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The Journal of Neuroscience, January 15, 2003, 23(2):539-549
Aberrant Patterning of Neuromuscular Synapses in Choline
Acetyltransferase-Deficient Mice
Eugene P.
Brandon1, *,
Weichun
Lin2, *,
Kevin A.
D'Amour1,
Donald P.
Pizzo3,
Bertha
Dominguez2,
Yoshie
Sugiura4,
Silke
Thode1,
Chien-Ping
Ko4,
Leon J.
Thal3,
Fred H.
Gage1, and
Kuo-Fen
Lee2
1 Laboratory of Genetics and 2 Peptide
Biology Laboratories, The Salk Institute for Biological Studies, La
Jolla, California 92037, 3 Department of Neurosciences,
School of Medicine, University of California at San Diego, La Jolla,
California 92037, and 4 Neurobiology Section, Department of
Biological Sciences, University of Southern California, Los Angeles,
California 90089
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ABSTRACT |
In this study we examined the developmental roles of acetylcholine
(ACh) by establishing and analyzing mice lacking choline acetyltransferase (ChAT), the biosynthetic enzyme for ACh. As predicted, ChAT-deficient embryos lack both spontaneous and
nerve-evoked postsynaptic potentials in muscle and die at birth. In
mutant embryos, abnormally increased nerve branching occurs on contact with muscle, and hyperinnervation continues throughout subsequent prenatal development. Postsynaptically, ACh receptor clusters are
markedly increased in number and occupy a broader muscle territory in
the mutants. Concomitantly, the mutants have significantly more motor
neurons than normal. At an ultrastructural level, nerve terminals are
smaller in mutant neuromuscular junctions, and they make fewer
synaptic contacts to the postsynaptic muscle membrane, although all of
the typical synaptic components are present in the mutant. These
results indicate that ChAT is uniquely essential for the patterning and
formation of mammalian neuromuscular synapses.
Key words:
choline acetyltransferase; acetylcholine; neural
development; mice; neuromuscular; gene knock-out
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Introduction |
The study of acetylcholine (ACh) and
cholinergic functions has a long and rich history (for review, see
Karczmar, 1996 ). Numerous studies have focused on the role of ACh in
the development of spinal motor neurons and their peripheral synapses,
neuromuscular junctions (NMJs). Both the patterning and formation of
NMJs require coordinated interactions between the nerve terminals,
Schwann cells, and muscle cells (Burden, 1998 ; Sanes and Lichtman,
1999 ). NMJs do not develop at random locations in muscles; instead each is assembled in a narrow central region of its muscle fiber, with many
NMJs in a row forming an "end plate band" across fibers. It has
recently come to light that the central region of the muscle fiber is
endowed with intrinsic signals for the initiation of synaptogenesis. By
mouse embryonic day 14.5 (E14.5), ACh receptors (AChRs) have begun to
form clusters in the central band of muscle via a
nerve-independent mechanism (Lin et al., 2001 ; Yang et al., 2001 ). Many of these early AChR clusters are not apposed by nerve terminals. Subsequently, the nerve provides both positive and negative
signals that promote additional development of the NMJ. These neural
signals regulate the width of the end plate band, the differentiation
and stabilization of AChR clusters, and the dispersion of AChR clusters
not stabilized by the nerve (Davis et al., 2001 ; Ferns and Carbonetto,
2001 ; Lin et al., 2001 ; Yang et al., 2001 ). From these recent results,
two important questions arise. First, what roles do these
nerve-independent AChR clusters have in the patterning and formation of
synapses? Second, is the region outside of the central band of
developing muscle capable of forming synapses? We postulate that ACh
released from the incoming motor nerve acts through these
nerve-independent AChR clusters to make the central band of muscle
particularly permissive for both the cessation of nerve growth and the
induction of synapse formation. Alternatively, or in addition, the
muscle region outside the central band may contain the necessary
machinery for synapse formation but becomes nonreceptive for nerve
terminals as a result of ACh activation of the nerve-independent AChRs
in the central band of muscle. We hypothesize that through one or both
of these mechanisms, ACh contributes to the centralization of NMJs (Lin et al., 2001 ).
Previous studies to probe the role of ACh in NMJ development have
relied primarily on anticholinergic or activity-blocking agents.
Several investigators have used the application of AChR antagonists
such as d-turbocurare (dTC) to chicks in ovo
(Burden, 1977 ; Pittman and Oppenheim, 1978 ; Srihari and Vrbova, 1978 ;
Dahm and Landmesser, 1988 , 1991 ; Oppenheim et al., 1989 , 2000 ; Hory-Lee and Frank, 1995 ; Usiak and Landmesser, 1999 ), an approach that has
proved to be very informative. However, the analogous in
utero pharmacological interventions in rodents have been of
limited use because at stages before nerve-muscle contact, the
manipulations have dire effects on the pregnant mother and/or
developing fetuses (Braithwaite and Harris, 1979 ; Houenou et al.,
1990 ). Furthermore, some results between chicks and rodents have been
discordant. For example, although the regulation of motor nerve
branching by ACh was observed in chicks, it was not seen in mice
(Houenou et al., 1990 ). This difference may be attributable to the
technical difficulty of the application of dTC before the arrival of
nerves at the muscle in mouse embryos.
To reconcile and extend previous results and to directly examine the
physiological role of ACh in the patterning and formation of
neuromuscular synapses in mammals, we used gene targeting to nullify
the Chat gene in mice and eliminate choline
acetyltransferase (ChAT; acetyl-coenzyme A:choline
O-acetyltransferase; EC 2.3.1.6), the biosynthetic enzyme
for ACh. Our results confirm and extend many of the previous findings
from chicks. In particular, Chat null mutants exhibit muscle
hyperinnervation and increased motor neuron survival. The mutants show
a concomitant broadening of the muscular territory occupied by
synapses. By late gestation, the synapses in mutants are abnormal
morphologically. The results indicate that ACh is required to regulate
axonal growth and to determine the location of synapses in the muscle.
Portions of this study have been published previously in abstract form
(Brandon et al., 2000 ).
