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The Journal of Neuroscience, September 15, 2001, 21(18):7143-7152

Neuronal P2X₇ Receptors Are Targeted to Presynaptic Terminals in the Central and Peripheral Nervous Systems

Susan A. Deuchars¹, Lucy Atkinson¹, Ruth E. Brooke¹, Hanny Musa¹, Carol J. Milligan¹, Trevor F. C. Batten³, Noel J. Buckley², Simon H. Parson¹, and Jim Deuchars¹

¹ School of Biomedical Sciences, University of Leeds, LS2 9NQ, Leeds, United Kingdom, Schools of ² Biochemistry and Molecular Biology, and ³ Medicine, University of Leeds, LS2 9JT, Leeds, United Kingdom

	ABSTRACT

TOP ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

The ionotropic ATP receptor subunits P2X_1-6 receptors play important roles in synaptic transmission, yet the P2X₇ receptor has been reported as absent from neurons in the normal adult brain. Here we use RT-PCR to demonstrate that transcripts for the P2X₇ receptor are present in extracts from the medulla oblongata, spinal cord, and nodose ganglion. Using in situ hybridization mRNA encoding, the P2X₇ receptor was detected in numerous neurons throughout the medulla oblongata and spinal cord. Localizing the P2X₇ receptor protein with immunohistochemistry and electron microscopy revealed that it is targeted to presynaptic terminals in the CNS. Anterograde labeling of vagal afferent terminals before immunohistochemistry confirmed the presence of the receptor in excitatory terminals. Pharmacological activation of the receptor in spinal cord slices by addition of 2'- and 3'-O-(4-benzoylbenzoyl)adenosine 5'-triphosphate (BzATP; 30 µM) resulted in glutamate mediated excitation of recorded neurons, blocked by P2X₇ receptor antagonists oxidized ATP (100 µM) and Brilliant Blue G (2 µM). At the neuromuscular junction (NMJ) immunohistochemistry revealed that the P2X₇ receptor was present in motor nerve terminals. Furthermore, motor nerve terminals loaded with the vital dye FM1-43 in isolated NMJ preparations destained after application of BzATP (30 µM). This BzATP evoked destaining is blocked by oxidized ATP (100 µM) and Brilliant Blue G (1 µM). This indicates that activation of the P2X₇ receptor promotes release of vesicular contents from presynaptic terminals. Such a widespread distribution and functional role suggests that the receptor may be involved in the fundamental regulation of synaptic transmission at the presynaptic site.

Key words: ATP; purine receptor; synaptic transmission; excitatory amino acid transmission; spinal cord; medulla oblongata; neuromuscular junction

	INTRODUCTION

TOP ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

In the nervous system, ATP acts as a fast neurotransmitter at excitatory purinergic synapses and activates ligand-gated cationic channels, the P2X receptors (North and Surprenant, 2000). The P2X receptor family consists of seven cloned subtypes, of which P2X_1-6 have been localized to neurons in the CNS at both presynaptic and postsynaptic sites (Collo et al., 1996; Vulchanova et al., 1997; Le et al., 1998; Llewellyn-Smith and Burnstock, 1998; Loesch and Burnstock, 1998; Atkinson et al., 2000) and have been shown to mediate both postsynaptic responses (Bardoni et al., 1997; Edwards et al., 1997; Nieber et al., 1997; Pankratov et al., 1998) and presynaptic release of neurotransmitters (Gu and MacDermott, 1997; Khakh and Henderson, 1998; Boehm, 1999). In contrast there is no evidence to support the presence of the P2X₇ receptor (P2X₇R) in neurons in normal adult brain.

The P2X₇ receptor subtype has been localized to widespread tissues in the periphery (Afework and Burnstock, 1999; Bardini et al., 2000; Lee et al., 2000; Pannicke et al., 2000) and was previously identified pharmacologically in cells with potential immunological functions as the P2Z receptor (Ralevic and Burnstock, 1998). In many cell types activation of the P2X₇ receptor has been associated with cell lysis and death (Surprenant et al., 1996; Rassendren et al., 1997; Chow et al., 1997; Virginio et al., 1999). In the CNS the P2X₇ receptor has been reported as absent from neurons but present only in ependymal cells and activated microglia (Collo et al., 1997). This suggests a role in pathophysiology for the P2X₇ receptor because ATP can be released in the CNS in response to cell injury (Dubyak and el Moatassim, 1993) or other conditions such as anoxia (Lutz and Kabler, 1997). Furthermore, activation in microglia of a P2 receptor that is likely to be P2X₇ results in the production of inflammatory cytokines, which have been associated with progression of neurodegenerative diseases (Hide et al., 2000). Thus, the expression of P2X₇ receptor by brain macrophages rather than neurons would be consistent with a role in brain repair after inflammation, infarction, or immune insult

However, in this current work we reveal unexpected findings that indicate a fundamental role for the P2X₇ receptor in the process of neuronal synaptic transmission. We report that the receptor is expressed by neurons and is functionally targeted to excitatory presynaptic terminals that are widespread throughout the CNS, as well as at the neuromuscular junction in the peripheral nervous system. Furthermore, the receptor is functionally present because its activation promotes release of vesicular contents from presynaptic terminals in both central and peripheral nervous systems.

Parts of this work have been published in preliminary reports (Deuchars et al., 2000; Knutsen et al., 2000).

	MATERIALS AND METHODS

TOP ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

Detection of mRNA encoding the P2X₇ receptor. Total cellular RNA was extracted from freshly dissected spinal cord, medulla oblongata, and nodose ganglia using TRI reagent (Sigma, Poole, UK) according to the manufacturer's instructions. Because the P2X₇ receptor has been reported in blood borne cells, we perfused the animal with artificial CSF before removal of tissue. Tissue was dissected from 150-200 gm Wistar rats. Two micrograms of RNA were reverse-transcribed using oligo-dT and mouse murine leukemia virus reverse transcriptase (Promega, Southampton, UK) in a final volume of 20 µl. One microliter aliquots were used for RT-PCR analysis in a 20 µl reaction volume using 500 nM primers, 250 µM deoxynucleotide triphosphates, and 0.2 U/µl taq polymerase (Promega) final concentration.

Cycling conditions were 95°C for 5 min, followed by 35 cycles of 95°C for 30 sec, 57°C for 30 sec, and 72°C for 1 min followed by a final extension step of 72°C for 10 min. Primers used were P2X₇ 162s (agacaaacaaagtcacccgg) and P2X₇ 562a (ggtatacacctgccggtctgg) and hprt 231s (cctgctggattacattaaagc) and hprt 576a (gaagtactcattatagtcaagg). PCR products were separated by electrophoresis through a 2% agarose gel.

