(Stroke. 1996;27:1411-1416.)
© 1996 American Heart Association, Inc.
Articles |
the Department of Neurology, University of Tennessee at Memphis.
Correspondence to Zao C. Xu, MD, PhD, Department of Neurology, University of Tennessee at Memphis, Memphis, TN 38163. E-mail zxu@utmem1.utmem.edu.
| Abstract |
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Methods Male Wistar rats were perfused with 4% paraformaldehyde and 0.2% glutaraldehyde in 0.15 mol/L phosphate buffer. Coronal sections (50 µm) cut on a microtome were processed for
-aminobutyric acid (GABA) immunocytochemistry. Sections for electron microscopy were postfixed in 0.5% osmium tetroxide and embedded in high-viscosity epoxy resin. Ultrathin sections were cut and observed with an electron microscope.
Results GABA-positive neurons in the stratum pyramidale received more GABAergic synapses than asymmetrical synapses. The percentage of somatic membrane of GABA-positive neurons covered by asymmetrical synapses in the CA1 region (3.17±1.13%) was higher than that in the CA3 region (2.15±0.18%, P<.05). The ratio of asymmetrical to GABAergic synapses per 10 µm somatic membrane in the CA1 region (0.71±0.22) was higher than that in the CA3 region (0.53±0.14, P<.05). The ratio of the percentage of somatic membrane covered by asymmetrical/GABAergic synapses in the CA1 region (0.33±0.14) was also significantly higher than that in the CA3 region (0.20±0.07, P<.05).
Conclusions The GABAergic neurons in the CA1 region receive stronger excitatory inputs than those in the CA3 region, which provides a morphological basis for differences in excitability that may contribute to selective vulnerability after transient ischemia.
Key Words: cerebral ischemia excitotoxicity GABA selective vulnerability rats
| Introduction |
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It has been well established that delayed cell death occurs in CA1 but not in CA3 pyramidal neurons after transient forebrain ischemia.8 9 The mechanisms underlying such selective vulnerability to ischemia are not well understood. Excitotoxic effects triggered by excessive glutamate release during ischemia have been hypothesized to be the major cause of postischemic neuronal injury.10 On the other hand, extracellular levels of GABA also significantly increase during ischemia.11 The increase of extracellular GABA during ischemia may inhibit neuronal activities and attenuate neuronal damage.12 13 GABA-mimetic drugs have been demonstrated to protect CA1 hippocampal neurons from ischemic insults.14 15 16 17
It has been shown that GABAergic neurons in the hippocampus are resistant to transient ischemia.18 19 20 However, neurophysiological studies indicate that the IPSPs, which are likely mediated by GABAergic interneurons, are more sensitive to ischemia than the EPSPs. The IPSPs evoked from pyramidal neurons are suppressed earlier than EPSPs during ischemia/anoxia21 22 23 and recover later than EPSPs after reperfusion.24 Congar et al25 recently reported that the excitatory inputs on interneurons in hippocampus are more rapidly depressed by anoxia than pyramidal cells. The authors suggest that the depression of IPSPs in hippocampus during anoxia is due to the functional disconnection of inhibitory interneurons from excitatory inputs. The loss of IPSPs in the hippocampus has been shown to be associated with the hyperexcitability of CA1 pyramidal cells.26 Therefore, the balance of excitation and inhibition in GABAergic interneurons may greatly influence the excitability of pyramidal neurons in the hippocampus. Differences in GABAergic local circuitry between CA1 and CA3 regions may contribute to the selective vulnerability of hippocampal neurons after transient ischemia.
One recent study has shown that CA3 pyramidal neurons receive more GABAergic innervation than CA1 neurons.27 This suggests that CA3 neurons may have stronger inhibition than CA1 neurons to counterbalance the excitotoxic effects during and after transient ischemia. To further reveal the morphological basis of selective vulnerability of pyramidal neurons to ischemic insult, we examined the excitatory and inhibitory inputs on GABAergic neurons in CA1 and CA3 regions of rat hippocampus. The GABAergic (inhibitory) and asymmetrical (excitatory) synapses on the somata of GABAergic interneurons in CA1 and CA3 regions were compared by means of immunocytochemical techniques with quantitative electron microscopy.
