Abstract
Primary afferent neurotransmission is the fundamental first step in the central processing of sensory stimuli. A major mechanism producing afferent presynaptic inhibition is via a channel-mediated depolarization of their intraspinal terminals which can be recorded extracellularly as a dorsal root potential (DRP). Based on measures of DRP latency it has been inferred that this primary afferent depolarization (PAD) of low-threshold afferents is mediated by minimally trisynaptic pathways with GABAergic interneurons forming last-order axoaxonic synapses onto afferent terminals. We used an in vitro rat spinal cord preparation under conditions that restrict synaptic transmission to test whether more direct low-threshold pathways can produce PAD. Mephenesin or high divalent cation solutions were used to limit oligosynaptic transmission. Recordings of synaptic currents in dorsal horn neurons and population synaptic potentials in ventral roots provided evidence that conventional transmission was chiefly restricted to monosynaptic actions. Under these conditions, DRP amplitude was largely unchanged but with faster time to peak and reduced duration. Similar results were obtained following stimulation of peripheral nerves. Even following near complete block of transmission with high Mg2+/low Ca2+-containing solution, the evoked DRP was reduced but not blocked. In comparison, in nominally Ca2+-free or EGTA-containing solution, the DRP was completely blocked confirming that Ca2+ entry mediated synaptic transmission is required for DRP genesis. Overall these results demonstrate that PAD of low-threshold primary afferents can occur by more direct synaptic mechanisms, including the possibility of direct negative-feedback or nonspiking dendroaxonic pathways.
Introduction
The spinal cord receives a continuous barrage of sensory information that requires central mechanisms to limit and channel their signaling. A principal cellular mechanism for control of primary sensory afferents is via a depolarization of their terminals, termed primary afferent depolarization (PAD) which leads to a reduction in transmitter release. PAD can be measured experimentally following its antidromic electrotonic spread to dorsal roots as a dorsal root potential (DRP).
To date, electrophysiological experiments in the adult cat relying on measures of central latency have suggested that PAD of low-threshold cutaneous and muscle afferents is produced via a minimally trisynaptic pathway involving last order GABAergic inhibitory interneurons (Rudomin and Schmidt, 1999). In contrast, recent anatomical evidence demonstrated that only a single interneuron is interposed in some disynaptic circuits that could produce PAD of lower threshold afferents (Olave et al., 2002; Bannatyne et al., 2009). In addition, nonspiking spinal microcircuits in turtle have been shown to be sufficient to generate afferent-evoked PAD in TTX-insensitive high-threshold afferents, further implicating more direct negative feedback mechanisms controlling afferent activity (Russo et al., 2000).
We designed experiments to provide the first electrophysiological evidence that lower-threshold afferents also evoke PAD by more direct synaptic pathways. We used the isolated hemisected juvenile rat spinal cord maintained in vitro and examined the effects of chemically induced reductions in synaptic transmission on the DRP and on the excitability of spinal neurons. Our rationale was that if synaptic transmission could be limited principally to monosynaptic actions and the earliest DRP component is largely unaffected, then PAD evoked by stimulation of low-threshold afferents can be produced by more direct mechanisms. Indeed, the results presented suggest that more direct mechanisms, not mediated by trisynaptic or polysynaptic pathways, represent the predominant form of primary afferent stimulation-evoked PAD.
Materials and Methods
All procedures were approved by the Emory University Institutional Animal Care and Use Committee. Midsagittally hemisected spinal cords were isolated from Sprague Dawley rats aged from postnatal days 7–14 and were prepared for in vitro experiments as described previously (Shay et al., 2005; Machacek and Hochman, 2006). Recordings were made in oxygenated aCSF containing the following (in mm): NaCl 128; KCl 1.9; d-glucose 10; MgSO4 1.3; CaCl2 2.4; KH2PO4 1.2; and NaHCO3 26.
