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Volume 17, Number 18,
Issue of September 15, 1997
pp. 6999-7006
Copyright ©1997 Society for Neuroscience
Endogenous Ciliary Neurotrophic Factor Is a Lesion Factor for
Axotomized Motoneurons in Adult Mice
Michael Sendtner1,
Rudolf Götz1,
Bettina Holtmann1, 2, and
Hans Thoenen2
1 Clinical Research Unit for Neuroregeneration,
Department of Neurology, University of Würzburg, D-97080
Würzburg, Germany, and 2 Department of
Neurochemistry, Max-Planck-Institut for Psychiatry, D-82152
Martinsried, Germany
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
FOOTNOTES
REFERENCES
ABSTRACT
Ciliary neurotrophic factor (CNTF) is an abundant cytosolic
molecule in myelinating Schwann cells of adult rodents. In newborn animals in which CNTF is not yet expressed, exogenous CNTF that is
locally administered very effectively protects motoneurons from
degeneration by axotomy. To evaluate whether endogenous CNTF, released
after nerve injury from the cytosol of Schwann cells, supports
motoneuron survival, we transected the facial nerve in 4-week-old
pmn mice. In this mouse mutant a rapidly progressing degenerative disease of motoneurons starts by the third postnatal week
at the hindlimbs and progresses to the anterior parts of the body,
leading to death by the seventh to eighth week. Apoptotic death of
motoneurons can be observed during this period, as revealed by TUNEL
staining. In 6-week-old unlesioned pmn mice ~40% of
facial motoneurons have degenerated. Facial nerve lesion dramatically increased the number of surviving motoneurons in pmn
mice. This protective effect was absent in pmn mice
lacking endogenous CNTF. Quantitative analysis of leukemia inhibitory
factor (LIF) mRNA expression revealed that the dramatic upregulation
seen in wild-type mice after peripheral nerve lesion did not occur in
pmn mice. Therefore, endogenous LIF cannot compensate
for the lack of CNTF in pmn crossbred with CNTF
knock-out mice. Thus, endogenous CNTF released from lesioned Schwann
cells supports the survival of axotomized motoneurons under conditions
in which motoneurons are in the process of rapid degeneration.
Key words:
ciliary neurotrophic factor;
leukemia inhibitory factor;
CNTF;
LIF;
motoneurons;
facial nucleus;
nerve lesion;
axotomy;
cell
death;
apoptosis
INTRODUCTION
Ciliary neurotrophic factor (CNTF)
was discovered as a component of embryonic chick eye that supported the
survival of isolated ciliary neurons in culture (Adler et al., 1979 ;
Barbin et al., 1984 ). On the basis of these studies it was assumed that
this factor is produced and secreted from target cells innervated by ciliary neurons. Further investigations demonstrated that CNTF has a
much broader spectrum of actions, including sensory, sympathetic, and
motoneurons. The identification of very high levels of CNTF-like biological activity in the sciatic nerve of adult animals was thought
to represent CNTF transported retrogradely from target tissues of
responsive neurons (Manthorpe and Varon, 1985 ; Manthorpe et al., 1986 ).
The subsequent molecular cloning of CNTF (Lin et al., 1989 ;
Stöckli et al., 1989 ) revealed that the CNTF protein lacks a
hydrophobic leader sequence and is not secreted from transfected cells
(Lin et al., 1989 ; Stöckli et al., 1989 ). Intense CNTF immunoreactivity was identified in the cytosol of Schwann cells of
adult rat peripheral nerves (Stöckli et al., 1991 ; Rende et al.,
1992 ). Moreover, CNTF mRNA expression in skeletal muscle was below the
detection limit (Stöckli et al., 1989 ), and CNTF mRNA expression
in peripheral nerves proved to be extremely low during the
physiological cell death period of CNTF responsive neurons
(Stöckli et al., 1991 ). CNTF expression in peripheral nerves is
increasing continuously between the end of the first and fourth
postnatal week. The developmental time course of CNTF production in
Schwann cells, together with the observation that CNTF has a very
effective protective action on axotomized motoneurons in newborn
animals, has led to the hypothesis that the abundant CNTF protein in
adult myelinating Schwann cells could act as a lesion factor after
nerve injury (Sendtner et al., 1992c , 1994 ). However, studies in which
peripheral nerves were lesioned in CNTF knock-out mice (Masu et al.,
1993 ; Sendtner et al., 1996 ) were inconclusive, because most of the
motoneurons survived in these mice after a lesion at an age of 4 weeks.
