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Previous Article | Next Article 
The Journal of Neuroscience, July 1, 2000, 20(13):5102-5114
Striatal Responses to Partial Dopaminergic Lesion: Evidence for
Compensatory Sprouting
David D.
Song2 and
Suzanne N.
Haber1, 2
1 Department of Neurobiology and Anatomy, and
2 Department of Neurology, University of Rochester School
of Medicine, Rochester, New York 14642
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ABSTRACT |
Dopaminergic lesions result in the acute loss of striatal dopamine
content, the loss of tyrosine hydroxylase-immunoreactive fibers,
upregulation of preproenkephalin mRNA expression, and compensatory
changes in the synthesis and metabolism of dopamine. Despite the severe
loss of fine tyrosine hydroxylase-immunoreactive fibers, larger fibers
persist. We found that some tyrosine hydroxylase fiber types increase
their branching and become thicker after partial lesion. To determine
whether the remaining tyrosine hydroxylase fibers were degenerative or
part of a compensatory response, we morphologically characterized
striatal tyrosine hydroxylase fibers and compared them to
silver-stained degenerative structures. Branched and large tyrosine
hydroxylase fiber types were nondegenerative. Furthermore, normal
preproenkephalin mRNA expression was maintained despite severe overall
loss of tyrosine hydroxylase fibers in striatal regions with abundant
branching, whereas preproenkephalin mRNA expression increased in
severely depleted regions that lacked branched fibers, indicating that
branching or sprouting was involved in the compensation for dopamine
depletion and the maintenance of normal preproenkephalin expression. In
support of compensatory sprouting by tyrosine hydroxylase fibers, mRNA
for growth associated protein-43 was upregulated in dopaminergic
midbrain cells. We conclude that an important compensatory response to
partial dopaminergic depletion is the formation of new branches or sprouting.
Key words:
MPTP; dopamine; plasticity; enkephalin; GAP-43; striatum; substantia nigra
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INTRODUCTION |
There are a variety of neurochemical
and morphological changes that occur in the striatum as a consequence
of lesioning of the mesostriatal dopamine (DA) system. These changes
reflect both the acute loss of DA innervation and compensations for
that loss. Acute changes include the loss of tyrosine hydroxylase
(TH)-immunoreactive fibers and terminals, the appearance of axonal and
terminal degeneration, loss of striatal DA content, and an increase in
the expression of preproenkephalin (PPE) mRNA (Onn et al., 1986 ; Hess,
1989 ; Boatell et al., 1992 ; Albanese et al., 1993 ; Asselin et al.,
1994 ). Compensatory responses include increased synthesis of TH,
increased DA release and turnover, and decreased DA uptake, leading to
maintenance of normal or near normal levels of extracellular dopamine
(Zhang et al., 1988 ; Zigmond et al., 1989 , 1990 ; Abercrombie et al., 1990 ; Robinson et al., 1990 ; Robinson et al., 1994 ).
The neurotoxin 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) has
been extensively used to selectively lesion the mesostriatal DA system
in primates (Langston et al., 1984 ; Gerlach and Riederer, 1996 ). A
marked decrease in the dense network of terminals and thin TH fibers
occurs after MPTP lesions; however, large diameter fibers persist. The
prominence of these residual large fibers have been interpreted to be a
result of the loss of background TH immunoreactivity (Hess, 1989 ;
Parent and Lavoie, 1993 ). However, preliminary evidence from our
laboratory indicated a change in the density and morphology of
large-diameter fibers in MPTP-lesioned animals (Song et al., 1999 ).
These changes raised the issue of whether growth and sprouting could be
an additional compensatory mechanism for DA loss. Previous studies have
suggested that sprouting from remaining mesolimbic DA fibers can occur
(Onn et al., 1986 ; Hansen et al., 1995 ). Consistent with this
possibility, the substantia nigra neurons contain relatively high
levels of growth-associated protein 43 (GAP-43) (Bendotti et
al., 1991 ). This protein, which is highly expressed in the brain during
development, is also inducible in the adult brain during recovery after
injury (Dani et al., 1991 ; Benowitz and Routtenberg, 1997 ; Anderson et
al., 1998 ). If indeed new sprouts or branches are formed by remaining
DA mesostriatal fibers, then acute striatal responses to DA depletion
might be normalized by this sprouting or growth.
One of the most consistent striatal responses to decreased dopamine
levels is the upregulation of PPE mRNA (Tang et al., 1983 ; Normand et
al., 1988 ; Augood et al., 1989 ; Gerfen et al., 1991 ). This is
heterogeneous in MPTP-lesioned primates (Asselin et al., 1994 ; Parent
et al., 1996 ). Because the striatal expression of PPE mRNA is tightly
linked to DA transmission (Mocchetti et al., 1987 ; Normand et al.,
1988 ; Li et al., 1990 ; Kowalski and Giraud, 1993 ; Nisenbaum et al.,
1994 ), striatal change or lack of change in PPE mRNA expression may
reflect the extent of extracellular DA normalization. This
normalization may be attributable to both neurochemical or sprouting
responses to DA depletion.
