Abstract
The extent to which the skin instructs peripheral somatosensory neuron maturation is unknown. We studied this question in Merkel cell–neurite complexes, where slowly adapting type I (SAI) neurons innervate skin-derived Merkel cells. Transgenic mice lacking Merkel cells had normal dorsal root ganglion (DRG) neuron numbers, but fewer DRG neurons expressed the SAI markers TrkB, TrkC, and Ret. Merkel cell ablation also decreased downstream TrkB signaling in DRGs, and altered the expression of genes associated with SAI development and function. Skin- and Merkel cell-specific deletion of Bdnf during embryogenesis, but not postnatal Bdnf deletion or Ntf3 deletion, reproduced these results. Furthermore, prototypical SAI electrophysiological signatures were absent from skin regions where Bdnf was deleted in embryonic Merkel cells. We conclude that BDNF produced by Merkel cells during a precise embryonic period guides SAI neuron development, providing the first direct evidence that the skin instructs sensory neuron molecular and functional maturation.
SIGNIFICANCE STATEMENT Peripheral sensory neurons show incredible phenotypic and functional diversity that is initiated early by cell-autonomous and local environmental factors found within the DRG. However, the contribution of target tissues to subsequent sensory neuron development remains unknown. We show that Merkel cells are required for the molecular and functional maturation of the SAI neurons that innervate them. We also show that this process is controlled by BDNF signaling. These findings provide new insights into the regulation of somatosensory neuron development and reveal a novel way in which Merkel cells participate in mechanosensation.
Keywords: BDNF, mechanoreceptor, Merkel cell, SAI, TrkB
Introduction
Peripheral sensory neurons detect a wide variety of pain, temperature, proprioceptive, and touch stimuli. This functional heterogeneity is reflected in their phenotypic diversity in terms of size, projection patterns, molecular marker expression, and electrophysiological properties. Intrinsic transcription factor expression initially separates newly born sensory neurons into different neuronal subtypes as they settle into nascent dorsal root ganglia (DRGs; Marmigère and Ernfors, 2007; Reed-Geaghan and Maricich, 2011). However, the factors that direct DRG neuron differentiation and maturation following initial cell fate specification, and the sources of these factors are poorly understood.
Neurotrophins (NTs) are a group of related molecules that includes nerve growth factor, brain-derived neurotrophic factor (BDNF), NT3, and glial cell line-derived neurotrophic factor (GDNF). These neurotrophins promote DRG neuron survival by acting through their cognate receptors TrkA, TrkB, TrkC, and Ret, respectively. Neurotrophins are also implicated in maintenance of neuronal identity, maintenance of neuronal subtype-specific gene expression, and proper targeting/morphology of central and peripheral projections (Marmigère and Carroll, 2014). However, given the limitations of overexpression and constitutive knock-out studies, how target tissue-derived neurotrophins might influence sensory neuron maturation remains an unanswered question.
The Merkel cell–neurite complex, composed of slowly adapting type I (SAI) cutaneous sensory afferents and skin-derived Merkel cells, is a tractable model system in which to study this question. Merkel cells are not required for SAI targeting to the skin, but SAI afferent morphology, electrophysiological responses, and texture discrimination tasks are all altered in the absence of Merkel cells (Maricich et al., 2009, 2012; Maksimovic et al., 2014). However, these data were generated in transgenic mouse models that lacked Merkel cells or Merkel cell function throughout life, raising the possibility that developmental interactions between Merkel cells and SAI neurons might account for some or all of the observed phenotypes. This is an important consideration because the cell-autonomous and non-cell-autonomous mechanisms that control SAI molecular phenotype, peripheral projection morphology, and electrophysiological function are unknown. Importantly, multiple lines of evidence suggest that SAI neurons respond to BDNF and NT3 signaling, presumably through the expression of TrkB and TrkC (Airaksinen et al., 1996; Albers et al., 1996; Fundin et al., 1997; Carroll et al., 1998; LeMaster et al., 1999; Cronk et al., 2002; Szeder et al., 2003; Krimm et al., 2004). These observations raise the possibility that Merkel cell-derived neurotrophins might play a role in directing SAI neuron maturation.
Here, we investigated whether Merkel cells, and specifically Merkel cell-derived neurotrophins, participate in SAI molecular and electrophysiological phenotype acquisition. We show that Merkel cell deletion alters the percentage of DRG neurons that express TrkB, TrkC, and Ret without changing DRG neuron numbers. These phenotypes are recapitulated by conditional Bdnf deletion throughout embryonic skin cells or, specifically, in Merkel cells. Moreover, SAI electrophysiological responses are altered following embryonic Bdnf deletion, specifically in Merkel cells. These findings identify a novel role for Merkel cells in SAI neuron maturation.
Materials and Methods
Mice.
K14Cre (Dassule et al., 2000; strain #004782, The Jackson Laboratory), Atoh1CreER-T2 (Fujiyama et al., 2009), Atoh1flox (Shroyer et al., 2007; strain #008681, The Jackson Laboratory), Atoh1LacZ (Ben-Arie et al., 2000; strain #005970, The Jackson Laboratory), Bdnfflox (Rios et al., 2001; strain #004339, The Jackson Laboratory), Ntf3flox (Bates et al., 1999; strain #003541, The Jackson Laboratory), and ROSAtdTomato (Madisen et al., 2010; strain #00007914, The Jackson Laboratory) were maintained in accordance with institutional animal care and use committee guidelines at Case Western Reserve University and Children's Hospital of Pittsburgh of UPMC. For embryonic ages, the plug date was designated as embryonic day 0.5 (E0.5).
Tamoxifen administration.
