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Volume 17, Number 24,
Issue of December 15, 1997
BDNF and NT-4/5 Prevent Atrophy of Rat Rubrospinal Neurons after
Cervical Axotomy, Stimulate GAP-43 and T 1-Tubulin mRNA Expression,
and Promote Axonal Regeneration
Nao R. Kobayashi1, 2,
Da-Peng Fan2,
Klaus M. Giehl1,
Annie M. Bedard1,
Stanley J. Wiegand3, and
Wolfram Tetzlaff1, 2
1 Department of Physiology, University of Ottawa,
Ontario, Canada KIH 8M5, 2 Departments of Zoology and
Surgery, University of British Columbia, Vancouver, British Columbia,
Canada V6T 1Z4, and 3 Regeneron Pharmaceuticals
Inc., Tarrytown, New York 10591-6707
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
FOOTNOTES
REFERENCES
ABSTRACT
Rubrospinal neurons (RSNs) undergo a marked atrophy in the second
week after cervical axotomy. This delayed atrophy is accompanied by a
decline in the expression of regeneration-associated genes such as
GAP-43 and T 1-tubulin, which are initially elevated after injury.
These responses may reflect a deficiency in the trophic support of
axotomized RSNs. To test this hypothesis, we first analyzed the
expression of mRNAs encoding the trk family of neurotrophin receptors.
In situ hybridization revealed expression of full-length trkB receptors in virtually all RSNs, which declined 7 d after axotomy. Full-length trkC mRNA was expressed at low levels. Using RT-PCR, we found that mRNAs encoding trkC isoforms with kinase domain
inserts were present at levels comparable to that for the unmodified
receptor. TrkA mRNA expression was not detected in RSNs, and the
expression of p75 was restricted to a small subpopulation of axotomized
cells. In agreement with the pattern of trk receptor expression,
infusion of recombinant human BDNF or NT-4/5 into the vicinity of the
axotomized RSNs, between days 7 and 14 after axotomy, fully prevented
their atrophy. This effect was still evident 2 weeks after the
termination of BDNF treatment. Moreover, BDNF or NT-4/5 treatment
stimulated the expression of GAP-43 and T 1-tubulin mRNA and
maintained the level of trkB expression. Vehicle, NGF, or NT-3
treatment had no significant effect on cell size or GAP-43 and
T 1-tubulin expression. In a separate experiment, infusion of BDNF
also was found to increase the number of axotomized RSNs that
regenerated into a peripheral nerve graft. Thus, in BDNF-treated
animals, the prevention of neuronal atrophy and the stimulation GAP-43
and T 1-tubulin expression is correlated with an increased
regenerative capacity of axotomized RSNs.
Key words:
axotomy;
spinal cord injury;
neurotrophin;
regeneration,
red nucleus;
gene expression;
neuronal atrophy;
cell body response;
peripheral nerve transplant
INTRODUCTION
Within the CNS, axons usually fail
to regenerate after injury, whereas successful axonal regeneration
occurs in the peripheral nervous system (PNS) (Ramon y Cajal,
1928/1991). This failure has been attributed to the presence of
inhibitory molecules in the mature CNS (Caroni and Schwab, 1988 ;
Bovolenta et al., 1993 ; McKerracher et al., 1994 ; Mukhopadhyay et al.,
1994 ; Schachner et al., 1994 ), and in addition to the death or atrophy
of the parent cell body (Barron et al., 1989 ; Aguayo et al., 1991 ;
Giehl and Tetzlaff, 1996 ) and to intrinsic factors (Barron et al.,
1989 ; Chen et al., 1995 ), such as the failure of the injured CNS
neurons to express regeneration-associated genes (Skene, 1989 ; Tetzlaff et al., 1991 , 1994 ). For example, we have shown that after axotomy at
the cervical level of the spinal cord, GAP-43 and T 1-tubulin expression are increased transiently in rubrospinal neurons (RSNs) (Tetzlaff et al., 1991 ). This observation correlates with the growth of
a small percentage (1-2%) of RSN axons into the permissive environment of peripheral nerves implanted into the cord at the level
of transection (Richardson et al., 1984 ; Houle, 1991 ; Tetzlaff et al.,
1994 ). However, the very limited regeneration of RSN axons into the
grafts may reflect an impaired regenerative propensity of these
neurons, which is likely related to the severe atrophy that occurs
during the second week after cervical axotomy (Egan et al., 1977 ;
Barron et al., 1989 ; Tetzlaff et al., 1991 ). Concomitant with this
massive neuronal atrophy, the number of axotomized RSNs that express
GAP-43 and T 1-tubulin decreases markedly during the second week
after injury (Tetzlaff et al., 1991 ). Here, we test the hypothesis that
the atrophy and decline in regeneration-associated gene expression
observed in axotomized RSNs are caused by a lack of trophic support,
and that these effects may be prevented by the application of exogenous
trophic factors. The trophic dependency of RSNs in adult rats is not
well understood, and in this study we focused on the family of
neurotrophins and their receptors.
The neurotrophin family of factors, comprising nerve growth factor
(NGF), brain-derived neurotrophic factor (BDNF), neurotrophin-3 (NT-3),
and neurotrophin-4/5 (NT-4/5), has been shown to influence neuronal
survival and differentiation during development, as well as maintenance
of neuronal phenotype and modulation of synaptic efficacy in the adult
nervous system (for review, see Korsching, 1993 ; Davies, 1994 ; Lindholm
et al., 1994 ; Lindsay et al., 1994 ; Bonhoeffer, 1996 ; Lewin and Barde,
1996 ). The trk family of receptor tyrosine kinases has been identified
as the high-affinity, signal-transducing receptor for the neurotrophins
(for review, see Kaplan and Stephens, 1994 ; Barbacid, 1995 ; Bothwell,
1995 ). Based largely on in vitro transfection studies in
PC-12 cells and fibroblast cell lines, NGF is considered to be the
primary ligand for TrkA, BDNF, and NT-4/5 for TrkB, and NT-3 for TrkC
(Klein et al., 1991a ,b , 1992 ; Lamballe et al., 1991 ; Soppet et al.,
1991 ; Squinto et al., 1991 ; Ip et al., 1993 ). Insertions in the
tyrosine kinase domain of the TrkC alter the signaling capacity of this
receptor in response to NT-3 binding (Tsoulfas et al., 1993 , 1996 ;
Valenzuela et al., 1993 ; Guiton et al., 1995 ). Thus, the cellular
responsiveness to NT-3 is likely influenced by the presence of the
various receptor isoforms.
In the present study, we report that RSNs express mRNA for full-length
trkB and low levels of noninserted and inserted trkC but no trkA
receptors. Application of BDNF or NT-4/5, but not NGF or NT-3, fully
prevented the atrophy of axotomized RSNs and also stimulated the
expression of GAP-43 and T 1-tubulin. Infusion of BDNF also was found
to increase the number of axotomized RSNs that regenerated into grafts
of sciatic nerve implanted into the cervical cord at the level of
spinal transection.
MATERIALS AND METHODS
Animals and surgery. Male Sprague Dawley rats
(Charles River Laboratories, Wilmington, MA) (220-250 gm;
n = 112) were used for this study. They were kept in a
12 hr light/dark cycle and fed a standard rodent diet ad
libitum. All experiments were performed in accordance with the
guidelines of the Canadian Council for Animal Care and approved by the
local animal care committee. All surgery was performed under anesthesia
with sodium pentobarbital (32 mg/kg) plus chloral hydrate (150 mg/kg)
in sterile conditions.
