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1 The Howard Florey Institute, University of Melbourne, Victoria 3010, Australia
2 The Johns Hopkins Asthma and Allergy Center, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA
3 GlaxoSmithKline, Respiratory and Inflammation Centre of Excellence in Drug Discovery, 709 Swedeland Road, King of Prussia, PA 19406, USA
| Abstract |
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(Received 30 January 2006;
accepted after revision 11 May 2006;
first published online 25 May 2006)
Corresponding author B. J. Canning: Johns Hopkins Asthma and Allergy Center, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA. Email: bjc{at}jhmi.edu
| Introduction |
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While attempting to visualize autonomic nerve endings innervating the guinea-pig trachealis during nerve-evoked contractions, we found that both FM1-43 and FM2-10 markedly inhibited parasympatheticcholinergic nerve-mediated contractions of the smooth muscle. We report here that both FM1-43 and FM2-10 are modestly potent but selective antagonists at all five cloned human muscarinic acetylcholine receptor (mAchR) subtypes (M1M5) as well as M2 and M3 receptors endogenously expressed in the guinea-pig airways. The affinity of these dyes for muscarinic receptors falls within the concentration range at which they have been used to study vesicular cycling at nerve terminals. As muscarinic receptors regulate neurotransmitter release from a variety of neuronal subtypes in the CNS and in the periphery, the anticholinergic properties of FM styryl dyes may have important implications when studying vesicular events in the nervous system. In addition, these dyes may provide a novel method for visualizing muscarinic receptor occupancy in real time in living tissues or cell preparations.
| Methods |
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The human M1M5 receptors were cloned and stably expressed in Chinese hamster ovary (CHO) cell lines as previously described (Buckley et al. 1989). M2 and M4 mAChRs were co-expressed with the chimeric G protein, Gqi5 in CHO cells. Competition for [3H]-N-methyl scopolamine (0.5 nM) binding was performed using crude CHO cell membranes. Radioligand binding assays were conducted using a scintillation proximity assay (SPA) for M1, M2 and M3 and filtration assay for M4 and M5.
In the SPA assay, membranes were preincubated with wheatgerm agglutinin beads (Amersham) in 50 mM Hepes buffer (Sigma, St Louis, MO, USA) (pH 7.4) at 4°C for 30 min, and then incubated with the radioligand in a 96-well Optiplate (PerkinElmer) for a further 2 h in the presence of vehicle (0.1% DMSO), FM1-43 (33000 nM), FM2-10 (33000 nM) or atropine (0.3300 nM) in a final volume of 0.2 ml, at room temperature (22°C). At the end of the incubation, the plates were spun in a centrifuge (Beckman CS-6R) for 5 min at 800 g and counted in a TopCount, microplate scintillation counter (model A9912; Packard, Meriden, CT, USA).
In the filtration assay, membranes were similarly incubated with the radioligand for 2 h at room temperature in the presence of vehicle (0.1% DMSO), FM1-43 (33000 nM), FM2-10 (33000 nM) or atropine (0.3300 nM) in a final volume of 0.5 ml. Reactions were terminated by rapid filtration (Brandel Cell Harvester, Gaithersburg, MD, USA) through GF/C (Glass microfiber grade C) filters. Membranes were washed with ice-cold 50 mM Hepes and transferred to scintillation vials containing Beckman Ready Safe. Radioactivity was counted in a scintillation counter (model LS6500; Beckman, Fullerton, CA, USA).
Concentrationresponse curves for each compound were run using duplicate samples in three independent experiments. Specific binding was determined by subtracting non-specific binding (defined in the presence of 0.3 µM atropine) from total binding. Kd values were estimated from concentrationresponse curves and used to determine the inhibition constant (Ki) of each inhibitor using the Cheng and Prusoff equation (Cheng & Prusoff, 1973).
In vitro functional experiments
The Johns Hopkins Medical Institutional Animal Care and Use Committee (JHMI ACUC) approved all in vitro pharmacological experiments described in this study. The majority of the studies were performed using airway tissues harvested from male Hartley guinea-pigs (300400 g; Hilltop, Scottdale, PA, USA). For these studies, guinea-pigs were killed by 100% CO2 inhalation followed by rapid exsanguination. A limited number of experiments were repeated using discarded airway segments harvested from rats and cats (which had been killed for other experiments) in order to assess potential species differences in the antimuscarinic effects of FM styryl dyes.
