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The Journal of Neuroscience, August 1, 1999, 19(15):6446-6456
Bcl-2 Overexpression Does Not Protect Neurons from Mutant
Neurofilament-Mediated Motor Neuron Degeneration
Megan K.
Houseweart1, 2 and
Don W.
Cleveland1, 2, 3, 4
1 Ludwig Institute for Cancer Research,
2 Program in Biomedical Sciences, 3 Division of
Cellular and Molecular Medicine, and 4 Department of
Neuroscience, University of California at San Diego, La Jolla,
California 92093
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ABSTRACT |
Transgenic mice with a point mutation in the light neurofilament
gene develop amyotrophic lateral sclerosis-like motor neuron disease characterized by selective spinal motor neuron loss,
neurofilamentous accumulations, and severe muscle atrophy. To test
whether the large motor neurons at risk in this disease could be
protected from mutant neurofilament-mediated killing, these mice were
bred to mice overexpressing the human Bcl-2
proto-oncogene. Elevated levels of Bcl-2 increased the numbers of motor
and sensory axons surviving after the developmental period of naturally
occurring cell death but did not greatly reduce the number of
degenerating axons or protect the large motor neurons from mutant
neurofilament-mediated death.
Key words:
Bcl-2; amyotrophic lateral sclerosis; transgenic mice; motor neuron; cell death; neurofilament
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INTRODUCTION |
Amyotrophic lateral sclerosis (ALS)
is a progressive neurodegenerative disease characterized by the loss of
large spinal motor neurons that results in paralysis and death. A small
proportion of human familial ALS cases can be attributed to mutations
in the free radical-scavenging enzyme copper zinc superoxide dismutase 1 (SOD1), but the majority of ALS cases are sporadic and of
unknown origin. It has been proposed that the etiology of ALS may
involve abnormal neurofilaments since a prominent pathological feature of this disease includes neurofilamentous accumulations in cell bodies
and axons of both humans (Carpenter, 1968 ; Chou and Fakadej, 1971 ;
Hirano et al., 1984a ,b ) and mice (Gurney et al., 1994 ; Lee et al.,
1994 ; Wong et al., 1995 ; Tu et al., 1996 ). Additional evidence for the
involvement of neurofilaments in motor neuron disease comes from work
by two groups who demonstrated that the overexpression of
neurofilaments in mice can cause ALS-like pathology (Cote et al., 1993 ;
Xu et al., 1993 ). Neurofilaments (NFs) are composed of the three
subunits [heavy NF-H (115 kDa), medium NF-M (95 kDa), light NF-L (65 kDa)] and constitute the major intermediate filament component of
mature axons. Neurofilaments are thought to be important not just for
structural support of long axons (up to 1 m in humans) but also
for determining the diameter (Yamasaki et al., 1991 ; Zhu et al., 1997 )
and therefore the conduction velocity of axons (Gasser and
Grundfest, 1939 ; Sakaguchi et al., 1993 ). Of the two size
classes of motor axons, the larger axons are distinguished by faster
conduction velocity and higher neurofilament content. In both humans
(Kawamura et al., 1981 ; Murakami, 1990 ) and mouse models (Lee et al.,
1994 ; Bruijn et al., 1997 ) of ALS, it is the large neurofilament-rich
motor neurons that are at risk, further implicating neurofilaments in
this disease.
To date, the only mouse model successfully using a mutant neurofilament
subunit to cause motor neuron disease is a series of transgenic lines
expressing a mutant NF-L gene (Lee et al., 1994 ). This mutant NF-L gene
that carries a Leu-to-Pro substitution at amino acid 394 (in the
conserved LLEGE sequence within the rod domain as well as a C-terminal
12 amino acid epitope tag) disrupts neurofilament network assembly and
organization in transfected cultured cells (Lee et al., 1994 ). When
expressed at moderate levels in mice, this mutant NF-L polypeptide
causes degeneration and loss of motor neurons, neurofilamentous
accumulations, muscle atrophy, and neuronal death like that seen in
both human sporadic (Carpenter, 1968 ; Hirano et al., 1984a ) and
SOD1-mediated familial ALS (Hirano et al., 1984b ; Rouleau et al., 1996 ;
Shibata et al., 1996 ).
To test the mechanism of neuronal death arising from abnormal
neurofilaments and the methods by which this disease might be alleviated, we chose to exploit the endogenous protective machinery already in place within motor neurons (Merry et al., 1994 ), namely, the
Bcl-2 family of cell death regulatory proteins. The Bcl-2 proto-oncogene was initially recognized as a regulator of cell death by
its ability to prevent the death of cultured neurons deprived of
neurotrophic factors (Garcia et al., 1992 ; Allsopp et al., 1993 ; Mah et
al., 1993 ). Since then, Bcl-2 has been shown to prevent both apoptotic
and necrotic cell death induced by a variety of stimuli in several
different systems (for review, see Allen et al., 1998 ; Chao and
Korsmeyer, 1998 ). Although its exact mechanism of action is
still unclear, Bcl-2 does not appear to act by reducing intracellular
calcium levels, increasing glutathione levels, or altering oxygen
consumption or ATP concentrations (Kane et al., 1993 ; Zhong et al.,
1993 ), but its expression is correlated with reduced amounts of
intracellular reactive oxygen species and lipid peroxidation
(Hockenbery et al., 1993 ; Kane et al., 1993 ). This finding was
especially intriguing for motor neuron disease considering that 15% of
inherited human ALS cases result from mutations in the free
radical-scavenging enzyme SOD1.
