Organization of postsynaptic receptor clusters
The vertebrate NMJ is composed of the motor axon terminal, which sits in a shallow trough at the muscle surface and is capped by terminal Schwann cells that cover the entire NMJ. The motor axon releases acetylcholine (ACh), the primary excitatory transmitter at these junctions. In the mature NMJ, the postsynaptic membrane forms junctional folds, which organize the postsynaptic apparatus. ACh receptors (AChRs) aggregate at the top of these folds in direct apposition to presynaptic active zones, which are the sites of neurotransmitter release
14. The organization of
AChR at the junctional folds involves positive and negative signals that lead to the clustering of AChRs at the endplate, and the dispersal of aneural AChR clusters, as well as an increased expression of AChRs by synaptic myonuclei and the suppression of AChR expression by extra-synaptic myonuclei
15. AChR clustering requires the transmembrane
MUSK (muscle, skeletal, receptor tyrosine kinase), and the secreted heparan-sulphate proteoglycan
Agrin, which activates tyrosine phosphorylation of MUSK. MUSK controls AChR clustering through
Rapsyn, a protein that binds, clusters and anchors AChRs
16. ACh also functions to disperse AChR clusters, a role counteracted by the release of nerve-derived Agrin
14. This mechanism seems to ensure proper apposition between the presynaptic and postsynaptic apparatus, as well as mono-synaptic innervation of each muscle. Indeed, in mutant mice that lack the ACh synthetic enzyme choline acetyltransferase, NMJs had abnormal branching patterns and excessively broad endplate bands, and muscles were often innervated by more than one NMJ
17.
The small GTPases RAC and RHO are also sequentially activated by Agrin, and this induces the formation of AChR micro-clusters and their coalescence into full-sized clusters
18,19. Initial hypotheses posed that nerve-derived Agrin, through MUSK, triggered AChR clustering. However, it was subsequently found that before innervation, AChR clusters were already present at presumptive endplates in a MUSK-dependent manner
20,21. Therefore the formation of these aneural or pre-patterned AChR clusters is independent of Agrin
22,23. However the maintenance and further growth of the clusters require Agrin, which suggests that Agrin serves a stabilizing function rather than an AChR cluster-inducing function
14,24.
Role of WNTs in AChR clustering
A link between AChR clustering and WNTs emerged from observations that DVL (mammalian homologue of
Drosophila
Dishevelled) interacted directly with MUSK, coupling it to the actin regulator
PAK1 (p21 protein (Cdc42/Rac)-activated kinase 1) — an interaction that is crucial for AChR clustering by Agrin in cultured mouse muscle cells
25. Further, it was found that
WNT1 regulates MUSK expression
26 and that neural Agrin activates PAK1 in a DVL-dependent manner
25. Although there is some disparity in the published literature regarding specific roles of WNTs in the regulation of AChR clustering, WNT3a has been reported to inhibit Agrin-induced AChR clustering in mice
27. Conversely, mouse WNT3 and zebrafish
Wnt11r are positive regulators of AChR clustering
28,29. It is important to note that although several studies suggest that WNTs are secreted by the presynaptic or the postsynaptic cell, WNTs that influence synapse development might also be released by other cell types (for example, by glial cells
30 or, in the case of Wnt11r, probably by somites
29). Furthermore, autocrine regulation of WNT signalling by WNT-expressing cells has also been reported
31 and suggested at the
Drosophila melanogaster NMJ
7. Support for a positive role for WNT3 during AChR clustering emerged from the finding that exposing embryonic chick wings or cultured mouse myotubes to WNT3, resulted in an increase in the number and size of Agrin-dependent AChR clusters
28. Moreover, in
Dvl1 mutant mice AChR clusters had a more disperse distribution at the endplate
28. Whereas SFRP1 (secreted Frizzled-related protein 1) blocked the effects of WNT3, DKK1 (dickkopf homolog 1) did not, suggesting the involvement of non-canonical signalling (see BOX1). WNT3 induced a rapid activation of RAC1 and the accumulation of transient AChR microclusters (), which were transformed into full-sized clusters when Agrin was present
28 (). Thus, WNT3-dependent microclusters might be stabilized by Agrin and serve as nucleating centres for the formation of full-size AChR clusters
28. Interestingly, recent studies of zebrafish show that Dvl is required for aneural AChR cluster formation (), and that in the absence of aneural AChR clusters motor axon pathfinding is disrupted
29. Analysis of zebrafish injected with
Wnt11r morpholinos showed that Wnt11r was required for AChR pre-patterning and for normal navigation of presynaptic terminals, involving a pathway similar to the planar cell polarity pathway.
