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Departments of 1Psychiatry and 2Anatomy and Neurobiology and 3Program in Neuroscience, Washington University School of Medicine, St. Louis, Missouri
Submitted 22 February 2008; accepted in final form 12 May 2008
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ABSTRACT |
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INTRODUCTION |
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Traditional methods for studying action potential propagation and fidelity in small fibers include population techniques such as fiber volley measurements and antidromic stimulation methods, where interactions among the many simultaneously stimulated fibers and the ectopic location of initiation may obscure the normal behavior of the fibers. To circumvent limitations of these classical techniques for studying conduction velocity and axonal spike properties, here we have used techniques to study individual dentate granule neurons and their axons. We combined fluorescent dye fills of dentate neurons with immunostaining for voltage-gated sodium channels to localize the likely site of spike initiation on the mossy fiber axon initial segment. We used electrophysiological techniques, including dual intracellular somatic and extracellular axonal recordings, to characterize spike initiation, action potential waveforms, and conduction velocity.
Our results suggest a more proximal initiation site but more depolarized action potential threshold and slower conduction velocity than in CA3 pyramidal neuron axons. Several of these features are consistent with the small, compact morphology of these cells. Together these properties are important for understanding the integration and output of dentate granule neurons, a critical relay for information entering the hippocampus. Forming a basic understanding of mossy fiber action potentials provides insight into signal processing within the classical hippocampal trisynaptic circuit and serves as a basis for comparison with other cell types.
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METHODS |
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Hippocampal slices were prepared from postnatal day 19 (P19) to P23 Sprague Dawley rats. In accordance with Washington University Animal Studies Committee, rats were anesthetized with isoflurane and decapitated. The brain was removed and glued onto a Vibratome 1000 specimen holder. Transverse (300 µm) slices were cut in ice-cold, modified artificial cerebrospinal fluid (ACSF) (in mM: 125 NaCl, 25 glucose, 25 NaHCO3, 2.5 KCl, 1.25 NaH2PO4, equilibrated with 95% oxygen-5% CO2 plus 0.5 CaCl2, 3 MgCl2, and 2 kynurenic acid). Slices were then incubated at 32–34°C for 30 min in ACSF containing 2 mM CaCl2 and 1 mM MgCl2 and subsequently stored at room temperature. Except when noted, drugs were obtained from Sigma (St. Louis, MO). All Alexa Fluor reagents were from Invitrogen/Molecular Probes (Carlsbad, CA).
Electrophysiology
Slices were perfused at 2–4 ml min–1 with oxygenated ACSF containing (in mM) 2 CaCl2, 1 MgCl2, and 2 kynurenic acid at 25 ± 1°C (mean ± SE). Granule cells of the dentate gyrus were identified using infrared differential interference contrast on an upright Nikon Eclipse E600FN microscope and a cooled digital camera (Roper Scientific, Tucson, AZ) controlled with MetaMorph software (Molecular Devices, Sunnyvale, CA). Somatic whole cell recordings and axonal extracellular recordings were made with borosilicate patch pipettes (World Precision Instruments, Sarasota, FL; Sutter Instruments, Novato, CA), having open tip resistance of 3–7 and 1.5–3 M
, respectively. The intracellular pipette solution contained (in mM) 115 potassium gluconate, 20 KCl, 10 HEPES, 2 EGTA, 2 MgATP, 0.3 Na2GTP, 10 sodium phosphocreatine, and 100–200 µM Alexa Fluor 488. pH was adjusted with KOH to pH 7.35. In some experiments, Alexa Fluor 568 hydrazide and/or 5 mg/ml biocytin were used for axon visualization instead of Alexa Fluor 488. After a somatic recording was established, cells were allowed to fill with the intracellular solution for
10 min. Fluorescent dye excitation with a metal halide lamp was used to track the attached axon with limited light exposure. Once located, the axon was gently pulled into the extracellular pipette with negative pressure. Recordings were obtained using a MultiClamp 700B amplifier (Molecular Devices) and pClamp 9.2 software (Molecular Devices). Somatic bridge balance and pipette capacitance were adjusted using MultiClamp 700B Commander software. Data were acquired at 100 kHz, filtered at 10 kHz for somatic and 3 kHz for axonal recordings using an 8-pole Bessel filter, and digitized using a DigiData 1322A 16-bit A/D converter (Molecular Devices). Somatic access resistance was monitored continuously, and cells with unstable access resistance (>20% change) or with values >20 M
were excluded from analysis. When necessary, a small bias current was injected to maintain a similar baseline membrane potential (near –84 mV in both cell types) before depolarizing current injections. Reported values of the membrane potential and action potential thresholds have been corrected for the liquid junction potential of +14 mV estimated from Igor XOP Patcher's Calculator (Wavemetrics, Oswego, OR). All dentate granule neurons studied exhibited electrophysiological and morphological properties of mature granule neurons (X. Liu et al. 2000
; Y. B. Liu et al. 1996
; Overstreet-Wadiche and Westbrook 2006
). For Fig. 2 and Table 1, only cells with intact axons >100 µm were used for comparisons.
