Abstract
The distribution of P2Y2 receptor-immunoreactive (ir) neurons and fibers and coexistence of P2Y2 with P2X2 and P2X3 receptors, neuropeptide Y (NPY), calretinin (CR), calbindin (CB) and nitric oxide synthase (NOS) was investigated with immunostaining methods. The results showed that P2Y2-ir neurons and fibers were distributed widely in myenteric and submucous plexuses of the guinea pig stomach corpus, jejunum, ileum and colon. The typical morphology of P2Y2-ir neurons was a long process with strong positive staining on the same side of the cell body. The P2Y2-ir neurons could be Dogiel type 1. About 40–60% P2X3-ir neurons were immunoreactive for P2Y2 in the myenteric plexus and all the P2X3-ir neurons expressed the P2Y2 receptor in the submucosal plexus; almost all the NPY-ir neurons and the majority of CR-ir neurons were also immunoreactive for P2Y2, especially in the myenteric plexus of the small intestine; no P2Y2-ir neurons were immunoreactive for P2X2 receptors, CB and NOS. It is shown for the first time that S type/Dogiel type 1 neurons with fast P2X and slow P2Y receptor-mediated depolarizations could be those neurons expressing both P2Y2-ir and P2X3-ir and that they are widely distributed in myenteric and submucosal plexuses of guinea pig gut.
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Introduction
The P2-receptor family includes P2X receptors equivalent to intrinsic calcium-permeable cation channels and metabotropic P2Y receptors that are G-protein-coupled receptors (Ralevic and Burnstock 1998; Nicholas 2001). Currently, there are seven cloned P2X (P2X1–P2X7) receptor subunits (Khakh et al. 2001) and at least eight P2Y receptors (P2Y1, P2Y2, P2Y4, P2Y6, and P2Y11–P2Y14) (Burnstock 2004). ATP and UTP may be involved in the complex regulation in the enteric nervous system (ENS) via activation of P2 receptors at pre-synaptic or postsynaptic or postjunctional sites in the gut (Burnstock 2001). In the ENS, ATP activates P2Y and P2X receptors to cause slow and fast membrane depolarizations, respectively, in S/type 1 neurons of the submucosal plexus of the guinea pig ileum (Barajas-Lopez et al. 1994; LePard and Galligan 1999; Galligan et al. 2000; Ren et al. 2003; Hu et al. 2003; Monro et al. 2004). Fast and slow calcium transients underlie the fast and slow membrane depolarizations in these neurons (Barajas-Lopez et al. 2000). These data suggest that P2X and P2Y receptors are co-expressed in these neurons.
Immunocytochemical, in situ hybridization and RT-PCR results showed that P2X2, P2X3 and P2X7 receptors subunits were identified in the whole enteric nervous systems of guinea pig, mouse and rat (Hu et al. 2001; Castelucci et al. 2002, 2003; Poole et al. 2002; Van Nassauw et al. 2002; Xiang and Burnstock 2004a, b). The proteins of P2Y1, P2Y2 and P2Y4 receptors in submucosal and myenteric plexuses of rat distal colon and the gene products of P2Y1, P2Y2, P2Y4 and P2Y12 receptors in the submucous plexus were found (Christofi et al. 2004; Cooke et al. 2004). At present there are no morphological data showing P2X and P2Y receptors coexisting in these neurons and no study shows the systematic distribution of P2Y receptors along the whole length of the intestine. In this study, we used single-labeling and double-labeling immunofluorescence methods to study the distribution of P2Y2 receptors and its coexistence with P2X2 and P2X3 receptors, NPY, calbindin, calretinin and NOS in the stomach corpus, jejunum, ileum and colon of the guinea pig.
Materials and methods
Animals and tissue preparation
Breeding, maintenance and killing of the animals used in this study followed principles of good laboratory animal care and experimentation in compliance with Home Office (UK) regulations covering Schedule One Procedures in accordance with the Animals (Scientific Procedures) Act, 1986, governing the use of animals. Protocols were approved by the local animal ethics committee. Five guinea pigs were used. Animals were killed by asphyxiation with CO2 and perfused through the aorta with 0.9% NaCl solution and 4% paraformaldehyde in 0.1 mol/L phosphate buffer, pH 7.4. Stomach, jejunum, ileum, proximal and distal colon were dissected out. Immediately after the segments of the digestive tract were removed, the contents of the lumen were removed with saline. One end of the segment was knotted with a silk thread and fixative was injected into the lumen to fill it and the open end was also knotted with a silk thread. The fixative-filled segment was then immersed in fixative. This was applied to all segments of the intestine examined, including the stomach, from which the contents were removed via the duodenum which was then closed by a knotted silk thread and filled with fixative from the oesophagus. The oesophagus was then closed such that the stomach resembled an irregular balloon. Once fixed, whole-mount preparations could be prepared from the flattened area of the stomach. Whole-mount preparations were prepared of the myenteric plexus of stomach corpus, jejunum, ileum and distal colon and whole-mount preparations of submucous plexus of jejunum, ileum and distal colon were prepared under a dissection microscope.