This probably is attributable to the fact that in the later postnatal
phase axotomy-initiated degeneration of motoneurons occurs much more
slowly. Thus the lesion-mediated enhanced synthesis of other
neurotrophic factors such as leukemia inhibitory factor (LIF),
brain-derived neurotrophic factor (BDNF), glial-derived neurotrophic
factor (GDNF), and insulin-like growth factor-I (IGF-I) comes into
play, which occurs with some delay after lesion and thus no longer
permits the rescue of motoneurons in newborn animals in which
motoneuron degeneration occurs more rapidly (Meyer et al., 1992 ;
Sendtner et al., 1992a ; Yan et al., 1992 ; Hughes et al., 1993 ; Ishii et
al., 1993 ; Koliatsos et al., 1993 ; Cheema et al., 1994 ; Henderson et
al., 1994 ; Zurn et al., 1994 ; Li et al., 1995 ; Oppenheim et al., 1995 ;
Trupp et al., 1995 ).
To analyze the function of CNTF as a lesion factor, we transected
facial nerves in 4-week-old pmn mice (Schmalbruch et al., 1991 ; Sendtner et al., 1992b ). In this mouse mutant motoneurons degenerate rapidly at this age, and a lesion factor becoming available immediately could be assumed to have a protective effect. Indeed, facial nerve lesion in 4-week-old pmn mutant mice prevented
motoneuron cell death. The rescue effect was reduced dramatically in
pmn mice lacking CNTF, indicating that the endogenous CNTF
rescues motoneurons from cell death after nerve lesion.
MATERIALS AND METHODS
pmn and CNTF knock-out mice. Homozygous
CNTF-deficient female mice on a 129/SV × C57BL/6 genetic
background (Masu et al., 1993 ) were crossbred with pmn
heterozygous mice (NMRI genetic background). F1 animals were crossbred,
and F2 offspring were tested for homozygous pmn mice. Only
animals from F2 and successive generations were used in this study. The
CNTF gene mutation was detected by Southern blot analysis from tail
biopsies, as described (Masu et al., 1993 ). Mice heterozygous for the
pmn mutation could be detected only by their offspring, and
these mice were used for expanding the mouse colony used in this study.
pmn mice on this mixed genetic background showed a similar
phenotype to those on the NMRI genetic background. The first signs of
disease were observed by muscle weakness of hindlimbs between postnatal
day 16 and 20, and the mice died after the fourth postnatal week by respiratory failure. Homozygous pmn mice lacking CNTF did
not differ from pmn/CNTF +/+ mice with respect to
development of first disease symptoms, course of the disease, postnatal
survival, or other obvious parameters.
Facial nerve transection. pmn and control
littermates were weaned at an age of 3 weeks, and facial nerve
transection was performed unilaterally at an age of 28 d. They
were anesthetized deeply with ether, and the facial nerve was exposed
on the right side after the skin behind the ear was sectioned. At a
position ~1 mm distal to the foramen stylomastoideum, the nerve was
transected with fine scissors. The distal nerve stump was deflected,
and the skin wound was closed with silk (Ethicon 6-0). The effect of
facial nerve transection was detectable by unilateral absence of
whisker movement. At 42 d, the mice were killed by an overdose of
anesthetics and fixed by transcardial perfusion with 4%
paraformaldehyde in 0.1 M phosphate buffer, pH 7.2.
Histological analysis. Brain and brainstem were prepared
from perfused mice and post-fixed for at least 3 additional hours in
the same fixative. The brainstem was embedded in paraffin, and serial
sections (7 µm) were prepared and Nissl-stained, as described
(Sendtner et al., 1990 ; Masu et al., 1993 ). The number of facial
motoneurons exhibiting Nissl structure and a clearly detectable
nucleolus was counted in every fifth section. Correction for split
nucleoli was applied, as described previously (Masu et al., 1993 ).
Briefly, the diameters of nucleoli were determined in facial
motoneurons both on the lesioned and unlesioned sides in each animal,
and the raw neuronal counts were corrected according to the formula by
Abercrombie.
