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The Journal of Neuroscience, November 15, 1998, 18(22):9326-9334
Dexamethasone Induces Hypertrophy of Developing Medial Septum
Cholinergic Neurons: Potential Role of Nerve Growth Factor
Bitao
Shi,
Stuart J.
Rabin,
Cinzia
Brandoli, and
Italo
Mocchetti
Department of Cell Biology, Division of Neurobiology, Georgetown
University, School of Medicine, Washington, DC 20007
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ABSTRACT |
Glucocorticoid hormones influence neuronal plasticity during
development; however little is known about the mechanisms of this
trophic activity. Because glucocorticoids increase nerve growth factor
(NGF) synthesis in selected brain areas and NGF plays a role in the
development of basal forebrain cholinergic neurons, we tested the
hypothesis that glucocorticoids may foster maturation of the
cholinergic phenotype during postnatal development via the induction of
NGF biosynthesis. The synthetic glucocorticoid dexamethasone (DEX) was
injected systemically (0.5 mg/kg, s.c.) once a day for 1 week in
7-d-old (P7) rats. DEX elicited an increase in NGF mRNA and protein
levels in the cerebral cortex and hippocampus as well as specific NGF
responses, such as TrkA tyrosine phosphorylation in the septum, choline
acetyltransferase (ChAT) and p75 neurotrophin receptor (p75NTR)
immunoreactivity, and a relative number of cholinergic neurons in the
medial septum. To examine whether the effect of DEX is age-related, we
treated 1- and 14-d-old rats with DEX for 1 week. DEX increased NGF
expression in rats treated from P1 to P8 but not in those treated from
P14 to P21. The age-related increased expression of NGF correlated with
the induction of ChAT immunoreactivity in the medial septum. Moreover,
in the spinal cord, neither NGF nor ChAT levels were increased by DEX,
suggesting that the glucocorticoid-mediated changes seen in the basal
forebrain are associated with specific NGF responses. Our data suggest
that by increasing NGF levels, glucocorticoids may play a role in the
maturation of postnatal cholinergic neurons.
Key words:
NGF; TrkA; ChAT; FGF2; dexamethasone; p75NTR; medial
septum
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INTRODUCTION |
Stress or other environmental
stimuli may be crucial in determining neurotransmitter phenotype and
neuronal morphology as well as other forms of neuronal plasticity. The
discovery of mechanisms by which environmental stimuli regulate
neuronal plasticity during development is important to understand
physiological events underlying changes in neuronal structure and
function. Recent studies have shown that corticosteroid hormones
influence trophic processes in the nervous system and, in particular,
play a role in the maturation of cholinergic phenotype during
development. For instance, the administration of the synthetic
glucocorticoid dexamethasone (DEX) in utero accelerates the
maturation of cholinergic retinal neurons (Puro, 1983 ). Moreover, in
postnatal rats DEX increases the synthesis of acetylcholine in superior
cervical ganglia (Sze et al., 1993 ) and promotes the development of
neonatal brain cholinergic nerve terminals (Zahalka et al., 1993 ).
Although these data suggest that glucocorticoids may influence the
development and maturation of cholinergic neurons during ontogeny,
little is known about the mechanism(s) of these effects and the basis
for a "neurotrophic" activity of glucocorticoids.
It has been reported that glucocorticoids regulate the expression of
neurotrophic factors in rat brain. In particular, DEX increases the
synthesis of nerve growth factor (NGF) in the cerebral cortex and
hippocampus of developing (Fabrazzo et al., 1991 ) and adult (Barbany
and Persson, 1992 ; Saporito et al., 1994 ; Mocchetti et al., 1996 ) rats.
A similar increase has been evoked by naturally occurring hormones such
as corticosterone (Mocchetti et al., 1996 ), and alternatively, the
removal of glucocorticoids by adrenalectomy decreases NGF expression in
both the hippocampus and cerebral cortex (Aloe, 1989 ; Sun et al.,
1993 ). The regulation of NGF biosynthesis by glucocorticoids may have
physiological importance for the postnatal development of cholinergic
neurons because NGF is a target-derived neurotrophic factor required
for the development of cholinergic neurons of the basal forebrain
(Gnahn et al., 1983 ; Mobley et al., 1986 ; Vantini et al., 1989 ). These
neurons provide the major source of cholinergic innervation to the
hippocampal formation and cerebral cortex (for review, see Butcher,
1995 ) and seem to play an important role in learning and memory
processes (Coyle et al., 1983 ; Decker, 1987 ). Thus, given the
well-established role of NGF in fostering molecular events influencing
cholinergic plasticity and memory (Fisher et al., 1987 ), it is
appealing that glucocorticoids, which seem also to regulate memory
consolidation and learning (McEwen et al., 1986 ), by inducing NGF
synthesis may help foster the development and morphological maturation
of basal forebrain cholinergic neurons and affect memory processes. Should this hypothesis be true, glucocorticoids might be able to affect
cholinergic development and perhaps function at an early postnatal age
in which these neurons undergo intense morphological maturation (Gould
et al., 1991 ). However, this suggestion needs to be proven. This work
was undertaken to provide evidence that glucocorticoids exert an
age-related trophic effect on developing cholinergic neurons of the
medial septum via their ability to increase NGF synthesis. We report
that DEX increases NGF synthesis and promotes cholinergic hypertrophy
during postnatal brain development.
