Department of Anatomy and Cell Biology, College of Physicians and
Surgeons, Columbia University, New York, New York 10032
Studies of the guinea pig small intestine have
suggested that serotonin (5-HT) may be a mucosal transmitter that
stimulates sensory nerves and initiates peristaltic and secretory
reflexes. We tested the hypothesis that guinea pig villus epithelial
cells are able to inactivate 5-HT because they express the same 5-HT transporter as serotonergic neurons. A full-length cDNA, encoding a
630-amino acid protein (89.2% and 90% identical, respectively, to the
rat and human 5-HT transporters) was cloned from the guinea pig
intestinal mucosa. Evidence demonstrating that this cDNA encodes the
guinea pig 5-HT transporter included
1) hybridization with a single
species of mRNA (~3.7 kb) in Northern blots of the guinea pig brain
stem and mucosa and 2) uptake of
[3H]5-HT by
transfected HeLa cells via a saturable, high-affinity (Michaelis
constant 618 nM, maximum velocity 2.4 × 10
17
mol · cell
1 · min
1),
Na+-dependent mechanism that was
inhibited by chlorimipramine > imipramine > fluoxetine > desipramine > zimelidine. Expression of the 5-HT transporter in
guinea pig raphe and enteric neurons and the epithelium of the entire
crypt-villus axis was demonstrated by in situ hybridization and
immunocytochemistry. Inhibition of mucosal 5-HT uptake potentiates responses of submucosal neurons to mucosal stimulation. The epithelial reuptake of 5-HT thus appears to be responsible for terminating mucosal
actions of 5-HT.
serotonin; serotonin-selective reuptake inhibitors; fluoxetine; enteric nervous system; peristaltic reflex; enterochromaffin cells
 |
INTRODUCTION |
THE LARGEST STORE of serotonin (5-HT) in the body is
found in the gastrointestinal tract (17). Most of this 5-HT is
contained in the enterochromaffin (EC) cells of the mucosal epithelium
(25). A smaller store of 5-HT is present in the enteric nervous system, where 5-HT is the neurotransmitter of a population of interneurons (25,
49). The function(s) of EC cells and the 5-HT they contain have yet to
be definitively established. One hypothesis is that these cells are
sensory transducers, which respond to increases in intraluminal
pressure (or distortion of villi) by secreting 5-HT, which activates
the mucosal processes of sensory neurons in the underlying lamina
propria (7-11, 18, 44, 48). A second hypothesis is that EC cells
play a paracrine role, regulating the rate of proliferation of
neighboring epithelial cells by secreting 5-HT (46, 47). Both of these
hypotheses envision a local action of 5-HT exerted within the
immediate vicinity of the secretory source with the mucosa. Whether the
target of mucosally secreted 5-HT is an epithelial cell or a nerve
process, any postulate that 5-HT plays a role as a mucosal signaling
molecule must account for the mucosal inactivation of 5-HT. In
the absence of an adequate inactivating mechanism, receptors for
5-HT would be likely to desensitize.
5-HT is catabolized by the actions of monoamine oxidase (6) and, in the
bowel, also by glucuronyl transferase (23, 27). Both of these enzymes,
however, are intracellular and thus require that 5-HT be internalized
by the cells that express them before these enzymes can catalyze the
inactivation of 5-HT. At physiological pH, 5-HT, which has an acid
dissociation constant of 10, is highly charged; therefore, unless a
transporter is present in the plasma membrane, cells take up 5-HT
poorly. In the central and peripheral nervous systems,
5-HT is inactivated primarily by reuptake into the serotonergic neurons
that secrete it (19, 23, 26, 42, 43). This reuptake is mediated by
a highly selective plasmalemmal 5-HT transporter
(5-HTT or SERT) (4, 32).
The 5-HT transporter is sodium- and chloride-dependent and is inhibited
specifically by fluoxetine and other serotonin-selective reuptake
inhibitors (SSRIs) (5, 19). The neuronal 5-HT transporters of
mice (12), rats (4, 32), and humans (41) have been cloned. Because
there are no serotonergic neurons in the gastrointestinal mucosa (21,
25), it is unlikely that uptake by nerves can serve as a
mucosal-inactivating mechanism for 5-HT. In fact, radioautographic studies of the uptake of
[3H]5-HT have not
detected any mucosal nerves with the ability to take up 5-HT (16, 26,
28, 42). We have recently demonstrated that mucosal crypt epithelial
cells of the rat intestine express mRNA encoding the 5-HT transporter
and can be immunostained with antibodies to the transporter (48). These
cells also take up [3H]5-HT by a
Na+- and fluoxetine-sensitive
mechanism. These observations suggest that uptake by crypt epithelial
cells could serve as the means by which mucosal 5-HT is inactivated.
Although the studies that have found evidence for the expression of the
5-HT transporter by mucosal epithelial cells have been carried out in
rats (48), most of the physiological and pharmacological studies on the
role of mucosal 5-HT in intestinal reflexes have been conducted in
guinea pigs (7-11, 14, 44, 48). Unfortunately, probes prepared
from the rat 5-HT transporter do not hybridize well with mRNA encoding
the guinea pig 5-HT transporter (48); moreover, most antibodies to the
rat 5-HT transporter (40) do not recognize that of the guinea pig.
Fluoxetine has been found initially to potentiate the peristaltic
reflex in the guinea pig distal colon but then to block it (48). When
the peristaltic reflex is blocked, the guinea pig colon no longer
responds to 5-HT, although it retains responsivity to nicotine and
electrical stimulation. These observations are compatible with the idea
that inhibition of the 5-HT transporter by high concentrations of
fluoxetine causes 5-HT receptors to become desensitized. The data
support the hypotheses that the release of 5-HT by EC cells activates
the mucosal processes of intrinsic sensory nerves to initiate the
peristaltic reflex and that mucosal 5-HT transport represents the
physiological mechanism that inactivates 5-HT. At the time fluoxetine
was studied, however, it was not possible to confirm that the 5-HT
transporter is expressed by epithelial cells of the guinea pig
gut because probes that are effective in guinea pig tissues were not
then available. In the absence of this confirmation, it was premature
to conclude that the effect of fluoxetine or other SSRIs on the
peristaltic reflex is due to inhibition of a mucosal 5-HT transporter.
In the current study, we sought to determine whether the 5-HT
transporter is expressed by epithelial cells of the guinea pig bowel,
as it is in rats. We also wished to determine whether the transporter
may play a role in sensory reception of mucosal stimuli. We have thus
cloned and sequenced a full-length cDNA encoding the 5-HT transporter
from the guinea pig intestinal mucosa. When this cDNA is expressed in
HeLa cells, the transfected cells take up 5-HT by a mechanism that is
Na+ dependent and inhibited
specifically by SSRIs. The affinities of the expressed transporter for
various uptake inhibitors are similar to those of the 5-HT transporters
that have been cloned from other species. In Northern blots, the guinea
pig mucosal cDNA hybridizes well with a single species of RNA (3.7 kb)
extracted from the guinea pig intestinal mucosa or brain. In situ
hybridization revealed that a cRNA probe synthesized from the cDNA
encoding the mucosal guinea pig 5-HT transporter hybridizes with mRNA
in serotonergic neurons of the guinea pig gut and brain. The probe also
hybridizes with guinea pig intestinal epithelial cells, although the
distribution of such cells in the guinea pig is substantially different
from that of cells containing mRNA encoding the 5-HT transporter in the
rat (48). Immunocytochemical observations also suggest that the guinea
pig 5-HT transporter is expressed by enterocytes throughout the
crypt-villus axis. Inhibition of the mucosal 5-HT transporter with
fluoxetine potentiates responses of submucosal neurons to mucosal
stimuli. These observations indicate that the 5-HT transporter is
expressed by guinea pig intestinal epithelial cells in addition to
enteric and central serotonergic neurons and provide strong support for
the hypothesis that 5-HT is a gastrointestinal mucosal signaling
molecule.
 |
MATERIALS AND METHODS |
Animals and tissue preparation.
