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The Journal of Neuroscience, July 15, 1998, 18(14):5354-5365
Neurotrophin-3 and Brain-Derived Neurotrophic Factor Induce
Oligodendrocyte Proliferation and Myelination of Regenerating Axons in
the Contused Adult Rat Spinal Cord
Dana M.
McTigue1,
Philip J.
Horner2,
Bradford
T.
Stokes1, and
Fred H.
Gage2
1 Department of Physiology, Ohio State University,
Columbus, Ohio 43210, and 2 Laboratory of Genetics, The
Salk Institute, La Jolla, California 92161
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ABSTRACT |
Functional loss after spinal cord injury (SCI) is caused, in part,
by demyelination of axons surviving the trauma. Neurotrophins have been
shown to induce oligodendrogliagenesis in vitro, but stimulation of oligodendrocyte proliferation and myelination by these
factors in vivo has not been examined. We sought to
determine whether neurotrophins can induce the formation of new
oligodendrocytes and myelination of regenerating axons after SCI in
adult rats. In this study, fibroblasts producing neurotrophin-3 (NT-3),
brain-derived neurotrophic factor (BDNF), ciliary neurotrophic factor,
nerve growth factor, basic fibroblast growth factor, or
-galactosidase (control grafts) were transplanted subacutely into
the contused adult rat spinal cord. At 10 weeks after injury, all
transplants contained axons. NT-3 and BDNF grafts, however, contained
significantly more axons than control or other growth factor-producing
grafts. In addition, significantly more myelin basic protein-positive profiles were detected in NT-3 and BDNF transplants, suggesting enhanced myelination of ingrowing axons within these
neurotrophin-producing grafts. To determine whether augmented
myelinogenesis was associated with increased proliferation of
oligodendrocyte lineage cells, bromodeoxyuridine (BrdU) was used to
label dividing cells. NT-3 and BDNF grafts contained significantly more
BrdU-positive oligodendrocytes than controls. The association of these
new oligodendrocytes with ingrowing myelinated axons suggests that
NT-3- and BDNF-induced myelinogenesis resulted, at least in part, from
expansion of oligodendrocyte lineage cells, most likely the endogenous
oligodendrocyte progenitors. These findings may have significant
implications for chronic demyelinating diseases or CNS injuries.
Key words:
spinal cord injury; axonal regeneration; transplantation; neurotrophins; oligodendrocyte proliferation; progenitor; Schwann
cells
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INTRODUCTION |
Axonal demyelination is a consistent
pathological characteristic of the traumatically injured spinal cord
(Gledhill et al., 1973 ; Bresnahan, 1976 ; Balentine, 1978 ; Blight,
1983 ). Unfortunately, extensive remyelination does not occur
spontaneously. This may be caused, at least in part, by loss of
oligodendrocytes by apoptotic death (Li et al., 1996 ; Crowe et al.,
1997 ) and a subsequent lack of oligodendrocyte proliferation to replace
the lost cells. Preliminary data from the normal adult rat spinal cord
have demonstrated cellular proliferation leading to the formation of
new oligodendrocytes, particularly in lateral white matter tracts
(Horner et al., 1997 ). Because it is thought that oligodendrocyte
division is a prerequisite of the myelination process (for review, see
Vick et al., 1992b ), the ability to upregulate this endogenous
proliferation of oligodendrocytes or, more likely, their precursors,
after spinal cord injury (SCI) may be an important mechanism for myelin
repair.
Several studies have indicated that cells of the oligodendrocyte
lineage may be targeted by various growth factors. For instance, basic
fibroblast growth factor (bFGF)-induced proliferation and migration has
been demonstrated in mature oligodendrocytes and their progenitors
(Fressinaud et al., 1995 ; Engel and Wolswijk, 1996 ; McMorris and
McKinnon, 1996 ; Bansal and Pfeiffer, 1997 ). In addition, the expression
of functional tyrosine kinase A (trkA), trkB, and trkC receptors on
oligodendrocytes and their progenitors indicates that a direct action
of neurotrophins on these cells may be possible (Barres et al., 1994 ;
Condorelli et al., 1995 ; Cohen et al., 1996 ; Kumar and de Vellis,
1996 ). Indeed, the survival of purified mature oligodendrocytes in
culture was enhanced by neurotrophin-3 (NT-3) or, to a lesser degree,
ciliary neurotrophic factor (CNTF) in the absence of other growth
factors (Barres et al., 1993 ). NT-3, in the presence of insulin, also
promoted the incorporation of bromodeoxyuridine (BrdU) into purified
oligodendrocyte precursors (Barres et al., 1993 ), suggesting that
precursor proliferation could be stimulated by this neurotrophin. Thus,
in addition to their well known neuroprotective and regenerative
effects, neurotrophic factors also may enhance oligodendrocyte survival
and proliferation, possibly in association with improved myelination or
remyelination.
In the present study, we transplanted fibroblasts engineered to produce
specific growth factors into the contused adult rat spinal cord. These
grafts provided an in vivo opportunity for examining
neurotrophin-mediated effects on axonal ingrowth, proliferation of
oligodendrocyte lineage cells, and myelination of newly growing axons.
In control (non-growth factor-producing) transplants, axon ingrowth was
significantly greater than that observed in the lesion site of nongraft
recipients, suggesting that the fibroblasts provided a
growth-supportive matrix for regenerating and/or sprouting axons. We
found that of the growth factors produced by the fibroblast grafts,
only NT-3 and brain-derived neurotrophic factor (BDNF) induced
significantly more ingrowth of host axons than control grafts. NT-3 and
BDNF grafts also contained significantly more myelin profiles,
indicating that myelination of the ingrowing axons was the greatest in
these grafts. Last, newly formed oligodendrocytes were seen in
significantly higher numbers in NT-3 and BDNF grafts compared with
control grafts, suggesting that proliferation of oligodendrocyte
lineage cells was promoted in these spinal cords.
