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The Journal of Neuroscience, February 1, 2001, 21(3):1076-1085
Adenosine-Mediated Presynaptic Modulation of Glutamatergic
Transmission in the Laterodorsal Tegmentum
Elda
Arrigoni1,
Donald G.
Rainnie1, 2,
Robert W.
McCarley1, and
Robert W.
Greene1
1 Harvard Medical School and Veterans
Administration Medical Center, Department of Psychiatry,
Brockton, Massachusetts 02401, and 2 Emory University,
Department of Psychiatry, Atlanta, Georgia 30322
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ABSTRACT |
The laterodorsal tegmentum (LDT) neurons supply most of the
cholinergic tone to the brainstem and diencephalon necessary for physiological arousal. It is known that application of adenosine in the
LDT nucleus increases sleep in vivo (Portas et al.,
1997 ) and directly inhibits LDT neurons in vitro by
activating postsynaptic adenosine A1 receptors (Rainnie et
al., 1994 ). However, adenosine effects on synaptic inputs to LDT
neurons has not been previously reported. We found that both evoked
glutamatergic EPSCs and GABAergic IPSCs were reduced by adenosine (50 µM). A presynaptic site of action for adenosine
A1 receptors on glutamatergic afferents was suggested by
the following: (1) adenosine did not affect exogenous glutamate-mediated current, (2) adenosine reduced glutamatergic miniature EPSC (mEPSC) frequency, without affecting the
amplitude, and (3) inhibition of the evoked EPSC was mimicked by the
A1 agonist N6-cyclohexyladenosine (100 nM) but
not by the A2 agonist
N6-[2-(3,5-dimethoxyphenyl)-2-(methylphenyl)-ethyl]-adenosine (10 nM).
The A1 receptor antagonist 8-cyclopentyltheophylline (CPT;
200 nM) potentiated the evoked EPSCs, suggesting the
presence of a tonic activation of presynaptic A1 receptors
by endogenous adenosine. The adenosine kinase inhibitor,
5-iodotubercidin (10 µM), mimicked adenosine presynaptic
and postsynaptic effects. These effects were antagonized by CPT or
adenosine deaminase (0.8 IU/ml), suggesting mediation by increased
extracellular endogenous adenosine. Together, these data suggest that
the activity of LDT neurons is under inhibitory tone by endogenous
adenosine through the activation of both presynaptic A1
receptors on excitatory terminals and postsynaptic A1
receptors. Furthermore, an alteration of adenosine kinase activity
modifies the degree of this inhibitory tone.
Key words:
adenosine; evoked EPSC; synaptic modulation; laterodorsal tegmental (LDT) nucleus; sleep; electrophysiology; A1
receptors; adenosine kinase inhibitor
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INTRODUCTION |
Cholinergic neurons of the
mesopontine laterodorsal tegmental nucleus (LDT) and pedunculopontine
tegmental nucleus (PPT), together with the cholinergic neurons of the
basal forebrain (BF), constitute to the cholinergic "arousal
system." Most of these cholinergic neurons selectively increase their
discharge rate during the two states of electroencephalographic (EEG)
activation: waking and rapid eye movement (REM) sleep (Szymusiak and
McGinty, 1989 ; Semba, 1991 ; Jones, 1993 ; Szymusiak, 1995 ). Cortical EEG activation and behavioral arousal depends, at least in part, on excitatory cholinergic projections to the thalamus. An increased cholinergic tone can depolarize thalamocortical neurons, inducing a
voltage-dependent shift in their discharge pattern from a burst firing
mode to a more responsive single-spike mode, which is associated with
cortical activation (Steriade et al., 1993 ). During the transition from
waking to sleep, the firing rate of LDT/PPT neurons markedly decreases,
reducing the cholinergic tone of their target sites and thus
facilitating the transition to sleep (Steriade et al., 1990 ). Several
"sleep factors" have been proposed to regulate the transition from
waking to sleep. One such factor, adenosine, has been shown to promote
sleep and increase EEG slow wave activity in a manner similar to that
observed at the onset of sleep (for review, see Radulovacki, 1985 ;
Strecker et al., 2000 ). Moreover, adenosine antagonists, such as
caffeine and theophylline, are known to suppress sleep (for review, see
Fredholm et al., 1999 ). We recently proposed that adenosine may mediate
these state-dependent changes by a direct A1
receptor-mediated inhibition of neurons of the cholinergic arousal
system (Rainnie et al., 1994 ). This hypothesis is supported by
subsequent observations that (1) local administration of adenosine into
either the LDT/PPT or the cholinergic area of the BF in cats (Portas et
al., 1997 ) and in BF in rats (Basheer et al., 1999 ) decreases waking,
(2) local administration of the adenosine transport inhibitor
S(4-nitrobenzyl)-6-thioinosine (NBTI) into the BF promotes
sleep in cats (Porkka-Heiskanen et al., 1997 ), whereas application in
the BF of adenosine A1 receptor antagonist
increases waking (Strecker et al., 2000 ), (3) sleep deprivation induces
a region-specific increase in BF adenosine levels that decline after
subsequent recovery sleep (Porkka-Heiskanen et al., 1997 ; Basheer et
al., 1999 ; for review, see Strecker et al., 2000 ), and (4)
A1 receptor activation inhibits the firing activity of wake active neurons in the BF of rats and cats (Alam et
al., 1999 ; Thakkar et al., 1999 ).
Adenosine inhibits 60-70% of LDT/PPT neurons recorded in whole-cell
patch-clamp configuration by activation of postsynaptic A1 receptors coupled to an inwardly rectifying
K+ conductance (Rainnie et al., 1994 ).
However, the activity of 100% of LDT/PPT and BF neurons recorded with
extracellular recording electrodes in vitro was inhibited by
similar concentrations of adenosine, suggesting an additional
presynaptic locus of adenosine action. In the present study, we have
investigated the role of exogenous and endogenous adenosine in
regulating synaptic transmission in the LDT nucleus.
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MATERIALS AND METHODS |
Slice preparation. Experiments were performed
in vitro on coronal brainstem slices that were prepared
using standard methods (Luebke et al., 1993 ). Briefly, female
Long-Evans hooded rats (21-30 d old) were decapitated after
isofluorane-induced anesthesia, and their brain were rapidly removed.
