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The Journal of Neuroscience, December 15, 2002, 22(24):10871-10882
Confocal Analysis of Reciprocal Feedback at Rod Bipolar Terminals
in the Rabbit Retina
Jian
Zhang,
Wei
Li,
E. Brady
Trexler, and
Stephen C.
Massey
Department of Ophthalmology and Visual Science, University
of Texas-Houston Medical School, Houston, Texas 77030
 |
ABSTRACT |
Amacrine cells in the mammalian retina are famously diverse in
shape and function. Here, we show that two wide-field GABA amacrine
cells, S1 and S2, have stereotyped synaptic contacts with the
appropriate morphology and distribution to perform specific functions.
S1 and S2 both supply negative feedback to rod bipolar terminals and
thus provide a substrate for lateral inhibition in the rod pathway.
Synapses are specialized structures, and the presynaptic compartment is
normally characterized by a swelling or varicosity. Each S1 amacrine
cell has ~280 varicosities, whereas an S2 cell has even more, ~500
per cell. Confocal analysis shows that essentially all varicosities
aggregate around rod bipolar terminals where they are apposed by
postsynaptic GABA receptors. Each rod bipolar terminal is contacted by
varicosities from ~25 different S1 and 50 different S2 amacrine
cells. In fact, rod bipolar cells are the only synaptic target for S1
and S2 amacrine cells: all of the output from these two wide-field GABA
amacrine cells goes to rod bipolar terminals. It has long been a puzzle why two amacrine cells, apparently with the same connections, are
required. However, an analysis of the distribution of varicosities suggests that S1 and S2 amacrine cells provide different signals. S2
amacrine cells dominate within 200 µ from a rod bipolar terminal and
can provide an inhibitory input with spatial characteristics that match
the size of the surround signal recorded from AII amacrine cells in the
rod pathway. In contrast, the larger, better-coupled S1 amacrine cells
may provide a more distant network signal.
Key words:
retina; S1 amacrine cell; S2 amacrine cell; rod bipolar
cell; AII amacrine cell; confocal microscopy; Neurobiotin
 |
INTRODUCTION |
There are multiple rod and cone
pathways through the mammalian retina (for review, see Sterling, 1998
;
Bloomfield and Dacheux, 2001
). Cones diverge to multiple types of ON
and OFF cone bipolar cells, which synapse directly with ganglion cells.
In contrast, many rods converge onto a single morphological type of rod
bipolar cell (RBC), which makes excitatory dyad synapses
predominantly with two postsynaptic amacrine cells (Strettoi et al.,
1990
). Synapses with one amacrine cell, the AII, are conventional. In turn, the AII makes gap junctions with ON cone bipolar cells and glycinergic synapses with OFF cone bipolar cells (Strettoi et al.,
1992
). Alternative rod pathways via rod-cone coupling or direct
connections between rods and OFF cone bipolar cells have also been
reported (DeVries and Baylor, 1995
; Soucy et al., 1998
).
The other postsynaptic element at each rod bipolar dyad makes a
reciprocal synapse and is derived from one of two wide-field GABA
amacrine cells known as S1 and S2 (Sandell and Masland, 1986
; Vaney,
1986
; Strettoi et al., 1990
). Although there is not much endogenous serotonin in the rabbit retina, these cells accumulate serotonin, which provides a simple way to label the mosaic of S1 and S2
amacrine cells. Both GABAA and
GABAC receptors have been localized to the rod
bipolar terminal at a proportion of S1 and S2 contacts (Fletcher and
Wässle, 1999
), and GABA-mediated negative feedback seems to be a
common feature of bipolar cell terminals (Marc and Liu, 2000
).
The S1 is a wide-field amacrine cell with straight radiating dendrites
decorated with large varicosities (Sandell and Masland, 1986
; Vaney,
1986
). The S2 is smaller, and the dendrites are more tangled and bear
smaller varicosities. Both cell types contribute to a dense overlapping
plexus at the level of rod bipolar terminals. Recordings show that
rabbit S1 amacrine cells have depolarizing responses and produce spikes
(Bloomfield, 1996
). Furthermore, AII amacrine cells in the rod pathway
have an inhibitory surround that is mediated by GABA and blocked by
tetrodotoxin, which led to the suggestion that S1 cells contribute
surround signals to the rod pathway via feedback to the rod bipolar
terminal (Bloomfield and Xin, 2000
).
There are several outstanding questions concerning the role of S1/S2
amacrine cells. First, are there contacts with other bipolar cells
besides rod bipolar cells? Second, why is there an apparent mismatch in
the small size of the AII surround (~100 µm) and the large extent
of the S1 dendritic field (>1 mm). Third, why is it necessary
to have two closely related amacrine cell types with apparently
identical connections to do the same job? In this paper, we have used
confocal microscopy to analyze S1 and S2 amacrine cells in detail. We
find that S1 and S2 varicosities are synaptic sites, apposed by GABA
receptors and always in contact with rod bipolar cells. We have also
modeled the distribution of S1 and S2 amacrine cells contacting a
single rod bipolar cell. These calculations suggest that nearby
surround inputs are dominated by S2, whereas S1 has relatively few and
distant contacts.
 |
MATERIALS AND METHODS |
Preparation. The isolation of rabbit retina has been
described previously (Massey and Mills, 1996
). In brief, adult New
Zealand Albino rabbits of either sex were anesthetized with urethane
(loading dose, 1.5 gm/kg, i.p.), and the orbit was infused with 2%
lidocaine hydrochloride before enucleation. The eyes were removed and
hemisected, and the retina was isolated from the inverted eye cup while
immersed in oxygenated Ames medium (Ames and Nesbett, 1981
). The
isolated retina was flattened onto filter paper, photoreceptor down,
and incubated in fresh Ames medium containing 10 µM serotonin (5-hydroxytryptamine; Sigma, St.
Louis, MO) for 30 min. Then, the preparation was fixed for 30-60 min
with 4% formaldehyde in phosphate buffer. Alternatively, for
intracellular dye injection, pieces of isolated retina were submersed
with 5 µM 6-diamino-2-pheylindole (DAPI)
together with 10 µM serotonin for 30 min to
prelabel amacrine cell nuclei in the inner nuclear layer (INL). S1 and
S2 cells could be identified by their large and lightly stained somas.
