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First published online November 18, 2009
doi: 10.1242/jcs.023564
Commentary |
School of Medical Sciences, Institute of Medical Sciences, University of Aberdeen AB25 2ZD, Scotland
* Author for correspondence (c.mccaig{at}abdn.ac.uk)
| Summary |
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Key words: Directed migration, Electric field, Polarity, Regeneration, Wound healing
| Introduction |
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In almost all systems that have been studied, crucial behaviours such as cell division, cell migration and cell differentiation take place within an extracellular milieu in which standing voltage gradients persist for several hours or even days (Levin, 2007
; McCaig et al., 2005
). Mostly, these electrical signals arise from spatial variations in the functioning of ion pumps, or leaks across individual cells or across layers of cells, such as an ion-transporting epithelium (Fig. 1). The resulting ionic gradients drive extracellular ionic current flow and this establishes the voltage gradients. Two reviews published in the last few years have addressed in depth the origins of steady DC extracellular electrical signals, and their integral roles in developmental and regenerative physiology (Levin 2007
; McCaig et al., 2005
).
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| Electrical guidance of nerves |
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Some impetus for the studies of Borgens and colleagues comes from work that showed profound nerve growth and guidance effects of applied EFs with strengths as low as 7 mV/mm (Hinkle et al., 1981
; McCaig et al., 2005
) [Fig. 2; also see movies 1 and 2 in Rajnicek et al. (Rajnicek et al., 2006a
)]. In these studies, neuronal growth cones (the motile tips of growing nerves) of dissociated Xenopus embryonic spinal-cord neurons (the predominant in vitro model of chemotropic axon-guidance studies) rapidly and dramatically changed direction to migrate towards the cathode in response to these EFs. They also branched more frequently towards the cathode, migrated more rapidly towards the cathode and advanced relatively slowly in the direction of the anode (or retracted). We envisage electrical signals as co-regulators of developmental and regenerative nerve growth and guidance, because physiological electrical signals exist in the central nervous system (CNS) in vivo (see below) and evoke subtle voltage- and time-dependent responses that are enhanced or suppressed by interaction of the electrical signals with other extracellular guidance cues. For example, cathodal attraction is enhanced by the neurotrophin brain-derived neurotrophic factor (BDNF), is suppressed by the endogenous cannabinoid anandamide and, at low EF strengths, is reversed by the neurotrophin NT3 to become anodal attraction (McCaig et al., 2000
; Berghuis et al., 2007
). Moreover, because the relative rate of retraction for anode-facing neurites is less than the rate of enhanced cathodal attraction, switching the EF polarity might promote growth in both directions over a prolonged period, as is required for regeneration of both ascending (sensory) and descending (motor) tracts in spinal-cord injury (McCaig, 1987
). The Borgens group exploited this latter observation to design an oscillating stimulator for the dog and human spinal-injury studies referred to in Box 1, in which the polarity of the DC EF is switched every 30 minutes.
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There has been no new therapeutic advance in the treatment of spinal-cord injuries for several decades. The relevance of Borgens' work for human disability remains controversial, and the next few years will be defining for electrical treatments of spinal-cord injuries.
| Box 1. Application of an EF to the damaged mammalian spinal cord
Borgens and colleagues showed that steady electrical signals are a natural consequence of spinal-cord transection in larval lampreys, and that an applied EF that offsets these injury-induced signals improves regeneration (Borgens et al., 1980
In other experiments [figure below redrawn from Borgens (Borgens, 1999
In dogs, significant improvement in several neurological parameters was seen when variably damaged spinal cords (accidental injuries) were exposed to a DC EF (Borgens et al., 1999
Finally, a Phase 1 human clinical trial has shown that quadriplegic patients tolerated electrical implants for 3 months and that, just 1 year after removal, nine of the ten patients had recovered some sensory (but no motor) function (Shapiro et al., 2005
Notably, combined application of a neurotrophic chemical (inosine) with electrical stimulation was more effective than either treatment alone in recovery of spinal reflexes in the lesioned guinea-pig model (Bohnert et al., 2007
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The receptors that transduce the EF differ according to cell type. One model for detection and transduction of DC EFs states that EFs drive the asymmetry of charged receptors within the plane of the plasma membrane, and that this enhances signalling on one side of the cell because downstream second-messenger asymmetries are triggered (McCaig et al., 2005
). Asymmetric distribution of receptors for neurotrophins and for the neuronal nicotinic acetylcholine receptor might be crucial for electrically mediated growth-cone guidance, whereas asymmetric epidermal growth factor (EGF) receptors and vascular endothelial growth factor (VEGF) receptors might transduce epithelial and endothelial responses to EFs (Erskine and McCaig, 1995
; Zhao et al., 1999
; Zhao et al., 2002
, Zhao et al., 2003
; Fang et al., 1999
; Pullar et al., 2006
).
