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Volume 16, Number 9,
Issue of May 1, 1996
pp. 2901-2911
Copyright ©1996 Society for Neuroscience
Differential Expression of the p75 Nerve Growth Factor Receptor
in Glia and Neurons of the Rat Dorsal Root Ganglia after Peripheral
Nerve Transection
Xin-Fu Zhou1,
Robert
A. Rush1, and
Elspeth M. McLachlan2
1 Department of Physiology and Centre of Neuroscience,
Flinders University of South Australia, Bedford Park 5042, Australia,
and 2 Princes of Wales Medical Research Institute,
Randwick, NSW 2031, Australia
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
FOOTNOTES
REFERENCES
ABSTRACT
Sympathetic nerve terminals on blood vessels within the dorsal root
ganglia sprout after sciatic nerve lesions in the rat. The mechanism
underlying this phenomenon is not clear, but might be predicted to
involve nerve growth factor or its homologs because these factors are
known to trigger collateral sprouting of undamaged sympathetic
noradrenergic terminals. We have found that sciatic nerve lesions lead
to a decreased expression of neuronal p75, the low-affinity receptor
for the neurotrophins, but an increased expression of glial p75 in
ipsilateral dorsal root ganglia. Intriguingly, the increased expression
of p75 was found primarily in association with glia surrounding
large-diameter neurons, which are those associated with the
noradrenergic sprouts. A smaller but significant glial response was
also found in contralateral ganglia. The glial response in ipsilateral
ganglia could be mimicked by ventral, but not dorsal, root transection.
The dorsal root lesion-induced glial responses in contralateral ganglia
were greater than those induced by ventral root or sciatic nerve
lesions. Combined lesions of dorsal root and either ventral root or
sciatic nerve did not prevent the glial responses of ipsilateral
ganglia, suggesting that a peripheral signal is involved.
Colocalization studies indicate that tyrosine
hydroxylase-immunoreactive nerve sprouts were associated with
p75-immunoreactive glial cells. Thus, increased glial synthesis of p75
might provide an explanation for the abnormal growth of sympathetic
fibers in dorsal root ganglia after peripheral nerve injury.
Key words:
satellite cells;
glial fibrillary acidic protein;
sympathetic;
nerve injury;
glia;
sprouting;
tyrosine hydroxylase
INTRODUCTION
Patients with peripheral nerve injuries sometimes
suffer from chronic pain that can be relieved by blockade of peripheral
adrenoceptors or noradrenaline release (Bonica, 1990 ; Jänig
and Schmidt, 1992 ). The mechanisms underlying this neuropathic pain are
not known, but one factor that may contribute is that sciatic nerve
injury triggers sprouting of intact sympathetic nerve fibers from
around blood vessels within the dorsal root ganglia (DRG) (McLachlan et
al., 1993 ). These aberrant noradrenergic fibers form varicose baskets
primarily around large neurons, and functional evidence implies that
synaptic connections are made. In addition, sensory axons within the
spinal cord sprout beyond their normal innervation territories after
peripheral nerve injury (Richardson and Issa, 1984 ; Richardson and
Verge, 1986 ; Woolf et al., 1992 ). The molecular basis for these
responses is not clear, but many biochemical and morphological changes
in the injured DRG have been documented (Rich et al., 1987 ). For
example, sciatic nerve transection leads to downregulation of some
neuropeptides but upregulation of others in the afferent neurons
(Hökfelt et al., 1994 ). The loss of neurotrophic factors normally
derived from peripheral targets is implicated in these responses
because some can be prevented by the simultaneous administration of
exogenous growth factors (Verge et al., 1989 ).
Many studies have focused on the regulation of neurotrophins and
their receptors in Schwann cells (Rush, 1984 ; Taniuchi et al., 1986 ;
Abrahamson et al., 1987 ; Heumann et al., 1987 ; Johnson et al., 1988 )
and in the corresponding neuronal somata (Sebert and Shooter, 1993 )
after nerve injury. Sprouting of nerve fibers occurs in a number of
situations in which neurotrophic factors have been implicated. Despite
the known potent actions of nerve growth factor (NGF), the best
characterized neurotrophic factor, on sensory and sympathetic neurons
during development in maturity and after neuronal injury, its precise
role in nerve sprouting is still a subject of investigation. NGF has a
chemotactic ability that results in sensitive nerve fibers following a
concentration gradient (Campenot, 1987 ). Sprouting of NGF-sensitive
neurons can be induced in target tissues in vivo by
denervation of adjacent regions (Rich et al., 1984 ), and administration
of NGF antiserum prevents this sprouting (Diamond et al., 1992a ,b). A
possible explanation for these findings is that Schwann cells in the
denervated regions upregulate their synthesis of NGF (Abrahamson et
al., 1987 ; Heumann et al., 1987 ), providing the chemotactic signal. The
overexpression of NGF in transgenic animals also leads to sprouting of
noradrenergic fibers within effector tissues (Edwards et al., 1989 ;
Federoff et al., 1992 ) and trigeminal ganglia (Davis et al., 1994 ).
