Volume 458, Issue 1 pp. 46-61
Article
Full Access

Penile neuronal nitric oxide synthase and its regulatory proteins are present in hypothalamic and spinal cord regions involved in the control of penile erection

Monica G. Ferrini

Monica G. Ferrini

Research and Education Institute, Harbor-UCLA Medical Center, Torrance, California 90502

Search for more papers by this author
Thomas R. Magee

Thomas R. Magee

Research and Education Institute, Harbor-UCLA Medical Center, Torrance, California 90502

Department of Urology, University of California, Los Angeles School of Medicine, Los Angeles, California 90095

Search for more papers by this author
Dolores Vernet

Dolores Vernet

Research and Education Institute, Harbor-UCLA Medical Center, Torrance, California 90502

Search for more papers by this author
Jacob Rajfer

Jacob Rajfer

Research and Education Institute, Harbor-UCLA Medical Center, Torrance, California 90502

Department of Urology, University of California, Los Angeles School of Medicine, Los Angeles, California 90095

Search for more papers by this author
Nestor F. González-Cadavid

Corresponding Author

Nestor F. González-Cadavid

Research and Education Institute, Harbor-UCLA Medical Center, Torrance, California 90502

Department of Urology, University of California, Los Angeles School of Medicine, Los Angeles, California 90095

Harbor-UCLA Research and Education Institute, Urology, Bldg. F-6, 1124 West Carson Street, Torrance, CA 90502Search for more papers by this author
First published: 07 February 2003
Citations: 15

Abstract

Control of penile erection requires the coordination of the hypothalamus and the L6–S1 region of the spinal cord. Erection requires the activation of neuronal nitric oxide synthase (nNOS), which is tightly regulated. Because variants of nNOS (penile nNOS: PnNOS) and the N-methyl-D-aspartate receptor (truncated NMDAR subunit 1: NMDAR1-T) as well as protein inhibitor of NOS (PIN) have all been located in the pelvic ganglia and penile nerves, this work aims to determine whether these proteins are also present in the hypothalamus. It was found that PnNOS, the brain-type nNOS, and PIN, were expressed in the hypothalamus. In contrast, NMDAR1-T was expressed only in the penis, whereas the brain-type NMDAR1 was present in the brain and sacral spinal cord and not in the penis. PnNOS was found in the media preoptic area, posterior magnocellular, and the parvocellular regions of the paraventricular nucleus, supraoptic nucleus, septohypothalamic nucleus, medial septum, cortex, and in some of the nNOS staining neurons throughout the brain. It was absent in the organum vasculosum of the lamina terminalis. PIN staining was present in neurons of the medial preoptic area, paraventricular nucleus, medial septum, and cortex, but not in the supraoptic nucleus, septohypothalamic nucleus, or organum vasculosum of the lamina terminalis. Colocalization between PnNOS and PIN was found in the medial preoptic area, medial septum, and cortex, and less in the paraventricular nucleus. PnNOS and oxytocin were colocalized in the paraventricular nucleus and supraoptic nucleus. In hypothalamic extracts, recombinant PIN-GST protein bound to PnNOS in the extracts and partially inhibited NOS activity. These results indicate that both nNOS variants, and their respective regulatory proteins are present and colocalize in the hypothalamic and spinal cord regions involved in penile erection. J. Comp. Neurol. 458:46–61, 2003. © 2003 Wiley-Liss, Inc.

Penile erection results from the relaxation of the corpora cavernosal smooth muscle triggered by the release of nitric oxide (NO) synthesized by neuronal nitric oxide synthase (nNOS) in the peripheral nerve terminals. NO mediates this relaxation by activating guanylyl cyclase in the smooth muscle tissue, generating cGMP and inducing a decrease in cytosolic calcium content (González-Cadavid et al., 1999; Lue, 2000). nNOS in the penis is expressed primarily as a variant of the brain form of nNOS and has been termed PnNOS. It has an additional 102-bp alternative exon located between exons 16 and 17. The function of this additional coding region is unknown. PnNOS is thought to be responsible for triggering the nitrergic mechanism responsible for cavernosal relaxation (Magee et al., 1996; González-Cadavid et al., 1999, 2000a; Magee et al., 2002a,b). A similar variant, nNOSu, is present in the neuromuscular plates of skeletal muscles (Silvagno et al., 1996; Pereira et al., 2001), including the perineal muscles involved in erectile rigidity and ejaculation in rats (Tang et al., 1998, 1999). The control of NO synthesis in the cavernosal nerve, whether due to sexual stimulation emanating centrally from the brain, or peripherally by means of the dorsal nerve spinal reflex, is assumed to be exerted through the activation of PnNOS activity (González-Cadavid et al., 1999). This mechanism occurs mainly by Ca++ binding to calmodulin by means of a Ca++ flux through the N-methyl-D-aspartate receptor (NMDAR). Both the NMDAR and inhibitors of nNOS activity, such as protein inhibitor of NOS (PIN; Jaffrey and Snyder, 1996; Greenwood et al., 1997; Jeong et al., 1998; Hemmens et al., 1998; Fan et al., 1998; Guo et al., 1999; Becker et al., 1999; Che et al., 2000; Roczniak et al., 2000) and carboxy-terminal PDZ ligand of nNOS (CAPON; Jaffrey et al., 1998), also bind to nNOS. PIN, NMDAR subunits, and a truncated variant of the NMDAR subunit 1 mRNA (NMDAR1-T) have been located in the peripheral penile nerves and pelvic ganglion (González-Cadavid et al., 2000b; Magee et al., 2002b).

