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. Author manuscript; available in PMC: 2020 May 1.
Published in final edited form as: Muscle Nerve. 2019 Feb 5;59(5):611–618. doi: 10.1002/mus.26421

Frequency-dependent lipid raft uptake at rat diaphragm muscle axon terminals

Maria A Gonzalez Porras 1, Matthew J Fogarty 1,3, Heather M Gransee 2, Gary C Sieck 1,2, Carlos B Mantilla 1,2
PMCID: PMC6465132  NIHMSID: NIHMS1017875  PMID: 30677149

Abstract

Introduction:

In motor neurons, cholera toxin B (CTB) binds to the cell-surface ganglioside GM1 and is internalized and transported via structurally unique components of plasma membranes (lipid rafts).

Methods:

Lipid raft uptake by axon terminals adjoining type-identified rat diaphragm muscle fibers was investigated using CTB and confocal imaging.

Results:

Lipid raft uptake increased significantly at higher-frequency stimulation (80 Hz), compared to lower-frequency (20 Hz) and unstimulated (0 Hz) conditions. The fraction of axon terminal occupied by CTB was ~45% at 0 or 20 Hz stimulation, and increased to ~65% at 80 Hz. Total CTB fluorescence intensity also increased (~20%) after 80 Hz stimulation compared to 0 Hz.

Discussion:

Evidence of increased lipid raft uptake at high stimulation frequencies supports an important role for lipid raft signaling at rat diaphragm muscle axon terminals, primarily for motor units physiologically activated at the higher frequencies.

Keywords: Neuromuscular junction, Cholera toxin, Bulk endocytosis, Motor neuron, Synaptic vesicle retrieval, Clathrin

Introduction

Lipid rafts are structurally unique microdomains of plasma membranes, crucial for neural development and function including synaptic transmission and neurotrophic signaling.1 These microdomains are enriched in sphingolipids, cholesterol binding proteins and scaffolding proteins. Lipid rafts in motor neurons serve to shuttle cargo between peripheral and central nervous system compartments,2 but their dynamics at axon terminals is poorly characterized. Motor units differ in their synaptic properties37 and their activation pattern,8 such that lipid raft uptake may differ across axon terminals adjoining the different muscle fiber types as well as the motor unit activation frequencies. Motor units can be classified as fatigue resistant motor units (slow-twitch type S and fast-twitch type FR units) or fatigable motor units (fast-twitch type FInt and type FF units), which innervate type I or type IIa muscle fibers vs. type IIx and/or IIb fibers, respectively.911 The activation (recruitment) of motor units occurs in an orderly fashion based on the intrinsic electrophysiological properties of their constituent motor neuron.12 For instance, in muscles of mixed fiber type composition, like the diaphragm muscle, type S and FR motor units are recruited before and more often than type FInt or type FF units.1315 Activation frequencies also vary across motor units with higher frequencies at more fatigable units.8

Lipid rafts are readily labeled by the atoxic subunit B of cholera toxin (CTB), and CTB is commonly used to investigate lipid raft function within neurons.16 The CTB subunit binds to a cell-surface receptor, ganglioside GM1, present on neuronal membranes,17,18 is internalized and then transported via lipid rafts to various neuronal compartments. Axon terminals display substantial membrane cycling, in an activity-dependent fashion,19,20 and endocytotic mechanisms responsible for membrane recycling and retrieval may depend on axon terminal activity. Clathrin-mediated endocytosis is sufficient for membrane retrieval when fewer synaptic vesicle are released, i.e., following activation at lower stimulation frequencies.21,22 Since the maximal rate of clathrin-mediated endocytosis does not scale with stimulation intensity,2325 when more synaptic vesicle membrane requires retrieval (i.e., following higher frequency stimulation), additional endocytotic mechanisms (e.g., bulk endocytosis) become necessary.20,26,27 The fact that bulk endocytosis is not specific for recovering synaptic vesicle endocytosis led us to hypothesize that lipid raft uptake at diaphragm muscle axon terminals depends on activation frequency, such that lipid raft uptake will only be evident at higher stimulation frequencies.

Methods

Animals:

Young (6-months old) female and male Fischer 344 pathogen-free rats were obtained from the NIH aged rodent colony. All experiments were approved by the Mayo Clinic Institutional Animal Care and Use Committee. Following deep ketamine (80 mg/kg) and xylazine (20 mg/kg) intramuscular anesthesia, rats were killed by exsanguination.

