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Journal of Neurochemistry, 2001, 77, 1396±1406
Pharmacological and functional characterization of muscarinic
receptor subtypes in developing oligodendrocytes
Fadi Ragheb,*,1 Eduardo Molina-Holgado,*,1,2 Qiao-Ling Cui,* Amani Khorchid,*Hsueh-Ning Liu,* Jorge N. Larocca² and Guillermina Almazan*
*Department of Pharmacology and Therapeutics, McGill University, Montreal, Quebec, Canada
²Department of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA
Abstract
This study focused on the molecular and pharmacological
characterization of muscarinic acetylcholine receptors
expressed by progenitors and differentiated oligodendrocytes.
We also analyzed the role of muscarinic receptors in
regulating downstream signal transduction pathways and the
functional signi®cance of receptor expression in oligodendro-
cytes. RT-PCR analysis revealed the expression of transcripts
for M3, and to a lesser extent M4, followed by M1, M2 and M5
receptor subtypes in both progenitors and differentiated
oligodendrocytes. Competition binding experiments using
[3H]N-methylscopolamine and several antagonists, as well
as inhibition of carbachol-mediated phosphoinositide hydro-
lysis, showed that M3 is the main subtype expressed in these
cells. In progenitors the activation of p42/44-mitogen-activated
protein kinase (MAPK) and cAMP-response element binding
protein (CREB) as well as c-fos mRNA expression were
blocked by the M3 relatively selective antagonist, 4-DAMP,
and its irreversible analogue, 4-DAMP-mustard. Carbachol
increased proliferation of progenitors, an effect prevented by
atropine and 4-DAMP, as well as by the MAPK kinase inhibitor
PD98059. These results indicate that carbachol modulates
oligodendrocyte progenitor proliferation through M3 receptors,
involving activation of a MAPK signaling pathway. Receptor
density and phosphoinositide hydrolysis are down-regulated
during oligodendrocyte differentiation. Functional conse-
quences of these events are a reduction in carbachol-
stimulated p42/44MAPK and CREB phosphorylation, as well
as induction of c-fos.
Keywords: carbachol, c-fos, CREB, muscarinic receptor,
oligodendrocyte, p42MAPK.
J. Neurochem. (2001) 77, 1396±1406.
Oligodendrocytes produce myelin, the insulating sheath that
facilitates nerve impulse conduction. Recent reports indicate
that oligodendrocytes maintain a dynamic communication
with neurons through their neurotransmitter receptors.
Indeed, cortical oligodendrocytes form contacts with
noradrenergic boutons resembling symmetrical synapses
(Paspalas and Papadopoulos 1996) and functional glutama-
tergic synapses terminating on oligodendrocyte progenitors
have been reported (Bergles et al. 2000). In addition,
glutamatergic, GABA, and purinergic receptors have been
identi®ed on oligodendrocytes, in vitro or in situ, using Ca21
imaging and electrophysiological techniques (see for review
Belachew et al. 1999).
Studies from our laboratory and others demonstrated the
capacity of oligodendrocytes to respond to cholinergic
stimulation via muscarinic receptors (mAChR), (Ritchie
et al. 1987; Kastritsis and McCarthy 1993; Cohen and
Almazan 1994; Takeda et al. 1995). The family of mAChR
is composed of ®ve subtypes (M1±M5) with different
1396 q 2001 International Society for Neurochemistry, Journal of Neurochemistry, 77, 1396±1406
Received February 2, 2001; revised manuscript received March 15,
2001; accepted March 15, 2001.
Address correspondence and reprint requests to Dr Guillermina
Almazan, Department of Pharmacology and Therapeutics, McGill
University, 3655 Sir-William Osler Promenade, Montreal, Quebec H3G
1Y6, Canada. E-mail: [email protected] authors contributed equally to this paper.2Present address, Instituto Cajal, CSIC, Madrid, Spain
Abbreviations used: ATR, atropine; bFGF, basic ®broblast growth
factor; [Ca21]i, intracellular calcium; CCh, carbachol; CS, calf serum;
CREB, cAMP-response element binding protein; 4-DAMP, 4-dipheny-
lacetoxy-N-methylpiperidine methiodide; DMEM, DIV, days in vitro;
Dulbecco's, modi®ed Eagle's medium; FCS, fetal calf serum;
G-protein, guanine nucleotide-binding protein; IPs, total [3H]inositol
phosphates; p42MAPK, p42 mitogen activated protein kinase; MET,
methoctramine; mAChR, muscarinic acetylcholine receptor; M1±M5,
muscarinic receptor subtypes; OD, optical density; PDGF, platelet-
derived growth factor-AA; PLC, phospholipase C; PI, phosphoinositide;
PIR, pirenzepine; PKC, protein kinase C; [3H]NMS, [3H]N-methylsco-
polamine; SFM, serum free medium; RT-PCR, reverse-transcriptase
polymerase chain reaction.
molecular and pharmacological properties (for a review see
Caul®eld and Birdsall 1998). All mAChR subtypes possess
seven membrane-spanning domains and transduce their
biological effects through association with the a subunits of
Gi, Go or Gq proteins. Type-M1 receptors (M1, M3 and M5)
are positively coupled to phospholipase C, while type M2
(M2, M4) negatively regulate adenylyl cyclase. At present it
is unknown whether the ®ve mAChR subtypes are expressed
in cells of oligodendrocyte lineage. However, progenitors
and mature oligodendrocytes in culture respond to muscari-
nic stimulation (Ritchie et al. 1987; Kastritsis and McCarthy
1993; Cohen and Almazan 1994; Takeda et al. 1995). In a
previous study we reported the presence of M1 and M2
mAChR mRNAs in developing oligodendrocytes (Cohen
and Almazan 1994). In these cells, activation of mAChRs
with carbachol (CCh), a stable acetylcholine analogue,
increases inositol-1,4,5 trisphosphate (IP3) and intracellular
Ca21 levels (Ritchie et al. 1987; Kastritsis and McCarthy
1993; Cohen and Almazan 1994), while decreasing
b-adrenergic-stimulated formation of cAMP (Cohen and
Almazan 1994). In addition, CCh triggered Ca21 waves
(Simpson and Russell 1996), inhibited an inwardly rectify-
ing K1 channel (Karschin et al. 1994), activated p42/
44MAPK and c-fos gene expression and increased prolifera-
tion of oligodendrocyte progenitor (Cohen et al. 1996;
Larocca and Almazan 1997).
