Abstract
To explore the possibility that overproduction of neuronal acetylcholinesterase (AChE) confers changes in both cholinergic and morphogenic intercellular interactions, we studied developmental responses to neuronal AChE overexpression in motoneurons and neuromuscular junctions of AChE-transgenic mice. Perikarya of spinal cord motoneurons were consistently enlarged from embryonic through adult stages in AChE-transgenic mice. Atypical motoneuron development was accompanied by premature enhancement in the embryonic spinal cord expression of choline acetyltransferase mRNA, encoding the acetylcholine-synthesizing enzyme choline acetyltransferase. In contrast, the mRNA encoding for neurexin-Iβ, the heterophilic ligand of the AChE-homologous neuronal cell surface protein neuroligin, was drastically lower in embryonic transgenic spinal cord than in controls. Postnatal cessation of these dual transcriptional responses was followed by late-onset deterioration in neuromotor performance that was associated with gross aberrations in neuromuscular ultrastructure and with pronounced amyotrophy. These findings demonstrate embryonic feedback mechanisms to neuronal AChE overexpression that are attributable to both cholinergic and cell–cell interaction pathways, suggesting that embryonic neurexin Iβ expression is concerted in vivo with AChE levels and indicating that postnatal changes in neuronal AChE-associated proteins may be involved in late-onset neuromotor pathologies.
Keywords: neuromuscular junction, motoneurons
Accumulated and compelling cell culture evidence increasingly points to noncatalytic morphogenic roles for acetylcholinesterase (AChE), the enzyme known for its function in terminating neurotransmission at cholinergic synapses by hydrolysis of acetylcholine (ACh) (1–3). At the in vivo milieu, we reported a morphogenic activity for overexpressed human AChE in developing amphibian neuromuscular junctions (NMJs) (4, 5). This activity was attributed primarily to modulations in synaptic acetylcholine levels and consequent changes in cholinergic neurotransmission. However, the high degree of sequence homology between AChE and a family of nervous system cell surface proteins suggests that AChE also might be involved in cell adhesion processes recruited during synaptogenesis and long-term synapse maintenance. Proteins participating in these processes include mammalian neuroligins (6, 7), Drosophila neurotactin (8), and gliotactin (9). Recently, a chimera in which the extracellular cholinesterase-like domain of neurotactin was replaced with the homologous domain from Torpedo AChE was reported to retain ligand-dependent cell-adhesive properties similar to the native molecule (10). This reinforced the notion that AChE may play a role in neuronal cell adhesion.
In mammals, the AChE-homologous neuroligins were identified as heterophilic ligands for a splice-site specific form of the synapse-enriched neuronal cell surface protein neurexin Iβ (11). Neurexins represent a family of three homologous genes (I, II, and III), giving rise to α and β forms that can undergo further alternative splicing to generate over 1,000 isoforms (12). Neurexins, as AChE, are expressed in postmitotic neurons of the embryonic nervous system, including spinal cord, before synaptogenesis (13). The wealth of alternative splicing patterns predicted for both the neurexins and the neuroligins, together with their spatio-temporally restricted expression patterns, have led to the suggestion that they could mediate an almost infinite number of highly specific cell-cell interactions in the nervous system (12, 13). This raises the possibility that AChE, by virtue of its homology to neuroligin, could play a role in neurexin-mediated cell-adhesion interactions. To explore this issue, we asked whether overexpression of AChE might feed back upon expression of neurexins in vivo and searched for potential correlations between AChE overexpression and changes in synapse development and maintenance. For this purpose, we chose to study the NMJ and its innervating motoneurons in transgenic mice expressing human AChE in brain and spinal cord (14). Our observations correlate neuronal overexpression of AChE with embryonic feedback mechanisms attributable to both cholinergic and noncholinergic pathways. They also suggest that postnatal changes in neuronal AChE and/or its associated proteins may play a role in late-onset neuromotor pathologies.
EXPERIMENTAL PROCEDURES
PCR Analyses.
