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The Journal of Neuroscience, August 1, 2000, 20(15):5741-5747
Induction of Postnatal Schwann Cell Death by the Low-Affinity
Neurotrophin Receptor In Vitro and after Axotomy
Daniel E.
Syroid3,
Peter J.
Maycox4,
Merja
Soilu-Hänninen1,
Steven
Petratos1,
Tamara
Bucci1,
Patrick
Burrola3,
Simon
Murray2,
Surindar
Cheema2,
Kuo-Fen
Lee3,
Greg
Lemke3, and
Trevor J.
Kilpatrick1
1 The Walter and Eliza Hall Institute of Medical
Research, Post Office The Royal Melbourne Hospital, Victoria 3050, Australia, 2 Monash University, Clayton, Victoria 3168, Australia, 3 The Salk Institute for Biological Studies, La
Jolla, California 92186-5800, and 4 SmithKline Beecham
Pharmaceuticals, Harlow, Essex CM19 5AW, United Kingdom
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ABSTRACT |
Schwann cells express the low-affinity neurotrophin receptor (p75),
but no role for either the neurotrophins or their cognate receptors in
Schwann cell development has been established. We have found that
Schwann cells isolated from postnatal day 1 (P1) or P2 mice that were
p75-deficient exhibited potentiated survival compared to wild-type
cells after growth factor and serum withdrawal. There was, however, no
disparity in the survival of p75-deficient and wild-type Schwann cells
isolated at embryonic day 15, suggesting that the death-inducing
effects of p75 are developmentally regulated. A comparable degree of
cell death was also observed in the sciatic nerves of both wild-type
and p75-deficient mice at P1. However, 24 hr after axotomy, there was a
13-fold increase in the percentage of apoptotic nuclei in the distal
nerve stumps of the transected sciatic nerves of neonatal wild-type but
not p75-deficient mice. The expression of both the p75 and nerve growth
factor (NGF) genes was upregulated after axotomy in neonatal
wild-type nerves. Collectively, these results suggest that NGF-mediated
activation of p75 is likely to be an important mediator of Schwann cell
apoptosis in the context of peripheral nerve injury.
Key words:
Schwann cells; cell death; apoptosis; p75; low-affinity
neurotrophin receptor; p75 knock-out
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INTRODUCTION |
During postnatal development,
Schwann cell numbers are regulated to establish a precise association
with the axons that they ensheath. The balance between Schwann cell
proliferation and apoptosis influences this process (Grinspan et al.,
1996 ; Syroid et al., 1996 ; Trachtenberg and Thompson, 1996 ). Schwann
cell apoptosis is modifiable by several mechanisms, first by autocrine
survival factors such as leukemia inhibitory factor (Dowsing et al.,
1999 ), insulin-like growth factor-1 (Syroid et al., 1999 ), insulin-like growth factor-2, platelet-derived growth factor, and neurotrophin-3 (Meier et al., 1999 ). Second, Schwann cell apoptosis is inhibitable by
axonally produced neuregulin-1 (NRG-1). This finding, together with the
observation that apoptosis in axotomized neonatal nerve is markedly
increased, has suggested that peripheral nerve modeling is consequent
to the death of a subpopulation of Schwann cells that have
lost access to axonally derived growth factors (Marchionni et al., 1993 ; Grinspan et al., 1996 ; Syroid et al., 1996 ). A third and
unexplored potential mechanism is that Schwann cell apoptosis is
actively induced.
One molecule implicated in the induction of Schwann cell apoptosis is
the low-affinity neurotrophin receptor p75 (Johnson et al., 1986 ), and
it is of note that the expression of p75 is upregulated by Schwann
cells in mature peripheral nerve after axotomy (Taniuchi et al., 1986 ).
The cytoplasmic domain of p75 exhibits sequence similarity with the
cytoplasmic domains of Fas/Apo-1 and tumor necrosis factor receptor-1
(Goodwin et al., 1991 ; Oehm et al., 1992 ; Carter and Lewin, 1997 ),
which act as cell death effectors (Watanabe-Fukunaga et al., 1992 ;
Ashkenazi and Dixit, 1998 ). Furthermore, p75 has already been
implicated in the death of several neural cell types, including sensory
and retinal ganglion neurons and oligodendrocytes (Rabizadeh et al.,
1993 ; Barrett and Bartlett, 1994 ; Casaccia-Bonnefil et al., 1996 ; Frade
et al., 1996 ; Bamji et al., 1998 ; Frade and Barde, 1998 ), and
transgenic mice expressing the intracellular domain of the p75
neurotrophin receptor exhibit increased neuronal apoptosis (Majdan et
al., 1997 ).