In situ hybridization. Rats were anesthetized with intraperitoneal Sagatal (60 mg/ml; Rhone Merieux, Essex, UK) and perfused transcardially with sucrose containing artificial CSF. Sections were cryostat cut at 10 µm, mounted on slides that had been pretreated with 3-aminopropyltriethoxysilane (Sigma), and stored at 80°C until use. A 200 bp cDNA fragment of the P2X₇ receptor corresponding to bases from 127 to 328 (numbering according to GenBank accession number X95882) was cloned into pGEM T-easy (Promega) and used to generate digoxigenin (DIG)-labeled sense and antisense RNA probes. In situ hybridization was performed by a modified version of the manufacturer's protocol. The sections were mounted in Aquamount and were viewed on a Nikon E600 microscope.

Western blot analysis. The primary antibody was raised in rabbit against residues 576-595 of rat P2X₇ receptor with additional N-terminal cysteine (anti-P2X₇ receptor; Alomone Labs, Jerusalem, Israel). Specificity was determined by Western blot analysis. Rat brainstem and spinal cord were separately isolated and crushed under liquid nitrogen. Tissue was resuspended in homogenization buffer [500 µl of protease inhibitor (1 mM iodoacetamide, 1 mM benzathonium chloride, and 5.7 mM PMSF in 5 ml of 1% SDS), 10 mM EDTA, 300 mM sucrose in 4.5 ml of 1% SDS] and centrifuged at 10000 rpm for 3-4 min until a clear pellet and supernatant could be defined. Tissue proteins (30 µg) were separated by SDS-PAGE using 10% acrylamide gels in a Bio-Rad (Hercules, CA) cell electrophoresis tank for 2 hr at 40 mA per gel. After separation, proteins were transferred to nitrocellulose membrane by semidry blotting for 1.5 hr at 50 mA per gel. Nonspecific binding sites were blocked by immersing the membrane in PBS (5 mM KH₂PO₄, 5 mM Na₂HPO₄, and 130 mM NaCl, pH 7.2) containing 10% (w/v) dried skimmed milk overnight at 4°C. The membrane was washed three or four times with 0.05% Tween 20 in PBS. Membranes were probed with anti-P2X₇ receptor primary antibody (1:1000) for 1 hr at room temperature while being agitated and then washed three times with PBS-Tween 20. Bound antibody was detected by anti-rabbit Ig conjugated to horseradish peroxidase (1:3000; Dako, Ely, UK). Immunoreactivity was visualized by using a peroxidase based chemiluminescent substrate kit (Amersham Pharmacia Biotech, Buckinghamshire, UK).

Tissue preparation for immunohistochemistry. Male Wistar rats (150-200 gm; n = 10) were anesthetized by intraperitoneal Sagatal (60 mg/kg) and transcardially perfused with 50 ml of heparin containing 0.9% NaCl, followed by fixative containing 4% paraformaldehyde and 0.1-0.5% glutaraldehyde in 0.1 M phosphate buffer (PB), pH 7.4. All experiments were performed under a UK Home Office License and in accordance with the regulations of the UK Animals (Scientific Procedures) Act (1986), in compliance with the National Institutes of Health and Society of Neuroscience guidelines. Medulla oblongata, spinal cord, and soleus muscle were removed and post-fixed in the same solution for 4-12 hr at 4°C. We cut 50 µm sections of the fixed tissue on a vibrating microtome (Leica, Milton Keynes, UK) and collected them into PBS, pH 7.2. Adult C57BL mice were killed by CO₂ intoxication, and transversus abdominis muscles were dissected and fixed in buffered 4% paraformaldehyde, pH 7.2.

Anterograde tracing. Vagal afferent fibers were anterogradely labeled in 150-200 gm Wistar rats (n = 5) under halothane anesthesia (5% in O₂) by the injection of 5-10 µl of 10% biotinylated dextran amine [BDA; molecular weight (MW) 10,000 kDa; Molecular Probes, Eugene, OR, USA) into the right nodose ganglia. After 7-10 d of recovery, the rats were anesthetized with Sagatal (60 mg/kg, i.p.) and perfused transcardially with 4% paraformaldehyde-0.1-0.5% glutaraldehyde. Sections were cut on the vibrating microtome at 50 µm and freeze-thawed in liquid nitrogen. Anterogradely transported BDA was visualized by incubating sections in ABC solution (Vector Laboratories, Peterborough, UK) for 18-20 hr at 4°C before the diaminobenzidine (DAB) reaction.

Fluorescence light microscopy. Tissue sections (rat) were obtained as described above and incubated in rabbit anti-P2X₇ receptor antibody as above at a concentration of 1:1000-1:5000 in PBS with 0.1% Triton X-100. After three washes for 10 min each in PBS, some sections were incubated in biotinylated secondary antibody to rabbit IgG (1:200 in PBS) for 5 hr at 4°C followed by incubation in streptavidin Alexa⁴⁸⁸ (1:1000 in PBS; Molecular Probes) for 3 hr at room temperature. Other sections were transferred to PBS containing Cy3-conjugated anti-rabbit IgG (Jackson ImmunoResearch, Stratech, Luton, UK) at 1:1000 for 4-12 hr at room temperature. Sections were then washed three times in PBS, dried onto gelatin-coated slides at 4°C and mounted in Vectamount (Vector Laboratories) under a coverslip. Slides were viewed on a Nikon E600 microscope equipped with epifluorescence using the appropriate filter sets.

Whole mounts of transversus abdominis (mouse) were preblocked with PBS containing 1% BSA and stained en bloc. Postsynaptic acetylcholine receptors were labeled with tetramethylrhodamine isothiocyanate-conjugated -bungarotoxin (TRITC--BTX; 5 µg/ml; Molecular Probes). P2X₇ receptors were labeled with primary antibody (1:1500 in 1% BSA in PBS), and visualized with fluorescein-conjugated donkey anti-rabbit secondary antibody (1:200 in 1% BSA in PBS; Scottish Antibody Production Unit, Edinburgh, UK). After three washes in PBS, whole muscles were mounted in 2.5% DABCO in glycerol.