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MATERIALS AND METHODS |
Animal treatment and tissue preparation. Either
gender of Sprague Dawley rats (Taconic, Germantown, NY) from postnatal
day 0 (P0) to P21 were housed together with their mothers in a
temperature-controlled environment with a 12 hr light/dark cycle and
food and water available ad libitum. Animals at P1,
P7, or P14 received vehicle (ethanol/saline, 1:9) or DEX (0.5 mg/kg;
Sigma, St. Louis, MO) subcutaneously once daily for 1 week. Body weight
was monitored daily to determine potential side effects of the
treatment. Rats used for biochemical determination were killed by
decapitation at various time after the last daily injection. The brain
and spinal cord were immediately dissected on ice (Glowinski and
Iversen, 1966 ) and frozen on dry ice.
RNase protection assay. RNase protection assay was performed
as described previously (Follesa et al., 1994 ; Mocchetti et al., 1996 )
using an 830 base 32P-labeled NGF RNA probe generated from
EcoRI-linearized pBSrNGF (Whittemore et al., 1988 ) (a gift
from Dr. S. R. Whittemore, University of Miami, Miami, FL). The
cRNA for cyclophilin was in vitro transcribed with SP6
polymerase from EcoRI-linearized plasmid pIG15 (Follesa et
al., 1994 ; Hayes et al., 1995 ) and was used as a standard control to
monitor artifacts caused by extraction of RNA. The plasmid RObFGF103 (a
gift from Dr. A. Baird, The Whittier Institute, La Jolla, CA),
containing a 1016 base portion of the rat basic fibroblast growth
factor (FGF2) cDNA (Shimasaki et al., 1988 ), was linearized with
NcoI and used as a template for the in vitro
transcription assay with T7 RNA polymerase as described previously
(Follesa et al., 1994 ).
Hybridization with total RNA was performed at 50°C overnight. RNA was
digested with RNase A (1 U/ml) and T1 (200 U/ml) for 30 min at 37°C.
The reaction was stopped, and the pellet containing the RNA-RNA hybrid
was dissolved in loading buffer, boiled at 95°C, and separated on a
5% polyacrylamide/urea sequencing gel. NGF and FGF2 mRNA protected
fragments were visualized by autoradiography on x-ray film using the
Chronex Quanta III intensifying screen. The content of trophic factor
mRNA was calculated by measuring the peak densitometry area of the
autoradiograph analyzed with a laser densitometer (Hoefer GS 300 scanning densitometer) normalized by the peak densitometry area of the
cyclophilin autoradiograph band as described previously (Follesa et
al., 1994 ; Mocchetti et al., 1996 ).
NGF two-site enzyme immunoassay. The quantitative two-site
enzyme immunoassay for the determination of NGF, described by Korsching and Thoenen (1985) , was performed with the modifications described in
our publications (Fabrazzo et al., 1991 ; Hayes et al., 1995 ) in which
an immunoassay system from Promega (Madison, WI) was used. In brief,
brain tissues from P14 or P21 rats were sonicated in 30 vol of
homogenization buffer [100 mM Tris-HCl, 1 M
NaCl, 2% BSA, 4 mM EDTA, 2% Triton X-100, 0.02% sodium
azide, and the following protease inhibitors (Sigma): 0.1 µg/ml pepstatin A, 5 µg/ml aprotinin, 0.5 µg/ml antipain, 167 µg/ml benzamidine, and 5.2 µg/ml PMFS]. Homogenates were then
centrifuged at 13,000 × g for 15 min, and supernatants
were assayed for NGF by an NGF-specific enzyme-linked immunoabsorbant
assay (Promega) using 96-well vinyl round plates (Nunc Maxisorp plates,
Naperville, IL) precoated with anti-NGF antibody following the protocol
recommended by the manufacturer. Total protein content was measured
from aliquots of the same supernatant by the Bradford Coomassie blue
colorimetric assay (Bio-Rad, Hercules, CA). Absorbance for each sample
was normalized to a standard curve (ranging from 0 to 500 pg/ml of NGF)
and expressed as picograms of NGF per milligram of protein.
TrkA tyrosine phosphorylation. TrkA tyrosine phosphorylation
was performed as described (Rabin and Mocchetti, 1995 ). In brief, tissues from brain areas were lysed in 1 ml of lysis buffer (1% Nonidet P-40, 20 mM Tris, pH 8.0, 137 mM NaCl,
10% glycerol, 1 mM phenylmethylsulfonyl fluoride, 0.15 U/ml aprotinin, 20 µM leupeptin, and 1 mM
sodium vanadate) at 4°C. After removal of cellular debris by
centrifugation, protein levels in the lysates were measured by the
Bradford Coomassie blue colorimetric assay (Bio-Rad). Proteins in each
sample were equalized and incubated with TrkA-specific antibody (a gift
from Dr. L. F. Reichardt) (Clary et al., 1994 ) followed by protein
A sepharose precipitation (Pharmacia, Piscataway, NJ) at 4°C for 2 hr
as described previously (Rabin and Mocchetti, 1995 ), and then the
precipitate was washed with NP-40 lysis buffer and water before
resuspension in 10 µl of sample buffer (2% SDS, 100 mM dithiothreitol, 10% glycerol, and 0.25% bromophenol
blue) for electrophoresis on a 7.5% SDS PAGE gel. Gels were
transferred to nitrocellulose and probed overnight at 4°C with
anti-phosphotyrosine (anti-ptyr) monoclonal antibody 4G10 (Upstate
Biotechnology, Lake Placid, NY) diluted with Tris-buffered saline with
a final concentration of 0.2% Tween 20. Blots were analyzed by use of
an ECL system (Amersham, Arlington Heights, IL).