Effect of FM1-43 and FM2-10 on contractions and relaxations of airway smooth muscle in vitro
Tracheal strips or intact bronchial segments (two rings each) were suspended with 1.5 g (trachea) or 1 g (bronchi) passive tension in 10-ml organ baths. Tissues were equilibrated for 1 h with the buffer in the organ bath changed at 15-min intervals with warmed (37°C), oxygenated (95% O25% C02) Krebs solution containing (mM): NaCl 118, KCl 5.4, NaHPO4 1, MgSO4 1.2, CaCl2 1.9, NaHCO3 25 and dextrose 11.1. In all experiments, 3 µM indomethacin, 2 µM propranolol and 1 µM phentolamine were added to the Krebs solution to prevent any effects of prostaglandins or catecholamines on the airway segments under study. Contractions and relaxations were measured isometrically (model FT03; Grass) and displayed on a polygraph (Model 7D; Grass).
Cholinergic-mediated contractions and non-adrenergic non-cholinergic-mediated relaxations of the guinea-pig trachea were evoked by electric field stimulation (EFS) at optimal stimulus intensities (8 V, 200300 mA, 1-ms pulse duration, 10-s trains) using a Grass model S44 stimulator connected in series to a Stimusplitter (MedLab Instruments, Fort Collins, CO, USA) and platinum stimulating electrodes. Relaxations were evoked by the addition of atropine and contraction of the trachealis with 10 µM histamine. Frequencyresponse curves (232 Hz) were constructed in a paired fashion in the absence and presence of FM1-43 or FM2-10. Tissues were preincubated for 10 min with vehicle (DMSO), 5 µM FM1-43 or 50 µM FM2-10 prior to EFS stimulation. The concentrations of FM1-43 and FM2-10 employed were chosen based on the effective concentrations reportedly required to visualize autonomic nerve terminals in other tissues (Kirchgessner et al. 1996). The cholinergic nature of EFS-evoked contractions was confirmed by blocking tracheal contractions with 1 µM atropine. Neuronal involvement in the EFS-evoked relaxations was shown by inhibiting relaxations with the fast sodium channel blocker tetrodotoxin (TTX, 1 µM) or by administration of the N-type calcium channel blocker
-conotoxin GVIA (0.1 µM). The concentrations of FM1-43 and FM2-10 required to inhibit maximum EFS-evoked cholinergic contractions by 50% (IC50) and the time required to restore cholinergic contractions following washout of FM1-43 and FM2-10 were assessed in additional experiments. The antimuscarinic properties of FM1-43 and FM2-10 were compared to those of known muscarinic receptor antagonists (atropine, pirenzepine, methoctramine and 4-diphenylacetoxy-N-methylpiperidine methiodide (4-DAMP)) in similar experiments.
To further characterize the pharmacology of the FM styryl dyes, we assessed the effect of 5 µM FM1-43 and 50 µM FM2-10 on EFS-evoked non-cholinergic (tachykinin-dependent) contractions of the guinea-pig bronchus (Martin et al. 1992). For these experiments, atropine (1 µM) was first added to the incubation buffer to prevent cholinergic nerve-mediated responses. The effect of FM1-43 or FM2-10 on non-cholinergic contractions evoked by EFS (200300 mA, 16 Hz, 1-ms pulses for 10-s trains) was assessed in a paired fashion. In subsequent experiments we determined the effect of the FM styryl dyes on guinea-pig airway smooth muscle contractions evoked by exogenously administered acetylcholine (10 nM1 mM), histamine (10 nM1 mM) and [ß-Ala8]-neurokinin A(410) (0.1 nM1 µM). The optimum incubation times (10120 min) for both FM1-43 and FM2-10 were determined in additional experiments with acetylcholine.
