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The Journal of Neuroscience, June 1, 2002, 22(11):4274-4285
Dystroglycan Is Selectively Associated with Inhibitory GABAergic
Synapses But Is Dispensable for Their Differentiation
Sabine
Lévi1,
R.
Mark
Grady1,
Michael D.
Henry2,
Kevin P.
Campbell2,
Joshua R.
Sanes1, and
Ann Marie
Craig1
1 Washington University, Department of Anatomy and
Neurobiology, St. Louis, Missouri 63110, and 2 Howard
Hughes Medical Institute, Departments of Physiology and Biophysics and
of Neurology, University of Iowa College of Medicine, Iowa City, Iowa
52242
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ABSTRACT |
The dystrophin glycoprotein complex (DGC) is a multimolecular
complex that links the extracellular matrix to the cytoskeleton. The
DGC is present at the skeletal neuromuscular junction and required for
its maturation and maintenance. Members of the DGC are also expressed
in brain. We used cultured hippocampal neurons to analyze the
distribution, regulation, and role in synaptogenesis of the major
transmembrane component of the DGC, dystroglycan; one of its
extracellular ligands, agrin; and one of its cytoskeletal binding
partners, dystrophin. -Dystroglycan, -dystroglycan, and
dystrophin clustered at a subset of inhibitory synapses containing GABAAR subunits 1, 2, and 2, and the inhibitory
receptor anchoring protein gephyrin. DGC components were not detected
at excitatory glutamatergic synapses. Dystroglycan is the first
identified adhesive macromolecule at mature GABA synapses.
Developmentally, dystroglycan clustered at synaptic loci after synaptic
vesicles, GABAAR, and gephyrin, the latter being closely
associated with GABAAR at all stages of synaptogenesis
analyzed. Analysis of gephyrin / , agrin / , and
mdx mouse hippocampal neurons in culture indicated that synaptic clustering of dystroglycan occurs independently of gephyrin, agrin, and dystrophin. In dystroglycan-deficient neurons, cultured from
a conditional mutant strain, GABAergic synapses differentiated with
clusters of gephyrin and GABAAR apposed to synaptic
terminals, but these synapses did not contain detectable dystrophin.
Thus the DGC is not essential for GABAergic synaptogenesis but is
likely to function in modulating inhibitory synapses or conferring
specialized properties on a subset of them.
Key words:
synaptogenesis; GABA receptor; gephyrin; dystrophin; agrin; mdx
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INTRODUCTION |
The development of central
inhibitory GABAergic synapses involves the formation of high-density
clusters of GABAA receptors (GABAARs) opposite GABAergic terminals. The
mechanisms of inhibitory synaptic differentiation are not well
understood, especially in comparison with molecular events at the
mammalian skeletal neuromuscular junction (NMJ) (for review, see Sanes
and Lichtman, 1999 ) and at central excitatory glutamatergic synapses
(for review, see Sheng and Pak, 1999 ; Garner et al., 2000 ). At the NMJ,
nerve-derived agrin signaling through MuSK is necessary for the
formation of acetylcholine receptor (AChR) clusters opposite
nerve terminals. The dystrophin-associated glycoprotein complex (DGC)
is necessary for stabilization of AChR clusters and morphological
maturation of the postsynaptic apparatus (Deconinck et al., 1997 ; Grady
et al., 1997 , 2000 ; Adams et al., 2000 ; Jacobson et al., 2001 ). At glutamatergic synapses, a number of scaffolding proteins including PSD-95, GKAP, Shank, GRIP, and PICK1 function in receptor localization within the postsynaptic cell. The trans-synaptic signaling molecules are not yet well defined but may include neuroligins, cadherins, ephrins and Eph receptors, and Narp (Craig and Lichtman, 2001 ; Klein,
2001 ). At GABAergic synapses, gephyrin is concentrated within the
postsynaptic domain and is reported to be essential for synaptic
clustering of GABAAR 2 and 2 subunits in
hippocampal neurons (Kneussel et al., 1999 ). However, gephyrin is only
partially required for synaptic clustering of
GABAAR 2 and 2 subunits in retina and
spinal cord and is not required for synaptic clustering of other subunits (Fischer et al., 2000 ; Kneussel et al., 2001 ). The
trans-synaptic signaling molecules are not yet defined for GABAergic synapses.
A role for dystrophin in GABAergic synaptogenesis was recently
suggested by Kneussel et al. (1999) . Dystrophin is a large cytoskeletal
protein of the  actinin/ spectrin family. Mutations in
dystrophin result in Duchenne and Becker muscular dystrophies (Hoffman
and Kunkel, 1989 ). The DGC provides a transmembrane linkage between the
extracellular matrix and the cytoskeleton of muscle fibers (for review,
see Henry and Campbell, 1999 ; Blake and Kroger, 2000 ). A core component
of the DGC is dystroglycan, which is composed of an extracellular subunit and a transmembrane subunit, derived by proteolytic
cleavage and glycosylation of a single precursor (Ibraghimov-Beskrovnaya et al., 1992 ). Dystroglycan binds dystrophin and utrophin intracellularly and binds several matrix molecules including agrin, laminin, and perlecan extracellularly. Targeted deletion of dystroglycan in mice leads to a deficiency in formation of
basement membranes and early embryonic lethality (Williamson et al.,
1997 ), showing that the DGC has widespread functions.
