonstrated a presynaptic P2X receptor-mediated facilitation of glutamate release at synapses in the brainstem. The role of endogenous ATP in modulating glutamate release from sensory afferent terminals was indicated (Khakh and Henderson, 1998; Li et al., 1998). However, it is currently not clear whether the central terminals of primary afferent fibers connecting to deep lamina DH neurons also express P2X receptors at presynaptic sites and, if so, whether the activation of these receptors may facilitate glutamate release.

To date, at least seven P2X subunits (P2X1 to P2X7) have been cloned (for review, see North and Surprenant, 2000). Except for P2X6, all P2X subunits can form functional homomeric receptors in different heterologous expression systems (Khakh et al., 2001). Among those homomers, P2X1 and P2X3 receptors mediate a rapidly desensitizing response to both ATP and the agonist alpha ,beta -methylene-ATP (alpha beta m-ATP). The other five homomers mediate a nondesensitizing response to ATP and are essentially insensitive to alpha beta m-ATP (Khakh et al., 2001). Coexpression of different P2X receptor subunits results in several functional heteromers, including P2X1+5, P2X2+3, P2X2+6, and P2X4+6 (Lewis et al., 1995; Le et al., 1998, 1999; Torres et al., 1998; Haines et al., 1999; King et al., 2000). Of those heteromers, P2X2+6 receptors are insensitive to alpha beta m-ATP (King et al., 2000). Thus, alpha beta m-ATP makes some functional P2X receptors pharmacologically distinguishable from others.

Of the seven cloned P2X receptor subunits, six (P2X1 to P2X6) are expressed in primary sensory neurons (Collo et al., 1996; Vulchanova et al., 1996, 1997, 1998; Xiang et al., 1998). In the spinal cord the mRNAs for P2X1, P2X2, P2X4, P2X5, and P2X6 subunits have been found; mRNAs for P2X2, P2X4, and P2X6 are the most abundant (Collo et al., 1996). Immunochemical studies on spinal cord sections with antibodies against P2X1, P2X2, and P2X3 subunits have shown the expression of these subunits on the primary afferent central terminals (Vulchanova et al., 1996, 1997, 1998; Guo et al., 1999). Other P2X receptor subunits also may be expressed at the primary afferent central terminals in the spinal cord. In the present study we have explored the functions of P2X receptors at some sensory synapses in deep laminas (lamina V) of the spinal cord.


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

Spinal cord slice preparation. Transverse spinal cord slices (500 µm in thickness) were prepared from L5 spinal cords of rats at postnatal age 11-21 d, as described previously (Nakatsuka et al., 2000). Unless otherwise indicated, slices without dorsal roots attached were used for recordings of spontaneous EPSCs (sEPSCs) and miniature EPSCs (mEPSCs); slices with attached L5 dorsal roots were used for evoked EPSCs (eEPSCs). A spinal cord slice was transferred to a recording chamber (~0.5 ml) and placed on the stage of an upright infrared-differential interference contrast (IR-DIC) microscope. The slice was superfused (10 ml/min) with Krebs' solution containing (in mM) 117 NaCl, 3.6 KCl, 2.5 CaCl2, 1.2 MgCl2, 1.2 NaH2PO4, 25 NaHCO3, and 11 glucose in 95% O2/5% CO2, pH 7.3, at 22°C.

Preparation of acutely dissociated DRG neurons. Dorsal root ganglia were removed from rats (age of 4-7 weeks) and placed in a 35°C bath solution containing dispase (neutral protease, 5 mg/ml; Boehringer Mannheim, Indianapolis, IN) and collagenase (2 mg/ml; Sigma type 1, St. Louis, MO). After 1 hr of incubation the DRGs were triturated to dissociate the neurons. The dissociated cells were plated on coverslips precoated with poly-L-lysine and allowed to adhere for 1 hr before recording.

Preparation of cultured DRG neurons. Dorsal root ganglia were isolated from rat embryos aged 16 d (E16) in utero, exposed to 0.25% trypsin for 20 min, and dissociated. The dissociated primary sensory neurons were plated on glass coverslips previously prepared with a monolayer of rat cortical astrocytes. At the time of plating, 2.5S NGF (10 ng/ml) and 5-fluoro-2'-deoxyuridine (10 µM) were added, and 2.5S NGF was added once every week when the cells were fed with fresh media. The cultures of 2-3 weeks were used for the experiments. Principles of Laboratory Animal Care (National Institutes of Health publication 86-23; revised, 1985) was followed in all of the tissue preparation procedures described above.

Patch-clamp recordings from spinal cord slices. Lamina regions were identified under a 10× objective, and individual neurons were identified with a 40× objective under IR-DIC microscope. Whole-cell patch-clamp recordings were made from DH neurons with electrodes (~5 MOmega ) filled with a solution containing (in mM) 135 K+-gluconate, 5 KCl, 0.5 CaCl2, 2 MgCl2, 5 EGTA, and 5 HEPES. Signals were amplified and filtered at 2 kHz (Axopatch 200B, Axon Instruments, Foster City, CA) and sampled at 5 kHz. Cells were held at -60 mV, which was close to the reversal potential for GABAA and glycine receptors under the experimental conditions. At this holding potential the outward IPSCs were minimized and usually were undetectable. sEPSCs were recorded in the absence of TTX. mEPSCs were recorded in the presence of 0.5 µM TTX (the term mEPSCs is used for simplicity; "sEPSCs in the presence of TTX" may be a more suitable term). In some experiments mEPSCs were recorded in the presence of 20 µM bicuculline and 2 µM strychnine in bath solution. alpha beta m-ATP, capsaicin, and other testing compounds described in Results were applied via bath solution. In some experiments the effects of 100 µM ATP on sEPSC frequency were tested in the presence of 50 µM ARL67156 plus 2 mM caffeine. The application intervals for testing compounds were 20 min. At this interval the agonist responses were reproducible. Analyses of sEPSCs and mEPSCs were performed as described previously (Gu and MacDermott, 1997).

