Abstract
Stimulation of vestibular efferent neurons excites calyx and dimorphic (CD) afferents. This excitation consists of fast and slow components that differ >100-fold in activation kinetics and response duration. In the turtle, efferent-mediated fast excitation arises in CD afferents when the predominant efferent neurotransmitter acetylcholine (ACh) activates calyceal nicotinic ACh receptors (nAChRs); however, it is unclear whether the accompanying efferent-mediated slow excitation is also attributed to cholinergic mechanisms. To identify synaptic processes underlying efferent-mediated slow excitation, we recorded from CD afferents innervating the turtle posterior crista during electrical stimulation of efferent neurons, in combination with pharmacological probes and mechanical stimulation. Efferent-mediated slow excitation was unaffected by nAChR compounds that block efferent-mediated fast excitation, but were mimicked by muscarine and antagonized by atropine, indicating that it requires ACh and muscarinic ACh receptor (mAChR) activation. Efferent-mediated slow excitation or muscarine application enhanced the sensitivity of CD afferents to mechanical stimulation, suggesting that mAChR activation increases afferent input impedance by closing calyceal potassium channels. These observations were consistent with suppression of a muscarinic-sensitive K+-current, or M-current. Immunohistochemistry for putative M-current candidates suggested that turtle CD afferents express KCNQ3, KCNQ4, and ERG1–3 potassium channel subunits. KCNQ channels were favored as application of the selective antagonist XE991 mimicked and occluded efferent-mediated slow excitation in CD afferents. These data highlight an efferent-mediated mechanism for enhancing afferent sensitivity. They further suggest that the clinical effectiveness of mAChR antagonists in treating balance disorders may also target synaptic mechanisms in the vestibular periphery, and that KCNQ channel modulators might offer similar therapeutic value.
SIGNIFICANCE STATEMENT Targeting the efferent vestibular system (EVS) pharmacologically might prove useful in ameliorating some forms of vestibular dysfunction by modifying ongoing primary vestibular input. EVS activation engages several kinetically distinct synaptic processes that profoundly alter the discharge rate and sensitivity of first-order vestibular neurons. Efferent-mediated slow excitation of vestibular afferents is of considerable interest given its ability to elevate afferent activity over an extended time course. We demonstrate for the first time that efferent-mediated slow excitation of vestibular afferents is mediated by muscarinic acetylcholine receptor (mAChR) activation and the subsequent closure of KCNQ potassium channels. The clinical effectiveness of some anti-mAChR drugs in treating motion sickness suggest that we may, in fact, already be targeting the peripheral EVS.
Introduction
The efferent vestibular system (EVS) originates as a small neuronal cluster within the dorsal brainstem, located bilaterally in close proximity to the abducens nucleus and genu of the facial nerve. EVS neurons project to the ipsilateral and/or contralateral ear via cranial nerve VIII to provide a dense centrifugal innervation to every vestibular end organ (Meredith, 1988; Lysakowski and Goldberg, 2004). Within neuroepithelia, EVS neurons undergo extensive branching to produce numerous presynaptic varicosities on hair cells and afferent processes (Smith and Rasmussen, 1968; Sans and Highstein, 1984; Lysakowski and Goldberg, 1997; Purcell and Perachio, 1997; Jordan et al., 2015). Using these synaptic connections, EVS activation profoundly modulates the firing rates and sensitivity of primary vestibular afferents (Goldberg and Fernández, 1980; Rossi et al., 1980; Boyle and Highstein, 1990).
Vestibular afferent responses to EVS stimulation are diverse and are routinely classified according to the rate and direction of changes in the afferent's resting discharge (Goldberg and Fernández, 1980; Rossi et al., 1980; Highstein and Baker, 1985; Brichta and Goldberg, 2000b; Chagnaud et al., 2015). Efferent-mediated changes in afferent activity include fast inhibition, fast excitation, and slow excitation. Efferent-mediated fast inhibition and excitation have latencies of several milliseconds and typically peak and decay within 100–300 ms of stimulus presentation (Goldberg and Fernández, 1980; Highstein and Baker, 1985; Holt et al., 2006a; Boyle et al., 2009). Efferent-mediated slow excitation, however, exhibits longer latencies, requires tens of seconds to peak, and can persist for minutes after stimulus termination. That each component can be differentially activated or appear in combination, under varying efferent stimuli and/or in different afferent classes, suggests that they may use different EVS synaptic processes (Goldberg and Fernández, 1980; Boyle and Highstein, 1990; Brichta and Goldberg, 2000b; Marlinski et al., 2004; Holt et al., 2015a,b).
EVS neurons are predominantly cholinergic (Kong et al., 1994; Bridgeman et al., 1996; Popper et al., 2002; Pujol et al., 2014; Jordan et al., 2015), but they also express calcitonin gene-related peptide (CGRP), ATP, and opioid peptides (Perachio and Kevetter, 1989; Ryan et al., 1991; Aubert et al., 1994; Marco et al., 1996; Popper et al., 2004; Luebke et al., 2014). Timing differences among fast and slow excitation suggest differential recruitment of ionotropic and metabotropic neurotransmitter receptors, respectively. This suggestion has held true for efferent-mediated fast inhibition and excitation. Efferent-mediated afferent inhibition is attributed to sequential activation of calcium-permeable, α9-containing nicotinic acetylcholine (ACh) receptors (α9*nAChRs) and small-conductance, calcium-dependent potassium channels (SK) on type II hair cells. SK activation hyperpolarizes hair cells to reduce transmitter release and disfacilitate afferent firing (Holt et al., 2001, 2006a, 2015b). In contrast, efferent-mediated fast excitation of vestibular afferents is attributed to nAChRs whose activation enhances transmitter release from type II hair cells and/or directly depolarizes the afferent (Rossi et al., 1980; Bernard et al., 1985; Highstein and Baker, 1985; Sugai et al., 1991; Holt et al., 2006a, 2015b). Extensive pharmacological and molecular biological data indicate that these excitatory nAChRs contain α4, α6, and β2 nAChR subunits (Guth et al., 2002; Holt et al., 2003, 2006a, 2015b).
Unlike efferent-mediated fast inhibition and excitation, the EVS neurotransmitter and receptor mechanisms driving efferent-mediated slow excitation remain unidentified. Cholinergic or opioid agonists, CGRP, or ATP can generate slow afferent excitation in hair cell preparations (Sewell and Starr, 1991; Aubert et al., 1994; Bailey and Sewell, 2000; Vega and Soto, 2003; Pérez et al., 2009). Activation of α9*nAChRs also generates slow responses in the cochlea (Sridhar et al., 1997). However, efferent-mediated slow excitation has not been directly challenged pharmacologically to identify whether ACh or some other EVS neurotransmitter is responsible.
In this article, a combination of electrophysiological, selective pharmacological, and immunohistochemical (IHC) approaches was used to further characterize efferent-mediated responses of calyx and dimorphic (CD) afferents innervating the turtle posterior crista. The goals were as follows: (1) to resolve whether the release of ACh is involved in efferent-mediated slow excitation of CD afferents; (2) to identify what receptor mechanisms are used; and (3) to specify what downstream signaling components are required.
Materials and Methods
Tissue preparation.