Evidence is also accumulating for a function of the DGC at central
neuronal synapses. Dystrophin and dystroglycan are concentrated in
photoreceptor terminals, and DMD patients and mdx3cv mice
with reduced expression of dystrophin isoforms show an altered
electroretinogram indicating impaired synaptic transmission under
conditions of dark adaptation (Blake and Kroger, 2000 ). DGC components
dystroglycan, dystrophin, the short dystrophin isoforms Dp140 and Dp71,
dystrobrevins, and syntrophins are abundant in brain, and some are
concentrated in postsynaptic density fractions (Kim et al., 1992 ; Blake
et al., 1999 ; Moukhles and Carbonetto, 2001 ). Dystroglycan binds two
cell surface proteins thought to be involved in synaptogenesis: agrin
and neurexin (Bowe et al., 1994 ; Campanelli et al., 1994 ; Gee et al.,
1994 ; Sugiyama et al., 1994 ; Sugita et al., 2001 ). Previous
immunolocalization studies suggested a concentration of dystrophin at a
subset of postsynaptic sites (Lidov et al., 1990 ) and dystroglycan at
excitatory spine synapses (Tian et al., 1997 ; Zaccaria et al., 2001 ). A
recent study found a selective association of dystrophin with GABAergic
synapses (Knuesel et al., 1999 ). Kneussel et al. (1999) further
reported a 38% reduction in immunofluorescent clusters of
GABAAR 2 subunit in hippocampal tissue of
mdx mice, which lack the long form of dystrophin. These data
all suggest that the DGC may function as a trans-synaptic signal for
some aspect of central neuron synaptic differentiation.
We explore here the role of the DGC complex in synaptic differentiation
by analysis of wild-type and mutant hippocampal neurons in culture. We
found that the DGC is selectively associated with a subset of
inhibitory GABAergic synapses but is not detectable at excitatory
glutamatergic synapses. Dystroglycan clustered at synaptic loci after
synaptic vesicles, GAD, GABAAR, and gephyrin. Gephyrin, agrin, and dystrophin were not required for synaptic clustering of dystroglycan. Despite the potential of dystroglycan as a
synaptogenic cell adhesion protein, we show using mutant mouse cultures
that dystroglycan is not required for synaptic clustering of GAD,
gephyrin, or major GABAAR subtypes. Thus the DGC
is a gephyrin-independent complex associated with the maturation of a
subset of inhibitory synapses.
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MATERIALS AND METHODS |
Genotyping. The agrin-null mice were generated by a
~9 kb DNA deletion in the agrin gene corresponding to most of the
agrin coding region (from the BamHI site in exon 6 downstream of exon 33), which was replaced by the neomycin resistance
gene (Lin et al., 2001 ). In the gephyrin / mice, the sequences
responsible for initiating transcription and translation and exon 1 of
the gephyrin gene were deleted and replaced with the neomycin
resistance gene (Feng et al., 1998 ). Animals were maintained as
heterozygotes on a C57/129 hybrid background. Embryos were genotyped by
PCR amplification as described previously (Feng et al., 1998 ;
Lin et al., 2001 ). Mdx mice (C57BL/10ScSn) were purchased
from Jackson Laboratories (Bar Harbor, ME). Conditional mutant DG
lox/lox mice were generated by introduction of a loxP-neo cassette in
the first intron and a loxP site in the second intron of the mouse DG
gene (Saito et al., 2001 ; Moore et al., 2002 ). The DG lox/lox mice are
viable and fertile and exhibited no phenotypic abnormalities.
Cell culture. Primary cultures were prepared from embryonic
hippocampi using previously described methods (Goslin et al., 1998 ).
Rat hippocampi were dissected at embryonic day (E) 18, mouse
hippocampal cultures were prepared from individual embryos at E17.
Tissues were dissociated by trypsinization and trituration and plated
at 4000 cells per square centimeter onto
poly-L-lysine-coated glass coverslips. After
cells were allowed to attach in minimal essential medium (MEM) with
10% horse serum, they were transferred and maintained up to 5 weeks by
growing them over rat glial feeders in serum-free MEM with N2
supplements. Cytosine arabinoside was added after 2 d to inhibit
glial proliferation. The neurons were used at 7-35 d after plating for
immunocytochemical staining.
Neuron infection with adenovirus-Cre. The defective
adenovirus vector expressing Cre was obtained from F. L. Graham (McMaster University, Hamilton, Canada) (Anton and
Graham, 1995 ). The virus was propagated and amplified in 293 cells, a
permissive human cell line that supplies the E1 function in
trans, and purified by CsCl gradient centrifugation (Graham
and Prevec, 1995 ). The titer (2 × 1010 pfu/ml) was determined by plaque
assay. At 7 d in culture, wild-type and DG lox/lox neurons on
coverslips were transferred from their home dishes into a sterile
incubation chamber. Adenovirus-Cre was diluted in warm conditioned
culture medium, and neurons were infected with a multiplicity of
infection (MOI) 10 for 1 hr at 37°C. Most of the virus-containing
medium was then removed, and coverslips were transferred back to their
home dishes over glial feeders and maintained for another 12 d
before immunostaining.
