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Copyright © The Physiological Society 2003 Ecto-AMP deaminase blunts the ATP-derived adenosine A2A receptor facilitation of acetylcholine release at rat motor nerve endings *Laboratório de Farmacologia-UMIB, Instituto de Ciências Biomédicas de Abel Salazar, Universidade do Porto, Portugal †Laboratório de Neurociências, Faculdade de Medicina, Universidade de Lisboa, Portugal ‡Centro de Neurociências de Coimbra, Instituto de Bioquímica, Faculdade de Medicina, Universidade de Coimbra, Portugal Corresponding author Rodrigo A. Cunha: Centre for Neuroscience of Coimbra, Institute of Biochemistry, Faculty of Medicine, University of Coimbra, 3004-504 Coimbra, Portugal. Email: racunha/at/clix.pt Revised January 28, 2003; Accepted March 7, 2003. This article has been cited by other articles in PMC.Abstract At synapses, ATP is released and metabolised through ecto-nucleotidases forming adenosine, which modulates neurotransmitter release through inhibitory A1 or facilitatory A2A receptors, according to the amounts of extracellular adenosine. Neuromuscular junctions possess an ecto-AMP deaminase that can dissociate extracellular ATP catabolism from adenosine formation. In this study we have investigated the pattern of ATP release and its conversion into adenosine, to probe the role of ecto-AMP deaminase in controlling acetylcholine release from rat phrenic nerve terminals. Nerve-evoked ATP release was 28 ± 12 pmol (mg tissue)−1 at 1 Hz, 54 ± 3 pmol (mg tissue)−1 at 5 Hz and disproportionally higher at 50 Hz (324 ± 23 pmol (mg tissue)−1). Extracellular ATP (30 μm) was metabolised with a half time of 8 ± 2 min, being converted into ADP then into AMP. AMP was either dephosphorylated into adenosine by ecto-5′-nucleotidase (inhibited by ATP and blocked by 200 μmα,β-methylene ADP) or deaminated into IMP by ecto-AMP deaminase (inhibited by 200 μm deoxycoformycin, which increased adenosine formation). Dephosphorylation and deamination pathways also catabolised endogenously released adenine nucleotides, since the nerve-evoked extracellular AMP accumulation was increased by either α,β-methylene ADP (200 μm) or deoxycoformycin (200 μm). In the presence of nitrobenzylthioinosine (30 μm) to inhibit adenosine transport, deoxycoformycin (200 μm) facilitated nerve-evoked [3H]acetylcholine release by 77 ± 9 %, an effect prevented by the A2A receptor antagonist, ZM 241385 (10 nm). It is concluded that, while ecto-5′-nucleotidase is inhibited by released ATP, ecto-AMP deaminase activity transiently blunts adenosine formation, which would otherwise reach levels high enough to activate facilitatory A2A receptors on motor nerve terminals. At the rat neuromuscular junction, adenosine acts as a neuromodulator either inhibiting (via A1 receptors) or facilitating (via A2A receptors) the release of acetylcholine (ACh) from motor nerve endings (Correia-de-Sáet al. 1991; reviewed by Ribeiro et al. 1996). The effect of endogenous extracellular adenosine depends on the pattern of nerve stimulation: at low stimulation frequencies there is a predominant tonic inhibition mediated by A1 receptors, whereas with increasing frequencies adenosine facilitates ACh release through tonic activation of A2A receptors (Correia-de-Sá et al. 1996). Interestingly, which adenosine receptor is predominantly activated is apparently determined by the differential contribution of the two main pathways leading to extracellular adenosine accumulation (Correia-de-Sá et al. 1996; Cunha et al. 1996a). Indeed, adenosine can either be released as such or can be formed upon the sequential extracellular dephosphorylation of released ATP (reviewed in Cunha, 2001a). ATP contained in synaptic vesicles is released from stimulated nerve terminals as well as from the activated postsynaptic components (reviewed in Bodin & Burnstock, 2001). Once released, ATP can act as a fast neurotransmitter in some synapses or as a presynaptic neuromodulator (reviewed in Cunha & Ribeiro, 2000). Most commonly, released ATP is metabolised extracellularly into adenosine by a cascade of ecto-nucleotidases (reviewed in Cunha, 2001b). For the convenience of the reader, the pathways responsible for the extracellular catabolism of ATP and adenosine as well as the sites of action of various inhibitors are depicted in Fig. 1