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Materials and Methods |
Generation of mutant mice. Although the genomic
structure of mouse Chat has not been described, it is known
that in rats and humans, ChAT is encoded by a large gene that includes
14 coding exons in the 3' region that are used in all transcripts. In
contrast, the 5' region of the gene is complicated, with alternative
splicing, multiple transcription and translation start sites, and the
gene encoding the vesicular ACh transporter embedded in the first
intron (Hahn et al., 1992 ; Ohno et al., 2001 ). To avoid this 5' region, the catalytic portion of the protein was targeted for deletion. Site-directed mutagenesis of Drosophila ChAT has shown that
conserved histidines (H302 and H335 in mice) are critical for enzymatic activity (Carbini and Hersh, 1993 ). Point mutations in this same region
of the human gene reduce protein expression and lower the efficiency of
ACh synthesis (Ohno et al., 2001 ). We found the genomic structure of
this region of mouse Chat to be homologous to those
described for rat and human genes. As shown in Figure 1A, the targeting vector was designed to replace
exons 11, 12, and 13 [using the recent nomenclature used to describe
human CHAT (Ohno et al., 2001 )] with a neomycin
resistance cassette expressed in the opposite orientation from
Chat. The targeting vector was linearized with
NotI and electroporated into J1 embryonic stem (ES) cells as
described previously (Lee et al., 1992 ). After selection in 0.2 mg/ml
G418 (active form) for 7-9 d, neomycin-resistant clones were isolated
and screened for the presence of the disrupted Chat allele
by Southern blot analysis. Positive ES clones were injected into
C57BL/6 blastocysts to generate chimeric mice. PCR of tail DNA with a
phosphoglycerate kinase-neomycin (pgk-neo)-specific oligonucleotide, a Chat exon 13 oligonucleotide, and a
shared Chat intronic oligonucleotide was used for
genotyping. The use of animals is in compliance with the guidelines of
the Animal Care and Use Committee of the Salk Institute.
ChAT assay. Tissue was homogenized by sonication in 100 µl
of a solution containing 0.1% Triton X-100 and 0.87 mM EDTA, pH 7.0, and was not further diluted
because of the low activity present at this stage. ChAT activity was
assayed in triplicate by the incorporation of
14C-acetyl-coenzyme A into
14C-acetylcholine as described previously
and is expressed as nanomoles of ACh synthesized per hour per milligram
of protein (Pizzo et al., 1999 ).
Electrophysiology. Intracellular sharp-electrode recording
was performed blind to genotype on phrenic nerve/diaphragm preparations from E17.5 embryos. Tissue was dissected in oxygenated normal mouse
Ringer's (NMR) solution (in mM): 135 NaCl, 5 KCl, 15 NaHCO3, 1 Na2HPO4, 1 MgSO4, 2.5 Ca gluconate, and 11 glucose, pH 7.4, pinned to Sylgard-coated dishes, and continuously perfused with oxygenated NMR. Glass microelectrodes filled with 3 M KCl were used to record spontaneous miniature
end plate potentials (mepps) at 22-24°C for ~5 min. End plate
potentials (epps) were evoked by suprathreshold stimulation of the
phrenic nerve via suction electrode and were recorded in NMR containing
10 mM Ca gluconate and 5-12
mM dTC (to prevent muscle contractions). Data
were collected and analyzed using pClamp (version 8.0; Axon
Instruments, Foster City, CA) and Minianalysis (Synaptosoft, Decatur, GA).
Motor neuron counts and stereology. Spinal columns were
isolated from embryos (n = 5 wild-type embryos and 7 mutants) fixed in 4% paraformaldehyde (PFA), equilibrated with
30% sucrose, and transverse-sectioned at 14 µm thickness. Sections
were stained with 2% thionine solution. Motor neurons were counted
blind to genotype, bilaterally, based on morphology and location in
every 16th section, and values were multiplied by the number of
sections to generate total estimates. Only cells with a clear nucleus
and nucleolus were counted. A two-tailed t test was used to
determine statistical significance. Despite the kyphosis of the
mutants, the distance of spinal segments from C2 to T6 did not differ
between genotypes (data not shown). Stereological measurements of motor neuron size were performed on all of the counted cells on every 64th
section, and the average motor neuron size for each spinal segment
examined was determined for each embryo. In total, 1986 profiles were
measured in 12 embryos. ANOVA was used to determine statistical significance.
Immunocytochemistry. For ChAT immunohistochemistry, embryos
were fixed in 4% PFA, equilibrated with 30% sucrose, and coronally sectioned at 25 µm thickness. Sections were dried on glass slides, rinsed (three times with 0.1 M TBS), incubated
for 45 min in 0.6% H2O2 in
0.1 M TBS, rinsed again, incubated for 1 hr in
blocking buffer (0.1 M TBS, 5% donkey serum, and
0.1% Triton X-100), and then incubated overnight at 4°C in primary
goat antibody against ChAT (1:100; Chemicon, Temecula, CA) in blocking
buffer. The slides were rinsed, incubated in biotinylated donkey
anti-goat IgG (1:250; Jackson ImmunoResearch, West Grove, PA) in
blocking buffer for 3 hr, rinsed, incubated in ABC-Elite reagent
(Vector Laboratories, Burlingame, CA) for 1 hr, rinsed, and developed
in DAB. For whole-mount analyses, embryos were fixed in 2% PFA in 0.1 M phosphate buffer, pH 7.3, at 4°C overnight.