Guinea pigs (250-350 g, obtained from Kingstar, Kingston, NH) were
anesthetized and exsanguinated. These procedures have been approved by
the Animal Care and Use Committee of Columbia University. The small
intestine and brain were removed from the animals. The small intestine was opened, the lumen was cleaned, and the mucosa was
removed by scraping the luminal surface with the edge of a spatula. For
in situ hybridization, guinea pigs were perfused intracardially with
heparinized saline, followed by perfusion for 5-10 min with 4%
formaldehyde (freshly prepared from paraformaldehyde) in 0.1 M
phosphate buffer (pH 7.5). The brain and a segment of small intestine
were then removed from the animal and postfixed with the same fixative
for an additional 4 h at room temperature or 12 h at 4°C. After
fixation, tissues were rinsed with PBS, cryoprotected overnight with
30% sucrose (wt/vol) in PBS at 4°C, embedded in optimal
cutting temperature compound (Miles, Elkhart, IN), and then stored at
80°C until used. Sections of small intestine and brain (10-15 µm) were cut with a cryostat-microtome and
thaw-mounted onto 3-aminopropyltriethoxysilane-coated glass
slides.
RT-PCR.
Total RNA was extracted with Trizol (Life Technologies, Gaithersburg,
MD) from the mucosa of the guinea pig small intestine and brain. Both
tissues were homogenized in Trizol (1 ml/100 mg of tissue). Chloroform
(10% of the total volume) was added and the sample was covered, shaken
vigorously, and placed on ice for 10 min, and then centrifuged for 15 min (13,000 g). The aqueous phase
was removed, and RNA was precipitated with isopropanol (60% of the
Trizol volume). The RNA pellet was washed by resuspension in 70%
ethanol. The suspension was centrifuged for 5 min (10,000 g), dried briefly, and dissolved in
diethylpyrocarbonate-treated water. The extracted RNA (2.0 µg) was
then used as a template for random hexamer-primed first-strand cDNA
synthesis catalyzed by Maloney murine leukemia virus RT (Life
Technologies). One sixth of the resulting cDNA from mucosal RNA was
used for PCR amplification. Four pairs of oligonucleotide primers,
designed from the cDNA sequence of the rat 5-HT transporter (4), were
employed. These sets of primers were those used as internal primers for
the double-strand sequencing of the 5-HT transporter cloned from the
rat gut (48). Thirty cycles of PCR amplification were carried out as
follows: 94°C for 1 min, 50°C for 1.3 min, and 72°C for 1 min. A PCR product of about 400 bp was obtained when forward primer no.
3 (5'-TACATGGCGGAGATGA-3') was paired with reverse
primer no. 1 (5'-CCATAGAACCAAGACA-3'). This product
corresponded to nucleotides 1268-1283 (sense) and 1650-1665
(antisense) of the rat 5-HT transporter (4) (GenBank database accession
no. X63253). The mucosal PCR product was cloned into the pCRII vector
by using the TA-cloning kit (Invitrogen, San Diego, CA). Inserts in two
individual clones were sequenced by the dideoxynucleotide chain
termination method (Sequenase 2.0, United States Biochemicals,
Cleveland, OH) and was found to be 398 bp in length.
cDNA cloning and sequencing.
To obtain a full-size cDNA clone of the guinea pig mucosal 5-HT
transporter, 5'-end PCR and 3'-end PCR were carried out.
For 5'-end PCR, the consensus sequence of the untranslated region 5' to the ATG start codon of the human and rat 5-HT transporter was used to design an oligonucleotide primer
(5'-TGGGATCCTTGGCAGATGG-3'), which was paired with the
reverse primer no. 1 (see above) used to obtain the original guinea pig
mucosal PCR product. PCR was performed by denaturation at 94°C for
2 min and amplification for 30 cycles (1 min each) at 94°C,
57°C, and 72°C. For 3'-end PCR,
oligo(dT)18 was paired with the
forward primer no. 3 (see above) used to obtain the original guinea pig
mucosal PCR product. The amplification reaction was carried out by
denaturing at 94°C for 2 min and amplifying for 1 cycle of 94°C
for 1 min, 50°C for 2 min, and 72°C for 2 min, followed by 30 cycles of 94°C for 1 min, 55°C for 1.5 min, and 72°C for
1.5 min. An aliquot of the PCR products was loaded into agarose gels
for electrophoresis. The small 398-bp clone was used to generate a
32P-labeled probe for Southern
blotting by using random priming (Prime-a-Gene labeling system;
Promega, Madison, WI). The
32P-labeled probe was used to
analyze the 3'-end PCR products by Southern hybridization to
identify the product containing the sequence of the small clone. A
1.2-kb fragment that hybridized with the small clone was extracted from
the agarose gel by using a commercial gel extraction kit (Qiagen, Santa
Clarita, CA). The extracted cDNA was ligated into a pCRII vector
(Invitrogen, Carlsbad, CA) and partially sequenced. The full-length
cDNA of the guinea pig mucosal 5-HT transporter was finally obtained by
PCR using sequences contained in the large 5'-end and
3'-end PCR products. The 5' primer incorporated a sequence
(5'-TGGGATCCTTGGCAGATGG-3') in the untranslated region
upstream from the start codon and the 3' primer incorporated a
sequence (5'-ACATAGTGATAATGTCCCAGAG-3') downstream from the
stop codon. The full-length cDNA was cloned into the TA cloning vector
pCRII (Invitrogen, San Diego, CA) for double-strand sequencing. The
insert was then cut from the vector with
Xho I and
Hind III and subcloned into a
eukaryotic expression vector [pcDNA3.1(
);
Invitrogen].
Transfection.
HeLa cells were cultured in a medium containing DMEM (Life
Technologies) supplemented with 10% fetal bovine serum, penicillin and
streptomycin. Plasmid DNA was purified using a commercial kit (Qiagen-tip 20). HeLa cells were grown in 24-well plates (5 × 104 cells/well) and transfected
with the full-length cDNA encoding the 5-HT transporter cloned from the
guinea pig small intestine. The plasmid was added to the cells (1 µg/well) in the presence of lipofectamine (Life Technologies)
according to the directions supplied by the manufacturer. The
transfected cells were maintained in medium containing 0.5 µg/ml of
G418 (Life Technologies) for selection for about 3 wk (22). Individual
cells were selected and used to generate stably transfected clonal
lines. Multiple lines of transfected cells exhibited an active uptake
of [3H]5-HT, which
could be inhibited by chlorimpramine. The clone that displayed the
strongest 5-HT uptake was expanded and used for studies of the
pharmacological properties of the 5-HT transporter.
Assay of [3H]5-HT transport.
The transport assays were carried in 24-well plates (5). Typically, 5 × 104 transfected cells/well
were incubated with
[3H]5-HT (13.3 nM;
DuPont-NEN, Boston, MA) for 15 min at 37°C in Krebs solution,
buffered with HEPES to pH 7.4, and supplemented with pargyline (100 µM) and L-ascorbic acid (100 µM). Nonspecific uptake of
[3H]5-HT was taken as
that manifested by HeLa cells transfected with the expression vector
lacking the cDNA insert. Specific uptake of
[3H]5-HT was
considered to be the total uptake measured in cells transfected with
the plasmid containing the cDNA insert minus the nonspecific uptake.
The Na+ dependence of 5-HT
transport was determined by studying the specific uptake of
[3H]5-HT in Krebs
solution that was modified by isotonically replacing NaCl with choline
chloride. After incubation, the cells were washed three times with 1.0 ml of iced Krebs solution and lysed with 0.5 ml of 1.0% SDS. The
released radioactivity was measured by liquid scintillation
spectrometry. To obtain kinetic constants [Michaelis constant
(Km) and
maximum velocity
(Vmax)],
the velocity of
[3H]5-HT uptake was
plotted as a function of the concentration of 5-HT. Curves were
obtained by nonlinear weighted least-square fits of the data (SigmaPlot
version 5 for the Macintosh, Jandel Scientific Software, San Rafael,
CA). A single population of noninteracting sites obeying
Michaelis-Menton kinetics was assumed. All experiments in which the
uptake of [3H]5-HT was
measured were repeated three times. Rates were calculated as moles of
5-HT accumulated per cell per minute. The data are presented as means ± SE. The significance of differences between means was evaluated
by ANOVA (Statview IV for the Macintosh; Abacus Concepts).