Diaphragm muscle phrenic nerve preparations:

The diaphragm muscle with the phrenic nerves attached was dissected, and placed in oxygenated Rees-Simpson solution (containing, in mM: 135 Na+, 5 K+, 2 Ca2+, 1 Mg2+, 120 Cl, and 25 HCO3; pH 7.4) bubbled with carbogen gas (95% O2-5% CO2) at room temperature (26°C). The muscle was cut into two hemidiaphragms and pinned in a silicon rubber (Sylgard; DowCorning, Midland, MI)-coated dish at 1.5 times resting length (approximate optimal length for force generation). 10 μg of Alexa-488 conjugated CTB (Thermo Fisher Scientific, Waltham, MA) was added to the bath with one of the hemidiaphragms not stimulated and serving as an internal control. The other hemidiaphragm was repeatedly activated via phrenic nerve stimulation using a suction electrode with stimulation driven by an Aurora high-power biphasic stimulator (Aurora, ON, Canada). Supramaximal stimulation was presented in 0.5 ms duration pulses delivered either at 20 Hz or 80 Hz. Stimulation at 20 Hz was delivered in 330 ms duration trains repeated each s (33% duty cycle) for 1 h in order to achieve physiological activation levels for rat phrenic motor units.8,28 Stimulation at 80 Hz was applied in 1 s duration trains repeated every other s (50% duty cycle) for 6 min followed by a 2 min incubation period in the presence of CTB without stimulation to allow slow endocytosis mechanisms to be completed and in order to elicit reliable bulk endocytosis at this higher frequency.29 Visible contractions of the diaphragm muscle served to verify successful nerve stimulation in all cases.

Each hemidiaphragm was then fixed in 4% paraformaldehyde and incubated with α-bungarotoxin conjugated to Alexa Fluor 555 (0.1 μg/ml; Catalog#: B35451 & Lot# 1880574. Invitrogen Corp. Carlsbad CA) to stain the postsynaptic motor end-plate. Anti-synaptophysin antibody D-4 was used to stain the presynaptic terminals (1 mg/ml; Catalog#: sc17750 & Lot# 135090. Santa Cruz Biotechnology Inc., Santa Cruz, CA) with an Alexa 647 conjugated donkey anti-mouse IgG secondary antibody (1:200; Catalog#: 715–605-159 & Lot# 135090. Jackson Immuno Research Laboratories Inc., West Grove, PA). All diaphragm muscle samples were stored in Tris-buffered saline until confocal imaging, which occurred no more than 3 days following the staining procedure. The specificity of fluorescently-conjugated α-bungarotoxin and anti-synaptophysin labeling has been previously confirmed and validated.30,7

Confocal imaging:

Confocal microscopy was used for morphological analyses of neuromuscular junction (NMJ) morphology, as previously described,5,3133 and measurements of CTB uptake in diaphragm axon terminals adjoining type-identified muscle fibers. Motor end-plates labeled by Alexa Fluor 555-α-bungarotoxin and Alexa-488 conjugated CTB were imaged simultaneously in two channels, with Alexa 647-labeled axon terminals (synaptophysin immunoreactivity) imaged in series. Confocal image stacks were obtained from NMJs visualized en face on the thoracic surface of the diaphragm muscle and located superficially (usually within 50 μm of the surface) in order to minimize fluorescence dispersion and to reduce the impact of anisotropic voxel dimensions on image reconstruction. Superficially located NMJs are not morphologically different from other NMJs located at greater depths in midcostal region of the rat diaphragm muscle.4,34,7,3

Neuromuscular junction morphology:

Diaphragm NMJs were identified at type I or IIa or type IIx and/or IIb muscle fibers based on well-established morphological criteria.7,3 Diaphragm NMJs at type I or IIa fibers are smaller and less complex that those at type IIx and/or IIb fibers. This user-guidance classification system has been validated and used extensively for diaphragm NMJs.6,5,3,35,34,36 Two-dimensional projections for each motor end-plate were obtained using a maximum intensity projection algorithm available in MetaMorph (Molecular Devices, San Jose, CA) software. The relative planar area occupied by the motor end-plate was measured as an index of NMJ complexity that reflects branching and fragmentation (greater branching and fragmentation results in reduced relative planar area).