Antibodies. A rabbit or goat polyclonal antibody to
calretinin (Chemicon, Temecula, CA) was used at a dilution of 1:10,000. A rabbit polyclonal (Chemicon) or mouse monoclonal antibody
(Transduction Laboratories, San Diego, CA) against protein kinase C
(PKC) was diluted at 1:1000. A goat polyclonal antibody against
serotonin (Incstar, Stillwater, MN) was diluted at 1:1000. An antibody
against synaptophysin (Sigma) was diluted at 1:500. Antibody to the
GABAC receptor was a generous gift from Dr. Heinz
Wässle (Department of Neuroanatomy, Max Planck Institute for
Brain Research, Frankfurt am Main, Germany) (1:100) (Enz et al., 1996
).
The monoclonal antibody to synaptic vesicle 2 (SV2) (1:1000),
developed by Dr. Kathleen Buckley (Department of Neurobiology, Harvard
Medical School, Boston, MA), was obtained from the Developmental
Studies Hybridoma Bank developed under the auspices of the National
Institute of Child Health and Development and maintained by the
Department of Biological Sciences, University of Iowa. Secondary
antibodies were obtained from Jackson ImmunoResearch (West Grove, PA)
and used at a dilution of 1:200.
Intracellular dye injection. S1 and S2 amacrine cells
were impaled under visual control with sharp electrodes. Electrode tips were filled with a mixture of 1% Lucifer yellow-CH and 4%
Neurobiotin (Vector Laboratories, Burlingame, CA) in 50% 0.05 M phosphate buffer (PB), and then back-filled
with 3 M lithium chloride. After penetration,
Lucifer yellow and Neurobiotin were iontophoresed into the cell with
biphasic current (1 nA, 3 Hz) for 1-4 min. After several cells were
filled, the retina was fixed in 4% formaldehyde for 30 min, washed in
0.1 M PB/0.5% Triton X-100/0.1% sodium azide, and reacted overnight with 1:100 streptavidin/Cy3.
Immunocytochemistry. Immunolabeling was performed following
previously established protocols (Massey and Mills, 1996
). For double-
or triple-labeling experiments, flat-mount pieces of retina or
free-floating vibratome sections were blocked in 3% donkey serum in PB
with 0.5% Triton X-100/0.1% sodium azide for 2 hr to overnight to
reduce nonspecific labeling. The tissue was incubated in primary
antibodies in the presence of 1% donkey serum/PB with 0.5% Triton
X-100/0.1% sodium azide for up to 1 week. The tissue was washed with
PB containing 0.5% Triton X-100/0.1% sodium azide and reacted with
fluorescently labeled secondary antibodies overnight. Fluorochromes
were Alexa 488 (Molecular Probes, Eugene, OR), Cy3, and Cy5.
Preparations were mounted with Vectashield (Vector Laboratories) and
viewed with a confocal microscope equipped with a krypton/argon laser
(Zeiss, LSM 410). Images were adjusted using Adobe Photoshop 5.5.
Data analysis. Standard S1/S2 cells were defined based on
averaged data from examples of dye-injected S1/S2 cells. Varicosities were taken as large and obvious swellings along the S1/S2 dendrites. The dendritic diameter was measured at
0.5 µm, and
varicosities were counted as >1 µm in diameter. At the low end of
this range, particularly with the smaller S2 varicosities, there is
some uncertainty because there are occasional dendritic thickenings
that approach this size, although they are not adjacent to rod bipolar
terminals. However, objectivity could be maintained by turning off the
rod bipolar channel when counting varicosities, and in addition, only the true varicosities were stained for synaptic markers and not the
intervening stretches of dendrite.
The varicosities around a standard S1 or S2 were counted in a series of
expanding shells. When divided by the number of rod bipolar cells in
each shell, this gives the probability of contact between an RBC and a
single S1/S2 at a given distance. Then, centered around an RBC, this
probability times the number of S1/S2 cells in each shell yields the
number of S1/S2 cells that contact the rod bipolar cell shell by shell
(see Fig. 10). The distribution of S1/S2 somas was plotted as
background, and a custom program was used to place standard S1/S2
cells, according to the number of S1/S2 cells calculated above that
contact the central rod bipolar cell, in random positions with
dendrites in random directions. The results are averaged from 30-40
trials. For model A, it was assumed that regenerative dendritic
properties allow signal transfer from one varicosity to all others,
passing through the soma if necessary. For model B, it was assumed that
signal transfer is limited to a single dendritic branch and cannot pass
the soma. On the basis of these assumptions, the program counted the
number of S1/S2 varicosities in each shell that could affect the
central RBCs via the dendritic structure. This also reflects the input from other rod bipolar cells and is greater for close S1/S2 cells because the proximal density of varicosities is much higher. The density of effective varicosities was plotted against distance from a
single RBC (see Fig. 11).
 |
RESULTS |
Triple labeling of the S1/S2 matrix, AII amacrine cells, and rod
bipolar terminals
Although there is very little endogenous serotonin in the rabbit
retina, once the cells are loaded with exogenous serotonin a serotonin
antibody may be used effectively to visualize the S1 and S2 amacrine
cells. The vast majority of cell bodies are located in the INL from
which fine dendrites descend diagonally to form an extremely dense and
overlapping meshwork at the bottom of the IPL (Fig.
1A). Although dendrites
of S1 and S2 cannot be distinguished, close examination of this
meshwork reveals certain repeated characteristics. Embedded within
overlapping regions of straight dendrites are clusters of varicosities.
Double labeling with an antibody against PKC to label rod bipolar cells
shows that the clusters of varicosities surround the terminals of rod bipolar cells (Fig. 1B). The rod bipolar terminals
fill holes in the S1/S2 matrix, and every terminal, without exception,
is surrounded by several varicosities. Visual inspection suggests that
varicosities in the S1/S2 matrix only occur adjacent to rod bipolar
terminals, but it is sometimes difficult to distinguish varicosities
from fasciculated dendrites.

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Figure 1.
Triple-label imaging of rod bipolar contacts with
the S1/S2 matrix and AII amacrine cells. A, The S1/S2
matrix, focus in sublamina 5, labeled with an antibody to serotonin
after preloading. The matrix consists of many overlapping fine
dendrites with clusters of varicosities (an example indicated by the
arrow). Large holes in the matrix are protruding
ganglion cells or Müller cells passing through. B,
Double-label image, same field, shows that rod bipolar terminals,
labeled with anti-PKC (blue), fill small holes in the
S1/S2 matrix and are surrounded by several varicosities (same
arrow as in A.). C, The
matrix of AII dendrites (same field), labeled with anti-calretinin
(red), is less dense than the S1/S2 matrix, but every
rod bipolar terminal (blue) contacts an AII
process. D, Triple-label image showing rod bipolar
terminals (blue), inserted in the combined S1/S2 matrix
and AII matrix (red). There is almost no overlap among
the three labels: they stain separate neuronal types. Individual rod
bipolar terminals (blue) are often enclosed completely
by alternating S1/S2 contacts or AII contacts
(red).
