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Although this protocol is not technically difficult to perform, there are several critical steps that must be followed to achieve the most accurate and repeatable co-culture assays. Firstly, cultured medium spiny neurons must be seeded at an optimal density. If seeded too sparsely, neurons tend to develop very slowly and survival is greatly reduced. On the other hand, if seeded too densely, neurons tend to aggregate which compromises the analysis of contacts with HEK293 cells. Secondly, it is recommended to transiently express a fluorescent reporter, GFP or mCherry in HEK293 cells stably expressing GABAARs, prior to platting them into the co-culture. This allows reliable recognition of HEK293 cells, which can be compromised by similarity in shape and size between these cells and rare surviving glia cell in neuronal cultures. To achieve the efficient transfection with GFP or mCherry cDNA, HEK293 cell lines have to be in the exponential growth phase and seeded at the appropriate density in 6-well plates. Sparse seeding followed by transfection will cause cells to grow poorly, while over-seeding will prevent the cells from taking up the cDNA. Ideally, cells should be seeded so that they are between 70 - 90% confluent on the day of transfection. Thirdly, transfection must be optimized for each cell line used, as some cell lines are more sensitive than the others. This is because constitutive GABAAR expression in HEK293 cells reduces cell survival and the ability of cells to recover after transfection. Moreover, survival depends on the type of GABAARs expressed in HEK293 cells, with some cell lines being significantly more sensitive than the others. Transfection using liposomal reagent is an optimal method for expressing foreign proteins in fast growing cell lines, providing both the high transfection efficiency and level of expression. However, this reagent causes too much damage to slowly growing cell lines, for which we regularly use a non-liposomal transfection reagent. This works in a similar way to the liposomal reagent but the amount of DNA required for efficient transfection is significantly reduced. This allows greater cell survival (roughly 80 - 90% compared with 60% using liposomal reagent) but with lower transfection efficiency (60%). Lastly, the number of control HEK293 or α1/β2/γ2 HEK293 expressing cells added to neuronal cultures needs to be optimized. Adding too few cells compromises the successful analysis of contacts between HEK293 cells and neurons, because they become very rare. Conversely, adding too many HEK293 cells causes neuronal cell death within few hours.
Embryonic medium spiny neuron cultures should ideally be prepared using striatal tissue dissected from embryonic age 15 - 17. However, it often happens that embryos are slightly younger or older than the optimal age. In this case, the number of neurons seeded in culture will need to be varied. Tissue that is younger than E15 may need to be seeded at a slightly lower density, whilst tissue that is older than E17 may need to be seeded at a higher density, to allow optimal cell survival. Furthermore, cytosine arabinoside (Ara-C) may need to be added to older cultures to prevent growth of glia, which is more abundant in older tissue.
When creating co-cultures, it is important to plate the optimized number of transfected HEK293 or α1/β2/γ2 HEK293 expressing cells, as mentioned above. However, it may be necessary to determine this for each individual cell line, because of differences in their survival. Typically 30,000 cells in a maximum volume of 50 μl should be added to each well of a 24-well dish, which already contains 500 μl of neuronal culture medium, as this ensures that the conditioned neuronal medium is not diluted too much and that the conditions within each well remain fairly constant, e.g. the concentration of growth factors. Adding volumes greater than 50 μl to each well would generally kill the neurons.
One of the major disadvantages of the co-culture technique is that the neuronal cultures are created from dissociated cells grown as a monolayer, which means that the neurons have been removed from their normal microenvironment and are unable to establish their normal anatomical organization. Therefore they lack the appropriate connections, inputs and secreted molecules from other cells that may influence the initial stages of synapse development. For example, in vivo medium spiny neurons are densely innervated by glutamatergic inputs from the cortex, thalamus and other brain regions34, however, in our neuronal cultures glutamatergic synapses do not form because these inputs are damaged during dissection of the striatal tissue. How the absence of functional glutamatergic synapses in cultured medium spiny neurons affects their ability to form GABAergic synapses with each other and/or HEK293 cells expressing GABAARs remains an open question. This question could be easily addressed by culturing medium spiny neurons together with cortical glutamatergic neurons thereby allowing them to form functional synapses35 prior to the addition of HEK293 cells. An alternative approach would be to design a co-culture model system based on organotypic slice cultures, which maintain some of the cytoarchitecture which may be important for maturation and synapse formation. However, organotypic slice cultures have dense and heterogeneous neuropil which can compromise the analysis performed here. Another important disadvantage of using co-culture assays is that GABAARs expressed at the surface of HEK293 cells are not clustered as they are in neurons, although this appears not to be necessary for synapse formation given a high enough surface expression30. For example, in the rodent brain and in hippocampal cultures, the α1 GABAAR subunit is found in most GABAergic synapses on all postsynaptic domains of pyramidal cells. However, the α2 is specifically located in a subset of synapses on the somata and dendrites but is highly enriched in the axon initial segment, as revealed by immunofluorescence and electron microscopy36. Given that synapse formation in the co-cultures can still be reliably detected and analyzed30, this suggests that the density of GABAARs at the cell surface of HEK293 cells may be similar to, or even higher than the density of these receptors within synaptic clusters in neurons. This can explain, at least in part, why synaptic adhesion proteins, such as neuroligin, and postsynaptic density proteins, such as gephyrin, are not necessary for synapse formation in the co-cultures, if the appropriately assembled GABAARs are present at sufficient density.
