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McKnight Brain Institute of the University of Florida, Department of Oral Surgery Division of Neuroscience, College of Dentistry, University of Florida, Gainesville, Florida, 32610
Submitted 26 December 2002; accepted in final form 10 February 2003
| ABSTRACT |
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,
-methylene-ATP increased glutamate release onto >80% of DH neurons in both lamina regions. However, two distinct types of modulation, a transient and a long-lasting enhancement of glutamate release were observed. In lamina II recordings, >70% of the modulation was transient. In contrast, P2X receptor-mediated modulation was always long-lasting in lamina V. Pharmacologically, both transient and long-lasting types of modulation were blocked by 10 µM pyridxal-phospahte-6-azophenyl-2',4'-disulphonic acid tetrasodium, a broad-spectrum P2X receptor antagonist. Transient modulation was not observed in the presence of 1 µM trinitrophenyl-ATP (TNP-ATP), a subtype-selective P2X receptor antagonist, suggesting that homomeric P2X3 receptors may be involved in the transient modulation in lamina II. The long-lasting modulation remained in the presence of 1 µM TNP-ATP. Selective removal of P2X3-expressing afferent terminals by the targeting toxin saporin-conjugated isolectin B4 or surgical removal of superficial DH did not affect P2X receptor-mediated long-lasting modulation in lamina V. Taken together, these results suggest that P2X receptor subtypes play distinct roles in sensory processing in functionally different sensory regions. | INTRODUCTION |
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Seven P2X subunits (P2X1 to P2X7) have been identified and cloned (North and Surprenant 2000
). Six homomeric P2X subtypes (P2X1 to P2X5, P2X7) and at least four heteromeric P2X subtypes (P2X2+3, P2X4+6, P2X1+5, and P2X2+6) can be formed by the seven subunits in heterologous expression systems (Khakh et al. 2001
; also see Brown et al. 2002
). These P2X subtypes can be classified by the ATP analogue,
,
-methylene-ATP (
meATP), into 
meATP-sensitive and -insensitive subgroups. Homomeric P2X1 and P2X3 and heteromeric P2X2+3, P2X1+5 and P2X4+6 are sensitive to 
meATP, and other subtypes have very low sensitivity to 
meATP (Khakh et al. 2001
). 
meATP-sensitive P2X receptors can be further divided into rapidly desensitizing group, including homomeric P2X1 and P2X3 (Chen et al. 1995
; Valera et al. 1994
), and weakly desensitizing group including heteromeric P2X2+3, P2X1+5, and P2X4+6 (Haines et al. 1999
; Le et al. 1998
; Lewis et al. 1995
; Torres et al. 1998
). Pyriduxalphosphate-6-azophenyl-2',4'-disulphonic acid tetrasodium (PPADS) blocks most P2X receptors with little selectivity (Khakh et al. 2001
). TNP-ATP selectively blocks P2X1, P2X3, and P2X2+3 at nanomolar concentration range (Virginio et al. 1998
).
Many dorsal root ganglion (DRG) neurons express P2X receptors (Jahr and Jessell 1983
; Krishtal et al. 1983
). Two types of currents, rapidly and weakly desensitizing currents, can be elicited by ATP or 
meATP (Grubb and Evans 1999
; Li et al. 1999
; Ueno et al. 1999
). This indicates that at least two subtypes of functional P2X receptors are expressed on DRG neurons. Rapidly and weakly desensitizing P2X receptors may have distinct sensory functions in the periphery (Cook et al. 1997
; Dowd et al. 1998
; Sawynok and Reid 1997
; Tsuda et al. 2000
). Rapidly desensitizing currents are generally thought to be mediated by homomeric P2X3; weakly desensitizing P2X currents are believed to be mainly mediated by P2X2+3 (Burgard et al. 1999
; Lewis et al. 1995
; Tsuda et al. 2000
; Xu and Huang 2002
). However, other P2X subtypes may also mediate the weakly desensitizing currents in DRG neurons because most P2X subunits are found to be expressed in sensory neurons (Collo et al. 1996
; Xiang et al. 1998
).