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5–10 µm) of tissue displacement during the brief drug application. The restricted nature of the application was verified as described (Meeks and Mennerick 2007Electrophysiology data analysis
Analysis was performed with custom-written programs in Igor Pro 6.0 (Wavemetrics, Oswego, OR). Data were imported and filtered with Igor Filter Design Laboratory low-pass Bessel 8-pole at 5 kHz. First-, second-, and third-order derivates (denoted dV/dt, d2V/dt2, and d3V/dt3, respectively) of the somatic and axonal membrane potentials were calculated using a central differences algorithm. Phase plots were constructed from the first derivative of the somatic membrane potential (dV/dt) versus the somatic membrane potential.
Action potential threshold was calculated by two methods. The first method used the first inflection point of phase plots to assign action potential threshold. The membrane potential at which phase plot slope reached 10 mV ms–1 (Naundorf et al. 2006
) was denoted threshold. The second method used the second derivative of the somatic membrane potential (d2V/dt2). In this method, the somatic membrane potential corresponding to 5% of the first peak amplitude in the d2V/dt2 somatic waveform denoted the action potential threshold (Meeks and Mennerick 2007
). We also examined the slope of phase plots at action potential threshold (Naundorf et al. 2006
; Shu et al. 2007
). Slopes of the phase plot at the three data points bracketing spike threshold at 10 mV ms–1 were calculated using linear regression. For calculation of threshold and slope from phase plots, the baseline dV/dt value resulting from the passive membrane response to current injection was subtracted.
Imaging and immunocytochemistry
After recordings, a fluorescence photograph was taken of the filled cell to document axon recording position. Slices were then fixed in 4% paraformaldehyde (PFA) in phosphate-buffered saline (PBS) for 30–35 min at room temperature (RT, 25°C) immediately following recording. Using a Nikon C1 laser scanning confocal system, three-dimensional images were acquired of the fluorescent, dye-filled cell to measure the precise distance of the axonal recording site to the axon hillock/soma junction with MetaMorph software.
For studies of voltage-gated sodium channel localization, slices were fixed with 4% PFA in PBS for 30–35 min, permeabilized, and blocked with 6% goat serum, 5% bovine serum albumin, 0.3% tritonX-100, 3 mM sodium azide for 2 h at RT. Primary antibody incubation included the preceding solution plus 4 µg/ml of monoclonal anti-sodium channel antibody, clone K58/35 (PanNav antibody, Sigma-Aldrich, St. Louis, MO), for 32–34 h at RT. Secondary antibody incubation was with a goat anti-mouse Alexa Fluor 555 or goat anti-mouse Alexa Fluor 633 and streptavidin Alexa Fluor 488 conjugate for 2 h at RT. Slices were then incubated with 10 µM Hoechst 33342 for 20 min at RT, washed with PBS, and mounted with ProLong Gold Antifade Reagent (Invitrogen/Molecular Probes) onto microscope slides. For studies of ankyrin G immunoreactivity, the preceding immunohistochemistry protocol was utilized with minor modifications. Monoclonal anti-ankryin G (4G3F8) (Santa Cruz Biotechnology, Santa Cruz, CA) antibody (0.8 µg/ml) incubation was overnight at RT. For measurement of proximal axon diameters based on ankyrin G immunoreactivity, a naïve rater picked 10 well-isolated axons from confocal projections of each subregion for analysis. The diameter of ankyrin-positive staining was quantified 5 µm from the onset of proximal axon staining.