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AII amacrine cells are also postsynaptic to rod bipolar cells, and the
AII matrix can be visualized with an antibody against calretinin
(Wässle et al., 1995
; Massey and Mills, 1999
). The AII matrix is
sparse compared with the S1/S2 matrix, but this is expected because the
overlap of AII dendrites in sublamina b ranges from 3 to 8, compared
with >70 for S2 and >500 for S1 amacrine cells (Vaney, 1986
).
Nevertheless, dendrites from AII amacrine cells touch every rod bipolar
terminal in the field (Fig. 1C). There are no rod bipolar
terminals that are not adjacent to AII dendrites. The AII and S1/S2
matrices appear to be complementary. In the triple-label image,
alternating AII (calretinin, red) and S1/S2 (serotonin,
green) labeling can be observed around the rim of the
rod bipolar terminals (Fig. 1D). It appears that AII
dendrites frequently fill the gaps between multiple S1/S2 contacts with rod bipolar terminals. This is consistent with the postsynaptic localization of AII and S1/S2 dendrites at rod bipolar terminals.
Image analysis
To avoid reliance on mere inspection, we developed a
quantitative assessment of the relationship between the antibody labels shown in Figure 1. A cursor was centered on each separate rod bipolar
terminal, and a 50 × 50 pixel box was clipped from the image.
During this manual selection process, the red and green channels were
turned off to reduce operator bias. These image sections were then
aligned and averaged. In effect, this is a method to analyze the
average distribution of labeling in the other two channels around a
repeated neuronal structure. In other words, for this image, it is a
method to assess the average distribution of AII and S1/S2 dendrites
around rod bipolar terminals. The results are shown in Figure
2. Figure 2C shows the central
peak of rod bipolar terminals with very low noise because these
structures were selected. Figure 2, A and B,
shows the average distribution of AII and S1/S2
[indoleamine-accumulating amacrine cells (IACs)] processes
around the rod bipolar terminals. In each case, a distinct volcanic
caldera occurs around a central cavity coincident with the average rod
bipolar peak from Figure 2C. The S1/S2 caldera is smoother
and more regular than the AII caldera. This may reflect the greater
density of the S1/S2 matrix and a larger number of synaptic contacts.
In both cases, the height of the caldera immediately adjacent to the
rod bipolar terminal far exceeds the local noise at a distance from the
central cavity. This indicates that, on average, there is a high
probability of encountering AII and S1/S2 processes immediately
adjacent to a rod bipolar terminal. As a control, the S1/S2 image was
rotated 180° from the rod bipolar image. The same analysis then
showed no peak with relation to the rod bipolar signal (Fig.
2D). This analysis confirms that the visual
impression is real and that we can reliably visualize the contacts
between rod bipolar terminals and their postsynaptic elements using
confocal microscopy.

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Figure 2.
Image analysis of Figure 1. Surface plots show the
average distribution of label in each channel around a repeated
neuronal structure, in this case, rod bipolar terminals. A 50 × 50 image was clipped out around 35 rod bipolar terminals. This analysis
shows that the apparent contacts observed in Figure 1 are real.
A, The caldera of red pixels indicates a
high probability of finding an AII process adjacent to a rod bipolar
terminal. B, The caldera of green pixels
indicates a high probability of finding an S1/S2 process adjacent to a
rod bipolar cell. C, The average distribution of
blue pixels. This peak is high and uniform with very low
background because the selected structures were rod bipolar terminals.
This coincides with the central cavity in A and
B. D, As a control, the S1/S2 image was
rotated 180° out of phase, and the same analysis was performed around
rod bipolar terminals. There is no discernible structure in the plot
indicating that the spatial relationship shown in B has
been destroyed.
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Localization of synaptophysin in S1/S2 varicosities
The analysis above suggests that the varicosities in the S1/S2
matrix are synaptic structures, and the intervening stretches of fine
dendrite do not specifically associate with rod bipolar terminals.
Given that S1 and S2 amacrine cells make reciprocal synapses, we
examined the distribution of synaptic markers at the rod bipolar cell
synapse. Synaptophysin is a protein involved in the docking of
synaptic vesicles at the site of release (Brandstätter et al.,
1996
), and SV2 is another synaptic vesicle protein (Buckley and Kelly,
1985
; Yang et al., 2002
). Thus, we triple labeled some material to
determine whether the varicosities around rod bipolar terminals were
associated with these synaptic markers (Fig.
3).

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Figure 3.
Varicosities contain synaptic markers.
A, A single prominent rod bipolar terminal stained with
anti-PKC. B, Same field, stained for the synaptic
vesicle protein SV2. The rod bipolar terminal is well stained, but
there are additional lobes adjacent to the rod bipolar terminal that
express SV2. C, Double-label image shows that the rod
bipolar terminal contains both PKC and SV2
(purple), but the adjacent lobes contain only
synaptophysin (red, outlined); they are
not part of the rod bipolar terminal. D, Triple-label
image. The rod bipolar terminal contains PKC and SV2
(purple), whereas the adjacent lobes are stained
for serotonin and SV2 (yellow). The dendrites of
the IACs are stained only for serotonin (green);
they do not contain synaptic vesicles. Thus, the S1/S2 varicosities
surrounding the rod bipolar terminal contain synaptic markers.
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As reported previously, SV2 labeling was found in both plexiform layers
(Brandstätter et al., 1996
; Yang et al., 2002
). Zooming in on a
single prominent example revealed that rod bipolar terminals express
high levels of SV2; this is consistent with the
immense number of synaptic vesicles packed into a single
terminal. However, at high magnification, it can be seen that there are
additional SV2-positive lobes adjacent to the rod bipolar terminal
(Fig. 3B; outlined in C is double
labeling of A and B). The triple-label in
Figure 3D shows that the SV2-positive profiles adjacent to the rod bipolar terminals are S1 and S2 varicosities. Importantly, the
intervening S1/S2 dendrites were not stained for SV2. This implies that
only the S1/S2 varicosities, which cluster around rod bipolar
terminals, make synaptic contacts. Similar results were found for
synaptophysin (data not shown).