Antibodies. The following mouse monoclonal antibodies were
used: GAD6 against glutamic acid decarboxylase (1:2; Developmental Studies Hybridoma Bank, University of Iowa, Iowa City, IA), mAb7a against gephyrin (5 µg/ml; Cedarlane, Hornby, Canada), VIA4.1 against
 dystroglycan (20 µg/ml, IgG1; Upstate Biotechnology, Lake
Placid, NY), 43DAG1/8D5 against  dystroglycan (1:25, IgG2a; Novocastra Laboratories, Newcastle, UK), Dys-2, which recognizes the
last 17 C-terminal amino acids common to all the forms of dystrophin
(Dy8/6C5, 1:20, IgG1; Novocastra Laboratories), and microtubule-associated protein 2 (MAP2; Chemicon International, Temecula, CA). Rabbit antibodies were used against synapsin I (0.4 µg/ml; Chemicon), SynGAP (1:1000; Affinity Bioreagents), and glutamic
acid decarboxylase 65 and 67 kDa (GAD, 1:200; Chemicon). A human
antibody against gephyrin was used (CSF861, 1:100; gift from P. de
Camilli, Yale University) (Butler et al., 2000 ) that gave an identical
pattern of immunoreactivity as mAb7a. Antibodies raised in the guinea
pig against the GABAAR 2 subunit (1:2000), 2 subunit (1:3000), and 1 subunit (1:2000) were gifts from J.-M. Fritschy (University of Zurich, Switzerland) (Fritschy and
Mohler, 1995 ). A rat antibody against NCAM was also used (H28, 1:200) (Gennarini et al., 1984 ). Primary antibodies were visualized with fluorochrome-conjugated secondary antibodies (2.5 µg/ml; Vector Laboratories, Burlingame, CA) or with biotin-conjugated secondary antibody (2.5 µg/ml) followed by fluorochrome-conjugated streptavidin (500 ng/ml). The fluorochromes used were fluorescein, Texas Red, and
7-amino-4-methylcoumarin-3-acetic acid. For simultaneous detection of
monoclonal primary antibodies, Alexa Fluor 488 goat anti-mouse IgG1
(1:1000; Molecular Probes, Eugene, OR) and Alexa Fluor 594 goat
anti-mouse IgG2a (1:200; Molecular Probes) subtype-specific secondary
antibodies were used.
Immunocytochemistry. Coverslips used for  dystroglycan
immunostaining were fixed with methanol for 10 min at 20°C. For
other antigens, neurons were fixed with warmed 4% paraformaldehyde/4% sucrose in PBS for 15 min at room temperature and permeabilized for 5 min with 0.25% Triton X-100 in PBS. For surface
GABAAR detection, living neurons were incubated
with antibodies against GABAAR 2 or
GABAAR 2 extracellular epitopes (1:1000) for 1 hr at 37°C in conditioned culture medium, washed, and fixed.
Nonspecific staining was blocked for 30 min in 10% BSA at
37°C, and neurons were incubated in 3% BSA overnight at room
temperature for primary antibodies and for 45 min at 37°C for
secondary antibodies. For multiple-labeling experiments,
antibodies were incubated simultaneously. Coverslips were mounted
in Tris-HCl, glycerol, polyvinyl alcohol with 2% 1.4-diazobicyclo[2.2.2] octane. Fluorescence and phase-contrast images were captured with a Photometrics series 250 cooled CCD camera
mounted on a Zeiss Axioscope microscope with a 63× 1.4 numerical
aperture lens using Metamorph imaging software. Images were prepared
for printing using Adobe Photoshop 5 software.
Quantitative analysis. The number of synaptic gephyrin,
GABAAR 2, and  dystroglycan puncta per 100 µm dendrite length and the proportion of clusters that were synaptic
were determined on neurons immunolabeled for synapsin,
GABAAR 2, and either gephyrin or
 dystroglycan after 1, 2, 3, and 5 weeks in culture using Metamorph
imaging software (Rao et al., 2000 ). One dendrite per neuron was
chosen, and images were subjected to a user-defined intensity threshold
to select clusters. GABAAR 2, gephyrin, or  dystroglycan clusters were classified as synaptic if they were apposed to synapsin-immunoreactive puncta. Apposition was determined by
first generating a binary mask from the thresholded synapsin image and
widening the regions representing the presynaptic puncta by one pixel
all around. Any cluster in the thresholded
GABAAR 2, gephyrin, or  dystroglycan images
that had any pixel overlap with the binarized dilated synapsin mask was
considered synaptic. A second mask containing the synaptic
GABAAR 2 clusters was then compared with the
thresholded gephyrin or  dystroglycan images to determine the
percentage of synaptic GABAAR 2 clusters
exhibiting pixel overlap (colocalization) with either gephyrin or
 dystroglycan. Similarly, a mask containing the synaptic gephyrin
or  dystroglycan clusters was compared with the thresholded
GABAAR 2 image to determine percentage of
clusters colocalized. The percentage of  dystroglycan clusters
colocalized with gephyrin,  dystroglycan, dystrophin, or SynGap was
measured from double-labeling experiments at 3 weeks. Clusters were
defined by visually thresholding all images. The thresholded
 dystroglycan image was then used to generate a binary mask, and
all clusters that exhibited any pixels above threshold in the paired
images were counted as colocalized. Surface areas of clusters and of
the entire dendrite regions were also recorded. All measures were
obtained from 20 neurons, 10 each from two independent cultures. Mean
values ± SEM were calculated using StatView F.4.11 software
(Abacus Concepts, Inc.).
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RESULTS |
 Dystroglycan is concentrated at a subset of inhibitory
GABAergic synapses in cultured hippocampal neurons
To test for association between the DGC and synapses, the
distribution of the essential DGC component -dystroglycan was
determined in relation to several synaptic antigens by double- and
triple-label immunofluorescence in cultured hippocampal neurons (Fig.
1). These cultures develop functional
inhibitory and excitatory synapses with molecularly specialized
clusters of GABAAR opposite GABAergic terminals
and AMPA and NMDA receptor opposite glutamatergic terminals (Craig et
al., 1994 ; Rao et al., 1998 ). -Dystroglycan formed clusters along
the soma and dendrites of many but not all of the neurons. The pattern
of  dystroglycan clusters was reminiscent of the pattern of
GABAergic synapses, including a selective association with proximal
versus distal dendrites (Benson and Cohen, 1996 ). Indeed, most
 dystroglycan clusters colocalized with synapsin (Fig.
