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The Journal of Neuroscience, March 15, 2003, 23(6):2102
Voltage-Gated Sodium Channels and AnkyrinG Occupy a Different
Postsynaptic Domain from Acetylcholine Receptors from an Early Stage of
Neuromuscular Junction Maturation in Rats
Sarah J.
Bailey,
Mark A.
Stocksley,
Alexandra
Buckel,
Carol
Young, and
Clarke R.
Slater
School of Neurology, Neurobiology Psychiatry, The Medical School,
University of Newcastle upon Tyne, Newcastle upon Tyne NE2 4HH, United
Kingdom
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ABSTRACT |
Spatial segregation of membrane proteins is a feature of many
excitable cells. In skeletal muscle, clusters of acetylcholine receptors (AChRs) and voltage-gated sodium channels (NaV1s)
occupy distinct domains at the neuromuscular junction (NMJ). We used quantitative immunolabeling of developing rat soleus muscles to study
the mechanism of ion channel segregation and NaV1
clustering at NMJs. When NaV1s can first be detected, at
birth, they already occupy a postsynaptic domain that is distinct from
that occupied by AChRs. At this time, NaV1s are expressed
only in a diffuse area that extends 50-100 µm from the immature NMJ.
However, in the region of the high-density AChR cluster at NMJ itself,
NaV1s are actually present in lower density than in the
immediately surrounding membrane. These distinctive features of the
NaV1 distribution at birth are closely correlated with the
distribution of ankyrinG immunolabeling. This suggests that an
interaction with ankyrinG plays a role in the initial segregation of
NaV1s from AChRs. Both NaV1 and ankyrinG become
clustered at the NMJ itself 1-2 weeks after birth, coincident with the
formation of postsynaptic folds. Syntrophin immunolabeling
codistributes with AChRs and never resembles that for NaV1
or ankyrinG. Therefore, syntrophin is unlikely to play an important
part in the initial accumulation of NaV1 at the NMJ. These
findings suggest that the segregation of NaV1 from AChRs
begins early in NMJ formation and occurs as a result of the physical
exclusion of NaV1 and ankyrinG from the region of nerve-muscle contact rather than by a process of active clustering.
Key words:
neuromuscular junction; sodium channel; ankyrin; syntrophin; rat; development
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Introduction |
At the neuromuscular junction (NMJ)
two classes of ion channel, occupying distinct postsynaptic domains,
mediate the immediate response of vertebrate skeletal muscle fibers to
the motor nerve. Acetylcholine receptors (AChRs), concentrated at the
crest of the postsynaptic folds (Fertuck and Salpeter, 1974 ), generate an initial local depolarization in response to transmitter released from the nerve. Voltage-gated sodium channels
(NaV1 channels) (Goldin et al., 2000 ),
concentrated in the depths of the folds and in the perijunctional
membrane (Haimovich et al., 1987 ; Flucher and Daniels, 1989 ; Wood and
Slater, 1998 ), convert this local depolarization into a propagating
action potential (Martin, 1994 ). The juxtaposition of these distinct
ion channel domains plays an important part in ensuring the
effectiveness of neuromuscular transmission (Wood and Slater, 2001 ),
but how they are generated and how the segregation of ion channels is
maintained is not understood.
Previous studies have revealed clear differences between the
spatiotemporal patterns of AChR and NaV1
accumulation at developing mammalian NMJs. AChRs are expressed at a
relatively low level all along immature muscle fibers, but clusters of
much higher AChR density form at rat hindlimb NMJs within hours of the
earliest nerve-muscle contacts, up to a week before birth (Bevan and
Steinbach, 1977 ). In contrast, NaV1 channels
cannot be detected using immunolabeling techniques until birth, when
the pattern of labeling is suggestive of a diffuse zone of increased
density in the vicinity of the NMJ (Wood et al., 1998 ). During the next
1-2 weeks, when the postsynaptic folds are forming (Bewick et al.,
1996 ), the highly localized accumulation of NaV1
channels characteristic of the mature NMJ develops (Lupa et al., 1993 ),
and NaV1 channels also appear along the rest of
the muscle fiber surface (Wood et al., 1998 ; Stocksley and Slater,
1999 ). These observations have led to the suggestion that
NaV1 channel clustering, unlike AChR clustering,
is dependent on postsynaptic fold formation.
There is good evidence that the initial aggregation of AChRs at the NMJ
involves interaction with cytoplasmic proteins, in particular rapsyn
(Sanes and Lichtman, 1999 ). Much less is known about the factors
causing NaV1 channel accumulation. Members
of two families of cytoplasmic proteins present in muscle,
ankyrins and syntrophins, have been shown to bind to NaV1s
in vitro (Srinivasan et al., 1992 ; Gee et al., 1998 ) and are
concentrated at mature NMJs (Peters et al., 1994 ; Kordeli et al., 1998 ;
Wood and Slater, 1998 ). This suggests that one or both of these
proteins might play a role in NaV1 accumulation
during development.
To investigate this possibility, we used immunolabeling to determine
the distributions of these proteins during NMJ formation in
vivo. We found evidence of the segregation of
NaV1 channels from AChRs at birth, before fold
formation had begun, so we then asked whether isoforms of ankyrin or
syntrophin were already associated with NaV1
channels at this time. As an additional test of the hypothesis that the
formation of postsynaptic ion channel domains is not dependent on fold
formation, we investigated NMJs in adult chicken muscle that lack
postsynaptic folds (Salpeter, 1987 ).