Electron microscopy. Sections (50 µm) were cut on a vibrating microtome and cryoprotected by incubation in 10% sucrose in 0.1 M PB for 10 min followed by 20% sucrose in 0.1 M PB for 20 min and then freeze-thawed twice in liquid nitrogen to permeabilize the membranes. Sections were then incubated in rabbit anti-P2X₇ receptor diluted 1:5000-1:15,000 in PBS for 12-24 hr at 4°C. After three washes for 10 min each in PBS, the sections were placed into biotinylated secondary antibody to rabbit IgG diluted 1:200 in PBS (Vector Laboratories) for 5 hr at 4°C and then into Vectastain Elite ABC reagent (Vector Laboratories) for 18-20 hr at 4°C. Sections were then washed in Tris HCl buffer, pH 7.4, and incubated in DAB solution (5 mg in 10 ml of Tris HCl buffer, pH 7.4, with 0.01% H₂O₂) for 10 min. Control sections were incubated in PBS in place of primary antiserum for 12-24 hr at 4°C followed by secondary antibody and reacted with ABC-DAB as above. Other control sections were incubated for 12-24 hr at 4°C in primary antiserum for the P2X₇ receptor (1:5000) that had been preabsorbed with peptide antigen for 1 hr before use (1 µg of peptide for 1 µg of antibody) and then incubated in secondary antibody and reacted with ABC-DAB as above. Sections were washed in 0.1 M PB for 10 min and post-fixed in 0.5% osmium tetroxide (in 0.1 M PB) for 45 min. After washing in 0.1 M PB the sections were then dehydrated through a series of ethanols followed by two washes for 10 min each in propylene oxide (Fisher Scientific, Loughborough, UK). The sections were then immersed in Durcupan ACM resin (Fluka, Gillingham, UK) for 12-20 hr, mounted on glass slides under coverslips, and heated at 60°C for 48 hr to polymerize the resin.

Sections with anterogradely labeled vagal afferent fibers were transferred into primary antibody against the P2X₇ receptor (1:10,000) for 18-20 hr at 4°C, washed in PBS, and then incubated in secondary antibodies to rabbit IgG conjugated to 1 nm gold particles (Amersham Pharmacia Biotech) diluted 1:100 in PBS, pH 7.4, containing 0.8% fish gelatin and 0.1% bovine serum albumin for 18-20 hr at 4°C. After thoroughly rinsing the sections (four times for 10 min each) in distilled deionized water, the gold particles were silver-enhanced for 5-10 min using an IntenSE silver enhancement kit (Amersham Life Sciences). Sections were then osmicated and processed for electron microscopy as described above.

When areas with suitable staining for electron microscopy were selected, the coverslip was removed, and the relevant area was cut out and glued to the flat surface of a blank resin block. After trimming of the block, serial ultrathin sections (70 nm) were cut using a Leica (Nussloch, Germany) UltraCut S ultramicrotome and collected on Formvar-coated 1 mm slot grids. The sections were then stained with lead citrate before viewing on a Phillips CM10 transmission electron microscope. Negatives were digitized using an Agfa Duoscan Scanner and manipulated in Corel Draw 8/9 as below.

Image capture and manipulation. Slides were subsequently examined at the light microscope level using a Nikon E600 microscope equipped with epifluorescence and captured directly from the slide using an Acquis Image Capture System (Synoptics, Cambridge, UK). Images were manipulated in CorelDraw 8 to adjust gamma, brightness, and contrast to the desired levels.

Electrophysiology. To test whether activation of the P2X₇R could influence neuronal activity in the CNS, we performed whole-cell patch-clamp recordings from neurons in the intermediolateral cell column (IML) of the spinal cord. Wistar rats aged 10-15 d were anesthetized with urethane (2 gm/kg, i.p.). The upper to middle thoracic spinal cord was exposed, isolated, and placed in ice-cold sucrose-aCSF containing (in mM) sucrose (217); NaHCO₃ (26); KCl (3); MgSO₄ (2); NaH₂PO₄ (2.5); CaCl₂ (1); and glucose (10) equilibrated with 95% O₂ and 5%CO₂. The dura and pia mater were removed, and the spinal cord was immersed in warm agar and placed on ice for rapid setting. Thin transverse slices (250 µm) of the embedded spinal cord were cut on a Vibroslice (Campden Instruments, Sileby, UK) and placed in the recording chamber or a holding chamber for later use. The sections were submerged in aCSF [composition (in mM): NaCl₂ (124); NaHCO₃ (26); KCl (3); MgSO₄ (2); NaH₂PO₄ (2.5); CaCl₂ (2); glucose (10)] and superfused at a rate of 3-5 ml/min. All experiments were performed at room temperature. Visualized patch-clamp recordings were performed using an upright microscope (model BX50WI; Olympus, Tokyo, Japan). The IML was located at 10× magnification, and the cells were visualized at 60× magnification for recording. Patch electrodes (tip diameter, 3 µm; resistance, 4-6 M) were filled with (in mM): Kgluconate (130); KCl (10); EGTA (11); MgCl₂ (2); CaCl₂ (1); HEPES (10) Na₂GTP (0.3), and Na₂ATP (5) at pH 7.2, 295 mOsm. Neurobiotin (0.5%) was included in the patch solution and diffused into the neuron during recording. Neurons within and immediately adjacent to the IML were targeted, and whole-cell patch-clamp recordings were obtained using standard techniques. All recordings were performed in current-clamp mode using an Axopatch 1D (Axon Instruments, Foster City, CA).

To characterize the neurons electrophysiologically as sympathetic preganglionic neurons or interneurons, rectangular hyperpolarizing and depolarizing current pulses (1 sec duration, +100 to 130 pA) were applied to the neuron at a holding potential of 60 mV, and the changes in voltage were recorded. The shape of the action potential was also noted, and the duration of the action potential and amplitude of the afterhyperpolarization was measured. Neurons were then held at a resting membrane potential of 60 mV, and a small square wave depolarizing current pulse was applied (+10 to +30 pA) every 5-10 sec to monitor input resistance of the neuron. Drugs were applied to the bathing medium in the following final concentrations [agonist, 2'- and 3'-O-(4-benzoylbenzoyl)adenosine 5'-triphosphate 30 µM (BzATP, Sigma); antagonists, oxidized ATP, 100 µM (Sigma) and Brilliant Blue G 2 µM (Sigma)]. We used BzATP as the agonist because it is several-fold more effective than ATP at recombinant P2X₇ receptors (North and Surprenant, 2000). Antagonists were applied in the bathing medium for 30 min before application of the agonist.

On occasion, the excitatory amino acid antagonists NBQX (20 µM) and AP-5 (50 µM) were applied to the bathing medium to block transmission because of release of glutamate, then BzATP was added in the presence of these drugs. After washout of the NBQX and AP-5, BzATP was reapplied on its own 1.5 hr after the first application.

