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The Journal of Neuroscience, March 15, 2001, 21(6):2015-2027
Acetylcholine Becomes the Major Excitatory Neurotransmitter in
the Hypothalamus In Vitro in the Absence of Glutamate
Excitation
Andrei B.
Belousov1,
Bruce F.
O'Hara2, and
Janna V.
Denisova1
1 Department of Cell and Molecular Biology, Tulane
University, New Orleans, Louisiana 70118, and 2 Department
of Biological Sciences, Stanford University, Stanford, California 94305
 |
ABSTRACT |
Glutamate and GABA are two major fast neurotransmitters
(excitatory and inhibitory, respectively) in the CNS, including the hypothalamus. They play a key role in the control of
excitation/inhibition balance and determine the activity and
excitability of neurons in many neuronal circuits. Using neuronal
cultures, whole-cell recording, Ca2+ imaging, and
Northern blots, we studied the compensatory regulation of neuronal
activity during a prolonged decrease in glutamate excitation. We report
here that after a chronic (6-17 d) blockade of ionotropic glutamate
receptors, neurons in hypothalamic cultures revealed excitatory
electrical and Ca2+ synaptic activity, which was not
elicited in the control cultures that were not subjected to
glutamate blockade. This activity was suppressed with acetylcholine
(ACh) receptor antagonists and was potentiated by eserine, an inhibitor
of acetylcholinesterase, suggesting its cholinergic nature. The
upregulation of ACh receptors and the contribution of ACh to the
control of the excitation/inhibition balance in cultures after a
prolonged decrease in glutamate activity were also demonstrated.
Enhanced ACh transmission was also found in chronically blocked
cerebellar but not cortical cultures, suggesting the region-specific
character of glutamate-ACh interactions in the brain. We believe that
in the absence of glutamate excitation in the hypothalamus in
vitro, ACh, a neurotransmitter normally exhibiting only weak
activity in the hypothalamus, becomes the major excitatory
neurotransmitter and supports the excitation/inhibition balance. The
increase in excitatory ACh transmission during a decrease in glutamate
excitation may represent a novel form of neuronal plasticity that
regulates activity and excitability of neurons during the
glutamate/GABA imbalance.
Key words:
acetylcholine; glutamate; GABA; hypothalamus; plasticity; excitation/inhibition balance
 |
INTRODUCTION |
Synaptic excitation/inhibition
imbalance may occur in neuronal circuits under normal conditions such
as during an increase or decrease in activity of glutamate excitatory
or GABA inhibitory inputs to neurons during development. It may also
occur under pathological conditions (e.g., during the degeneration of
glutamate or GABA neurons and terminals) or under conditions of
pharmacological blockade of glutamate or GABA receptors used for
clinical purposes. Such imbalance between the excitation and inhibition
may change the activity and excitability of neurons in a circuit or may
also disturb circuit function and viability. It has been known for many
years that a relative increase in glutamate excitation or decrease in
GABA inhibition in slices or cultures obtained from different regions
of the CNS lead to glutamate-dependent neuronal hyperexcitability,
which, if sustained, causes cell death (Mody et al., 1992
; Choi, 1994
;
Thompson et al., 1996
). In contrast, a decrease in glutamate-mediated
excitation usually leads to the immediate domination of GABA inhibition
(Bradford, 1995
; Belousov and van den Pol, 1997b
). Because GABA is not
as toxic to neurons as glutamate, neurons in cultures can survive in
the absence of glutamate excitation and the presence of GABA inhibition
for long periods of time (up to several months) (Furshpan and Potter,
1989
; Belousov and van den Pol, 1997a
,b
). However, the mechanisms that regulate activity and excitability of neurons during the prolonged decrease in glutamate excitation were not studied. It is not known whether such long-term imbalance between glutamate excitation and GABA
inhibition can affect neuronal properties and functions and whether
during this imbalance any compensatory mechanisms can be expressed by
neurons to reestablish more normal synaptic excitation/inhibition interactions.
The hypothalamus is the crucial part of the brain that regulates
homeostasis throughout the body. It contains >20 active substances that could be released synaptically within this brain structure, including acetylcholine (ACh), dopamine, and several other
neurotransmitters and neurohormones. Glutamate and GABA neurons and
receptors are also distributed within the hypothalamus, where they
control the release of neurohormones, circadian activity, and other
hypothalamic functions (van den Pol et al., 1990
, 1994
; Meeker et al.,
1994
; Belousov and van den Pol, 1997b
; Obrietan and van den Pol, 1998
). In the present set of experiments, we used primary hypothalamic neuronal cultures to study the mechanisms of compensatory regulation of
neuronal activity during a prolonged blockade of ionotropic glutamate
receptors. When we examined neuronal characteristics in cultured
neurons, we found a dramatic upregulation of excitatory ACh
transmission after a long-term decrease in glutamate activity. Additionally, neuronal disinhibition with GABAA
receptor antagonists revealed excitotoxic effects of synaptically
released ACh in cultures after a chronic glutamate receptor blockade
but not in the control cultures that were not subjected to the
blockade of glutamate neurotransmission. Together, our data suggest
that during a long-term decrease in the glutamate-mediated excitation
in hypothalamic cultures, another less predominant excitatory
neurotransmitter, ACh, begins to play the role of the major excitatory
neurotransmitter and to support the excitation/inhibition balance in
these cultures.
 |
MATERIALS AND METHODS |
Tissue cultures. Neuronal cultures were prepared from
the embryonic (day 18-19) medial hypothalamus, cerebellum, and cortex obtained from Sprague Dawley rats as described (Belousov and van den
Pol, 1997a
). To obtain embryonic tissue, a pregnant rat was anesthetized with Nembutal (70 mg/kg) before embryos were removed. The
tissue was then treated enzymatically (10 U/ml papain, 500 µM EDTA, 1.5 mM
CaCl2, 0.2 mg/ml L-cysteine
in Earle's balanced salt solution) for 30 min, resuspended in standard
tissue culture medium, and triturated to form a single-cell suspension.
The suspension was plated onto 22-mm-square glass coverslips precoated
with polylysine (540,000 Da; Sigma-RBI; St. Louis, MO). Cultures
were maintained in a Napco 5430 incubator at 37°C with 5%
CO2. Cells were raised in glutamate- and
glutamine-free minimal essential medium (Life Technologies, Rockville,
MD) supplemented with 10% fetal bovine serum, 5 mg/100 ml gentamicin,
and 6 gm/l glucose. After 2 d in vitro (DIV), the
proliferation of non-neuronal cells was inhibited by the application of
cytosine
-D-arabinofuranoside (1 µM). Two groups of cultures were used in
most experiments: (1) cultures subjected to a chronic (14-17 d)
blockade of NMDA and non-NMDA (AMPA and kainate) ionotropic glutamate
receptors with
D,L-2-amino-5-phosphonovalerate (AP5; 100 µM) and 6-cyano-7-nitroquinoxaline-2,3-dione
(CNQX; 10 µM) ("blocked cultures") and (2)
sister control cultures not subjected to a glutamate receptor
blockade. In most experiments, AP5 and CNQX were added to the
incubation medium of the first group of cultures beginning 4 DIV,
and neurons were tested after 14-17 d in block (DIB). Some cultures
were chronically incubated in the presence of other receptor
antagonists or 20 mM KCl as described in the
text. Tissue culture medium was changed twice a week. Only healthy
looking cultures were used in experiments; unhealthy cultures were discarded.