Tamoxifen (Sigma-Aldrich) was dissolved 9:1 in a corn oil/ethanol solution at a 5% concentration. Pregnant dams were given a single dose of 250 mg/kg by oral gavage. Lactating females were given one dose of 250 mg/kg by oral gavage on 3 consecutive days.
Tissue processing and sectioning.
Adult mice [postnatal day 21 (>P21)] were killed by cervical dislocation. Embryos were dissected from pregnant dams into cold PBS, and tails were collected from each embryo for genotyping. Embryonic and young mice (<P21) were decapitated before tissue dissection. Spinal columns were fixed in 4% paraformaldehyde (PFA) overnight at 4°C, washed in PBS, and cryopreserved in 30% sucrose/PBS overnight at 4°C. Spinal columns from P21 mice were decalcified in 0.5 m EDTA for 5 d following fixation prior to cryoprotection. Skin for immunohistochemistry was fixed in 4% PFA for 30 min on ice, washed in PBS, and visualized in whole mount or cryopreserved in 30% sucrose/PBS. Cryopreserved tissue was embedded in OCT (ThermoFisher Scientific), serially sectioned on a Leica 1950M cryostat at 10 μm (DRGs) or 25 μm (skin), and collected on Superfrost Plus slides (ThermoFisher Scientific). Slides were dried at room temperature overnight.
Immunohistochemistry.
Slides were vacuum dried, rehydrated in PBS, subjected to heat-induced epitope retrieval, washed three times in PBS, and blocked with 5% normal donkey serum (NDS) in 0.3% PBS-T (PBS with Triton X-100). Heat-induced epitope retrieval consisted of incubating slides in sub-boiling 10 mm citrate buffer for 10 min, followed by 30 min at room temperature. Slides were incubated overnight at 4°C in blocking solution containing primary antibodies. Slides were washed in PBS and incubated with the appropriate secondary antibodies diluted in blocking solution for 30 min at room temperature. Slides were washed, counterstained with DAPI (4′,6′-diamidino-2-phenylindole dihydrochloride; 1:1000; ThermoFisher Scientific) to visualize nuclei, and mounted in Invitrogen Prolong Gold (ThermoFisher Scientific). The primary antibodies used were mouse anti-Islet1/2 (1:50; catalog #39.4D5, Developmental Studies Hybridoma Bank), rabbit anti-NF200 (1:1000; N4142, Sigma-Aldrich), goat anti-TrkB (1:200; AF1494, R&D Systems), goat anti-TrkC [AF1404 (1:100) and BAF1404 (1:20), R&D Systems], rabbit anti-Ret (1:50; catalog #18121, Immuno-Biological Laboratories), rabbit anti-parvalbumin (PV; 1:1000; PV25, Swant), rabbit anti-CGRP (1:1000; T-4032, Peninsula Laboratories), rabbit anti-phospho-SMAD1/5/8 (1:250; catalog 9511, Cell Signaling Technology), goat anti-TBX3 (1:100; sc-31656, Santa Cruz Biotechnology), rat anti-Keratin8 (1:20, TROMA-1, Developmental Studies Hybridoma Bank), guinea pig anti-Asic1 (1:250; Alomone Labs), rabbit anti-δ opioid receptor (DOR; 1:500; Alomone Labs), and rabbit anti-γENaC (1:500; StressMarq Biosciences). Secondary antibodies conjugated to various fluorophores (Jackson Immunochemicals) were all used at 1:250 except streptavidin, which was used at a 1:2000 dilution.
Whole-mount immunostaining was performed by modifying previously published protocols (Li et al., 2011) on pelts of hairy skin. Fixed skin was dissected into small pieces, and the underlying adipose tissue was removed then washed for 5–8 h in 0.3% PBS-T. Tissue was incubated with primary antibodies for 4 d, washed for 5–8 h in 0.3% PBS-T, then incubated with secondary antibodies for 2 d, all at room temperature. Antibodies were diluted in 20% dimethylsulfoxide/5% NDS/0.3% PBS-T.
Cell counts.
Neuronal counts and imaging were performed on a Leica DM 5500B fluorescent microscope. Neurons were counted using a dual red/green fluorescent filter. All neurons expressing a given marker with identifiable nuclei were counted. Islet1/2+ neurons were counted in every third section throughout the entire dorsal root ganglion, and the sum was multiplied by three for the total neuron number. Merkel cell counts in whole-mount skin preparations were performed as previously described (Wright et al., 2015). Briefly, all K8+ cells in each touch dome within a 0.5 cm2 of back and belly skin were counted.
RNA extraction, reverse transcription, and quantitative PCR.
Thoracic DRGs were dissected from P0 and P21 mice in cold DEPC-treated PBS and snap frozen on dry ice. Tissue was homogenized using a syringe with a 28 ga needle followed by 10 s of sonication. RNA was isolated using the RNeasy Mini Kit (Qiagen) according to the manufacturer instructions, and analyzed for concentration and purity by a NanoDrop 2000 spectrophotometer (ThermoFisher Scientific). Equal amounts of RNA were reverse transcribed using a QuantiTect Reverse Transcription kit (Qiagen) per the manufacturer instructions. Dilutions of cDNA were made and used for quantitative PCR (qPCR) using Applied Biosystems StepOne Plus software (ThermoFisher Scientific) with Applied Biosystems FAM (5-carboxylfluorescein)-labeled TaqMan assays (ThermoFisher Scientific) for Asic1 (Mm01305997_m1), Asic2 (Mm00475691_m1), Asic3 (Mm00805460_m1), Calca (Mm00801463_g1), Cux2 (Mm00500377_m1), Egr1 (Mm00656724_m1), Fos (Mm00487425_m1), Kcna1 (Mm00439977_s1), MafA (Mm00845206_s1), Nr4a1 (Mm01300401_m1), Oprd1 (Mm00443063_m1), Pvalb (Mm00443100_m1), Runx1 (Mm0121344_m1), Runx3 (Mm00490666_m1), Sall1 (Mm00491266_m1), Scnn1b (Mm00441215_m1), Scnn1 g (Mm00441228_m1), Shox2 (Mm00443183_m1), Slc17a6 (Mm00499876_m1), Slc17a7 (Mm00812886_m1), Slc17a8 (Mm00805413_m1), Tbx3 (Mm01195726_m1), TrpC1 (Mm00441975_m1), and TrpV4 (Mm00499025_m1). Gene expression analysis was performed using the comparative Ct method (ΔΔCt), where the threshold cycle for the target genes was normalized to that of the endogenous controls Calca and Pvalb (ΔCt), and the relative quotient (RQ) was calculated using the equation 2−ΔΔCt, where ΔΔCt = (ΔCt test sample − ΔCt calibrator sample). All data represent RQ values, while the statistical analyses were performed on ΔCt ± SEM values for each target gene, as previously described (Yuan et al., 2006).