Coronal slices (400 µm) were cut with an EMS 3000 Vibratome (Electron
Microscopy Science, Fort Washington, PA) at 4°C in artificial
CSF (ACSF). Two or three slices containing the LDT nucleus were
transferred to a holding chamber and incubated at room temperature in
continuously oxygenated ACSF for ~1 hr before use.
Recording. Individual slices were transferred to
the recording chamber where they were submerged and perfused with
pregassed ACSF (1.8 ml/min) at 32°C. Recordings were made with the
"blind" whole-cell technique (Blanton et al., 1989 ) in
voltage-clamp mode using an Axopatch-1D amplifier (Axon Instruments,
Foster City, CA). Data acquisition and analysis were conducted with a
Digidata 1200B interface and Clampex 8.0 software (Axon Instruments).
Patch electrodes were pulled from borosilicate glass tubing (outer
diameter 1.5 mm; inner diameter 0.86 mm, with filament) on a P97
pipette puller (Sutter Instrument, Novato, CA) and had resistances of 7-10 M when filled with the recording medium. Series resistance was
monitored at regular intervals throughout the course of the experiments
with voltage pulses ( 10 mV; 100 Hz).
Evoked (ev) EPSCs and evIPSCs were electrically induced after
stimulation of afferents to the LDT with a bipolar electrode PK/3 (FHC,
Bowdoinham, ME) placed on the surface of the slice close to the
dorsolateral border of the ipsilateral LDT, rostral-caudal extent
(between 8.72 and 9.30 mm relative to Bregma). The regions of the stimulation correspond to the cuneiform nucleus (rostral sections) and parabrachial nucleus (caudal sections). An isolated constant-current source, Master-8 (A.M.P.I. Jerusalem, Israel), was
used to generate square-wave pulses of direct current (300-3000 µA;
200 µsec duration; 0.3 Hz). The stimulation trigger was controlled by
Clampex 8.0 software. Unless specified, all evEPSCs were captured at
Vh 60 mV and are displayed as
averages of 10 current traces.
Spontaneous, miniature EPSCs (mEPSCs) were recorded in the presence of
tetrodotoxin (TTX; 1 µM). Continuous recordings of 60 sec
epochs were obtained with Clampex 8.0 software, low-pass-filtered at 1 or 2 kHz, and digitized at 5 kHz. Events were semiautomatically analyzed off-line with Mini Analysis 4.0 software (Synaptosoft, Leonia,
NJ). Traces were then visually examined, and erroneous events were
rejected. Events were ranked by amplitude and inter-event interval for
preparation of cumulative probability distribution.
Data were compared statistically with either the nonparametric
Kolmogorov-Smirnov test (K-S test) or Student's t test.
Significance was assessed at p < 0.05. All data are
expressed as mean ± SE. To establish whether the evEPSC and
evIPSC amplitudes were affected by drug application, the average
amplitude of 10 evEPSCs/evIPSCs recorded under control conditions and
10 evEPSCs/evIPSCs recorded during the drug application were compared
by using the Student's t test (unpaired). Significance was
assessed (p < 0.05) to select "responding"
neurons. The amplitudes of the evEPSC/evIPSC for the remaining neurons
(termed "nonresponding") were not significantly different from
control (p > 0.1), and so they were excluded
from the averaging of the response amplitude.
Solutions and drugs. The control ACSF solution
for slice preparation and recording contained (in
mM): NaCl 124, KCl 2, KH2PO4 3, MgCl2 1.3, CaCl2 2.5, NaCO3 26, glucose 10, pH 7.35, and 315-320 mOsm
when gassed with O2 95% and
CO2 5%. The patch recording medium contain (in
mM): K-gluconate 120, KCl 10, MgCl2 3, HEPES 10, MgATP 2, NaGTP 0.2, pH 7.2, adjusted with KOH; 280 mOsm. The drugs used in these experiments were
adenosine, adenosine deaminase (type VI),
D( )-2-amino-5-phosphonopentanoic acid
(APV), ( )-bicuculline methiodide (BMI),
N6-cyclohexyladenosine (CHA), CPT; 6,7- dinitro-quinoxaline-2,3-dione (DNQX),
N6-[2-(3,5-dimethoxyphenyl)- 2-(methylphenyl)-ethyl]adenosine (DPMA), dipyridamole, glutamate, 5-iodotubercidin (ITU), NBTI, and TTX.
Drugs were all obtained from Sigma/RBI (Natick, MA). The stocks of CPT,
dipyridamole, DPMA, DNQX, ITU, and NBTI were dissolved in dimethyl
sulfoxide (DMSO) before being added to ACSF (final concentration of
DMSO <0.1%). The ITU stock was protected from the light and added to
the ACSF in a perfusion tube protected from ambient light exposure. In
some experiments, glutamate (1 mM) was
transiently applied (0.8-1.5 sec) by pressure ejection from a
micropipette (1-2 µm tip diameter) positioned near the recorded cell
using a picospritzer (General Valve, Fairfield, NJ). Allura red food
dye (Durkee, San Francisco, CA) was added to the micropipette (2 µl
in 2 ml ACSF) to monitor the area of the slice involved in the pressure
injection protocol. This dye by itself had no electrophysiological
effects on LDT neurons (n = 2).
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RESULTS |
Adenosine inhibits both excitatory and inhibitory evoked synaptic
transmission in LDT neurons
Adenosine has a direct effect on LDT excitability by activation of
postsynaptic adenosine A1 receptors (Rainnie et
al., 1994 ); however, the effect of adenosine on the synaptic input to
these neurons was not known. In the present work we addressed this
issue. Electrical stimulation of the ipsilateral border of the LDT (see Materials and Methods) induced a reproducible evEPSC in most of the LDT
neurons recorded (86%; n = 92;
Vh = 60 mV). Application of non-NMDA
and NMDA receptor subtype specific antagonists DNQX (20 µM) and APV (100 µM)
completely blocked the evEPSCs in all neurons recorded
(n = 27), indicating that they were mediated by
glutamate release (Fig.