In situ hybridization.
mRNA encoding the guinea pig 5-HT transporter was located in the small
intestine and brain by in situ hybridization. Probes were prepared from
the full-length cDNA clone in the pCRII cloning vector, which has both
the Sp6 and T7 promoters to permit in vitro transcription in the sense
and antisense orientations. Both sense and antisense riboprobes were
synthesized with 35S-labeled UTP
(Dupont-NEN) incorporated into cRNA transcribed from the cDNA encoding
the guinea pig 5-HT transporter. Sense and antisense riboprobes were
also synthesized with digoxigenin-labeled UTP (Boehringer-Mannheim,
Indianapolis, IN) and were used for nonradioactive in situ
hybridization. To locate the hybridizing 35S- or digoxigenin-labeled
probes, sections were removed from the freezer and postfixed with 4%
formaldehyde (freshly prepared from paraformaldehyde). Preparations
were acetylated with 0.1 M acetic anhydride and washed in 0.2×
saline-sodium citrate (SSC). Tissues were first prehybridized for 2 h
at room temperature in a mixture containing 50% formamide, 600 mM
NaCl, 10 mM Tris (pH 7.5), 1× Denhardt reagent, 1.0 mM EDTA,
0.05% sheared DNA, 0.05% yeast total RNA, and 0.005% yeast tRNA. The
sections were then hybridized at 50°C for 16-18 h in the
presence of 600 mM NaCl, 10 mM Tris (pH 7.5), 1× Denhardt's
reagent, 0.5 mM EDTA, 0.01% sheared DNA, 0.05% yeast total RNA,
0.005% yeast tRNA, 10% dextran sulfate, 10 mM dithiothreitol, and
0.1% SDS. Heat-denatured probes (5 × 105
counts · min
1 · section
1)
were added to the hybridization solution. After hybridization, the
sections were washed, first for 30 min in 50% formamide, 1× SSC,
and 10 mM dithiothreitol at 50°C, and then for 30 min with 0.5× SSC at room temperature. The washed sections were treated with 0.1 mg/ml RNase at room temperature to destroy nonhybridized single-stranded RNA. After they were washed with 500 mM NaCl, 10 mM
Tris (pH 7.5), and 1.0 mM EDTA, the slides were washed for 2 h at
55°C in 0.2× SSC. To locate bound
35S-labeled probes, sections were
dehydrated in the presence of ammonium acetate (0.3 M) and coated with
liquid photographic emulsion (Ilford, L2) for radioautography. Slides
were exposed for 7 days in light-tight boxes at 4°C containing a
drying agent and developed with Kodak D19. Processed sections were
stained with hematoxylin and eosin and visualized by using indirect
dark-field optics. To locate digoxigenin-labeled probes, sections were
incubated overnight at 4°C with monoclonal antibodies to
digoxigenin (diluted 1:1,000; Boehringer Mannheim). Sites of bound
antibodies to digoxigenin were then visualized with goat anti-mouse
secondary antibodies coupled to Cy3 (Jackson ImmunoResearch
Laboratories, West Grove, PA). Slides were examined by vertical
fluorescence microscopy (DMRB, Leica, Malvern, PA).
Immunocytochemistry.
Primary antibodies generated against sequences found in the rat 5-HT
transporter (see Table 2) were generously donated by Dr. Randy D. Blakely (Department of Pharmacology, Vanderbilt University, School of
Medicine). These antibodies were used to attempt to immunostain the
guinea pig 5-HT transporter expressed in HeLa cells or in situ in the
intestine and brain. The same antibodies were also used to immunostain
denatured proteins separated by PAGE and blotted onto nitrocellulose
sheets (Western blots) (40). Each antibody reacted with a single
200-kDa band in blots prepared from HeLa cells transfected with cDNA
encoding the guinea pig 5-HT transporter, as well as the guinea pig and
rat brain stem and intestinal mucosa. Primary antibodies were applied
at a dilution of 1:2,000 (which has previously been shown to be
effective for immunostaining the rat 5-HT transporter). The antibodies
were applied to fixed preparations of transfected and nontransfected (control) HeLa cells, dissected whole mounts of guinea pig small intestinal mucosa, submucosa, or longitudinal muscle with adherent myenteric plexus, and frozen sections of guinea pig intestine and brain
stem. Cells and tissues to be examined were fixed with 4%
formaldehyde, freshly prepared from paraformaldehyde (pH 7.4) for 1 (cells) or 4 h (tissues). Secondary antibodies (diluted 1:200; Vector
Laboratories, Burlingame, CA) were labeled with biotin and
visualized either with streptavidin-horseradish peroxidase (Kirkegaard
& Perry Laboratories, Gaithersburg, MD) or avidinCy3 (Jackson
ImmunoResearch Laboratories). Horseradish peroxidase was demonstrated
with 3,3'-diaminobenzidine and
H2O2.
Electrophysiological recording from submucosal neurons.
A segment of ileum was excised from male guinea pigs, 10-20 cm
proximal to the ileocecal junction, and placed in oxygenated (95%
O2-5%
CO2) Krebs solution of the
following composition (in mM): 121.3 NaCl, 5.95 KCl, 2.5 CaCl2, 14.3 NaHCO3, 1.34 NaH2PO4, 1.2 MgCl2 and 11.5 glucose. A
1.5-cm segment of ileum was cut open along the mesenteric border and
pinned out flat (mucosal surface up) in a petri dish lined with a
silicone elastomer. The mucosa and submucosa were separated from the
circular muscle layer of the gut by dissection with a fine forceps and
scissors under microscopic control. The mucosa was then removed from
either side of the segment of tissue, leaving a central strip of intact
mucosa flanked by exposed regions of submucosa within which individual submucosal ganglia could easily be visualized. After the dissection preparations were transferred to a small recording chamber (volume 1.0 ml) that had been coated with a silicone elastomer to which the tissue
was pinned. Preparations were superfused (3.5 ml/min, 36°C) with
Krebs solution oxygenated with a mixture of 95%
O2-5% CO2.
Individual submucosal ganglia along the boundary of the remaining strip
of mucosa were visualized at a magnification of ×20. Intracellular recordings were obtained from neurons using glass microelectrodes filled with 2 M KCl (tip resistance 90-160 M). An
amplifier with an active bridge circuit (Axoclamp 2A; Axon Instruments) was used to record the transmembrane potential difference and to inject current via the recording electrode. The mucosa was
stimulated, either with puffs of
N2 ejected from the tip of a
micropipette to distort the villus surface of the bowel (36) or by
focal electrical pulses (1.0 ms, 0.5 Hz) delivered from the tip of the
micropipette. To determine whether the activation of submucosal neurons
was related to the mucosal release of 5-HT, the effects of the
5-HT1P receptor antagonist were
determined. Previous experiments had indicated that the stimulation of
intrinsic sensory neurons of the gut is mediated by
5-HT1P receptors and blocked by
the 5-HT1P antagonist,
N-acetyl-5-hydroxytryptophyl-5-hydroxytryptophan amide (5-HTP-DP) (35, 36, 45). Events were identified as cholinergically mediated and dependent on nicotinic receptors if they
were abolished by hexamethonium (C6, 100 µM).
Visualization of submucosal neurons activated by mucosal
stimulation.
Guinea pigs were killed as described previously. In this case, the
mucosa and submucosa were dissected from the circular muscle as an
intact sheet of tissue about 2.0 cm in length. The sheets were then
pinned to silicone elastomer-coated dishes and superfused with Krebs
solution oxygenated with a mixture of 95%
O2-5%
CO2. One centimeter of tissue was
considered the control piece, whereas the other centimeter served as
the experimental unit of the preparation. The experimental unit was
stimulated by applying 5 min of gentle stroking in the oral to anal
direction of villus tips with the edge of a glass coverslip. The
control piece of the segment was left unstimulated. To determine the
effect of mucosal stroking on the activation of submucosal neurons,
stimulation was carried out in the presence of FM2-10 (100 µM)
(35), which was added to the superfusing solution at the time of
stimulation and was present for 5 min. The uptake of FM2-10 has
been demonstrated previously to be stimulation-dependent and totally
blocked by tetrodotoxin (0.5 µM). After stimulation the preparations
were washed with iced Krebs solution for 10-15 min. After the
washout of free FM2-10, the mucosa was removed, with care taken to
keep the tissue cold. Tissues were then examined by fluorescence
microscopy (exciting filter band pass 530-560 nm; dichroic mirror
reflection short pass 580 nm; edge wavelength 580 nm), the neurons that
had taken up FM2-10 were identified, and the total number of
labeled neurons in control and experimental halves of each preparation was counted. To determine the effects of inhibition of the mucosal 5-HT
transporter, fluoxetine (10.0 nM and 1.0 µM) was added to the
superfusing solution 30 min before stimulation. Comparisons were made
between the number of neurons activated in control and experimental
pieces of the tissue and between tissues stimulated in the presence or
absence of fluoxetine.
 |
RESULTS |
cDNA encoding a putative 5-HT transporter was cloned from the guinea
pig intestinal mucosa.