To determine whether Bcl-2 protection could be effective in an ALS-like
disease caused by disorganized neurofilament arrays, we have examined
disease progression and pathology in mice expressing a neurofilament
mutant in the presence or absence of chronically elevated levels of
Bcl-2.
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MATERIALS AND METHODS |
Mouse lines used. Mice expressing a transgene
comprised of the murine sarcoma virus promoter linked to the murine
NF-L gene mutated at amino acid position 394 (Leu-to-Pro substitution)
with a C-terminal 12 amino acid epitope tag from human myc [mouse line 61 (Lee et al., 1994 )] were mated to mice overexpressing the human Bcl-2 gene under control of the neuron-specific enolase promoter [line
73 (Martinou et al., 1994 )]. The single-step breeding scheme produced
doubly transgenic mice and all the necessary controls. Mice carrying
the NF-L (Pro) transgene were scored by genomic DNA blot as described
(Lee et al., 1994 ). Bcl-2-overexpressing mice were scored by a PCR
strategy that amplified the human Bcl-2 sequence using a human
sequence-specific primer and a primer to the transgene promoter.
Bcl-2 and mutant NF-L (Pro) protein detection. Eleven
percent polyacrylamide gels were loaded with 30 µg of sciatic nerve total homogenate and transferred to nitrocellulose. The myc-tagged mutant NF-L (Pro) subunit was detected using anti-myc polyclonal antibodies (Gill et al., 1991 ) and 125I-conjugated protein
A (1:2000; Amersham, Arlington Heights, IL). Wild-type NF-L was
detected using a mouse monoclonal antibody (Sigma, St. Louis, MO) with
a rabbit anti-mouse bridging antibody (1:100; Sigma) and
125I-conjugated protein A (1:2000; Amersham). The human
Bcl-2 transgene protein product was detected using monoclonal hamster
anti-human Bcl-2 antisera (1:100; PharMingen, San Diego, CA) with a
rabbit anti-hamster bridging antibody (1:100; Sigma) and
125I-conjugated protein A (1:2000; Amersham).
Immunoreactive bands were visualized by autoradiography using Kodak
Biomax MS film (Eastman Kodak, Rochester, NY).
Tissue preparation and morphological analysis. Mice were
transcardially perfused with 4% paraformaldehyde and 2.5%
glutaraldehyde in 0.1 M sodium phosphate, pH 7.6, and
post-fixed overnight in the same solution. Samples were treated with
2% osmium tetroxide, washed, dehydrated, and embedded in Epon-Araldite
resin. Thick sections (0.75 µm) for light microscopy were stained
with toluidine blue. Axons were counted from the L5 ventral and dorsal
roots of three to five mice from each genotype and age. The number of degenerating axons in a root was counted from three to five mice from
each genotype and age. Axon diameters from two mice of each genotype
and age were measured using the Integrated Morphometry function from
the Image 1 Metamorph System (Universal Imaging Corporation, West
Chester, PA). Entire roots were imaged, and imaging thresholds were
chosen individually. The cross-sectional area of each axon was
calculated and reported as the diameter of a circle of equivalent area,
and these diameters were grouped into 0.5 µm bins.
Immunocytochemistry. Mouse tissues perfused with 4%
paraformaldehyde as described above were paraffin embedded.
Deparaffinized sections were reacted with monoclonal hamster anti-human
Bcl-2 antisera (PharMingen) using the peroxidase-antiperoxidase method (Vector Laboratories, Burlingame, CA) and counterstained with hematoxylin (Bruijn et al., 1997 ).
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RESULTS |
Bcl-2 overexpression does not markedly alter the phenotype or life
span of mutant NF-L mice
As early as 2-3 weeks of age, mutant NF-L (Pro) mice can be
distinguished from wild-type littermates by their runted appearance, muscle atrophy, limb quivering, and limb retraction when held by the
tail (Fig. 1A). NF-L
(Pro) mice display variable disease severity and variable mortality. On
average, approximately one-half of the NF-L (Pro)-positive pups in a
litter die before 1 month of age, whereas the one-half that survive
this critical period continue to live without a reduced life span.
Overexpressing Bcl-2 in these NF-L (Pro) mice does not change the
disease course, and at ages up to 15 months, NF-L (Pro) mice with or
without the Bcl-2 transgene are virtually indistinguishable. Bcl-2
overexpression may increase the body weights of mutant NF-L (Pro) mice
slightly but does not restore them to wild-type levels (Fig.
1B). Bcl-2 overexpression in NF-L (Pro) mice does not
alter the fraction of animals that survives the initial critical
period.

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Figure 1.
Mutant mice are easily identified by retracted
limb posture and decreased weight. A, Wild-type mice
(left) extend their hindlimbs when held by the
tail, whereas mutant NF-L (Pro) mice with either normal
(middle) or increased (right) levels of
Bcl-2 retract their hindlimbs. Mice shown are 1-month-old littermates.