In the present work, we studied the pattern of ATP release and its extracellular catabolism with particular emphasis on the relative contribution of ecto-5′-nucleotidase (forming adenosine) and of ecto-AMP deaminase (bypassing adenosine formation) pathways. We then used a pharmacological strategy to block ecto-AMP deaminase to probe the importance of this shunt-like pathway for the tonic adenosine modulation of ACh release. METHODS Experimental preparation Rats (Wistar, 150–200 g) of either sex (Charles River, Barcelona, Spain) were kept at a constant temperature (21 ° C) and a regular light (06.30–19.30 h) dark (19.30–06.30 h) cycle with food and water provided ad libitum. The animals were decapitated and exsanguinated under halothane anaesthesia, according to the Portuguese and EU guidelines for handling and use of experimental animals. All experiments were conducted using left phrenic nerve-hemidiaphragm preparations (6-8 mm width) (see Correia-de-Sá et al. 1996). The preparations were mounted in 2 ml chambers, with direct oxygenation (95 % O2 and 5 % CO2), kept at 37 °C, and superfused (3 ml min−1) with gassed Tyrode solution containing (mm): NaCl 137.0, KCl 2.7, CaCl2 1.8, MgCl2 1.0, NaH2PO4 0.4, NaHCO3 11.9, and glucose 11.2. The nerve was then drawn into a suction electrode for stimulation. The tissue was allowed to equilibrate, under superfusion with gassed Tyrode solution, for 30 min. Kinetic experiments For kinetic experiments of purine catabolism, after the 30 min equilibration period, the bath was emptied and 2 ml of a 3–100 μm solution of the chosen initial substrate in Tyrode solution at 37 °C was added to the preparations at zero time. Samples of 75 μl were collected from the bath at different times up to 45 min for HPLC analysis of the variation of substrate disappearance and product formation (see Fig. 1 [3H]Acetylcholine release experiments The procedures used for labelling the preparations and measuring evoked [3H]acetylcholine ([3H]ACh) release have been previously described (Correia-de-Sá et al. 1991; 1996) and were used with minor modifications. Experiments were performed in the absence of cholinesterase inhibitors to prevent non-physiological extracellular accumulation of acetylcholine that might exaggerate cholinergic neuromodulation (cf. Correia-de-Sá & Ribeiro, 1994a; Oliveira et al. 2002). After a 30 min equilibration period, the superfusion was stopped and the nerve endings were labelled for 40 min with 1 μm[3H]choline (specific activity 2.5 μCi nmol−1) under electrical stimulation at 1 Hz. After the end of the labelling period, the preparations were again superfused (15 ml min−1) and the nerve stimulation stopped. From this time onwards, hemicholinium-3 (10 μm) was present to prevent uptake of choline. After a 60 min period of washout, bath samples (2 ml) were automatically collected every 3 min by emptying and refilling the organ bath with the solution in use, using a fraction collector (Gilson, FC 203B, France) coupled to a peristaltic pump (Gilson, Minipuls3, France) programmed device. Aliquots (0.5 ml) of the incubation medium were added to 3.5 ml of Packard Insta Gel II (USA) scintillation cocktail. Tritium content of the samples was measured by liquid scintillation (counting efficiency of 40 ± 2 %) after appropriate background subtraction, which did not exceed 5 % of the tritium content of the samples. The radioactivity was expressed as disintegrations per minute (DPM) per gram wet weight of the tissue determined at the end of the experiment. After the loading and washout periods, the preparations contained (5542 ± 248) × 103 DPM g−1 and the resting release was (132 ± 12) × 103 DPM g−1 in 3 min (n = 8). When the fractional release was calculated, this value was 2.38 ± 0.14 % of the radioactivity present in the tissue in the first collected sample. Release of [3H]ACh was evoked by electrical stimulation of the phrenic nerve with 5 Hz frequency trains applied over 2.5 min. Supramaximal intensity rectangular pulses of 40 μs duration and a current strength of 8 mA were used. This was done to achieve synchronisation of phrenic motoneuron firing in order to reduce the number of silent units. Pulses were generated by a Grass S48 (USA) stimulator coupled to a stimulus isolation unit (Grass SIU5) operating in a constant current mode. The stimulation parameters were continuously monitored on an oscilloscope (Meguro, MO-1251A, Japan). Two stimulation periods were used: at 12 min (S1) and at 39 min (S2) after the end of washout (zero time). Electrical stimulation of the phrenic nerve increased only the release of [3H]ACh in a Ca2+- and tetrodotoxin-sensitive manner (Correia-de-Sáet al. 2000), while