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The Journal of Neuroscience, May 1, 2001, 21(9):2983-2991
Substance P Abolishes the Facilitatory Effect of ATP on
Spontaneous Glycine Release in Neurons of the Trigeminal Nucleus Pars
Caudalis
Zhi-Ming
Wang,
Shutaro
Katsurabayashi,
Jeong-Seop
Rhee,
Malcolm
Brodwick, and
Norio
Akaike
Cellular and System Physiology, Graduate School of Medical
Sciences, Kyushu University, Fukuoka, 812-8582, Japan
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ABSTRACT |
Glycine release was facilitated by the activation of presynaptic
ATP receptors (P2X-type) in a preparation of dissociated trigeminal nucleus pars caudalis neurons in which the native synaptic boutons were preserved. The action of ATP was completely blocked by
substance P (SP) without alteration of the miniature IPSC (mIPSC) amplitude distribution. SP itself had no effect on mIPSC
frequency or amplitude. The inhibitory effect of SP on ATP action was
blocked by CP99994, indicating that the SP receptors are of the
neurokinin-1 type. The ATP-induced facilitation of the mIPSC
frequency was unaffected by Cd2+. Moreover, SP did
not inhibit the increase in mIPSC frequency induced high
K+ application, suggesting that SP did not modulate
voltage-dependent calcium channels or subsequent steps in the release process.
KT5720 and phorbol 12-myristate 13-acetate did not block SP
action, indicating that neither the cAMP-protein kinase A nor the protein kinase C pathway mediates the SP effects. However, in the presence of N-(6-aminohexyl)-5-chloro-1-naphthalene
sulphonamide (W-7), SP was no longer able to inhibit the
ATP-induced stimulation of mIPSC frequency.
1-[N,O-bis(5-isoquinolinesulfonyl)-N-methyl-L-tyrosyl]-4-phenylpiperazine also suppressed the SP action, suggesting that SP modulates
P2X receptors via a Ca2+/calmodulin-dependent
protein kinase II-mediated pathway. In conventional whole-cell
mode, the presence of W-7 in the patch pipette did not affect the SP
inhibitory action. Thus, SP is not likely to be generating its
modulation through the production of a retrograde signal (involving
calmodulin) from the postsynaptic cell to the presynaptic boutons.
These results are the first demonstration of the modulation of one
presynaptic receptor by another. Because SP inhibits the ATP
stimulation of glycine release, SP may play a significant role in
hyperalgesia or chronic pain.
Key words:
dissociated neurons; substantia gelatinosa neuron; glycinergic nerve terminal; ATP and substance P receptors; calmodulin; CAM kinase II; glycinergic mIPSC; modulation; pain
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INTRODUCTION |
Despite an intense effort to
understand the neural circuitry underlying nociception in the spinal
cord, there are still many uncertainties regarding the function of
substance P (SP). Seemingly contradictory data from behavioral and
electrophysiological experiments have been found regarding the role of
SP. For example, neurokinin-1 (NK-1) receptor antagonists reduce
the response to maintained inflammatory pain models but have no effect
on brief noxious stimulation (Seguin et al., 1995 ).
Electrophysiological experiments also indicate that NK-1 receptor
inhibition decreases long-term noxious stimulation without a parallel
effect on short-term C-fiber responses (Chapman and Dickenson, 1993 ).
The destruction of dorsal horn neurons containing NK-1 receptors
"left responses to mild noxious stimuli unchanged, but markedly
attenuated responses to highly noxious stimuli and mechanical and
thermal hyperalgesia" (Mantyh et al., 1997 ). Clearly the nature of
the response, as well as the duration and magnitude of the stimuli must
be considered. Moreover, parallel pathways mediating pain sensation or
reflex activity complicate analysis.
