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146 Chronic Pain: New Molecular Insights into Pain and Treatment
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ACC LTD is input specific
To test whether LTD in the ACC is input-specific, two-pathway experi­ments were performed. An ACC slice was divided by a cut to separate two populations of axons (Figure 2). A paired-pulse facilitation (PPF) proto­col was used to examine the presynaptic relationship between the two pathways (Figures 2(b) and (c)). As shown in Figure 2(d), whereas syn­aptic responses were significantly depressed in the stimulated pathway, synaptic responses in the second, independent pathway, were not signifi­cantly affected. These results suggest that LTD in the ACC is input-specific.
Voltage-dependent synaptic plasticity
It has been reported that LTD is dependent on the level of depolarization of the postsynaptic neurons [10,11]. To examine which voltage is optimal for induction of LTD, we used different holding potentials (−70, −30, −15, and +30 mV) during presynaptic stimulation. Holding potentials at −70,
−30, and −15 mV could not induce LTD (Figure 3). By contrast, a holding potential at +30 mV induced long-lasting potentiation of responses (Figure 3). These results suggest that neurons that were only slightly depolarized (−45 mV) during presynaptic stimulation were in a suitable condition for the induction of LTD.
Requirement of NMDA receptor activation and postsynaptic calcium
In many brain regions — including the hippocampus, visual cortex, soma­tosensory cortex, and peripheral cortex — the induction of LTD was dependent on the synaptic activation of NMDA receptors [2,12,13]. First, NMDA receptor EPSCs were isolated pharmacologically, and these NMDA receptor EPSCs were completely blocked by bath application of a selective NMDA receptor antagonist, 50 µM AP5 (Figure 4). To deter­mine if NMDA receptor activation is required for LTD induction within
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(a) (b) (c)
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(e)
Figure 2. Two-pathway experiments show that LTD is input-specific. (a) Diagram of anACC slice showing the placement of stimulating electrodes in two divided pathways (S1, S2). EPSCs are recorded in ACC neurons in whole-cell patch-clamp. (b) Paired pulse to one pathway shows PPF, while cross-facilitation is not observed between pathways. (c)Statistical summary of paired-pulse ratio between two pathways (n = 6). PPF is calcu­lated as the ratio of the second EPSC amplitude to the first EPSC amplitude. *P < 0.05 compared with across. (d) Summary of results for two pathway experiments (n = 6). Stimulated pathway (S1) only shows LTD. Sample traces show averaged EPSCs during baseline responses and 25 min after the pairing procedure (bar). (e) Statistical summary of EPSCs between two pathways (n = 6). **P < 0.01 compared with baseline responses (adapted from Toyoda et al. [15]).
the ACC, AP5 (50 µM) was applied and LTD induced by pairing training was completely blocked (Figure 4).
It has been clearly shown that influx of Ca2+ into the postsynaptic cell and the resulting rise in intracellular Ca2+ concentration are
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Figure 3. Effects of voltage-dependent thresholds on induction of LTD. (a,b) Different holding potentials (HP) at −70 and −15 mV fail to induce LTD (−70 mV, 103.9 ± 8.2% of baseline responses, n = 6; −15 mV, 106.9 ± 6.3% of baseline responses, n = 7). The insets show averaged EPSCs during baseline responses and 25 min after the pairing pro­cedure (bar). (c) Synaptic potentiation is induced by holding potentials at +30 mV in pyramidal ACC neurons (140.6 ± 12.2% of baseline responses, n = 10). The insets show averaged EPSCs during baseline responses and 25 min after the pairing procedure (bar). (d) Summary results for the effects of different holding potentials (−70, −45, −30, −15, and +30 mV). Only a slightly depolarized (−45 mV) holding potential can induce LTD. *P < 0.05 and ***P < 0.001 compared with baseline responses (adapted from Toyoda etal. [15]).
