Back to Authors

Gransee, Heather M

0000-0001-5387-3583

Mayo Clinic

Department of Anesthesiology & Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, United States.

Citations 18

TrkB signaling modulates neuromuscular transmission in a frequency-dependent manner in the mouse diaphragm muscle
Crum, Braydon, Martinez, Robert C , Jahanian, Sepideh , Sieck, Gary C. , Mantilla, Carlos B. , Crum, Braydon A, Gransee, Heather M , Sieck, Gary , Mantilla, Carlos B , Martinez, R C , Gransee, Heather M.

Journal of Neurophysiology | August 7, 2026 | Volume: 136 | Issue: 3 | Pages: 959-968

10.1152/jn.00276.2026 Get It

This study found that inhibiting TrkB kinase activity decreases the extent of neuromuscular transmission failure during repetitive stimulation at low frequency while increasing failure with high-frequency stimulation. The frequency-dependent effect of 1NMPP1 treatment suggests that the role of TrkB signaling in maintaining neuromuscular transmission during repetitive stimulation may differ between motor unit types (slow-twitch, fatigue-resistant vs. fast-twitch, fatigable) and likely reflect effects at the presynaptic terminal without major effects on the muscle itself.
Motor Neuron Size‐Dependent Differences in m RNA Expression of Tropomyosin‐Related Kinase Receptor B in Adult Rats
Martinez, R C, Rana, S, Gransee, H M, Sieck, G C, Mantilla, C B, Sieck, Gary C. , Mantilla, Carlos B. , Rana, Sabhya , Martinez, Robert C , Martinez, R C , Rana, S , Gransee, Heather M , Sieck, Gary , Mantilla, Carlos B , Gransee, Heather M.

Journal of Neurochemistry | February 9, 2026 | Volume: 170 | Issue: 2 | Pages: No page available

10.1111/jnc.70381 Get It

ABSTRACT Motor neuron plasticity and survival depend on several trophic factors, with signaling via the tropomyosin receptor kinase B (TrkB) receptor being particularly important beyond development and across the lifespan. We hypothesized that differences in motor neuron properties may reflect differential trophic influences across motor units within a single motor unit pool. Based on extensive previous characterization of rat phrenic motor neurons (PhMN), somal surface area was used as an indicator of motor unit type (smaller neurons innervating slow‐twitch, fatigue‐resistant units versus larger neurons innervating fast‐twitch, fatigable units). To examine whether TrkB expression reflects these size‐related properties, TrkB mRNA transcripts were studied in individual PhMNs labeled retrogradely with Alexa Fluor 488‐conjugated cholera toxin subunit β from five adult male Sprague–Dawley rats. Longitudinal sections of the cervical C3–C5 spinal cord (10 μm thick) were processed using fluorescence in situ hybridization (RNAscope) and imaged using confocal microscopy to measure individual PhMN size and full‐length TrkB mRNA transcripts in nuclear and cytoplasmic compartments. Across 287 PhMNs, significant size variation existed both within and between animals. Across all animals, somal surface area averaged 4385 ± 1627 μm 2 with mean values per animal ranging from 3544 to 5461 μm 2 . PhMNs were classified into tertiles within each animal based on somal surface area. Individual PhMNs averaged 1070 ± 685 TrkB mRNA transcripts per motor neuron. Larger PhMNs in the upper tertile by size expressed a greater total number of TrkB mRNA transcripts per motor neuron, with values on average threefold higher compared to smaller motor neurons in the lower tertile ( p < 0.001). Cytoplasmic and nuclear TrkB mRNA density (transcripts/volume) displayed no significant effect of PhMN somal surface area tertile. Overall, the greater TrkB mRNA levels in larger motor units responsible for higher force, expulsive motor behaviors may underlie their functional adaptations and resilience to injury or disease. image
Chloroquine Causes Aging-like Changes in Diaphragm Neuromuscular Junction Morphology in Mice
Gulbronson, Chloe I., Jahanian, Sepideh , Gransee, Heather M. , Sieck, Gary C. , Mantilla, Carlos B. , Gulbronson, Chloe I. , Sieck, Gary , Gransee, Heather M , Mantilla, Carlos B