Electrophysiology. Standard bathing solution contained (in
mM): 158.5 NaCl, 2.5 KCl, 2 CaCl2, 10 HEPES, 10 glucose, and 1 × 10
3
glycine, pH 7.3, 325 mOsm (room temperature, 20-22°C). To perfuse the cells with solutions containing different agonists and antagonists for receptors, a flow pipe perfusion system was used (Belousov and van
den Pol, 1997a
). It consisted of several inputs into a final single
short output terminated by a 0.5 mm internal diameter glass pipette.
This perfusion pipette was aimed at the recorded cells (100 µm away),
which were perfused continuously with the flow rate of 1.5 ml/min from
the source containing the incubating solution. To change from one
solution to another, the flow of the first solution was stopped, and
the flow of the second solution was started. The newly applied solution
flooded the tested cell in <0.5 sec.
The whole-cell current-clamp or voltage-clamp recordings were made with
an Axoclamp-2B amplifier (Axon Instruments, Foster City, CA). Glass
pipettes were pulled from borosilicate glass capillaries of 2 mm
diameter and 0.2 mm wall thickness and filled with an internal solution
that included (in mM): 145 potassium methylsulfate, 10 HEPES, 5 MgCl2, 1.1 EGTA, 4 Na-ATP, 0.5 Na-GTP, pH 7.2, 310 mOsm. After they were filled, the electrodes had a resistance of 2-5 M
. The seal resistances were 8-10 G
.
Single-electrode continuous voltage-clamp mode was used to measure the
membrane input resistance (Rinput) and
the activity of IPSCs as described (Belousov and van den Pol, 1997a
).
Rinput was measured using an application of negative square-wave voltage steps of 10 mV amplitude (in the range of 10-50 mV) from a holding potential of
60 mV. IPSCs
were recorded at a holding potential of
30 mV in the presence of AP5
(100 µM) and CNQX (10 µM). Data were monitored using a Dell Pentium
II XPS R400 MHz computer and pCLAMP7/DigiPack 1200-1 software (Axon
Instruments) and analyzed off-line with Igor Pro (WaveMetrics, Lake
Oswego, OR) and InStat software (GraphPad Software, San Diego, CA).
Fura-2 Ca2+ digital imaging.
Cells were loaded for 30 min at 37°C with 5 µM fura-2 acetoxymethyl ester (Molecular
Probes, Eugene, OR) in a standard perfusion solution containing (in
mM): 137 NaCl, 25 glucose, 10 HEPES, 5 KCl, 1 MgCl2, 3 CaCl2, 1 × 10
3
glycine, pH 7.4. In the case of chronically blocked cultures, AP5 (100 µM) and CNQX (10 µM)
were added to the loading solution. The coverslip then was washed in a
perfusion solution and held in a laminar style chamber (Warner
Instrument Corporation, Hamden, CT) that allows for a rapid (5-10 sec)
and complete change in the medium. Experiments were performed at room
temperature (20-22°C) and at a constant perfusion rate of 1.5 ml/min. Cells were imaged on a Nikon inverted microscope with a Nikon
Super Fluor 20× objective. Convention dual wavelength ratios were
obtained during sequential recordings at 340 and 380 nm excitation.
Switching between 340 and 380 nm excitation filters was performed by a
Sutter DG-4 optical filter changer (Sutter Instrument Company, Novato,
CA). Emission light was measured at 510 nm. Data were collected every 4 sec using a SensiCam Digital CCD camera. A Dell Pentium II XPS R400 MHz
computer and Axon Imaging Workbench software were used to control
peripheral devices. Digitized, background-subtracted, single-cell
ratiometric data from many (up to 100) cells were recorded
simultaneously from the same video field.
Fura-2 data were calibrated using a commercially available kit
(Molecular Probes fura-2 Calcium Imaging Calibration Kit; F-6774). Solutions containing 50 µM fura-2, 100 mM
KCl, 10 mM MOPS, and defined
Ca2+ concentrations ranging from 0 to 39 µM were placed between two glass coverslips and imaged.
Ratios for zero Ca2+
(Rmin) and saturating
Ca2+
(Rmax) were determined after
background fluorescence from a fura-2-free solution had been
subtracted. The values of Rmin and
Rmax were substituted into Equation 5 of Grynkiewicz et al. (1985), along with the value
Sf/Sb (zero calcium fluorescence at 380 nm
divided by saturating calcium fluorescence at 380 nm) and the
dissociation constant of fura-2 (Kd = 224 nM). Calibrated Ca2+ data
were transferred to a Power Macintosh G3 computer and analyzed with
Igor Pro and InStat software.
Only Ca2+ changes in cell bodies were
recorded. Previous Ca2+ imaging
experiments revealed that all cultured hypothalamic neurons are NMDA
sensitive (Obrietan and Van den Pol, 1995
). Therefore, in our
experiments, neurons were recognized by their responsiveness to the
application of 10 µM NMDA in a
Mg2+-free solution and by their
"phase-bright" appearance. The responsiveness of chronically
blocked neurons to NMDA was also used in some experiments to confirm
that cells were healthy and responsive. A neuron was considered as
responding to a pharmacological agent (e.g., bicuculline, nicotine,
muscarine, NMDA, etc.) if, during the agent application, Ca2+ increased by >10 nM from
the initial background level and if the level of
Ca2+ decreased to the background after the
agent washout. If Ca2+ oscillations were
triggered by the agent, the amplitude of
Ca2+ increase was measured at peaks of oscillations.
Northern blots. Total RNA was extracted from
cultures, and Northern analysis was performed for three nicotinic ACh
receptor (nAChR) subunits (
4,
7,
2) and five muscarinic ACh
receptors (mAChRs) (m1-m5) as described (O'Hara et al., 1999
).
Briefly, RNA was extracted using Trizol (BRL) reagent, fractionated on 1.2% formaldehyde/agarose gels, and transferred to Nytran membranes (Schleicher & Schuell). RNA was visualized by ethidium bromide staining
and cross-linked by UV irradiation. After prehybridization, membranes
were hybridized at 42°C in 5× SSC, 50% formamide, 50 mM sodium phosphate, pH 6.8, 1% SDS, 1 mM EDTA, 2.5× Denhardt's, 200 mg/ml herring
sperm DNA, and 1 × 107 cpm/ml of
radiolabeled random-primed cDNA probe. Membranes were washed twice for
30 min at 58°C in 0.4× SSC and 0.5% SDS. Filters were then exposed
to Kodak XAR5 film for 1-10 d. Quantitation/densitometry of the
relevant bands corresponding to mRNA hybridization was obtained using a
computer-assisted image analysis system MCID (Imaging Research, St.
Catherines, Ontario, Canada). Filters were stripped and reprobed
sequentially with each AChR cDNA. Each subsequent probing and resultant
autoradiogram were carefully analyzed to determine whether any residual
radioactivity or banding patterns were evident. All banding patterns
were consistent with the previous work (O'Hara et al., 1999
). A
dilution series was used for comparison to assure that quantitation of
autoradiograms was within the linear range for each film exposure.
cDNAs for nAChR subunits were obtained from Dr. J. Patrick (Baylor
University), and muscarinic cDNAs were obtained from Dr. Tom Bonner
(National Institute of Mental Health). Approximately one million cells
were used from coverslips to collect ~3 µg of total RNA per sample.
Units were normalized for each probing.
-actin mRNA levels were
similar across conditions and served as the control.