1A), similar to that
observed in guinea pig (Sanchez and Leonard, 1996 ). These results are
consistent with anatomical data that LDT neurons receive glutamatergic
projections (for review, see Semba, 1999 ) and have both glutamatergic
AMPA and NMDA receptors (Inglis and Semba, 1996 ). Additionally, in 11 of these 27 neurons, glutamatergic antagonists blocked the evEPSC and
unmasked a residual evIPSC. The evIPSCs were recorded at different
holding potentials between 80 and 40 mV, revealing an average
reversal potential of 62.7 ± 3.3 mV (n = 6),
and were sensitive to the GABAA receptor
antagonist BMI (20 µM; n = 4), suggesting mediation by GABAA receptor activation
(Fig. 1B). In many areas of the CNS, adenosine
inhibits both glutamatergic and GABAergic transmission (Shen and
Johnson, 1997 ; Bagley et al., 1999 ; Oliet and Poulain, 1999 ). However,
in hippocampus and septal nucleus, adenosine inhibits glutamatergic
transmission but not GABAergic transmission (Yoon and Rothman, 1991 ;
Hasuo et al., 1992 ). Therefore, we tested the effect of adenosine on
glutamatergic evEPSCs and GABAergic evIPSCs. Pharmacologically isolated
evEPSCs, recorded in the presence of BMI (20 µM), were reduced by adenosine (50 µM) by 42.35 ± 2.56% in 38 of 48 neurons
tested (Fig. 1A). In the remaining 10 neurons, the
evEPSCs were unaffected by adenosine (0.3 ± 2.04%). GABAergic
evIPSCs, recorded during bath application of DNQX and APV
(Vh = 45 to 40 mV), were also
reduced by adenosine (50 µM) by 56.4 ± 7.1% in seven of nine neurons tested (Fig. 1B). Moreover, as shown in Figure 2, adenosine
reduced the amplitude of the glutamatergic evEPSCs in a dose-dependent
manner with maxresp = 77.3% and
EC50 = 39.9 µM, which are
similar to those previously found in the hippocampus and hypothalamus
(Dunwiddie and Hoffer, 1980 ; Oliet and Poulain, 1999 ).

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Figure 1.
Adenosine modulates both glutamatergic- and
GABAergic-evoked synaptic transmissions. A,
Glutamatergic evEPSCs are inhibited by adenosine (AD).
The evEPSC recorded at Vh = 60 mV is
reversibly reduced by adenosine (50 µM) and blocked by
perfusion of glutamatergic receptor antagonists DNQX (20 µM) and APV (100 µM). B, In
another neuron, a GABAergic evIPSC is inhibited by adenosine. The
evIPSC recorded in the presence of DNQX and APV
(Vh = 40 mV) is reversibly reduced by
adenosine and blocked by GABAA receptor antagonist BMI (20 µM). Each current trace is the average of 10 evEPSCs or
evIPSCs.
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Figure 2.
Dose-response curve for adenosine inhibition of
evEPSCs. The line represents the computer-generated fit
to the data according to the equation: Y = minresp + {(maxresp minresp)/(1 + 10 [(Log
EC50 Log AD) × H])}, with
minresp = 0%,
maxresp = 77.3%, EC50 = 39.9 µM, AD = adenosine
concentration in micromolar, and Hill slope,
H = 0.98. The numbers indicate the
number of cells recorded.
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Adenosine inhibits CNS neurons by activating a G-protein-activated
inwardly rectifying K+ current (GIRK)
(Trussell and Jackson, 1985 ), and in particular, this current is
activated by adenosine in LDT neurons (Rainnie et al., 1994 ).
Activation of the GIRK current might result in a conductance shunt of
the evEPSC and hence contribute to the reduction of the evEPSC
amplitude. Consequently, we examined 79 LDT neurons for the effects of
adenosine on the isolated evEPSC and on activation of postsynaptic GIRK
currents, the latter by measuring either activation of an outward
current (Vh = 60 mV) (see Fig.
6A) or increase in the amplitude of currents obtained during a voltage ramp command from 100 to 35 mV, 10 mV/sec (see Fig. 6C1). Adenosine activated
postsynaptic GIRK currents in 57% of the LDT neurons recorded. In 87%
of these neurons, adenosine also induced inhibition of the evEPSC.
Thus, in 13% of the neurons showing an adenosine-mediated increase in
postsynaptic GIRK current, there was no adenosine-mediated inhibition
of the evEPSC. Furthermore, reduction in the amplitude of the evEPSC
was observed in 71% of the neurons that did not show adenosine
postsynaptic effects, supporting the argument that the inhibition of
the evEPSCs can be mediated independently of the postsynaptic effects.
Adenosine reduces the evoked EPSC amplitude without changing the
postsynaptic response to exogenous glutamate application
In the absence of a GIRK-mediated shunt, the reduction in the
evEPSC amplitude in the presence of adenosine could be caused by (1)
changes in the amount of neurotransmitter released presynaptically or
(2) changes in the responsiveness of postsynaptic glutamate receptors,
or both. Adenosine inhibits glutamatergic transmission mainly
through an activation of presynaptic adenosine receptors (for review,
see Ribeiro, 1995 ; Brundege and Dunwiddie, 1997 ). However, recent
studies have raised the possibility that adenosine can directly
attenuate postsynaptic NMDA currents in hippocampal projection neurons
and retinal bipolar cells (de Mendonca et al., 1995 ; Costenla et al.,
1999 ). To determine whether the inhibitory effect of adenosine on the
evEPSC in LDT neurons might result from a change in the postsynaptic
response to glutamate, we compared the effect of adenosine on currents
evoked by pressure-ejected glutamate (see Materials and Methods) with
the effect of adenosine on evEPSC.
At the holding potential of 60 mV, transient (0.8-1.2 sec)
application of glutamate (1 mM) evoked an inward current
ranging between 0.95 and 2.2 nA in LDT neurons (n = 4).
In four of four neurons tested, the glutamate-evoked currents were
unaffected by adenosine (50 µM)
(Fig. 3A), whereas
the amplitude of the evEPSC was reduced by 47.9 ± 2.2% (Fig.