Cells | March 7, 2025 | Volume: 14 | Issue: 6 | Pages: 390

10.3390/cells14060390 Get It

Autophagy impairments have been implicated in various aging conditions. Previous studies in cervical motor neurons show an age-dependent increase in the key autophagy proteins LC3 and p62, reflecting autophagy impairment and autophagosome accumulation. Chloroquine is commonly used to inhibit autophagy by preventing autophagosome–lysosome fusion and may thus emulate the effects of aging on the neuromuscular system. Indeed, acute chloroquine administration in old mice decreases maximal transdiaphragmatic pressure generation, consistent with aging effects. We hypothesized that chloroquine alters diaphragm muscle neuromuscular junction (NMJ) morphology and increases denervation. Adult male and female C57BL/6 × 129J mice between 5 and 8 months of age were used to examine diaphragm muscle NMJ morphology and denervation following daily intraperitoneal injections of chloroquine (10 mg/kg/d) or vehicle for 7 days. The motor end-plates and pre-synaptic terminals were fluorescently labeled with α-bungarotoxin and anti-synaptophysin, respectively. Confocal microscopy was used to assess pre- and post-synaptic morphology and denervation. At diaphragm NMJs, chloroquine treatment decreased pre-synaptic volume by 12% compared to the vehicle (p < 0.05), with no change in post-synaptic volume. Chloroquine treatment increased the proportion of partially denervated NMJs by 2.7-fold compared to vehicle treatment (p < 0.05). The morphological changes observed were similar to those previously reported in the diaphragm muscles of 18-month-old mice. These findings highlight the importance of autophagy in the maintenance of the structural properties at adult NMJs in vivo.
Chloroquine Affects Presynaptic Membrane Retrieval in Diaphragm Neuromuscular Junctions of Old Mice
Jahanian, Sepideh , Gulbronson, Chloe I. , Gransee, Heather M. , Millesi, Elena , Sieck, Gary C. , Mantilla, Carlos B. , Sieck, Gary , Gransee, Heather M , Mantilla, Carlos B

International Journal of Molecular Sciences | December 24, 2024 | Volume: 26 | Issue: 1 | Pages: 43

10.3390/ijms26010043 Get It

Aging disrupts multiple homeostatic processes, including autophagy, a cellular process for the recycling and degradation of defective cytoplasmic structures. Acute treatment with the autophagy inhibitor chloroquine blunts the maximal forces generated by the diaphragm muscle, but the mechanisms underlying neuromuscular dysfunction in old age remain poorly understood. We hypothesized that chloroquine treatment increases the presynaptic retention of the styryl dye FM 4-64 following high-frequency nerve stimulation, consistent with the accumulation of unprocessed bulk endosomes. Diaphragm-phrenic nerve preparations from 24-month-old male and female C57BL/6 × 129 J mice were incubated with FM 4-64 (5 µM) and either chloroquine (50 µM) or vehicle during 80 Hz phrenic nerve stimulation. Acute chloroquine treatment significantly decreased FM 4-64 intensity at diaphragm neuromuscular junctions following 80 Hz phrenic nerve stimulation, consistent with disrupted synaptic vesicle recycling. A similar reduction was evident in regions with the greatest FM 4-64 fluorescence intensity, which most likely surround synaptic vesicle release sites. In the absence of nerve stimulation, chloroquine treatment significantly increased FM 4-64 intensity at diaphragm neuromuscular junctions. These findings highlight the importance of autophagy in regulating presynaptic vesicle retrieval (including vesicle recycling and endosomal processing) and support the role of autophagy impairments in age-related neuromuscular dysfunction.
Inhibition of TrkB kinase activity impairs autophagy in cervical motor neurons of young but not old mice
Pareja‐Cajiao, Miguel , Jahanian, Sepideh , Sieck, Gary C. , Mantilla, Carlos B. , Gransee, Heather M , Sieck, Gary , Mantilla, Carlos B , Gransee, Heather M.

