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Localization of neuropeptide Y Y1 receptor mRNA inhuman tooth pulp
Rolf Uddmana, *, Joji Katob, Leonor Cantera c, Lars Edvinsson c
aDepartment of Oto-rhino-laryngology, MalmoÈ General Hospital, MalmoÈbDepartment of Oral Anatomy and Developmental Biology, Osaka University Faculty of Dentistry, Osaka, Japan
cDivision of Experimental Vascular Research, Department of Internal Medicine, Lund University Hospital, Lund, Sweden
Accepted 29 October 1997
Abstract
With immunocytochemistry numerous nerve ®bres containing neuropeptide Y (NPY) were found in human molarpulp tissue, often around small blood vessels. Reverse transcriptase-polymerase chain reaction, using speci®cprimers, detected mRNA of the human NPY Y1 receptor in the human pulp tissue. Thus, both NPY-containing
nerve ®bres and NPY Y1 receptor mRNA are present in human tooth pulp, possibly regulating vascular tone andpain perception. # 1998 Elsevier Science Ltd. All rights reserved.
Keywords: Neuropeptide Y; Tooth pulp; PCR; Innervation; Neuropeptide Y Y1 receptor mRNA
1. Introduction
Neuropeptide Y is a 36 amino-acid peptide that has
chemical similarities with the endocrine gut peptides
pancreatic polypeptide and peptide YY. It is widely
distributed in the central as well as in the peripheral
nervous systems. In sympathetic neurones, neuropep-
tide Y is co-stored with noradrenaline and is released
together with it upon sympathetic nerve activation
(Fried et al., 1985; Pernow, 1988). Around blood
vessels, arteries in particular, a rich supply of neuro-
peptide Y-containing nerve ®bres can be seen, often
forming a dense plexus. Compared with noradrenaline,
neuropeptide Y is a more potent vasoconstrictor and
modulator of vascular tone, and in conscious rats, its
systematic administration produces an increase in total
peripheral resistance and a long-lasting increase in
blood pressure (Edvinsson et al., 1987; Zukowska-
Grojec et al., 1987). Neuropeptide Y exerts its biologi-
cal actions through several classes of receptors of
which six types have been cloned (Larhammar et al.,
1992; Herzog et al., 1992; 1993a,b; Bard et al., 1995;
Gerald et al., 1995; 1996; Lundell et al., 1995; Rose et
al., 1995; Ammar et al., 1996; Matsumoto et al., 1996;
Hu et al., 1996). The human neuropeptide Y Y1 recep-
tor is activated by neuropeptide Y, peptide YY and
the Y1 agonist pro34 neuropeptide Y. The Y2 receptor
is stimulated equally well by neuropeptide Y and by
neuropeptide Y 13±36 (Grundemar and HaÊ kanson
1993). In the human dental pulp, neuropeptide Y-con-
taining nerve ®bres occur mainly around small blood
vessels (Casasco et al., 1990; Ramieri et al., 1990;
Luthman et al., 1992) but can also be seen without
apparent connection to vessels.
We have now followed the distribution of perivascu-
lar neuropeptide Y-containing ®bres in the human den-
tal pulp and demonstrated the presence of human
neuropeptide Y Y1 receptor mRNA.
Archives of Oral Biology 43 (1998) 389±394
0003-9969/98/$19.00 # 1998 Elsevier Science Ltd. All rights reserved.
PII: S0003-9969(97 )00117-9
ARCHIVESOFORALBIOLOGY
PERGAMON
* Corresponding author.
Abbreviations: RT-PCR, reverse transcriptase-polymerase
chain reaction.
2. Material and methods
2.1. Tissues
Pulp tissue from healthy human molars wasobtained from patients (age range 24±35 years, medianage 30 years) in conjunction with dental surgery. For
immunocytochemistry, tissue was obtained from sixpatients. For RNA experiments, tissue was collectedfrom another six patients, snap frozen in liquid nitro-
gen immediately after acquisition and stored at ÿ708Cuntil use. The project was approved by the EthicsCommittee of Lund University.
2.2. Immunocytochemistry
The specimens were ®xed by immersion in a mixtureof 2% formaldehyde and 0.2% picric acid in 0.1 mol/l
phosphate bu�er (pH 7.2) overnight and rinsedthoroughly in Tyrode bu�er containing 292 mmsucrose. They were frozen on dry ice and sectioned at10-mm thickness in a cryostat. For the immunocyto-
chemical demonstration of neuropeptide Y, indirectimmuno¯uorescence was used. The neuropeptide Yantigen was raised in a rabbit and used at a dilution of
1:320 (Eurodiagnostica, MalmoÈ , Sweden). The sectionswere exposed to the primary antiserum overnight at48C in a moist chamber. The site of the antigen±anti-
body reaction was revealed by application of ¯uor-escein isothiocyanate-labelled antibodies raised againstIgG (DAKO, Copenhagen, Denmark), in a dilution of1:80 for 1 hr at room temperature. Control sections
were exposed to antiserum that had been preabsorbedwith an excess amount of the antigen (10±100 mg ofneuropeptide Y per millilitre diluted antiserum).