The response of oligodendrocytes to muscarinic agonists
is developmentally regulated. After 6 days in vitro (DIV),
CCh-mediated IP3 accumulation observed in galactocere-
broside positive (GC1) oligodendrocytes was several times
lower than that obtained in oligodendrocyte progenitors
(Cohen and Almazan 1994). Similarly, after 8 DIV only
10% of GC1 cells showed an increase in [Ca21]i in response
to CCh (He and McCarthy 1994). Furthermore, CCh
stimulated the phosphorylation of CREB in young oligo-
dendrocytes isolated from four-day-old rat cerebrum, but not
in oligodendrocytes isolated from 11-day-old or older rats
(Sato-Bigbee et al. 1999).
The mechanisms that modulate the oligodendrocyte
response to acetylcholine during development remain
largely unknown. It is possible that mAChR density and/or
their coupling with second messenger systems are down-
regulated during development. An alternative possibility is
that the subtypes of mAChR expressed change during
oligodendrocyte differentiation. In this work we have
made considerable progress towards the clari®cation of
these issues. We have characterized the subtypes of
mAChRs present in progenitors and mature oligodendro-
cytes and assessed their level of expression using
pharmacological and molecular approaches. In addition,
we identi®ed the mAChR subtype that mediate down-
stream cholinergic signaling events, including phosphoi-
nositide hydrolysis, activation of both p42/44MAPK and
CREB as well as c-fos mRNA expression. Finally, we
examined the role of muscarinic receptors in oligoden-
drocyte proliferation.
Materials and methods
Materials
The following reagents were obtained from the indicated supplier:
Dulbecco's Modi®ed Eagle Medium (DMEM), Ham's F12, Hank's
balanced salt solution, 7.5% bovine serum albumin (BSA) fraction
V, fetal calf serum (FCS), calf serum (CS), 4-(2-hydroxyethyl)-1-
piperazineethanesulfonic acid (HEPES), penicillin/streptomycin
mix, SuperScript II and PLATINUM Taq DNA Polymerase High
Fidelity from Gibco/BRL (Burlington, Ontario, Canada); proges-
terone, biotin, sodium selenite, insulin, putrescine, carbachol,
atropine methyl bromide, Triton X-100, poly-d-lysine, hydrocorti-
sone-21-P, transferrin and 3,3 0,5-tri-iodo-l-thyronine from Sigma-
Aldrich Canada (Oakville, Ontarion, Canada); methoctramine,
4-DAMP methiodide, 4-DAMP-mustard, pirenzepine, and tropica-
mide from RBI (Natick, MA, USA); human recombinant platelet
derived growth factor-AA (PDGF-AA) and basic ®broblast growth
factor (bFGF) from PeproTech Inc (Rocky Hill, NJ, USA);
[3H]N-methylscopolamine ([3H]NMS) (82 Ci/mmol) and the che-
miluminescence detection kit (ECL) from Amersham Canada Ltd.
(Oakville, Ontario, Canada). Phospho-speci®c p42/44MAPK anti-
body (Thr183 and Tyr185) was obtained from Promega (Montreal,
Quebec, Canada); phospho-speci®c CREB antibody from New
England Biolabs (Mississauga, Ontario, Canada) and the MAPK
kinase inhibitor (MEK) PD98059 from Calbiochem (La Jolla, CA,
USA). Secondary antibodies used for immuno¯uorescence were
purchased from Jackson Immunoresearch Laboratories (West
Grove, PA, USA); analytical-grade Dowex 1-X8 (AG1-X8100±
200 mesh) from Bio-Rad (Mississauga, Ontario, Canada);
myo[3H]inositol (12.3 Ci/mmol) from Dupont Co. (Mississauga,
Ontario, Canada); Immobilon-P membranes from Millipore
(Mississauga, Ontario, Canada), Oligotex columns from Qiagen
(Mississauga, Ontario, Canada). All other reagents were obtained
from VWR (Mount Royal, Quebec, Canada) ICN (Montreal,
Quebec, Canada) or Fisher (Ottawa, Ontario, Canada).
Serum free medium (SFM) is de®ned as DMEM: F12 (1 : 1)
containing 25 mg/mL human transferrin, 30 nm triiodothyronine,
20 nm hydrocortisone-21-P, 20 nm progesterone, 10 nm biotin,
30 nm selenium, 5 mg/mL insulin, 1 mg/mL putrescine, 0.1% BSA,
50 units/mL penicillin, 50 mg/mL streptomycin. Complete medium
is composed of DMEM: F12 (1 : 1) containing 50 units/mL
penicillin plus 50 mg/mL streptomycin and 12% FCS.
Primary culture preparation
Cultures were generated as described by Almazan et al. (1993),
according to the modi®ed technique of McCarthy and de Vellis
(1980). Oligodendrocyte progenitors, also termed O-2 A progeni-
tors for their ability to generate oligodendrocytes and type-2
astrocytes in vitro, were plated on 6-well dishes at a density of
15 � 103 cells/cm2 in order to expand their numbers and prevent
differentiation. The cultures were grown in SFM containing 2.5 ng/
mL bFGF and PDGF-AA (SFM 1 GF) for 4 days. Morphological
examination established that the progenitor cultures were essen-
tially homogeneous bipolar cells, and acquired rami®ed processes
as they differentiated to mature oligodendrocytes in vitro. The
Muscarinic receptors in oligodendrocytes 1397
q 2001 International Society for Neurochemistry, Journal of Neurochemistry, 77, 1396±1406
cultures were immunocytochemically characterized as previously
described (Cohen and Almazan 1994; Radhakrishna and Almazan
1994). Ninety ®ve percent of the cells reacted positively with the
monoclonal antibody A2B5, a marker of oligodendrocyte progeni-
tors, and less than 5% were galactocerebroside (GC) positive
oligodendrocytes, glial ®brillary acidic protein positive astrocytes
or complement type-3-positive microglia. When progenitors were
cultured for 12 additional days in SFM containing 3% CS the cells
acquired complex morphology and the oligodendrocyte markers
GC1 and myelin basic protein (MBP1).