SP mediates a bewildering variety of cellular responses. For
example, certain subtypes of voltage-dependent calcium channels are
inhibited by SP in rat nucleus basalis neurons. This inhibition appeared to be mediated by a pertussis toxin-independent G-protein (Margeta-Mitrovic et al., 1997 ). A variety of G-proteins are
coupled to SP receptors (Nishimura et al., 1998 ). For submandibular
neurons the decrease in calcium channel activity was reduced by
protein kinase C (PKC) but not by protein kinase A (PKA) (Yamada et
al., 1999 ). In contrast, locusttachykinins produced a depolarization mediated by cAMP and PKA (Lundquist and Nassel, 1997 ). In
astrocytoma cells, SP and histamine appear to transiently raise the
intracellular calcium levels through a mechanism involving
phosphoinositide metabolism, which is then followed by a decrease
mediated by a PKC stimulation of calcium pumps (Young et al., 1998 ).
Moreover, inositol triphosphate levels increased within 30 sec of SP
application to guinea pig urinary bladder (Martin et al., 1997 ). In
adenoid tissue explants, the ciliostimulatory effect of SP appears to be mediated by nitric oxide (Runer and Lindberg, 1999 ). Last, SP
activates mitogen-activated protein kinase with the expression of
immediate-early genes in human astrocytoma cells (Luo et al., 1997 ).
Because of the complexity of the neural circuitry and the added
complexity of the temporal relationships of the various inputs, it is
difficult to resolve the cellular mechanisms underlying the response to
sensory inputs. A preparation of acutely isolated neurons from the
substantia gelatinosa (SG) of the trigeminal nucleus pars caudalis
retaining functional synaptic boutons (Rhee et al., 2000 ) provides a
simplified system for studying the effects of modulators on synaptic
transmission. The various nerve endings can be functionally isolated
with appropriate inhibitors.
Here we demonstrate a role for SP in the modulation of the ATP-induced
stimulation of glycine release. This effect of SP appears to be
activated by the calmodulin-CaM kinase II system located in the
presynaptic terminal. This finding represents the first demonstration
to our knowledge of the presynaptic modulation of one receptor type by another.
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MATERIALS AND METHODS |
Preparation. Ten- to 14-d-old Wistar rats were
decapitated under pentobarbital anesthesia. The spinal cord was quickly
removed and was sliced at a thickness of 400 µm with a microslicer
(DTK-1000; Dosaka, Kyoto, Japan). The spinal cord slices were kept in
an incubation medium saturated with 95% O2 and 5%
CO2 at room temperature (22-25°C) for at least 1 hr.
Thereafter, the slices were transferred into a 35 mm culture dish
(Primaria 3801; Becton Dickinson, Franklin Lakes, NJ), and the
dorsal horn of the spinal cord was identified under a binocular
microscope (SMZ-1; Nikon, Tokyo, Japan). A fire-polished glass pipette
was placed lightly onto the surface of the dorsal horn and was vibrated
horizontally. We recorded the vibration movement with digital video
camera and measured the speed and distance of movement. The speed and
distance were regulated by an AC power supply. The vibration movement
in our experiment was ~3-5 Hz for 2 min and over a 0.3-0.5 mm
distance (Rhee et al., 1999 ). After the slices were removed, the
mechanically dissociated SG neurons adhered to the bottom of the dish
within 10 min. These neurons, which were dissociated without using any
enzymes, retained some recognizable morphological features, including
proximal dendritic processes. In addition some pinched-off synaptic
boutons of a few micrometers in diameter remained attached and were
capable of spontaneous release of neurotransmitter.
Electrical measurements. Electrical measurements were
performed in the nystatin-perforated patch recording mode at a holding potential of 60 mV under voltage-clamp conditions. Patch pipettes were made from borosilicate glass tubes (1.5 mm outer diameter, 0.9 mm
inner diameter; G-1.5; Narishige, Tokyo, Japan) in two stages on a
vertical pipette puller (PB-7; Narishige). The neurons were visualized
with phase-contrast equipment on an inverted microscope (Diaphot;
Nikon). The current and voltage were measured with a patch-clamp
amplifier (CEZ-2300; Nihon Kohden, Tokyo, Japan), monitored on both an
oscilloscope (Tektronix 5111A; Sony, Tokyo, Japan) and a pen recorder
(Recti-Horiz 8K; Nippondenki San-ei, Tokyo, Japan), and stored on
videotapes after digitization with a pulse-coded modulation processor
(PCM-501 ES; Sony). The membrane currents were filtered at 1 kHz
(E-3201A Dicade Filter; NF Electronic Instruments, Tokyo, Japan), and
data were digitized at 4 kHz. The resistance between the recording
electrode filled with the internal solution and the reference electrode
in the external solution was 5-7 M . All experiments were performed
at room temperature (22-25°C).