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Materials and Methods |
Tissues. Most of the studies were made on soleus
muscles from newborn Wistar rats. The day of birth was considered
postnatal day 0 (P0). For the muscles studied at embryonic day 18 (E18), the entire hindlimb was used. Muscles were prepared for
immunolabeling in one of two ways, as described previously (Bewick et
al., 1992 ; Wood and Slater, 1998 ). For viewing NMJs en face,
immunolabeling was performed on teased fibers that were lightly fixed
(1% paraformaldehyde in 0.1 M sodium phosphate
buffer, pH 7.2 for 1 hr) and permeabilized with Triton X-100 (0.1% for
30 min). In addition, immunolabeling was performed on transverse
cryosections (6 µm) of unfixed soleus muscles.
Some observations were also made of NMJs in the ambiens muscle of young
adult (3-4-week-old) chickens (High Sex Brown strain). These were
fixed and teased into small bundles in the same way as for rats. An
overview of the structure of the NMJ was obtained by labeling the nerve
with FM1-43 (Betz and Bewick, 1992 ) and AChRs with tetramethyl
rhodamine isothiocyanate (TMRITC) -bungarotoxin ( -BgTx) (see
below). Ultrastructure was studied using conventional fixation,
embedding, and sectioning procedures (Slater et al., 1992 ).
Antibodies. Primary antibodies, all of whose properties have
been described previously, were diluted in PBS containing 3% BSA and
0.1 M lysine. For our initial
NaV1 labeling studies, the rabbit polyclonal
antibody AP1380, raised against a peptide that is highly conserved in
all NaV1 isoforms (a gift from Dr. R. Levinson, University of Colorado School of Medicine, Denver, CO)
(Dugandzija-Novakovic et al., 1995 ) was used at a dilution of 1:30. In
later studies, a monoclonal antibody raised against the same peptide
(Rasband et al., 1999 ) was used (S8809, clone K58/35;
Sigma, St. Louis, MO). Two antibodies were used to label
ankyrinG: an affinity-purified rabbit polyclonal (AnkG@SpBd; a gift
from Dr. Steve Lambert, Worcester Foundation for Biomedical Research,
Shrewsbury, MA) (Kordeli et al., 1995 ) and a monoclonal antibody
[obtained initially as a gift from Dr. Vann Bennett, Duke University,
Chapel Hill, NC, and then commercially (clone 4G3F8) from Zymed
Laboratories, San Francisco, CA], both used at a dilution of
1:100. The monoclonal antibody SYN1351 (Peters et al., 1997 ), which
recognizes an epitope common to all forms of syntrophin, was used at a
dilution of 1:500 (initially obtained as a gift from Dr. S. Froehner,
University of Washington, Seattle, WA, and then from
Dakocytomation, High Wycombe, UK).
TMRITC-conjugated swine anti-rabbit or rabbit anti-mouse Igs
(Dakocytomation) were used to recognize polyclonal and
monoclonal primary antibody labeling, respectively. For
double-antibody-labeling experiments, monoclonal primary antibodies
were detected using an FITC-conjugated goat anti-mouse Ig secondary
antibody (Dakocytomation). All secondary antibodies were
preincubated with normal rat serum, centrifuged, and then diluted at
1:100 (Bewick et al., 1996 ).
Chicken NMJs were labeled in teased bundles of muscle fibers. Antibody
AP1380 was used to label NaV1as described above.
None of a number of antibodies directed against ankyrin was effective in labeling chicken muscles. -Fodrin, a form of -spectrin, was labeled with a monoclonal antibody raised against chicken red blood
cell membranes (clone AA6; ICN Biomedicals, Basingstoke, UK) at
a dilution of 1:50. Utrophin was labeled with monoclonal antibody
DRP3/20C5 (Bewick et al., 1993 ).
Immunolabeling. All of the procedures used for
immunolabeling are essentially the same as those described previously
(Wood and Slater, 1998 ). Briefly, permeabilized teased muscle fibers were incubated in primary antibodies overnight at 4°C. After washing, the fibers were incubated for 2 hr in secondary antibodies that had
been preincubated with normal rat serum at a ratio of 2:1 before
dilution and application. To enable NMJs to be identified, FITC- -BgTx (6 × 10 7
M; Molecular Probes, Eugene,
OR), which labels AChRs, was added with the secondary antibody
solution. Subsequently, the fibers were washed, fixed in
paraformaldehyde, and then mounted on microscope slides in antifading
fluorescence mounting medium (Vectashield, Vector Laboratories,
Peterborough, UK). As a control, an identical labeling procedure was
performed with the omission of the primary antibody in which diluent
alone was applied. Slide-mounted transverse cryosections were briefly
washed with Triton X-100 (0.1%) in PBS before labeling with primary
antibodies. The labeling procedure for cryosections was then the same
as that for teased fibers.