To address the progression of changes in the striatum after a partial
DA lesion, we studied the distribution and morphology of large-diameter
fibers after mild, moderate, and severe DA lesions to determine: (1)
their relationship to the decrease in dopaminergic thin fiber networks;
(2) whether they represented degenerating or nondegenerating fibers;
(3) their relationship to the expression of PPE mRNA, and (4) their
expression of GAP-43 mRNA in the midbrain. We classified
TH-immunoreactive fibers in the striatum into morphological subtypes.
We evaluated degenerative elements using the aminocupric acid silver
stain (De Olmos et al., 1994 ) and used combined staining for TH
immunoreactivity and neurodegeneration to determine whether the
large-diameter fibers were undergoing degeneration. Also, we examined
the relationship between the density and morphology of thick-diameter,
TH-positive fibers, with distribution of PPE mRNA upregulation.
Finally, we compared the expression levels of GAP-43 in the midbrain
between controls and MPTP-treated animals.
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MATERIALS AND METHODS |
MPTP treatment and behavioral assessment. Seven old
world monkeys (Macaca nemistrina) were used for this study.
Food and water were available ad libitum. Animal procedures
were conducted in accordance with the Guide for the Care and Use of
Laboratory Animals as adopted by the National Institutes of Health.
Four monkeys were treated with 0.15 mg/kg of MPTP three times a week,
and three served as normal controls. MPTP treatment was terminated
within 48 hr of the emergence of bradykinesia, action tremor, stooped posture, or change in gait. One case (total dose 1.05 mg/kg) was mildly
affected behaviorally with minimal bradykinesia and a small tremor of
the left hand. Two cases were moderately affected (total doses of 2.70 mg/kg and 1.50 mg/kg) with moderate bradykinesia, stooped postures, and
some difficulties with balance and gait, but were able to independently
feed and groom. One case was severely affected (total dose, 1.80 mg/kg)
with frequent akinesia (freezing), very stooped posture, and severe
difficulty in moving. This animal required assisted feeding and did not groom.
Histology. Four to five weeks after the last dose of MPTP,
monkeys were deeply anesthetized with a lethal dose of pentobarbital and killed by perfusion through the heart with saline followed by a 4%
paraformaldehyde solution in 0.1 M phosphate buffer, pH 7.4. The brains were removed and cryoprotected in increasing gradients of sucrose (10, 20, and finally 30%). Serial sections of 50 µm were cut on a freezing microtome and processed for
immunocytochemistry for TH and in situ hybridization for
either PPE or GAP-43 mRNA.
Tissue processed for TH immunocytochemistry was incubated with antisera
to TH (1:20,000; Eugene Tech) in 0.1 M phosphate buffer with 0.3% Triton X-100 and 10% normal goat serum (PBS-T-NGS; Incstar, Stillwater, MN) for four nights at 4°C and further processed using the avidin-biotin method (rabbit Elite Vectastain ABC kit; Vector Laboratories, Burlingame, CA). Sections were rinsed first in PBS then
in Tris buffer (0.05 M, pH 7.6) and preincubated in a
filtered 0.05% 3,3'-diaminobenzidine tetrahydrochloride solution in
Tris buffer for 10 min, before adding 0.01%
H2O2.
In situ hybridization. The PPE probe was a 48-mer
complementary to the human PPE mRNA sequence encoding amino acids
130-145 (Comb et al., 1982 ). The GAP-43 probe was a 40-mer
complementary to the human GAP-43 mRNA sequence (GenBank M25667)
encoded by bases 158-197. Five picomoles of oligonucleotide were
radiolabeled in a 20 µl reaction using 50 units of terminal
deoxynucleotidyl transferase (TdT; Boehringer Mannheim, Indianapolis,
IN) and 50 picomoles of deoxyadenosine 5' -thio
[35S]triphosphate
([35S]dATP; >1250 Ci/mmol; New England
Nuclear, Boston, MA) in a buffer containing 200 mM
potassium cacodylate, 25 mM Tris-HCl, pH 6.6 at 25°C,
0.25 mg/ml bovine serum albumin, and 1.5 or 5.0 mM cobalt chloride. Unincorporated radiolabel was removed by ethanol
precipitation in a 1 mg/ml glycogen and 0.4 M lithium
chloride solution. Pellets were rinsed in 70% ethanol, dried,
redissolved in 10 mM Tris-HCl, 1 mM EDTA, pH
7.6 (TE), and 50 mM dithiothreitol (DTT; Sigma, St. Louis,
MO), and stored at 20°C.
Tissue sections were processed for in situ hybridization
free-floating as previously described (Lu and Haber, 1992 ). Sections were rinsed two times for 15 min each in PBS before being rinsed briefly in a buffer containing 0.1 M
triethanolamine, 0.9% sodium chloride, pH 8.0 (TEA-NaCl), and then
incubated for 10 min in 0.25% acetic anhydride in TEA-NaCl and then
transferred to 2× SSC (1× SSC = 0.15 M
sodium chloride and 0.015 M sodium citrate, pH
7.0) and rinsed two times for 5 min. The final prehybridization treatment was a 10 min rinse in 50% formamide (Sigma), 4× SSC.
