We established direct patch-clamp recordings from small conventional nerve terminals of neurons. We uncovered several mechanisms of presynaptic function such as the calcium-sensitivity of vesicle fusion, differences in plasticity of excitatory and inhibitory nerve terminals, and ectopic action potential initiation in axons of dopaminergic neurons. Our data show that a subset of synaptic vesicle, which is slowly recovering, is specifically increased during long term synaptic plasticity. To relate our findings in mice to humans, we studied the function of presynaptic terminals of human stem cell-derived neurons. We found similarities in the presynaptic function of mice and human neurons.
In addition, we studied the metabolic function of presynaptic terminals and found that the presynaptic ATP concentration decreases during physiological activity. We are now studying the metabolic constrains of long-term potentiation. Finally, we found that ketamine, which has rapid anti-depressant effects, profoundly potentiates glutamate release at a central presynaptic terminal. These findings will open new avenues for rapid antidepressant therapy.