To examine the colocalization of NaV1 with
ankyrinG, double antibody labeling was performed. Frozen sections were
incubated overnight at 4°C in a mixture of AP1380 and monoclonal
antibody 4G3F8, followed by 1 hr at room temperature. They were
then incubated in a mixture of the two secondary antibodies for 2 hr
and washed and mounted in Vectashield.
Microscopy. Pairs of digitized images of double-labeled
(FITC and TMRITC) cryosections and teased fibers were recorded, using 40-100× objectives, with one of two cooled CCD camera imaging systems: AstroCam (Cambridge, UK) on an M2B microscope
(MicroInstruments Ltd., Oxford, UK) or SPOT-2 (Diagnostic
Instruments, Inc., Sterling Heights, MI) on a Leica
(Wetzlar, Germany) DMRA microscope. Suitable filter sets were used with
each system to ensure that there was no significant cross-contamination
of the FITC and TMRITC channels.
Analysis of fluorescent labeling. Digitized images were
analyzed using Scion Image for Windows (Scion
Corporation). Muscle fiber profiles containing NMJs were
identified from the image of -BgTx labeling. The same profiles were
identified in the image of antibody labeling and outlined with the
freehand drawing tool to define a profile of interest (POI). Using a
locally written macro, the intensity values (eight bit resolution) of
the pixels underlying the POI were read out. To obtain a suitable value
for the background intensity, the POI was converted into a binary area
of interest (AOI), which was then eroded until its minor axis was 25%
of that of the original AOI. The mean intensity within this eroded AOI
was defined as the background value and was subtracted from each of the
intensity values derived from the POI. These net intensity values,
together with the corresponding distance from the starting point of the
profile, were then saved in a text file. The same POI was then
transferred to the -BgTx image, and the intensity corresponding to
the same set of pixels was read out and saved. Corresponding pairs of
text files were saved for each of 10-86 muscle fiber profiles from
each muscle.
Averaged distributions, based on the saved intensity values, were
calculated using an Excel macro (Microsoft, Seattle, WA). For each fiber, the macro scanned the array of data from the -BgTx image to find the peak of intensity and the two positions at which the
intensity was 50% of the peak. Midway between those positions was
taken as the position of the NMJ, was defined as "zero," and was
placed at the center of a new array with equal numbers of intensity
values on either side of it. The same distance transformations, based
on the -BgTx data, were applied to the values from the images of
antibody labeling, to form a corresponding array. To allow averaging of
data from different fibers, with different shapes and perimeters, the
values for each fiber were grouped into bins corresponding to 2 µm
increments of distance away from the NMJ and the average of the values
in each bin was calculated. After binning the data for each fiber
profile in a data set, values were removed from the ends of the
individual arrays so that they were all the same length as the shortest
array, corresponding to the fiber with the smallest perimeter. The
values corresponding to each distance were then averaged, and the SEM
of each distance bin was calculated.
Longitudinal reconstruction. To identify the extent of
perijunctional labeling of NaV1 in muscles from
newborn rats, serial transverse sections were cut through the region of
innervation and individual fibers were identified from their shape and
position in digital images of each of ~30 serial sections, each 6 µm thick. For each fiber analyzed, the profile was traced, the mean
of the underlying pixels was calculated, and the associated background was subtracted (see above). The mean intensity of surface labeling was
then plotted as a function of distance from the NMJ (indicated by
labeling of AChRs with -BgTx), assuming that each section was 6 µm thick.
Processing of images for illustration. For the
illustrations, images were processed with Adobe Photoshop 6 (Adobe Systems, San Jose, CA) to make clear the spatial
variations in intensity within the image rather than to display
faithfully the overall differences in intensity from one image to the
next. The latter information is provided in the various graphs of
labeling intensity in the figures.
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Results |
In newborn rat soleus muscles labeled with an antibody that
recognizes all forms of NaV1, increased labeling
was observed near the zone of innervation of the muscle (Fig.
1). In contrast to AChR labeling, which
was present in small, well defined clusters, NaV1
labeling was seen in a broad zone several hundred micrometers long.
Away from the region of innervation, labeling intensity fell to
background levels. AnkyrinG immunolabeling was strikingly similar to
that of NaV1 labeling. In contrast, the pattern
of labeling for syntrophin was very different. Fibers were clearly labeled all along their length, and there was an increase in labeling in the region of high AChR density. Thus, in newborn muscles, there are
clear differences in the distribution of both the ion channels
(NaV1 and AChRs) and the cytoplasmic proteins
(ankyrinG and syntrophin). We went on to characterize and compare these labeling patterns in more detail to gain insight into the mechanism of
ion channel segregation at birth and the processes of
NaV1 channel clustering.

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Figure 1.
Distribution of NaV1, ankyrinG, and
syntrophin in soleus muscles from newborn rats. AChRs are tightly
clustered at the NMJs but undetectable elsewhere. NaV1 and
ankyrinG are increased within ~100 µm of the NMJs but are not
tightly clustered. Syntrophin is present in the surface membrane all
along the muscle fibers and is particularly concentrated at the NMJs in
a region corresponding to the AChR cluster. Scale bar, 100 µm.
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Accumulation of NaV1 channels at developing NMJs
In contrast to AChRs, no well defined cluster of
NaV1 labeling was present at the NMJ at birth.
