Review article
Neurotransmitters and neuromodulators during early human development

https://doi.org/10.1016/S0378-3782(01)00189-XGet rights and content

Abstract

Background: Neurotransmitters such as monoamines appear in the embryo before the neurones are differentiated. They may have other functions than neurotransmission during embryogenesis such as differentiation and neuronal growth. For example, serotonin may act as a morphogen. A number of neuropeptides are expressed during ontogenesis, but their function has been difficult to establish. Maybe some of them remain as evolutionary residues. Fast-switching neurotransmitters like the excitatory amino acids and the more ionotropic receptors dominate in the human brain, but appear probably later during evolution as well as during ontogeny. Methods: The distribution of catecholamines during development has been analysed with a fluorescense method, while most of the other neuortransmitters have been mapped with immunohistochemical methods. The classical method to determine the physiological role of a neurotransmitter or modulator is to study the physiological effect of its antagonist, blocking the endogenous activity. By transgenic technique, the genes encoding for enzymes involved in the synthesis of neurotransmitters can be knocked-out. Major findings: Pharmacological blocking of endogenous activity has, for example, demonstrated that adenosine suppresses fetal respiration. Knocking out the dopamine beta-hydroxylase gene results in fetal death, suggesting that noradrenaline is essential for survival. Some neurotransmitters change their effect during embryogenesis, e.g. GABA which is excitatory in the embryo, but inhibitory after birth due to a switch from a high to low chloride content in the nerve cells. It is possible that this is of importance for the wiring of neuronal network in early life. NMDA receptors dominate in the foetus, while kainate and AMPA receptors appear later. At birth, there is a surge of neurotransmitters such as catecholamines, which may be of importance for the neonatal adaptation. Conclusions: Neurotransmitters and modulators are not only important for the neural trafficking in the embryo, but also for the development of the neuronal circuits. Prenatal or neonatal stress (hypoxia), as well as various drugs, may disturb the wiring and cause long-term behavioural effects (fetal and neonatal programming).

Introduction

Although genes mainly determine the development of the scaffold of the CNS, the detailed wiring of the neuronal circuits is to a large degree self-generated dependent on the action of neurotransmitters and neuromodulators. They can promote, amplify, block, inhibit or attenuate the micro-electric signals which are passed on to neurones. Thereby, they give rise to the signalling patterns between myriads of neuronal networks providing the physical networks of cerebral neurones. Neurotransmitters such as the catecholamines appear in the embryos of vertebrate and invertebrate animals even before neurones are differentiated [1]. Some of the cells in the neuronal crest contain noradrenaline from the outset, but become cholinergic due to environmental influences [2].

Many neuroactive molecules change their functional role in the CNS during development. The same molecule may be crucial for differentiation, neuronal growth and establishment of neuronal networks in the immature CNS while switching to a more modulatory role of the ongoing traffic in the mature CNS. Receptor subunits may exchange during development, i.e. the NMDA receptors, whose subunits allow longer open channel time during early development then switch to a shorter, more stable adult subunit composition. This is of importance for the plasticity of the immature brain and subsequently, for memory storage and preservation in the adult brain [3].

Noradrenaline and acetylcholine are regarded as classical neurotransmitters and dominate in the peripheral nervous system (Fig. 1). They appear at an early stage during both phylogenesis and ontogenesis. Many of the neuropeptides were first identified in the gastrointestinal tract and probably appear early during CNS development. They act slowly since they have to be synthesised and packaged in the cell soma and carried to the terminals before they can be released. The recently evolved and more sophisticated mammalian brain requires more fast-switching neurotransmitters acting directly on ion-channels. Therefore, excitatory and inhibitory amino acids seem to dominate in the mature CNS, where the monoamines and neuropeptides may act more as neuromodulators (see Ref. [4]).

The distinction between a transmitter and a modulator is far from clear, since several of the neuroactive agents described to date change their role during brain development or have different actions depending on brain region or innervated neurones. Furthermore, a given transmitter may have different effects depending on brain region, postsynaptic receptor configuration, G-protein coupling and second messenger system.

A neuroactive agent can be expressed in high amounts during certain stages of development, but then persists in only a few synapses [5]. It is possible that this agent either has only a transitory role in a critical window in development or that it remains mainly as an evolutionary residue, with minor functions in, e.g. mammals. If the synthesis of some of these neurotransmitters/modulators is blocked pharmacologically or knocked-out by transgenic techniques, it does not seem to affect survival or even important physiological functions. This illustrates the plasticity of the brain during early development. Other neuroactive agents seem to be able to take over. Markers for neurotransmitters and neuromodulators during CNS development generally appear first in the caudal and phylogenetically older part of the brain probably due to earlier neurogenesis (see Ref. [6]).

Classification of the main neurotransmitters and modulators according to principal biochemical differences and tentative ontogenetic appearance is depicted in Table 1.

Section snippets

Receptors

The neurotransmitters or modulators can act on either metabotropic or ionotropic receptors (see reviews by, e.g. Ref. [7]). The action of the metabotropic receptors is based on their effects on G- or N-proteins in the lipid bilayer of the membrane to affect their enzymes and channels. This effect is slower (tens of milliseconds) than for the ionotropic receptors. Metabotropic receptors are probably expressed at an earlier stage during ontogeny and play a more modulatory role in the mature CNS.