Toxicity assay. Glutamate and ACh excitotoxicity were
estimated using a LIVE/DEAD Kit (Molecular Probes). Cultures were
stained for 30 min with calcein AM (1 µM),
which labels only live cells, and ethidium homodimer-1 (2 µM), which labels only dead cells. The
coverslips were then washed and exposed to the appropriate excitation
wavelengths: 490 nm (FITC filter) for the analysis of living cells and
580 nm (Texas Red filter) for the analysis of dead cells. A Nikon
inverted microscope with a Nikon Super Fluor 20× objective was used
for the staining analysis. The fluorescent colors of living
(green) and dead (red) cells did not
overlap (Fig. 1). The number of live
neurons was counted in 36 randomly chosen fields in three coverslips
for each test.

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Figure 1.
Staining of live and dead cells in hypothalamic
neuronal cultures. The picture contains two superimposed images that
were taken from the same microscope field using two different filters.
The fluorescent colors of live (green) and dead
(red) cells did not overlap. Live neurons were also
recognized by the characteristic round or oval cell body and processes.
An arrow points at the dead cell. Scale bar, 20 µm.
|
|
Drugs and chemicals. AP5, CNQX, NMDA, cytosine
-D-arabinofuranoside, tetrodotoxin (TTX),
bicuculline methiodide, picrotoxin, atropine sulfate, mecamylamine,
nicotine, muscarine, pirenzepine dihydrochloride,
-bungarotoxin,
4-[[4-formyl-5-hydroxy-6-methyl-3-[(phosphonooxy)methyl]-2-pyridinyl]azo]-1,3-benzenedisulfonic acid (PPADS), suramin, propranolol, carbamylcholine chloride
(carbachol), and chemicals used for the internal and perfusion
solutions (e.g., HEPES, EGTA, Na-ATP, Na-GTP, etc.) were obtained from
Sigma-RBI. (±)-3-(2-Carboxypiperazin-4-yl)propanephosphonic acid
(CPP), (RS)-1-aminoindan-1,5-dicarboxylic acid/UPF 523 (AIDA), (2S)-
-ethylglutamic acid (EGLU), and
(RS)-
-methyl-4-sulfonophenylglycine (MSPG) were obtained
from Tocris (Ballwin, MO).
Data analysis. In electrophysiological and
Ca2+ experiments, characteristics of all
neuronal responses (e.g., amplitude, frequency, etc.) to
pharmacological agents were measured between 45 and 60 sec after the
beginning of agent application. Statistical analysis of the
experimental data was performed using a Power Macintosh G3 computer and
InStat software. Data in all experiments were compared by Student's
t test, using paired data when possible. All data are
reported as mean ± SEM for the number of neurons indicated.
 |
RESULTS |
Neuronal activity in control hypothalamic cultures
High-frequency spontaneous EPSPs were detected in current-clamp
recordings from 24 of 25 neurons (96%) in hypothalamic cultures (18-21 DIV). All EPSPs were suppressed by the joint application of
ionotropic glutamate receptor antagonists AP5 (100 µM)
and CNQX (10 µM) (n = 24 of 24 cells)
(Figs. 2a, 3a) and
were glutamatergic. EPSPs were not affected by mAChR antagonist
atropine and nAChR antagonist mecamylamine (100 µM each; n = 5 neurons tested)
(Fig. 3a). The excitatory
activity was potentiated by the synaptic disinhibition with the
GABAA receptor antagonist bicuculline (50 µM) (Fig. 3a). The frequency of
action potentials was 0.5 ± 0.2 spikes/sec before and 4.8 ± 0.6 spikes/sec after the application of bicuculline (n = 5; p < 0.001). In three of five cells, bicuculline
elicited a depolarization of the membrane potential
(Vm) from
59.8 ± 1.4 mV to
44.3 ± 3.4 mV (n = 3; p < 0.02) (Fig. 3a). In two other cells, bicuculline evoked
large-amplitude EPSPs (15-19 mV; 0.18-0.2 Hz) with only small
depolarization (2-3 mV from the initial background level of
60 mV)
during inter-EPSP intervals (data not shown). No excitatory activity
was detected in control hypothalamic neurons during bicuculline
application in the presence of glutamate receptor antagonists
(n = 19 cells tested) (Fig. 3a).

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Figure 2.
Spontaneous neuronal activity in the control
cultures and cultures subjected to a chronic glutamate receptor
blockade. Representative current-clamp (a,
c, d) and voltage-clamp
(b) recordings from two control
(a, b) and two blocked (c,
d) cells are shown. a, Glutamate-mediated
activity recorded in this control neuron was suppressed with glutamate
receptor antagonists (AP5/CNQX, 100 and
10 µM) and recovered after washout. b,
GABA-mediated activity in another control cell was suppressed with
bicuculline (BIC, 50 µM).
c, d, ACh-dependent activity recorded in
these two chronically blocked neurons was suppressed with either
atropine (c, ATR, 10 µM) or
mecamylamine (d, MEC, 10 µM). The following applies in all figures:
Background, recording made before the applications of
antagonist(s); Recovery, recording made after the
antagonist(s) washout. AP5 (100 µM) and CNQX (10 µM) were in all mediums in
b-d. Calibration bars: 1 sec
(horizontal; a-d), 5 mV
(vertical; a, c,
d), 30 pA (vertical;
b).
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Figure 3.
ACh-mediated electrical activity after a
chronic glutamate receptor blockade. Current-clamp recordings are
shown. a, This control cell revealed glutamate-dependent
EPSPs after the removal of AP5/CNQX (100 and 10 µM) from the incubating medium. This activity was
not affected by AChR antagonists
(ATR/MEC; 100 µM each) but
was potentiated by synaptic disinhibition (BIC; 50 µM). No response to bicuculline was detected in the cell
in the presence of glutamate receptor antagonists. b, In
this chronically blocked neuron, bicuculline revealed the sustained
depolarization and increase in activity that was suppressed with
atropine (100 µM). c, Large spontaneous
EPSPs induced by bicuculline in another chronically blocked neuron
(c-2) were suppressed with atropine (c-3)
and recovered after washout (c-4). After
bicuculline washout, activity recovered (c-5) to its
initial low level (c-1). d,
Bicuculline-induced activity in this blocked neuron
(d-1) was not affected by atropine (100 µM; d-2) but was suppressed by
mecamylamine (100 µM; d-3) or TTX (1 µM; d-4) and recovered after
washout (d-5). Applications of antagonists in
a and b are indicated by the
bars above the recordings. Dashed lines
in a also indicate the time periods of AP5 and
CNQX application. The dotted line in b
represents the background Vm level. The
dashed line in d is the beginning of
antagonist(s) application. AP5 (100 µM) and CNQX (10 µM) were in all solutions in
b-d. Calibration bars are shown below
the recordings.
|
|
Ca2+ imaging experiments revealed
spontaneous glutamate-mediated intracellular
Ca2+ oscillations in 11 of 200 (6%)
control hypothalamic neurons (Fig. 4a). The frequency of
oscillations was 0.051 ± 0.003 Hz (n = 11; range
0.04-0.06 Hz). The average amplitude was 81.5 ± 10.2 nM Ca2+
(n = 11), as measured from the background
Ca2+ level that usually was 50-75
nM in different cells.
Ca2+ rises were completely suppressed in
the presence of glutamate receptor antagonists (AP5 and CNQX, 100 and
10 µM, respectively; n = 11). They were not affected, however, by atropine and mecamylamine (100 µM each) (Fig. 4a). After the joint
application of AChR antagonists, the frequency of
Ca2+ oscillations was 0.052 ± 0.003 Hz and the amplitude was 92.4 ± 12.6 nM
Ca2+ (n = 11; no
significant difference from the control). The level of intracellular
Ca2+ increased dramatically in almost all
tested neurons (n = 196 of 200; 98%) in the presence
of bicuculline (50 µM) (Fig. 4a). In
these cells, the Ca2+ increase was
194.2 ± 5.9 nM from the initial background
level. Oscillations of intracellular Ca2+,
synchronous between many cells, were common in these conditions. Because the bicuculline-mediated Ca2+
increases were not detected in the presence of glutamate receptor antagonists (Fig. 4a) (n = 436 cells
tested), they likely represented the disinhibition of glutamate
excitatory activity in cultured neurons.