1A). By quantitative measures, which may yield a low
estimate because some clusters may have fallen below threshold, a
similar percentage (65 ± 5%) of  dystroglycan clusters
exhibited overlap with synapsin puncta as did clusters of
GABAAR 2 (72 ± 4%) or gephyrin (63 ± 3%). Furthermore, synaptic  dystroglycan clusters also
colocalized with GABAAR 2 (70 ± 7%
colocalization) (Fig. 1A), indicating a specific
concentration at GABAergic synapses. A concentration of
 dystroglycan at GABAergic synapses was also visually apparent in
neurons double-labeled for  dystroglycan and GAD or gephyrin (Fig.
1B,C).

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Figure 1.
 Dystroglycan is concentrated at a subset of
inhibitory GABAergic synapses. Rat hippocampal neurons were fixed at 3 weeks in culture and immunostained for combinations of -dystroglycan
( DG, all panels,
green) and either GABAAR 2
(A, red) and synapsin (A4,
blue) or the synthetic enzyme for GABA, GAD, a marker of
GABAergic terminals (B, red), or the
inhibitory postsynaptic scaffolding protein gephyrin (C,
red), or the excitatory postsynaptic marker SynGAP
(D, red).  Dystroglycan formed
clusters colocalized with GABAAR 2, GAD, and
gephyrin. Almost all  dystroglycan clusters localized to inhibitory
synapses (arrowheads, yellow puncta in
A3, B2, C2;
white puncta in A4), but not all
inhibitory synapses contained concentrations of  dystroglycan
(arrows, red puncta in A3,
B2, C2; pink puncta in
A4).  dystroglycan (D,
arrowheads) was not detected at excitatory glutamatergic
synapses labeled with SynGAP (D, arrows;
note the absence of yellow puncta in D3).
Scale bar, 10 µm.
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The close association between  dystroglycan and
GABAAR, gephyrin, and GAD strongly suggests a
selective accumulation of  dystroglycan at inhibitory synapses and
not excitatory synapses. This idea was confirmed by comparing the
distribution of  dystroglycan with that of SynGAP or GKAP,
PSD-95-binding proteins that are selectively localized to excitatory
glutamatergic synapses (Naisbitt et al., 1997 ; Chen et al., 1998 ; Kim
et al., 1998 ). We observed SynGAP or GKAP clusters and
 dystroglycan clusters in distinct nonoverlapping distributions
along dendrites (Fig. 1D) (and data not shown). Only
13 ± 4% of  dystroglycan clusters colocalized with SynGAP.
In contrast, 78 ± 3% of  dystroglycan clusters colocalized with gephyrin. In these same dendrites,  dystroglycan occupied only
0.9 ± 0.1% of the total surface area, SynGAP occupied 4.4 ± 3.3%, and gephyrin occupied 2.8 ± 0.2%. The apparent
colocalization between  dystroglycan and SynGAP could represent
random overlap or a low level of true colocalization, as reported
previously for PSD-95 with GAD (9.6% colocalization) in these cultures
(Rao et al., 2000 ). However, the colocalization of  dystroglycan
with gephyrin is clearly nonrandom and is similar to that found
previously for GABAAR with GAD (68%
colocalization) (Rao et al., 2000 ). Thus  dystroglycan is
preferentially associated with inhibitory synapses in hippocampal
neurons. Dystroglycan is the first identified adhesive macromolecule at
mature GABAergic synapses.
Many clusters of GAD, gephyrin, and GABAAR 2
were not colocalized with detectable  dystroglycan (Fig.
1A-C, arrows) (for quantification, see Table 1), indicating
that high concentrations of  dystroglycan were present only at a
subset of inhibitory synapses.  Dystroglycan was found at GABAergic
synapses on both pyramidal neurons and interneurons. Because
GABAA receptors are pentameric heteroligomers
derived from combinations of at least 17 different subunits (Hevers and
Luddens, 1998 ), we tested whether  dystroglycan might associate
with a particular receptor composition. We found  dystroglycan
clusters colocalized with a subset of clusters of
GABAAR subunits 1, 2, 2, and 2/3
(Figs. 1, 3, 4) (and data not shown), indicating no particular
association with any of these subunits.
 Dystroglycan,  dystroglycan, and dystrophin colocalize at
GABAergic synapses
We tested for the presence of other components of the DGC in the
hippocampal neurons and detected  dystroglycan and dystrophin (Fig.
2) but not utrophin (data not shown).
 Dystroglycan and dystrophin appeared to colocalize with
 dystroglycan (Fig. 2A,B). Quantitation yielded colocalization values of 66 ± 3 and 63 ± 4% for  dystroglycan with  dystroglycan and dystrophin,
respectively. The concentration of  dystroglycan at GABAergic
synapses was confirmed visually by colocalization with
GABAAR 1 and synapsin (Fig. 2C).
These results suggest that  dystroglycan,  dystroglycan, and
dystrophin form a complex at GABAergic synaptic sites.

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Figure 2.
-Dystroglycan and dystrophin form part of
the DGC at GABAergic synases. Hippocampal neurons were fixed at 3-5
weeks in culture and immunostained for combinations of
-dystroglycan (A, red) and
-dystroglycan (A, green),
-dystroglycan (B, red), and
dystrophin (B, green), or
-dystroglycan (C, green),
GABAAR 1 (C, red), and
synapsin (C, blue). -Dystroglycan and
dystrophin completely colocalized with -dystroglycan
(arrowheads, yellow puncta in
A3, B3). -Dystroglycan also
colocalized with GABAAR 1
(arrowheads, yellow puncta in
C3) at synapses (white puncta in
C4) on the interneuron shown in C.
Note the absence of -dystroglycan at some synaptic
GABAAR 1 (arrows, pink
puncta in C4). Scale bar, 10 µm.