To record eEPSCs from lamina V, we applied a stimulus (~120 µA, 0.1 msec) to a dorsal root with a suction electrode. Monosynaptic connection was judged by constant latency of the eEPSCs when multiple stimuli were applied (Nakatsuka et al., 2000). Most lamina V neurons that we recorded had monosynaptic connections with primary afferent fibers (93% from 28 recordings) in our slice preparations. The stimulation condition usually yielded few synaptic failures. In the experiments to determine synaptic potentiation of eEPSCs by P2X receptor activation, we first identified monosynaptic eEPSCs and then gradually reduced the intensity (Malinow and Tsien, 1990) to a level at which some synaptic failures (30-70%) occurred. For higher sensitivity the cells with higher synaptic failure rates were assigned for tests with alpha beta m-ATP or ARL67156, and the cells with lower failure rates were tested with P2X receptor antagonists. Synaptic failure was judged by current levels in the range of current noise baseline of Gaussian distribution (±3 pA). One to three cells were recorded from a slice of each rat.

Patch-clamp recordings from acutely dissociated or cultured DRG neurons. The coverslips with dissociated DRG neurons were mounted in a 0.5 ml recording chamber and placed on the stage of an Olympus IX70 microscope. Cells were perfused continuously with bath solution (22°C) flowing at 1 ml/min. The bath solution contained (in mM) 150 NaCl, 5 KCl, 2 MgCl2, 2 CaCl2, 10 glucose, and 10 HEPES, pH-adjusted to 7.4 with NaOH; osmolarity was adjusted to 320 mOsm with sucrose. Cells were voltage clamped at -70 mV in the whole-cell configuration. Signals were amplified and filtered at 2 kHz (Axopatch 200B) and sampled at 5 kHz. The recording electrode internal solution contained (in mM) 120 KCl, 5 Na2-ATP, 0.4 Na2-GTP, 5 EGTA, 2.25 CaCl2, 5 MgCl2, and 20 HEPES, pH-adjusted to 7.4 by KOH, with an osmolarity of 315-325 mOsm. Recording electrode resistance was between 2.0 and 5.0 MOmega . alpha beta m-ATP (10 µM) or capsaicin (1 µM) was applied rapidly to neurons through a glass tube (inner diameter, ~500 µm) positioned 1.0 mm away from the cell, and each was applied for 2 sec. The gravity-driven solution flow was controlled electronically by solenoid valves and triggered from a computer.

The potential nonspecific effects of pyridoxalphosphate-6-azophenyl-2',4'-disulfonic acid (PPADS) on action potentials and Na+ and Ca2+ channel activity were examined in cultured DRG neurons. Conditions, including the bath solution and electrode internal solutions for patch-clamp recordings from cultured DRG neurons, were similar to the recordings from acutely dissociated DRG neurons. Under current clamp the action potentials were evoked by current steps of 600 pA for 4 msec. The tests were performed both in normal bath solution and after a 10 min continuous perfusion of 50 µM PPADS in the bath solution. To examine the potential nonspecific effects of PPADS on Na+ and Ca2+ channel activity, we held the cells at -80 mV under perforated voltage-clamp configuration, and the electrode internal solution contained Cs+ (Gu et al., 1996). Inward currents with Na+ and Ca2+ channel components (Gu and MacDermott, 1997) were evoked by voltage steps to +10 mV for 200 msec. The tests were performed both in normal bath solution and after a 10 min continuous perfusion of 50 µM PPADS in the bath solution.

ATP, alpha beta m-ATP, ARL67156, PPADS, suramin, capsaicin, caffeine, bicuculline, strychnine, and LaCl3 were purchased from Sigma. CNQX and TTX were purchased from Tocris (St. Louis, MO). Unless otherwise indicated, data represent mean ± SEM; paired Student's t tests were used for statistical comparison, and significance was considered at the p < 0.05 level.


    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

P2X receptor-mediated enhancement of spontaneous glutamate release

We performed patch-clamp recordings from DH neurons in lamina V of spinal cord slices. Under IR-DIC microscopy lamina regions in the dorsal horn were identified first with a 10× objective (Fig. 1A), and then individual neurons in lamina V were visualized under a 40× objective (Fig. 1B). To test whether the activation of P2X receptors may release glutamate from afferent central terminals and/or DH interneuron terminals onto lamina V DH neurons, we bath-applied alpha beta m-ATP (100 µM), a metabolic stable ATP analog and selective P2X receptor agonist, to determine its effects on the frequency of sEPSCs. Application of alpha beta m-ATP (100 µM) produced a large increase in sEPSC frequency (Fig. 1C,D) in most lamina V neurons (Fig. 1E). Of 23 cells that were recorded, 21 cells showed substantial increases in sEPSC frequency, and only two cells showed no increase after alpha beta m-ATP (Fig. 1E). The overall changes of sEPSC frequency were 355 ± 58% of control (p < 0.05, paired t test; n = 23). The effects lasted for ~200 sec (202 ± 12 sec; n = 21) after a 60 sec alpha beta m-ATP application (Fig. 1D). Figure 1E shows the changes of sEPSC frequency in all of the 23 lamina V neurons that were tested after alpha beta m-ATP application. When alpha beta m-ATP was applied repeatedly at 10 min intervals, it produced similar increases in sEPSC frequency (n = 10) (Fig. 1F). However, when 100 µM ATP was applied for 60 sec, sEPSC frequency showed either a biphasic change with initially a transient increase (<20 sec) followed by a depression phase (n = 3) (Fig. 2A) or had only a depression phase (n = 5). This was most likely attributable to the rapid metabolism of ATP and the effects of its metabolite adenosine. To test this possibility, we next performed experiments in the presence of the ecto-ATPase inhibitor ARL67156 (50 µM) and the adenosine receptor antagonist caffeine (2 mM) (Salter et al., 1993; Westfall et al., 1996). Under this condition a 60 sec application of ATP (100 µM) produced a nearly threefold increase of sEPSC frequency (270 ± 30%; p < 0.05; n = 10) (Fig. 2B) that lasted for ~120 sec (123 ± 6 sec), a result similar to the effects of alpha beta m-ATP on sEPSC frequency. In addition to the increases of sEPSC frequency, ATP also produced small inward currents (11 ± 7 pA) in 2 of 10 recorded neurons (Fig. 2C). Because the use of ATP may have potentially more complications than the use of alpha beta m-ATP (see Discussion), we used alpha beta m-ATP as the P2X receptor agonist in the remaining study.