B, Overexpression of Bcl-2 ( ) does not
drastically alter the body weight of mice when compared with that of
wild-type littermates ( ). Overexpression of Bcl-2 in mutant NF-L
(Pro) mice ( ) slightly increases the body weight of mice over that
of singly transgenic NF-L (Pro) mice ( ) at most ages.
Points represent averages from four mice from each
genotype. Error bars represent the SEM. C, Total sciatic
nerve homogenates from 2-, 4-, and 24-week-old mice from NF-L (Pro)
mice and doubly transgenic NF-L (Pro)/Bcl-2 mice were resolved on an
11% Coomassie blue-stained polyacrylamide gel. Two mice from each age
are shown in adjacent lanes. Parallel gels were used for
immunoblotting. Molecular weight markers are shown on the
left. Levels of myc-tagged NF-L transgene in the
sciatic nerves of NF-L (Pro) [lanes 1-6 (lane
1 to the right of the molecular weight
markers)] and doubly transgenic NF-L (Pro)/Bcl-2 (lanes
7-12) mice are shown. Levels of endogenous mouse NF-L in the
sciatic nerves of mutant NF-L (Pro) (lanes 1-6)
and doubly transgenic NF-L (Pro)/Bcl-2 (lanes 7-12)
mice of each age are shown. Levels of human Bcl-2 (hBCL)
transgene protein in the sciatic nerves of mutant NF-L (Pro)
(lanes 1-6) and doubly transgenic NF-L
(Pro)/Bcl-2 (lanes 7-12) mice of each age are shown.
D-F, Immunocytochemical detection of the human Bcl-2
transgene product in the ventral spinal cord of 3-week-old mice is
shown. Bcl-2 /NF-L (Pro) mice (D), Bcl-2+/NF-L
(Pro) (E), and Bcl-2+/NF-L (Pro)+
(F) mice are shown. Bcl-2+/NF-L (Pro)+ cell
bodies undergoing degeneration also contain the human Bcl-2 transgene
product (arrows). Scale bar, 30 µm. BCL
and BCL2, Bcl-2; PRO, NF-L
(Pro).
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This unusual survival pattern in NF-L (Pro) mice arises because the
expression of the NF-L (Pro) transgene is silenced beginning at ~4
weeks of age. An initial transgene expression level (50-75% of
endogenous NF-L) is present up to 2 weeks of age but declines with age
(Lee et al., 1994 ). To demonstrate that this was indeed the case and to
verify that Bcl-2 was continuously expressed in the presence and
absence of the NF-L mutant, sciatic nerve total homogenates from 2-, 4-, and 24-week-old singly transgenic NF-L (Pro) and doubly transgenic
Bcl-2/NF-L (Pro) animals were subjected to quantitative immunoblot.
Sciatic nerve homogenates from two mice from each genotype and age were
resolved on polyacrylamide gels and stained by Coomassie blue (Fig.
1C) to verify equal loading. Parallel gels were
immunoblotted with antibodies to the epitope tag on the NF-L (Pro)
transgene subunit, with antibodies to the endogenous NF-L subunit, and
with antisera specific for human, but not mouse, Bcl-2. This
demonstrated that, whereas mutant NF-L transgene levels decrease
markedly after 2 weeks of age in both singly and doubly transgenic
mice, wild-type NF-L levels do not change after the initial
phase of transgene-mediated neuronal death occurring between 2 and 4 weeks of age (see below). As expected, human Bcl-2 levels are not
affected by the mutant NF-L transgene at any age.
To verify that the Bcl-2 transgene was expressed in the motor neuron
cell bodies at risk during the early phase of the disease, immunocytochemistry was performed using human-specific anti-Bcl-2 antibodies (Fig. 1D-F). Three-week-old
wild-type mice express no detectable human Bcl-2 (Fig.
1D), whereas the large motor neuron cell bodies of
both singly transgenic Bcl-2+/NF-L (Pro) (Fig. 1E) and doubly transgenic Bcl-2+/NF-L (Pro)+ (Fig.
1F) mice are immunoreactive for the Bcl-2 transgene
product. Therefore, the introduced Bcl-2 is present in the cells at
risk in this disease, and expression of the NF-L (Pro) transgene does
not affect human Bcl-2 expression or localization.
Degeneration of mutant NF-L (Pro) motor axons is an early and
transient event
Although Bcl-2 overexpression failed to affect the mutant
NF-L-mediated disease onset or progression, it remained possible that
increased Bcl-2 could support more efficient neuronal survival after
the initial insult. To test this, the most severely affected L5 ventral
(motor) roots were examined at several ages. Wild-type mice exhibited
the expected pattern of axonal radial growth from 2 weeks to 15 months
of age (Fig. 2A),
usually with no degenerating axons observed. When compared with
wild-type mice (Fig. 2A), an obvious initial
difference was that the Bcl-2-overexpressing mice possessed more small
axons at each age examined (Fig. 2B), whereas the
number of large axons and the size of these large axons did not appear
to differ from that of wild type. The increased number of axons in the
Bcl-2 transgenic mice must reflect Bcl-2-dependent inhibition of
naturally occurring programmed cell death that would normally occur
during development. This finding is not unexpected given the previous
evidence that the transgene in this line of Bcl-2-overexpressing mice
is activated very early in embryonic development (Martinou et al.,
1994 ).