RT-PCR was employed to investigate the expression of the 5-HT
transporter in the mucosa of the guinea pig intestine. Total RNA was
obtained from the small intestinal mucosa, which was scraped from the
intestinal wall. After reverse transcription, the resulting cDNA was
amplified with primers designed from consensus sequences in the rat and
human 5-HT transporters. The brain stem, which includes the
serotonergic neurons of the nuclei of the median raphe, was examined
similarly as a positive control. PCR products of identical length were
obtained from both the mucosa and the brain stem (Fig.
1). The size of the PCR products (~0.4
kb) was that predicted from the relative locations of the sequences of the primers.

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Fig. 1.
RT-PCR products amplified from small intestinal mucosa and brain stem
of guinea pig and rat with primers designed from sequences in cDNA
encoding the rat serotonin (5-HT) transporter. Ethidium bromide-stained
1.2% agarose gel. Single 0.4-kb product is obtained from each tissue.
gpM, guinea pig mucosa; gpB, guinea pig brain stem; rM, rat mucosa; rB,
rat brain stem. Arrow, 564 bp.
|
|
The PCR product from the guinea pig mucosa was cloned and sequenced
(see indicated sequence between the arrows in Fig.
2). At the nucleotide level, this sequence
was found to be 88% identical to that of the human 5-HT transporter
(44/401 nucleotides are different). The deduced amino sequence encoded
by the guinea pig mucosal cDNA fragment differed from that of the
analogous region of the human 5-HT transporter by only five amino
acids. The identity of the guinea pig mucosal cDNA to the rat 5-HT
transporter was not quite as great as it was to that of the human. At
the nucleotide level, the guinea pig sequence was 86% identical to
that of the rat 5-HT transporter, differing in 56/401 nucleotides. The
deduced amino acid sequences encoded by the guinea pig mucosal cDNA
fragment differed from that of the corresponding region of the rat 5-HT transporter by eight amino acids; five substitutions were conservative. It was concluded that the 398-bp PCR fragment obtained from the mucosa
of the guinea pig small intestine encoded a portion of the 5-HT
transporter of the guinea pig.

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Fig. 2.
Nucleotide and deduced amino acid sequences of 5-HT transporters of
guinea pig (gp5-HTT), human (h5-HTT), and rat (r5-HTT). Underlined
sequences indicate 12 stretches of hydrophobic amino acids presumed to
span plasma membrane. Amino acids of human and rat 5-HT transporter
sequences that are not conserved with those of guinea pigs are
indicated below guinea pig sequence. * Position of stop codon.
Sequence of 398-bp PCR fragment originally obtained from guinea pig
small intestinal mucosa lies between arrows.
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|
The 2.3-kb full-length cDNA encoding the guinea pig 5-HT transporter
was obtained in two steps. First, 3'-end PCR was carried out by
using oligo(dT)18 as the
3'-end primer and, as the 5'-end primer, a sequence found
within the cloned guinea pig mucosal cDNA fragment (forward primer no.
3, see MATERIALS AND METHODS). Amplification of guinea pig mucosal cDNA with these primers yielded a
major PCR product of 1.2 kb (not illustrated) that hybridized in
Southern blots with the original 398-bp fragment (labeled with 32P) obtained from the guinea pig
intestinal mucosa. This product was thus putatively identified as the
full 3'-end fragment of the guinea pig 5-HT transporter. The
3'-end product was cloned and sequenced.
To obtain the 5'-end of the guinea pig 5-HT transporter, a primer
was designed on the basis of consensus sequences of the untranslated
region upstream from the start codon of the human and rat 5-HT
transporters. This oligonucleotide served as the forward primer, and
the reverse primer was the same as that (reverse primer no. 1, see
MATERIALS AND METHODS) used for
cloning the original 398-bp fragment of guinea pig cDNA. Amplification
of guinea pig mucosal cDNA with these primers yielded a major PCR product of 1.6 kb (not illustrated), which again hybridized in Southern
blots with the 32P-labeled 0.4-kb
fragment of cDNA originally obtained from the guinea pig intestinal
mucosa. The entire full-length cDNA of the guinea pig mucosal 5-HT
transporter was finally obtained by using sequences contained in the
large 5'-end and 3'-end PCR products as PCR amplimers. The
5' amplimer (5'-TGGGATCCTTGGCAGATGG-3') was upstream
from the start codon and the 3' amplimer
(5'-ACATAGTGATAATGTCCCAGAG-3') was downstream from the stop
codon. The resulting PCR product thus contained the entire coding
sequence of the putative guinea pig 5-HT transporter. The full-length
cDNA was then cloned and sequenced.
Sequence of putative 5-HT transporter from guinea pig intestinal
mucosa is similar to those of humans and rats.
The sequence of the full-length cDNA encoding the putative guinea pig
5-HT transporter was compared with those of the 5'-end and
3'-end PCR products. Over the corresponding regions, the
sequences were found to be identical. At the nucleotide level, the
sequence of the full-length cDNA encoding the putative guinea pig
mucosal 5-HT transporter (Fig. 2) was found to be 85.6% identical to
that of the rat 5-HT transporter and 86.5% identical to that of the 5-HT transporter of humans. At the amino acid level, the sequences were
89.2% (68 different/630 amino acids) identical for rats and 90% (63 different/630 amino acids) identical for humans. The greatest amount of
amino acid diversity appears in the
NH2-terminal region of the
molecules, before the first putative transmembrane domain. The highest
degree of conservation of amino acids between species appears in the
sixth and eighth putative transmembrane domains and in the
intracellular loop between the second and third transmembrane domains.
Secondary structure and hydrophilicity of the deduced amino acid
sequence of the guinea pig mucosal cDNA were analyzed using the
"PeptideStructure" program of the Genetic Computer Group of the
University of Wisconsin. This program utilizes the method of Chou and
Fasman (13) to predict helices, sheets, and turns and the
Kyte-Doolittle method (37) to evaluate hydrophilicity. This analysis
suggested that the molecule has at least 12 hydrophobic regions, each
of which is appropriate to form a transmembrane domain and two
potential glycosylation sites
(Asn208 and
Asn217) between the third and
fourth putative transmembrane domains. There are also two consensus
casein kinase II phosphorylation sites,
Thr603 and
Thr616, in the COOH-terminal
cytosolic domain and three potential protein kinase C (PKC)
phosphorylation sites. The potential PKC sites are found in the
NH2-
(Ser8) and COOH-terminal
(Thr603)
domains, both of which are putatively cytosolic, as well as in the
linker region (Ser277) between
the fourth and fifth membrane-spanning domains.
Cells transfected with cDNA encoding putative 5-HT transporter from
guinea pig mucosa exhibit a
Na+-dependent
uptake of [3H]5-HT.
To verify that the full-length cDNA putatively encoding the guinea pig
5-HT transporter actually does so, HeLa cells were transfected with the
cDNA and their ability to take up
[3H]5-HT was
investigated (Fig. 3). Almost no specific
uptake of [3H]5-HT was
detected in control HeLa cells that were not transfected with this
cDNA. Similarly, HeLa cells that were transfected with the plasmid
[pcDNA3.1(
)], which lacked the insert encoding the putative 5-HT transporter, failed to take up
[3H]5-HT. In contrast,
HeLa cells that had been transfected with a plasmid containing cDNA
encoding the putative 5-HT transporter avidly took up
[3H]5-HT. This uptake
was linear for about 20 min. The HeLa cells transfected with cDNA
encoding the putative 5-HT transporter, however, did not take up
[3H]5-HT when they
were incubated in Na+-free media.
These observations suggest that the guinea pig cDNA encodes a
transporter protein that, when expressed in transfected cells, is
incorporated into the plasma membrane and transports 5-HT.

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Fig. 3.
Time, cDNA, and Na+ dependence of
uptake of [3H]5-HT by
HeLa cells transfected with full-length cDNA encoding putative 5-HT
transporter cloned from the guinea pig small intestinal mucosa
(gpSERT). Cells were transfected with either a plasmid containing
gpSERT cDNA insert ( , ) or same plasmid, cDNA3.1( ),
without insert ( ). Cells were assayed for uptake of
[3H]5-HT in presence
( , ) or absence of
Na+ ( ). Uptake of
[3H]5-HT, which is
gpSERT and Na+ dependent, is
linear for about 20 min.
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Uptake of [3H]5-HT by
transfected cells is saturable and of high affinity.
The properties of the transporter expressed by transfected HeLa cells
were characterized further. The transport of
[3H]5-HT was analyzed
after 15 min of incubation, during the period when uptake was still a
linear function of time. The measured uptake was thus proportional to
the initial uptake. The uptake of
[3H]5-HT was observed
to be concentration dependent and saturable (Fig.