PCR was performed essentially as described previously (14) using species-specific primers assigned to nucleotides 1,522 (+) and 1,797 (−) in exons 3 and 4 of the human AChE cDNA, nucleotides 375 (+), 1,160 (−) in exons 2 and 3 of the mouse ACHE gene (15), nucleotides 83 (+), 646 (−) of the mouse choline acetyltransferase (CHAT) gene (16), nucleotides 822 (+), 996 (−) of the mouse β-actin gene (17), nucleotides 978 (+) and 1,113 (−) of the neurexin Iβ gene (12), and nucleotides 1,179 (+) and 1,450 (−) of the neurexin IIIβ gene (12). Resultant PCR products (276, 786, 564, 174, 136, and 272 bp, respectively) obtained from similar amounts of RNA were removed and analyzed on ethidium bromide-stained agarose gels.
High-Resolution in Situ Hybridization.
Hybridization was done essentially as described (17) with the following modifications: Tissues were fixed in 4% paraformaldehyde/0.1% glutaraldehyde (2 hr) and washed at 4°C. Clearing in 6% H2O2 (1 hr) was followed by proteinase K (10 μg/ml, 15 min), glycine (2 mg/ml, 20 min), and refixation (4% paraformaldehyde/0.2% glutaraldehyde, 20 min), all in PBS/0.1% Tween-20. Hybridization buffer and washing solutions included 1% SDS. Hybridization was 16 hr at 52°C with 50-mer, 5′-biotinylated, 2-O-methyl cRNA probes (10 μg/ml) (Microsynth, Switzerland) directed to the following sequences: AChE mRNA: mouse exon 6, positions 1,932–1,981 (15); mouse exon 5, positions 249–199 (18); and mouse ChAT cRNA, positions 553–602 (16). Posthybridization washes were at 56°C.
Staining Procedures and Microscopy.
Diaphragm muscles were fixed in situ with 4% paraformaldehyde/0.1% glutaraldehyde solution in PBS for 5 min at room temperature, dissected, refixed for 2 hr, and kept at 4°C in PBS until used. AChE activity staining was for 5 min at room temperature as previously described (14). Fifty-micrometer-thick, paraformaldehyde/glutaraldehyde-fixed spinal cord sections were stained for 30 min. Electron microscopy on 80-nm-thick sections and morphometric analyses were essentially as described (5). Student’s t test was used to evaluate morphometric data.
AChE Activity Measurements.
Acetylthiocholine hydrolysis levels were determined spectrophotometrically in the presence of 10−5 M of the selective butyrylcholinesterase inhibitor iso-OMPA (tetraisopropylpyrophosphoramide). Enzyme-antigen immunoassay was as described (5).
Electromyography.
After dissection of the hindleg, a tungsten bipolar stimulating electrode was positioned on the trunk of the sciatic nerve and evoked muscle fiber potentials recorded by a microelectrode placed on the gastrocnemius muscle. The nerve was stimulated by brief (0.1 msec) stimuli at increasing intensities (<1 mA). Data were recorded through an AC-DC amplifier (A-M Systems, Everett, WA, model 1800), digitized on line, and analyzed using Pclamp 6.0 (Axon Instruments, Foster City, CA). Muscle temperature, maintained at 32 ± 1°C by a warming lamp, was continuously monitored. In each animal, about 10 different recordings were taken. Anesthesia was accomplished with intraperitoneal administration of Nembutal (60 mg/kg weight).
Grip Test.
Mice were suspended by their forelegs on a 3-mm-thick horizontal rope 1 m above bench level. The time it took them to grip the rope with their hindlegs (escape latency) was measured three times at 1-min intervals for sex-matched mice with similar body weights. Unsuccessful trials and those that ended in animals falling off the rope were recorded as 10 sec.
RESULTS
Human AChE from Spinal Cord Motoneurons Reaches Transgenic Muscle.