Johnson and colleagues (Taniuchi et al., 1986 ; Johnson et al., 1988 )
have proposed that upregulation of NGF synthesis together with its
low-affinity receptor (p75) by Schwann cells surrounding degenerating
nerve cell bodies and axons provides a local high concentration of the
factor that supports the growth of nerve fibers. Such a mechanism could
also account for the intraganglionic sprouting of sympathetic nerves
seen after sciatic nerve lesions. We have used immunohistochemistry to
examine changes in p75 distribution within the DRG after sciatic nerve
lesions.
MATERIALS AND METHODS
Animals. Young adult female Wistar-Kyoto rats were
used throughout. All procedures were performed under NH&MRC guidelines,
and approval was provided by the institutional Animal Ethics Committee.
All surgical procedures were performed under inhalational halothane
anesthesia except where indicated below. Three or four rats were used
for each of the procedures as follows.
Surgery. Nerve lesion paradigms are outlined in the
schematic diagrams as shown in Figure 1.
Fig. 1.
Schematic diagrams showing different nerve lesion
paradigms (see Materials and Methods).
[View Larger Version of this Image (44K GIF file)]
Sciatic nerve transection. The left sciatic nerve was
exposed, ligated at the midthigh level, and cut distal to the ligature.
Control rats were treated identically except that the sciatic nerve was
exposed but not ligated or transected.
Dorsal rhizotomy. Identification of the L5 dorsal root was
achieved by removal of the transverse process and dorsal laminae of
vertebra to expose the DRG and associated dorsal root. Fine scissors
were used to section the dorsal root 2 mm from the ganglion, taking
care to avoid damage to the ventral root.
Ventral root transection. The L5 DRG ventral root was
exposed as described above and transected 2 mm from the ganglion. The
ventral root was sectioned after approaching from the lateral aspect to
avoid damage to the dorsal root.
Combined ventral and dorsal root section. Both ventral and
dorsal roots (L5) were transected after their identification by the
procedure described above.
Combined sciatic nerve and dorsal root
section. In three rats, both the sciatic nerve and the dorsal root
were sectioned as described above.
Immunohistochemistry. Rats were allowed to survive for
1, 2, 4, and 8 weeks after the sciatic nerve lesion and 2 weeks after
the other lesions. Pentobarbital (80 mg/kg, i.p.) was used to
anesthetize the rats before perfusion through the heart with 100 ml of
0.1 M phosphate buffer, pH 7.4, followed by 500 ml of Zamboni's fixative. Both L5 DRGs were dissected and post-fixed
in Zamboni's fixative overnight at 4°C. The ganglia were then rinsed
in TBS, pH 7.4, soaked in 30% sucrose, and sectioned at 30 µm on a
cryostat. p75 immunohistochemistry was performed as described
previously (Zhou et al., 1993 ). Briefly, sections were washed and
blocked before overnight incubation in primary monoclonal antibody 192 (a gift from Dr. Eugene Johnson) at 2 µg/ml. The sections were
incubated with AMCA-conjugated donkey antibody to mouse IgG (Jackson
Laboratories, Bar Harbor, ME) for 2 hr at a dilution of 1:50. In some
cases, the sections were incubated with horseradish
peroxidase-conjugated secondary antibodies in place of the fluorescent
antibody and developed in diaminobenzidine (DAB) solution enhanced by
nickel sulfate as described elsewhere (Zhou et al., 1993 ).
For colocalization of p75 with either glial fibrillary acidic protein
(GFAP) or tyrosine hydroxylase (TH), DRGs from animals 1 or 2 weeks
after sciatic nerve transection were removed, sectioned, and incubated
in both mouse monoclonal 192 IgG (2 µg/ml) and rabbit polyclonal
antibodies to GFAP (Dako, Carpenteria, CA; 1:1000) or TH (Pel-Freez
Biologicals, Rogers, AR; 1:200). Secondary donkey antibodies (Jackson)
to mouse IgG (AMCA-labeled) and rabbit IgG (FITC-labeled) were both
diluted at 1:50 and applied to sections for 2 hr.