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Figure 1.   Effects of alpha beta m-ATP on sEPSC frequency recorded from lamina V dorsal horn neurons. A, B, Spinal cord slice preparation viewed under an IR-DIC microscope. Lamina regions were identified under 10× objective (A). A part of a patch electrode is seen in A also. The electrode tip is inside the tissue ~70 µm from the surface, and its lamina location is indicated by a box. A neuron in the boxed region can be seen under 40× objective (B, center of the field). The patch electrode is to the left. C, Sample traces of sEPSCs recorded from a lamina V neuron in normal bath solution (Control, top two traces) and after bath application of 100 µM alpha beta m-ATP (bottom two traces). D, Time course of the increases in sEPSC frequency after bath application of alpha beta m-ATP. The time of alpha beta m-ATP application is indicated by a horizontal bar. Time bin is 10 sec. E, Results from 23 lamina V neurons. The change in sEPSC frequency after alpha beta m-ATP is expressed as the percentage of the control EPSC frequency in logarithmic scale. Each filled circle represents the response recorded from a cell. F, Effects on sEPSC frequency by two repeated applications of 100 µM alpha beta m-ATP. Similar results were obtained in the other nine cells.



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Figure 2.   Inhibition of ATP metabolism by ARL67156 and the effects of ATP on sEPSC frequency. A, Bath application of 100 µM ATP produced a biphasic change in sEPSC frequency, with a transient increase followed by a depression phase in a lamina V neuron. In the same cell 100 µM alpha beta m-ATP produced prolonged increases in sEPSC frequency. Of eight cells that were tested as shown in A, three showed biphasic responses and five cells had only the depression phase. B, ATP (100 µM) produced a prolonged increase of sEPSC frequency in the presence of the ecto-ATPase inhibitor ARL67156 (50 µM). Traces on the right are sample traces of sEPSCs in normal bath solution (Control) and after the application of 100 µM ATP in the presence of 50 µM ARL67156. Similar results were obtained in the other nine cells. C, ATP (100 µM) also induced inward whole-cell currents in some DH neurons in the presence of 50 µM ARL67156. Of 10 cells that were recorded, inward whole-cell currents were undetectable (top trace) in eight cells but were detected (bottom trace) in two cells. In the experiments shown in B and C, the bath solution also contained 2 mM caffeine.

We tested whether alpha beta m-ATP-sensitive terminals were connected monosynaptically with most lamina V neurons. This was done by determining the effects of alpha beta m-ATP on sEPSCs in the presence of 500 nM TTX (mEPSCs will be used for simplicity in the following parts). The presence of TTX blocks active interneuronal transmission between DH neurons. Under this condition the bath application of 100 µM alpha beta m-ATP for 60 sec still significantly increased mEPSC frequency (Fig. 3A,B) in most neurons that were recorded (Fig. 3C). Of 23 cells that were recorded, 22 of them showed large increases in mEPSC frequency, and one cell had little change (Fig. 3C). The overall changes of mEPSC frequency were 382 ± 49% of control (p < 0.05, paired t test; n = 23). The effects lasted for ~170 sec (174 ± 13 sec; n = 22). Of those cells showing the increases in mEPSC frequency by alpha beta m-ATP, 19 of them also were tested with capsaicin (2 µM). mEPSC frequency was not affected by a 60 sec capsaicin application (n = 19) (Fig. 3B,D).



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Figure 3.   Effects of alpha beta m-ATP on mEPSC frequency recorded from lamina V dorsal horn neurons. A, The top trace shows mEPSCs recorded from a lamina V neuron before and after the application of 100 µM alpha beta m-ATP. The bottom traces show, at an expanded time scale, the mEPSCs before (left three traces) and after (right three traces) alpha beta m-ATP application. B, Histogram shows the time course and degree of the increases in mEPSC frequency after 100 µM alpha beta m-ATP. It also shows, in the same recording, that 2 µM capsaicin did not have an effect on mEPSCs. C, Results from 23 lamina V neurons show that most lamina V neurons responded to alpha beta m-ATP with an increase in mEPSC frequency. D, Of the 23 cells in C, 19 neurons were tested with 2 µM capsaicin, and little change in mEPSC frequency was observed. In all experiments, alpha beta m-ATP and capsaicin were applied for 60 sec. The time bin is 10 sec in the histogram.