Spinal cord hemisection. The neck musculature was split in
the midline, and left hemilaminectomy was performed at C3/C4. After the
dura was opened, the dorsolateral funiculus of the spinal cord was cut
with a pair of iris scissors, and the incision was verified with a fine
Dumont no. 5 forceps. In some animals, a small piece of gelfoam
(Upjohn, Kalamazoo, MI) soaked with 0.5-1.0 µl of 2% FluoroGold
(FG) (Fluorochrome Inc., Eaglewood, CA) was applied to the injury site.
The muscles were sutured with prolene (6-0) (Ethicon, Somerville, NJ),
and the skin was closed with wound clips. Rats used for the in
situ hybridization (ISH) and RT-PCR study of neurotrophin receptor
expression (n = 14) were killed by an overdose of
chloral hydrate 7 d after axotomy, and the fresh midbrains were
immediately frozen on dry ice. In all other experiments, rats were
injected with an overdose of chloral hydrate and perfused
transcardially with PBS followed by freshly hydrolyzed paraformaldehyde
(4% in 10 mM phosphate buffer.
Neurotrophin application. RSN atrophy and the expression of
GAP-43 and T 1-tubulin were assessed in animals that were treated with recombinant human (rh) NGF, rhBDNF, rhNT-3 or rhNT-4/5, or vehicle. On day 7 postaxotomy, rats were anesthetized, and cannulae (28 ga, 8 mm; Plastic One Inc., Roanoke, VA) were inserted stereotaxically into the vicinity of the red nucleus at the following coordinates: anterior-posterior 6.3 mm posterior to Bregma, medial-lateral 1.7
mm (to the right of midline), and dorsal-ventral 6.5 mm (from the
cortical surface). The cannulae were anchored in position with two
watchmaker screws and dental cement. Osmotic minipumps (Alzet no. 2001)
(1 µl/hr) were filled with either vehicle alone [20 mM
sterile PBS supplemented with 100 U penicillin/streptomycin and 0.5%
rat serum albumin (no. A-6272; Sigma, St. Louis, MO)], rhNGF, rhBDNF,
rhNT-3, or rhNT-4/5 at a concentration of 500 ng/µl. Pumps were
connected to the infusion cannulae with 6-8 cm of SILASTIC tubing (no.
508-003, VWR Canlab), and the entire assembly was preincubated for
4-12 hr in sterile 20 mM PBS at 37°C before
implantation. Thus, each treated animal received 12 µg of rhNGF,
rhBDNF, rhNT-3, or rhNT-4/5 per day in a total volume of 168 µl over
a period of 7 d (between day 7 and 14 postaxotomy).
Peripheral nerve implants. To evaluate the effect of BDNF
treatment on the regenerative capacity of axotomized RSNs, segments of
peripheral nerve were implanted into the hemisected spinal cord. The
right sciatic nerve was transected at the level of the obturator tendon
and left in situ to allow Wallerian degeneration of the
distal stump. Ten days later, a 30-35 mm segment of the predegenerated
nerve was resected, and its proximal end was inserted into a C4 left
spinal cord hemisection site. It was held in place with two Prolene
10-0 sutures (Ethicon, Somerville, NJ), and the distal free end was
marked with a Prolene 6-0 suture (Ethicon) and left in the subcutaneous
tissue. The spinal column from C3 to C5 was immobilized by placing
three watchmaker screws into the right vertebral pedicles of C3, C4,
and C5 and stabilized with bone cement (Ethicon, Peterborough, ON,
Canada). During the same surgical session, an osmotic minipump was
implanted as described above to administer BDNF into the vicinity of
the RSNs. The rationale to apply BDNF for 7 d at the time of
spinal cord injury and transplantation was based on the animal care
regulation that recommends the number of surgical interventions (three
instead of four operations). We documented a prolonged effect of BDNF
beyond the period of application, which further justifies our design.
Ten weeks after spinal cord injury, pump implantation, and
transplantation, the rats were anesthetized again, and the free end of
the nerve transplant was identified and mobilized. The distal end (1-3
mm) of the nerve graft was resected, and the freshly exposed end of the
nerve was placed into a small polyethylene tubing filled with 5% FG
for 1 hr. Fourteen days later, the rats were overdosed with chloral hydrate and perfused with paraformaldehyde, as described above. After
post-fixation overnight in the same fixative, the midbrains and
cervical spinal cords were cryoprotected in 16% and 22% sucrose in 10 mM PBS and frozen in dry ice-cooled isopentane. The
midbrains were cut in series at 14 µm thickness. FG-labeled neuronal
profiles were counted throughout the caudal 1 mm of the red nucleus.
Care was taken to avoid double counting in adjacent sections.
Student's t test was used to compare the number of
retrogradely filled, i.e., regenerating, neurons in BDNF-treated versus
untreated rats.
RT-PCR. Fresh frozen midbrains from 10 rats at 7 d
after spinal cord hemisection at the cervical level were used for
RT-PCR analysis of trkB and trkC receptor expression. FG-filled
axotomized RSNs were visualized with a fluorescent microscope and
microdissected from 70- to 80-µm-thick serial sections through the
caudal pole (400 µm) of the red nucleus containing the magnocellular
population. The contralateral red nuclei were identified and dissected
under dark-field illumination. We determined in earlier experiments that retrograde-labeling of RSNs with FG had little effect on RNA
expression (W. Tetzlaff, B. Tsui, A. M. Bedard, and S. Cassar, unpublished observation). Total RNA was extracted from red nuclei pooled from 2× five animals using Trizol (Life Technologies,
Gaithersburg, MD) according to a standard protocol provided by the
manufacturer, followed by DNase treatment. The procedures for RT-PCR
and control experiments were essentially the same as in our previous
study (Kobayashi et al., 1996 ). PCR for cyclophilin was included as a
control, using the primers published in Mearow et al. (1993) to ensure
that equivalent amounts of input cDNA were analyzed (data not shown).
The trkB primers used have been described previously in Kobayashi et
al. (1996) . The trkC primers were previously used by Offenhauser et al.
(1995) and designed to bracket the potential insertion site within the
tyrosine kinase domain to reveal different trkC insertion isoforms.
After 30 amplification cycles, trkC PCR products were run on a 5%
polyacrylamide gel stained with ethidium bromide and visualized under
UV light and photographed. For trkB serial dilution PCR, 25, 12.5, and
6.75 ng of input cDNA were amplified for 25 PCR cycles, and trkB PCR
products were run on 1% agarose gel, followed by Southern transfer to
a nylon membrane (Zeta-probe, Bio-Rad, Hercules, CA). The membrane was
subsequently hybridized with 35S-labeled trkB
oligonucleotide probe internal to and not overlapping with the
respective PCR primers according to the standard protocol (Sambrook et
al., 1989 ). The PCR of input cDNA serial dilutions followed by Southern
blotting were within the linear range as determined by phosphoimaging
(Molecular Dynamics, Sunnyvale, CA) when 25 amplification cycles were
used for trkB and 30 amplification cycles were used for trkC
(noninserted trkC isoform at 299 bp; data not shown), respectively.
These 50 mer were also used in our trkB and trkC in situ
hybridization study (see ISH section) and had little homology to other
trk receptors.
Immunocytochemical assessment of the neurotrophin
distribution. Perfusion-fixed sections containing red nuclei were
immunostained using antibodies for NGF, BDNF, NT-3, or NT-4/5. The
specificity of the antibodies for their respective neurotrophin has
been described previously (Anderson et al., 1995 ; Alderson et al.,
1996 ). The concentrations of the primary antibodies were adjusted so
that they exhibited equivalent levels of detection of the homologous neurotrophin on slot blots (0.5-1.0 ng/8 mm2);
1:7500 for the turkey anti-BDNF antibody, 1:5000 for the turkey anti-NT-3 antibody, 1:15,000 for the goat anti-NGF antibody, and 1:10000 for the chicken anti-NT-4/5 antibody. No cross-reactivity with
heterologous neurotrophins was apparent on slot blots or in
perfusion-fixed midbrain sections taken from animals that had been
injected with 1 µg of the neurotrophins (data not shown). Primary
antibody omission or preabsorption with the appropriate but not related
neurotrophins also abolished specific immunostaining (data not shown).