To measure the location and relative density of voltage-gated sodium channels and ankyrin G immunoreactivity, analysis was performed with Metamorph software using the kymograph add-in tool. A three-dimensional mask of the Alexa Fluor 488 filled axon trajectory was created and placed onto either the voltage-gated sodium channel or ankyrin G immunoreactivity kymograph and a line-scan of maximal intensity was plotted for the first 100 µm of mossy fiber. In our case, the kymograph function of Metamorph was used to create a two-dimensional image with the x axis representing the combined "x" and "y" dimensions of the traced axon within the confocal stack and the y axis representing the course of the traced axon in the "z" dimension from a confocal x-y-z stack. For each mossy fiber analyzed, the average proximal dendritic (15–40 µm from the cell body) voltage-gated sodium channel staining intensity was measured in the preceding fashion, then subtracted from the axonal staining intensity. Axonal fluorescence intensity was then normalized to the maximum intensity found within the first 100 µm of mossy fiber. Data were quantified and displayed as the average normalized voltage-gated sodium channel fluorescence intensity along the first 100 µm of mossy fiber, such that immunoreactivity above the zero line is the normalized axonal voltage-gated sodium channel staining intensity above what is found on the proximal dendrite. Axonal ankyrin G immunoreactivity intensity was normalized to the maximum staining along the first 100 µm of mossy fiber. An equation describing an exponential decay was fit to the falling phase of the average fluorescent intensity profiles
100 µm of mossy fiber. The resultant decay constant was termed the distance decay constant.
Analysis and statistics
Graphs were constructed with Sigma Plot 10.0 (Systat, San Jose, CA). Variability is indicated in the text and figures as standard error of the mean. Unless otherwise indicated, statistical comparisons were made using two-tailed Student's t-test.
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RESULTS |
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A second difference between these cell types was in phase plot shapes during the action potential upstroke (Fig. 2, C–F). In particular, the slope of the phase plot differed between the two cell types near action potential threshold. The slope of the phase plot at a y-axis value of 10 mV ms–1 (··· Fig. 2, E and F) was steeper in CA3 neurons (21.18 ± 1.49 ms–1, n = 9) than in granule neurons (8.24 ± 0.63 ms–1, n = 11, P < 0.00001; Fig. 2, E, F, and H).
Previous studies found average phase plot slopes at spike threshold from a variety of neocortical neuron classes that were similar to CA3 pyramidal neuron slopes (>20 ms–1 at 10–15 mV ms–1) (Naundorf et al. 2006
; Shu et al. 2007
). This makes dentate granule neurons outliers among cell classes evaluated in this manner. The sudden onset of the phase plot at threshold has been interpreted to suggest cooperativity of sodium channel gating (Naundorf et al. 2006
). However, more recently the steep phase plot slope has been shown to result from the distal, axonal initiation site of the action potential, combined with backpropagation into the soma (Bean 2007
; McCormick et al. 2007
; Shu et al. 2007
). A third difference between phase plots of granule neurons and CA3 pyramidal neurons was the prominence of several inflections in the rising phase of the phase plot (Fig. 2, C and D, * and
). As discussed in detail in the following text (see Fig. 5, Table 1), the inflections arise as a result of the remote initiation of the action potential in the axon, followed by full soma invasion (Colbert and Johnston 1996
). Thus the shallow slope of the phase plot at threshold and the less prominent rising phase inflections in dentate granule neurons may suggest that the action potential originates electrotonically closer to the soma than in other cell types and is consistent with an initiation site more proximal to the recording site than in CA3 neurons.