Terminal deoxynucleotidyl transferase-mediated dUTP-X nick end
labeling (TUNEL) staining. For quantitative determination of apoptotic cells in the facial nucleus of pmn mice, paraffin
serial sections (7 µm) were prepared from brainstems of 28-d-old
pmn/CNTF +/+ (n = 4) and pmn/CNTF
/ mice (n = 2). The right facial nerve in these
mice had been transected at postnatal day 21. After Nissl staining the
facial nuclei were identified on both sides, and all sections spanning
this anatomical region were used for further analysis. Sections were
destained and rehydrated by washing in xylene and subsequent incubation
in 100, 95, 90, 80, and 70% ethanol. Then slides were rinsed with PBS
for 30 min and incubated with permeabilization solution (0.1% Triton
X-100 in 0.1% sodium citrate) for 2 min on ice (4°C). After rinsing
the slides twice with PBS, we added the TUNEL reaction mixture
[containing terminal deoxynucleotidyl transferase (TdT) and
fluorescin-dUTP] for 60 min at 37°C, according to the
manufacturer's instructions (In Situ Cell Death Kit, AP, Boehringer Mannheim, Mannheim, Germany). Slides were rinsed three times
with PBS and incubated with anti-fluorescin antibody conjugated with
alkaline phosphatase for 30 min at 37°C. To avoid evaporation and
consequent destruction of the sections, we performed both incubation
steps in a humidified chamber, and we protected the sections with a
coverslip. Sections then were rinsed three times with PBS before the
chromogen/substrate solution (New Fuchsin Substrate System, Dako,
Hamburg, Germany) was added for 10 min at room temperature. Levamisole
was added at a concentration of 1 mM for blocking
endogenous AP activity.
Slides finally were mounted with coverslips and analyzed under the
light microscope. The number of apoptotic residues was counted in each
section of the facial nuclei both on the unlesioned and lesioned
sides.
Determination of LIF mRNA. Total RNA was isolated from the
sciatic nerves of 3-week-old pmn and control mice. A
LIF-specific primer (5 -ACGGTACTTGTTGCACAGAC) was annealed at 70°C to
100 ng of RNA, and a reverse transcription reaction was started by the addition of Superscript II reverse transcriptase (Life Technologies, Eggenstein, Germany) according to the manufacturer's instructions. Sciatic nerve RNA was added individually in tubes containing a serially
decreasing amount of LIF RNA standard. This RNA standard, which
functions as a competitor in the subsequent PCR, was identical to the
LIF sequence except for an internal deletion of 81 bases (Sendtner et
al., 1996 ). An aliquot of the resulting cDNA was amplified in a
standard PCR with the forward primer 5 -ACCCTGTAAATGCCACCTG (located in
exon 2) and the reverse primer 5 -CAACGACCATTGCTGAGGAGG (located in
exon 3 of the LIF gene). The amplification product obtained thus from
sciatic nerve RNA was 378 bp long; the competitor RNA gave rise to a
297 bp reaction product. Because the concentration of the tissue RNA
was kept constant in each reaction and the concentration of the
competitor was varied, the resulting PCR products were at equimolar
concentrations when both RNA hybridization signals were of equivalent
density in autoradiograms hybridized with a specific LIF cDNA
probe.
Quantification of CNTF in nerve extracts by Western blot, ELISA,
and bioassay. Sciatic and facial nerves were obtained from 28-d-old mice, shock-frozen in liquid nitrogen, and stored at 70°C
until use. The individual nerves were thawed in a hypotonic buffer (5 mM NaPi and 30 mM NaCl, pH 7.0) and homogenized
in a glass/glass homogenizer. After centrifugation for 15 min at
13,500 × g, the supernatants were removed, and the
protein content was determined by Bradford's Coomassie blue protein
assay (Bio-Rad, Munich, Germany). Sciatic or facial nerve protein (15 µg) derived from individual animals was applied per lane on a 15%
polyacrylamide gel under reducing conditions. Molecular mass markers (5 µg each of lysozyme, 14.3 kDa; trypsinogen, 24 kDa; and ovalbumin, 45 kDa; Sigma, Deisenhofen, Germany) and recombinant rat CNTF (Masiakowski et al., 1991 ) at different concentrations were coelectrophoresed in
separate lanes. After they were blotted to nitrocellulose membranes (Schleicher & Schüll, Dassel, Germany) for 75 min at 150 mA with a semi-dry blotting apparatus (Fröbel Labortechnik, Lindau,
Germany), the blots were blocked with Tris-buffered saline containing
5% horse serum and were incubated with the monoclonal CNTF antibody 4-68 hybridoma supernatant at a dilution of 1:50. The blots were washed three times, incubated with secondary antibody
(affinity-purified goat anti-mouse IgG), and (H+L) horseradish
peroxidase conjugate (Bio-Rad). After three washes the immunoreactive
bands were visualized with 4-chloro-1-naphthol.