Data analysis. Events were counted and analyzed using
"Detectevent" (Ankri et al., 1994 ) and IgorPro software
(Wavemetrics, Lake Oswego, OR). Analysis of miniature IPSCs
(mIPSCs) was performed with cumulative probability plots. Cumulative
amplitude histograms were compared using the Kolmogorov-Smirnov test
for significant differences. Statistically significant differences were
assumed for p < 0.05. Numerical values are provided as
mean ± SEM. Differences in amplitude and frequency distribution
were tested by a paired two-tailed t test.
Solutions. The ionic composition of the incubation medium
was (in mM): 124 NaCl, 5 KCl, 1.2 KH2PO4, 24 NaHCO3, 2.4 CaCl2, 1.3 MgSO4, and 10 glucose. The pH of the incubation
medium was adjusted to 7.4 with 95% O2 and 5%
CO2. The ionic composition of the external
standard solution was (in mM): 150 NaCl, 5 KCl, 2 CaCl2, 1 MgCl2, 10 glucose,
and 10 HEPES. Ca2+-free external solution
contained (in mM): 150 NaCl, 5 KCl, 3 MgCl2, 10 glucose, 10 HEPES, and 2 EGTA.
While recording mIPSCs, these external test solutions routinely
contained 3 × 10 7
M tetrodotoxin (TTX) to block voltage-dependent
Na+ channels, 3 × 10 6
M 6-cyano-7-nitroquinoxaline-2, 3-dione (CNQX), and
10 5
M DL-2-amino-5-phosphovaleric acid
(DL-AP-5) to block glutamatergic responses, and 3×
10 6 M
bicuculline to block the GABAA responses. The
ionic composition of the internal (patch pipette) solution for the
nystatin-perforated patch recording was (in mM): 20 N-methyl-D-glucamine methanesulfonate, 20 Cs-methanesulfonate, 5 MgCl2, 100 CsCl, and 10 HEPES. The pH of the internal solution was adjusted to 7.2 with
Tris-OH. Nystatin was dissolved in acidified methanol at 10 mg/ml. The
stock solution was added to the internal solution just before use at
final concentration of 100-200 µg/ml.
Drugs. Drugs used in the present study were
10 6
M strychnine,
10 5
M AP-5, 3 × 10 6
M bicuculline, 3 × 10 6
M CNQX, nystatin, and
10 6-10 8
M substance P (SP) (Sigma, St. Louis, MO),
10 5
M ATP (Yamasa, Chiba, Japan), 3 × 10 7
M TTX (Wako Pure Chemicals, Osaka, Japan),
10 6 M
1-[N,O-bis(5-isoquinolinesulfonyl)-N-methyl-L-tyrosyl]-4-phenylpiperazine (KN-62), 10 5 M PMA,
10 7 M
N-(6-aminohexyl)-5-chloro-1-naphthalene (W-7), and
10 6 M KT5720
(Calbiochem, La Jolla, CA). CNQX was dissolved in dimethylsulfoxide (DMSO) at
10 2
M as a stock solution. A concentration of
3 × 10 6
M CP99994 was kindly provided by Dr. Yukio
Takano (Fukuoka University, Fukuoka, Japan).
Drugs were applied by a "Y-tube system" (Akaike and Harata, 1994 )
that enables a solution exchange within 20 msec.
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RESULTS |
Spontaneous postsynaptic currents were recorded from the acutely
dissociated SG neurons of the rat spinal trigeminal nucleus pars
caudalis (layer II). Attached to these dissociated neurons were
functional presynaptic nerve endings (Akaike et al., 1992 ; Rhee et al.,
1999 ). Electrical recordings were made using the nystatin perforated
patch recording technique at a holding potential (VH) of 60 mV. All external test
solutions contained 3 × 10 7
M TTX, 3 × 10 6
M CNQX,
10 5
M AP-5, and 3 × 10 6
M bicuculline. As shown in Figure
1A, after a control
period of spontaneous mIPSCs, the mIPSCs were blocked by
10 6
M strychnine in a reversible manner, indicating
that the mIPSCs were glycinergic (Rhee et al., 2000 ).