Intracellular injections
When isolated pieces of rabbit retina were incubated with 5 µM DAPI for 30 min, various cells were labeled. Compared
with the brightly labeled AII amacrine cells, somas of S1 and S2
amacrine cells were lightly stained and relatively large, 10-14 µm
in diameter, and located near the proximal border of the INL. Labeled
cells in mid-inferior retina were chosen and dye injected with a
mixture of 4% Neurobiotin and 1% Lucifer yellow. Figure
4A shows part of a
dye-injected S1 amacrine cell at 4 mm inferior. As reported previously,
S1 amacrine cells had large somas with 20-25 straight radiating
dendrites that descended to the dense plexus in sublamina 5, observed
when the whole population was stained (Fig. 1). The dendritic diameter
of this cell was 1800 µm, but the diameter varied with eccentricity
ranging from 1200 µm at the visual streak to >3000 µm in the
periphery (Vaney, 1986
). In complete fills, the terminal dendrites
ended abruptly without a terminal varicosity (Vaney, 1986
). Partially
filled cells were excluded because the dendritic labeling tapered
slowly and then disappeared, so shorter lengths of dendrite were
filled. There were leaf-like varicosities (diameter, 1.9-5.9 µm;
mean, 3.4 ± 1.2 µm) along the entire length of each dendrite.
The inter-varicosity spacing was 58 ± 6 µm.

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Figure 4.
Indoleamine-accumulating amacrine cells
from whole-mount rabbit retina filled with Neurobiotin and subsequently
visualized with Cy3. A, An S1 amacrine cell; focus in
sublamina 5 of the inner plexiform layer, adjacent to the ganglion cell
layer. The center part of the cell is shown, but the distal dendrites
fall outside the frame. Note the fine radiating dendrites with large
widely spaced varicosities. B, An S2 amacrine cell. Note
the smaller cell with more crossed dendrites and numerous beaded
varicosities spaced more closely together.
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Although the structure of the S2 amacrine cell was similar to that of
S1 amacrine cells, it was not hard to differentiate these two cell
types. S2 amacrine cells have a smaller dendritic field (from 300 to
1000 µm) (Vaney, 1986
) and tangled, rather than straight, radiating
dendrites. One example of a Neurobiotin-injected S2 amacrine cell is
shown in Figure 4B. Viewed in flat mount, its
dendrites had a high density of small beaded varicosities (diameter,
0.9-2.2 µm; mean, 1.4 ± 0.4 µm). The mean distance between
varicosities was 21 ± 3 µm.
S1 and S2 varicosities are adjacent to rod bipolar terminals
Intracellular injection of single cells made it possible to
visualize individual varicosities at high magnification in material that was also labeled for rod bipolar cells. An example of an S1 varicosity is shown in Figure
5A. It can be seen that the
varicosity is immediately adjacent to a rod bipolar terminal. Within
this short stack of confocal sections (6 × 0.5 µm sections),
the S1 varicosity and the rod bipolar terminal appear to overlap, and the colocalized labels produce yellow (Fig. 5B). In fact,
the two processes are separate in three-dimensional space as can be seen from another reconstructed example in Figure 5C. This
volume rendering shows that the S1 varicosity is intimately wrapped
around the rod bipolar terminal, and the surfaces of these two
processes are adjacent (Fig. 5D). This is consistent with
previous studies in which this synaptic complex was reconstructed from
serial EM sections (Strettoi et al., 1990
).

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Figure 5.
All varicosities are adjacent to rod bipolar
terminals. A, A high-resolution view of a single S1
varicosity. The fine process trailing from the varicosity is probably a
dye-coupled dendrite from another S1 amacrine cell. B,
Double-label image showing the same S1 varicosity
(green) adjacent to a rod bipolar terminal
stained for PKC (red). C, A
reconstruction of another S1 varicosity. D, A
three-dimensional reconstruction of the same S1 varicosity showing it
wrapped intimately around a rod bipolar terminal (red).
E, Several dendrites from a single Neurobiotin-filled S2
amacrine cell. Several varicosities are indicated by
arrows. F, Double-label image showing
that every S2 varicosity (green,
arrows) contacts a rod bipolar terminal
(red).
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A similar analysis was conducted for dye-injected S2 amacrine cells,
and an example is shown in Figure 5E, which shows a small area of radiating dendrites bearing prominent varicosities, some of
which are marked by arrows. In the double-label image, all of the S2 varicosities (four of four) are adjacent to rod bipolar terminals (Fig. 5F).
A quantitative analysis was performed for three S1 and three S2
amacrine cells. Each cell was a completely filled example, as
determined by the sudden end of labeling at the dendritic terminals as
opposed to the slow fade that indicates an incomplete fill. This
material was also double labeled with anti-PKC so that the contacts
between varicosities and rod bipolar terminals could be assessed by
confocal microscopy. S1 amacrine cells had a mean of 283 varicosities
(individual values: 228, 257, 364; SD, 72), of which an average of 276 contacted a rod bipolar terminal. S2 amacrine cells had a higher number
of varicosities (mean, 508; individual values: 395, 554, 575; SD, 98),
of which an average of 499 were adjacent to a rod bipolar terminal. In
total, for both S1 and S2 amacrine cells, 98% of the varicosities
contacted a rod bipolar terminal. This suggests that, within the limit
of experimental error, essentially all of the varicosities are adjacent to rod bipolar terminals. If the varicosities are synaptic contacts, then the only output from S1 and S2 amacrine cells is to the terminals of rod bipolar cells.
One varicosity per rod bipolar cell
S1 amacrine cells are larger but have fewer varicosities. Thus,
the density of varicosities is higher in S2 amacrine cells. However, it
was suggested previously that the intervaricosity spacing of even S2
amacrine cells exceeds the axonal field diameter of rod bipolar
terminals, and therefore any given rod bipolar cell could be contacted
by only one varicosity from a single S2 amacrine cell (Vaney,
1986
).
To test this idea systematically, we reconstructed a patch of retina
stained for PKC to identify all individual rod bipolar cells and
systematically identified the contacts of dye-injected S1 or S2
amacrine cells. An example is shown in Figure
6, in which the somas of 26 rod bipolar
cells were identified and followed to their axon terminal structures.