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MATERIALS AND METHODS |
Spinal cord injury (SCI) and transplantation of
fibroblasts. Adult female Fisher 344 rats (150-175 g) were
anesthetized with ketamine (0.8 mg/kg, i.p.) and xylazine (0.5 mg/kg,
i.p.). A dorsal laminectomy was performed at the eighth thoracic
vertebrae, and the T7 and T9 spinous processes
were rigidly fixed in a spinal frame. Rats then received a closed-dural
contusion injury using the Ohio State injury device, which involved
rapid displacement of the dorsal spinal cord 0.9 mm for 23 msec as
described previously (Anderson and Stokes, 1992 ; Stokes et al., 1992 ,
1995 ). Afterward, skin and muscle layers were closed and incisions were
covered with antibiotic. Animals were allowed to recover from
anesthesia in warmed cages.
For transplantation, cultured Fisher 344 fibroblast cells engineered to
produce -galactosidase ( -gal), NT-3, BDNF, CNTF, bFGF, or NGF
(Kawaja and Gage, 1992 ; Senut et al., 1995 ) were isolated and suspended
in 0.6% glucose-PBS to a final concentration of 0.4 × 106 cells/µl. At 2 d after injury, rats were
anesthetized as above; the laminectomy site was reexposed, and 5 µl
of the cell suspension was injected directly into the lesion site
[ -gal (n = 6), NT-3 (n = 6), BDNF
(n = 12), CNTF (n = 5), bFGF
(n = 5), or NGF (n = 5)]. Rats serving
as injury controls underwent the same surgical procedure of spinal cord
reexposure but received no intraspinal injection (n = 11). Incisions were closed as above, and animals were allowed to
recover from anesthesia.
Viability of the fibroblasts, determined at the conclusion of
transplantation each day, was 90%. Animals were allowed to survive
for 10 weeks after injury, at which time they were deeply anesthetized
and perfused through the left ventricle with PBS followed by 4%
paraformaldehyde.
Immunohistochemistry. To label dividing cells in -gal-,
NT-3-, or BDNF-graft recipients, rats received daily injections of BrdU
[(Sigma, St. Louis) 50 mg/kg, i.p.] for 7 d beginning at day 21 after injury. At 10 weeks after injury, spinal cords were removed from
perfused rats, frozen in OCT compound, cut on a cryostat at 20 µm,
and slide-mounted. For protocols using DAB as the chromagen [neurofilament and myelin basic protein (MBP)], sections were blocked
in 10% serum/PBS with 0.1% Triton X-100 to reduce nonspecific staining and then incubated with primary antibody overnight at 4°C.
On the following day, sections were rinsed with PBS, and secondary
antibody (1:400) was applied for 1 hr at room temperature. The sections
then were incubated in ABC compound (Vector Laboratories, Burlingame,
CA) followed by DAB, dehydrated, and coverslipped. For fluorescent
labeling of BrdU, sections were pretreated by incubation for 1 hr in
50% formamide/2× saturated sodium citrate at 65°C followed by a 30 min wash in 2N HCl at 37°C. For BrdU and all other antibodies
(S100 , RIP, neurofilament, MBP, P0), sections were then rinsed in
buffer and nonspecific staining was blocked as above. Primary
antibodies directed against BrdU (1:100; Harlan, Indianapolis, IN), RIP
(1:100; Developmental Studies Hybridoma Bank), S100 (1:10,000: S
Want), neurofilament (1:50; RT97, Boehringer Mannheim, Indianapolis,
IN), MBP (monoclonal at 1:500, Sternberger Monoclonals, Baltimore, MD;
or polyclonal at 1:50, Chemicon International, Temecula, CA), P0
(1:2000; generous gift of Dr. Juan Archelos, Universität
Würzburg, Germany), choline acetyltransferase (ChAT; 1:500;
Chemicon), serotonin (1:2500, Eugene Tech International, Ridgefield
Park, NJ), calcitonin gene-related peptide (CGRP; 1:1000; Chemicon), or
tyrosine hydroxylase (TH; 1:1000; Boehringer Mannheim) were applied to
sections alone or in combination and allowed to incubate overnight at
4°C. After sections were rinsed with buffer on the following day,
fluorescently conjugated secondary antibodies (Texas Red, Cy5, or FITC;
1:250; Jackson ImmunoResearch Laboratories, West Grove, PA) were
applied for 1 hr, after which the sections were rinsed and
coverslipped.
Proportional area measurements. To quantify neurofilament-
or MBP-immunoreactive (ir) fibers within the grafts, sampling
techniques were modified from those used previously in injured rat
spinal cord tissue (Popovich et al., 1997 ). Briefly, two to three cross sections containing the lesion epicenter were selected from each rat
and analyzed in a blinded fashion. Using computer-assisted image
analysis (MCID M4; Imaging Research, Ontario), sections were digitized
at 5×, and the graft borders were outlined manually (Fig.
1). Digitized sections were
contrast-enhanced to clearly facilitate recognition of all
neurofilament- or MBP-positive profiles. Measurements were made of the
scan area (total cross-sectional area of graft), target area within the
graft (profiles immunopositive for neurofilament or MBP), and
proportional area (target area divided by scan area). An example of
these measurements is depicted in Figure 1. Because the segmentation
range can be adjusted manually so that all positive myelin profiles (or
axons) within the grafts are equally represented, differences in
staining intensity between sections were not a factor in the present
analysis. Proportional areas for each group were compared using one-way
ANOVA followed by a Bonferroni multiple comparisons test to determine
whether the growth factors differentially affected axonal ingrowth or myelination.

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Figure 1.
Illustration of proportional area measurements.
Images are from a cross section of an NT-3 graft that was
immunohistochemically labeled for MBP. The left image shows
the digitized spinal cord; the graft border has been manually outlined
in red. The area inside the red
border, i.e., the cross-sectional graft area, corresponds to the
scan area. The right image demonstrates the MBP-ir profiles
within the graft that were selected as positive
(green); these correspond to the target area.
Proportional area was calculated by dividing the target area by the
scan area.