4). A single high-affinity interaction was
found when the data were subjected to an Eadie-Hofstee
transformation (Fig. 4, inset). The
Km was 618 nM and
the Vmax was 2.4 × 10
17
mol · cell
1 · min
1,
each measured by a nonlinear least-square analysis of the isotherm relating the velocity of
[3H]5-HT uptake to the
concentration of 5-HT. The measured value of
Km for the uptake
of [3H]5-HT by
transfected HeLa cells is extremely close to that (700 nM) reported for
the uptake of [3H]5-HT
by isolated strips of guinea pig myenteric neurons attached to strips
of longitudinal muscle (24).

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Fig. 4.
Substrate dependence of transport of 5-HT by HeLa cells transfected
with full-length cDNA encoding putative 5-HT transporter cloned from
the guinea pig small intestinal mucosa. Assays of transport of 5-HT
were carried out with 14 nM
[3H]5-HT and various
concentrations of nonradioactive 5-HT. When the rate of transport was
plotted as a function of concentration of 5-HT, account was taken of
changes in specificity of substrate.
Inset, Eadie-Hoftsee transformation of
data. Michaelis constant (618 nM) and maximum velocity (2.4 × 10 17
mol · cell 1 · min 1)
were determined from computer-assisted nonlinear weighted least-square
fits of nontransformed data. V,
velocity; S, substrate
concentration.
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Uptake of [3H]5-HT by
transfected cells is inhibited by compounds known to antagonize
transporter-mediated uptake of 5-HT.
The identity of the cloned transporter as the 5-HT transporter of
guinea pigs was confirmed by evaluating the ability of known uptake
inhibitors (tricyclic antidepressants and SSRIs) to inhibit the uptake
of [3H]5-HT by
transfected HeLa cells. These compounds were found to antagonize
effectively the uptake of
[3H]5-HT by
transfected HeLa cells (Fig. 5, Table
1). The rank order of potency of the
tricyclic antidepressants against the uptake of
[3H]5-HT by
transfected cells, chlorimipramine >> imipramine >> desipramine, was observed to be the same as that reported for these
compounds against the uptake of
[3H]5-HT by central or
enteric serotonergic neurons (19, 24, 26). Desipramine, however, which
is thought to be relatively more selective for the norepinephrine than
the 5-HT transporter, was a more potent inhibitor of the uptake of
[3H]5-HT by cells
transfected with cDNA encoding the guinea pig transporter than would
have been anticipated from its reported ability to inhibit the
transport of the rat 5-HT transporter (4). As would be expected for an
effect mediated by a 5-HT transporter, the SSRI fluoxetine potently
inhibited the uptake of
[3H]5-HT by the HeLa
transfected cells transfected with the cDNA encoding the guinea pig
transporter and was more potent than zimelidine. The measured
inhibitory constant
(Ki) values
(Table 1) for both the tricyclic antidepressants and the SSRIs against
the uptake of [3H]5-HT
by transfected HeLa cells were all lower than that observed for 5-HT
itself.

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Fig. 5.
Antagonism of 5-HT transport by HeLa cells transfected with cDNA
encoding putative 5-HT transporter cloned from guinea pig small
intestinal mucosa. Percent inhibition of uptake of
[3H]5-HT is plotted as
a function of concentration of inhibitor that was tested. Data are
expressed relative to control assays carried out in absence of
antagonists.
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Northern analysis reveals single hybridizing species of mRNA in
guinea pig intestinal mucosa and brain stem.
The distribution of mRNA encoding the putative guinea pig mucosal 5-HT
transporter was investigated, first by Northern analysis and then by in
situ hybridization. It was reasoned that if the transporter cloned from
the guinea pig intestinal mucosa was actually the guinea pig 5-HT
transporter, then cDNA encoding the mucosal transporter would be
expected to hybridize in Northern blots with a single species of mRNA
from the guinea pig brain stem, which contains central serotonergic
neurons. A probe prepared from the mucosal transporter would also be
expected to label neurons of the nuclei of the median raphe and
myenteric plexus. Northern analysis was carried out with total RNA
extracted from the guinea pig brain stem and intestinal mucosa. For
comparison, total RNA extracted from the rat brain stem and intestinal
mucosa was also analyzed. Blots were hybridized with
32P-labeled probe prepared from bp
1200-1597 of the guinea pig intestinal mucosal cDNA. A single
species of hybridizing mRNA (~3.7 kb) was found both in the guinea
pig brain stem and the intestinal mucosa; however, no hybridizing
mRNA could be detected either in the rat brain stem or the rat
intestinal mucosa (Fig. 6). The size of the
hybridizing guinea pig mRNA is similar to those reported for mRNA
encoding the 5-HT transporters of rat (3.7 kb) (4), human (3.7 kb)
(41), and mouse (3.4 kb) (12).

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Fig. 6.
Tissue expression of mRNA hybridizing with cDNA encoding putative 5-HT
transporter cloned from the guinea pig small intestinal mucosa. Single
species of mRNA (3.7 kb) hybridizes in Northern blots with this cDNA.
The guinea pig probe does not hybridize with mRNA from rat tissues.
Lane A, guinea pig brain stem;
lane B, guinea pig mucosa;
lane C, rat brain stem;
lane D, rat mucosa. Markers show
positions of 28S and 18S ribosomal RNA.
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mRNA encoding guinea pig 5-HT transporter is located in nuclei of
median raphe and intestinal epithelium.
In situ hybridization was used to locate cells that expressed
the mRNA encoding the guinea pig 5-HT transporter. Tissue
sections (Fig. 7) were hybridized with a
35S-riboprobe prepared from the
full-length cDNA cloned from the guinea pig intestinal mucosa. Sites of
bound probe were located by radioautography. Labeling was considered
specific if it appeared on sections hybridized with the antisense probe
but not on sections hybridized with the sense probe (control). Although
the goal was to locate mRNA encoding the 5-HT transporter in the gut,
the dorsal nucleus of the median raphe, which is rich in serotonergic
neurons, was also examined as a positive control. Intense labeling was obtained in both the dorsal raphe nucleus and the small intestine (Fig.
7, A and
C) when sections were hybridized
with the antisense probe. In contrast, no labeling of any structures
was found in alternate serial sections that were hybridized
with the sense probe (Fig. 7, B and
D). The labeling of the raphe and
the intestine was thus considered specific and indicative of the
presence of mRNA that hybridized with the antisense probe in both
locations. In the dorsal raphe nucleus (Fig.
7A) labeling was confined to neurons
situated within the confines of the nucleus. In the sections of
intestine, labeling was confined to the mucosa, where it was restricted
to the epithelium (Fig. 7C). In
contrast to the rat, where mRNA encoding the 5-HT transporter appears
to be expressed only by crypt epithelial cells (48), both crypt and
villus epithelium were labeled in the guinea pig.

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Fig. 7.
Cells that contain mRNA encoding the guinea pig 5-HT transporter were
located by in situ hybridization. Dorsal nucleus of median raphe
hybridized with 35S-labeled
antisense (A) or sense
(B) riboprobes prepared from cDNA
encoding putative guinea pig 5-HT transporter. After exposure to
probes, bound radioactivity was located in sections of brain by
radioautography. Tissue was stained with hematoxylin and eosin and
examined by using combination of bright-field and vertical dark-field
illumination. Radioautographic silver grains appear white. Many neurons
are labeled in sections hybridized with antisense but not sense
riboprobes. The guinea pig small intestine was analyzed with same
35S-labeled antisense
(C) and sense
(D) riboprobes used to examine brain
stem (shown in A and
B). Epithelial lining of both crypts
and villi (arrows) are heavily labeled in sections hybridized with
antisense but not sense riboprobes. Dissected preparations of
longitudinal muscle with adherent myenteric plexus were analyzed as
whole mounts of tissue. Preparations were subjected to hybridization
with same probes as were used to investigate distribution of mRNA
encoding putative guinea pig 5-HT transporter in tissue sections.
Outlines of ganglia are indicated by arrowheads. Relatively few cells
were labeled by 35S-labeled
antisense riboprobe (E) and none
were labeled by 35S-labeled sense
probe (F). Labeling was generally
confined to cell bodies of neurons and it was rare to find more than a
single labeled neuron in any one ganglion; however, in some neurons,
such as that shown in E (arrow), long
dendritic processes were also labeled. mRNA encoding putative guinea
pig 5-HT transporter was located by nonradioactive in situ
hybridization. Antisense (G and
H) and sense
(I) riboprobes were labeled with
digoxigenin. Digoxigenin-labeled probes were visualized in tissues by
immunocytochemistry, using antibodies to digoxigenin coupled to Cy3.