Visualization of nerve terminal destaining at the neuromuscular junction. Eight- to ten-week-old C57BL/6 mice were killed by inhalation of CO₂. Whole ventrolateral abdominal walls with attached lower thoracic cage were dissected in oxygenated Ringer's solution. The external oblique muscle was removed to expose underlying internal oblique and transversus abdominus musculature, which were separated in the midline to produce two hemiabdominal walls. One intercostal nerve was dissected from its intercostal space to the level of the diaphragm.

Preparations were loaded with the vital styryl dyes FM1-43 (2 µg/ml; Molecular Probes) or RH414 (10 µg/ml; Molecular Probes) in physiological saline solution by nerve stimulation (suprathreshold 0.1 msec pulse trains delivered at 10 Hz for 10 min to the intercostal nerve via a suction electrode), followed by at least 1 hr washing in oxygenated physiological saline. Preparations were transferred to the microscope stage and terminals were mapped and imaged before addition of 30 µM BzATP (Sigma). Images were captured every 5 min for 30 min, via an integrating monochrome CCD camera (Cohu, Steventon, UK), Scion (Frederick, MD) LG3 frame grabber, and an Apple Macintosh computer running Scion Image software. A 25% neutral density filter was used to attenuate the light source throughout experiments. Measurements of mean pixel intensity for regions of interest in each nerve terminal were background-subtracted and normalized to the intensity of the first image in the time sequence, to give a value of relative pixel intensity. Control preparations were imaged in an identical manner, but BzATP was omitted from the solution during imaging. In some experiments, subsequent to FM 1-43 labeling and before imaging, preparations were bathed in 100 µM oxidized ATP or 1 µM Brilliant Blue G in physiological saline for 1 hr and then transferred to 30 µM BzATP and 100 µM oxidized ATP or 1 µM Brilliant Blue G in physiological saline for imaging.

Dye-loading experiments. Because the P2X₇ receptor has been reported to open a large pore permitting nonselective passage of molecules up to 900 Da such as YO-PRO-1 (Surprenant et al., 1996), we sought to determine whether our observed responses were attributable to opening of the selectively permeable channel or the nonselective large pore. Slices of medulla oblongata and spinal cord (250 µm) were prepared as described for the electrophysiology earlier and maintained in oxygenated aCSF in glass vials at both room temperature and 35°C. The fluorescent dyes YO-PRO-1 (10 µM; MW, 629 Da; Molecular Probes) or carboxyfluorescein (40 µM; MW 376; Molecular Probes) were added to the solutions previous or simultaneous to addition of BzATP (30 µM). In some cases, oxidized ATP (100 µM) was present before BzATP was added. In other cases the excitatory amino acid receptor antagonists NBQX (20 µM) and D-APV (50 µM) were also added to the solution. As controls the fluorescent dyes were added in the absence of all drugs or in the presence of antagonists only. Slices were incubated in reaction solution for intervals between 10 and 60 min before being fixed in 4% paraformaldehyde for 60 min, resectioned at 50 µm using a vibrating microtome, and examined using filter sets appropriate to the fluorescent dye used. Similar experiments using YO-PRO-1 and carboxyfluorescein were also performed in a nerve-muscle preparation as described for the destaining experiments above.

	RESULTS

TOP ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

mRNA encoding for the P2X₇ receptor is present in neurons in the CNS

RT-PCR analysis revealed the presence of P2X₇ transcripts in spinal cord and medulla RNA (Fig. 1, lanes 1, 2). No amplified products were detected when using water or RNA as template (Fig. 1a, lanes 3, 4, 5, 8). Veracity of the amplified products was confirmed by cloning the PCR product into pGEM T-Easy followed by DNA sequencing. The P2X₇ receptor in the CNS has previously been reported to be present only in activated microglia (Collo et al., 1997), which could account for the positive PCR reaction. However, we performed in situ hybridization to detect P2X₇ mRNA, and this revealed that expression was present in the cytoplasm of neurons throughout the medulla oblongata and spinal cord (Fig. 2). A positive reaction was observed only in sections hybridized with antisense and not in sections incubated with a sense probe or without a probe.

View larger version (54K): [in this window] [in a new window]   Figure 1.   RT-PCR indicates expression of the P2X7 receptor in spinal cord and medulla oblongata. Agarose gel electrophoresis of PCR products obtained after reverse transcription of total RNA. RT-PCR analysis revealed the presence of P2X7 transcripts in RNA extracted from spinal cord (lane 1) and medulla (lane 2). No amplified products were detected when using water or RNA as template (lanes 3, 4, 5, 8). Veracity of the amplified products was confirmed by cloning the PCR product into pGEM T-Easy followed by DNA sequencing. As a positive control, the PCR products for the housekeeping gene hprt were also detected in both tissues (lanes 6, 7). Products resulting from a 1 kb molecular weight marker are indicated in lane M, and the bands correspond to the calculated size for all PCR products.

View larger version (157K): [in this window] [in a new window]   Figure 2.   In situ hybridization reveals that messenger RNA coding for the P2X7 receptor is present in neurons throughout the spinal cord and medulla oblongata. A, Spinal cord section indicating positive signal after hybridization with a DIG-labeled antisense probe specific to the P2X7 receptor, visualized with alkaline phosphatase. The signal is present throughout the gray matter and is easily seen in the large motoneurons of the ventral horn (VH) as well as in dorsal horn (DH) neurons. The white matter (WM) is sparsely labeled. B, Spinal cord section indicating lack of signal when tissue was incubated with a sense probe to the P2X7 receptor. C, Medulla oblongata section indicating the widespread positive signal obtained after hybridization with the DIG-labeled antisense probe specific to the P2X7 receptor. Positive signal is visible in labeled neurons throughout the medulla. D, Medulla oblongata section indicating lack of signal when tissue was incubated with a sense probe to the P2X7 receptor. E, Larger magnification of the dorsal vagal complex of the medulla oblongata, indicating that hybridization reaction product can be observed in neuronal structures (arrows). F, Larger magnification of the ventral horn of the spinal cord indicating that hybridization reaction product can be observed in the cytoplasm of large ventral horn motoneurons (arrows). G, Neurons (arrow) in the dorsal horn of the spinal cord also contain hybridization reaction product in their cytoplasm.