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Figure 2.
Effects of mutant NF-L (Pro) transgene expression
and Bcl-2 overexpression on axonal morphology. Cross sections of L5
motor (ventral root) from 2-week-old and 1-, 2-, 6-, and 15-month-old
mice are shown. A-D, Representative sections from each
genotype are as indicated. Arrows indicate degenerating
axons and invading macrophages. Scale bar, 10 µm.
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The NF-L (Pro) mutant axons showed only minor changes at 2 weeks of age; the number and sizes of axons appeared essentially normal with very few macrophages and degenerating axonal profiles visible (Fig. 2D). Degeneration began soon thereafter
and was rampant by 1 month of age, accompanied by a high degree of
macrophage invasion and deposition of cellular debris. In addition, the
nerves contained many fewer intact axons, with the loss of the largest diameter axons as the most obvious feature. By 2 months of age [when
NF-L (Pro) transgene levels are significantly reduced], the NF-L (Pro)
mice that survive this early crisis period displayed very few
macrophages, degenerating axons, or cellular debris. Six-month-old
axonal profiles also looked reasonably healthy but were severely
reduced in size when compared with similarly aged wild-type axons. By
15 months of age, the NF-L (Pro) axons were still markedly smaller than
wild-type axons, but a partial recovery of larger diameter axons was evident.
Not unexpectedly, doubly transgenic Bcl-2/NF-L (Pro) axons at 2 weeks of age were similar in appearance and number to the other three
genotypes (Fig. 2C). The amount and severity of degeneration displayed at 1 month of age were slightly less obvious in NF-L (Pro)
mice with the Bcl-2 transgene than in those without it. The roots of
doubly transgenic mice had fewer macrophages present, and smaller axons
filled these spaces instead of debris. At 2 months of age, the doubly
transgenic mouse axons were more shrunken than their NF-L (Pro)
counterparts, and small amounts of debris and scattered macrophages
were still observable. This was in contrast to the absence of pathology
seen in the NF-L (Pro) axons at this same age. This result is
consistent with either a delayed onset of axonal degeneration or a
lengthened degeneration period caused by overexpression of Bcl-2 in
NF-L (Pro) mice. Also of note is the fact that the doubly transgenic 6- and 15-month-old axons had increased in diameter to become larger than
the singly transgenic NF-L (Pro) axons but were still considerably
smaller than the wild-type axons.
Increases in initial motor axon numbers and a delay in axon
degeneration upon Bcl-2 overexpression in NF-L (Pro) mice
To assess more accurately any protective effects of Bcl-2
overexpression in NF-L (Pro) mice, the number of axons within the L5
ventral and dorsal roots of mice from each genotype were counted at
several ages (Fig. 3). The selectivity of
the mutant NF-L (Pro)-mediated cell killing for motor neurons is
demonstrated by the 50% loss of the motor axons between weeks 2 and 4 (Fig. 3A), with only a 15% loss of sensory axons (Fig.
3B) when compared with respective wild-type axon levels.
Initially obvious by qualitative inspection of Figure 2, the number of
motor axons in Bcl-2-overexpressing mice was considerably greater
(33-71% of wild type) than that in wild-type mice at all ages
examined. The doubly transgenic Bcl-2/NF-L (Pro) mice initially
possessed the same increased number of axons as the
Bcl-2-overexpressing mice alone but experienced an early loss of motor
axons at 3 weeks of age similar to that of the NF-L (Pro) mice.
However, this loss was different with respect to duration and severity,
as suggested previously by the degenerating axonal profiles still
evident in the 2-month-old doubly transgenic mice but absent in the
NF-L (Pro) mice (Fig. 2). Whereas the doubly transgenic axons either
recovered or were replaced by spouting axons to regain initial axon
numbers eventually by 4 months of age, the NF-L (Pro) axons did not,
demonstrating that Bcl-2 overexpression is capable of changing some
aspects of the disease course.

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Figure 3.
Bcl-2 overexpression increases the number of motor
and sensory axons in mutant NF-L (Pro) mice to above wild-type levels.
Axon counts from L5 motor (A) and sensory
(B) roots are indicated for the various mouse
genotypes at ages of 2, 3, 4, 8, 16, 24, and 60 weeks.
A, NF-L (Pro) mutant mice have considerably fewer motor
axons than wild-type mice do. Overexpression of Bcl-2 alone results in
mice with many more axons than in wild type. Bcl-2 overexpression in
mutant NF-L (Pro) mice restores the total number of axons to greater
than wild-type levels at all ages examined. Counts are averages from
three to five mice of each genotype and age with the exception of the
15-month-old animals (n = 2). B,
Sensory axons are relatively spared from mutant NF-L (Pro)
transgene-mediated killing. Overexpression of Bcl-2 may increase the
numbers of NF-L (Pro) axons early in life, but a common final number of
axons is reached in NF-L (Pro) mutants regardless of Bcl-2 expression
levels. Counts are averages from three to five mice of each genotype
and age with the exception of the 15-month-old animals
(n = 2). Error bars represent the SD of the
data.
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To further compare the temporal degeneration patterns among the four
genotypes, the number of degenerating axonal profiles within L5 ventral
(Fig. 4A) and dorsal
(Fig. 4B) roots was determined at different ages. As
expected, wild-type and Bcl-2-overexpressing mice experienced little
to no degeneration at any age in either motor or sensory roots.