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Cell counting protocol. The total number of BrdU-ir nuclei
was counted in 0.0326 mm2 measuring frames (63×) by
a blinded observer. Az-series was collected by optically
sectioning three to five random sections (0.012 mm section thickness)
within transplants from -gal (n = 5), NT-3 (n = 5), or BDNF (n = 4) graft
recipients. The first optical section from each series was discarded
(Gundersen et al., 1988 ). The number of BrdU nuclei, BrdU/RIP-positive
cells, and BrdU/S100 -positive cells was counted in each frame. Only
BrdU-ir nuclei that were completely surrounded by RIP or S100
immunoreactivity were counted as double-labeled. These counts provided
an indication of the number of oligodendrocytes (RIP) and astrocytes or
Schwann cells (S100 ) within the grafts that arose from mitotically
active cells. However, because of the time elapsed between BrdU
application and the time the rats were killed, i.e., 6 weeks, cell
counts may actually underestimate the number of cycling cells because of dilution of BrdU signal after repeated cellular division. Thus, BrdU-positive cells seen at 10 weeks after injury most likely left the
cell cycle soon after mitotic labeling. The density of BrdU-positive
cells within the grafts was calculated by dividing the number of
counted cells by the volume of the measured area, which was 0.00039 mm3 (surface area × section thickness).
Densities were compared between the groups with a one-way ANOVA
followed by a Bonferroni multiple-comparisons test.
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RESULTS |
Fibroblast grafts fill the lesion cavities produced by spinal
cord contusion
The present study used a reproducible and clinically relevant
model of spinal contusion injury. After injury, the solid neuropil (Fig. 2A) evolves into
a central cystic cavitation at the lesion epicenter, with a surrounding
rim of surviving axons (Figs. 2C, 3A). This
chronic lesion morphology is similar to that often seen in human spinal
cords after trauma (Kakulas, 1984 ). At the time of transplantation,
i.e., 2 d after injury, there is already a drastic reduction in
the amount of axons present at the lesion site (Fig.
2B). Over time, however, axon growth as a result of sprouting and/or regeneration occurs at the epicenter, particularly along the borders of cystic cavities (Fig. 2C). Thus, a
limited amount of endogenous regrowth occurs in the epicenter of the
injured spinal cord (Guth et al., 1985 ; Beattie et al., 1997 ).

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Figure 2.
Neurofilament-ir in a normal, 2 d post-injury
(PI) and 10 week PI spinal cord. Comparison of neurofilament-ir at
T8 from a normal spinal cord (A, 5×) and a
spinal cord epicenter at 2 Days PI (B, 5×)
reveals the minimal amount of axons spared in the epicenter at the time
of transplantation. By 10 Weeks PI (C, 5×),
there was an increase in the number of axons observed in the epicenter
compared with that seen at 2 Days PI, suggesting that a
limited amount of endogenous regrowth occurred at the injury site. The
black boxes in A-C are shown at higher power
(40×) to the right of each image.
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As seen in Figure 3B,C,
fibroblast grafts filled the lesion cavities. The fibroblasts survived
chronically within the injured spinal cord and did not migrate out of
the graft into the host parenchyma. Immunohistochemistry for
-galactosidase revealed that expression of the transgene was still
evident at the time the rats were killed, i.e., 10 weeks after
transplantation (data not shown), indicating long-term gene expression
by the fibroblasts in the contused spinal cord.

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Figure 3.
Comparison of neurofilaments in injury control and
transplanted spinal cords. Horizontal sections from an injured spinal
cord (nongraft recipient) (A), a -gal graft
(B), and an NT-3-producing graft
(C) immunolabeled for neurofilament and
counterstained with cresyl violet. Images are from rats that received
grafts at 10 d after injury and survived for 12 weeks. They are
representative, however, of spinal cords from 2 d post-injury
transplants and 10 week survival times. Arrows in
B and C delineate graft perimeters. Note that
grafts filled the lesion cavities and that NT-3 production increased
the amount of axons extending into the grafts. Quantitation of the
proportional area of the grafts occupied by neurofilaments
(D) revealed that NT-3, BDNF, CNTF, and -gal
grafts contained significantly more axons than the lesion epicenter and
nongraft recipients ( p < 0.05 for
-gal and CNTF, and p < 0.001 for NT-3 and BDNF). In
addition, BDNF and NT-3 stimulated a more robust infiltration of axons
in comparison with -gal or other growth factor grafts
(*p < 0.01). (Bars represent mean ± SEM;
n = 5 for injury control, NGF, CNTF, FGF;
n = 6 for -gal, NT-3; n = 11 for
BDNF).
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NT-3 and BDNF stimulate axon growth into the grafts
At 10 weeks after injury, axons were present to differing degrees
within all fibroblast grafts. Indeed most grafts, including -gal
controls, displayed significantly greater axon ingrowth than that seen
in the lesion epicenter of nongraft recipients (p < 0.001) (Fig. 3D). This suggests
that neuritogenesis at the lesion site can be enhanced by the presence
of a growth-permissive substrate.
The extent of axon growth into and within the grafts was influenced by
growth factor expression. NT-3- and BDNF-producing grafts contained
significantly more neurofilament-labeled axons than -gal, NGF, CNTF,
or bFGF grafts (p < 0.001) (Fig.
3B-D). Thus, compared with controls, only BDNF and NT-3
further stimulated the axon growth into the grafts occurring at the
epicenter.
Immunohistochemical results indicate that several fiber phenotypes
extended into the transplants. Peripheral axons, labeled as CGRP-ir
profiles (Fig. 4A),
displayed extensive sprouting after injury alone. These fibers
typically were associated with the cystic cavity/dorsal white matter
interface (Fig. 4B). The fibers, however, never
crossed the cyst and were rarely seen in the lateral white matter at
the epicenter. In the presence of control ( -gal) fibroblast grafts,
CGRP-ir fibers extended throughout the entire rostral to caudal
portions of the grafts. Compared with -gal grafts, CGRP axonal
ingrowth was elevated in all growth factor-producing grafts (Fig.
4C), suggesting that these fibers may respond
nonspecifically to various growth factors.

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Figure 4.