P2X₇ receptor immunoreactivity is targeted to presynaptic terminals in the CNS and at the neuromuscular junction

Because in situ hybridization revealed neuronal expression of the P2X₇ receptor, we examined the cellular localization using a commercially available antibody directed toward an intracellular portion of the receptor. Evidence that the primary antibody was specific to the P2X₇ receptor was obtained from Western blotting, in which blotting of rat brainstem resulted in a major band at ~69 kDa (Fig. 3). This corresponds to the expected molecular weight for P2X₇ (Surprenant et al., 1996). Furthermore, preabsorption of the antiserum with the peptide antigen abolished staining of the membrane. This specificity appeared to be retained in tissue sections because in control sections where the primary antibody had been omitted or preabsorbed with peptide antigen, there was no staining. Furthermore, the pattern of labeling was distinct to that obtained with antibodies to the P2X subunits P2X₂ (Atkinson et al., 2000), P2X₁, and P2X₄ (unpublished data). Immunoreactivity for the P2X₇ receptor was observed in punctate structures throughout the medulla oblongata and the spinal cord with both fluorescence and transmitted light microscopy (Fig. 4). The immunoreactivity was visible in all parts of the medulla and spinal cord examined, and there was no obvious preferential localization to particular nuclei (Fig. 4). Immunoreactive structures appeared to outline the somata and dendrites of neurons (Fig. 4). Because it was not possible at the light microscopic level to determine whether these structures were glial or neuronal processes, we examined the tissue at the ultrastructural level. This electron microscopy revealed that P2X₇ receptor immunoreactivity was concentrated in neuronal synaptic terminals presynaptic to other neuronal structures in both the medulla oblongata and spinal cord (Fig. 5A,B). Synapses were characterized by the presence of clear vesicles clustered toward the presynaptic active zone, rigid apposition of presynaptic and postsynaptic membranes, and an asymmetric type (Gray's type I) thickening of the postsynaptic membrane that was often associated with subjunctional bodies (Fig. 5A,B). Despite examining >230 terminals in the medulla oblongata and spinal cord, we did not find any P2X₇-immunoreactive terminals associated with obvious symmetric (Gray's type II) synapses. In addition, the P2X₇ receptor was not colocalized with GABA, GAD, or the GABA vesicle transporter (vGAT) when tissue was double-stained for both antigens (data not shown). In accordance with the receptors being incorporated into the membrane, reaction product was often observed adjacent to the membrane (Fig. 5A,B,D,E). In addition, reaction product was present in the cytoplasm of the terminals (Fig. 5A-E), concordant with trafficking of the receptor to its final site or internalization after agonist stimulation as observed in neurons transfected with GFP-tagged P2X₁R (Li et al., 2000) or GFP-tagged P2X₂R (Khakh et al., 2001).

View larger version (106K): [in this window] [in a new window]   Figure 3.   Western blotting indicates the tissue specificity of the antibody to P2X7 receptors. Western blotting of rat brainstem resulted in staining of a major band running at ~69 kDa when detected with the anti-P2X7 receptor antibody. This is the predicted molecular weight of the P2X7 receptor. Preabsorption of the antiserum with the cognate peptide abolished staining of the membrane.

View larger version (143K): [in this window] [in a new window]   Figure 4.   Widespread P2X7 receptor immunoreactivity in the spinal cord, medulla oblongata, and at the neuromuscular junction is localized to punctate structures. A1, Half section of the spinal cord stained for P2X7 immunoreactivity and detected with Alexa488 (green). Labeling is dense in the neuropil of the spinal cord, but less so in the white matter. CC, Central canal; VH, central horn; DH, dorsal horn; WM, white matter. Areas indicated in boxes are illustrated at higher magnification as appropriate. Dense fiber staining is evident in the dorsal horn (A2), intermediolateral cell column (A3), and the ventral horn, where labeled structures appear to surround the somatic membrane of large motoneurons (A4). In the white matter (A5), occasional labeled fibers can be observed. B, P2X7 immunoreactivity is also ubiquitous throughout the medulla oblongata. In this high-magnification view, P2X7 immunoreactivity (detected with Cy3, red) is observed in punctate structures in the neuropil as well as surrounding the somatic membrane of neurons in the hypoglossal nucleus. C, Mammalian motor nerve terminals are also immunoreactive for P2X7 receptors. Transversus abdominis muscle from adult mice contained P2X7 receptor immunoreactivity localized to the motor nerve terminal (green, detected with FITC), which appear to be distinct from the postsynaptic receptors (red, labeled withTRITC--bungarotoxin).

View larger version (134K): [in this window] [in a new window]   Figure 5.   P2X7 receptors are localized presynaptically to terminal boutons in the CNS displaying characteristics of excitatory synapses and to the motor nerve terminal at the neuromuscular junction. A, A presynaptic terminal (asterisk) in the nucleus tractus solitarius of the medulla oblongata contains electron-dense DAB reaction product (dark gray). The terminal forms a synapse (arrows) of the asymmetric type with a dendritic structure (Dend). B, A presynaptic terminal (asterisk) in the intermediolateral cell column of the spinal cord forms an asymmetric type synapse (arrows) with a dendritic structure (Dend). C, At the neuromuscular junction, immunoreactivity was also located presynaptically in the motor nerve terminal (asterisk). Arrows indicate a region of synaptic specialization at the endplate. D, To determine whether P2X7 receptor containing terminals are excitatory, a population containing purely excitatory fibers (vagal nerve afferent fibers) was anterogradely labeled before immunohistochemistry. The electron-dense DAB labeling in this case is the result of the reaction to localize the anterograde tracer, whereas the gold deposits (open arrow) indicate the presence of P2X7 receptor immunoreactivity in these excitatory terminals. E, Another example of a DAB-labeled vagal afferent terminal that contains P2X7 receptor immunoreactivity. F, P2X7 receptor mRNA was detected in the nodose ganglion, the location of the neurons giving rise to central vagal afferent projections. Agarose gel electrophoresis of PCR products obtained after reverse transcription of total RNA. RT-PCR analysis revealed the presence of P2X7 transcripts in RNA extracted from medulla (lane 1) and nodose ganglion (lane 2). No amplified products were detected when using water as template (lanes 3, 6). As a positive control, the PCR products for the housekeeping gene hprt were also detected in both tissues (lanes 2, 5). Products resulting from a 1 kb molecular weight marker are indicated in lane M, and the bands correspond to the calculated size for all PCR products.