Additionally, the antiserum was tested for cross-reac-tion with other peptides (10±100 mg of peptide permillilitre diluted antiserum). No such cross-reaction
was found. Cross-reactions with still other peptides orproteins containing amino acid sequences recognizedby the di�erent antisera cannot be excluded. It is
appropriate, therefore, to refer to the immunoreactivematerial as neuropeptide Y-like. For brevity, theshorter term neuropeptide Y is used.
2.3. Isolation of total RNA
Total cellular RNA was extracted using the TRIzolreagent (GIBCO BRL, Life Technologies, Sweden),following the manufacturer's instructions. Frozen tis-
sue was homogenized with 1 ml of TRIzol reagentuntil completely disrupted at room temperature, usingthe microprobe of a power homogenizer (Polytron
Kinematica AG, Model PT 1200, Labora; Sweden) for30 to 60 sec. The homogenates were mixed withchloroform and centrifuged at 12.000 x g for 15 min at
48C. The aqueous phase, containing RNA, was trans-ferred to a fresh tube and the RNA precipitated by the
addition of isopropanol. Samples were incubated atroom temperature for 10 min and centrifuged at 12.000x g for 10 min at 48C.The RNA pellet was ®nally washed with 70% ice-
cold ethanol, air-dried, dissolved in 20 ml of diethylpyr-ocarbonate-treated water and stored at ÿ208C until
use. The purity and yield of total RNA were deter-mined spectrophotometrically by measurement of theoptical density of a portion at 260 nm and 280 nm,
using a DU-65 spectrophotometer (BeckmanInstruments, Sweden). The ratio of absorption(260:280) was between 1.6 and 1.8. Finally, sampleswere subjected to gel electrophoresis and stained with
ethidium bromide to prove the integrity of the 18 and28 S ribosomal RNAs.
2.4. Removal of genomic DNA from RNA samples
In order to eliminate eventual residual contami-
nating DNA that can produce a false-positive ampli®-cation signal in a RT-PCR, duplicate tubescontaining 1 mg of total RNA were pretreated with 1
unit of ampli®cation grade DNase I (GIBCO) inDNase I reaction bu�er, in the presence of 20 unitsof RNase inhibitor (Perkin Elmer AB, Sweden).
RNase-free water was added to each tube to a ®nalvolume of 10 ml and samples were incubated for15 min at room temperature. A volume (1 ml) of25 mM EDTA solution (pH 8.0) was added to each
tube and samples were heated for 10 min at 658C toinactivate the DNase I, and thereafter immediatelycooled on ice.
2.5. RT-PCR
Synthesis of ®rst-strand cDNA and subsequent PCRampli®cation were done with the GeneAmp RNAPCR kit reagents (Perkin-Elmer) in a PCR DNA ther-
mal cycler (Perkin-Elmer).DNase-treated RNA samples were reverse-tran-
scribed to cDNA in a 20 ml reaction volume in the pre-
sence of 1 � PCR bu�er (50 mM KCl, 10 mM Tris±HCl, pH 8.3), 5 mM MgCl2, 1 mM of each dNTP, 50pmol of oligo (dT) primers, 50 units of M-MLV(Moloney murine leukaemia virus) reverse transcrip-
tase. To determine if the ampli®cation product cameexclusively from the RNA, a reverse-transcriptasenegative reaction was run where the enzyme was
replaced by RNase-free water. The samples (20 ml)were incubated at room temperature for 10 min, at428C for 15 min, heated to 998C for 5 min and chilled
to 58C for 5 min.RT-PCR for neuropeptide Y Y1 receptor mRNA
was performed with the following primers:
R. Uddman et al. / Archives of Oral Biology 43 (1998) 389±394390
forward: 5'-TATGTAGGTATTGCTGTGATTTG-3',reverse 5'-CTGGAAGTTTTTGTTCAGGAACCCA-
-3', corresponding to regions in the vicinity of TM 4,and 7, respectively, of the human Y1 receptor. Theseprimers are based on published nucleotide sequences of
the human neuropeptide Y Y1 receptor (Larhammar etal., 1992; Herzog et al., 1992; 1993). The primers wereobtained from Scandinavian Gene Synthesis AB,
Sweden.Resultant cDNA was ampli®ed by PCR in a ®nal
volume of 100 ml following the standard PCR protocol
(GeneAmp RNA PCR kit), and AmpliTaq DNA poly-merase (Perkin Elmer) was used as the thermostableenzyme. The PCR reaction was carried out by usingfour linked ®les: ®le 1, 2 min at 958C for 1 cycle; ®le 2,
1 min at 958C and 1 min at 608C for 35 cycles; ®le 3,7 min at 728C for 1 cycle; ®le 4, incubation at 48C.