ACHE-transgenic mice carry, and express in their central nervous system (14), the synaptic form (5) of human AChE. Reverse transcription–PCR (RT-PCR) demonstrated expression of human AChE mRNA in spinal cord, but not in muscle (Fig. 1A) of ACHE-transgenic mice. High-resolution in situ hybridization using a biotinylated 2-O-methyl cRNA probe detected both mouse and human AChE mRNA transcripts throughout neuronal perikarya within the anterior horn of the spinal cord in both control and transgenic adult mice (Fig. 1 B and C). Large polygonal neurons with the characteristic features of α motoneurons as well as small round cells resembling γ motoneurons or interneurons, but not cells with glial morphology, were labeled (Fig. 1 B and C). Similar patterns of AChE mRNA labeling were observed in the cervical, lumbar, and dorsal regions of the spinal cord (data not shown). Cytochemical staining revealed AChE activity in neuronal processes within adult transgenic spinal cord, high above levels observed in controls (Fig. 1 D and E). Overexpression of AChE in spinal cord was confirmed by quantitative assays demonstrating approximately 25% higher activity in spinal cord extracts from transgenic animals. Using a human AChE-specific mAb (mAb 101–1) in an enzyme-antigen immunoassay, this difference was attributed to AChE of human origin evenly distributed between the salt and detergent-soluble fractions. In light of reports that motoneurons contribute to synaptic AChE at the amphibian NMJ (19) we considered the possibility that AChE of human origin might be present at the NMJ despite the apparent transcriptional silence of the human gene in muscle. In detergent muscle extracts, no significant difference in total AChE activity was observed between six control and seven transgenic adult mice (33.4 ± 6.9 vs. 35.9 ± 1.3 nmol/min per mg of protein, respectively). However, the binding of up to 6% of the total enzyme to mAb 101 indicated the presence of a minor fraction of human AChE in muscle (data not shown).
Spinal Cord Neurons of Embryonic and Newborn Transgenic Mice Display Drastic Changes in ChAT and β-Neurexin mRNAs.
To search for potential changes in gene expression accompanying overexpression of AChE in spinal cord, we performed semiquantitative, kinetic RT-PCR. PCR signals reflected similar levels of human AChE mRNA in spinal cord of embryonic day 17 (E17), newborn, and 5-week-old mice (Fig. 2A). In contrast, mouse AChE mRNA was hardly detectable in the spinal cord before birth, but increased approximately 8-fold in newborn mice, and continued to increase in young adults, all in both groups (Fig. 2A). As excess AChE is expected to reduce the bioavailability of ACh and suppress cholinergic neurotransmission, we searched for potentially compensatory changes in expression of the ACh-synthesizing enzyme ChAT. RT-PCR demonstrated premature embryonic expression of ChAT mRNA at E17 in transgenic, but not control, spinal cord (Fig. 2A). In newborn mice, a smaller, but still apparent, enhancement in ChAT mRNA levels was observed in transgenic as compared with control mice. However, at 5 weeks transgenic and control mice displayed similar levels of this transcript. Actin mRNA levels, which served as a control for the integrity and amounts of mRNA in these preparations, remained unchanged throughout development (data not shown).
Transgenic, but not control, embryonic spinal cord neurons were intensively labeled in in situ hybridization with an AChE cRNA probe recognizing both human and mouse AChE mRNAs (Fig. 2B). In contrast, a probe selective for mouse AChE yielded fainter labeling and no significant difference between transgenic and control motoneurons (Fig. 2B). Significantly, a mouse ChAT cRNA probe prominently labeled motoneuron perikarya in transgenic, but not control, spinal cord (Fig. 2B). Thus, enhanced signals in both RT-PCR and in situ hybridization indicated augmented neuronal ChAT mRNA levels in transgenic mice. At subsequent ages, however, no such differences could be detected, pointing at the transient nature of this embryonic feedback response. In light of the considerable homologies between AChE and the neurexin β ligand neuroligin (7), we further looked for changes in the expression of neurexin β in spinal cord of transgenic mice. Both embryonic and newborn, but not 5-week-old, transgenic mice displayed drastically reduced levels of neurexin Iβ compared with controls (Fig. 3), suggesting that neurexin-neuroligin relationships would be altered in the transgenic spinal cord and indicating that the accessibility of AChE-like domains affects neurexin Iβ production. In contrast, neurexin IIIβ levels were barely detectable in either group at these ages and similar to each other at 5 weeks. Actin mRNA levels, as measured by RT-PCR, were identical in both groups at all ages.