Immunocytochemical identification of several fiber
phenotypes within the grafts. CGRP, Horizontal sections of
an uninjured spinal cord (A, 20×), an injured nongrafted
spinal cord (B, 20×), and a BDNF-producing graft
(C, 20×). In uninjured controls, CGRP-ir was restricted to
the soma and axons of ventral horn motor neurons and small diameter
axons in the dorsal white matter (A). In the injured
nongrafted animals, CGRP fibers were found in abundance in the dorsal
aspect of the spinal cord near the lesion interface
(B). Asterisk indicates lesion cavity. In
-gal transplants, CGRP fibers were limited within the graft, even in
dorsal regions where CGRP fibers were sprouting in response to the
injury. As shown in C (a BDNF graft,
TP), growth factor-producing grafts contained large numbers
of small-diameter, CGRP-ir fibers. These fibers appeared to make up the
majority of small-diameter axons in the dorsal regions of the grafts.
Arrows indicate host/graft interface in C.
CHAT, Horizontal sections labeled for ChAT-ir from a
control, uninjured spinal cord (D, 20×), an injured
nongrafted spinal cord (E, 10×), a -gal transplant
(F, 20×), and an NT-3 graft (G, 20×). Note the
lack of fiber staining in the injured, nongrafted spinal cord in and
around the lesion (E; asterisk indicates lesion cavity).
Some neurons appeared to have decreased ChAT levels caudal to the
lesion. Grafts producing -gal did not stimulate sprouting of ChAT-ir
axons either adjacent to or within the grafts
(F). Arrows indicate the interface
between graft (TP) and host in F. Large-caliber
ChAT-ir fibers extended from the host tissue into NT-3 (and BDNF)
grafts (G). Serotonin (5-HT),
Immunohistochemistry of a control uninjured spinal cord (H,
20×) and a -gal-producing fibroblast graft (I, 10×, and
J, 40×; TP). 5-HT staining was restricted to
small-diameter, varicose fibers within the spinal gray matter. Sparse
numbers of 5-HT axons were noted in all transplants, including -gal
controls. Arrows indicate the interface between graft and
host; arrowheads denote fibers crossing the graft/host
border.
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The cholinergic spinal motor neurons and their projections can be
labeled immunohistochemically with ChAT antibodies (Fig. 4D). After SCI alone, sprouting of motor neuron axons
was not detected within the injury site. Furthermore, ChAT-ir cells in the ventral gray matter caudal to the injury site appeared to have lost
many of their processes (Fig. 4D,E). Unlike CGRP
fibers, ChAT-ir axons did not extend into control grafts (Fig.
4F) or grafts producing NGF, CNTF, or bFGF. However,
NT-3 and BDNF both promoted extensive ChAT-ir fiber growth into the
graft parenchyma (Fig. 4G).
Finally, supraspinal fibers also projected into the grafts.
Serotonin-ir (Fig. 4H-J) and TH-ir (data not
shown) axons were detected within all grafts examined. Interestingly,
only modest extension of serotonin fibers into fibroblast grafts was
seen, with more robust growth found in the lateral white matter just outside the grafts.
Myelination of axons was greatest in NT-3 and BDNF grafts
Because axons are presumed to be unmyelinated as they grow into
the grafts, this model provided a unique system for examining the
effect of growth factors on myelination of growing axons. Double-label
immunofluorescence for MBP and neurofilament was used to visualize
myelinated axons within -gal grafts and growth factor grafts
containing a high (NT-3) or low (bFGF) density of neurofilament-positive profiles (see above). Although control and
bFGF-producing grafts contained axons, few were ensheathed with MBP,
indicating that a low proportion of these growing fibers became
myelinated (Fig. 5A,B,D,E). In
contrast, nearly all the axons within NT-3-producing grafts were
surrounded by MBP immunoreactivity (Fig. 5C,F).
Confocal imaging of the NT-3 graft clearly revealed that
neurofilament-ir axons were surrounded by MBP immunoreactivity (Fig.
5G). These results suggest that the presence of bare axons alone does not necessarily result in the formation of new myelin.

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Figure 5.
Neurofilament and MBP double-label
immunohistochemistry. Coronal sections through epicenters from -gal-
(A), bFGF- (B), and NT-3-producing
grafts (C, 5×) that are double-labeled for neurofilament
(red) and MBP (green). White
arrows delineate graft borders. Regions in white boxes
are shown at high power (40×) below (D, E, F,
respectively). Note that neurofilament-positive axons extended into
-gal and bFGF grafts (although to a lesser degree than in NT-3 or
BDNF grafts; see Fig. 3D). These fibers, however, were only
occasionally myelinated. In addition, the outer rim of host white
matter appeared dysmyelinated in spinal cords that received bFGF
grafts. Fibers entering NT-3 grafts were almost entirely myelinated as
seen by the extensive numbers of axons (red) surrounded by
myelin (green). As seen in G (enlargement
of rectangle in F), neurofilament and MBP
antibodies labeled separate entities (120×). Axons (white
arrows, top panel) and lumens of myelin sheaths
(white arrows, middle panel) are easily visible. When
these images are merged, it is clear that the axons (red)
were surrounded by the myelin sheaths (green).
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Quantitation of the proportional area of the grafts occupied by MBP
(Fig. 1) revealed that NT-3, BDNF, CNTF, and -gal grafts contained a
significantly greater amount of MBP-ir profiles than the lesion site of
injury control spinal cords (p < 0.001) (Fig. 6). This suggests that fibroblast grafts
are not only growth permissive for growing neurites, but they also
provide an environment that is conducive for myelination of these
ingrowing axons. As with neurofilament, NT-3- and BDNF-producing grafts
also contained significantly more MBP-ir profiles than the other growth
factor-producing grafts (p < 0.001) (Fig. 6).
On the basis of the above double-label immunohistochemistry, these
profiles most likely represent myelinated axons.

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Figure 6.
Quantitation of the cross-sectional area occupied
by MBP-positive profiles within the grafts and lesion epicenter.
Several of the grafts, including -gal, NT-3, BDNF, and CNTF,
contained significantly more myelinated profiles than that observed in
the lesion site of nontransplanted rats (Injury;
p < 0.001). In addition, NT-3 and BDNF
grafts contained significantly more MBP-positive fibers compared with
all other grafts (*p < 0.001). MBP expression within
CNTF, FGF, and NGF grafts was not different from -gal grafts. (Bars
represent mean ± SEM; n = 5 for injury control,
NGF, CNTF, FGF; n = 6 for -gal, NT-3;
n = 11 for BDNF).