The nitrergic activation of penile erection is not restricted to peripheral nerves of the corpora cavernosa but is also dependent on central nervous system control. Copulatory behavior and ejaculation are also central nervous system (CNS) regulated (Marson, 1999; Marson and Carson, 1999). Erectile stimuli originate from the medial preoptic area and paraventricular nucleus of the hypothalamus through the L6–S1 lumbosacral level of the spinal cord containing the sacral parasympathetic nucleus (Rampin et al., 1997; Marson, 1999; Marson and Carson, 1999; Giuliano and Rampin, 2000). Pudendal nerve motor neurons innervating the perineal striated muscles that induce maximum rigidity at the time of ejaculation are located in Onuf's nucleus of the ventral sacral spinal cord and the dorsomedial and the dorsolateral nuclei of the lower lumbosacral spinal cord (Marson and McKenna, 1996; Rampin et al., 1997; Tang et al., 1999). Electrical stimulation of the medial preoptic area or microinjection of oxytocin, glutamate, or apomorphine into the medial preoptic area and paraventricular nucleus induces noncontact erections (Melis et al., 1997, 1999a,b; Chen et al., 1999) and increased intracavernosal pressure (Giuliano et al., 1996, 1997), by means of an NO-mediated process within the CNS (Melis and Argiolas, 1997). Nitrergic and oxytocinergic neurons have been located in the sacral parasympathetic nucleus (SPN) and in Onuf's nucleus (Rampin et al., 1997). Retrograde tracing from the corpora cavernosa has identified neurons in the spinal SPN and in the parvocellular region of the paraventricular nucleus and the medial preoptic area (Marson, 1999; Marson and Carson, 1999). Although the expression of the brain-type nNOS and NMDAR has been extensively characterized in the hypothalamus and spinal cord (Vernet et al., 1998; Uttenthal et al., 1998; Harada et al., 1999; Curras-Collazo et al., 2000; Herman et al., 2000; Gore, 2001; Reuss and Reuss, 2001; Sundstrom and Mo, 2001) and PIN has been found in some regions of the brain (Greenwood et al., 1997; Becker et al., 1999) and the spinal cord (Greenwood et al., 1997; Che et al., 2000), no data are available on the expression of PnNOS or NMDAR1-T in the CNS in general or of PIN in the hypothalamus.

Erectile dysfunction in the human is strongly associated with aging (Lue, 2000; Lewis, 2001). In the rat, this is evidenced by a marked impairment of spontaneous and induced erections (Smith et al., 1992; Garbán et al., 1995, 1996; Magee et al., 2002a), due presumably to a inadequate activation of nNOS that would fail to produce the levels of NO required to compensate for an impaired compliance of the cavernosal smooth muscle. It is possible that, because there is a reduction of oxytocinergic neurons and an increase in apoptosis in the hypothalamus with aging (Ferrini et al., 2001b), the central nitrergic control of erection can also be compromised in old age, either by a decrease of PnNOS or by the increase of PIN in the hypothalamus and spinal cord. The current work aims to determine whether these proteins and the penile NMDAR1-T are present in these organs and whether their levels vary with aging. We also report in what regions of the hypothalamus they are expressed, whether they colocalize in certain neurons, and whether PIN can associate with hypothalamic PnNOS and inhibit its activity.

Abbreviations

  • NO
  • nitric oxide

  • NOS
  • nitric oxide synthase

  • nNOS, or NOS I
  • neuronal NOS

  • eNOS, or NOS III
  • endothelial NOS

  • iNOS, or NOS II
  • inducible NOS

  • PIN
  • protein inhibitor of NOS

  • NMDAR
  • N-methyl-D-aspartate receptor

  • NMDAR1-T
  • truncated NMDAR subunit 1

  • MATERIALS AND METHODS

    Animals and tissue processing

    Young (3-months) and old (24-months) male Brown Norway rats were obtained from the NIH/NIA colony (Harlan Sprague-Dawley, Inc., San Diego, CA) and maintained under controlled temperature and lighting, according to NIH regulations. Young animals were anesthetized with Pentothal (thiopental sodium; 25 mg/kg body weight, intraperitoneal), pretreated with heparin, and perfused through the left ventricle with saline followed by 10% formalin buffered solution [pH 7.4] (Ferrini et al., 2001a,b). The brain was removed and post-fixed overnight in 10% formalin, washed with phosphate buffered saline (PBS, 140 mM NaCl, 10 mM phosphate salts, [pH 7.4]), and stored in PBS at 4°C until further processing within the first 24 hours. Additional young and old animals were used for the dissection of the hypothalamus, mainly hypothalamus and preoptic area, and of the lumbosacral spinal cord (L4–S1), without prior heparinization and perfusion with fixative. The fresh tissues were immediately frozen in liquid nitrogen and stored at −80°C. The experimental procedure was approved by the IUCAC of the Harbor UCLA Research and Education Institute.

    Detection of mRNA and protein expression

    Total RNA was isolated from the nonfixed preoptic area-hypothalamus (POA-HT) and spinal cord tissue by the Trizol procedure (Gibco BRL, Gaithersburg, MD), and submitted (1 μg) to reverse transcription by using Superscript II RNase H- reverse transcriptase (Gibco BRL) and random primers (0.25 μg), followed by polymerase chain reaction (PCR) with the respective gene-specific 20-mer primers spanning an intron to exclude DNA contamination (González-Cadavid et al., 2000a; Ferrini et al., 2001a,b). Primers used for PCR were (1) for nNOS brain variant and PnNOS, on nucleotides (nt) 2561-2580 (forward) and 2788-2807 (reverse) of the rat PnNOS cDNA (Genbank accession no. U67309), as the source of the expected 247-bp (PnNOS) and 145-bp (nNOS, brain variant) bands; (2) for PIN, on nt 74-93 (forward) and nt 401-420 (reverse) of the rat PIN cDNA (Genbank accession no. U66461), as the source of the expected 347-bp band; (3) for NMDAR-1, nt 2522-2541 (forward) and nt 2785-2804 (reverse) of the rat NMDAR-1 cDNA (Genbank accession no. X63255), as the source of the expected 283-bp (NMDAR1, brain variant) and 334-bp (NMDAR1-T, penile variant) bands. PCR products were separated by electrophoresis on 1.5% agarose gels and stained with ethidium bromide. For densitometry, normalization was performed against the β-actin (rat β-actin control amplifier set, Clontech, Palo Alto, CA) housekeeping gene fragment generated in the same PCR reaction, giving a band of 764 bp.

    Total RNA was also analyzed for PIN mRNA expression by Northern blot on formaldehyde 1% agarose gels with hybridization with a cDNA probe corresponding to a 347-bp full length rat PIN cDNA labeled with 32P[dCTP] by random priming (Ferrini et al., 2001b).