| Materials and Methods |
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Data Collection and Analysis
Six rats were used for the present study. Samples were taken from the CA1 and CA3 regions of dorsal hippocampal sections corresponding to a plane approximately 3.8 mm caudal to bregma.28 Only the somata with similar shapes located in or adjacent to the stratum pyramidale were selected for analysis. A total of 22 GABA-positive neurons were analyzed (12 in CA1 and 10 in CA3). The counts of GABAergic and asymmetrical synapses on each soma were performed on a montage microphotograph at a final magnification of x15 000. We measured the perimeter of the cell bodies and the length of synaptic contacts on the somata by tracing the membranes of the somata and the profile of postsynaptic specialization with NIH Image (version 1.57). The border between the somatic and dendritic membrane was defined as the point where the spherical shape of the somatic membrane was broken by the origin of a dendrite. If the somatodendritic transition was not clear, the boundary between soma and proximal dendrite was defined as the point where the width of the proximal dendrite corresponded to the minor diameter of the nucleus. The density of GABAergic and asymmetrical synapses on the soma of GABA-positive neurons was indicated as the number of synapses per 10 µm of somatic membrane. We measured the length of GABAergic and asymmetrical synaptic contacts on the somata by tracing the direct apposition of presynaptic terminals with membrane specialization. The total length of each type of synaptic contact on each soma was divided by the perimeter of cell body to estimate the percentage of GABAergic and asymmetrical synaptic coverage on the somata of GABA-positive neurons.
The quantitative difference of all the measurements between CA1 and CA3 regions was examined with the unpaired t test (Statview, version 4.0). Differences between asymmetrical and GABAergic synapses on each soma of GABA-positive neurons were examined with the paired t test.
| Results |
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More GABAergic synapses were found on each GABA-positive soma than asymmetrical synapses, at 7.75±1.91 versus 5.25±1.42 (mean±SD, n=12, P<.05) in CA1 and 10.10±3.60 versus 5.10±2.08 (n=10, P<.05) in CA3 regions (Fig 2
). Because the somata size of GABA-positive neurons in CA3 was slightly larger than that in CA1 (Table 1
), we compared the axosomatic synapses on GABA-positive neurons between CA1 and CA3 using the number of synapses per unit somatic membrane (10 µm). As indicated in Table 1
, no significant difference was found in the number of GABAergic and asymmetrical synapses per 10 µm somatic membrane of GABA-positive neurons between CA1 and CA3 regions. However, the percentage of somatic membrane covered by asymmetrical synapses was higher in CA1 (3.17±1.13%) than in CA3 (2.15±0.18%, P<.05). The ratio of asymmetrical to GABAergic synapses per 10 µm somatic membrane in CA1 (0.71±0.22) was significantly higher than that in CA3 (0.53±0.14, P<.05, Table 2
). The ratio of the percentage of somatic membrane covered by these two types of synapses in CA1 and CA3 was also significantly different (0.33±0.14 for CA1, 0.20±0.07 for CA3; P<.05, Table 2
).
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| Discussion |
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Many types of GABAergic neurons, such as basket cells, chandelier cells, and bistratified cells, have been identified in the hippocampus.2 29 30 31 Most GABAergic interneurons in the stratum pyramidale are basket cells, in which a majority of their axon terminals contact somata and proximal dendrites of pyramidal cells.29 31 The GABA-positive neurons in the present study are similar in location and morphology to basket cells. Hippocampal GABAergic interneurons mediate two types of inhibition onto pyramidal cells. First, interneurons receive recurrent collaterals of pyramidal cells and in turn inhibit pyramidal cells in a form of feedback inhibition.5 Second, these interneurons are innervated by the commissural afferents from the contralateral hippocampus to form feed-forward inhibition.4 6 The asymmetrical synapses on GABA-positive neurons observed in the present study are probably formed by these two types of excitatory inputs. The observation that GABA-positive neurons receive GABAergic axosomatic synapses confirms the results of previous light microscopic studies. It has been shown that GABA immunoreactive terminals cover somata and processes of GABA-positive neurons in hippocampus.1 7 32 The GABAergic terminals on GABA-positive interneurons may come from other GABAergic interneurons within the region or from long association-commissural projections in CA1 and CA2.33 The results of the present study indicate that more GABAergic synapses are formed on the somata of GABA-positive neurons than asymmetrical synapses. Similar results have also been found in GABA-positive neurons of the dentate gyrus in gerbils.34 The soma is the most important part of a neuron to integrate inputs and influence outputs. The balance of GABAergic and asymmetrical synapses in the soma of a GABAergic neuron has powerful modulatory effects on the spike activity of the neuron, which in turn affects the target cells.