The sections were mounted in buffered glycerol and observed under a
fluorescence microscope. DAB sections were mounted in xylene-based
medium and observed using bright-field illumination. The number of
p75-immunoreactive (-ir) neurons and neurons surrounded by p75-ir glia
and nerve fibers (ring structures) were counted in five randomly
selected sections from three to four rats in each group. The same
sections were then counter-stained with thionin, and the total number
of neurons was counted.
RESULTS
Controls
In DRGs of normal rats, ~60% of all neurons were
immunoreactive for p75 (see Figs. 2.1,
3). The staining was present in neurons with a wide
range of soma sizes, appearing as a granular stain localized to the
soma cytoplasm and some nerve fibers (Fig. 2.1). Occasionally, p75-ir
was present in glia and nerve fibers surrounding neuronal somata in the
shape of ring structures. These ring structures were almost always
associated with large-diameter neurons, consistent with previous
reports by others and this laboratory (Verge et al., 1989 ; Zhou et al.,
1993 ).
Fig. 2.
Effects of sciatic nerve transection on the
expression of p75-ir within L5 DRG. 1, A section from
sham-operated rats showing subpopulations of large and small p75-ir
neurons. 2, A section from contralateral DRG 8 weeks after
sciatic nerve transection showing increased expression of p75-ir in
fibers and glia surrounding some large neurons. 3-6, One,
two, four, and eight weeks, respectively, after ipsilateral sciatic
nerve transection showing decreased expression of p75-ir in neurons and
increased expression in nerve bundles and glia. Asterisks
indicate a neuron with surrounding ring of immunoreactivity; open
arrows indicate clusters of p75-ir glial cells; filled
arrows indicate p75-ir nerve bundles. Scale bar, 50 µm.
[View Larger Version of this Image (173K GIF file)]
Fig. 3.
Effect of sciatic nerve transection on the
percentage of p75-ir neurons in L5 DRG. The numbers of p75-ir neurons
were counted as described in Materials and Methods. The data are
plotted as mean ± SEM (n = 4). The percentage of p75-ir
neurons was significantly reduced after sciatic nerve transection
(asterisks indicate p < 0.05 compared with
control).
[View Larger Version of this Image (22K GIF file)]
Effects of sciatic nerve lesions
Ipsilateral DRGs
After sciatic nerve lesions, p75-ir was changed as judged by a
number of criteria.
(1) One week after injury, the intensity of staining and the number of
immunoreactive neuronal cell bodies were significantly reduced (Fig.
2.3), resulting in fewer positive cells (26%) compared with 51% in
the intact DRG (Fig. 3). These changes became more marked with time.
Only 13% of all neurons were p75-ir by 8 weeks postlesion. In
contrast, there were no significant changes from control in the
percentages of positive neurons in the contralateral ganglia (Fig.
2.2).
(2) The number of immunoreactive nerve bundles within the ipsilateral
DRG increased significantly 1 week after operation and remained
elevated for 8 weeks (see filled arrows in Fig. 2.5,
2.6). There was also a slight increase in the same immunoreactive
nerve bundles in the contralateral DRG at all times examined (see
filled arrow in Fig. 2.2).
(3) After sciatic lesions, p75-ir increased strongly in glia around
many primary afferent neurons. This immunoreactivity was in the form of
ring-shaped structures, most of which encircled large-diameter neuron
somata (see asterisk in Fig. 2). We have observed
that clusters of glial cells aggregate around one pole of large sensory
neurons and express p75-ir. These p75-ir ring structures appeared
similar to the arrangement of catecholamine-containing fibers described
in a previous study (McLachlan et al., 1993 ). Quantitative analysis
showed that the percentage of neurons surrounded by these ring
structures increased dramatically from 0.5% in control ganglia to 35%
1 week after nerve lesion and to 39% at 8 weeks postlesion (Fig.
4).
Fig. 4.
Effect of sciatic nerve transection on the number
of p75-ir ring structures surrounding neurons. The neurons surrounded
by p75-ir glia or nerve fibers were counted as described in Materials
and Methods and are plotted as mean ± SEM (n = 4). The
percentage of neurons with ring structures in ipsi- and contralateral
DRG after sciatic nerve lesion was significantly increased with
postlesion time (asterisks indicate p < 0.05 compared with control).
[View Larger Version of this Image (20K GIF file)]
(4) Some glia that were in clusters but not surrounding neurons were
strongly immunoreactive for p75 after peripheral nerve lesions
(see open arrow in 2.6). These glia were
usually located between large neurons and also occurred in the
contralateral DRGs after sciatic nerve lesion (see open
arrow in Fig. 2.2); they were only rarely seen in
control DRGs. Cresyl violet staining also showed a significant increase
in the number of glial cells surrounding lesioned sensory neurons (data
not shown).