Primary antibodies bound to tissue were localized using an appropriate
biotinylated secondary antibody (1:1500) and the
avidin-biotin-peroxidase complex (Vectastain, Vector Laboratories, Burlingame, CA).
Histology and cell size measurements. Most
neurotrophin-treated and vehicle-treated rats were killed on day 14, except for six rats that were left beyond the cessation of neurotrophin
application i.e., until day 21 or 28. These rats were overdosed with
chloral hydrate, followed by perfusion as described above. Frozen
sections were cut coronally at 12 µm through the midbrain and mounted
onto Superfrost Plus slides (Fisher Scientific, Houston, TX). Each slide contained a section from two control animals that received no
pump or a vehicle pump and from one or two animals treated with a
neurotrophin. The order in which they were cut and positioned onto the
slide was randomized. The midbrains were cut from caudal to cranial,
and collection of sections was begun when 6-10 RSNs appeared at the
caudal pole of the red nucleus and the following 35 sections were
gathered. Sections 15, 25, and 35 were stained with 0.2% cresyl violet
for cell profile measurement and photography. The remaining sections
were stored at 80°C for ISH analysis.
The cell profile sizes were measured using a computerized image
analysis system. Two techniques involving computerized digitization of
the cell image and profile measurement were used. In the first method,
a 16× oil immersion objective (Zeiss) was used to crop the images, and
the contour of each neuron containing a visible nucleus was traced.
This contour was filled in, and the number of pixels was measured to
obtain an arbitrary value for the cross-sectional cell area. In the
second technique, a field comprising about half the red nucleus was
digitally captured using a 10× objective. Subsequently the density
threshold was determined to discriminate the stained neurons from the
background. Only those cell profiles that were twice the size of an
average glial cell were included in our analysis. Confluent neurons
were separated with a digitized paintbrush. In both procedures, the
operator was blinded to the treatment condition. Because both
procedures yielded very similar results, the latter technique was used
routinely. The size of neurons within the red nucleus is heterogeneous,
and smaller neurons are located predominantly toward the cranial end of
the nucleus; hence, axotomized neurons at the caudal pole of the red
nucleus have a size similar to the uninjured neurons in the rostral
portion of the magnocellular red nucleus. Thus, the average cell size of axotomized RSNs was normalized to that of its contralateral counterpart in sections 15, 25, and 35, and values were expressed as a
percentage of contralateral control for each level of the nucleus.
These percentages from individual animals were subjected to statistical
analysis (see Statistical Analysis), and the median percentage from the
individual treatment groups plus the 25th-75th percentiles are
presented. We also provided the actual cell profile size measurements
at the level of section 25 obtained from perfusion-fixed midbrains of
different animal groups (see Table 1).
Table 1.
Mean cell profile sizes (µm2) of
RSN 14 d after axotomy, with or without neurotrophin treatment
Mean cell size (mm2)
|
| Group |
Contralateral |
Axotomized |
|
| No pump (n = 6) |
444.6 ± 36.5 |
297.2 ± 20.4
|
| Vehicle (n = 5) |
449.6 ± 29.1 |
307.2 ± 33.6
|
| BDNF (n = 6) |
494.3 ± 15.8 |
545.6 ± 59.7*
|
| NT-4/5 (n = 4) |
517.5 ± 12.8 |
603.1 ± 35.2*
|
| NGF (n = 4) |
437.3 ± 30.8 |
338.1 ± 17.3
|
| NT-3 (n = 5) |
495.3 ± 39.5 |
368.2
± 41.3 |
|
|
There is no significant difference in the contralateral profile
sizes among different animal groups. The RSNs treated with BDNF or
NT-4/5 are significantly larger than all the other groups (*p < 0.05), whereas NGF- or NT-3-treated RSNs are not
different from the control groups.
*
p < 0.05; Newman-Keuls test.
|
|
ISH. The protocol given in Verge et al. (1992) was used with
some modification. The trkA probe was complementary to bases 1198-1245
and was used previously by Verge et al. (1992) . The full-length trkB
probe was described in Kobayashi et al. (1996) and is complementary to
bases 1363-1407 (Middlemas et al., 1991 ). The trkC probe (Giehl and
Tetzlaff, 1996 ) was complementary to bases 2109-2272 (excluding
2134-2250), bridging the insertion site in the cytoplasmic tyrosine
kinase domain (Valenzuela et al., 1993 ). The T 1-tubulin probe was a
50 mer oligonucleotide complementary to the 3 -untranslated sequence of
T 1-tubulin 5 -AAACCCATCAGTGAAGTGGACGGCTCGGGTCTCTGACAAATCATT CA-3 , and the GAP-43 probe was complementary to bases 220-270 (Basi
et al., 1987 ). For all probes, no similarities were found for other
molecular sequences at a 75% cutoff level in a BLASTN database search
at the National Center for Biotechnology Information (Altschul et al.,
1990 ). These oligonucleotide probes were end-labeled with
35S-ATP using deoxynucleotide terminal transferase
according to a standard protocol (Ausubel et al., 1987 ). For trk
receptor ISH, sections collected from fresh frozen midbrains were
hybridized to 106 cpm of the respective probe in 100 µl of hybridization mixture for 16-18 hr at 43°C [for details of
the mixture, hybridization conditions, and washes, see Verge et al.
(1992) ]. For GAP-43 and T 1-tubulin ISH, perfusion-fixed sections
(14 µm) were pretreated and hybridized to 106 cpm
of probe for 16-18 hr at 43°C [for details, see Giehl and Tetzlaff
(1996) ]. The slides were dipped in Kodak NTB-2 emulsion and were
exposed for 2 d for T 1-tubulin, 7 d for GAP-43, 3 weeks for trkB, and 7-9 weeks for trkA and trkC. For trk receptor ISH, the
sections were stained with 0.2% cresyl violet, dehydrated, and
embedded in DePex (BDH Chemicals, Poole, UK). We confirmed that GAP-43
and T 1-tubulin probes gave a single band of expected size in
Northern blots of RNA from facial nuclei under identical or less
stringent hybridization conditions (Tetzlaff et al., 1991 ) Equivalent
data were obtained for the oligonucleotide probes (data not shown). We
performed RT-PCR for trkB and trkC, followed by Southern blotting. The
trkB and trkC probes recognized the bands of expected size (see RT-PCR
section). We obtained essentially the same results for GAP-43 and
T 1-tubulin ISH in no-pump control animals and our previous study
using cDNA probes of several hundred base pairs (Tetzlaff et al.,
1991 ), except that the oligonucleotide probes in this study detected
the low levels of GAP-43 and T 1-tubulin in the contralateral control
RSNs because of their higher sensitivity.
Quantification of GAP-43 and T 1-tubulin ISH signals. The
Northern Exposure Image Analysis system (EMPIX, Mississauga, Ontario, Canada) equipped with a frame grabber for the integration of multiple frames was used, allowing us to capture pictures of the fluorescent FG-filled RSNs. This integration allowed us to visualize further the
contours of the unstained contralateral neurons. RSNs (50-100) from
each animal (two to four slides per animal) were analyzed for each
probe. To obtain this number, we collected and analyzed three to five
digitized images of the FG-filled RSNs from each section through the
red nucleus. The fluorescent pictures of RSNs were loaded into one
frame buffer, and corresponding dark-field images of the silver grains
representing the ISH signal were captured into another frame buffer.