Figure 2A shows that
1-2 weeks after birth NaV1 labeling was apparent
at the NMJ and by P28 resembled the adult distribution. Previous
studies have shown that NaV1.4, the adult form of
muscle NaV1, does not become concentrated in the
postsynaptic membrane of rat NMJs until 2-3 weeks after birth (Lupa et
al., 1993 ). We were interested to know whether there was an earlier
accumulation of NaV1.5, the fetal form. Because an antibody that labels NaV1.5 specifically is
not available, we also used an antibody specific for
NaV1.4. No labeling was seen in sections of
muscles at P0 (data not shown), but it was present from P14 on,
confirming the low levels of NaV1.4 early in
development (Lupa et al., 1993 ). Thus, at birth, most of the NaV1 we detected in the perijunctional region
using an antibody that recognizes all forms of
NaV1 (Dugandzija-Novakovic et al., 1995 ) was
NaV1.5. This study of whole-fiber preparations
revealed no highly localized concentration of either the adult
(NaV1.4) or the fetal
(NaV1.5) form at the NMJ itself in newborn
rats.

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Figure 2.
Changes in NaV1 distribution during
development of rat soleus muscles. NaV1 is labeled by an
antibody that recognizes all NaV1 isoforms. AChRs are
labeled by -BgTx. A, NMJs viewed en
face in teased fiber preparations show little clustering of
NaV1 in the region of high AChR density until 1-2 weeks after birth.
B, Transverse sections reveal increased NaV1
labeling in the region of innervation at P0, but this labeling is not
closely colocalized with the AChRs. Some fibers are strongly labeled
although no AChR cluster is present (asterisk). At later
postnatal stages, NaV1 labeling becomes concentrated at the
NMJ and persists in the perijunctional region. C,
Circumferential distributions of AChR and NaV1 labeling
measured around muscle fiber profiles passing through the NMJ (see
Materials and Methods, mean intensity of 12-14 muscle fibers) confirm
that, in contrast to AChRs, no increase in NaV1 labeling is
seen at the NMJ until P14. D, Quantification of
NaV1 labeling in serial transverse sections through the
central innervated region of the muscle allows the longitudinal extent
of NaV1 distribution in individual muscle fibers to be
determined (see Materials and Methods, mean profile of nine muscle
fibers). The longitudinal extent of AChR labeling of individual NMJs is
rarely >10-15 µm at this age. Scale bar: A, B, 20 µm.
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Analysis of the intensity of immunolabeling of
NaV1 around the circumference of developing
muscle fibers confirmed our subjective impression that there was no
obvious clustering of NaV1 labeling at the NMJ
itself at birth (Fig. 2B,C). We recorded
circumferential labeling distributions for samples of 12-14 muscle
fibers containing NMJs labeled by FITC- -BgTx and averaged them to
reduce the effects of variation around fibers (see Materials and
Methods). These averaged distributions show clearly that the local
increase in NaV1 labeling intensity,
characteristic of mature NMJs, does not appear until 1-2 weeks after
birth (Fig. 2C). This is in marked contrast to the labeling
for AChRs, which is clearly increased at the NMJ at birth and is well
known to be concentrated there for a number of days before birth (Bevan
and Steinbach, 1977 ).
At P0, most fiber profiles that contained labeled NMJs also had a high
level of surface labeling for NaV1, although
there were many profiles labeled for NaV1 that
did not include NMJs (Fig. 2B, asterisk).
This suggested that the increased circumferential labeling reflected
the presence of a perijunctional region of relatively high
NaV1 density that extended along the muscle fiber away from the NMJ (Fig. 1). To determine the extent of this region along individual fibers, we made a longitudinal reconstruction of
individual fibers using serial transverse sections of muscles from
newborn rats (Fig. 2D). At birth, the perijunctional
region of increased NaV1 labeling extends along
individual muscle fibers for ~50 µm in either direction away from
the zone of intense AChR labeling at the NMJ, itself some 10-15 µm long.
Segregation of NaV1 from AChR begins before
folds form
In higher-magnification views of sections through NMJs of newborn
rats, it sometimes appeared that the intensity of
NaV1 labeling was actually reduced in the region
of highest AChR density (Fig. 3A). To test the generality of
this impression, we compared the averaged profiles of AChR and
NaV1 labeling around the circumference of a
sample of muscle fibers (Fig. 3B) (see Materials and
Methods). Despite the considerable variation in intensity from fiber to fiber and around individual fibers, there is a reduction of ~40% in
NaV1 labeling in the region of highest AChR
labeling. We confirmed this apparently reciprocal relationship by
correlation analysis. This revealed a significant
(p < 0.001) negative correlation between the
intensities of AChR and NaV1 labeling at
comparable points around the muscle fiber perimeter. At P7, when fold
formation has just begun (Bewick et al., 1996 ), the reduction of
NaV1 labeling at the NMJ was no longer
detectable.

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Figure 3.
Labeling for NaV1 channels is reduced
in AChR-rich regions of NMJs in newborn rats. A, Example
of a muscle fiber profile in which the intensity of NaV1
labeling appears reduced in the region of highest AChR labeling
(arrows). NaV1 (red) and AChR
(green) labeling are superimposed in the
image labeled Both. Scale bar, 20 µm.