Spinal cord DH, the first central site for sensory processing, can be divided into structurally and functionally distinct lamina regions (Willis and Coggeshall 1991
). Lamina II is a major receiving center for the inputs from fine afferent fibers that mainly carry nociceptive signals. In contrast, lamina V receives many convergent sensory inputs from both nociceptive and nonnociceptive afferent fibers (Willis and Coggeshall 1991
). This region plays an important role in sensory hypersensitivity associated with allodynia and hyperalgesia. We have previously shown that P2X receptors are expressed at the central terminals of primary afferent fibers innervating lamina V neurons and that activation of these receptors modulates sensory transmission to lamina V neurons (Nakatsuka and Gu 2001
). However, the properties of these P2X receptors on afferent central terminals have not been examined in detail. In lamina II, little is known about the involvement of P2X receptors in regulating glutamate release from the central terminal of primary afferent fibers. For these reasons, in the present study we have characterized P2X receptor-mediated modulation of glutamate release in both lamina II and lamina V. Further, the present study demonstrates that the modulation in these two regions is distinct due to the differential expression of P2X receptor subtypes at the central terminals of primary afferent fibers.
| METHODS |
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Principles of laboratory animal care (National Institutes of Health publication No. 86-23, revised 1985) were followed in all the experiments described in this study. Transverse spinal cord slices were prepared from L5 spinal cords of rats at the postnatal age of 1421 days as described previously (Nakatsuka and Gu 2001
). Briefly, in each experiment, a rat was anesthetized with isoflurane, and then a laminectomy was performed. The lumbosacral spinal cord was taken out and placed in the preoxygenated Krebs solution at 24°C. After cutting all ventral and dorsal roots near the root entry zone, the pia-arachnoid membrane was removed, and the spinal cord was mounted on a Vibratome. Unless otherwise indicated, the spinal cord was cut into transverse slices each in the thickness of 500 µm. A spinal cord slice was transferred to a recording chamber (
0.5 ml) and placed on the stage of an upright IR-DIC microscope (BX50WI; Olympus, Tokyo). The slice was superfused with Krebs solution at flow rate of 10 ml/min at room temperature (22°C). The Krebs solution contained (in mM) 117 NaCl, 3.6 KCl, 2.5 CaCl2, 1.2 MgCl2, 1.2 NaH2PO4, 25 NaHCO3, and 11 glucose; the solution was saturated with 95% O2-5% CO2 and had pH of 7.3.
Patch-clamp recordings from spinal cord slices
Lamina regions were identified under a x10 objective, and individual neurons were identified with a x40 objective under IR-DIC microscope (Olympus BX50). The microscope was coupled with a CCD camera (CCD100; DAGE-MTI, Michigan City, IN) and a video monitor screen. Whole cell patch-clamp recordings were made from DH neurons with microelectrodes filled with a solution containing (in mM) 135 K+-gluconate, 5 KCl, 0.5 CaCl2, 2 MgCl2, 5 EGTA, and 5 HEPES, pH 7.3; the electrode resistance was
5 M
after filling the electrode solution. Signals were amplified with Axopatch 200B (Axon Instruments, Union City, CA), filtered at 2 kHz, sampled at 5 kHz using pCLAMP 7 (Axon Instruments), and stored in a personal computer. Stable recordings could be obtained from spinal cord slices and maintained for several hours. Spontaneous excitatory postsynaptic currents (sEPSCs) and miniature EPSCs (mEPSCs) were recorded at holding potential of 60 mV where GABAergic and glycinergic synaptic currents were negligible (Nakatsuka and Gu 2001
). In some experiments, s- and mEPSCs were recorded in the presence of bicuculline (20 µM) and strychnine (2 µM). sEPSCs were recorded in the absence of TTX and mEPSCs in the presence of 0.5 µM TTX. Effects of 
meATP on sEPSCs and mEPSCs were examined in lamina II and lamina V neurons. 