Diaphragm and intercostal muscles were dissected, rinsed briefly with
PBS, pH 7.3, incubated in 0.1 M glycine in
PBS for 1 hr, and rinsed briefly with PBS and then with 0.5% Triton
X-100 in PBS. The muscles were blocked in dilution buffer (150 mM NaCl, 0.01 M phosphate
buffer, 3% BSA, 5% goat serum, and 0.01% thimerosal) overnight at
4°C and then incubated with primary rabbit antibodies against
neurofilament 150 (1:1000; Chemicon), synaptophysin (1:1000; a gift
from P. DeCamilli, Yale University, New Haven, CT), or S100
(1:500; a Schwann cell marker) in dilution buffer overnight at
4°C. After washing three times for 1 hr each in 0.5% Triton X-100 in
PBS, the muscles were incubated in fluorescein
isothiocyanate-conjugated goat anti-rabbit IgG (1:600; Cappel,
Cochranville, PA) and Texas Red-conjugated -bungarotoxin (10 8 M; Molecular
Probes, Eugene, OR) overnight at 4°C. The muscles were then washed
three times for 1 hr each with 0.5% Triton X-100 in PBS, washed once
with PBS, and flat-mounted in 90% glycerol, polyvinyl alcohol,
and N-propyl gallate. Images were collected with an Olympus
Optical (Tokyo, Japan) confocal microscope. For quantitative analysis
of AChR clusters, the numbers of AChR clusters in a matching 4.8 × 105 µm2
area of the ventral-costal portion of diaphragm muscle from control (n = 3) and mutant (n = 3) embryos were
counted. The data were collected in 100 µm bins emanating from the
medial edge of the muscle, perpendicular to the muscle fibers, and
results were expressed as an average number of AChR clusters in each
100 µm interval.
Acetylcholinesterase histochemistry. Tissues were dissected
from embryos or postnatal animals fixed with 4% PFA, rinsed in TBS
several times, and incubated in a solution of (in
mM): 0.2 ethopropazine, 4 acetylthiocholine
iodine, 10 glycine, 2 cupric sulfate, and 65 sodium acetate solution,
pH 5.5, for 2-4 hr at 37°C. Staining for acetylcholinesterase (AChE)
was developed by incubating the tissues for 2-5 min in sodium sulfide
(1.25%), pH 6.0. The tissues were then washed extensively with water,
cleared with 50% glycerol in PBS, and mounted on a glass slide before imaging.
In situ hybridization. For whole-mount in situ
hybridization, diaphragm muscles were fixed in 4% PFA in 0.1 M phosphate buffer at 4°C overnight.
Digoxigenin-labeled AChR cRNA probes were transcribed in
vitro. Hybridization was performed at 70°C overnight in the hybridization buffer containing 50% formamide, 1.3× SSC, 5 mM EDTA, 50 µg/ml yeast tRNA, 0.2% Tween 20, 0.5%
3-[(3-cholamidopropyl)dimethylammonio]-1-propanesulfonate, and 100 µg/ml heparin. After hybridization, the samples were washed three times with TBS containing 1% Tween 20 for 1 hr each, blocked with 5% goat serum in dilution buffer, and incubated with alkaline phosphatase conjugated anti-digoxigenin (1:1000; Boehringer Mannheim, Indianapolis, IN) overnight at 4°C. Detection was performed in 100 mM Tris, pH 9.5, containing
nitroblue-tetrazolium-chloride/5-bromo-4-chlor-indolyl-phosphate. To determine whether AChR transcript is found at synaptic sites, we
performed in situ hybridization analysis on frozen sections of diaphragm muscles that had been processed for AChE staining (see
above). Briefly, diaphragm muscle was stained for AChE, fixed in 4%
PFA, cryoprotected in 30% sucrose, and sectioned at 20 µm thickness.
Sections were hybridized with a
33P-labeled AChR riboprobe. Slides were
dipped in liquid nuclear emulsion (type NTB2; Kodak, Rochester,
NY) and exposed for 5 d. Finally, slides were photographically
processed and counterstained with hematoxylin and eosin.
Electron microscopy. E17.5 pregnant females were killed by
cervical dislocation, and the embryos were removed. After the tail was
removed for PCR analysis, the remainder of the body was placed in a
solution of 2% glutaraldehyde in 0.1 M phosphate
buffer, pH 7.4. The diaphragm muscles were dissected out and fixed in the same solution overnight at 4°C. The tissue was then rinsed with
buffer and postfixed in 2% osmium tetroxide in buffer for 1 hr on ice.
The tissue was then dehydrated in a graded series of ethanol,
infiltrated, and polymerized in Epon 812 (Polysciences, Warrington,
PA). Ultrathin sections were stained with uranyl acetate and lead
citrate, and electron micrographs were recorded using either a Jeol
(Tokyo, Japan) 100CXII or Philips (Eindhoven, The Netherlands)
EM420 electron microscope operated at 80 kV.
Electron microscopy morphometry. The electron micrographs of
NMJ sections were digitized and analyzed using Scion Image software (Scion Corporation, Frederick, MD). The following measurements were
made from each presynaptic nerve terminal profile: perimeter length,
nerve terminal area, synaptic contact length, active zone number,
docked synaptic vesicle number, and synaptic vesicle density. Morphological criteria for distinguishing synaptic components were
based on a previous study by Kelly and Zacks (1969) . The synaptic
contact was measured as the length of the presynaptic plasma membrane
that was apposed to the postsynaptic muscle membrane at a
distance of 50-80 nm. The active zone was defined as a cluster of
synaptic vesicles at the presynaptic membrane. A docked synaptic vesicle was defined as a presynaptic plasma membrane-attached vesicle
at the active zone. The synaptic vesicle density was determined as the
number of synaptic vesicles in a 0.04 µm2 area surrounding the active zone or
immediately adjacent to the presynaptic membrane in the region of
synaptic contact for sections not passing through active zones
(Herrera et al., 1985 ). In addition, the postsynaptic membrane length
(l) and the number of presynaptic nerve terminals per
junction were measured. When junctional folds were present, the
membrane length including the folds (L) was also
measured. Then, the junctional fold length was obtained by calculating
(L l). A two-tailed
t test was used to determine statistical significance.
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Results |
Generation of ChAT-deficient mice
To investigate the role of ACh in mammalian neural development, we
established mice lacking ChAT and, hence, ACh biosynthesis. As
illustrated in Figure 1, a targeting
construct was generated, linearized, and electroporated into J1 ES
cells (Fig. 1A). Of 843 ES cell clones screened by
Southern blot analysis, two were identified that contained the
disrupted Chat allele (Fig. 1B); these
were injected into C57BL/6 blastocysts to generate chimeric mice.
Germ-line transmission of the mutant allele was obtained, and the
mutant allele is transmitted in a Mendelian manner (Fig. 1C). Mice heterozygous for the Chat mutation are
healthy and fertile despite a marked reduction in ChAT activity (Fig.