The contours of the fluorescent-labeled cells were traced with a
digitized mouse, and this contour was used as a mask in the other frame
buffer, which contained the dark-field-illuminated silver grains. The
area fraction occupied by the silver grains within this mask was
measured and corrected for a background of the tissue. This corrected
fraction was subsequently multiplied by the estimated volume of the
neuronal cell body (assuming that the latter is spherical) to generate
the "ISH signal/cell." The ISH signal/cell values of the axotomized
RSNs were expressed as multiples of the mean ISH signal/cell of the
contralateral RSNs. Only perfusion-fixed brain tissues were included in
ISH quantification, because fixation was needed to retain FG-labeling after ISH procedures. Therefore, the numbers of animals for ISH quantification were smaller than those included in the cell size study.
Statistics. Because the cell size data as well as ISH
quantification data were normalized and expressed as percentage of or multiples of contralateral values, we used Kruskal-Wallis one-way ANOVA on ranks to test the differences in median values among the
different treatment groups. This test does not assume normal distribution or equal variance of data. To identify the groups that
differ significantly from the control group (vehicle-treated group),
Dunn's multiple comparison procedure was performed at the significance
level of p < 0.05. The actual cell profile sizes of
the axotomized and contralateral RSNs within the same group were
compared using paired t test (p < 0.05). Groupwise comparisons of the contralateral RSNs as well as the
axotomized RSNs among different groups were performed using
Newman-Keuls test at the significance level of p < 0.05.
RESULTS
Neurotrophin receptor expression
The expression of the trk family of neurotrophin receptors in RSNs
7 d after axotomy was studied by ISH to predict the possible responsiveness of RSNs to neurotrophins. TrkA ISH signal was not detectable in either unlesioned or axotomized RSNs (Fig.
1a,b). However,
interpeduncular neurons in the same sections as well as cholinergic
basal forebrain neurons (Figueiredo et al., 1995 ) showed strong
expression of trkA, ruling out technical problems (data not shown). In
contrast, expression of full-length trkB mRNA was seen in virtually all
uninjured RSNs, in agreement with the recent immunocytochemical study
of Yan et al. (1997) (Fig. 1d). This expression was
decreased to 0.7× the contralateral level 7 d after axotomy (Fig.
1c) and declined further thereafter as these neurons became
atrophic during the second week after axotomy (data not shown). The
expression of trkB in the red nucleus was confirmed by serial dilution
RT-PCR (amplification of 25, 12.5, and 6.75 ng cDNA), followed by
Southern blotting using a trkB probe internal to the PCR primers (Fig.
1g). This analysis also confirmed the ISH observation that
the trkB expression was decreased in axotomized RSNs compared with the
contralateral, intact RSNs (Fig. 1g).
Fig. 1.
Expression of trkA, trkB, and trkC receptors in
RSNs. trkA ISH signal is undetectable in axotomized as well as
contralateral RSNs (a, b). Expression of full length
trkB (c,d) as well as full-length noninserted trkC in
RSNs (e, f) at 7 d after axotomy (c,
e) and in contralateral RSNs (d, f).
700× magnification. Scale bar, 20 µm. RT-PCR for trkB (25 cycles,
visualized by Southern blotting) using serial dilutions of the input
cDNA (25.0, 12.5, 6.75 ng) obtained from axotomized
("a") and contralateral ("c") red nuclei (g). Note the decrease in trkB mRNA 7 d
after axotomy seen by ISH (c,d) and RT-PCR
(g). RT-PCR (30 cycles, ethidium bromide staining) for trkC isoforms in axotomized ("a") and
contralateral ("c") red nuclei (h). Note the
predominant expression of the noninserted trkC isoform (299 bp) as well
as the isoforms with 14 amino acids (341 bp) and the weak expression of
the isoforms with 25 (374 bp) and 35 (416 bp) amino acids
insertions.
[View Larger Version of this Image (109K GIF file)]
TrkC isoforms having 14, 25, or 39 amino acids insertions in the kinase
domain are commonly present in neural tissues (Tsoulfas et al., 1993 ;
Valenzuela et al., 1993 ). Because these isoforms appear to be limited
in their signaling capability (Guiton et al., 1995 ; Tsoulfas et al.,
1996 ), we used an oligonucleotide probe bridging the insertion site to
study the expression of the full-length, noninserted trkC receptor.
Weak expression of noninserted trkC mRNA was detected in uninjured and
axotomized RSNs only after prolonged autoradiographic exposure (6-8
weeks) (Fig. 1f,e). Similar exposure times produced strong
hybridization signals in corticospinal neurons (Giehl and Tetzlaff,
1996 ) and in facial motoneurons (K. L. Fernandes, N. R. Kobayashi, and W. Tetzlaff, unpublished observations). To further study
the expression of trkC isoforms, we used trkC PCR primers bracketing
the insertion site within the tyrosine kinase domain (Offenhauser et
al., 1995 ). RT-PCR results revealed that both axotomized and
contralateral RSNs expressed the noninserted (299 bp) as well as the
known inserted isoforms (341, 374, and 416 bp) of the trkC receptor
(Fig. 1h). The noninserted and 14 amino acid insert forms of
trkC were the predominant types expressed in uninjured RSNs, and there
was no apparent change in isoform composition 7 d after axotomy
(Fig. 1h). The ISH analysis of the p75 neurotrophin receptor
showed no signal in unlesioned RSNs. However, at 7 d, but not 3 weeks postaxotomy, we found detectable p75 mRNA expression in the
occasional axotomized RSNs (<10%; data not shown). Taken together,
these observations suggest that axotomized RSNs may be responsive to
BDNF and NT-4/5, cognate ligands for the trkB receptor, and to NT-3,
which preferentially binds to the trkC receptor.
Distribution of infused neurotrophins
The receptor expression profiles of RSNs provided the rationale
for the application of the neurotrophins. These were infused between
days 7 and 14 postaxotomy because acute axotomy-induced atrophy and
concomitant decline in regeneration-associated gene expression occur in
axotomized RSNs during this period (Tetzlaff et al., 1991 ). Figure
2 shows a diagram of an infusion cannula inserted into the vicinity of the red nucleus, which is connected to an
osmotic minipump via SILASTIC tubing to apply 500 ng · µl 1 · hr 1 of
the appropriate neurotrophin. To assess the extent of factor distribution within the target tissue, midbrain sections were stained
with antibodies to the various neurotrophins at the end of the 7 d
infusion period. Immunostaining for rhNGF, rhNT-3, and rhNT-4/5 (Fig.
3a,c,d) revealed that these
factors diffused over most of the midbrain tegmentum ipsilateral to the
side of infusion, filling a sphere of tissue ~4 mm in diameter. In
contrast, the diffusion of rhBDNF (Fig. 3b) was confined to
an area within 1.0-1.5 mm of the cannula. These finding are consistent
with the study of Anderson et al. (1995) . Given the relatively limited diffusion of rhBDNF, for all of the factors we limited our analysis to
those cases in which the cannulae were located within 0.5-1.0 mm of
the lateral margin of the red nucleus. Cannula placements <0.5 mm from
the nucleus were excluded to rule out dendritic damage and nonspecific
effects of trauma.
Fig. 2.
Schematic diagram showing the midbrain at the
level of the red nucleus and the cervical spinal cord. The approximate
insertion site of the application cannula connected to an osmotic
minipump containing either vehicle alone or neurotrophins is
illustrated in the coronal midbrain section. The hatched
area in the spinal cord indicates the extent of transection at
the cervical level (C3), which includes the rubrospinal
tract.
[View Larger Version of this Image (24K GIF file)]
Fig. 3.
Immunohistochemistry for
NGF(a), BDNF (b), NT-3
(c), and NT-4/5 (d) infused
lateral to the red nucleus. NGF immunostaining (a) reveals good tissue penetration of rhNGF
covering almost an entire half of the midbrain in the coronal plane. In
contrast, rhBDNF (b) diffusion is limited around
the center of the application needle within ~1 mm of the cannula.