meATP was puff-applied as well as bath-applied in lamina II recordings; 
meATP was bath-applied in lamina V recordings. For puff application, pressure microinjection of 1 mM 
meATP was applied at 69 kPa for 5 s by a Picrospitzer (General Valve, Fairfield, NJ). Puff electrodes were positioned with their tips being located at a distance of
150 µm to the soma of the recorded neurons in lamina II. Puff pipettes were fabricated in the identical way as the recording micropipettes. All antagonists tested were applied through bath solution for
10 min before the applications of 
meATP. Synaptic events including mEPSCs and sEPSCs were analyzed using Mini Analysis Program (Jaejin Software, Anderson Place, GA) with criteria being the same as previously described (Gu and MacDermott 1997
). In analyzing the change of sEPSC and mEPSC frequency after bath application of 
meATP, the time course of sEPSC and mEPSC frequency before and after 
meATP was first constructed with time bin of 10 s. Then the average response in three bins (30 s) around the peak was used to calculate the changes in reference to the control.
Chemical removal of IB4-positive sensory terminals
In one set of experiments, electrophysiological experiments were performed on the spinal cord slice preparations obtained from rats that were preinjected with saporin-conjugated isolectin B4 (IB4-saporin) to the sciatic nerves. IB4-saporin (Advanced Targeting System, San Diego, CA) injection was performed on rats 57 days prior to electrophysiological recordings and immunostaining. In brief, rats were deeply anesthetized with isoflurane, and the left sciatic nerve was isolated. IB4-saporin (2 µl, 1 mg/ml) was injected into the sciatic nerve via a microelectrode (
0.5 µm in diameter) under a dissecting microscope. The wound was washed with 5 ml saline and sutured with 4-0 monofilament nylons. Transverse spinal cord slices (250 µm in thickness) were prepared from L5 spinal cords 57 days after the injection. Whole cell patch-clamp recordings were then made from DH neurons of the injected side. After the electrophysiological recordings, spinal cord slices were fixed, and immunostaining was performed on these spinal cord slices. In another group of experiment, recordings were conducted on lamina V neurons in the spinal cord slices whose superficial laminae were surgically removed.
Immunohistochemistry
IB4 staining and P2X3 subunit immunostaining were performed to determine the effectiveness of IB4-saporin in removing IB4-positive/P2X3-expressing sensory terminals in the spinal cord. VR1-ir was also examined in some slices after recordings. In brief, the transverse spinal cord slices (250 µm in thickness) were put in a 35-mm petri dish and fixed with 4% paraformaldehyde (PFA, in PBS buffer solution) for 12 h at 4°C after the electrophysiological recordings. The slices were transferred into a 4% PFA solution containing 0.4% Triton X-100 and incubated at 4°C for 3 h. They were washed three times with PBS and then mounted onto glass slides and allow to air-dry. They were then encircled with hydrophobic resin (PAP Pen). For IB4 staining, slices were incubated with IB4-biotin (Sigma, St. Louis, MO) at room temperature for 1 h. After a rinse with 1% goat serum PBS solution three times, the slices were further incubated with Streptavidin-Alexa 350 (Molecular Probes, Eugene, OR). For P2X3 immunostaining, slices were incubated with a polyclonal guinea pig anti-P2X3 receptor antibody (1:3,000; Neuromics, Minneapolis, MN) over night at 4°C. After a rinse with 1% goat serum PBS solution three times, the slices were further incubated with a secondary antibody for 3 h at room temperature. The secondary antibody (1:100 in goat serum PBS solution) was a goat anti-guinea pig IgG-conjugated with Alexa-488 (Molecular Probes). The slices were washed three times with 1% goat serum PBS solution. For VR1 immunostaining, slices were incubated with a polyclonal rabbit anti-VR1 receptor antibody (1: 3,000; Neuromics) overnight at 4°C. After a rinse with 1% goat serum PBS solution three times for 20 min, the slices were further incubated with a secondary antibody for 3 h at room temperature. The secondary antibody (1:100 in goat serum PBS solution) was a goat anti-rabbit IgG conjugated with Alexa-594 (Molecular Probes). Slices were washed three times with 1% goat serum PBS solution and then coverslip was applied with a glycerol-based anti-photobleach medium. Slices were viewed under an inverted fluorescent microscope (IX-70, Olympus, Tokyo, Japan) or a confocal microscope (1024 ES, Bio-Rad, Hercules, CA) equipped with a krypton-argon laser and T1 and T2A filter blocks, attached with an inverted fluorescent microscope (IX-70, Olympus). To provide a quantitative measure of the changes of P2X3-ir in spinal cord slice sections after IB4-injection, the images were first converted to a gray scale for which the darker gray represents heavier immunostaining and the lighter gray represents less immunostaining. The immunostaining intensity was then quantitatively measured by the Scion-Imaging Program (Scion, Frederick, MD). The immunostaining intensity in lamina VII was taken as a reference of negative staining. The ratio between the immunostaining intensity in lamina IIi and lamina VII was calculated and used for the comparison of P2X3-ir.