To determine whether Ca2+ entry through P2X receptors at presynaptic terminals may contribute directly to the increases in spontaneous glutamate release, we preapplied 30 µM La3+ to block the potential Ca2+ entry through voltage-gated Ca2+ channels (Gu and MacDermott, 1997). Under this condition and in the presence of 500 nM TTX, 100 µM alpha beta m-ATP still produced a large increase in the frequency of mEPSCs (273 ± 20% of control; p < 0.05; n = 4) (Fig. 4Aa). On the other hand, when experiments were performed in a 0 Ca2+ bath solution (Ca2+ was omitted from normal bath solution), alpha beta m-ATP did not produce a significant increase of mEPSC frequency (117 ± 16% of control; n = 5) (Fig. 4Ab). Whereas alpha beta m-ATP increased mEPSC frequency in almost all lamina V neurons, mEPSC amplitude remained within 99 ± 2% of control (n = 26) (Fig. 4B). We tested whether the increase of mEPSCs by alpha beta m-ATP could be blocked by the P2X receptor antagonist PPADS (10 µM). In five cells 10 µM alpha beta m-ATP-induced significant increases of mEPSCs (261 ± 25% of control; p < 0.05) in normal bath solution; in these five cells, when 10 µM PPADS was present, the effects of alpha beta m-ATP on mEPSC frequency were abolished completely (99 ± 4% of control) (Fig. 4C). CNQX (10 µM), a non-NMDA receptor antagonist, was tested on those cells for which alpha beta m-ATP induced increases in the frequency of mEPSCs or sEPSCs. CNQX completely blocked mEPSCs (n = 5) (Fig. 4D) as well as sEPSCs (data not shown; n = 5). These results suggest that P2X receptors are present at glutamatergic terminals monosynaptically contacting lamina V neurons.



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Figure 4.   Characterization of alpha beta m-ATP-induced increases of mEPSC frequency. Aa, All experiments were performed in the continuous presence of 30 µM La3+ to block voltage-gated Ca2+ channels. Two sample traces on the left represent mEPSCs from a lamina V neuron before (Control, top trace) and after the bath application of 100 µM alpha beta m-ATP (bottom). Histogram on the right shows the time course and degree of the increases in mEPSC frequency in the presence of 30 µM La3+. Similar results were obtained in three other cells. Ab, Sample traces (left) and frequency histogram (right) show little change of mEPSC frequency after the application of 100 µM alpha beta m-ATP in the 0 Ca2+ both solution. Similar results were obtained in the other four cells. B, Histograms of mEPSC frequency (left) and amplitude (right) indicate that alpha beta m-ATP (100 µM) increased the frequency, but not the amplitude, of mEPSCs. C, The increase of mEPSC frequency by alpha beta m-ATP was blocked by 10 µM PPADS (n = 5). D, mEPSCs were inhibited completely by 10 µM CNQX (n = 5).

Whole-cell currents directly evoked by alpha beta m-ATP in sensory neurons

To explore whether alpha beta m-ATP-sensitive terminals were derived mainly from the central terminals of primary afferent fibers that remained in the spinal sections or mainly from terminals of DH interneurons, we determined the expression of alpha beta m-ATP-sensitive P2X receptors on DH neurons and DRG neurons. This was done by examining alpha beta m-ATP-evoked whole-cell currents from DH or DRG neurons. In 101 spinal cord DH neurons, 55 in lamina V and 46 in lamina II, 100 µM alpha beta m-ATP did not induce any detectable whole-cell current directly (Fig. 5A). We next directly examined alpha beta m-ATP-evoked whole-cell currents in acutely dissociated DRG neurons. Of 20 cells that were recorded, six of them were large DRG neurons (diameter, >50 µm) and had no response to 10 µM alpha beta m-ATP (data not shown). Thirteen cells were small-to-medium DRG neurons and had responses to the application of 10 µM alpha beta m-ATP. Of the 13 alpha beta m-ATP-sensitive DRG neurons, six (cell size 35-45 µm) showed alpha beta m-ATP-evoked P2X currents that had nondesensitizing current components (Fig. 5B, left). The amplitude of nondesensitizing components was 560 ± 120 pA (n = 6). Interestingly, all of those six cells did not have a measurable response to 1 µM capsaicin (Fig. 5B, right). For the other seven alpha beta m-ATP-sensitive DRG neurons (cell size 20-30 µm), the alpha beta m-ATP-evoked currents (830 ± 230 pA; n = 7; peak currents) showed rapid and complete desensitization during a 2 sec alpha beta m-ATP application (Fig. 5C, left). In this type of alpha beta m-ATP-sensitive neurons, 1 µM capsaicin also evoked inward currents (Fig. 5C, right).



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Figure 5.   Examination of alpha beta m-ATP-evoked, P2X receptor-mediated, whole-cell currents on DH and DRG neurons. A, The recording is from a DH neuron in lamina V in a slice preparation. The alpha beta m-ATP application is indicated with a horizontal bar above the recording trace. Holding current is -20 pA, with the cell being held at -70 mV. Bath solution contained (in µM) 20 CNQX, 50 APV, 20 bicuculline, and 2 strychnine. alpha beta m-ATP (100 µM) did not evoke any detectable inward current directly. Similar results were obtained from the other 100 DH neurons in slices. Among those recordings, 55 cells were from lamina V, and the remaining cells were from lamina II. B, An inward current with a large nondesensitizing component was evoked by 10 µM alpha beta m-ATP in an acutely dissociated DRG neuron (left trace). The initial desensitizing phase is truncated. The steady-state current component was sustained during the 2 sec alpha beta m-ATP application. The right trace shows that in the same neuron 1 µM capsaicin did not induce any detectable current. Similar results were obtained in five other DRG neurons. C, A rapidly desensitizing current (left) was evoked by 10 µM alpha beta m-ATP in a DRG neuron. In the same neuron, 1 µM capsaicin evoked an inward current (right). The desensitization to alpha beta m-ATP was complete and reached baseline in ~500 msec during the 2 sec alpha beta m-ATP application. Similar results were obtained in six other DRG neurons.

alpha beta m-ATP-sensitive synapses and A-afferent fiber central terminals

We recorded eEPSCs to determine the properties of primary afferent terminals that synapsed with lamina V neurons, using spinal cord slices with attached dorsal roots (Fig. 6A). In the same neurons we also examined the effects of alpha beta m-ATP on the sEPSC frequency. In 12 lamina V cells that showed increases in sEPSC frequency by 100 µM alpha beta m-ATP (306 ± 39% of control) (Fig. 6B), stimulation of the dorsal root always evoked EPSCs with monosynaptic A-afferent properties (Fig. 6C). Conduction velocities of afferent fibers for those recordings were 2.3 ± 0.2 m/sec (n = 12), within the range of Adelta -afferent fiber conduction velocities for the same age group of rats (Nakatsuka et al., 2000). Latency of eEPSCs after repeated stimulation at different stimulation frequencies was constant in each recording (Fig. 6C). One cell that showed monosynaptic A-afferent eEPSCs had no response to 100 µM alpha beta m-ATP. Of those 12 cells as shown in Figure 6, eight of them were tested with the bath application of capsaicin (2 µM). Little change in mEPSC frequency was observed in those cells (100 ± 2% of control). The association of alpha beta m-ATP-sensitive terminals and Adelta -afferent terminals was also evident in the experiments below (see Fig. 8).