A total of 47 red-eared slider turtles (Trachemys scripta elegans, 100–600 g, ∼7–20 cm carapace length) of either sex (25 males, 22 females) were deeply anesthetized with sodium pentobarbital. Upon loss of reflexes, turtles were decapitated and the head was split along the sagittal plane. The two halves were immediately placed in an oxygenated control solution as follows (in mm): 105 NaCl, 4 KCl, 0.8 MgCl2, 2 CaCl2, 25 NaHCO3, 2 Na-pyruvate, 0.5 glutamine, and 10 glucose, pH 7.2–7.3 during continuous bubbling with 95% O2/5% CO2. Typically, the left half was used for nerve recordings (Holt et al., 2006a,b), while the right side was used for IHC procedures. In some instances, both halves were used for IHC procedures. For IHC, vestibular tissue was prepared by either extracting whole labyrinths from the inner ear and drop fixing in 4% paraformaldehyde (PFA), or perfusing the labyrinth with 4% PFA, 1% acrolein, 1% picric acid, and 5% sucrose in control solution before extraction. All procedures involving animals were performed in accordance with recommendations made by the National Institutes of Health (NIH) Guide for the Care and Use of Laboratory Animals and were approved by the University Committee for Animal Resources at the University of Rochester, and the Institutional Animal Care and Use Committee at the University of Illinois at Chicago (UIC).
Nerve recording setup.
All neurophysiological procedures were conducted at room temperature (i.e., 21–23°C). The methods used here are similar to previous descriptions (Holt et al., 2006a,b, 2007, 2015b). Remaining brain in the left half-head was blocked transversely between the levels of the trigeminal and glossopharyngeal nerves. These nerves as well as the vagus were extracted, and the surrounding bone was then removed to provide direct access to the bony plate encapsulating the posterior ampulla. Here, a metal pick was used to create a small fenestra to expose the posterior ampullary nerve and its branches to each of the two ends of the crista epithelium (i.e., to each hemicrista). Connective tissues covering the nerve were subsequently removed with a fine tungsten hook. The half-head preparation was immobilized in a recording chamber using cyanoacrylate, and the exposed posterior ampullary nerve was continuously superfused with oxygenated control solution from a gravity-fed pipette capable of delivering solutions at 3–4 μl/s from any one of six 10 ml reservoirs.
Borosilicate sharp microelectrodes (Sutter Instruments), 40–120 MΩ, containing 3 m KCl, were connected to the headstage of a preamplifier (Biomedical Engineering), and microelectrode capacitance was neutralized by driving the shield of the input cable. These electrodes have been successfully used to acquire extracellular and/or intracellular recordings from turtle vestibular afferents (Brichta and Goldberg, 2000a,b; Holt et al., 2006a,b, 2015b). Microelectrodes were advanced in 5 μm steps with an Inchworm drive mounted on a three-axis micromanipulator (EXFO Burleigh Products Group). Recordings were made from the posterior ampullary nerve just as it bifurcates to innervate the two hemicristae (Holt et al., 2006a,b).
Efferent stimulation.
Electrical stimulation of efferent fibers was used to classify afferents (Brichta and Goldberg, 2000b; Holt et al., 2006a, 2015b). Efferent fibers innervating the posterior crista travel in a small nerve bundle called the cross-bridge that extends from the anterior to the posterior divisions of the eighth nerve. During the dissection process, bundle access was facilitated by removing an adjacent bony ridge just rostral to the lagena. The potential for muscle contractions during stimulation was avoided by removing jaw muscles and severing the facial nerve at its entrance into the facial canal (Terry, 1920). Electrodes used for efferent stimulation were constructed from Teflon-coated silver wires (AG10T, MedWire), whose tips were stripped of insulation and chlorided. The cathode was positioned on the cross-bridge, and the reference electrode was placed on adjacent bone. Electrical stimuli consisted of trains of 100 μs constant-current shocks delivered from a stimulus isolator (model A360. World Precision Instruments) to the two electrodes. Efferent shock artifacts in raw records were canceled off-line by subtracting a computed artifact average waveform at known shock times.
Indentation of the posterior canal.
We used an indenter to deliver mechanical stimuli to the posterior canal. The indenter was constructed from tapered borosilicate glass tubing where one end was fire polished and flattened to create a contact area of 0.1–0.2 mm2. This glass tube was attached to a closed-loop, preloaded piezo actuator (P-841.60, Physik Instrumente), whose movements were directed and monitored using a piezo servo-controller (E625.SR, Physik Instrumente). The piezo actuator is equipped with an inline position sensor whose output was used to track the displacement of the indenter. Maximum displacement was ±45 μm. During the initial dissection, an aperture was made in the temporal bone to expose a segment of the membranous posterior canal duct near the common crus. The indenter assembly was positioned using a three-axis micromanipulator until the flattened glass tip made direct contact with the exposed posterior canal duct. The indenter tip was then slowly advanced 50–100 μm to ensure continuous mechanical coupling with the duct during stimulation.
Physiological testing and afferent response analysis.
In this study, extracellular spike activity was obtained exclusively from posterior canal afferents under various experimental and pharmacological treatments (see Pharmacological solutions). The resulting records were high-pass digitally filtered (159 Hz corner frequency), after which an appropriate spike detection threshold was set to specify corresponding spike times. Spike times were then binned and averaged to construct afferent response histograms during efferent stimulation, indentation, or both. Bin sizes for each condition are provided in subsequent paragraphs.
In all afferent recordings, ≥3 s of background activity were recorded before one of two different stimulus protocols was delivered to efferent nerve fibers in the cross-bridge. The efferent stimulus either involved the administration of repeated, short shock trains (i.e., 100 ms) consisting of 20 shocks at 200 Hz, or a longer 10 s shock train consisting of 1000 shocks at 100 Hz. For each new afferent recording, the short shock train protocol was always used first. Here, several trains were presented and shock amplitude was adjusted to determine the threshold as well as the maximal stimulus amplitude that avoided antidromic activation of afferents. Because of the relative proximity of the cross-bridge to the posterior branch of the eighth cranial nerve, antidromic activation of posterior crista afferents was occasionally observed during larger-amplitude efferent stimuli and/or pooling of control solution around the cross-bridge. In these few experiments, current spread from the efferent electrode was minimized by reducing stimulus amplitudes and/or wicking/redirecting the excess fluid. For short shock trains, intertrial intervals were set at 3–5 s to allow fast efferent-mediated changes in afferent discharge to return to prestimulus values before delivery of the next efferent shock train. Stimulus thresholds ranged from 15 to 100 μA, and maximal current amplitudes ranged from 50 to 400 μA (i.e., three to four times threshold).
Afferent responses to short efferent shock trains were calculated by specifying spike times from 500 ms before each train to a minimum of 2.5 s after each train. We applied this calculation to all stimulation trials (n = 10–25) within a single run under each condition (e.g., control vs drug) and generated a mean perstimulus response plotted as an average response histogram segmented into 50 ms bins. Spike times for afferent responses to long efferent shock trains were displayed as continuous rate histograms segmented into 200 ms bins. In all histograms, the total number of spikes for each bin was converted to the discharge rate after dividing by the corresponding bin width. The mean amplitude of efferent-mediated fast excitation was calculated from the first 100 ms segment of the average response histogram immediately following short efferent shock trains (Brichta and Goldberg, 2000b; Holt et al., 2015b) and/or the entire 10 s stimulation period in continuous rate histograms.