3B). Both the evEPSCs and the currents elicited by glutamate
injection were sensitive to DNQX (20 µM) and
APV (100 µM) applied in the bath
(n = 3), indicating that both were mediated through
activation of postsynaptic glutamatergic receptors (Fig.
3A,B). A direct inhibitory effect
of adenosine on the postsynaptic glutamate receptors would seem
unlikely, although a specific effect at electrotonically distant
glutamate receptors cannot be excluded.

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Figure 3.
Modulation of glutamatergic transmission
occurs independently of adenosine postsynaptic effects.
A, Adenosine does not alter postsynaptic response to
glutamate. Glutamate-evoked currents, elicited by exogenous glutamate
(1 mM) pressure injected on the recording neuron
(Vh = 60 mV), are unaffected by bath
application of adenosine but are blocked by application of DNQX (20 µM) and APV (100 µM). The duration of each
glutamate injection (1 sec) is indicated by the black
bar above each current trace. B, In the same
neuron, adenosine reversibly decreases evEPSC amplitude. Application of
DNQX and APV eliminates the evEPSCs. C, Adenosine
inhibition of the evEPSCs is independent of both presynaptic and
postsynaptic GIRK activation. In another neuron, adenosine still
reduces evEPSC amplitude in the presence of 2 mM
BaCl2. Each evEPSC current trace is the average of 10 evEPSCs (Vh = 60 mV).
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Adenosine reduces the frequency of mEPSPs
To further investigate the location of adenosine receptors, we
next analyzed the action of adenosine on the amplitude and frequency of
glutamatergic spontaneous mEPSCs. These spontaneous unitary events were
recorded at a holding potential of 60 mV and in the presence of TTX
(1 µM), which completely abolished evoked synaptic
transmission. The frequency of mEPSCs ranged between 3.18 and 11.23 Hz
under control conditions (n = 9), whereas the mean
amplitude varied between 5 and 19.68 pA (191-674 events for each
cell). Application of DNQX (20 µM) completely
blocked the mEPSCs, suggesting mediation by glutamate (Fig.
4A). In five of the
nine neurons recorded, occasional mIPSCs were observed that were
sensitive to BMI (20 µM; n = 2), suggesting mediation by postsynaptic GABAA
receptors. However, the frequency of mIPSCs was typically
observed to be between 0.1 and 0.8 Hz under control conditions, which
was too low for adequate analysis of amplitude and inter-event interval
distribution. We therefore focused on adenosine modulatory effects of
spontaneous mEPSCs.

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Figure 4.
Adenosine reduces glutamatergic mEPSC
frequency without affecting mEPSC
amplitude. A, Consecutive traces (2 sec each) recorded
at Vh = 60 mV, showing typical mEPSC
in control ACSF (left) and during the applications of
adenosine (50 µM; middle) and DNQX (20 µM; right). Adenosine produces a decrease
in frequency of mEPSC, and DNQX blocks the mEPSCs. B,
C, Cumulative distribution plots of mEPSC amplitude and
inter-event interval before (thick line) and during
(thin line) adenosine application for the experiment
shown in A. The cumulative plots show that adenosine
does not induce a significant variation of the mEPSC amplitude
(p > 0.1, K-S test; events analyzed = 685 in control and 232 with adenosine), whereas it does induce a shift
toward the right in the distribution of inter-event intervals
(p < 0.001, K-S test), indicating a
decrease in mEPSC frequency. The mean mEPSC amplitude and frequency
data pooled from nine neurons are represented in the two histograms
(B, C, insets). Adenosine
reduces mean mEPSC frequency (6.18 ± 0.79 Hz in control;
3.21 ± 0.34 Hz in adenosine; p = 0.0015, paired t test) without significant effect on the mean
mEPSC amplitude (10.25 ± 1.44 pA in control; 9.35 ± 1.15 pA
with adenosine; p = 0.066, paired t
test).
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When adenosine (50 µM) was added to the bathing
solution, the spontaneous mEPSC activity was reduced in all
neurons recorded (n = 9) (Fig. 4A).
We examined the amplitude and inter-event interval distributions of the
spontaneous mEPSCs. The results of a representative neuron are shown in
Figure 4, B and C. No significant difference was
found between the amplitude distribution obtained under control conditions and that obtained in the presence of adenosine
(p > 0.1, K-S test; n = 9).
Moreover, the amplitude of the spontaneous mEPSC was unaffected in five
of the nine recorded neurons in which adenosine activated a
postsynaptic GIRK conductance (17.95 ± 12 nS). In contrast,
application of adenosine did affect the cumulative inter-event interval
distribution of the mEPSC, producing a significant rightward shift of
the curve (p < 0.01, K-S test;
n = 9), reflecting a decrease of mEPSC frequency.
Pooled data from nine recorded neurons are represented in Figure 4,
B and C (insets), and show that
adenosine decreases the mean mEPSC frequency (6.18 ± 0.79 Hz, in
control; 3.21 ± 0.34 Hz, with adenosine; p = 0.0015, paired t test) in the absence of a significant
change in the mean mEPSC amplitude (10.25 ± 1.44 pA, in control;
9.35 ± 1.1 pA, with adenosine; p = 0.066 paired
t test).
Modifications of miniature synaptic current frequency, in the
absence of changes in amplitude distribution, most likely reflect a
change in neurotransmitter release probability (Redman, 1990 ). Our
findings are therefore consistent with a presynaptic location for the
adenosine receptors, the activation of which results in an inhibition
of glutamate release. Because the amplitude distributions of the mEPSCs
were not significantly affected, it is unlikely that postsynaptic
glutamate receptors are directly modulated by adenosine.
Does activation of GIRK current mediate the
presynaptic inhibition?
One of the possible mechanisms by which adenosine can inhibit
evoked glutamatergic transmission through presynaptic
A1 receptor activation is by activating the same
GIRK current that adenosine activates postsynaptically, thus shunting
the presynaptic action potential and decreasing the voltage-dependent
Ca2+ entry (for review, see Brundege and
Dunwiddie, 1997 ). To determine whether the inhibitory effect of
adenosine on the evoked EPSC was mediated by presynaptic activation of
GIRK, we tested the effect of adenosine in the presence of 2 mM BaCl2, which is known to
completely block the GIRK conductance activated by adenosine (Gerber et
al., 1989 ; Birnstiel et al., 1992 ). Barium did not block adenosine (50 µM) inhibition of the evEPSC in any neurons tested (Fig.