Immunohistochemistry. Animals used for immunohistochemistry
studies were anesthetized with chloral hydrate (350 mg/kg) 8 hr after
the last injection and transcardially perfused with 4%
paraformaldehyde in 0.1 M phosphate buffer, pH 7.4. Brains
and spinal cords were removed, post-fixed in the same solution at 4°C
overnight, transferred to 10, 20, and 30% sucrose solutions, and then
frozen on dry ice. All tissues were stored at 70°C until processed.
Serial 30 µm cross-sections prepared from groups of rats that
received different treatments were blocked together to allow comparison
of identically processed tissue.
Sections from the medial septum and spinal cord were processed for
choline acetyltransferase (ChAT) and p75 neurotrophin receptor (p75NTR) immunohistochemistry essentially as described
previously (Sobreviela et al., 1994 ). In brief, floating sections were
treated in Tris-HCl solution, pH 7.4, containing 0.3% hydrogen
peroxide to inhibit endogenous peroxidase activity and then were soaked at room temperature for 1 hr in blocking solution containing 40 drops/10 ml of Avidin D, 2% bovine serum albumin (BSA), 0.3% Triton X-100, and 10% normal horse serum. Sections were incubated overnight at 4°C in a solution containing biotin, 1% BSA, 0.4% Triton X-100, 2% normal horse serum, and monoclonal mouse anti-ChAT (1:60;
Boehringer Mannheim, Indianapolis, IN) or monoclonal mouse anti-p75NTR
(1:4000; Oncogene Science, Cambridge, MA). Sections were then incubated in a solution containing biotinylated secondary antibody (rat-adsorbed horse anti-mouse IgG; 1:200; Vector Laboratories, Burlingame, CA) at
room temperature for 1 hr. Sections were incubated in
avidin-biotin-peroxidase solution (ABC Elite kit, Vector
Laboratories), and ChAT or p75NTR was visualized by the use of
nickel-intensified diaminobenzidine (DAB). Sections were mounted on
gelatin-coated slides and coverslipped with DPX mountant (BDH
Chemicals, Poole, UK). Sections from experimental groups were stained
simultaneously with corresponding vehicle groups to exclude staining
differences and with negative control sections processed with the
omission of the primary antibody.
Quantitation of morphological characteristics and
statistical analysis. The medial septum was analyzed in its
entirety by sectioning the brain from the appearance of the genu of the
corpus callosum to the decussation of the anterior commissure
(rostrocaudal distance, ~1000 µm). Every fourth section in six
series through this area was processed for ChAT immunoreactivity;
adjacent sections were processed for P75NTR immunoreactivity.
Quantitation of the septal cholinergic neurons was obtained by an image
analysis program (Image-Pro Plus; Media Cybernetics, Silver Spring,
MD). Images were captured using a 20× objective lens via a CCD color
video camera (Model Kp-D 50u; Hitachi, Tokyo, Japan) attached to
a Zeiss microscope. The procedure for cell counts, size, and
immunoreactive intensity of ChAT neurons was performed essentially as
described by previous reports (Sofroniew et al., 1993 ; Teng et al.,
1998 ). ChAT-immunoreactive neurons considered for counting were
confined to the following ranges: optical intensity, 0 darkest to 180 background; area, 50-1500 µm2; maximum diameter,
80-150 µm; average diameter, 30-80 µm; and minimum diameter,
4-30 µm. In addition, a manual procedure of analysis was performed
to eliminate large elongated fibers and to correct background
differences during staining and image capturing. Edit menu was used to
split a single object manually (usually a cluster that Image-Pro has
counted as one object) into two or more objects. To reduce the
variability of the immunohistochemical staining determination of cell
counts, cell size, and optical density, the analysis was taken from
both sides of the medial septum in each section. The number of
immunoreactive neurons was derived by taking into account the counted
profile, section thickness, and longest cell diameter (Abercrombie,
1946 ) and was then expressed as an average per section. Values for cell
size were expressed as mean area per neuron per section. Values for
cell diameter were expressed as average micrometers per neuron per
section. Optical immunostaining intensity, obtained after subtracting
background, was expressed as mean density on the gray scale per neuron
per section and represented the average per neuron per section from all
sections for each animal. A total of 40 sections per group was analyzed.
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RESULTS |
DEX increases NGF mRNA levels
We have shown previously that a single systemic administration of
DEX increases NGF synthesis in selected brain areas of postnatal developing rats (Fabrazzo et al., 1991 ; Colangelo et al., 1998 ). We
examined whether a subchronic treatment of DEX leads to a prolonged increase in NGF synthesis in the rat brain. Vehicle control or DEX (0.5 mg/kg, s.c) was injected daily in 1-, 7-, and 14-d-old rats for 7 d. Rats were killed 6 hr after the last injection, and NGF mRNA levels
were determined by RNase protection assay (Fig.
1A). In animals treated
from P1 to P8 (8-d-old) and those from P7 to P14 (14-d-old), DEX
elicited a 2- and 1.5-fold increase in the level of NGF mRNA in the
cerebral cortex and hippocampus, respectively (Fig.