Because synapses that exhibit asymmetric type morphology are considered to be excitatory in nature, we first selected terminals that we could be certain were excitatory by labeling anterogradely the central projections of vagal afferent fibers with the anterograde tracer biotinylated dextran amine. Using a procedure we have shown to be effective in localizing the P2X₂ receptor to vagal afferent terminals (Atkinson et al., 2000), the tracer was detected with DAB to yield an electron-dense amorphous reaction product, whereas P2X₇ receptor immunoreactivity was visualized by silver intensifying a gold-conjugated secondary antibody. Electron microscopic examination revealed silver deposits indicating P2X₇ receptor immunoreactivity in DAB-labeled myelinated fibers and terminals of central projections of vagal afferent neurons (n = 10) (Fig. 5D,E), indicating that the receptor is present in excitatory terminals in the CNS. Consistent with expression of the P2X₇ receptor in vagal sensory nerve terminals, we detected P2X₇ receptor transcripts in nodose ganglia extracts (Fig. 5F).

We did not find any P2X₇ receptor immunoreactivity associated with the plasma membrane of neuronal somata or dendrites, suggesting that it is not functionally targeted to the postsynaptic membrane. However, because in situ hybridization indicated the presence of the P2X₇ receptor in ventral horn motoneurons, we tested the neuromuscular junction for the presence of P2X₇ receptor immunoreactivity (Fig. 4C). Immunofluorescence microscopy indicated that punctate P2X₇ receptor immunoreactivity was localized to the neuromuscular junctions in neonatal and adult skeletal muscle (Fig. 4C). This immunoreactivity was completely blocked by preincubation with the control P2X₇ antigen. Electron microscopy confirmed that the P2X₇ immunoreactivity was located exclusively presynaptically and apparently restricted to the presynaptic face of labeled terminals (Fig. 5C). Notably, we found no immunoreactivity in motor nerve axons or terminal Schwann cells, but it was present in myelinating Schwann cells (data not shown). Identical preparations labeled with P2X₁, P2X₂, and P2X₄ antibodies (all from Alomone Labs) resulted in no labeling at the neuromuscular junction.

Activation of the P2X₇ receptor results in excitation of CNS neurons via release of glutamate

Because anatomical methods indicated the presence of the P2X₇R in the CNS, we performed electrophysiological studies to determine whether activation of the receptor could affect neuronal activity. BzATP (30 µM) was bath-applied to 18 sympathetic preganglionic neurons recorded in the whole-cell patch-clamp configuration in spinal cord slices. After a delay for the drug to reach the tissue, there was a large depolarization of the neurons that often reached the threshold for action potential generation (Fig. 6A). Depolarization was sometimes so pronounced that it resulted in spike accommodation, which was maintained during the presence of the agonist (Fig. 6A). Because of the reported long preincubations required for antagonists to exhibit their effects (Jiang et al., 2000; North and Surprenant, 2000), we tested for antagonism by preincubating slices for 30 min in the P2X₇ receptor antagonists oxidized ATP (100 µM; n = 5) or Brilliant Blue G (2 µM; n = 6) and then adding BzATP. There was no response to BzATP in the presence of either antagonist. BzATP has been reported to act also on P2X₁ and P2X₃ receptors (Bianchi et al., 1999), and this can be reversibly inhibited by oxidized ATP (Evans et al., 1995). However, because oxidized ATP irreversibly inhibits the P2X₇ receptor (North and Surprenant, 2000), we reapplied BzATP 90 min after the first application and washout of oxidized ATP and observed no excitatory response (n = 3). On occasion, a reduction in firing rate of the recorded neuron was observed when BzATP was applied in the presence of antagonists (Fig. 6B). This may be because of unknown actions of BzATP or possible breakdown products on other receptors such as P2YR. Nevertheless, these data indicate that the receptor activated by BzATP that contributes to the excitatory response in these experiments is the P2X₇ receptor.

View larger version (42K): [in this window] [in a new window]   Figure 6.   Activation of the P2X7 receptor in CNS slices elicits depolarizations in neurons attributable to release of glutamate. A, The P2X7 receptor agonist BzATP depolarizes neurons. In this example the cell was at a potential of 60 mV, and a depolarizing current of +20 pA, 1 sec duration was applied every 7 sec, which on occasion caused the neuron to reach the threshold for firing (shown on a faster time base below). Application of BzATP (30 µM) depolarized the neuron, resulting in discharge of action potentials and eventual depolarizing block. Recovery after washout is shown in the inset. B, The effects of BzATP were antagonized by appropriate antagonists. When preincubated in the P2X7 receptor antagonist Brilliant Blue G (2 µM) for 30 min, BzATP failed to depolarize neurons. This neuron was also held at 60 mV, and depolarizing current pulses of +30 pA were applied. C, BzATP-evoked depolarizations were blocked by excitatory amino acid receptor antagonists. Superfusion of the non-NMDA receptor antagonist NBQX (20 µM) and the NMDA receptor antagonist AP-5 (50 µM) prevented BzATP (30 µM)-evoked depolarization even after prolonged application (C1). After 90 min washout, application of BzATP caused a large depolarization and increase in firing rate that again resulted in depolarizing block. This neuron was held at 60 mV with current pulses of +15 pA applied every 7 sec.

Because anatomical studies indicated that the receptor was present presynaptically in excitatory terminals, we tested the hypothesis that the observed excitation was attributable to the release of glutamate. We therefore pharmacologically antagonized ionotropic glutamate receptors by incubating slices in NBQX (20 µM) and AP-5 (50 µM) before application of BzATP (Fig. 6C). When these antagonists were present, BzATP did not produce a response in the recorded neuron (n = 3) (Fig. 6Ci). However, when the antagonists were washed out and slices were allowed to recover from BzATP application for >90 min, a further application of BzATP elicited a characteristic response (n = 2) (Fig. 6Cii). These results indicate that BzATP causes release of glutamate, which excites recorded neurons.