The 35S-labeled probes were diluted
(0.01-0.30 × 107 cpm/ml
hybridization solution) in a hybridization buffer containing 4× SSC, 50% formamide, 10× Denhardt's solution, 100 µg/ml denatured salmon sperm DNA (Sigma), 100 µg/ml polyadenylic acid (Sigma), 250 µg/ml yeast tRNA (Boehringer Mannheim), 5 µg/ml polydeoxyadenylic acid (Sigma), 50 mM DTT, and 10% dextran sulfate (5 Prime-3
Prime, Inc., Boulder, CO). Sections were transferred into hybridization solution in a 14 ml sterile culture tube (one section per milliliter or
two sections per 3 ml of hybridization solution), and incubated gently
rocking overnight at 37°C. After hybridization, sections were
transferred into nets in dishes and sequentially rinsed at room
temperature (two times for 10 min each) in 2× SSC, 1× SSC, and 0.5×
SSC. Finally, sections were rinsed in 0.5× SSC at 50-60°C), four
times for 30 min, rinsed briefly in room temperature 0.1 M
phosphate buffer, and then mounted on gelatin-coated slides.
The slides were apposed to Hyperfilm B-max films (Amersham, Arlington
Heights, IL) for 3-7 d, then dehydrated and defatted through
increasing concentrations of ETOH, into xylene for two times overnight,
rehydrated, dried on a slide warmer, and dipped into NTB-2 photographic
emulsion (Eastman Kodak, Rochester, NY) that has been diluted 1:2 with
20% glycerin, exposed for 3-5 weeks at 20°C, developed in D-19
developer (Kodak), fixed, rinsed with water, counterstained with cresyl
violet, coverslipped with Permount (Fisher Scientific, Springfield,
NJ), and examined microscopically under dark-field and bright-field
illumination. The sense probe is substituted for the antisense probe to
confirm specificity of hybridization.
Aminocupric acid silver staining. Four sections from each
MPTP-treated and control animal were processed by Neuroscience
Associates (Knoxville, TN) with the assistance of Dr. Robert C. Switzer
III for degeneration using the aminocupric acid silver stain originally described by De Olmos et al. (1994) . An additional five sections from
each animal were also stained for both TH immunoreactivity and silver
impregnation. Routine processing for TH was completed first, followed
by routine aminocupric acid silver staining. Sections from control
animals were simultaneously processed with sections from treated
animals. Analysis of the distribution and morphology of
silver-impregnated structures was based on sections processed only for
degeneration because normal control did not show degenerating fibers.
Fiber types. Images of TH-immunoreactive fibers and
silver-impregnated structures were digitally captured at 40×
magnification and measured using Openlab software (Improvision).
TH-immunoreactive fibers in the striatum of normal controls were
classified by morphology and thickness (Fig.
1). There was some overlap in the range
of diameters for each fiber type category; however, morphological differences distinguished the fiber types. Type I fibers were <0.25
µm in diameter. These fibers were very fine and composed the fine
mesh of TH immunoreactivity found throughout the striatum. Type II
fibers (arrows) were 0.25-0.80 µm in diameter (mean, 0.50 µm;
n = 387). These fibers had varicosities along their
length, were predominantly nonbranching, and often appeared wavy. Of
the measured type II fibers that did branch, there were never more than
two branches per fiber. Type III fibers (closed arrowheads) were
0.45-1.25 µm in diameter (mean, 0.77 µm; n = 471).
Unlike type II fibers, they were smooth, straight, had no varicosities along their length, and were always nonbranching. Type IV fibers (open
arrowheads) were 0.55-2.1 µm in diameter (mean, 1.11 µm; n = 156). Although some were similar in thickness to
type III fibers, they were kinked or twisted, had particularly intense and granulated TH immunoreactivity, and were often much thicker than
type III fibers. The branching of these fibers was rare. In
MPTP-treated animals, silver-impregnated degenerating structures were
also classified morphologically using the same criteria for TH-immunoreactive fibers described above (see Results for details). Silver impregnated fiber-like structures were called type II-like, type
III-like, or type IV-like. Type IV-like structures were further subdivided two distinct morphological subgroups, 4A and 4B (see Results).

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Figure 1.
Normal TH-immunoreactive fiber types.
A, Dorsal striatum (dorsolateral putamen).
B, Ventral striatum (nucleus accumbens).
Arrows, Type II TH fibers. Closed
arrowheads, Type III TH fibers. Open arrowheads,
Type IV TH fibers. Type I TH fibers compose the fine background
immunoreactivity. Scale bar, 50 µm.
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RESULTS |
Tyrosine hydroxylase immunoreactivity
In control animals, there was dense TH immunoreactivity throughout
the striatum (Fig.