Reverse-transcriptase polymerase chain reaction
RNA was extracted from adult rat brain or from oligodendrocyte
cultures on a cesium chloride cushion and treated with DNase I to
remove traces of genomic DNA. For oligodendrocytes and
progenitor cells, polyA1RNA was puri®ed from total RNA with
Oligotex columns. Five mg of total RNA from brain or , 0.5 mg of
polyA1RNA from oligodendrocyte cultures (equivalent to 60 mg
of total RNA) was reversed transcribed with SuperScript II and
10 pmol of random hexamer. RNA was removed by RNase treat-
ment and the reaction was split into seven aliquots. These multiple
cDNA panels were subjected to PCR with PLATINUM Taq High
Fidelity DNA Polymerase and 5 pmol of each speci®c primer for
35 cycles; 948C denaturation for 1 min, 558C primer annealing for
1 min and 728C extension for 1 min. To exclude the presence of
genomic DNA, RNAs with and without reverse transcription were
used as controls with b-actin primers. Primers for rat mAChRs and
b-actin were derived from published nucleotide sequences (Nudel
et al. 1983; Bonner et al. 1987; Liao et al. 1989) and were obtained
from the GenBank data base with accession numbers M16406(M1),
AB017655(M2), M16409(M3), M16406(M4), M22926(M5) and
V01217(b-actin) as shown below. The PCR products were resolved
on a 1.5% agarose gel and stained with ethidium bromide:
Rm1a, 5 0-860AGCTCAGAGAGGTCACAA878-3 0;Rm1b, 5 0-1150TCGGTCTCG-GCCTTTCTTGGT1130-3 0 (PCR
product size 290 bp);
Rm2a, 5 0-18TCCTCGAACAATGGCTTGGCTAT41-3 0;Rm2b, 5-500CCTACGATGAACTGCCCAGAAGAGA477-3 0
(PCR product size 482 bp);
Rm3a, 5 0-978GGTTCACCACCAAGAGCTGG997-3 0;Rm3b, 5 0-1357GGTCTTGCCTGT-GTCCACGG1338-3 0 (PCR
product size 379 bp);
Rm4a, 5 0-72TGGAGACAGTGGA-GATGGTGTTCA97-3 0;Rm4b, 5 0-615ACAGGCAGGTAGAAGGCAGCAATG592-3 0
(PCR product size 544 bp);
Rm5a, 5 0- 1651GGCTGACCTCCAAGGTTCTG1671-3 0;Rm5b, 5 0-2084GAGTCTGTGAGCAGAGCTG2064-3 0 (PCR
product size 433 bp).
Radioligand binding experiments
Cells growing in 6-well dishes (around 100 mg protein/well for
progenitors and 300 mg protein/well for mature cells) were
incubated for 16 h at 48C in 1 mL of buffer containing 1 nm
[3H]NMS (Fisher 1988). For saturation binding experiments,
0.01±4 nm concentrations of radioligand were used. Competition
binding assays were performed with 0.75 nm [3H]NMS and the
mAChR antagonists atropine, pirenzepine, 4-DAMP, methoctra-
mine and tropicamide (10 pm20.5 mm). The binding reactions
were terminated by two rapid washes with ice-cold buffer. Cells
were solubilized in 250 mL of 0.2 N NaOH/0.1% Triton X-100 and
radioactivity was determined by liquid scintillation spectrometry.
Counting ef®ciency was 50% and values in dpm were used to
calculate fmol of ligand bound. Non-speci®c binding determined in
the presence of 25 mm atropine (Fisher 1988) was 15% at 1 nm
[3H]NMS.
Total [3H]inositol phosphates measurements
Cells were incubated for 18 h with 1mCi/mL of [3H]myo-inositol in
inositol-free DMEM containing the components found in SFM
(labeling media) plus 2.5 ng/mL bFGF and PDGF-AA (for
progenitors) or labeling media alone for mature cells as described
(Cohen and Almazan 1994). The inhibition pro®les of CCh-
mediated IP accumulation were determined with the mAChR
antagonists atropine, pirenzepine and 4-DAMP (10 pm-0.5 mm),
which were added to the cultures 10 min before stimulation with
1 mm CCh plus 10 mm LiCl. Total [3H]inositol phosphates were
determined as described (Berridge et al. 1983). Labeled IPs were
collected in 1.2 N ammonia formate in 0.1 N formic acid after free
inositol and glycerophosphate fractions were eluted from the
column.
Western immunoblot analysis
Cells were stimulated, harvested in sample buffer (62.5 mm Tris-
HCl, pH 6.82% w/v sodium dodecyl sulfate (SDS), 10% glycerol,
50 mm dithiothreitol, 0.1% w/v bromophenol blue) and boiled for
5 min as described (Larocca and Almazan 1997). Twenty
micrograms of protein extracts were resolved by SDS-polyacryla-
mide gel electrophoresis (10%, SDS±PAGE), transferred to
Immobilon-P membranes and incubated with antiphospho-speci®c
p42/44MAPK (1 : 10000) or antiphospho-speci®c CREB (1 : 1000).
The membranes were incubated with horseradish peroxidase-
conjugated secondary antibodies and visualized by chemilumines-
cence. The signals were quanti®ed with a Master Scan Interpretative
Densitometer (Howtek Inc., Hudson, NH, USA). To normalize for
equal loading and protein transfer, membranes were stripped and
incubated with an antibody for total p42MAPK.