Contralateral DRGs
In the contralateral DRGs, similar changes of p75 expression were
seen in both nerve bundles and glia, but not in neuronal somata. The
number of immunoreactive ring structures was increased significantly at
2 weeks (p < 0.05) and 8 weeks
(p < 0.05) after sciatic nerve injury, although
their number was always far less than that seen in ipsilateral ganglia
(Fig. 4). In contrast to the ipsilateral DRGs, both the number of
neuron somata immunoreactive for p75 and the intensity of the stain
within each neuron were unaffected by the sciatic nerve lesion.
In three rats 2 weeks after sciatic nerve lesions, cervical DRGs (C6)
were also examined for p75 expression. These ganglia appeared identical
to corresponding ones from control unoperated rats (data not
shown).
Colocalization of p75 with GFAP
To test whether the p75-ir was associated with glia,
colocalization of p75-ir with the glial cell marker GFAP-ir was
performed. After sciatic nerve lesions, a significant increase in
GFAP-ir glial cells was seen, particularly surrounding large neurons
and in some nerve bundles. As shown in Figure 5, the
p75-ir present in ring structures surrounding large neurons and some
nerve bundles was colocalized with GFAP-ir in both the ipsilateral
(compare Fig. 5.1 with 5.2) and contralateral DRG (compare Fig. 5.3
with 5.4), indicating that a proportion of the p75-ir was localized to
both satellite cells (ring structures) and Schwann cells (in nerve
bundles). No GFAP-ir was associated with or without p75-ir in neuron
somata. GFAP-ir and p75-ir were also colocalized in glial clusters that
were not associated with neurons (compare Fig. 5.5 with 5.6). However,
some GFAP-ir glia around small-diameter primary afferent neurons were
not immunoreactive for p75.
Fig. 5.
Colocalization of p75-ir with GFAP-ir in the
ipsilateral (panels 1, 2, 5,
6) and contralateral (panels 3, 4) L5
DRG after sciatic nerve transection. Panels 1,
3, and 5 are sections stained with mouse
antibodies to p75 followed by AMCA-conjugated secondary antibodies, and
panels 2, 4, and 6 are the same
sections stained with rabbit antibodies to GFAP followed by
FITC-conjugated secondary antibodies. Asterisks indicate
neurons immunoreactive for p75 but negative for GFAP-ir;
arrowheads in 1-4 indicate large neurons with
p75-ir ring structures that were also immunoreactive for GFAP;
arrowheads in 5 and 6 indicate
clusters of glial cells that are both p75-ir and GFAP-ir; open
arrows in 1 and 2 indicate a small
neuron without p75-ir ring structure but with GFAP-ir. Scale bars:
1-4 (shown in 2), 100 µm; 5,
6 (shown in 6), 50 µm.
[View Larger Version of this Image (175K GIF file)]
Effects of ventral root transection on p75 expression
As expected from several previous studies (Koliatsos et al.,
1991 ; Greeson et al., 1992 ; Rende et al., 1993 ), ventral root
transection significantly increased the expression of p75 within the
ventral roots and peripheral nerves distal to the lesion site. No
p75-ir could be detected within the dorsal roots. Because dorsal root
damage is known to result in upregulation of p75-ir within glia of the
dorsal root nerve bundles (Henry et al., 1993 ) (also see below), the
absence of p75-ir in the dorsal root served as a sensitive indicator of
the absence of dorsal root damage after ventral root transection.
Surprisingly, within the corresponding DRGs, p75-ir glia and nerve
fibers also increased, so that by 2 weeks after ventral root
transection many immunoreactive ring structures were clearly visible
(Fig. 6.2, Table 1). The number of ring
structures (28.9 ± 4.0%) was comparable with the number (33.0 ± 5.1%) seen after sciatic nerve transection (Fig. 7).
However, unlike after sciatic nerve lesions, the p75-ir within primary
afferent neuron somata was only slightly reduced. In the contralateral
DRGs, ring structures were also seen but in fewer numbers (6.3 ± 0.6%, p < 0.01 compared with ipsilateral DRG). No
significant change in p75 expression was seen in two animals subjected
to sham operations.
Fig. 6.
Effects of ventral root, dorsal root, and combined
dorsal and ventral root transections on p75-ir in L5 DRGs.