1B). No changes were observed in NGF mRNA levels in
the striatum, septum (Fig. 1B), or cerebellum (data
not shown) in both animal groups, indicating that the effect of DEX was
brain area specific. Moreover, a lower dose of DEX (0.05 mg/kg, s.c.) for 7 d failed to change NGF mRNA in the cortex and hippocampus in
both experimental groups (data not shown). In animals treated with DEX
from P14 to P21 (21-d-old), DEX increased NGF mRNA in the cerebral
cortex only (Fig. 1B), and this effect was weaker than that observed in P8 and P14 rats.

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Figure 1.
DEX increases NGF and FGF2 mRNA in the rat brain.
Rats (1-, 7-, and 14-d-old) received vehicle or DEX (0.5 mg/kg, s.c.)
once daily for 7 d and were killed 6 hr after the last injection.
A, Representative autoradiogram shows an increase in the
NGF and FGF2 mRNA protected fragments
(arrowheads) in the cerebral cortex of a P8 DEX-treated
rat (lanes 4-6) compared with that of control
rats (lanes 1-3). DEX failed to change the levels of
cyclophilin mRNA (CYC). B,
C, The content of NGF mRNA (B) and
FGF2 mRNA (C) was determined in the indicated
brain regions as described in Materials and Methods. Data, expressed as
percent of control, are the mean ± SEM of three separate
experiments with at least three animals per group in each experiment
(n = 13 per group). *p < 0.05, and **p < 0.01 versus control (ANOVA and
Dunnett's test).
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DEX increases FGF2 mRNA levels
DEX elicited a weak increase in NGF mRNA levels in 21-d-old rats
(Fig. 1B), suggesting that DEX may be poorly
distributed in the brain. Because glucocorticoids increase the
expression of FGF2 in the brain of developing, adult, and aged rats
(Mocchetti et al., 1996 ; Colangelo et al., 1998 ), we measured FGF2 mRNA
levels as a control for any experimental artifacts and to confirm or eliminate the regional-specific induction of NGF by DEX. RNase protection assay of total RNA from the same tissue samples used to
determine NGF mRNA (Fig. 1A) revealed that DEX
increases FGF2 mRNA levels in P8 rats in all areas examined (Fig.
1C), confirming the differential induction of FGF2 and NGF
by DEX. In addition, because DEX elicited a weaker effect on NGF mRNA
levels in P21 rats, RNase protection analysis with FGF2 cRNA was
performed also in P14 and P21 rats. In both groups DEX increased FGF2
mRNA to a similar extent (Fig. 1C), suggesting that the weak
effect of DEX on NGF in 21-d-old rats is not attributable to the
altered ability of DEX to bind to glucocorticoid receptors or to its
poor distribution in the brain.
DEX increases the levels of NGF proteins
The DEX-mediated increase in NGF mRNA expression may have a
pharmacological relevance if it is followed by an accumulation in NGF
protein levels. To investigate whether DEX also increases NGF protein
in the cerebral cortex and hippocampus, we gave P7 and P14 rats vehicle
or DEX (0.5 mg/kg, s.c.) for 1 week and killed the rats 8 hr after the
last injection. A two-site immunoassay revealed that DEX increased NGF
proteins in both the hippocampus and cerebral cortex of P14 rats (Fig.
2). Because in these animals DEX also
increases NGF mRNA, it appears that in P14 rats DEX enhances NGF
synthesis. In 21-d-old rats the glucocorticoid failed to elicit a
significant increase in NGF protein levels (Fig. 2), which is consistent with the weak induction of NGF mRNA levels. Thus, in P21
rats DEX does not appear to induce NGF synthesis. Future studies aimed
at examining whether DEX alters NGF metabolism will confirm this
suggestion.

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Figure 2.
DEX increases NGF protein levels. Seven- and
fourteen-day-old rats received vehicle or DEX (0.5 mg/kg, s.c.) daily
for 7 d and were killed 8 hr after the last injection. NGF protein
content was determined by a two-site immunoassay in the indicated brain
areas. NGF levels in the cerebral cortex and hippocampus of control
14-d-old rats were 59.10 ± 10.32 and 84.00 ± 9.28 pg/mg of
protein, respectively. Data, expressed as percent of control, are the
mean ± SEM of five independent samples for each group.
*p < 0.01 (ANOVA and Fisher's test).
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DEX increases ChAT immunoreactivity
The ability of DEX to increase NGF synthesis prompted us to
examine whether DEX may have a trophic effect on cholinergic neurons. P7 rats received a systemic injection of DEX (0.5 mg/kg, s.c.) daily
for 7 d and were killed 8 hr after the last injection. Cholinergic neurons of the medial septum were identified by immunohistochemical analysis using a ChAT antibody. In control rats, an appreciable number
of cells showed a moderate ChAT immunostaining (Fig.
3A,C), similar to that in an earlier report (Gould et al., 1991 ).
Interestingly, the intensity of ChAT immunoreactivity (Fig.
3B,D) was increased in DEX-treated
rats when compared with controls. Image analysis of ChAT-positive
neurons revealed that DEX increased the relative levels of
immunoreactivity as well as the number of ChAT-positive neurons (Fig.
3E). In rats receiving a lower dose of DEX (0.05 mg/kg,
s.c.) for 1 week, which failed to change NGF expression, we did not
observe any changes in the cholinergic indices mentioned above (Fig.