1D). At all stages of embryonic development,
one-quarter of the embryos in heterozygous cross litters were found to
be homozygous Chat mutants (data not shown), indicating that
no prenatal lethality is associated with the mutation. However,
homozygous Chat mutant embryos die at birth, presumably
because of an absence of synaptic transmission in the diaphragm muscle.
That this allele represents a null mutation of the Chat gene
was confirmed by an absence of ChAT activity in the brain stem, spinal
cord, and septum (Fig. 1D) and of ChAT immunoreactivity in the basal forebrain (Fig. 1E) of
E18.5 embryos. Morphologically, Chat mutants are shorter
than control littermates (E18.5, crown-to-rump length of 19 ± 0.2 vs 24 ± 0.6 mm, respectively; n = 7 mutant, 4 wild type; p < 0.0001) and display kyphosis
(hunchback) and carpoptosis (wrist drop) (Fig. 1F).
These overt morphological characteristics are readily apparent by
approximately E15.5.

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Figure 1.
Generation of Chat mutant mice.
A, Top, The genomic region of the Chat
gene containing exons 11-14. Middle, The targeting
vector, constructed by deleting a fragment of genomic DNA containing
exons 11-13 and replacing it with a pgk-neo cassette
(neo), contained 4.9 kb of 5' and 2.1 kb of 3'
homologous DNA. Bottom, The resulting mutated
Chat allele. B, BamHI.
B, ES clones that underwent homologous recombination
were identified by Southern blot analysis. DNA was digested with
BamHI and hybridized with the probe depicted in
A, which detects a 9.1 kb wild-type
(WT) band and an 8.7 kb mutant
(MUT) band. Lane 4 is a
heterozygous clone. C, PCR analysis of embryos clearly
identifies the different genotypes. D, ChAT activity
(nanomoles per hour per milligram of protein) was determined in brain
stem (bst), spinal cord (sc), and septum (spt)
samples collected from E18.5 embryos. Only background activity was
detected in homozygous (open bars; / )
Chat mutants. Samples from heterozygous (shaded
bars; +/ ) embryos contained approximately half of the control
(filled bars; +/+) ChAT activity. Error bars
indicate SEM. E, Immunohistochemistry demonstrated that
ChAT immunoreactivity is not detected in the nucleus basalis of mutant
( / ) mice. Scale bar, 100 µm. F, An E16.5
Chat mutant ( / ) embryo compared with a control (+/+)
littermate.
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Although ChAT is believed to be the sole enzyme responsible for ACh
synthesis in vivo, it is possible that the elimination of
ChAT activity was not sufficient to eliminate ACh. To confirm that
Chat homozygous mutant embryos were indeed deficient in ACh, we performed electrophysiological analyses of the NMJ.
Intracellular recording of muscle fibers was performed in an intact
nerve-muscle preparation of control and Chat mutant
samples. In contrast to the control, which showed spontaneous mepps
(Fig. 2A) and
nerve-evoked epps (Fig. 2C), Chat mutant
muscle did not show any activity (Fig. 2A,C). In
addition, 40 mM potassium induced massive
activity in control muscle but not in Chat mutant muscle
(Fig. 2B). Interestingly, treatment with the ACh agonist
carbachol evoked postsynaptic membrane potentials and caused muscle
contraction in both mutant and control preparations (Fig.
2D), demonstrating that muscle is capable of responding to ACh, which also suggests that ACh receptors are present
and functional in the Chat mutants. These
electrophysiological experiments provide compelling evidence that in
Chat mutants, the elimination of ChAT results in a complete
elimination of neurotransmission at the NMJ.

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Figure 2.
Synaptic transmission is absent in
Chat mutant NMJ. A, Spontaneous mepps
were observed in control (+/ ) diaphragm but not in the null mutant
( / ) diaphragm. One mepp is expanded below. B, On
treatment with potassium chloride, a drastic increase in mepp frequency
was observed in the control (+/ ) but not in the mutant ( / ).
C, Nerve-evoked epps were readily detected in control
(+/ ) but not in mutant ( / ) muscle fibers. Averaged responses from
11 to 12 fibers per genotype are shown. D, The ACh
agonist carbachol elicited synaptic responses in both control (+/ )
and mutant ( / ) muscles, demonstrating that AChR clusters are
functional in the mutants (arrows indicate time of
carbachol application).
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Increased innervation and spinal motor neuron survival
To examine the innervation pattern of motor nerves in the
Chat mutant mice, whole-mount diaphragm muscles from E18.5
embryos were immunostained with an anti-neurofilament (NF) antibody. As shown in Figure 3A-D, the
phrenic nerve innervates the central band of the diaphragm muscle in
the control embryos (Fig. 3A,C), but the nerve is highly
branched and innervates a much broader region in the Chat
mutants (Fig. 3B,D). Similar results were observed in E18.5
limb and intercostal muscles (data not shown). These results are
consistent with previous studies in chick embryos treated with AChR
antagonists (Burden, 1977 ; Pittman and Oppenheim, 1978 ; Srihari and
Vrbova, 1978 ; Dahm and Landmesser, 1988 , 1991 ; Oppenheim et al., 1989 ,
2000 ; Hory-Lee and Frank, 1995 ; Usiak and Landmesser, 1999 ). To
determine whether Schwann cells are present in Chat mutants,
we examined the distribution of Schwann cells in motor nerves.
Immunostaining with antibody against S100 revealed that Schwann
cells are present and distributed along motor nerves in control (Fig.
3E) and Chat mutant embryos (Fig. 3F). Electron microscopy (EM) studies also
demonstrated that terminal Schwann cells are present in mutant embryos
(see Fig. 9).

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Figure 3.