    For the detection of protein expression, tissue extracts were either obtained as side-products from the Trizol procedure for RNA extraction or by homogenizing fresh tissue in a buffer containing 0.32 M sucrose/20 mM HEPES pH 7.2/0.5 mM ethylenediaminetetraacetic acid/1 mM dithiothreitol and protease inhibitors (3 μM leupeptin, 1 μM pepstatin A, 1 mM phenylmethyl sulfonyl fluoride), and obtaining the supernatant at 12,000 × g for 60 minutes (González-Cadavid et al., 2000a). Equal amounts of protein (30 μg) were run on 7.5% polyacrylamide gels and submitted to Western blot immunodetection with either (1) a monoclonal anti-mouse nNOS brain variant immunoglobulin G (IgG; amino acids 1095-1289; BD Transduction Laboratories, San Jose, CA), at 1:500 dilution, detecting both nNOS and PnNOS as 155- to 160-kDa (α-form) or 130- to 135-kDa (β-form) bands, followed by a secondary polyclonal horse anti-mouse IgG linked to horseradish peroxidase (BD Transduction) at 1:2,000 dilution; (2) polyclonal anti-rat PnNOS variant IgG (16 amino acids in the 34 amino acid insert; González-Cadavid et al., 2000a) at 1:1,000 dilution, detecting PnNOS as 155- to 160-kDa (α-form) or 130- to 135-kDa bands (β-form), (3) anti-rat PIN IgG (amino acids 24-39), at 1:1,000 dilution, detecting a 12- to 15-kDa band (both custom-made, Bethyl Laboratories, Montgomery, TX), followed by secondary polyclonal horse anti-mouse IgG as above; (4) monoclonal anti-rat PIN IgG (whole length 89 amino acids), at 1:1,000 dilution (BD Transduction), detecting the same PIN band as (3), followed by an anti-mouse goat IgG linked to horseradish peroxidase (BD Transduction). Visualization of the bands was performed by a luminol reaction (Pierce Endogen, Rockford, IL). Negative controls were performed without primary antibody.

    Cloning and expression of rat PIN cDNA and purification of fusion PIN protein

    A construct of the full-length rat PIN cDNA was prepared by reverse transcribing penile total RNA followed by PCR using primers flanking the PIN coding region (Jaffrey and Snyder, 1996). The PIN fragment was then subcloned in both forward and reverse orientations into the TA cloning, mammalian expression vector pCR3.1 (Invitrogen, Carlsbad, CA), thereby originating two constructs named pCMV-PIN and pCMV-PIN (AS), respectively. The inserted cDNAs were sequenced and protein expression verified by transfection of HEK-293 cells cultures on six-well plates (0 or 2 μg plasmid DNA and 8 μl lipofectamine) for 5 hours, followed by cell growth in the presence of DMEM/10% fetal calf serum for 3 days. After growth, the cells were washing in PBS, and directly lysed in the wells by using an sodium dodecyl sulfate (SDS)-based buffer as before. PIN expression was detected by Western blot as above.

    For the preparation of the recombinant GST-PIN fusion protein (Jaffrey and Snyder, 1996), PIN cDNA was cloned into pGEX-4T-1 (Amersham Pharmacia Biotech, Piscataway, NJ) by restriction digest of pCMV-PIN with EcoRI and NotI, agarose gel purification, and ligation into the fusion vector between EcoRI and NotI. Correct cloning of PIN in both forward and reverse direction was verified by DNA sequencing. Plasmids were grown in the protease-deficient Escherichia coli strain BL21 and fusion protein expression induced with 1 mM IPTG for 1.5 hours. Lysates were prepared and GST-PIN fusion protein purified with GST-agarose columns as per manufacturer's instructions (GST purification module protocol, Amersham Pharmacia Biotech). Purified protein was quantitated by a Bradford protein assay and synthesis of pure protein determined by Coomassie blue staining after polyacrylamide gel electrophoresis and by Western blotting as above with antibodies against PIN and against GST (Jaffrey and Snyder, 1996). In addition to GST-PIN, GST protein was purified in the same manner for use as a negative control for nNOS binding assays.

    Immunohistochemical detection

    The tissue detection of PnNOS, nNOS, and PIN was carried out on 5-μm paraffin-embedded coronal sections collected onto gelatin-coated slides (Ferrini et al., 2001a). Adjacent coronal sections were obtained at the level of the medial septum (9.20–8.74 mm interaural), organum vasculosum of the lamina terminalis (9.00–8.80 mm interaural), medial preoptic area (9.20–8.60 mm interaural), supraoptic nucleus (7.70–7.60 mm interaural), paraventricular nucleus (7.20–6.88 mm interaural), septohypothalamic nucleus (8.20–8.08 mm interaural), and frontal cortex according to the atlas of Paxinos and Watson (1997).

    After deparaffinization and rehydration, sections were quenched for endogenous peroxidase activity by using 3% H2O2, blocked with 10% normal goat serum or normal horse serum in PBS containing 0.15% Triton X-100, and incubated with the purified primary antibodies (listed under Western blot method section), except that the dilutions were 1:1,000 (nNOS, PnNOS) and 1:600 (PIN) diluted in PBS + 0.15% Triton X-100 + 1% normal horse serum or normal goat serum, respectively. Negative controls were done by preabsorbing the nNOS antibody, at the concentration used previously, with 1 μM nNOS blocking peptide in PBS (Calbiochem, San Diego, CA). For PnNOS and PIN antisera, the immunogenic peptides (Bethyl) were used at 2 μM in PBS. After 1-hour incubation at room temperature, the mixtures were centrifuged in a microfuge at full speed for 15 minutes and the supernatants were used as primary antisera at the same dilutions used previously. Each slide assayed had a negative control. The first antibodies were incubated overnight at 4°C. After rinsing in PBS, the slides were incubated for 40 minutes with a secondary biotinylated anti-rabbit goat IgGs (1:200; Calbiochem), followed by the ABC complex (1:100; Calbiochem) and 3,3′-diaminobenzidine (DAB; Sigma). In the case of the monoclonal nNOS antibody, the secondary was a biotinylated anti-mouse horse IgG (1:200; Calbiochem). Sections were counterstained with hematoxylin.

    Sections were photographed with an Olympus BHS microscope equipped with a SPOT-RT digital camera and acquisition software (Diagnostic Instruments, Sterling Heights, MI). Photographs were taken at 350 dpi resolution. Images were imported into Adobe Photodeluxe 1.0 (Adobe Systems, San Jose, CA). The images were cropped and adjusted for brightness and contrast. Labels and scale bars were added. Immunoreactivity was analyzed by Image Pro 4.01 image analysis system (Media Cybernetics, Silver Spring, MD; Ferrini et al., 2001a, b; Liu et al., 1997). At least 10 anatomically matched sections per animal were analyzed for medial septum, preoptic area (including organum vasculosum of the lamina terminalis, medial preoptic area, and septohypothalamic nucleus), and six sections for paraventricular nucleus and supraoptic nucleus. For the analysis of the paraventricular nucleus subregions, the description of the paraventricular nucleus atlas from Kiss and Palkovits was followed (Kiss et al., 1991).