The mean peak amplitude of efferent-mediated slow excitation was calculated from continuous rate histograms generated with either short or long efferent shock trains. Average discharge rates were taken from a 5–10 s continuous window centered on the peak of the slow component that was located at a minimum of 2 s beyond the preceding efferent stimulus to avoid contamination from efferent-mediated fast excitation. During short efferent shock trains, in instances where the peak of efferent-mediated slow excitation overlapped with trials of efferent-mediated fast excitation, the window of peak slow excitation was stitched from 5 to 10, 1-s prestimulus segments, again to avoid contamination from fast excitatory transients. In a few examples during indentation, the peak window was calculated after subtracting sinusoidal transients. Start and stop times were determined by identifying the intersection of mean prestimulus discharge rates with linear fits to the buildup or decay of efferent-mediated slow excitation. Measurements of time-to-peak and duration were derived from the peak minus the start time and the stop time minus the start time, respectively. All reported values of peak efferent-mediated fast and slow excitation reflect a subtraction of mean background discharge rates taken from the prestimulus interval of average response histograms or the first 5 s segment (i.e., α period) of each trial preceding the initial onset of efferent stimulation.
We also investigated the effects of efferent stimulation or pharmacological agents on afferent responses to indentation. Previous studies (Dickman and Correia, 1989; Rabbitt et al., 1995; Holt et al., 2006b) have demonstrated that the dynamics of afferent discharge during indenter displacement correspond to those resulting from angular head velocity. We first collected a 5 s sample of afferent background activity followed by the response to 12–18 cycles of a 0.3 Hz sinusoidal indentation of the canal duct under control conditions. This control response was then compared with the subsequent response of the afferent to a segment of 12–18 cycles of the same indentation stimulus taken during peak efferent-mediated responses and return to prestimulus values or peak pharmacological effects and washout. The amplitude and phase of the sinusoidal indentation were acquired by fitting a sine wave to the indenter displacement signal. Spike times for the second and subsequent sine-wave cycles were identified and displayed as individual phase histograms (40 bins, each 83.3 ms wide) in sync with the calculated phase of indenter displacement. The total number of spikes for each bin was converted to the discharge rate after dividing by bin width. These individual phase histograms were each fitted with a single-cycle sine wave. Gains for each wave were tabulated as the ratio of the fitted amplitudes of the afferent response (in spikes per second) and associated indenter displacement (in micrometers). Phases were presented as the difference (in degrees) between each wave response and indenter phase where positive phases reflect response phase leads. The mean gain and phase were calculated by averaging individual gains and phases from each unit under each condition. To ensure that the response of each afferent remained linear during indentation, we identified the appropriate indentation amplitude that minimized inhibitory cutoff and/or excitatory skew. In a few examples where there were missing bins during the inhibitory segments, gains and phases were based on fitting sine waves to the excitatory half-cycle only.
Data acquisition and computer processing.
Data acquisition, efferent stimuli, and indenter displacement were controlled using a PC with custom-made Spike2 scripts and a micro1401 interface (version 6, Cambridge Electronic Design). Microelectrode signals were low-pass filtered at 1 kHz (four-pole Bessel; model 432, Wavetek) and sampled at 10 kHz by a 12 bit analog-to-digital converter. Delivery of efferent shock trains was controlled from a digital output port. Spike2 data files were first exported as general text files and then processed using custom macros written in IgorPro 6.37 (WaveMetrics).
Pharmacological solutions.
The nAChR ligands, cytisine (CYT), 1,1-dimethyl-4-piperazinium (DMPP), epibatidine, and 2,2,6,6-tetramethylpiperdin-4-yl heptanoate (TMPH), and the KCNQ antagonist 10,10-bis(4-pyridinylmethyl)-9(10H)-anthracenone dihydrochloride (XE991) were obtained from Tocris Bioscience. The muscarinic ACh receptor (mAChR) ligands atropine and muscarine were obtained from Sigma-Aldrich. All drugs were prepared as concentrated stock solutions in ultrafiltered water and frozen. Before each experiment, aliquots were thawed and the appropriate volume was added to the control solution to achieve the desired working concentration. Most pharmacological agents usually took 30 s to 2 min to begin acting and another 2–5 min to reach maximal effect. Washout times were variable and could be longer than 10 min. Reversibility for most compounds was demonstrated within a single afferent recording session or from subsequent recordings in a single preparation.
Statistical procedures.
All statistical analyses were performed in GraphPad Prism (version 6.0 h; GraphPad Software). Unless otherwise stated, values are expressed as the mean ± SEM. One-sample t tests were used to evaluate whether means differed from zero. Differences in afferent response properties (e.g., amplitude, time-to-peak, excitatory slopes, and duration) to stimulation protocols or drug effects were evaluated with paired t tests. Correlations between response amplitude and duration during two efferent stimulation protocols were also performed. During indentation experiments, single-cycle gains and phases were each subjected to repeated measures two-way ANOVAs with the factors “cycle number” and the presence/absence of efferent-mediated slow excitation, muscarine-mediated excitation, or XE991-mediated excitation. Since the main effect of cycle number was not significant for either gain or phase, these are collapsed across cycle number, and marginal means for gain and phase are presented in the Results.
IHC studies.
Freshly fixed semicircular canal cristae were placed in 30% sucrose for at least 1 h at 4°C and then embedded in a gelatin mold (12% gelatin prepared in 30% sucrose) and chilled at 4°C. Upon solidification, the gelatin block was mounted on the stage of a freezing sliding microtome, and 35–40 μm frozen sections were subsequently cut and transferred to a collection vial. The collection vial was warmed to dissolve the gelatin, and remaining tissue sections were rinsed with 0.1 m PB. In some experiments, preliminary treatments included a 10 min incubation in an aqueous 1% Na borohydride solution and 1 h in a blocking solution (1% teleost fish gelatin, 1% bovine serum albumin, and 0.5% Triton X-100 in PBS). For the remaining IHC experiments, tissue was blocked in 5% normal donkey serum (Jackson ImmunoResearch) prepared in 0.5% Triton X-100 and 0.1 m PB. After block, the tissue sections were then incubated 16–48 h with primary antibodies (see Antibodies below). Following several rounds of 0.1 m PB washes, sections were incubated with Alexa Fluor-conjugated secondary antibodies (Invitrogen) at 1:200 to 1:500 dilutions in 0.1 m PB for 2–3 h in the dark at room temperature. Sections were again washed several times with 0.1 m PB and reacted with DAPI (1:1000 of a 1 mg/ml solution; Sigma-Aldrich) for 5 min followed by a brief wash in distilled H2O. Using an eyelash probe, final tissue sections were transferred to Plus Slides (Fisher Scientific) and coverslipped with SlowFade Gold (Invitrogen), Mowiol (Calbiochem), or Vectashield (Vector Laboratories). Stained cristae were visualized on an FV1000 microscope (Olympus America) in the University of Rochester Medical Center Confocal and Conventional Microscopy Core or on a Zeiss LSM 510 META laser-scanning confocal microscope (Carl Zeiss) at UIC. Confocal images were captured with Olympus Fluoview or Zeiss LSM 5 Image Browser proprietary software and exported as TIFF files. Sizing and labeling of digital TIFF images were done with Photoshop and Illustrator (Adobe).
Antibodies.
The anti-synapsin antibody used in this study [polyclonal (rabbit); AB1543, Millipore; RRID: AB_2200400] was derived from synapsin I extracts purified from bovine brain. Synapsin antibodies have been used to demarcate efferent varicosities in rat, mouse, and guinea pig cochlea (Bergeron et al., 2005; Layton et al., 2005; Lopez et al., 2008) as well as the vestibular endorgans of toadfish, frog, and turtle (Holstein et al., 2005; Castellano-Muñoz et al., 2010; Jordan et al., 2015). Calretinin [CR; polyclonal (goat); AB1550, Millipore; RRID: AB_90764, 1:1000 dilution] was used to label type II hair cells near the planum, calyx and dimorphic afferents in the central zone (CZ), and bouton afferents near the torus region (Monk and Peterson, 1995; Huwe et al., 2011; Jordan et al., 2015).