Experimental Physiology | November 22, 2024 | Volume: 110 | Issue: 1 | Pages: 166-178

10.1113/ep092095 Get It

Abstract Ageing‐related neuromuscular dysfunction is associated with reduced tropomyosin‐related kinase receptor subtype B (TrkB) signalling and accumulation of damaged cytoplasmic aggregates in motor neurons. Autophagy functions to remove these damaged aggregates, and we previously reported increased cervical motor neuron expression of LC3 and p62 in old age. We hypothesized that inhibition of TrkB kinase activity results in an increase in the relative expression of both LC3 and p62 in cervical motor neurons, consistent with impaired progression of autophagy. TrkB F616A mice, which possess a mutation that renders TrkB kinase activity susceptible to rapid inhibition by 1NMPP1, were treated at 6, 18 or 24 months of age with vehicle or 1NMPP1 for 7 days. Immunofluorescence intensity was measured to determine LC3 and p62 expression in choline acetyltransferase‐positive motor neurons in the cervical spinal cord. The effect of inhibiting TrkB kinase activity on progression of autophagy was age dependent. In 6‐month‐old mice, inhibiting TrkB kinase activity increased cervical motor neuron expression of LC3 by 11% ( P < 0.001) and p62 by 8% ( P = 0.019) compared with vehicle treatment. In 18‐ and 24‐month‐old mice, there was no effect of inhibiting TrkB kinase activity on motor neuron LC3 or p62 expression. We provide evidence that inhibition of TrkB signalling impairs progression of autophagy in motor neurons of young mice, similar to the response to ageing. Accordingly, a reduction of TrkB signalling in old age might contribute to neuromuscular dysfunction by impairing progression of autophagy in motor neurons.
Chloroquine impairs maximal transdiaphragmatic pressure generation in old mice
Saldarriaga, Carlos A., Alatout, Mayar H., Sieck, Gary C. , Mantilla, Carlos B. , Khurram, Obaid U. , Gransee, Heather M , Sieck, Gary , Mantilla, Carlos B , Saldarriaga, Carlos A., Gransee, Heather M.

Journal of Applied Physiology | October 12, 2023 | Volume: 135 | Issue: 5 | Pages: 1126-1134

10.1152/japplphysiol.00365.2023 Get It

Recent findings suggest that autophagy plays a role in the development of aging-related neuromuscular dysfunction; however, the contribution of autophagy impairment to the maintenance of diaphragm force generation in old age is unknown. This study shows that in old mice, chloroquine administration decreases maximal transdiaphragmatic pressure generation. These chloroquine effects suggest a susceptibility to impairments in autophagy in old age.
Electrophysiological effects of BDNF and TrkB signaling at type-identified diaphragm neuromuscular junctions
Mantilla, Carlos B. , Ermilov, Leonid G., Greising, Sarah M. , Zhan, Wen‐Zhi, Sieck, Gary C. , Gransee, Heather M , Sieck, Gary , Mantilla, Carlos B , Gransee, Heather M.

Journal of Neurophysiology | March 8, 2023 | Volume: 129 | Issue: 4 | Pages: 781-792

10.1152/jn.00015.2023 Get It

Neurotrophin brain-derived neurotrophic factor (BDNF) enhances neuromuscular transmission via activation of tropomyosin-related kinase receptor B (TrkB). Rat phrenic nerve-diaphragm muscle preparations were used to determine the rapid effect of BDNF on synaptic quantal release during repetitive stimulation. BDNF treatment significantly enhanced quantal release at all fiber types. BDNF increased synaptic vesicle cycling (measured using FM4-64 fluorescence uptake); conversely, inhibiting BDNF/TrkB signaling decreased FM4-64 uptake.
Diaphragm muscle sarcopenia into very old age in mice
Vang, Pangdra , Vasdev, Amrit K., Zhan, Wen‐Zhi, Mantilla, Carlos B. , Vasdev, Amrit, Gransee, Heather M , Mantilla, Carlos B , Gransee, Heather M. , Sieck, Gary C.

