NOS- and Non-NOS NADPH Diaphorases in the Insular Cortex of the Syrian Golden HamsterRichard G. Wehbya and Marion E. Franka,ba Program in Neuroscience, Schools of Medicine and Dental Medicine, University of Connecticut Health Center, Farmington, Connecticut b Department of BioStructure and Function, Schools of Medicine and Dental Medicine, University of Connecticut Health Center, Farmington, Connecticut Correspondence to: Richard G. Wehby, Dept. of Brain and Cognitive Sciences, MIT, E25-236, Cambridge, MA 02139.
We had previously shown NADPH diaphorase activity in fixed tissue slices of the insular cortex of the Syrian golden hamster (Mesocricetus auratus). The objective of this work was to determine the chemical identity of agents responsible for the observed NADPH diaphorase activities. Three different enzymatic NADPH diaphorase activities were distinguished in the insular cortex. (a) The activity seen in endothelial cells was not characterized histochemically, but it co-localized with eNOS-like immunoreactivity. (b) The neuronal Type I activity showed little sensitivity to 10-5 M dicoumarol, could use either Key Words: NADPH diaphorase, nitric oxide synthase, dicoumarol, dicumarol, NADPH dehydrogenase
An enzyme is said to be an NADPH diaphorase if it can transfer electrons from NADPH to a colorless, soluble tetrazolium salt, producing a colored, insoluble formazan derivative (
Nitric oxide (NO) is believed to serve as a neuromodulator or neurotransmitter in a number of different processes, including a model of a mechanism for a type of memory, long-term potentiation (LTP) (for review see
The Syrian golden hamster (Mesocricetus auratus) is a well-established animal model for gustatory studies (for review see Two experimental approaches were used: (a) a systematic study of the effects of variation in reaction parameters on diaphorase staining to determine which staining responses most closely reflect the known NOS diaphorase responses, and (b) direct determination of the presence of NOS by immunohistochemistry with commercially available antibodies to the isozymes of NOS.
All experiments were carried out on male Syrian golden hamsters (Charles River Labs; Wilmington, MA) weighing 120190 g and were approved by the Center for Laboratory Animal Care of the University of Connecticut Health Center. All chemicals were purchased from Sigma (St Louis, MO) unless otherwise indicated. Animals were deeply anesthetized (Nembutal 80 mg/kg, IP; Abbot Laboratories, King of Prussia, PA) and intracardiac perfusion was performed using a constant pressure pump at an approximate flow rate of 2.8 ml/min. Washout (35 min) was followed by fixation in 4% formaldehyde (electron microscopic grade; Tousimis Research, Rockville, MD) or freshly depolymerized paraformaldehyde in 0.1 M sodium phosphate buffer, pH 7.4, for 45 min. The brain was removed and postfixed for 2 hr at 4C in the same fixative. The brain was then immersed either in 30% sucrose in 0.1 M sodium phosphate buffer, pH 7.4, until it sank to the bottom of the solution (for frozen sections) or in 0.1 M sodium phosphate buffer, pH 7.4 (for vibratome sections). Sections were cut at 35-µm thickness in the transverse plane and collected serially into cold (4C) 0.1 M sodium phosphate buffer, pH 7.4. To maintain enzymatic activities intact, sections were maintained at 4C in as many steps of the tissue cutting and processing as possible.
NADPH Diaphorase Histochemistry The reaction permitted ready visualization of Type I and II neurons, as well as the diffuse blue band and the background meshwork of fibers (see Results). At 1.5 hr, the reaction typically was not long enough to stain endothelial cells, so the effects on endothelial cell staining were not determined. The effects of several variables were studied. pH. Preincubation and incubation reactions were run at pH 6.8, 7.4, or 8.5. Elevated Temperature. Free-floating sections were placed in phosphate buffer in a microcentrifuge tube. The tube was then incubated for 5 min in a water bath at either RT or 55, 65, or 77C. Sections were then removed from the microcentrifuge tube and placed in phosphate buffer at RT. Preincubation and incubation then proceeded as normal.
Co-factors.
Sections were incubated using equimolar amounts of either ß-NADPH, Chelators. Both the preincubation and incubation media included EDTA (110 mM) or EGTA (110 mM).