Sections were examined by fluorescence microscopy. Labeled cells
(arrows) were found in sections of gut
(G) and raphe nuclei
(H) hybridized with antisense probe.
No cells were labeled when sections of gut or brain stem
(I) were hybridized with sense
probe. Nonspecific fluorescence of lipofuscin can be seen in sections
of brain. Markers in
A-F,
as well as H and
I, 100 µm; marker in
G 50 µm.
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mRNA encoding guinea pig 5-HT transporter is located in enteric
neurons.
Because serotonergic neurons represent only a small subset of myenteric
neurons (25), they are only rarely encountered in random sections of
the intestine. Sections pass through only a small number of ganglia and
thus through only a minority of the ~100 neurons of an average
myenteric ganglion (34). To properly analyze the expression of mRNA
encoding a gene product expected to be found in serotonergic neurons,
therefore, it is necessary to examine whole mounts of tissue. The
myenteric plexus of the guinea pig can readily be dissected, as it is
attached to the underlying longitudinal muscle in a flat sheet of
tissue. When this tissue is defatted and infiltrated with liquid
photographic emulsion, it can be analyzed by radioautography even when
the radioisotope to be localized is a weak
-emitter (30). Intense labeling of scattered neurons was seen in whole mounts of the longitudinal muscle with attached myenteric plexus (Fig.
7E) when tissues were hybridized
with a 35S-antisense probe. The
hybridizing mRNA was found in the cell bodies and often also in
processes, presumably dendrites, that trailed away from the labeled
neuron but remained within ganglia. Neither the glial cells within
ganglia nor the extraganglionic smooth muscle or connective tissue was
ever labeled. No labeling of any structures was found in similar
preparations that were hybridized with the sense probe (Fig.
7F).
To verify data obtained by in situ hybridization with the
35S-riboprobe, sections were also
subjected to in situ hybridization with antisense and sense probes
labeled with digoxigenin (Fig. 7,
G-I).
The sites where the probe was bound in the sections were located by
immunocytochemistry using primary antibodies to digoxigenin and
secondary antibodies labeled with Cy3. The location of hybridizing mRNA
in the mucosa was identical to that obtained with
35S-riboprobes, but was less clear
because of the nonspecific autofluorescence of tissue lysosomes.
Fortunately, however, a section was obtained that included a neuron
that was labeled by the antisense riboprobe (Fig.
7G). No connective tissue cells in
the cores of villi, the muscular layers of the gut, or the adherent
mesentery were found to be labeled by the antisense probe. No cells
were labeled by the sense (control) riboprobe in either ganglia or
muscle layers (not illustrated). Neurons were also labeled by the
antisense digoxigenin-labeled riboprobe in the dorsal nucleus of the
raphe (Fig. 7H). In contrast, when
sections were exposed to the sense riboprobe, only the nonspecific
autofluorescence of lysosomes could be seen (Fig.
7I).
Guinea pig 5-HT transporter can be located by immunocytochemistry.
Previous attempts to immunostain the 5-HT transporter in guinea pig
tissues were carried out with antibodies directed at epitopes of the
rat 5-HT transporter that are poorly conserved among other Na+-dependent transporters (48).
These antibodies were raised by immunizing rabbits either with a
synthetic peptide that incorporated a sequence in the fourth putative
extracellular loop or a fusion protein that incorporated the final 34 amino acids (597-630) of the COOH terminus (40). The antibodies to
the extracellular loop were not found to be useful for
immunocytochemistry either in rat or in guinea pig, but the antibodies
to the COOH-terminal domain were very effective in rats (48). These
antibodies labeled crypt epithelial cells in the rat intestinal mucosa
and serotonergic neurons in the rat brain and rat myenteric plexus. The
same antibodies, however, failed to label either epithelial cells or
neurons specifically in guinea pigs.
In the current study, a panel of antibodies raised against sequences in
the rat 5-HT transporter were employed to try to immunostain the guinea
pig 5-HT transporter expressed in transfected HeLa cells or in situ in
the guinea pig bowel and brain (Table 2). One of these antibodies, A-SERT-50, immunostained transfected HeLa
cells that expressed the guinea pig 5-HT transporter (Fig. 8A) and
specifically immunostained serotonergic axons in the brain stem (Fig.
8B). A-SERT-50 also
immunostained large numbers of nerve processes in both the myenteric
(Fig. 8, C and
D) and submucosal plexuses (Fig.
8E), as well as enterocytes of the
guinea pig small intestinal mucosa (Fig. 8,
F and
G). In sectioned ganglia, the A-SERT-50-labeled neurites encircled many of the neurons, which were
themselves not labeled. Only occasional nerve cell bodies in the
myenteric plexus were found to be immunostained by A-SERT-50. The
immunostained enterocytes were not confined to intestinal crypts, as
reported in rats (48) (Fig. 8H), but
were found at all levels of the crypt-villus axis. Within the
enterocytes the immunostaining was especially concentrated in the Golgi
regions of each cell, between the nucleus and the apical surface,
although the basolateral surfaces were also immunoreactive.
Interestingly, A-SERT-50 immunostained the tips of apical microvilli,
even though no immunoreactivity could be detected in the stems of the
microvilli. In contrast to enterocytes, goblet cells were not labeled
(Fig. 8F). Antisera, other than
A-SERT-50, did not immunostain HeLa cells transfected with cDNA
encoding the guinea pig transporter and either did not immunostain
tissue or yielded spurious staining patterns in guinea pig tissues that
did not correspond to the locations of cells revealed by in situ
hybridization to contain mRNA encoding the 5-HT transporter.

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Fig. 8.
Expression of 5-HT transporter immunoreactivity was demonstrated with
antibody A-SERT-50. A: HeLa cells
transfected with cDNA encoding the guinea pig 5-HT transporter.
Cultured cells are examined as whole mount. Diffuse immunoreactivity of
cell cytoplasm and punctate regions of concentrated 5-HT transporter
immunoreactivity are evident. Marker, 25 µm.
B: guinea pig brain stem in region of
median forebrain bundle. Many axons are immunoreactive. Marker, 50 µm. C and
D: ganglia of myenteric plexus of
guinea pig small intestine. Tissue was frozen and sectioned at 5 µm.
Arrows, immunoreactive process that surrounds nonimmunoreactive nerve
cell bodies. D,
inset: rare 5-HT
transporter-immunoreactive myenteric neuron. Markers, 25 µm.
E: ganglion of submucosal plexus of
guinea pig small intestine. Arrow, immunoreactive process that
surrounds nonimmunoreactive nerve cell bodies. Some immunofluorescence
of crypt epithelial cells is evident in upper left corner. Marker, 25 µm. F and
G: villous surface of the guinea pig
small intestine. Note immunoreactivity of enterocytes and its
concentration in Golgi region of cells (arrow in
F) and absence of immunoreactivity
in goblet cells (arrowheads in F).
Immunoreactivity of tips of microvilli is well seen in
G (arrow), forming punctate line at
some distance from what appears to be apical surface of cells.
Basolateral surface and cytoplasm of enterocytes are also
immunoreactive. H: crypt epithelium of
rat duodenum. Pattern of 5-HT transporter immunostaining is different
from that seen in guinea pigs. Immunoreactivity is concentrated in
particular crypt epithelial cells (arrow) as previously reported
(48).
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Inhibition of 5-HT transporter potentiates effects of mucosal
stimulation.
Physiological studies were carried out to test the hypotheses that
5-HT-containing EC cells are sensory transducers that activate the
mucosal processes of intrinsic sensory neurons (7-11, 18, 44, 48)
and that the reuptake of 5-HT by mucosal epithelial cells is important
in this process as a mechanism that inactivates 5-HT (48). Two methods
were used to cause mucosal sensory nerves to become excited. First,
5-HT or electrical stimuli were applied to the mucosal surface of the
bowel, and responses were recorded intracellularly in submucosal
neurons. Second, the mucosal surface of the gut was stimulated
mechanically (by stroking), and the submucosal neurons activated by
this stimulus were visualized with the fluorescent probe FM2-10
(35) and quantified. The myenteric plexus was removed in both types of
experiments to be certain that submucosal and not myenteric sensory
neurons were responsible for observed responses.