CTB uptake measurements:

CTB fluorescence intensity in the presynaptic volume was measured for each NMJ, using a customized algorithm in MetaMorph.37,38 In NMJs exhibiting colocalized apposition of synaptophysin and α-bungarotoxin, the volume of the axon terminal occupied by CTB was determined from the intersection of the two binarized volumes in 3D. In addition, the percentage of axon terminals with robust CTB uptake (i.e., intensity ~10-fold greater than background) was assessed. In a separate experiment, the total summed Alexa 488-CTB fluorescence intensity per axon terminal was obtained after thresholding to subtract tissue auto-fluorescence and normalized to the motor end plate area (α-bungarotoxin maximum intensity projection).

Statistical methods:

Individual NMJs were analyzed from all animals and were not clustered by animal in order to account for variability across NMJs. In all cases, there was no animal effect. All data sets were assessed for normality using Shapiro-Wilk W-tests. Where data was distributed normally, comparisons of lipid raft uptake according to muscle fiber type classification (type I or type IIa vs. type IIx and/or IIb) and stimulation frequency (0, 20 and 80 Hz), were done using two-way ANOVA with Tukey-Kramer HSD post-tests as appropriate. Significance was set at P<0.05 and all data are presented as mean ± standard deviation, unless otherwise specified. For data where distributions were not normally distributed (CTB summed intensity), nonparametric Wilcoxon comparisons were employed.

Results

1. Morphological differences across NMJs at different diaphragm muscle fiber types

Motor end-plates and axon terminals were labeled using fluorescently conjugated α-bungarotoxin and anti-synaptophysin, respectively (Figure 1). The NMJ planar area was used as a criterion to classify the NMJs in the two fiber type classes. Motor end-plate areas at type I or IIa fibers were comparable in size, and ~50% smaller (489 ± 130 μm2) than motor end-plate areas at type IIx and/or IIb fibers (1095 ± 380 μm2; F(1,206) = 229, P < 0.001). The complexity index was used to measure branching and fragmentation in the motor end plate area and is a function of relative planar area compared to the orthogonal area circumscribing the end plate. Motor end-plates at type I or IIa fibers were significantly less complex (greater relative planar area) than those at type IIx and/or IIb fibers. In type IIx and/or IIb fibers, relative planar area was 52 ± 8% compared to 56 ± 11% in type I or type IIa fibers (F(1,206) = 4.8, P=0.03; n = 207 from 7 animals). Pre-synaptic volume is also ~2-fold larger at type IIx and/or IIb fibers (6,003 ± 2,500 μm3), compared to type I or type IIa fibers (2,951 ± 1,200 μm3; F(1,206) = 120, P<0.0001; Figure 2).

Figure 1.

Figure 1.

Representative neuromuscular junctions (NMJ) in the rat diaphragm muscle obtained after phrenic nerve stimulation at various frequencies (0, 20, 80 Hz). Maximum intensity projections of fluorescent confocal images were obtained using post-synaptic acetylcholine receptors labeled by α-bungarotoxin, pre-synaptic axon terminals labeled by anti-synaptophysin (a major synaptic vesicle protein), and lipid rafts labeled by cholera toxin subunit B (CTB); see Methods for details. The merged image with three fluorescent channels was used for volumetric analyses conducted in 3D. Orthogonal projections of an NMJ in each fiber type group show colocalization of synaptophysin (red) and CTB (green) in 3D. Synaptophysin and CTB partially overlap (yellow), and they are clearly present at the same anatomical structure. Scale Bar: 10 μm.

Figure 2.

Figure 2.

Volumetric measurements of rat diaphragm NMJs at different muscle fibers types (classified according to established criteria of motor end-plate and NMJ complexity; see Methods for details). (A) Pre-synaptic volume is ~2-fold larger at type IIx and/or IIb fibers, compared to type I or IIa fibers (P<0.0001). (B) Pre-synaptic volume is also ~2-fold larger at type IIx and/or IIb fibers, compared to type I or IIa fibers (P<0.0001). N=207 NMJs from 7 animals, with color denoting individual animals. Statistical significance was determined by two-way ANOVA with Tukey-Kramer HSD post-test. All values mean ± SD.

