Short Duration Presynaptic Action Potentials Shape Calcium Dynamics and Transmitter Release at the Neuromuscular Junction in Healthy and Diseased States

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Short Duration Presynaptic Action Potentials Shape Calcium Dynamics and Transmitter Release at the Neuromuscular Junction in Healthy and Diseased States Title Page Short duration presynaptic action potentials shape calcium dynamics and transmitter release at the neuromuscular junction in healthy and diseased states by Scott Patrick Ginebaugh B.S., Wayne State University, 2016 Submitted to the Graduate Faculty of the School of Medicine in partial fulfillment of the requirements for the degree of Doctor of Philosophy University of Pittsburgh 2021 Committee Page UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE This dissertation was presented by Scott Patrick Ginebaugh It was defended on January 27, 2021 and approved by James R. Faeder, Ph.D., Associate Professor, Department of Computational and Systems Biology, University of Pittsburgh Zachary Freyberg, M.D., Ph.D., Assistant Professor, Department of Psychiatry, University of Pittsburgh Ivet Bahar, Ph.D., Distinguished Professor & John K. Vries Chair, Department of Computational and Systems Biology, University of Pittsburgh Rozita Laghaei, Ph.D., Research Scientist, Pittsburgh Supercomputing Center, Carnegie Mellon University Dissertation Director: Stephen D. Meriney, Ph.D., Professor, Department of Neuroscience, University of Pittsburgh ii Copyright © by Scott Patrick Ginebaugh 2021 iii Short duration presynaptic action potentials shape calcium dynamics and transmitter release at the neuromuscular junction in healthy and diseased states Scott Patrick Ginebaugh, PhD University of Pittsburgh, 2021 The action potential (AP) waveform controls the opening of voltage-gated calcium channels (VGCCs) at presynaptic nerve terminals. The calcium ion flux through these VGCCs acts as a second messenger, triggering the release of neurotransmitter. The frog and mouse neuromuscular junctions (NMJs) have long been model synapses for the study of neurotransmission, but the presynaptic AP waveforms from these NMJs have never been recorded because the nerve terminals are too small impale with an electrode for electrophysiological recordings. Neurotransmission from nerve terminals occurs at highly organized structures called active zones (AZs), and the relationships between the AP, VGCCs, and neurotransmission at AZs are poorly understood. Understanding these relationships is important for the study of Lambert- Eaton myasthenic syndrome (LEMS), an autoimmune disorder in which neurotransmitter release from the NMJ is decreased, leading to severe muscle weakness. This reduced neurotransmission is thought to be caused by an antibody-mediated removal of presynaptic VGCCs and disruption of AZ structure. Furthermore, 3,4-diaminopyridine (3,4-DAP; the FDA-approved treatment for LEMS) was thought to indirectly increase calcium flux into the AZs by broadening the presynaptic AP, but this mechanism has come under scrutiny. Here, we use voltage imaging to optically record AP waveforms from frog and mouse motoneuron terminals. We find that the AP waveforms from these terminals are very brief in duration. We hypothesize the brief duration of these APs helps prevent a depletion of docked synaptic vesicles in AZs by limiting calcium flux during APs, and iv is thus an important mechanism by which healthy NMJs maintain reliable neurotransmission during repeated stimulation. We also show that clinically relevant concentrations of 3,4-DAP increase calcium flux by broadening the AP. Next, we use our recorded AP waveforms to constrain computational models of mammalian AZs, and utilize these models to investigate the effects of LEMS on the AZ. We demonstrate that the disruption of AZ structure plays an essential role in LEMS pathology. Finally, we show that disrupting the calcium-sensing proteins in the AZ could result in LEMS pathology and hypothesize that anti-VGCC antibodies may not be solely responsible for LEMS in many LEMS patients. v Table of Contents Preface .......................................................................................................................................... xv 1.0 Introduction ............................................................................................................................. 1 1.1 Action potential propagation in neurons ...................................................................... 2 1.2 The active zone ................................................................................................................ 4 1.2.1 Voltage-gated calcium channels ..........................................................................4 1.2.2 Calcium-activated potassium channels ..............................................................6 1.2.3 Active zone proteins contributing to calcium sensing and vesicle release ......8 1.2.4 Coupling of active zone components ................................................................10 1.3 Properties of the neuromuscular junction ................................................................. 11 1.3.1 The frog neuromuscular junction .....................................................................12 1.3.2 The murine neuromuscular junction ...............................................................13 1.4 Lambert-Eaton Myasthenic Syndrome ...................................................................... 16 1.4.1 Clinical properties ..............................................................................................16 1.4.2 LEMS neuromuscular physiology ....................................................................18 1.5 Treatment of Lambert-Eaton Myasthenic Syndrome ............................................... 20 1.5.1 Symptomatic treatment with 3,4-Diaminopyridine ........................................20 1.5.2 Immunotherapies and cholinesterase inhibitors .............................................21 1.5.3 Potential for treatment with calcium channel agonists ..................................23 1.6 Voltage imaging ............................................................................................................ 24 1.7 Computational modeling of the active zone ............................................................... 26 1.7.1 The advantages of computational modeling ....................................................26 vi 1.7.2 Selecting a method for computational modeling .............................................27 2.0 The frog motor nerve terminal has very brief action potentials and three electrical regions predicted to differentially control transmitter release .......................................... 29 2.1 Introduction .................................................................................................................. 30 2.2 Materials and Methods ................................................................................................ 32 2.2.1 Cutaneous pectoris nerve-muscle preparations ..............................................32 2.2.2 Voltage imaging ..................................................................................................32 2.2.3 Image and data analysis.....................................................................................34 2.2.4 MCell simulations ..............................................................................................43 2.2.5 NEURON simulations ........................................................................................46 2.3 Results ............................................................................................................................ 47 2.3.1 Action potentials at the adult frog neuromuscular junction are brief in duration ........................................................................................................................47 2.3.2 Differences in action potential duration along the length of motor nerve terminal branches reveal three distinct electrical regions.......................................48 2.3.3 The propagation speed of the AP waveform does not change along the length of the terminal .............................................................................................................55 2.3.4 Motor nerve terminal width does not correlate with AP duration or propagation speed within the motor nerve terminal ...............................................57 2.4 Discussion ...................................................................................................................... 60 2.4.1 Very brief AP waveforms may aid in maintaining strength and reliability at the NMJ ........................................................................................................................60 vii 2.4.2 Changes in the width of the AP waveform can explain proximal-distal changes in neurotransmitter release .........................................................................62 2.4.3 Relationship between axon width, the duration of the AP waveform, and AP propagation speed .......................................................................................................66 3.0 A high affinity, partial antagonist effect of 3,4-diaminopyridine mediates action potential broadening and enhancement of transmitter release at NMJs .......................... 68 3.1 Introduction .................................................................................................................. 69 3.2 Results ............................................................................................................................ 73 3.2.1 3,4-DAP effects on Kv3 potassium channels ....................................................73 3.2.2 3,4-DAP effects on the presynaptic AP waveform at the NMJ ......................75 3.2.3
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