3E), nor were changes found in rats receiving a single acute
injection of DEX and killed 1 week after the injection (Fig. 3E).

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Figure 3.
Effect of DEX on ChAT-immunoreactive neurons in
the medial septum. A-D, Brain sections through the
medial septum of P14 rats treated with vehicle (A,
C) or DEX (B, D) and
analyzed by ChAT immunohistochemistry. C and
D are higher magnifications of the regions designated by
the squares in A and B,
respectively. Arrows in D show more ChAT
immunoreactivity compared with control (C,
arrows). Scale bars: A, B,
250 µm; C, D, 20 µm.
E, The image analysis of the intensity of ChAT
immunoreactivity and the number, diameter, and size of ChAT-positive
neurons in these rats as well as in those receiving a lower dose (0.05 mg/kg, s.c.) of DEX for 1 week or a single injection of DEX (0.5 mg/kg,
s.c.; acute). The number of ChAT-positive neurons in control
rats was 31.6 ± 1 per section. Values, expressed as percent of
control, are the mean ± SEM of three separate experiments with at
least three animals per group in each experiment.
*p < 0.05, and **p < 0.005 (ANOVA and Fisher's test).
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The DEX-mediated increase in ChAT immunoreactivity
is age-dependent
To correlate the ability of DEX to increase ChAT immunoreactivity
with its effect on NGF synthesis, we have examined the efficacy of DEX
on cholinergic parameters in the other two age groups of rats (P8 and
P21) in which DEX elicits a strong and weak increase in NGF mRNA,
respectively (see Fig. 1A). One- and fourteen-d-old rats received DEX (0.5 mg/kg) for 7 d and were killed 8 hr after the last injection. In animals receiving this glucocorticoid from P1 to
P8, DEX increased the immunoreactivity and size of ChAT-positive neurons (Fig. 4). Instead, no changes in
cholinergic parameters were seen in P21 rats (Fig. 4) in which DEX
failed to elicit a significant increase in NGF protein levels (Fig. 2).
These data suggest that DEX can induce a selected hypertrophy of
cholinergic neurons depending on the amount of NGF produced and the
stages of postnatal development.

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Figure 4.
Age-dependent changes in the morphology of
ChAT-immunoreactive neurons. P1 and P14 rats were treated with vehicle
or DEX for 1 week and killed 8 hr after the last injection. Various
morphological parameters of cholinergic neurons of the medial septum
were evaluated as described in Figure 3. Values, expressed as percent
of control, are the mean ± SEM of three separate experiments with
two rats per group in each experiment. *p < 0.05, and **p < 0.005 (ANOVA and Fisher's test).
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The DEX-induced FGF2 does not regulate cholinergic
neuron maturation
FGF2 has been shown to exert trophic activity on injured
cholinergic neurons in vivo (Anderson et al., 1988 ; Fagan et
al., 1997a ). Because DEX, in addition to NGF, induces also FGF2 mRNA, FGF2 may participate in the DEX-mediated hypertrophy of developing cholinergic neurons observed in this study. FGF2 was infused
intraventricularly (6 µg/10 µl) into P7 rats for 1 week.
Image analysis of ChAT-immunoreactive neurons in the medial septum
revealed that there were no significant morphological changes in
cholinergic neurons in either density, number, diameter, or size (Fig.
5). These data suggest that the DEX-mediated increase in ChAT immunoreactivity most likely is caused by
its ability to increase NGF.

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Figure 5.
Effect of FGF2 on ChAT-immunoreactive neurons in
the medial septum. Pups at P7 were removed from their mothers,
anesthetized with chloral hydrate, and fixed in a plaster mold of the
head and body. Either artificial CSF (ACSF;
VEH) or FGF2 dissolved in ACSF at a concentration
of 6 µg/10 µl was injected, at a rate of 1 µg/min, into the right
cerebral ventricle according to the following coordinates: 0.2 mm
posterior to bregma, 1.5 mm lateral to midline, and 2.4 mm to the dural
surface (Kirschner et al., 1995 ). After 3 hr of recovery, the pups were
returned to their dam. Injections were done at P7, P9, P11, and P13.
Animals were killed at P14, and brains were processed for the analysis
of the various morphological parameters of cholinergic neurons as
described in Figure 3.
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DEX increases TrkA tyrosine phosphorylation
The DEX-mediated increase in ChAT levels could be caused by a
direct effect of DEX on ChAT expression and not by its ability to
increase NGF. Therefore, we examined another parameter of NGF activity.
It has been established that NGF binding to TrkA receptor evokes a
highly specific, rapid, and easily measurable receptor autophosphorylation (Kaplan et al., 1991 ). Thus, TrkA phosphorylation can be a useful response to estimate the "downstream" biological effectiveness of NGF. Seven-day-old rats received DEX (0.5 mg/kg, s.c.)
either acutely or chronically for 7 d and were killed at 6, 15, and 24 hr after the last injection. Lysates from the hippocampus and
the septum of control and DEX-treated rats were prepared (Rabin and
Mocchetti, 1995 ) and precipitated with a TrkA-specific antibody (Clary
et al., 1994 ) before protein blotting and were analyzed by Western blot
with phosphotyrosine antibody. A single injection of DEX (rats killed
6, 15, and 24 hr later) failed to increase TrkA tyrosine
phosphorylation at any time in the septum (Fig. 6A,C)
or in the hippocampus (data not shown). In contrast, in the
septum of DEX chronically treated rats, we observed an increase in TrkA
tyrosine phosphorylation at 6 hr (Fig. 6C). The peak of effect was reached at 15 hr (Fig.