Penetration of rhNT-3 (c) and rhNT-4/5
(d) is comparable to that of rhNGF as shown by
their respective immunostaining. 10× magnification. Scale bar, 1.5 mm.
[View Larger Version of this Image (159K GIF file)]
Effects of neurotrophin infusion on RSN size
Consistent with earlier findings (Egan et al., 1977 ), atrophy of
RSNs was prominent 14 d postaxotomy. We found that the median of
cell profile size of axotomized untreated RSNs decreased to 62.8%
(25th-75th percentile: 59.6-66.6%; n = 12) of their
uninjured contralateral counterparts. The infusion of BDNF or NT-4/5
completely prevented this axotomy-induced reduction in atrophy (Fig.
4b vs c,
d vs e), whereas infusion of NGF, NT-3, or
vehicle alone (Fig. 4a vs b) did not affect the
size of the axotomized RSNs. Interestingly, axotomized RSNs in BDNF- or
NT-4/5-treated animals continued to exhibit classic signs of retrograde
reaction to axotomy, including chromatolysis and a pronounced
eccentricity of the nucleus. ANOVA on ranks (Kruskal-Wallis test)
revealed significant differences (p < 0.0001)
in the median cell profile size expressed as percentage of
contralateral between the treatment groups. The median percentage of
the BDNF- (105.2%; 25th-75th percentile: 92.3-129.1%;
n = 9) and NT-4/5-treated (107.0%; 25th-75th
percentile: 96.8-111.3%; n = 7) groups was
significantly different (p < 0.05; Dunn's
test) from the median percentage of the vehicle-treated group (68.8%; 25th-75th percentile: 62.4-75.3%; n = 15). Neither
infusion of NGF (72.1%; 25th-75th percentile: 67.6-75.5%;
n = 6) nor of NT-3 (84.6%; 25th-75th percentile:
65.6-90.3%; n = 9) increased the size of axotomized
RSNs compared with vehicle treatment.
Fig. 4.
Cresyl violet staining of vehicle- or
neurotrophin-treated RSNs 14 d after axotomy (a, c,
e) and their contralateral counterparts (b, d,
f). Note the severe atrophy of vehicle-treated RSNs
(a vs b). This atrophy is fully prevented
in axotomized RSNs treated with BDNF (c) or
NT-4/5 (e), displaying the cell profile sizes comparable to the contralateral RSNs (d, f). Note
that the axotomized and neurotrophin-treated RSNs are chromatolytic.
400× magnification. Scale bar, 50 µm.
[View Larger Version of this Image (127K GIF file)]
To gain more insight into the cell size changes after axotomy with or
without neurotrophin treatment, the cell profile size measurements were
taken from the equivalent level of red nucleus from different groups
(Table 1). This confirms that there were no differences in mean cell profile sizes of contralateral RSNs among
these groups and that BDNF- and NT-4-treated axotomized RSNs were
significantly larger than the axotomized RSNs of all other treatment
groups (p < 0.05; Newman-Keuls test). The
axotomized RSNs treated with BDNF and NT-4/5 displayed cell profiles
sizes that were not different from their contralateral counterparts, whereas the axotomized RSNs of all other groups were significantly smaller (p < 0.01; except for NT-3 treatment,
p < 0.05). The cell profile sizes of the untreated
intact RSNs were comparable to the study by Mori et al. (1997) .
Interestingly the effect of the BDNF application lasted beyond the
7 d period of infusion. In BDNF-treated animals, the median size
of axotomized RSNs was 79% and 83% of the contralateral, intact RSNs
on days 21 and 28, respectively (7 and 14 d after cessation of the
BDNF treatment). The corresponding values from vehicle controls were 60 and 56%, indicating a continuing decline in cell size over time (data
not shown). As mentioned above, these data are based on infusions
through cannulae positioned within 0.5-1.0 mm from the lateral border
of the red nucleus. BDNF infusion had no effect on neuronal soma size
if the cannula was placed further away, reflecting the limited
diffusibility of this factor (see above).
Effects of neurotrophin infusion on GAP-43 and
T 1-tubulin expression
Because infusion of BDNF and NT-4/5 into the vicinity of
axotomized RSNs fully prevented their atrophy (Fig. 4, Table 1), we
wished to determine whether infusion of neurotrophins might also
prevent the decline in GAP-43 and T 1-tubulin mRNA expression typically observed during the second week after axotomy (Tetzlaff et
al., 1991 ). The histogram of GAP-43 ISH quantification obtained from
representative animals (marked by arrows in Fig.
6b) showed that on day 14 postaxotomy, only a subpopulation
(50%) of axotomized RSNs treated with vehicle displayed increases in
GAP-43 hybridization, whereas the remainder showed signals near intact,
control levels (Figs. 5a,
6a). In contrast, when treated with BDNF or NT-4/5 the
majority (>90%) of axotomized RSNs expressed increased levels of
GAP-43 mRNA (Figs. 5b,c, 6a). Furthermore,
vehicle-infused and no-pump animals exhibited only a two- to threefold
mean increase in GAP-43 mRNA expression, whereas treatment with BDNF or
NT-4/5 typically produced mean increases of four- to sevenfold (Fig. 6b). In three cases, the
increases were much higher (9- to 13-fold). GAP-43 expression in NGF-
and NT3-treated animals was similar to that seen in controls. The
differences among treatment groups were statistically significant
(p < 0.01; Kruskal-Wallis). Subsequent groupwise comparisons (Dunn's test) revealed that the median increase in GAP-43 ISH signal in the BDNF-treated (5.3×, 25th-75th percentile: 5.1-6.5×; n = 6) and NT-4/5-treated (7.6×,
25th-75th percentile: 5.1-9.8×; n = 4) groups were
significantly different from that of the vehicle control group (2.4×,
25th-75th percentile: 2.3-2.8×; n = 5)
(p < 0.05). In contrast, neither treatment with
NGF (3.0×, 25th-75th percentile: 2.2-4.3×; n = 4)
nor with NT-3 (2.7×, 25th-75th percentile: 2.3-3.2×;
n = 5) produced increases in GAP-43 expression that
were significantly different from that of the vehicle control.
Fig. 6.
Histograms of the percentage of cells displaying
GAP-43 (a) or T 1-tubulin
(c) expression in multiples of their
contralateral expression level, obtained from representative animals
infused with vehicle, BDNF, or NT-4/5 (marked by arrows
in b and d). The labels of
x-axis (multiples of contralateral) indicate an upper limit value of the bin category. Note the apparent shift to the right
(increased expression) for both genes in the numbers of RSNs treated
with BDNF or NT-4/5 compared with those treated with vehicle. Each
symbol in b and d represents the mean
(±SEM) of ISH signals/cell normalized to that of contralateral RSNs,
i.e., expressed as multiples of contralateral derived from an
individual animal. Dashed lines indicate the expression
level of contralateral (=1). Note the increased expression of GAP-43
(b) as well as T 1-tubulin (d) in the animal groups treated with BDNF or
NT-4/5 compared with the vehicle or no-pump control groups.
[View Larger Version of this Image (30K GIF file)]
Fig. 5.
GAP-43 and T 1-tubulin ISH in axotomized RSNs
treated with vehicle, BDNF, or NT-4/5. The FG-labeled, axotomized RSNs
are visualized under fluorescent illumination, superimposed with
autoradiographic silver grains representing the ISH signals in
dark-field illumination. Note that only a subpopulation of axotomized
RSNs display GAP-43 ISH signal with vehicle treatment
(a); in contrast, the majority of axotomized RSNs
treated with BDNF (b) or NT-4/5
(c) express high levels of GAP-43 mRNA. Moreover,
an increase in T 1-tubulin expression is also observed in axotomized
RSNs treated with BDNF (e) or NT-4/5
(f) compared with those RSNs treated with
vehicle only (d). 360× magnification. Scale bar,
40 µm.