B, Quantification of the variation in labeling intensity
around the circumference of muscle fibers, centered on the NMJ, for
NaV1 and AChR. Means ± SEM of data from 12 muscle
fibers are shown.
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These studies indicate that at birth, when we could first detect
NaV1 channels by immunolabeling, their
distribution differed from that of AChRs in two important ways. First,
they were present in a much more diffuse zone, ~100 µm long,
centered on the NMJ and including the entire circumference of the
muscle fiber (diameter, ~10 µm). Second, in the region
of nerve contact, the intensity of NaV1 labeling
was less than in the immediately surrounding perijunctional region,
indicating that some segregation of NaV1 channels
from AChRs was already taking place. We subsequently determined the
distributions of ankyrinG and syntrophin to see whether either of these
proteins shared these distinctive features with
NaV1 during the early stages of its accumulation.
AnkyrinG accumulation at developing NMJs parallels that
of NaV1
AnkyrinG is present in the membrane skeleton of adult rat muscle
fibers and is substantially increased at the adult NMJ (Flucher and
Daniels, 1989 ; Kordeli et al., 1998 ; Wood and Slater, 1998 ). During the
perinatal period, the pattern of ankyrinG labeling was strikingly
similar to that of NaV1. At E18, as for
NaV1 (Wood et al., 1998 ), there was little or no
ankyrinG-specific labeling at the NMJ or elsewhere (data not shown).
However, labeling for ankyrinG was clearly present at birth (Figs. 1,
4A). During the next 4 weeks, a localized intense labeling developed at the NMJ in parallel
with a general but lesser increase in labeling in the rest of the
muscle. Quantitative analysis of the circumferential distribution of
ankyrinG confirmed that it differed from that of AChRs in much the same
way as NaV1 at all times studied (Fig. 4B).

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Figure 4.
AnkyrinG distribution at developing rat NMJs.
A, At P0, labeling of ankyrinG is broadly increased in
the region of the muscle containing NMJs but is not obviously clustered
with the AChRs. By P14, ankyrinG labeling is increased at the NMJ.
B, Circumferential distributions of AChR and ankyrinG
labeling measured along profiles of muscle fibers passing through the NMJ (see Materials and Methods). Means ± SEM of
data from 32 to 86 muscle fibers are shown (mean, 55). Note that, as
for NaV1, there is no clear increase in ankyrinG at the NMJ
until P14. C, Double-immunolabeling of transverse
sections shows that the distribution of NaV1 and ankyrinG
is strikingly similar in muscles at P0. At the higher magnification, it
can be seen that within individual fibers, there is a similar
correspondence of labeling. D, Correlation plot of mean
intensity of NaV1 labeling versus ankyrinG labeling for 65 muscle fibers. E, Correlation plot of the intensity of
labeling of NaV1 and ankyrinG at individual points around
the perimeter of the marked fiber (asterisk) in
C. Scale bars: A, 50 µm;
C, 20 µm.
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At birth, some fibers, particularly those with labeled NMJs, were
brightly labeled around their entire circumference, whereas others were
much more faintly labeled. To determine whether the fibers that were
intensely labeled for ankyrinG were the same as those labeled for
NaV1, we labeled sections with antibodies to both
proteins (Fig. 4C). We determined the degree of correlation of the mean intensity of the two labels around a number of muscle fiber
profiles. This analysis confirmed that at P0, the correlation between
the mean intensity of labeling of ankyrinG around individual fibers and
that of NaV1 is highly significant (Fig.
4D) (p 0.001; r = 0.746; n = 65 fiber profiles). In addition, the
variations in intensity of labeling for the two proteins from point to
point around the circumference of individual fibers were also highly significantly correlated (Fig. 4E)
(p 0.001; r > 0.8 for each of 11 fibers; >30 points for each fiber). Thus, in newborn rats, ankyrinG
occupies the same extended perijunctional domain as
NaV1.
AnkyrinG is excluded from the region of high AChR density during
early stages of NMJ formation
As with NaV1, some images suggested that
ankyrinG labeling is reduced in regions of high AChR density (Fig.
5A). When this impression was
tested quantitatively, a reciprocal relationship between ankyrinG and
AChR labeling was observed (Fig. 5B), even more striking
than that seen for NaV1 and AChRs (Fig.
3B). Thus, labeling for ankyrinG at the center of the NMJ
was 70% less than that at either side. As with
NaV1, no reduction in labeling intensity at the
NMJ was seen at P7 (Fig. 4B).

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Figure 5.
AnkyrinG labeling is reduced in AChR-rich regions
of NMJs in newborn rats. A, Example of a muscle fiber
profile in which the intensity of ankyrinG labeling appears reduced in
the region of highest AChR labeling (arrows). AnkyrinG
(red) and AChR (green) labeling
are superimposed in the image labeled Both.
B, Quantification of the variation in labeling intensity
around the circumference of muscle fibers, centered on the NMJ, for
ankyrinG and AChR. Means ± SEM of data from 49 muscle fibers are
shown. Scale bar, 20 µm.
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Here we demonstrate for the first time that in newborn muscles (the
earliest time we can detect ankyrinG) and throughout the postnatal
period, ankyrinG has a distribution very similar to that of
NaV1s. This similarity is particularly striking at birth, when it includes the increase in the perijunctional region and the
exclusion from the NMJ itself, two key features that distinguish the
distribution of NaV1s from that of AChRs.