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Myelination of axons in grafts arises from oligodendrocytes and
Schwann cells
Because Schwann cells may contribute to the myelination observed
in the injured spinal cord, their distribution within the grafts was
compared with that of oligodendrocytes, with antibodies specific for
each cell type, i.e., P0 for Schwann cell myelin (Archelos et al.,
1993 ) and RIP for oligodendrocytes (Friedman et al., 1989 ). Although
both oligodendrocyte- and Schwann cell-derived myelin were detected in
the grafts, their relative magnitudes were dependent on the growth
factor produced. NGF, CNTF, and -gal grafts contained
approximately equal amounts of oligodendrocyte and Schwann cell myelin
(Fig. 7). Interestingly, more Schwann cell myelin than that of oligodendrocytes was noted within bFGF grafts,
whereas P0 labeling was nearly absent in the surrounding host tissue;
this may suggest a chemotropic action of bFGF on Schwann cells and also
may account for the low amount of MBP-ir in these grafts (Fig. 5).
Grafts producing NT-3 or BDNF clearly contained a greater amount of
oligodendrocyte-derived myelin profiles than P0-ir myelin (Fig. 7).
This indicates that oligodendrocytes were primarily responsible for the
myelinogenesis stimulated by the NT-3 and BDNF grafts. Thus, it is
likely that NT-3 and BDNF recruited more oligodendrocytes into the
graft environment than the other growth factors tested.

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Figure 7.
Comparison of Schwann cell and oligodendrocyte
myelin within the grafts. Epicenter sections of an NGF-, bFGF-, or
NT-3-producing graft at 70 d after injury (20×). Adjacent
sections were stained for oligodendrocytes and their myelin sheaths
(RIP, red; top panels) or Schwann cell myelin (P0,
green; bottom panels). White lines delineate the
graft (above) from host ventrolateral white matter (below). Note that
NGF grafts (and CNTF and -gal grafts; data not shown) appeared to
have similar amounts of RIP- and P0-ir myelin, whereas bFGF grafts had
minimal RIP-positive myelin but extensive Schwann cell-derived myelin.
NT-3 grafts and (BDNF grafts; data not shown) had numerous RIP-ir cells
and myelin with much less P0-ir myelin. In adjacent sections, P0 and
RIP did not appear to overlap (arrowheads).
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Proliferation of oligodendrocyte lineage cells was stimulated by
NT-3 and BDNF grafts
A possible explanation for the elevated number of oligodendrocytes
and myelinated profiles in NT-3 and BDNF grafts is neurotrophin-induced proliferation of oligodendrocyte lineage cells. These may include dividing oligodendrocyte progenitors that differentiate into mature cells or, less likely, cycling mature oligodendrocytes. To determine the number of new oligodendrocytes within the fibroblast grafts, BrdU
was administered during the fourth week after injury to label dividing
cells in rats that had received -gal, NT-3, or BDNF grafts. Six
weeks later, immunohistochemistry for BrdU revealed that new cells
within -gal grafts were relatively sparse, whereas significantly
greater numbers of cells that had undergone mitosis were present in
BDNF- and NT-3-expressing grafts (Fig.
8A). To determine the
fate of the dividing cells, triple-labeling for BrdU, RIP
(oligodendrocytes), and S100 (astrocytes/Schwann cells) was used. An
example of three RIP-positive oligodendrocytes with BrdU-positive
nuclei is shown in Figure 8B.

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Figure 8.
BrdU immunolabeling reveals increased numbers of
mitotically active cells in general, and oligodendrocytes in
particular, in NT-3 and BDNF grafts. A, Low-power
photomicrographs (10×) of BrdU-labeled cells within the designated
grafts demonstrate that the relative number of dividing cells was
increased in BDNF and NT-3 grafts. B, High-power
photomicrograph (320×) of an NT-3 graft demonstrates that many
dividing cells (BrdU-positive) were double-labeled with RIP, revealing
oligodendrocytes that were derived from cells that had undergone
mitosis. When the RIP image is superimposed on the BrdU image, three
BrdU-positive oligodendrocytes are visible (arrowheads).
Note that these new oligodendrocytes were closely associated with
myelin profiles.
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Quantification of the total number of BrdU-ir cells revealed that NT-3
grafts contained significantly more new cells than -gal
(p < 0.001) or BDNF grafts
(p < 0.05) (Fig.
9A). BDNF-producing grafts,
however, also contained more BrdU-ir cells than control grafts
(p < 0.001). Thus, cellular proliferation in
general was greater in the neurotrophin grafts. The number of new
oligodendrocytes (BrdU and RIP co-labeled) within the grafts was
significantly greater in NT-3 (3.1 × 104
cells/mm3) and BDNF (3.0 × 104 cells/mm3) grafts compared
with -gal grafts (0.6 × 104
cells/mm3; p < 0.01) (Fig.
9B). These cells typically were associated with myelin
profiles, most likely representing myelinated axons (Fig. 5C,F). In contrast to oligodendrocytes, the number of
astrocytes or Schwann cells proliferating at the time of BrudU
injections was much lower and did not differ between the groups (Fig.
9C), suggesting that the effect of the neurotrophins on
oligodendrocyte lineage cell mitosis was specific. Other BrdU-labeled
cells not phenotypically identified with the above markers (Fig.
9D) may represent unlabeled oligodendrocyte progenitors or
turnover in the fibroblast population.

View larger version (24K):
[in this window]
[in a new window]
|
Figure 9.