Sciatic nerves from 4-week-old control (n = 12) and
pmn (n = 9) mice were prepared, and protein
extracts were prepared as described above. In all, 5 µg of each
protein extract was subjected to ELISA analysis by applying a
commercial assay kit (R & D Systems, Wiesbaden, Germany). Recombinant
rat CNTF was used as a standard, and 100 pg was added to 5 µg of each
protein extract solution and analyzed in parallel as a recovery
standard. Values were corrected by the calculated recovery, which was
in the range of 50-80%.
Ciliary ganglia were prepared from 8-d-old chick embryos. After
incubation in 0.1% trypsin in Ca/Mg-free PBS for 30 min at 37°C, the
ganglia were washed three times with 5 ml of ice-cold F14 containing
10% horse serum (Sendtner et al., 1992c ). Single-cell suspensions were
obtained by trituration via a siliconized Pasteur pipette, and the
cells were preplated for 2.5 hr for the enrichment of neuronal cells on
a cell culture-treated plastic dish (10 cm; Nunc, Wiesbaden, Germany).
The nonattached ciliary neurons were collected and plated at a density
of 1000 cells per 16 mm culture dish in polyornithine/laminin-coated
24-multiwell dishes (Costar, Bodenheim, Germany). F14 medium containing
10% horse serum was used as a culture medium. The protein extracts
from pmn and control nerves were added at different
concentrations from 10 to 2500 ng. Surviving neurons were counted 24 hr
after plating, and maximal survival (in the order of 90% of plated
cells) was observed with 10 ng/ml of recombinant rat CNTF. To determine
the specificity of this assay, we added 4 µg of purified IgG from a
neutralizing rabbit CNTF antiserum (K10) per milliliter of culture
medium to the highest concentration of each nerve extract sample. The
addition of these antibodies abolished the survival response of the
nerve extracts by >90% but did not reduce survival effects of bFGF or IGF-I (data not shown). These data indicate that the nerves obtained from these mice did not contain an additional ciliary neuronal survival-promoting activity at concentrations up to 2500 ng/ml culture
medium, as has been observed previously with nerve extracts from CNTF
+/+ mice (Masu et al., 1993 ). The protein concentration (ng/ml)
supporting half-maximal survival was defined as 1 trophic unit (TU) and
corresponded to ~10 pg of pure recombinant rat CNTF.
In each group nerves from 3-12 animals were examined, and all
determinations were done in duplicate. The values shown in Figure 1
represent the mean ± SEM. Student's t test was
applied for statistical analysis of the results.
Fig. 1.
Levels of CNTF in sciatic and facial nerves of
4-week-old control and pmn mutant mice.
a, The Western blot analysis of nerve extracts obtained
from sciatic (lanes 1, 2, 4, and 5) and
facial (lanes 3 and 6) nerves from
4-week-old control (lanes 1-3) and pmn
(lanes 4-6) mice. Total soluble extract protein
(15 µg) was loaded in each lane, and recombinant CNTF
(rCNTF) was coelectrophoresed in separate
lanes at the concentrations indicated. CNTF immunoreactive bands were
detected by the 4-68 mouse monoclonal anti-CNTF antibody. The
immunoreactive bands at ~48 kDa reflect endogenous immunoglobulin heavy chain. A second CNTF immunoreactive band with slightly lower molecular mass (~20 kDa) was detected in the extracts from both control and pmn mice and probably represents a
proteolytic fragment of CNTF, as observed in the sciatic nerves of
adult rats after nerve lesion (Sendtner et al., 1992c ).