3C). In the presence of BaCl2,
adenosine still reduced evEPSC amplitude by 53.8 ± 7.3%
(n = 6), compared with a reduction of 42.35 ± 2.56% by adenosine (50 µM; n = 38) in control conditions. The activation of presynaptic GIRK is
therefore unlikely to contribute to the adenosine-mediated inhibition
of the evEPSC.
Adenosine inhibits evoked excitatory inputs via activation of
A1 receptors
In the CNS, the inhibitory effect of adenosine on cellular and
synaptic activity appears to be primarily mediated by
A1 receptors (for review, see Greene and Haas,
1991 ; Brundege and Dunwiddie, 1997 ). Adenosine reduces the activity of
LDT neurons through direct activation of postsynaptic
A1 receptors (Rainnie et al., 1994 ). Here we have
shown an additional indirect inhibition by reduction of excitatory
inputs; however, the subtype of the receptor involved in this effect
was unknown.
We studied the effects of the A1 receptor agonist
CHA (100 nM) for the selective activation of
A1 receptors (EC50 = 1-2
nM at A1 receptors;
EC50 = 450-1000 nM at
A2 receptors) (Bruns et al., 1986 ). The effects
of application of CHA on evEPSCs were identical in character to those
of adenosine (n = 9) (Fig.
5A,E). In six of these neurons tested with CHA, the evEPSC amplitude was
reduced by 59.8 ± 6.3% and by 48.8 ± 2.7% with adenosine. In the remaining three neurons, the evEPSCs were unaffected by either
CHA or adenosine.

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Figure 5.
Exogenous and endogenous adenosine inhibit the
evEPSCs through activation of A1 receptors.
A, Application of the A1 receptor agonist
CHA (100 nM) reduces the evEPSC amplitude.
B, The evEPSC inhibition mediated by 50 µM
adenosine (AD) is removed by the A1 receptor
antagonist CPT (200 nM). C, A neuron
sensitive to adenosine (left) does not respond to the
A2 agonist DPMA (10 nM) but does respond to
further application of CHA (right). D,
Application of CPT alone induces an increase in the evEPSC amplitude.
E, Summary of the effects on the evEPSC. The histogram
shows the mean ± SE of the evEPSC peak amplitude during
applications of CHA, DPMA, and CPT expressed as a percentage of their
respective evEPSC amplitude in control. Only adenosine-sensitive cells
were considered. The numbers indicate the number of
cells recorded: *p < 0.01 versus evEPSC amplitude
under control conditions; paired t test.
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In a second set of experiments, we antagonized adenosine inhibition of
the evEPSCs with the A1 receptor antagonist CPT
(Ki = 10.9 nM at
A1 receptors; Ki = 1440 nM at A2 receptors)
(Bruns, 1981 ). Application of CPT (200 nM;
n = 10) completely antagonized the effects of adenosine
(50 µM), which elicited a reduction of evEPSC
by 48.7 ± 6.9%. During the course of these experiments it was
noted that compared with control conditions, CPT caused a significant
increase in the evEPSC amplitude (11.7 ± 6.93%; p = 0.039, paired t test), consistent with
removal of a tonic inhibition by endogenous adenosine (Fig.
5B). Taken together, these results suggest that adenosine
inhibits evoked excitatory transmission in the LDT through activation
of presynaptic A1 receptors. However, the
increase in evEPSC amplitude observed in the presence of the
A1 receptor antagonist might be caused, at least
in part, by the activation of additional adenosine receptor subtypes.
Are adenosine A2 receptors involved in the modulation
of the evoked EPSC?
Although activation of the A1 receptors
induces inhibitory effects on cellular and synaptic activity,
activation of A2 receptors induces presynaptic
and postsynaptic excitatory responses (Palmer and Stiles, 1995 ). In
several areas of the CNS, A1 and
A2 receptors are coexpressed, for instance, in
the striatum (Brown et al., 1990 ) and in the hippocampus (Li and Henry,
1998 ). Enhancement of neurotransmitter release by adenosine is evident
only when A1 receptors are blocked. On the basis
of these observations, the increased evEPSC amplitude that we observed
with CPT in the presence of adenosine (Fig. 5B) might have
resulted from the coactivation of A2 receptors.
We examined this possibility by testing the activation of
A2 receptors with the selective
A2 receptor agonist, DPMA. To selectively activate the A2 rather than the
A1 receptors, we used DMPA at a concentration of
10 nM (Ki = 142 nM at A1 receptors;
Ki = 4.4 nM at
A2 receptors) (Bridges et al., 1988 ), a
concentration that elicited an A2-dependent
enhancement of the evEPSC amplitude in hippocampal slices in
vitro (Kessey and Mogul, 1998 ). Applications of DPMA did not alter
the amplitude or the duration of the evEPSC (98.9 ± 1.25% of the
control amplitude; n = 6) (Fig.
5C,E), nor did it affect postsynaptic membrane
potential or resistance. However, in the same cells, adenosine
inhibited the evEPSC by 41.8 ± 4.4%. These findings suggest that
A2 receptor activation does not mediate adenosine
effects on evEPSC or excitability of LDT neurons.
Excitatory synaptic transmission is under inhibitory control by
endogenous adenosine
Application of adenosine A1 receptor
antagonists induces excitatory presynaptic and postsynaptic responses
compatible with a removal of the inhibitory tone of endogenous
adenosine (Dunwiddie et al., 1981 ; Greene et al., 1985 ; Haas and
Greene, 1988 ). In the LDT, application of CPT induces an increase in
neuronal activity as well as an increase in the amplitude of
hyperpolarization-activated current
(Ih), which is reduced by adenosine
(Rainnie et al., 1994 ). To test the possibility that glutamatergic
transmission could also be under tonic inhibition by endogenous
adenosine, we measured the effects of CPT on the glutamatergic evEPSC.
In those neurons that were adenosine sensitive, CPT (200 nM) alone induced an increase in the evEPSC
amplitude by 20 ± 5.9% (n = 10) (Fig.