Signalling pathways downstream from these different receptor molecules also differ according to cell type. Common signalling elements that are used either in EF-directed epithelial cells (below) or in chemotactic guidance of neutrophils, such as phosphoinositide 3-kinase (PI3K), p38MAPK and MEK1/2 (MEK1 and MEK2), are not involved in neuronal growth-cone guidance (Rajnicek et al., 2006a
). There is much detail to be unravelled regarding the molecular signals that underpin EF-directed growth. However, the above discussion envisages `signalling' purely in terms of biochemical pathways. In addition to these recognised biochemical reactions, `signalling' might involve parallel physical and electrical signals that are carried by the endogenous polymers of the extra- and intracellular spaces (see below).
Because embryonic zebrafish growth cones did not respond directionally to a DC EF in vitro, it has been suggested that EF-directed neuronal growth might be a peculiarity of Xenopus neurons (Cormie and Robinson, 2007
). However, Cormie and Robinson's zebrafish study tested a single EF strength (100 mV/mm), a single culture substratum (laminin), neurons from one developmental period (16- to 17-somite stage), and cultures in which nerves were grown for only 6 hours. Consequently, further studies are needed to determine unequivocally whether the neurons are able to respond. There is also a need for a robust in vitro mammalian model in which EF-directed neuronal guidance can be characterised, and we are testing EF responses of a range of dissociated rodent CNS neurons and three-dimensional brain slice cultures. Although developing a mammalian in vitro neuronal model has proven challenging, experiments using mammalian systems confirm that nerve growth in vivo is directed by endogenous electrical cues (Boxes 1 and 2, Fig. 2).
| Electrical control of neuronal migration |
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Some of the chemical cues that direct neuronal migration are known, and these can differ according to the neuronal population (Hatten, 2002
). In the tangential chain migration of subventricular zone (SVZ) neurons to the olfactory bulb via the rostral migratory stream, Slit proteins, ephrins and Eph receptors, and polysialylated NCAM have guidance roles, whereas neurons migrating from the germinal zones to the outer cortical layers along radial glial fibres initially use the extracellular-matrix molecule reelin as a guidance cue (Hatten, 2002
; Ghashghaei et al., 2007
). By contrast, in adult neurogenesis, stromal-cell-derived factor 1
, which is transduced by the chemokine receptor CXCR4 on neuronal stem cells, directs neurons to sites of brain injury (Imitola et al., 2004
).
Intriguingly, most cell migrations in developing and damaged brain probably occur through tissues in which steady electrical signals exist. For example, there is a large voltage gradient across the wall of the Xenopus neural tube (between the central canal and the extracellular space) during early neurogenesis, when outward migration of neurons occurs (Hotary and Robinson, 1991
). Epileptic seizure, stroke, ischaemia, migraine and acute damage to the hippocampus all induce extracellular electrical signals in brain that persist for hours (Leiao, 1944
; Marshall, 1959
; Jefferys, 1981
; Hadjikhani et al., 2001
; Strong et al., 2002
; Reid et al., 2007
). In addition to reading chemical gradients as molecular guidance cues, migrating neurons might also read the electrical `language' in the confined extracellular spaces of brain. Newborn rat hippocampal neurons and progenitor neurons from the lateral ganglionic eminence both migrate cathodally and, for rat hippocampal neurons, this requires activation of both PI3K and Rho kinase (ROCK) as signalling elements. The receptor transduction mechanisms upstream of PI3K are unexplored (Yao et al., 2008
; Li et al., 2008
).