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Figure 4.
ACh-mediated Ca2+ activity in
hypothalamic cultures after a chronic glutamate receptor blockade.
Ca2+ digital imaging data obtained from one control
(a) and six chronically blocked
(b-f) neurons are presented. a,
Typical control cell revealed glutamate-dependent
Ca2+ rises after the removal of
AP5/CNQX (100 and 10 µM)
from the incubating medium. This activity was not affected by AChR
antagonists (ATR/MEC; 100 µM each) but was potentiated by synaptic disinhibition
(BIC; 50 µM). No response to bicuculline
was detected in the cell in the presence of glutamate receptor
antagonists. b, In this blocked neuron, bicuculline
increased the level of intracellular Ca2+ that was
suppressed by atropine and mecamylamine
(ATR/MEC; 10 µM each)
applied jointly. c, Two cells in one culture responding
differently to the separate application of atropine and mecamylamine
(100 µM each). d, Ca2+
activity was blocked with TTX (1 µM). e,
The activity was not affected by metabotropic glutamate receptor
antagonists (mGluR-A; see Results for details;
ATR; 10 µM). f,
Ca2+ activity was also induced by eserine (10 µM). AP5 and CNQX were in all solutions in
b-f. Bicuculline (1 µM)
was also in all solutions in f. Calibration bars: 2 min
(horizontal) and 75 nM
Ca2+ (vertical) for all
recordings.
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Inhibitory neuronal activity was also detected in the control
hypothalamic cultures. Voltage-clamp recordings revealed spontaneous IPSCs in 12 of 20 neurons (60%) that were completely suppressed by
bicuculline (50 µM) and therefore were GABA mediated
(Fig. 2b) (AP5 and CNQX were in all solutions; holding
potential was
30 mV). IPSCs (n = 5 cells) and also
EPSPs (n = 4 cells) were completely and reversibly
suppressed by the voltage-gated Na+
current blocker TTX (1 µM; data not shown).
These data suggested that virtually all excitation and inhibition in
the control hypothalamic cultures were caused by the synaptic release
of glutamate and GABA from cultured neurons and activation of
ionotropic glutamate and GABA receptors. The data also supported the
idea that glutamate and GABA are two major fast neurotransmitters in
the hypothalamus (van den Pol et al., 1990
).
Upregulation of ACh transmission in hypothalamic cultures after a
chronic glutamate receptor blockade
Chronic (14-17 d) glutamate receptor blockade with AP5 (100 µM) and CNQX (10 µM) was maintained in some
hypothalamic cultures starting 4 DIV ("blocked cultures"). Cultures
of the same age (18-21 DIV) not subjected to a glutamate receptor
blockade served as control. When characteristics of neuronal activity
were measured and compared between blocked and control cultures, no
significant difference was detected in the following variables:
Vm was
60.1 ± 1.9 mV
(n = 20) in the control and
59.4 ± 0.6 mV
(n = 84) in blocked cultures;
Rinput was 1280 ± 167 M
(n = 20) and 1027 ± 75 M
(n = 84) in the control and after a chronic blockade, respectively; background levels of intracellular Ca2+
were usually between 50 and 75 nM
(n > 2000; half in each group); as in controls, many
chronically blocked neurons (68%; n = 19 of 28)
expressed spontaneous GABA-mediated IPSCs [in these experiments, IPSCs
were recorded in all cells in the presence of AP5 and CNQX; other
characteristics of neuronal activity
(Vm,
Rinput, levels of intracellular
Ca2+) were measured with (blocked
cultures) or without (control cultures) AP5/CNQX in the incubating
medium].
Surprisingly, however, compared with the control cultures in which all
excitatory activity was suppressed in the presence of AP5/CNQX (see
above), recordings revealed low-amplitude (3-10 mV) spontaneous EPSPs
at a frequency of 0.5-5 Hz in 54% of blocked neurons
(n = 45 of 84) (Fig. 2c,d). The
EPSPs were completely and reversibly suppressed by the mAChR antagonist
atropine (10-100 µM) in 8 of 10 neurons (Fig.
2c) or by the nAChR antagonist mecamylamine (10 µM) in 2 of 10 cells (Fig. 2d). This
suggested that they were cholinergic in nature. Additionally, although
no excitatory electrical activity was seen in control cultures after
synaptic inhibition was blocked with bicuculline (50 µM) when AP5 and CNQX were present in the
medium (n = 19) (Fig. 3a), large amplitude
EPSPs, sustained depolarization, and a dramatic increase in action
potentials were detected after synaptic disinhibition in 29 of 32 chronically blocked neurons (Fig. 3b-d). The frequency of
action potentials was 0.3 ± 0.1 and 3.9 ± 0.5 spikes/sec
before and after the application of bicuculline, respectively
(n = 29; p < 0.0001). In the presence of bicuculline, spontaneous large EPSPs (16-30 mV; 0.2-0.25 Hz) were
found in 17 of 29 (59%) of neurons (Fig. 3c). The rest of the cells (41%) revealed a sustained depolarization of
Vm from the background level of
59.9 ± 0.8 mV to
47.7 ± 1.1 mV after bicuculline
application (n = 12; p < 0.0001) (Fig.
3b). The bicuculline-induced epileptiform-like hyperactivity
in chronically blocked cultures was suppressed either by atropine
(10-100 µM; n = 7 of 8) (Fig. 3b,c) or by mecamylamine (100 µM; n = 1 of 8) (Fig.
3d), suggesting that it was cholinergic in nature.
The bicuculline-induced electrical activity in blocked neurons was
associated with a dramatic increase in the level of intracellular Ca2+ (Fig. 4b-e),
which was not detected in control neurons in the AP5/CNQX-containing
medium (Fig. 4a). In chronically blocked cultures, bicuculline increased intracellular Ca2+
level in 1938 of 2335 neurons (83%). The amplitude of
Ca2+ increase was in the range of 24-770
nM (average 203.2 ± 2.0 nM; n = 1938) as measured
relative to the initial background Ca2+
level. During bicuculline application, many of these neurons (52% of
1938) revealed Ca2+ oscillations that were
usually regular and synchronized between all cells in the microscope
field and were in the range of 0.02-0.06 Hz (Fig.
5). Ca2+
increase in other cells (48% of 1938) was steady, as shown in Figure
4b. The bicuculline-induced
Ca2+ activity was blocked or significantly
(>50%) suppressed with the joint application of atropine and
mecamylamine in 67% of 235 neurons at concentrations of 10 µM and in 94% of 161 neurons at concentrations
of 100 µM (Fig. 4b, Table
1). Atropine alone blocked or reduced the
Ca2+ activity in 39% (of 144; 10 µM) and 69% (of 269; 100 µM) of neurons, and mecamylamine alone did that
in 24% (of 90; 10 µM) and 48% (of 65; 100 µM) of cells. When atropine (100 µM) and mecamylamine (100 µM) were separately applied to the same cells,
activity in 5 of 65 neurons (8%) was suppressed with mAChR but not
nAChR antagonist (Fig. 4c-1), whereas in 3 of 65 cells (5%)
the effect was the opposite (Fig. 4c-2).