The general experimental setup is shown in Figure 1. Dorsal lumbar roots (L3, L4 and/or L5) were left intact for stimulation of afferent fibers broadly separated by electrical stimulus intensity with bipolar glass suction electrodes. For some experiments, the tibial and deep peroneal hindlimb peripheral nerves were left intact for stimulation. DRPs were recorded from cut dorsal root filaments or intact via en passant nerve suction. Ventral root potentials (VRPs) and accompanying reflexes were recorded from the ventral motor roots. Unless otherwise stated, recordings were made with differential amplifiers at DC with a gain of 1000 (AM Systems Model 3000) or near DC (high-pass at 0.1 Hz; custom built) with a gain of 10,000. Unless otherwise stated, constant current stimulators delivered single-shock stimuli every 30 s of defined stimulation intensity to the dorsal roots (usually L5) or peripheral nerves. Occasionally, a train of 5 pulses at 20 Hz was delivered 15 s after the single-shock stimulus. All actions are studied from large diameter/fast conducting myelinated low-threshold afferents (cutaneous Aβ and muscle group I and II), typically at constant current stimulation values of 100 μA, 100 μs (Shay et al., 2005) which equated to simulation at ∼10 times the threshold (T) for afferent fiber recruitment. In most experiments, the afferent volley was recorded antidromically distal to the site of stimulation to confirm selective recruitment of low-threshold afferents (Shay et al., 2005) and to monitor volley amplitudes during drug applications to ensure observed actions are independent of changes in afferent fiber recruitment. This is critical in the current work as the solutions used to minimize synaptic transmission presumably do so by raising action potential threshold (Frankenhaeuser and Meves, 1958; Ono et al., 1979). A suprathreshold stimulation intensity of 100 μA, 100 μs prevented such actions on afferent fiber recruitment. Whenever tested, the afferent volley and central actions were completely eliminated at low TTX dose (100–200 nm) supporting an absence of contribution from high-threshold afferents (Fig. 1B).
To minimize di- and trisynaptic transmission, mephenesin (Sigma) at 1 mm or a high divalent cation aCSF containing 8 mm Mg2+/4 mm Ca2+ was used (Jahr and Yoshioka, 1986). To greatly diminish synaptic transmission a 6.5 mm Mg2+/0.85 mm Ca2+ aCSF solution (Vyklický et al., 1976) or 100–500 μm EGTA were used. Bicuculline (10–20 μm), picrotoxin (25 μm) and gabazine (5 μm) (Sigma) were used to block transmission through GABAA-like receptors. In all cases, control DRP responses were recorded for 1 h, and the effects of drugs or solute exchange were recorded for a minimum of 30 min before washout and return to control aCSF.
Whole-cell patch-clamp recordings.
Whole-cell patch-clamp recordings were made as detailed previously (Machacek and Hochman, 2006) to record evoked postsynaptic events after stimulation of attached roots. Patch electrodes contained (in mm); 140 K-gluconate, 11 EGTA, 10 HEPES, 1 CaCl2, and 35 KOH or 120 CsF, 10 EGTA, 10 HEPES, 10 CsCl2, 35 CsOH, and 5 QX314 (to block spiking) at pH 7.3. Electrode resistances ranged from 2 to 6 MΩ. Recordings were obtained in conjunction with an Axopatch 1D amplifier filtered at 2 kHz (Molecular Devices). Synaptic events were recorded at the same membrane potential before, during, and after drug application. Recordings targeted the deep dorsal horn, the predominant termination site of low-threshold primary afferents(Willis and Coggeshall, 1991) and approximate location of putative interneurons interposed in PAD pathways (Jankowska et al., 1981). Primary afferent stimulation-evoked EPSCs were selected for and confirmed by the persistence of monosynaptic inward currents when the holding potential was raised to −40 mV. Monosynaptic currents were confirmed by latency to onset and onset consistency during 1 Hz stimulation (Bardoni et al., 2004). Only neurons with clear monosynaptic EPSCs were included in the analysis.
Data analysis.