Each axon terminal was outlined and numbered, and a dye-injected S1
amacrine cell was overlaid. Even three unusually close varicosities on
two parallel dendrites contacted different rod bipolar cells, numbers
3, 12, and 13. Similar data were obtained for S2 amacrine cells as
illustrated in Figure 5, E and F. It was rare for
a single rod bipolar terminal to receive more than one varicosity, even
from closely parallel dendrites. These data were confirmed by
calculations that showed the intervaricosity distance to be ~58 µm
for S1 and 20 µm for S2 in near-central retina where rod
bipolar cells have an average terminal area of 100-200
µm2 and a calculated diameter of 12-16
µm (Young and Vaney, 1991
). Thus, as a general rule, on average, each
S1/S2 varicosity contacts a different rod bipolar terminal. This is an
important point because, as we shall see, this directly affects the
distribution of S1 and S2 amacrine cells that can contact an individual
rod bipolar cell.

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Figure 6.
Each rod bipolar terminal is contacted by only one
varicosity from a dye-injected S1 amacrine cell. A, The
somas of PKC-stained rod bipolar cells, each identified and numbered.
B, Same field, focus at the border of the IPL/INL, shows
that individual axons can be followed until the terminal fields of each
rod bipolar cell are outlined (C).
Two parallel dendrites from a Neurobiotin-filled S1 amacrine cell are
superimposed (black), and it can be seen that each
varicosity contacts a separate rod bipolar terminal.
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Further calculations indicate that an S1 amacrine cell contacts <5%
of the rod bipolar cells within its dendritic field. This number is
~50% for S2 amacrine cells, obviously higher by a factor of 10. This
reflects the smaller size and greater varicosity number, yielding a
much higher density for S2 amacrine cells.
S1/S2 varicosities are apposed to GABA receptors
If a model of the S1/S2 synaptic output is to be based on the
distribution of varicosities, then it is necessary to show that all the
varicosities adjacent to rod bipolar terminals are, in fact, synapses.
The above results showing the presence of synaptic markers and the
reliable juxtaposition between varicosities and rod bipolar terminals
suggest that this is the case. However, we also wanted to establish the
presence of postsynaptic receptors at these sites. Both S1 and S2
amacrine cells are wide-field GABA amacrine cells, so it was
appropriate to look for the expression of GABA receptors. Previous work
has shown that bipolar cells express GABAA and
GABAC receptors, both of which may be
postsynaptic at some contacts with S1 and S2 amacrine cells (Fletcher
et al., 1998
; Shields et al., 2000
; Pan, 2001
). In this case, we chose to use antibodies against the GABAC receptor to
demonstrate that postsynaptic receptors are present at the appropriate location.
As shown before, varicosities in the S1/S2 matrix are clustered around
rod bipolar terminals. Figure
7A shows the matrix of S1 and
S2 dendrites in sublamina 5. Much of the matrix is composed of
overlapping dendrites that bear no synaptic specializations, but one
particularly prominent ring of varicosities is indicated by
arrows. The GABAC receptors are
located inside the ring of varicosities. Within the limit of confocal
resolution, the S1/S2 varicosities appear to be partially colocalized,
but it is still clear that the GABAC receptors
extend within the circle of varicosities. Each circle of varicosities
surrounds an individual rod bipolar terminal, and the triple-label
image shows that rod bipolar terminals are well labeled with
GABAC receptors (Fig. 7B, red
puncta). Furthermore, the hotspots of GABAC
receptors are located exclusively within the limits of the rod bipolar
terminals. Comparison of the two double-label images shows that the
GABAC receptors occur precisely at the sites of
apposition with S1/S2 varicosities. This indicates that the S1 and S2
contacts with rod bipolar cells are coincident with the location of
postsynaptic GABA receptors.

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Figure 7.
GABAC receptors are found at contact
points between S1/S2 varicosities and rod bipolar terminals.
A, Confocal view in whole mount, focus in sublamina 5, shows the S1/S2 matrix (green) stained with a
serotonin antibody after preloading. GABAC receptors
(red) are associated with a prominent cluster of S1/S2
varicosities (arrowheads), which surround one lobe of a
rod bipolar terminal. B, Same field; the rod bipolar
cells, stained for PKC, are shown in blue. The lobe that
fills the hole in the S1/S2 matrix is labeled with GABAC
receptor clusters at the points of contact with S1/S2 varicosities
(arrowheads). C, Vertical section shows a
single S1 or S2 soma and numerous dendrites descending diagonally
through the inner plexiform layer to form a dense matrix in sublamina 5 (green). There are many varicosities in the
matrix and occasionally one high in the IPL above the level of the rod
bipolar terminals (diagonal arrow). GABAC
receptors (red) are found throughout the IPL, but they
are particularly associated with S1/S2 varicosities in sublamina 5 (vertical arrow) and those high in the IPL
(diagonal arrow). D, Same field;
double-label image showing rod bipolar cells (blue) and
GABAC receptors (red). It can be seen that
the rod bipolar cell terminals are heavily labeled with
GABAC receptors at the contact points with S1/S2
varicosities, both in sublamina 5 and higher in the IPL
(diagonal arrow). This indicates that all S1/S2
varicosities contact rod bipolar terminals coincident with the
expression of GABAC receptors.
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|
When viewed in vertically sectioned material (Fig. 7C), S1
and S2 cells appear as somas in the inner nuclear layer, with dendrites descending to a thick matrix in sublamina 5. The soma in Figure 7C could be either an S1 or an S2 amacrine cell. The S1/S2
matrix contains prominent holes, which are the sites of large rod
bipolar terminals, and the insides of these holes are lined with
GABAC receptors. It can also be seen that
GABAC receptors are located throughout the IPL,
as reported previously (Enz et al., 1996
). Many of these sites
represent the terminals of cone bipolar cells, which also express
GABAC receptors. Within the S1/S2 matrix,
however, there are particularly large and prominent clusters of
GABAC receptors. In Figure 7D, we
projected almost an entire rod bipolar cell from a stack of
confocal images, and as reported previously, the rod bipolar terminals
are heavily covered with GABAC receptors.
Comparison of C and D in Figure 7 shows that the
rod bipolar terminals occupy the holes in the S1/S2 matrix.
Most of the GABAC receptors above the S1/S2
matrix occur on cone bipolar cells, but occasionally there are
GABAC receptors high on a rod bipolar cell above
the terminal branch point. The S1/S2 descending dendrites appear as
short cross sections in this view, but occasionally a large varicosity
occurs high in the inner plexiform layer (Fig. 7C,
diagonal arrow). These varicosities are also coincident with
GABAC receptors localized to the rod bipolar axon
(Fig. 7D, diagonal arrow, same location).