However, >40 motor axons per NF-L (Pro) ventral root were visibly
degenerating at 3 weeks of age (Fig. 4A,
arrow). At the same age, only ~7 motor axons per root were degenerating in NF-L (Pro) mice overexpressing Bcl-2. This initial delay in degeneration was short-lived because, by 1 week later (Fig.
4A, arrowhead), the peak amount of
degeneration in the doubly transgenic roots equaled that in the NF-L
(Pro) mice. By 8 weeks of age, degeneration had nearly ceased in mice
of both genotypes. Although the peak number of degenerating axons was
the same with or without the Bcl-2 transgene, the overall amount of
degeneration was decreased upon overexpression of Bcl-2. When summed
over the first 2 months of age, NF-L (Pro) mice displayed an average of 88 degenerating axons per root, whereas the NF-L (Pro) mice
overexpressing Bcl-2 had only 57 axons per root degenerating. Since the
degeneration in NF-L (Pro) axons started earlier and remained at peak
degeneration levels longer than the doubly transgenic axons did,
overexpressing Bcl-2 was able to delay the onset of degeneration and
reduce the amount of degeneration caused by transient neurofilamentous
insult.

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Figure 4.
Overexpression of Bcl-2 in NF-L (Pro) mice delays
onset and decreases the amount of motor axon degeneration caused by
NF-L (Pro) transgene-mediated damage. A, L5 motor axon
degeneration is an early and transient event in the lifetime of the
NF-L (Pro) mice ( ). The total number of motor axons degenerating in
the NF-L (Pro) roots is much higher at 3 weeks of age than is that in
the NF-L (Pro)/Bcl-2 overexpressor mice ( ). By 4 weeks of age the
levels of degeneration are comparable between the singly and doubly
transgenic animals, and by 8 weeks of age most of the degeneration has
ceased. The arrow indicates degeneration at 3 weeks of
age, and the arrowhead indicates degeneration at 4 weeks
of age. Very few degenerating axons are observed in wild-type ( ) and
Bcl-2-overexpressing ( ) mice. Counts are averages from three to
five mice from each genotype and age. B, The amount of
NF-L (Pro) transgene-mediated sensory axon degeneration exhibited is
less than that seen in the motor axons. L5 sensory axon degeneration is
an early and transient event in the lifetime of the NF-L (Pro) mice
( ). The total number of sensory axons degenerating in mutant NF-L
(Pro) roots is decreased upon Bcl-2 overexpression ( ). Very few
degenerating axons are observed in wild-type ( ) and
Bcl-2-overexpressing ( ) mice. Counts are averages from three to
five mice from each genotype and age. Error bars represent the SD of
the data.
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The number of degenerating sensory axons was reduced by Bcl-2
overexpression (Fig. 4B) from 24 in NF-L (Pro) mice
to <10 in Bcl-2/NF-L (Pro) mice at 4 weeks of age. In addition, the
period of degeneration appeared to be lengthened in the doubly
transgenic mice. These findings indicate that the effects of Bcl-2
overexpression apparently act in a similar manner in both motor and
sensory neurons.
Bcl-2 overexpression in NF-L (Pro) mice selectively increases the
number of small, but not large, motor axons
To determine whether the beneficial effects of Bcl-2
overexpression are conferred on one axonal size class or another, the distribution of axon sizes was measured in wild-type mice,
Bcl-2-overexpressing mice, and NF-L (Pro) mice with or without the
Bcl-2 transgene. At 2 weeks of age, wild-type mice displayed a typical
bimodal distribution of axon sizes (average size class diameters are
1.5 and 4 µm) with a majority of axons in the larger class (Fig.
5A). Bcl-2-overexpressing
mice also had two axon size classes with average diameters similar to
that of wild type, but in addition, these nerves contain two times more
small axons than does wild type (Fig. 5A). Even at 2 weeks
of age, before significant axonal degeneration and loss, NF-L (Pro)
mice have only one axon size class centered on 2 µm, indicating that
the mutant neurofilament-mediated damage has already affected normal
axonal radial growth (Fig. 5B). Overexpression of Bcl-2 in
the NF-L (Pro) mutant mice yields 30% more small axons than in NF-L
(Pro) mutant mice alone (Fig. 5C) and 2.5 times more small
axons than in wild-type mice (Fig. 5A). In 2-week-old doubly
transgenic nerves, the large axon class (normally centered on 4 µm in
wild-type mice) is already reduced but may contain slightly more axons
than the NF-L (Pro) mutants. The average size of wild-type large motor
axons is indicated in Figure 5C by an arrow.

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Figure 5.
Increased expression of Bcl-2 selectively
increases the number of small, not large, motor axons in mutant NF-L
(Pro) mice. Axonal areas were calculated for all axons within an entire
L5 motor root using a computer-imaging program and plotted as the
frequency of appearance of diameters corresponding to circles of
equivalent areas. Distributions of 2-week-old
(A-C), 2-month-old
(D-F), and 6-month-old
(G-I) animals from all four genotypes are
shown. Wild-type mice ( ) have the expected bimodal distribution of
small and large motor axons. Bcl-2-overexpressing mice ( ) also have
two axon size classes but exhibit an increased number of small axons.