Visualization of FM1-43 labelling of muscarinic receptors in guinea-pig trachealis
Tracheal segments (610 rings in length) were preincubated in Krebs solution (30 min at 37°C) with vehicle (control) or 1 µM atropine. Tissues were then incubated with 5 µM FM1-43 for an additional 15 min, washed in fresh Krebs solution for 15 min, cut open longitudinally along the ventral surface and pinned flat to the bottom of a sylgard-filled dissecting dish with the muscosal surface facing upwards. The mucosa was gently rubbed with a cotton swab to remove the overlying epithelium and expose the underlying smooth muscle. FM1-43 labelling of tracheal whole-mount preparations was visualized using an Olympus BX60 fluorescence microscope. Digital images of trachea were captured at identical exposure times using a Pixera Penguin 600 CL (5.8 million pixel) cooled CCD digital camera for Macintosh, and stored for later quantification of FM1-43 fluorescence intensity (see below). In some experiments we attempted to visualize in real time the dissociation of FM1-43 from airway smooth muscle muscarinic receptors. In these studies, tracheal segments were mounted in Sylgard-filled 35-mm Petri dishes, continuously superfused with Krebs solution (37°C, 10 ml min1) and viewed microscopically. Segments were incubated for 10 min with 5 µM FM1-43 followed by a 30-min wash with Krebs solution in the absence or presence of 10 µM atropine. Digital images were captured at 1- to 5-min intervals as described above.
Data analysis and statistics
For functional assays, the magnitudes of EFS- and agonist-evoked airway smooth muscle contractions were expressed as a percentage of the maximum attainable smooth muscle contraction evoked by adding 300 mM BaCl2 to the organ bath. Relaxations were defined as a reversal of the histamine-evoked contraction and expressed as a percentage of the maximum attainable reversal (denoted percentage reversal). IC50 values for FM1-43 and FM2-10 against maximum EFS-evoked tracheal contractions were estimated from individual experiments and used to calculate the average for each group. Kb for FM1-43 and FM2-10 were likewise estimated from the dye-evoked shift in individual agonist doseresponse curves. Quantification of the fluorescence intensity of FM1-43-labelled smooth muscle preparations was performed using National Institutes of Health (NIH)-image analysis software (version 1.62). Images from time-matched control and treated smooth muscle preparations were viewed at x 40 magnification, captured digitally (tiff file format) at identical exposure times and imported into NIH image. The intensity of FM1-43 fluorescence was determined by assessing the average density of the image pixels (inversely proportional to the intensity of the FM1-43 signal) across the entire field of view. All data are presented as means ± S.E.M. Differences between groups were assessed using analysis of variance (ANOVA) on Statview for Macintosh (Berkely, CA, USA). P < 0.05 was considered significant. When significant variation between groups was detected, treatment group means were compared using Scheffe's F-test for unplanned comparisons.
Drugs
Reagents used in this study were purchased from the following suppliers: acetylcholine, atropine sulphate, BaCl2, 4-DAMP, histamine, indomethacin, phentolamine hydrochloride, pirenzepine and DL-propranolol hydrochloride were from Sigma; N-(3-triethylammoniumpropyl)-4-(4-(dibutylamino) styryl) pyridinium dibromide (FM1-43) and N-(3-triethylammoniumpropyl)-4-(4-(diethylamino)styryl) pyridinium dibromide (FM2-10) from Molecular Probes (Eugene OR, USA); methoctramine hydrochloride from RBI (Natick, MA, USA); tetrodotoxin (TTX from Ballwin (MO, USA); [ß-Ala8]-neurokinin A(410) from Peninsula Laboratories (Belmont, CA, USA);
-conotoxin GVIA from Tocris (Ellisville, MO, USA); wheatgerm agglutinin SPA beads from Amersham Pharmacia Biotech; and [3H]-N-methyl scopolamine (or [3H]-NMS) methyl chloride (PerkinElmer). All drugs were dissolved in distilled water except indomethacin which was dissolved (30 mM stock) in 100% ethanol and diluted 1: 10 000 in Krebs solution, and FM1-43 (10 mM stock) and FM2-10 (100 mM stock) which were dissolved in DMSO and diluted to final concentrations in Krebs solution.
| Results |
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FM1-43 competed for [3H]-N-methyl scopolamine binding sites, displaying moderate affinity for each receptor subtype. FM2-10 displayed similar affinity to FM1-43 for M1M4 receptors. However, FM2-10 was approximately 4-fold less potent at binding to M5 receptors compared to FM1-43. Both FM styryl dyes had much lower affinity for the muscarinic receptors than atropine (Table 1).