meATP, PPADS, capsaicin, bicuculline, and strychnine were purchased from Sigma. 6-cyano-7-nitroquinoxaline-2,3-dion (CNQX) and tetrodotoxin (TTX) were purchased from Tocris (Ballowin, MO). Trinitrophenyl-ATP (TNP-ATP) was purchased from Molecular Probe. Data represent means ± SE. Paired Student's t-test were used for statistical comparison, and significance was considered at the P < 0.05 level.
| RESULTS |
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The metabolically stable ATP analogue 
meATP was used in this study because its action in spinal cord slice preparations was found to be mainly on primary afferent central terminals, and it had little effect on DH neurons (Nakatsuka and Gu 2001
). Puff application (5 s) was used to rapidly deliver 
meATP (
0.1 µl) to lamina II near the places where the recorded lamina II neurons were located. Although the concentration of 
meATP inside the puff electrode was 1 mM, its actual concentration that reached afferent central terminals should be much lower because of instant dilution by surrounding buffer solution. sEPSC frequency was increased in 9 of 11 lamina II neurons recorded (82%, Fig. 1, A, B, and E) after a 5-s puff application of 
meATP. The responses had very rapid onset. The effects were not due to mechanical force by puff pressure because puff application of bath solution did not produce any change in sEPSC frequency. The overall changes in sEPSC frequency were 359 ± 119% of controls (n = 11). Of the nine cells showing the increased sEPSC frequency, seven of them showed transient responses that were terminated 12 s before the end of 5-s 
meATP application (Fig. 1A). The remaining two neurons showed responses that lasted for >10 s with the 5-s 
meATP application (Fig. 1B). Similar to its effects on sEPSC frequency, mEPSC frequency in seven of the nine lamina II neurons recorded also was increased after puff application of 
meATP (Fig. 1, C, D, and F). The overall changes in mEPSC frequency were 437 ± 147% (n = 9). Of the seven cells showing the increased mEPSC frequency, five of them showed transient responses that were terminated 12 s before the end of 5-s 
meATP application (Fig. 1C). The remaining two neurons showed responses that lasted for >10 s with 5-s 
meATP application (Fig. 1D). In the preceding experiments, 
meATP did not directly evoke P2X receptor-mediated whole cell currents from the recorded DH neurons because there was little change in baseline current levels during 
meATP applications (Fig. 1, AD). The sEPSCs and mEPSCs in the preceding experiments were mediated by the release of glutamate from terminals connecting to the recorded neurons because they were abolished completely in the presence of 10 µM 6-cyano-7-nitroquinoxalene-2,3-dione (CNQX, not shown). It was noted that when a cell had a transient response to 
meATP, a second application of 
meATP in the same cell usually could not induce an increase in the frequency of sEPSCs and mEPSCs even when the time interval between two applications was >10 min. 
meATP-induced transient responses rarely recovered completely, even with very long time wash in normal bath solution (not shown). This phenomenon is consistent with the previous findings that some P2X receptors such as homomeric P2X3 receptors recover very slowly from desensitization (Khakh et al. 2001
).