RNA extraction and northern blot analysis
Total RNA was extracted from oligodendrocyte progenitors as
described previously (Cohen et al. 1996). RNA pellets were
resuspended in 50% formamide/2.2 m formaldehyde/20 mm MOPS
and denatured for 30 min at 658C. Ten micrograms of RNA
extracts were electrophoresed on a 1.3% agarose-formaldehyde gel
and transferred to Hybond-N membranes. The c-fos probe was
labeled with [a-32P]dCTP using a random primer kit to a speci®c
activity of 108 cpm/mg DNA. Membranes were hybridized at 428C
for 48 h with 106 cpm of c-fos cDNA per mL of hybridization
solution (50% formamide, 25 mm sodium phosphate buffer,
pH 6.5, 0.8 m NaCl, 0.5% SDS, 1 mm EDTA) and exposed to
X-ray ®lms. Autoradiographs were quanti®ed by densitometry. To
standardize for equal RNA loading and transfer, the membranes
were stripped of radioactive probe and were stained with methylene
blue.
Cell proliferation assay
The rate of oligodendrocyte progenitor proliferation was
measured by [3H]thymidine incorporation into DNA as described
(Radhakrishna and Almazan 1994). Cells grown on 24-well dishes
in SFM were deprived of growth factors for 8 h before treatment
1398 F. Ragheb et al.
q 2001 International Society for Neurochemistry, Journal of Neurochemistry, 77, 1396±1406
with 100 mm CCh, 1 mm atropine, 1 mm 4-DAMP or 10 mm
PD98059 in the presence of 1 mCi/mL [3H]thymidine. After 24 h,
the medium was aspirated and cultures were rinsed three times
with ice-cold trichloroacetic acid (TCA) and solubilized in 0.2 N
NaOH/0.1% Triton-X-100. Radioactivity was determined with a
scintillation spectrometer (cpm/well).
Data analysis
Results are presented as mean ^SEM of at least three experiments
performed in triplicate with different cell preparations unless
otherwise indicated. One-way analysis of variance, followed by
Dunnett's or Tukey's tests for multiple comparison, was used as
indicated in order to examine the statistical signi®cance; p-values
less than 0.05 were considered signi®cant. The equilibrium binding
parameters and the competition binding data were estimated using
the non-linear iterative algorithm ligand (Munson and Rodbard
1980; McPherson 1985). Protein content in all samples was
determined by a Bio-Rad protein assay kit.
Results
Expression of muscarinic receptor mRNAs in
oligodendroglial cells
To detect the mAChR subtypes expressed by oligodendro-
cyte primary cultures, RT-PCR was carried out with speci®c
M1±M5 oligonucleotide primer pairs. The cDNAs from
progenitor and mature oligodendrocyte cultures were
ampli®ed and the resulting products were resolved on a
1.5% agarose gel using rat brain cDNA as a positive control.
A representative gel showing the PCR-ampli®ed products
representing mRNA for M1, M2, M3, M4 and M5 subtypes
(290, 482, 379, 544 and 433 bp, respectively) is shown in
Fig. 1. All subtypes were expressed in both progenitors and
mature oligodendrocytes but levels of expression were more
signi®cant for M3, followed by M4, and to a lower extent
the M1, M2 and M5.
Pharmacological characterization of muscarinic
receptors in progenitors and mature oligodendrocytes
To con®rm the RT-PCR data we carried out radioligand
binding analysis in progenitors and differentiated oligoden-
drocytes with the muscarinic antagonist [3H]NMS. Satura-
tion curves obtained at equilibrium conditions (16 h
incubation at 48C) with 9±10 concentrations of [3H]NMS
(0.01±4 nm) showed that speci®c binding was saturable and
of high-af®nity (Fig. 2). The Scatchard plot gave single
straight unbroken lines, indicating one apparent single class
of binding sites with no evidence of co-operativity. In
progenitors the dissociation constant (KD) for [3H]NMS was
60 ^ 2 pm, and the maximum binding capacity (Bmax) was
54 ^ 0.5 fmol/mg protein. In 12 DIV oligodendrocytes the
Bmax for [3H]NMS (15 ^ 1 fmol/mg protein) was reduced
by 72%, and the KD was 43 ^ 3 pm.
To characterize the mAChR subtypes expressed in
oligodendrocytes, speci®c [3H]NMS binding in intact cells
was displaced by increasing concentrations of various
antagonists. Although muscarinic antagonists lack very
high selectivity for any single receptor subtype, pirenzepine
binds to M1 with high-af®nity, methoctramine to M2 and
tropicamide to M4/M2. 4-DAMP has been considered a
selective antagonist for M3, but binds with high-af®nity to
expressed M1, M3, M4 and M5 receptors, while atropine is
a non-selective antagonist and displays high-af®nity for the
Fig. 1 RT-PCR analysis of mRNA encod-
ing mAChR subtypes. Total RNA was
extracted from oligodendroglial cultures
(O � oligodendrocytes differentiated in vitro
for 12 days, P � progenitor cells) and
whole rat brain (B). RT-PCR ampli®cation
was performed with speci®c primers. Three
separate analyses were conducted and a
representative experiment is shown.
Fig. 2 Scatchard analysis of a representa-
tive [3H]NMS binding experiment with intact
O-2A progenitors and oligodendrocytes dif-
ferentiated for 12 days (12 DIV). Cells were
incubated for 16 h at 48C with 0.01±4 nM of
[3H]NMS, washed two times with cold buffer
and radioactivity determined as described in
Materials and methods. Non-speci®c bind-
ing was determined with 25 mM atropine.
Results of three independent experiments
performed in triplicate are shown.
Muscarinic receptors in oligodendrocytes 1399
q 2001 International Society for Neurochemistry, Journal of Neurochemistry, 77, 1396±1406
®ve mAChR subtypes (Michel et al. 1989; Lazareno et al.