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Figure 4. LTD induced by postsynaptic NMDA receptor activation. (a,b) LTD is com­pletely blocked by bath applied AP5 (50 µm, n = 8) and BAPTA (11 mm, n = 9) in the intracellular solution. Insets show averaged EPSCs recorded during baseline responses and 25 min after the pairing procedure (bar). (c) LTD is completely blocked by NVP-AAM077 (0.4 µm, n = 6, 103.8 ± 5.4% of baseline responses). (d) In the presence of NVP-AAM077, a holding potential at −15 mV during presynaptic stimulation induces LTD (79.3 ± 4.8%, n = 6, P < 0.05 compared with baseline responses). Insets show averaged EPSCs recorded during baseline responses and 25 min after the pairing procedure (bar). (e) LTD is com­pletely blocked by Ro25-6981 (0.3 µM, n = 7, 104.9 ± 4.9% of baseline responses) or ifenprodil (3 µM, n = 9, 97.0 ± 6.7% of baseline responses). (e,f) In the presence of Ro25­6981, a holding potential at −15 mV during presynaptic stimulation does not induce LTD (96.7 ± 4.6%, n = 7, P > 0.05 compared with baseline responses), but a holding potential at −30 mV in the presence of Ro25-6981 induces LTD (84.8 ± 7.3%, n = 6, P < 0.05 com­pared with baseline responses). Insets show averaged EPSCs recorded during baseline responses and 25 min after the pairing procedure (bar) (adapted from Toyoda et al. [15]).
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necessary for the induction of both LTP and LTD. Whether the synapse undergoes LTP or LTD is dependent on the intracellular Ca2+ concentra­tion. For example, large Ca2+ influx leads to LTP and slight Ca2+ influx leads to LTD. In the induction of homosynaptic LTD, postsynaptic increases in Ca2+ are shown to be mediated by either NMDA receptors or voltage-dependent Ca2+ channels. There are many reports which say that Ca2+ influx through voltage-dependent Ca2+ channels is important for LTD induction. To determine if postsynaptic Ca2+ signaling pathways are involved, a pipette solution containing 11 mM BAPTA was used and the induction of LTD was also completely abolished (Figure 4). These find­ings indicate that this form of LTD is NMDA receptor-dependent and a postsynaptic Ca2+ increase is required for the induction of LTD in the ACC neurons.
NR2A- vs. NR2B-containing NMDA receptors are required for the induction of LT D
It has been reported that NR2B (GluN2B)-containing receptors, but not NR2A(GluN2A)-containing receptors, contribute to LTD in the hip­pocampus [14]. However, little is known about whether GluN2A (NR2A)­and/or NR2B-containing NMDA receptors contribute to the induction of LTD in the ACC. First, the contribution of the NR2A subunit to NMDA receptor-mediated EPSCs in ACC neurons was examined. A selective pharmacological antagonist for NR2A was used to examine synaptically induced NMDA receptor-mediated EPSCs. The averaged decay time con­stant and rising time (10–90%) of NR2A-mediated currents were 95 ± 8 and 13 ± 1 ms, respectively (Figure 4). The effect of NVP-AAM077 on PPF was also examined, which is thought to be a presynaptic process. In the presence of NVP-AAM077, PPF was unchanged, suggesting that this drug did not affect neurotransmitter release [15].
Blocking the NR2A subunit with NVP-AAM077 (0.4 µM) abolished LTD (Figure 4). To test whether LTD could be induced in the presence of NR2A blockade, a different form of stimulus (holding potential at −15 mV during presynaptic stimulation) was used. Interestingly, this form of
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stimulation in the presence of NVP-AAM077 was able to induce LTD, indicating that NR2A is not absolutely required for ACC LTD.