[View Larger Version of this Image (150K GIF file)]
Axotomized RSNs also exhibited higher T 1-tubulin expression in BDNF-
and NT-4/5-treated animals compared with vehicle-treated controls (Fig.
5d-f). The histogram of representative animals (marked by arrows in Fig. 6d) illustrated that by
14 d after axotomy, ~60% of the RSNs displayed T 1-tubulin
ISH signals at levels below their contralateral counterparts, whereas
<20% showed increased level of expression (Fig. 6c). In
marked contrast, T 1-tubulin expression was higher on the lesioned
side in more than half of the RSNs treated with BDNF or NT-4/5 (Fig.
6c). Mean T 1-tubulin ISH signals, expressed as multiples
of contralateral values, ranged from 0.4 to 1.1× in both "no-pump"
and vehicle control groups (Fig. 6d). In BDNF- and
NT-4/5-treated animals, values were between 1.3 and 2.3×. Infusion of
NGF or NT-3 produced mean values that did not differ from that of
controls (range, 0.4-1.4×). These differences among groups were
statistically significant (p < 0.01; Kruskal-Wallis), and subsequent groupwise comparisons demonstrated that the median increases in T 1-ISH signal of the BDNF- (1.6×, 25th-75th percentile: 1.3-1.8×; n = 6) and the
NT-4/5-treated (1.6×, 25th-75th percentile: 1.3-1.9×;
n = 4) groups were significantly different
(p < 0.05) from that of the vehicle-treated
control group (0.67×, 25th-75th percentile: 0.57-0.76×;
n = 6). Neither treatment with NGF (0.75×, 25th-75th
percentile: 0.69-0.98×; n = 4) nor with NT-3 (0.87×,
25th-75th percentile: 0.65-1.1×; n = 5) resulted in
median T 1-tubulin ISH signals different from those of the
vehicle-treated controls.
Stimulation of rubrospinal regeneration into peripheral
nerve transplants
Predegenerated sciatic nerve segments of 30-40 mm length were
inserted into C4 lesions of the rubrospinal tract, and regeneration was
assessed by retrograde labeling with FG 2 months later. Typically these
experiments resulted in a mean of 43 ± 9.3 regenerating neurons
in control rats (n = 6) (Fig.
7c, open symbols).
Animals receiving BDNF infusions into the vicinity of the red nucleus, however, had a mean number of 131 ± 19.7 regenerating
RSNs (n = 6) (Fig. 7c, filled
symbols), which was significantly different from the untreated
controls (p < 0.01; t test).
Representative sections through the red nucleus for both groups (marked
by arrows in Fig. 7c) are shown in Figure
7a,b.
Fig. 7.
Photomicrographs of FG-labeled RSNs
regenerated into a peripheral nerve transplant obtained from an animal
without treatment (a; c, marked by
arrow) and of a BDNF-treated animal (b;
c, marked by arrow). c
shows the numbers of FG-labeled, i.e., regenerated, RSNs of individual
animals without treatment (open symbols) and with BDNF
treatment (filled symbols). Note a severalfold
increase in the number of FG-positive neurons in BDNF-treated animals
compared with the animals without treatment
(p < 0.01; t test). 160×
magnification. Scale bar, 100 µm.
[View Larger Version of this Image (29K GIF file)]
DISCUSSION
In the present study, we have shown that uninjured and axotomized
RSNs express mRNA for the full-length trkB receptor. TrkA mRNA
expression was not detected in the intact red nucleus, although like
p75 it was expressed in a few cells after axotomy at the cervical level
of the spinal cord. Full-length trkC, including isoforms bearing amino
acid inserts in the kinase domain, were expressed at only very low
levels in intact or axotomized RSNs. In accordance with the observed
pattern of receptor expression, infusion of the TrkB ligands BDNF or
NT-4/5 during the second week after spinal cord transection fully
prevented the atrophy of axotomized RSNs, which remained chromatolytic.
Moreover this infusion also maintained the axotomy-induced increase in
GAP-43 and T 1-tubulin mRNA expression. In contrast, NGF and NT-3
treatment were without effect. In a subsequent experiment, BDNF
treatment produced a severalfold increase in the number of axotomized
RSNs regenerating into peripheral nerve grafts implanted into the
cervical transection site. Taken together, these findings support the
hypothesis that neuronal atrophy and the concomitant failure of injured
cells to maintain expression of regeneration-associated genes are
important factors that limit the regenerative capacity of axotomized
CNS neurons. Furthermore, these effects of axotomy can be attenuated by
application of appropriate trophic factors, thereby enhancing the
capacity of the injured cell to sustain regrowth of its axon.
Interestingly, the prevention of reduction in cell size after axotomy
by BDNF and NT-4/5 did not include a normalization of the neuronal
morphology, which remained chromatolytic. Because the cell size could
be maintained by the application of trophic factors, we feel justified
to use the term atrophy, which implies the lack of some trophic
support. It is difficult to evaluate the persisting chromatolytic
response after neurotrophin application. Various degrees of
chromatolysis are seen in both regenerating and nonregenerating
neurons, as well as within the same neuronal phenotypes (for review,
see Lieberman, 1971 ; Goldstein et al., 1987 ). Thus, the significance of
a chromatolytic response for the regenerative success of a neuron is
incompletely understood, and we therefore focused on the more prominent
representatives of regeneration-associated genes.
Receptor expression and effects of neurotrophins on atrophy
The expression of neurotrophin receptors in uninjured RSNs is
reminiscent of spinal cord and brainstem motoneurons, which also
predominantly express full-length trkB receptors (Koliatsos et al.,
1994 ; Piehl et al., 1994 ; Kobayashi et al., 1996 ). However, RSNs and
lower motoneurons respond differently to injury. Axotomy produces an
increase in trkB expression as well as de novo expression of
the p75 neurotrophin receptor in motoneurons (Piehl et al., 1994 ;
Kobayashi et al.,1996 ). In contrast, trkB expression decreased in
axotomized RSNs, and p75 expression became detectable in only a small
number of cells. The decline in trkB mRNA expression was prevented in
axotomized RSNs by BDNF infusion (data not shown), suggesting that RSNs
remain responsive to BDNF and NT-4/5, which was consistent with the
observed prevention of their axotomy-induced atrophy.
The effect of NT-3 on the atrophy of axotomized RSNs did not reach
statistical significance. This is reminiscent of the moderate effect of
NT-3 in contrast to BDNF on survival of axotomized facial motoneurons
of newborn rats (Sendtner et al., 1992 ; Koliatsos et al., 1993 ; Yan et
al., 1993 ). Moreover, NT-3 application to axotomized motoneurons of
adult rats has little effect on cell size (Fernandes et al., 1995 ;
Tuszynski et al., 1996 ). We are confident that this marginal effect of
NT-3 is not attributable to technical deficiencies, because
immunostainings for NT-3 demonstrated good penetration of this factor
through the relevant tissue. In addition, in parallel experiments
infusions of NT-3 fully prevent the axotomy-induced cell death of adult
corticospinal neurons (Giehl and Tetzlaff, 1996 ). In this context, it
is important to note that trkC isoforms with insertions in the kinase
domain are limited in their downstream signaling capacities (Tsoulfas
et al., 1993 , 1996 ; Guiton et al., 1995 ). In contrast to RSNs,
corticospinal neurons express high levels of full length trkC, and the
noninserted isoform is predominant (N. R. Kobayashi and W. Tetzlaff, unpublished observation). Therefore, the marginal effect of
NT-3 on axotomized RSNs may be attributable not only to the lower level
of expression of full length trkC but also to coexpression at
comparable levels of isoforms carrying amino acid insertions in their
kinase domains. Although in the present study, axotomized RSNs in the
adult rat did not appear to be responsive to NT-3, axotomized RSNs are
rescued from cell death by application of exogenous NT-3 in newborn
rats (Diener and Bregman, 1994 ). Presently, it is unknown whether this difference might be attributable to developmental differences in the
pattern of trkC expression in RSNs. It should also be noted that
axotomized corticospinal neurons rescued by application of NT-3 remain
atrophic, in contrast to those rescued by treatment with BDNF (Giehl
and Tetzlaff, 1996 ). Therefore, it is possible that NT-3 may be a
survival factor for RSNs, even in adulthood, but may not influence cell
size. This also implies that different signaling pathways are activated
by stimulation of the TrkB and TrkC receptors, even when they are
expressed contemporaneously in the same cell.