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Figure 5.
ACh-mediated synchronous intracellular
Ca2+ oscillations in blocked hypothalamic neurons.
The activity of all seven cells was recorded simultaneously from one
microscope field. BIC, 50 µM;
ATR, 10 µM; MEC, 10 µM. AP5 and CNQX were in all solutions. Calibration bars:
2 min and 100 nM Ca2+ for all
recordings.
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Table 1.
Effect of some pharmacological agents on
bicuculline-mediated Ca2+ increases in hypothalamic
cultures subjected to a chronic glutamate receptor
blockadea
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The data described above supported the idea that the
bicuculline-induced Ca2+ activity in
blocked cultures was of a cholinergic origin. Importantly, the activity
was also suppressed by TTX (1 µM) in all electrical recordings (n = 5 neurons) (Fig.
3d-4) and in most of the
Ca2+ imaging experiments (94% of 228 cells) (Fig. 4d), suggesting the synaptic release of ACh
from cultured neurons. The activity was not significantly affected,
however, by the antagonists of metabotropic glutamate receptors (AIDA,
100 µM; EGLU, 100 µM; and MSPG, 100 µM; applied together; decrease
only in 3% of 303 cells) (Fig. 4e), P2 purinoreceptors
(suramin, 100 µM; and PPADS, 100 µM; 0% of 122 cells; data not shown), and
-adrenoreceptors (propranolol, 20 µM;
decrease in 2% of 98 cells; data not shown). Therefore, the activity
was not caused by activation of these receptors.
Eserine (10 µM), an inhibitor of acetylcholinesterase
(enzyme that hydrolyzes ACh), also induced
Ca2+ increases in 57 of 106 (54%)
chronically blocked cells (Fig. 4f). The average
amplitude of Ca2+ increase during eserine
application was 121.2 ± 10.0 nM, as
measured from the initial background level (n = 57;
p < 0.0001, calculated relative to zero; 1 µM bicuculline was in all solutions). In the meantime, in the control cultures, no Ca2+
increase was detected in neurons (n = 0 of 132; data
not shown) under similar conditions. These data provided further
evidence for the upregulation of ACh transmission during a chronic
decrease of glutamate excitation.
ACh regulation in cerebellar and cortical cultures
In our experiments, we also tested the expression of ACh-mediated
Ca2+ activity in the control (18 DIV) and
chronically blocked (14 DIB/18 DIV) cultures obtained from the
cerebellum and cortex. Almost all (98%; n = 248 of
253) of the chronically blocked neurons but none (0%;
n = 0 of 211) of the control cerebellar cells increased the level of intracellular Ca2+ (by ~190
nM) or revealed synchronous intracellular
Ca2+ oscillations (Fig.
6a) during the application of
bicuculline (AP5 and CNQX were in all mediums). This
bicuculline-induced activity was blocked or suppressed (>50%) in 81%
(n = 201 of 248) neurons by the joint application of
atropine and mecamylamine (10 µM each) (Fig.
6a). In cortical cultures, however, bicuculline-induced activity was detected in neither control neurons (n = 237 tested) nor neurons after a chronic glutamate receptor blockade
(n = 254) (Fig. 6b).

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Figure 6.
Region-specific character of glutamate-dependent
regulation of ACh transmission. a, ACh-mediated
synchronous Ca2+ oscillations were detected in many
cerebellar neurons after a chronic decrease in glutamate excitation.
Activity of two representative cerebellar cells in a
(a-1, a-2) were recorded simultaneously
from the same microscope field. ATR, 10 µM; MEC, 10 µM.
b, No excitatory activity was detected in chronically
blocked cortical neurons. AP5 and CNQX were in all solutions except for
the NMDA-containing (10 µM) but
Mg2+-free solution in b that was used
to confirm that the cell was healthy and responsive. Calibration bars:
1 min and 75 nM Ca2+ for all
recordings.
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Upregulation of ACh receptors
Two major types of AChRs have been determined previously in the
mammalian CNS, including the hypothalamus: ionotropic nAChRs (directly
coupled to an ionic channel) and metabotropic mAChRs (coupled to
GTP-binding proteins) (Seguela et al., 1993
; Wei et al., 1994
; Shioda
et al., 1997
). In the CNS, excitatory ACh effects are usually
associated with either influx of Na+
and/or Ca2+ into the cell through nAChRs
(
7 nAChR subunit is especially permeable for
Ca2+) (Sargent, 1993
; Role and Berg, 1996
)
or with m1 and m3 mAChR-dependent reduction of
K+ conductances (Madison et al., 1987
;
Benson et al., 1988
; Vanner et al., 1993
); m1 and m3 mAChRs also
increase levels of intracellular Ca2+
through the mobilization of Ca2+ from
intracellular stores (McKinney, 1993
). We tested whether the increase
in ACh transmission in hypothalamic cultures after a chronic glutamate
receptor blockade was associated with the upregulation of AChRs. In
control cultures, 29 (23%) and 17 (13%) of 128 neurons responded with
an increase in intracellular Ca2+ to the
application of nicotine and muscarine, respectively (10 µM each) (Fig.
7a). Of 128 cells, 15 (12%)
responded only to nicotine, 3 (2%) only to muscarine, 14 (11%) to
both agonists, and 96 (75%) to neither of them. Meanwhile, 122 (83%)
and 128 (87%) of 147 neurons responded to nicotine and muscarine in
blocked cultures (Fig. 7b). Of 147 cells, 19 (13%)
responded only to nicotine, 25 (17%) responded only to muscarine, 103 (70%) responded to both agonists, and none (0%) responded to neither
of them. Such selective sensitivity of some neurons to either
nicotine or muscarine, as well as selective suppression of
bicuculline-mediated activity in some blocked cells by either nAChR or
mAChR antagonists (Fig. 4c), may apparently represent the
differential expression of two types of AChRs in various hypothalamic
neurons. The amplitude of the Ca2+
response to AChR agonists was also increased in neurons after a chronic
glutamate receptor blockade. In blocked neurons compared with the
control, Ca2+ response to nicotine was
larger by 47%, and response to muscarine was larger by 102%.

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Figure 7.
Upregulation of AChRs after a chronic glutamate
receptor blockade. Data from Ca2+ imaging
(a, b, e,
f) and Northern blot analyses (c,
d) are presented. a, b,
Responses of two representative control (a) and
chronically blocked (b) neurons to nicotine
(NIC; 10 µM) and muscarine
(MUSC; 10 µM). c,
d, Expression of mRNAs encoding five mAChRs
(c) and three subunits of nAChRs
(d) in the control (open bars;
n = 4 coverslips) and chronically blocked
(filled bars; n = 5 coverslips) cultures. Each bar shows the mean and SE. Significance of
differences (Student's t test) relative to the control:
*p < 0.05, **p < 0.001, ***p < 0.0001. e, f,
Bicuculline-induced activity in two chronically blocked neurons was
suppressed by pirenzepine (e, PIRENZ; 5 µM) or -bungarotoxin (f,
-BUNG; 100 nM). AP5 and CNQX were in all
solutions in Ca2+ recordings. TTX (1 µM) was in all solutions in a and
b. Calibration bars: 2 min and 75 nM
Ca2+ for all Ca2+
recordings.