Hyperinnervation of Chat mutant
muscle. E18.5 diaphragm muscles were collected from control
(A; +/+) and mutant (B; / ) embryos
and immunostained with anti-NF antibodies. An effusion of nerve branching
(arrowheads in C and D) as
well as extensive innervation of normally nonpermissive regions
(asterisks) were observed in the diaphragm muscles of
mutants. At higher-power magnification, detailed analysis indicates
that axons not only leave, but also rejoin, nerve bundles in mutant
embryos (D). S100 -immunoreactive Schwann cells
are present in both control (E) and mutant
(F) embryos. Scale bars: (in A)
A, B, 500 µm; (in D) C,
D, 200 µm; (in F) E, F,
50 µm. G, Motor neuron counts revealed that the number
of motor neurons was significantly increased in the Chat
mutant ( / ) embryos in both cervical (C4-C7;
**p < 0.005) and thoracic (T1-T6;
*p < 0.01) spinal regions compared with wild-type
control (+/+) littermates.
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Spinal motor neurons, one of the major cells that express ChAT, respond
to neurotrophic factors from the target for survival. In light of
increased muscle innervation, we sought to determine whether motor
neuron survival is affected in ChAT mutants. Consistent with previous
studies using ACh antagonists with chicks in ovo (Pittman
and Oppenheim, 1978 ; Srihari and Vrbova, 1978 ; Dahm and Landmesser,
1988 , 1991 ; Oppenheim et al., 1989 , 2000 ; Hory-Lee and Frank, 1995 ;
Usiak and Landmesser, 1999 ), homozygous Chat mutant embryos
were found to have ~60% more motor neurons in cervical and thoracic
segments than control embryos (Fig. 3G). In addition, stereological measurement revealed that the average area of a motor
neuron cross section is increased by ~10% in this region (n = 7 mutant, 5 wild type; p < 0.05).
To determine when increased innervation occurs in the Chat
mutant embryos, spinal cord sections from embryos at E12.5 were immunostained with an anti-NF antibody. This is the stage at which the
developing phrenic nerve first arrives at the diaphragm muscle and is
before the clustering of muscle AChRs (Lupa and Hall, 1989 ; Lin et al.,
2000 ). Our results showed that motor nerves exit the spinal cord
normally and remain fasciculated en route to their muscle target in the
Chat mutant embryos (data not shown).
However, on contact with the diaphragm muscle, a marked increase in
nerve branching is observed in the Chat mutant embryos (Fig.
4B), whereas the
phrenic nerve remains bundled, with limited and defined growth in the
control embryos (Fig. 4A). Similar results were
observed in E12.5 intercostal muscles (Fig. 4C,D).
Increased innervation becomes more dramatic as embryos develop to later
stages (E13.5: Fig. 4E,F; E18.5: Fig.
3A,B). These results demonstrate that the muscle is
hyperinnervated by motor nerves on initial contact and before the onset
of AChR clustering.

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Figure 4.
Increased nerve branching on first contact with
muscle. Diaphragm anlages were collected from control
(A; +/+) and mutant (B; / ) embryos at
E12.5 and immunostained with anti-NF antibodies. The phrenic nerve in
control embryos is tightly bundled, with little defasciculation. In
contrast, the phrenic nerve in the mutants is highly branched. Primary
(p), secondary (s), and
tertiary (t) branches of the phrenic nerve are
shown. A similar phenomenon is seen with the innervation of the
intercostal muscles: control (C) nerve grows
primarily in a single fascicle, whereas in the mutant
(D), highly branched axons emerge from the
bundle. Increased nerve branching is pronounced in E13.5 mutant
diaphragm muscles (F) compared with controls
(E). Scale bars: (in D)
A-D, 100 µm; (in F) E,
F, 500 µm.
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Aberrant patterning of neuromuscular synapses
We subsequently analyzed the pattern of developing
neuromuscular synapses (E14.5-E18.5) in Chat mutants. To
examine the distribution of nerves and AChR clusters at E14.5, the
earliest stages at which clustering of AChRs becomes detectable (Lupa
and Hall, 1989 ; Lin et al., 2001 ), diaphragm muscle was labeled with
anti-NF antibody and -bungarotoxin. As shown in Figure
5, AChRs are clustered within a central
band of the muscle in both control (Fig. 5B) and mutant
(Fig. 5E) embryos, but the band of AChR clusters is much
broader than normal in the mutant. Interestingly, intramuscular nerves
in the mutant also occupy a broader region (Fig.
5D,F) than those in control embryos (Fig.
5A,C).

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Figure 5.
AChRs are clustered in the central band of
Chat mutant muscle at E14.5. Whole-mount diaphragms were
double-labeled with anti-NF antibodies (A, control, +/+;
D, mutant, / ) and Texas Red-conjugated
-bungarotoxin (B, control; E, mutant).
In both control and mutant embryos, AChR clusters are found along the
central band of the muscle, although AChR clusters in
Chat mutants (E) are distributed
over a broader region compared with those in the controls
(B). Merged images show that the
intramuscular nerve trunk extends along the central band of AChR
clusters in both control (C) and
Chat mutant embryos (F). Note that
nerves in the Chat mutants occupy a much broader region
of muscle. Scale bar, 50 µm.
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As development proceeds to later stages, the AChR clustering band
remains broadened in Chat mutants. Figure
6 shows the distribution and
quantification of AChR clusters in E18.5 diaphragm muscles. Because the
distribution pattern varies along the dorsoventral axis, anatomically
matched areas of control and mutant diaphragm muscles were analyzed. We
quantified AChR clusters in a 4.8 × 105 µm2
area of the right ventral-costal portion of each diaphragm (Fig. 6A,B). Within this area, the number of AChR clusters
is significantly increased in the mutants (284 ± 12, controls;
467 ± 18, mutants; p < 0.001). As shown in
Figure 6C, AChR clusters are distributed across a broader
area in the mutants compared with those in the control embryos.
The end plate band in Chat mutants is
approximately three times the width of that in controls. That is, in
the controls, 90% of the AChR clusters are distributed within a
central band 200 µm in width, whereas in the mutants, a 600-µm-wide
band must be delineated to encompass 90% of the AChR clusters. Only
47% of the total clusters are found in the central 200 µm band in the mutants. These results demonstrate that AChR clusters are increased
in number and distributed in a broader region of the diaphragm muscle
in the Chat mutants.

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Figure 6.