Data were acquired and analyzed on a personal computer using either pClamp software (version 10.0; Molecular Devices) or files were imported into MATLAB for analysis with a custom program. The last 5 sweeps of each recording were averaged 30 min after drug application or washout. Each sweep was 30 s in duration with a single stimulus pulse delivered at sweep onset. The resulting traces were then used to determine peak amplitudes, time to peak, duration, and area of DRPs and EPSCs. Values are reported as mean ± SE. Student's t test was used to determine statistical significance. Unless otherwise stated, p < 0.05 was considered as significant.
Results
PAD requires synaptic transmission, TTX-sensitive afferents, and is blocked by GABAA receptor antagonists
At the stimulus intensity chosen we first demonstrated that the PAD measured with DRP recordings is generated by low-threshold afferents. Low-threshold afferent-evoked DRPs are sensitive to GABAA receptor antagonists, as shown previously (Rudomin and Schmidt, 1999). Here, we demonstrate that the DRP is abolished by the GABAA receptor antagonists bicuculline (n = 13/13), picrotoxin (n = 2/2), and gabazine (n = 2/2; Fig. 1B–D). To further confirm that we are looking at a low-threshold afferent fiber population, we applied low-dose TTX (100–200 nm) on several occasions and always blocked the DRP and afferent volley (n = 8/8) (Fig. 1B).
A, Experimental setup (see Materials and Methods for details). B–D, Stimulation is via the L5 dorsal root at 100 μA, 100 μs. Bi, A single stimulus produces a DRP that is almost entirely blocked by bicuculline. The remaining potential is TTX-sensitive. Bii, Low-threshold activation is confirmed by measuring the afferent volley produced by this stimulation and its TTX sensitivity. C, Picrotoxin completely blocks DRP after synaptic isolation with mephenesin. D, Similarly, gabazine blocks the DRP after preincubation in mephenesin. E, The DRP requires chemical synaptic transmission. Evoked responses are shown before and after bath exchange to a nominally 0 Ca2+-containing saline. Identical results were seen in another animal after application of the Ca2+ chelator EGTA (100 μm). Left column is a single shock and right column is five pulses at 20 Hz. Traces were low-pass filtered at 300 Hz.
While it is assumed that PAD is mediated by chemical synaptic transmission, this has not been tested in the mammal and may not apply to all afferent-evoked responses (Vyklický et al., 1976). To demonstrate that chemical synaptic transmission is essential to the DRP generated following stimulation of low-threshold afferents we perfused the cord in a nominally Ca2+-free aCSF (n = 4/4) (Fig. 1E) or by applying the Ca2+ chelator EGTA (n = 2/2). In both the heteronymous L4 dorsal root and the L5 ventral root the depolarizing potentials were completely abolished.
Mephenesin or high divalent cation solution largely restricts transmission to monosynaptic actions
We explored whether PAD can be generated via more direct synaptic actions previously estimated to be minimally trisynaptic. To achieve this, we minimized synaptic transmission with bath applied mephenesin or exchanged the bath to a high divalent cation aCSF. At 10T or 100 μA, 100 μs, neither mephenesin nor high divalent cation solution had a significant depressant effect on the peak amplitude of the DRP produced by fast conducting afferent fibers (95 ± 12% n = 14 and 74.0 ± 14% n = 11, respectively). After restriction of synaptic actions by mephenesin or high divalent cation solution, the remaining DRP was still completely blocked by all GABAA receptor antagonists tested (n = 12) with examples for picrotoxin and gabazine illustrated in Figure 1, C and D.
Extracellular field potentials (EFPs) evoked by afferent nerve stimulation predominantly reflect the population monosynaptic EPSPs of nearby neurons (Baldissera et al., 1981). EFPs were recorded in the deep dorsal horn. As shown in Figure 2, Ai and Aii, stimuli delivered at 10T produced two field potentials corresponding to the two fast conducting low-threshold afferent volleys activated at this stimulation intensity. The afferent volleys and evoked monosynaptic field potentials were unaltered by mephenesin (Fig. 2Ai) and slightly altered by the high divalent cation solution (Fig. 2Aii).
