Structural basis for developmentally regulated changes in cadherin function at synapses

Members of the cadherin family of calcium-dependent cell adhesion molecules can bind homophilically across central nervous system (CNS) synapses, but experimental evidence indicates the nature of their contribution to synapse structure and function changes over time. We asked whether changes in function correspond to differences in intrasynaptic distribution. Using quantitative immuno-electronmicroscopy, we determined where cadherins are localized within synapses at key developmental stages in cultured hippocampal neurons and in hippocampus in vivo. At 5-6 days in culture, when most synapses are newly formed, cadherins are regularly and evenly distributed at synaptic clefts throughout the active zone. In contrast, at 14 days, when the majority of synapses are comparatively mature, cadherin labeling concentrates in discrete clusters. Such clusters can occur at any place within or immediately surrounding synaptic clefts. To assess whether this change in distribution is unique to neurons grown in culture, we compared the distribution of cadherins in the CA1 region of hippocampus at postnatal days 2, 3 (P2-3) and in adult. Consistent with our observations in cultured neurons, synapses in P2-3 hippocampus most often exhibit cadherins distributed regularly throughout the cleft, while adult synapses show predominantly discrete concentrations at single sites. The early developmental pattern of cadherin distribution can also be detected at occasional synapses in adult tissue. Such synapses also have morphological features consistent with immature synapses, suggesting that intrasynaptic cadherin distribution is a feature that may distinguish synapse age.     

Overexpression of the cell adhesion protein neuroligin‐1 induces learning deficits and impairs synaptic plasticity by altering the ratio of excitation to inhibition in the hippocampus

Trans‐synaptic cell‐adhesion molecules have been implicated in regulating CNS synaptogenesis. Among these, the Neuroligin (NL) family (NLs 1–4) of postsynaptic adhesion proteins has been shown to promote the development and specification of excitatory versus inhibitory synapses. NLs form a heterophilic complex with the presynaptic transmembrane protein Neurexin (NRX). A differential association of NLs with postsynaptic scaffolding proteins and NRX isoforms has been suggested to regulate the ratio of excitatory to inhibitory synapses (E/I ratio). Using transgenic mice, we have tested this hypothesis by overexpressing NL1 in vivo to determine whether the relative levels of these cell adhesion molecules may influence synapse maturation, long‐term potentiation (LTP), and/or learning. We found that NL1‐overexpressing mice show significant deficits in memory acquisition, but not in memory retrieval. Golgi and electron microscopy analysis revealed changes in synapse morphology indicative of increased maturation of excitatory synapses. In parallel, electrophysiological examination indicated a shift in the synaptic activity toward increased excitation as well as impairment in LTP induction. Our results demonstrate that altered balance in the expression of molecules necessary for synapse specification and development (such as NL1) can lead to defects in memory formation and synaptic plasticity and outline the importance of rigidly controlled synaptic maturation processes. © 2009 Wiley‐Liss, Inc.     

Differences in membrane structure between excitatory and inhibitory synapses in the cerebellar cortex

Several synapses of known physiological action are antomically segregated in the cerebellar cortex and are readily identified in freeze-fracture preparations. Excitatory synapses, such as the parallel fiber-to-Purkinje spine synapse, climbing fiber-to-Purkinje spine synapse, and mossy or climbing fiber-to-granule cell dendrite synapse, were characterized by small aggregates of large particles on the cytoplasmic half of the presynaptic membrane, by a distinctly widened synaptic cleft, and by a large aggregate of particles on the external half of the postsynaptic membrane. Inhibitory synapses, such as the stellate cell axon-to-Purkinje dendrite synapse and the basket cell axon-to-Purkinje soma synapse, had no comparable specialization of either the pre- and postsynaptic membrane. The striking contrast in membrane structure at excitatory and inhibitory synaptic contacts presumably reflects differences in either the composition or organization of membrane proteins integral to synaptic function. Puncta adhaerentia between granule cell dendrites in cerebellar glomeruli were characterized by particles aggregated on the external half of both apposed membranes and were further differentiated from synaptic contacts by the smaller size of the particles. Protuberances on the external half of the presynaptic membrane were either small and coextensive with the synaptic contact or were larger and surrounded it; it is suggested that the small protuberances are synaptic vesicle sites whereas the large ones are coated vesicle sites.     