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Figure 1.
Effects of SP on glycinergic mIPSCs.
A, The spontaneous inhibitory currents recorded from the
"synaptic bouton preparation" were completely blocked in a
reversible manner by 10 6
M strychnine in the presence of 3 × 10 7M TTX, 3 × 10 6 M CNQX,
10 5 M AP-5, and
3 × 10 6 M
bicuculline, indicating that the spontaneous mIPSCs are glycinergic.
B, The SP at 10 6
M itself facilitated the frequency of mIPSCs a little
without altering the mIPSC amplitude distribution. C,
The bar graph shows the frequency ratio of mIPSCs before and during
application of SP. The vertical bar shows ±SEM. SP at a low
concentration
(10 8-10 7
M) had no effect on mIPSC frequency and the current
amplitude distribution. Pooled data at
10 6 M SP showed
slightly increase of the mIPSC frequency but not significantly.
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SP itself did not alter the frequency or amplitude of glycinergic
mIPSCs at the lower concentrations
(10 8-10 7
M). At a concentration of
10 6
M, SP slightly increased the mIPSCs frequency, although the
increase was not significant (Fig. 1B,C). These data
suggest that SP itself does not substantially modulate presynaptic
glycine release or the postsynaptic glycine response.
ATP reversibly facilitated the frequency of mIPSCs without affecting
the mean mIPSC amplitude in SG neurons. Indeed, the facilitation was
dependent on extracellular Ca2+,
indicating that the ATP action was mediated by
P2X receptors or by the activation of
voltage-dependent calcium channels on the glycinergic presynaptic nerve
terminals. This facilitation occurred in the presence of 2 mM EGTA in the patch pipette, suggesting that the ATP
effect is, perhaps, not generated in the postsynaptic membrane which
then, in turn, generates a retrograde signal modifying mIPSC frequency.
Note this claim is weakened by the low buffer capacity provided by the
2 mM EGTA; a large local influx of
Ca2+ could initially overwhelm the local
buffer near the inside surface of the membrane (Rhee et al., 2000 ). The
facilitatory effect of ATP on mIPSCs frequency was completely blocked
by pretreatment with 10 8 M SP
(105.11 ± 7.86% of control in standard external solution) without altering the mIPSC amplitude distribution (Fig.
2A,B). After washing
out the SP, the facilitatory effect of ATP on glycine release gradually
recovered over 30 min. However, the inhibitory effect of SP on ATP
action was blocked by adding CP 99994, a selective NK-1 antagonist
(Fig. 2B). The ATP action itself was not affected by
adding CP 99994. The facilitatory ratios of mIPSC frequency after
external addition of ATP were 491.21 ± 125.29 and 550.23 ± 115.29% (n = 4) (in the external solution) with or
without CP 99994, respectively (Fig. 2B). There was
no significant difference between the two values. These results
indicate that activation of NK-1 receptor can modulate the
P2X receptors on glycinergic presynaptic nerve
terminals.

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Figure 2.
SP inhibits the facilitatory action of ATP on
mIPSC frequency. A, Recordings of mIPSCs before, during,
and after the application of ATP with or without SP. The SP was applied
15 min before the ATP application. Bottom panel shows
the time courses of mIPSC frequency per 10 min during 30 sec
applications of ATP with or without SP. B, CP99994, a
selective NK-1 antagonist, blocked the inhibitory action of SP on the
facilitatory effect of ATP on mIPSC frequency. The relative frequency
shows the mIPSC frequency ratio of ATP in the normal external solution
with or without CP99994 in the presence of SP. Asterisks
represent statistically significant differences
(**p < 0.01; n = 6).