Skin–nerve preparations and recordings.
Peripheral teased nerve preparations were prepared as previously described (McIlwrath et al., 2007). Briefly, mice were anesthetized with a ketamine (90 mg/kg)/xylazine (10 mg/kg) mixture and perfused using chilled oxygenated (95% O2/5% CO2) ACSF (127 mm NaCl, 26 mm NaHCO3, 10 mm d-glucose, 2.4 mm CaCl2, 1.9 mm KCl, 1.3 mm MgSO4, and 1.2 mm KH2PO4). The spinal column and right hindlimb were then removed, and placed in a circulating bath of the same oxygenated ACSF. The hairy skin of the hindlimb and hip with connected saphenous nerve was isolated and transferred to a second recording chamber with circulating oxygenated ACSF, where it was heated to 31°C. The saphenous nerve was pulled into an isolated inner recording chamber, where the epineurium was removed and the nerve was subdivided for recording, as previously described.
Mechanical fields were identified using a paintbrush and localized using von Frey monofilaments. Controlled mechanical forces (square waves) were presented using a force-modulating mechanical stimulator (Aurora Scientific) with a 1-mm-diameter plastic foot. Cells were given 30 s to recover between stimuli. Peripheral conduction velocity (CV) was calculated using spike latency and the distance between concentric stimulating and recording electrodes. Responses were analyzed off-line (Spike2 software, Cambridge Electronic Design). Somatosensory afferents were first classified by CV (Aβ fibers, CV ≥10; Aδ fibers, CV <10 and ≥1; C-fibers, CV <1); C-fibers and cells with unclear CVs were not analyzed further (n = 70). Rapidly adapting (RA) Aβ- and Aδ-fibers were separated qualitatively based on their response properties (single onset/offset spiking, n = 69), and the Aβ population was then further subdivided based on the coefficient of variance (CoV) during the last 3 s of mechanical stimulation [SA1: CoV, >0.7; high-threshold mechanoreceptor (HTMR): CoV, <0.7]; this classification agrees with previous publications (McIlwrath et al., 2007; Wellnitz et al., 2010).
Statistics.
All data are expressed as the mean ± SEM. Independent-sample two-tailed t tests were performed between genotypes at each age for normally distributed data (Excel, Microsoft). The Mann–Whitney U test (Prism, GraphPad Software) was used for nonparametric data.
Results
DRG neuron numbers are normal in mice that lack Merkel cells
To study the role of Merkel cells in SAI neuron development, we used Keratin14Cre; Atoh1LacZ/flox (K14; Atoh1CKO) mice, where epidermal deletion of Atoh1 prevents Merkel cell production (Maricich et al., 2012). Adult K14; Atoh1CKO mice retain touch dome innervation, have normal numbers of total Islet1/2+ thoracic level 7 (T7) DRG neurons, and have normal numbers of large NF200+ T7 DRG neurons at four important stages of SAI neuron development, as follows: before touch dome innervation (E13.5); shortly after Merkel cell innervation (E16.5); when Merkel cell innervation is complete (P0); and when prototypical SAI responses can be recorded (P21; Pasche et al., 1990; Casserly et al., 1994; Koltzenburg et al., 1997; Maricich et al., 2009; Fig. 1A–D; Table 1). Total DRG neuron numbers are also normal at the L2 and L4/5 DRG levels in P0 K14; Atoh1CKO mice (Fig. 2E). These data suggest that SAI neurons survive and innervate touch domes in K14; Atoh1CKO mice.
Table 1.