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The significant upregulation of mRNAs encoding two of five subtypes of
mAChRs (Fig. 7c, m1 and m3) and two of
three subunits of nAChRs (Fig. 7d,
4 and
7) was also detected in blocked cultures as
compared with the control, as determined using Northern blots. When
specific antagonists for m1 mAChR (pirenzepine, 5 µM) and
7 nAChR (
-bungarotoxin, 100 nM) were applied to chronically blocked neurons,
they suppressed the bicuculline-induced
Ca2+ activity in 48% of 54 neurons and
38% of 68 neurons, respectively (Fig. 7e,f,
Table 1). This suggested that part of the activity was caused by
activation of those AChRs.
Some insights on the mechanisms of glutamate-dependent
ACh regulation
To further characterize the mechanisms responsible for the
development of ACh activity in hypothalamic cultures during chronic glutamate receptor blockade, we used the partial blockade of NMDA and
non-NMDA receptors with 20 µM AP5 and 2 µM
CNQX for 2 weeks. Although in control cultures such concentrations of
AP5 and CNQX were not sufficient to completely block the excitatory
effects of externally applied glutamate (~50% blockade;
n = 78 cells) (Fig.
8a), ACh-mediated
Ca2+ activity was still detected in 34%
of 80 cells chronically incubated in the presence of 20 µM AP5 and 2 µM CNQX
(Fig. 8b, Table 2). A chronic
(14 d) blockade of only NMDA glutamate receptors was sufficient for the
upregulation of ACh activity in neurons: 73% of 90 cells and 69% of
106 cells expressed ACh-mediated activity in cultures subjected to NMDA
receptor antagonists AP5 (100 µM) (Fig. 8c) and CPP (5 µM) (data not shown),
respectively. A blockade of only non-NMDA receptors with 10 µM CNQX was not critical for the development of
this activity (Fig. 8d) (only 1% of 233 neurons in such
cultures revealed ACh excitation). Elevated potassium (20 mM), which is known to increase
Ca2+ influx to cells through L-type
voltage-gated Ca2+ channels (Bessho et
al., 1994
), could prevent the development of ACh activity in
chronically blocked cultures. This was demonstrated in neurons
subjected for 2 weeks to 100 µM AP5, 10 µM CNQX, and 20 mM KCl,
which failed to express ACh-mediated activity (n = 341 tested) (Fig. 8e). Additionally, no ACh activity was found in neurons chronically (14 d) incubated in the presence of 1 µM TTX, which suppresses neuronal action
potentials (n = 109) (Fig. 8f). These
data suggested that the decrease in Ca2+
influx through NMDA glutamate receptors, rather than activity-dependent regulation or inactivation of non-NMDA receptors, may be one mechanism responsible for the increase in ACh transmission during a chronic decrease in glutamate excitation in the hypothalamus in
vitro.

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Figure 8.
Development of ACh activity in hypothalamic
neuronal cultures. Representative recordings from
Ca2+ imaging experiments are shown.
a, Amplitude of responses of control hypothalamic
neurons to externally applied glutamate (10 µM) was
reduced by ~50% in the presence of 20 µM AP5 and 2 µM CNQX (20/2). All
glutamate-mediated activity recorded in the absence of glutamate
receptor antagonists (0/0) was suppressed
by 100 µM AP5 and 10 µM CNQX
(100/10). Arrows indicate
the time of antagonist introduction. b, ACh activity in
culture grown in the presence of 20 µM AP5 and 2 µM CNQX. c, ACh activity in culture grown
in the presence of 100 µM AP5 alone. d,
Culture grown in the presence of 10 µM CNQX alone.
e, Neurons grown in the presence of AP5, CNQX, and KCl
(20 mM) did not reveal ACh activity, but they did express
low amplitude (15-20 nM) Ca2+
oscillations synchronized between all cells in the microscope field
(two representative cells are shown). f, Culture grown
in the presence of 1 µM TTX. g,
ACh-mediated Ca2+ activity in cultures at different
levels of glutamate excitation (see Results for explanation).
h, Culture after 10 DIV/6 DIB. i, Culture
after 74 DIV/14 DIB. All recordings in
b-i were done in the presence of AP5
(100 µM) and CNQX (10 µM) in all solutions.
NMDA (10 µM) solution in d,
f, g-1, and g-3 did not
contain Mg2+, AP5, and CNQX.
b-i, BIC, 50 µM; ATR, 100 µM;
MEC, 100 µM. Calibration bars: 2 min and
75 nM Ca2+ for all recordings.
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Table 2.
Acetylcholine-dependent Ca2+ activity in
hypothalamic cultures raised under various cell culture
conditionsa
|
|
We tested the expression of ACh transmission in cultures at different
levels of glutamate activity (Fig. 8g). Cultures in six
coverslips were subjected for 14 d to glutamate receptor blockade with AP5 and CNQX. Two of those six cultures were tested and revealed ACh-mediated Ca2+ rises in 85% of 169 cells (Fig. 8g-2). In the remaining four coverslips, the
concentrations of both AP5 (100 µM) and CNQX
(10 µM) in the culture medium were then
decreased by 20% each successive day. After 5 d, AP5 and CNQX
were removed completely, and cells were cultured for 10 additional days
in the absence of the glutamate receptor antagonists. When cultures in
two of those four coverslips were tested, they expressed spontaneous
glutamate-mediated EPSPs (n = 3 cells; data not shown)
and did not reveal any ACh-dependent Ca2+
activity (n = 119) (Fig. 8g-3), as did their
sister control cultures that had never been subjected to chronic
glutamate receptor blockade (174 cells in two coverslips; 33 DIV) (Fig.
8g-1). Cultures in the other two of four coverslips were
again subjected to a chronic glutamate receptor blockade for the next
10 d. When tested, ACh-mediated Ca2+
activity was detected in these cultures, although in a lower percentage
of neurons (54% of 105 neurons) (Fig. 8g-4). This
showed the dynamic bi-directional plasticity of ACh transmission at
different levels of glutamate excitation.
The chronic presence of glutamate receptor antagonists in the
incubating medium is known to slow the rate of natural cell death and
to increase neuronal survival in cell cultures, which is attributable
most likely to a decrease in glutamate excitotoxicity (Obrietan and Van
den Pol, 1995
). To address the possibility that increased survival of
neurons in blocked cultures may be responsible for the increase in ACh
excitation, we studied the dynamics of development of ACh activity in
blocked cultures. As found previously (Obrietan and Van den Pol, 1995
),
10 DIV is the time when the relative number of neurons in the control
and chronically blocked hypothalamic cultures is almost identical and
the protective effect of glutamate receptor antagonists on neuronal
survival is not yet manifested. In our experiments, ACh-mediated
activity was already detected in cultures on 10 DIV/6 DIB (12% of 59 cells) (Fig. 8h). The number of neurons expressing ACh
activity quickly increased to 83% in the following several days (by
14-17 DIB) and did not significantly change after almost 2.5 months of
blockade (89% of 167 cells; 74 DIV/70 DIB) despite the continuous
natural cell death. These data suggested that the upregulation of ACh activity was not the result of increased neuronal survival in chronically blocked cultures.
We tested whether ACh excitation can develop in cultures after their
maturation or whether only immature cultures develop this activity. In
these experiments, hypothalamic cultures were subjected to a chronic
(14 d) glutamate receptor blockade starting at 60 DIV [i.e., well
after maturation of synaptic connections in rat hypothalamic cultures
(van den Pol et al., 1998
)]. Although the ability of cultures to
express ACh-mediated activity was reduced, 51% of 210 tested neurons
still revealed ACh excitation (Fig. 8i). These data parallel
those from the experiment with the reintroduction of glutamate receptor
blockade to 1.5-month-old hypothalamic cultures (see above) (Fig.