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Figure 6.   alpha beta m-ATP-sensitive terminals and monosynaptic A-afferent EPSCs recorded in lamina V neurons. A, The image shows a spinal cord slice with an attached dorsal root. A suction electrode for root stimulation is shown on the right. A part of the root was sucked into the stimulation electrode. B, Sample traces show the increase of sEPSC frequency by 100 µM alpha beta m-ATP in a lamina V neuron. C, In the same neuron as in B, dorsal root stimulation at 0.2 Hz (left) and 20 Hz (right) elicited monosynaptic A-afferent eEPSCs. Repeated stimulation (20 times) at either frequency did not change the latency of eEPSCs. The same results were obtained in 11 other neurons in lamina V. Conduction velocity is 2.3 ± 0.2 m/sec (n = 12), within Adelta -afferent fiber range.

P2X receptor-mediated enhancement of glutamate release in responding to the stimulation of Adelta -primary afferent fibers

ATP could be released in DH regions (Salter et al., 1993; Bardoni et al., 1997; Li et al., 1998). If released, will endogenous ATP increase glutamate release from alpha beta m-ATP-sensitive terminals onto lamina V neurons? Repetitive stimulation (20 times at 20 Hz, 1 sec duration) was applied to a dorsal root at Adelta -fiber stimulation intensity (~120 µA, 0.1 msec). At the end of this repetitive stimulation there was a brief increase in sEPSC frequency that lasted for ~5 sec. The sEPSC frequency after the stimulation (post-stim) was 260 ± 23% (n = 11) (Fig. 7A,B) of sEPSC frequency before the stimulation (pre-stim). When the same repetitive stimulation was conducted in the presence of 10 µM PPADS, post-stim sEPSC frequency was 171 ± 23% (n = 7) of pre-stim sEPSC frequency, significantly lower than the post-stim sEPSC frequency in normal bath solution (Fig. 7A,B). Similar experiments also were performed in the presence of 5 µM suramin. The post-stim sEPSC frequency was 187 ± 33% (n = 4; not illustrated as a figure) of pre-stim sEPSC frequency in the presence of suramin, significantly lower than the post-stim sEPSC frequency in normal bath solution. The effects of PPADS or suramin at the concentrations that were used were unlikely to be nonspecific actions on glutamatergic transmission because pre-stim sEPSC frequency was not affected in the presence of 10 µM PPADS (n = 4) (Fig. 7A,B) or 5 µM suramin (data not shown). There was also no change in the basal frequency and amplitude of sEPSCs by 10 µM PPADS (frequency, 101 ± 3% of control; amplitude, 99 ± 1% of control; n = 8) (Fig. 7C). We performed an analysis of the amplitude of individual electrically evoked EPSCs during the train of dorsal root stimulation under control conditions and in the presence of PPADS. Similar to the finding by Li et al. (1998), we found that there were changes in the paired pulse ratio in the presence of 10 µM PPADS. The paired pulse ratio was 78 ± 16% under control conditions and 192 ± 38% in the presence of PPADS (n = 4; not illustrated as a figure). These results suggested that the effects of PPADS were on the presynaptic sites (Li et al., 1998).



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Figure 7.   Effects of P2X antagonists on sEPSCs after repetitive stimulation to afferent fibers. Aa, Top two traces show sEPSCs recorded from a lamina V neuron before and after repetitive stimulation (20 times at 20 Hz, 1 sec duration) in normal bath solution. Bottom two traces show, in the same cell in the presence of 10 µM PPADS, the sEPSCs before and after the same repetitive stimulation. Stimulation intensity was similar to that in Figure 6C. Ab, An example shows responses of three trials in the same cell. The Post-Stim effects were tested three times in normal bath solution and three times in the presence of PPADS. The interval of each test was 2 min. The number of sEPSCs was counted for 5 sec before and immediately after the finish of the repetitive stimulation. Similar results were obtained in two other cells. B, A summary of the changes of sEPSC frequency before and after the repetitive stimulation in normal bath solution (open bars) and in 10 µM PPADS (filled bars; n = 7 cells). PPADS significantly reduced the stimulation-induced enhancement of sEPSC frequency (p < 0.05). C, The frequency and amplitude of basal sEPSCs were not changed after a 10 min perfusion of 10 µM PPADS (n = 8). D, Two traces show action potentials elicited by current steps in a DRG neuron in normal bath solution (left) and after the perfusion of 50 µM PPADS for 10 min. Similar results were obtained in five other cells. E, Two traces show currents elicited by voltage steps from -80 to +10 mV in a DRG neuron in normal bath solution (left) and after a 10 min perfusion of 50 µM PPADS (right). The initial current component with rapid decay phase is attributable mainly to Na+ channels, and the subsequent steady-state current component represents mainly voltage-gated Ca2+ channel activity (Gu and MacDermott, 1997). No change was observed after 50 µM PPADS; similar results were obtained in five other cells. Recordings in E were performed with perforated patch-clamp technique; Cs+-internal electrode solution was used (Gu et al., 1996).