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As noted above, the ATP facilitation of mIPSC frequency depends on
external calcium. To demonstrate that most of this effect was mediated
by P2X receptor rather than voltage-dependent
calcium channels, we added 0.1 mM
Cd2+ to the external solution. Figure
3 shows that the addition of Cd2+ to control case results in a modest
decrease of the mIPSC frequency (Fig. 3B). In the
presence of Cd2+, ATP still had a
significant facilitatory effect, although less than in the absence of
the Cd2+ (Fig. 3C). These
results are in substantial agreement with those found by Rhee et al.
(2000) and suggest that the facilitatory effect of ATP is via
activation of P2X receptors. Terminal
depolarization may secondarily activate voltage-dependent calcium
channels, which then further contribute to the increase in mIPSC
frequency.

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Figure 3.
Cd2+ does not inhibit the ATP
stimulation of the mIPSC frequency. A, Recordings of
mIPSCs with and without Cd2+
(10 4) in the top
panels. The same experiment is shown in the presence of
10 5 M ATP in the
bottom panel. B, Normalized cumulative
curves of interevent interval show that Cd2+ only
slightly inhibited mIPSC frequency from control values or from the
ATP-stimulated state without altering the mIPSC amplitude.
Numbers in the inset of the amplitude
distribution indicate the numbers of samples used. C,
Bar graph of the frequency ratio compared with control values of the
ATP, Cd2+ alone, and Cd2+ in the
presence of ATP. The vertical bars indicate ±SEM. The
asterisks indicate significant differences
(*p < 0.05) between the ATP and control state,
between the Cd2+ and the control state, and between
the Cd2+ and the Cd2+ + ATP. No
significant differences (p > 0.05) were
found for mIPSC amplitude.
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The SP effect also does not appear to be mediated through the
modulation of voltage-dependent calcium channels. As shown in Figure
4, the increase in mIPSC frequency was
stimulated by depolarizing the terminal with high (15 mM)
K+ with no change of the relative mIPSC
amplitude. Unlike the case for the ATP stimulation, SP
(10 6
M) was unable to inhibit the stimulation caused by high
K+ (Fig. 4B,C). These
results suggest that SP does not inhibit the release process or the
voltage-dependent calcium channels.

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Figure 4.
SP does not inhibit the facilitatory effect
of elevated external potassium concentration on mIPSC frequency.
A, mIPSC recordings for control, in elevated potassium
(15 mM), and in elevated potassium + SP
(10 6 M).
B, Normalized cumulative interevent histograms show that
SP does not reduce the frequency stimulation induced by the high
potassium. The inset shows the same data set at an
expanded time scale. The corresponding amplitude cumulative histogram
also shows no differences. C, The bar graphs show that
there are no significant differences between the high potassium with or
without 10 6 M SP
for mIPSC frequency or amplitude (p > 0.05).
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To address the functional interaction between NK-1 and
P2X receptors on the glycinergic presynaptic
nerve terminals, the intracellular mechanisms were investigated using
pharmacological techniques. A previous report suggested that
P2X receptors could be modulated by PKA and PKC
in Deiters cells (Chen and Bobbin, 1998 ). We therefore investigated
whether the inhibitory effect of SP on ATP action is related to the PKA
intracellular pathway. With or without externally applied KT5720, a
PKA-selective antagonist, ATP almost equally facilitated the mIPSCs
frequency (418.56 ± 43.9 and 502.86 ± 54.42% of control in
standard external solution, respectively; n = 4) without altering the mIPSC amplitude distribution. In the presence of
both KT5720 and SP, however, ATP failed to increase the mIPSC frequency
(Fig. 5A,B), indicating that
the effect of SP on P2X receptors are not
mediated through the PKA pathway in the glycinergic presynaptic nerve
terminals.

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Figure 5.
PKA does not affect SP action. A. Time
course of event numbers per 10 sec. ATP increased the mIPSC frequency
in the presence of 10 6 M KT5720, a
PKA-selective antagonist. The ATP action was still completely blocked
by adding 10 7 M SP.
B, Histogram of the mIPSC frequency during the
application of ATP with or without KT5720 and in the presence of both
ATP and KT5720 with SP. Asterisks represent
statistically significant differences (**p < 0.01;
n = 4).
