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FEBS Leans 587 (2013) 1923-1928
ELSEVIER
journal homepage: www.FEBSLetters.org
Review
Minireview: pH and synaptic transmission
Anne Sinning'''. Christian A. Hubner'
'Institute of Human Genetics, University Hospital Jena Thechich Schiller University Jena, Kollegiengasse la 0-07743 Jena. Germany
°Institute of Physiology and Pathophysiology, Ltniversary Medical Center of the Johannes Gutenberg University, Duesbergweg G 0-55128 Mainz Germany
(ID CrossMarlc
ARTICLE INFO
Article history:
Received IS April 2013
Revised 26 April 2013
Accepted 26 April 2013
Available online 10 May 2013
Edited by Alexander Cabibov. Vladimir
Skulachev, Felix Wieland and Wilhelm Just
Keywords:
pH regulation
Ion transporter
Mouse model
Carbonic anhydrase
Synaptic transmission
CAM
Neuronal excitability
1. Introduction
ABSTRACT
Asa general rule a rise in pH increases neuronal activity, whereas it is dampened by a fall of pH. Neu-
ronal activity per se also challenges pH homeostasis by the increase of metabolic acid equivalents.
Moreover, the negative membrane potential of neurons promotes the intracellular accumulation
of protons. Synaptic key players such as glutamate receptors or voltage-gated calcium channels
show strong pH dependence and effects of pH gradients on synaptic processes are well known. How-
ever. the processes and mechanisms that allow controlling the pH in synaptic structures and how
these mechanisms contribute to normal synaptic function arc only beginning to be resolved.
02013 Federation of European Biochemical Societies. Published by Elsevier B.V. All rights reserved.
The strong acidification of synaptic vesicles by the vacuolar
-
ATPase. which energizes the neurotransmitter loading of synaptic
vesicles [11, is a main reason for the large fluctuations in synaptic
pH. Synaptic vesicle exocytosis results in the release of protons
into the synaptic cleft as well as in the incorporation of the vacu-
olar H'-ATPase into the presynaptic membrane. Thus synaptic
transmission causes a relatively short but strong acidification of
the synaptic cleft [2-4]. The extracellular acidosis is subsequently
followed by a long, yet transient increase in extrasynaptic pH 151.
In the hippocampus this alkaline transient can be detected within
milliseconds 16.71 and reaches magnitudes as large as 0.1-0.2 pH
units 181. Mechanisms underlying this rise in pH are not fully
understood but most likely presynaptic Ca2'1H'-ATPase 19.101
extracellular carbonic anhydrases [8]. and GABAA-receptor
mediated bicarbonate efflux [111 are involved. Increased
synaptic/neuronal activity can also cause a prolonged extracellular
acidification because of the increased cell metabolism [5.12.13].
Although several studies have successfully monitored neuronal
pH shifts in the brain 12.14.151. only very little is known about pH
transients in neuronal microdomains because of technical limita-
dons 116.171. Direct experimental data on pH fluctuations and
* Corresponding author.
E-mall address: christian.huebneremtiuni-Jenade (CA. Wilmer).
pH regulation in intracellular synaptic compartments so far have
only been obtained for motor endplates because of their signifi-
cantly larger dimensions compared to central synapses [4.181.
Zhang et al. used the pH-sensitive properties of the yellow fluores-
cent protein to analyse the presynaptic pH in mouse motor end-
plates. This study not only supports the importance of
presynaptic pH regulators but further provided evidence that the
release of vesicles in the peripheral nervous system is accompanied
by a transient intracellular acidification. Here, the increase in pH
was mainly caused by the activation of plasma membrane Ca2*/
H'-ATPase and was followed by an unexpected, longer lasting alka-
linisation is due to the transient incorporation of the vacuolar Fr-
ATPase into the presynaptic membrane 141. Focal injections of
BCECF-AM in combination with slice imaging as used for measur-
ing calcium transients in small synaptic compartments with the
calcium-sensitive dye Fura [19]. genetically encoded pH indicators
1181. which also allow ratiometric imaging 120.211. may help to
establish adequate and fast pH measurement in small compart-
ments like central pre- and postsynaptic terminals in the future.
Despite these technical limitations the occurrence of rather
large, spatially and timely limited. pH fluctuations in the different
synaptic compartments is generally accepted and clearly implies
that pH regulatory elements are essential to maintain proper syn-
aptic function. Since many synaptic elements are strongly pH
dependent, limitations and alterations in synaptic pH homeostasis
could potentially feed-back on neuronal activity itself. Intriguingly.