Effect of the neurotrophins on regeneration-associated
gene expression
We show here that BDNF and NT-4/5 but not NGF, NT-3, or vehicle
maintained the increased levels of GAP-43 and T 1-tubulin mRNA
expression in axotomized RSNs. This differential responsiveness to the
neurotrophins is consistent with the pattern of trk receptor expression. In essence, the expression of full-length trkB receptors would provide means for a direct stimulation of RSNs by BDNF or NT-4/5.
Likewise, BDNF has been reported to stimulate GAP-43 and T 1-tubulin
expression in axotomized facial motoneurons that express trkB
(Fernandes et al., 1995 ), and NGF regulates the expression of these
same genes in neurons of the PNS that express trkA (Verge et al., 1990 ;
Miller et al., 1994 ; Mohiuddin et al., 1995 ). Furthermore, BDNF
stimulates the expression of GAP-43, but not T 1-tubulin, in
axotomized retinal ganglion cells (Fournier et al., 1997 ). Thus,
regulation of regeneration-associated genes by BDNF is
context-dependent and distinct in different neuronal systems.
We do not know, however, how directly the expression of GAP-43 and
T 1-tubulin is controlled by BDNF- or NT-4/5-activated signaling
pathways. We cannot rule out the possibility that the neurotrophins
indirectly maintain the expression of these genes via a pleiotrophic
effect. Interestingly, we found that BDNF had no effect on the baseline
expression of GAP-43 in uninjured RSNs (N. R. Kobayashi and W. Tetzlaff, unpublished observation); thus, although GAP-43 mRNA
expression can be maintained by BDNF, its induction appears to require
additional signals associated with axotomy. In contrast, BDNF infusion
increased T 1-tubulin expression in intact RSNs (N. R. Kobayashi
and W. Tetzlaff, unpublished observation) as well as in axotomized
RSNs, indicating that GAP-43 and T 1-tubulin are not strictly
co-regulated.
The differential regulation of GAP-43 and T 1-tubulin is further
evidenced by the varying effects of NT-3 on these two genes in
axotomized corticospinal neurons (Giehl et al., 1995 ), retinal ganglion
cells (Kittlerova et al., 1996 ), and dorsal root ganglion cells
(Mohiuddin et al., 1995 ; Gratto and Verge, 1996 ). Differential responses of these neuronal types to axotomy and distinct modes and
doses of applied NT-3 may be partly responsible for these diverse
outcomes. In addition, as discussed above, both the absolute and
relative levels of trkC isoforms carrying insertions in the tyrosine
kinase domain may differ in these models, contributing to the apparent
discrepancies. Moreover, although NT-3 binds most avidly to trkC, it
can also bind to trkA or trkB, so that different signaling cascades may
be activated by NT-3 on cells expressing distinct complements of trk
receptors (Davies et al., 1995 ; Ryden and Ibanez, 1996 ). Further
complexity is added by emerging evidence that the different
neurotrophins may elicit distinct downstream responses, even if their
actions are mediated through the same cognate receptor (Belliveau et
al., 1997 ). These data underline the necessity for analyzing the
specific effects of the different neurotrophins in each neuronal system
of interest, rather than relying on inference.
Neurotrophins and CNS regeneration
Several studies have demonstrated that local application of
neurotrophins can enhance regenerative sprouting of various CNS axons
(Schnell et al., 1994 ; Tuszynski et al., 1994 ; Xu et al., 1995 ; Oudega
and Hagg, 1996 ; Ye and Houle, 1997 ). In these experimental paradigms,
neurotrophins are applied to the vicinity of the axons and may exert
local trophic and/or tropic effects. This stands in contrast to the
model introduced here in which application of neurotrophins to the
parent cell bodies enhances their regenerative propensity even after
injury at greater distances. We hypothesize that this effect is
mediated through the stimulation of regeneration-associated genes.
T 1-tubulin and GAP-43 are highly expressed during axonal outgrowth
in development and are re-expressed in regenerating PNS neurons (Skene
and Willard, 1981 ; Miller et al., 1987 , 1989 ; Skene, 1989 ; Tetzlaff et
al., 1989 ). Increased tubulin expression after axotomy is believed to
play a role in the replacement of the lost axoskeleton (for review, see
Bisby and Tetzlaff, 1992 ). GAP-43 is concentrated at the axonal growth
cone where it seems to play an important role in the transduction of
growth cone guidance signals (for review, see Benowitz and Routtenberg,
1997 ). In vitro, GAP-43 conveys on neurons a greater
propensity to grow (Aigner and Caroni, 1995 ). This is consistent with
the close correlation between GAP-43 expression and successful
regeneration of CNS neurons into peripheral nerve transplants (Doster
et al., 1991 ; Campbell et al., 1992 ; Schaden et al., 1994 ; Tetzlaff et
al., 1994 ; Vaudano et al., 1995 ). Ordinarily, only a very small
fraction of axotomized RSNs typically regenerate into nerve grafts
(Richardson et al., 1984 ; Houle, 1991 ). This appears to be attributable
to the abortive expression of regeneration-associated genes and the
concomitant atrophy of these cells. We show here that the stimulation
of GAP-43 and T 1-tubulin expression by application of BDNF is
correlated with an increased number of RSNs regenerating into
peripheral nerve implants. It remains to be shown whether the
stimulation of GAP-43 and T 1-tubulin expression alone is sufficient
to induce this regenerative response, or whether other
growth-associated proteins, e.g., CAP-23 (Widmer and Caroni, 1990 ) or
microtubule-associated proteins (Fawcett et al., 1994 ; Nothias et al.,
1995 ), might play a cooperative role in this process (Caroni et al.,
1995 ). In any event, the present study supports the concept that the
application of a specific neurotrophin to the vicinity of an axotomized
CNS neuron can stimulate the expression of regeneration-associated genes and enhance its propensity to regenerate.
FOOTNOTES
Received April 24, 1997; revised Sept. 17, 1997; accepted Sept. 25, 1997.
This study was supported by an operating grant from the Medical
Research Council of Canada and the Neuroscience Network of Canada to
W.T. N.R.K. is a recipient of the Government of Canada Studentship
Award, supplemented by the Neuroscience Network of Canada. K.M.G. was
supported by a Canadian Neuroscience Network fellowship. W.T. is a
recipient of the Rick Hansen Man in Motion Chair in Spinal Cord
Research. BDNF, NT-3, NT-4/5, and the NT-4/5 antibody were kindly
provided by Regeneron Pharmaceuticals Inc. (Tarrytown, NY). We thank
Dr. Eugene Johnson (University of Washington, St. Louis, MO) for
providing the NGF antibody and Dr. James Miller (Amgen, Thousand Oaks,
CA) for providing NGF and the antibodies to BDNF and NT-3.
Correspondence should be addressed to Dr. Wolfram Tetzlaff, Department
of Zoology, University of British Columbia, 6270 University Boulevard,
Vancouver, British Columbia, Canada V6T 1Z4.