5D,E). In addition, the holding
currents of five of these neurons were reduced through the application
of CPT by 24.8 ± 11.5 pA, which is similar to the reduction
previously reported for LDT neurons (Rainnie et al., 1994 ). These data
confirm that in the LDT, the endogenous, extracellular, adenosine
concentration is sufficiently high to induce a physiologically
measurable inhibition of synaptic glutamate release. In the
hypothalamic supraoptic nucleus, CPT only potentiates glutamatergic
evEPSCs after train stimulation of 200 sec duration (Oliet and Poulain,
1999 ). In contrast, in the LDT, electrophysiologically significant
basal release of adenosine is appreciable.
Adenosine kinase inhibitor 5-iodotubercidin increases endogenous
adenosine levels
Adenosine is primarily formed from the breakdown of ATP within
cells and is transported across the cell membrane by equilibrative transporters (Geiger and Fyda, 1991 ; Thorn and Jarvis, 1996 ). Thus, any
increase in the intracellular adenosine concentration is likely to be
reflected as an increase of adenosine in the extracellular space
(Brundege and Dunwiddie, 1996 ). Intracellular adenosine metabolism
occurs through phosphorylation by adenosine kinase and deamination by
adenosine deaminase. Blockers of these two enzymes can induce an
increase in the intracellular adenosine level and consequently
extracellular adenosine levels (Brundege and Dunwiddie, 1997 ).
Inhibitors of adenosine kinase, more than inhibitors of adenosine
deaminase, increase extracellular adenosine levels in hippocampal,
spinal cord, and cortical slices under control conditions (Pak et al.,
1994 ; Lloyd and Fredholm, 1995 ; Golembiowska et al., 1996 ; White,
1996 ), consistent with the higher affinity of adenosine kinase for
adenosine (Arch and Newsholme, 1978 ). The adenosine kinase inhibitor
ITU can decrease neuronal activity in hippocampal and cortical slices
by increasing extracellular adenosine levels (Pak et al., 1994 ; White,
1996 ). Consequently, we examined the effects of ITU in the LDT. Neurons
sensitive to adenosine responded to ITU application (n = 9) in a manner indistinguishable from adenosine. Application of ITU
(10 µM) induced an increase in the membrane
conductance (Fig. 6A)
shown by both (1) activation of an outward current
(Vh = 60 mV) and (2) an increase in
the amplitude of the current evoked by hyperpolarizing voltage step commands to 100 mV. The response to ITU appeared in 3-6 min, whereas
its recovery was only observed after >45 min of drug washout. However,
ITU effects were rapidly blocked when the A1
receptor antagonist CPT (200 nM) was applied
(Fig. 6A). Three neurons that were insensitive to
adenosine were also insensitive to ITU.

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Figure 6.
ITU induces postsynaptic activation of an
inwardly rectifying K+ current and inhibition of the
evoked glutamatergic transmission, similar to adenosine.
A, Currents recorded at
Vh = 60 mV. Downward deflections
resulted from three different voltage protocol commands indicated by
the numbers: 1, voltage pulses to 100
mV (200 msec; 0.2 Hz); 2, voltage ramps from 100 to
35 mV (10 mV/sec); 3, stimulation with a bipolar
stimulating electrode (0.3 Hz). All protocols are performed in control
ACSF and during applications of adenosine (AD; 50 µM), ITU (10 µM), and CPT (200 nM), indicated by black bars above the
current traces. Both adenosine and ITU induce increases in the membrane
conductance. The outward current elicited by ITU was rapidly blocked by
application of CPT. B, evEPSCs recorded during control
condition, adenosine, and ITU applications. The evEPSCs are inhibited
by both adenosine and ITU. Each current trace is the average of 10 evEPSCs. C1,
C2, Recordings
from another neuron, obtained during the voltage-ramp protocols; each
current trace displayed is the average of three consecutive voltage
ramps. Adenosine (C1) and ITU
(C2) increase the membrane slope
conductance at all membrane potentials between 100 and 35 mV. The
effect of ITU is antagonized by CPT
(C2). D,
Current-voltage relationships of adenosine
(IAD) and ITU
(IITU) evoked currents, calculated by
digital subtraction (IAD = AD CON)
and (IITU 61 ITU CON) of the
currents displayed in C1 and
C2. IAD and
IITU show the same reversal potential ( 81
mV) and the same voltage-dependent slope conductance, consistent with
adenosine and ITU-mediated inwardly rectifying K+
current activations. E, ITU chord conductance
(GITU) as a function of membrane
potential (Em).
GITU is obtained from the values of
IITU shown in D
(GITU = IITU/(Em Ereversal) and is fit to the Boltzmann
equation (line) GITU = GITU(min) + (GITU(max) GITU(min))/{1 + exp
[(Em E1/2)/k]},
with GITU(max) = 56 nS,
GITU(min) = 19.6 nS,
E1/2 = 87 mV, and k = 9.7 mV.
|
|
To investigate whether the responses to adenosine and ITU were mediated
by activation of the same GIRK, we compared the voltage sensitivity and
reversal potential of the current evoked by adenosine (IAD) with those evoked by ITU
(IITU). Currents obtained during a
voltage ramp command from 100 to 35 mV (10 mV/sec) were recorded before and during adenosine application (Fig.
6C1), and before and during ITU
application (Fig. 6C2). These recordings
were used to obtain current-voltage relationships for
IAD and
IITU by digitally subtracting the
currents recorded under control conditions from those recorded during
drug applications (Fig. 6D). Current-voltage relationships obtained from five neurons showed that
IITU had the same rectification
properties and an identical reversal potential as
IAD
(EITU = 82.04 ± 9.7 mV;
EAD = 82.6 ± 3.87 mV) compared with adenosine-mediated GIRK (Rainnie et al., 1994 ). Moreover, IITU was blocked by CPT (200 nM; n = 4) (Fig.
6C2). The ITU chord conductance
(GITU) as a function of membrane
potential (Em), shown in Figure
6E, was derived from the
IITU voltage relationship. A curve
constrained by the Boltzmann equation (Fig. 6, legend) with
half-activated potential, E1/2 = 87
mV, and a slope factor, k = 9.7 mV, was then fit to the
data. These values were similar to those reported in LDT neurons for
the adenosine chord conductance (Rainnie et al., 1994 ).