The functional significance of GABA-GABA interaction is disinhibition.35 36 The activity of GABAergic neurons in hippocampus depends on the balance of their excitatory and inhibitory inputs. The ratio of excitatory to inhibitory synapses on the somata reflects the excitability of GABAergic neurons and can be regarded as the "excitatory index" of inhibitory interneurons. The present study indicates that the ratio of asymmetrical to GABAergic synapses on somata of GABA-positive neurons in the CA1 region is higher than that in the CA3 region, ie, GABAergic neurons in the CA1 region possess a higher "excitatory index" than those in the CA3 region. Higher excitation of GABAergic neurons means stronger inhibition of pyramidal cells. This may partially explain the fact that CA3 pyramidal neurons are more seizure-prone than CA1 neurons.37 38 However, the balance between excitation and inhibition in GABAergic neurons is altered during ischemia/anoxia. It has been shown that the excitatory postsynaptic currents are more rapidly depressed by anoxia in interneurons than in simultaneously recorded pyramidal neurons.25 Such a functional disconnection of inhibitory interneurons from excitatory inputs may contribute to the higher sensitivity of IPSPs to ischemia/anoxia than EPSPs evoked in pyramidal neurons.21 22 39 40 Because the GABAergic neurons in the CA1 region receive stronger excitatory inputs than their counterparts in the CA3 region, the functional disconnection of these excitatory inputs during ischemia may cause the GABAergic neurons in CA1 to be less excitable than those in the CA3 region. Therefore, the inhibition of pyramidal neurons may be reduced more in CA1 than in CA3 after ischemia. It has been reported that the spontaneous firing rate in CA1 increases after ischemia, whereas the neuronal activity in CA3 decreases.41 Using brain slice preparation, Kawasaki et al42 also reported that hypoxia-induced seizures were usually initiated in and restricted to the CA1 region, whereas only 2.5% of these slices generated seizures in the CA3 region. The results of the present study provide a morphological basis for the above neurophysiological observations, which may be associated with the selective vulnerability of neuronal damage after transient forebrain ischemia.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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Received January 10, 1996; revision received March 8, 1996; accepted April 1, 1996.
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Department of Anatomy, Medical College of Virginia, Virginia Commonwealth University, Richmond, Va
| Introduction |
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From an anatomic perspective, the present studies appear reasonably interpreted, although there is some concern regarding the assertion that all asymmetrical synapses must be excitatory. In this context, the report would have benefited from a more detailed characterization of the asymmetrical synapses, the use of appropriate immunocytochemical controls, and the incorporation of varied double-labeling strategies to identify multiple neurotransmitter populations. The present study's focus on the somatic domain rather than the dendritic tree is appropriate in that, as the authors acknowledge, the neuronal soma plays a major role in integrating synaptic input and influencing output. Clearly, this communication increases our knowledge of the synaptic input to the GABAergic interneurons modulating the CA1 and CA3 pyramidal neurons. This allows us to appreciate that differences in synaptic input may allow for differential modulatory control of the CA1 and CA3 pyramidal neurons, which may be related to their failure in the case of transient ischemia and seizure, respectively.
Notwithstanding these rather positive statements, there is legitimate concern that the authors may have overstated their findings and their relevance for understanding the pathobiology of transient ischemia. For example, although there may be differences between the ratio of asymmetrical to GABAergic synapses on the somata of the CA1/CA3 interneurons, it is unreasonable to assume that this difference alone contributes to all the differential vulnerabilities seen downstream in the target CA1 and CA3 pyramidal neurons. For example, the present communication does not consider the fact that the number of GABAergic neurons projecting to and/or the number of synaptic contacts made between these GABAergic interneurons and the pyramidal cells may also be factors in this pathobiology. For example, the authors have recently reported that the CA3 pyramidal neurons receive more GABAergic innervation than the CA1 neurons,1R suggesting that this difference may also play a role in their differential vulnerability.
Furthermore, while it is clear that the balance of excitatory and inhibitory input is a factor in the differential vulnerability of the CA1 and CA3 pyramidal neurons, there are other factors that should have been considered. As has been well explicated by multiple authors and recently reviewed by Siesjo et al,2R multiple postsynaptic factors may also be involved in the differential response of the pyramidal neurons to transient ischemia. This differential response may be linked to sustained derangements of calcium homeostasis that may in turn result in sustained alterations of plasma membrane function and transcriptional and/or translational changes. Clearly, the article would have benefited from the inclusion of such considerations to provide the readership with a more comprehensive appreciation of the complex pathobiology involved in the selective neuronal vulnerability seen within the CA1/CA3 pyramidal neurons.
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Values are mean±SD.
*Unpaired t test.
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2R. Siesjo BK, Katsura K-I, Zhao QI, Folbergrova J, Pahlmark K, Siesjo P, Smith M-L. Mechanisms of secondary brain damage in global and focal ischemia: a speculative synthesis. J Neurotrauma.. 1995;12:943-956.[Medline] [Order article via Infotrieve]
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