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1 nA), proximal axon tetrodotoxin application produced a significant shift in threshold while application to the other locations did not (Fig. 3, B and D). Therefore our pharmacological approach confirms recent direct axonal recordings that have suggested a robust axonal action potential initiation site in dentate granule neurons (Schmidt-Hieber et al. 2008
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80 µm from the CA3 pyramidal soma (Meeks and Mennerick 2007
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60 µm on mossy fibers. From the average peak staining at 15 µm, staining fell with a distance decay constant of 29.4 µm, obtained from an exponential decay fit. Thus the high density of voltage-gated sodium channel staining overlaps and is restricted within the axon initial segment as defined by anykrin G immunolocalization. These results suggest the proximal voltage-gated sodium channel staining is unlikely to represent restricted subcompartmentalization of sodium channels within a longer axon initial segment (Van Wart et al. 2007
To estimate the action potential initiation site physiologically, we performed conventional somatic whole cell recordings combined with simultaneous loose-seal extracellular recordings from the cell's axon (Khaliq and Raman 2005
; Meeks et al. 2005
; Monsivais et al. 2005
; Raastad and Shepherd 2003
). Action potentials were elicited with somatic current injection (<200 pA) in current-clamp mode. In many neurons, the somatic waveform is composed of multiple components, which can be resolved by examining the first (Colbert and Johnston 1996
; Coombs et al. 1957
) or second (Meeks and Mennerick 2007
) temporal derivative of the membrane voltage (Fig. 5, A3 and B3,
and +; also evident in the phase plots of Fig. 2, * and
). Classical work shows that the first component (Fig. 5, A3 and B3,
) arises from the axonal spike registered in the somatic recording, while the lag between the components (Fig. 5, A3 and B3,
to +) represents the slower recruitment of somatic channels. This sluggishness arises from the time to charge the large capacitance of the soma from the local current arising from the axon initial segment. The second peak (Fig. 5, A3 and B3, +) represents a maximal recruitment of somatic sodium channels (Colbert and Johnston 1996
; Coombs et al. 1957
).
In CA3 neurons, the somatic second derivative contains well-separated peaks as described in the preceding text (Fig. 5B3,
and +) (Meeks and Mennerick 2007
). By contrast, granule neuron second derivative waveforms typically did not contain well-resolved peaks (Figs. 5A3,
and +, and 2), although two inflection points were typically discernible. Inspection of second derivative waveforms from the two cell types suggested a smaller time lag between the two components (Fig. 5A3,
to +) in granule neurons. This shorter latency typically resulted in a merging of the two components of the second derivative waveform. That is, there was less bumpiness in the second derivative waveform of granule cells.
We compared "bumpiness" in each cell type by assessing the number of dentate neurons and CA3 neurons exhibiting a stationary inflection point (slope = 0) in the initial (axonal) component of the second derivative somatic membrane potential waveform, (Fig. 5, A4 and B4, between - - - and ···). In dentate neurons, 36% of cells met this criterion, whereas in CA3 neurons, 89% of cells exhibited a stationary inflection point (Table 1, P < 0.05; Fisher's exact test). This quantitative assessment matches the qualitative observation from the phase plot analysis of Fig. 2; dentate neurons exhibit less "bumpiness" in their phase plot and second derivative waveforms, consistent with a more proximal initiation site.
From dual recordings of somatic and axonal action potentials, we obtained two latencies. From somatic records, we used the somatic membrane potential second derivative to estimate the latency from spike initiation to invasion of the axon hillock. We have previously shown through modeling that the time at which the second derivative waveform reaches 5% of the first peak amplitude represents a good estimate of the time of first threshold crossing in the axon (Meeks and Mennerick 2007
). Further validation of this conclusion comes from analysis of threshold in dentate granule neurons calculated using the method in Fig. 2 (phase plots) versus the second derivative 5% method. Granule neuron threshold values calculated by the two methods were similar (–52.9 ± 1.5 mV versus –54.4 ± 1.5 mV, n = 11). Therefore we used the second derivative 5% time point to denote the time of action potential initiation for this analysis. The latency between this value and the time of first peak in the somatic membrane potential second derivative (Fig. 5, A3 and B3,
), was taken as the time from initiation to development/backpropagation of the spike to the axon hillock (Time 1, Fig. 5, A7 and C), before full invasion into the soma.
The axon signal was used to identify the time of arrival of the spike at the site of the local extracellular recording. Axon recordings were performed in voltage-clamp mode with the pipette tip potential clamped to the bath potential. The recorded axonal currents correspond closely to the first time derivative of intracellular somatic membrane potential (Meeks et al. 2005
). Therefore we compared the first derivative of the axon signal to the somatic second derivative waveform to calculate the time between the threshold and action potential backpropagation into the axon hillock (time 1; Fig. 5, A7 and C). We denoted the time between initiation (somatic 2nd derivative 5% value) and peak of the axonal first derivative waveform as the forward propagation time (time 2; Fig. 5, A7 and D).