Dr. Giehl's present address: Department of Anatomy, University of
Saarland, D66421 Homburg, Germany.
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Rho Signaling Pathway Targeted to Promote Spinal Cord Repair
J. Neurosci.,
August 1, 2002;
22(15):
6570 - 6577.
[Abstract]
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T. M. Brushart, P. N. Hoffman, R. M. Royall, B. B. Murinson, C. Witzel, and T. Gordon
Electrical Stimulation Promotes Motoneuron Regeneration without Increasing Its Speed or Conditioning the Neuron
J. Neurosci.,
August 1, 2002;
22(15):
6631 - 6638.
[Abstract]
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B. K. Kwon, J. F. Borisoff, and W. Tetzlaff
Molecular Targets for Therapeutic Intervention after Spinal Cord Injury
Mol. Interv.,
July 1, 2002;
2(4):
244 - 258.
[Abstract]
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L. Cheng, P. Sapieha, P. Kittlerova, W. W. Hauswirth, and A. Di Polo
TrkB Gene Transfer Protects Retinal Ganglion Cells from Axotomy-Induced Death In Vivo
J. Neurosci.,
May 15, 2002;
22(10):
3977 - 3986.
[Abstract]
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B. K. Kwon, J. Liu, C. Messerer, N. R. Kobayashi, J. McGraw, L. Oschipok, and W. Tetzlaff
Survival and regeneration of rubrospinal neurons 1 year after spinal cord injury
PNAS,
February 20, 2002;
(2002)
52308899.
[Abstract]
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J. Corcoran, P.-L. So, R. D. Barber, K. J. Vincent, N. D. Mazarakis, K. A. Mitrophanous, S. M. Kingsman, and M. Maden
Retinoic acid receptor {beta}2 and neurite outgrowth in the adult mouse spinal cord in vitro
J. Cell Sci.,
January 10, 2002;
115(19):
3779 - 3786.
[Abstract]
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C. Stadelmann, M. Kerschensteiner, T. Misgeld, W. Bruck, R. Hohlfeld, and H. Lassmann
BDNF and gp145trkB in multiple sclerosis brain lesions: neuroprotective interactions between immune and neuronal cells?
Brain,
January 1, 2002;
125(1):
75 - 85.
[Abstract]
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M. B. Bunge
Book Review: Bridging Areas of Injury in the Spinal Cord
Neuroscientist,
August 1, 2001;
7(4):
325 - 339.
[Abstract]
[PDF]
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J. Widenfalk, K. Lundstromer, M. Jubran, S. Brene, and L. Olson
Neurotrophic Factors and Receptors in the Immature and Adult Spinal Cord after Mechanical Injury or Kainic Acid
J. Neurosci.,
May 15, 2001;
21(10):
3457 - 3475.
[Abstract]
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D. Merkler, G. A. S. Metz, O. Raineteau, V. Dietz, M. E. Schwab, and K. Fouad
Locomotor Recovery in Spinal Cord-Injured Rats Treated with an Antibody Neutralizing the Myelin-Associated Neurite Growth Inhibitor Nogo-A
J. Neurosci.,
May 15, 2001;
21(10):
3665 - 3673.
[Abstract]
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N. Higo, T. Oishi, A. Yamashita, K. Matsuda, and M. Hayashi
Expression of GAP-43 and SCG10 mRNAs in Lateral Geniculate Nucleus of Normal and Monocularly Deprived Macaque Monkeys
J. Neurosci.,
August 15, 2000;
20(16):
6030 - 6038.
[Abstract]
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H. Hammarberg, O. Lidman, C. Lundberg, S. Y. Eltayeb, A. W. Gielen, S. Muhallab, A. Svenningsson, H. Linda, P. H. van der Meide, S. Cullheim, et al.
Neuroprotection by Encephalomyelitis: Rescue of Mechanically Injured Neurons and Neurotrophin Production by CNS-Infiltrating T and Natural Killer Cells
J. Neurosci.,
July 15, 2000;
20(14):
5283 - 5291.
[Abstract]
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M.I. Shifman and M.E. Selzer
Expression of the Netrin Receptor UNC-5 in Lamprey Brain: Modulation by Spinal Cord Transection
Neurorehabil Neural Repair,
January 1, 2000;
14(1):
49 - 58.
[Abstract]
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L. I. Benowitz, D. E. Goldberg, J. R. Madsen, D. Soni, and N. Irwin
Inosine stimulates extensive axon collateral growth in the rat corticospinal tract after injury
PNAS,
November 9, 1999;
96(23):
13486 - 13490.
[Abstract]
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M. Lehmann, A. Fournier, I. Selles-Navarro, P. Dergham, A. Sebok, N. Leclerc, G. Tigyi, and L. McKerracher
Inactivation of Rho Signaling Pathway Promotes CNS Axon Regeneration
J. Neurosci.,
September 1, 1999;
19(17):
7537 - 7547.
[Abstract]
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D. Kim, V. Adipudi, M. Shibayama, S. Giszter, A. Tessler, M. Murray, and K. J. Simansky
Direct Agonists for Serotonin Receptors Enhance Locomotor Function in Rats that Received Neural Transplants after Neonatal Spinal Transection
J. Neurosci.,
July 15, 1999;
19(14):
6213 - 6224.
[Abstract]
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Y. Liu, D. Kim, B. T. Himes, S. Y. Chow, T. Schallert, M. Murray, A. Tessler, and I. Fischer
Transplants of Fibroblasts Genetically Modified to Express BDNF Promote Regeneration of Adult Rat Rubrospinal Axons and Recovery of Forelimb Function
J. Neurosci.,
June 1, 1999;
19(11):
4370 - 4387.
[Abstract]
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M. Kerschensteiner, E. Gallmeier, L. Behrens, V. V. Leal, T. Misgeld, W. E.F. Klinkert, R. Kolbeck, E. Hoppe, R.-L. Oropeza-Wekerle, I. Bartke, et al.
Activated Human T Cells, B Cells, and Monocytes Produce Brain-derived Neurotrophic Factor In Vitro and in Inflammatory Brain Lesions: A Neuroprotective Role of Inflammation?
J. Exp. Med.,
March 1, 1999;
189(5):
865 - 870.
[Abstract]
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K. J.L. Fernandes, N. R. Kobayashi, B. J. Jasmin, and W. Tetzlaff
Acetylcholinesterase Gene Expression in Axotomized Rat Facial Motoneurons Is Differentially Regulated by Neurotrophins: Correlation with trkB and trkC mRNA Levels and Isoforms
J. Neurosci.,
December 1, 1998;
18(23):
9936 - 9947.
[Abstract]
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M. Zagrebelsky, A. Buffo, A. Skerra, M. E. Schwab, P. Strata, and F. Rossi
Retrograde Regulation of Growth-Associated Gene Expression in Adult Rat Purkinje Cells by Myelin-Associated Neurite Growth Inhibitory Proteins
J. Neurosci.,
October 1, 1998;
18(19):
7912 - 7929.
[Abstract]
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K. M. Giehl, A. Schutte, P. Mestres, and Q. Yan
The Survival-Promoting Effect of Glial Cell Line-Derived Neurotrophic Factor on Axotomized Corticospinal Neurons In Vivo Is Mediated by an Endogenous Brain-Derived Neurotrophic Factor Mechanism
J. Neurosci.,
September 15, 1998;
18(18):
7351 - 7360.
[Abstract]
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B. K. Kwon, J. Liu, C. Messerer, N. R. Kobayashi, J. McGraw, L. Oschipok, and W. Tetzlaff
Survival and regeneration of rubrospinal neurons 1 year after spinal cord injury
PNAS,
March 5, 2002;
99(5):
3246 - 3251.
[Abstract]
[Full Text]
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