Inhibitory roles of WNTs at the NMJ were supported by the finding that WNT3a inhibited Agrin-dependent AChR cluster formation and induced the dispersal of already formed clusters in cultured myotubes and
in vivo, through
Rapsyn gene repression
27 (). Furthermore, Rapsyn overexpression prevented WNT3a-dependent cluster dispersal in cultured myoblasts
27. This inhibitory effect of WNT3a is consistent with studies showing that inhibition of GSK3β (glycogen synthase kinase 3β) in muscle reduces AChR clustering
28. Moreover, expressing β-catenin (also known as cadherin-associated protein-β) in limb muscles of mice
in vivo inhibited Agrin-dependent AChR cluster formation
27, and, conversely, mutant mice lacking β-catenin in muscle showed an increase in the size of AChR clusters
32,33. However, there is some disparity on the evidence implicating β-catenin in AChR cluster formation, as it has also been reported that downregulating β-catenin in cultured myotubes inhibits Agrin-dependent AChR clusters
34.
Rapsyn gene expression was shown to be reduced upon β-catenin upregulation
27. The inhibitory function of WNT3a is likely to be mediated through canonical WNT signalling, as β-catenin was involved, and as DKK1 opposed the effects of WNT3a
27. However, T cell factor (TCF)-mediated transcription does not seem to be required, as mutating TCF motifs in the
Rapsyn promoter region had no effect on Rapsyn levels, and expressing a TCF dominant-negative in myotubes did not alter Agrin-dependent AChR cluster formation
27. Notably, there are also NF-κB (nuclear factor-κB) binding sites and an e-box in the Rapsyn promoter
35,36, implying the possibility of
Rapsyn gene regulation by β-catenin through these sites. Thus, WNTs can serve both synaptogenic and anti-synaptogenic functions. This antagonistic role for WNTs might serve to refine synaptic architecture, and might also have a role during synapse elimination
37.
Intriguingly, Zhang
et al.
34 found that β-catenin interacted directly with Rapsyn and surface AChRs, and that Agrin enhanced the association between β-catenin and surface AChRs
34 (). α-Catenin was also present in the complex, probably through association with β-catenin, which suggests that β-catenin could serve as a link between AChRs and the α-catenin-associated cytoskeleton.
A retrograde signalling pathway down-stream of β-catenin at the NMJ was suggested by the finding that mutants lacking β-catenin in muscle had abnormal presynaptic differentiation
32 (). These mutants also had a reduction in evoked release, defects in short-term plasticity, as well as calcium sensitivity
32. Interestingly, SFRPs are present in muscles, localize to the NMJ and are upregulated upon denervation
38, which raises the possibility that WNT signalling might mediate these β-catenin-dependent processes
32.
Important additional evidence for the interaction between WNT signalling and AChR clustering was provided by the finding that LRP4 (low density lipoprotein receptor-related protein 4) interacts with MUSK and binds Agrin (). Although a wealth of evidence had indicated that MUSK was an Agrin receptor, no evidence for a direct interaction had been forth-coming, which suggests the presence of a co-receptor
39. Initial clues as to the identity of the Agrin co-receptor were provided by the finding that
Lrp4 mutant mice lacked AChR clusters, had aberrant presynaptic branching and a reduction in presynaptic sites
40 — a phenotype remarkably similar to that of
Musk mutants
41. Two recent studies
42,43 have supported the view that LRP4 is the long-sought Agrin co-receptor. The extracellular domain of LRP4 binds to neural Agrin and forms a complex with MUSK, which was shown to be required for MUSK activation by Agrin and for AChR clustering in myotubes
42. LRP4 co-localizes with MUSK at the NMJ and in cultured muscle cells
40,42,43. It was found that LRP4 interacted directly with both Agrin and MUSK, and that the interaction between LRP4 and MUSK was enhanced by Agrin
42,43. Although LRP4 alone could bind Agrin, the MUSK–LRP4 complex had higher binding affinity at high Agrin concentrations, such as those predicted in the synaptic cleft
42,43.Whereas Zhang
et al.
43 showed tyrosine phosphorylation of the intracellular domain of LRP4 in Agrin stimulated muscle cells, Kim
et al.
42 could not detect tyrosine phosphorylation of LRP4. Notably,
Lrp4 mutant
43 mice, similar to
MUSK mutants but unlike
Agrin mutants, also lacked aneural AChR clusters, suggesting an Agrin-independent, and perhaps WNT-dependent pathway for aneural AChR cluster formation
22 (). This idea has been supported by recent studies in zebrafish, demonstrating that Wnt11r and Dvl are required for AChR pre-patterning
29 (see
ReF. 44 for a summary of the role of WNTs in AChR pre-patterning at the NMJ).
The earlier studies of WNT signalling at the NMJ also demonstrated that APC (adenomatous polyposis coli) is localized at the NMJ and binds directly to the β-subunit of AChRs
45 (). APC, beyond its role in antagonizing the canonical WNT pathway, organizes and stabilizes the microtubule cytoskeleton in epithelial cells by binding the microtubule plus-end binding protein
EB1 (
REFS 46,47). At the NMJ APC is required for Agrin-dependent nicotinic AChR clustering
45. APC also bound to postsynaptic density 93 (PSD93), β-catenin and EB1 to regulate neuronal AChR surface levels and clusters
48,49 (). Thus, at the vertebrate NMJ, WNTs are intimately involved in the signalling mechanisms that specify the localization of innervation and the cellular machinery that induces AChR clustering.