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The effects of two P2X receptor antagonists, PPADS and TNP-ATP, on 
meATP-induced responses were tested in lamina II recordings. Due to the very slow and incomplete recovery from the desensitization of 
meATP-induced responses in most recordings, 
meATP was applied only one time in the presence of an antagonist in each recording. Therefore the effects of antagonists were analyzed by group comparison. This approach is valid because
80% of cells responded to 
meATP in the absence of P2X antagonists. In the presence of 10 µM PPADS in bath perfusion solution, puff application of 
meATP (1 mM 
meATP mixed with 10 µM PPADS inside puff electrode) did not significantly increase sEPSC frequency (102 ± 4% of control) in any of nine neurons recorded in lamina II (Fig. 2, A and D). Similar experiments were performed to test the effects of TNP-ATP. In 10 neurons recorded in the presence of 1 µM TNP-ATP, puff application of 1 mM 
meATP (1 mM 
meATP mixed with 1 µM TNP-ATP inside puff electrode) did not significantly increase sEPSC frequency in 8 neurons (Fig. 2B). Two neurons clearly showed an increase of sEPSC frequency (Fig. 2C), but the responses in these two cells were different from the transient responses observed in most lamina II neurons. They had longer-lasting responses that continue for several seconds after the termination of the 5-s 
meATP application. The average response induced by 
meATP in the presence of 1 µM TNP-ATP is presented in Fig. 2D. The average response includes data from eight nonresponsive and two responsive neurons.
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We examined the modulation of glutamate release in lamina II after the prolonged P2X receptor activation. In this experiment, 100 µM 
meATP was applied through bath solution for a period of 60 s. Of 22 cells recorded in lamina II, only 5 of them (23%) showed long-lasting increases of sEPSC frequency after 
meATP application (Fig. 3, A and C). The responses lasted for >150 s (Fig. 3A). In the remaining 17 cells (77%) recorded, neither transient nor long-lasting response was observed (Fig. 3, B and C). We further examined the effects of 
meATP on mEPSCs in the presence of 0.5 µM TTX. Similar to the effects on sEPSC frequency, bath application of 
meATP only produced long-lasting increases of mEPSC frequency in a small percent of neurons recorded (4 of 18 neurons, 22%, Fig. 3, D and F). The majority of lamina II neurons recorded (14 of 18 cells, 78%) showed no change in mEPSC frequency (Fig. 3, E and F).
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P2X receptor-mediated modulation of glutamate release onto lamina V neurons
Although P2X receptor-mediated modulation of glutamate release onto lamina V neurons was reported previously (Nakatsuka and Gu 2001
), the properties of this modulation have not been characterized in detail. The following experiments were designed to compare P2X receptor-mediated synaptic modulation in lamina V with that in lamina II.
Different from most recordings in lamina II, >90% of lamina V neurons showed long-lasting increases of sEPSC and mEPSC frequency (Fig. 4) after bath application of 100 µM 
meATP for 60 s. Of 22 cells recorded for sEPSCs (Fig. 4, A and B), 20 cells showed the increased sEPSC frequency by 
meATP. The effects lasted for 210 ± 14 s (n = 20), about three times longer than the period of 
meATP application. The remaining two cells did not show a change in sEPSC frequency. The overall changes of sEPSC frequency were 371 ± 48% of control (n = 22) after 
meATP application. The effects of 100 µM 
meATP on mEPSCs were tested in 20 cells (Fig. 4, C and D), 19 of them (95%) showed the increased mEPSC frequency. The effects lasted for 181 ± 15 s. Only one cell showed no response. The overall changes in mEPSC frequency were 342 ± 41% of control (n = 20) after bath application of 100 µM 
meATP. The increases of sEPSC and mEPSC frequency could be reproduced by multiple applications of 100 µM 
meATP at a time interval of 10 min (not shown, but see Fig. 5B). 
meATP at the concentration of 10 µM was tested in eight lamina V neurons; these neurons were also tested with 100 µM 
meATP (Fig. 4E). mEPSC frequency was increased to 168 ± 27% of control (P < 0.05, n = 8) with 10 µM 
meATP and to 376 ± 54% of control with 100 µM 
meATP (P < 0.05, n = 8).