1, A micrograph showing normal expression of p75 in the
sham-operated DRGs. 2, A micrograph showing ring structures
around large neurons from an animal with an L5 ventral root transection
one week earlier. An open arrow indicates intact dorsal
root, and an arrowhead indicates lesioned ventral root.
3, 4, Micrographs of the respective ipsi- and
contralateral DRG from an animal with a transection of dorsal root of
the L5 spinal ganglion one week earlier. Arrowheads in
3 indicate intensely labeled DRG neurons. 5,
6, Micrographs of respective ipsi- and contralateral DRG
from an animal with combined lesion of dorsal and ventral root of the
L5 spinal ganglion 1 week earlier. Scale bar, 200 µm.
[View Larger Version of this Image (188K GIF file)]
Table 1.
Summary of effects of different nerve lesions on expression
of p75 in neurons, glial ring structures, and nerve bundles in the
ipsilateral and contralateral DRGs
| Lesion |
Ipsilateral
DRG
|
Contralateral DRG
|
| N |
GR |
NB |
N |
GR |
NB
|
|
| Sci.
n. |
 |
++++ |
++ |
 |
++ |
+
|
| DR |
 |
+/ |
++++ |
 |
+++ |
+
|
| VR |
 |
++++ |
+ |
 |
++ |
+ |
| DR + VR |
 |
+++ |
+++ |
 |
+++ |
+ |
| DR + Sci.
n. |
 |
++++ |
++++ |
 |
++ |
+ |
|
The lesion paradigms are schematically shown in Figure 1. Sci.
n., sciatic nerve section; VR, ventral root section; DR, dorsal root
section; N, neuron; GR, glial ring structures; NB, nerve bundles.
Changes were scored as follows: , no change; +/ , minimal change;
++++, maximal change; ++ and +++, intermediate changes. Up arrow and
down arrow indicate increased and decreased p75-ir in neurons.
|
|
Fig. 7.
Effects of nerve lesions on the numbers of p75-ir
ring structures in the DRGs ipsi- and contralateral to the lesions. The
surgical procedures were as described in Materials and Methods.
Shaded bars, Ipsilateral DRGs; filled
bars, contralateral DRGs. Sci. n,
Sciatic nerve division; VR, ventral root section;
DR, dorsal root section. ANOVA: F = 31.7, p < 0.01; *p < 0.01 compared with
control; +p < 0.05 compared with DRG
contralateral to sciatic nerve division alone (filled
bar).
[View Larger Version of this Image (43K GIF file)]
Effects of dorsal root transection on p75 expression
In contrast to the sciatic nerve lesions, which
triggered a reduction of p75-ir within ipsilateral ganglionic neuron
somata, dorsal root lesions induced increases in both the number and
the intensity of staining of p75-ir neurons (Fig. 6.3, Table 1). In
addition, p75-ir was also increased in the intraganglionic nerve
bundles compared with control rats (see Fig. 6.1, Table 1). However, in
contrast to the sciatic nerve lesions, the dorsal root lesion triggered
a slight significant increase in p75-ir in ganglionic satellite cells.
Only 2.2 ± 0.7% of neurons were surrounded with p75-ir glia. In
contralateral ganglia, 17.9 ± 1.6% of p75-ir ring structures were
observed, a response greater than that after sciatic nerve lesions
(p < 0.05; Figs. 6.4, 7, Table 1).
Effects of combined dorsal and ventral root transections
To determine whether the signals upregulating p75-ir in
satellite cells after ventral root lesions are mediated through the
spinal cord and dorsal roots, both ventral and dorsal roots were cut in
another group of animals. As shown in Figures 6.5 and 7 and Table 1,
the combined lesion did not significantly reduce the number of p75-ir
ring structures in the ipsilateral DRG (combined, 27.8 ± 1.9%;
ventral root only, 28.9 ± 4.0%), suggesting that the signals inducing
these after ventral lesion did not derive from the spinal cord. The
p75-ir within primary afferent neurons and nerve bundles, like that
after dorsal root lesions only, was also increased markedly by the
combined lesion. In comparison with the ventral root or sciatic nerve
lesions, the number of ring structures in the contralateral DRGs was
significantly increased (22.6 ± 2.0 vs 6.5 ± 1.2%; p < 0.01) but was comparable with the response to dorsal root lesion only
(17.9 ± 1.6%). The pattern of p75-ir expressed in the contralateral
DRGs (Fig. 6.6) was similar to that seen after ventral or dorsal root
lesions only (Table 1).