2. Lipid raft uptake at diaphragm axon terminals in unstimulated conditions

Different characteristics were evaluated to analyze changes in lipid raft uptake in diaphragm muscle axon terminals. First, the CTB volume in pre-synaptic terminals was compared across axon terminals adjoining type I or IIa muscle fibers compared to those adjoining type IIx and/or IIb fibers. The CTB volume in terminals adjoining type I or IIa muscle fibers was 1658 ± 520 μm3, and for IIx and/or IIb terminals was 3965 ± 1529 μm3 (F(1,84) = 94, P<0.0001). Although the overall CTB volume is greater in axon terminals adjoining type IIx and/or IIb diaphragm muscle fibers, when normalized to the volume of the respective axon terminal, this difference in CTB volume across fiber type disappears. The percent of the axon terminal occupied by CTB, determined by the fraction of axon terminal volume (labeled by synaptophysin) showing colocalization with CTB, was compared across axon terminals classified according to fiber type (Figure 3). There was no difference in the fraction of axon terminal occupied by CTB at both types of NMJs (P=0.26). These results demonstrate that the distribution of lipid rafts and their basal level of uptake at the NMJ are not different across fiber types. Observed differences in CTB volumes were a result of differences in NMJ size.

Figure 3.

Figure 3.

Lipid raft uptake was quantified by the extent of CTB colocalization with synaptophysin at individual type-identified diaphragm NMJs. Representative three-dimensional (3D) reconstructions of the axon terminal volume (synaptophysin), lipid raft uptake (CTB) and the pre-synaptic volume occupied by lipid rafts (overlap) in axon terminals adjoining (A) type I or IIa fibers, and (B) type IIx and/or IIb fibers, across various stimulation frequencies (0, 20 and 80 Hz). Images represent binarized masks for each confocal slice and display depth in gray and pseudocolored scales (μm; black and red-white reflect greater depth). (C) The fraction (%) of pre-synaptic volume occupied by lipid rafts increased (~20%) at 80 Hz in axon terminals adjoining both diaphragm muscle fiber types (P<0.001). For NMJs at both muscle fiber types, there is not a significant difference in the percent of pre-synaptic terminal occupied by lipid rafts between the unstimulated and 20 Hz stimulated diaphragms (~45% of axon terminal volume). N=207 NMJs from 7 animals (4 animals in 20 Hz group and 3 in 80 Hz), with color denoting individual animals. Statistical significance was determined by two-way ANOVA with Tukey-Kramer HSD post-test. All values mean ± SD. Scale bar 10 μm.

3. Frequency dependent uptake of CTB at axon terminals across fiber types

To analyze stimulation dependent changes in lipid raft uptake at axon terminals, the CTB volume and percent of NMJs showing CTB uptake were used. First, the CTB volume in pre-synaptic terminals was compared with and without low frequency stimulation (20 Hz), at which both fatigue-resistant and more fatigable motor units are activated (Figure 3). The fraction of axon terminal occupied by CTB with no stimulation and at 20 Hz stimulation was ~45% across all muscle fiber types (P=0.45). These results demonstrate that lipid raft uptake does not change between unstimulated and low frequency stimulation conditions.

Effective uptake of CTB (i.e., the % of NMJs with evidence of CTB within axon terminals), into both type I or IIa and type IIx and/or IIb NMJs was apparent at both 0 and 20 Hz stimulation frequencies (range: 91–95%). There was no evidence of an effect on the proportion of axon terminals displaying lipid raft uptake according to fiber type (F(1,36) = 0.9, P = 0.34), stimulation frequency (F(2,36) = 1.4, P = 0.27) or the interaction (F(2,36) = 0.2, P = 0.85).

4. Lipid raft uptake at high frequency stimulation

To activate bulk endocytosis mechanisms, we used high frequency stimulation at 80 Hz in 1 s duration trains repeated every other s (50% duty cycle) for 6 min followed by a 2 min period of incubation in CTB without stimulation. From each animal, one hemidiaphragm was not stimulated and served as an internal time control for CTB uptake. Compared to control unstimulated NMJs (N = 7 animals) and to NMJs stimulated at 20 Hz (N = 4 animals), the fraction of the axon terminal occupied by lipid rafts (CTB) increased significantly in presynaptic terminals after 80 Hz stimulation (N = 3 animals) at both type I or IIa and type IIx and/or IIb muscle fibers (from ~45% to ~65% of presynaptic volume occupied by CTB; Figure 3).

In an effort to further understand the uptake of lipid rafts in axon terminals at a higher stimulation frequency, total CTB fluorescence intensity was quantified across presynaptic terminals adjoining the different muscle fiber types (Figure 4). Such quantitative measurements were permitted by the use of fluorescently conjugated CTB with the sum of CTB fluorescence intensity at each type-identified axon terminal reflecting uptake of CTB bound to lipid rafts. There was a significant increase in the CTB intensity in NMJs at type I or IIa diaphragm fibers (P=0.012) and at type IIx and/or IIb fibers (P=0.003) stimulated with high frequency compared to unstimulated NMJs from the same type (Figure 4). The increased CTB fluorescence intensity observed at this high frequency stimulation represents an increase of lipid raft enriched vesicles, as observed in the CTB images (Figure 4).