Protein | Age | Control | K14; Atoh1CKO | n | p Value |
---|---|---|---|---|---|
Islet 1/2 | E13.5 | 5025 ± 168 | 5170 ± 97 | 23 | 0.45 |
E16.5 | 4974 ± 165 | 5344 ± 201 | 36, 32 | 0.16 | |
P0 | 4639 ± 124 | 4618 ± 128 | 43 | 0.91 | |
P21 | 5060 ± 183 | 5028 ± 171 | 26, 24 | 0.90 | |
NF200 | E13.5 | 742 ± 90 | 823 ± 41 | 4 | 0.44 |
E16.5 | 762 ± 16 | 793 ± 42 | 4 | 0.51 | |
P0 | 719 ± 22 | 747 ± 42 | 12 | 0.56 | |
P21 | 1105 ± 89 | 1002 ± 19 | 3 | 0.32 | |
TrkB | E13.5 | 4.5 ± 0.48% | 4.1 ± 0.26% | 3 | 0.49 |
E16.5 | 8.5 ± 0.59% | 6.3 ± 0.41% | 7, 6 | 0.02 | |
P0 | 8.6 ± 0.63% | 7.0 ± 0.42% | 13 | 0.05 | |
P21 | 10.7 ± 1.33% | 10.4 ± 0.20% | 3 | 0.83 | |
TrkC | E13.5 | 4.7 ± 0.27% | 4.7 ± 0.27% | 12 | 0.95 |
E16.5 | 6.1 ± 0.43% | 5.2 ± 0.40% | 21, 18 | 0.12 | |
P0 | 8.6 ± 0.34% | 6.7 ± 0.42% | 16 | 0.002 | |
P21 | 11.0 ± 0.98% | 7.2 ± 0.50% | 12 | 0.003 | |
TrkB/TrkC | E13.5 | 0.1 ± 0.01% | 0.1 ± 0.01% | 3 | 0.46 |
E16.5 | 1.2 ± 0.24% | 1.1 ± 0.23% | 7, 6 | 0.59 | |
P0 | 4.2 ± 0.52% | 1.6 ± 0.62% | 6 | 0.01 | |
P21 | 3.7 ± 0.51% | 4.1 ± 0.14% | 3 | 0.51 | |
NF200/Ret | E13.5 | 2.9 ± 0.52% | 2.7 ± 0.30% | 4 | 0.71 |
E16.5 | 3.5 ± 0.48% | 3.1 ± 0.15% | 4 | 0.45 | |
P0 | 2.0 ± 0.07% | 2.3 ± 0.19% | 6 | 0.17 | |
P21 | 9.8 ± 0.33% | 6.6 ± 0.41% | 3 | 0.004 | |
TrkC/Ret | E13.5 | 0.6 ± 0.05% | 0.6 ± 0.03% | 3 | 0.68 |
E16.5 | 2.4 ± 0.57% | 2.4 ± 0.72% | 4 | 0.97 | |
P0 | 2.0 ± 0.18% | 2.2 ± 0.34% | 4 | 0.70 | |
P21 | 5.9 ± 0.52% | 2.9 ± 0.32% | 6 | 0.0006 | |
PV | E13.5 | 1.3 ± 0.15% | 1.4 ± 0.12% | 6 | 0.81 |
E16.5 | 2.9 ± 0.37% | 2.5 ± 0.29% | 10, 8 | 0.41 | |
P0 | 2.8 ± 0.25% | 2.2 ± 0.18% | 6 | 0.10 | |
P21 | 2.5 ± 0.21% | 2.3 ± 0.42% | 6 | 0.63 | |
PV/TrkC | E13.5 | 1.3 ± 0.15% | 1.4 ± 0.12% | 6 | 0.81 |
E16.5 | 2.9 ± 0.37% | 2.50 ± 0.29% | 10, 8 | 0.41 | |
P0 | 2.8 ± 0.25% | 2.2 ± 0.18% | 6 | 0.10 | |
P21 | 2.5 ± 0.21% | 2.3 ± 0.42% | 6 | 0.63 | |
NF200/γENaC | P21 | 11.1 ± 0.17% | 7.0 ± 0.37% | 3 | 0.0006 |
NF200/ASIC1 | P21 | 12.9 ± 1.61% | 12.7 ± 0.73% | 3 | 0.88 |
NF200/DOR | P21 | 13.1 ± 0.80% | 11.7 ± 0.48% | 3 | 0.20 |
Values are given as T7 DRG neuron counts and the percentages of total neuron numbers expressing different markers in K14; Atoh1CKO and control littermate mice, and are reported as the mean ± SEM, unless otherwised indicated.
DRG neuron expression of neurotrophin receptors and transcription factors associated with mechanoreception decreases in K14; Atoh1CKO mice
No one specific marker separates SAI neurons from other DRG neurons. However, BDNF–TrkB signaling plays a role in SAI afferent morphology and function (Ernfors et al., 1994; Minichiello et al., 1995; Fundin et al., 1997; Liebl et al., 1997; Carroll et al., 1998; LeMaster et al., 1999; Liebl et al., 2000; Perez-Pinera et al., 2008), so we examined TrkB expression. Before touch dome innervation at E13.5, the percentages of TrkB+ DRG neurons were equivalent in K14; Atoh1CKO mice and control littermates (Fig. 1E,F,K; Table 1). In contrast, at E16.5 and at P0 the percentages of TrkB+ DRG neurons were 2.2% and 1.6% lower, respectively, in K14; Atoh1CKO mice versus control littermates (Fig. 1G,H,K; Table 1). The percentages of TrkB+ DRG neurons were again similar in K14; Atoh1CKO and control littermates at P21 (Fig. 1I–K; Table 1). These data suggest that TrkB protein expression is dynamically regulated in DRG neurons, that TrkB expression in SAI neurons at late embryonic and early postnatal ages requires Merkel cells, and that SAI neurons normally downregulate TrkB protein expression while other neuronal populations upregulate TrkB protein expression at postnatal ages.
We next examined the neurotrophin receptor TrkC, as it is expressed by SAIs and other DRG neurons, including proprioceptors (Airaksinen et al., 1996). Before touch dome innervation at E13.5 and shortly after innervation at E16.5, the percentages of TrkC+ and TrkB+TrkC+ DRG neurons were equivalent in K14; Atoh1CKO mice and control littermates (Fig. 1E,F,L,M; Table 1). At P0, the percentages of TrkC+ and TrkB+TrkC+ DRG neurons were 1.9% and 2.6% lower, respectively, in K14; Atoh1CKO mice versus control littermates (Fig. 1G,H,L,M; Table 1), decreases of similar magnitude to those seen in the TrkB+ population. At P21, there were 3.8% fewer TrkC+ DRG neurons in K14; Atoh1CKO mice compared with control littermates, while the percentages of TrkB+TrkC+ neurons were comparable (Fig. 1I,J,L,M; Table 1). Similar decreases in TrkC expression were found in DRGs at the L2 and L4/5 levels of P0 K14; Atoh1CKO mice compared with control littermates, suggesting that this is a generalized phenotype (Fig. 2A–D,F). Furthermore, coimmunostaining for the proprioceptive neuron marker PV (Honda, 1995; de Nooij et al., 2013) and TrkC demonstrated equivalent percentages of PV+TrkC+ DRG neurons in K14; Atoh1CKO mice and control littermates at all ages examined (Table 1). These data suggest that Merkel cell deletion affects TrkC expression in a specific population of nonproprioceptor DRG neurons after the onset of touch dome innervation.