It is also established that p75 can act in concert with a second class
of receptors, the tyrosine kinase (Trk) family, to potentiate
Trk-mediated signal transduction and neural cell survival after ligand
binding (Berg et al., 1991 ; Hempstead et al., 1991 ). Each of the Trk
family members preferentially interacts with different neurotrophin
ligands [TrkA interacts with nerve growth factor (NGF), TrkB with both
brain-derived neurotrophic factor (BDNF) and neurotrophin-4 (NT-4), and
TrkC with neurotrophin-3 (NT-3)] (Hanks et al., 1988 ; Kaplan et al.,
1991 ; Klein et al., 1991 , 1992 ; Lamballe et al., 1991 , 1993 ; Middlemas
et al., 1991 ). All four neurotrophins bind to p75 (Rodriguez-Tebar et
al., 1990 , 1992 ).
In oligodendrocytes, the death-promoting activity of p75 occurs in the
absence of TrkA expression (Yoon et al., 1998 ). It is thus potentially
relevant that postnatal sciatic nerves express truncated,
kinase-deficient TrkB, together with truncated and full-length TrkC but
not TrkA (Offenhauser et al., 1995 ). Furthermore, TrkA is not expressed
by either intact or axotomized adult peripheral nerve (Funakoshi et
al., 1993 ). Schwann cells do, however, express the NGF gene (Matsuoka
et al., 1991 ), suggesting that autocrine, ligand-dependent signaling
via p75, in the absence of TrkA, might induce Schwann cell apoptosis.
In this paper we demonstrate that the death of postnatal wild-type
mouse Schwann cells is potentiated in vitro by p75, probably mediated via binding of endogenously produced NGF. This phenomenon is
developmentally regulated, given that there is no difference in the
viability of embryonic day 15 (E15) Schwann cells isolated from
wild-type and p75-deficient mice. Furthermore, in vivo, the apoptosis of Schwann cells in postnatal day 1 (P1) sciatic nerves is
not p75-dependent. However, the upregulated death of postnatal Schwann
cells after axotomy is p75-dependent, correlating with increased
expression of p75 and NGF in this circumstance.
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MATERIALS AND METHODS |
Cell culture and survival assays. Cultures of murine
Schwann cells were prepared from P1-P2 sciatic nerve and purified to >95% homogeneity essentially as previously described (Brockes et al.,
1979 ), using the 30H12 antibody that recognizes Thy1.2. The cellular
populations were expanded by culture in DMEM, 10% fetal calf
serum (FCS), and NRG-1 (Amgen, Thousand Oaks, CA; 10-50 ng/ml). Cells
used for survival assays were passaged a maximum of four times. The
cells were dissociated by trypsinization, then washed once in DMEM
containing 10% FCS to inactivate the trypsin, and then washed an
additional two or three times in serum-free DMEM. Cells were plated at
~800 cells per well in microwell plates (Nunc, Roskilde, Denmark) in
DMEM. Assays were performed serially over a 3 d period using
multiple microwell plates, such that numbers of viable cells at each
time point (0, 1, 2, and 3 d) were scored from either five or six
wells in a single plate using a
3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide (MTT)
survival assay (Barres et al., 1992 ; Syroid et al., 1996 ). In this
assay, MTT (Sigma, St. Louis, MO) was added to cells at a concentration
of 0.5 mg/ml, and the cells were then further incubated at 37°C for 1 hr. In microtiter wells, between 20 and 25% of the plated cells adhere
to the base rather than the angled sides of the well. Counts of viable
cells were determined by assessing the number of cells exhibiting a
blue granular reaction in the base of each well after addition of MTT,
using bright-field microscopy. Assays comparing the survival of
postnatal wild-type and p75-deficient Schwann cells were conducted
using three separate litters obtained from matings of mice heterozygous
for the p75 deficiency (Lee et al., 1992 ). Schwann cells isolated from
each mouse were kept separate, and survival assays were performed
without knowledge of the genotype. Genotyping was performed on DNA
isolated from tails, using PCR.