N‐cadherin regulates molecular organization of excitatory and inhibitory synaptic circuits in adult hippocampus in vivo

N‐Cadherin and β‐catenin form a transsynaptic adhesion complex required for spine and synapse development. In adulthood, N‐cadherin mediates persistent synaptic plasticity, but whether the role of N‐cadherin at mature synapses is similar to that at developing synapses is unclear. To address this, we conditionally ablated N‐cadherin from excitatory forebrain synapses in mice starting in late postnatal life and examined hippocampal structure and function in adulthood. In the absence of N‐cadherin, β‐catenin levels were reduced, but numbers of excitatory synapses were unchanged, and there was no impact on number or shape of dendrites or spines. However, the composition of synaptic molecules was altered. Levels of GluA1 and its scaffolding protein PSD95 were diminished and the density of immunolabeled puncta was decreased, without effects on other glutamate receptors and their scaffolding proteins. Additionally, loss of N‐cadherin at excitatory synapses triggered increases in the density of markers for inhibitory synapses and decreased severity of hippocampal seizures. Finally, adult mutant mice were profoundly impaired in hippocampal‐dependent memory for spatial episodes. These results demonstrate a novel function for the N‐cadherin/β‐catenin complex in regulating ionotropic receptor composition of excitatory synapses, an appropriate balance of excitatory and inhibitory synaptic proteins and the maintenance of neural circuitry necessary to generate flexible yet persistent cognitive and synaptic function. © 2014 Wiley Periodicals, Inc.     

Inhibitory and excitatory synapses in crayfish stretch receptor organs studied with direct rapid-freezing and freeze-substitution

Crayfish abdominal stretch receptor organs are innervated by inhibitory (GABA) and excitatory (glutamate) synapses. Previous studies with aldehyde fixation showed that synaptic vesicles in the inhibitory synapse are flat and small, whereas those in the excitatory synapse are rounder and larger. We have reexamined these inhibitory and excitatory synapses by using direct rapid-freezing and freeze-substitution in order to preserve synaptic structure closer to its living state. Fine details of synaptic structure appear to be better preserved by this method. Synaptic vesicles in inhibitory as well as excitatory synapses are round, so the conventional flattened shape of vesicles in the inhibitory synapse must depend on some aspect of aldehyde processing. However, the average size of vesicles in the inhibitory synapse is significantly smaller than that of vesicles in the excitatory synapse, so synaptic vesicle size is regarded as having functional significance.     

Developmentally regulated changes in cellular compartmentation and synaptic distribution of actin in hippocampal neurons

Actin dynamics and actin-based motility are important for neurite outgrowth and synapse plasticity. Recent work implicates actin in synapse assembly, but the morphological relationship between actin and synapses during development is unclear. Here we used developing hippocampal neurons grown in culture to examine the relationship between F- and G-actin and clusters of synaptic proteins. Both F- and G-actin are most enriched in dendritic and axonal growth cones, but only G-actin is present within the distal tips of filopodia. Outside of growth cones, F-actin levels are greater in dendrites than in axons, whereas G-actin levels are slightly greater in axons than in dendrites. The distribution of both F- and G-actin is consistent with their presence at synapses, but only F-actin levels become detectably enhanced at synaptic sites. Quantitative analyses suggest that first-forming synapses are associated with enhanced levels of pre- and postsynaptic F-actin that do not necessarily remain elevated during synapse maturation. However, nearly all mature excitatory synapses become associated with high, mostly postsynaptic concentrations of F-actin contained principally within dendritic spines. Mature shaft and GABAergic synapses are also associated with enhanced levels of F-actin, but to a lesser degree. Thus, although F-actin is essential for function and maintenance of young synapses, it need not be highly concentrated at every site. The large increase in postsynaptic F-actin concentration observed in mature neurons is likely to reflect actin's role in dendritic spine morphology and in synapse plasticity.     

Afadin, a Ras/Rap effector that controls cadherin function, promotes spine and excitatory synapse density in the hippocampus

Many molecules regulate synaptogenesis, but intracellular signaling pathways required for their functions are poorly understood. Afadin is a Rap-regulated, actin-binding protein that promotes cadherin complex assembly as well as binding many other cell adhesion molecules and receptors. To examine its role in mediating synaptogenesis, we deleted afadin (mllt1), using a conditional allele, in postmitotic hippocampal neurons. Consistent with its role in promoting cadherin recruitment, afadin deletion resulted in 70% fewer and less intense N-cadherin puncta with similar reductions of β-catenin and αN-catenin puncta densities and 35% reduction in EphB2 puncta density. Its absence also resulted in 40% decreases in spine and excitatory synapse densities in the stratum radiatum of CA1, as determined by morphology, apposition of presynaptic and postsynaptic markers, and synaptic transmission. The remaining synapses appeared to function normally. Thus, afadin is a key intracellular signaling molecule for cadherin recruitment and is necessary for spine and synapse formation in vivo.     