| Box 2. Endogenous EFs direct nerve growth in vivo Nerve growth in mammalian cornea is directed by a naturally occurring EF
Nerve bundles grow at right angles directly towards a wound edge in mammalian cornea (Rosza et al., 1983
Wound healing is poor in individuals with sensory neuropathies (Friend and Thoft, 1984 Xenopus tadpole tail and spinal-cord regeneration
Levin and colleagues have studied Xenopus tadpoles, which (with the exception of a period between stages 45-47 – that is, between limb-bud formation and tail resorption) can regenerate their tail fully, including the nerves (green lines in the figure) of the spinal cord (Adams et al., 2007
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The future for electrically driven neuronal migration
Recent excitement in the field of neuronal migration centres on the cerebrospinal fluid (CSF) as a source of guidance information. CSF flow might set up a chemical gradient of guidance molecules that directs the early emigration of neurons from the SVZ (Sawamoto et al., 2006
). Intriguingly, electrical signals might coexist in this area too. There are electrical gradients within the CSF, and the ependymal cells that line the CSF-filled ventricles of the brain and spinal cord also act as a selective ion-transporting epithelium with tight-junction-mediated electrical seals between the cells (Hornbein and Sorensen, 1972
; Jarvis and Andrew, 1988
; Lippoldt et al., 2000
). We speculate that electrical gradients along the ependymal lining layers might regulate the beating rate of ependymal cilia and so control the establishment of gradients of guidance molecules within the flowing CSF. In addition, an electrical gradient across the ventricular wall might act as a cue to regulate the axis of cell division or cell proliferation of neuroblasts (Song et al., 2002
), or to `kick-start' neuronal migrations from the germinal layers that line the ventricle. Again, the challenge is to outline respective roles for chemical and electrical cues, and to determine their interactions.
Similar to neurons, astrocytes and Schwann cells undergo oriented growth in response to an EF, and Schwann cells migrate rapidly anodally in EFs as low as 3 mV/mm (Moriarty and Borgens, 2001
; McKasson et al., 2008
). Glial and neuronal cells are tightly related functionally and are often interconnected by communicating gap junctions. How the effects of an EF are integrated between neurons and glial cells is completely unexplored.
| Electrical control of wound healing |
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gene deletion), EF-induced signalling was decreased, directed movement of healing epithelium was abolished and electrotaxis was impaired. In addition, tissue-specific deletion of the gene encoding PTEN, a negative regulator of PI3K, enhanced EF-induced signalling and directed keratinocyte migration.
We have tested the potency of an applied EF in the context of coexisting cues in a scratch monolayer model of wound healing [see movie 1 in Zhao et al. (Zhao et al., 2006
)]. The default wound-healing cues that drive closure of scratched monolayers are assumed to include the ability of cells to identify open space (release from contact inhibition) and the establishment of chemical gradients of growth factors or cytokines released at the wound edge. (Importantly, an electrical signal arises the instant the epithelium is breached, whereas chemical gradients can take many minutes or hours to establish.) When an EF with a polarity that mimicked that at a corneal wound (cathode at wound) was applied, scratch wounds closed more quickly. When the electrical signal was applied with a reversed (`wrong') polarity, the default wound-healing cues failed to drive wound closure and, remarkably, the wound opened up. One interpretation of these data is that a physiological electrical cue can override pre-existing chemical and physical wound-healing cues [see movie 1 in Zhao et al. (Zhao et al., 2006
)]. Finally, we showed that the migration of epithelial cells, nerves, fibroblasts and neutrophils is directed in each case by a wound-induced EF (Zhao et al., 2006
). Intriguingly, each of these cell behaviours is required coordinately for effective wound healing. Perhaps the instantaneous wound-induced electrical signal `kick-starts' several cellular processes that are crucial for wound healing. These might include the upregulation of growth-factor receptors [the EGF receptor is upregulated in corneal epithelial cells by an EF (Zhao et al., 1999
; Zhao et al., 2002
)] and the upregulation of growth-factor secretion, which would give rise to chemical gradients [secretion of VEGF by endothelial cells is upregulated by exposure to a physiological EF (Zhao et al., 2003
)].
The work of Pullar and colleagues has added two molecular players – β4 integrins and β-adrenergic receptors – to those involved in EF-driven wound healing. They showed that keratinocytes with truncated β4 integrins were blinded to an applied EF in the absence of EGF, and that addition of EGF together with functioning β4 integrins enhanced EF-directed cell migration (Pullar, 2006
). As an explanation for this phenomenon, the authors suggested that cooperativity between EF-activated EGF signalling and β4-integrin signalling through the small GTPase Rac might occur, perhaps at focal adhesions. Pullar and colleagues have also shown that activation of β-adrenergic receptors partially blinds keratinocytes to a physiological EF and slows corneal wound healing. By contrast, β-adrenergic-receptor antagonists enhanced the migration response to an EF and accelerated corneal wound healing (Pullar et al., 2007
).