Activation of the P2X₇ receptor promotes transmitter release at the neuromuscular junction

Taken together, our electrophysiological results are consistent with the anatomy and suggest an enhancement of release of transmitter through vesicular release. However, activation of the P2X₇ receptor has been suggested to interfere with glutamate uptake processes by transporters in Muller cells of the retina (Pannicke et al., 2000), and such reduced glutamate uptake could contribute to excitation in neurons, as observed in our experiments. We therefore tested whether activation of the P2X₇ receptor can result in vesicular release by direct visualization of vesicle destaining at the neuromuscular junction (Figs. 7, 8). We performed experiments in which motor nerve terminals were loaded with vital styryl dyes, which results in labeling of actively recycling vesicles. Destaining of nerve terminals is taken as evidence for vesicle exocytosis, which reflects release of neurotransmitter (Cochilla et al., 1999). In control preparations only a minimal reduction in fluorescence was observed over the 30 min visualization period (89 ± 4%; n = 2), which is attributed to photobleaching and spontaneous release of neurotransmitter (Figs. 7, 8). In the presence of BzATP (30 µM), nerve terminals destained with a sigmoidal time course to 48 ± 2% (n = 6) of their original value over the same time period (Figs. 7, 8). This is significantly different from the control preparation (p < 0.005; Student's t test). When terminals were preincubated in the P2X₇ receptor blockers, oxidized ATP (100 µM) or Brilliant Blue G (1 µM) terminal brightness was only reduced to 85 ± 3% (n = 4) and 85 ± 4% (n = 5), respectively (Fig. 8). These data are significantly different from the BzATP-treated preparations (p < 0.05; Student's t test) and indicate that destaining, and hence agonist-induced neurotransmitter release had been prevented. Notably, we were able to restain terminals with styryl dyes subsequent to BzATP-driven destaining, suggesting that the nerve terminals had not become damaged by the treatment.

View larger version (98K): [in this window] [in a new window]   Figure 7.   Activation of P2X7 receptors promotes nerve terminal destaining associated with transmitter release at the neuromuscular junction. Nerve terminals were loaded with FM1-43 or RH414 and transferred to the microscope stage. Terminals were visualized, using a ND25 filter at all times, at t = 0 (a, c, e) and every 5 min until t = 30 min (b, d, f). Control preparations were repeatedly imaged and showed modest photobleaching (a, b). In an identical experiment but with 30 µM BzATP added at t = 0 (c, d), terminals destained by ~50%, over 30 min. In a repeat experiment in which the preparation was preincubated with 100 µM oxidized ATP (e, f) or 1 µM Brilliant Blue G (g, h) before and during BzATP addition, BzATP-mediated destaining was prevented and terminals again demonstrated some photobleaching comparable with control over 30 min.

View larger version (14K): [in this window] [in a new window]   Figure 8.   Quantification of P2X7 receptor-mediated motor nerve terminal destaining. Plots of mean pixel intensity from multiple regions of interest on multiple nerve terminals. Values are background-subtracted and expressed as mean fractions of the value at t = 0 ± SEM. Control values (open circles) showed a moderate degree of photobleaching (10%). In the presence of BzATP (30 µM; filled squares), terminals destained by 50% over 30 min. Pretreatment with oxidized ATP (100 µM; filled circles) or Brilliant Blue G (1 µM; filled triangles) completely blocked the BzATP-evoked destain. The BzATP evoked destain is significantly different from control, oxidized ATP, or Brilliant Blue G-blocked preparations.

The P2X₇ receptor does not undergo large pore formation in our experimental conditions

Several studies demonstrate that the activation of P2X₇ receptors results in the opening of a nonselective large pore permeable to molecules up to 900 Da (Steinberg and Silverstein, 1989; Surprenant et al., 1996). We therefore sought to determine whether our observed responses were caused by opening of the selectively permeable channel or the nonselective large pore. However, we were unable to demonstrate loading of terminals with YO-PRO-1 in either the neuromuscular junction or in CNS slices. We did observe YO-PRO-1 uptake by neuronal cell bodies in CNS slices, but these were also present in control tissue without agonist present and were assumed to be attributable to cell injury during tissue preparation. Because YO-PRO-1 is fluorescent only when it binds to nucleic acids, there may be insufficient nucleic acids in the terminals to make it visible. We therefore repeated the same experiments using 6-carboxyfluorescein (MW 376; 40 µM). We again did not find any staining in terminals, and the low numbers of stained neurons were similar to those observed in control experiments. We therefore suggest that activation of the P2X₇ receptor present in presynaptic terminals does not cause large pore formation under these experimental conditions in which the large pore might be blocked by the relatively high levels of divalent cations present (Virginio et al., 1997; Michel et al., 1999).

	DISCUSSION

TOP ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

Ionotropic ATP receptors P2X_1-6 participate in fast excitatory neurotransmission in the CNS, but to date the P2X₇ receptor (P2X₇R) has been excluded from an involvement in synaptic transmission. Here we show that the P2X₇R has a remarkably widespread distribution throughout the brainstem and spinal cord where it is targeted to excitatory presynaptic terminals of neurons. Pharmacological activation of this receptor in CNS slices increases release of glutamate and excitation of postsynaptic neurons. At the neuromuscular junction, activation of the P2X₇R promotes vesicular release of neurotransmitter. These data indicate that the P2X₇R is functionally targeted to excitatory presynaptic terminals throughout the nervous system, where it can directly mediate and/or enhance neurotransmitter release.

Identification of the presynaptic P2X receptor as the P2X₇ receptor

Because the P2X₇R has previously been reported as absent from normal adult rat brain (Collo et al., 1997), we combined several approaches to ensure that we were indeed studying the P2X₇R. First, RT-PCR revealed the presence of messenger RNA for the receptor in CNS tissue. However, because a positive PCR reaction could be caused by glial cell expression, we performed in situ hybridization to determine the identity of the cells expressing the receptor. This procedure revealed widespread neuronal expression of the receptor in the medulla oblongata and spinal cord. Second, immunohistochemical procedures revealed specific immunoreactivity at the NMJ and in the medulla oblongata and spinal cord. The antibody used is generated against residues 576-595 of rat P2X₇R, a sequence not shared by any other known protein, as indicated by a BLAST database search. In addition, the C terminus of the rat P2X₇R is ~200 amino acids longer than other known P2XR and is not present in other known P2XR (Surprenant et al., 1996). Furthermore, Western blotting resulted in a band at the appropriate molecular weight that was abolished by preadsorption of the antibody with the antigenic peptide. These data suggest that the antibody specifically recognizes the rat P2X₇R. Third, our electrophysiological and destaining experiments are consistent with the activated receptor being the P2X₇R. We used BzATP as the agonist because it is several-fold more effective than ATP at recombinant P2X₇R (North and Surprenant, 2000). However, BzATP has been shown to act at recombinant P2X₁R with greater potency than P2X₇R, and at P2X₃R with similar potency (Bianchi et al., 1999). Nevertheless, neuronal P2X₁R or P2X₃R have not been reported in neurons in the region of the spinal cord where we conducted our electrophysiological recordings or at the NMJ. Furthermore, the BzATP responses were irreversibly blocked by oxidized ATP. Although oxidized ATP acts on P2X₁ and P2X₂ receptors, the actions on these receptors are reversible (Evans et al., 1995), whereas the action of oxidized ATP at the P2X₇R is irreversible (North and Surprenant, 2000). We were unable to repeat our responses after washout of oxidized ATP, consistent with an action on P2X₇R. In addition, Brilliant Blue G, recently reported as a selective P2X₇R antagonist (Jiang et al., 2000), also blocked the response to BzATP. Therefore it is likely that we have reported the results of activation of the P2X₇R.