Transgenic AChE Expression Induces Persistent Enlargement of Motoneurons.
The total number and spatial distribution of motoneurons in transgenic spinal cord was essentially normal, suggesting that human AChE expression did not affect neuronal proliferation or migration and did not cause neuronal death. However, measurements of cell area revealed age-dependent changes in morphology among anterior horn neurons from transgenic as compared with control mice. Neuronal cell bodies in control embryos averaged 44.5 ± 15.8 μm2 in size (mean ± SD) whereas transgenic neurons displayed areas of 51.5 ± 13.5 μm2 (Fig. 4A) (P < 0.05, Student’s t test). Postnatal maturation of spinal cord neurons was accompanied by dissociation into two distinct populations, one consisting of small neurons (25–150 μm2) likely to be interneurons and γ motoneurons, and the other of large neurons (>150 μm2) that includes the α motoneurons. There was no difference between postnatal control and transgenic spinal cord in either the number or the perikaryal area of the small neurons. Similarly, the fraction of neurons larger than 150 μm2 was similar in transgenic and control mice (data not shown), suggesting normal lineage distribution of spinal cord motoneurons. Nevertheless, transgenic motoneurons were significantly enlarged relative to controls, with perikarya of 220 μm2, as compared with 160 μm2 (P < 0.02, Fig. 4B). The normal size and unmodified staining of nuclei suggested that the enlarged neurons were viable in both embryonic and adult spinal cord (Fig. 4A, Inset). We found no examples for such selective neuronal enlargement in neurodegenerative diseases.
AChE-Induced Progressive Impairments in Neuromuscular Function.
Transgenic animals developed normally and acquired normal motor functions at the same ages as control mice. Adult transgenic mice walked normally, with track width and pace length similar to those of controls (not shown). Swimming speed of 4-month-old transgenic mice (21.4 ± 4.0 m/min) was only slightly slower than controls (25.0 ± 4.0 m/min) (n = 10). However, transgenic animals exhibited severely impaired performance in a rope grip test designed to test coordinated sensorimotor activity of the abdomen, back, and leg muscles (Fig. 5A). When hung on the rope, transgenic mice acquired a loose, weakened posture, and 4-month-old transgenic, but never control, mice fell off the rope altogether in 20% of 30 sessions with 10 animals. Weakness in the grip test was already evident as a >2-fold difference in escape latency (P < 0.02) at the age of 4 weeks, but worsened (P < 0.01) by 4 months of age.
Transgenic AChE Expression Leads to Electromyographic Abnormalities.
The intensity of compound action potentials recorded on the surface of the sciatic nerve did not differ between control and transgenic adult mice. Nerve conduction velocity was normal, and no late potentials were detected, suggesting normal myelination and number of axons (data not shown). In addition, direct recording from the gastrocnemius muscle did not reveal spontaneous denervation activity. Nevertheless, evoked potentials recorded from the gastrocnemius muscle fibers in response to stimulation of the common trunk of the sciatic nerve disclosed three main abnormalities. In control animals, a small increase in stimulus intensity induced small and gradual increases in the amplitude of the muscle’s compound action potential, so that supramaximal response amplitudes were up to 10-fold greater than the threshold response. In transgenic animals, parallel increases in stimulus intensity triggered considerably larger jumps in the amplitude of the action potentials. These observations indicated enlargement of functional motor units and an increased number of muscle fibers recruited by the stimulated axons (Fig. 5B). Moreover, muscle potentials in transgenic mice were of greater amplitude and duration than those in controls, with frequent multiwaved shapes (mainly three subpeaks) rarely seen in controls (Fig. 5 B and C). Finally, repetitive supramaximal stimulations at 1 Hz induced pathological late potentials (latency up to 40 msec), which appeared frequently in transgenic animals but very rarely in controls (Fig. 5C). In 2 of 4 cases, 3-Hz stimulations after tetanization by 300 stimulations at 30 Hz resulted in myasthenia-like decreases (>10%) in the intensity of responses in transgenic, but not in control animals (data not shown). These observations suggested disturbed neuromuscular communication in adult AChE-transgenic mice.