Syntrophin is concentrated at sites of high AChR density from an
early stage of NMJ development
We studied the changes in syntrophin distribution during the
maturation of the NMJ with a monoclonal antibody that recognizes all of
the major forms of syntrophin in muscle (Peters et al., 1997 ). At E18,
the earliest time we investigated, syntrophin was already present
around the muscle fiber periphery and was concentrated at the NMJ (Fig.
6A). During the first
postnatal month, the intensity of labeling increased both at the NMJ
and away from it. At all times the zone of high-intensity syntrophin
labeling corresponded closely to that of intense AChR labeling (Fig.
6B).

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Figure 6.
Syntrophin labeling is increased in AChR-rich
domains of NMJs in rats from before birth. A, At E18 and
throughout postnatal development, syntrophin labeling is present around
muscle fibers and is markedly increased at the NMJ. Scale bar, 20 µm. B, Circumferential distributions of AChR
and syntrophin labeling measured around muscle fiber profiles (see
Materials and Methods) (mean labeling intensity of 11-25; mean, 15 fibers) confirms that syntrophin and AChR are increased at the NMJ,
whereas only syntrophin is increased in nonjunctional membrane.
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This correspondence was investigated in detail at P0, for comparison
with ankyrinG (Fig. 7). It is clear that
the region of increased syntrophin labeling is virtually identical to
that of increased AChR labeling. Thus, the distribution of syntrophin labeling during early NMJ maturation differs markedly from that of
NaV1 and ankyrinG.

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Figure 7.
Syntrophin is increased in density in AChR-rich
regions of NMJs in newborn rats. A, At high
magnification, the close correspondence of syntrophin and AChR labeling
can be seen. Syntrophin (red) and AChR
(green) labeling overlap
(yellow) in the superimposed image labeled
Both. Scale bar, 20 µm. B,
Quantification of the variation in labeling intensity around the
circumference of muscle fibers, centered on the NMJ, for syntrophin and
AChR. Means ± SEM of data from 25 muscle fibers are shown.
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AChRs and NaV1 are segregated in the absence of
postsynaptic folds at chicken NMJs
The region of high NaV1 density is closely
associated with the postsynaptic folds at mature NMJs (Haimovich et
al., 1987 ; Flucher and Daniels, 1989 ; Wood and Slater, 1998 ). This
might indicate that the process that generates the distinct
postsynaptic domains occupied by AChRs and NaV1
is closely associated with the formation of the folds. However, our
observations of developing rat NMJs suggest that the segregation of
AChRs and NaV1 has already begun at birth, before
the start of the main period of fold formation (Bewick et al., 1996 ).
At the NMJs of young adult chicken ambiens muscles, although the usual
cellular components of the NMJ are present, postsynaptic folds are
absent (Fig. 8A). We
examined NMJs in these muscles to see whether, as at NMJs in newborn
rats, AChRs and NaV1 also occupy distinct domains
in the absence of folds.

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Figure 8.
NMJs in young adult chicken ambiens muscle.
A, Nerve terminals (green) labeled with
FM1-43 and AChRs (red) labeled with -BgTx reveal
that the overall organization of the chicken NMJ is similar to that in
mammals (left). Electron microscopy
(EM) reveals the absence of postsynaptic folds
(right; n, Nerve terminal;
SC, Schwann cell; m, muscle fiber).
B-D, Teased fiber preparations allow NMJs to be viewed
en face. In the region of high AChR density, the density
of labeling for NaV1 (B) and
-fodrin is low (C), whereas that for utrophin
is high (D). Scale bars: A,
left, 25 µm; A, right, 1 µm;
(in D), B-D, 20 µm.
|
|
A region of high AChR labeling, similar to that at all vertebrate NMJs,
was present at chicken NMJs (Fig. 8B). Within this region, the intensity of NaV1 labeling was
clearly lower than in the surrounding perijunctional region. Thus, as
at both immature and mature mammalian NMJs, NaV1
and AChR appear to occupy complementary domains, regardless of whether
or not folds are present.
The absence of folds at chicken NMJs might reflect molecular mechanisms
for morphogenesis and ion channel localization that differ from those
in mammals. Therefore, we were interested in determining the
distribution of ankyrinG at these chicken NMJs. Unfortunately, none of the available antibodies
recognizes ankyrinG in chickens. As an alternative approach, we
studied whether, as in mammals, the two postsynaptic ion channel
domains are associated with different underlying cytoskeletal proteins.
A clear decrease in the labeling of -fodrin (Fig. 8C), a
form of spectrin to which ankyrinG is likely to bind (Jenkins and
Bennett, 2001 ), was observed in the region of high AChR density.