Differential depression at excitatory and inhibitory synapses in visual cortex

The function of cortical circuits depends critically on the balance between excitation and inhibition. This balance reflects not only the relative numbers of excitatory and inhibitory synapses but also their relative strengths. Recent studies of excitatory synapses in visual and somatosensory cortices have emphasized that synaptic strength is not a fixed quantity but is a dynamic variable that reflects recent presynaptic activity. Here, we compare the dynamics of synaptic transmission at excitatory and inhibitory synapses onto visual cortical pyramidal neurons. We find that inhibitory synapses show less overall depression than excitatory synapses and that the kinetics of recovery from depression also differ between the two classes of synapse. When excitatory and inhibitory synapses are stimulated concurrently, this differential depression produces a time- and frequency-dependent shift in the reversal potential of the composite postsynaptic current. These results indicate that the balance between excitation and inhibition can change dynamically as a function of activity.     

Neuroligins Differentially Mediate Subtype-Specific Synapse Formation in Pyramidal Neurons and Interneurons

Neuroligins(NLs) are postsynaptic cell-adhesion proteins that play important roles in synapse formation and the excitatory-inhibitory balance. They have been associated with autism in both human genetic and animal model studies, and affect synaptic connections and synaptic plasticity in several brain regions. Yet current research mainly focuses on pyramidal neurons, while the function of NLs in interneurons remains to be understood. To explore the functional difference among NLs in the subtypespecific synapse formation of both pyramidal neurons and interneurons, we performed viral-mediated shRNA knockdown of NLs in cultured rat cortical neurons and examined the synapses in the two major types of neurons. Our results showed that in both types of neurons, NL1 and NL3 were involved in excitatory synapse formation, and NL2 in GABAergic synapse formation. Interestingly, NL1 affectedGABAergic synapse formation more specifically than NL3,and NL2 affected excitatory synapse density preferentially in pyramidal neurons. In summary, our results demonstrated that different NLs play distinct roles in regulating the development and balance of excitatory and inhibitory synapses in pyramidal neurons and interneurons.     

Neural (N)-cadherin at developing thalamocortical synapses provides an adhesion mechanism for the formation of somatopically organized connections

Thalamic projections from the ventrobasal (VB) nucleus to rodent somatosensory cortex develop highly ordered terminations that form discrete, clustered patches localized to layer IV cellular aggregates that are termed "barrels." The molecular signaling and adhesion events that occur at the synapse as barrel-clustered thalamic connections form are unknown. Here, we show that neural (N)-cadherin, a membrane glycoprotein mediating strong homophilic adhesion, is concentrated at the developing thalamocortical synaptic junctional complex and demarcates these synaptic junctions as they form their characteristic barrel clusters during the first postnatal week. Furthermore, experimentally altering the distribution of thalamocortical axon terminals by peripheral manipulation leads to an identically altered N-cadherin distribution pattern, which is significant in establishing that N-cadherin does not define region-specific patterns of synapse distribution proactively but, rather, conforms to patterning imposed by thalamic axons through instructional cues conveyed through several synaptic relays. At postnatal day 9, levels of N-cadherin expression rapidly decrease, leading to loss of N-cadherin labeling of the barrels and, at adulthood, elimination from VB thalamocortical synapses. However, alphaN- and beta-catenin, which are critical binding partners of the classic cadherins, persist at the adult synapse, suggesting the presence of another classic cadherin as the thalamocortical synapse matures. This is the first evidence linking a synapse adhesion molecule with the establishment of patterned thalamocortical synapse distribution, suggesting strongly that N-cadherin performs a critical role in this process by adhering presynaptic and postsynaptic membranes as ingrowing thalamic axon terminals and postsynaptic thalamorecipient sites link and stabilize into mature synaptic junctional complexes distributed with precise topographic order. It is speculated that the developmental redistribution of N-cadherin may reflect dynamic regulation of synaptic membrane adhesion, which, in turn, might modulate plasticity of thalamocortical synaptic function.     