The contribution of the NR2B subunit to NMDA receptor-mediated EPSCs was also investigated in ACC neurons. A selective antagonist for the NR2B subunit was used to examine synaptically induced NMDA receptor-mediated EPSCs. Bath application of a selective NR2B subunit antagonist, Ro25-6981 (0.3 µM), depressed the total NMDA receptor­mediated currents by 19% of control, indicating that the NMDA receptor EPSCs in ACC neurons are mostly mediated by NR2A-containing recep­tors. As with NVP-AAM077, application of Ro25-6981 had no effect on AMPA receptor-mediated EPSCs. The average decay time constant and rising time (10–90%) of NR2B-mediated currents were 129 ± 10 and 19 ± 2 ms, respectively. The rising time (10–90%) and decay time constant of NR2B-mediated EPSCs were significantly longer than those of NR2A­mediated currents in ACC pyramidal neurons. Furthermore, Ro25-6981 did not affect PPF. By contrast, a blockade of the NR2B subunit with Ro25-6981 or ifenprodil abolished the induction of LTD. These results show that the NR2B subunit also contributes to the induction of LTD in the ACC. To test whether LTD could be induced with a different form of stimulus (holding potential at −30 and −15 mV during presynaptic stimu­lation) in the presence of Ro25-6981, LTD was repeated in the presence of NR2B blockade. Unlike NVP-AAM077, this induction protocol at a hold­ing potential of −15 mV failed to induce LTD in the presence of Ro25­6981 (Figure 4). However, a holding potential at −30 mV in the presence of Ro25-6981 induced LTD (Figure 4). Taken together, these results indi­cate that both NR2A and NR2B subunits are required for the formation of LTD in the ACC and the abolishment of LTD by these compounds could be due to the reduction in calcium influx via NMDA R receptors.
NMDA receptor-independent form of LTD
In addition to NMDA receptor-dependent LTD, there is NMDA receptor­independent LTD in the ACC as well. Using field recording of EPSP in adult ACC slices, repetitive stimulation at a low frequency induced LTD.
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Both voltage-gated calcium channels and mGluRs contribute to ACC LTD [16]. Nimodipine (10 µM) completely blocked the induction of LTD (Figure 5), although basal synaptic responses were not significantly affected. By contrast, 50 µM AP-5 did not affect field LTD (Figure 5). MCPG (500 µM), a metabotropic glutamatergic receptor antagonist, also blocked LTD. These results suggest that both L-type calcium channels and
(e)
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Figure 5. Pharmacological aspects of ACC LTD. (a) Controls show LTD after 1 Hz, 15 min low-frequency stimulation (78 ± 2%; n = 9/9). (b) NMDA receptor antagonist, AP5 (50 μM) partially blocked LTD (88 ± 2%; n = 7/ 7). (c) L-VGCC blocker, nimodipine (10μM) blocked LTD (95 ± 3%; n = 6/6). (d) Groups I and II mGluR antagonist, MCPG (500 μM) also blocked LTD (93 ± 3%; n = 6/ 6). (e) mGluR5 antagonist, MPEP (10 μM) had no effect on ACC LTD (77 ± 2%; n = 4/4). (f) mGluR1 antagonist, LY367385 (100μM) blocked LTD (96 ± 2%; n = 5/5). (g) Summarized results of the averaged fEPSP slope of the last 10 min of each experiment (F Bonferroni post hoc; p < 0.001 for control versus nimodipine, MCPG and LY367385) (adapted from Kang et al. [16]).
(f)
= 10.64, p < 0.01; one-way ANOVA with
(5,31)
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mGluRs are critical for the induction of LTD in the ACC. LTD was not affected in the presence of picrotoxin (100 µM), a GABAA receptor antagonist, indicating that inhibitory influences are not required for LTD.
Postsynaptic expression of LTD
Two major possible mechanisms may contribute to LTD: the reduction of the release of glutamate from presynaptic terminals and decreases in post­synaptic AMPA receptor-mediated responses [11,17–20]. To test if the interaction between the GluR2/3 C-terminal and its specific PDZ binding partners is important for the induction of LTD, several synthetic peptides that disrupt the interaction between AMPA subunits and PDZ-containing proteins were used. Peptides were applied through the patch recording electrode into postsynaptic neurons. First, a control peptide (Pep2-SVKE), in which the PDZ interaction motif is inhibited by substituting the last amino acid (isoleucine) with glutamate was used. Postsynaptic application of Pep2-SVKE (100 µM) did not affect basal synaptic transmission in ACC slices (Figure 6). In the presence of Pep2-SVKE, LTD was not affected (Figure 6). Next, a Pep2-SVKI peptide, which interferes with interactions between GluR2 and GRIP (glutamate receptor interaction protein), ABP (AMPA receptor binding protein), and PICK1, was used. In the presence of Pep2-SVKI (100 µM), basal synaptic responses were also unchanged. However, LTD was completely blocked by the presence of Pep2-SVKI. These results provide direct evidence that postsynaptic inter­action between AMPA GluR2 receptor and PDZ protein is critical for the induction of cingulate LTD.