To summarize, time 1 (Fig. 5, A7 and C) estimates the latency between first threshold crossing in the axon to arrival/development of the spike in the axon hillock. Note that time 1 includes time for the spike to develop from the time of initiation to the time of maximum voltage acceleration as well as any true "backpropagation" time. Time 2 (Fig. 5, A7 and D) represents the time from initiation to the time of maximum intracellular voltage acceleration at the site of axon recording. Again, this value is expected to include the time necessary for the spike to develop from threshold to maximum acceleration as well as forward propagation time.
The preceding considerations regarding latencies predict that time 1 would not vary with axon recording distance and that time 2 should vary with axon recording location. Indeed, time 1 did not vary with axon recording location (Fig. 5C), indicating that axon recordings near the soma did not disrupt normal development of the action potential. Time 2 did vary with recording location (Fig. 5D). In the time 2 versus distance plot (Fig. 5D), the location at which the time 2 latency reaches a minimum represents an estimate of action potential initiation site location. In CA3 pyramidal neurons, a minimum latency is observed over a zone of axonal recording distances from near the soma to
100 µm distal to the soma (Meeks and Mennerick 2007
). This zone represents membrane regions adjacent to the point of first threshold crossing, all reaching a maximum membrane potential acceleration nearly synchronously. By contrast, an extended zone of minimum latencies was not apparent in dentate granule neurons. Instead granule neuron latencies reached a minimum <30 µm distal to the soma (Fig. 5D). The markedly different mossy fiber action potential latency versus distance relationship compared with CA3 pyramidal neuron axons is consistent with a proximal axon initiation site in dentate granule neurons. Based on confidence limits of the fit to time 2 versus distance, we conclude that the site of first threshold crossing is certainly <40 µm from the dentate granule soma, corresponding closely to the pattern of voltage-gated sodium channel localization (Fig. 4D). The same conclusion is borne out by a simple axon to soma max dV/dt latency plot [Supplemental Fig. S1;1 compare with Fig. 4E from Meeks and Mennerick (2007)
].
To determine mossy fiber conduction velocity, we calculated the axonal recording distance (from 3-dimensional confocal images of the fluorescent dye filled axon) divided by the sum of latencies (time 1 plus time 2). As evident from Fig. 5E, the conduction velocity varies depending on the axonal recording site location. As the action potential develops from the site of initiation toward the soma, the conduction velocity (time from initiation to maximum acceleration at the point of recording) is much slower than the orthrodromic velocity. Between 100 and 400 µm, the average mossy fiber action potential conduction velocity was 0.27 ± 0.02 m s–1. Over this same range, CA3 axonal conduction velocity conduction velocity is 0.38 ± 0.02 m s–1 (Meeks and Mennerick 2007
). Thus mossy fibers conduct action potentials
30% slower than CA3 neurons.
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DISCUSSION |
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10 mV more positive than in CA3 pyramidal neurons. Also lending to an overall view of weak axon excitability is the slow conduction velocity measured in mossy fibers.
A proximal axon action potential initiation site was suggested by four independent methods of estimation. First, phase plot inflections were significantly shallower at threshold and less bumpy during the rising phase in dentate recordings than in CA3 neuron recordings. Second, local TTX application influenced threshold when applied to the proximal axon but not when applied to the apical dendrite or to the distal axon. Third, voltage-gated sodium channel immunoreactivity peaked more proximally in mossy fibers than in CA3 axons. Fourth, direct dual somatic/axonal recordings suggested that the initiation site must occur 40 µm or closer to the dentate granule neuron soma, significantly closer than in CA3 neurons. Recently a proximal granule neuron initiation site was also suggested by direct intracellular recordings from balled-up mossy fiber blebs <100 µm from the soma, arising at the cut end of severed axons (Schmidt-Hieber et al. 2008
).
The proximal axon initiation site may be seen as integral to an overall compact cellular morphology of dentate granule neurons. The combination of limited dendritic arbors, small soma, and proximal axon action potential initiation site may conspire to have synaptic inputs and spike initiation occur in an electrotonically compact compartment, thus maximizing the contributions of synaptic depolarization. These conclusions are consistent with a recent comparison of dendritic processing in dentate granule neurons versus pyramidal neurons (Schmidt-Hieber et al. 2007
). In particular, the proximal initiation site may help to compensate for the very thin diameter of the mossy fiber, which will result in a short length constant and rapid loss in fidelity of synaptic membrane potential changes (although see Alle and Geiger 2006
).