In the immunolabeled material, we were unable to distinguish between S1
and S2 amacrine cells, so triple-label material was also prepared using
dye-injected single cells. In this material, rod bipolar contacts with
individual varicosities can be imaged at high resolution. Figure
8, A and C, shows
the previously reported expression of GABAC
receptors in rod bipolar terminals. In Figure 8B, it
can be seen that where a single S1 varicosity is adjacent to a rod
bipolar terminal, it is coincident with a GABAC
receptor cluster (arrow). In Figure 8D,
there are five S2 varicosities, and each one is exactly aligned with a
GABAC receptor cluster on a rod bipolar terminal.
This was invariably the case, as shown by high-power confocal images:
35 of 35 S1 varicosities contacted rod bipolar cells at
GABAC receptor clusters, and 46 of 46 S2 varicosities were coincident with GABAC
receptors. We conclude that all S1 and S2 varicosities are apposed by
GABAC receptors expressed in rod bipolar
terminals.

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Figure 8.
S1 and S2 varicosities are apposed by
GABAC receptors on rod bipolar terminals. A,
Rod bipolar terminals (blue) express GABAC
receptors (red). At this level of the IPL, sublamina 5, nearly all of the GABAC clusters are associated with rod
bipolar terminals. B, Triple-label image shows that
individual varicosities from a Neurobiotin-injected S1 amacrine cell
(green) overlie GABAC receptors
(red) at the point of contact (arrowhead)
with the rod bipolar terminal (blue). C,
Another field showing GABAC receptors (red)
on rod bipolar terminals (blue). D,
Triple-label image shows that all varicosities from a
Neurobiotin-injected S2 amacrine cell (green) are
associated with GABAC receptors at contact points
(arrows) with rod bipolar cells.
|
|
High varicosities are adjacent to rod bipolar axons
One example of an S1 or S2 varicosity high in the inner plexiform
layer occurred in Figure 7, C and D, but a much
clearer picture can be obtained by examining this material in whole
mount. If the level of focus is at the midlevel of the inner plexiform layer, above the branch point of the rod bipolar cells, it can be seen
that some of the descending dendrites of S1 and S2 amacrine cells bear
varicosities. Double-label material shows that these varicosities are
invariably apposed to the axons of rod bipolar cells, which appear as
dots at this level (Fig. 9A).
In fact, almost every axon is contacted in this way. Occasionally,
there is a cluster of two or three varicosities at the same axon (Fig. 9A, arrows). In a double-label vertical section,
a few varicosities on rod bipolar axons can be seen high in the inner
plexiform layer (Fig. 9B, arrows). These
varicosities are apposed to GABAC receptors on
the axons of rod bipolar cells (Fig. 7D).

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Figure 9.
High S1/S2 varicosities are adjacent to rod
bipolar axons. A, Confocal view of whole-mount retina at
the midlevel of the inner plexiform layer shows the descending axons of
rod bipolar cells, stained for PKC (red). At this level,
S1 and S2 amacrine cells, stained with a serotonin
(5HT) antibody after preloading
(green), have sparse, diagonally descending
dendrites and a few large varicosities. Without exception, these
large varicosities are wrapped around the rod bipolar axons
(arrowheads). B, Similar preparation;
vertical section shows rod bipolar axons (red) contacted
by occasional S1/S2 varicosities (green) at the
midlevel of the IPL (arrows). Overlap in this confocal
stack of images results in yellow, where the rod bipolar
terminal are embedded in the S1/S2 matrix in sublamina 5, and at the
contact points of varicosities with rod bipolar axons.
|
|
The distribution of S1 and S2 amacrine cells with input to a single
rod bipolar cell
The above evidence, together with previous reconstructions of
indoleamine-accumulating amacrine cells, suggests that the varicosities of S1 and S2 amacrine cells are synaptic structures. On the basis of
this assumption and with the knowledge of cell densities and the number
of varicosities, we can estimate the number and distribution of
reciprocal inputs to rod bipolar terminals. Close to half of the total
IACs are S1 cells, and the remainder are S2 amacrine cells. The density
of IACs at 1 mm inferior was ~830 cells per square millimeter.
Multiplying by the average number of varicosities (280 for S1; 500 for
S2) yields 120,000 S1 and 210,000 S2 for a total of 330,000 varicosities per square millimeter. Dividing by the rod bipolar density
at 1 mm inferior (4400 per square millimeter) indicates that
each rod bipolar cell, on average, receives contacts from 27 S1 and 48 S2 cells or 75 total varicosities (in round numbers, 25 S1 and 50 S2).
This is in good agreement with a confocal estimate of total
varicosities adjacent to a single rod bipolar terminal. Because, on
average, each varicosity contacts a different rod bipolar cell, this
means that each rod bipolar cell receives input from ~25 different S1
amacrine cells and 50 different S2 amacrine cells.
To construct an anatomically realistic model, we took the actual
distribution of all S1 and S2 amacrine cells, identified by serotonin
labeling, in a patch of retina at an eccentricity of 1 mm. Within this
population, the S1 amacrine cells were identified by tracer coupling
after the intracellular injection of several S1 amacrine cells (Li et
al., 2002b
). The mosaics of S1 and S2 amacrine cells are plotted in the
background of Figure 10. Next, we
calculated the number of varicosities in a series of expanding shells
around an S1 and an S2 soma. Presuming that the dendrites are linear
(very close to true for S1 and a reasonable approximation for S2),
these numbers are fairly constant but fall off dramatically in terms of
density, yielding a falling probability of hitting a single rod bipolar
cell. Now, considering a single rod bipolar cell and all the S1/S2
cells within a dendritic diameter, we can calculate the probability of
hits from the S1 and S2 cells in an expanding series of shells (Fig.
10A,B). This results in a
relatively even distribution across the shells, because although the
individual probability falls, a far greater number of potential
amacrine cells are in the farthest shells.

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Figure 10.
Modeling of S1 and S2 inputs to a single rod
bipolar cell. A, A single rod bipolar cell (axon
terminal, black) is positioned at the center of the
field containing S1 somas (light gray). The field is
divided into a series of expending shells 100 µm wide. In each shell,
a group of S1 cells that could reach the central rod bipolar cell is
circled out. B, Same analysis for S2 cells (dark
gray). The S2 cells that could contact the central rod bipolar
cell are indicated by the squares. C, A
combined image of A and B shows both S1
and S2 inputs to the central rod bipolar cell. D, An S1
cell (left) and an S2 cell (right) are
presented in the same field. The varicosities from both cells are
enlarged by black dots for illustration purpose.