0014-5793/136.00 0 2013 Federation of European Biodiemical Societies. Published by Elsevier B.V. All rights reserved.
http://dx.dolorgf10.1016b.febslet.2013.04.04S
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A. Sinning CA. HOWier/ FESS Letters 587 (2013) 1923-1928
it has already been shown that direct release of protons during
vesicle exocytosis can act as a negative feedback on closely associ-
ated calcium channels in the mammalian retina 13221. In this sys-
tem. synaptic cleft acidification of retinal cells is thought to
underlie surround inhibition and thereby helps to form the recep-
tive field (for review see 1231). The discovery of acid-sensing ion
channels (ASICs) is another example for a pH-induced feedback
mechanisms 1241. At least four genes and their alternatively spliced
transcripts code for subunits of such ion channels, which belong to
the degenerinfepithelial Na' channel superfamily and are character-
ized by a strong H'-sensitivity as well as their permeability for cat-
ions. ASICs are widely expressed in the mammalian nervous system
and have been shown to localize mostly to somato-dendritic regions
of neurons 125261. ASICs have been implicated in many neurologi-
cal disorders like e.g., ischemic stroke, epileptic seizures and pain
(for review see1271). Interestingly, one study suggested that seizure
termination critically depends on ASIC activation by the fall in
extracellular pH in response to epileptic neuronal activity [281.
2. Effects of pH transients on presynaptic function
Loading of synaptic vesicles with different neurotransmitters
depends on vesicular proton gradients 1291. Hence, variations in
intracellular pH could directly interfere with neurotransmitter
loading. It has been shown that the glutamate uptake by astrocytes
is pH sensitive and provides a mechanism which can protect neu-
rons from glutamatergic excitotoxicity due to reversed glutamate
uptake under ischemic conditions 1301.
The function of proteins, enzymatic activity as well as protein-
protein interactions are sensitive to alterations in pH and thus
changes in pH can impact on the release of synaptic vesicles. which
depends on the conceited action of a complex machinery of different
proteins (for review see1311). In particular, the initial rise in the pre-
synaptic calcium concentration mediated via voltage-gated calcium
channels 1321 is pH dependent, as the opening and the conductivity
of presynaptic voltage-gated calcium channels strongly depend on
both extracellular and intracellular pH 1331. Protons can directly
bind to sensors within the pore of the channel and thereby reduce
channel conductance [34.351. shield membrane-bound charges
and thus shift the channel activation voltage to more positive values
136,371. The rise in presynaptic calcium is augmented by release of
calcium from intracellular stores which is mediated via inositol
1.4.5-trisphosphate and ryanodine receptors. Both receptors also
show strong pH dependence138.391. Studies on spontaneous vesicle
release by electrophysiological methods confirmed that lowering of
intracellular pH in hippocampal neurons indeed results in a de-
ceased rate of synaptic vesicle release and hence limited excitability
140,411. Further studies are necessary to investigate if presynaptic
pH modulates synapse function mainly by alterations in calcium
transients or if multiple effects add up.
3. Effects of pH transients on postsynaptic function
NMDA receptors are strongly modulated by changes in extracel-
lular pH 142,431. An increase in extracellular pH facilitates the acti-
vation of NMDA receptors, whereas a decrease in extracellular pH
inhibits ion channel function 142-441. The transient increase in
extracellular pH elicited by high-frequency stimulation of afferents
in the hippocampus has been shown to be sufficient to augment
NMDA-receptor responses in vitro 1451. This is most likely also
relevant in vivo both in physiological and pathophysiological
conditions. In contrast, kinetics and amplitudes of AMPA- and
Kainate-receptors are only marginally modulated by alteration of
extracellular pH 1461.
Interestingly, GABAA receptor mediated currents are enlarged
by low extracellular pH. whereas a high pH rather inhibits the
GABA response 147-491. GABAA receptors also conduct bicarbon-
ate. As a consequence, GABAergic transmission can cause altera-
tions of both intra- and extracellular pH 1111. In contrast to the
direction of chloride fluxes, which can vary in dependence of the
existing chloride gradients, which are set by the cation-chloride
co-transporters NKCC1 and KCC2 150-521. the existing gradients
always drive HCCIi out of the neurons under physiological condi-
tions. Both gradients contribute to the balance between neuronal
excitation and inhibition. Only little is known about the role of
pH for signaling via GABA8 receptors or receptors of other
neurotransmitters.