Immunocytochemistry
The immunocytochemical method was modified from our previous report (Xiang et al. 1998). The preparations were washed 3×5 min in 0.01 mol/L pH 7.2 phosphate-buffered saline (PBS), then incubated in 1.0% H2O2 for 30 min to block endogenous peroxidase. Preparations were pre-incubated in 10% normal horse serum (NHS), 0.2% Triton X-100 in PBS for 30 min, followed by incubation with P2Y2 antibodies (Alomone Labs, Jerusalem, Israel), diluted 1:300 in antibody dilution solution (10% NHS, 0.2% Triton X-100 and 0.4% sodium azide in PBS) overnight at 4°C. Subsequently, the preparations were incubated with biotinylated donkey-anti-rabbit IgG (Jackson ImmunoResearch Laboratories, PA, USA) diluted 1:500 in antibody dilution solution for 1 h at 37°C and then with streptavidin-HRP (Sigma Chemical Co., Poole, UK) diluted 1:1000 in PBS for 1 h at 37°C. Finally, a nickel-intensified diaminobenzidine (DAB) reaction was used to visualize immunoreactivity. All incubations and reactions were separated by 3×10 min washes in PBS. The preparations were mounted, dehydrated, cleared and covered.
The development and specificity of the P2X2 and P2X3 polyclonal antibodies (Roche Palo Alto, CA, USA) has been reported previously (Oglebsby et al. 1999). Simultaneous detection of two antigens by immunostaining usually requires primary antibodies from two different species. A novel double-labeling immunostaining method for detection of two independent antigens using two antibodies from the same species of animals has been described (Teramoto et al. 1998). The principle of the method was that the first antigen is detected by the first primary antibody that is diluted so extensively that it cannot be detected with conventional methods; a highly sensitive tyramide signals amplification (TSA) system is used to identify this antibody; the second antigen is stained with the secondary primary antibody and detected by conventional immunostaining. The following protocol was modified from this protocol. Endogenous peroxidase was blocked by 1% H2O2 in PBS for 30 min. The sections were pre-incubated in 10% NHS, 0.2% Triton X-100 in PBS for 30 min, followed by incubation with P2Y2, P2X2 and P2X3 receptor antibodies, diluted 1:2,000 in antibody dilution solution (10% NHS, 0.2% Triton X-100 and 0.4% sodium azide in PBS) overnight at 4°C. Subsequently, the sections were incubated with biotinylated donkey anti-rabbit IgG (Jackson ImmunoResearch Laboratories) at a dilution of 1:500 in PBS containing 1% NHS for 1 h. The sections were then incubated in ExtrAvidin peroxidase (Sigma) diluted 1:1,000 in PBS for 30 min at room temperature. The immunoreactivity was visualized by the TSA Fluorescein system (NEL701, NEN, USA). After visualization the sections were incubated with a second different primary antibodies to P2X2, P2X3 and P2Y2 receptors diluted 1:300 in antiserum dilution solution overnight at 4°C. Subsequently, the sections were incubated with Cy3 conjugated donkey-anti-rabbit (Jackson ImmunoResearch Laboratories) diluted 1:300 in antiserum dilution solution for 1 h at room temperature. All the incubations and reactions were separated by 3×10 min washes in PBS.
The following protocol was used for double-immunostaining of P2Y2 receptors with either calbindin, calretinin, NOS, NPY or PGP9.5 (Ultraclone Ltd., Wellow, Isle of Wight, UK; used as a general neuronal maker). The preparations were washed 3×5 min in PBS, then pre-incubated in antibody dilution solution for 30 min, followed by incubation with P2Y2 antibody diluted 1:300 and NOS antibody (sheep-anti-rat) diluted 1:1,000 or calbindin (mouse-anti-rat; SWANT, Bellinzone, Switzerland) diluted 1:5,000 or calretinin (mouse-anti-rat; SWANT) diluted 1:2,000 or PGP9.5 antibody (mouse anti-rat) diluted 1:6,000 in antibody dilution solution overnight at 4°C. Subsequently, the preparations were incubated with Cy3 conjugated donkey-anti-rabbit IgG (Jackson ImmunoResearch Laboratories) diluted 1:300 diluted for P2Y2 antibodies and FITC conjugated donkey-anti-mouse or sheep IgG (Jackson ImmunoResearch Laboratories) diluted 1:200 in antibody dilution solution for calbindin, calretinin and NOS for 1 h at room temperature. All the incubations and reaction were separated by 3×10 min washes in PBS. The preparations were evaluated with fluorescence microscopy.