ITU inhibits the evEPSC
We next examined the effect of ITU on the evEPSC. Similar to
adenosine, application of ITU inhibited evoked excitatory transmission (Figs. 6B, 7). evEPSCs
were recorded from eight neurons, and the response to exogenous
adenosine and ITU application was examined. In six neurons, adenosine
reduced the evEPSC by 51.1 ± 3.23%, and ITU reduced the
evEPSC by 49 ± 4%. In the remaining two neurons, the
evEPSCs were insensitive to both adenosine and ITU application. From
the dose-response relationship characterizing the effect of exogenous
adenosine on the evEPSC amplitude (Fig. 2), we can estimate that the
inhibitory effect of ITU on the evEPSC is comparable with an
application of exogenous adenosine of ~50-100
µM. In addition, the evEPSC inhibition by ITU
could be completely antagonized by the A1
receptor antagonist CPT (200 nM;
n = 3) (Fig. 7A) and by application of the
enzyme adenosine deaminase (0.8 IU/ml; n = 2) (Fig.
7B).

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Figure 7.
The inhibitory effect of ITU on the evEPSCs can be
blocked by A1 receptor antagonist CPT or by adenosine
deaminase. A, CPT (200 nM) antagonized the
inhibition of the evEPSC by ITU. B, In another neuron,
adenosine deaminase (ADA) (0.8 IU/ml) partially removed
the inhibitory effect of ITU. Each current trace is the average of 10 evEPSCs (Vh = 60 mV).
|
|
These data, taken together, show that in an in vitro
preparation, LDT neurons are tonically inhibited by extracellular
endogenous adenosine and that the level of endogenous adenosine can be
dramatically altered by manipulating the adenosine kinase responsible
for adenosine metabolism.
 |
DISCUSSION |
In summary, adenosine reduces both glutamate- and GABA-mediated
evEPSCs and evIPSCs recorded from neurons of the LDT nucleus. Moreover,
by focusing on the excitatory input, we found that adenosine directly
inhibits glutamatergic transmission by activating presynaptic adenosine
A1 receptors. In addition, a reduction of
adenosine catabolism by an inhibition of adenosine kinase results in an activation of presynaptic and postsynaptic A1
receptors comparable, in both character and degree, with activation by
exogenous adenosine (50-100 µM).
Presynaptic inhibition
Evidence for a presynaptic locus of the adenosine-mediated
inhibition of the glutamate transmission is based on several
independent results. First, the adenosine-mediated inhibition of
glutamatergic evEPSCs was not associated with alterations in the
postsynaptic sensitivity of glutamate receptors. Second, adenosine
reduced the frequency, but not amplitude, of spontaneous glutamatergic mEPSCs. Third, the presynaptic effect of adenosine could occur independently of a postsynaptic adenosine effect.
The presynaptic mechanism through which adenosine inhibits the
glutamatergic release remains to be determined. However, the inhibition
of the evEPSC by adenosine was maintained in the presence of 2 mM BaCl2, which is known to block the
postsynaptic GIRK conductance activated by adenosine (Gerber et al.,
1989 ; Birnstiel et al., 1992 ). It is probable, therefore, that
adenosine does not inhibit glutamatergic evEPSCs by activating a GIRK
conductance in the presynaptic terminal. This result is consistent with
the literature, which does not support a presynaptic GIRK activation as
a primary mechanism by which adenosine inhibits neurotransmitter
release (Dunwiddie and Miller, 1993 ; Brundege and Dunwiddie, 1997 ). It is more likely that the inhibition of excitatory transmission in the
LDT nucleus occurs via the modulation of presynaptic calcium channels.
Adenosine is known to (1) inhibit voltage-dependent Ca2+ channels (Dolphin et al., 1986 ;
Scholz and Miller, 1991 ; Mogul et al., 1994 ) and (2) reduce the evEPSC
amplitude by inhibiting the presynaptic calcium fluxes in hippocampus
and striatum (Wu and Saggau, 1994 ; Ambrosio et al., 1997 ).
Alternatively, or in combination, adenosine may also act
presynaptically to inhibit glutamate release at a point downstream from
Ca2+ entry, as shown in the hippocampus
where adenosine still reduces spontaneous synaptic activity when
Ca2+ entry is blocked (Scanziani et al.,
1992 ; Scholz and Miller, 1992 ). Recently, a reduction of glutamatergic
and GABAergic transmission has been shown after presynaptic inhibition
of adenylate cyclase protein kinase A cascade (Tzounopoulos et
al., 1998 ; Bagley et al., 1999 ). Activation of A1
receptors also inhibits adenylate cyclase activity, which mediates the
reduction of presynaptic GABA release in the periacqueductal gray
neurons (Bagley et al., 1999 ) and may contribute to the presynaptic
inhibition of glutamate release observed in the LDT nucleus.
Endogenous adenosine
We provide direct evidence for the presence of a basal endogenous
adenosine level in the LDT nucleus that can tonically activate adenosine A1 receptors. Hence, application of CPT
potentiated the stimulus-evoked glutamatergic EPSC. This is compatible
with a removal of an endogenous inhibitory adenosine tone on the
glutamatergic input to the LDT and may represent the presynaptic
mechanism contributing to the CPT-induced increase in network
excitability observed with extracellular recording in the LDT (Rainnie
et al., 1994 ).
It has been reported that intracellular catabolism of adenosine may
directly affect the extracellular concentration of adenosine through
the adenosine equilibrative facilitated transporter system (Geiger and
Fyda 1991 ; Pak et al., 1994 ; Brundege and Dunwiddie, 1996 ,
1997 ). Thus, if catabolism is slowed, then an increase in intracellular
adenosine may be reflected by an increase in extracellular adenosine.