In conclusion, electrical stimulation or synchronized neuronal
activity results first in an initial transient alkaline shift of the extra-
cellular pH that is followed by a prolonged acidosis (for review see
151). The short-lived initial increase in pH has been shown to be
sufficient to augment glutamatergic excitation by activation of
NMDA receptors in acute slice experiments 1451 and most likely
inhibits GABAergic transmission. In contrast, under conditions of
sustained stimulation [531 or pathological neuronal activity (121,
the following long-lasting acidosis is predicted to diminish gluta-
matergic neurotransmission and boost GABAergic
which was confirmed for cultured neurons [541.
This indicates that intrinsic pH transients serve as a feedback
mechanism to keep the delicate balance between neuronal excit-
ability and inhibition but also implies that neuronal and especially
synaptic p11 has to be tightly controlled.
4. Mechanisms to regulate synaptic pH
In general, cellular pH homeostasis is established by transport
or buffering of acid equivalents. In neurons acid loading is largely
established by Na' independent CI-/HCO3 exchangers [551.
whereas Nalt exchangers [561. NC-driven CI' /HCCI; exchangers
and Na'/HCO3 co-transporters [571 mediate acid extrusion. An-
other family of bicarbonate transporters, which can be distin-
guished from the family of SLC4 transporters 155.581, are
classified as members of the SLC26 family [591. however, if at all.
members of the SLC26 family of bicarbonate transporters are
thought to play a minor role for neuronal pH homeostasis 1601.
Neuronal pH is also affected by monocarboxylate transporters
1611 but their role in the brain under physiological conditions is
limited whereas they are more important in tissues with a high en-
ergy demand like in tumors 1621. Although so far no conclusive
data exist that the plasma membrane calcium ATPase also plays
a direct role for pH regulation, a brain-specific isoform with a pre-
dominant synaptic localization has been described [631, which may
contribute to synaptic pH homeostasis 19,101.
Bicarbonate is a very important pH buffering system because it
can be regulated by respiration. Carbonic anhydrases promote the
interconversion of carbon dioxide and water to bicarbonate and
protons, and thereby significantly contribute to the intra- and
extracellular buffering capacity in the brain 1641.
For a more general comprehensive review on cellular pH sen-
sors and regulators, see 1651,151 and 1661. In the following we will
mainly focus on the NalH' exchanger NHE1. the Na coupled an-
ion-exchangers NCBE and NDCBE, and NC-HCO3* co-transporters.
all mediating acid extrusion.
5. NHE1
The transmembrane NC-gradient is established by the Na 1K'
ATPase. The Na' gradient is then used to energize the electroneu-
tral exchange of one extracellular sodium for one proton by Nal
H' exchangers (NHE) 1671. So far 9 different isoforms of Halle
exchangers have been identified and all of these are expressed in
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A. Slum& CA HatinerIFEBS Letters S87(2013) i92 s "i_.,
192S
the central nervous system (for review see [681). NHE1iSLC9A1 is
ubiquitously expressed and a multifunctional protein which does
not only contribute to intracellular pH regulation but also volume
regulation, cell migration, and also interacts with components of
the cytoskeleton [69]. Because of the lack of suitable antibodies
localization studies for Slc9a1 are limited. However, most studies
suggest that Slc9a1 localizes to presynaptic nerve terminals of
GABAergic neurons [54.70.711. Disruption of Slc9a1 in mice re-
sulted in a severe phenotype with locomotor deficits, epileptic sei-
zures. neurodegeneration, and early mortality [72.73]. Slc9a1
deficient neurons had a lower steady-state pH and a delayed recov-
ery from acid loads 1741. The epileptic phenotype in Slc9a1 knock-
out mice is therefore surprising, because an increase in pH is
generally associated with an increase of neuronal excitability.
However, disruption of Nhel results in a more complex phenotype
with increased Na'-current density in hippocampal neurons
[75.761 as well as increased neuronal cell death 172]. There is also
indirect evidence from electrophysiological recordings with phar-
macological inhibitors of Na'ffit exchange like amiloride, suggest-
ing that the Neill' exchanger, most likely NHE1, localizes to
inhibitory and excitatory presynaptic nerve terminals [54.70.71].
In an elegant study by Dietrich and Morad the impact of extracel-
lular pH buffering on the spontaneous release of GABAergic vesi-
cles in cerebellar granule cells was investigated. The results from
this study suggest that Nhel activity may not only affect presynap-
tic vesicle release by increasing intracellular pH but also boost
GABAergic neurotransmission by increasing GABAA receptor re-
sponses at the postsynapse via the extracellular pH [541.