1990; Caul®eld 1993; Kondou et al. 1994). In progenitors
[3H]NMS binding was inhibited by pirenzepine (Ki �112 ^ 5 nm) and methoctramine (Ki � 1.43 ^ 0.5 mm)
with low-af®nity, and with high-af®nity by atropine
(Ki � 0.17 ^ 0.01 nm) and 4-DAMP (0.25 ^ 0.01 nm)
providing evidence that the M3 mAChRs are the main
subtypes (Fig. 3, upper panel). The presence of M4
receptors was con®rmed using tropicamide, which displaced
[3H]NMS with high-af®nity (Ki � 15 ^ 0.1 nm). In 12 DIV
oligodendrocytes, atropine (Ki � 0.29 ^ 0.01 nm) and
4-DAMP (Ki � 0.33 ^ 0.01 nm) displaced [3H]NMS
binding with similar af®nity to progenitor cells (Fig. 3,
lower panel). However, an increased af®nity was observed
for pirenzepine (Ki � 56 ^ 3 nm), methoctramine (Ki �135 ^ 7 nm) and tropicamide (Ki � 38 ^ 2 nm).
Fig. 3 Competition binding experiments showing the effect of
various antagonist on speci®c [3H]NMS binding in intact O-2 A pro-
genitors and 12 DIV oligodendrocytes. Cells were exposed to
increasing concentrations of antagonists and 0.75 nM radioligand.
Model testing of the competition binding data was performed using a
weighed non-linear least-squares curve ®tting program LIGAND, and
the choice of the best ®t to either a one-site or to a two-site model
was determined using the appropriate F-test. The experimental data
points are the means of triplicate determinations from three indepen-
dent experiments. The best ®t of the competitions was to a one-site
model. The inhibition constants (Ki) are given in the text. B, Atrophine;
W, 4-DAMP; P, pirenzepine; S, methoctramine; X, tropicamide.
Table 1 Developmental regulation of mAChRs and their signaling
systems in oligodendrocytes (mean ^SEM)
Progenitors Oligodendrocytes
MAChR (fmol/mg protein) 54 �̂ 0.5 15 �̂ 1
[3H]IP (dpm/well)
Control 556 �̂ 14 2223 �^ 69
CCh (1 mM) 7028 �^ 237 3825 �^ 50
p42MAPK (OD units)
Control 51.3 �̂ 4.2 56.9 �^ 8.7
CCh (100 mM) 122.5 �̂ 0.2 81.3 �^ 2.4
CREB (OD units)
Control 43.1 �̂ 4.0 163.2 �^ 15
CCh (300 mM) 261.3 �̂ 17.2 193.2 �^ 15.1
Experimental conditions are speci®ed in the legends of Figs 2±8.
Fig. 4 Inhibition of CCh-stimulated total [3H]inositol phosphates
accumulation by muscarinic antagonists in intact O-2A progenitors
and 12 DIV oligodendrocytes. Cells were incubated with 1 mM CCh
in the absence or presence of increasing concentration of muscarinic
antagonists. Data are expressed as a percentage stimulation by
1 mM CCh without antagonist and represent the means ^SEM of
three independent experiments performed in triplicate. B, atropine;
W, 4-DAMP; P, pirenzepine.
1400 F. Ragheb et al.
q 2001 International Society for Neurochemistry, Journal of Neurochemistry, 77, 1396±1406
The functional coupling of the receptors was assessed
by examining CCh-stimulated phosphoinositide hydrolysis
(PI) in oligodendrocyte cultures. As previously reported
(Cohen and Almazan 1994), CCh at 1 mm concentration
activated this second messenger system more effectively
in progenitors (12-fold increase over basal levels) than in
oligodendrocytes (1.7-fold) (Table 1). To investigate
mAChRs subtypes coupled to PI hydrolysis, the
inhibition pro®les of CCh-induced [3H]IP accumulation
were examined for atropine, 4-DAMP and pirenzepine
in both progenitors and 12 DIV oligodendrocytes
(Fig. 4). Receptors had the selectivity expected of the
M3 subtype. At both developmental stages, CCh-
stimulated PI hydrolysis was inhibited by atropine and
4-DAMP with high potency and pirenzepine with low
potency. The IC50s values in progenitor cells were
0.86 nm for atropine, 1.44 nm for 4-DAMP and
1.56 mm for pirenzepine. In mature oligodendrocytes the
IC50 was 1.57 nm for atropine, 5.27 nm for 4-DAMP
and 0.59 mm for pirenzepine. The inhibition curve for
pirenzepine in progenitors had a tendency to be
biphasic suggesting the presence of more than one binding
sites.
Muscarinic M3 receptors mediate p42/44MAPK and
CREB phosphorylation, and c-fos mRNA expression
Previous studies have shown that cholinergic stimulation of
oligodendrocyte progenitors increases p42/44MAPK activa-
tion (Larocca and Almazan 1997), CREB phosphorylation
(Pende et al. 1997; Sato-Bigbee et al. 1999) and c-fos
mRNA expression (Cohen et al. 1996) through activation of
mAChRs. To determine the mAChR subtype that mediates
these responses, progenitors were pre-treated, for 20 min
with pirenzepine, methoctramine, 4-DAMP and atropine. A
concentration of 1 mm was used for each muscarinic
antagonist, which is suf®cient to fully block its preferred
subtype(s) without losing speci®city (Michel et al. 1989;
Lazareno et al. 1990; Caul®eld 1993; Kondou et al. 1994).
Cultures were then treated with 100 mm CCh for a period of
5 min to activate p42/44MAPK or to phosphorylate CREB.
For c-fos mRNA expression, cultures were treated with
100 mm CCh for 30 min. The concentrations of CCh used in
our experiments are close to those required to produce
maximal effects (Cohen and Almazan 1994; Cohen et al.
1996; Larocca and Almazan 1997; Pende et al. 1997).
Levels of p42/44MAPK and CREB phosphorylation were
Fig. 5 p42MAPK and CREB activation are mediated by the M3
mAChR. Cells were treated for 20 min with each of the muscarinic
antagonists (at 1 mM) pirenzepine (PIR), 4-DAMP (DAM), methoctra-
mine (MET) or atropine (ATR) prior to stimulation with 100 mM CCh
for 5 min p42MAPK and CREB activation were determined by immu-
noblot analysis as described in Materials and methods. The upper
panel shows a typical experiment in duplicates. Western blots were
analyzed by densitometry and the values are expressed as the
mean ^SEM of three independent experiments performed in dupli-
cate. Statistical differences are indicated: basal versus CCh
( p , 0.001); CCh versus ATR or DAM ( p , 0.001) for both
p42MAPK and CREB.