A, Relation between afferent volleys and evoked field potentials. Stimuli were delivered at 10T to the L5 dorsal root. Afferent volleys were recorded from the same dorsal root. Extracellular field potentials (EFPs) were recorded in the L5 deep dorsal horn. Ai, Stimulation recruits 2 separable afferent volleys, each leading to a monosynaptic field potential. These responses are unaffected by the presence of mephenesin. Aii, In the presence of a high divalent cation solution, the low-threshold afferent volley waveforms and corresponding evoked field potentials are slowed. Aiii, Relation of monosynaptic EFPs to the evoked DRP and VRPs. The evoked DRP waveform shape is largely unchanged in the presence of the high divalent cation solution whereas VRP duration is greatly shortened. Bi, Bii, EPSCs in 2 neurons measured at a holding potential of −80 mV. Identity of synaptic current was verified as excitatory at a holding potential of −40 mV. Under both conditions (high Mg2+/high Ca2+ and mephenesin) the longer-latency synaptic response (at arrow) is blocked while the monosynaptic component is not significantly affected. Ci, Cii, High divalent cation solution and mephenesin both block longer latency DRPs in the same animal (arrows on difference trace identifying inflection of longer-latency component). D, Similarly, most of the DRP remains after treatment with mephenesin following stimulation of the tibial or deep peroneal nerve at 4T (Di) or 10T (Dii). Traces were low-pass filtered at 3 kHz and at 300 Hz in C.
We next examined the effects of mephenesin and high divalent cation solution on longer latency synaptic actions. Concomitant recordings of ventral root reflexes including DC-coupled VRPs were used to monitor population synaptic actions in motoneurons (Rudomin et al., 1987). Both mephenesin and the high divalent cation solutions isolated monosynaptic reflexes (n = 5/5 and 3/3, respectively) and shorter latency, presumably monosynaptic subthreshold population VRPs (n = 10/10 and 6/6, respectively; Fig. 2Aiii). Combined the DC-coupled VRP duration was reduced to 66 ± 11% of control values (n = 9; p < 0.05) due to a significantly reduced rise area (59 ± 7% of control value; p < 0.01) and decay area (60 ± 11% of control; p < 0.01), while the monosynaptic reflex amplitude was not significantly reduced (79.8 ± 11.4% of control).
Voltage-clamp recordings from spinal neurons of afferent-evoked postsynaptic currents were used to provide further evidence of pharmacological block of polysynaptic actions. The deep dorsal horn was targeted as this is the site where PAD interneurons have been identified (Jankowska et al., 1981) and where a large fraction of low-threshold primary afferents terminate (Willis and Coggeshall, 1991). Intracellular recordings demonstrated a near-complete block of longer latency synaptic currents in the presence of mephenesin (n = 5/5) and a high divalent cation solution (n = 7/7; Fig. 2B). Monosynaptic actions remained and, where measurable, remained unchanged in peak amplitude. Note that the blocked longer-latency synaptic currents may appear to have latencies too long to be generated disynaptically. However, this is hard to ascertain since synaptic current onset cannot be measured due to the presence of an overlapping monosynaptic effect and conduction times of low-threshold afferents at this age may lead to large latency delays (Shay et al., 2005). Table 1, EPSCs, shows that for both mephenesin and high divalent cation-containing solution, the overall area of decay was significantly reduced. In addition EPSC duration was significantly reduced overall to 48 ± 15% for mephenesin and to 74 ± 27% for a high divalent cation solution.
Effects of 1 mm mephenesin- and high divalent cation-containing solutions on dorsal root potential and EPSCs
Bicuculline-sensitive DRPs remain after restricting synaptic transmission
Overall, the above results support the use of mephenesin and high divalent cation solution to largely restrict transmission to monosynaptic actions. Critically, under these conditions, low-threshold DRPs remained with 1 mm mephenesin (n = 14/14; Figs. 1C,D, 2Bii,Cii,D) or after replacement with a high divalent cation solution (8 mm Mg2+/4 mm Ca2+; n = 11/11; Fig. 2Aiii,Bi,Ci). DRP peak amplitude was not statistically different after application of these agents whereas average DRP duration was significantly reduced (from 471 ± 34 ms to 312 ± 71 ms; see also Table 1, Dorsal root potentials). In addition, time to DRP peak was significantly reduced by mephenesin and the areas of DRP rise and decay were reduced for both agents (Table 1, Dorsal root potentials).