2A,E). The intensity of
staining for TH immunoreactivity was heterogeneous with a patchy and
uneven pattern (Fig. 2A,E). Type I fibers were the
most abundant fiber type throughout the striatum (Figs. 1,
3A). Type II fibers were also
abundant throughout the striatum, but more so in the ventral striatum
than in the dorsal striatum (Figs. 1, 3A, arrows). The thickness and varicosities of type II fibers clearly distinguished these fibers from type I fibers. Type III fibers (Figs. 1, 3A, closed arrowheads) were much less abundant throughout the striatum than type I or II. Whereas these fibers were found scattered throughout the striatum, they were more abundant dorsally. Type IV fibers were
found infrequently, were particularly thick, irregular, and relatively
short (Fig. 1B, open arrowheads). These fibers were found primarily in the ventral striatum.

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Figure 2.
Distribution of TH immunoreactivity from control
(A, E, I) and MPTP-treated animals
(B-D, F-H, J-L).
A-D, Rostral striatum. E-H, Caudal
striatum. I-L, Midbrain. CN, Caudate
nucleus; GPi, globus pallidus interna;
GPe, globus pallidus externa; IC,
internal capsule; Put, putamen. Scale bar, 2 mm.
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Figure 3.
Stages of TH-immunoreactive fiber loss in the
dorsolateral striatum. A, Control. B,
Stage I from mild case. C, Stage II from a moderate
case. D, Stage III from severe case.
Arrows, Type II fibers. Closed
arrowheads, Type III fibers. Open arrowheads,
Type IV fibers. Scale bar, 50 µm.
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Each MPTP-treated case was classified as mild, moderate, or severe
based on severity of Parkinsonian signs (see Materials and Methods).
Figure 2B-D and F-H shows the extent of
overall loss of TH immunoreactivity in the MPTP-treated animals
arranged by severity. In the mild case, there was robust TH
immunoreactivity throughout the striatum at rostral and caudal levels
(Fig. 2B,F). There was only mild loss of TH
immunoreactivity in the dorsolateral striatum. In moderate cases, there
was a dramatic decrease in TH immunoreactivity in the dorsolateral
striatum, including most of the putamen and much of the caudate nucleus
(Fig. 2C,G). This loss was most extensive caudally. TH
immunoreactivity in the ventral striatum was spared. In the severe
case, massive depletion of TH immunoreactivity extended throughout the
entire dorsal striatum and into the ventrolateral aspects of the
nucleus accumbens (Fig. 2D,H). The medial
nucleus accumbens retained relatively high amounts of TH immunoreactivity.
Stages of TH fiber loss
Changes in the distribution and morphology of TH fiber types were
classified into stages by severity (Table
1), as follows: stage I (Fig.
3B) was defined by decreased density of type I fibers and
sparing of type II, III, and IV fibers. Stage II (Fig. 3C) was defined by a total loss of type I fibers, decrease in density of
type II fibers, increased density of branched type II and IV fibers,
and sparing of type III fibers. Stage III (Fig. 3D) was defined by a total loss of type I fibers, near total loss of type II
and branched fibers, and sparing of unbranched type III and IV fibers.
The transitions from one stage to the next were distinct (Fig.
4), dividing the striatum into regions
based on stages of TH fiber loss. Figure
5 demonstrates the dorsolateral to
ventromedial flow in the stages of TH fiber loss with increasing
severity of lesion. The region of stage I changes was located in the
dorsolateral striatum of the mild case (Fig. 5A), centrally
in the striatum of the moderate cases (Fig. 5B), and
ventrally in the severe case (Fig. 5C). The region of stage
II changes shifted from the middle dorsal striatum in the moderately
affected cases (Fig. 5B) to the ventromedial rim of the
dorsal striatum in the severely affected case (Fig. 5C). The
lower boundary of stage III changes also moved ventromedially. In the
moderate cases, stage III changes occurred in the dorsolateral third of
the dorsal striatum (Fig. 5B). In the severe case,
approximately half of the dorsal striatum demonstrated stage III
changes (Fig. 5C). The mildly affected case did not show
stage II or stage III changes.

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Figure 4.
Stage II to stage III transition (dashed
line) in the dorsolateral putamen after MPTP treatment. In
stage II (ventromedial, right), there is abundant
branching of remaining TH-immunoreactive fibers. In stage III
(dorsolateral, left), there is near complete absence of
branching. Scattered dark amorphous staining is endogenous peroxidase
activity from activated phagocytes. Scale bar, 1 mm.
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Figure 5.
Distribution of stages in striatal TH fiber loss
(stages I, II, and III) after different degrees of MPTP lesion.
A, Mild; B, moderate; C,
severe. Scale bar, 5 mm.
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In stage II regions, type II fibers showed a distinct change in
morphology (Fig. 3C, arrows). They were thicker, more
convoluted, and highly branched. Infrequently, did any type II fibers
show the unbranched and beaded morphology that was typical in
controls. Type III and IV fibers were quite abundant and not reduced
(Fig. 3C, closed and open arrowheads,
respectively). Unlike controls, many of the type IV fibers had multiple
distinct branches (Figs. 3C,
6, black arrows and open
arrowheads) and "bushy" processes (Fig. 6, open
arrows). These bushy processes were morphologically distinct from the dendritic spines identified on TH-immunoreactive striatal spiny neurons. Furthermore, dendritic processes were notably
smoother and straighter than type IV TH fibers. In no instance were any
of these thickened branching TH fibers found emanating from an
intrinsic TH-immunoreactive striatal neuron.