Fig. 6 4-DAMP blocks the phosphorylation of p42MAPK and CREB
in a concentration-dependent manner. Cells were pre-treated with
increasing concentrations of the M3 selective antagonist 4-DAMP for
20 min (1 nM21 mM), followed by 5 min stimulation with CCh
(100 mM). p42MAPK and CREB activation were determined by immu-
noblot analysis as described in Materials and methods. Top shows
western blots of a typical experiment in duplicate. The blots were
analyzed by densitometry and the values are expressed as the
mean ^SEM of percentage inhibition of CCh-stimulated cultures of
three independent experiments performed in duplicate. Statistical dif-
ferences are indicated: basal versus 100 mM CCh ( p , 0.001); CCh
versus 100 or 1000 nM CCh 1 4-DAMP ( p , 0.001).
Muscarinic receptors in oligodendrocytes 1401
q 2001 International Society for Neurochemistry, Journal of Neurochemistry, 77, 1396±1406
determined by western blotting and c-fos mRNA expression
by northern blotting.
CCh increased p42/44MAPK and CREB phosphorylation
by , 2±3-fold (Fig. 5). Pre-treatment with atropine or
4-DAMP blocked both responses while pirenzepine and
methoctramine did not affect the levels of phosphorylation.
4-DAMP reduced in a concentration-dependent manner the
phosphorylation of p42/44MAPK and CREB with IC50s
values of 1±10 nm (Fig. 6). Furthermore, an irreversible
M3 selective antagonist, 4-DAMP-mustard (DAMP-m)
(Barlow et al. 1991), was equally effective in blocking the
CCh-mediated phosphorylation of both proteins (Table 2).
These results con®rm the RT-PCR, binding and PI
hydrolysis data and demonstrate the predominance of the
M3 receptor subtype in progenitors.
In line with the developmental regulation of receptor
density and CCh-mediated PI hydrolysis, we observed
that CCh activated p42/44MAPK and CREB phosphory-
lation more effectively in progenitors than in mature
oligodendrocytes (Table 1). Thus, CCh increased the
phosphorylation of p42/44MAPK and CREB by 200% and
500% above control in progenitors and by 30% in mature
cells.
CCh increased c-fos mRNA levels six-fold above non-
stimulated controls (Fig. 7) while pre-treatment of the
cultures with atropine or 4-DAMP blocked c-fos mRNA
expression. In contrast, 1 mm of methoctramine had no
Fig. 7 CCh-stimulated c-fos mRNA expression is mediated by the
M3 mAChR. Cells were treated for 20 min with the muscarinic
antagonist (at 1 mM) pirenzepine (PIR), 4-DAMP (DAM), methoctra-
mine (MET) or atropine (ATR) prior to stimulation with 100 mM CCh
for 30 min. Levels of c-fos mRNA were detected by northern blotting
as described in Materials and methods. Top shows an autoradio-
graph of a typical experiment. Autoradiographs were analyzed by
densitometry and the values are expressed as mean ^SEM of 3
independent experiments performed in duplicate. Statistical differ-
ences are indicated: basal versus CCh ( p , 0.001); CCh versus
CCh 1 ATR or DAM ( p , 0.001); CCh versus CCh 1 PIR
( p , 0.01).
Fig. 8 4-DAMP blocks the expression of c-fos mRNA in a concen-
tration-dependent manner. Cells were pre-treated for 20 min with
increasing concentrations of the M3 selective antagonist 4-DAMP
(1 nM21 mM) followed by CCh (100 mM) stimulation for 30 min. Levels
of c-fos mRNA were determined by northern blotting and quanti®ed
densitometrically. Values are expressed in arbitrary optical density
units of percentage inhibition of CCh stimulation. Statistical differ-
ences are indicated: basal versus CCh (p , 0.001); CCh versus
CCh 1 50±1000 nM DAM ( p , 0.001); CCh versus CCh 1 10 nM
DAM ( p , 0.01).
Table 2 4-DAMP-mustard (4-DAMP-m) blocks the CCh-stimulated
p42MAPK and CREB phosphorylation as well as c-fos mRNA
expression
p42MAPK
Phosphorylation
c-fos mRNA
Expression
CREB
Phosphorylation
Control 51 �̂ 4 45 �̂ 19 43 �^ 4
CCh 122 �^ 0.2 662 �̂ 107 261 �^ 17
4-DAMP-m 41 �̂ 0.1 49 �̂ 7 38 �^ 2
4-DAMP-m1CCh 35 �^ 3 74 �̂ 7 40 �^ 2
Progenitors were pre-incubated with 1 mM 4-DAMP-m, an irreversible
M3 muscarinic antagonist, for 20 min followed by 100 mM CCh.
Phosphorylated (active) p42MAPK and CREB were detected by
western blotting and c-fos mRNA by northern blotting. Signals were
quanti®ed densitometrically. Values are the mean ^SEM of triplicate
determinations and represent relative OD units. Statistical differences
were: control versus CCh ( p , 0.01, for all responses); control versus
4-DAMP-M 1 CCh ( p . 0.05, for all responses); CCh versus
4-DAMP-M 1 CCh ( p , 0.001, for all responses).
1402 F. Ragheb et al.
q 2001 International Society for Neurochemistry, Journal of Neurochemistry, 77, 1396±1406
effect, whereas pirenzepine slightly reduced the CCh-
stimulated response. In addition, 4-DAMP antagonized the
effect of CCh on c-fos mRNA expression in a dose-
dependent manner (Fig. 8) with an approximate IC50 of
1±10 nm. Furthermore, pre-treatment with 1 mm DAMP-m,
the irreversible analog of DAMP, blocked c-fos expression
(Table 2). These results demonstrate that M3 receptors
are responsible for c-fos mRNA induction, and further
con®rm the predominance of the M3 receptor subtype in
oligodendrocyte progenitors. Mature oligodendrocytes
showed only a small increase in c-fos mRNA in response
to CCh (, 20% above untreated cultures) and was only
statistically signi®cant in 1 out of 3 experiments (results are
not shown).