NMJs and Muscles of Transgenic Animals Undergo Dramatic Morphological Changes.
Adult AChE-transgenic mice developed diaphragm motor endplates that were 60% larger, on average, than controls (Fig. 6A). Therefore, over half of the transgenic endplates examined, but only 10% of controls, were larger than 600 μm2. In addition, transgenic endplates failed to display the complex boundaries found in control endplates, but acquired a simple ellipsoid aspect (Fig. 6A). Similar morphological changes also were found in hindleg quadriceps endplates and in anterior tibialis muscles (not shown).
NMJ ultrastructure in transgenic animals was highly variable. Although the mean length of postsynaptic membrane folds was similar among transgenics and controls (0.6 ± 0.05 μm/μm synapse length), only 7 of 16 analyzed NMJs from transgenic mice as compared with 11 of 14 NMJs in control mice possessed average-length postsynaptic folds (Fig. 6B, Top). The remaining transgenic NMJs displayed either of two pathological features, both reported in NMJs of aged humans (20). One-fourth of the NMJs in transgenic mice as compared with 7% of control NMJs presented highly exaggerated, branched and densely packed postsynaptic folds, similar to those occurring in the Eaton–Lambert syndrome (21) (average of 0.87 ± 0.16 μm, Fig. 6B, Middle). The remaining third of the transgenic NMJs, but only 14% of control NMJs, possessed short, ablated postsynaptic folds (0.30 ± 0.07 μm, Fig. 6B, Bottom), which resembled those of myasthenia gravis patients (22).
Decreased muscle volume and atrophy of muscle fibers in adult transgenic animals were observed in 4-month-old mice. Electron microscopy subsequently indicated general loosening of intracellular structures in transgenic muscle fibers, but not in controls (Fig. 6C). Intracellular spaces were filled with large, structureless vacuoles. The distance between myofilaments and between myofibrils was enlarged. Triads of T tubules and terminal cisternae appeared to be dissociated, mitochondria were no longer aligned with I bands of the sarcolemma and were clearly swollen, with cristae no longer visible (Fig. 6C). No NMJ was observed in association with these wasted, damaged muscle regions.
DISCUSSION
We have observed that overexpression of AChE in spinal cord neurons of transgenic mice promotes a persistent, but enigmatic, enlargement of motoneuron perikarya and a severe, delayed-onset neuromotor pathology. The dual cholinergic and noncholinergic properties of AChE raise the possibility that either or both of these activities could be involved in mediating the morphologic transformation of motoneurons and the ultimate demise of NMJs and muscle fibers in adult mice. Enhanced levels of ChAT mRNA in motoneurons of transgenic embryos suggest the existence of a compensatory feedback loop that is sensitive to cholinergic inputs. As ChAT is responsible for synthesizing ACh, hyperactivation of ChAT gene expression in spinal cord motoneurons of transgenic embryos could increase available ACh and stabilize cholinergic circuitry under conditions of AChE overexpression. In contrast, suppressed levels of mRNA encoding the cell surface protein neurexin Iβ in spinal cord of embryonic and newborn mice should change neurexin-neuroligin interactions, possibly affecting both perikarya and synapse properties. This may tentatively hint at the activation of a feedback pathway that is responsive to the noncatalytic activities of AChE and attribute physiological significance to the homology between AChE and the neuroligin-related cell surface proteins, purported to be involved in cell adhesion and synaptogenic interactions in the nervous system. The postnatal normalization we observed in the levels of both ChAT and neurexin Iβ mRNAs implies a temporally restricted window during which motoneurons can recruit these two feedback loops. The delayed onset of neuromuscular pathologies, as compared with apparently normal embryonic development, thus may reflect the cumulative damage resulting from this irretrievable loss of neuronal transcriptional plasticity.