Implications for synaptic transmission

Although P2X receptors have been reported to enhance or directly mediate transmitter release from presynaptic terminals (Gu and MacDermott, 1997; Khakh and Henderson, 1998; Boehm, 1999), the lack of specific agonists and antagonists have hindered identification of the particular subtypes responsible. Our findings indicate that the P2X₇R plays a similar role at the presynaptic terminal. However, this is the first P2XR to be conclusively identified as involved in presynaptic release because of the presence of selective agonists and antagonists for this receptor. Furthermore, the P2X₇R does not form heteromers with other P2X receptors in expression systems (Torres et al., 1999), and so it is likely that the native receptor exists in homomeric form.

The P2X₇R is considerably more prevalent at presynaptic terminals than other P2XR in the CNS. Indeed, although other P2XR are present presynaptically and postsynaptically at restricted sites in the CNS (Collo et al., 1996; Vulchanova et al., 1997; Le et al., 1998; Llewellyn-Smith and Burnstock, 1998; Loesch and Burnstock, 1998; Atkinson et al., 2000), we can only detect the P2X₇ receptor in presynaptic terminals. In addition, our preliminary experiments and those of Armstrong and MacVicar (2000) indicate that the P2X₇R is also present in excitatory presynaptic terminals in forebrain regions such as the hippocampus. Furthermore, this is the first P2 receptor to be identified at the neuromuscular junction, although ATP and its metabolites ADP and adenosine have long been known to affect synaptic transmission at the NMJ (Fu and Poo, 1991). Recently, ATP was shown to modulate neurotransmitter release from motor nerve terminals, but this was suggested to occur via an interaction with presynaptic nicotinic receptors (Salgado et al., 2000). In this light it is interesting to note that P2X₂ and a nicotinic receptor inhibit one another when coactivated (Khakh et al., 2000), and because we could not detect P2X₂ at the NMJ there is the possibility that P2X₇ may interact in a similar manner with presynaptic nicotinic receptors at this site.

The widespread distribution of the P2X₇R receptor to excitatory synaptic terminals suggests a fundamental role for the P2X₇R at synapses. One possible function could be as an autoreceptor, mediating positive feedback from terminals because ATP can be coreleased with other neurotransmitters (Edwards et al., 1997). At the NMJ, ATP is present in vesicles in motor nerve terminals with acetylcholine and is released into the synaptic cleft during nerve stimulation, where it can reach an estimated concentration (at least transiently) of 30-300 µM (Silinsky et al., 1990; Smith, 1991; Ribeiro et al., 1996), well within the EC₅₀ value of 100 µM for ATP at the rat P2X₇R (North and Surprenant, 2000). The prevalence of the P2X₇R and the possibility that synaptically released ATP can reach sufficient levels to activate the receptor suggest that the P2X₇R plays a key role in synaptic transmission.

A role for the P2X₇ receptor in neuropathological conditions?

Another possible role for the neuronal P2X₇R is that it is activated in response to injury. In keeping with this, activation of the P2X₇R evokes glutamate release, and such release is the basis of excitotoxicity (Doble, 1999). ATP is released by neurons that are damaged or under certain neuropathological conditions such as ischemia and anoxia (Dubyak and el Moatassim, 1993; Juranyi et al., 1999). Indeed, because ionic gradients collapse under anoxia and ischemia, resulting in increases in extracellular potassium levels but decreases in sodium, chloride, and calcium concentrations (Morris and Trippenbach, 1993; Xie et al., 1995; Vorisek and Sykova, 1997), P2X₇ receptor function might be expected to be enhanced (Virginio et al., 1997). ATP release may therefore coincide with an environment favoring activation of the P2X₇R. It is evident that such conditions can activate the P2X₇R because the P2X₇R in the brain is upregulated in tissue surrounding a necrotic region (Collo et al., 1997), and microglial cell lines contain the receptor (Ferrari et al., 1997).

After injury and associated ATP release, the neuronal P2X₇R may undergo large pore formation, as observed when the P2X₇ receptor is exposed to agonists for prolonged periods (Steinberg and Silverstein, 1989; Ballerini et al., 1996; Surprenant et al., 1996; Chessell et al., 1997; Ferrari et al., 1997; Rassendren et al., 1997). Such large pore formation by the P2X₇R has been associated with a cytolytic role (Virginio et al., 1999). We could find no evidence for large pore formation in presynaptic terminals, but there are several reasons why this might have been the case. Within the CNS slices it is possible that the high molecular weight fluorescent dyes do not gain access to the terminals, and therefore uptake cannot be observed. However, this limitation is not applicable to the neuromuscular junction where accessibility is indicated by the uptake of styryl dyes into presynaptic terminals. Another possibility is that the amount of dye entering the terminals does not provide sufficient signal for visualization. We cannot discount this possibility but note that it is possible to visualize styryl dyes in terminals. Nevertheless, the lack of large pore formation is consistent with findings when the rat P2X₇ receptor is expressed in oocytes (Petrou et al., 1997) and for the P2X₇ receptor in Muller glial cells of the human retina (Pannicke et al., 2000). Possibly the explanation lies in the relatively high concentrations of extracellular calcium and magnesium ions in our experiments because the large pore is more likely to open in low concentrations of divalent cations (Surprenant et al., 1996).

In conclusion, we show here that the P2X₇R is expressed by neurons, is targeted to presynaptic terminals that are excitatory, and that activation of this receptor in the CNS and PNS elicits transmitter release, which is likely to be glutamate in the CNS. Considering the well established roles for glutamate in excitotoxicity and the activation of the P2X₇ receptor in response to injury, the P2X₇ receptor may represent a new therapeutic target to reduce cell death in times of stress.

	FOOTNOTES

Received May 15, 2001; revised July 5, 2001; accepted July 9, 2001.

We thank the British Heart Foundation (S.A.D., H.M., T.F.C.B., J.D.), Wellcome Trust (L.A., C.J.M., N.J.B., J.D.), and Action Research (S.H.P.) for their generous support.

Correspondence should be addressed to Jim Deuchars, School of Biomedical Sciences, University of Leeds, LS2 9NQ, Leeds, UK. E-mail: J.Deuchars{at}leeds.ac.uk.

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