6A,C). By 24 hr, TrkA tyrosine phosphorylation, although declining toward control levels, was still
significantly higher than that observed in control rats (Fig.
6C). Importantly, we observed an increase in tyrosine
phosphorylation of other phosphotyrosine bands (e.g., bands below 110 kDa) in DEX-treated rats. Because these bands most likely represent
association of tyrosine-phosphorylated TrkA target proteins (Kaplan et
al., 1991 ; Hempstead et al., 1992 ), these data support the hypothesis that DEX, by activating TrkA receptors, enhances TrkA signaling. No
changes in TrkA tyrosine phosphorylation were observed in the hippocampus of these animals (data not shown). Stripping and reprobing the blots with pan-trk antibody revealed no changes in Trk
levels at any time (Fig. 6B). In addition, analysis
of TrkA immunoreactivity of the septal area revealed no changes in
TrkA levels (data not shown), suggesting that DEX increases TrkA
activity without affecting the basal expression of TrkA.

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Figure 6.
DEX induces TrkA phosphorylation in the septum.
Seven-day-old rats received a single or chronic (7 d) injection of
vehicle or DEX and were killed 6, 15, or 24 hr after the last
injection. Fourteen-day-old rats received vehicle or NGF (30 µg of
NGF/10 µl of vehicle, i.c.v.) and were killed 1 hr later. The septi
from two rats were combined for the analysis of TrkA tyrosine
phosphorylation using a specific TrkA antibody (Clary et al., 1994 ).
A, Representative blot showing an increase in TrkA
tyrosine phosphorylation (arrow) in 1 week
(CH) DEX-treated rats (D)
compared with vehicle-treated rats (V) and
with rats receiving a single acute injection and killed 15 hr later
(AC). Lysates from artificial CSF-treated
(V) or NGF-treated
(N) rats were used as a positive control.
B, Blot stripped and reprobed with
pan-trk antibody. The arrow
indicates levels of TrkA. Molecular weight markers are indicated on the
left. C, Semiquantitative analysis of the
TrkA-phosphorylated species performed by scanning the TrkA band with a
laser densitometer. Data are the mean ± SEM of three independent
and separate experiments with four rats per group in each experiment.
*p < 0.001 versus control (ANOVA and Dunnett's
test).
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DEX increases p75NTR immunoreactivity
The low-affinity receptor p75NTR colocalizes with TrkA in the
basal forebrain cholinergic neurons (Sobreviela et al., 1994 ). In
addition, expression of p75NTR has been shown to be increased by NGF
(Meakin et al., 1992 ; Colangelo et al., 1994 ). Therefore, we have
examined whether a prolonged treatment (7 d) with DEX in
14-d-old rats can upregulate p75NTR levels. When compared with that in control rats (Fig.
7A,C),
p75NTR immunoreactivity in both cell bodies and fibers in DEX-treated
rats was more intense (Fig. 7B,D). Moreover, image
analysis of p75NTR immunoreactivity confirmed that DEX increased p75NTR
levels (Fig. 7E).

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Figure 7.
Effect of DEX on p75NTR immunoreactivity.
Fourteen-day-old rats received vehicle or DEX for 7 d and were
killed 8 hr after the last injection. A-D, p75NTR
immunoreactivity analyzed in the medial septum. C and
D are higher magnifications of areas indicated by
arrows in A and B,
respectively. There was more immunoreactive staining in cell bodies
(arrows) in DEX-treated rats (D)
than in cell bodies in controls (C,
arrows). Scale bars: A, B,
250 µm; C, D, 20 µm.
E, Quantitation by image analysis of p75NTR
immunoreactivity in the septum. Data are the mean ± SEM of two
separate experiments with three rats per group in each
experiment. *p < 0.005 (ANOVA and
Fisher's test).
|
|
DEX fails to change NGF and p75NTR mRNA and ChAT immunoreactivity
in the spinal cord
NGF is a trophic factor for cholinergic neurons of the basal
forebrain and striatum but not for cholinergic motor neurons of the
spinal cord (Yan et al., 1988 ). Thus, the spinal cord is an ideal area
of the CNS in which to strengthen or eliminate the possibility that DEX
increases ChAT levels and p75NTR via its effect on NGF synthesis. P7
rats received DEX (0.5 mg/kg, s.c.) for 7 d and were killed
6 and 8 hr after the last injection for the determination of NGF
and p75NTR mRNAs and of ChAT immunoreactivity, respectively. DEX failed
to increase NGF and p75NTR mRNAs (Fig. 8)
as well as ChAT immunoreactivity (Fig.
9). Taken together, our data suggest that
the differential trophic activity of DEX on basal forebrain cholinergic
neurons seems to be linked to its ability to increase NGF
synthesis.

View larger version (28K):
[in this window]
[in a new window]
|
Figure 8.