Because some sEPSCs might be generated by action potentials and involved in Ca2+ entry through voltage-gated Ca2+ channels, we determined whether PPADS had effects on the size and shape of action potentials as well as Na+ and Ca2+ channel activity in cultured DRG neurons (Fig. 7D,E). The size and shape of action potentials elicited by a current step showed identically in normal bath solution and after a 10 min perfusion of cells with bath solution containing 50 µM PPADS (n = 6) (Fig. 7D). Furthermore, the inward currents of both the Na+ channel component and Ca2+ component (Gu and MacDermott, 1997) were also identical in normal bath solution and in the bath solution containing 50 µM PPADS (n = 6) (Fig. 7E).

Activation of other presynaptic ligand-gated cation channels has been shown to result in either potentiation or depression of the evoked EPSCs at glutamatergic synapses in the brain (MacDermott et al., 1999). Will activation of alpha beta m-ATP-sensitive P2X receptors result in synaptic potentiation of Adelta -afferent glutamatergic transmission to lamina V neurons? Stimuli were applied at a reduced intensity (see Materials and Methods) to a dorsal root, and monosynaptic Adelta -eEPSCs and synaptic failures occurred randomly (Fig. 8Aa, bottom). Glutamate release likely was occurring at a few afferent central terminals during this stimulation protocol, as was evident by a much smaller amplitude of eEPSC (compare with eEPSC size in Fig. 6C). After the application of 1 µM alpha beta m-ATP for 5 min, the synaptic failure rates that followed the same stimulation protocol were decreased significantly (Fig. 8Ab, bottom), and the mean amplitude of eEPSCs was increased significantly (Fig. 8Ab, top). When the ecto-ATPase inhibitor ARL67156 (10 µM for 5 min) was used to prevent the breakdown of endogenous ATP, we also observed effects similar to alpha beta m-ATP (Fig. 8B). Figure 8C summarizes the effects of alpha beta m-ATP (n = 4) and ARL67156 (n = 4) on synaptic failure rates and mean amplitudes and shows significant decreases of failure rates (Fig. 8Ca) and increases in mean eEPSC amplitude (Fig. 8Cb). On the other hand, in the presence of 10 µM PPADS or 5 µM suramin the failure rates increased significantly (Fig. 8D).



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Figure 8.   P2X receptor-mediated potentiation of evoked EPSCs. Aa, The bottom panel shows consecutive eEPSCs and synaptic failures recorded on a lamina V neuron in control. The mean amplitude is shown on the top. Basal noise level was within ± 2.5 pA around the current level of baseline. Ab, Synaptic failures (bottom) were decreased and mean amplitude (top) was increased after the bath application of 1 µM alpha beta m-ATP. B, The experiment was the same as that in A, except that the effects of 10 µM ARL67156 were tested. The conduction velocity was 4 m/sec in A and 2 m/sec in B. C, A summary of the decrease of failure rates (Ca) and the increase of mean eEPSC amplitude (Cb) by 1 µM alpha beta m-ATP (n = 4) and 10 µM ARL67156 (n = 4). D, A summary of the increase of failure rates after the application of 10 µM PPADS (n = 4) and 5 µM suramin (n = 4). In all experiments eEPSCs were induced by dorsal root stimulation (see Materials and Methods). Data represent the mean ± SEM; *p < 0.05, paired Wilcoxon test.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

In the present study we have provided the electrophysiological evidence for the presence of presynaptic P2X receptors at the central terminals of primary afferent fibers connecting to lamina V neurons of the spinal cord dorsal horn. Our results indicate that the activation of these receptors can result in a robust increase of spontaneous glutamate release, as evidenced by a large increase in the frequency of sEPSCs and mEPSCs. Furthermore, we have provided evidence suggesting that P2X receptor activation can modulate the evoked glutamate release after the stimulation of primary afferent fibers. Our results also suggest that endogenously released ATP, associated with primary sensory fiber stimulation, may enhance spontaneous and evoked glutamate release.

P2X receptors on primary afferent central terminals versus P2X receptors on DH neurons

We have shown that alpha beta m-ATP-sensitive terminals extensively synapse to lamina V neurons. Many of those terminals might be derived from primary afferent fibers. This is consistent with the presence of alpha beta m-ATP-sensitive P2X receptors on DRG neurons. It is supported further by our findings that the eEPSCs after stimulation of primary afferent fibers were potentiated by alpha beta m-ATP and ARL67156 and depressed by PPADS and suramin. The effects of those purine compounds were at the central terminals of primary afferent fibers, because the potentiation of eEPSCs was associated with the increase of presynaptic release probability (Fig. 8).

There is a possibility that some alpha beta m-ATP-sensitive terminals may be derived from DH interneurons. Previously, it was reported that presynaptic P2X receptors were expressed on inhibitory DH neurons; their activation resulted in the release of GABA or glycine (Hugel and Schlichter, 2000; Rhee et al., 2000). Interestingly, presynaptic P2X receptors on inhibitory DH neurons in those studies were found to be alpha beta m-ATP-insensitive. It will be very interesting to know whether P2X receptors are expressed at presynaptic terminals of excitatory DH neurons. In attempting to determine whether alpha beta m-ATP-induced increases in mEPSC frequency might be attributable partially to its direct action on DH neurons, we examined the possible expression of functional alpha beta m-ATP-sensitive P2X receptors in DH neurons. However, after we tested >100 DH neurons, 100 µM alpha beta m-ATP did not evoke any detectable whole-cell current on those neurons. This result may suggest that alpha beta m-ATP-sensitive DH neurons, if present, will be a very small population. This suggestion is also supported by a previous study with acutely dissociated DH neurons (Bardoni et al., 1997). However, we still should not rule out completely the possible presence of alpha beta m-ATP-sensitive P2X receptors at presynaptic terminals of glutamatergic DH neurons.