In contrast, utrophin, a protein closely associated with
the region of high AChR density in mammals (Bewick et al., 1992 ;
Matsumura et al., 1992 ), occupied precisely the same domain as
the AChRs (Fig. 8D). Thus, in these chicken NMJs, in
which there are no folds, both the regions of high
NaV1 and AChR labeling and the
underlying cytoskeletal proteins associated with them are segregated
much as they are in young and adult rats.
 |
Discussion |
We have demonstrated that during the development of rats,
NaV1 channels and AChRs occupy distinct domains
at the NMJ as soon as NaV1 channels can be
detected. Furthermore, in newborn muscles, there is a close
colocalization of NaV1 channels and ankyrinG in
the region of innervation, and both of these proteins are at least
partially excluded from the region of highest AChR density. This
initial segregation of key postsynaptic proteins does not depend on the
folds or the process that generates them, because few folds are present
until P7-P14 in rat muscles. This conclusion is also supported by our
observation that a similar segregation of ion channel domains is
evident at chicken NMJs, which lack folds. The distribution of
syntrophin at developing NMJs differs from that of either
NaV1 channels or ankyrinG. This makes it unlikely that the interaction of NaV1s with syntrophins plays a
leading role in the initial segregation of NaV1
channels from AChRs or in the initiation of NaV1
clustering at the NMJ.
These conclusions are based on the distribution of labeling with
antibodies that gave strong signals at immature NMJs. However, these
antibodies did not distinguish between the known isoforms of these
proteins. Previous studies, using isoform-specific antibodies for
NaV1 and syntrophins, suggest that in newborn
muscles the isoforms characteristic of the adult NMJ
(NaV1.4, 2-syntrophin) are present in very low amounts, if at all (Lupa et al., 1993 ; Kramarcy
and Sealock, 2000 ). Therefore, we believe that the major isoforms of
these proteins that we have detected in newborn muscles are
NaV1.5 and -syntrophin. Alternatively spliced
transcripts encoded by the ANK3 gene, which encodes
ankyrinG, are expressed in rat skeletal muscle (Kordeli et al., 1998 ;
Gagelin et al., 2002 ). However, the isoform of ankyrinG present at the
NMJ is not yet known.
NaV1 and ankyrinG appear at birth in the region of
nerve-muscle contact
Why are NaV1s and ankyrinG initially expressed only in
the region of nerve-muscle contact? One possibility is that the
synthesis of these proteins is localized in this region. We have shown
recently that mRNAs encoding NaV1 are
concentrated at the adult NMJ (Awad et al., 2001 ) and have evidence
that this is also true at NMJs in newborn rats (Awad et al., 1999 ). The
zone of increased levels of NaV1 mRNA at NMJs in
adult muscle fibers is a sphere ~25 µm in diameter (Awad et al.,
2001 ). An mRNA "cloud" of this volume, if contained within a muscle
fiber in a newborn rat with a typical diameter of 10 µm, would have a
longitudinal extent similar to that of the perijunctional region of
NaV1 labeling we have observed (compare Fig.
2I). Thus, it seems possible that the extent of increased NaV1 density is determined by the
distribution of encoding mRNAs, probably itself a result of increased
transcription in the synaptic nuclei. A similar mechanism could account
for the initial distribution of ankyrinG, but the abundance of ankyrinG mRNAs at the NMJ has not been investigated.
For any membrane protein that is preferentially synthesized near the
NMJ, a rate of diffusion in the membrane that is slow relative to its
half-life would result in a locally elevated concentration. If
NaV1 were bound to ankyrinG (see below), the low
diffusion coefficient of this complex would favor an accumulation of
both NaV1 and ankyrinG in the region of the NMJ.
Exclusion of NaV1 and ankyrinG from regions of high
AChR density at birth
A striking feature of our observations is the apparent exclusion
of NaV1 and ankyrinG from the region of high AChR
density at an early stage of NMJ formation. Cross-linking of membrane proteins to the cytoskeleton has been identified as a mechanism for
maintaining the segregation of membrane proteins in polarized neurons
(Winckler et al., 1994 , 1999 ). The concentration of membrane proteins
at the axon initial segment (AIS) linked to specific underlying
cytoskeletal proteins impedes diffusion of proteins through the
membrane and physically restrains those proteins. Thus, the AIS acts as
a boundary between axonal and somatodendritic membrane proteins in rat
hippocampal neurons.
At newborn NMJs the AChRs are already clustered at high density and
linked, via rapsyn, to a complex including utrophin and other
cytoskeletal proteins (for review, see Sanes and Lichtman, 2001 ). This
complex might well form a barrier to the entry of NaV1 and ankyrinG, excluding them from the region
of high AChR density. If so, the sharp boundary between
NaV1 and AChR (Flucher and Daniels, 1989 ) might
be maintained primarily by the integrity of the AChR cluster rather
than by any active clustering of mobile NaV1 molecules.
AnkyrinG may direct NaV1 accumulation in both muscle
and nerve
In myelinated axons, as at the NMJ, NaV1
channels are highly concentrated at sites of action potential
generation: the axon hillock and AIS (Wollner and Catterall,
1986 ; Angelides et al., 1988 ) and the node of Ranvier (Waxman and
Ritchie, 1985 ; Kaplan et al., 1997 ). In both cases, there is
increasing evidence that ankyrinG plays a leading role in a
series of events causing NaV1 accumulation that
may also involve cell adhesion molecules (CAMs; e.g., tenascin,
neurofascin) (Lambert et al., 1997 ) and the spectrin-based membrane
skeleton (Berghs et al., 2000 ).