Effect of combined sciatic nerve and dorsal root lesion
To determine whether the signals upregulating p75-ir in satellite
cells after sciatic nerve lesion are derived from the spinal cord
through the dorsal root, sciatic nerve section was combined with dorsal
root section. As shown in Figure 7 and Table 1, the number of ring
structures after the combined lesions was comparable with sciatic nerve
lesion only (33.5 ± 4.4 vs 32.0 ± 5.1). Similar to changes observed
after sciatic nerve lesion only, but in contrast to dorsal root lesion
only, p75-ir in sensory neurons was also reduced by the combined lesion
(data not shown). In addition, p75-ir in the nerve bundles within the
DRGs was also increased. The number of ring structures in the
contralateral DRGs was 10.2 ± 1.2%, more than the sciatic nerve
lesion only (p < 0.05), but not as high as combined
lesions of dorsal and ventral roots (p < 0.05) or
dorsal root only (p < 0.05).
Colocalization of p75 glial ring structures with TH-ir
nerve sprouts
To determine the relationship between glial p75 ring structures
and catecholaminergic nerve axons, double labeling of p75 and TH was
performed. One week after sciatic nerve lesion, TH-ir fibers were
identified within the ipsilateral L4 and L5 DRGs. These fibers were
mostly found around large sensory neurons and associated satellite
cells (compare Fig. 8.1 with 8.2) or Schwann cells in
the nerve bundles (compare Fig. 8.3 with 8.4). Some of these fibers
could be traced back to nerve fibers surrounding small blood vessels.
TH-ir axons ran over or between p75-ir satellite cells (Fig. 8.1,
arrowheads). Because of strong glial p75-ir, it was
difficult to determine whether or not TH-ir fibers associated with
these glia were also p75-ir. However, where TH-ir fibers were not
associated with p75-ir glial cells, they were always themselves p75-ir
(compare Fig. 8.5 with 8.6).
Fig. 8.
Colocalization of TH-ir axons with p75-ir glia and
nerve fibers in ipsilateral DRG 1 week after sciatic nerve lesion.
Pairs of micrographs (1, 2; 3,
4; 5, 6) are each of the same section
using different filters. Large arrowheads in
1, 3, and 5 indicate TH-ir nerve
fibers; small arrowheads in 2 indicate
p75-ir satellite cells associated with a large neuron surrounded by
TH-ir nerve terminals (1); arrowheads in
4 indicate nerve bundles immunoreactive for p75 in the same
site as TH-ir fibers (3); arrowheads in
6 indicate p75-ir colocalized with a TH-ir nerve fiber.
Scale bar (shown in 1), 100 µm. In 1,
3, and 5, which show TH-ir fibers, significant
autofluorescence of sensory neurons was observed with the filter for
FITC.
[View Larger Version of this Image (153K GIF file)]
DISCUSSION
The present study has revealed differential expression of
p75 in neurons and glia in DRGs after sciatic nerve injury. A reduction
in p75-ir in cell bodies, consistent with previous histological and
biochemical demonstration of mRNAp75 (Sebert and
Shooter, 1993 ), contrasted with an increase identified in glia,
primarily those surrounding large-diameter sensory neurons. There was
also upregulation of p75 in equivalent contralateral ganglia. TH-ir
axons were associated with p75-ir glia, suggesting a relationship
between the sprouting of noradrenergic axons and the glial
response.
p75 expression within DRG neurons appears to be regulated by signals
from peripheral tissues, because only lesions that damaged peripheral
sensory axons led to the loss of its expression. The regulating signals
are not known, but one seems likely to be NGF. NGF increases p75 mRNA
in cultured primary afferent neurons in vitro (Lindsay et
al., 1990 ) and partially prevents the loss of p75 induced by axotomy
in vivo (Verge et al., 1992 ). However, NGF may not be the
only factor involved because removal of endogenous NGF by its
antibodies in vivo results in complete depletion of p75 in
sympathetic neurons but has no effect on its expression in sensory
neurons (Zhou and Rush, 1996 ).
In contrast, p75 expression in glia after lesions of either the sciatic
nerve or the ventral (but not dorsal) roots suggests that its
upregulation is associated with damage to motor nerve fibers. The glial
cells that respond are mainly those associated with large-diameter
primary afferent neurons with low-threshold mechanosensitive endings in
the periphery. This increased expression of glial p75 has not been
reported previously either for mRNA or by protein analysis of DRGs.
p75 expression in nerve bundles in the DRGs was increased in
response to all lesion paradigms, particularly dorsal rhizotomy. The
dramatic upregulation after dorsal root lesion resembled that in the
distal stump after sciatic nerve lesions in which p75 is also involved
in the Schwann cells (Taniuchi et al., 1986 ). Because the p75-ir in
DRGs also express GFAP, Schwann cells must be involved. Double labeling
reveals that, in addition, sympathetic fibers expressed p75 and may
also be present in the nerve bundles.