Controls
Control experiments were carried out with P2X2, P2X3 and P2Y2 receptor antibodies pre-absorbed with cognate peptide at a concentration of 25 μg/mL.
Photomicroscopy
Images of immunofluorescence labeling were taken with the Leica DC 200 digital camera (Leica, Switzerland) attached to a Zeiss Axioplan microscope (Zeiss, Germany). Filter sets included the following: for Cy3, excitation 510–550 nm, emission 590 nm; for FITC, 470 nm excitation, 525 nm emission. Images were imported into a graphics package (Adobe Photoshop 5.0, USA). The two-channel readings for green and red fluorescence were merged by using Adobe-Photoshop 5.0.
Quantitative analysis
Whole-mount preparations were used to perform a quantitative analysis, as described previously (Van Nassauw et al. 2002). Briefly, the immunoreactive-positive neurons in the myenteric ganglia were counted per visual field (0.3 mm2) in whole-mount preparations. Ten randomly chosen fields in each whole-mount preparation were studied, and the number of immunoreactive neurons was calculated as a percentage of the total number of neurons as visualized with PGP9.5. A recent paper has provided evidence that the pan-neuronal markers Cuprolinic Blue and anti-HuC/D may be more reliable neuronal markers, visualising a greater number of neurons than PGP9.5, for use in future studies (Phillips et al. 2004).
Results
Localization of P2Y2 receptor immunoreactivity
The P2Y2 receptor immunoreactivity was found in the myenteric plexus of stomach corpus, jejunum, ileum and colon of the guinea pig (see Table 1), since the proximal and distal colon were similar, only findings of the distal colon shall be presented. Most of the positive neurons were shown to have a long process with strong positive staining and most of the positive staining was usually seen on this side of the cell body, while on the other side the staining was much weaker. No staining was observed in the oval nucleus of the positive nerve cells. Two types of positive ganglion neurons, strongly staining and weakly staining nerve cells, were present in myenteric and submucousal plexuses. Most of the strongly stained nerve cells had a long process while the weakly stained nerve cell had no processes. (Fig. 1). In the stomach corpus myenteric plexus, approximately 38% of ganglion cells were positively stained with the P2Y2 antiserum and two types of positive ganglion neurons, strongly staining and weakly staining nerve cells, were present (Fig. 1a). In the small intestine myenteric plexus of whole-mount preparations, P2Y2-ir ganglion neurons were found in all ganglia and approximately 54 and 63% of ganglion cells were positively immunostained for the P2Y2 antibody in the jejunum and ileum myenteric plexuses, respectively (Fig. 1b, c). In the myenteric plexus of distal colon, approximately 65% of ganglion neurons were immunostained intensely by the P2Y2 antiserum (Fig. 1d, e). The P2Y2-ir ganglion cells were also found in the submucosal plexus of those areas of the digestive tract examined. Two types of positive ganglion neurons, strongly staining and weakly staining nerve cells, were also present. Approximately 42, 46 and 45% of ganglion cells were P2Y2-ir in the submucosal plexus of jejunum, ileum and distal colon, respectively (Fig. 1f–h).
Double-labeling studies
The P2Y2-ir was found to coexist with NPY, calretinin and P2X3 receptors in myenteric plexus of stomach corpus, jejunum, ileum, and distal colon and in submucous plexus of jejunum, ileum, and distal colon.
All the ganglion cells with NPY-ir in both myenteric and submucosal plexuses were also immunoreactive for P2Y2, although only 13, 9, 10 and 11% of the ganglion cells with P2Y2-ir were immunoreactive for NPY in the myenteric plexuses of stomach corpus, jejunum, ileum and distal colon, respectively, and 42, 45 and 48% of the ganglion cells with P2Y2-ir were immunoreactive for NPY in the submucousal plexuses of jejunum, ileum and distal colon, respectively (Fig. 2a–f). Table 2 shows the quantitative analysis of double labeling of P2Y2 receptors with NPY in the myenteric and submucosal plexuses.