Adult SAIs, other mechanoreceptors, and nonpeptidergic nociceptors express the GDNF family receptor Ret (Bourane et al., 2009; Luo et al., 2009). Percentages of NF200+Ret+ and TrkC+Ret+ DRG neurons were similar in E13.5, E16.5, and P0 K14; Atoh1CKO mice and control littermates, but P21 K14; Atoh1CKO mice had decreases of 3.2% and 3%, respectively, in these populations compared with littermate controls (Fig. 1N–S; Table 1). These data suggest that SAI neurons require Merkel cells for the initiation of Ret expression during the first 3 weeks of postnatal development.
To determine whether the absence of Merkel cells affected expression of transcription factors associated with mechanoreceptor development, we performed qPCR on reverse-transcribed total RNA from thoracic DRGs of P0 K14; Atoh1CKO and control littermates. We found significant decreases in the expression of Cux2, MafA, and Sall1 at P0 (Fig. 3A). Several other genes encoding transcription factors important for DRG neuron maturation (Runx1, Runx3, Shox2) were not affected by Merkel cell deletion (Fig. 3B). These results suggest that the absence of Merkel cells disrupts SAI differentiation/maturation through the dysregulation of transcription factors implicated in mechanoreceptor development.
Merkel cell-derived BDNF is required for neurotrophin receptor expression and BDNF-stimulated signaling in a subset of DRG neurons
Given that decreases in TrkB+ DRG neuron numbers preceded decreases in the numbers of TrkC+ and Ret+ DRG neurons in K14; Atoh1CKO mice, we wondered whether disrupted Merkel cell-derived BDNF signaling might underlie these changes in SAI molecular phenotype. To assess this possibility, we conditionally deleted BDNF, the cognate neurotrophin for TrkB, throughout the skin using the K14Cre allele. P0 K14; BdnfCKO mice had equivalent total and large-diameter neuron numbers but 1.4%, 2.3%, and 1.6%, respectively, fewer TrkB+, TrkC+, and TrkB+TrkC+ DRG neurons compared with littermate controls (Fig. 4A–F; Table 2). These changes recapitulate those seen after Merkel cell deletion in K14; Atoh1CKO mice. Importantly, Merkel cell numbers and touch dome innervation were not adversely affected in K14; BdnfCKO mice (Fig. 4G–I). In contrast, P0 K14Cre; Ntf3flox/flox (K14; Ntf3CKO) mice had an ∼20% decrease in total Islet1/2+ DRG neuron numbers but no decreases in the numbers of NF200+, TrkB+, TrkC+, or TrkB+TrkC+ neurons compared with littermate controls (Fig. 5), suggesting that the loss of TrkB and TrkC expression in SAI neurons of K14; BdnfCKO mice is secondary to disrupted BDNF–TrkB signaling, but not to NT3–TrkC signaling.
Table 2.
Protein | Mice |
n | p Value | ||
---|---|---|---|---|---|
Control | K14; BdnfCKO | Atoh1CreER-T2; BdnfCKO | |||
P0 | |||||
Islet 1/2 | 5278 ± 144 | 5623 ± 122 | 28, 29 | 0.07 | |
TrkB | 10.6 ± 0.43% | 9.2 ± 0.39% | 12 | 0.02 | |
TrkC | 11.1 ± 0.47% | 8.8 ± 0.48% | 12 | 0.003 | |
TrkB/TrkC | 3.6 ± 0.49% | 2.0 ± 0.36% | 6, 5 | 0.04 | |
NF200/Ret | 2.2 ± 0.14% | 2.6 ± 0.28% | 6 | 0.21 | |
PV | 4.3 ± 0.23 | 3.9 ± 0.29 | 6 | 0.31 | |
E14.5 Tam → E18.5 | |||||
Islet 1/2 | 6050 ± 199 | 5968 ± 215 | 7 | 0.78 | |
TrkB | 10.6 ± 0.11% | 9.3 ± 0.27% | 4 | 0.004 | |
TrkC | 11.1 ± 0.34% | 8.7 ± 0.39% | 6 | 0.001 | |
TrkB/TrkC | 7.1 ± 0.47% | 4.9 ± 0.36% | 6 | 0.005 | |
P0–P2 Tam → P23 | |||||
Islet 1/2 | 4776 ± 213 | 4928 ± 350 | 3 | 0.73 | |
TrkC | 12.0 ± 1.85% | 12.6 ± 2.22% | 3 | 0.84 | |
TrkC/Ret | 4.9 ± 0.27% | 5.4 ± 0.79% | 3 | 0.59 |
Values are given as T7 DRG neuron counts and the percentages of total neuron numbers expressing different markers in P0 K14; BdnfCKO and E18.5 Atoh1CreER-T2; BdnfCKO mice given tamoxifen at E14.5; P23 Atoh1CreER-T2; BdnfCKO mice given tamoxifen from P0 to P2; and control littermate mice; and are reported as the mean ± SEM, unless otherwised indicated.