Arrows at the left reflect the relative
position of coelectrophoresed molecular mass standards: ovalbumin, 45 kDa; trypsinogen, 24 kDa; and lysozyme, 14.3 kDa. b,
CNTF bioactivity in sciatic and facial nerves from 4-week-old pmn and control littermates. CNTF bioactivity was
determined by the embryonic chick ciliary neuronal survival assay, and
the specificity was tested by the addition of neutralizing CNTF
antibodies to the highest concentration of nerve extract applied (2500 ng/ml). c, Results of ELISA analysis of CNTF
concentrations in sciatic nerves of 4-week-old pmn and
control mice. Values represent the mean ± SEM of 12 (control
mice) and 9 (pmn mice) determinations. The difference
between the two groups was not statistically significant (p = 0.26).
[View Larger Version of this Image (37K GIF file)]
RESULTS
CNTF protein levels and bioactivity in the sciatic and facial nerve
of pmn mice
To investigate whether endogenous expression of CNTF is altered in
pmn mice, we determined levels of CNTF protein in sciatic and facial nerves of 4-week-old pmn and control mice
obtained from the same litters by Western blot analysis. Figure
1a shows that the intensity of
CNTF immunoreactive bands was similar in mutant and wild-type mice of
the same genetic background. There was a slight reduction of the signal
intensity in the distal (Fig. 1, lane 4), as compared
with the proximal (Fig. 1, lane 5), sciatic nerve in
pmn mice. This probably reflects the downregulation of CNTF
production occurring after the "dying back" of motor axons, which
is a specific feature of the disease process in this mouse mutant. The
intensity of CNTF reactive bands in facial nerves of pmn
mice was slightly lower in comparison to control mice from the same
litters, reflecting the loss of axons and subsequent demyelination and
downregulation of endogenous CNTF synthesis. CNTF protein levels also
were determined by ELISA (Fig. 1c). In sciatic nerves of
4-week-old control mice (n = 12), 95.7 ± 21.11 ng/mg protein (mean ± SEM) was measured in pmn mice
(n = 9) 87.1 ± 16.4 ng/mg. The difference between
the two groups was not statistically significant
(p = 0.76 by two-tailed t test).
Similar results were obtained when CNTF biological activity in nerve
extracts was tested by bioassay with embryonic chick ciliary neurons.
Half-maximal survival of ciliary neurons in culture was achieved at
50-200 ng/ml of either pmn or control sciatic nerve
extracts. Slightly lower levels of CNTF bioactivity were detected in
nerve extracts from pmn mice. However, this difference was
not statistically significant (p values of 0.18 and
0.25 for sciatic and facial nerve extracts; n was at least 6 for control nerves and at least 20 for pmn facial and
sciatic nerves), indicating that CNTF biological activity and
expression levels were comparable in control and pmn
mice.
LIF mRNA is not upregulated in lesioned sciatic nerves of
pmn mice
After sciatic nerve lesion in adult rats, LIF mRNA is upregulated
rapidly in the proximal and distal nerve stump (Curtis et al., 1994 ).
In unlesioned sciatic nerves of adult rats (Curtis et al., 1994 ) and
mice (Sendtner et al., 1996 ), levels of LIF mRNA are very low. In our
study a more than fivefold increase of LIF mRNA expression was observed
in both the proximal and the distal part of the sciatic nerve at 24 hr
after transection in 3-week-old control mice (Fig.
2a). Interestingly, LIF mRNA
was not upregulated in lesioned sciatic nerves of pmn mice
from the same litters (Fig. 2b). The absolute levels of LIF
mRNA in lesioned sciatic nerves in pmn mice were so low
(<3000 molecules of LIF mRNA per 100 ng of total mRNA extracted from
the proximal and distal parts of the lesioned nerves) that LIF is
unlikely to contribute to the survival of lesioned motoneurons in these
mutant mice.
Fig. 2.
Quantitative analysis of LIF mRNA in sciatic
nerves of pmn and control mice. The right sciatic nerve
was lesioned in 3-week-old pmn mice and healthy litter
mice. At 24 hr later, the left unlesioned nerve and the proximal and
distal part of the transected right nerve were prepared for RNA
extraction. LIF mRNA levels are expressed as the number of LIF mRNA
molecules per 100 ng of total RNA. Values shown are the mean of at
least four determinations in each group from two independent
experiments. Error bars represent SD.
[View Larger Version of this Image (31K GIF file)]
Lesion of the facial nerve in the mouse mutant pmn
leads to increased motoneuron survival
To investigate whether peripheral nerve lesion affects motoneuron
survival in 4-week-old pmn or control mice, we transected the facial nerve, and we prepared the brainstem region containing the
facial nuclei from the unlesioned and the lesioned side 2 weeks later.