The future for electrical wound healing
Because EF-induced wound healing depends on known ionic transport mechanisms, there is growing interest in approaching wound-healing therapies with topically applied agents that target the enhancement or suppression of ion channels or pumps to regulate the transepithelial potential difference. Electrodes embedded in a hydrogel whose ionic or pharmacological content enhances epithelial-driven wound currents would represent a novel approach to wound-healing therapies. A new device (the trade name of which is the Dermacorder) that measures electrical fields at wounds in human skin also has been developed and is likely to be of significant clinical use (Nuccitelli et al., 2008
).
| Box 3. Extracellular electricity in the brain
Cell recruitment to sites of brain damage is known to involve damage-induced growth factors, cytokines and chemokines. However, electrical signals and chemical cues share the extracellular space and inevitably interact. In the brain, EFs of 50 mV/mm arise from the firing of hippocampal granule cells and these EFs persist for minutes to hours (Lomo, 1971
Both CSD and the uncontrolled firing of bursts of action potentials that occur in epilepsy also cause profound changes in the concentration of extracellular K+ ([K+]o). Experimental CSD increased [K+]o from 4 mM to 60-80 mM for several minutes and caused a 37% increase in cell swelling in mouse cortical neurons (Takano et al., 2007
Applied EFs have been used to suppress seizure-like electrical activity in brain, and the firing frequency of CA1 pyramidal neuron networks can be synchronised by extracellular gradients as small as 140 µV/mm. Importantly, networks of neurons seem to be more sensitive to applied EFs than single cells (Francis et al., 2003 In conclusion, electrical influences impinge on the control of neuronal proliferation, neuronal differentiation, neuronal migration and growth-cone pathfinding. Thus, the potential impact of extracellular electricity in the brain is vast and remains underexplored.
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| EFs and cancer |
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High-frequency AC EFs
In alternating current (AC) EFs, all polar molecules are subject to alternating forces; consequently, ionic flows and dipole rotations oscillate. Because of the slow kinetics of bioelectrical events, AC EFs above 100 kHz were thought to have no biological effect apart from heating. However, recent work challenges this view by showing that AC EFs (1 V/cm; 100-300 kHz) inhibit the growth of cultured tumour cells, of solid mouse melanomas, and of highly malignant human glioblastoma tumours in clinical trials (Kirson et al., 2004
; Kirson et al., 2007
). The mechanism is proposed to involve electrical focussing at the cleavage furrow, which causes interference with microtubule polymerisation, leading to disrupted mitotic-spindle formation and function (Kirson et al., 2004
).
High-intensity pulsed EFs
Recently, solid mouse melanomas have been exposed to ultrashort, very strong, pulsed EFs (Nuccitelli et al., 2006
; Nuccitelli et al., 2009
). The application of 400 (40 kV/cm) pulses of 300 ns duration caused nuclei within tumour cells to shrink by 50% within minutes and by around 70% in 3 hours. Tumour blood flow stopped in many cases and melanomas shrank by 90% within 2 weeks. A second treatment resulted, in many cases, in complete remission. These are remarkable responses to an EF with a cumulative duration of only a few hundred µs and they are not thermally based. These pulses penetrate the cell and very briefly permeabilise intracellular organelles. The EF is thought to cause rapid electromechanical deformation of the nucleus, which damages DNA associated with the nuclear membrane.
Physiological DC EFs
In addition to using very high EFs (see above), tumours also have been treated with physiological DC EFs. Potential gradients in the extracellular space between cancerous and normal tissues can be measured at the tissue surface and have been used clinically to diagnose early-onset breast cancer (Cuzick et al., 1998
). The voltage drop between cancerous and normal tissue might have its origins in the depolarisation of the membrane potential of most tumour cells (Ambrose et al., 1956
; Binggeli and Weinstein, 1986
), which causes a drop in the transepithelial potential difference in areas in which tumour cells are dividing rapidly. A more polarised epithelium is maintained in normal tissues because epithelial cells remain more hyperpolarised (Faupel et al., 1997
). We and others have sought to mimic the endogenous DC EFs between tumour and normal tissue, and to study electrical methods of preventing the directed migration of tumour cells that is an early feature of metastasis.
Interestingly, cells of a highly metastatic rat prostate-cancer cell line responded strongly to a DC EF (by migrating cathodally) but those of a weakly metastatic cell line did not respond to a similar EF. Cathodal migration of the highly metastatic cells was blocked with tetrodotoxin (which blocks voltage-gated Na+ channels), implicating these channels in EF-directed migration (Djamgoz et al., 2001
; Mycielska and Djamgoz, 2004
). The electrical-potential difference across the lumen of rat prostate glands is around –10 mV [negative with respect to the serosal (blood) side] (Szatkowski et al., 2000
). Therefore, a steady DC EF of 500 mV/mm (5 V/cm) exists across the 20-µm-thick lumenal wall (in which the lumen is cathodal); this is sufficient to attract ingrowth of metastasizing prostate epithelial cells (cathodally) (Fig. 3) (Djamgoz et al., 2001
).
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A future for electrical control of cancer?
