Activation of GABAA receptors on sensory axons produces a primary afferent depolarization (PAD) that modulates sensory transmission in the spinal cord. While axoaxonic synaptic contacts of GABAergic interneurons onto afferent terminals have been extensively studied, less is known about the function of extrasynaptic GABA receptors on afferents. Thus, we examined extrasynaptic α5GABAA receptors on low-threshold proprioceptive (group Ia) and cutaneous afferents. Afferents were impaled with intracellular electrodes and filled with neurobiotin in the sacrocaudal spinal cord of rats. Confocal microscopy was used to reconstruct the afferents and locate immunolabelled α5GABAA receptors. In all afferents α5GABAA receptors were found throughout the extensive central axon arbors. They were most densely located at branch points near sodium channel nodes, including in the dorsal horn. Unexpectedly, proprioceptive afferent terminals on motoneurons had a relative lack of α5GABAA receptors. When recording intracellularly from these afferents, blocking α5GABAA receptors (with L655708, gabazine, or bicuculline) hyperpolarized the afferents, as did blocking neuronal activity with tetrodotoxin, indicating a tonic GABA tone and tonic PAD. This tonic PAD was increased by repeatedly stimulating the dorsal root at low rates and remained elevated for many seconds after the stimulation. It is puzzling that tonic PAD arises from α5GABAA receptors located far from the afferent terminal where they can have relatively little effect on terminal presynaptic inhibition. However, consistent with the nodal location of α5GABAA receptors, we find tonic PAD helps produce sodium spikes that propagate antidromically out the dorsal roots, and we suggest that it may well be involved in assisting spike transmission in general. NEW & NOTEWORTHY GABAergic neurons are well known to form synaptic contacts on proprioceptive afferent terminals innervating motoneurons and to cause presynaptic inhibition. However, the particular GABA receptors involved are unknown. Here, we examined the distribution of extrasynaptic α5GABAA receptors on proprioceptive Ia afferents. Unexpectedly, these receptors were found preferentially near nodal sodium channels throughout the afferent and were largely absent from afferent terminals. These receptors produced a tonic afferent depolarization that modulated sodium spikes, consistent with their location.
Blood vessels in the central nervous system (CNS) are controlled by neuronal activity; for example, widespread vessel constriction (vessel tone) is induced by brainstem neurons that release the monoamines serotonin and noradrenaline, and local vessel dilation is induced by glutamatergic neuron activity. Here, we examined how vessel tone adapts to the loss of neuron-derived monoamines after spinal cord injury (SCI) in rats. We find that, months after the imposition of SCI, the spinal cord below the site of injury is in a chronic state of hypoxia, due to paradoxical excess activity of monoamine receptors (5-HT1) on pericytes, despite the absence of monoamines. This monoamine receptor activity causes pericytes to locally constrict capillaries, reducing blood flow to ischemic levels. Receptor activation in the absence of monoamines results from the production of trace amines (such as tryptamine) by pericytes that ectopically express the enzyme aromatic-l-amino-acid-decarboxylase (AADC), which synthesizes trace amines directly from dietary amino acids (such as tryptophan). Inhibition of monoamine receptors or of AADC, or even increased inhaled oxygen, produces substantial relief from hypoxia and improves motoneuron and locomotor function after SCI.
Movement and posture depend on sensory feedback that is regulated by specialized GABAergic neurons (GAD2 + ) that form axo-axonic contacts onto myelinated proprioceptive sensory axons and are thought to be inhibitory. However, we report here that activating GAD2 + neurons, directly with optogenetics or indirectly by cutaneous stimulation, facilitates sensory feedback to motoneurons in awake rodents and humans. GABAA receptors and GAD2 + contacts adjacent to nodes of Ranvier at branch points of sensory axons cause this facilitation, preventing spike propagation failure that is otherwise common without GABA. GABAA receptors are generally lacking from axon terminals (unlike GABAB) and do not inhibit transmitter release onto motoneurons, disproving the long-standing assumption that GABAA receptors cause presynaptic inhibition. GABAergic innervation of nodes near branch points allows individual branches to function autonomously, with GAD2 + neurons regulating which branches conduct, adding a computational layer to the neuronal networks generating movement and likely generalizing to other CNS axons. MainThe ease with which animals move defies the complexity of the underlying neuronal circuits, which include corticospinal tracts (CSTs) that coordinate skilled movement, spinal interneurons that form central patterns generators (CGPs) for walking, and motoneurons that ultimately drive the muscles 1 .Sensory feedback ensures the final precision of such motor acts, with proprioceptive feedback to motoneurons producing a major part of the muscle activity in routine movement and posture 2-4 , without which severe ataxia occurs 5 . Proprioceptive sensory feedback is regulated by specialized GABAergic neurons (GAD2 + ; abbreviated GABAaxo neurons) that form axo-axonic connections onto the sensory axon terminals [6][7][8] . These neurons are thought to produce presynaptic inhibition of sensory feedback to motoneurons 9-11 and possibly limit inappropriate sensory feedback 3,4,7 . However, during movement the CST, CPG and even sensory neurons all augment GABAaxo neuron activity [11][12][13][14][15][16] right at a time when sensory feedback is known to be increased to ensure precision and postural stability 2-4 , raising the question of whether GABAaxo neurons have a yet undescribed excitatory action.The long-standing view that GABAergic neurons produce presynaptic inhibition of proprioceptive sensory axon terminals in adult mammals actually lacks direct evidence, largely because of the difficulty in recording from these small terminals and the technical limitations of previously employed
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