Enzyme Inhibitors.
Both the preincubation and incubation media included one of the following (all referenced in
Competitive Electron Acceptor.
Dichlorophenolindophenol (DPIP, 10-4 M) was used to capture electrons enzymatically transferred from NADPH (
Sulfhydryl Inhibitor.
N-ethyl maleimide (NEM, 10 mM) was used to irreversibly modify sulfhydryl groups (such as glutathione or thiols on proteins) that could otherwise donate their reducing hydrogens. NEM (10 mM) was also combined with pyruvate (60 mM), because this combination inhibits activity due to both endogenous sulfhydryls and to lactate dehydrogenase (NADPH diaphorase activity produced by this combination is the so-called "nothing dehydrogenase" effect) ( Each histochemical test was assessed in at least three animals, and in each animal a minimum of nine sections were examined. Results were qualitatively consistent for all sections. For each animal, adjacent sections served as controls. Experimental sections were scored relative to their controls, which were preincubated and reacted for the same lengths of time and at the same pH as the experimental sections.
Immunohistochemistry Two methods were used to determine if individual neurons stained for both nNOS and NADPH diaphorase. (a) After reaction with DAB, sections were temporarily mounted (on plain, nonsubbed slides) and coverslipped using a 3:1 mixture of glycerol and 0.1 M sodium phosphate buffer, pH 7.4. The location of cells stained with DAB was mapped using a camera lucida. Coverslips were then removed, sections returned to phosphate buffer, and subsequently reacted for NADPH diaphorase as previously described. These sections were then mounted, cleared, and coverslipped with DPX. The sections were then re-drawn, and the location of cells that stain for NADPH diaphorase was drawn. Alternatively, (b) after reaction with DAB, free-floating sections were reacted for NADPH diaphorase, and then mounted but not coverslipped. Drawings were made of the mounted sections, marking the location of cells that stain for NADPH diaphorase. The slides were then treated with a warm (~72C) mixture of alkali (pH 9 glycineNaOH buffer) and dimethylformamide to remove the blue formazan precipitate (Richard Weinberg, personal communication), so as to reveal the DAB reaction product. Slides were allowed to dry. Some sections were de-fatted in xylene for 4 hr, and then osmicated (0.2% OsO4) to intensify the DAB reaction product. Sections were then cleared and coverslipped with DPX, and the location of the cells reacted with DAB (i.e., cells that contain NOS) was drawn.
Statistical Analysis
Photographs
Control Results Neuronal Type I. These cells resembled Golgi-impregnated neurons, with dark blue reaction product appearing to fill the perikarya, dendrites, and axons (Figure 1a). The reaction product was confined to the cytoplasm, because when the plane of section revealed the nucleus the nucleus was unstained. Type I cells were scattered, with most present in the deep layers (unpublished observations).
Neuronal Type II. These cells also had a nonstaining nucleus, but the histochemical reaction only stippled the perikarya and the most proximal regions of dendrites (Figure 1b). This stippling did not reflect an incomplete reaction because the NADPH diaphorase reaction never filled in these cells, even when the reaction was allowed to proceed for over 12 hr. Type II neurons were almost exclusively located in an accumulation of many such cells in Layers II and III of dysgranular and agranular insular cortex (Figure 1c and Figure 1d). Neuronal Fibers. In transverse sections, stained fibers could be seen running in all directions and in all layers throughout the insular cortex (Figure 1a and Figure 4c). Some were quite fine and followed tortuous paths in their travel. Many had swellings or varicosities which were either globular or elongated. Although fine fibers twisted around neurons, none formed clearly identifiable pericellular nests. Diffuse Blue Band. There was a diffuse blue band of staining in Layers II and III of agranular and dysgranular insular cortex (Figure 1bd) and extending along the rostrocaudal length of the rhinal fissure (unpublished observations). Nonstained cell profiles were visible within this band, as was the accumulation of neuronal Type II cells described above (Figure 1b). The combination of many Type II cells and the diffuse blue band easily marked this region by the rhinal fissure so that it was visible even to the naked eye (Figure 1c). In addition, although not typically seen after 1.5 hr, after the reaction had proceeded for several hours the endothelial cells lining the cerebral blood vessels also stained with NADPH diaphorase activity (Figure 1a).