Cadherin-8 and N-cadherin differentially regulate pre- and postsynaptic development of the hippocampal mossy fiber pathway

Cells sort into regions and groups in part by their selective surface expression of particular classic cadherins during development. In the nervous system, cadherin-based sorting can define axon tracts, restrict axonal and dendritic arbors to particular regions or layers, and may encode certain aspects of synapse specificity. The underlying model has been that afferents and their targets hold in common the expression of a particular cadherin, thereby providing a recognition code of homophilic cadherin binding. However, most neurons express multiple cadherins, and it is not clear whether multiple cadherins all act similarly in shaping neural circuitry. Here we asked how two such cadherins, cadherin-8 and N-cadherin, influence the guidance and differentiation of hippocampal mossy fibers. Using organotypic hippocampal cultures, we find that cadherin-8 regulates mossy fiber fasciculation and targeting, but has little effect on CA3 dendrites. In contrast, N-cadherin regulates mossy fiber fasciculation, but has little impact on axonal growth and targeting. However, N-cadherin is essential for CA3 dendrite arborization. Both cadherins are required for formation of proper numbers of presynaptic terminals. Mechanistically, such differential actions of these two cadherins could, in theory, reflect coupling to distinct intracellular binding partners. However, we find that both cadherins bind beta-catenin in dentate gyrus (DG). This suggests that cadherins may engage different intracellular signaling cascades downstream of beta-catenin, coopt different extracellular binding partners, or target distinct subcellular domains. Together our findings demonstrate that cadherin-8 and N-cadherin are critical for generating the mossy fiber pathway, but that each contributes differentially to afferent and target differentiation, thereby complementing one another in the assembly of a synaptic circuit.     

Synaptic loss and retention of different classic cadherins with LTP‐associated synaptic structural remodeling in vivo

Cadherins are synaptic cell adhesion molecules that contribute to persistently enhanced synaptic strength characteristic of long‐term potentiation (LTP). What is relatively unexplored is how synaptic activity of the kind that induces LTP‐associated remodeling of synapse structure affects localization of cadherins, particularly in mature animals in vivo, details which could offer insight into how different cadherins contribute to synaptic plasticity. Here, we use a well‐described in vivo LTP induction protocol that produces robust synaptic morphological remodeling in dentate gyrus of adult rats in combination with confocal and immunogold electron microscopy to localize cadherin‐8 and N‐cadherin at remodeled synapses. We find that the density and size of cadherin‐8 puncta are significantly diminished in the potentiated middle molecular layer (MML) while concurrently, N‐cadherin remains tightly clustered at remodeled synapses. These changes are specific to the potentiated MML, and occur without any change in density or size of synaptophysin puncta. Thus, the loss of cadherin‐8 probably represents selective removal from synapses rather than overall loss of synaptic junctions. Together, these findings suggest that activity‐regulated loss and retention of different synaptic cadherins could contribute to dual demands of both flexibility and stability in synapse structure that may be important for synaptic morphological remodeling that accompanies long‐lasting plasticity. © 2010 Wiley Periodicals, Inc., Inc.     

Differences in membrane structure between excitatory and inhibitory components of the reciprocal synapse in the olfactory bulb

The reciprocal dendro-dendritic synapse between granule and mitral or tufted dendrites in the external plexiform layer of the olfactory bulb consists of an excitatory mitral-to-granule synaptic contact and an adjacent inhibitory granule-to-mitral synaptic contact. The pre- and postsynaptic membranes of both synaptic contacts were identified in replicas of freeze-fractured external plexiform layer in rabbits, mice, and chinchillas. At the excitatory synaptic contact there is a prominent specialization in the postsynaptic memberane, represented by an aggregate of homogeneous particles associated with the external half of the membrane. In contrast, the postsynaptic membrane at the inhibitory granule-to-mitral synaptic contact lacks evident internal specializations, and the distribution of particles on both fracture faces resembles that at non-synaptic regions. Less marked differences in particle distribution characterized the cytoplasmic half of the presynaptic membranes. These differences probably reflect diversity in the nature or distribution of membrane proteins at excitatory and inhibitory synapses. Protuberances on the external half of the presynaptic membrane, possibly sites of vesicle interaction with the plasma membrane, surrounded but were not coextensive with both types of synaptic contact. A few gap junctions connected proximal dendrites of mitral or tufted cells with granule cell dendrites.     

Cadherins and synaptic specificity.