In light of a previous report that motoneurons contribute synaptic AChE to the amphibian NMJ (19), and assuming that NMJs represent less than 0.1% of the muscle surface (23), the 6% fraction of human enzyme we observed in extracts from muscle not itself expressing the transgene likely reflects a significant accumulation of motoneuron-derived transgenic enzyme in the synapse. This is not surprising as we previously noted that levels of synaptic AChE were elevated ≥ 5-fold in NMJs from Xenopus embryos overexpressing this same cDNA and in which the corresponding nerve terminals were stained for active enzyme (4, 5). Therefore, the disastrous long-term effects of overexpressed AChE could be tentatively attributed, to chronic disturbances in cholinergic neurotransmission. Impaired cholinergic transmission is indeed associated with several congenital and acquired amyotrophic diseases characterized by progressive, juvenile- or adult-onset neuromotor deterioration. Eaton–Lambert syndrome is associated with malfunctioning presynaptic calcium channels and suppressed ACh release (21), myasthenia gravis involves autoimmune suppression of muscle nicotinic acetylcholine receptors (22), and amyotrophic lateral sclerosis results from motoneuron death (24). However, while our findings demonstrate that a moderate, but stable, increase in motoneuron expression of AChE is sufficient to predispose mouse NMJs and muscle to late-onset progressive deterioration, it is not clear whether such deterioration is due to abnormal neuronal inputs, the presence of high levels of AChE in the synapse, or other reasons. Moreover, the severity of the neuromotor degenerative phenotype is difficult to explain solely in terms of cholinergic dysfunction. Rather, it likely represents the outcome of accumulated damage due to various secondary and tertiary changes in additional nerve and/or muscle components.
The morphogenic potency of AChE has now been well established in diverse cell culture models. A neurite outgrowth-promoting activity was demonstrated for AChE in various cultured chicken neurons and attributed to noncatalytic activities affecting cell adhesion properties (1, 2). In addition, our expression of various alternative human AChE cDNAs in glioma cells (25), as well as in Xenopus motoneurons (unpublished data) traced this activity to the synaptic form of the enzyme. The mechanism for noncatalytic AChE morphogenic activities is yet unknown. However, Darboux et al. (10) demonstrated that in addition to the primary sequence homologies between neurotactin and AChE, the esterase-like domain in Drosophila neurotactin likely shares a striking three-dimensional structural similarity with AChE and that this domain plays a prominent role in the protein’s cell adhesion properties. In addition, the recently identified neuroligin family of mammalian neuronal cell surface molecules all contain an extracellular esterase-homologous domain sharing 35% homology with Torpedo AChE (7). That the overexpression of AChE in spinal cord neurons is associated with a specific suppression in the levels of neurexin Iβ mRNA during embryonic development is highly suggestive of a role for AChE in the neuroligin-neurexin paradigm of cell recognition events. If so, the spatiotemporally coordinated expression of AChE and neurexins in the embryonic spinal cord during normal development, together with the suppression of neurexin Iβ mRNA levels in ACHE-transgenic mice, could reflect a functional, rather than casual association. In that case, our findings would represent in vivo indications for a physiologically relevant interaction between AChE and a cell-surface molecule thought to be involved in neuronal development, synaptogenesis, and synapse maintenance.
Acknowledgments
We thank Drs. S. Seidman and C. Kalcheim (Jerusalem) for helpful discussions and Dr. B. Norgaard-Pedersen (Copenhagen) for antibodies. This work was supported by Grants 17-97-1-7007 from the U.S. Army Medical Research and Defense Command and the U.S.–Israel Binational Science Foundation (to H.S.). C.A. was a recipient of an Institut National de la Santé et de la Recherche Médicale (France) exchange fellowship with the Israel Ministry of Science and Arts. A.F. received a postdoctoral fellowship from the Smith Foundation for Psychobiology.
ABBREVIATIONS
- ACh
acetylcholine
- AChE
acetylcholinesterase
- ChAT
choline acetyltransferase
- NMJ
neuromuscular junction
- RT-PCR
reverse transcription–PCR
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