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The two P2X receptor antagonists, PPADS and TNP-ATP, were examined to determine antagonist profiles of 
meATP-induced responses in lamina V neurons. Because 
meATP-induced increases of mEPSCs and sEPSCs showed essentially identical responses (Fig. 4), TTX was omitted from bath solution, and sEPSCs were measured in all of the following experiments. The 
meATP-induced increases of sEPSC frequency were sensitive to the block by PPADS. As shown in Fig. 5, A and C, the increases of sEPSC frequency by 100 µM 
meATP (403 ± 89% of control, n = 6) were completely abolished in the presence of 10 µM PPADS (104 ± 5% of control, n = 6). In contrast to PPADS, TNP-ATP did not significantly inhibit 
meATP-induced increases of sEPSCs (Fig. 5B,C). Of six lamina V neurons recorded, 
meATP (100 µM) facilitated sEPSC frequency to 472 ± 89% of control in the absence of TNP-ATP; 
meATP still increased sEPSC frequency to 448 ± 99% of control in the same neurons when 1 µM TNP-ATP was present (Fig. 5, B and C).

meATP-induced long-lasting increases of glutamate release onto lamina V neurons after the removal of P2X3-expressing afferent terminals
P2X3-ir in the spinal cord section was restricted in inner lamina II (Fig. 6B), and overlapped with IB4-positive primary afferent central terminals (Fig. 6A). However, many lamina V neurons are known to extend their dendrites dorsally into superficial laminae, making it possible that P2X2+3-expressing afferent terminals were involved (North 2002
). To address whether or not P2X2+3 receptors were responsible for the long-lasting modulation in lamina V recordings, we examined effects of 
meATP on sEPSC frequency after chemically destroying P2X3-expression afferent neurons using IB4-saporin (Fig. 6). Five days after the injection of 2 µl IB4-saporin (1 mg/ml) into the sciatic nerve, IB4 staining in the ipsilateral side disappeared (Fig. 6A) from the spinal cord slice preparations of L5 section. We used the ratio of P2X3-ir intensity between lamina II and lamina VII as a quantitative measure for the change of P2X3-ir after IB4-saporin injection. The ratio of P2X3-ir intensity was 3.00 ± 0.43 (n = 6) in the control sides, and it became 1.01 ± 0.11 (n = 6, P < 0.05) in the IB4-injected side. Thus P2X3-ir was almost completely lost in the ipsilateral side (Fig. 6B).
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Electrophysiological experiments were performed in such slices prior to immunostaining of P2X3 receptors. The removal of P2X3-expression terminals in the recorded slice sections was confirmed in each experiment after recordings (Fig. 6B). 
meATP-induced responses in lamina V on the ipsilateral site showed similar responses to those recordings from slices of un-injected rats. As shown in Fig. 6, C and D, bath application of 100 µM 
meATP still largely enhanced sEPSC frequency to 305 ± 42% of control (n = 20). The effects were observed in almost all lamina V neurons (90%, 18 of 20 neurons from 6 slices) in the IB4-saporin injected sides (Figs. 6, C and D, and 7D).
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To further confirm that a subtype of P2X receptors other than P2X2+3 receptors was responsible for the long-lasting modulation in lamina V recordings, we examined 
meATP-induced responses in lamina V neurons after the removal of superficial DH (lamina IIII; Fig. 7). A second purpose of this experiment was to determine the location (superficial vs. deep laminae) of these 
meATP-sensitive synapses. Figure 7, A and B, illustrates the position of P2X3-ir and its relative position to the portion of the dorsal horn that was surgically removed. In addition, Fig. 7A also showed that P2X3-ir largely overlapped with VR1-ir in the inner lamina II (Fig. 7A). The removal of superficial lamina abolished capsaicin-induced increases of sEPSC frequency in lamina V neurons (n = 10, not shown) (also see Nakatsuka et al. 2002
), indicating the effectiveness of removing VR1/P2X3-expressing terminals. When 
meATP (100 µM) was tested in such preparation, bath application of 
meATP still largely increased sEPSC frequency in all 12 lamina V neurons recorded (Fig. 7, C and D). The overall changes of sEPSC frequency were 320 ± 89% of control (n = 12), similar to the responses in intact slices. Thus the removal of P2X3-expressing terminals either chemically or surgically did not significantly change the 
meATP-induced responses in lamina V neurons (Fig. 7D).