Cadherins are a family of cell-cell adhesion molecules that regulate morphogenesis in a variety of organs during development. In this review, we summarize recent evidence that cadherins may be involved in synaptogenesis in the vertebrate central nervous system. The first cadherin identified in synapses was N-cadherin, which is a major glycoprotein in postsynaptic density preparations. Electron microscopic studies have shown that this molecule is present at the synaptic cleft, bordering the transmitter release zone. To date, several other cadherins have also been found in synaptic junctions. Some cadherins have been observed in distinct subsets of synapses. The homophilic binding properties of cadherins may provide a molecular basis for the adhesive interactions between opposing synaptic membranes, and cadherins may promote a stable locking-in of pre- and postsynaptic membranes. Thus, cadherins may play a role in the formation and maintenance of synapses. Cadherin expression in synapses has been studied during development, regeneration, and activity-dependent plasticity. Moreover, it has been shown that each cadherin is expressed in specific neural circuits. In this context, we discuss the possibility that the differential expression of cadherins in the nervous system provides an adhesive framework for synaptic specificity.     

Long-lasting inhibitory synaptic depression is age- and calcium-dependent.

The developmental refinement of excitatory synapses is often influenced by neuronal activity, and underlying synaptic mechanisms have been suggested. In contrast, few studies have asked whether inhibitory synapses are reorganized during development and whether this is accompanied by use-dependent changes of inhibitory synaptic strength. The topographic inhibitory projection from the medial nucleus of the trapezoid body (MNTB) to the lateral superior olive (LSO) undergoes synapse elimination during development (Sanes and Takács, 1993). To determine whether there is an associated period of synaptic plasticity, whole-cell recordings were obtained from developing LSO neurons of gerbils in a brain slice preparation. In current-clamp recordings, low-frequency stimulation of the MNTB led to a decline in IPSP amplitude by 43%. In voltage-clamp recordings, hyperpolarized LSO neurons also exhibited a long-lasting depression of MNTB-evoked inhibitory synaptic currents (34%) after low-frequency stimulation. When LSO neurons were depolarized, low-frequency stimulation of the MNTB produced a significantly larger inhibitory synaptic depression (59%). This synaptic plasticity declined dramatically by postnatal days 17-19. Similar to well studied forms of excitatory synaptic plasticity, inhibitory depression depended on postsynaptic calcium. We propose that such activity-dependent synaptic depression may support the developmental rearrangement of inhibitory terminals as they compete with neighboring excitatory and/or inhibitory inputs.     

Structure of the synaptic membranes in the inner plexiform layer of the retina: A freeze-fracture study in monkeys and rabbits

The internal structure of the synaptic membranes in the inner plexiform layer (IPL) of the retina of monkeys and rabbits was studied with the freeze-fracturing technique. In ribbon synapses, the presynaptic active zone is characterized by an aggregate of P-face particles, images of synaptic vesicle exocytosis, and forming coated vesicles which occupy distinct, contiguous membrane domains from apex to base of the synaptic ridge. The postsynaptic membrane contains a prominent aggregate of homogeneous particles which remain associated with the E-face. In the presynaptic membrane of conventional synapses, images of synaptic vesicle exocytosis are intermingled with large P-face particles, whereas forming coated vesicles surround the active zone. Three types of internal organization characterize the postsynaptic membrane of conventional synapses. Usually, the postsynaptic membrane exhibits the same internal structure as the surrounding nonjunctional plasmalemma. A second, less common type of conventional synapse contains a loose aggregate of heterogeneous particles which remain associated with the P-face. Finally, synapses were exceptionally found which are macular in shape and contain an aggregate of E-face particles within the postsynaptic membrane. The freeze-fracture evidence suggests that the axonal endings of bipolar cells—or at least some of them—make excitatory synapses, whereas the vast majority of amacrine cell dendrites make inhibitory synapses. Additional specializations of the cell surface in the IPL include gap junctions, puncta adhaerentia, subsurface cisterns, and cell corner aggregates.     

Non-calyceal excitatory inputs mediate low fidelity synaptic transmission in rat auditory brainstem slices

Principal neurons of the medial nucleus of the trapezoid body (MNTB) receive a synaptic input from a single giant calyx terminal that generates a fast-rising, large excitatory postsynaptic current (EPSC), each of which are supra-threshold for postsynaptic action potential generation. Here, we present evidence that MNTB principal neurons receive multiple excitatory synaptic inputs generating slow-rising, small EPSCs that are also capable of triggering postsynaptic action potentials but are of non-calyceal origin. Both calyceal and non-calyceal EPSCs are mediated by alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionate (AMPA) and N-methyl-d-aspartate (NMDA) receptor activation; however, the NMDA receptor-mediated response is proportionally larger at the non-calyceal synapses. Non-calyceal synapses generate action potentials in MNTB principal neurons with a longer latency and a lower reliability than the large calyceal input. They constitute an alternative low fidelity synaptic input to the fast and secure relay transmission via the calyx of Held synapse.     