The comparison of two circles depicts the big difference
in varicosity density between S1 and S2 cells.
|
|
Several immediate consequences arise from the size and geometry of S1
versus S2 amacrine cells. First, the contributing S2 amacrine cells are
more numerous and much closer because they have smaller dendritic
trees. Second, because they also have more varicosities, yielding a
much higher density, nearly all of the S2 amacrine cells within 200 µm of a single rod bipolar cell contact that cell (Fig.
10B). These two factors mean that inhibitory inputs from nearby S2 amacrine cells are numerically dominant.
Third, nearby varicosities are sites of excitatory input (from other
rod bipolar cells), which will generate an antagonistic surround.
Therefore, we also calculated the distribution of varicosities for all
of the S1 and S2 amacrine cells connected to a single rod bipolar cell.
This has a sharpening effect over the simple overlap of contributing
cells, particularly for S2 amacrine cells, because of the high density
of varicosities and their proximity. The density of close-in
varicosities, near an S2 soma, is much higher than the density around a
peripheral varicosity from the large dendritic tree of an S1 amacrine
cell (Fig. 10D). With the assumption that a signal
generated from one varicosity could pass through the whole cell because
of its dendritic regenerative property (Fig.
11A,
inset), the calculation yields the curves shown in Figure 11A. The S2 curve has a greater influence close to
the rod bipolar cell but falls off rapidly, whereas the distant portion
of the curve is accounted for by S1 varicosities. The half-width at
half-height for the combined curves is 210 µm.

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Figure 11.
Profiles of feedback from S1 or S2 cells, or
both, to a single rod bipolar cell. A, The density of
varicosities from S1/S2 cells that give input to a single rod bipolar
cell is plotted against the distance from that single rod bipolar cell,
with the assumption that signal generated by a varicosity can pass
through the whole cell as demonstrated by the inset.
B, Density of varicosities from S1/S2 cells that give
input to a single rod bipolar cell is plotted against the distance from
that single rod bipolar cell, with the assumption that signal generated
by a varicosity can only propagate along the dendrite that contains
this varicosity (B, inset). For both
A and B, black squares
represents S1 input, open circles represents S2 input,
and gray diamonds represents combined inputs from S1 and
S2 cells. The contours of the plot represent the spatial profiles of
the feedback surround from S1 and/or S2 cells to rod bipolar
cell.
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|
This presumes that all distant varicosities can contribute equally to
the output at any site, an unlikely possibility given the wide-field
morphology of these cells. If the contributing varicosities are
restricted to those on the dendrite that contacts the rod bipolar cell
(Fig. 11B, inset), the distribution curves are sharpened further (Fig. 11B). Now the half-width
at half-height for the combined curves is reduced to 100 µm. This
calculation suggests that the peak for lateral inhibitory input to a
rod bipolar cell via S1 and S2 amacrine cells falls within a circle of
100 µm radius. This is comparable with the size of the inhibitory surround of AII amacrine cells in the rod pathway (Bloomfield and Xin,
2000
; Volgyi et al., 2002
).
 |
DISCUSSION |
Varicosities are synaptic contacts
Chemical neurotransmission, the dominant form of communication in
the CNS, occurs at synapses. These are specialized structures, and
typically the presynaptic machinery resides in a swelling or
out-pocketing of the presynaptic neuron. S1 and S2 varicosities are
synaptic structures because (1) they contain presynaptic markers such
as SV2 (Fig. 3) and synaptophysin, and (2) essentially every varicosity
is intimately associated with a rod bipolar terminal, like a hand
grasping a wrist (Masland and Raviola, 2000
). This is a systematic and
repeated pattern of neuronal contacts indicating synaptic function. (3)
GABA receptors are present on the rod bipolar terminal, postsynaptic to
every varicosity. We chose to examine the distribution of
GABAC receptors, but GABAA
receptors are also present at these sites (Fletcher and Wässle,
1999
). The close association between S1/S2 varicosities and rod bipolar
terminals strongly suggests an interaction, but the location of a third receptor marker exactly at these contact points establishes the presence of synaptic input (Masland and Raviola, 2000
). (4) In triple-label material, the S1 and S2 varicosities alternate with AII
dendrites surrounding rod bipolar terminals, as in the majority of
postsynaptic pairs (Strettoi et al., 1990
). (5) Rod bipolar cells use
glutamate, and glutamate receptors are present at the contacts between
rod bipolar cells and S1/S2 amacrine cells (Ghosh et al., 2001
; Li et
al., 2002a
). (6) Finally, the varicosities are apposed to synaptic
ribbons in the rod bipolar terminal (our unpublished observation).
These results are entirely consistent with serial reconstructions in
several species that show extensive reciprocal input from GABA amacrine
cells to rod bipolar terminals (Strettoi et al., 1990
; Chun et al.,
1993
). Because of the intermediate resolution of confocal microscopy,
this analysis can now be extended to include all of the varicosities
made by S1 and S2 amacrine cells. Varicosities can be recognized easily
using the confocal microscope, and as the hallmark of S1/S2 output, a
model of all reciprocal input to rod bipolar cells synapses may be developed.
S1 and S2 amacrine cell output goes to rod bipolar
terminals only
The identification of S1/S2 varicosities as presynaptic sites
makes it possible to identify the total output from S1 and S2 amacrine
cells to rod bipolar cells. When the varicosities were examined in
double-label material, we found that >98% of varicosities are
adjacent to rod bipolar terminals. Within the limit of experimental error, this means that essentially all of the S1 and S2 output goes to
rod bipolar cells.
There are also occasional S1/S2 varicosities above the rod bipolar
terminals. This location led to the suggestion that these high
varicosities could have input to another target, perhaps a subtype of
cone bipolar cell (Fletcher and Wässle, 1999
). However, double-label images show clearly that the high varicosities are adjacent to rod bipolar axons (Fig. 9), and, in addition,
GABAC receptors are present at these sites (Fig.
7). In fact, nearly every rod bipolar axon is contacted in this way.
However, these inputs are relatively few in number: one or two
varicosities of ~75 inputs to the entire rod bipolar terminal. Thus,
the inputs to the axon account for only 1-2% of the S1/S2 input to
rod bipolar cells. Occasionally, such high synapses, above the branch
point of a rod bipolar terminal, were also noted in serial
reconstructions (Strettoi et al., 1990
). The significance of such GABA
inputs to the rod bipolar axon is unknown; these synapses might be well placed to veto signal transfer to the rod bipolar terminal, or they
could merely be outliers from the majority of reciprocal synapses. In
either case, including the high varicosities, all of the output from S1
and S2 amacrine cells goes to rod bipolar cells. In summary, rod
bipolar cells are the only postsynaptic target for S1/S2 amacrine cells.