In this study we also have performed some experiments by using ATP. It appears that, before exogenously applied ATP reached the recorded neurons (usually inside slices ~70 µm from the surface of the tissue), there had been substantial ATP metabolism that primarily decreased actual ATP concentrations around the recorded cells. However, the ecto-ATPase inhibitor ARL67156 effectively might prevent ATP metabolism in the spinal cord slice. ATP may have complicated effects in the slice preparations, not only because of its metabolism but also because of its direct effects on some DH neurons (see also Salter et al., 1993; Li and Perl, 1995; Bardoni et al., 1997; Li et al., 1998).

alpha beta m-ATP-sensitive terminals and P2X receptor subtypes

Although primary afferent neurons express six P2X subunits (Collo et al., 1996; Xiang et al., 1998), the spinal cord distribution of P2X receptor-expressing afferent terminals has not been well characterized. Immunoreactivity to P2X1, P2X2, and P2X3 subunits is present at primary afferent terminals in superficial laminas (Vulchanova et al., 1996, 1997). The alpha beta m-ATP-sensitive synapses shown in this study could be located in deep laminas, but they also could be located in the superficial laminas because deep lamina neurons extend their dendrites to superficial laminas (Ritz and Greenspan, 1985). P2X3 subunits are expressed extensively at primary afferent terminals innervating inner lamina II, raising a possibility that our alpha beta m-ATP-sensitive terminals are derived from P2X3 receptor-expressing terminals. However, this possibility may be inconsistent with the finding that our alpha beta m-ATP-sensitive afferent terminals are capsaicin-insensitive and are not from C-afferent fibers. Nevertheless, ~20% of primary afferent neurons did not coexpress P2X3 subunits and capsaicin VR1 receptors (Guo et al., 1999). Furthermore, P2X3 subunits might not be expressed exclusively on unmyelinated, IB4-positive sensory neurons as previously thought (Petruska et al., 2000). Thus, we cannot rule out the possibility that P2X3-expressing afferent terminals synapse to lamina V dendrites. If P2X3-expressing afferent terminals were involved in our study, the subtypes of P2X receptors that mediated the augmented glutamate release would most likely be heteromeric P2X2+3 receptors. Heteromeric P2X2+3 receptors respond to alpha beta m-ATP with weak desensitization and probably are expressed on some DRG neurons (Lewis et al., 1995; Burgard et al., 1999; North and Surprenant, 2000). We showed that alpha beta m-ATP produced a sustained increase in spontaneous glutamate release with little or weak desensitization, which appears to be consistent with some properties of heteromeric P2X2+3 receptors. However, it has been shown recently that heteromeric P2X1+5 receptors and heteromeric P2X4+6 receptors in heterologous expression systems also respond to alpha beta m-ATP with a weakly desensitizing current component (Le et al., 1998, 1999; Torres et al., 1998; Haines et al., 1999). A more recent study has provided first evidence suggesting that functional heteromeric P2X1+5 receptors are expressed in native tissues (Surprenant et al., 2000). Thus, these two heteromeric P2X receptors, if expressed on primary afferent fibers, may account for the effects of alpha beta m-ATP shown in this study.

Future studies with subtype-selective P2X receptor antagonists such as TNP-ATP (North and Surprenant, 2000; Surprenant et al., 2000; Khakh et al., 2001) may help to reveal the subtype(s) of P2X receptors mediating the augment of glutamate release onto lamina V neurons.

Primary afferent type(s) of alpha beta m-ATP-sensitive terminals

We have provided evidence suggesting that some alpha beta m-ATP-sensitive terminals may be derived from Adelta -afferent fibers. The results that Adelta -eEPSCs can be potentiated after P2X receptor activation directly support this point. Few C-afferent fibers have monosynaptic connections with lamina V neurons (Willis and Coggeshall, 1991), suggesting that the alpha beta m-ATP-sensitive terminals in our study were unlikely to be derived from C-afferent fibers. However, there is a possibility that some Aalpha /Abeta fibers also may express alpha beta m-ATP-sensitive P2X receptors, because lamina V neurons receive input from large primary afferents as well (Brown, 1982). In our study the stimulation of dorsal root with intensity sufficient to activate Aalpha /Abeta fibers did not evoke Aalpha /Abeta monosynaptic responses in lamina V neurons. Similar results have been reported (Yoshimura et al., 1992). This is thought to be attributable to the impairment of large myelinated fibers in the transverse spinal slice preparations because of their descending and ascending path before terminating in lamina V (Brown, 1982). Nevertheless, the involvement of Aalpha /Abeta -afferent terminals in alpha beta m-ATP-induced glutamate release is discounted by our finding that large-diameter (>50 µm) DRG neurons had little response to alpha beta m-ATP or ATP (see also Li et al., 1999). Adelta -afferent terminals to lamina V are known to carry nociceptive and non-nociceptive sensory information (Willis and Coggeshall, 1991). We have shown that most Adelta -afferent terminals to the lamina V region were alpha beta m-ATP-sensitive/capsaicin-insensitive. This raises a good possibility that at least some nociceptive Adelta -afferent fibers may express alpha beta m-ATP-sensitive P2X receptors at their central terminals. One possible origin of the alpha beta m-ATP-sensitive central terminals could be from Adelta -mechanoreceptors of keen joints because the Adelta -mechanoreceptors were found to be alpha beta m-ATP-sensitive/capsaicin-insensitive (Dowd et al., 1998).