8g-4) and suggest the contribution of both
developmental and non-developmental mechanisms to the
glutamate-dependent regulation of ACh activity in the hypothalamus
in vitro.
ACh supports the excitation/inhibition balance
A decrease in GABA activity in neuronal cultures or cultured
slices obtained from different regions of the CNS can cause an imbalance in synaptic excitation/inhibition and, if sustained, cell
death. Application of the GABAA receptor
antagonists bicuculline (100 µM) and picrotoxin (500 µM) for 3 d to cultured hippocampal slices was found
previously to cause a glutamate-dependent neurodegeneration that could
be prevented with the NMDA and non-NMDA receptor antagonists MK-801 and
CNQX (Thompson et al., 1996
). This supported the idea of the
contribution of glutamate and GABA to the regulation of the
excitation/inhibition balance in the hippocampus. In our experiments using staining with the Live/Dead Kit, we found that bicuculline and
picrotoxin, when applied in the same concentrations to the control
hypothalamic cultures for 4 d (starting 18 DIV), also caused
neurodegeneration. The number of live neurons per microscope field
(p.m.f.) was 41.3 ± 2.1 and 34.1 ± 1.9, respectively, in cultures not treated and treated with GABAA
receptor antagonists as estimated in 36 randomly chosen microscope
fields in three coverslips for each test (p < 0.001) (Fig. 9a,
a-1, a-2). The neurodegeneration was prevented
with glutamate receptor antagonists AP5 (100 µM) and CNQX (10 µM)
(42.5 ± 1.8 live cells p.m.f.) (Fig. 9a,
a-3), supporting the idea that glutamate and GABA are also involved in the regulation of the excitation/inhibition balance in the
hypothalamus in vitro.

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Figure 9.
In the absence of glutamate excitation, ACh
supports the excitation/inhibition balance in hypothalamic cultures.
The number of live neurons per microscope field
(p.m.f.) was calculated in control hypothalamic
cultures (a, c), in blocked hypothalamic
cultures (b, d), and in blocked cortical
cultures (e). The first column in
all graphs represents no treatment. a-2,
b-2, e-2, Cultures treated for 4 d
with bicuculline (100 µM) and picrotoxin (500 µM). a-3, b-3,
e-3, Cultures treated for 4 d with bicuculline (100 µM), picrotoxin (500 µM), atropine (100 µM), and mecamylamine (100 µM).
c-2, d-2, Cultures treated for 4 d
with carbachol (50 µM). c-3,
d-3, Cultures treated for 4 d with carbachol (50 µM), atropine (100 µM), and mecamylamine
(100 µM). All control cultures were stained on 22 DIV;
blocked cultures were stained on 22 DIV/18 DIB. Significance of
differences relative to the corresponding group of cells that were not
treated: ***p < 0.0001, **p < 0.001.
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We then tested whether after a chronic glutamate receptor blockade ACh
supports the excitation/inhibition balance and, namely, whether a
prolonged imbalance between ACh excitation and GABA inhibition also
leads to cell death. To test this hypothesis, bicuculline (100 µM) and picrotoxin (500 µM) were added for
4 d to some chronically blocked hypothalamic cultures starting 18 DIV/14 DIB. Other blocked cultures were not treated with
GABAA receptor antagonists. In 4 d (22 DIV/18 DIB), all cultures were stained using the Live/Dead Kit, and the
number of live cells was analyzed. In cultures not treated with GABA
antagonists, 54.4 ± 3.8 live neurons p.m.f. were found (Fig.
9b, b-1). Treatment of neurons for 4 d with
bicuculline and picrotoxin significantly decreased the number of live
neurons to 19.5 ± 3.4 p.m.f. (p < 0.0001) (Fig. 9b, b-2). The neurotoxicity
mediated by GABAA receptor antagonists was
prevented with atropine and mecamylamine (100 µM each; 61.5 ± 4.5 cells p.m.f) (Fig.
9b, b-3), suggesting its cholinergic nature. In
another experiment, when the AChR agonist carbachol (50 µM) was applied to blocked cultures for 4 d, it decreased the number of live neurons from 52.8 ± 2.4 to
17.3 ± 2.2 p.m.f. (p < 0.0001) (Fig.
9d, d-1, d-2). This was prevented with
atropine and mecamylamine (100 µM each;
51.7 ± 3.5 p.m.f) (Fig. 9d, d-3).
Meanwhile, in control cultures (not subjected to a chronic glutamate
receptor blockade) no effect of carbachol on cell survival was
detected: 44.9 ± 3.43, 46.8 ± 3.09, and 45.9 ± 3.0 live neurons p.m.f. were found in nontreated cultures,
carbachol-treated cultures, and cultures treated with carbachol and
AChR antagonists, respectively (Fig. 9c).
In these experiments, we also tested cortical cultures subjected to a
chronic glutamate receptor blockade. GABAA
receptor antagonists applied to these cultures for 4 d did not
elicit neurodegeneration. The number of live neurons p.m.f. was
32.2 ± 2.1, 33.1 ± 2.3, and 34.4 ± 2.0 in nontreated
cultures, cultures treated with GABAA receptor
antagonists, and cultures treated with AChR and
GABAA receptor antagonists, respectively (Fig.
9e). The data suggest that in the absence of glutamate
excitatory activity, ACh supports the excitation/inhibition balance in
hypothalamic but not cortical cultures.
 |
DISCUSSION |
Taken together, our experiments demonstrated glutamate-dependent
bi-directional regulation of cholinergic transmission in cultured
neurons: a dramatic increase in excitatory ACh activity and
upregulation of AChRs after a chronic blockade of glutamate neurotransmission and a decrease in cholinergic excitation in the
presence of glutamate activity. Upregulation of ACh excitation after a
decrease in glutamate activity was detected in hypothalamic and
cerebellar cultures but not in cultures obtained from the cortex. These
data parallel previous observations on rat pups in vivo
(Facchinetti et al., 1993
, 1994
; Virgili et al., 1994
, 1998
), which
also indicated a significant increase in cholinergic function in some
regions of the CNS (cerebellum, spinal cord, striatum, globus pallidus,
and nucleus accumbens) but not in others (cortex, hippocampus) during a
chronic (3 weeks) glutamate receptor blockade. In our in
vitro experiments we have determined that a decrease in
Ca2+ influx into cells through NMDA
glutamate receptors is the principal component responsible for the
glutamate-dependent ACh upregulation in neurons. The inactivation of
non-NMDA glutamate receptors or the activity-dependent mechanisms
(inactivation of voltage-gated Na+
channels) do not appear to contribute substantially to this upregulation.
Several different factors can cause a decrease in glutamate excitatory
transmission in the CNS. Decreased glutamatergic functions in the
cortex and striatum have been postulated to be a significant factor in
the pathophysiology of schizophrenia (Riederer et al., 1992
). Massive
death of glutamatergic neurons was established in the human hippocampus
during epilepsy (Babb, 1997
) and stroke (Mitani et al., 1992
;
Inglefield et al., 1997
), whereas interneurons within this sector
continue to survive long term. Although the loss of cholinergic neurons
of the basal forebrain was suggested to be responsible for Alzheimer's
disease, degeneration of glutamatergic neurons in the hippocampus and
cerebral cortex was also implied in the pathogenesis of this disease
(Simpson et al., 1988
; Lawlor and Davis, 1992
). Massive degeneration of
the hippocampal and cortical glutamate-secreting projecting neurons may
likely reduce glutamate-mediated excitatory synaptic transmission in
the brain and deprive target regions of excitatory inputs. Tumors and
brain or spinal cord injuries can also damage or destroy glutamate
neurons and projections (Llewellyn-Smith et al., 1997
). Chronic ethanol exposure may reduce glutamate receptor activity by blocking NMDA receptors (Hoffman et al., 1992
). Chronic application of drugs that
reduce or completely suppress the activity of ionotropic glutamate
receptors is used clinically for the treatment of epilepsy (Rogawski,
1992
). Moreover, several clinical trials are currently being performed
by National Institutes of Health for a number of NMDA and non-NMDA
glutamate receptor antagonists (lamictal, eliprodil, amantadine,
dextromethorphan, memantine, topiramate, CGS19755, LY300164, LY293558)
for the treatment of Parkinson's disease, Huntington's chorea,
orofacial neuralgias, chronic pain, drug dependence, and AIDS dementia
(see http://clinicaltrials.gov/). These drugs are used for the chronic
treatment of patients: e.g., LY300164 is given three times a day for 3 weeks.