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Figure 6.
Branched type II and IV TH fibers found in stage
II striatal regions after MPTP treatment. A, Long type
IV TH fiber with multiple branches. B, Cluster of fibers
branching or "sprouting" from a thicker type IV TH fiber.
C, Multiple "bushy" processes covering branched
fibers in stage II regions. Arrows, Type II fibers.
Open arrowheads, Type IV fibers. Open
arrows, Bushy processes. Scale bar, 50 µm.
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Staining for striatal neurodegeneration
There was little to no deposition of silver in control sections
(Fig. 7A,C). There was
progressively more silver deposits visible in the striatum with
increasing severity of MPTP lesion (Fig. 7D-F). In
the mild case, silver deposits were mostly punctuate or vesicular and
rarely were fiber-like in appearance (Figs. 7D, 8B). In moderate cases,
there was more widespread silver deposition (Figs. 7E,
8C). Deposition was in the form of fiber-like structures, but there was also widespread punctuate and vesicular deposition. The
severely affected case had the greatest amount of striatal silver
deposits among the treated animals (Figs. 7F,
8D). The overall pattern was similar to the moderate
cases, but it was more intense dorsolaterally. In moderately
and severely affected cases, the density of degenerative fibers
exceeded the density of type III and IV TH-immunoreactive fibers in the
dorsolateral striatum. Deposits were unevenly distributed within the
striatum with patchy areas of increased deposition (Fig.
7B). The silver deposition could be traced caudally and
ventromedially through the globus pallidus to the substantia nigra.
Furthermore, many silver-impregnated cells were present in the
substantia nigra, pars compacta (SNpc).

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Figure 7.
Striatal distribution of degenerative elements
identified by aminocupric acid silver staining. A, B,
Dark-field views: A, control; B, severe
MPTP-treated case. C-F, Bright-field views
corresponding to boxed region in panel A:
C, control; D, mild MPTP;
E, moderate MPTP; and F, severe MPTP.
Put, Putamen; GPe, globus pallidus
externa. Scale bars: A, B, 2 mm; C-F,
100 µm.
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Figure 8.
Combined TH immunocytochemistry
(brown) and aminocupric acid silver staining
(black) in the dorsolateral putamen. A,
Control. B-D, MPTP-treated animals. Note lack of
colabeling in MPTP treated cases. Black arrows, Type II
TH fibers. Black arrowheads, Type III TH fibers.
Open single arrowheads, Type IV TH fibers. White
arrows, Type II-like silver deposits. White double
arrowheads, Type IV-like silver deposits. Scale bar, 50 µm.
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There were two general types of silver-impregnated fiber-like
structures, type II-like and type IV-like (Fig. 8, white
arrows and double arrowheads, respectively). There were
no structures that had a type III-like appearance. Type II-like
structures were relatively thin (mean diameter, 0.63 µ m;
n = 315), nonbranching, and beaded (Fig. 8, white
arrows). The larger type IV-like structures were all nonbranching
and could be further subdivided into two subtypes, 4A and 4B. Type 4A
(mean diameter, 0.84 µm; n = 120) had a distinct
twisted or "corkscrew" appearance, matching the morphology of a
subset of type IV TH fibers. Type 4B were longer, relatively thick, and
irregular in thickness (mean diameter, 1.01 µm; n = 162) with a distinctively kinked morphology (Fig. 8, double arrowheads). The Type 4B morphology was found uniquely in the silver-stained sections, but not in striatal sections processed for TH
immunoreactivity alone. The densities of type II-like and type IV-like
deposits increased in the dorsal striatum with increasing severity of
MPTP-induced lesion.
The vast majority of silver-impregnated fibers were a separate
population from those stained for TH immunoreactivity (Fig. 8). The
long, smooth type III (closed arrowheads), branched type II
(black arrows), and branched type IV (open
arrowheads) TH-immunoreactive fibers contrasted distinctly from
the separate shorter, thinner, kinked, and twisted type IV-like silver
deposits (white arrowheads). For the most part, the type
II-like deposits (white arrows) were also separate
populations from the type II TH fibers (black arrows). However, there was some colocalization of TH with silver deposits on
beaded nonbranching type II fibers. Colocalization was found more
frequently in the moderate cases than in the severe case.
The relationship of PPE mRNA expression to TH fiber types
In control animals, PPE mRNA expression was highest
ventromedially and lowest dorsolaterally (Fig.
9A). The mildly affected case
showed no apparent change from controls (Fig. 9B). In the moderate cases, striatal PPE mRNA expression was increased in the
dorsolateral striatum, predominantly in the putamen (Fig. 9C). Ventromedial expression remained similar to controls.
The most severely affected case also demonstrated a dorsolateral
increase in PPE expression similar to the moderate cases, but the
region of increase extended more into the central striatum (Fig.