Ontogeny of neurotransmitter systems

The choice of neurotransmitter of a precursor neuron depends on the environment. In a series of remarkable experiments, Le Douarin [9] demonstrated that when the sympathetic trunk crest from a quail was transplanted into the vagal region of a chick host, the nerves became cholinergic. Conversely, when vagal neurones were transplanted into the sympathetic trunk, the nerves became adrenergic. The expression of neurotransmitter type seemed to be dependent on a tissue factor. When sympathetic

Catecholamines

Catecholamines can be found in protozoa as well as in the very early embryo. The synthesising enzyme tyrosine hydroxylase has been detected the first day of/after incubation of the chicken; dopamine the second day, and noradrenaline and adrenaline the third day. High concentrations of catecholamines have been found in Hensen's node, corresponding to the notochord of the mammalian embryo (see Ref. [1]).

Noradrenaline is essential for normal brain development. The noradrenergic system regulates

Serotonin

Serotonin can already be detected in the fertilised egg and is involved in early morphogenesis of the heart, the craniofacial epithelia and other structures. If embryos are cultured in the presence of serotonin uptake inhibitors or receptor ligands, specific craniofacial malformations occur. Serotoninergic cells in the raphe are among the earliest to be generated in the brain (about E11 to E15 in the rat and between weeks 5 and 12 in the human foetus) (Fig. 2). These cells send axons to the

Drugs affecting monoaminergic activity

Cocaine is probably the most well-known drug interacting with the catecholaminergic systems in the brain during development [19]. It inhibits the presynaptic transport mechanisms, removing and terminating the action of dopamine and noradrenaline. While cocaine potentiates the catecholamine effects in the adult, it inhibits the activity during the immediate postnatal period in most brain regions. Prenatal cocaine exposure results in disturbance of neuronal migration and consequently leads to

Acetylcholine

Acetylcholine is one of the major neurotransmitters in the brain of importance for cortical activation, memory and learning. It has a major role in the control motor tone and movement and probably counterbalances the effect of dopamine (see Ref. [20]). The cholinergic innervation of the cortex occurs later than the monoaminergic around week 20 in the human foetus. Mature levels in rodents are not reached until after 8 weeks postnatally (see Ref. [11]). The concentrations of ACh reach about 20%

Amino acid transmitters

The amino acids are involved in the wiring of neuronal networks and building CNS cytoarchitecture [21] (Fig. 3). Amino acid transmitters are the most abundant transmitters in the central nervous system. However, they were recognised as neurotransmitters in the mammalian brain much later than the monoamines and acetylcholine. This was probably due to the fact that they are involved in intermediate metabolism and constitute important building blocks in the proteins.

Glutamate and aspartate are the

Neuropeptides

More than 50 neuropeptides have been identified. In contrast to most of the other neurotransmitters/modulators, the neuropeptides are synthesised and packaged in large dense-cored vesicles in the cell soma and are carried to the nerve terminals by axonal transport at a rate of 1.5 mm/h. It is obvious that by this relatively slow process, the neuropeptides cannot act as fast-switching neurotransmitters. Rather, they have a neuromodulatory role. They are often stored together with other

Purines

Purines are fundamental components in the energy turnover of all cells but also modulate neuronal activity through synaptic or non-synaptic release and interaction with specific receptors. The purinergic receptors are divided into type-1 receptors (P1) sensitive to adenosine and AMP, and type-2 (P2) sensitive for ATP and ADP. The action of purines is related as a rapid breakdown of ATP increases the levels of adenosine. The purine nucleotide ATP is the main energy source of cells, but is also

Transition at birth

The levels of most neurotransmitters and neuromodulators increase concomitantly with synapse formation. Some of them surge during the perinatal period (such as glutamate, catecholamines and some neuropeptides) and then level off. The interesting question is to what extent the expression of neuroactive agents is related to the functional state of the foetus and the newborn. On one hand, there is an intense firing and wiring in the fetal brain, particularly during active sleep. Therefore, an

Pre and perinatal programming

The concept of fetal and neonatal programming first described by David Barker (see Ref. [50]) also applies to the ontogeny of neurotransmitters and neuromodulators, i.e. an early stimulus or insult at a critical period can result in long-term changes in the structure and the function of the organism. For example, it can be postulated that prenatal or perinatal stress can disturb the timetable of the expression of neurotransmitters and neuromodulators and their receptors. Hydrocortisone given to

Conclusions

Monoamines are expressed in the very early embryo, at which stage the notochord already contains high noradrenaline levels. They may have an important role for neurotransmission in the foetus. Purines and neuropeptides are probably also expressed at an early stage, in a similar way as they occur early during phylogenesis. In the adult mammal, the fast-switching excitatory amino acids dominate. However, they also seem to be important for the wiring of the brain and the plasticity before birth.

Acknowledgments

This article is a shorter version of a chapter entitled ‘Neurotransmitters and and neuromodulators’ published in: The Newborn Brain. Neuroscience and Clinical applications (Eds. H. Lagercrantz, M. Hanson, P. Evrard, C. Rodeck), Cambridge Univ. Press, 2001.

Supported by the Swedish Medical Research Council (5234), The Axelson-Johnson Foundation, Märta and Gunnar Philipson Foundation.

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