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EFS of guinea-pig tracheal strips in vitro evoked frequency-dependent contractions of the trachealis. In the absence of FM styryl dyes, peak tracheal contractions evoked by EFS approached 5060% of the maximum contraction produced by 300 mM BaCl2 (Fig. 2A). EFS-evoked contractions were abolished by atropine, confirming their dependency on acetylcholine-induced activation of muscarinic receptors. Neither FM1-43 nor FM2-10 had any direct contractile or relaxant effects on the trachealis. However, both FM1-43 (5 µM) and FM2-10 (50 µM) nearly abolished the EFS-induced cholinergic contractions of the trachealis (Fig. 2B and C).
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Effect of FM1-43 and FM2-10 on non-cholinergic contractions and relaxations of the airways
FM1-43 and FM2-10 selectively inhibit acetylcholine-mediated contractions of the airways. Neither compound inhibited non-cholinergic nerve-mediated (tachykinin-dependent; Martin et al. 1992) contractions of guinea-pig trachea and mainstem bronchus evoked by EFS or contractions evoked by bath application of histamine or [ß-Ala8]-neurokinin A(410) (Fig. 4AC). Likewise, following pretreatment with 1 µM atropine (to prevent cholinergic nerve-mediated contractions) and precontraction of the trachealis with 10 µM histamine, EFS produced frequency-dependent relaxations of the guinea-pig tracheal smooth muscle that were completely unaffected by pretreatment with either 5 µM FM1-43, 50 µM FM2-10 or vehicle (Fig. 5AC). The EFS-induced relaxations were, however, significantly reduced by either TTX or
-conotoxin GVIA, confirming the nerve-dependency of these responses (Fig. 5D).
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The results presented above provide conclusive evidence that FM1-43 and FM2-10 are muscarinic receptor antagonists. Taking advantage of the fluorescence inherent in these styryl dyes, we evaluated the ability of FM1-43 and FM2-10 to intravitally label muscarinic receptors in isolated whole-mount preparations of the airways and segments of the small intestine. Incubating freshly excised tracheal whole-mount preparations with either FM1-43 or FM2-10 resulted in an intense fluorescent labelling of the tracheal smooth muscle (Fig. 6A). Labeling of the muscle with the dyes was uniformly distributed over the bands of trachealis. Preincubation with 1 µM atropine reduced the fluorescence intensity within the tracheal smooth muscle by up to 90% (cf. Fig. 6B and C). Preincubation with 1 mM acetylcholine also essentially abolished FM1-43 labelling of the trachealis (Fig. 6D). Preincubation with either 3 µM methoctramine or 100 nM 4-DAMP reduced labelling intensity, but the reduction produced by these M2 and M3 selective antagonists administered alone was significantly less than that produced by either atropine or the combination of 3 µM methoctramine plus 100 nM 4-DAMP (Fig. 6). In a separate study, we evaluated the ability of atropine to reverse FM1-43 labelling of the trachealis. Tracheal whole-mount preparations first labelled with 5 µM FM1-43 were continuously superfused with Krebs solution not containing the styryl dye. This continuous superfusion resulted in a time-dependent reduction in fluorescence intensity over the smooth muscle (Fig. 7). Adding 10 µM atropine to the superfusion buffer significantly and visibly increased the rate of washout of the fluorescence (Fig. 7). Similar effects of atropine on FM2-10 labelling of smooth muscle were seen in whole-mount preparations of the guinea-pig trachea and ileum (see Fig. 8AD).
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| Discussion |
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Anticholinergic properties of FM1-43 and FM2-10
While the precise mechanism whereby the styryl dyes or other anticholinergic compounds interact with and cause blockade of muscarinic receptors is not known, it is interesting to note that comparing FM1-43 and FM2-10 with other known muscarinic receptor ligands, both agonists and antagonists, reveals significant structural homology (Fig. 1). The quaternary ammonium functionality found in the head of FM1-43 and FM2-10 is quite common in compounds displaying activity at the muscarinic receptors. This quaternary ammonium moiety can be found in the endogenous muscarinic agonist, acetylcholine, as well as in the synthetic cholinergic agonist aclatonium (Fig. 1). It has been hypothesized that the positive charge on this moiety interacts with the negatively charged extracellular regions common to all mAChR subtypes located between extracellular loops. Indeed, given that the only structural differences between FM1-43 and FM2-10 is the length of the tail portions of the molecules (Fig. 1), the similarities observed in binding affinities between these dyes may suggest that the functional regions are primarily dependent on the quaternary ammonium head. Nevertheless, the tertiary amine found in the tail portion of FM1-43 and FM2-10 is also found in several muscarinic receptor antagonists, including tolterodine and oxybutynin (Fig. 1). A closer approximation of the putative structural components necessary for interaction of the styryl dyes discussed here and muscarinic receptors could be achieved through theoretical models using X-ray crystals of rhodopsin (e.g. see Tanczos et al. 2004) or by using non-selective agents such as N-methyl-scopolamine and atropine with muscarinic receptors containing point mutations made at putative binding sites to identify key amino acid residues (e.g. see Krejci & Tucek, 2001). Such experiments were outside the scope of this study.