Mutant NF-L (Pro) mice ( ) selectively lose the large motor axon
population. Mutant NF-L (Pro) mice overexpressing Bcl-2 ( ) have
greatly increased numbers of small motor axons but still lose large
motor axons. Points represent the averaged axon size
distributions of two mice for each genotype and age.
Arrows indicate the mean size of the population of large
motor neurons found in normal, age-matched animals.
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As with the 2-week-old mice, both the wild-type and
Bcl-2-overexpressing mice at 2 months of age have two axonal size
classes, although normal radial growth of axons has increased the
diameters significantly (Fig. 5D). Not only do
Bcl-2-overexpressing mice have more than three times the wild-type
number of small motor axons, but the Bcl-2-overexpressing axons are
reduced in size (peaks centered on 1.5 and 9.0 µm) when compared with
the wild-type axon classes (2.5 and 9.5 µm). Bcl-2-overexpressing
mice also have slightly more large motor neurons than wild-type mice
do. By this age, compared with normal mice the mutant NF-L (Pro) mice (Fig. 5E) have lost completely the very largest class of
neurons but retain slightly elevated levels of small axons. Doubly
transgenic mice have exceedingly high numbers (3.5 times that of wild
type) of small axons but almost no large axons (Fig.
5F). These findings reveal that overexpression of
Bcl-2 in NF-L (Pro) mice does not rescue the large motor neurons from
death at this age.
By 6 months of age, normal radial growth increases the wild-type small
axon diameters to ~3 µm and the large axon diameters to 12.5 µm
(Fig. 5G). Bcl-2 overexpression results in a much larger population of small axons centered on 1.5 µm and a slightly elevated large axon population with diameters of ~12 µm (Fig.
5G). NF-L (Pro) mice have an increased number of small axons
~4 µm in diameter but almost no axons larger than 7 µm (Fig.
5H). Overexpression of Bcl-2 in the mutant NF-L (Pro)
mice is not able to rescue the axons larger than 7 µm (Fig.
5I; the arrow marks the mean diameter of the
group of large axons in normal wild-type mice) but does result in more
than four times the wild-type levels of small axons. The increased
population of small axons in doubly transgenic mice maintains diameters
slightly smaller than those of wild-type axons but larger than those of
the Bcl-2 overexpressors alone. These analyses show that at 6 months of age, even though Bcl-2 overexpression has the capability to
produce increased numbers of both small and large motor neurons, when
it is overexpressed in NF-L (Pro) mice, it does not exert a protective
effect on the large motor axons at risk in this disease.
Motor neuron cell body degeneration in NF-L (Pro) mice is largely
unchanged by overexpression of Bcl-2
There are a number of pathological changes that occur in the
spinal cords of NF-L (Pro) mutant mice in addition to the almost complete loss of large motor axons described previously. In ALS patients and in NF-L (Pro) mutant mice, considerable degeneration is
evident in the ventral column of the lumbar spinal cord that houses the
cell bodies of axons that project to muscles of the lower limbs.
Although Bcl-2 overexpression was unable to prevent the loss of large
NF-L (Pro) motor axons, it remained a possibility that their cell
bodies might benefit from Bcl-2 overexpression and persist long enough
to send out new axons and reinnervate targets. To assess this
possibility, the lumbar spinal regions from NF-L (Pro) mutant mice and
doubly transgenic Bcl-2/NF-L (Pro) mice were examined at several ages.
The motor neuron cell bodies of wild-type mice are distinguished by
their large asymmetric appearance, prominent nucleolus, extended
projections, and position within the ventral portion of the spinal cord
(Fig. 6A). The cell
bodies of Bcl-2-overexpressing mice are morphologically identical to
wild-type cell bodies, except for an apparent increase in number (Fig.
6B). NF-L (Pro) mutant mice display motor neuron cell
body pathology as early as 2 weeks of age and at least as late as 15 months (Fig. 6D). This pathology includes distended
cell bodies, cytoplasmic neurofilament accumulations, and axonal
swellings (Lee et al., 1994 ). The nonuniform cytoplasm of NF-L (Pro)
mutant cells contains neurofilamentous accumulations that stain lightly
with toluidine blue but stain darkly by silver-staining methods.
Overexpression of Bcl-2 in mutant NF-L (Pro) mice does not eliminate
motor neuron cell body degeneration (Fig. 6C). At all ages
examined, doubly transgenic motor neuron cell bodies exhibited features
of degeneration similar to that observed in NF-L (Pro) mice. Comparable
numbers of degenerating cell bodies were observed in NF-L (Pro) mice
and Bcl-2/NF-L (Pro) mice at ages up to 15 months.

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Figure 6.
Spinal cord anterior horn motor neuron pathology
is a prominent feature of both NF-L (Pro) mutant and doubly transgenic
Bcl-2/NF-L (Pro) mutant mice. Cross sections of lumbar spinal cord from
2-week-old and 1-, 6-, and 15-month-old mice are shown.
A-D, Genotypes are as indicated.
Arrowheads indicate degenerating motor neuron cell
bodies. Axonal swellings are marked with an S. Scale
bar, 50 µm.