Somewhat paradoxically to these considerations, we found that granule neurons have a significantly depolarized action potential threshold relative to CA3 pyramidal neurons. Past estimates of spike threshold in mature granule neurons using patch recording methods have varied from approximately –57 mV (Howard et al. 1998
), to –49 mV (Staley et al. 1992
) and –43 mV (Y. B. Liu et al. 1996
; St. John et al. 1997
). One problem with comparing estimates of threshold is the variety of methods used to estimate threshold. Previous estimates include "by-eye" estimates or methods based on first-, second-, or third-order derivatives of the membrane potential (Henze and Buzsaki 2001
; Meeks and Mennerick 2007
; Naundorf et al. 2006
; Shu et al. 2007
). We primarily focused on the phase plot method as a relatively straightforward, objective metric. Another problem is variation in the experimental conditions under which comparisons are made. Therefore we focused on comparing dentate granule neurons and CA3 neurons under essentially similar experimental conditions.
There are several likely contributors to the difference in action potential threshold between cell types. First, it seems unlikely that differential inaccuracies in threshold measurements arising from electrotonic differences between cell types account for the threshold difference. One might imagine that the more proximal location of granule cell initiation could lead to a more accurate estimate of threshold from somatic recordings than in CA3 neurons, particularly with strong current injections where the membrane potential is rapidly changing. However, initiation site in both fiber types falls well within estimated length constants for small CNS fibers (300–400 µm) (Alle and Geiger 2006
; Shu et al. 2006
). Also action potential threshold differences persisted even with weak current injections where cable filtering considerations should be minimized. It seems more likely that true differences in excitability of these cells account for the differences in threshold. These could include differences in sodium channel density or modulation (Kole et al. 2008
), differences in potassium channel expression, differential participation of tonic GABA currents (Coulter and Carlson 2007
), or a variety of other factors.
The depolarized spike threshold in the face of a proximal initiation site would seem to indicate that although excitatory synaptic inputs are not strongly attenuated by cable filtering, strong excitatory input is necessary to exceed spike threshold. The depolarized threshold could play a significant role in the often-noted "gateway" function of dentate granule neurons, a rather seizure-resistant cell type (Dudek and Sutula 2007
; Schwartzkroin and Prince 1978
). One is left with a picture of a dentate granule neuron that "listens" intently to incoming information but is not easily "persuaded" to pass the information by action potentials to target neurons.
As expected from the small diameter of dentate mossy fibers, we found evidence for slow conduction velocity of 0.27 ± 0.02 m s–1. It is possible that the large mossy fiber boutons themselves contribute to the slowing of action potential propagation along mossy fibers as a result of impedance mismatch between the small axon and large bouton. On the other hand, a high density of active conductances in the boutons may participate in maintaining propagation fidelity in these fibers (Engel and Jonas 2005
). With the aid of previous anatomical studies of granule neuron axons and presynaptic terminals (Acsady et al. 1998
; Amaral et al. 2007
), we estimated the latency of information arriving at the first mossy fiber bouton (
200 µm from the dentate granule soma) versus the last mossy fiber bouton (
3,300 µm). The delay for the same information traveling in the same mossy fiber axon will be
11 ms assuming constant distal conduction velocity. It is possible that this staggering of information transfer is another facet of granule neurons' filtering function, making the development of pathological synchrony in target cells less likely. The implications for normal information transfer are less clear.
Our results suggest a more proximal initiation site, elevated threshold, and slower conduction velocity of dentate granule action potentials than observed in CA3 pyramidal axons. These properties are likely to significantly affect the strength and timing of information relay within the hippocampus. Obtaining fundamental characteristics of mossy fiber action potentials provides insight into signal processing within the classical hippocampal trisynaptic circuit and serves as a basis for comparison with other brain regions containing small-diameter, unmyelinated axons. This study also sets the stage for the exploration of developmental and modulatory cues influencing these unique features of dentate granule neuron information processing.
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GRANTS |
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ACKNOWLEDGMENTS |
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Present address of J. P. Meeks: Dept. of Anatomy and Neurobiology, Washington University School of Medicine, St. Louis, MO 63110.
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FOOTNOTES |
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1 The online version of this article contains supplemental data. ![]()
Address for reprint requests and other correspondence: S. Mennerick, Dept. of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave., Campus Box 8134, St. Louis, MO 63110 (E-mail: menneris{at}psychiatry.wustl.edu)
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