Figure 4.

Figure 4.

Lipid raft uptake was quantified by total CTB fluorescence at type-identified rat diaphragm NMJs. Uptake increased after phrenic nerve stimulation at 80 Hz compared to no stimulation. Representative maximum intensity projections of CTB fluorescence (green) in presynaptic terminals of unstimulated (A) and 80 Hz stimulated (B) diaphragm muscle-phrenic nerve preparations. Representative three-dimensional reconstructions of CTB fluorescence comprise binarized masks for each confocal slice and display depth in gray scale (μm; black reflects greater depth). (C) In axon terminals at all types of NMJs, CTB intensity increased by ~50% after 80 Hz stimulation (P=0.012 for axon terminals adjoining type I or IIa fibers and P=0.003 for type IIx and/or IIb fibers). Paired analyses were conducted for each animal since hemidiaphragms received either 0 or 80 Hz stimulation. N = 600 NMJs from 6 animals, with color denoting individual animals. Statistical significance was determined by Wilcoxon test. All values mean ± SD. Scale bar: 10 μm.

Discussion

Our results demonstrate that lipid raft uptake is evident across axon terminals adjoining different fiber types in the rat diaphragm muscle at rest and during low frequency nerve stimulation, consistent with clathrin-dependent synaptic vesicle endocytosis. Lipid raft uptake increases after nerve stimulation at higher frequencies, consistent with different endocytic mechanisms being involved, namely bulk endocytosis.27,29 Recruitment of fatigue-resistant motor units (comprising type I and IIa muscle fibers),8 which discharge physiologically at low frequencies (~8–25 Hz),39,13,40,41 is sufficient to generate the lower forces displayed during eupneic ventilation and in response to hypoxic-hypercapnic exposure. The generation of higher forces involved in expulsive behaviors and airway clearance (e.g., coughing, sneezing) requires recruitment of more fatigable motor units (comprising type IIx and/or IIb muscle fibers) that discharge at higher frequencies.42,15,43,44,14 Evidence of increased lipid raft uptake at high stimulation frequencies supports the importance of lipid raft signaling in motor units that are physiologically activated at the higher frequencies (i.e., those innervating type IIx and/or IIb muscle fibers).

Lipid raft presence in axon terminals

In neurons, lipid rafts compartmentalize transmembrane neurotransmitter receptors and necessary intracellular signaling adaptor proteins,4547 contribute to the trafficking of components to and from the cell membrane, and participate in organelle trafficking.48 Accordingly, lipid rafts are expected to be present throughout the neuronal membrane including axon terminals, and in the present study, we observed evidence of lipid raft labeling by CTB across type-identified diaphragm muscle fibers. The morphological characteristics of NMJs at type-identified diaphragm muscle fibers was consistent with previous reports,3,7 serving as the basis for fiber type classification. In unstimulated conditions, the relative lipid raft density was not different across type I or IIa diaphragm muscle fibers compared to type IIx and/or IIb fibers, consistent with small differences in membrane recycling (e.g., reflected by miniature end plate potentials, mEPP).6 Notably, mEPP frequency increases just ~1 Hz from room to body temperature, and the quantal content is quite insensitive to temperature differences.49,50 Our results from studies conducted at room temperature support a role for lipid raft dynamics (uptake and transport) in modulating intracellular signaling events, trophic interactions and motor neuron function.

Lipid raft uptake across axon terminals adjoining different fiber types

Lipid raft uptake increased at higher stimulation frequencies in axon terminals across rat diaphragm muscle fibers. Although there were no differences in relative lipid raft uptake in axon terminals adjoining both type I or IIa vs. type IIx and/or IIb diaphragm muscle fibers, there are known differences in motor unit recruitment and activation history across motor units of different type. Motor units comprising type I or IIa fibers are recruited more frequently with lower activation rates (~20 Hz for ventilatory behaviors) than units comprising type IIx and/or IIb fibers, which are infrequently recruited and only for short durations (e.g., for expulsive behaviors).42,14,43,44 The release and recycling of synaptic vesicles is stimulation frequency dependent and varies across motor unit types in the diaphragm muscle.6,51