the output of [3H]choline remained unchanged during the stimulation periods (Wessler & Kilbinger, 1986). Therefore, the evoked release of [3H]ACh was calculated by subtracting the basal tritium outflow from the total tritium outflow during the stimulation period (cf. Correia-de-Sá et al. 1996). Test drugs were added 15 min before S2 and were present up to the end of the experiments. The change in the ratio between the evoked [3H]ACh released during the two stimulation periods (S2/S1) relative to that observed in control situations (in the absence of test drugs) was taken as a measure of the effect of the tested drugs. When we evaluated the modifications of the effect of tested drugs by a modifier, this modifier was applied 15 min before starting sample collection and hence was present during S1 and S2. When present during S1 and S2, none of the tested modifiers significantly altered (P > 0.05) the S2/S1 ratio as compared to the S2/S1 ratio obtained in the absence of the modifiers (data not shown). Release of ATP and of adenine nucleotides For the ATP release experiments or to follow the nerve-evoked release of adenine nucleotides, after the 30 min equilibration period, the preparations were incubated as for the release of [3H]ACh, except that no [3H]choline was added to the Tyrode solution, although the 30 min prestimulation period (simulating loading) was maintained. The preparations were then superfused (3 ml min−1) for 60 min with gassed Tyrode solution containing hemicholinium-3 (10 μm) that was present from then on. After stopping superfusion, bath samples (1.2 ml) were collected every 2.5 min by emptying and refilling the organ bath with the solution in use. As for the release of [3H]ACh, the preparations were also stimulated twice using similar nerve stimulating conditions. When using the 5 Hz protocol, stimulation was delivered at a frequency of 5 Hz in two 2.5 min periods, at 7.5 min (S1) and at 32.5 min (S2) after starting sample collection (zero time). When using the 1 Hz protocol, stimulation was delivered at a frequency of 1 Hz in two 12.5 min periods, at 7.5 min (S1) and at 32.5 min (S2) after starting sample collection (zero time). When using the 50 Hz protocol, stimulation was delivered at a frequency of 50 Hz in two 15 s periods, at 7.5 min (S1) and at 32.5 min (S2) after starting sample collection (in this particular protocol, the bathing medium was changed immediately after stopping the application of the pulse). In these three protocols (where the number of pulses was kept constant), only the sample collected before stimulus application and the sample collected immediately after stimulation, were retained for analysis. Aliquots of 250 μl of each sample were used for the luminometric assay of ATP conducted with the luciferin-luciferase assay (see Cunha et al. 1996b). To measure AMP by reverse-phase HPLC, we used 200 μl aliquots from collected samples (see Cunha & Sebastião, 1993). Nerve-evoked release of ATP (or adenine nucleotides) was calculated by subtracting the basal release, measured in the sample collected before stimulation, from the total release of ATP (or adenine nucleotides) determined after stimulus application. When testing the ability of a modifier to affect ATP or adenine nucleotide release, this modifier was added to the bath 15 min before starting sample collection and was present throughout the protocol. Reagents ATP, ADP, AMP, IMP, adenosine, inosine, α,β-methylene ADP (AOPCP), S-(p-nitrobenzyl)-6-thioinosine (NBTI), hemicholinium-3, tetrodotoxin, luciferin and luciferase (ATP assay mix) were from Sigma Ibérica, 1,3-dipropyl-8-cyclopenthylxanthine (DPCPX) was from Research Biochemicals Inc. (Sigma Ibérica), erythro-9-(2-hydroxy-3-nonyl)adenine (EHNA) was from Burroughs Wellcome, dipyridamole was from Boehringer Ingelheim (Germany), 4-(2-[7-amino-2-(2-furyl) (1,2,4)triazolo(2,3-a)(1,3,5)triazin-5-ylamino]ethyl)phenol (ZM 241385) was from Tocris Cookson (UK), [methyl-3H]choline chloride (80 Ci mmol−1) was from Amersham (Pharmacia, Portugal) and deoxycoformycin was from Parke-Davies. Dipyridamole, EHNA, NBTI, deoxycoformycin and ZM241385 were made up to a 5 mm stock solution in dimethylsulfoxide and DPCPX was made up into 5 mm stock in 99 % dimethylsulfoxide and 1 % NaOH (1 m). These stock solutions were aliquoted and stored at −20 °C and aqueous dilution of these solutions was made daily. Statistics The values are presented as means ±s.e.m. To test the significance of the effect of drugs versus control, Student's paired t test was used. When making comparisons from a different set of experiments with control, one way analysis of variance (ANOVA) followed by Dunnett's test was used. P < 0.05 was considered to represent a significant difference. RESULTS ATP release Stimulation of the phrenic nerve at a frequency of 5 Hz for 2.5 min led to an increased accumulation of ATP in the bath effluent from an average basal value of 21 ± 3 pmol (mg tissue)−1 to a total value of 75 ± 5 pmol (mg tissue)−1 (n = 6). As illustrated in Fig. 2