    Double-labeling immunodetection

    Colocalization of nNOS and PnNOS neurons with PIN in different sections of the brain was performed on frozen sections (Ferrini et al., 2001b). Brains were perfused and fixed as described above, except that after the overnight fixation the tissues were immersed in 20% sucrose until submerged and frozen. Coronal sections (16 μm) were cut with a Leica CM 3050 S cryostat (Leica Microsystem, Buffalo, NY) and placed onto gelatin-coated slides. Anatomically matched sections of the chosen hypothalamic regions were preincubated with 10% normal goat serum in 0.15% Triton-PBS and then in a 1/300 dilution of anti-PIN antiserum (Bethyl, custom made), followed by a 1/20 dilution of biotinylated anti-rabbit goat IgGs (Calbiochem). Sections were then incubated in 10 μg/ml streptavidin-Texas Red (Vector Laboratories, Burlingame, CA). After several washes in PBS, the sections were incubated in 10% normal goat serum and then in a 1/1,000 dilution of PnNOS or nNOS antibodies for 1 hour at room temperature. Fluorescence labeling was performed with FITC-conjugated anti-rabbit (for PnNOS) or anti-mouse (for nNOS) IgG (13 μg/ml, Vector Laboratories). After several washes in PBS, the sections mounted in prolong antifade (Molecular Probes, Eugene, OR) were examined by using a Leica TCS SP confocal laser-scanning microscope equipped with argon and HeNe lasers coupled to acquisition software. Images were imported to Adobe Photodeluxe 1.0, cropped and adjusted for brightness and contrast only, and saved as TIFF files.

    Colocalization of PnNOS and oxytocin was performed on frozen sections as described above on anatomically matched sections of the supraoptic nucleus and paraventricular nucleus. The sections were preincubated with 10% normal goat serum and then with a 1:1,000 dilution of the guinea pig oxytocin antiserum (Peninsula Laboratories, Belmont, CA) followed by a 1:100 dilution of the biotinylated anti-guinea pig goat IgGs (Vector Laboratories). Sections were then incubated in streptavidin-Texas Red (10 μg/ml; Vector Laboratories). After several washes in PBS, sections were re-incubated in 10% normal goat serum, followed by a 1:500 dilution of anti-PnNOS antiserum for 1 hour at room temperature, and finally with FITC-conjugated anti-rabbit goat IgGs. Sections were mounted and processed as in PIN colocalization.

    Colocalization of PIN with glial fibrillar acidic protein (GFAP) was done in the adjacent frozen sections used for PIN colocalization with nNOS or PnNOS. Briefly, after blocking with 10% goat serum, sections were incubated overnight at 4°C with a 1:300 dilution of PIN antibody in PBS containing 1% normal goat serum and 0.15% Triton X-100. After several washes with PBS, sections were incubated with biotinylated anti-rabbit goat IgGs followed by streptavidin-FITC diluted in PBS. After washing, sections were blocked with 10% normal horse serum and incubated with a 1:800 dilution of anti-GFAP monoclonal antibody (Sigma) in PBS containing 1% normal horse serum and 0.15% Triton-X100, 1 hour at room temperature. After rinsing with PBS, sections were incubated with Texas Red conjugated anti-mouse horse IgGs (13 μg/ml) diluted in PBS containing 1% normal horse serum and 0.15% Triton-X100 for 40 minutes. Slides were washed with PBS and mounted and examined as above.

    Test of PIN on NOS activity in tissue homogenates

    NOS activity was measured by a modification of methods previously described (Vernet et al., 1998). Briefly, tissues were homogenized in a 1:6 wt/vol ratio in the medium described below for Western blotting. The particulate and cytosolic fractions were obtained by centrifugation at 12,000 × g for 60 minutes, and the soluble fraction was passed through Dowex AG50WX-8 (Na+) resin to remove endogenous arginine. Samples were then incubated at 37°C for 30 minutes with (3-H) arginine (L-[2,3,4,5-3H]arginine monohydrochloride, 63 μCi/nmol, from Amersham Life Science; final 3 μCi/ml), NADPH (2 mM), L-arginine (0.1 mM) and calcium (0.45 mM). Controls included the addition of a NOS inhibitor, L-NAME (2 mM), a Ca++ chelator, EGTA (5 mM), or the omission of Ca++. The recombinant PIN-GST or cleaved PIN proteins were added at increasing concentrations and incubated for 30 minutes at 0°C before the determination of NOS activity. At completion, the residual (3-H)L-arginine was eliminated through the resin, and (3-H)citrulline was counted in the trichloroacetic acid-ether–extracted supernatant. Background activity was corrected by accounting for time zero incubations. NOS activity was expressed as picomoles of L-citrulline per minute per milligrams of protein.

    PIN/PnNOS protein interaction

    GST-PIN (20 μg in 100 μl PBS) was incubated with tissue extracts from rat hypothalamus and cerebellum (100 μl each) for 1 hour at 4°C. All subsequent procedures were done at 4°C. The reaction was passed over a GST-Sepharose 4B column (200-μl bed volume), washed extensively with HNTG buffer (20 mM Hepes [pH 7.4], 500 mM NaCl, 10% glycerol, and 0.1% Triton X-100), and eluted with three 400-μl aliquots of glutathione elution buffer (100 mM Tris [pH 8.0], 10 mM glutathione; Jaffrey and Snyder, 1996). In addition, purified GST protein was incubated and processed in the same manner as GST-PIN and served as a negative control for PIN binding. One tenth of each eluted aliquot was run on an SDS- polyacrylamide gel electrophoresis (SDS-PAGE) denaturating polyacrylamide gel and submitted for Western blotting as described above.

    Statistical analysis

    Values were expressed as mean ± standard error of the mean (SEM). The normality distribution of the data was established by using the Wilk-Shapiro test, and the outcome measures between two groups were compared by the t test. Differences between two groups were considered significant at P < 0.05. Multiple comparisons among the different groups were analyzed by a single factor analysis of variance, followed by post hoc comparisons with the Student-Newman-Keuls test, according to the Graph Pad Prism V3.0 program. A P < 0.05 was considered significant.

    RESULTS

    Expression of PnNOS, PIN, and NMDAR mRNA and protein

    To determine whether PnNOS and the genes encoding two of the interacting proteins, PIN and the subunit 1 of the NMDA receptor (NMDAR1), were expressed in the hypothalamus and spinal cord areas involved in the control of penile erection, RNA was isolated from different brain regions and from the L4–S2 spinal cord of two young rats. Reverse transcriptase-PCR (RT-PCR) was then performed with a set of primers that differentiates PnNOS from the brain-type nNOS by the size of the amplified band (247 vs. 145 bp). Additionally, RT-PCR was performed to identify PIN (347 bp), and a third set that distinguishes between the wild-type mRNA and the variant named NMDAR1-T expressed in the penis (283 vs. 334 bp; Fig. 1A). The band expected for the brain-type nNOS was clearly visible in all regions, although it was fainter in the hypothalamus, and the larger band from PnNOS was also detectable in all regions. The expression of PIN appeared to be considerably higher than the nNOS variants, as denoted by the intense band generated from all RNAs. NMDAR1 was observed in all tissue RNAs, except that only in the penis was the NMDAR1-T variant detected (Fig. 1B).