The p75-ir glial rings occurred much more frequently than the rings of
noradrenergic terminals observed after similar sciatic lesions
(McLachlan et al., 1993 ). From their frequency (around nearly 40% of
neurons), it might seem that the p75-ir rings occurred only around
axotomized cells as ~50% of L5 DRG cells project in the lesioned
sciatic nerve (Devor et al., 1985 ). However, because p75-ir rings were
primarily associated with large somata, they must have involved most of
the large cells in the ganglion, i.e., including those that had not
been axotomized. If so, the formation of sympathetic rings must be
restricted to a subpopulation of DRG neurons, perhaps those located
relatively closer to the arterial vessels from which the sprouts arise.
It is not clear whether the sprouts only surround axotomized cells.
Because the number of GFAP-ir glia within the DRG after lesions was
substantially increased, the colocalization of p75-ir with GFAP-ir seen
in the present study suggests that upregulation of the receptor is
associated with glial proliferation. The signal regulating this
response is not known, but it is probably not attributable to factors
secreted by invading macrophages (Lu and Richardson, 1991 ) because the
response is not random, but is primarily localized to satellite cells
surrounding large neurons. The increases in GFAP-ir and p75-ir after
nerve injury may be the result either of proliferation (Lu and
Richardson, 1991 ) or of upregulation of these molecules in existing
satellite cells. GFAP-ir and p75-ir may only be present in newly
generated glial cells in the affected DRG. The presence of few GFAP-ir
glial cells in intact DRG supports this idea. This hypothesis could be
tested by combining p75 or GFAP immunohistochemistry with DNA-labeling
techniques.
The lack of a widespread increase in p75 expression, both in the
cervical DRGs examined here and in ipsilateral trigeminal ganglia after
retrogasserian rhizotomy (Henry et al., 1993 ), rules out a hormonal
mechanism. However, local autacoid production cannot be excluded,
because it is known that both local autacoid (Dropp and Sodetz, 1971 )
and neuronal (Schwyn, 1967 ) signals regulate glial cell proliferation
in autonomic and dorsal root ganglia. The release of hormonal factors
from degenerating nerve fibers or local inflammatory cells may be
responsible (Lu and Richardson, 1991 ; Pubols and Fogleson, 1988 ). This
is supported by evidence indicating that ventral rhizotomy or local
inflammation enhances the sprouting of intact primary afferent neurons
(Rich and Johnson, 1985 ; Lu and Richardson, 1991 ). However, the local
reaction to dorsal rhizotomy did not produce much satellite cell p75
response in the ipsilateral DRG (Fig. 6) (see also Henry et al.,
1993 ).
The appearance of glial rings in the contralateral DRG again parallels
the contralateral sprouting of sympathetic axons (McLachlan et al.,
1993 ). The formation of these rings was enhanced when dorsal roots,
rather than sciatic nerves, had been lesioned. This might result from
the larger number of primary afferent axons of damaged DRG cells
present in the cord. A number of morphological, biochemical, and
functional changes have been described contralaterally after peripheral
nerve injury (Rotshenker, 1988 ; Kolston et al., 1991 ) or unilateral
adjuvant-induced arthritis (Donaldson et al., 1995 ). A transneuronal
mechanism in the dorsal horns via crossed collaterals of damaged
afferent axons seems to be a possible explanation. Capsaicin treatment
blocked the contralateral changes in the arthritis model (Donaldson et
al., 1995 ), implicating the involvement of small-diameter nociceptive
axons.
Possible peripheral mechanisms
Because selective lesions of motor nerve fibers in L5 ventral root
mimicked the response to sciatic transection in producing p75-ir rings,
direct trauma to primary afferent neurons is not mandatory for this
response. Further, lesions of dorsal roots alone had little effect on
the appearance of the rings and also failed to block the effects of
ventral rhizotomy, indicating that the effects of ventral root section
did not occur via the spinal cord. Combined lesions of sciatic nerve
and dorsal root also failed to abolish the appearance of rings.
Therefore, the p75 glial response within ipsilateral DRGs requires
damage of motor nerve fibers.