The muscarinic receptor binding profiles of FM1-43 and FM2-10 were established by radioligand binding studies using cloned human M1M5 receptors. These studies indicate that both FM1-43 and FM2-10 bind with moderate affinity to all muscarinic receptor subtypes. Our functional studies using isolated airway preparations also suggest that these styryl dyes selectively interact with muscarinic receptors. Contractions evoked by exogenously administered histamine or [ß-Ala8]-neurokinin A(410) were unaffected by either compound. Likewise, neither the contractions nor relaxations evoked by stimulation (EFS) of the non-adrenergic, non-cholinergic nerves innervating the airways were inhibited by the dyes. This suggests that FM1-43 and FM2-10, at concentrations that inhibit acetylcholine-induced contractions of airway smooth muscle, have no effect on smooth muscle contractions evoked by activation of histamine H1 receptors, neurokinin (NK) 1 or NK2 receptors, or relaxations mediated by either nitric oxide or vasoactive intestinal peptide and related peptides (Canning & Fischer, 2001). Moreover, as the non-cholinergic nerve-mediated contractions and relaxations evoked by EFS are dependent upon voltage-sensitive sodium (TTX-sensitive) and calcium (
-conotoxin GVIA-sensitive) channels, the styryl dyes are also unlikely to functionally alter gating of these channels or other ion channels regulating smooth muscle and/or nerve excitability.
We did not evaluate the receptor selectivity of FM1-43 or FM2-10 in functional studies, but used only the guinea-pig tracheal strip preparation, which is commonly used to evaluate M3 receptor pharmacology (Eglen et al. 1999). Autoradiographic and receptor-binding studies indicate that both M2 and M3 receptors are expressed by airway smooth muscle in most species, including guinea-pigs, with M2 receptors outnumbering M3 receptors by as much as 3: 1 (Zaagsma et al. 1997; Haddad et al. 1991; Torneke et al. 2002). Despite this ratio of M2/M3 receptors, acetylcholine-induced contraction of airway smooth muscle is mediated primarily by M3 receptor activation with little if any contribution from M2 receptors in most species (Zaagsma et al. 1997; Fryer & Jacoby, 1998; Struckmann et al. 2003; Fisher et al. 2004). The results of pharmacological analyses using receptor-selective antagonists reported here and elsewhere are consistent with this hypothesis. Our functional studies indicate that both FM1-43 and FM2-10 are M3 receptor antagonists. We also evaluated FM1-43 and FM2-10 staining of M2 and M3 receptors in whole-mount preparations of the guinea-pig trachea. The results of these studies show that FM1-43 labelling of the airway smooth muscle is reduced in the presence of either a selective M2- or M3-receptor antagonist (methoctramine and 4-DAMP, respectively), whereas labelling was almost abolished by combined blockade of both M2 and M3 receptors. This would strongly suggest that FM1-43 interacts with both receptor subtypes expressed by the airway smooth muscle.