For KCNQ4, we used antiserum generated with the peptide sequence CSISRSVSTNMD-COOH from its C terminus (a gift from B. Kachar, NIH, Bethesda, MD). For KCNQ3, we used antiserum generated with a peptide corresponding to residues 668–686 of rat KCNQ3 [polyclonal (rabbit); AB5483, Millipore Bioscience Research Reagents; RRID: AB_177492]. Anti-erg1 [polyclonal (rabbit); AB5222, Millipore Bioscience Research Reagents; RRID: AB_2132144] made against a purified peptide consisting of amino acid residues 1121–1137 from rat Erg1. Erg2 antiserum [polyclonal (rabbit); APC-114, Alomone Labs; RRID: AB_2039842] were generated against the amino acid residues 185–198 (TLNFVEFNLEKHRSC) of human Erg2, whereas antibodies to Erg3 [polyclonal (rabbit); APC-112, Alomone Labs; RRID: AB_2039937] were generated against amino acid residues 1108–1123 (CPEFLDLEKSKLKSKE) of rat Erg3. The above KCNQ and ERG antibodies have been used successfully to label calyceal afferents and hair cells in the mammalian vestibular periphery (Hurley et al., 2006; Sousa et al., 2009; Lysakowski et al., 2011). Specificity for antibodies against ERG2, ERG3, and KCNQ4 were confirmed by Western blot in turtle whole brain and vestibular organs, and compared with parallel Western blots in rat tissues (data not shown). Negative controls included the deletion of primary antibodies.
Results
In the turtle posterior crista, both hair cell and afferent morphology have been used to partition the neuroepithelium into a central zone and a peripheral zone (Brichta and Peterson, 1994; Brichta and Goldberg, 2000a). Type II hair cells and associated bouton afferents are dispersed throughout the crista whereas type I hair cells, innervated by CD afferents, are confined to the central zone. Bouton afferents (B) are further delineated as BT, BM, or BP afferents depending on whether their terminal fields primarily localize near the torus (T), middle (M), or planum (P) regions of the crista, respectively. Here, as in previous studies, afferents were classified (i.e., BT, BM, BP, and CD) according to their characteristic response to efferent stimulation (Brichta and Goldberg, 2000b; Holt et al., 2006a, 2015b). CD afferents are excited while BT/BM afferents are inhibited. BP afferents are weakly excited but were not included in this study. In 47 preparations, extracellular sharp electrode recordings were obtained from a total of 209 posterior crista afferents (127 CD, 82 BT/BM) under various combinations of electrical stimulation of vestibular efferents, vestibular stimulation, and pharmacological interrogation.
Efferent stimulation generates two distinct forms of excitation in CD afferents
Repeated delivery of short efferent shock trains (20 shocks at 200/s every 3–5 s) excited CD afferents along two time scales. The first excitation, characterized as fast, was demarcated by a burst of action potentials at the onset of each efferent stimulus (Fig. 1A,B). In the example shown, the resting discharge during efferent-mediated fast excitation was elevated by >60 spikes/s within the first 100 ms and remained above prestimulus discharge rates for nearly a second (Fig. 1B, inset). During the same stimulus sequence, a second slower excitation was also observed. This efferent-mediated slow excitation required tens of seconds to develop and was best visualized as a gradual increase in the discharge rate of the afferent within the interstimulus interval (Fig. 1A,B). Efferent-mediated slow excitation in this particular unit increased the resting discharge rate by ∼25 spikes/s and persisted for >100 s beyond the last efferent shock train (Fig. 1B). When using short efferent shock trains, the mean peak amplitude and duration of efferent-mediated fast excitation in 57 CD units was 37.4 ± 3.0 spikes/s and 1.25 ± 0.12 s, respectively, while the mean peak amplitude for efferent-mediated slow excitation was 17.6 ± 0.9 spikes/s. In 35 of 57 CD units where the entire efferent-mediated slow response was captured, the time-to-peak was 55.0 ± 3.2 s, and the mean duration was 147.4 ± 7.4 s. The mean discharge slope, taken from a linear fit of the rising face of the slow excitation in 45 units was 0.385 ± 0.029 spikes/s2 or an average increase of ∼4 spikes/s every 10 s.
It has been shown previously that efferent-mediated fast and slow excitation can also be elicited using longer shock trains (Brichta and Goldberg, 2000b). In our study, we also used long efferent shock trains and compared these results to those generated with short efferent shock trains. In a subsequent trial from the same CD unit shown in Figure 1, A and B, the delivery of a single 10 s efferent shock train (1000 shocks at 100/s) also generated fast excitation, which, as with the short protocol, decayed back to prestimulus discharge rates within seconds of stimulus termination (Fig. 1C). With the long shock train, efferent-mediated slow excitation was seen as a second distinct increase in discharge rate that developed in earnest after the efferent stimulus. This slow excitation took 50 s to peak and remained above prestimulus discharge rates for ∼130 s. With the long efferent shock train, the mean peak amplitude of efferent-mediated fast excitation in 42 CD units was 35.3 ± 3.2 spikes/s, while the mean peak amplitude for efferent-mediated slow excitation was 15.6 ± 1.0 spikes/s. In 41 of 42 CD units, where the entire efferent-mediated slow response was captured, the time-to-peak was 43.9 ± 1.9 s and the mean duration was 145.4 ± 7.6 s. The mean discharge slope during long efferent shock trains was 0.389 ± 0.037 spikes/s2.
We then compared afferent recordings where both efferent-mediated fast and slow excitation to the two efferent stimulation protocols (i.e., short vs long) were available for the same unit. The peak amplitudes of fast excitation acquired during the short protocol were positively correlated with the peak amplitudes of fast excitation seen with the long protocol. The Pearson's correlation coefficient (r) for this comparison was 0.626 (p = 0.0001). Across the population, changes in the amplitude of efferent-mediated fast excitation with short shock trains were typically associated with comparable changes in efferent-mediated fast excitation seen with long shock trains. A similar correlation of slow excitatory amplitudes from the two stimulation protocols was also observed (r = 0.648, p < 0.0001). However, between the two protocols, there were no significant differences in the mean amplitude of fast excitation (35.3 ± 3.9 vs 31.7 ± 2.7 spikes/s; p = 0.22, n = 36) or in the mean amplitude (17.7 ± 1.1 vs 16.4 ± 1.1 spikes; p = 0.19, n = 36), the mean discharge slope (0.386 ± 0.038 vs 0.445 ± 0.048 spikes/s2; p = 0.22, n = 29), or the mean duration of slow excitation (160.8 ± 1.1 vs 153.2 ± 9.1 spikes/s; p = 0.50, n = 24). The one distinction between the two protocols was that the mean time for efferent-mediated slow excitation to peak with short efferent shock trains, was significantly longer than the mean time-to-peak for the long efferent shock protocol (55.7 ± 4.2 vs 40.4 ± 2.3 s; p = 0.001, n = 24). These data suggested that fast and slow excitatory responses generated with either protocol are comparable and that both protocols are likely examining the same phenomena.