NGF and p75NTR mRNA levels are not induced by DEX
in the spinal cord. Seven-day-old rats received vehicle or DEX (0.5 mg/kg, s.c.) acutely or for 7 d and were killed 6 hr after the
last injection. Spinal cords were removed and dissected to obtain the
cervical segment for RNA analysis. NGF and p75NTR mRNA levels were
analyzed by RNase protection assay as described previously. Data are
the mean ± SEM of two separate experiments with three independent
samples in each experiment.
|
|

View larger version (142K):
[in this window]
[in a new window]
|
Figure 9.
DEX fails to change ChAT immunoreactivity in the
spinal cord. A, B, P7 rats were treated
with vehicle (A) or DEX (B)
for 7 d. ChAT immunoreactivity was analyzed in the spinal cord
(cervical segment). C, D, Higher
magnifications of areas indicated by arrows in
A and B, respectively, are shown. There
was no difference in the levels of ChAT immunoreactivity between DEX-
and vehicle-treated rats. Scale bars: A,
B, 100 µm; C, D, 10 µm.
|
|
 |
DISCUSSION |
Previous studies have demonstrated that glucocorticoids, but not
mineral corticoids, are the main corticosteroids regulating the
expression of NGF in the rat brain (Mocchetti et al., 1996 ). We have
hypothesized that this increase has a physiological implication for
neuronal plasticity based on the well-established role of NGF in
promoting the development of basal forebrain cholinergic neurons
in vivo (Gnahn et al., 1983 ; Mobley et al., 1986 ; Vantini et
al., 1989 ; Li et al., 1995 ). We show that, in P8 and P14 rats, a
subchronic treatment with DEX leads to a prolonged increase in NGF mRNA
and protein (suggestive of increased synthesis) in the hippocampus and
cerebral cortex and causes hypertrophy of cholinergic neurons in the
medial septum. However, in P21 rats, DEX failed to change NGF levels
and did not alter the postnatal development of these cholinergic
neurons. Thus, our data provide a correlation between induction of NGF
by DEX and increased cholinergic plasticity. In addition, other
experimental groups were used to provide a causal relationship between
the trophic activity of DEX and its ability to increase NGF. The
DEX-mediated cholinergic hypertrophy was seen only at a dose (0.5 mg/kg) and time (1 week treatment) at which DEX upregulates NGF
synthesis in the hippocampus and cerebral cortex. In fact, a lower but
repeated dose (0.05 mg/kg for 7 d) or a single injection was
unable to change the levels of ChAT immunoreactivity. Furthermore, DEX
failed to change ChAT immunoreactivity in the spinal cord, a
non-NGF-responsive CNS structure (Yan et al., 1988 ), in which we did
not see a significant change in NGF biosynthesis. Overall, these data
suggest that DEX induces an age-dependent differential hypertrophy of
medial septal cholinergic neurons and that this trophic effect may be
attributable to its ability to increase NGF availability.
Most of the trophic effects of NGF require activation of the TrkA
receptor. It has been established that NGF binding to TrkA evokes a
highly specific, rapid, and easily measurable receptor autophosphorylation (Kaplan et al., 1991 ). Thus, phosphorylation of
TrkA can be a useful response to estimate downstream biological effectiveness of NGF. Our data show that the subchronic treatment with
DEX increases TrkA tyrosine phosphorylation in the septum. The increase
in TrkA tyrosine phosphorylation by DEX was specific because no changes
were seen in TrkA phosphorylation after a single injection of DEX or in
the hippocampus, suggesting that the effect of DEX is selective and may
not be related to a generalized induction of tyrosine phosphorylation.
In addition, we have observed multiple phosphotyrosine-positive bands
in phosphotyrosine blots of lysates immunoprecipitated with TrkA
antibody. The presence of these bands is not surprising and most
probably is caused by the association of tyrosine-phosphorylated TrkA
target proteins with the immunoprecipitated receptor (Hempstead et al.,
1992 ). Because TrkA activation leads to a measurable increase in the
phosphorylation of phospholipase C- and several other cellular
proteins identified as targets of NGF-induced TrkA tyrosine
phosphorylation (for review, see Kaplan and Stevens, 1994 ), the
presence of these bands is quite supportive of the activation of TrkA
after DEX treatment.
NGF binds also to a low-affinity receptor component, an ~75 kDa cell
surface glycoprotein (Chao et al., 1986 ; Radeke et al., 1987 )
designated p75NTR. Most cholinergic neurons in the basal forebrain are both TrkA- and p75NTR-positive (Koh et al., 1989 ; Pioro
and Cuello, 1990 ; Holtzman et al., 1992 ; Sobreviela et al., 1994 ), and
p75NTR has also been used as an early cholinergic marker expressed
during development (Yan and Johnson, 1988 ; Koh and Loy, 1989 ).
Moreover, it has been established that high levels of NGF can increase
the expression of p75NTR both in vivo (Higgins et al., 1989 )
and in vitro (Kojima et al., 1992 ; Meakin et al., 1992 ; Colangelo et al., 1994 ), whereas reduced levels of NGF by an anti-NGF antibody decreased p75NTR levels in the basal forebrain (Urschel and
Hulsebosh, 1992 ), suggesting that p75NTR expression correlates with increases in NGF levels and cholinergic neuronal development. Therefore, in our studies we used 75NTR immunoreactivity as an additional tool to analyze NGF responses and to correlate them with the
DEX-mediated enhanced plasticity of cholinergic neurons in the medial
septum. Our data show that DEX elicited an upregulation of p75NTR
immunoreactivity in the medial septum, a typical NGF target, but not in
the spinal cord, an NGF-unresponsive area of the CNS in which we failed
to detect increases in NGF expression. Thus, by showing that two
NGF-responsive genes, ChAT and p75NTR, are induced by DEX only in their
target areas in which NGF levels are upregulated, we provide further
evidence of the hypothesis that the trophic activity of DEX depends on
its ability to increase NGF biosynthesis.