Both the cell cycle and the mitotic spindle are targets for physiological extracellular EFs (Wang et al., 2003
; Wang et al., 2005
; Song et al., 2002
), and regulating these might have a profound impact on the control of tumours. For example, cultured rat lens epithelial cells and bovine endothelial cells show markedly reduced proliferation rates in a physiological EF. The EF suppresses cyclin-E expression and increases expression of p27kip1 (an inhibitor of the cyclin-E–Cdk2 complex), and consequently cells fail to make the G1–S-phase transition and undergo cell-cycle arrest (Wang et al., 2003
; Wang et al., 2005
). In rat corneal epithelial cells in vivo, however, an endogenous EF enhanced proliferation and oriented the mitotic spindle (Song et al., 2002
). Increasing or reducing the wound-induced EF in this tissue (see Box 2) increased and reduced epithelial-cell proliferation close to the wound edge and made the orientation of the mitotic spindle either more or less parallel to the EF vector (Song et al., 2002
).
In summary, little is known about how EFs control important cell-biological events such as proliferation, spindle orientation, cell differentiation and cell-lineage selection. Delineating and targeting these control mechanisms is likely to offer novel therapeutic approaches for a host of pathologies, including several cancers.
| New cellular and extracellular targets of EF |
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Limb development
During limb development in amphibian embryos, ionic current flows out of the precise site on the flank skin at which the limb bud appears a day or so later (Borgens et al., 1983
; Robinson, 1983
). This predictive current also appears in chick and mouse, and reversing it in chick causes major limb abnormalities, indicating that it is required in limb development (Altizer et al., 2001
). Injecting a fluorescently tagged charged protein (albumin) into the extracellular space of non-limb-bud flank skin resulted in radial diffusion. However, when albumin was injected into the limb bud, the distribution was comet-like, presumably because of induced electrophoresis of charged albumin within the extracellular spaces (Messerli and Robinson, 1997
). Therefore, the ionic-current-flow-induced EF controls the distribution of charged proteins. This is likely to include key morphogenic molecules that orchestrate limb development.
Voltage sensing by phosphatases
The first voltage-sensitive membrane phosphatase has been discovered recently. This voltage-sensor-containing phosphatase, which was discovered in Caenorhabditis intestinalis and is therefore called Ci-VSP, has a transmembrane voltage-sensing domain that is homologous to segments of known voltage-sensitive channels and a cytoplasmic domain that is similar to the signalling molecule PTEN (Murata et al., 2005
). It displays channel-like gating currents and can convert the second messenger phosphatidylinositol (3,4,5)-trisphosphate [PtdIns(3,4,5)P3] to PtdIns(4,5)P2 as a direct consequence of changes in membrane potential. Clearly, therefore, voltage sensing can function independently of channel proteins. Intriguingly, Ci-VSP is transiently expressed in developing mouse brain and spinal cord, and might be important in many of the neuronal functions discussed above. Taken together with the discovery that PTEN is involved in transducing the EF-induced wound-healing response of epithelial cells (see above), this discovery places PTEN and its relatives at the centre of a host of possible cell responses to EFs.
| A coexisting electrical dimension in cell biology |
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Cytoskeletal polymers are electrical conductors and have been likened to biological electrical wires. Both actin filaments and microtubules conduct electricity, with roughly the same conduction velocity along filamentous actin as in nerves (20 m/s) (Tuszynski et al., 2004
; Priel et al., 2006
). Actin filaments and microtubules are intimately associated with the anchoring of voltage-sensitive membrane receptors and channels, and intact microtubules and actin-filament networks are required for directional EF responses (Rajnicek et al., 2006b
). Thus, in considering the biochemical signal-transduction steps that follow activation of a neurotransmitter or a growth-factor receptor, perhaps we should consider the possibility that there is direct activation of cytoskeleton-based electrical conduction to the nucleus in parallel with the known biochemical cascades. Direct mechanical linkage from the plasma membrane to the nucleus and its role in selective gene activation has been demonstrated (Maniotis et al., 1997
; Nelson et al., 2005
). Intriguingly, DNA also conducts over long distances and certain base-pair sequences can interrupt this, perhaps acting as on-off switches (Merino et al., 2008
). So, in addition to thinking about steady gradients of morphogens or of growth factors in the extracellular spaces, which are transduced by receptors into a cascade of biochemical signalling molecules, we should consider the possibility of continuous electrical signalling from the extracellular matrix, which is transduced by voltage-gated mechanisms that activate electrically conducting actin filaments, microtubules and even DNA (Fig. 4).
| New techniques to map extra- and intracellular EFs |
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| Conclusions and perspectives |
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| Footnotes |
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| References |
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