The overlap of efferent-mediated fast and slow excitation during delivery of short efferent shock trains initially suggested that the two forms of excitation might be mechanistically related. However, data with long efferent shock trains were not necessarily consistent with that suggestion in that, now, efferent-mediated fast and slow excitation were reasonably well separated in time. This indicated that the underlying cellular mechanisms for the two phenomena might be distinct. Two other observations provided additional support for separate mechanisms. First, in this study, nearly one-third of our CD units (40 of 127 units) exhibited a robust efferent-mediated fast excitation during short and/or long efferent shock trains without any indication of an efferent-mediated slow excitation. Second, there was no significant correlation between the amplitudes of fast and slow efferent-mediated excitation with either the short (r = −0.189, p = 0.29) or the long efferent shock train (r = 0.241, p = 0.17). Said another way, regardless of the efferent stimulation protocol, the amplitude of efferent-mediated fast excitation was not necessarily predictive of the amplitude of the accompanying efferent-mediated slow excitation. These data collectively strengthened the argument that the synaptic mechanisms driving efferent-mediated slow excitation differed from those underlying efferent-mediated fast excitation.
Efferent-mediated slow excitation is not mediated by nAChRs
We then sought to identify what synaptic processes were responsible for generating efferent-mediated slow excitation. Might it be related to one of two cholinergic mechanisms characterized previously in the turtle posterior crista (Holt et al., 2006a, 2015b)? These earlier pharmacological studies demonstrated that efferent-mediated inhibition of BT/BM afferents was mediated by the sequential activation of α9*nAChRs and SK that ultimately hyperpolarize type II hair cells. Meanwhile, efferent-mediated fast excitation was initiated by activating α4-, α6-, and β2-containing nicotinic ACh receptors (α4α6β2*-nAChRs) that result in a direct depolarization of vestibular afferents, particularly CD units (Holt et al., 2006a, 2015b). Since neuronal nAChRs are well noted for their calcium permeability (Vernino et al., 1992, 1994; Haghighi and Cooper, 1998; Lipovsek et al., 2012), we speculated that calcium influx during efferent-mediated fast inhibitory and/or excitatory afferent responses might also engage downstream mechanisms responsible for efferent-mediated slow excitation.
It became apparent early on that a role for α9*nAChRs was unlikely as there was simply little evidence for an efferent-mediated slow excitation in most BT/BM afferents. In the same experimental preparations (n = 47) from which fast and slow excitatory responses in CD afferents were readily identified, efferent-mediated inhibitory responses were also routinely observed in BT/BM afferents under comparable efferent stimulation conditions. In the example shown (Fig. 1D,E), delivery of short efferent shock trains (i.e., 20 shocks at 200/s) robustly inhibited the resting discharge of a BT afferent. Despite repeated delivery of the short efferent shock train for 120 s, the record was devoid of any obvious slow excitatory shifts (Fig. 1D). Such was the case for 77 of 82 BT/BM recordings. In BT/BM recordings where >50 s of spike data during efferent stimulation were available, the mean discharge slope was not significantly different than zero (−0.0105 ± 0.009, p = 0.25, n = 56). Although efferent-mediated slow shifts identified in the remaining five BT/BM units were qualitatively similar to CD afferents, their scarcity prevented further characterization. Given that α9*nAChR activation was not a prerequisite for efferent-mediated slow excitation, we then inquired whether there was a role for the activation of α4α6β2*-nAChRs.
We reasoned that if efferent-mediated slow excitation required the activation of α4α6β2*-nAChRs, then it too should be abrogated by cholinergic compounds known to block efferent-mediated fast excitation (Holt et al., 2015b). In the CD afferent shown in Figure 2, efferent-mediated fast and slow excitation were generated using repeated short efferent shock trains (20 shocks at 200/s). Application of the nAChR agonist DMPP blocked efferent-mediated fast excitation (Fig. 2A,B) without significantly altering efferent-mediated slow excitation. Note that the effect of efferent-mediated slow excitation is also reflected in the average response histogram (Fig. 2B) as an elevation of the prestimulus rate compared with the rate seen in the α period (i.e., t = 0–5 s) before the onset of efferent stimulation (Fig. 2A). This experiment was repeated in 10 other CD units from nine preparations using several selective blockers of efferent-mediated fast excitation including DMPP, CYT, epibatidine, and TMPH. Greater than 95% of mean efferent-mediated fast excitation was blocked (43.5 ± 8.7 vs 1.3 ± 1.6 spikes/s; n = 11; Fig. 2C, left) by these compounds, while the mean peak amplitude of efferent-mediated slow excitation was not significantly affected (17.1 ± 1.8 vs 18.8 ± 2.0 spikes/s; n = 11; Fig. 2C, right). Together, these physiological and pharmacological data indicate that efferent-mediated slow excitation is not mediated by α4α6β2* or α9*nAChRs.
Calyx and dimorphic afferents in the turtle can be discriminated on the basis of their responses to efferent stimulation following blockade of α4α6β2*-nAChRs (Holt et al., 2015b). Blockade of efferent-mediated fast excitation in dimorphic afferents unmasks an efferent-mediated inhibition associated with activation of α9*nAChR/SK in type II hair cells. To further understand whether efferent-mediated slow excitation occurs in calyx, dimorphic, or both afferents, we applied the aforementioned criterion to the 11 units following blockade of efferent-mediated fast excitation. Three were dimorphic while the remaining eight were calyx-only afferents. These data suggested that efferent-mediated slow excitation occurs in both morphological classes.
Efferent-mediated slow excitation in CD afferents is mediated by mAChRs
As in other vertebrate systems, EVS neurons in turtle are predominantly cholinergic (Meredith, 1988; Lysakowski and Goldberg, 2004; Jordan et al., 2015). Thus, it follows that if ACh is also responsible for the activation of efferent-mediated slow excitation, then it must either be attributed to mAChRs or some other, as yet undefined, nAChR. Since the kinetics of activation and the protracted time course seen in these experiments were certainly more consistent with a metabotropic process, we decided to investigate the role of mAChRs in the generation of efferent-mediated slow excitation using two pharmacological approaches. First, we explored the sensitivity of CD afferents to the general mAChR agonist muscarine, and then we characterized the susceptibility of efferent-mediated slow excitation to the application of the general mAChR antagonist atropine.
In the absence of efferent stimulation, the superfusion of 50 or 100 μm muscarine excited CD afferents along a similar time course as that seen with efferent-mediated slow excitation, namely taking tens of seconds to develop and decay (Fig. 3A). During muscarine application in 10 CD units from seven preparations (Fig. 3B, left), there was a significant, nearly fourfold increase in the mean afferent discharge rate, 37.0 ± 3.2 spikes/s, compared with the mean premuscarine discharge rate, 10.7 ± 1.8 spikes/s. The mean time-to-peak and duration of muscarine-mediated excitation were 64.3 ± 9.1 and 187.2 ± 22.6 s, respectively. It should be noted, however, that 3 of 10 CD afferents from three different preparations did not express an efferent-mediated slow excitation during efferent stimulation. If muscarine- and efferent-mediated slow excitation rely on the same mAChRs, these observations suggested that muscarine, at least in these three CD units, had access to mAChRs not activated by efferent stimulation. This would further suggest that the number of CD afferents expressing efferent-mediated slow excitation in this study may be underestimated due to ineffective efferent stimulus conditions and/or an inability for stimulus-released ACh to reach the same pool of mAChRs.