It is interesting that, unlike in functional studies using guinea-pig, rat and cat tracheal preparations where FM1-43 was 10-fold more potent then FM2-10 at inhibiting M3-dependent contractions of the trachealis, there appears to be no significant difference in the binding affinity of these two molecules for the cloned human M3 receptor. It is difficult to explain this discrepancy in potency between functional and binding studies. The fact that the same quaternary ammonium moiety is found in both FM1-43 and FM2-10 indicates that the tertiary amine functionality found in the tail of these compounds may be driving the difference in activity. One explanation may be that the amine in FM1-43 is slightly more basic than the amine in FM2-10 and therefore displays a stronger interaction with the active site of the M3 receptor. Alternatively, it may reflect a difference in the guinea-pig and human M3 receptor, or simply relate to the nature of the binding experiments in which muscarinic receptors were singularly highly over-expressed, or the stability of the compounds in the various buffer and tissue systems. It is also worth noting, however, that while FM1-43 and FM2-10 displayed comparable binding affinity for human M1M4 receptors, FM2-10 was significantly less potent at the human M5 receptor compared to FM1-43. This would suggest that the slightly differing chemical structures of FM1-43 and FM2-10 probably influence their binding properties.
Other pharmacological activities of styryl dyes have been reported. FM1-43 may interact with several non-selective cation channels and may block mechanotransduction in a subset of auditory sensory cells (Gale et al. 2001; Meyers et al. 2003). Another styryl dye, RH414, evokes constriction of the cerebral artery, although the mechanism underlying this response is unclear (Grinvald et al. 1986). Similar to the results of the present study, Bewick & Betz (1994) found evidence for styryl dye-mediated inhibition of nerve- and acetylcholine-evoked skeletal muscle contractions in frogs, suggesting that some styryl dyes interact with postjunctional nicotinic acetylcholine receptors. It is interesting to note that inhibition of skeletal muscle contraction was readily resolved following washing or illumination of the tissue (Bewick & Betz, 1994). We did not attempt to directly study the specific effects of illumination in our experiments; however, all studies were carried out in ambient light and under these conditions antagonist activities persisted for several hours, even following thorough washing to remove excess dye. An early study by Smith et al. (1967) reported that a number of styryl-based molecules (with structures similar to the FM dyes) inhibit choline acetyltransferase activity. The fact that both FM1-43 and FM2-10 inhibited contractions evoked by exogenous acetylcholine suggests that the results of the present study are at least in part independent of dye-mediated inhibition of acetylcholine synthesis.
Possible relevance of the antimuscarinic activity of FM styryl dyes
It seems unlikely that either of these styryl dyes in their current form would be useful therapeutic agents, as neither compound is potent or selective and FM1-43 at least appears to be unstable during incubation with airway tissue from either guinea-pigs or humans (authors' unpublished observations). However, the ability of FM1-43 and FM2-10 to label and antagonize muscarinic receptors (at dye concentrations used for monitoring endocytosis) may need to be considered when interpreting results from experiments using these dyes to study vesicular events at neuronal synapses and/or nervemuscle junctions. Muscarinic receptors are not only expressed postjunctionally on effector tissues such as muscle and glands, but can also be found on many neurones throughout the central and peripheral nervous systems (Levey, 1993; Jaarsma et al. 1997; Van der Zee & Luiten, 1999; Belmonte et al. 2000; Khan et al. 2002). Presynaptic muscarinic receptors have a clearly defined role in regulating neurotransmitter release from a variety of neurones, including cholinergic, dopaminergic and adrenergic neurones (Myers & Undem, 1996; Fryer & Jacoby, 1998; Iannazzo & Majewski, 2000; Zhang & Warren, 2002; Zhang et al. 2002; Slutsky et al. 2003; Trendelenburg et al. 2003; Santafe et al. 2003). In addition, both pre- and postganglionic muscarinic receptors modulate neuronal excitation and synaptic potential (Ashe & Yarosh, 1984; Yang & Biggs, 1991; Bernheim et al. 1992). The potential for non-specific labelling and dye-evoked alterations in vesicular transport should be considered when using FM styryl dyes, particularly when studying cholinergic synapses. However, it should be noted that FM dye labelling of neuronal structures is not likely to be a direct result of binding to muscarinic receptors on nerve terminals as in the present study we were still able to visualize FM2-10-labelled neuronal profiles in several tissues in the presence of atropine.
The results of the present study may also suggest a novel use for FM styryl dyes. As demonstrated, these molecules are naturally fluorescent and readily interact with all muscarinic receptor subtypes in a species-independent fashion. With the appropriate study design, it may be possible to use FM1-43 and FM2-10 to monitor in real time the innervation and occupancy of muscarinic receptors in living tissues. When combined with non-fluorescent, receptor-selective ligands, it may also be possible to evaluate the relative density and occupancy of receptor subtypes in living tissues.
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