Clonal rat pheochromocytoma (PC12) cells have been widely used to study the molecular mechanisms of neurite outgrowth and neurotransmitter release. We obtained neurotransmitterhypersensitive PC12 variant cells (PC12m12) in which neurite outgrowth was strongly stimulated by the neurotransmitters acetylcholine, serotonin and dopamine under the condition of nerve growth factor (NGF) treatment. When acetylcholine and NGF were introduced to the PC12m12 cells, the frequency of neurite outgrowth increased by approximately 14 fold compared to that in the case of treatment with NGF alone. However, effects of acetylcholine and dopamine on neuritogenesis in drug-hypersensitive PC12m3 variant cells were not detected. In neurotransmitter-hypersensitive PC12m12 variant cells, acetylcholine and dopamine activated mitogen-activated protein (MAP) kinase, whereas acetylcholine and dopamine did not activate MAP kinase in PC12m3 cells. Acetylcholine-induced neurite outgrowth was inhibited by an acetylcholine inhibitor, nicardipine, and by a MAP kinase inhibitor, U0126, in PC12m12cells. When dopamine-stimulated PC12m12 cells were simultaneously treated with low-frequency sound wave, neurite outgrowth activity was greatly enhanced. Furthermore, we detected activation of cyclic-AMP responsive element binding protein (CREB) by acetylcholine or low-frequency sound wave in PC12m12 cells. CREB is a transcription factor that is the target of MAP kinase. These findings suggest that neurotransmitters and sound waves induce neurite outgrowth through MAP kinase and CREB pathways in PC12m12 cells.
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