To confirm that Merkel cell-derived BDNF influenced SAI molecular phenotype, we next conditionally deleted Bdnf in Merkel cells using a tamoxifen-inducible Atoh1CreER-T2 allele that faithfully recapitulates endogenous Atoh1 expression and drives recombination in >95% of Merkel cells (Fujiyama et al., 2009; Wright et al., 2015). We administered tamoxifen (250 mg/kg) to pregnant dams at E14.5 and harvested T7 DRGs from Atoh1CreER-T2; Bdnfflox/flox (Atoh1; BdnfCKO) embryos at E18.5, a date chosen to avoid birthing complications secondary to tamoxifen administration. Atoh1; BdnfCKO mice had 1.3%, 2.4% and 2.2%, respectively, fewer TrkB+, TrkC+, and TrkB+TrkC+ DRG neurons compared with littermate controls, reproducing the phenotypes seen in K14; Atoh1CKO and K14; BdnfCKO mice (Fig. 4J–L; Table 2). Significantly, tamoxifen administration from P0 to P3 did not alter the percentages of TrkC+ or TrkC+Ret+ neurons at P23 (Fig. 4M–O; Table 2). These data demonstrate that Merkel cell-derived BDNF is necessary for SAI neuron molecular differentiation/maturation during a specific embryonic critical period.
BDNF binding to TrkB induces intra-axonal translation of SMAD1/5/8, which is then phosphorylated to an active form that translocates to the neuronal cell body, where it subsequently mediates transcription of the transcriptional repressor Tbx3 (Ji and Jaffrey, 2012). Percentages of NF200+pSMAD1/5/8+ and NF200+Tbx3+ DRG neurons were comparable in E13.5 K14; Atoh1CKO mice and littermate controls, but those percentages were decreased by 4.8% and 3.3%, respectively, in E16.5 K14; Atoh1CKO mice compared with littermate controls (Fig. 6A–K). Furthermore, quantitative PCR on thoracic DRGs of P0 K14; Atoh1CKO mice and littermate controls demonstrated reductions in the expression of the BDNF-responsive genes Egr1, Fos, Nr4a1, and Tbx3 (Fig. 6L). These data suggest that Merkel cell deletion causes a failure to activate downstream BDNF signaling in SAI neurons.
Bdnf deletion in embryonic Merkel cells causes abnormal SAI responses
Constitutive Bdnf deletion affects slowly adapting peripheral mechanoreceptor electrophysiological responses (Carroll et al., 1998), so we wondered whether embryonic loss of Merkel cell-derived BDNF would lead to changes in SAI electrophysiological phenotype. To test this, we characterized SAI responses in dorsal foot skin-saphenous nerve preparations from adult Atoh1; BdnfCKO; ROSAtdTomato, Atoh1; Bdnfflox/+; ROSAtdTomato, and control littermate mice that received tamoxifen at E14.5. In Atoh1; BdnfCKO; ROSAtdTomato and Atoh1; Bdnfflox/+; ROSAtdTomato mice, tamoxifen administration deleted Bdnfflox from Atoh1-expressing cells while simultaneously activating tdTomato expression from the ROSA locus (Madisen et al., 2010). Using tdTomato reporter expression as a readout of Cre-mediated recombination, we unexpectedly found that tdTomato+ Merkel cells were present proximally but absent distally (Fig. 7A). This suggested that Cre-mediated recombination occurred only proximally, likely due to differences in the birth dates of and, hence, Atoh1 expression by Merkel cells in these regions (our unpublished observations). This unexpected finding gave us the opportunity to compare electrophysiological responses in the presence and absence of Merkel cell-derived BDNF in Atoh1; BdnfCKO; ROSAtdTomato mice.
We first classified recorded cells into groups based on conduction velocity (Aβ, Aδ, and C) and response properties (rapidly vs slowly adapting; Fig. 7B; for a detailed description, see Materials and Methods). Thresholds and firing rates in response to constant force were not significantly different among control, Atoh1; Bdnfflox/+; ROSAtdTomato, and Atoh1; BdnfCKO; ROSAtdTomato mice for high threshold, RA, or slowly adapting type I fibers (Table 3). Subsequent analyses were limited to slowly adapting Aβ fibers, which were divided into the following two groups: (1) classic SA1 Aβ fibers with an irregular discharge pattern (CoV, >0.7) and narrow dynamic range (1–10 mN), consistent with insensitivity to stimulus intensity; and (2) regularly firing (CoV, ≤0.7) HTMR fibers that encode intensity over a wide dynamic range (5–50 mN; Brown and Iggo, 1967; Horch et al., 1974; McIlwrath et al., 2007). No differences in these groups were observed between control and Atoh1; Bdnfflox/+; ROSAtdTomato mice, so their results were combined for all analyses. We found that both types of responses were elicited by distal foot hairy skin mechanical stimulation of Atoh1; BdnfCKO; ROSAtdTomato mice (Fig. 7B,C). In contrast, 75% of fibers (six of eight fibers) recorded in the proximal foot skin of Atoh1; BdnfCKO; ROSAtdTomato mice exhibited a narrow dynamic range coupled with a regular firing pattern (Fig. 7B–D). This hybrid group combined features of SAI and HTMR afferents and was never seen in control mice. These data suggest that the deletion of Bdnf in embryonic Merkel cells affects the electrophysiological characteristics of SAI neurons.
Table 3.
Fiber type | Mice (mN) |
n | |
---|---|---|---|
Control | Atoh1CreER-T2; BdnfCKO | ||
Slowly adapting HTMR | 9.0 | 10.0 | 25, 16 |
Rapidly adapting LTMR | 6.15 | 6.26 | 25, 26 |
Slowly adapting type I | 4.42 | 4.5 | 12, 8 |
LTMR, Low-threshold mechanoreceptor.