AChR clusters are increased in number and populate
a broader area of muscle in Chat mutants. E18.5
diaphragm muscles from control (A) and mutant
(B) embryos were labeled with Texas
Red-conjugated -bungarotoxin. AChRs are clustered along a central
band of muscle in both the control (A) and the
mutant (B), although there are more AChR clusters
in the mutant, and they occupy a broader region (compare
B with A). C, Histogram
illustrating the distribution of AChR clusters. Numbers of AChR
clusters in the right ventral-costal portion of diaphragm muscles
(within an area of 4.8 × 105
µm2, as shown in A and
B) from E18.5 control (n = 3) and
mutant (n = 3) embryos were counted. The
x-axis is the distance to the medial edge of the muscle
fibers (in 0.1 mm intervals); the y-axis indicates the
average number of AChR clusters in each 0.1 mm interval. Scale bar, 100 µm.
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To determine the spatial relationship between nerve
terminals and AChR clusters, whole-mount diaphragm muscles (E18.5) were immunostained with anti-synaptophysin and -bungarotoxin. As shown in
Figure 7, synaptophysin-immunoreactive
nerve terminals are broadly distributed in E18.5 mutants (Fig.
7B) compared with the delimitation of terminals to the
central band observed in control embryos (Fig. 7A).
High-power images show that all AChR clusters are directly apposed by
nerve terminals in both control (Fig. 7E) and mutant (Fig.
7H) embryos.

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Figure 7.
Aberrant patterning of neuromuscular synapses in
Chat mutants. Diaphragm muscles were collected from
E18.5 control (A, C-E; +/+) and mutant (B,
F-H; / ) embryos and immunostained with an
anti-synaptophysin antibody (green) and
Texas Red-conjugated -bungarotoxin (red). Synapses
are more broadly distributed across the muscle in mutant
(B) compared with control
(A) embryos, especially in the dorsal portions of
the diaphragm, the pars costalis and crus laterale.
Synaptophysin-positive nerve terminals (C, F) and
AChR clusters (D, G) occupy a much broader territory in
the mutants compared with the control littermates. Merged confocal
images show that all AChR clusters are colocalized with nerve terminals
(E, H). Scale bars: (in B)
A, B, 500 µm; (in H)
C-H, 50 µm.
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In addition to AChR clustering, we examined the distribution of AChE in
Chat mutant embryos. As shown in Figure 9A,B,
AChE clusters are also distributed in a broader region of muscle
in Chat mutant embryos compared with control
embryos, consistent with previous results from chick embryos treated
with blockers of cholinergic neurotransmission (Gordon and Vrbova,
1975 ).
Ultrastructure of neuromuscular synapses is impaired in
mutant embryos
We subsequently determined whether ACh is required for synapse
formation as examined at the ultrastructural level. EM observation of
E17.5 diaphragm muscles revealed that the major synaptic features found
in the control NMJ were also found in the Chat mutant NMJ. However, morphometric analysis detected significant defects in the
mutant NMJs, including smaller nerve terminals, fewer synaptic contacts, and fewer junctional folds than in control NMJs.
As shown in Figure 8, typical features of
embryonic NMJs were observed in both mutants (Fig.
8A) and controls (Fig. 8D). At this
stage of development, NMJs in both genotypes have multiple motor nerve
terminals (Fig. 8, N), which make synaptic contacts on the postsynaptic membrane of muscle fiber (Fig. 8,
M), with few junctional folds. The neuromuscular
contact areas are capped by perisynaptic Schwann cells (Fig. 8,
S), whose processes are closely associated with the nerve
terminals. The basal lamina (Fig. 8, arrowheads) is found in
the synaptic cleft in both genotypes. The nerve terminals in both
mutant and control NMJs contain clusters of synaptic vesicles. At the
presynaptic membrane, active zones consisting of a cluster of synaptic
vesicles including docked vesicles are occasionally seen in both
genotypes (Fig. 8B,F). However, as shown in
Figure 8C, in some mutant NMJs, the nerve terminals are
smaller and make fewer synaptic contacts. Electron-lucent areas (Fig.
8C, asterisks) in the synaptic intercellular
space are more prevalent in mutant NMJs than in control NMJs. Another striking difference is in the postsynaptic membrane. As shown in Figure
8E, well developed junctional folds were found in
approximately one-third of control NMJs (5 of 16 NMJs). In contrast, no
such junctional folds were observed in any of the 13 mutant NMJs
examined.

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Figure 8.
Ultrastructure of the NMJ in Chat
mutant mice. Electron micrographs of NMJs from E17.5
Chat null mutant (A-C; / ) and
control (D-F; +/+) diaphragm muscles are shown.
A, A representative micrograph from a
Chat mutant shows features typical of embryonic NMJs.
The multiple motor nerve terminals (N), capped by
the processes of perisynaptic Schwann cells (S),
make synaptic contacts on the postsynaptic membrane of the muscle cells
(M). In mutants, the postsynaptic membrane
has only indentations (large arrows) and lacks
junctional folds. The basal lamina (arrowheads) is seen
in the synaptic cleft. The nerve terminals contain mitochondria and
clusters of synaptic vesicles (arrow). B,
A higher magnification of the area in A indicated by the
arrow depicts an active zone with a docked synaptic
vesicle in the mutant nerve terminal. C, A
representative NMJ that illustrates some of the alterations observed in
Chat mutants. This NMJ appears to have smaller nerve
terminals and makes fewer synaptic contacts than normal, although all
of the synaptic components described above are present. Note the
prevalent electron-lucent areas (asterisks) in the
synaptic cleft. D, A representative control NMJ also
shows features typical of the embryonic NMJ, including the multiple
nerve terminals (N), the perisynaptic Schwann
cell (S), and the basal lamina
(arrowheads). Only slight indentations (large
arrow) are observed in the postsynaptic membrane. The clusters
of synaptic vesicles (arrows) are clearly seen in the
nerve terminals. E, An example of a well developed NMJ
from control embryos shows large indentations of the postsynaptic
membrane (large arrow) and elaborate junctional folds.