Schwann cells were dissociated from the sciatic nerves of embryonic day
15 homozygous p75-deficient mice and age-matched wild-type mice,
maintained on a Balb/c and 129 outbred genetic background, by
incubation with trypsin (0.25%; Life Technologies, Gaithersburg, MD) and collagenase (0.02%; Sigma) for 30 min. Trypsinization was inhibited by the addition of FCS, the cells were then pelleted, and
single cell suspensions were generated by mechanical dissociation with
passage of the cells through 18, 21, and 23 gauge needles. The cells
were then plated onto laminin-treated (20 µg/ml; Collaborative Research, Bedford, MA) wells in flat-bottomed 96 well plates (Linbro) in DME and 10% FCS at a density of ~2.5 × 103 cells per well. After 24 hr of
culture, the wells were washed three times with DMEM, the number of
viable cells was then assessed by phase microscopy, and the cells were
then cultured for a further 72 hr, at which time the number of viable
cells was reassessed.
RT-PCR and ribonuclease protection analysis. Total cellular
RNA from Sprague Dawley rat sciatic nerves was prepared and analyzed by
ribonuclease protection assay as described previously (Chomczynski and
Sacchi, 1987 ; Krieg and Melton, 1987 ). RNase digestions were performed
for 3 hr at room temperature using RNase A and RNase T1 (~60 µg/ml and 30 U/ml, respectively;
Boehringer Mannheim, Mannheim, Germany). Antisense RNA probes were
synthesized using the Maxiscript in vitro transcription kit
(Ambion, Houston, TX) from templates containing the following inserts:
a 770 bp rat -NGF cDNA fragment encompassing the entire coding
sequence (nucleotides 251-1021; Whittemore et al., 1988 ), a 452 bp rat
p75 cDNA fragment encompassing the intracellular domain (nucleotides
939-1391; Radeke et al., 1987 ), and a 316 bp rat glyceraldehyde
3-phosphate dehydrogenase (GAPDH) cDNA fragment derived from exons 5-8
(nucleotides 369-685; pTRI-GAPDH-rat; Ambion). The -NGF RNA probe
reproducibly gives rise to a major protected RNA fragment of ~484 bp;
three smaller species of 270, 219, and 200 bp are also generated and
likely reflect the creation of RNase-sensitive sites caused by the
secondary structure of RNA and the stringent digestion
conditions used (data not shown). p75 and GAPDH RNA probes of low
specific activity were generated by including 0.05 mM UTP in transcription reactions and using only
two-fifths (20 µCi) the usual amount of
[ -32P]UTP (Amersham, Arlington
Heights, IL). Either 1 µg of RNA or 10 µg of tRNA was cohybridized
with 120,000 CPM of either p75 or NGF RNA probe and 100,000 CPM
of GAPDH RNA probe, as indicated. The relative quantity and integrity
of RNA used in each experiment was confirmed on agarose gels (data not
shown). Protected probe/RNA hybrids were resolved on 6%
polyacrylamide/8 M urea denaturing gels. Gene
expression was quantitated using a Molecular Dynamics (Eugene, OR)
PhosphorImager (model 425S) and ImageQuant version 5.0 software.