In 6 of those 10 CD units, the amplitude of efferent-mediated fast excitation was measured before and after muscarine application. Muscarine did not significantly affect efferent-mediated fast excitation (Fig. 3B, right). However, the mean peak amplitude of efferent-mediated slow excitation in four CD units was blocked during muscarine application (15.6 ± 3.7 vs 0.1 ± 0.5 spikes/s; p = 0.022). This suggested that muscarine application and efferent-mediated slow excitation were dependent on the same group of mAChRs. We suspected that prolonged exposure to muscarine may have desensitized mAChRs and prevented subsequent activation during efferent stimulation. Similar observations have been seen with efferent-mediated fast excitation and nAChR agonists (Fig. 2; Holt et al., 2015b). Finally, we also applied muscarine (50–100 μm) to five BT/BM afferents where it failed to mount any discernible response (data not shown). This is consistent with the lack of efferent-mediated slow excitation in these units and with previous evidence that muscarine is not an agonist at α9nAChRs (Verbitsky et al., 2000). These observations provide further evidence that neither α4α6β2* nor α9*nAChRs are likely to be involved in the generation of efferent-mediated slow excitation.
At a minimum, the muscarine data indicated that CD afferents express mAChRs that are capable of exciting the afferent over an extended time scale. To confirm whether mAChRs are required for the activation of efferent-mediated slow excitation, we used the general mAChR antagonist atropine (0.3–10 μm). In the CD afferent shown (Fig. 3C–F), 1 μm atropine blocked efferent-mediated slow excitation generated with short (Fig. 3C) and long efferent shock trains (Fig. 3E), while having little effect on efferent-mediated fast excitation (Fig. 3D,E). These data support the assertion that mAChRs are required for efferent-mediated slow excitation, and that the two efferent stimulation protocols are likely recruiting the same group of receptors. In contrast with the observations with nAChR blockers (Fig. 2C), atropine blocked nearly 94% of efferent-mediated slow excitation (22.4 ± 2.3 vs 1.3 ± 0.7 spikes/s; n = 9; Fig. 3F, right) in CD afferents without significant block of efferent-mediated fast excitation (34.0 ± 6.3 vs 36.2 ± 6.5 spikes/s; n = 8; Fig. 3F, left). That atropine concentrations as low as 0.3 μm significantly blocked efferent-mediated slow excitation without affecting efferent-mediated fast excitation further supported a role for mAChRs while again excluding α4α6β2*nAChRs and α9*nAChRs (Fuchs and Murrow, 1992; Guth et al., 1994; Verbitsky et al., 2000).
Muscarinic AChR activation enhances afferent sensitivity
The pharmacological observations thus far assert that the activation of mAChRs are driving efferent-mediated slow excitation. We were also interested in elucidating what downstream components were involved in the generation of slow excitation. It is well known that the activation of mAChRs is tied to the regulation of a large number of ion channel candidates that may also be targeted by mAChR activation in the vestibular periphery (Brown et al., 1997; Brown, 2010). We gained further insight into potential downstream mechanisms in CD afferents while combining efferent stimulation with vestibular stimulation.
Previous studies have shown that vestibular efferent stimulation can be associated with a reduction or enhancement in afferent sensitivity to concomitant vestibular stimulation (Goldberg and Fernández, 1980; Rossi et al., 1980; Boyle and Highstein, 1990; McCue and Guinan, 1994; Holt et al., 2011; Chagnaud et al., 2015). In this study, we took advantage of the long shock train protocol because it allowed sufficient temporal dispersion between efferent-mediated fast and slow excitation such that we could study the effects of efferent-mediated slow excitation in isolation. We compared the response characteristics of CD afferents to sinusoidal indentation before and during efferent-mediated slow excitation (Fig. 4A). Afferent gain, defined as the peak-to-peak modulation of discharge rate per indenter displacement (in micrometers), was enhanced during efferent-mediated slow excitation compared with control values before efferent stimulation (Fig. 4A,B). In 12 units from 12 preparations, sine wave fits of 12 to 18 individual cycles during control and slow excitation were used to calculate response amplitude and phase during indentation on a cycle-by-cycle basis. Individual gains and phases were each subjected to repeated measures two-way ANOVA with the factors cycle number and the presence/absence of efferent-mediated slow excitation (Fig. 4C). Efferent-mediated slow excitation significantly increased the mean gain from 0.98 ± 0.15 to 1.49 ± 0.20 spikes/s × μm−1 (F(1,145) = 168.3, p < 0.0001). The mean response phase during control and slow excitation was 36.4 ± 3.3° and 42.2 ± 3.6°, respectively, but this was not significant (F(1,145) = 0.02957, p = 0.86). The mean gain changes corresponded to an increase in the mean peak-to-peak modulation from 24.7 ± 2.9 to 37.5 ± 2.4 spikes/s. This effect was reversible with estimates of sensitivity returning to near control values as the efferent-mediated slow excitation decayed (Fig. 4B).
A similar analysis of afferent gain and phase were also performed in four CD units from four preparations following the application of muscarine (Fig. 4D,E). Compared with control conditions, muscarine-mediated slow excitation also significantly increased the mean afferent gain from 0.99 ± 0.39 to 1.60 ± 0.49 spikes/s × μm−1 (F(1,51) = 83.13, p < 0.0001). However, there was no significant difference in response phases between control and during muscarine application (37.1 ± 5.7 vs 35.9 ± 4.7; F(1,51) = 0.5332, p = 0.47). The gain changes with muscarine were associated with an increase in the mean peak-to-peak modulation rate from 22.3 ± 5.0 to 47.6 ± 6.9 spikes/s. Similarities in these data suggest that efferent-mediated slow excitation and muscarine application likely target the same mAChRs that excite CD afferents by closing an ionic conductance normally open under control conditions. The result is an increase in the input impedance of CD afferents, thereby enhancing their subsequent sensitivity to the indenter stimulus. The simplest explanation is that the affected conductance is a potassium channel.
KCNQ and ERG potassium channels are expressed in the turtle canal crista
Based on our physiological and pharmacological observations, we would predict that these effector potassium channels should be: (1) expressed by most, if not all, CD afferents in the turtle; and (2) localized to regions of the calyx receiving efferent innervation. There are two families of potassium channels, ERG and KCNQ, that have been previously localized to rodent calyx endings (Kharkovets et al., 2000; Hurley et al., 2006; Lysakowski et al., 2011; Spitzmaul et al., 2013). These channels give rise to so-called M-currents given that they are subject to closure by mAChRs (Meves et al., 1999; Lerche et al., 2000; Schroeder et al., 2000; Søgaard et al., 2001; Selyanko et al., 2002; Kubo et al., 2015). We used IHC with previously characterized antibodies against KCNQ3, KCNQ4, and Erg1–3 to identify whether any of these potassium channels are also expressed in CD afferents in the turtle crista. We also used antibodies to CR to counterstain CD afferents and delineate the central zone (Monk and Peterson, 1995; Huwe et al., 2011; Jordan et al., 2015).