9D). PPE expression in the most ventromedial regions
remained at control levels. For each of the moderately and severely
affected cases, the region of increased PPE expression was more
extensive caudally than rostrally. This pattern of increased PPE mRNA
expression was in parallel to the previously described pattern of
TH-immunoreactive fiber loss for these same animals. Indeed, analysis
of adjacent sections demonstrated that there was a close correspondence
of the stage II to stage III transition with the transition of
relatively normal to increased PPE mRNA expression (Figs.
10,
11). In other words, regions with stage
III changes matched regions having increased PPE mRNA expression, and
stage I and II regions matched striatal regions with no apparent change
in PPE mRNA expression, despite clear reductions in TH immunostaining.
In the caudate nucleus, the correspondence was not as striking as that
seen in the putamen at low magnification. However, at higher
magnification, the increases in PPE mRNA were distinct in the stage III
region of the dorsal caudate nucleus.

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Figure 9.
Film autoradiograms of in
situ hybridization for PPE mRNA in the striatum.
A, Control. B, Mild MPTP.
C, Moderate MPTP. D, Severe MPTP. Note
prominent increases in PPE mRNA expression in the dorsolateral striatum
of moderate and severe MPTP-treated cases. Scale bar, 5 mm.
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Figure 10.
The correspondence of increased PPE mRNA
expression to stage III TH fiber changes. A-D,
In situ hybridization for PPE mRNA in the rostral
striatum of severe MPTP-treated case. E-H, TH
immunocytochemistry from an adjacent section. Note relatively normal
PPE mRNA expression in stage II regions (D,
H) and increase in stage III regions
(C, G). Arrows, Type II TH
fibers. Closed arrowheads, Type III TH fibers.
Open arrowheads, Type IV TH fibers. IC,
Internal capsule. Scale bars: A, E, 5 mm;
C, D, G, H,
50 µm.
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Figure 11.
The correspondence of increased PPE mRNA
expression to stage III TH fiber changes. A-D,
In situ hybridization for PPE mRNA in the caudal
striatum of moderate MPTP-treated case. E-H, TH
immunocytochemistry from an adjacent section. Note relatively normal
PPE mRNA expression in stage II regions (D, H)
and increase in stage III regions (C, G).
Arrows, Type II TH fibers. Closed
arrowheads, Type III TH fibers. Open arrowheads,
Type IV TH fibers. IC, Internal capsule;
GPe, globus pallidus externa. Scale bars:
A, E, 5 mm; C,
D, G, H, 50 µm.
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MPTP-induced changes in midbrain GAP-43 mRNA expression
There was a relatively high level of expression of GAP-43 mRNA in
the substantia nigra of normal controls (Fig.
12A-C). Expression was particularly high in the ventral tier group of neurons. The dorsal
tier, which extends caudally into the retrorubral area and medially
into the lateral aspects of the ventral tegmental area (VTA), had
moderate to low levels of mRNA expression (Fig. 12B).
In particular, the VTA did not appear to be above background in
expression of GAP-43 mRNA (Fig. 12C). In moderately and
severely affected MPTP-treated animals there was a dramatic shift in
the relative expression of GAP-43 (Fig.
12D-F). The most striking change was found in
the VTA where there was an intense increase of GAP-43 mRNA expression
(Fig. 12F). The dorsal tier group of neurons were also much more intensely labeled for GAP-43 mRNA (Fig.
12E) than controls. The expression of GAP-43 mRNA in
the mildly affected case was not significantly different from normal
controls.

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Figure 12.
In situ hybridization for GAP-43
mRNA in the midbrain. A-C, Control.
D-F, Moderate MPTP-treated case. Note GAP-43 mRNA
expression is increased in the dorsal tier (E)
and ventral tegmental area (F) after MPTP
treatment. Scale bars: A, D, 1 mm;
B, C, E, F,
50 µm.
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DISCUSSION |
Fiber types
We found four different fibers types in the normal striatum that
were distinguished by axonal diameter and morphology. While classified
into different types, we cannot exclude that they may not be derived
from separate cells. It is likely that collaterals from individual
axons have different diameter size as has been demonstrated in other
basal ganglia structures (Kita et al., 1983 ). Thus, for example, type
three fibers may give rise to type two or type one fibers. Although the
significance of different DA fiber diameters is unclear, it is likely
related to conduction velocity (Gillespie and Stein, 1983 ; Minwegen and
Friede, 1984 ; Sakai and Woody, 1988 ). A faster axonal conduction
velocity is associated with fast firing or burst firing neurons (Jones
et al., 1999 ). In the case of the SNpc cells, this can lead to
increased release and higher extracellular DA concentrations (Gonon and Buda, 1985 ). Indeed, after increases in burst firing activity, there is
a saturability of dopamine reuptake (Chergui et al., 1994 ) leading to
increases in extracellular DA and greater diffusion (Gonon, 1997 ).
Thus, the larger DA axons diameters may be associated with faster
conduction velocities, resulting in a mechanism to increase
extracellular DA quickly in specific striatal regions. Alternatively,
because DA release involves both tonic and phasic components (Grace,
1991 ), the different fiber types might be differentially associated
with these two components.