Extracellular catabolism of ATP and formation of adenosine We then investigated the fate of extracellular ATP in phrenic nerve-hemidiaphragm preparations. As illustrated in Fig. 3
As shown in Fig. 4A
As shown in Fig. 4B The ecto-AMP deaminase inhibitor, deoxycoformycin (200 μm) (Agarwal & Parks, 1977), essentially prevented the formation of IMP from exogenously added AMP (Fig. 4C Finally, as shown in Fig. 4D Relative contribution of the ecto-AMP deaminase pathway for adenosine formation To demonstrate that the two alternative pathways of extracellular metabolism of AMP also contributed to the removal of endogenously released adenine nucleotides, we tested the effect of α,β-methylene ADP (200 μm) and/or deoxycoformycin (200 μm) on the accumulation of adenine nucleotides triggered by stimulating the phrenic nerve. We quantified the released adenine nucleotides as AMP accumulating in the extracellular milieu, since we have pharmacological tools to interfere with the extracellular catabolism of AMP, but not with that of ATP. As illustrated in Fig. 5
Contribution of the ecto-AMP deaminase pathway for adenosine modulation of ACh release We have previously documented the physiological relevance of ecto-5′-nucleotidase on the evoked acetylcholine (ACh) release from phrenic nerve terminals (Correia-de-Sá et al. 1996; Cunha et al. 1996a), which is under dual control of inhibitory A1 receptors and facilitatory A2A receptors depending on the levels of extracellular adenosine (Correia-de-Sá & Ribeiro, 1996). We have reported that prevention of ATP-derived adenosine formation with α,β-methylene ADP (200 μm) caused an inhibition of the evoked release of [3H]ACh and, in addition, we pharmacologically confirmed that this was due to removal of tonic activation of facilitatory A2A receptors (Cunha et al. 1996a). These findings indicated that adenosine originating from catabolism of adenine nucleotides preferentially activates facilitatory A2A receptors in motor nerve terminals. As we have now found that ecto-AMP deaminase also contributed to the removal of endogenous extracellular AMP, we tested the functional impact of the blockade of ecto-AMP deaminase on the nerve-evoked release of [3H]ACh. The experiments were performed in the presence of a supramaximal concentration of an inhibitor of adenosine transport, NBTI (30 μm) (see Correia-de-Sá & Ribeiro, 1996), since deoxycoformycin has previously been shown to inhibit adenosine transporters (e.g. Rogler-Brown & Parks, 1980). In these conditions, deoxycoformycin (200 μm) facilitated the evoked [3H]ACh release by 77 ± 9 % (n = 7). Deoxycoformycin-induced facilitation of [3H]ACh release was not related to the modulation of [3H]ACh release via adenosine A1 receptors, since the facilitatory effect of deoxycorformycin was essentially maintained (58 ± 8 % facilitation, n = 4) in the presence of the selective A1 receptor antagonist, 1,3-dipropyl-8-cyclopenthylxanthine (DPCPX, 2.5 nm) (Fig. 6
DISCUSSION The present results confirm that adenine nucleotides, namely ATP, are released to the extracellular milieu upon stimulation of motor nerve endings and that they are metabolised extracellularly by a series of ecto-nucleotidases (see Fig. 1 Several studies using neuromuscular junctions from different species and different stimulation patterns have concluded that nerve stimulation triggers the release of ATP (Silinsky, 1975; Smith, 1991; Silinsky & Redman, 1996; Vizi et al. 2000). There is some debate as to whether this released ATP originates from nerve terminals (e.g. Silinsky, 1975), from activated muscle fibres (e.g. Smith, 1991; Vizi et al. 2000) or from peri-synaptic Schwann cells (discussed in Fields & Stevens, 2000). But, irrespective of the source of ATP released upon stimulating motor nerve terminals, the relevant question from the functional point of view is what might be the role of extracellular ATP in the control of neuromuscular transmission. Although some reports support possible direct effects