About 22, 87, 84 and 36% of P2Y2-ir ganglion cells showed immunoreactivity for CR in the myenteric plexuses of the stomach corpus, jejunum, ileum and distal colon, and 45, 47 and 43% P2Y2-ir ganglion cells showed immunoreactivity for CR in the myenteric plexuses of the jejunum, ileum and distal colon, respectively, although there were also CR-ir ganglion cells with no P2Y2 immunoreactivity in both myenteric and submucosal plexuses (Fig. 3a–f). Table 3 shows the quantitative analysis of double labeling of P2Y2 receptors with calretinin in myenteric and submucosal plexuses.
About 46, 52, 52 and 46% P2X3-ir ganglion cells were found to display P2Y2 receptor-ir in the myenteric plexuses of the stomach corpus, jejunum, ileum and distal colon, respectively. However, in the submucous plexus of the jejunum, ileum and distal colon all the P2X3-ir ganglion cells were found to display P2Y2 receptor-ir, but only 30, 37 and 33% of the ganglion cells with P2Y2-ir were immunoreactive for P2X3 receptors (Figs. 4a–f, 5a–f). Table 4 shows the quantitative analysis of double labeling of P2Y2 receptors with P2X3 receptors in the myenteric and submucous plexuses.
No P2Y2-ir ganglion cells were found to be immunoreactive for P2X2 receptors, calbindin or NOS (Figs. 5a–f, 6f).
Discussion
The P2X receptors have been shown to play an important role in synaptic transmission within the neural pathways mediating motor activity in the intestine (Katayama and Morita 1989; Kimball et al. 1996; Heinemann et al. 1999; LePard and Galligan 1999; Bian et al. 2000; Galligan et al. 2000; Spencer et al. 2000; Ren et al. 2003) and the non-cholinergic portion of fast excitatory postsynaptic potentials are mediated by P2X receptors, with similarities to P2X4 and P2X6 receptor subunits in the submucous and myenteric plexuses (Barajas-Lopez et al. 1994, 2000; Galligan and Bertrand 1994; LePard et al. 1997; Zhou and Galligan 1998; Burnstock 2001). In addition to fast responses, ATP activates a P2Y receptor subunit to cause a slow membrane depolarization in a subset of S/type 1 neurons of the submucous plexus of the guinea pig ileum (Barajas-Lopez et al. 1994, 2000; Hu et al. 2003). Not all S/type 1 neurons have both fast and slow membrane depolarization responses. Three subsets of cells could be distinguished: those with both fast and slow responses, those with only fast responses and those with only slow responses (Barajas-Lopez et al. 2000). These results suggested that a subset of S/type 1 neurons exist in the submucous plexus of the guinea pig that express both P2X and P2Y receptors. In this study, we used a double-labeling immunofluorescence technique to demonstrate a subset of neurons expressing both P2X3 and P2Y2 receptors in myenteric and submucousal plexuses of stomach corpus, jejunum, ileum and distal colon. This subset of neurons could be the candidate for this functional subset of S/type 1. Furthermore, the subunit of P2X receptor that coexists with P2Y2 receptors is of the P2X3, but not the P2X2 receptor subunit. In the present study, all the P2X3-ir neurons were found to also express P2Y2 receptors in submucous plexus neurons. So there must be at least one other P2X receptor subunit in the submucosal plexus since three functional subsets of neurons have been distinguished (Barajas-Lopez et al. 2000). In fact, other subunits of P2X receptors (P2X2 and P2X7) have been identified in submucous plexus by immunofluorescence (Hu et al. 2001; Castelucci et al. 2002, 2003; Xiang and Burnstock 2004b).
The shape of all the P2Y2-ir neurons demonstrated in this study in both myenteric and submucosal plexuses of all the regions of guinea pig gut that we examined was characteristic, with only one axon-like process present. This result suggests that most of P2Y2-ir neurons in guinea pig gut have Dogiel type 1 neuron morphology. Most of the Dogiel type 1 neurons are S neurons with electrophysiological properties of monophasic depolarizations, no slow after hyperpolarization, and fast excitatory postsynaptic potentials in response to fiber tract stimulation (Nurgali et al. 2004). Our results together with those of Nurgali et al. (2004) imply that some P2Y2-ir neurons in both myenteric and submucosal plexuses in all regions of guinea pig gut are likely to be S/Dogiel type 1 neurons.
The P2Y2-ir neurons in the myenteric and submucosal plexuses are not intrinsic primary afferent neurons as they do not express calbindin, which is believed to be a marker for intrinsic sensory neurons in the guinea pig intestine (Furness et al. 1990; Quinson et al. 2001). The morphology of intrinsic sensory neurons in the guinea pig ileum is distinct; their shape and projection patterns fit with those of Dogiel type-2 neurons (Furness et al. 1998).