This more mature feature, found in one-third of NMJs from control
embryos, was never found in mutant embryos. F, Higher
magnification of an adjacent section in E indicated by
the arrow depicts a cluster of synaptic vesicles over a
junctional fold, resembling the active zone in mature NMJs.
Scale bars: A, C-E, 1 µm; B,
F, 0.2 µm.
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To further investigate quantitative differences between mutant and
control NMJs, we compared various parameters of the presynaptic nerve
terminals. As summarized in Table 1, the
area and perimeter of the nerve terminals and the synaptic contact
length in mutant NMJs are significantly smaller than those in controls.
The nerve terminals in mutant and control NMJs contain similar numbers
of active zones and docked synaptic vesicles despite the slightly lower
synaptic vesicle density in the mutant. The number of nerve terminals
per NMJ and the postsynaptic membrane length are not different between
mutants and controls. Thus, at the ultrastructural level, several
features, including both presynaptic and postsynaptic components,
appear to be altered in Chat mutant NMJs.
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Table 1.
Comparison of ultrastructural parameters in presynaptic
motor nerve terminals from Chat mutant and control embryos
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AChR transcripts are concentrated at synaptic sites in the
Chat mutants
We subsequently examined the expression of the AChR by in
situ hybridization using probes specific to the -subunit gene
of AChR. We first analyzed the whole-mount preparation of the diaphragm muscle. Whole-mount in situ hybridization shows that AChR
transcripts are confined to the middle of muscle in the control and
mutant (Fig. 9C,D), although
the in situ signal appears in a broader region in the
mutants (Fig. 9D). Interestingly, the AChR transcript is
found in a pattern similar to that of AChE staining in both genotypes
(Fig. 9, compare A with C and B with
D). Because AChE clusters are reliable markers of synaptic
sites (Moscoso et al., 1995 ; Schaeffer et al., 1998 ), these results
suggest that the AChR -subunit gene is transcribed only at synaptic
sites. We also investigated this by double-labeling the muscle with
AChE staining and in situ hybridization with
33P-labeled AChR riboprobe. As shown
in Figure 9E-J, AChE and AChR transcript clusters are
colocalized in both control (Fig. 9E,F) and mutant (Fig.
9G,H) embryos. High-power bright-field micrographs
show that the silver grains for AChR mRNA are superimposed on the
AChE stain in both control (Fig. 9I) and mutant (Fig.
9J) embryos. No signal above background levels was
detected outside of AChE clusters in either control or mutant embryos.
Thus, the combined AChE staining and radioactive in situ
hybridization confirm that AChR transcripts are concentrated at
synaptic sites in Chat mutants, although, like the synapses,
the overall distribution pattern of AChR transcripts is broader
than normal.

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Figure 9.
Distribution of AChE clusters and AChR mRNA in the
Chat mutants. Diaphragm muscles were collected from
E17.5 control (A, C, E, F, I; +/+) and mutant (B,
D, G, H, J; / ) embryos and subjected to AChE histochemistry
(A, B), whole-mount in situ hybridization
(C, D), or combined AChE/radioactive in
situ hybridization (E-J). It is apparent
that by late gestation, muscle is less well developed in mutant
compared with wild-type embryos. In mutant embryos, AChE
(B) was clustered in a pattern similar to that of
nerve terminals (Fig. 7B). Whole-mount in
situ hybridization revealed that AChR mRNA was concentrated
(D) in a pattern similar to that of AChE clusters
(B) in the mutants. AChE clusters (E,
G) and AChR transcripts (dark field; F,
H) were colocalized (arrows) in both
control (E, F) and mutant (G,
H) diaphragm transverse sections. I, J,
High-power bright-field micrographs from E and
G. The results show that silver grains coincide with
AChE aggregates both in control (I) and in
mutant (J) embryos. Scale bars: (in
B, D) A-D, 500 µm; (in
H) E-H, 200 µm; (in
J) I-J, 15 µm.
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 |
Discussion |
In the present study, we analyzed neuromuscular development in
Chat null mutant mice. In the Chat mutant NMJ,
both spontaneous and nerve-evoked postsynaptic potentials are absent.
Motor nerves elaborate supernumerary axon bundles on contact with the
muscle at E12.5 and continue to grow and innervate a broader region of muscle at E14.5, including the central band, where AChR clusters are
present. At E16.5-E18.5, nerve terminals become differentiated and
release other signals to induce synapse formation. Likely as a result
of the increased innervation, synapses in mutants are distributed in a
much broader region of muscle than in control embryos. Although AChRs
are clustered in the Chat mutants, the fine structure of the
mutant synapses is altered (Table 1). Interestingly, Verhage et al.
(2000) have recently generated mice lacking the synaptic vesicle
protein mammalian homolog of unc-18 (Munc18-1), in which no
synaptic transmission is detected at the NMJ. In the Munc18-1
mutant embryos, AChRs are clustered as well, although the
ultrastructure of their synapses has not been reported. Our findings of
increased muscle innervation and motor neuron survival are also
consistent with previous studies using cholinergic or neuromuscular
activity blockers in chick embryos (Pittman and Oppenheim, 1978 ;
Dahm and Landmesser, 1988 , 1991 ; Oppenheim et al., 1989 , 2000 ; Hory-Lee
and Frank, 1995 ; Usiak and Landmesser, 1999 ).
Because ChAT is a critical enzyme for the biosynthesis of ACh, the
phenotypic characteristics of the Chat mutant embryos are likely attributable to the loss of ACh, although we cannot rule out the
possibility that ChAT has other nonenzymatic activities that might
contribute to these changes. In addition to the role of ACh in
ionotropic activity, it is possible that ACh plays a role in activities
independent of synaptic transmission. Also, although the
critical source of ACh is most likely neuronal, Schwann cells have been
shown to express ChAT in culture (Brockes, 1984 ), so it is
possible that Schwann cell-derived ACh has a role in the patterning of
neuromuscular synapses.