of ATP as such (Giniatullin & Sokolova, 1998; Salgado et al. 2000; Deuchars et al. 2001; Galkin et al. 2001), the most likely role for extracellular ATP is to act as a source of adenosine that fulfils a key neuromodulatory role in the control of neuromuscular transmission through activation of inhibitory A1 or facilitatory A2A receptors (Ribeiro & Walker, 1975; Correia-de-Sáet al. 1991, 1996; Cunha et al. 1996a; Silinsky et al. 1999). This contention obviously places greater emphasis on the understanding of the enzymes responsible for the extracellular metabolism of ATP into adenosine, generically named ecto-nucleotidases. The extracellular ATP hydrolysis at neuromuscular junctions shares many similarities with that described in many different preparations, being mainly catalysed by an ATP and/or ADP metabolising enzyme(s) and an ecto-5′-nucleotidase designed to form adenosine (reviewed in Zimmermann & Braun, 1999; Cunha, 2001b). The main difference found at neuromuscular junctions is the presence of an ecto-AMP deaminase activity that converts AMP into IMP (see Fig. 1 We had previously shown that increasing the levels of extracellular adenosine, either by maximal inhibition of adenosine transport or of adenosine deaminase, leads to a facilitation of the evoked release of acetylcholine from phrenic motor nerve endings (Correia-de-Sá & Ribeiro, 1996). Accordingly, we now observed that the blockade of ecto-AMP deaminase also leads to a facilitation of the evoked release of acetylcholine through the activation of facilitatory A2A, rather than inhibitory A1, adenosine receptors. The experiments were carried out in the presence of a supramaximal concentration of the adenosine transport inhibitor, NBTI, to rule out the possibility that deoxycoformycin might be facilitating acetylcholine release because of its ability to inhibit adenosine transporters (Rogler-Brown & Parks, 1980). Deoxycorformycin is also an inhibitor of adenosine deaminase, and it has previously been suggested that an ecto-adenosine deaminase activity might be controlling the removal of extracellular adenosine at the rat neuromuscular junction (Correia-de-Sá & Ribeiro, 1996). However, a previous study has shown that the effect of adenosine deaminase inhibition was not further enhanced in the presence of a supramaximal concentration of an adenosine transport blocker (Correia-de-Sá & Ribeiro, 1996). This reinforces our contention that the effect of deoxycoformycin on ACh release results from the inhibition of ecto-AMP deaminase, which has a profound effect on the extracellular levels of adenosine tonically controlling the evoked release of acetylcholine. Indeed, if the levels of adenine nucleotides released during stimulation were fully converted into adenosine, the extracellular levels of adenosine would be high enough to predominantly activate facilitatory A2A receptors, systematically overtaking the A1 receptor activation required to restrain superfluous transmitter release at lower frequencies of nerve stimulation. In addition, fine-tuning control of cholinergic and peptidergic neuromodulatory systems, which are regulated by the balanced activation of adenosine A1 and A2A receptors (Correia-de-Sá & Ribeiro, 1994a,1994b; Oliveira et al. 2002), would also be disrupted. This ecto-AMP deaminase activity might be critically required at neuromuscular junctions since the amount of adenine nucleotides released at these synapses is between one and two orders of magnitude greater than the levels of extracellular adenine nucleotides that are released from central nervous system preparations (cf. Silinsky, 1975; Potter & White, 1980; Wieraszko et al. 1989; Smith, 1991; Cunha & Sebastião, 1993; Cunha et al. 1996b). In conclusion, the present results illustrate the functional importance of ecto-AMP deaminase, an ecto-nucleotidase activity only found at neuromuscular synapses, for the controlled formation of extracellular adenosine and proper functioning of the adenosine neuromodulatory system at the neuromuscular junction. It remains to be explored if ecto-AMP deaminase also controls the formation of adenosine involved in the regulation of functional hyperaemia (e.g. Proctor & Dubling, 1982) or of the insulin sensitivity of muscle cells (e.g. Espinal et al. 1983). Acknowledgments Supported by Fundação para a Ciência e a Tecnologia (SAU/14014/1998 and POCTI/36545/FCB/2000). L.O. is in receipt of an FCT Young Researcher studentship. REFERENCES
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