Further comparison of mephenesin to the high divalent cation solution shows that both block later components of the DRP (Fig. 2C). In this example the high divalent cation solution also reduces the early component of the DRP.
In some experiments, peripheral nerves were left in continuity. The tibial and deep peroneal nerve were stimulated at 4T and 10T and at both stimulation intensities, mephenesin at 1 mm blocked only a small portion of the DRP (Fig. 2Di,Dii). For tibial, DRP amplitude was reduced to 81% at 4T (n = 4) and 69% of the original values at 10T (n = 3). For deep peroneal these values are 76 and 81%, respectively (n = 3). In all instances short-latency EFP amplitudes were unchanged (data not shown).
Further evidence of minimal synaptic transmission requirements in afferent-evoked PAD
We used a 6.5 mm Mg2+/0.85 mm Ca2+ solution to severely minimize synaptic transmission (Vyklický et al., 1976). Under these conditions the DRP is either almost completely blocked (heteronymous root; data not shown) or a small component remains (homonymous root) (n = 4/4; 10 ± 4% of control; Fig. 3Ai). However, following repetitive stimulation with 5 pulses at 20 Hz, the heteronymous DRP reemerges (data not shown) and the homonymous DRP facilitates. This demonstrates that even with only minimal chemical synaptic transmission, a low-threshold DRP is evoked via more direct actions of afferents on their terminals. Recordings from monosynaptically connected interneurons show a nearly identical phenomenon where repetitive stimulation is required to observe postsynaptic currents in these interneurons (n = 4/4; Fig. 3Aii).
A, Greatly reducing synaptic transmission does not completely block the DRP. Evoked responses are shown before and after bath exchange to a high Mg2+/low Ca2+ saline (6.5 mm Mg2+/0.85 mm Ca2+). Stimulation is via the L5 dorsal root at 100 μA, 100 μs. Ai, Left, Single shock; right, five pulses at 20 Hz. In high Mg2+/low Ca2+ saline, the DRP is facilitated following repetitive stimulation. Aii, Under the same conditions in another animal, the high Mg2+/low Ca2+ saline virtually abolished monosynaptic EPSCs, but transmission is increased by repetitive stimulation (upper row). Traces were low-pass filtered at 300 Hz. B, Putative circuits for low-threshold afferent-evoked PAD not requiring trisynaptic pathways. As mephenesin and high divalent cation solutions block part of the DRP, a conventional disynaptic pathway may serve PAD of some primary afferents. The remaining DRP may arise from direct monosynaptic actions of transmitter onto afferent terminals or via a disynaptic nonspiking dendroaxonic microcircuit. For details see Discussion.
Discussion
The present study challenged the assumption based exclusively on latency measures that PAD predominantly involves a minimally trisynaptic pathway involving excitatory and GABAergic interneurons (Eccles et al., 1962; Jankowska et al., 1981; Rudomin and Schmidt, 1999). After applying solutions thought to block all but monosynaptic transmission, the evoked DRP was not significantly diminished in amplitude (Table 1, Dorsal root potentials). This is consistent with an earlier in vivo report on the actions of mephenesin (Farkas et al., 1989). Evidence of synaptic isolation was corroborated with intracellular recordings in dorsal horn neurons showing block of longer latency excitatory currents and reduced duration of population synaptic actions in motoneurons by recording their electrotonic spread as a VRP. VRPs and EFPs monitor population responses confirming a decrease in polysynaptic actions after application of mephenesin or a high divalent cation solution. We verified that the afferent fiber population recruited was the fastest conducting TTX-sensitive fibers. The evoked DRP was blocked using GABAA receptor antagonists, demonstrating that the DRP involves activation of GABAA or GABAA-like receptors. Even stronger evidence for PAD being produced by more direct mechanisms was demonstrated by its expression even under conditions of near-complete block of synaptic transmission with a high Mg2+/low Ca2+ aCSF.