Another Pep2-AVKI peptide, which disrupts binding of GluR2 to PICK1 (protein interaction with C kinase), was also used. Postsynaptic application of Pep2-AVKI (100 µM) had no effect on basal synaptic trans­mission, but LTD was blocked. These results strongly suggest that both GluR2/3-PICK1 and GluR2/3-GRIP1/ABP interactions are likely contrib­uting to cingulate LTD. Cingulate LTD requires activation of postsynaptic NMDA receptors. To exclude the possible inhibition of NMDA receptors by these peptides, we measured the effects of postsynaptic injection of the peptides on NMDA receptor-mediated EPSCs. We found that these pep­tides had no effect on NMDA receptor-mediated EPSCs, indicating that
154 Chronic Pain: New Molecular Insights into Pain and Treatment
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Figure 6. Pep2-SVKI blocks the induction of LTD. (a, c) Pep2-SVKE (100 µM) and Pep2-SVKI (100 µM) do not affect baseline response. The insets show averages of six EPSCs at the time points of 5 (1) and 35 min (2) during the recording. The dashed line indicates the mean basal synaptic response. (b) Pep2-SVKE (100 µM, n = 8) has no effect on the induction of LTD. (d) In the presence of Pep2-SVKI (100 µM) in the intracellular solution, LTD is blocked (n = 10). (b and d) Traces show averages of six EPSCs at baseline responses (1) and 30 min (2) after the paired training (bar). The dashed line indicates the mean basal synaptic response (adapted from Toyoda et al [27]).
(d)
the blocking effects are not simply due to the inhibition of NMDA recep­tor functions in the cingulate neurons.
To examine if GluR2 subunit contributes to the expression of LTD, Pep2-SVKI was injected into neurons 5 min after the induction of LTD. No significant effect was found on the expression of LTD during the 25 min treatment with Pep2-SVKI. This result suggests that GluR2 receptor­mediated possible trafficking events are completed within 5–10 min after LTD induction.
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Figure 7. Synaptic depression in GluR2 KO mice. (a) LTD is induced in ACC neurons in wild-type mice (n = 7 slices/6 mice). (b) LTD is absent in ACC neurons in GluR2 KO mice (GluR2 mice (GluR3
−/−
) (n = 9 slices/6 mice). (c) LTD is absent in ACC neurons in GluR3 KO
−/−
) (n = 9 slices/6 mice) (adapted from Toyoda et al. [27]).
Genetic studies of LTD
Although the use of peptide inhibitors offers possible insights for the involvement of AMPA receptor subtypes in LTD, it is difficult to rule out possible non-selective interactions. To study the subunit-specific function of GluR2 and GluR3 in cingulate LTD, LTD was recorded from ACC neurons of GluR2 or GluR3 KO mice (GluR2 LTD in GluR2
−/−
mice was completely abolished (Figure 7), while normal LTD was induced in wild-type controls (Figure 7). These results suggest that the GluR2 contributes to the induction of cingulate LTD. Additional experiments found that GluR2 deletion did not affect basal excitatory synaptic transmission, PPF, and NMDA receptor-mediated responses.
The possible role of GluR3 in LTD was also examined. LTD in ACC
slices from GluR3
−/−
and wild-type mice was comparable in both groups, suggesting that synaptic depression was not affected by the deletion of GluR3 subunit.
−/−
or GluR3
−/−
). As expected,
LTD in other pain-related cortical areas
The IC is another cortical area that is critical for pain perception and emo­tion. LTD has been reported in the IC using multiple electrode field recording system or whole-cell patch-clamp recording [21–23]. In field