In paraffin serial sections of this region, morphological appearance
and the number of motoneurons were determined on both the lesioned and
unlesioned sides. In comparison to control mice, the number of
motoneurons was reduced by 40% (p < 0.005) on
the unlesioned side (Table 1). These
values are consistent with earlier studies (Sendtner et al., 1992b ;
Sagot et al., 1995 ), reflecting the degeneration of motoneurons during
the disease process caused by the pmn mutation. Furthermore,
most of the remaining motoneurons showed severe atrophic changes, such
as reduction in Nissl structure, shrinkage, and displacement of nuclei
(Fig. 3c).
Fig. 3.
Morphology of facial motoneurons in normal and
pmn mutant mice after nerve lesion. The facial nerve was
unilaterally transected in 4-week-old mice, and histological analysis
was performed from animals obtained 2 weeks later. a,
b, Facial motoneurons from the unlesioned
(a) and (b) lesioned side
of a control mouse; c, unlesioned side from a
pmn mouse; d, lesioned side from a
pmn mouse; e, unlesioned side from a
pmn mouse lacking endogenous CNTF; f,
lesioned side from a pmn mouse lacking endogenous CNTF. Scale bar, 100 µm.
[View Larger Version of this Image (83K GIF file)]
In contrast to the unlesioned side, motoneuron numbers on the lesioned
side (Fig. 3d) were significantly higher (Table 1). In
comparison to control mice, the reduction in motoneuron number was much
lower and did not reach statistical significance
(p > 0.05). This indicates that the mechanisms
initiated by the nerve lesion prevented the degeneration of the
axotomized motoneurons.
The effect of nerve lesion on motoneuron survival in
pmn mice is dependent on endogenous CNTF
To evaluate whether CNTF becoming available to the axotomized
motoneurons from lesioned Schwann cells is responsible for the rescue
of motoneurons after nerve lesion, we produced mice lacking endogenous
CNTF by crossbreeding the pmn mice with CNTF / mice. In
the F2 and F3 generation, animals homozygous both for the CNTF mutation
and the pmn gene defect were obtained. These mice were compared with CNTF +/+ pmn/pmn and CNTF +/
pmn/pmn mice after nerve lesion at postnatal day 28. In
contrast to pmn mice with endogenous CNTF expression, lesion
of the facial nerve did not lead to a significant rescue of motoneurons
(Fig. 3e,f). In comparison to the lesioned side, only
14% more motoneurons were detectable in comparison to 37% in CNTF
+/ pmn/pmn mice and 57% in CNTF +/+ pmn/pmn
mice (Table 1). This indicates that the lack of endogenous CNTF leads
to a significantly reduced motoneuron survival after peripheral nerve
lesion.
Loss of motoneurons in pmn mutant mice occurs
by apoptosis
Serial sections of brainstems from 5-week-old CNTF +/+
pmn/pmn mice and CNTF / pmn/pmn mice were
prepared and analyzed by TUNEL staining.
In ~120 sections spanning the facial nucleus of 4-week-old CNTF +/+
pmn/pmn mice, 15.0 ± 3.9 (mean ± SEM,
n = 4) TUNEL-positive cells were detected on the left
unlesioned side. The low number of apoptotic cell bodies reflects the
narrow time window during which TUNEL-positive cells can be detected.
We assume that the loss of 900 neurons on the unlesioned side (Table 1)
occurs during a period of at least 2 weeks so that, on average, ~65
facial motoneurons degenerate per day in the facial nucleus of
pmn mice. It is known that dying cells are eliminated
rapidly in the CNS. For example, a clearance time of 1 hr for pyknotic
oligodendrocytes has been calculated (Barres et al., 1992 ). Thus the
average number of 15.0 ± 3.9 apoptotic cells in the facial
nucleus on the unlesioned side suggests that apoptotic motoneurons are
eliminated within 5-6 hr in pmn mice. The significantly
lower number of 4.3 ± 0.9 apoptotic cell on the lesioned side
(p < 0.05 by Student's t test, unpaired) is another proof that nerve lesion reduces the extent of
apoptosis in the facial nucleus of pmn mice. In CNTF /
pmn mice (n = 2), on average, 14 apoptotic
neurons were seen both on the unlesioned (Fig.