Muscarinic M3 receptors mediate the proliferative
effects of CCh
Oligodendrocyte progenitors, grown for 2 days in SFM
supplemented with bFGF plus PDGF, were deprived of
growth factors for 8 h before the assays. Under these
conditions, 2.5 ng/mL PDGF and bFGF treatment for
24 h increased [3H]thymidine incorporation by four-fold
(Table 3). In the absence of either mitogen, 100 mm CCh
signi®cantly stimulated [3H]thymidine incorporation (two-
fold). The proliferative effect of CCh was blocked by the
antagonist atropine (non-speci®c) as well as by the selective
M3 receptor antagonist 4-DAMP. The antagonists pirenze-
pine (M1) and methoctramine (M2) did not modify
progenitor proliferation (data not shown). These results
show that activation of muscarinic receptors increases
oligodendrocyte progenitor proliferation through the M3
receptor subtype.
To explore the signaling mechanisms involved in the
proliferative effects of CCh we focused on the MAPK
pathway. Carbachol activated the p42/44MAPK cascade
rapidly and transiently (Larocca and Almazan 1997). In
the present study, the MAPK kinase (MEK) inhibitor
PD98059 prevented the proliferative effects of CCh,
indicating that p42/44 MAPK is involved in mAChR-
mediated proliferation.
Discussion
The present study demonstrates that M3 is the predominant
muscarinic receptor subtype expressed in progenitors and
differentiated oligodendrocytes. M3 is involved in the
activation of downstream signaling pathways, in the
regulation of c-fos gene expression, and in the stimulation
of progenitor cell proliferation. In addition, the expression
and the functional activity of mAChR receptors are subject
to developmental regulation.
RT-PCR analysis demonstrated that developing oligoden-
drocytes express transcripts encoding M3, followed by the
M4 subtype, and lower levels of M1, M2 and M5. These
®ndings correlated well with our competition binding
experiments using relatively selective mAChR antagonists.
Thus, both progenitors and mature oligodendrocytes pos-
sessed high-af®nity binding sites for 4-DAMP and atropine
(Ki , 0.2 nm), intermediate-af®nity binding sites for tropi-
camide (M4 selective) (Ki , 5 nm) and low-af®nity sites for
pirenzepine (M1 selective) (Ki ,112 nm) and methoctra-
mine (M2 selective) (Ki ,1.4 mm). However, a small
difference between the pharmacological pro®les of progeni-
tors and mature oligodendrocytes was observed. The af®nity
for tropicamide, pirenzepine and methoctramine increased
in mature oligodendrocytes, suggesting that as oligoden-
drocytes differentiate, a more heterogeneous population of
receptors is acquired. The predominance of the M3 subtype
was further con®rmed by measuring functional receptor
activity, i.e. PI hydrolysis, activation of p42/44MAPK and
CREB signaling pathways, and induction of gene expres-
sion. Of all antagonists tested only atropine and 4-DAMP
inhibited CCh mediated effects with high potency. Pirenze-
pine, an M1 selective antagonist, inhibited CCh-stimulated
PI hydrolysis with low potency (IC50 , 1.56 mm) and
caused a signi®cant decrease in p42/44MAPK at high
concentrations. Nevertheless as the inhibition curve for
pirenzepine on PI hydrolysis had a tendency to be biphasic,
we can not dismiss the presence of a small number of
higher-af®nity sites, M1, not detected by the binding and
contributing to these effects. Furthermore, we previously
reported that pirenzepine at 1 mm concentration inhibited
calcium transients as well (Cohen and Almazan 1994).
The density of mAChRs in oligodendroglial cells, is
lower than in cerebellar granule neurons (Alonso et al. 1990;
Whitham et al. 1991), but similar to those measured in
Table 3 Inhibition of carbachol-stimulated [H3]thymidine incorporation
by mAChR antagonists and the MAPK kinase inhibitor PD98059
[3H]thymidine incorporation
(100% of control)
Control 100 �̂ 5
PDGF 1 bFGF (2�.5 ng/mL) 540 �̂ 10
CCh (100 mM) 216 �̂ 5
CCh 1 ATR (10 mM) 106 �̂ 9
CCh 1 4-DAMP (10 mM) 123 �̂ 9
CCh 1 PD98059 (10 mM) 97 �̂ 3
Oligodendrocyte progenitors proliferation was measured by [3H]thymi-
dine incorporation. Cells were pre-treated with the mAChR antagonists
atropine (ATR, 10 mM), 4-DAMP (10 mM) or the MAPK kinase inhibitor
PD98059 (10 mM) for 30 min before the addition of 100 mM CCh and
were incubated for 24 h in the presence of 1 mCi/mL [3H]thymidine.
Radioactivity was quanti®ed in the TCA precipitate. Values are the
mean ^SEM of triplicate experiments and represent relative dpm
expressed as percent of control. Statistical differences were: control
versus PDGF 1 bFGF ( p , 0.001); control versus CCh ( p , 0.001).
Muscarinic receptors in oligodendrocytes 1403
q 2001 International Society for Neurochemistry, Journal of Neurochemistry, 77, 1396±1406
corticostriatal neurons (Eva et al. 1990) and astrocytes
(Andre et al. 1994; Kondou et al. 1994). Puri®ed myelin
isolated from adult rat brain was shown to possess high-
af®nity mAChR binding sites (Larocca et al. 1987a),
which mediated both phosphoinositide hydrolysis and
inhibition of cyclic AMP formation (Larocca et al. 1987b;
Kahn and Morell 1988). A portion of the binding sites
present in myelin (25%) were labeled with pirenzepine
suggesting the presence of M1 receptors, while the
remaining receptor sites were not identi®ed. These ®ndings
demonstrate that oligodendrocytes in the adult brain
express receptors and signaling systems able to sense their
neuronal milieu and respond to acetylcholine released by
neurons.