In longitudinal sections of the crista (Fig. 5A, inset), antibodies to KCNQ4 robustly stained a series of “u-shaped” structures throughout the CZ (Fig. 5A), as evidenced by counterstaining for calretinin in the same tissue sections (Fig. 5B). KCNQ4 staining overlapped with CR with the exception of central zone regions adjacent to the planum (Fig. 5B, asterisk) where CR staining of calyceal endings is typically faint (Jordan et al., 2015). In adjacent torus regions, KCNQ4 labeling was occasionally seen in type II hair cells (Fig. 5B, inset, arrows) as well as bouton afferent terminals that appeared unstained for CR (Fig. 5A,B, arrowhead). At higher magnification, KCNQ4 labeling was primarily restricted to the lower half of the inner face of the calyx ending (Fig. 5C), close to the parent axon where clusters of synapsin-positive, efferent varicosities are typically located (Fig. 5D, arrows). This is similar to its location in domain 1 of mammalian calyces (Lysakowski et al., 2011). In oblique sections through the bottom half of calyx afferents, KCNQ4 staining primarily labeled most of the calyceal inner face (Fig. 5E, arrowheads), which is most evident in the internal walls. There were also occasional pockets of KCNQ4 staining on the outer face (Fig. 5E, arrows).
Unlike KCNQ4, staining for KCNQ3 was most intense along the apical regions of calyx endings where it also colocalized with CR (Fig. 5F, arrowheads). Small KCNQ3-positive puncta were also occasionally seen along the outer face and calyceal stalk (Fig. 5F, arrows). Faint KCNQ3 staining was also observed in type I and II hair cells (Fig. 5F, asterisks).
Staining for ERG1 was found both in type I hair cells (Fig. 5G, asterisks) and the inner face of most calyceal afferents where it appeared to overlap with CR staining (Fig. 5G, arrowhead). Antibodies to ERG2 stained the inner and outer face of CR-positive calyceal endings (Fig. 5H, asterisks) as well as a number of punctate structures throughout the hair cell layer (Fig. 5H, arrowhead). ERG2-positive puncta often colocalized with CR staining, suggesting that some of these structures are afferent bouton terminals (Fig. 5H, arrows). Finally, anti-ERG3 primarily labeled hair cells throughout the crista including type I hair cells in the CZ, type II hair cells in the torus, and type II hair cells in the planum where it overlapped with CR staining (Fig. 5I). There appeared to be some labeling of calyceal endings, but it was difficult to reconcile given the intense staining of type I hair cells (Fig. 5I, arrowheads).
Efferent-mediated slow excitation in CD afferents requires KCNQ potassium channels
Of the potassium channel candidates probed in our IHC experiments, the staining patterns of KCNQ subunits, particularly KCNQ4, were most closely matched to our physiological observations and our predictions about the presumed location of the effector potassium channels targeted during efferent-mediated slow excitation. The involvement of KCNQ channels may be distinguished pharmacologically from ERG channels on the basis of their differential sensitivity to XE991. When administered at concentrations of ≤10 μm, XE991 potently antagonizes KCNQ channels while contributing to ≤5% to the blockade of ERG channels (Elmedyb et al., 2007; Pérez et al., 2009). To investigate the role of KCNQ channels in the development of efferent-mediated slow excitation, we tested whether XE991 (1–10 μm) would, in fact, block efferent-mediated slow excitation. In the example shown, efferent-mediated fast and slow excitation were generated using 20 short efferent shock trains (Fig. 6A). The addition of 10 μm XE991 increased background discharge and simultaneously antagonized efferent-mediated slow excitation (Fig. 6B). The loss of efferent-mediated slow excitation likely does not represent a ceiling effect as efferent-mediated fast excitation remains intact and unaffected by XE991 (Fig. 6B,C). We applied XE991 to a total of 10 CD units from 10 preparations and characterized its effects on afferent background discharge rates, efferent-mediated fast and slow excitation, and/or afferent sensitivity to sinusoidal indentation. XE991 increased the mean background discharge rate by 17.8 ± 2.4 spikes/s (n = 10). In eight units, efferent-mediated fast excitation was not significantly different between control conditions and during XE991 application (45.2 ± 6.1 vs 44.4 ± 5.6 spikes/s; Fig. 6D, left), while mean efferent-mediated slow excitation in six units was significantly blocked (18.0 ± 3.1 vs 0.2 ± 0.7; Fig. 6D, right). Finally, consistent with our observations with efferent-mediated slow excitation and muscarine application, XE991 significantly enhanced the response of CD afferents to sinusoidal indentation by increasing the peak-to-peak modulation rate from 13.5 ± 2.7 to 30.8 ± 1.3 spikes/s (F(1,52) = 235.8, p < 0.0001).
Discussion
Slow excitation of vestibular afferents, during efferent stimulation or the application of cholinergic agonists, has been observed in many studies (Guth et al., 1998; Holt et al., 2011). Despite similarities in afferent responses under the two experimental conditions, there was no direct evidence that ACh underlies slow responses during EVS stimulation. Here, we established, for the first time, that efferent-mediated slow excitation enhances the sensitivity of turtle CD afferents by activating mAChR and closing KCNQ potassium channels in calyceal endings. These findings prompt further discussion of mAChRs and KCNQ channels in efferent neurotransmission, offer insight into EVS function, and might provide an additional rationale for the clinical use of mAChR antagonists to treat vestibular dysfunction.
Roles of mAChRs in the response of vestibular afferents to efferent stimulation
RT-PCR and immunohistochemistry suggest that all five mAChR subtypes are expressed in vestibular neuroepithelia (Wackym et al., 1996; Li et al., 2007). Furthermore, pharmacological studies have proposed several mechanisms by which mAChRs modulate hair cell transmitter release and afferent excitability (Bernard et al., 1985; Ohtani et al., 1994; Holt et al., 2003; Derbenev et al., 2005; Li and Correia, 2011; Guo et al., 2012). Are the mechanisms of efferent-mediated slow excitation in turtle CD afferents applicable to other species and/or afferent classes? Pharmacological data in rodents suggest that efferent-mediated slow excitation of mammalian calyx-bearing afferents also involves the activation of odd-numbered mAChRs and the closure of KCNQ channels (Pérez et al., 2009; Holt et al., 2015a). We and others have also reported that efferent-mediated slow excitation is occasionally seen in turtle bouton afferents, which might provide insight into efferent-mediated slow excitation of mammalian bouton afferents (Goldberg and Fernández, 1980; Brichta and Goldberg, 2000b; Marlinski et al., 2004). Our immunohistochemical data in turtle and pharmacological data in birds (Rennie et al., 2001) suggest that type II hair cells and bouton terminals express KCNQ channels. We would predict that KCNQ closure in either location would enhance afferent excitability, but the lack of pharmacological data in either species prevents confirming whether efferent-mediated slow excitation of bouton afferents also uses an M-current mechanism.
In amphibians, that lack type I hair cells and calyceal afferents, mAChR-mediated slow excitation of vestibular afferents appears to rely on activation of odd-numbered mAChRs on type II hair cells that enhance transmitter release, not through KCNQ closure, but through elevation of intracellular calcium or direct interactions with the synaptic machinery (Bobbin et al., 1985; Holt et al., 2003; Derbenev et al., 2005). There is evidence that M2-mAChRs activate BK potassium channels in mammalian type II hair cells (Guo et al., 2012), but we saw no efferent-mediated or muscarine-activated responses in turtle afferents consistent with this mechanism. However, if M2mAChR-BK signaling exists in the turtle and evolved within the same temporal envelope as efferent-mediated slow excitation, the application of muscarine or atropine would have not been useful in separating the two phenomena. Identifying the subtypes underlying these various forms of efferent-mediated slow excitation in any species requires using selective mAChR ligands and/or exploring the phenomenon in mAChR knock-out animals.