    Details are in the caption following the image

    Expression of penile neuronal nitric oxide synthase (PnNOS) and related proteins in the rat brain and spinal cord at the mRNA and protein levels. A,B: Total RNA was submitted to reverse transcription-polymerase chain reaction with primers for PnNOS/nNOS, protein inhibitor of NOS (PIN), or NMDAR1 that were fractionated on agarose gels and detected with ethidium bromide. The PnNOS/nNOS primers are common for both nNOS variants. M, markers; HT, hypothalamus; POA, preoptic area; HIPPO, hippocampus; SC, spinal cord; NO RT, negative control. C: Protein extracts were obtained from the indicated tissues and extracts in an sodium dodecyl sulfate–containing buffer, run on a 15% polyacrylamide gel electrophoresis gel (30 μg of protein), assayed by Western blot using a custom-made anti-PnNOS antibody, and visualized on X-ray films with a luminol reaction. D: (Left and middle) PIN cDNA was cloned from the rat penis mRNA and subcloned in both directions into the mammalian expression vector pCR3.1. The respective constructs were transfected in duplicate into HEK293 cells on six-well plates and processed as above by using a custom-made antibody against PIN. S, sense construct; AS, antisense construct; C, control (no transfection). D: (Bottom right) Protein extracts were obtained from the indicated cell and tissues and assayed on Western blots with the PIN antibody.

    Protein expression was also investigated by immunoblotting of the tissue lysates (Fig. 1C). A custom-made antibody against PnNOS that differentiates this variant from the cerebellar nNOS shows expression of the 155-kDa band corresponding to the full-length PnNOS (α form), although at a much lower level than in the penis. No truncated nNOS/PnNOSβ form (130 kDa) was detected in this set of specimens.

    For PIN, another custom-made antibody against a synthetic peptide of rat PIN was applied, which was validated by cloning rat PIN from penile RNA and expressing the respective sense and antisense cDNA constructs in HEK293 cells. As can be expected from a ubiquitously expressed protein, a 10-kDa PIN band was detected in the control cells transfected with the empty vector (endogenous PIN), but the corresponding band for the cells transfected with the sense construct was much more intense. The antisense PIN gave only a faint band, indicating that it blocks the expression of the endogenous PIN gene in the cells to some extent. The fainter band above (23–25 kDa) may have been a dimer form of PIN. The antibody detected the same band in all the brain and spinal cord regions examined, and expression in the cerebellum appeared to be the lowest (Fig. 1D). For NMDAR expression, the available subunit 1 antibody does not differentiate the penile and brain variants detected by RT-PCR, and because NMDAR2b has been extensively described in these tissues (Curras-Collazo et al., 2000; Herman et al., 2000), no Western blots were performed for NMDAR.

    To determine whether the expression of PnNOS, nNOS, and PIN mRNAs vary with aging, the same RT-PCR analysis was performed on RNA isolated from the hypothalamus from four 5-month-old (young) and four 24-month-old (old) rats. Figure 2 shows that there is no significant difference with age in the levels of any of these mRNAs and that the ratio between PnNOS and nNOS is high, because approximately 40% of the nNOS mRNA is PnNOS (Fig. 2 left, top and bottom).

    Details are in the caption following the image

    Effect of aging on penile neuronal nitric oxide synthase (PnNOS) and protein inhibitor of NOS (PIN) mRNA levels in the rat hypothalamus. RNA was isolated from young (Y) and old hypothalamic tissue and submitted to reverse transcriptase-polymerase chain reaction for nNOS and PnNOS, or PIN, in the presence of primers for the housekeeping gene β-actin. DNA bands were fractionated on agarose and subjected to ethidium bromide staining and densitometry. No statistical differences were found in the densitometric values. nNOS, brain-type nNOS.

    Immunohistochemical detection of PnNOS and PIN in different hypothalamic regions

    The expression of both PnNOS and PIN detected above in extracts of the whole hypothalamus may occur specifically in certain areas critical for the control of erectile function, in association with either nNOS and NMDAR that are widely distributed in this organ. Based on this assumption, we examined systematically the localization of PnNOS, nNOS, and PIN to compare the respective distributions and compare them with the detection of NMDAR studied by other authors (see Discussion section). Figure 3A,D indicated that nNOS, as detected by an antibody common to both the brain-type and penile variants, was expressed in multiple cells, presumably neurons, scattered along the medial preoptic area. At least half of them stained with the antibody specific for PnNOS only (Fig. 3B,E). PnNOS staining was more concentrated in the medial region of the medial preoptic nucleus than in the central region of the medial preoptic nucleus, where only very faint staining was seen. PIN staining (Fig. 3C,F) was more restricted and showed two patterns: one faint and diffuse, which in some cells showed cytoplasmic expression extending to cell processes, and another more intense in a few isolated cells, that were nuclear or perinuclear with a certain polarization (right). These dark cells are presumably glial cells (see below, Fig. 6E–H) or small interneurons, and in some cases there appeared to be colocalization of PnNOS and PIN.

    Details are in the caption following the image

    Immunohistochemical detection of neuronal nitric oxide synthase (nNOS) variants and protein inhibitor of NOS (PIN) in the rat medial preoptic area (A–F) and paraventricular nucleus (G–I). Paraffin-embedded coronal sections (5 μm) were immunostained for an antibody common to brain-type nNOS and penile nNOS (PnNOS; A,D,G), PnNOS only (B,E,H), and PIN (C,F,I), and counterstained with hematoxylin. MPOL, medial preoptic nucleus lateral; MPOC, medial preoptic nucleus central. Arrows denote positive staining of neurons in panels: arrows in D, antibody staining an antigen common to both PnNOS and nNOS; in E, antibody staining PnNOS only; in F, antibody staining PIN. The right arrow shows staining of a glial cell. Original magnifications: 200× (top and bottom rows) and 400× (middle row). Scale bars = 100 μm in C (applies to A–C), in F (applies to D–F), in I (applies to G–I).