Our investigation highlights a central role for the M3
subtype in the control of intracellular signaling events.
Signaling pathways initiated by muscarinic receptors
involve activation of the p42/44MAPK. These Ser/Thr kinases
are important intermediates to transduce mitogenic and
differentiating signals to the nucleus and can be activated
by both M1- and M2-like receptors (Igishi and Gutkind
1998). In oligodendrocyte progenitors, mAChRs activate
p42/44MAPK through a mechanism that requires the presence
of extracellular Ca21 and involves mainly a 12-O-tetra-
decanolylphorbol 13-acetate-insensitive PKC pathway
(Larocca and Almazan 1997). Recent studies have shown
that muscarinic stimulation also induces phosphorylation of
the transcription factor CREB, an event that is dependent on
Ca21, downstream of the p42/44MAPK pathway, and is
developmentally regulated (Pende et al. 1997; Sato-Bigbee
et al. 1999). A potential gene target for CREB is the
proto-oncogene c-fos, which is induced after muscarinic
stimulation in oligodendrocyte progenitor cultures (Cohen
et al. 1996) under conditions that promote proliferation of
progenitors. Similar to p42/44MAPK and CREB activation,
increases in c-fos mRNA are Ca21-dependent, suggesting
that the same muscarinic receptor subtype is mediating these
events. In our experiments, the M3 mAChR antagonist
4-DAMP, and its irreversible analogue 4-DAMP-mustard,
blocked the CCh-stimulation of MAPK and CREB phos-
phorylation, and induction of c-fos mRNA expression. All
these data clearly support our proposal that the M3 receptor
is the subtype mediating the above-mentioned events in
progenitors.
Mitogenic responses triggered by muscarinic receptor
activation have been reported in astrocytes (Ashkenazi et al.
1989; Guizzetti et al. 1996) and in neural precursors (Ma
et al. 2000; Li et al. 2001). In agreement with our previous
results, CCh caused a two-fold increase in [3H]thymidine
incorporation, suggesting that mAChRs mediate prolifera-
tion of oligodendrocyte progenitors (Cohen et al. 1996). We
found that the M3 antagonist, 4-DAMP, as well as the non-
selective antagonist, atropine, prevented CCh-mediated
proliferation. Inhibition of CCh-stimulated proliferation of
progenitors with the MAPK kinase inhibitor, PD 98059,
revealed the involvement of the p42/44MAPK cascade in
this event. The proliferative responses mediated by
mAChRs are apparently related to the activation of PI
hydrolysis, DAG production, and activation of PKC in
astrocytes and in transfected cell lines (Ashkenazi et al.
1989). A most recent report provides evidence that the
atypical PKCz isoform is involved in mAChR-induced
proliferation of astrocytoma cells as a selective peptide
inhibitor blocked PKCz translocation as well as [3H]thymi-
dine incorporation (Guizzetti and Costa, 2000). Although we
showed that MAPK activation by carbachol is blocked by
PKC inhibitors (Larocca and Almazan 1997), more studies
are required to determine whether PKCz isoform is involved
in the upstream activation of p42/44MAPK and consequent
proliferation of oligodendrocyte progenitors.
Oligodendrocyte differentiation results in a diminished
responsiveness to CCh stimulation (Kastritsis and McCarthy
1993; Cohen and Almazan 1994; He and McCarthy 1994).
Our study shows that the density of mAChRs is down-
regulated during in vitro development. Hence, the decrease
in CCh-mediated PI hydrolysis, p42/44MAPK and CREB
phosphorylation as well as the previously observed reduc-
tion in intracellular Ca21 release are a consequence of
reduced receptor levels. In progenitors, binding studies
indicate a receptor density of 55 fmol/mg protein, whereas
in oligodendrocytes [3H]NMS binding was decreased by
72%. Similar reductions in total [3H]IP accumulated after
CCh stimulation were measured in mature oligodendrocytes.
In agreement with our results, others have provided
evidence for a developmental regulation of mAChR
responsiveness in oligodendrocytes. Using both 4- and
11-day-old progenitors and differentiated oligodendrocytes
isolated from rat cerebrum, CCh-mediated CREB-
phosphorylation increased around three-fold above control
levels in 4-day-old rats, an effect that was abolished in
11-day-old rats (Sato-Bigbee et al. 1999). It could be
postulated that factors in culture medium or differences in
oligodendrocyte function related to the lack of axonal
contact or activity are responsible for the alteration in
mAChR density that we observed in vitro. In fact, one report
has shown that coculture of mature oligodendrocytes with
neurons from dorsal root ganglia or superior cervical ganglia
prevents the loss of CCh-mediated Ca21 signaling (He et al.
1996). It therefore seems possible that ACh, either alone
or in combination with other cellular signals, may contribute
to the maintenance of functional mAChR in mature
oligodendrocytes which serve neuromodulatory functions
in addition to their proposed mitogenic role in progenitor
cells.
In summary, our results show that cultured oligoden-
droglial cells express all ®ve mAChRs. The M3 receptor
subtype is highly expressed and seems to play an important
role in oligodendrocyte growth.
1404 F. Ragheb et al.
q 2001 International Society for Neurochemistry, Journal of Neurochemistry, 77, 1396±1406
Acknowledgements
This work was funded by the Medical Research Council and the
Multiple Sclerosis Society of Canada (GA). EM-H was
supported by a postdoctoral fellowship from the Ministry of
Education and Culture of Spain. H-NL and AK held student-
ships from the Multiple Sclerosis Society of Canada. JNL was
supported by the American National Multiple Sclerosis Society.
We thank Dr Jose M. Vela for his help with the computer
photoimages, Dr R. Gould for his help during our ®rst attempts
to assess muscarinic receptors gene expression by PCR and
Dr Paul Clarke for his help with ®gures. We also thank
Drs William Norton and Walter Mushynski for their useful
comments on the manuscript.
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