Two possible explanations to account for this phenomenon are as
follows. (1) Positive signals may be generated from Schwann cells
around degenerating motor axons, which spread to myelinated afferent
fibers within the same nerve trunk and signal back to cell bodies in
the DRGs. The cell bodies would then release secondary signals to
induce glial proliferation (Wen et al., 1994 ) and/or upregulation of
p75. (2) Negative signals may normally be produced in target muscles
that suppress the expression of p75 by glia around afferent neurons
projecting to the same muscles. These would be downregulated by motor
nerve lesions and/or eliminated by peripheral sensory axotomy. The
evidence of altered trophic factor synthesis in muscle after peripheral
nerve lesions is strong. Sciatic nerve transection induces a
significant reduction of mRNANT3 and
mRNANT4 in affected muscles (Funakoshi et al.,
1993 , 1995 ). This response can be mimicked by neuromuscular blockade
using -bungarotoxin, indicating that the response is mediated by
motor nerve activity (Funakoshi et al., 1995 ). Because large-diameter
neurons containing trkC and NT3-ir project to muscles and
are dependent on NT3 for survival (Farinas et al., 1994 ; Klein et al.,
1994 ; Zhou and Rush, 1995a ), it is possible that muscle-derived NT3
(and/or NT4) represses the secretion of diffusible factors by sensory
neurons that upregulate glial p75 expression in adult animals.
Thus, large sensory neurons deprived of NT3, either by muscle
denervation (downregulation) or by peripheral axotomy, would trigger
the glial response.
Is the increased glial expression of p75 involved in
noradrenergic sprouting?
This study has shown TH-ir axons associated with p75-ir glial
cells. Although sympathetic neurons normally express p75 and their
responsiveness to NGF most likely involves this receptor, p75 binds all
four neurotrophins with similar affinity (Rodriguez-Tébar et al.,
1990 , 1992; Barbacid, 1993 ), and its presence does not necessarily
correlate with a specific requirement for NGF (Barbacid, 1993 ; Zhou et
al., 1993 ). Upregulation of glial p75 after nerve trauma, therefore,
may provide an ideal microenvironment for sprouting in response to
neurotrophins secreted from glial cells (Johnson et al., 1988 ). Recent
ultrastructure studies indicate that TH-ir sprouts after sciatic
lesions do not synapse with sensory neurons but form onion structures
closely related to their glia (Devor et al., 1995 ). Furthermore,
mRNANGF is significantly increased in DRGs after
sciatic lesions (Sebert and Shooter, 1993 ) despite a reduced supply
from the periphery (Heumann et al., 1987 ) caused by decreased synthesis
of neuronal NGF receptors (Verge et al., 1989 ; Raivich et al., 1991 ).
It is well established that other neurotrophins are expressed in
proliferating satellite cells of damaged nerves (Wen et al., 1994 ), but
whether their synthesis is also increased has yet to be investigated
(Heumann et al., 1987 ; Meyer et al., 1992 ).
Sympathetic neurons express both trkA and trkC,
the putative high-affinity receptors for NGF and NT3, respectively, and
are responsive to both factors during development in vitro
(Hohn et al., 1990 ) and in vivo (Ernfors et al., 1994 ; Zhou
and Rush, 1995b ). Most noradrenergic rings are associated with large
primary afferent neurons (McLachlan et al., 1993 ) that contain, and are
sensitive to, NT3 (Farinas et al., 1994 ; Klein et al., 1994 ; Zhou and
Rush, 1995b ). Thus, it is possible that noradrenergic sprouting in rat
DRGs occurs as a result of the increased synthesis of both p75 and NGF
and/or NT3 by satellite cells surrounding these large-diameter neurons.
Because adult glia do not synthesize high-affinity neurotrophin
receptors (Offenhauser et al., 1995 ), glial p75 most likely functions
as a presenting molecule (Barbacid, 1993 ) for newly synthesized NT3
and/or NGF to trigger sprouting of sympathetic nerve terminals. The
close association of TH-ir fibers with p75-ir glia supports this
hypothesis, although the possibility that novel diffusible factors
derived from proliferating glia are responsible cannot be
eliminated. The use of neutralizing antibodies to NGF and NT3, or
the p75 null mutant mouse, could be valuable in determining which
molecules are directly involved in triggering noradrenergic
sprouting.
FOOTNOTES
Received Dec. 12, 1995; revised Feb. 7, 1996; accepted Feb. 12, 1996.
This work was supported by grants from the National Health and Medical
Research Council of Australia to R.A.R., X.-F.Z., and E.M.M. We are
grateful to Dr. E. M. Johnson for providing the 192 antibody.
Correspondence should be addressed to Dr. Xin-Fu Zhou, Department of
Physiology and Centre of Neuroscience, Flinders University of South
Australia, Bedford Park 5042, Australia.
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