In neuronal circuits, a decrease in glutamate activity usually triggers
the compensatory mechanisms that are intended to increase glutamate functions of neurons: upregulation of postsynaptic glutamate receptors, regeneration and sprouting of glutamate terminals, etc.
(Follesa and Ticku, 1996
; van den Pol et al., 1996
; Babb, 1997
).
Decrease in glutamate excitation may also potentially trigger other
compensatory mechanisms, such as reorganization in other neurotransmitter systems, an upregulation of specific neurotrophic factors, an upregulation of certain ionic currents, and a modulation of
the second messenger systems and gene expression. In the hypothalamus and some other regions of the CNS, one such compensatory mechanism may
include an increase in the expression of ACh, which does not play a
significant role as an excitatory neurotransmitter in the presence of
glutamate excitation but begins to play this role when glutamate
activity is decreased. In general, the upregulation of ACh transmission
may represent the establishment of new pathways in neuronal circuits
that allow neurons to continue excitatory communication even with the
reduced or absent glutamate activity, which is normally responsible for
the fast excitatory communication in the CNS. Consistent with this
hypothesis are our data revealing neurotoxic effects of both
synaptically released ACh and externally applied AChR agonist in
blocked but not control hypothalamic cultures, suggesting that in the
absence of glutamate, ACh supports the synaptic excitation/inhibition
balance. Other observations have also revealed ACh hyperactivity,
hypersensitivity, and sprouting of cholinergic projections that
accompany the neurodegeneration of glutamate neurons in the hippocampus
during epilepsy (Kish et al., 1988
; Holtzman and Lowenstein, 1995
;
Correia et al., 1998
). Cholinergic sprouting and ACh hypersensitivity
have also been reported previously in the brain of Alzheimer's disease
patients even when a minimal loss of cholinergic neurons in the basal
forebrain was detected (Geddes et al., 1985
). Additionally in our
experiments, ACh excitation developed in hypothalamic cultures during
the time frame (1-2 weeks) comparable with that of clinical treatment
of patients with glutamate receptor antagonists. This suggests a possibility for the upregulation of ACh transmission in the CNS during
clinical use of glutamate receptor blocking agents.
It is important to note that neuronal regeneration and development
share many mechanisms and regulatory molecules that regulate axonal
outgrowth and pathfinding, formation of synaptic connections, trophic
interactions between synapses and target cells, and changes in
neurotransmitter release and reception (Nicholls et al., 1992
; Purves
et al., 1997
). Therefore, although the upregulation of ACh transmission
can be seen as the regeneration of excitatory inputs to neurons aimed
to compensate for the decrease in glutamate excitation, this may
also represent the developmental aspects of ACh-glutamate interaction.
In fact, in our experiments, when hypothalamic cultures were subjected
to a chronic glutamate receptor blockade well after their maturation,
the number of cells that revealed ACh activity in
Ca2+ recordings was reduced in these
cultures as compared with young cultures. This suggested the
contribution of both developmental and non-developmental mechanisms to
glutamate-dependent regulation of ACh transmission. Moreover, ACh
appears to be the major excitatory neurotransmitter in the retina
(Feller et al., 1996
) and spinal cord (Milner and Landmesser, 1999
)
during early stages of development, before glutamate begins to play
this role at the later stages. Indirect evidence also suggests high
levels of cholinergic activity in the hypothalamus of rat and mouse on
embryonic days 15-18 (Schambra et al., 1989
; Naeff et al., 1992
; Zoli
et al., 1995
), whereas glutamate activity in this region is not yet
manifested (Chen et al., 1995
). Because a chronic blockade of NMDA
glutamate receptors leads to the development of a brain with immature
network properties, as suggested earlier (Gorter and Brady, 1994
;
Scheetz et al., 1996
), it is possible that such blockade may also
preserve (or reestablish) ACh activity in cultures of those CNS regions
where ACh excitation is typical at earlier stages of development. If this assumption is true, the expression of ACh activity during a
chronic glutamate receptor blockade in retinal and spinal cultures can
also be expected to occur.
Importantly, our experiments also revealed the upregulation of
excitatory cholinergic neurotransmission even after a partial (~50%)
decrease in glutamate activity. Such culture conditions are probably
more relevant to pathological or developmental conditions in
vivo than to a total decrease in glutamate excitation.
Several possible mechanisms may potentially account for the
upregulation of ACh transmission after a decrease in glutamate excitation. One possibility is a direct
Ca2+-dependent regulation of cholinergic
gene expression described previously for excitable cells (Walke et al.,
1994
). A second possibility is an increase in the expression of
cholinergic differentiation factors that trigger the switch of neurons
from a noncholinergic to a cholinergic phenotype. The presence of such
factors in the CNS (e.g., ciliary neurotrophic factor and leukemia
inhibitory factor) has been established (Landis, 1990
). The ability of
these factors to increase the cholinergic properties of cultured
neurons was found to be prevented with elevated
K+ (or increased
Ca2+ influx to cells) and was less
pronounced in older cultures (Landis, 1990
). The development of ACh
activity in chronically blocked hypothalamic cultures in our
experiments was also prevented under similar depolarizing conditions
and was reduced after culture maturation. A third possible mechanism
may include sprouting of already existing cholinergic neurons and
cholinergic synaptogenesis. The axonal sprouting, elongation of
neurites, and increase in spine density have been detected previously
during glutamate receptor blockade in tectal cultures (Lin and
Constantine-Paton, 1998
) and lateral geniculate slices (Rocha and Sur,
1995
). In contrast, activation of glutamate receptors suppressed axon
extension of cultured cerebellar granular neurons (Baird et al.,
1996
).
In conclusion, the upregulation of excitatory ACh transmission detected
in our experiments on the hypothalamus in vitro appears to
represent a novel form of neuronal plasticity that regulates the
activity and excitability of neurons and supports the
excitation/inhibition balance in many neuronal circuits in the CNS
during a long-term decrease in glutamate excitation.
 |
FOOTNOTES |
Received June 18, 2000; revised Dec. 20, 2000; accepted Jan. 4, 2001.
This research was supported by Tulane University funds (A.B.B.), Board
of Regents Support Fund (A.B.B.), and National Institutes of Health
Grant DA00187 (B.F.O.). We thank Dr. Anthony N. van den Pol and Dr.
Hilary Srere for helpful discussions in the early phases of this
project, and Steve Wiler and Vinh Cao for technical support.
Correspondence should be addressed to Dr. Andrei B. Belousov,
Department of Cell and Molecular Biology, 2000 Percival Stern Hall,
Tulane University, New Orleans, LA 70118. E-mail:
belousov{at}tulane.edu.
 |
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