6. Na coupled anion-exchangers
From early pH recordings in the squid giant axon and in snail
neurons it became evident that NC-dependent Cr/NCO; ex-
change plays an essential role in the control of intracellular pH of
neurons 177.781. This observation has been supported by the dem-
onstration of Na'-driven Cr/NCO; exchange in different prepara-
tions of hippocampal neurons [79-82]. But the molecular correlate
remained unclear, until a first cDNA was cloned from drosophila
[831 and from a mouse insulinoma cell line [84]. In mammals
Na'-dependent Cl-/HCO; exchange is mediated by NDBCE
(SLC4A8) and NCBE (SLC4A10). The initial transport characteriza-
tion of NCBE/SLC4A10 as NC-dependent Cl- /HCO3 exchanger
was confirmed for rat 184-861. whereas the human cDNA was
rather characterized as an electroneutral
/HCO; co-transporter
(NBCn2) with CI- self-exchange activity 1871. Some of the
controversy may be explained by the different expression
systems used in the different studies like mammalian cells and
Xenopus oocytes, temperature and composition of solutions.
the transfectionjinjection efficiency or molecular tagging of the
transport proteins.
In drosophila disruption of Na'-dependent CI'/HCO3 exchange
results in early lethality of the larvae [831. Surprisingly, the pheno-
type of Slc4a8 knockout mice is very mild with some minor deficits
in different behavioral paradigms [41 .881. whereas Slc4a10 knock-
out mice experience a critical period within their first week of life
with a decreased gain of body weight during postnatal develop-
ment. They also display a drastic reduction of brain ventricle size
[891 and visual impairment 1901.
Details expression analysis in the brain revealed a significant
overlap between both transporters. In the hippocampus Slc4a8 as
well as Slc4a10 are expressed in pyramidal neurons 1411. The syn-
aptic expression of Slc4a8 was further analyzed by ultrastructural
analysis [41.911. Transmission electron microscopy of freeze-frac-
tured synaptosomes of wild-type mice revealed that Slc4a8 co-
localizes with different presynaptic markers like e.g., syntaxin
[411 or SNAP-25 (Fig. 1). The presynaptic expression of Slc4a8
Wildtype Synaptosome
Slc4a8
SNAP25
Fig. 1. Presynaplic expression of SIC4alliNIXIIL Transmission electron microscopy
of a freeze-fractured synaptosomes isolated from wild-type mouse brains immu-
nogold-labeled for SkOaS (large grains 10 nm) and the presynapuc marker SNAP25
(small grains 5 am). Images show the proteoplasmic side of synaptosane mem-
branes. Scale bars correspond to 100 and 50 nm
was nicely supported by the electrophysiological characterization
of Slc4a8 knockout mice [411 and confirmed in an independent
study [91]. In agreement with the classification of NDCBE as an
acid extruder, Slc4a8 deficient neurons displayed a lower steady
state pH and a defective pH regulation. Electrophysiological analy-
sis and FM-imaging further showed a decrease in spontaneous and
stimulated release of glutamatergic synaptic vesicles in knockout
neurons. In accordance with a predominant presynaptic localiza-
tion. there was no effect on the post-synaptic kinetics of AMPA
receptor currents detected. Moreover, the release of GABAergic
vesicles as evidenced from recordings of mIPSCs in acute hippo-
campal brain slices did not differ between genotypes [411. In con-
trast to NDCBE. NCBE has also been detected in hippocampal
intemeurons and co-localizes with pre- and postsynaptic markers
of GABAergic synapses in the hippocampus [891. The recovery of
hippocampal principal cells from add loads was delayed in acute
brain slices of Slc4a10 knockout mice, although there was no dif-
ference in the steady state pH. Here, this affected network excit-
ability was studied in the 4-aminopyridine model of interictal
discharges in acute brain slices. Although the frequency of the
interictal-like events at baseline levels did not differ between
genotypes, the decreased frequency upon a propionate pulse was
prolonged in the knockout [891. Interestingly, disruption of either
Slc4a8 or the Slc4a10 in mice increased the seizure threshold in
different seizure inducing paradigms [41,89]. In contrast, Slc9a1
and Slc4a3 knockout mice are more susceptible to seizures [72.94
7. Na' /NCO; co-transporters
Na' /HCO; co-transporters also mediate net acid extrusion. The
electrogenic NI/HCO3 co-transporter Slc4a4 (also called NBCe1)
and the electroneutral Na'/HCCIi co-transporter Slc4a7 (also
called NBCn1) are broadly expressed in the central nervous system
[93.94 Slc4a7 was shown to co-localize with PSD-95, a postsynap-
tic protein of glutamatergic synapses [931. Slc4a7 expression was
increased upon metabolic acidosis and this up-regulation was
associated with glutamate excitotoxicity [95]. Slc4a7 knockout
mice have been reported to display severe sensory deficits [961.