The most conservative interpretation of our findings is that PAD of many low-threshold afferents does not require trisynaptic pathways but does use disynaptic axoaxonic pathways. Under such conditions PAD-producing interneurons are still recruited during mephenesin or high-divalent cation solution-induced reductions in transmission. While probably a component, di- and polysynaptic pathways are unlikely the dominant mechanism for the early DRP as its amplitude was only slightly depressed when longer latency synaptic actions (EPSCs and VRPs) were largely abolished.
The identity of the low-threshold afferents by which more direct pathways produce PAD requires future investigation. For example, PAD generated by some afferents may require minimally trisynaptic pathways on some afferents but may generate more direct negative feedback onto homonymous terminals (Wall, 1958; Olave et al., 2002; Bannatyne et al., 2009). Regardless, given that most of the DRP remains after synaptic transmission reduction, it seems likely that many low-threshold afferents produce PAD by more direct circuits.
Is PAD generated monosynaptically or via unconventional nonspiking microcircuits?
The most straightforward interpretation of the data is that a major component of the DRP is generated by direct monosynaptic or extrasynaptic negative feedback mechanisms. Direct feedback would require that primary afferents release transmitter(s) acting on GABAA or GABAA-like receptors, but numerous labeling studies have failed to support GABA as a transmitter localized in primary afferents (Todd, 1996). Alternate candidate amino acids are taurine and β-alanine, as both activate GABAA receptors to produce PAD (Nicoll and Alger, 1979). Microdialysis experiments demonstrate taurine and β-alanine release following activation of primary afferents by as much as glutamate (Paleckova et al., 1992). There is also evidence of taurine-immunoreactive primary afferents (Lee et al., 1992).
Another possibility is that acetylcholine (ACh) is coreleased from primary afferents to act on bicuculline-sensitive nicotinic receptors. Peripheral choline acetyltransferase (pChAT) is found in both small and large diameter primary afferents (Bellier and Kimura, 2007) and immunolabeling studies identify pChAT in myelinated dorsal column primary afferents (Yasuhara et al., 2008). Large-diameter afferents preferentially express the vesicular ACh transporter as well as acetylcholinesterase (Willis and Coggeshall, 1991; Tata et al., 2004; Bellier and Kimura, 2007). Primary afferents also contain bicuculline-sensitive α9 and α10 nicotinic ACh receptor subunits (Rothlin et al., 1999; Lips et al., 2002; Alexander et al., 2007) and preliminary results demonstrate reduction in DRP amplitude by nicotinic receptor antagonists with reported actions on α9 receptors (Hochman et al., 2010).
It is also possible that PAD is produced by disynaptic dendroaxonic pathways. In turtle, a nonspiking microcircuit generates a DRP evoked following stimulation of high-threshold TTX-insensitive fibers (Russo et al., 2000). Primary afferents contain numerous dendroaxonic synapses (Alvarez, 1998) so it is conceivable that microcircuits based on these synapses produce PAD at various low-threshold afferents and these actions would be resistant to mephenesin and high divalent cation solutions. This would also be consistent with DRPs seen under conditions of minimal transmission where postsynaptic spiking would not be required.
Figure 3B summarizes these possibilities.
Footnotes
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S.H. was supported by the Christopher and Dana Reeve Foundation and the Craig Neilsen Foundation. J.Q. was supported by Consejo Nacional de Ciencia y Tecnología 59873, Mexico.
- Correspondence should be addressed to either of the following: Dr. Shawn Hochman, Whitehead Biomedical Research Building, Room 644, Emory University School of Medicine, 615 Michael St., Atlanta GA 30322, shawn.hochman{at}emory.edu; or Jorge Quevedo, Departamento de Fisiología, Biofísica y Neurociencias, CINVESTAV del IPN, Av. IPN, 2508, Col. San Pedro Zacatenco, C.P. 07300, México City, México, E-mail: jquevedo{at}fisio.cinvestav.mx