    Details are in the caption following the image

    A–D: Colocalization of penile neuronal nitric oxide synthase (PnNOS) and protein inhibitor of NOS (PIN) in the rat brain. Immunodetections of PnNOS and PIN were performed with the respective primary antiserum followed by either fluorescein isothiocyanate (FITC) -secondary anti-rabbit goat immunoglobulin G (IgG) (PnNOS), or biotinylated secondary anti-rabbit goat IgG followed by streptavidin-Texas Red (PIN). Yellow staining denotes overlay between PnNOS and PIN. A: Medial preoptic area. B: Medial septum. C: Supraoptic nucleus. D: Cortex. E–H: Immunofluorescence detection of PIN and glial fibrillar acidic protein (GFAP) colocalization in the rat brain. Immunodetections of PIN and GFAP were performed with the respective primary antiserum followed by either FITC-secondary anti-rabbit goat IgG (PIN), or biotinylated secondary anti-mouse horse IgGs followed by streptavidin-Texas Red (GFAP). The panels show the overlay between GFAP and PIN. E: Medial preoptic area. F: Cortex. G,H: Supraoptic nucleus. Original magnifications: 200× (A,B,D,G), 400× (C,E,H), 1,000 × (F). Scale bars = 100 μm in A,B,D, 20 μm in C, 16 μm in E,H, 4 μm in F, 96 μm in G.

    The nNOS and PnNOS distribution in the paraventricular nucleus had a strikingly different pattern from the one observed in the medial preoptic area. nNOS (Fig. 3G) was clearly present in the magnocellular and parvocellular regions, but PnNOS was predominant in what appeared to be the posterior magnocellular region where oxytocin neurons have been mapped (Sawchenko and Swanson, 1982), and extended to the medial parvocellular region, identified as posterior by Kiss et al. (1991; Fig. 3H). Few scattered PnNOS-positive cells were seen in the dorsal parvocellular region, suggesting that the medial parvocellular region expresses mainly the brain-type nNOS variant. Therefore, both nNOS variants appeared to be located in two neighboring discrete cell populations. PIN expression, as in the medial preoptic area, was fainter (Fig. 3I), and more scattered around all the paraventricular nucleus regions. Some cells stained intensively. No PnNOS/PIN colocalization was immediately obvious. PIN appeared also to be expressed in the ependymal cells of the third ventricle.

    The expression of both nNOS variants in the supraoptic nucleus (Fig. 4A,B) resembled the one in the paraventricular nucleus in the sense that there was a concentration of nNOS-positive neurons along a defined area in the magnocellular neurons (Fig. 4A), where most of the cells stained also with the PnNOS antibody (Fig. 4B), indicating a PnNOS-rich area. The scattered neurons outside this area appeared to be of mixed origins but with a predominance of the brain nNOS variant. In the septohypothalamic nucleus (bottom), there was only a very scattered distribution of nNOS neurons (Fig. 4C), and PnNOS neurons were even more restricted (Fig. 4D). PIN staining (not shown) was virtually undetectable in both the supraoptic nucleus and septohypothalamic nucleus.

    Details are in the caption following the image

    Immunohistochemical detection of neuronal nitric oxide synthase (nNOS) variants in the rat hypothalamus supraoptic nucleus (A,B), septohypothalamic nucleus (C,D), medial septum (E,F), and organum vasculosum of the lamina terminalis (G,H). Sections were stained as in Figure 3. Left panels (A,C,E,G) show the staining for an antibody common to brain-type nNOS and penile nNOS (PnNOS). Right panels (B,D,F,H) show staining for PnNOS only. Original magnifications: 200× (A–D), 400× (E–H). Scale bars = 200 μm in A–D, 100 μm in E–H.

    The medial septum showed scattered nNOS staining with approximately one third of the positive cells staining for PnNOS at a lower intensity (Fig. 4E,F). In both regions, PIN staining resembled medial preoptic area distribution (not shown). An interesting situation occurred in the organum vasculosum of the lamina terminalis, where cerebellar nNOS appeared to be concentrated around the third ventricle and was the only nNOS variant expressed in many of the neurons (Fig. 4G,H). PnNOS was virtually negative throughout. In the cortex (Fig. 5), PnNOS was detected in almost the same number of nNOS-positive neurons (Fig. 5 A,C), but the intensity was much less pronounced (see higher magnification, Fig. 5B,D). PIN (Fig. 5E,F) expression, as in the medial preoptic area, stained many cells in the cytoplasm and cellular processes. Also, certain glial cells stained for PIN in the perinuclear area, and some appeared to be nNOS-positive.

    Details are in the caption following the image

    Immunohistochemical detection of neuronal nitric oxide synthase (nNOS) variants and protein inhibitor of NOS (PIN) in the rat brain cortex. Sections were stained as for Figure 3. A,B: Antibody common to brain-type nNOS and penile nNOS (PnNOS). C,D: Antibody to PnNOS only. E,F: PIN. Original magnifications: 200× (A,C,E), 1,000× (B,D,F). Scale bars = 200 μm in E (applies to A,C,E), 30 μm in F (applies to B,D,F).

    Colocalization of PnNOS with PIN and expression in oxytocinergic neurons

    To determine whether neurons that harbor PnNOS also express PIN, we conducted a dual localization study, where PnNOS was tagged with a fluorescent green marker, PIN was identified with a red fluorescent stain, and the coexistence of both proteins in the same cell was denoted by yellow fluorescence. Figure 6 shows that in the medial preoptic area (Fig. 6A), many of the cells coexpressed PnNOS and PIN, and the colocalization was also evident in some cells of the medial septum and in the cortex. However, no colocalization was apparent in either the supraoptic nucleus or the paraventricular nucleus (not shown). Instead, PIN was more localized around the neuronal bodies. The latter is consistent with the putative absence of PIN from PnNOS-positive cells.

    To determine whether those cells that presented a strong perinuclear expression of PIN are astrocytes, a colocalization with GFAP was performed. Figure 6E–H shows the overlay of PIN and GFAP (as a marker of astrocytes) in the medial preoptic area (Fig. 6E), cortex (Fig. 6F), and supraoptic nucleus (Fig. 6G,H). We found a clear expression of PIN in GFAP-positive cells, which was very strong around the perinuclear area, resembling the situation seen with peroxidase staining in what appeared to be glial cells. PIN expression was also seen in small interneurons. The staining with PIN was more concentrated at the level of the cell processes.

    Dual labeling shows that, in the paraventricular nucleus, the region more involved in the control of penile erection, PnNOS was expressed in some oxytocinergic neurons which are crucial for the dopaminergic/nitrergic pathways operating in this process but was also present in nonoxytocinergic cells (Fig. 7A,C,E). This finding was replicated in the supraoptic nucleus (Fig. 7B,D,F).