| DISCUSSION |
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P2X receptor-mediated modulation of glutamate release onto lamina II neurons
Immunochemical evidence has shown the expression of P2X subunits at the central terminals of primary afferent fibers (Guo et al. 1999
; Vulchanova et al. 1996
, 1997
, 1998
). Although activation of P2X receptors produced glutamate release from sensory synapses in a DGR-DH co-culture system (Gu and MacDermott 1997
; Labrakakis et al. 2000
), only one study suggests that P2X receptors may play a role in modulating glutamate release in lamina II (Li et al. 1998
). Using puff application to rapidly deliver 
meATP, we found that the frequency of sEPSCs and mEPSCs, i.e., synaptic release of glutamate, was increased in most recordings in lamina II. Most responses were shown to be transient and rapidly desensitized. In contrast, most recordings did not reveal any significant increase in the frequency of sEPSCs and mEPSCs when 
meATP was bath applied. The lack of transient responses during bath application of 
meATP was most likely due to the slow penetration of 
meATP to the tissue, which inactivated the rapidly desensitizing P2X receptors before it could be activated. Thus most afferent terminals connecting to lamina II neurons expressed rapidly desensitizing P2X receptors, and activation of these receptors produces a transient increase of glutamate release. Pharmacologically, we showed that the transient responses in lamina II were sensitive to the block by both PPADS and TNP-ATP. Because P2X3 subunits are high expressed at the afferent terminals innervating lamina II regions (Vulchanova et al. 1997
, 1998
) and homomeric P2X3 receptors are highly sensitive to the block by TNP-ATP (Virginio et al. 1998
; also see Burgard et al. 1999
; Grubb and Evans 1999
), the transient responses induced by 
meATP in lamina II were most likely mediated by homomeric P2X3 receptors. However, the potential contribution of P2X1 receptors cannot be excluded.
We have shown that in a small population of lamina II neurons, focal and bath application of 
meATP induced a prolonged increase of glutamate release. This suggests that the weakly desensitizing P2X receptors are expressed on a small number of afferent terminals innervating lamina II. In DRG neurons, weakly desensitizing P2X receptors that could be activated by 
meATP were highly speculated to be P2X2+3 receptors (Burgard et al. 1999
; Lewis et al. 1995
; Xu and Huang 2002
). P2X2+3 receptors are sensitive to the block by TNP-ATP in nanomolar concentration range (Virginio et al. 1998
). However, we found that during continuous perfusion of 1 µM TNP-ATP, 
meATP still could produce a long-lasting increase of glutamate release in a small number of lamina II neurons. This raises a possibility that some afferent central terminals innervating lamina II regions may express a P2X subtype different from P2X2+3. It should be noted that our experimental protocol with TNP-ATP in this study could not allow us to determine the potential role of P2X2+3 heteromeric receptors (Xu and Huang 2002
) in 
meATP-induced long-lasting responses because TNP-ATP were present through the experiments in lamina II recordings. P2X2+3-like currents have recently been demonstrated in the soma of DRG neurons (Burgard et al. 1999
; Grubb and Evans 1999
; Rae et al. 1998
; Tsuda et al. 2000
; Ueno et al. 1999
) although co-expression of P2X2 and P2X3 subunits at the same central terminals of primary afferent fibers was not clearly evident immunocytochemically with confocal microscopic study (Vulchanova et al. 1997
).