however, a detailed analysis of its role for synaptic transmission
is missing to date.
Recent data suggest that Slc4a4 helps to prevent the large, pro-
longed, Ca2"-dependent alkaline shift upon depolarization of neu-
rons 1971. As prolonged positive shifts in membrane potential.
which might cause a sustained net alkaline shift, are a recurrent
condition during normal brain function, depolarization activated
EFTA00611571
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A. Sinning CA. Hubner/FEES Letters S87 (2013) 1923-1928
NCO;
Slc4a301 ?
Glutamatergic
CA
P Kos
HI
HI
Icgel
GABAergic
HCO
GASA.R
Slc4a7
Presynapse
Slc4a10
HCO3-
HCOic
NMDA-R
NCO,
SkAa10
Postsynapse
Flg. 2. Model displaying different regulators involved in the control of synaptic pH. Sk4a8 localizes to glutamatergic presynapses and modulates the release of glutamate
vesicles in a pH-dependent manner (411. Sk9a1 appears to play an important role for pH regulation at GABAergic nerve terminals (691. Sic4a10 is likely to be expressed on
both sides of CABAergic synapses 188). Slc4a7 localizes to the postsynaptic site (941. Extracellular and probably also intracellular CM increase the buffering capacity of the
different compartments 18). Whether or not 51c4a3 and other pH regulators modulate synaptic activity remains unclear.
acid extrusion most likely also plays a role under physiological
conditions. It was speculated that this depolarization induced alka-
linization may be an adaptation to preempt untoward acidification
from large intracellular Ca2' loads, while maintaining or accelerat-
ing the rate of glucose utilization through the glycolytic pathway.
Interestingly, a parallel Cr-dependent mechanism also contrib-
uted to this depolarization induced alkalinization, but its molecu-
lar correlate is yet unclear 1971.
8. Carbonic anhydrases
Carbonic anhydrases (CA) catalyse the rapid interconversion of
carbon dioxide and water to bicarbonate and protons and vice ver-
sa. CA activity was first described in red blood cells 1981 and later
became evident in many other organs. In the mammalian brain at
least 10 catalytically active isoforms or CAs have been described.
which differ in cellular 199,1001 and sub-cellular 1101.1021 locali-
zation. Evidence on the role of carbonic anhydrases for synaptic
transmission has largely been deduced from studies with pharma-
cological blockers of CA. Experiments with membrane-permeant
and membrane-impermeant blockers of carbonic anhydrases re-
vealed that extracellular CA are involved in the regulation of the
interstitial pH in the brain 18.1031. The extracellular and mem-
brane-bound carbonic anhydrases CA4 and CA14 are abundantly
expressed by neurons 1101,1041 and have been implicated in buf-
fering extracellular alkaline shifts following neuronal activity
18.1051. Furthermore, functional coupling of CA activity of AE3-
mediated bicarbonate transport was described in hippocampal
neurons 11061. Intracellular CAs have been shown to be essential
for synchronous firing of hippocampal neurons by enabling tonic
GABAergic excitation 11071.
CA inhibitors are widely used as anticovulsant drugs 11081.
Hence, closer analysis of synaptic expression CM and a better
understanding of their functional role could greatly impact on fu-
ture clinical applications.
9. Conclusion
There is ample evidence that synaptic function critically de-
pends on intracellular and extracellular pH gradients and that syn-
aptic activity also causes local pH gradients. Hence, it comes as no
surprise that several proteins involved in local pH control localize
to synaptic structures. The use of high resolution microscopy with
better pH sensitive probes may allow measuring the pH in different
synaptic compartments and how the pH changes with synaptic
activity. These techniques will also help us to address the role of
the different proteins involved in pH homeostasis more precisely
(Fig. 2). A better understanding of these processes could also help
to identify new pharmacological targets to treat epilepsy or patho-
logical conditions involving synaptic transmission.
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