    Details are in the caption following the image

    Colocalization of oxytocin and penile neuronal nitric oxide synthase (PnNOS) in the paraventricular and supraoptic nuclei by using confocal microscopy. Left panels: paraventricular nucleus. Right panels: supraoptic nucleus. A,B: Oxytocin staining with Texas Red anti–guinea pig immunoglobulin G (IgG). C,D: PnNOS staining with biotinylated anti-rabbit goat IgGs followed by fluorescein isothiocyanate-streptavidin. E,F: Overlay of top and middle panels, respectively. Arrows show positive colocalization (yellow staining). Original magnifications: 400× (A,C,E), 100× (B,D,F). Scale bars = 20 μm in A,C,E, 100 μm in B,D,F.

    PIN effects on hypothalamic NOS

    To determine whether PIN indeed has the capacity to inhibit hypothalamic NOS activity, pure recombinant PIN-GST and GST protein were purified and characterized by Coomassie blue staining and Western blotting (Fig. 8, top). Increasing amounts of pure recombinant PIN-GST protein or PIN antibody were added to hypothalamic tissue extracts, incubated for 60 minutes, and the L-arginine/citrulline conversion assay was performed to assess NOS activity. PIN had only a very moderate dose-dependent effect on NOS activity, with an inhibition of 10 to 32% obtained at peak inhibition (not shown). Higher concentrations (100 μg) did not increase the inhibition. PIN antibody (purified IgG) was not efficient in neutralizing endogenous PIN, because virtually no increase of NOS activity was observed, compared with the effect of control IgG. The GST protein had no effect, as previously shown (Jaffrey and Snyder, 1996).

    Details are in the caption following the image

    Binding of recombinant protein inhibitor of nitric oxide synthase (PIN) protein to neuronal nitric oxide synthase (nNOS) in hypothalamic extracts. Top left: A fusion rat PIN-GST cDNA construct was obtained in the sense direction and expressed in Escherichia coli, and the hybrid protein was purified by affinity chromatography. The purified proteins were run on 4–20% gradient polyacrylamide gel electrophoresis (PAGE), and the gel was dried and stained with Coomassie blue. Top right: The fusion rat PIN-GST was run (0.1 and 1 ng) on PAGE as described above and assayed by Western blot with anti-PIN antibody. Bottom: A fixed amount of PIN-GST or GST proteins was incubated with a hypothalamic or cerebellar control extract and then bound to a glutathione Sepharose column. PIN-GST was eluted and fractions were run on sodium dodecyl sulfate-PAGE and submitted to Western blotting with either PIN or PnNOS antibodies. PIN-GST, recombinant PIN-GST protein; GST, control GST protein (no PIN); M, marker; W, washing; C1, first eluate; C2, second eluate. Arrows denote elution of bound protein in C1.

    The ability of PIN to interact with hypothalamic nNOS was demonstrated by binding experiments, where PIN-GST was incubated with hypothalamic and cerebellar tissue extracts and then passed through a GST-Sepharose 4B column to retain the PIN-GST protein. As a negative control, tissue extracts were also incubated with GST and run over GST-Sepharose 4B columns. After washing, proteins bound to the columns were eluted and subjected to electrophoresis under denaturing conditions on PAGE gels followed by Western blotting. Both nNOS and PIN antibodies were used for immunodetection. Figure 8 (bottom) shows that nNOS from both hypothalamus and cerebellum bound GST-PIN but not GST alone, indicating a specific interaction in these tissues. This finding was evidenced by the immunodetection of nNOS in the fractions retained by the PIN-binding column and eluted as fraction C1 in Figure 8 (bottom).

    DISCUSSION

    This study has shown that, in the male rat, PnNOS was expressed in the hypothalamic paraventricular nucleus and medial preoptic area, involved in the central control of penile erection, as well as in other areas that are not directly associated with this process, such as the supraoptic nucleus and medial septum, and in the cortex. PnNOS was also localized in the L4–S1 lumbosacral spinal cord containing the sacral parasympathetic nucleus that sends axons into the pelvic nerve and has interneurons and neurons projecting to the hypothalamus. PnNOS was detected in some hypothalamic oxytocinergic neurons involved in the well-characterized dopaminergic/nitrergic pathway that controls erection, in addition to other neurons. This finding supports the hypothesis that at least part of the descending projections from the hypothalamus involved in penile erection contained PnNOS, in agreement with its putative role in penile erection. In contrast, the penile variant of one of the subunits of the NMDA receptor that binds to nNOS, the NMDAR1-T, was not found in the hypothalamus and spinal cord, indicating that it is not expressed in the central nitrergic pathway controlling erection.

    In addition, we have provided the first evidence on the expression of another nNOS regulatory protein, PIN, in hypothalamic and spinal neurons, and its colocalization in certain cases with PnNOS. It has also been shown that PIN interacts with hypothalamic PnNOS and partially inhibits its enzyme activity. However, the rather diffuse and scattered expression of PIN in relation to PnNOS, the failure to find colocalization of these proteins in certain critical regions for penile erection, such as the paraventricular nucleus, and the rather weak PIN inhibitory activity, suggest that PIN may not regulate all PnNOS expressed in the CNS. Aging was not associated with any significant increase in total PIN mRNA or a reduction in PnNOS mRNA in the complete hypothalamus, suggesting that the overall PnNOS/PIN ratio in this tissue is not decreased to a level that would indicate an aging-associated impairment of the nitrergic pathway in this organ.

    RT-PCR or Western blot have identified the expression of nNOS and NMDAR variants and PIN in these CNS regions. The advantage of the RT-PCR detection with a single set of primers in the same reaction is that it can assess the relative abundance of each variant mRNA, e.g., in the case of PnNOS it demonstrated that PnNOS is a rather abundant form in hypothalamic and lower spinal cord tissues, close to one third of the total nNOS. Although the relative comparison was not entirely valid for immunodetection because of the possible differences in the respective antibodies reactivities, it appears that the content of the PnNOS protein may be equivalent to the brain-type nNOS. Because, in the rat penis, virtually all nNOS expressed is PnNOS, and PnNOS is also the most abundant variant in the prostate (Magee et al., 1996; González-Cadavid et al., 2000a), this finding would suggest that a considerable fraction of nitrergic projections from the hypothalamus are in fact controlling the tone of the smooth muscle in these organs. However, it has been shown that the paraventricular nucleus projects to the sexually dimorphic lumbosacral region of the spinal cord containing the motoneurons for the perineal striated muscles (Rampin et al., 1997; Tang et al., 1998, 1999; Marson and Carson et al., 1999). PnNOS is similar if not identical to the nNOSμ present in the neural plate of skeletal muscle (Silvagno et al., 1996), suggesting that some of the hypothalamic PnNOS neurons may be involved in the inhibition of the tone of the ischiocavernosus and bulbospongiosus muscles. If this is the case, the PnNOS transmission would paradoxically elicit the erection by means of cavernosal smooth muscle relaxation, while counteracting rigidity and ejaculation by relaxing the striated muscles, whose contraction is critical for these processes (Tang et al., 1998). The brain-type nNOS in the hypothalamus and spinal cord may be involved in the control of other lower urogenital organs, such as the bladder, whose tone is also related to sexual function in the micturition inhibition reflex (Marson and Carson, 1999), because this nNOS variant is predominant in the bladder (Magee et al., 1996).