It is well documented that GABAARs are structurally and functionally heterogeneous, and that the receptor subunit composition determines their subcellular localization and pharmacological properties. For example, incorporation of the 2 subunits is known to be a prerequisite for the synaptic localization of GABAARs while the subunit is almost exclusively present in extrasynaptic GABAARs. The receptors that incorporate only αβ combinations are also thought to be predominantly localized to the extrasynaptic domains12-14. Whether this specificity is maintained in our co-culture system can be easily tested by transiently transfecting 2 or subunit cDNAs into HEK293 cell lines stably expressing α and β subunits, before adding them to neuronal cultures. Our preliminary experiments using this approach have suggested that synaptic contacts are readily formed only in the presence of the 2 subunit, indicating that the specificity observed in vivo is likely to be preserved in vitro (data not shown).
Furthermore, GABAARs incorporating different α subunits are selectively localized to synaptic contacts formed with specific types of presynaptic neurons. For example, in the globus pallidus, the α1-GABAARs are generally found at striatopallidal (str-GP) and palliopallidal (GP-GP) synapses, which are located on dendrites and somatic regions of the medium spiny neurons, respectively. The α3-GABAARs are located in perisomatic regions of medium spiny neurons and are contacted by local GP axon collaterals, whilst the α2-GABAARs are located on distal dendrites of these neurons and contacted primarily by inputs from the striatum32. Expression of specific α subunits in different types of synapses and in different neuronal compartments has also been demonstrated in other brain areas such as hippocampus21 and neocortex18,20. These findings raise the question as to how the specific inhibitory synapses are formed in the brain. Does the adhesion of a specific type of presynaptic terminal induce the insertion of specific GABAAR subtypes into the points of contact? Are the receptors trafficked to specific subcellular locations according to their subunit composition, where their plasma membrane insertion is a prerequisite for the adhesion of axonal terminals of specific origin? To date, these questions remain unanswered. The use of reduced model systems such as the co-culture model system, allow us to start answering this complex questions because the system is easily amenable to transfection of DNA constructs and application of reagents and, importantly, it is suitable for live cell imaging analysis30. Thus, using this model system we can start testing the role of individual molecules, including different types of GABAARs, known to be present at synaptic contacts. Another advantage is that synapses in this model system form rapidly, within minutes to hours, reducing the duration of experiments. Similar co-culture model systems were successfully employed in the past to screen for the novel synaptogenic molecules27,37,38.
Understanding how the central nervous system develops, matures and forms connections between neurons so intricately to control, for example, behavior or cognition, is of fundamental importance. This distant aim will only be achieved by delineating the molecular mechanisms that govern the individual steps of recognition and cell-to-cell communication during development. Due to sheer complexity, the molecular details of these multiple cellular interactions can currently be studied with precision only in reduced systems. However, the ability to increase the complexity of these systems by expressing multiple combinations of proteins and studying how they interact has some advantages in comparison with, for example, genetic deletion approaches. This is because the accurate interpretation of the effects of a single gene deletion is often compromised by changes associated with compensatory mechanisms masking the effects of original lesions, particularly in the developing brain. The simple yet informative co-culture technique described here has allowed a discovery of the structural role of GABAARs in synapse formation and opened a possibility to investigate how GABAARs and other cell adhesion molecules and/or synaptic matrix proteins interact with each other during synaptogenesis. Synaptic matrix proteins are of particular interest given that they have recently been demonstrated to play a key role in glutamatergic synapse formation39. Further development of co-culture models is important because they have the potential to advance our knowledge of the molecular mechanisms which guide the ‘normal’ brain development and thus increase our understanding of how these mechanisms are altered in many neurodevelopmental diseases, such as epilepsy, schizophrenia, autism spectrum disorders and many others.