We next sought to correlate these electrophysiological changes with changes in the expression of ion channels and neurotransmitter receptors implicated in mechanosensation. Quantitative PCR on cDNA from thoracic DRGs of P21 K14; Atoh1CKO mice and littermate controls demonstrated decreased expression of Scnn1g, which encodes the γENaC subunit; increased expression of Asic1, which encodes a proton-gated sodium channel; and increased expression of Oprd1, which encodes the δ opioid receptor (Fig. 8A). The expression levels of several other ion channels and transporters (Asic2, Asic3, Kv1.1, Piezo2, Scnn1b, Slc17a6, Slc17a7, Slc17a8, TrpC1, and TrpV4) were comparable in K14; Atoh1CKO mice and littermate controls (data not shown). To confirm that these changes were specific to SAI neurons, we immunostained DRG tissue sections for γENaC, Asic1, or DOR. The percentage of NF200+γENaC+ DRG neurons was reduced by 3.6% in P21 K14; Atoh1CKO mice compared with littermate controls (Fig. 8B,C,H; Table 1), which is a change that is consistent with the magnitude of the qPCR results. There were no differences in the percentages of NF200+Asic1+ or NF200+DOR+ DRG neurons between genotypes (Fig. 8D–H; Table 1), suggesting that increased ASIC1 and Oprd1 expression occurs in SAI neurons rather than through the recruitment of additional DRG neurons following Merkel cell deletion. These data identify potential molecular mechanisms that might underlie the novel electrophysiological responses seen in K14; Atoh1CKO mice.
Discussion
We used the Merkel cell–neurite complex as a model to study how skin targets influence somatosensory neuron maturation. Our data suggest that the developmental regulation of SAI molecular phenotype by Merkel cell-derived BDNF is similar to the role of target-derived factors that instruct the phenotypes of sympathetic and motor neurons (Luther and Birren, 2009; Stifani, 2014). One limitation of our study is that there are no specific markers for SAI neurons, which forced us to examine the entire DRG population for our molecular analyses. However, several factors suggest that the changes in protein and mRNA expression that we observed in the DRGs were limited to SAI neurons. First, SAI neurons are the only DRG neurons that target Merkel cells, making it unlikely that other DRG neuron populations would be affected by Merkel cell loss or loss of Merkel cell-derived BDNF. Second, we observed expression changes only after Merkel cell innervation commences at E14.5, which links the changes with Merkel cell contact. Third, ∼3% of the DRG neuron population lost TrkB, TrkC, and/or Ret expression following Merkel cell or Bdnf deletion, a fraction similar to the ∼3% of mouse cutaneous sensory neurons that are SAI in electrophysiological phenotype (Lawson et al., 2008). Fourth, the magnitude of the observed expression changes was consistent across a variety of different markers, including double-immunostaining for TrkB/TrkC and TrkC/Ret. This again suggests that the same group of neurons is involved. Finally, the loss of SAI but not other cutaneous mechanoreceptor responses in Atoh1; BdnfCKO; ROSAtdTomato mice suggests a specific functional effect. Together, these observations strongly suggest that our molecular marker studies identify a single population of DRG neurons that is affected by Merkel cell loss or deletion of Merkel cell-derived BDNF.
Expression patterns of TrkB, TrkC, and Ret change dramatically during DRG neuron maturation (for review, see Ernsberger, 2009). Our findings suggest that SAI neurons are TrkB+TrkC+ embryonically and neonatally, but switch to TrkC+Ret+ postnatally (Fig. 1). This observation illuminates a previously unappreciated dynamic, developmentally regulated expression of these receptors in SAI neurons. Surprisingly, our data also suggest that maintained TrkC expression and the initiation of Ret expression is driven by BDNF–TrkB signaling. We propose a model where BDNF produced by embryonic Merkel cells binds TrkB on SAI neurons to activate a number of different signaling pathways, including the phospho-SMAD/Tbx3 signaling axis (Fig. 9). These various cascades then initiate expression of the transcription factors Egr1, Fos, Nr4a1, Tbx3, Cux2, MafA, and Sall1; maintain TrkC expression; and initiate Ret expression (Hughes and Dragunow, 1995; Andrew et al., 2002; Nishida et al., 2008; Bourane et al., 2009; Davis and Puhl, 2011; Ji and Jaffrey, 2012). Conversely, the loss of BDNF signaling fails to induce the expression of these transcription factors, which in turn leads to failures to maintain TrkC and initiate Ret expression (Fig. 9). This interpretation is consistent with the observations that TrkC is downstream of Fos (Hughes and Dragunow, 1995), and that Ret is downstream of Egr1 and requires MafA for maintained expression (Andrew et al., 2002; Bourane et al., 2009). Furthermore, our data show that these effects are specific for the BDNF–TrkB pathway, as TrkC expression in SAI neurons is maintained following skin-specific NT3 deletion. The developmental window during which SAI neuron maturation requires Merkel cell-derived BDNF is short, as the deletion at P0–P2 does not affect TrkC or Ret expression (Fig. 4M–O). This is also consistent with the observation that postnatal Merkel cells do not express Bdnf (Haeberle et al., 2004).
Our results also provide insights into transcriptional regulation of SAI neuron identity. We found changes in mRNA expression levels of three transcription factors (Cux2, MafA, Sall1) that have been implicated in mechanoreceptor development (Bourane et al., 2009; de Celis and Barrio, 2009; Bachy et al., 2011). Cux2 is a homeodomain protein involved in Aδ neuron mechanosensitivity that is also expressed by embryonic TrkB+ and TrkC+ DRG neurons, although its function in these latter groups is unknown (Bachy et al., 2011). MafA positively regulates Ret expression and is expressed by several mechanoreceptors including SAI neurons (Bourane et al., 2009; Wende et al., 2012). Sall1, a zinc finger transcription factor that is a transcriptional activator, is required for the specification and terminal differentiation of sensory neurons (Hu et al., 2006; de Celis and Barrio, 2009). Our results suggest that all of these genes are downstream of BDNF–TrkB signaling in SAI neurons. Furthermore, the fact that expression levels of several other transcription factors important for DRG neuron maturation were not affected by Merkel cell deletion suggests that changes in Cux2, MafA, and Sall1 are all specific to SAI neurons. To what extent the decreased expression of these genes mediates the aberrant SAI molecular and electrophysiological phenotypes observed following Merkel cell ablation or loss of Merkel cell-derived BDNF remains to be studied.