The results of the present study are consistent with a lack of involvement of lipid rafts in the endocytic mechanisms responsible for synaptic vesicle retrieval at lower activation rates. Previous studies support the premise that synaptic vesicle recycling at low physiological frequencies depends on clathrin-mediated endocytosis, which facilitates retrieval of single synaptic vesicles from the axon terminal plasma membrane.19,27 Since type I or IIa fibers in the rat diaphragm muscle display peak activation frequencies ~20 Hz,8 the results of the present study suggest that clathrin-mediated endocytosis does not contribute to the uptake of membrane compartments that include lipid rafts. Although at body temperature the speed of clathrin-mediated endocytosis is faster compared to room temperature,52,53 the magnitude of this change is small relative to the effect on lipid raft uptake observed at higher stimulation frequencies.

Endocytosis of lipid rafts at higher stimulation frequencies requiring bulk endocytosis

During increased neuronal activity, additional synaptic vesicle retrieval capacity is required and is provided by bulk endocytosis.54,20 Since bulk endocytosis can internalize large areas of plasma membrane, it has the potential capacity to correct for significant changes in axon terminal surface area during increased neuronal activity.55 In the present study, the uptake of lipid rafts after 80 Hz stimulation increased at axon terminals adjoining all diaphragm muscle fiber types compared to unstimulated conditions, suggesting that endosomes generated from bulk endocytosis at axon terminals contain lipid rafts. These findings in the rat diaphragm muscle are consistent with previous studies demonstrating that a number of fluid phase uptake routes related to bulk endocytosis have an enrichment of lipid rafts.20,56 Bulk endosomes help in recovering synaptic transmission (recycled into plasma membrane)57 but they can also participate in retrograde and other intracellular signaling events,5860 suggesting that motor neurons discharging at high frequencies rely on lipid raft endocytosis for activity dependent intracellular signaling.

The maturation process to obtain synaptic vesicles after bulk endocytosis occurs after the end of the stimulation and may contribute to physiological differences in motor unit properties.57 Limits in the ability to obtain synaptic vesicles from bulk endocytosis may partially underlie the increased likelihood of neuromuscular transmission failure of axon terminals innervating type IIx and/or IIb muscle fibers and their decreased safety factor during repeated high frequency stimulation.61,6,62 The role that lipid rafts exert in regulating such bulk endocytic mechanisms remains unclear. Since stimulation frequencies that result in bulk endocytosis are more commonly present at the most fatigable motor units (innervating type IIx and/or IIb fibers), presumably these units are more susceptible to activity dependent differences in lipid raft signaling. Whether activity dependent differences in lipid raft dependent signaling (including retrograde trophic effects) contribute to motor neuron health or disease is an important topic for future study.

Conclusions and Future Directions

Lipid rafts form domains for assembly of multiple signaling complexes, and thus, changes in lipid raft uptake may modulate intracellular signaling pathways. In particular, motor units comprising type IIx and/or IIb muscle fibers could be more susceptible to changes in lipid raft uptake, since their discharge rate is characterized by high frequencies. These results have intriguing implications for neurodegenerative diseases, aging, synaptic plasticity and other conditions where deficits in lipid raft trafficking may render specific neuronal populations susceptible to injury as a result of disrupted trophic signaling.34,63 If lipid rafts contribute to synaptic stability (e.g., preventing denervation) as proposed for other neuron types,6466 novel therapies that address the mechanisms responsible for disrupted lipid rafts or that promote membrane lipid raft formation and trafficking in motor neurons could offer promising therapeutic targets across a range of conditions. It is important to note that conclusions of the study are based on results obtained in the diaphragm muscle. These results are the first step in understanding the role of lipid rafts in neuromuscular diseases and also providing a new way of targeting different motor neurons at the NMJ through specific endocytic mechanisms.

Acknowledgements:

This work was supported by National Institutes of Health Grants AG-057052, AG-044615, HL-096750. (M. A. Gonzalez Porras, G. C. Sieck and C. B. Mantilla) and an Australian National Health and Medical Research Council CJ Martin Early Career Fellowship (M. J. Fogarty).

Abbreviations:

CTB

cholera toxin subunit B

NMJ

neuromuscular junction

Footnotes

None of the authors has any conflict of interest to disclose

We confirm that we have read the Journal’s position on issues involved in ethical publication and affirm that this report is consistent with those guidelines

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