    A similar dichotomy is indicated by the recent demonstration of receptors for NMDAR subunits expressed in the penis, prostate, and bladder (González-Cadavid et al., 2000b), that may belong to circuits originating in hypothalamic regions where the NMDAR have been extensively identified (Curras-Collazo et al., 2000; Herman et al., 2000). The central and peripheral receptors seem to act antagonistically, because in the brain and spinal cord, the binding of excitatory amino acids would trigger nNOS activation by means of Ca++ channel opening and, therefore, nitrergic transmission that would relax the smooth muscle in the lower urogenital system (Herman et al., 2000). In contrast, in in vitro preparations of these organs, the process that leads to relaxation by means of an apparently NO-independent mechanism is the NMDAR blockade by specific antagonists (González-Cadavid et al., 2000b). Our results indicating the absence of the distinctive penile and prostatic variant of NMDAR subunit 1 mRNA (NMDAR1-T), in hypothalamic and lower spinal cord tissue, suggest that the lower urogenital nerves that contain the variant do not originate in the hypothalamus or are part of the sacral parasympathetic outflow from the L6–S1 SPN nucleus (Rampin et al., 1997). It can be speculated that, if NMDAR1-T is indeed present in lower urogenital nerves and not in the smooth muscle itself, it may be part of the sympathetic outflow in the lower thoracic and upper lumbar spinal cord where the sympathetic nucleus is located (Rampin et al., 1997). This process is an important issue that would require further investigation to understand the interaction of NMDAR with nitrergic and non-nitrergic nerves in the control of erection.

    The immunohistochemical detection of PnNOS in the hypothalamic regions that are involved in the control of penile erection, mainly medial preoptic area and paraventricular nucleus (Marson, 1999; Marson and Carson, 1999; Ferrini et al., 2001b), and the absence of this nNOS variant in the organum vasculosum of the lamina terminalis, associated with GnRH secretion but not with erection, gives indirect support to its putative role in this fundamental reproductive process. It is noteworthy that PnNOS was detected in the magnocellular region, an area of the paraventricular nucleus that in male rats was specifically identified through lesions produced by radio frequency as containing neurons involved in intromission, ejaculatory latency, and reflexive erections (Liu et al., 1997; Afifi and Bergman, 1998). However, there are functional/anatomic discrepancies, because only a small fraction of the PnNOS-containing magnocellular neurons in the paraventricular nucleus may send projections to the penis, based on the sparsity of cells in this area identified by retrograde tracing (Marson, 1999; Marson and Carson, 1999). It is more likely that the PnNOS neurons identified by us in the parvocellular medial region are the ones that are related to erectile function, based on their location in a zone that overlaps with the one identified by retrograde tracing as sending projections to the penis (Marson, 1999; Marson and Carson, 1999). In addition, this region contains most of the oxytocinergic neurons that give rise to long descending projections to the spinal cord (Sawchenko and Swanson, 1982). Oxytocin is a key peptide in the nitrergic control of noncontact erections (Melis et al., 1997, 1999b; Melis and Argiolas, 1997) and intracavernosal pressure (Giuliano et al., 1996, 1997), and the present work has shown colocalization of PnNOS and oxytocin.

    The presence of PnNOS and oxytocinergic neurons in a region (magnocellular) with few projections to the penis, and the expression of PnNOS in the SON in very discrete neurons colocalizing with oxytocin, suggests an additional role for PnNOS, perhaps in the secretion of oxytocin to the neurohypophysis (Afifi and Bergman, 1998). The presence of PnNOS in scattered neurons in the septohypothalamic nucleus, responsible for androgen responsiveness (Bakker et al., 1997), and the medial septum, involved in cholinergic transmission (Bassant et al., 1998; Shughrue et al., 2000) and GnRH secretion (Tsai et al., 1997; Afifi and Bergman, 1998), suggests that PnNOS fulfills neuroendocrine functions in central nitrergic neurotransmission unrelated to penile erection.

    Finally, the immunohistochemical detection of PIN in the hypothalamus complements the identification of this peptide in other brain regions performed by RT-PCR (Becker et al., 1999). As in the previous study, there are dissimilarities between nNOS and PIN expressions in various regions that could lead to differences in NOS activity between these regions, if PIN really fulfills the nNOS inhibitor role that has been proposed. For instance, the virtual absence of PIN/PnNOS colocalization in neurons of the supraoptic nucleus, septohypothalamic nucleus, and paraventricular nucleus, contrasting with the one defined in the medial preoptic area and the medial septum, is an indicator that the view of PIN as only an essential modulator of nNOS activity is probably too simplistic. In fact a putative, although not yet well-defined, role of PIN stems from the identification of PIN as the cytoplasmic dynein light chain (DLC8). DLC8 is a part of the multi-subunit protein complex that translocates proteins along microtubules (Fan et al., 2001) and interacts not only with nNOS through the NMDAR-PSD95 complex (Haraguchi et al., 2000), but also with other targets, such as a pro-apoptotic Bcl-2 family member, myosin V, and others. Therefore, PIN/DLC8 has been proposed to intervene in nNOS axonal “retrograde transport” and/or as an anti-apoptotic mechanism. Nitric oxide-mediated apoptosis has been identified as a major mechanism of aging-related neurotoxicity in the hypothalamus, particularly in the paraventricular nucleus and medial preoptic area (Ferrini et al., 2001b; Lee et al., 2002).

    In conclusion, we have identified PnNOS and PIN in hypothalamic and spinal cord regions involved in the central control of penile erection and reproductive function, and the PnNOS/oxytocin colocalization suggests that this nNOS variant plays an important role in this process, including the specific nitrergic pathway mediating oxytocin action in these tissues, in addition to a more general neuroendocrine role in oxytocin secretion. However, further studies are needed to clarify what role the PIN/PnNOS association fulfills in the regulation of NO synthesis needed to trigger penile erection.

      The full text of this article hosted at iucr.org is unavailable due to technical difficulties.