Efferent targeting of KCNQ channels
M-current members include the ERG and KCNQ families (Meves et al., 1999; Lerche et al., 2000; Schroeder et al., 2000; Søgaard et al., 2001; Selyanko et al., 2002; Kubo et al., 2015). Our immunohistochemistry findings suggest that turtle cristae express ERG1–3, KCNQ3, and KCNQ4 potassium channels, paralleling observations in mammals (Kharkovets et al., 2000; Hurley et al., 2006; Lysakowski et al., 2011; Spitzmaul et al., 2013). KCNQ2 and KCNQ5, expressed on the calyceal inner face in rodents (Hurley et al., 2006; Lysakowski et al., 2011), remain to be identified in turtles. KCNQ channels were favored as follows: (1) distribution of KCNQ immunoreactivity coincides with our physiological data that efferent-mediated slow excitation occurs primarily in CD afferents; (2) efferent-mediated slow excitation was completely blocked by XE991 at concentrations that minimally antagonize ERG channels (Elmedyb et al., 2007; Pérez et al., 2009); (3) KCNQ blockers increase quantal size with little effect on type I hair cell conductances, consistent with KCNQ blockade in calyces (Hurley et al., 2006; Holt et al., 2007; Spitzmaul et al., 2013); and (4) unlike XE991, the ERG blocker E4031 did not affect vestibular neuronal excitability (Holt et al., 2007; Pérez et al., 2009). However, we cannot completely dismiss ERG channels as they colocalize and can form functional, macromolecular complexes with KCNQ (Hurley et al., 2006; Ren et al., 2010; Guo et al., 2011; Lysakowski et al., 2011; Abriel et al., 2015) and could contribute to efferent-mediated slow excitation.
Odd-numbered mAChRs close KCNQ channels through PLC activation and depletion of membranal phosphatidylinositol-4,5-bisphosphate (PIP2), whose presence keeps KCNQ channels open (Brown and Passmore, 2009; Pérez et al., 2010). Efferent varicosities on CD afferents suggest that mAChRs would localize to the stalk and outer face (Jordan et al., 2015). PLC activation is membrane delimited (Falkenburger et al., 2010; Duc et al., 2015) and suggests that the affected KCNQ channels are also expressed in the outer face. While consistent with our KCNQ3 immunoreactivity, could outer face mAChRs also close KCNQ4-containing channels on the inner face? Calmodulin (CaM) is constitutively bound to KCNQ channels (Gamper and Shapiro, 2003). During elevated intracellular calcium concentrations, conformational changes in the CaM–KCNQ complex reduce the affinity of KCNQ for PIP2, resulting in current suppression (Chambard and Ashmore, 2005; Kosenko and Hoshi, 2013; Sihn et al., 2016). This mechanism could tie outer-face mAChR activation with the closure of inner-face KCNQ channels.
Functional considerations
What is the functional significance of having both fast and slow efferent-mediated excitation? Stimulation paradigms used in this study relied on high shock train frequencies (>100 Hz) to elicit large-amplitude efferent-mediated fast and slow excitation within a single trial. However, it should be noted that both mechanisms can be recruited at shock frequencies as low as 20 Hz (Goldberg and Fernández, 1980; Brichta and Goldberg, 2000b), which is easily within reported EVS discharge rates (Roberts and Russell, 1972; Highstein and Baker, 1985). Given their response kinetics, efferent-mediated fast excitation could modify peripheral vestibular function transiently while slow excitation might provide more long-term control. In this context, efferent-mediated slow excitation might enhance afferent sensitivity as part of an arousal system. Anatomical data indicate that EVS neurons receive significant input from the reticular formation, a major arousal system hub (Pfaff et al., 2005; Metts et al., 2006). Furthermore, several studies have implicated the EVS as a mechanism by which an enhancement of afferent sensitivity might be warranted during arousal state changes like sleep-to-awake transitions or postural threats (Horslen et al., 2014; Naranjo et al., 2015; Schwarz et al., 2015; Lim et al., 2016).
We have known for some time that EVS stimulation modifies afferent sensitivity to ongoing vestibular stimulation in several vertebrates (Goldberg and Fernández, 1980; Rossi et al., 1980; Boyle and Highstein, 1990; Chagnaud et al., 2015). In fish and amphibians, efferent-mediated fast inhibition or excitation attenuates afferent responsiveness during self-generated movements (Boyle and Highstein, 1990; Chagnaud et al., 2015), but the evidence for similar attenuation in mammals has been less compelling (Cullen and Minor, 2002; Sadeghi et al., 2007b; Jamali et al., 2009). Recent studies in mice have indicated that the EVS modulates the amplitude of the vestibulo-ocular reflex (VOR) and vestibular stimulus-evoked potentials (Luebke et al., 2014; Hübner et al., 2015; Morley et al., 2016). While efferent-mediated fast inhibition or fast excitation may attenuate vestibular input (Boyle and Highstein, 1990; Chagnaud et al., 2015; Hübner et al., 2015), our data suggest that mAChRs and KCNQ closure could provide the EVS with a counter mechanism to enhance vestibular input. The EVS may also alter afferent discharge regularity, action potential kinetics, and information transfer by modulating potassium channels and/or nAChRs in hair cells and afferents (Han et al., 2007; Pérez et al., 2009; Kalluri et al., 2010; Meredith and Rennie, 2015; Contini et al., 2016). This in turn may modify coding schemes to adjust how phasic and tonic pathways sense head movements and drive vestibular behaviors like the VOR (Sadeghi et al., 2007a; Hübner et al., 2015; Morley et al., 2016).
Clinical implications
These data have important implications for revisiting vestibular maladies where mAChR antagonists have proven to be effective. The anti-muscarinic agents atropine, scopolamine, glycopyrrolate, and zamifenacin alleviate motion sickness and some symptoms of Ménière's disease (Golding and Stott, 1997; Storper et al., 1998; Yates et al., 1998; Huppert et al., 2011). The prevailing hypothesis suggests that motion sickness develops when vestibular, visual, and/or proprioceptive inputs, regarding body position in space, are in conflict with internal expectations (Yates et al., 1998; Bertolini and Straumann, 2016). Clinical effectiveness of anti-muscarinic agents may stem from mAChR blockade within the vestibular nuclei that receive many of the above sensory inputs (Yates et al., 1998; Cullen, 2012). Our data indicate that we must also consider peripheral mAChR activation, which may contribute to or exaggerate the sensory conflict by exciting vestibular afferents and/or enhancing their sensitivity to subsequent vestibular stimuli. Targeting odd-numbered mAChRs and KCNQ channels in the ear using selective antagonists and activators, respectively, could ameliorate symptoms of motion sickness while avoiding centrally mediated side effects. Interestingly, glycopyrrolate may already work in this capacity given that it poorly penetrates the blood–brain barrier (Proakis and Harris, 1978; Mirakhur and Dundee, 1983).
Footnotes
This work was supported by National Institutes of Health/National Institute on Deafness and Other Communication Disorders Grants R01-DC-008981 (J.C.H.); R01-DC-02521 and DC-02058 (to A.L.); and P30-DC-005409 (to Center for Communicative and Navigational Sciences, University of Rochester). We thank the University of Rochester Medical Center Confocal and Conventional Microscopy Core for their help in acquiring immunohistochemical images, Dr. Paul Allen for advice on statistical analyses, Steven D. Price for immunohistochemistry expertise, and Marcin Klapczynski for performing Western blots to confirm antibody specificity.
The authors declare no competing financial interests.
- Correspondence should be addressed to J. Chris Holt, Department of Otolaryngology, University of Rochester, 601 Elmwood Avenue, Box 603, Rochester, NY 14642. joseph_holt{at}urmc.rochester.edu