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DISCUSSION |
In testing whether mutant NF-L-induced motor neuron loss could be
alleviated by Bcl-2, we have determined that Bcl-2 overexpression was
effective in preventing the death of many motor neurons during the
developmental period of naturally occurring cell death but that these
additional neurons did not grow to replace the motor neurons with the
largest axonal calibers that were selectively killed by mutant
neurofilament-mediated mechanisms. The degree of large motor axon loss
exhibited by these mice was only slightly reduced, and there were no
measurable phenotypic changes in disease onset or progression, despite
the ability of Bcl-2 to delay and slightly moderate the degeneration
period. By these measures, the overexpression of human Bcl-2 did not
protect the at-risk large motor axons from mutant
neurofilament-mediated degeneration. Moreover, comparison of the motor
neuron cell bodies within the lumbar spinal cord of singly and
doubly transgenic mice revealed that overexpression of Bcl-2 afforded
no significant protection from mutant neurofilament-mediated
degeneration at ages up to 15 months. Thus, increased Bcl-2 seems to
delay and then prolong the period of neurofilament-mediated damage for
large motor neurons without markedly changing the clinical disease course.
There are several potential reasons why the overexpression of human
Bcl-2 failed to rescue the large motor axons affected by mutant
NF-L-mediated disease. It may be that the NF-L-mediated damage had
progressed to an advanced state too rapidly, before the action of Bcl-2
could counteract the deleterious effects. Alternatively, the levels of
Bcl-2 produced in the motor neurons might not have been high enough to
counteract such a powerful insult. This is implausible, however, since
this level of transgenic Bcl-2 not only promotes a large increase in
the numbers of small caliber axons in these mice but also has been
shown to be expressed very early and at high levels in the cell bodies
of large motor neurons in the ventral spinal cord (Martinou et al.,
1994 ; Kostic et al., 1997 ).
A recent study (Kostic et al., 1997 ) showed that the onset of ALS-like
motor neuron disease in SOD1 mutant mice (G93A line) could be delayed
slightly (37 d) by overexpressing human Bcl-2 in neurons, thereby
causing a corresponding increase in life span. However, the duration of
disease after onset was not lengthened. Because these authors did not
report any increased number of axons in the nerve type they counted,
these findings suggested that Bcl-2 overexpression offered a degree of
initial antiapoptotic protection from mutant SOD1-mediated toxicity,
but after the neurons reached a threshold disease state, the Bcl-2
action was no longer sufficient to slow disease progression. A similar
study that produced seemingly conflicting results used mice expressing
a dominant-negative interleukin-1B-converting enzyme (ICE) crossed to
the same SOD1 mutant mouse line (G93A) (Friedlander et al., 1997 ).
Although ICE itself has not been clearly linked to apoptosis except in thymocytes (Kuida et al., 1995 ), the inhibition of ICE-like proteases is thought to reduce cell death mediated by a variety of different stimuli. Interpretation of the Friedlander et al. (1997) study is
further complicated by the discordance in reported disease duration in
the G93A mice. Despite reports by other investigators of disease
durations of 48 d (Gurney et al., 1994 ) or 72 and 70 d with
and without the Bcl-2 transgene, respectively (Kostic et al., 1997 ),
the dominant-negative ICE was reported to increase disease duration
from a much reduced 12 to 27 d without effect on the age of
disease onset (Friedlander et al., 1997 ). In contrast to the Kostic et
al. (1997) study, these results argued that the inhibition of apoptosis
acted to keep the diseased neurons alive longer instead of preventing
them from becoming diseased at an earlier time.
These same Bcl-2 mice were also used in a previous attempt to protect
the facial nucleus motor neurons that degenerate in progressive
motor neuropathy (pmn) mice. In this
case, the pmn facial motor neuron cell bodies were spared by
Bcl-2 overexpression, but the facial motor axons and phrenic motor
axons were not (Sagot et al., 1995 ). In addition, Bcl-2 overexpression
in wobbler mutant mice did not prevent the degeneration of
facial motor neurons or musculocutaneous nerve axons (Coulpier et al.,
1996 ). Nor were the onset and duration of disease in the pmn
and wobbler mutant mice altered by Bcl-2 overexpression,
although the onset of SOD1-mediated ALS-like disease was delayed. These
three examples demonstrate the ability of Bcl-2 overexpression to alter
some aspects of various motor neuron diseases, but the variability of
protection offered indicates that other potent upstream influences may
be producing more damage or more apoptotic or necrotic messengers than
the downstream Bcl-2 can overcome.
As to the relevance of using these antiapoptotic strategies to reduce
the type of motor neuron death in both sporadic and inherited forms of
ALS, morphological evidence (Sendtner et al., 1994 ; Troost et al.,
1995 ) has suggested that the form of cell death occurring in ALS is
indeed apoptotic, although no consensus has yet emerged. Several groups
have demonstrated the presence of terminal deoxynucleotidyl
transferase-mediated dUTP-biotin nick end labeling (TUNEL)-positive
staining in muscle cells (Tews et al., 1997 ) and in spinal cord motor
neurons (Yoshiyama et al., 1994 ) of ALS patients but not in controls.