5-HT or electrical stimuli were applied by microejection from a pipette
positioned over an intact window of mucosa, while recordings were
simultaneously obtained from submucosal ganglia in an adjacent exposed
area, from which the mucosa had been removed previously. Under these
conditions, mucosal 5-HT and electrical stimulation led to the
appearance of fast excitatory postsynaptic potentials (EPSPs) in the
impaled submucosal neurons (Fig. 9). These
fast EPSPs were blocked both by tetrodotoxin (0.3 µM), indicating that they resulted from action potentials that were conducted to the
recording site, and by hexamethonium (100 µM), indicating that they
were cholinergic and nicotinic (Fig. 9). In the presence of the SSRI
fluoxetine (3-10 µM), the amplitude of the fast EPSPs was
increased by an average of two- to threefold. The effects of fluoxetine
did not reverse during the time course of the experiment. Previous
studies have indicated that the fast EPSPs recorded in submucosal
neurons after mucosal stimulation are antagonized by the
5-HT1P receptor antagonist,
5-HTP-DP, and the 5-HT3/4
antagonist, tropisetron, indicating that 5-HT is involved in activating
the nerve fibers that generate them (39).

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Fig. 9.
Fluoxetine potentiates fast excitatory postsynaptic potentials (EPSPs)
that are evoked in submucosal neurons by focal electrical stimulation
applied to the mucosa. Consecutive records from a single impaled neuron
are shown. Con (control), fast EPSP follows stimulus artifact. Fluox,
fast EPSP was again evoked after addition of fluoxetine (10 µM).
Fluox + C6, fast EPSP is abolished by hexamethonium (100 µM). Wash,
fast EPSP returns 5 min after washout of hexamethonium. TTX, fast EPSP
is abolished by tetrodotoxin (0.3 µM).
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To test the idea that the responses of submucosal neurons to mechanical
stimulation of the mucosa are affected by the mucosal transport of
5-HT, the fluorescent dye FM2-10 was used to visualize submucosal
neurons excited by stroking the mucosa (Fig.
10). One side of the preparation served
as a paired, nonstimulated control against which the number of neurons
that took up FM2-10 in response to stroking of the mucosa could be
compared. The effect of mucosal stimulation was examined in the
presence or absence of fluoxetine (0.01 and 1.0 µM). The uptake of
FM2-10 is dependent on nerve activity, as it is totally prevented
when the experiment is carried out in the presence of tetrodotoxin
(35). Very few neurons took up FM2-10 on the control,
nonstimulated side of the preparations, whether or not fluoxetine was
present (Fig. 11). In contrast, the number of FM2-10-labeled neurons was 9- to 10-fold greater on the
side of the preparations that was subjected to stroking
(P < 0.001). In the presence of
fluoxetine (1.0 µM), about 30-fold more neurons were labeled by
FM2-10 on the side of the preparation subjected to mucosal
stroking than on the nonstimulated control side of the same
preparations. Fluoxetine thus evoked a significant increase in the
number of neurons labeled by FM2-10
(P < 0.001 vs. control side in the
same preparations; P < 0.001 vs. the
stimulated side in preparations not exposed to fluoxetine). These data
suggest that fluoxetine potentiates responses of submucosal sensory
neurons to mucosal stimulation.

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Fig. 10.
Uptake of FM2-10 allows submucosal neurons activated by mucosal
stimulation (stroking) to be visualized. This field shows a group of
excited neurons after stroking of the mucosa in the presence of
fluoxetine (1.0 µM). Numbers of such cells on control and stimulated
sides of preparations in absence or presence of fluoxetine are shown in
Fig. 11. Marker, 50 µm.
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Fig. 11.
Fluoxetine increases the number of submucosal neurons that become
excited by stroking the mucosa. Uptake of FM2-10 was quantified on
control and mucosally stimulated sides of preparations in absence or
presence of 2 concentrations of fluoxetine.
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DISCUSSION |
Studies were carried out to determine whether a 5-HT transporter
identical to that of serotonergic neurons is expressed in the mucosa of
the guinea pig small intestine. Although the 5-HT transporter has been
found to be present in the mucosa of the rat gut (48), it had not
previously been demonstrated to be expressed in that of guinea pigs.
The activity of the 5-HT transporter is critical for the inactivation
of 5-HT. Enzymes that are known to catabolize 5-HT, such as monoamine
oxidase (6) and, in the bowel, glucuronyl transferase (23, 27), are
intracellular. These enzymes thus are not by themselves able to remove
5-HT from the extracellular space, where it gains access to 5-HT
receptors expressed on the plasma membranes of target cells. For
monoamine oxidase or glucuronyl transferase to catabolize 5-HT, it is
necessary for 5-HT first to enter the cells that contain these enzymes. Serotonergic axons are able to inactivate the 5-HT they secrete because
they express the 5-HT transporter in their plasma membrane, which
catalyzes the reuptake of released 5-HT (4, 19, 23, 26, 32, 42, 43).
The hypothesis has been advanced that 5-HT secreted by EC cells
activates 5-HT receptors both on extrinsic (3, 31) and intrinsic
sensory neurons (7-11, 44, 48) (Fig.
12). For example, experiments carried out
with isolated segments of guinea pig gut have suggested that EC cells
release 5-HT in response to mucosal pressure or distortion (9) and that
this release is responsible for the initiation both of peristaltic (48)
and secretory reflexes (14, 44). Furthermore, intrinsic sensory neurons
of the submucosal plexus have been demonstrated directly to become
active following the application of pressure to the guinea pig small
intestinal mucosa, and their activation is blocked by 5-HT antagonists
(35, 36). Despite these observations, a role for 5-HT as an EC
cell-to-sensory nerve transmitter cannot be considered to have been
definitively established unless a mechanism for terminating its action
in the guinea pig intestinal mucosa can be identified. This hypothesis requires a mechanism for 5-HT inactivation in the mucosa. If the 5-HT
transporter-mediated reuptake of 5-HT is this mechanism, then the
mucosal expression of the 5-HT transporter should not be confined to
the rat gut. The previous absence of definitive evidence that there is
a 5-HT transporter in the guinea pig intestinal mucosa thus presented a
problem for understanding the role of 5-HT in intestinal
function.

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Fig. 12.
Diagram depicting proposed mechanism of activating intrinsic sensory
nerves in submucosal plexus. Myenteric plexus was dissected away from
preparations used in the current study and thus does not affect
results. Pressure (Pr), distortion, focal electrical stimulation, or
5-HT was applied to mucosa (left). These stimuli are
presumed to cause 5-HT to be released from enterochromaffin (EC) cells.
Secreted 5-HT stimulates mucosal processes of intrinsic sensory
neurons, which are cholinergic and activate follower cells
(interneurons or secretomotor neurons) by fast EPSPs mediated by
nicotinic receptors. In the current studies, recordings were made in
follower cells, which were impaled with a sharp microelectrode. As a
result the fast EPSPs evoked in these cells were abolished by
tetrodotoxin, as well as by hexamethonium. Mucosal action of 5-HT is
terminated by its transporter-mediated uptake by enterocytes, which
presumably catabolize the 5-HT they take up. Inhibition of mucosal
transporter by fluoxetine potentiates stimulation of sensory neurons by
5-HT, recruiting more of such cells to be activated by a given
stimulus. Effect of inhibiting 5-HT transport is to potentiate
amplitude of compound cholinergic fast EPSPs in follower cells and to
increase numbers of activated submucosal neurons.
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Because rat cDNA and riboprobes hybridize poorly with mRNA encoding the
guinea pig 5-HT transporter, and commercially available antibodies to
the rat 5-HT transporter do not recognize that of guinea pigs, we
postulated that the expression of the 5-HT transporter in the guinea
pig bowel was not detected in earlier studies because appropriate
reagents were not available. In the current study, therefore, we used
RT-PCR to determine whether the guinea pig 5-HT transporter could be
cloned from the intestinal mucosa. Because cDNA encoding the rat 5-HT
transporter does hybridize, albeit weakly, with that of guinea pig
(48), initial amplimers used for PCR were designed from the sequence of
the rat 5-HT transporter. A 398-bp PCR fragment was obtained from the
guinea pig small intestinal mucosa that was 89.5% identical at the
nucleotide level to the sequence of the equivalent region of the rat
and human 5-HT transporters. This fragment was employed to obtain a
full-length cDNA by NH2- and
COOH-terminal extension.
