Input-specific modulation of neurotransmitter release in the lateral horn of the spinal cord via adenosine receptors

Activation of adenosine A2(A) receptors (A2(A)Rs) in the CNS produces a variety of neuromodulatory actions dependent on the region and preparation examined. In autonomic regions of the spinal cord, A1Ractivation decreases excitatory synaptic transmission, but the effects of A2(A)R stimulation are unknown. We sought to determine the location and function of the A2(A)Rs in the thoracic spinal cord, focusing on the intermediolateral cell column (IML). A2(A)R immunoreactivity was observed throughout the gray matter, with particularly dense immunostaining in regions containing sympathetic preganglionic neurons (SPNs), namely, the IML and intercalated nucleus. Electron microscopy revealed A2(A)R immunoreactivity within presynaptic terminals and in postsynaptic structures in the IML. To study the functional relevance of these A2(A)Rs, visualized whole-cell patch-clamp recordings were made from electrophysiologically identified SPNs and interneurons within the IML. The A2(A)R agonist c2-[p-(carboxyethyl) phenethylamino]-5'-N-ethylcarboxyamidoadenosine (CGS 21680) had no significant effect on EPSPs but increased the amplitude of IPSPs elicited by stimulation of the lateral funiculus. These effects were attributable to activation of presynaptic A2(A)Rs because CGS 21680 application altered the paired pulse ratio. Furthermore, neurons in the IML that have IPSPs increased via A(2)AR-activation also receive excitatory inputs that are inhibited by A1R activation. These data show that activating A2(A)Rs increase inhibitory but not excitatory transmission onto neurons in the IML. Simultaneous activation of A1Rs and A2(A)Rs therefore could facilitate inhibition of the postsynaptic neuron, leading to an overall reduction of sympathetic nervous activity.