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Therefore, we examined the SP effect on ATP action in the presence of
phorbol 12-myristate 13-acetate (PMA), a selective PKC activator. If
PKC mediates the SP modulation of the ATP stimulation, then the
application of PMA should inhibit the ATP response. Moreover, if PMA
saturates the PKC binding sites, then additional activation through SP
might be impossible. We found that regardless of the presence of PMA in
the external solution, ATP equally potentiated the mIPSCs frequency
(525.87 ± 59.617 and 413.82 ± 46.23% of control in
standard external solution, respectively; n = 4)
without altering the mIPSC amplitude distribution (Fig.
6). The facilitatory action of ATP on
mIPSC frequency disappeared in the presence of both SP and PMA without
changing the mIPSC amplitude, indicating that PKC does not mediate the
inhibitory effect of SP on ATP action.

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Figure 6.
PKC does not affect SP action. A,
Time course of the number of events per 10 sec. The activation of PKC
by PMA, a selective PKC activator, did not affect the facilitatory
action of ATP on mIPSC frequency. Successive applications of SP
completely blocked the facilitatory effect of mIPSC frequency by ATP in
the presence of PMA. B, Normalized cumulative frequency
distribution (left) and current amplitude distribution
(right) of ATP with or without SP in the presence of
PMA. C, Effect of ATP on mIPSC frequency in the standard
external solution with or without SP in the presence of PMA. Histogram
of the mIPSC frequency during the application of ATP with or without
PMA and in the presence of PMA with or without SP.
Asterisks represent statistically significant difference
(**p < 0.01; n = 4).
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The increase of mIPSC frequency by P2X receptor
activation is induced by Ca2+ entry into
the terminal (Rhee et al., 2000 ). We, therefore, wished to investigate
the possible role of the calcium-calmodulin system (Ca-CAM system) in
the mediation of the SP response. Figure
7 shows that ATP stimulation of mIPSC
frequency was unaffected by W-7, a Ca-CAM antagonist, and persisted in
the presence of SP with W-7 (Fig. 7A). ATP potentiated the
mIPSCs frequency in the external solution with or without SP in the
presence of
10 7
M W-7 (677.85 ± 104.67% with ATP,
449.28 ± 35.55% with ATP + W-7, and 446.69 ± 46.34% ATP + W-7 + SP of control in external solution; n = 4)
without altering the mIPSC amplitude (Fig. 7C). We therefore
investigated whether the calmodulin-activated kinase, Ca2+/calmodulin-dependent protein kinase II
(CaMKII), mediated the SP action. In the presence of KN-62, a
CaMKII antagonist, SP once again failed to block the facilitatory
effect of ATP as shown in Figure 8. In
standard W-7 and W-7 + SP external solutions, ATP potentiated the
mIPSCs frequency (457.8 ± 41.42% in standard external solution,
429.59 ± 30.03 and 341.51 ± 22.97% in external solution
with W-7 and W-7 + SP, respectively; n = 4) without
altering the mIPSC amplitude distribution. These results suggest that
SP modulates P2X receptors through the Ca-CAM
and CaMKII pathways in the glycinergic presynaptic nerve terminals or
retrogradely by activation of postsynaptic receptors that activate some
subsequent signal that affects the nerve terminals.

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Figure 7.
SP action is mediated by Ca-CaM.
A, Time course of the number of events per 10 sec. SP
did not block the ATP action in the presence of W-7, a selective
Ca-CAM antagonist. B, Normalized cumulative mIPSC
frequency of ATP action in the normal external solution, in the
presence of W-7, and in the presence of both W-7 and SP
(left), and cumulative mIPSCs amplitude curves
(right). C, Histogram of the mIPSCs
frequency during the application of ATP with or without W-7 and in the
presence of W-7 with or without SP.
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Figure 8.
CaMKII participates in SP action.
A, Time course of number of events per 10 sec is
plotted. SP did not block the ATP action in the presence of KN-62, a
selective CAMII antagonist. Ba, Normalized cumulative
mIPSC frequency of ATP action in the normal external solution, in the
presence of KN-62, and in the presence of both KN-62 and SP
(left). Bb, Effects of ATP action on
mIPSC frequency in the standard external solution and with or without
SP in the presence of KN-62.