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Dystroglycan accumulates at GABAergic synapses late in development,
after accumulation of synaptic vesicles, gephyrin, and
GABAARs
We next determined the developmental time course of association of
 dystroglycan with GABAergic synapses and compared this with the
time course of synaptic accumulation of gephyrin. We used triple-label
immunocytochemistry with antibodies to synapsin, GABAAR 2, and either gephyrin or
 dystroglycan and analyzed the distribution patterns both
qualitatively (Fig. 3) and quantitatively (Table 1).

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Figure 3.
Gephyrin coclusters with GABAAR at
synaptic sites very early during synaptogenesis, whereas
 dystroglycan accumulates at a subset of synaptic
GABAAR clusters only late in development. Cultures
were fixed at 1 (A, D), 2 (B, E), and 3 weeks (C, F) and triple-stained for
synapsin (A1-F1), GABAAR 2
(A2-F2), and gephyrin
(A3- C3) or  dystroglycan
(D3-F3). The number of gephyrin and
GABAAR 2 clusters increased in parallel during in
vitro development. At all stages in culture,
GABAAR 2 clusters apposed to presynaptic sites were
colocalized with gephyrin (arrowheads). At 1 week in
culture, almost all postsynaptic GABAAR 2 clusters
were devoid of detectable  dystroglycan. At 2 weeks,
 dystroglycan was clustered at a few synaptic sites. The number of
synaptic  dystroglycan clusters increased between 2 and 3 weeks in
culture. The proportion of GABAAR 2 coclustered with
 dystroglycan increased in parallel. Arrowheads
indicate GABAAR 2 colocalized with gephyrin or
 dystroglycan; arrows show GABAAR 2
clustering independently of  dystroglycan. Scale bar, 10 µm.
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At 1 week in culture, a few neurons displayed
GABAAR 2 and gephyrin clusters apposed to
presynaptic terminals around somata and dendrites (Fig. 3A).
The density of postsynaptic gephyrin and
GABAAR 2 clusters increased in parallel,
rapidly during the second week and more slowly during the third week in
culture (Fig. 3B,C). Most synaptic
gephyrin and GABAAR 2 clusters colocalized at
all stages analyzed; the colocalization values in Table 1 represent an
underestimate because some clusters for each antigen fell below the
threshold for quantitation. The early association of gephyrin with
developing synaptic GABAAR is consistent with a
function of gephyrin in synapse assembly and initial
GABAAR clustering.
The developmental localization profile was very different for
 dystroglycan. At 1 week in culture, very little  dystroglycan immunoreactivity was detected, and synaptic
GABAAR 2 clusters were rarely colocalized with
 dystroglycan (Fig. 3D). Over the next 2 weeks,
progressively more  dystroglycan clusters were detected, and more
GABAAR 2 clusters were colocalized with
 dystroglycan (Fig.
3E,F). Quantitative analysis
indicated a steady continuous developmental increase in synaptic
 dystroglycan for at least 2 additional weeks (to 5 weeks in
vitro; data not shown), in contrast to the earlier rapid increase
and later plateau levels of synaptic gephyrin. However, even at this
late stage of development many synaptic
GABAAR 2 clusters were devoid of detectable
 dystroglycan. Thus dystroglycan appeared to be associated with
only a subset of mature GABAergic synapses. It is not clear whether
 dystroglycan would eventually associate at high level with all
mature GABAergic synapses or whether it associates with a distinct
subpopulation. It is also possible that dystroglycan concentrates at
all GABAergic synapses, but the levels at some synapses may fall below
the detection threshold.
Genetic analysis of the requirements for synaptic clustering of the
dystrophin glycoprotein complex
We tested major dystroglycan binding partners and components of
GABAergic synapses for their role in synaptic localization of
dystroglycan. We first analyzed hippocampal cultures from
mdx mice, which lack the full-length form of dystrophin, a
major intracellular binding partner for dystroglycan. Visually,
mdx neurons exhibited normal accumulations of
-dystroglycan at GAD-labeled synapses (Fig.
4B) compared with wild
type (Fig. 4A). Immunofluorescence with a monoclonal
antibody that recognizes both full-length and short forms of
dystrophin was greatly reduced, although some immunoreactivity was
colocalized with  dystroglycan (Fig. 4F). Thus
some short forms of dystrophin as well as full-length dystrophin are
complexed with dystroglycan at GABAergic synapses. Furthermore,
full-length dystrophin is not essential for assembly of the DGC at
GABAergic synapses.

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Figure 4.
Agrin, dystrophin, and gephyrin are not required
for localization of dystroglycan to GABA synapses. Individual cultures
were grown from hippocampi of wild-type (A,
E, G), mdx (B,
F), agrin / (C), and gephyrin
/ (D, H) mice and analyzed after 17-19 d.
Neurons were immunolabeled for combinations of GAD (red,
A-D) and  dystroglycan
(green, A-D);
 dystroglycan (red, E,
F) and dystrophin (green,
E, F); or GABAAR 2
(red, G, H) and
 dystroglycan (green, G,
H). In mdx, agrin / , and
gephyrin / neurons, clusters of  dystroglycan apposed to GAD
were observed as in wild-type neurons
(yellow puncta in A3,
B3, C3, D3). Even in
mdx neurons, clusters of some dystrophin isoforms were
still observed with the dys2 antibody (F2), and
these colocalized with  dystroglycan (yellow
puncta in F3). In wild-type neurons,  dystroglycan
always colocalized with GABAAR 2
(yellow puncta in G3), but in the
absence of gephyrin,  dystroglycan clusters were often found
without punctate GABAAR 2 immunoreactivity
(red puncta in H3). In all images,
arrowheads indicate colocalization;
arrows in H show  dystroglycan
clustering independently of GABAAR 2. Scale bar, 10 µm.