The P2Y2-ir neurons were found not to express NOS-ir, although NOS-ir neurons have been found to label S/type 1 neurons in guinea pig myenteric plexus exhibiting uniaxonal and Dogiel type 1 morphology (McConalogue and Furness 1993). These data imply that a subpopulation of S/type 1 neurons in the myenteric and submucosal plexuses of guinea pig do not express P2Y2-ir.
In this study, we observed that there were obvious regional differences in the percentages of coexistence of P2Y2 receptors with CR, NPY and P2X3 receptors. For example, 84–87% P2Y2 receptor-ir neurons were also immunoreactive for CR in the myenteric plexus of the small intestine while only 36% were CR-ir in the distal colon. In the myenteric plexus only 9–11% P2Y2 receptor-ir neurons were found to express NPY-ir while in the submucousal plexus almost half the P2Y2 receptor-ir neurons were also immunoreactive for NPY. Since the function of the digestive tract varies with region, so too does the morphology and the neurochemical coding of their nerves (Furness 2000). Such regional differences have been observed in this study. The density of NPY-ir neuronal cell bodies and fibers in the submucosal plexus was high in the ascending colon and progressively declined in an anal direction, immunoreactive cell bodies being rare in the rectum. The potentially important regional differences in the functions of neuropeptide Y as an antisecretory peptide in the local regulation of chloride transport in the mucosa and as a modulator of ganglionic transmission has been proposed (Cunningham and Lees 1995).
In the myenteric and submucosal plexuses of the guinea pig gastrointestinal tract, especially, the small intestine, the majority of the P2Y2-ir neurons were also immunoreactive for calretinin in this study. Calretinin is believed to be a marker for cholinergic neurons in the guinea pig intestine, being Dogiel type 1 neurons, which project to the longitudinal muscle, the submucosal vasculature and mucosal glands (Brookes et al. 1991) and control the physiological functions of these structures. Thus, extracellular ATP may regulate the function of these cholinergic neurons and thereby indirectly regulate the physiological functions of smooth muscle, submucosal blood vessels and mucosal glands.
In the present study almost all the NPY-ir neurons were also immunoreactive for P2Y2 receptors. The NPY-ir neurons were localized in myenteric and submucosal plexuses, which project to the circular muscle, the longitudinal muscle and the mucosa; these NPY-ir neurons also show Dogiel type 1 neuron morphology, except those projecting to mucosa which have fine branching processes (Uemura et al. 1995). These data imply that the physiological function of NPY-ir neurons in myenteric and submucosal plexuses can be regulated by extracellular ATP.
In summary, P2Y-ir neurons and fibers were found to be distributed widely in myenteric and submucosal plexuses in the guinea pig stomach corpus, jejunum, ileum and colon. The typical morphology of P2Y-ir neuron is that they have one long process and the distribution of positive staining in the cell body is polarized. The P2Y-ir neurons are Dogiel type 1. Double-labeling studies showed that 40–60% of P2X3-ir neurons were immunoreactive for P2Y2 receptors in the myenteric plexus and all the P2Y2-ir neurons were immunoreactive for P2X3 receptors in the submucosal plexus; almost all the NPY-ir neurons and the majority of CR-ir neurons were also immunoreactive for P2Y2 receptors. However, no P2Y2-ir neurons were immunoreactive for P2X2 receptors, calbindin or NOS. It is shown for the first time that S/Dogiel type 1 neurons with fast P2X and slow P2Y receptor-mediated depolarizations are those neurons, which express both P2Y2-ir and P2X3-ir and that they are widely distributed in myenteric and submucosal plexuses of guinea pig gut. This appears to be in contrast to mouse intestine where P2X3 receptor knockout studies suggest that P2X3 subunits are localised on AH (sensory), but not S neurons (Bian et al. 2003).
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Acknowledgments
The authors thank Dr. Gillian E. Knight and Dr. Chrystalla Orphanides for editorial assistance. This study was supported by Welcome Trust of UK (064931/Z/01/A).
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Xiang, Z., Burnstock, G. Distribution of P2Y2 receptors in the guinea pig enteric nervous system and its coexistence with P2X2 and P2X3 receptors, neuropeptide Y, nitric oxide synthase and calretinin. Histochem Cell Biol 124, 379–390 (2005). https://doi.org/10.1007/s00418-005-0043-7
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DOI: https://doi.org/10.1007/s00418-005-0043-7