Neuromuscular alterations in the Chat mutants might result
from defects in ACh-dependent activities at presynaptic and/or postsynaptic sites. Relevant to this possibility, it is known that
different AChR subtypes are present at nerve terminals, perisynaptic Schwann cells, and muscle fibers. Neuronal nicotinic AChRs, distinct from those in the muscle, are expressed at preterminals and presynaptic terminals (Wessler, 1992 ; Role and Berg, 1996 ), whereas muscarinic AChR
subtypes are detected in perisynaptic Schwann cells (Rochon et al.,
2001 ). Thus, different cholinergic receptors may mediate each of these
processes. Because altered innervation is observed in mutants as early
as E12.5, a stage at which AChRs are diffusely distributed in the
muscle (Bevan and Steinbach, 1977 ), the regulation of nerve growth, at
least at early stages, is probably a presynaptic process. ACh is
released from growing nerve processes and terminals before their
contact with muscle (Hume et al., 1983 ; Young and Poo, 1983 ; Zakharenko
et al., 1999 ) and acts through preterminal AChRs to regulate
fasciculation and nerve branching and to affect growth cone turning
in vitro (Zheng et al., 1994 ) in a
Ca2+-dependent manner (Hong et al., 2000 ).
Alternatively, or in addition, initial cholinergic activity at early
E12.5 may evoke a retrograde signal from the muscle and/or Schwann
cells to the nerve terminal that inhibits overgrowth, limits branching
of nerve terminals, or promotes precise target recognition (Fitzsimonds
and Poo, 1998 ). Finally, the increased survival of motor neurons may
result in more nerve being present in the muscle, and consequently,
innervation of a larger area of muscle. That is, in the Chat
mutants, simply the overabundance of axons may force some into
territory that they normally would not innervate.
Consistent with the idea that ChAT/ACh plays a role in restricting the
development of nerve terminals to the central band of muscle, Patel and
Poo (1984) demonstrated that growth cones can be guided to, and will
stop growing at, a focal electrical field. When the focal electrical
field is turned off, growth cones resume migration away from the focal
field. Because nerve-independent AChR clusters are formed in the
central band of muscle at E14.5, ACh may act through these AChR
clusters to establish a focal electrical field, and in this way could
cause nerve terminals to arrest their growth at the central band of
muscle. In addition, such activation may render the region outside of
the central band nonreceptive for nerve terminals. Although the central
band of muscle appears to contain an intrinsic signal to initiate AChR
clustering (Lin et al., 2001 ; Yang et al., 2001 ), our results reveal
that, although they do not normally use it, muscle regions outside of
the central band do indeed contain the machinery necessary for synapse
formation as well. In accordance with these results, we suggest that
ACh plays a role in preventing nerve terminals from growing into the region outside of the central band of muscle.
Increased motor neuron survival in Chat mutant embryos may
be attributable to alterations in one or more of four different cellular activities. First, an absence of synaptic transmission may
lead to elevated production of neurotrophic factors in the Chat mutant embryos. However, previous studies have
demonstrated that neither muscle denervation nor inactivity induced by
neurotoxins results in the increased neurotrophic factor levels
available for chick motor neuron survival (Houenou et al., 1991 ).
Second, the increased muscle innervation may increase the access of
motor neurons to neurotrophic factors for survival. Consistent with this idea, motor neuron number is increased in several mutant mice that
exhibit increased muscle innervation, including agrin and
muscle-specific kinase mutants (Terrado et al., 2001 ). In contrast,
loss of muscle innervation is correlated with increased cell death, as
shown in erbB2 and erbB3 mutant mice (Riethmacher et al., 1997 ; Morris
et al., 1999 ). Third, because motor neurons also express AChRs, ACh may
directly regulate motor neuron survival via a central mechanism
(Hory-Lee and Frank, 1995 ). However, recent results obtained by
Oppenheim et al. (2000) do not support this idea. They found that
neuromuscular activity blockers, but not neuronal nicotinic AChR
blockers alone, increase chick motor neuron survival. Finally, the lack
of ACh signaling through these receptors may make motor neurons more
responsive to muscle-derived neurotrophic factors. Consistent with this
last possibility, it has been shown that nicotinic blocking agents,
such as dTC, potentiate the ability of muscle extracts to effect motor
neuron survival in culture (Hory-Lee and Frank, 1995 ).
Finally, is our finding regarding the regulation of synaptogenesis by
neurotransmitter unique to ACh in mammals? Remarkably, elimination of
ACh in Drosophila leads to increased branching of retinal
axons (S. Kunes, personal communication). Other
neurotransmitters also appear to be important for synaptic development.
Glutamate has been shown to regulate the synaptic location of glutamate receptor clusters in rat hippocampal neurons (Rao and Craig, 1997 ) and
of the postsynaptic receptor fields of the Drosophila NMJ (Featherstone et al., 2000 ). Similarly, GABA has been shown to regulate GABAergic synaptogenesis, including the expression of a GABA
receptor subtype (Belhage et al., 1998 ) and the developmental switch of
synaptic responses from excitation to inhibition (Ganguly et al.,
2001 ). In summary, our results are consistent with the emerging theme
that neurotransmitters actively regulate the development of the neurons
and the synapses they subserve.
 |
FOOTNOTES |
Received May 17, 2002; revised Oct. 21, 2002; accepted Oct. 30, 2002.
*
E.P.B. and W.L. contributed equally to this study.
This work was supported by grants from the National Institutes of
Health/National Institute on Aging, the Muscular Dystrophy Association,
and the John Douglas French Alzheimer's Foundation. K.F.L. is a Pew
Scholar. We thank Kevin Gobeske, Nushin Sherkat, James Henry, Lynne
Moore, Bobbi Miller, Linda Kitabayashi, Steve Forbes, Andrew Chen,
Samir Koirala, and Yelena Dayn for excellent technical assistance, and
Mu-Ming Poo, Steve Heinemann, Rebecca Tuttle, Rebecca Cole, and Mary L. Gage for helpful comments on this manuscript.
Correspondence should be addressed to Dr. Fred H. Gage, Laboratory of
Genetics, The Salk Institute for Biological Studies, 10010 North Torrey
Pines Road, La Jolla, CA 92037. E-mail: gage{at}salk.edu.
E. P. Brandon's present address: Ceregene, Inc., 9381 Judicial
Drive, San Diego, CA 92121.
 |
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