Of the enzymes that catabolize adenosine, adenosine kinase has the
highest affinity (Arch and Newsholme, 1978 ) and thus, under baseline
conditions, is most likely to affect the rate of adenosine catabolism
(Lloyd and Fredholm, 1995 ). The present study suggests that when
adenosine kinase activity is reduced with ITU, extracellular adenosine
levels dramatically increase to give an adenosine-mediated
electrophysiological response approximately equal to application of
exogenous adenosine at a concentration between 50 and 100 µM. In addition to being a potent adenosine kinase
blocker, ITU is also known to inhibit the equilibrative adenosine
transporter (Davies and Cook, 1995 ). Nevertheless, it is unlikely that
ITU induces extracellular adenosine accumulation by blocking adenosine
reuptake. First, prolonged application of the adenosine transport
blockers NBTI (5 µM, n = 4; 30 µM, n = 6) and dipyridamole (5 µM; n = 4) does not induce any presynaptic or postsynaptic effects in any of
the adenosine-sensitive LDT neurons tested. Second, presynaptic and
postsynaptic effects of ITU occur in the first 10 min of its
application, whereas adenosine transport inhibitors cause a slow and
gradual accumulation of extracellular adenosine (Brundege and
Dunwiddie, 1997 ; Dunwiddie and Diao, 2000 ). Therefore, it is probable
that blockade of adenosine kinase is the major mechanism by which ITU
increased extracellular adenosine levels. Moreover, we cannot exclude
the possibility that the final extracellular adenosine accumulation,
resulting from the adenosine kinase blockade by ITU, may actually be
blunted by the additional inhibitory action of ITU on the adenosine transporters.
Adenosine inhibits glutamatergic input to cholinergic
LDT neurons
The LDT nucleus contains a heterogeneous neuronal population of
cholinergic and noncholinergic neurons (Kamondi et al., 1992 ), part of
which has been identified as GABAergic (Ford et al., 1995 ). It has been
reported that 60% of the LDT neurons affected postsynaptically by
adenosine were cholinergic (Rainnie et al., 1994 ). We show that in 87%
of postsynaptically responding neurons, adenosine also reduces evoked
glutamatergic transmission, suggesting that cholinergic LDT neurons can
be inhibited by activation of both presynaptic and postsynaptic
adenosine receptors. In addition, results from the recording of
spontaneous mEPSCs, which better represent the total afferent input
conserved in the slice, show that adenosine reduces spontaneous
glutamatergic mEPSC frequency in all LDT neurons.
Therefore, adenosine presynaptic responses appear to be more a function
of the input rather than of the postsynaptic cell type. We can conclude
that the glutamatergic afferents to the LDT neurons do not all have
presynaptic adenosine receptors, but virtually all LDT neurons appear
to receive at least a portion of glutamatergic projection that is
sensitive to adenosine.
Functional role of adenosine modulation of the synaptic input in
the LDT nucleus
Exogenous adenosine reduces spontaneous cell firing of action
potentials in 100% of the cells recorded extracellularly in the slice
(Rainnie et al., 1994 ). However, because adenosine inhibits only 80%
postsynaptically (Rainnie et al., 1994 ), the remaining 20% of neurons
were inhibited solely by a presynaptic action on the glutamatergic
input. Thus, it is likely that with respect to isolated spontaneous
local circuit inputs conserved in the slice, adenosine presynaptic
effects are predominately disfacilitatory, and the overall effect of
presynaptic and postsynaptic adenosine action is inhibitory. The caveat
remains that in vivo, the state-dependent balance of
disfacillitation and disinhibition is ultimately determined by the
state-dependent presynaptic activity of the adenosine-sensitive excitatory and inhibitory inputs.
Recent studies in the literature show the presence of a large number of
GABAergic neurons in the LDT nucleus; the majority of them give rise to
dense local GABAergic innervations (Ford et al., 1995 ), and analysis of
c-Fos expression suggests that they may be
active during REM sleep (Maloney et al., 1999 ). This local GABAergic
circuit is a most likely target of our stimulation protocol in
vitro. If this is the case, adenosine is likely to inhibit the
output of these GABAergic REM-on neurons.
If an adenosine-sensitive, wake-dependent, excitatory activity
predominates in vivo, then our data are consistent with a
combined presynaptic and postsynaptic inhibitory adenosine tone during waking. This is consistent with the hypothesis that a localized increase in extracellular adenosine in one or both of the cholinergic arousal centers (the LDT/PPT and the BF) (Portas et al., 1997 ) facilitates the transition from waking to sleep by inhibition of the
activity of these neurons (Rainnie et al., 1994 ). Because a localized
increase in extracellular adenosine in the LDT is sufficient to
facilitate the transition from waking to sleep (Portas et al., 1997 ),
the control of the extracellular adenosine concentration may be
important in the control of the behavioral state. Indeed, sleep
deprivation that increases the probability of making the transition
from wake to sleep is associated with an increase in endogenous
extracellular adenosine in the BF cholinergic arousal center
(Porkka-Heiskanen et al., 1997 ).
We have demonstrated that by reducing the intracellular catabolism of
adenosine with an adenosine kinase inhibitor we can significantly
increase extracellular levels of adenosine. If this occurs in the
cholinergic arousal centers in vivo, then the likelihood of
a behavioral state transition from waking to sleep would be increased.
Because adenosine catabolism by adenosine kinase may be altered by
changes in the intracellular concentrations of adenosine, AMP, ADP, or
ATP (Hawkins and Bagnara, 1987 ; Mimouni et al., 1994 ; Pelicano et al.,
1997 ), the localized metabolic state of the cholinergic arousal centers
could affect the extracellular adenosine concentration and,
accordingly, the behavioral state.
 |
FOOTNOTES |
Received July 21, 2000; revised Nov. 6, 2000; accepted Nov. 24, 2000.
This work was supported by a Merit Award from The Department of
Veterans Affairs to R.W.G., and by Specialized Center of
Research (SCOR) Grant NHLBI-HL60292. E.A. was supported by the
University of Milan, Italy and by SCOR Grant NHLBI-HL60292. We also
thank Dr. M. R. Palmer for help in the preparation of this manuscript.
Correspondence should be addressed to Dr. Robert W. Greene,
Harvard Medical School and Veterans Administration Medical Center, Laboratory of Neuroscience, 151-C, 940 Belmont Street, Brockton, MA
02401. E-mail:
robert_greene{at}HMS.harvard.edu.
 |
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