Expression of several different ALS-linked SOD1 protein mutants in
cultured neuronal cells resulted in apoptotic cell death (as judged by
TUNEL staining), whereas expression of wild-type SOD1 conferred
protection from apoptosis (Rabizadeh et al., 1995 ; Durham et al.,
1997 ). The finding that Bcl-2 mRNA is selectively reduced
and proapoptotic Bax mRNA is increased in motor neurons of
sporadic ALS patients (Mu et al., 1996 ) further supports the idea that
cell death occurs via apoptotic mechanisms in ALS and strengthens the
argument for using Bcl-2 to counteract the cell death pathways that may
be responsible for motor neuron degeneration in ALS.
The proposed mechanism of disorganized neurofilaments choking axonal
transport as the primary cause of selective death of motor neurons in
the NF-L (Pro) mice has recently been called into question by a study
using a similar NF-L transgene that reported enteric nervous system
abnormalities (accompanied by death within a few days of birth for two
transgenic founder mice), stunted growth (in progeny from a third
founder), and pathology comprised of vacuolar inclusions (Canete-Soler
et al., 1999 ). Because insertion of a C-terminal myc epitope tag into
the NF-L gene was shown to stabilize the resultant mRNA by twofold and
to alter the association of mRNA-binding proteins when expressed in a
neuroblastoma cell line, the authors proposed that the defects in their
transgenic mice may arise from a dominant effect of the transgenic mRNA
on the metabolism of other RNAs. (This hypothesis remains to be tested directly by analysis of similar transgenic animals bearing an identical
transgene with the myc-coding sequence out of frame with that of NF-L.)
There are several important differences between our mutant NF-L (Pro)
mice and these newly reported mice. Specifically, different promoters
were used for the transgenes, and the levels of transgene expression
required to provoke disease differed markedly [the mutant NF-L (Pro)
causes disease with between 50 and 70% of endogenous NF-L levels,
whereas the Canete-Soler et al. (1999) transgene requires levels much
higher than those of wild type]. Moreover, there are striking
differences in the time course of the disease, the neurons at risk, and
the pathology developed in those neurons. Instead of neurofilamentous
accumulations and axonal swellings found in our NF-L (Pro) mice (which
are also characteristic of human ALS), the Canete-Soler et al. (1999)
mice were reported to have vacuolar changes without neurofilamentous abnormalities. On the basis of these distinct differences, we conclude
that it is unlikely that the pathology and resultant cell death
observed in our NF-L (Pro) mice are a result of C-terminal myc
tag-induced alterations in mRNA metabolism.
In any event, we emphasize that the mutant neurofilament mouse model
used here recapitulates many of the pathological neurofilamentous misaccumulations observed in sporadic human disease (Carpenter, 1968 ;
Chou and Fakadej, 1971 ; Hirano et al., 1984a ), in SOD1 mutant-mediated familial disease (Hirano et al., 1984b ; Rouleau et al., 1996 ; Shibata
et al., 1996 ), and in SOD1 mutant mice (Gurney et al., 1994 ; Wong et
al., 1995 ; Tu et al., 1996 ). Since neurofilament misaccumulation is a
hallmark of human disease, the finding that neurofilament
disorganization arising solely from damage to a neurofilament subunit
can selectively kill motor neurons offers strong evidence that
neurofilaments are a part of pathogenesis in sporadic and inherited
disease. Indeed, in mice, complete removal of axonal neurofilaments
through disruption of the NF-L gene slows disease onset mediated
by familial ALS-linked mutant SOD1G85R by 5 weeks
(Williamson et al., 1998 ). Similarly, trapping most neurofilaments in
the perikarya of motor neurons extends the life span of mutant
SOD1G37R mice by 6 months (Couillard-Despres et al.,
1998 ). Combined with the known neurofilament-dependent slowing of slow
axonal transport and the finding that the earliest defect to arise in
SOD1G37R and SOD1G85R mice is a
slowing of selected cargoes of slow transport (Williamson and Cleveland
1999 ), disorganized axonal neurofilaments must represent an important
aspect of pathogenesis in ALS.
All of this evidence combine to suggest that an effective therapeutic
strategy would be one that could selectively diminish neurofilament
synthesis and accumulation in axons. This might be achieved by
disruption of the signaling pathway that normally upregulates
neurofilament synthesis after myelination by nearly an order of
magnitude relative to synthesis levels during axon elongation or during
recovery from axotomy (Hoffman et al., 1987 ). Furthermore, the
inability of chronically increased Bcl-2 levels to protect adequately
the large caliber neurons at risk in the previously described mouse
models of motor neuron disease argues that therapies based on apoptotic
inhibitors might be most useful in combination with an agent lowering
axonal neurofilament accumulation.
 |
FOOTNOTES |
Received Jan. 12, 1999; revised May 7, 1999; accepted May 12, 1999.
This work has been supported by National Institutes of Health Grant NS
27093 to D.W.C. Salary support for D.W.C. was provided by the Ludwig
Institute for Cancer Research. We thank Dr. Jean-Claude Martinou for
his gift of the human Bcl-2 overexpressor mouse used in this study. We
appreciate the efforts of Janet Folmer and Karen Anderson in sectioning
and staining slides for light microscopy, without which this work would
not have been possible.
Correspondence should be addressed to Dr. D. W. Cleveland, Ludwig
Institute for Cancer Research, University of California at San Diego,
9500 Gilman Drive, La Jolla, CA 92093.
 |
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