Cholinergic neurons of the basal forebrain of the rat innervate the
hippocampal formation, the cingulate cortex, the olfactory bulb, and
some additional structures (Mesulam et al., 1983 ; Cuello and Sofroniew,
1984 ; Butcher, 1995 ). NGF, produced in these structures, after binding
to the NGF receptor complex, can be retrogradely transported to the
basal forebrain cell bodies to activate the expression of specific
proteins. In particular, a retrograde transport of NGF from the
hippocampal formation and cortex to cholinergic neurons of the medial
septum and the nucleus basalis, respectively, has been demonstrated
(Schwab et al., 1979 ; Seiler and Schwab, 1984 ; DiStefano
et al., 1992 ). In these brain areas, NGF modulates the plasticity of
cholinergic neurons by increasing their number, size, and connections
(Garofalo et al., 1992 ; Koliatsos et al., 1994 ; Fagan et al., 1997b ).
In this report, we observed an increase in NGF levels in both the
hippocampus and the cerebral cortex after DEX, suggesting that this
glucocorticoid may affect cholinergic neurons in both the medial septum
and the nucleus basalis. Previous results, however, have shown that DEX
increases NGF expression in the dentate gyrus of the hippocampus
(Mocchetti et al., 1996 ) and in layers II and III of the cerebral
cortex (Mocchetti et al., 1996 ). Although the dentate gyrus of the
hippocampus receives cholinergic projections from the medial septum via
septohippocampal efferents (Mesulam et al., 1983 ; Cuello and Sofroniew,
1984 ; Butcher, 1995 ), layers II and III of the cortex contain
predominantly corticocortical projections. Thus, the DEX-induced
cortical NGF may not be transported retrogradely to the basal
forebrain. Therefore, we have first focused our effort on the effect of
DEX on the cholinergic neurons of the medial septum. We have found that
DEX increases the relative number and size of the cholinergic neurons
in the medial septum. This effect occurs concomitantly with an increase
in p75NTR and TrkA tyrosine phosphorylation in the septum and in NGF
levels in the hippocampus, consistent with the hypothesis that the main trophic effect and source of DEX is the hippocampal NGF. Future studies
will establish whether cortical-induced NGF exerts a trophic activity
on cholinergic neurons of the nucleus basalis.
DEX increases the relative cell density of septal cholinergic neurons
at P14 without affecting their size. Thus, as for the exogenous NGF,
higher levels of endogenously produced NGF appear to be sufficient to
affect the number of septal cholinergic neurons during postnatal
development. In support of this hypothesis, we have demonstrated that
the net increase in TrkA phosphorylation in DEX-treated animals was
comparable with that observed in NGF-treated rats, suggesting that the
endogenously produced NGF has a potency and perhaps biological activity
similar to that of the exogenously administered NGF. On the other hand,
the increased density of cholinergic neurons observed in our study may
only reflect an increase in ChAT immunoreactivity in those neurons
that, in basal conditions, express low or undetectable levels of the
enzyme. Future studies using a quantitative analysis by unbiased
stereological methods (Peterson et al., 1997 ; Yeo et al., 1997 ) and a
biochemical determination of ChAT will confirm whether DEX increases
the number of cholinergic neurons or ChAT activity, respectively.
In conclusion, our data have shown that a prolonged treatment with DEX
causes cholinergic neuron hypertrophy during the early development.
This effect correlates with a defined regional pattern of induction of
NGF expression as well as responses typically associated with high
levels of NGF. Thus, our data suggest that glucocorticoids, by
increasing NGF availability and perhaps synthesis, possess trophic
activity. This effect may explain the findings that physiological
concentrations of glucocorticoids are crucial for neuronal survival
because adrenalectomy accelerates degeneration of hippocampal neurons
(Sloviter et al., 1989 , 1993 ), ACTH regulates trophic processes
operative in synaptic plasticity (Strand et al., 1989 ), and DEX
enhances survival and maturation of cholinergic neurons during
development (Puro, 1983 ; Sze et al., 1993 ; Zahalka et al., 1993 ). Our
studies so far have focused on the effect of DEX on cholinergic neurons
during development. The extent by which DEX can restore basal forebrain
cholinergic function in adult injured neurons or in aged rats in which
the plasticity of cholinergic neurons is impaired (Decker, 1987 ; Cooper
and Sofroniew, 1996 ) needs to be assessed in future studies.
 |
FOOTNOTES |
Received June 15, 1998; revised Aug. 3, 1998; accepted Aug. 28, 1998.
This work was supported by Research Career Development Award NS 01675 and by National Institutes of Health Grant NS 29664 to I.M. We would
like to thank Drs. A. Baird and S. R. Whittemore for the generous
gift of the plasmids, Dr. L. F. Reichardt for the TrkA antibody,
and Drs. E. M. Johnson and V. E. Koliatsos for helpful comments.
Correspondence should be addressed to Dr. Italo Mocchetti, Department
of Cell Biology, Georgetown University, School of Medicine, 3900 Reservoir Road Northwest, Washington, DC 20007.
 |
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