4e,f) and
lesioned sides. These data support the observation that facial nerve
lesion significantly can reduce the death of lesioned motoneurons in
CNTF +/+ pmn mice, but not in CNTF / pmn
mice.
Fig. 4.
TUNEL staining of facial motoneurons in
pmn and pmn CNTF / mice. Paraffin
serial sections (7 µm) through the brainstem region containing the
facial nuclei were prepared and Nissl-stained. The facial nuclei were
identified, and sections covering the region of the facial nuclei on
both sides were processed for TUNEL staining. TUNEL-positive cells are
shown by the red alkaline phosphatase reaction product.
a, c, e, Bright-field pictures. b, d, f,
Phase-contrast pictures from the same sections. a-d,
Two examples of TUNEL-positive cells in the facial nucleus of a
pmn/CNTF +/+ mouse; e, f,
A TUNEL-positive cell in the facial nucleus of a
pmn/CNTF / mouse. Scale bar, 20 µm.
[View Larger Version of this Image (142K GIF file)]
DISCUSSION
We have shown previously that the injection of
CNTF-producing cells into the peritoneal cavity of 3-week-old
homozygous pmn mutant mice markedly prolongs survival and
improves motor performance (Sendtner et al., 1992b ). This is paralleled
by a corresponding reduction in motoneuron loss in the facial nucleus
and in myelinating nerve fibers in the phrenic nerve. Subsequent
studies by Sagot et al. (1995) that used encapsulated cell implants
producing CNTF after subcutaneous implantation confirmed and extended
these results insofar as it could be shown that these mice survived for
periods up to several months in comparison to untreated mice that die of respiratory failure between 5 and 7 weeks after birth.
However, it is not a lack of endogenous CNTF that leads to
neurodegeneration in pmn mice. CNTF protein levels in
pmn mice and control mice are similar. Levels equivalent to
100 ng CNTF/mg of extractable protein are present in the sciatic nerves
of both control and pmn mice. This corresponds to the levels
previously determined in lesioned and unlesioned peripheral nerves of
adult rats (Sendtner et al., 1992c ). In terms of biological activity, 3991 ± 1038 (mean ± SEM, n = 20) TUs of
CNTF activity were detected in the facial nerve and 8191 ± 2250 (mean ± SEM, n = 20) in the sciatic nerve of
pmn mice. One trophic unit of CNTF supports half-maximal survival of responsive neurons in 1 ml of cell culture medium. Therefore, the levels of CNTF protein in the lesioned nerves are very
high, and only small quantities need to be released by the nerve
transection to provide sufficient local concentrations of the factor to
support injured motoneurons. However, it cannot be excluded that the
release of CNTF also leads to local cellular reactions in the
peripheral nerve, in particular in Schwann cells and probably also in
invading inflammatory cells expressing gp 130 and LIFR . Soluble
CNTFR from the circulation or from Schwann cells then would help to
form functional CNTF receptors on these cells and lead to complex
cellular responses that either directly or indirectly result in the
local production of neurotrophic factors that contribute in supporting
motoneuron survival.
Nevertheless, the high quantities of CNTF in peripheral nerves of adult
rodents, which are at least 1000 times higher than the levels of NGF
(Heumann et al., 1987a ,b ), suggest that a direct effect of CNTF on
lesioned motoneurons is very likely. For its rescue effect in
pmn motoneurons, very little CNTF is necessary. For
comparison, the levels of CNTF bioactivity in the circulation of CNTF
tumor cell-treated pmn mice were in the range of 500 TUs/ml serum, corresponding to ~5-10 ng of CNTF/ml of blood (Sendtner et
al., 1992b ). This indicates that the endogenous CNTF in untreated pmn mice is highly abundant in comparison to the low levels
of pharmacologically applied CNTF, which effectively prolonged survival and improved motor function. The only explanation for this apparent discrepancy is that the endogenous CNTF cannot rescue motoneurons, because it is not available to these cells under normal conditions.
After sciatic nerve lesion in adult rats, CNTF mRNA expression is
downregulated rapidly in Schwann cells distal to the lesion site
(Friedman et al., 1992 ; Sendtner et al., 1992c ; Seniuk et al., 1992 ).
The CNTF protein levels and bioactivity decreased much more slowly, and
substantial quantities of CNTF protein and bioactivity were maintained
at the lesion site and in the distal nerve stump. Moreover, CNTF
immunoreactivity was detectable at sites associated with myelin
breakdown products and basal membranes (Sendtner et al., 1992c ). We
have concluded from these findings that at least part of the CNTF at
these sites seems to be extracellular and thus is available to lesioned
neurons.