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Agrin is a major dystroglycan-binding protein expressed by central
neurons as well as at the NMJ. We showed previously that agrin isoforms
containing the z splice insert, which are required for neuromuscular
synaptogenesis, are not required for synaptic accumulation of
GABAAR 2/3 opposite GAD-positive terminals
(Serpinskaya et al., 1999 ). However, some z-minus agrin was expressed
by the hypomorphic mutants used in our previous study, and it is known that z-minus agrin binds more strongly to dystroglycan than does z-plus
agrin (Sugiyama et al., 1994 ). We therefore analyzed hippocampal neurons from a newly generated agrin mutant that is a complete null for
all forms of agrin (Lin et al., 2001 ). As reported previously, synapse
formation proceeded on schedule in agrin / mutants. Specifically,
agrin / neurons showed normal accumulations of  dystroglycan at
GAD-labeled synapses (Fig. 4C). Thus, although agrin binds
dystroglycan, it is not required for accumulation of the DGC at
GABAergic synapses.
The postsynaptic anchoring protein gephyrin appears at synapses earlier
than dystroglycan and is reportedly essential for synaptic accumulation
of GABAAR 2 and 2 subunits in hippocampal culture (Kneussel et al., 1999 ). We cultured embryonic hippocampal neurons from gephyrin / mice for 17-19 d and then assayed for dystroglycan and dystrophin localization to GABA synapses (Fig. 4D,H) (and data not shown).
Accumulation of GAD-positive GABAergic presynaptic specializations, at
sites distinct from excitatory postsynaptic specializations, occurred
normally in the gephyrin / neurons. We found that gephyrin was not
required for accumulation of dystroglycan or dystrophin at GABAergic
synapses (Fig. 4D) (and data not shown).
 Dystroglycan immunoreactivity in the gephyrin / neurons was
indistinguishable from wild type (Fig.
4A,D). In the absence of gephyrin,
many  dystroglycan clusters were found lacking detectable
immunoreactivity for GABAAR 2, a finding not
common in wild-type neurons (Fig. 4G,H).
In addition, low levels of GABAAR 2 clustering
persist, opposing some GAD-positive terminals in the absence of
gephyrin (data not shown), and in these cases  dystroglycan
colocalized with some GABAAR 2 clusters. Thus
the DGC appears to be completely independent of gephyrin: it neither
requires gephyrin for accumulation at GABA synapses nor compensates for
the loss of gephyrin, at least not by any change in association of
dystrolgycan with GABAAR clusters.
Dystroglycan is required for association of dystrophin but not for
differentiation of GABAergic synapses
Although a DGC containing short dystrophin isoforms and/or
utrophin can form in the absence of full-length dystrophin (Blake and
Kroger, 2000 ), it is thought that no DGC can form in the absence of
dystroglycan. Thus to test more directly the potential function of the
DGC in GABAergic synaptogenesis, we
analyzed dystroglycan / neurons in culture (Figs. 5,
6). Because dystroglycan / mice die
early in embryogenesis before development of the brain (Williamson et
al., 1997 ), we used a conditional dystroglycan mutant (Saito et al.,
2001 ; Moore et al., 2002 ). In these mice, lox sites have been inserted
into introns that flank the first coding exon of the dystroglycan gene.
These insertions have no detectable effect on dystroglycan expression
but act as recognition sites for Cre recombinase. Introduction of this
recombinase leads to excision of the first exon, generating a
protein-null mutant allele. We therefore prepared cultures from
hippocampi of conditional mutant heterozygotes and then treated the
cultures with adenovirus-Cre to inactivate dystroglycan. For the
experiments described here, we wanted to assess roles of dystroglycan
in synaptogenesis per se, separate from possible roles in earlier
steps, such as differentiation or process outgrowth. We therefore
introduced the adenovirus-Cre at 7 d in culture, subsequent to
attachment of neurons to the substrate and initial outgrowth of axons
and dendrites but before the time at which dystroglycan is detected at
GABA synapses in control neurons. As controls, we used neurons that
bore the conditional allele but were not treated with adenovirus and
virus-treated neurons from wild-type mice.

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Figure 5.
Dystroglycan is not required for the
differentiation of neuronal dendritic and axonal compartments and
synaptic terminals. Hippocampal neurons were cultured from wild-type
(A) or DG lox/lox (B-E)
mice, incubated at 7 d in culture with adenovirus-Cre
(A, C-E) or not
(B), and analyzed at 17-19 d. Neurons were
immunolabeled for combinations of  dystroglycan (A1,
B1, C1) and synapsin (A2,
B2, C2), GAD (D),
MAP2 (E1), and NCAM (E2). Synaptic
 dystroglycan clusters (arrowheads) were detected in
wild-type neurons treated with adenovirus-Cre (A)
and in DG lox/lox neurons not treated with virus
(B), but not in most DG lox/lox neurons treated
with adenovirus-Cre (C, arrows;
representative of 94% of the neurons). Presynaptic terminals
(C, arrows) including GABA synapses
(D, arrowheads) formed normally in the
absence of dystroglycan. Dystroglycan was also not required to
elaborate dendrites (arrowheads) and axons
(E, arrows). Scale bar, 10 µm.
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Figure 6.
Dystroglycan is essential for association of
dystrophin but not for differentiation of GABA synapses. Hippocampal
neurons were cultured from DG lox/lox mice, incubated at 7 d in
culture with adenovirus-Cre, and analyzed at 17-19 d. Neurons were
immunolabeled for combinations of  dystroglycan
(A1), dystrophin (A2), and synapsin
(A3);  dystroglycan (B1),
GABAAR 2 (B2), and synapsin
(B3);  dystroglycan (red,
C1) and gephyrin (green,
C2) overlaid on a phase-contrast image; gephyrin
(red, D) and GABAAR 2
(green, D); or
GABAAR 2 (red, E) and GAD
(green, E). In the absence of
dystroglycan, dystrophin did not form synaptic clusters
(A), but GABAAR subunits, gephyrin,
GAD, and synapsin formed colocalized clusters
(B-E) around somata and dendrites
(C) indicating GABAergic synaptic
differentiation. Arrows show absence of -dystroglycan
(A-C) and dystrophin (A)
at synapses and GABAAR (B) and
gephyrin (C) clustering in the absence of
-dystroglycan; arrowheads indicate GABAAR
colocalized with gephyrin (D) and GAD
(E). Scale bar, 10 µm.