After MPTP treatment, there are marked reductions in DA terminals with
only a few remaining larger fibers (Willis and Donnan, 1987 ; Hess,
1989 ; Hess et al., 1990 ; Parent and Lavoie, 1993 ). In addition, there
are reductions in NMDA receptor-mediated DA release (Andres et al.,
1998 ). The loss of terminals and NMDA-mediated DA release places a
greater dependence on phasic release of DA. Indeed, the remaining
nigrostriatal neurons increase their firing rate or change to a burst
pattern to increase DA release (Hollerman and Grace, 1990 ). This
mechanism may allow an area of striatum relatively depleted of DA to
maintain near normal extracellular DA levels. Thus, there is a
compensatory advantage for DA cells to increase fiber diameter with a
decrease in DA innervation.
Fiber degeneration
There was an overall progression of TH fiber loss, with the
greatest loss dorsolaterally, less centrally, and least ventromedially. This pattern is consistent with the terminal projections of ventral and
dorsal tier midbrain dopamine cells (Lynd-Balta and Haber, 1994b ),
which have different vulnerabilities to the toxic effects of MPTP
(Schneider et al., 1987 ; Parent and Lavoie, 1993 ; Varastet et al.,
1994 ). The distribution of silver deposits followed the course of the
nigrostriatal pathway and were traced caudally to the SNpc cells. These
cells had dense silver grain deposits, indicating that these cells were
the source of the degeneration. Previous studies demonstrated that DA
neurons lose their TH phenotype before degeneration (Kitt et al., 1986 ;
Jackson-Lewis et al., 1995 ). Thus, our finding that there was little
colocalization of TH-immunopositive fibers and silver grain deposits is
not surprising. Of particular interest is the fact that the deposition
of silver on cells, axons, and terminals was still present at 5 weeks
after treatment with MPTP. This indicated that the degeneration process
persists over several weeks and is consistent with human studies
reporting active degeneration and dopaminergic terminal loss years
after last exposure to MPTP (Vingerhoets et al., 1994 ; Langston et al.,
1999 ).
Compensatory sprouting
Lack of colocalization of TH-positive fibers and silver
grains is also supportive that the change in TH morphology is not caused by degeneration. Rather, the changes in morphology are likely to
indicate regenerative compensation for the loss of striatal DA. Type
III and IV TH fibers have similar morphologies and thicknesses to the
coarse sprouting fibers found in fetal mesencephalic grafts (0.3-1.0
µm and 1.5-3.0 µm, respectively) (Dunnett et al., 1989 ; Taylor et
al., 1990 ; Blanchard et al., 1996 ; Kordower et al., 1996 ). These fibers
are also similar to the TH-immunoreactive fibers found during early
development (Voorn et al., 1988 ; Song and Harlan, 1993 ). The
morphological similarities of the large-diameter type III and IV fibers
to developing DA fibers are particularly intriguing given evidence that
neuroregenerative or repair processes can involve the reappearance of
developmental processes, including increases in GAP-43, a
developmentally regulated gene involved in sprouting (Tetzlaff et al.,
1989 ; Benowitz and Perrone-Bizzozero, 1991 ; Benowitz and Routtenberg,
1997 ; Anderson et al., 1998 ). Of interest are recent studies showing
that DA axons have the capability to continue to grow and sprout
through adulthood (Benes and Todtenkopf, 1999 ).
The changes in mRNA for GAP-43 reported here further support the idea
of compensatory sprouting in MPTP-treated animals. In our normal
control animals and in the mildly affected animal, mRNA for GAP-43 is
high in the ventral tier and relatively low in the dorsal tier.
However, there was an increase in GAP-43 mRNA expression in the dorsal
tier cells in the moderately and severely affected MPTP-treated
animals. These animals exhibited stage II increases in thickness and
branching, whereas the mildly affected animal did not. This increase in
message suggests that the dorsal tier, which projects primarily to the
ventral striatum (Lynd-Balta and Haber, 1994a ), may be actively
involved in sprouting (Aigner et al., 1995 ). Indeed, DA fibers in the
ventromedial striatum have a greater regenerative or sprouting capacity
(Onn et al., 1986 ; Fiandaca et al., 1988 ; Bankiewicz et al., 1991 ;
Sheng et al., 1993 ; Hansen et al., 1995 ; Bjorklund and Stromberg,
1997 ). Increases in DA reuptake sites in the ventral striatum, despite severe dorsal striatal depletion, further support this (Gnanalingham et
al., 1995 ). Other studies have demonstrated that DA axons can sprout,
forming thick growth, cone-like structures after 6-OHDA lesions
(Blanchard et al., 1996 ). Alternatively, or in addition, axons that
remain in the dorsal striatum, but have not undergone degeneration may
increase their innervation of the depleted region by branching or
increasing in diameter.
The highly branched or bushy appearance of many of the
TH-immunoreactive fibers in stage II regions may be another means of compensating for the loss of DA by sprouting. During development, axonal branching is important in pathfinding, helping to localize targets (Davenport et al., 1999 ). By increasing the number of branches,
remaining DA axons are distributed over a larger striatal area and are
in a position to contact more striatal neurons. Many branching fibers
were also covered with multiple small bushy branches, further
increasing the potential for release of DA. Of particular interest was
the fact that the highly branched fibers were only found in regions
with a complete loss of only type I fibers (stage II regions).