2.6. Electrophoretic analysis
From each PCR-ampli®ed product 10 ml was electro-phoresed in a 1.5 % agarose gel (GIBCO), containing
0.5 mg/ml ethidium bromide (Sigma E 1510), in TBEbu�er (89 mM Tris±borate, 2 mM EDTA, pH 8.0) at5 V/cm for 1.5 hr. This analysis was performed in a
20 � 10 cm Midicell, Model EC 350 (E-C ApparatusCorporation; Techtum Lab AB, Sweden). A 100-bpDNA ladder (Promega , SDS, Sweden) was run ineach of the outside lanes to con®rm the molecular size
of the ampli®cation product.
3. Results
Numerous neuropeptide Y-containing nerve ®breswere seen in the apical and coronal part of the pulptissue. The majority of the immunoreactive nerve ®bres
were found in connection with blood vessels (Fig. 1).Occasional ®bres were seen in the stroma, withoutapparent association with blood vessels. Neuropeptide
Y-immunoreactive nerve ®bres were not seen in thesubodontoblastic region. Total RNA was successfullyextracted from the tooth pulp. By using one forwardand one backward primer in RT-PCR, the presence of
mRNA for the human neuropeptide Y Y1 receptorwas shown (Fig. 2). As a positive control the Y1 recep-tor expressed in the neuroblastoma cell line, SK-N-
MC, was used. The PCR products were of theexpected size (520 bp) in the pulp and in the SK-N-MC cell line, corresponding to mRNA encoding the
neuropeptide Y Y1 receptor. In addition, a small bandof about 100 bp was seen (Fig. 2), probably represent-ing a splice variant. In negative controls, when reverse-transcriptase enzyme was replaced by RNAse-free
water, no band was detected.
4. Discussion
Neuropeptide Y belongs to a family of homologouspeptides that include peptide YY and pancreatic poly-
Fig. 1. Human dental pulp (coronal part). Fine, beaded,
neuropeptide Y-containing nerve ®bres are seen around small
blood vessels and in the stroma. Bar = 40 mm.
Fig. 2. Gel electrophoresis of RT-PCR reaction products after
35 cycles of ampli®cation of mRNA fragments corresponding
to human neuropeptide Y Y1 receptor transcripts. Human
dental pulp (lane 4). As a positive control a SK-N-MC cell
line was used (lane 2). As a negative control, no ampli®cation
product occurred when reverse transcriptase was omitted in
the ®rst-strand cDNA reaction (lanes 1 and 3). A 100-bp
DNA ladder (Promega) was run to con®rm the molecular size
of the ampli®cation product (lane M).
R. Uddman et al. / Archives of Oral Biology 43 (1998) 389±394 391
peptide. It is highly conserved throughout evolution
and is therefore thought to be an important neuropep-tide which modulates numerous physiological processesincluding appetite, blood pressure, and circadian
rhythms (Wahlestedt and Reis, 1993). Sympatheticganglia harbour numerous neuropeptide Y-immuno-reactive nerve-cell bodies and there is a rich supply of
neuropeptide Y-immunoreactive nerve ®bres aroundperipheral blood vessels (Uddman et al., 1985). Double
immunostaining has shown that in sympathetic nerve-cell bodies and around blood vessels, neuropeptide Ycoexists with tyrosine hydroxylase and dopamine-b-hy-droxylase, markers for adrenergic neurones (Lundberget al., 1983).