The full-length guinea pig mucosal cDNA encoded a protein that was
deduced to be 630 amino acids in length, the same length as the 5-HT
transporters of rat (4), human (41), and mouse (12). The full-length
guinea pig mucosal cDNA was 90.0% identical to the sequence of the
human 5-HT transporter and 89.2% identical to the rat 5-HT
transporter. In common with the 5-HT transporters of other species,
moreover, hydropathy analysis of the deduced amino acid sequence of the
guinea pig mucosal cDNA suggested that the molecule has 12 hydrophobic
membrane-spanning domains. Also like the 5-HT transporters of other
species, the guinea pig mucosal cDNA has two potential glycosylation
sites between the third and fourth transmembrane domains, implying that
this region of the molecule is extracellular. Further identities
between the guinea pig mucosal cDNA and the 5-HT transporters of other
species are conserved potential casein kinase II and PKC
phosphorylation sites. The potential casein kinase II sites are
COOH-terminal in location, whereas the PKC sites are found both in the
NH2- and COOH-terminal domains and
in F, the linker region between the fourth and fifth membrane-spanning
regions. It is conceivable that the guinea pig mucosal cDNA has an
additional site that can be phosphorylated by PKC
(Thr594), which is not present
in the published sequences of the 5-HT transporters of other species.
This site, however, is predicted to be the last amino acid included in
the twelfth membrane-spanning domain. The strong similarity between the
5-HT transporters of other species and the guinea pig mucosal cDNA
suggested that guinea pig cDNA encodes the guinea pig 5-HT transporter.
The supposition that the guinea pig mucosal cDNA encodes the guinea pig
5-HT transporter was confirmed by expressing the guinea pig protein in
HeLa cells. The transfected HeLa cells, but not the nontransfected
parent line, took up 5-HT by a high-affinity, saturable mechanism. The
uptake of 5-HT by transfected cells was found to be
Na+ dependent and antagonized by
tricyclic antidepressants and SSRIs, which are known to inhibit the
action of the 5-HT transporter. Whereas the rank order of potency of
the tricyclic antidepressants, chlorimipramine >> imipramine >>
desipramine, was similar to that reported for the 5-HT transporters of
other species (2), each of these compounds was seen to be a more potent
inhibitor of the expressed guinea pig 5-HT transporter than of the 5-HT
transporters of rats or humans (Table 1). In contrast, the SSRI
fluoxetine was found to be a less potent inhibitor of the expressed
guinea pig 5-HT transporter than of the 5-HT transporters of rats or humans (Table 1). Earlier studies in which the uptake of
[3H]5-HT by rat
cortical synaptosomes was compared with those of guinea pigs also
revealed that tricyclic antidepressant compounds are more potent
inhibitors of [3H]5-HT
uptake in guinea pigs, whereas SSRIs are more potent in rats (33).
These observations led to the conclusion that the 5-HT uptake systems
in rats and guinea pigs are similar but not identical. The current
observations are consistent with this conclusion.
The rat and human 5-HT transporters have been shown to be markedly
different in their affinity for tricyclic antidepressants (1). This
difference has been traced to a single amino acid in the twelfth
putative transmembrane domain,
Phe586 in humans, and
Val586 in the rat. The guinea pig
5-HT transporter resembles that of the rat in that it too has a
Val586, rather than the
Phe586 of the human 5-HT
transporter. The
Ki for inhibition
by imipramine of
[3H]5-HT uptake into
transfected HeLa cells (2.6 ± 0.3 ×10
8 M) lies between
the Ki values
reported for the rat (4.6 ± 0.9 × 10
8 M) and human (8.2 ± 3.4 × 10
9 M) 5-HT
transporters, although it is closer to that of the rat (see Table 1).
These observations thus support the idea that Phe586 is responsible for the very
high affinity interactions of tricyclic antidepressants with the human
5-HT transporter.
It is of interest that in the COOH-terminal domain, only 4 of 34 amino
acids distinguish the sequences of the guinea pig, rat, and human 5-HT
transporters. This degree of similarity makes it difficult to explain
why only one of three different antibodies generated against sequences
in the COOH-terminal domain of the rat 5-HT transporter appears to be
able to demonstrate the guinea pig 5-HT transporter by
immunocytochemistry (Table 2). All three of these antibodies recognize
the rat and human proteins (40), and all three appear to react with the
denatured guinea pig 5-HT transporter in Western blots (data not
illustrated). It is possible that antibodies to the rat sequences would
fail to label the guinea pig 5-HT transporter in tissues, if the
tertiary structure of the guinea pig 5-HT transporter were to be
different from that of rat or human 5-HT transporters. The guinea pig
5-HT transporter contains a
Cys626. The corresponding amino
acid is Arg626 in rat and human.
It seems plausible therefore that disulfide bonding involving the
Cys626 of the guinea pig 5-HT
transporter, perhaps with Cys522,
which is found in the adjacent intracellular domain, causes an internal
loop to form in the guinea pig 5-HT transporter that precludes its
recognition by some antibodies to the COOH-terminal domain of the rat
5-HT transporter. A-SERT-50 and A-SERT-48 were prepared against
COOH-terminal peptides that differ from one another only in that the
peptide used to generate A-SERT-48 was eight amino acids greater in
length than A-SERT-50. It is possible that the sequence recognized by
A-SERT-48 is masked in situ because it extends almost to the
Cys626. The antibodies to external
domains of the rat 5-HT transporter have not proven to be useful for
the immunocytochemical localization of the 5-HT transporter in rats. It
is therefore not surprising that they also do not appear to react
with the 5-HT transporter in guinea pig tissues.
The distribution of cells found by in situ hybridization to contain
mRNA encoding the guinea pig 5-HT transporter was similar, but not
identical, to that of cells that express 5-HT transporter immunoreactivity. In particular, neurons of the nuclei of the guinea
pig median raphe were heavily labeled by in situ hybridization, as was
a small subset of neurons in the myenteric plexus of the guinea pig
small intestine. It has been estimated that the proportion of guinea
pig enteric neurons that are serotonergic is about 2-3% and they
are thought to be restricted to the myenteric plexus (15, 20, 29). This
proportion is about that found by in situ hybridization to express mRNA
encoding the 5-HT transporter in the guinea pig bowel and corresponds
well to the small number of guinea pig myenteric nerve cell bodies that
expressed 5-HT transporter immunoreactivity. Moreover, both hybridizing
and immunoreactive neuronal perikarya were observed only in the
myenteric plexus, and the appearance of 5-HT transporter
immunoreactivity in sectioned ganglia is very similar to that
previously reported for the radioautographic labeling of the same
structures following the incubation of the gut with
[3H]5-HT (16, 28).
Axons (both central and enteric) were the only neuronal structures that
displayed 5-HT transporter immunoreactivity but did not contain mRNA
encoding the guinea pig 5-HT transporter that could be demonstrated by
in situ hybridization. This difference in localization, however, is not
a discrepancy but is almost certainly due to the virtual absence of RNA
in axons. The axonal expression of the 5-HT transporter is thus
explained by axonal transport. In both the brain and gut a small number
of serotonergic neurons evidently provide a very large number of axonal
processes.
The results with in situ hybridization thus suggest that the same 5-HT
transporter molecule is likely to be expressed in neurons of the brain
and bowel. Because the 5-HT transporter was originally cloned from RNA
extracted from the guinea pig mucosa, which contains no nerve cell
bodies, it is apparent that the guinea pig 5-HT transporter is not
exclusively a neuronal molecule. The idea that nonneuronal cells of the
guinea pig intestinal mucosa and central neurons express the same 5-HT
transporter was confirmed by Northern analysis, which revealed only a
single hybridizing species of mRNA of identical size in brain and gut.
Data obtained with in situ hybridization and immunocytochemistry
provide strong support for the idea that the 5-HT transporter is
expressed by guinea pig mucosal epithelial cells. In contrast to the
rat, however, in which the expression of the 5-HT transporter is
restricted to crypt epithelial cells (48), in the guinea pig mRNA
encoding the 5-HT transporter, as well as immunoreactive protein, is
found in epithelial cells throughout the length of the crypt-villus
axis. This distribution suggests that the function of the mucosal 5-HT
transporter in guinea pigs is not limited to the region of the crypts,
but instead extends to the tips of villi. The guinea pig mucosa is
thicker than that of rats; therefore, 5-HT released near villus tips
might not be inactivated rapidly enough by a transporter limited in its
distribution to the crypts. 5-HT-containing EC cells in the guinea pig
small intestine are more concentrated in crypts, but they are also
present in the walls of the villi. Restricted stimuli, moreover, such
as puffs of N2 directed at the
tips of villi, have been demonstrated to activate neurons in the guinea
pig submucosal plexus by a 5-HT-dependent mechanism (36). It thus seems
probable that the release of 5-HT from the wall of guinea pig villi,
and not just the region of the crypts, can activate mucosal sensory
nerves. The expression of the 5-HT transporter throughout the villus