During postnatal development of the AIS, ankyrinG often appears in
advance of NaV1s (Jenkins and Bennett, 2001 ). In mutant ankyrin-deficient neurons, there is an abnormal distribution of CAMs,
-spectrin, and NaV1s and an inability to generate action potentials (Zhou et al., 1998 ; Jenkins and Bennett, 2001 ). This suggests that an as yet unidentified ankyrinG receptor recruits ankyrinG to the AIS as the first step in NaV1
clustering. AnkyrinG may also initiate NaV1
clustering at the node of Ranvier (Jenkins and Bennett, 2001 ). Evidence
suggests that CAMs recruit NaV1s to developing nodes
(Lambert et al., 1997 ). AnkyrinG can associate with neurofascin and
NrCAM (Davis et al., 1993 ; Zhang et al., 1998 ); this precedes
the appearance of NaV1s (Lambert et al., 1997 ; Rasband et
al., 1999 ).
Our results suggest that ankyrinG also plays an important role in
NaV1 accumulation at the NMJ, but that the
details of the process differ from those in axons. In axons,
localization of ankyrinG precedes that of NaV1,
whereas at the NMJ, ankyrinG and NaV1s are
colocalized as soon as they can be detected. This suggests that
ankyrinG and NaV1 bind directly to each other at
the earliest stage of NaV1 channel clustering.
Biochemical evidence exists for an interaction in vitro
between the N-terminal end of ankyrin and NaV1
(Srinivasan et al., 1992 ; Bouzidi et al., 2002 ). Our studies do not
indicate where and when in the cell such an interaction might first
occur. However, associations between AChRs and rapsyn are thought to
occur even before the insertion of AChRs into the plasma membrane
(Bignami et al., 1998 ); the same might be true for
NaV1 and ankyrinG.
Stabilization of NaV1 clusters at maturing NMJs
We have shown that the well defined clusters of
NaV1 and ankyrinG characteristic of the
mature NMJ first appear when the main phase of postsynaptic fold
formation nears completion (see also Lupa et al., 1993 ). A combination
of localized synthesis and exclusion of NaV1 from
AChR-rich regions could, in principle, account for the high density of
NaV1 in the depths of the folds at mature NMJs.
However, other mechanisms may also be involved. At adult NMJs,
NaV1s are colocalized with both ankyrinG and -spectrin in the depths of the postsynaptic folds (Flucher and Daniels, 1989 ;
Kordeli et al., 1998 ; Wood and Slater, 1998 ). An isoform of
-spectrin that is highly concentrated at adult NMJs does not appear
during development until P7-P14 (Bewick et al., 1996 ). This suggests
that although it has no role in the initiation of NaV1 clustering, it may play a role in
stabilizing ankyrinG- NaV1 interactions
in the folds during NMJ development. IV-spectrin is the isoform of
-spectrin found at the AIS and the nodes of Ranvier (Berghs et al.,
2000 ). The absence of IV-spectrin in neurons leads to a dramatic
reduction in ankyrinG and NaV1 localization at
the AIS (Komada and Soriano, 2002 ). Thus, it appears that interaction with -spectrin(s) plays a role in maintaining
NaV1 clusters in both nerve and muscle. Other
methods, including those with higher spatial resolution than those we
have used, will be required to clarify this issue.
Although syntrophins have been shown to bind directly to muscle
NaV1s (Gee et al., 1998 ; Schultz et al., 1998 ), their role in concentrating NaV1s at the NMJ remains unclear.
Interactions with syntrophin are not required for the association of
NaV1 with the plasma membrane (Adams et al.,
2001 ). Our findings that syntrophin is already concentrated at the NMJ
before birth and does not have the same membrane distribution as
ankyrinG or NaV1 during the first 2 weeks after
birth suggests that syntrophins are unlikely to play a role
in initiating NaV1 accumulation at the NMJ.
However, we cannot exclude the possibility that syntrophins (presumably -syntrophin) (Kramarcy and Sealock, 2000 ) could help to
stabilize ankyrinG-NaV1 interactions at mature NMJs.
In conclusion, our findings indicate that the segregation of
NaV1 from AChRs begins early in NMJ formation,
before the formation of the postsynaptic folds, and involves an
association with ankyrinG and the exclusion of both
NaV1 and ankyrinG from the region of nerve-muscle contact. According to this view, the initial segregation of NaV1 from AChRs results primarily from the
integrity of the AChR cluster rather than from the trapping of mobile
NaV1 molecules.
 |
FOOTNOTES |
Received Sept. 6, 2002; revised Dec. 11, 2002; accepted Dec. 16, 2002.
This work was supported by the Wellcome Trust. We thank Harvey Smith
for writing the image analysis macros.
Correspondence should be addressed to Prof. Clarke R. Slater, School of
Neurology, Neurobiology and Psychiatry, The Medical School, University
of Newcastle upon Tyne, Framlington Place, Newcastle upon Tyne NE2 4HH,
UK. E-mail: c.r.slater{at}ncl.ac.uk.
S. J. Bailey's present address: Department of Biochemistry,
University of Bristol, University Walk, Bristol BS8 1TD, UK.
M. A. Stocksley's present address: Department of Cellular and
Molecular Medicine, Faculty of Medicine, University of Ottawa, 451 Smyth Road, Ottawa, Canada K1H8M5.
 |
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