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The action of SP could be either on presynaptic NK-1 receptors, which
directly modulate presynaptic P2X receptors, or
postsynaptic NK-1 receptors, which activate pathways that produce a
retrograde message that modulates the presynaptic
P2X receptors. In the hippocampus, nitric oxide
produced in the postsynaptic element modulates transmitter release from
the presynaptic element (Arancio et al., 1996 ). To eliminate the
possibility of a postsynaptically mediated retrograde mechanism, we
voltage-clamped the SG neurons in the whole-cell recording mode with
the pipette solution containing
10 7
M W-7. Soluble second messenger components should diffuse
up into the pipette. Moreover, the W-7 should block the action of postsynaptic calmodulin. The results indicate that the relative mIPSC
frequency was enhanced ~10-fold (10.7 ± 2.87 times) by ATP (Fig. 9A). This enhancement
was abolished in the presence of SP (1.26 ± 0.36-fold increase,
not significantly different from the control frequency). The amplitude
distribution was not significantly different from control (Fig.
9B). These results strongly argue that the SP effects are
not mediated by postsynaptic SP receptors that, in turn, generate a
retrograde signal. Indeed, SG neurons are thought not to have NK-1
receptors (Brown et al., 1995 ).

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Figure 9.
SP action is not mediated by a retrograde
messenger from the postsynaptic element. A, Histogram of
the mIPSC frequency in SG cells perfused with a pipette solution
containing 10 7 M
W-7 in the whole-cell recording mode. The graphs show the control, the
effect of ATP stimulation, and the inhibition of the ATP stimulation by
SP. B, Histograms showing a lack of effect on mIPSC
magnitude of W-7 dialyzed in the postsynaptic cell body.
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DISCUSSION |
The use of the "dispersed neuron with attached synaptic bouton
preparation" (Akaike et al., 1992 ; Rhee et al., 1999 ) has allowed unambiguous demonstration that SP directly modulates the stimulatory effect of ATP on the release of glycine. SP has postsynaptic as well as
presynaptic actions (Shapiro and Hille, 1993 ), although apparently not
in SG neurons (Brown et al., 1995 ). In an intact spinal cord, many
interneurons could participate in mediating the final effect on glycine
release. In the synaptic bouton, the entire interneuron circuitry has
been removed so that only the presynaptic terminals remain. Under such
simplified conditions, we were able to demonstrate a novel mechanism of
the modulation of the stimulatory action of ATP. This is, as far as we
have been able to determine, the first demonstration of the presynaptic modulation of one presynaptic receptor by another. Thus, this particular action of SP requires the concomitant activation of presynaptic P2X receptors. The inhibitory action
of SP in the presence of ATP acts like a logical conditional-negation
operation: SP alone does nothing, ATP alone stimulates, and the
combination inhibits the ATP stimulation.
Using pharmacological agents, we have been able to demonstrate that the
SP modulation of P2X receptors involves the CAM
kinase II pathway. Inhibition of either calmodulin by W-7 or of the
CaMKII by KN-62 suppressed the inhibitory action of SP on the ATP
stimulation of mIPSC frequency. Because the P2X
receptor acts to promote Ca2+
permeability, the activation of the calmodulin pathway by SP may be
enhanced by preactivation of the P2X pathway. Our
data do not rule out the possibility of another intervening step
between the kinase activity and the final reduction of the ATP effect. Our data also does not unambiguously demonstrate that the
P2X receptor has been modulated. SP could, for
example, block some distal step in the release process and leave the
P2X receptor unaffected. Indeed a role for CAM
kinase in the process of vesicle docking has been proposed (Llinas et
al., 1991 ). The observation that SP has little effect on spontaneous
release does argue against a direct effect of SP on the release process
itself. Moreover, SP had no effect on the increase in mIPSC frequency
induced by elevated external potassium that presumably depolarized the
terminal. This result argues against an inhibitory effect of SP on
either the release process or the voltage-dependent calcium channels. It may be, however, that there are, in fact, partial inhibitory reactions that are overwhelmed and saturated by the high (15 mM) K+ used in this
experiment. Furthermore, because the ATP stimulation itself was only
slightly effected by Cd2+, the ATP-induced
response was probably not mediated through voltage-dependent calcium
channels (Rhee et al., 2000 ). Hence, a modulatory effect of SP on
ATP-stimulated calcium channels is unlikely. A direct effect of the
CaMKII on the P2X receptor activation could be
determined by imaging calcium entry into the terminal in the presence
and absence of SP.