Regulation of PPE mRNA by striatal dopaminergic afferents
Dopaminergic blockade or denervation results in a well
described robust and reliable increase in striatal expression of PPE mRNA (Tang et al., 1983 ; Sivam et al., 1987 ; Normand et al., 1988 ; Gerfen et al., 1991 ; Gudehithlu et al., 1991 ; Asselin et al., 1994 ).
The extent of increase in striatal PPE mRNA and protein expression has
been shown to be directly related to the severity of Parkinsonian
symptoms in MPTP-treated monkeys (Dacko and Schneider, 1991 ; Herrero et
al., 1995 ). Furthermore, reversal of the elevation in PPE mRNA
expression in MPTP-treated monkeys can be achieved with continuous
treatment with receptor-specific DA agonists (Morissette et al., 1997 ,
1999 ). Thus, PPE mRNA expression may be an indirect indicator of
dopamine function. Because the extent of branching and density of
large-diameter TH fibers are likely to be involved in maintaining
relatively normal dopamine function, particularly in stage II, these
morphological changes may also help maintain relatively normal mRNA
expression levels for PPE.
To test this, we compared the distribution of increased PPE mRNA
expression with the distribution of the three stages in TH fiber loss.
Significant increases in PPE mRNA expression corresponded only to
regions with the loss of branched fibers (stage III regions). In
contrast, regions containing numerous branched fibers (stage II
regions) did not have an apparent change in PPE mRNA expression, despite severe overall loss of striatal TH immunoreactivity. This correspondence indicates that the appearance of highly branched or
bushy fibers are likely contributors to the maintenance of normal PPE
mRNA expression. It is also possible that other factors such as the
glutamatergic corticostriatal input may play a role in PPE mRNA
regulation (Romo et al., 1986 ; Leviel et al., 1990 ; Somers and
Beckstead, 1990 ).
Stages of dopamine loss and striatal compensation
Multiple groups have described the necessity of severe
depletions of DA in the dorsal striatum of >90-95% to achieve a
stable behavioral deficit (Elsworth et al., 1989 ; Robinson et al.,
1990 ; Apicella et al., 1995 ). In MPTP-treated primates, behavioral
recovery occurs most often using a low, chronic dose schedule of MPTP, which allows for compensatory mechanisms to evolve (Albanese et al.,
1993 ; Gerlach and Riederer, 1996 ). Often with overall reductions in
striatal DA content, extracellular DA levels are at or near normal
levels when there is behavioral recovery (Zhang et al., 1988 ; Robinson
et al., 1994 ). Relatively normal extracellular DA levels can be
maintained by several mechanisms, including an increase in synthesis
and a decrease in dopamine uptake (Zhang et al., 1988 ; Robinson et al.,
1990 ; Zigmond et al., 1990 ; Cass et al., 1993 ). In addition to the
above neurochemical changes as a means of compensating for dopamine
depletion, behavioral recovery may also involve "sprouting" by the
remaining DA fibers in the striatum (Fiandaca et al., 1988 ; Zhang et
al., 1988 ; Sheng et al., 1993 ; Hansen et al., 1995 ).
We hypothesize that the three stages of TH fiber changes correspond to
how the mesostriatal system responds to DA depletion. These three
anatomic stages may correspond to the three physiological responses
described by Robinson et al. (1994) , which include: sparing of function
(<80% striatal DA depletion), the recovery of function (80-95%
striatal DA depletion), and the loss of function (>95% striatal DA
depletion). In stage I, there is a clear decrease in type I TH-positive
fibers, but sufficient DA fibers remain to compensate neurochemically.
At this level of DA loss, cells are able to decrease reuptake and/or
increase synthesis to maintain sufficient extracellular DA. In stage
II, the number and density of fibers become too low to compensate
solely by neurochemical means, mRNA for GAP-43 increases in the
midbrain and sprouting begins to occur in the striatum. In this
situation, the combination of neurochemical means, along with sprouting
and increased branching, results in relatively normal extracellular
dopamine levels. However, as the degeneration becomes more severe
(stage III), it is no longer possible to maintain extracellular
dopamine levels. It is at this point that the mRNA for PPE is upregulated.
 |
FOOTNOTES |
Received Dec. 23, 1999; revised March 27, 2000; accepted April 18, 2000.
This work was supported by National Institutes of Health Grant
NS22511 to S.N.H. and the Lucille P. Markey Charitable Trust. We thank
Dr. Robert C. Switzer III for his assistance in performing the silver
staining and April Whitbeck and Evelyn Galban for their excellent
technical assistance.
Correspondence should be addressed to S. N. Haber, Department of
Neurobiology and Anatomy, University of Rochester School of Medicine,
601 Elmwood Avenue, Rochester, NY 14642. E-mail: Suzanne_Haber{at}urmc.rochester.edu.
 |
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