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Adenovirus-Cre treatment (at MOI 10) of wild-type neurons did not
affect dystroglycan expression (Fig. 5A), whereas the same treatment effectively excised dystroglycan from the vast majority of
cells in culture [6% of cells exhibited dystroglycan clusters after
adenovirus-Cre treatment vs 84% in sister cultures without virus-mediated excision (Fig. 5, C vs B)]. The
absence of dystroglycan from neurons after excision at 1 week in
culture is consistent with the result (Fig. 3) that these neurons have
accumulated little if any dystroglycan at earlier times. The
dystroglycan / neurons continued to elaborate axons and dendrites
for an additional 10-12 d (analysis at 17-19 d in vitro)
(Fig. 5E). Moreover, the neurons formed numerous
synapsin-rich presynaptic nerve terminals, including some that were
GABAergic (GAD-positive) (Fig. 5C,D). Thus,
although we cannot rule out the possibility that low levels of
dystroglycan are essential for initiation of neuronal differentiation,
formation of elaborate processes and differentiation of nerve terminals can occur in its absence.
In view of these results, we were able to use the Cre-expressing DG
lox/lox cultures to ask whether dystroglycan was necessary for
formation or maintenance of the postsynaptic membrane at GABAergic synapses. We observed no dystrophin clusters in Cre-treated neurons (Fig. 6A) except for very few colocalized with the
remaining dystroglycan. This defect was more striking than that
documented above for mdx mice, indicating that dystroglycan
is necessary for concentration of both full-length and short forms of
dystrophin at GABAergic synapses. However, no other differences in
GABAergic synaptic differentiation were observed. Cre-excised DG
lox/lox cultures formed colocalized accumulations of synaptic vesicles,
GAD, gephyrin, and GABAAR 1, 2 and 2
(Fig. 6B-E) ( 1 data not shown). The percentage of DG lox/lox neurons that exhibited synaptic clusters of
GABAAR 2 was 94% without adenovirus treatment
and 89% after adenovirus-Cre excision (data from the same neurons
described above that showed the 78% loss of dystroglycan
immunoreactivity). The amount of adenovirus required to effectively
excise dystroglycan resulted in some degree of toxicity for wild-type
neurons as well as DG lox/lox. Thus rigorous quantitative analyses were
precluded, and we cannot rule out the possibility of a small reduction
in the density of synaptic GABAAR clusters
attributable to loss of dystroglycan. Nonetheless, these results
indicate that dystroglycan is not a required signaling component for
the fundamental aspects of GABAergic synaptogenesis, formation
of GABAAR clusters opposite GABAergic terminals.
 |
DISCUSSION |
We report here four major results concerning the regulation and
function of the DGC in central neurons. First, -dystroglycan, -dystroglycan, and dystrophin are concentrated at a subset of central neuron inhibitory GABAergic synapses. Dystroglycan is the first
adhesive macromolecule identified at mature GABA synapses. Second,
dystroglycan accumulates at GABAergic synapses late in development,
after clustering of synaptic vesicles, GAD, gephyrin, and
GABAAR. Third, gephyrin, agrin, and full-length
dystrophin are all dispensable for localization of dystroglycan to GABA
synapses. Fourth, dystroglycan / neurons develop GABAergic synapses
containing clusters of GABAAR and gephyrin
opposite GAD-labeled terminals. The only detectable defect in the
absence of dystroglycan was the absence of dystrophin clusters at GABA
synapses. Thus the DGC is not essential for assembly of GABAergic
synapses but is likely to function in synaptic modulation.
Molecular assembly of GABAergic synapses
Our data indicate the following sequence of GABAergic synaptic
assembly: presynaptic vesicle clusters, then gephyrin and
GABAAR, and then the DGC. In cultured spinal
neurons, clustering of the GABAAR opposite
inhibitory terminals was observed before the accumulation of gephyrin
(Dumoulin et al., 2000 ). We have also observed some synaptic
GABAAR clusters in gephyrin / hippocampal
neurons (our unpublished data). Thus, in contrast to the early report
of Kneussel et al. (1999) of a complete absence of
GABAAR clusters in gephyrin / hippocampal
neurons, our data agree with the recent analyses of retinal cultures
and spinal cord (Fischer et al., 2000 ; Kneussel et al., 2001 )
indicating the presence of some albeit reduced
GABAAR clusters in gephyrin / neurons.
Interestingly, analysis of cortical cultures from
GABAAR 2 / mice revealed a large reduction
in synaptic clustering of gephyrin as well as
GABAAR 1 and 2 (Essrich et al., 1998 ).
However, direct binding between gephyrin and
GABAAR has not been observed (Meyer et al.,
1995 ), and the presence of gephyrin at a synapse is not
sufficient to induce accumulation of GABAAR (Levi
et al., 1999 ). One attractive idea was that gephyrin organized the
GABAergic postsynaptic membrane via interaction with the DGC,
but our results have excluded this possibility. Thus the precise role
of gephyrin in GABAergic synaptogenesis remains to be defined,
particularly how gephyrin functions to induce or maintain the normal
synaptic density of some GABAAR subunits and how
this contributes to synaptic function.