Mice were produced by homologous recombination in embryonic stem cells
that lack endogenous CNTF (Masu et al., 1993 ). These mice develop
normally during the first weeks after birth, but then ~20% of the
facial motoneurons degenerate between 8 weeks and 6 months of age.
Peripheral nerve lesion in such mice does not lead to major loss of
motoneurons (Sendtner et al., 1996 ), most probably because LIF mRNA is
upregulated in the lesioned nerve (Curtis et al., 1994 ) and can act on
motoneurons via LIFR and gp 130, the two signal-transducing receptor
subunits that are identical in CNTF, LIF, and cardiotrophin (CT-1)
receptors (for review, see Stahl and Yancopoulos, 1994 ). However, the
levels of LIF mRNA are extremely low in unlesioned peripheral nerves (Curtis et al., 1994 ; Sendtner et al., 1996 ). Moreover, the rapid upregulation of LIF mRNA usually found after nerve lesion in adult rats
and mice does not occur in pmn mice. This could explain why LIF does not rescue motoneurons in pmn mice via CNTF
receptors. Nerve lesion in 4-week-old CNTF/LIF double knock-out mice
leads to a significant loss of >30% of the lesioned motoneurons
(Sendtner et al., 1996 ). This indicates that adult motoneurons still
depend on these Schwann cell-derived neurotrophic factors for their
survival after axotomy. Moreover, nerve root avulsion in adult mice
that removes the peripheral nerves, including the Schwann cells,
results in significant motoneuron death in adult mice (Li et al.,
1995 ), whereas the more peripheral nerve transection does not.
Together, these data indicate that Schwann cells provide survival
factors to lesioned motoneurons and that CNTF plays an important role in these processes.
Nothing is known so far about the expression of cardiotrophin-1,
another member of the CNTF/LIF family of neurotrophic cytokines (Pennica et al., 1995a ,b , 1996 ) in adult peripheral nerves after lesion. This factor, although lacking a conventional hydrophobic signal
peptide, has been reported to be released from muscle cells and thus to
be a strong candidate as a target-derived neurotrophic factor for
developing motoneurons (Pennica et al., 1996 ). It will be interesting
to determine whether CT-1 expression is reduced in pmn mice,
because the disease starts at the motor end plate (Schmalbruch et al.,
1991 ), and the lack of target-derived neurotrophic factors supporting
the maintenance of these specific synapses could play an essential role
in the pathogenesis of the disease.
We have performed nerve lesions in 4-week-old pmn mice and
find that the lesion protects motoneurons from degeneration to a
similar extent as exogenous CNTF treatment (Sendtner et al., 1992b ;
Sagot et al., 1995 ). Furthermore, the number of TUNEL-positive cell
bodies is reduced significantly on the lesioned side in comparison to
the control side in these mutant mice. In contrast, most of the
axotomized motoneurons in pmn mice lacking endogenous CNTF degenerate at a similar ratio to that in unlesioned motoneurons. We
conclude from this finding that significant quantities of CNTF are
released from injured Schwann cells after nerve lesion and that the
factor is then available to the axons of the lesioned neurons.
Furthermore, CNTF promotes survival of the lesioned adult motoneurons.
This demonstrates that the CNTF located in the cytosol of myelinating
Schwann cells can act as a lesion factor once it is released by nerve
damage.
FOOTNOTES
Received April 16, 1997; revised June 19, 1997; accepted July 1, 1997.
This work was initiated at the Max-Planck-Institut for Psychiatry in
Martinsried and completed at the Department of Neurology, University of
Würzburg. This study was supported by the Deutsche Forschungsgemeinschaft, Grant To 61/8, and the Bundesministerium für Bildung und Forschung, Grant 01 KO 9403. We thank Georg
Kreutzberg for many helpful comments and discussions; Patrick Carroll
for helping with the genotyping of the CNTF / mice; and Waltraud Komp, Heike Döppler, and Anita Kraiss for technical
assistance.
Correspondence should be addressed to Dr. Michael Sendtner, Clinical
Research Unit for Neuroregeneration, Department of Neurology, University of Würzburg, Josef-Schneider-Strasse 11, D-97080
Würzburg, Germany.
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