Histochemical Experiments for NADPH Diaphorase Activity Effect of Pre-exposure to Elevated Temperatures (n = 3 animals). Exposure of sections to elevated temperature for 5 min diminished (65C) or abolished (77C) both neuronal Type I and Type II responses, as well as that of the diffuse blue band. Sections exposed to RT and 55C were unaffected in their staining. This sensitivity to elevated temperatures indicates that these responses are enzyme-mediated (Figure 2a and Figure 2b).
Effect of Different Co-factors.
Neuronal Type I cells were stained when either Effects of Chelators (n = 3 animals). In the concentration range tested, EDTA and EGTA had no effect. Therefore, none of the responses required Ca2+ or Mg2+ (data not shown).
Effect of Enzyme Inhibitors.
The inhibitors were selected on the basis of their effect on common enzymes that are known to produce a response in the NADPH diaphorase reaction (
Effect of Electron Acceptor.
DPIP greatly attenuated all responses: neuronal Types I and II, the diffuse blue band; and the meshwork of cortical fibers (n = 3 animals; data not shown). This indicates that the NADPH diaphorase activities correspond to enzymes at the correct redox potential difference to transfer electrons from NADPH to DPIP instead of to NBT. Failure to transfer electrons to NBT results in an absence of colored formazan reaction product. The NADPH diaphorase activities of both NOS and dehydrogenases are known to transfer electrons from NADPH to DPIP (
Effect of Sulfhydryl Inhibitors.
NEM markedly attenuated neuronal Type I responses and abolished neuronal Type II and diffuse blue band responses (n = 3 animals; data not shown). Therefore, the reaction mechanism for these reactions required sulfhydryl groups. The mechanisms for NOS and dehydrogenase NADPH diaphorases are known to proceed via binding to sulfhydryl groups (
These histochemical tests showed that all NADPH diaphorase activities were abolished by elevated temperature and were attenuated by DPIP and NEM. The NADPH diaphorase activity of Type I neurons could use either
Antibody Experiments Antibodies against the nNOS isozyme labeled scattered single cells. Cell somata and principal dendrites were labeled, as were a few scattered fibers running through the cortex (Figure 5a). Neither fine dendrites nor dendritic spines were seen. Similarly, the rich meshwork of cortical fibers visible with NADPH diaphorase staining was not seen. Occasionally a cell was labeled in Layers IIIII of dysgranular and agranular insular cortex, but this label resembled that of Type I neurons. No label resembling the accumulation of Type II neurons or the diffuse blue band was observed. Antibodies against the eNOS isozyme labeled only cortical endothelial cells (Figure 5b). Nothing resembling Type I or II neurons was labeled, and there was no label corresponding to the diffuse blue band. In double label experiments (NADPH diaphorase and nNOS) in three animals, the number of labeled cell profiles in the insular cortex was scored in one of three categories: NADPHd+/nNOS+, NADPHd+/nNOS-, or NADPHd-/nNOS+ (Figure 6a and Figure 6b; total number of cells counted was 484). Most cells were double labeled (92 ± 1%), some cells were labeled by NADPH diaphorase but not anti-nNOS (3 ± 2%), and others were labeled by anti-nNOS but not NADPH diaphorase (5 ± 2%) [F(2,4) = 659.88; p<0.001] (Figure 7). Subsequent analysis showed that the number of double labeled cells was significantly different from that of singly labeled cells (p<0.05), but that the number of singly labeled cells was not different from each other. These results showed that under the present experimental conditions the neuronal Type I response was reliably associated with the presence of the nNOS isozyme.
No antibody label was ever seen to correspond to the diffuse blue band, despite repeated attempts with prolonged incubations, permeabilizing agents, frozen and vibratome tissues, and use of commercially available mono- and polyclonal antibodies to nNOS, eNOS, and macNOS.