In human dental pulp tissue, early studies, using theFalck±Hillarp histo¯uorescence method, showed aplexus of adrenergic ®bres around blood vessels
(Anneroth and Norberg, 1968). In the present study, amoderate supply of neuropeptide Y-containing nerve®bres was observed in the human dental pulp. The ma-
jority of the ®bres were distributed around small bloodvessels while some could also be seen in the pulpal
stroma without apparent connection to vessels, con-®rming previous studies (Casasco et al., 1990; Ramieriet al., 1990; Luthman et al., 1992). In pulp tissue of
laboratory animals, numerous neuropeptide Y-contain-ing nerve ®bres of sympathetic origin can be seen
around blood vessels, arteries in particular (Uddmanet al., 1984; Edwall et al., 1985; Wakisaka et al., 1996).Following combined chronic constriction injury of the
alveolar nerve and sympathectomy and during regener-ation of the inferior alveolar nerve a population ofneuropeptide Y-immunoreactive nerve-cell bodies of
mostly medium size appears in the trigeminal ganglion(Itotagawa et al., 1993; Fristad et al., 1996). In ad-
dition, neuropeptide Y-immunoreactive nerve ®brescan be seen in the odontoblast layer and dentine, anarea normally innervated by a�erent nerve ®bres
(Fristad et al., 1995; 1996). Further, double immunostaining shows the coexistence of neuropeptide Y andcalcitonin gene-related peptide in neurones of the tri-
geminal ganglion and in nerve ®bres in dental pulp tis-sue of rats in which the inferior alveolar nerve has
been transected (Fristad et al., 1996). It could thereforebe that some of the neuropeptide Y ®bres play a partin nociceptive transmission (Sasaki et al., 1994).
Neuropeptide Y is a potent constrictor of arteries andveins. The neuropeptide Y-mediated vasoconstriction is
long-lasting and resistant to a-adrenoceptor antagon-ists. In peripheral blood vessels, neuropeptide Y mayact on vessel tone by direct constriction (Lundberg and
Tatemoto, 1982), by potentiation of noradrenaline-induced contraction (Edvinsson et al., 1984) or by inhi-bition of presynaptic noradrenaline release (Lundberg
and StjaÈ rne 1984; Linton-DahloÈ f, 1989). It has recentlybeen demonstrated that the neuropeptide Y Y1 recep-
tor is responsible for the potentiation of noradrena-line-induced contraction (Bergdahl et al., 1996). Thus,
neuropeptide Y seems to have several e�ects on thesympathetic neuroe�ector junction. In pulp tissue, elec-trical stimulation of sympathetic nerve ®bres causes
constriction of pulpal blood vessels and lowers the tis-sue-¯uid pressure (Ogilvie, 1967).Several receptor subtypes have been postulated for
the neuropeptide Y family of peptides, all of whichbelong to a superfamily that couples to G-proteins andcauses inhibition of cAMP accumulation. So far, six
human neuropeptide Y receptor subtypes have beencloned; the Y1 type (Larhammar et al., 1992; Herzoget al., 1992; 1993a), the Y2 type (Rose et al., 1995;Ammar et al., 1996), the Y3 type (Balasubramanian
and Sheri�, 1990; Michel, 1991; Herzog et al., 1993b),the Y4 type (Bard et al., 1995). Recently, the Y5
(Gerald et al., 1996; Hu et al., 1996) and the Y6 recep-
tors (Matsumoto et al., 1996) were discovered. Thepart played by the di�erent receptors has been di�cultto delineate due to the lack of selective receptor antag-
onists. The mRNA for the Y1 receptor has been shownin human arteries (Larhammar et al., 1992; Nilsson etal., 1996). The Y1 receptor is activated by neuropeptide
Y and the Y1 agonist pro34 neuropeptide Y. Y1
mRNA has widespread distribution in rat brain andhas been described in a subset of cells in dorsal rootganglia. The Y2 receptor is also abundant in brain
(Sheikh et al., 1989; Dumont et al., 1990; Gehlert etal., 1996). With the use of speci®c primers for theneuropeptide Y Y1 receptor the present study provides
evidence for the expression of the neuropeptide Y Y1
receptor mRNA in human pulp tissue. An additionalband about 100 bp longer was detected in the pulp tis-
sue, as has previously been shown in endothelial cellsand in the SK-N-MC cell line (Nilsson et al., 1996).The sequence of the human neuropeptide Y Y1 recep-tor contains a small intron (97 bp) with a stop codon
after the ®fth TM region (Herzog et al., 1993). Thisextra band is a splice variant whose functional role isunknown.
The ®nding of neuropeptide Y-containing nerve®bres around blood vessels in human pulp tissue, thedetection of neuropeptide Y Y1 receptor mRNA, and
the known vasoconstrictor actions of neuropeptide Yand neuropeptide Y agonists makes it conceivable thata part of the vasoconstriction in dental pulp is
mediated by the neuropeptide Y Y1 receptor.
Acknowledgements
This study was supported by the Swedish MedicalResearch Council (no. 5958).
R. Uddman et al. / Archives of Oral Biology 43 (1998) 389±394392
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