Quantification of mitotically active cells within
NT-3, BDNF, and -gal grafts. A, Quantification of
proliferating cells (Fig. 8A) revealed that the
density of BrdU-positive cells was significantly greater in NT-3 and
BDNF grafts compared with control grafts (***p < 0.001). In addition, NT-3 grafts contained significantly more
proliferating cells than BDNF grafts ( p < 0.001). B, Counts of RIP/BrdU double-labeled cells
revealed that both NT-3 and BDNF grafts contained significantly more
BrdU-positive oligodendrocytes than -gal grafts (**p < 0.01, ***p < 0.001), whereas the number of
BrdU-labeled Schwann cells and astrocytes (BrdU/S100 ) was not
different (C). D, The number of
unidentified BrdU-positive cells (not colabeled with RIP or S100 )
was significantly greater in NT-3 and BDNF grafts and may represent, at
least in part, turnover of the fibroblast population. (Bars represent
mean ± SEM; n = 5 for -gal, NT-3;
n = 4 for BDNF).
|
|
 |
DISCUSSION |
In the present study, genetically engineered fibroblasts
transplanted into the epicenter of SCI rats survived and successfully integrated with the host parenchyma. These grafts provided a
growth-permissive and possibly growth-promoting terrain for axons, as
indicated by the greater axon growth within these grafts, including
-gal control grafts, compared with that observed in the epicenter of nongraft recipients. Fibroblast grafts producing NT-3 or BDNF induced
significantly more axonal ingrowth than grafts producing NGF, CNTF,
bFGF, or -gal. NT-3 and BDNF grafts also were the only grafts
containing local ChAT-ir axons. This enhanced cholinergic fiber growth
is consistent with other studies showing that injured spinal motor
neurons display extensive growth in response to BDNF (Jakeman et al.,
1997 ; Kishino et al., 1997 ; Novikov et al., 1997 ). Other axonal
phenotypes, including serotonergic, TH-ergic, and CGRP-ergic fibers,
were detected within all grafts, indicating that the fibroblasts
provided a growth-permissive substrate for local, peripheral, and
descending axons.
Both oligodendrocytes and myelinated axons were elevated within NT-3
and BDNF grafts, suggesting that these neurotrophins enhanced
myelinogenesis by oligodendrocytes. A striking finding was the extent
to which the formation of new oligodendrocytes was promoted by BDNF and
NT-3 grafts. These new cells were observed throughout the grafts where,
on the basis of their close association with myelinated axons, they
contributed to the enhanced myelinogenesis. Collectively, these data
indicate that neuritogenesis and myelination of growing axons in the
adult injured CNS can be augmented by the presence of specific
neurotrophins.
These data extend previous findings that regeneration after SCI is
possible when supportive matrices and/or appropriate growth factors are
supplied (Xu et al., 1995 ; Cheng et al., 1996 ; Grill et al., 1997 ). Our
results also provide an interesting contrast to those of Grill et al.
(1997) , in which axonal ingrowth into NT-3 grafts was not different
from that in -gal grafts placed into a spinal cord dorsal
hemisection lesion. They, however, detected enhanced corticospinal
growth ventral to NT-3 grafts, which again suggests growth-specific
effects by NT-3.
The lack of a detectable effect by CNTF on myelination in the present
study was somewhat surprising given the many reports of enhanced
oligodendrocyte survival and proliferation by CNTF (Barres et al.,
1993 , 1996 ; Louis et al., 1993 ; D'Souza et al., 1996 ). Although the
present study focused on transplant environment, it is possible that
oligodendrocyte apoptosis in host white matter was altered by CNTF, an
outcome measure not examined here.
The present results with bFGF grafts may be explained, at least in
part, by previous in vitro work with FGF. For instance, bFGF
may prevent oligodendrocyte precursor differentiation and can induce
dedifferentiation of mature oligodendrocytes (Fressinaud et al., 1995 ;
Engel and Wolswijk, 1996 ; McMorris and McKinnon, 1996 ). A recent report
by Bansal and Pfeiffer (1997) also suggests that bFGF may actually
convert mature oligodendrocytes into a novel phenotype that is similar
but not identical to the immature progenitor-like state. Thus, bFGF
could potentially reduce oligodendrocyte myelination in the adult CNS
by converting mature oligodendrocytes into a nonmyelinating phenotype.
The elevation of Schwann cells within bFGF grafts is intriguing and may
be caused by either an opportunistic invasion by Schwann cells or an as
yet unreported chemotropic action of FGF on these cells.
The augmented myelination and proliferation in NT-3 and BDNF grafts may
have been caused by a direct action on the oligodendrocytes or their
precursors. For instance, oligodendrocytes can express the
high-affinity BDNF and NT-3 receptors trkB and trkC (Barres et al.,
1994 ; Condorelli et al., 1995 ; Cohen et al., 1996 ; Kumar and de Vellis,
1996 ). In addition, in vitro studies have shown that NT-3
can directly enhance oligodendrocyte precursor proliferation and
survival (Barres et al., 1993 , 1994 ). Compared with NT-3, less is known
about BDNF-oligodendrocyte interactions. However, a study by Barres et
al. (1993) showed that although BDNF alone had no effect on
oligodendrocyte survival in culture, CNTF-induced survival was
potentiated by the presence of BDNF. Thus BDNF may act directly on
oligodendrocytes in vivo or may interact with other growth
factors known to be present in the injured spinal cord, such as CNTF
(Oyesiku et al., 1997 ).
An alternative hypothesis, however, is that the extensive
neuritogenesis in NT-3 and BDNF grafts enhanced oligodendrocyte proliferation and myelination. For instance, Wood and Bunge (1986) reported that bare axons had a mitogenic effect on oligodendrocytes in
culture. In our model, however, bare axons alone were not sufficient to
induce significant cellular proliferation or myelinogenesis. This
raises the question of whether fiber phenotype may direct new
myelination. Although some differences were noted in phenotypic distribution within the grafts, i.e., ChAT fiber ingrowth, no known
relationship between axonal phenotype and oligodendrocyte proliferation
or myelination has been established. A more in-depth analysis of the
association of new myelin and fiber type is needed to examine this
hypothesis.
Evidence exists to suggest that the source of the new oligodendrocytes
in the injured spinal cord was a population of endogenous progenitors.