Physiological Reports | January 7, 2020 | Volume: 8 | Issue: 1 | Pages: No page available

10.14814/phy2.14305 Get It

Frequency‐dependent lipid raft uptake at rat diaphragm muscle axon terminals
Porras, Maria A. Gonzalez , Fogarty, Matthew J. , Gransee, Heather M. , Gonzalez Porras, Maria A, Gransee, Heather M , Sieck, Gary C. , Mantilla, Carlos B. , Fogarty, Matthew J

Muscle & Nerve | January 24, 2019 | Volume: 59 | Issue: 5 | Pages: 611-618

10.1002/mus.26421 Get It

ABSTRACT Introduction : In motor neurons, cholera toxin B (CTB) binds to the cell‐surface ganglioside GM1 and is internalized and transported via structurally unique components of plasma membranes (lipid rafts). Methods : Lipid raft uptake by axon terminals adjoining type‐identified rat diaphragm muscle fibers was investigated using CTB and confocal imaging. Results : Lipid raft uptake increased significantly at higher frequency stimulation (80 Hz), compared with lower frequency (20 Hz) and unstimulated (0 Hz) conditions. The fraction of axon terminal occupied by CTB was ∼45% at 0‐ or 20‐Hz stimulation, and increased to ∼65% at 80 Hz. Total CTB fluorescence intensity also increased (∼20%) after 80‐Hz stimulation compared with 0 Hz. Discussion : Evidence of increased lipid raft uptake at high stimulation frequencies supports an important role for lipid raft signaling at rat diaphragm muscle axon terminals, primarily for motor units physiologically activated at the higher frequencies. Muscle Nerve 59:611–611, 2019
Phrenic motoneuron structural plasticity across models of diaphragm muscle paralysis
Mantilla, Carlos B. , Zhan, Wen‐Zhi, Gransee, Heather M. , Prakash, Y. S. , Sieck, Gary C. , Prakash, Y S , Sieck, Gary , Gransee, Heather M , Mantilla, Carlos B

Journal of Comparative Neurology | November 9, 2018 | Volume: 526 | Issue: 18 | Pages: 2973-2983

10.1002/cne.24503 Get It

AbstractStructural plasticity in motoneurons may be influenced by activation history and motoneuron–muscle fiber interactions. The goal of this study was to examine the morphological adaptations of phrenic motoneurons following imposed motoneuron inactivity while controlling for diaphragm muscle inactivity. Well‐characterized rat models were used including unilateral C2 spinal hemisection (SH; ipsilateral phrenic motoneurons and diaphragm muscle are inactive) and tetrodotoxin phrenic nerve blockade (TTX; ipsilateral diaphragm muscle is paralyzed while phrenic motoneuron activity is preserved). We hypothesized that inactivity of phrenic motoneurons would result in a decrease in motoneuron size, consistent with a homeostatic increase in excitability. Phrenic motoneurons were retrogradely labeled by ipsilateral diaphragm muscle injection of fluorescent dextrans or cholera toxin subunit B. Following 2 weeks of diaphragm muscle paralysis, morphological parameters of labeled ipsilateral phrenic motoneurons were assessed quantitatively using fluorescence confocal microscopy. Compared to controls, phrenic motoneuron somal volumes and surface areas decreased with SH, but increased with TTX. Total phrenic motoneuron surface area was unchanged by SH, but increased with TTX. Dendritic surface area was estimated from primary dendrite diameter using a power equation obtained from three‐dimensional reconstructed phrenic motoneurons. Estimated dendritic surface area was not significantly different between control and SH, but increased with TTX. Similarly, TTX significantly increased total phrenic motoneuron surface area. These results suggest that ipsilateral phrenic motoneuron morphological adaptations are consistent with a normalization of motoneuron excitability following prolonged alterations in motoneuron activity. Phrenic motoneuron structural plasticity is likely more dependent on motoneuron activity (or descending input) than muscle fiber activity.