It may seem surprising that SP activates the calmodulin-CaMKII pathway
at all. Calmodulin is activated by calcium ions that presumably
increase in intracellular concentration after P2X
activation. SP could perhaps release local calcium stores to further
activate the calmodulin. Indeed, SP applied locally to cultured dorsal root neurons caused the intracellular calcium levels to rise briefly. The response appeared to desensitize after repeated applications (Marvizon et al., 1998 ). Similarly Li and Zhao (1998) have shown that
small rat dorsal root ganglion cells express NK-1 receptors that
produce long-lasting inward currents presumably through a nonselective,
calcium-permeable cation channel. They also suggest that autoreceptors
on the primary afferent terminals could be responsible for
hyperalgesia. Another interesting possibility is that the calmodulin is
activated by P2X receptor activation but cannot
activate CaMKII that is in an inactive form. SP, in this model, would
then function to activate the CaMKII (by some unknown pathway), which
could then be activated by Ca-calmodulin triggered by the calcium
influx through the P2X receptor. Thus, not only
would the SP inactivate the ATP response, but the SP effect would
require an elevated intracellular calcium concentration from either the
P2X receptor or some other source. This
suggestion that the CAM kinase requires activation by SP implies that
merely raising intracellular Ca2+ by
through the voltage- or ligand-dependent channels would be incapable of
activating the kinase.
The role of CAM kinase II in the mediation of the ATP receptor
modulation is reminiscent of the mechanisms underlying LTP. Activation
of postsynaptic receptors on the SG cells could activate the CAM kinase
pathway (via Ca2+ and calmodulin), in turn
activating nitric oxide synthase. The nitric oxide could then diffuse
retrogradely back to the presynaptic terminals and alter release
(Arancio et al., 1996 ). Our experiments in which the SG cells were
patch-clamped in whole-cell mode with W-7 included in the pipette
strongly argue against such a model. Mobile components such as
calmodulin, CAM kinase, ATP, L-arginine should all diffuse
up the tip of the pipette. Moreover, W-7 should block any residual
calmodulin effect.
The synaptic bouton preparation cannot, of course, demonstrate how SP
functions physiologically. Behavioral and psychophysical experiments
are necessary to discriminate reflexive, sensory, and affective
dimensions. Indeed, the role of SP appears to reside partly in its site
of action. Lamina I neurons bearing NK-1 receptors appear to be
involved in intensity coding of pain, whereas the deep neurokinin-1
cells seem to be involved in spatial localization or submodality
discrimination (Polgar et al., 1999 ). Our results are consistent with
the suggestion that in severe pain the SP modulation of the
P2X receptor results in a decreased inhibitory input to the SG cells. The exact consequences of such modulation of SG
excitability depend, of course, on whether the SG neurons are
themselves excitatory or inhibitory with respect to the pain pathway.
In view of the autophosphorylating property of CAM kinase II, the
modulating effect of SP could be greatly prolonged and constitute a
mechanism for promoting allodynia and hyperalgesia. Future experiments
will be required to determine the time course of the modulatory effects
of SP and the role of specific phosphatases.
 |
FOOTNOTES |
Received July 3, 2000; revised Feb. 6, 2001; accepted Feb. 14, 2001.
This work was supported by The Japan Health Science Foundation (No.
21279 and Research on Brain Science) and Kyushu University Interdisciplinary Programs in Education and Projects in Research Development (N.A.). We thank Drs. William Willis, Nada Lawand, and
Megumu Yoshimura for advice and comments on this manuscript.
Correspondence should be addressed to Dr. N. Akaike at the above
address. E-mail: akaike{at}mailserver.med.kyushu-u.ac.jp.
Dr. Brodwick's present address: Department of Physiology and
Biophysics, University of Texas Medical Branch, Galveston, TX 77555-0641.
 |
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