The potential origin of endogenous ATP

Our results suggest that endogenous ATP may be released in the dorsal horn regions during dorsal root stimulation. The simplest interpretation of our results is that ATP was released from primary afferent terminals. The endogenously released ATP then acted on presynaptic P2X receptors on the primary afferent terminals, which in turn enhanced glutamate release probability (Figs. 7, 8). The possible release of ATP from primary afferent central terminals was proposed first by Holton and Holton (1954). Using spinal cord synaptosomal preparations, White et al. (1985) demonstrated the release of ATP by high K+ and suggested that ATP may be released from both primary afferent terminals and dorsal horn interneurons. Consistently, with the use of electrophysiological approaches, ATP was suggested to be released in the spinal cord dorsal horn after focal electric stimulation (Bardoni et al., 1997; Li et al., 1998). It was suggested that the endogenously released ATP might function as a fast synaptic transmitter (Bardoni et al., 1997) or modulator (Li et al., 1998). Jo and Schlichter (1999) showed that ATP could be released from many dorsal horn interneurons. It also has been shown that glutamate can evoke the release of ATP from astrocytes (Queiroz et al., 1999). Thus, in addition to the potential release of endogenous ATP from primary afferent terminals, there is also a possibility that ATP is released from postsynaptic dorsal horn neurons and/or surrounding astrocytes as a consequence of glutamate receptor action on these cells. If the latter hypothesis is true, then ATP is a retrograde signaling molecule in the sensory synapses.


    FOOTNOTES

Received March 29, 2001; revised June 20, 2001; accepted June 21, 2001.

This work was supported by National Institutes of Health Grant NS38254 and Office of Naval Research Grant N00014-01-1-0188 (J.G.G.). We thank A. MacDermott, S. Siegelbaum, D. Price, and B. Cooper for providing thoughtful comments on this manuscript. We appreciate J. Ling for general assistance during this work.

Correspondence should be addressed to Jianguo G. Gu, McKnight Brain Institute of the University of Florida and Division of Neuroscience, Department of Oral Surgery, College of Dentistry, University of Florida, 1600 SW Archer Road, Gainesville, FL 32610. E-mail: jgu{at}dental.ufl.edu.


    REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

  • Bardoni R, Goldstein PA, Lee CJ, Gu JG, MacDermott AB (1997) ATP P2X receptors mediate fast synaptic transmission in the dorsal horn of the rat spinal cord. J Neurosci 17:5297-5304[Abstract/Free Full Text].
  • Brown AG (1982) The dorsal horn of the spinal cord. Q J Exp Physiol 67:193-212[Abstract/Free Full Text].
  • Burgard EC, Niforatos W, van Biesen T, Lynch KJ, Touma E, Metzger RE, Kowaluk EA, Jarvis MF (1999) P2X receptor-mediated ionic currents in dorsal root ganglion neurons. J Neurophysiol 82:1590-1598[Abstract/Free Full Text].
  • Collo G, North RA, Kawashima E, Merlo-Pich E, Neidhart S, Surprenant A, Buell G (1996) Cloning of P2X5 and P2X6 receptors and the distribution and properties of an extended family of ATP-gated ion channels. J Neurosci 16:2495-2507[Abstract/Free Full Text].
  • Cook SP, Vulchanova L, Hargreaves KM, Elde R, McCleskey EW (1997) Distinct ATP receptors on pain-sensing and stretch-sensing neurons. Nature 387:505-508[Medline].
  • Dowd E, McQueen DS, Chessell IP, Humphrey PP (1998) P2X receptor-mediated excitation of nociceptive afferents in the normal and arthritic rat knee joint. Br J Pharmacol 125:341-346[ISI][Medline].
  • Gu JG, MacDermott AB (1997) Activation of ATP P2X receptors elicits glutamate release from sensory neuron synapses. Nature 389:749-753[Medline].
  • Gu JG, Albuquerque C, Lee CJ, MacDermott AB (1996) Synaptic strengthening through activation of Ca2+-permeable AMPA receptors. Nature 381:793-796[Medline].
  • Guo A, Vulchanova L, Wang J, Li X, Elde R (1999) Immunocytochemical localization of the vanilloid receptor 1 (VR1): relationship to neuropeptides, the P2X3 purinoceptor, and IB4 binding sites. Eur J Neurosci 11:946-958[ISI][Medline].
  • Haines WR, Torres GE, Voigt MM, Egan TM (1999) Properties of the novel ATP-gated ionotropic receptor composed of the P2X1 and P2X5 isoforms. Mol Pharmacol 56:720-727[Abstract/Free Full Text].
  • Holton FA, Holton PJ (1954) The capillary dilator substances in dry powers of spinal roots: a possible role for adenosine triphosphate in chemical transmission from nerve endings. J Physiol (Lond) 126:124-140.
  • Hugel S, Schlichter R (2000) Presynaptic P2X receptors facilitate inhibitory GABAergic transmission between cultured rat spinal cord dorsal horn neurons. J Neurosci 20:2121-2130[Abstract/Free Full Text].
  • Jahr CE, Jessell TM (1983) ATP excites a subpopulation of rat dorsal horn neurones. Nature 304:730-733[Medline].
  • Jo YH, Schlichter R (1999) Synaptic corelease of ATP and GABA in cultured spinal neurons. Nat Neurosci 2:241-245[ISI][Medline].
  • Khakh BS, Henderson G (1998) ATP receptor-mediated enhancement of fast excitatory neurotransmitter release in the brain. Mol Pharmacol 54:372-378[Abstract/Free Full Text].
  • Khakh BS, Burnstock G, Kennedy C, King BF, North RA, Seguela P, Voigt M, Humphrey PP (2001) International Union of Pharmacology. XXIV. Current status of the nomenclature and properties of P2X receptors and their subunits. Pharmacol Rev 53:107-118[Abstract/Free Full Text].
  • King BF, Townsend-Nicholson A, Wildman SS, Thomas T, Spyer KM, Burnstock G (2000) Coexpression of rat P2X2 and P2X6 subunits in Xenopus oocytes. J Neurosci 20:4871-4877[Abstract/Free Full Text].
  • Krishtal OA, Marchenko SM, Pidoplichko VI (1983) Receptor for ATP in the membrane of mammalian sensory neurones. Neurosci Lett 35:41-45