The DGC detectably associated with only a subset of GABAergic synapses
and only late in development. The DGC complex at GABA synapses includes
-dystroglycan, -dystroglycan, full-length dystrophin, and
dystrophin short forms (Figs. 2, 4). Full-length dystrophin has also
been found at GABAergic synapses in hippocampal tissue (Knuesel et al.,
1999 ). In mdx neurons lacking full-length dystrophin,
dystroglycan and some dystrophin short forms still localized to
GABAergic synapses (Fig. 4). In contrast, in neurons lacking
dystroglycan, dystrophin isoforms were not detected at GABA synapses
(Fig. 6). Thus dystroglycan is an essential component for formation of
the DGC complex at GABA synapses, but dystrophin is not. Furthermore,
neither agrin nor gephyrin was required for assembly of the DGC at GABA
synapses (Fig. 4). We could find no evidence of a genetic interaction
between gephyrin and dystroglycan in the sense that either
assembled at GABA synapses in the absence of the other, and neither
could compensate for loss of the other. Dystroglycan did not rescue
GABAAR clustering in the absence of gephyrin, and
gephyrin did not rescue dystrophin clustering in the absence of dystroglycan.
Function of the dystrophin-associated glycoprotein complex at
GABAergic synapses
The presence of the adhesive macromolecule dystroglycan at GABA
synapses raised the intriguing possibility that it might function as a
key trans-neuronal signal for synaptogenesis. Although we could detect
dystroglycan accumulated at only a subset of mature synapses, it might
be present at lower levels at developing GABAergic synapses. The
findings that -dystroglycan binds agrin and - and -neurexins
via their extracellular domains (Bowe et al., 1994 ; Campanelli et al.,
1994 ; Gee et al., 1994 ; Sugiyama et al., 1994 ; Sugita et al., 2001 )
further supported this possibility. Agrin is essential for
synaptogenesis at the NMJ (Sanes and Lichtman, 1999 ; Lin et al., 2001 ),
and acute inhibition of agrin expression alters the morphological
development of hippocampal neurons in culture (Bose et al., 2000 ). The
apparent absence of phenotype in hippocampal cultures from agrin mutant
mice (Fig. 4) (Serpinskaya et al., 1999 ) could result from compensatory
mechanisms. Neurexins are a large family of alternatively spliced
neuron-specific surface proteins implicated in synaptic specificity
(Missler et al., 1998 ). However, we find here that dystroglycan is not
essential for GABAergic synaptogenesis; GABAAR
clustered opposite GABA terminals in the absence of dystroglycan (Fig.
6). These results do not rule out roles for agrin or neurexin, both of
which have alternative receptors. For example, -neurexins also bind
neuroligin, an excitatory postsynaptic protein that can induce
presynaptic specializations in contacting axons (Song et al., 1999 ;
Scheiffele et al., 2000 ). Moreover, it is still possible that
dystroglycan is required for genesis of a small subset of GABA
synapses; better methods for excising dystroglycan without long-term
side effects will be required to test this possibility. Compensatory
mechanisms that may mask a function for dystroglycan seem unlikely,
because dystroglycan was excised after 1 week in culture rather than
from the onset of development. Functional redundancy may occur for
other components of the DGC, but this also seems unlikely for
dystroglycan, as demonstrated with respect to its roles in non-neuronal
cells (Williamson et al., 1997 ).
The other possibility, which we favor, is that dystroglycan plays a
modulatory rather than an organizing function at many GABAergic
synapses. The cytoplasmic C terminus of -dystroglycan interacts
with the Src homology 3 domains of Grb2, an adaptor protein
involved in signal transduction and cytoskeletal reorganization (Yang
et al., 1995 ). Evidence from brain synaptosomes indicates a
Grb2-mediated interaction between -dystroglycan and focal
adhesion kinase, a tyrosine kinase involved in intracellular
transduction pathways (Cavaldesi et al., 1999 ). Furthermore, Grb2
and dystrophin compete for binding to -dystroglycan (Russo et al.,
2000 ). These interactions suggest that dystroglycan may be part of a
dynamically regulated signal transduction pathway.
Taken together, our data suggest that the DGC forms a transmembrane
linkage containing dystrophin, dystrophin short forms, -dystroglycan, and -dystroglycan, which binds agrin and - and -neurexins. The simplest model is that neurexins and agrin are on
the presynaptic side, and dystroglycan and dystrophin are postsynaptic at GABA synapses. However, there is little direct evidence (Lidov et
al., 1990 ) to support this model, and the possibility that the DGC may
be presynaptic needs to be tested by ultrastructural localization.
Similar to its function at the NMJ (Adams et al., 2000 ; Grady et al.,
2000 ; Jacobson et al., 2001 ), the DGC may be involved in regulating
GABAAR stability or other aspects of postsynaptic
response. Alternatively, similar to its function in photoreceptors
(Blake and Kroger, 2000 ), the DGC may be involved in regulating GABA
release. Finally, given the transmembrane nature of the complex, the
DGC may be involved in regulating coordinated aspects of presynaptic
and postsynaptic plasticity at GABA synapses.
 |
FOOTNOTES |
Received Nov. 21, 2001; revised Feb. 26, 2002; accepted March 1, 2002.
This work was supported by National Institutes of Health Grants NS34448
and NS33184. M.D.H. was supported by a National Research Service Award
grant, and K.P.C is an investigator of the Howard Hughes Medical
Institute. We thank Dr. Jean-Marc Fritschy for gifts of antibodies and
Huaiyang Wu for excellent technical assistance.
Correspondence should be addressed to Dr. Ann Marie Craig, Department
of Anatomy and Neurobiology, Washington University School of Medicine,
660 South Euclid, Campus Box 8108, St. Louis, MO 63110. E-mail:
acraig{at}pcg.wustl.edu.
M. D. Henry's present address: Millenium Pharmaceuticals Inc.,
Cambridge, MA 02139.
 |
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