Role of reciprocal feedback
Serial reconstruction has established that S1 and S2 amacrine
cells receive input from rod bipolar cells with which they make extensive reciprocal contacts. The results in this paper directly confirm the previous EM results and, in addition, provide a numerical estimate of this inhibitory input as well as the relative contributions of S1 and S2 amacrine cells. The estimate of 75 total S1/S2 inputs is
in good agreement with previous work (Fletcher and Wässle, 1999
).
There is additional conventional synaptic input to rod bipolar cells
from unidentified amacrine cells (Strettoi et al., 1990
; Bloomfield and
Dacheux, 2001
). However, depolarization of rod bipolar terminals
induced IPSCs blocked by GABA antagonists, suggesting that they are
mediated by reciprocal synaptic inputs such as those made by S1 and S2
amacrine cells (Protti and Llano, 1998
; Hartveit, 1999
; Matsui et al.,
2001
).
Reciprocal input to the rod bipolar terminal is mediated by both
GABAA and GABAC receptors
apposed to S1/S2 varicosities. GABAC receptors
are located predominantly on bipolar cells where they mediate a
powerful and sustained inhibitory input (Enz et al., 1996
;
Fletcher and Wässle, 1999
; Shields et al., 2000
). In contrast,
GABAA receptors are distributed more widely, and they produce a rapid and transient response in bipolar cells (Shields et al., 2000
). However, there is no simple relationship such that S1
input is mediated by one type of GABA receptor and S2 by another. Both
GABA receptors occur postsynaptically at S1 and S2 varicosities, but
probably not at the same synapse (Fletcher et al., 1998
; Fletcher and
Wässle, 1999
).
Intracellular recordings from rod bipolar cells, perhaps surprisingly,
showed no surround responses (Berntson and Taylor, 2000
; Bloomfield and
Xin, 2000
). However, rod signals in AII amacrine cells have a small
inhibitory surround with interesting pharmacological properties: it is
blocked by GABA antagonists and reduced by tetrodotoxin (Bloomfield and
Xin, 2000
; Volgyi et al., 2002
). Spiking amacrine cells in the
inner retina have also been shown to generate surround components of
retinal ganglion cells (Cook and McReynolds, 1998
; Taylor, 1999
;
Flores-Herr et al., 2001
). These results led Bloomfield and Xin (2000)
to suggest that a spiking GABA amacrine cell such as S1 generates the
AII surround. Furthermore, an internal block of chloride channels in
the AII did not block surround activity, implying that surround
inhibition is mediated by reciprocal inputs to the rod bipolar terminal
(Volgyi et al., 2002
).
The present results support this suggestion in several ways. (1) We
have demonstrated that all S1 and S2 output goes to rod bipolar
terminals. (2) S1/S2 input to rod bipolar cells is mediated by GABA
receptors. (3) This is a large and powerful inhibitory input derived
from a dense matrix of S1 and S2 processes. (4) Modeling the
distribution of S1 and S2 varicosities shows that nearby reciprocal
synaptic input to rod bipolar cells is dominated by S2 amacrine cells.
This yields an estimate of 100 µm for the radius of the inhibitory
surround, much smaller than the size of S1 amacrine cells in
particular. This matches well with physiological measurements of the
AII surround (Bloomfield and Xin, 2000
; Volgyi et al.,
2002
).
S1 and S2 amacrine cells must provide different components
The presence of two amacrine cell types, seemingly with the same
synaptic contacts, has always been puzzling. In every case so far,
however, retinal cells with different morphologies have distinct
functional roles (Masland and Raviola, 2000
). The analysis presented in
this paper indicates that there are substantial differences between S1
and S2, summarized in Table 1, which
indicate that they play different roles. In summary, the morphology and
especially the distribution of varicosities suggest that S2 cells must
dominate the lateral inhibitory input close to the rod bipolar cell. In contrast, the S1 cells provide a more distant signal that may also be
distributed through a well coupled S1 network (Vaney, 1994
; Xin and
Bloomfield, 1997
; Li et al., 2002b
).
Thus, we propose that there are three components of GABA-mediated
inhibitory input at rod bipolar terminals. The first, which we will
call local reciprocal feedback, will be very rapid or immediate because
of the architecture of reciprocal synapses. It will be large,
originating from all S1 and S2 varicosities, and transient, with the
same spatial properties as the rod bipolar input. It will not carry
surround signals but instead will provide the classic attributes of
negative feedback, stability, increased frequency, and wider bandwidth.
The second component will operate at medium range, within ~200 µm.
This component will be numerically dominated by S2 inputs and provide
the inhibitory surround for the rod pathway. The third component, which
we will call global or network inhibition, will arise from distant
inputs. It will be dominated by S1 amacrine cells because of their
larger size and extensive coupling (Vaney, 1994
; Xin and Bloomfield,
1997
; Li et al., 2002
). S2 amacrine cells will have little contribution because of their small size and weak coupling. Together, these three
components will modulate the spatial and temporal properties of rod
bipolar output. This analysis also suggests that the presence of both
S1 and S2 amacrine cells is not redundant, but each cell has the
appropriate morphology to contribute different spatial components of
lateral inhibition in the rod pathway.
 |
FOOTNOTES |
Received July 31, 2002; revised Oct. 1, 2002; accepted Oct. 2, 2002.
This work was supported by National Eye Institute Grant EY06515, Vision
Core Grant EY10608, Vision Training Grant EY07024 (E.B.T.), and an
unrestricted grant from Research to Prevent Blindness to the Department
of Ophthalmology and Visual Science. S.C.M. is a
Hanse-Wissenschaftskolleg Fellow (Delmenhorst, Germany) and the
grateful recipient of a sabbatical award from Research to Prevent
Blindness. We thank Dr. Stephen Mills for stimulating discussions, Dr.
Alice Chuang and Andrzej Zych for programming and data analysis, and
Sunny Liu for technical assistance.
Correspondence should be addressed to Dr. Stephen C. Massey,
Department of Ophthalmology and Visual Science, University of Texas-Houston Medical School, 6431 Fannin Street, MSB 7.024, Houston, TX 77030. E-mail: steve.massey{at}uth.tmc.edu.
Dr. J. Zhang's present address: Department of Ophthalmology, Baylor
College of Medicine, 6565 Fannin Street, NC-205, Houston, TX 77030.
 |
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