Methodological Considerations
There has been much debate as to the proper fixation conditions for histo- and immunohistochemical demonstration of NOS. Sensitivity to fixation by NOS was reported by The histochemical experiments were subject to certain limitations. First, they were qualitative, not quantitative. The experiments were run for a period of time sufficient to see a qualitative difference, if one existed, on gross or microscopic visual inspection. For our purposes, 1.5 hr at RT was sufficient to see a difference between control and experimental conditions. Results that are more subtle than this would not be detected and would unknowingly be false-negatives. Second, the conclusions from the inhibitor experiments depended on correct identification of the action of inhibitors. All inhibitor effects and working concentrations were selected from the literature. If an inhibitor has an undocumented effect, this will result in a false identification. Alternatively, if insufficient time was allotted to permit the inhibitor to penetrate into the appropriate cell compartment, a false-negative will be reported. This latter possibility was minimized by preincubating for 2 hr in the presence of 0.3% Triton X-100, far longer than the usual preincubation time of 1020 min.
Third, most inhibitors were presented singly. Therefore, if several different enzymes contribute to the overall staining, inhibition of one or a few may not be sufficient to diminish the total staining. Two combinations were tested, (a) sodium azide and miconazole and (b) NEM and pyruvate. Sodium azide (5 mM) and miconazole (10-4 M) were presented simultaneously to see if a combination of mitochondrial and cytochrome P450 enzymes was contributing to the staining. This combination was found to have no detectable effect on the observed staining. NEM (10 mM) and pyruvate (60 mM) were also tested, because this combination inhibits the "nothing dehydrogenase" effect. This effect, first noted in the 1950s, occurred when no substrate was present in an enzymatic control reaction, but a colored reaction product was observed ( Fourth, experiments with inhibitors work only in a negative sense. If a reaction is blocked by the inhibitor, then (assuming there are no unknown inhibitor effects) the enzyme is scored as "present." If nothing inhibits the reaction, though, there potentially remains something else, undetected, that may contribute to the stain. Therefore, although most of the neuronal Type I response appears to be attributable to nNOS, perhaps some other enzyme, thus far undetected, is contributing to the total staining. Antibody experiments have other possible pitfalls. A major problem is the possible failure of the antibodies to penetrate into a compartment where the target antigen is located, resulting in false-negatives. This was minimized by including a detergent, 0.1% NP40, throughout the procedure. Unless a target antigen was located within multiply membraned organelles, e.g., in the matrix of the mitochondria, it is likely that permeabilization was not a major problem because two different antibodies, those to nNOS and eNOS, specifically bound to target antigens. Another potential source of false-negatives is the slight differences between the immunogen (human nNOS and eNOS and mouse macNOS) and the endogenous antigen, such that the endogenous target may not be recognized by the antibody. An attempt was made to minimize this possibility by the use of polyclonal antibodies, which included antibodies raised against a variety of immunogenic sites. This strategy was not entirely successful. Although the polyclonal anti-nNOS worked and the monoclonal anti-nNOS did not, the polyclonal anti-eNOS did not work but the monoclonal anti-eNOS did. Yet another source of potential false-negatives is if the antigen is present in tissue at levels below the detectability of the secondary system. A commercial ABC kit was used to visualize the primary antibodies because this struck a balance between high sensitivity and ease of use. It remains possible, however, that some signal went undetected because of insufficient amplification by the secondary antibody. A potential source of false-positive responses is the endogenous cellular peroxidases. This possibility was minimized by quenching the peroxidases by pretreating with excess H2O2. A further potential source of a false-positive response is the presence in the tissue of an immunoreactive substance that is recognized by the antibody but that is not NOS. This possibility exists with any antibody and cannot be escaped. For this reason, all positive responses to NOS antibodies presented in this work are more precisely termed "NOS-like immunoreactivity."