Thin-section and freeze-fracture studies of crayfish stretch receptor synapses including the reciprocal inhibitory synapse

The crayfish slow-adapting abdominal stretch receptor organ is innervated by three inhibitory and several excitatory axons. A previous study by Tisdale and Nakajima ('76) showed that under certain fixation conditions inhibitory and excitatory synapses can be distinguished on the basis of synaptic vesicle structure. Using this morphological criterion we describe six types of synapses in the receptor: (1) the inhibitory axo-dendritic synapse, (2) the excitatory neuromuscular synapse, (3) the inhibitory neuromuscular synapse, (4) the axo-axonic synapse which suggests presynaptic inhibition on the excitatory synapse, (5) the axo-axonic synapse which suggests presynaptic inhibition on the inhibitory synapse, (6) the reciprocal inhibitory axo-axonic synapse, which is a new type of synapse. The presence of these six types of synapse suggests that inhibitory and excitatory axons interact synaptically in a complicated manner, resulting in a delicate control of receptor function. In freeze fracture we have observed the presynaptic membrane structures of inhibitory and excitatory synapses. The active zone of the inhibitory synapse has ridges with loosely aggregated particles on the tops of the ridges and indentations (vesicle attachment sites) along their sides. The active zone of the excitatory neuromuscular synapse consists of bands of particle aggregates which are situated on slightly elevated membrane regions and surrounded by wide, relatively particle-free, flat membrane areas.     

Chronic BDNF deficiency permanently modifies excitatory synapses in the piriform cortex

Brain-derived neurotrophic factor (BDNF), aside from its classic neurotrophic role in development and survival of neurons, has been shown to be involved in modification and plasticity of central synapses. In mice with BDNF gene deletion (BDNF+/-), deficits in synaptic transmission are often observed but are reversed readily by administration of BDNF, suggesting its acute effect. In support, blockade of BDNF signaling in wild-type hippocampal slices by TrkB-IgG closely reproduces synaptic alterations observed in BDNF+/- mice. We demonstrate that in BDNF+/- mice, lateral olfactory tract (LOT) synapses exhibit decreased release probability of glutamate, suggested by increased paired-pulse facilitation (PPF) of field excitatory postsynaptic potentials (fEPSPs), as well as by slower blocking rate of N-methyl-D-aspartate (NMDA) receptor-mediated excitatory postsynaptic currents (EPSCs) by MK-801 in the pyramidal neurons of the piriform cortex. The changes in PPF were not mimicked in wild-type mice by acute blockade of BDNF signaling by TkrB-IgG. These data imply that BDNF deficit during development might lead to chronic changes of excitatory transmission in LOT synapses. Modification of the LOT synapses in BDNF+/- mice was associated with altered inhibitory drive onto the mitral cells from the granule and glomerular neurons, which in turn exhibited decreased renewal rate compared to that in wild-type mice. Taken together, these data suggest that BDNF deficiency can have both acute and more permanent effects on synaptic function, particularly when BDNF signaling is compromised during the early stages of brain development. In the latter case, altered synaptic properties in BDNF+/- mice could be secondary to other complex changes in the brain, e.g., cell survival/proliferation.     

Rett syndrome and neuronal development

The clinical signs of Rett syndrome, as well as neuropathology and brain imaging, suggest that the disorder disrupts neuronal circuits. Studies using receptor autoradiography demonstrate abnormalities in the density of excitatory glutamate and inhibitory gamma-aminobutyric acid (GABA) synaptic receptors in postmortem brain from young female subjects with Rett syndrome. MeCP2, the protein that is abnormal in most female individuals with Rett syndrome, is expressed predominantly in neurons and appears during development at the time of synapse formation. Studies of nasal epithelium from patients with Rett syndrome show that the maturation of olfactory receptor neurons is impeded prior to the time of synapse formation. Recent reports indicate that MeCP2 controls the expression of brain-derived neurotrophic factor and the DNA-binding homeobox protein Dlx5. Brain-derived neurotrophic factor enhances glutamate neurotransmission at excitatory synapses, whereas Dlx5 is expressed in most GABAergic neurons and stimulates the synthesis of GABA. Taken together, this information supports the hypothesis that Rett syndrome is a genetic disorder of synapse development, especially synapses that use glutamate and GABA as neurotransmitters.