For instance, proliferative oligodendrocyte progenitors are known to be
present in the adult CNS (Vick et al., 1992a ). In addition, a recent
report revealed that precursor cells in the subcortical white matter
differentiated in response to chemical demyelination and subsequently
remyelinated the lesion area (Gensert and Goldman, 1997 ). Although the
suggestion has been made that mature oligodendrocytes can divide and
contribute to remyelination (Wood and Bunge, 1991 ), the majority of
research has focused on and supported the hypothesis that endogenous
oligodendrocyte progenitors are present within the CNS, which can
differentiate into mature cells capable of myelinating bare axons
(Norton, 1996 ). Furthermore, it is well documented that growth factors
can increase the proliferation and survival of oligodendrocyte
progenitors (Barres et al., 1993 , 1994 ; McMorris and McKinnon, 1996 ).
Future studies will examine whether the new oligodendrocytes present in
the NT-3 and BDNF grafts were derived from proliferating endogenous
oligodendrocyte progenitors.
Because the fibroblasts were derived from a clonal population, the
injected cell population did not contain oligodendrocytes or their
precursors. Thus, it would appear that host oligodendrocytes (or their
progenitors) migrated into the grafts to myelinate the ingrowing axons.
Although theoretically some oligodendrocytes or their precursors could
have become intermixed with the fibroblasts during the transplantation
procedure, this probably would have occurred equally in all grafts.
Although the current data do not contain any direct observations on
oligodendrocyte migration, previous experimental evidence indicates
that oligodendrocytes, and in particular their progenitors, can migrate
in vivo. For instance, it is known that immature
oligodendrocytes are highly motile during development (Small et al.,
1987 ; Miller et al., 1997 ; Ono et al., 1997 ). In addition, previous
transplantation studies using oligodendrocyte progenitors demonstrated
the ability of these cells to migrate through host CNS tissue,
especially through regions of marked pathology (Vignais et al., 1993 ;
Warrington et al., 1993 ; Lachapelle et al., 1994 ; Franklin et al.,
1996 ; Osterhout et al., 1997 ; Tourbah et al., 1997 ). A recent report by
Franklin et al. (1997) suggested that the distance endogenous cells can
migrate to repair a demyelinated zone is limited to 2 mm. In our model,
the maximal distance from the edge of the white matter to the center of
the graft is ~1.2 mm and thus within the range observed by Franklin
and colleagues (1997) . In addition, a study by Milner et al. (1996)
examining the effect of extracellular matrix molecules on the migratory
rate of oligodendrocyte precursors revealed that fibronectin increased
the rate of migration. Because a major product of fibroblasts is
fibronectin, the grafts should provide an environment that is conducive
for progenitor migration. Although a recent report by Gensert and
Goldman (1997) showed that endogenous proliferating precursors did not
migrate into a nearby demyelinated region, it is possible that
migration in our model was promoted by NT-3 and BDNF, because it is
known that other growth factors can promote migration of
oligodendrocyte precursors (Armstrong et al., 1990 ; Milner et al.,
1997 ).
In summary, the present study reveals for the first time that the
presence of NT-3 or BDNF in the injured spinal cord induced the
formation of new oligodendrocytes. Furthermore, grafts producing these
neurotrophins promoted neuritogenesis and myelination of the ingrowing
axons. Because demyelination is a consistent characteristic of SCI, it
will be important to determine whether host myelination can also be
altered by these neurotrophins. Additionally, these techniques may be
applicable to demyelinating diseases such as multiple sclerosis, in
which relatively quiescent oligodendrocyte progenitors are known to
exist within demyelinated plaques (Wolswijk, 1998 ).
 |
FOOTNOTES |
Received Feb. 25, 1998; revised April 28, 1998; accepted May 4, 1998.
These studies were supported by the American Paralysis Association,
Grants NS 10165 and NS 33696, the Hollfelder Foundation, and the Bremer
Foundation. The Rip antibody developed by B. Friedman, S. Hockfield, J. Black, K. Woodruff, and S. Waxman was obtained from the Developmental
Studies Hybridoma Bank maintained by the University of Iowa, Department
of Biological Sciences, Iowa City, IA 52242, under contract
NO1-HD-7-3263 from the NICHD. We thank Dr. Phillip Popovich and Dr. Lyn
Jakeman for critically reading this manuscript, and Patricia Walters,
Ping Wei, Zhen Guan, and Yifei Chen for expert technical
assistance.
Correspondence should be addressed to Dr. Bradford T. Stokes, College
of Medicine and Public Health, 228 Meiling Hall, 370 W. 9th Avenue,
Columbus, OH 43210.
 |
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D. M. de Groot, A. J. M. Coenen, A. Verhofstad, F. van Herp, and G. J. M. Martens
In Vivo Induction of Glial Cell Proliferation and Axonal Outgrowth and Myelination by Brain-Derived Neurotrophic Factor
Mol. Endocrinol.,
November 1, 2006;
20(11):
2987 - 2998.
[Abstract]
[Full Text]
[PDF]
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I. C Maier and M. E Schwab
Sprouting, regeneration and circuit formation in the injured spinal cord: factors and activity
Phil Trans R Soc B,
September 29, 2006;
361(1473):
1611 - 1634.
[Abstract]
[Full Text]
[PDF]
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S. M. Garraway, A. J. Anderson, and L. M. Mendell
BDNF-Induced Facilitation of Afferent-Evoked Responses in Lamina II Neurons Is Reduced After Neonatal Spinal Cord Contusion Injury
J Neurophysiol,
September 1, 2005;
94(3):
1798 - 1804.
[Abstract]
[Full Text]
[PDF]
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C. Girard, A.-P. Bemelmans, N. Dufour, J. Mallet, C. Bachelin, B. Nait-Oumesmar, A. Baron-Van Evercooren, and F. Lachapelle
Grafts of Brain-Derived Neurotrophic Factor and Neurotrophin 3-Transduced Primate Schwann Cells Lead to Functional Recovery of the Demyelinated Mouse Spinal Cord
J. Neurosci.,
August 31, 2005;
25(35):
7924 - 7933.
[Abstract]
[Full Text]
[PDF]
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Q. Cao, X.-M. Xu, W. H. DeVries, G. U. Enzmann, P. Ping, P. Tsoulfas, P. M. Wood, M. B. Bunge, and S. R. Whittemore
Functional Recovery in Traumatic Spinal Cord Injury after Transplantation of Multineurotrophin-Expressing Glial-Restricted Precursor Cells
J. Neurosci.,
July 27, 2005;
25(30):
6947 - 6957.