P2X receptor-mediated modulation of glutamate release onto lamina V neurons

meATP largely increased sEPSC and mEPSC frequency in almost all lamina V neurons for a prolonged period. This effect was distinct from 
meATP-induced transient responses recorded in lamina II cells. These results suggest that weakly desensitizing P2X receptors are expressed at the central terminals of primary afferents innervating lamina V neurons. 
meATP-induced increases of mEPSCs and sEPSCs in lamina V were unlikely due to its action on DH neurons because 
meATP-sensitive P2X receptors were found on DH inhibitory interneurons not on glutamatergic DH neurons (Hugel and Schlichter 2000
; Jang et al. 2001
; Rhee et al. 2000
). The expression of 
meATP-sensitive P2X receptors on A
-afferent terminals in lamina V has been more directly demonstrated recently by the effects of 
meATP on A
-afferent-evoked EPSCs recorded in lamina V neurons; 
meATP at low concentrations potentiated A
-afferent-evoked EPSCs (Nakatsuka and Gu 2001
) and failed the evoked EPSCs in lamina V neurons at high concentrations (Tsuzuki et al. 2003
).
It has been widely thought that P2X receptors on the central terminals of A
-afferent fibers are P2X2+3 receptors (North 2002
). However, 
meATP-induced responses in lamina V recordings were remained in the presence of 1 µM TNP-ATP, raising a possibility that these weakly desensitizing P2X receptors were not P2X2+3 receptors. One possibility for the lack of TNP-ATP effects could be due to its metabolic instability in tissue preparations (Lewis et al. 1998
). However, the abolishment of transient responses in lamina II suggested that TNP-ATP reached targets at a concentration high enough to completely block homomeric P2X3 receptors. Because P2X2+3 receptors were shown to be slightly less sensitive to TNP-ATP antagonism than P2X3 receptors (Virginio et al. 1998
), we used two TNP-ATP-independent approaches to test the idea that those 
meATP-activated P2X receptors were not P2X2+3. One approach was to chemically remove P2X3-expressing afferent fibers, and the other approach was to surgically remove superficial laminae. P2X3 subunits have been shown to be predominantly, if not exclusively, expressed on IB4-positive DRG neurons (Vulchanova et al. 1998
). IB4-positive DRG neurons could be selectively destroyed by IB4-saporin (IB4-SAP) (Vulchanova et al. 2001
). We found that IB4-staining was negative and P2X3-ir was lost in L5 spinal slice sections after sciatic nerve injections of IB4-SAP. In such a spinal cord slice preparation, we found that 
meATP still produced long-lasting increases of glutamate release onto lamina V neurons. Furthermore, 
meATP-induced responses were not altered in lamina V recordings when P2X3-ir regions (superficial laminae) in the spinal cord were surgically removed. The results with surgical removal of superficial laminae also indicate that afferent terminals expressing the weakly desensitizing P2X receptors make synaptic contacts with lamina V neurons in deep laminae. Taken together, the P2X receptors that mediated long-lasting enhancement of glutamate release onto lamina V neurons were unlikely to be P2X2+3 receptors. The pharmacological profiles of 
meATP-mediated synaptic modulation in lamina V appear to be consistent with the involvement of P2X1+5 and/or P2X4+6. We have recently shown the similar pharmacological profiles of 
meATP-evoked currents directly recorded from dissociated DRG neurons (see Tsuzuki et al. 2003
). However, in view that unidentified P2X heteromeric receptors (North 2002
) may be present in native cells, it remains to be possible that P2X receptors on A
-afferent terminals innervating lamina V region are new P2X receptor subtypes.
In conclusion, differential modulation of sensory inputs into different sensory regions by P2X receptor subtypes represents an important mechanism of sensory processing in the spinal cord dorsal horn.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Address for reprint requests: J. G. Gu, McKnight Brain Institute of the University of Florida, Department of Oral Surgery Division of Neuroscience, College of Dentistry, University of Florida, Box 100416, Gainesville, Florida 32610 (E-mail: jgu{at}dental.ufl.edu).
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