There Are at Least Three NADPH Diaphorase Activities in the Insular Cortex of the Hamster
The neuronal Type I response showed a slight diminution of the intensity of the response when either dicoumarol or
A third interpretation is that Type I neurons differ from Type II neurons only in having a greater concentration of non-NOS diaphorases. This interpretation would then hold that the dicoumarol has the same attenuating effect on neuronal Type I and II activities but that there is such a great concentration of enzyme in the Type I neuron that reaction product can accumulate and be visible. This interpretation appears unlikely given our demonstrated co-localization of neuronal Type I NADPH diaphorase activity with nNOS-like immunoreactivity [which has a very vigorous NADPH diaphorase activity ( A second NADPH diaphorase activity was co-localized in endothelial cells with immunoreactivity to eNOS. The typical 1.5-hr incubation was occasionally but not usually long enough to see this activity using the NADPH diaphorase reaction, so its histochemical characteristics were not systematically determined. However, this endothelial cell diaphorase activity was usually visible if the reaction was allowed to proceed longer (Figure 1a).
A third NADPH diaphorase activity was found in the Type II neurons, the diffuse blue band, and in much of the cortical fiber meshwork. This third activity did not co-localize with any NOS-like immunoreactivity (see Results), had a strong preference for ß-NADPH relative to
Modification of NADPH Diaphorase Reaction for NOS
The fixation protocol for NADPH diaphorase used 4% formaldehyde for a minimum of 45 min during transcardial perfusion, followed by an additional 14 hr of postfixation in 4% formaldehyde. In accordance with the results of In the present work dicoumarol permitted easy discrimination between the diaphorase activities due primarily to nNOS and those due primarily to other enzymes. For other tissues, which may contain other enzymes, either a cocktail of inhibitors for the most likely enzymes in that tissue should be added (e.g., a mixture of miconazole, dicoumarol, sodium azide and levamisole) or a series of control experiments with individual inhibitors must be carried out. Alternatively, the presence of NOS-containing cells could be confirmed with antibodies directed against NOS. This last method may produce false-negatives, however, if the antibody is ineffective in the particular tissue preparation. When there is NADPH diaphorase staining but no labeling by anti-NOS antibody (e.g., as with the diffuse blue band, in that no antibody binding in that region was detected) and to avoid false-negatives, it is necessary to test a number of inhibitors and/or stereoisomers of the co-factor to see if the staining is attenuated and therefore is due to something other than NOS. Ideally, a specific inhibitor of the diaphorase activity of NOS could be used to test for the specificity of the NOS diaphorase response, but no such inhibitor exists.
Dicoumarol-sensitive, NADPH-dependent Enzymes
"DT diaphorase" was named for its ability to use both DPNH (reduced diphosphopyridine nucleotide, now called NADH) and TPNH (reduced triphosphopyridine nucleotide, now called NADPH) (
NADPH dehydrogenase (quinone) (EC 1.6.99.6) is a flavoprotein, but other than the original purification and characterization report by Koli et al. in 1969, nothing else is known about this enzyme. It is not as sensitive to dicoumarol as DT diaphorase. Inhibition in cell-free extracts occurs in the range 10-5 M ( NADPH:quinone reductase (EC 1.6.5.5) has substrate specificity for certain quinones, and therefore is not likely to be responsible for the observed NADPH diaphorase activity. Alternatively, the neuronal Type II response could be produced by a novel or incompletely characterized dehydrogenase with high sensitivity to dicoumarol, or by a group of electron transport enzymes, one of which has sensitivity to dicoumarol. The latter possibility appears unlikely, given the failure of sodium azide (which blocks the last step of the electron transport chain) to affect NADPH diaphorase staining. Given the uncertainty regarding the identity of the enzyme, it will be referred to here as "dicoumarol-sensitive NADPH dehydrogenase." This enzyme was found along almost the entire length of the rhinal fissure (unpublished observations). If extensive spatial distribution is a criterion of functional importance, it is likely to be an important enzyme for the brain. More work is needed to determine the precise identity and role(s) of the dicoumarol-sensitive NADPH dehydrogenase.
Supported by a grant (5P50DC00168) and by a training grant (5T33DC00025) from the National Institutes of Deafness and Communication Disorders. We thank Sandra Hill and Richard Weinberg for helpful suggestions on the techniques and Lawrence Savoy for excellent technical assistance. We thank Michael Barry, Thomas Hettinger, Michael Huerta, Konrad Talbot, and William Shoemaker for helpful comments on the manuscript. Received for publication October 2, 1998; accepted October 6, 1998.
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