Our data demonstrate that Merkel cells are important for the maturation of SAI electrophysiological properties, as Merkel cell-specific Bdnf deletion led to the appearance of cutaneous somatosensory afferents with properties intermediate to SAI afferents and Aβ HTMRs. These hybrid responses were found only in the proximal foot skin of Atoh1; BdnfCKO mice, where >95% recombination occurred, and were never seen in control mice or in distal foot regions of Atoh1;BdnfCKO foot skin where Merkel cells did not undergo recombination. Some normal SAI responses persisted in the proximal foot skin of Atoh1; BdnfCKO mice, likely due to those neurons innervating the small fraction of non-recombined Merkel cells. The presence of these hybrid fibers raises the interesting possibility that these neurons might arise from a common progenitor that gives rise to neurons with a slowly adapting, regularly firing phenotype, and that embryonic Merkel cell-derived BDNF signaling subsequently alters the SAI phenotype from this default pattern. In support of this theory all non-SAI, myelinated, slowly adapting somatosensory afferents, including proprioceptors, exhibit regular firing rates, and many of these neurons (including a population of A-fiber HTMRs) are TrkC+ (Horch et al., 1974; McIlwrath et al., 2007; de Nooij et al., 2013). Furthermore, our data suggest three candidate genes (Asic1, Scnng1, and Oprd1), all of which are normally expressed by SAI neurons (Drummond et al., 2000; Bardoni et al., 2014; P.C. Adelman and H.R. Koerber, unpublished data), that might shape SAI firing properties. Asic1 encodes a proton-gated sodium channel that mediates glutamate-independent calcium entry into neurons (Waldmann et al., 1997). Scnn1g is an Asic1 paralog that encodes γENaC, a sodium channel that functions in action potential propagation (Raouf et al., 2012). Oprd1 encodes the δ opioid receptor, which is a G-protein-coupled receptor that regulates neurotransmission (Williams et al., 2001; Bardoni et al., 2014). We speculate that increased expression of Asic1 and Oprd1 accompanied by decreased expression of Scnn1g contributes to the aberrant firing properties of SAI afferents seen in Atoh1; BDNFCKO mice. Additional experiments are necessary to verify this hypothesis.
A previous study (Carroll et al., 1998) concluded that slowly adapting cutaneous mechanoreceptors had decreased mechanical sensitivity in Bdnf+/− and Bdnf−/− mice, and that “normal” electrophysiological responses in adult animals could be rescued by intraperitoneal BDNF administration. However, we did not see differences in the mechanical thresholds of slowly adapting fibers in control versus Atoh1; BdnfCKO; ROSAtdTomato mice. There are several potential reasons for the differing results between the two studies. One possibility is that non-Merkel cell-derived BDNF sources, such as local production within the DRG (De Biasi and Rustioni, 1988; Apfel et al., 1996; Zhou and Rush, 1996; Conner et al., 1997; Michael et al., 1997), might also influence SAI function. These sources are retained in our Merkel cell-specific Bdnf knockouts but are lost in Bdnf−/− mice. This interpretation is supported by the observation by Carroll et al. (1998) of differing mechanical thresholds between control and Bdnf+/− mice, while we did not see differences between control and Atoh1; BdnfCKO; ROSAtdTomato mice. Methodological differences are another possibility, as we stimulate on the epidermal surface while Carroll et al. (1998) used an inverted preparation. The Carroll et al. (1998) study also did not subdivide the slowly adapting mechanoreceptor population into SAI and HTMR subtypes based on the regularity of firing, and they could have therefore missed the appearance of regularly firing afferents with low-dynamic intensity coding. This might also explain why exogenous BDNF in their system was sufficient to improve slowly adapting mechanoreceptor thresholds, as BDNF from other sources might be necessary for HTMR function. Whether SAI neuron maturation can be rescued following embryonic Bdnf deletion in our system has not been tested.
Previous studies concluded that Merkel cell function is necessary for canonical SAI electrophysiological responses (Maricich et al., 2009; Maksimovic et al., 2014; Woo et al., 2014). In those studies, dynamic and static phases of SAI firing were altered by Merkel cell deletion, but only the static phase was altered by Piezo2 deletion or optogenetic Merkel cell silencing. Our data are consistent with these studies and provide a possible explanation for the differing results seen in the presence and absence of Merkel cells; namely, that Merkel cell-derived BDNF is important for the development of normal SAI dynamic phase responses. In summary, our findings provide new insights into the regulation of somatosensory neuron development and reveal a novel way in which Merkel cells participate in mechanosensation.
Footnotes
This work was supported by National Institutes of Health Grants F32-NS-074758 (E.G.R.-G.), R01-NS-023725 (H.R.K.), and R01-AR-059114 (S.M.M.); and by the Richard King Mellon Foundation for Pediatric Research (S.M.M.). We thank members of the Maricich laboratory and Dr. Sharyl Fyffe-Maricich for their thoughtful discussions and input; Dr. Timothy Sanders at Children's Hospital of Pittsburgh and his laboratory for help with confocal microscopy; and Dr. Gary Landreth at Case Western Reserve University and his laboratory for laboratory space.
The authors declare no competing financial interests.
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