[Abstract]
[Full Text]
[PDF]
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V. L. Arvanian, P. J. Horner, F. H. Gage, and L. M. Mendell
Chronic Neurotrophin-3 Strengthens Synaptic Connections to Motoneurons in the Neonatal Rat
J. Neurosci.,
September 24, 2003;
23(25):
8706 - 8712.
[Abstract]
[Full Text]
[PDF]
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M. J. Ruitenberg, G. W. Plant, F. P. T. Hamers, J. Wortel, B. Blits, P. A. Dijkhuizen, W. H. Gispen, G. J. Boer, and J. Verhaagen
Ex Vivo Adenoviral Vector-Mediated Neurotrophin Gene Transfer to Olfactory Ensheathing Glia: Effects on Rubrospinal Tract Regeneration, Lesion Size, and Functional Recovery after Implantation in the Injured Rat Spinal Cord
J. Neurosci.,
August 6, 2003;
23(18):
7045 - 7058.
[Abstract]
[Full Text]
[PDF]
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H F Petereit, H Lindemann, and S Schoppe
Effect of immunomodulatory drugs on in vitro production of brain-derived neurotrophic factor
Multiple Sclerosis,
February 1, 2003;
9(1):
16 - 20.
[Abstract]
[PDF]
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L. Jasmin and P. T. Ohara
Remyelination within the CNS: Do Schwann Cells Pave the Way for Oligodendrocytes?
Neuroscientist,
June 1, 2002;
8(3):
198 - 203.
[Abstract]
[PDF]
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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]
[Full Text]
[PDF]
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J. R. Chan, J. M. Cosgaya, Y. J. Wu, and E. M. Shooter
Neurotrophins are key mediators of the myelination program in the peripheral nervous system
PNAS,
November 15, 2001;
(2001)
251543398.
[Abstract]
[Full Text]
[PDF]
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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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V. L. Arvanian and L. M. Mendell
Removal of NMDA Receptor Mg2+ Block Extends the Action of NT-3 on Synaptic Transmission in Neonatal Rat Motoneurons
J Neurophysiol,
July 1, 2001;
86(1):
123 - 129.
[Abstract]
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M. Lee, V. Lelievre, P. Zhao, M. Torres, W. Rodriguez, J.-Y. Byun, S. Doshi, Y. Ioffe, G. Gupta, A. E. de los Monteros, et al.
Pituitary Adenylyl Cyclase-Activating Polypeptide Stimulates DNA Synthesis But Delays Maturation of Oligodendrocyte Progenitors
J. Neurosci.,
June 1, 2001;
21(11):
3849 - 3859.
[Abstract]
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[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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L. M Mendell, J. B Munson, and V. L Arvanian
Neurotrophins and synaptic plasticity in the mammalian spinal cord
J. Physiol.,
May 15, 2001;
533(1):
91 - 97.
[Abstract]
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[PDF]
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A. G. Rabchevsky and G. M. Smith
Therapeutic Interventions Following Mammalian Spinal Cord Injury
Arch Neurol,
May 1, 2001;
58(5):
721 - 726.
[Full Text]
[PDF]
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M. Murray and I. Fischer
Transplantation and Gene Therapy: Combined Approaches for Repair of Spinal Cord Injury
Neuroscientist,
February 1, 2001;
7(1):
28 - 41.
[Abstract]
[PDF]
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A. E. Warrington, K. Asakura, A. J. Bieber, B. Ciric, V. Van Keulen, S. V. Kaveri, R. A. Kyle, L. R. Pease, and M. Rodriguez
Human monoclonal antibodies reactive to oligodendrocytes promote remyelination in a model of multiple sclerosis
PNAS,
June 6, 2000;
97(12):
6820 - 6825.
[Abstract]
[Full Text]
[PDF]
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N. Wagner, K. D. Wagner, M. Sefton, A. RodríguezTébar, and R. Grantyn
An Abnormal Response of Retinoblastoma Cells (Y-79) to Neurotrophins
Invest. Ophthalmol. Vis. Sci.,
June 1, 2000;
41(7):
1932 - 1939.
[Abstract]
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S. Liu, Y. Qu, T. J. Stewart, M. J. Howard, S. Chakrabortty, T. F. Holekamp, and J. W. McDonald
Embryonic stem cells differentiate into oligodendrocytes and myelinate in culture and after spinal cord transplantation
PNAS,
May 23, 2000;
97(11):
6126 - 6131.
[Abstract]
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P. J. Horner, A. E. Power, G. Kempermann, H. G. Kuhn, T. D. Palmer, J. Winkler, L. J. Thal, and F. H. Gage
Proliferation and Differentiation of Progenitor Cells Throughout the Intact Adult Rat Spinal Cord
J. Neurosci.,
March 15, 2000;
20(6):
2218 - 2228.
[Abstract]
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I. A. Scarisbrick, P. J. Isackson, and A. J. Windebank
Differential Expression of Brain-Derived Neurotrophic Factor, Neurotrophin-3, and Neurotrophin-4/5 in the Adult Rat Spinal Cord: Regulation by the Glutamate Receptor Agonist Kainic Acid
J. Neurosci.,
September 15, 1999;
19(18):
7757 - 7769.
[Abstract]
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[PDF]
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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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L. J. Rosenberg, Y. D. Teng, and J. R. Wrathall
2,3-Dihydroxy-6-Nitro-7-Sulfamoyl-Benzo(f)Quinoxaline Reduces Glial Loss and Acute White Matter Pathology after Experimental Spinal Cord Contusion
J. Neurosci.,
January 1, 1999;
19(1):
464 - 475.
[Abstract]
[Full Text]
[PDF]
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J. R. Chan, J. M. Cosgaya, Y. J. Wu, and E. M. Shooter
Inaugural Article: Neurotrophins are key mediators of the myelination program in the peripheral nervous system
PNAS,
December 4, 2001;
98(25):
14661 - 14668.
[Abstract]
[Full Text]
[PDF]
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