RNA was isolated using the Qiagen RNeasy minikit from Thy-1-sorted
Schwann cells initially obtained from P1 wild-type mice that had been
subjected to FCS and NRG-1 withdrawal for 4 hr. RT-PCR was performed as
described in the Life Technologies SuperscriptII kit using 3 µg of
total RNA and Moloney murine leukemia virus reverse
transcriptase for cDNA synthesis. Amplification of the cDNA was
performed on a Perkin-Elmer (Norwalk, CT) Celtus-DNA thermal cycler 480 machine in the following buffers: Tris/HCl (20 mM, pH 8.4),
50 mM KCl, 200 µM of each dNTP, 5 U of
Life Technologies Taq DNA polymerase, and 1.5 mM MgCl2. Oligonucleotide
primers were used at 10 µM. To amplify NGF, the
forward primer was 5'-GGCCCATGGTACAATCCCTTTCA-3', and the reverse
primer was 5'-TCAGCCTCTTCTTGTAGCCTTCCT-3'. The expected RT-PCR product
was 409 bp. To amplify p75, the forward primer was
5'-AACAGGGGCACCCTAAGACTCAGG-3', and the reverse primer was
5'-TTTCAGCTCAGATAGGCC-3'. The expected RT-PCR product was 172 bp. To
amplify trkA, the forward primer was
5'-CGTAGTCCCAGCCAGTGTGC-3', and the reverse primer was
5'-TCAGGGTTGAACTCAAAAGG- 3'. The expected RT-PCR product was 320 bp. For each amplification, 35 cycles of denaturation (94°C, 60 sec),
annealing (55°C, 60 sec), and extension (72°C, 120 sec) were
performed. One fifth of the total PCR mix was resolved on a 1.5%
agarose slab gel, and the PCR products were visualized by ethidium
bromide staining. A X174 HaeIII DNA ladder (Life
Technologies) was used to establish the size of the amplified bands.
Immunohistochemistry. To assess for the expression of S-100,
Schwann cells were first fixed in 4% paraformaldehyde for 30 min and
pretreated with 2% Tween 20 before incubation with rabbit anti-cow
S-100 (Dako, Carpinteria, CA) at a dilution of 1:200. The cells were
subsequently incubated with biotin-conjugated goat anti-rabbit Ig, and
staining was completed using a Vectastain kit (Vector Laboratories,
Burlingame, CA).
Sciatic nerve transection. Adult and P1 Sprague Dawley rats
were gas-anesthetized using isoflurane, and unilateral sciatic nerve
transections were performed just proximal to the sciatic notch as
described previously (Zorick et al., 1996 ). Animals were killed
24 hr after transection, at which time both the unlesioned contralateral sciatic nerve and the entire length of the distal stump
of the transected nerve were isolated and processed for RNA preparation.
Postnatal day 1 wild-type [129/SV × Balb/c] and p75-deficient
mice were also axotomized. These animals were rendered unconscious under ice-induced hypothermia. The left sciatic nerve was then exposed,
and transected distal to the sciatic notch using iridectomy scissors,
and the wounds were closed using 9-0 surgical sutures. The pups were
allowed to warm, and when fully conscious were returned to their
mothers. At either 24 or 72 hr after axotomy, pups were rendered
unconscious again, and they were transcardially perfused with PBS
followed by 4% paraformaldehyde. The proximal and distal segments of
the axotomized left sciatic nerve were removed, along with the intact
right sciatic nerve.
Sciatic nerves from P1 wild-type and p75-deficient animals that had not
been subjected to axotomy were also harvested. These nerves, together
with those obtained from the axotomized animals, were fixed in 4%
paraformaldehyde-PBS for 30 min and were then stored in 0.5%
paraformaldehyde-PBS before processing. Nerves were first embedded in
agar (2.5% in PBS; Sigma) and then incubated overnight in 20%
sucrose-PBS at 4°C. The sciatic nerves were then embedded in
TissueTek OCT compound (Miles, Elkhart, IN) and frozen on dry ice.
Terminal deoxynucleotidyl transferase-mediated biotinylated UTP
nick end labeling assays. Preparation of 8 µm
longitudinal sciatic nerve sections and terminal deoxynucleotidyl
transferase-mediated biotinylated UTP nick end labeling (TUNEL) assays
were performed as described previously (Syroid et al., 1996 ). Schwann
cells were identified by their typical elliptical nuclear morphology in
longitudinal sciatic nerve sections. Apoptotic Schwann cells were
identified by correlating a TUNEL-positive signal with alterations in
nuclear morphology (chromatin condensation, nuclear fragmentation). The number of apoptotic Schwann cells was assessed in both the distal and
proximal stumps of axotomized nerves, in addition to the intact contralateral nerves of axotomized mice, as well as the intact nerves
of P1 mice that had not been subjected to axotomy. Three wild-type and
p75-deficient mice were analyzed from both the unoperated and 24 hr
post-axotomy groups, and five wild-type and six p75-deficient mice were
assessed at the 72 hr time point. A minimum total of 25,000 Schwann
cell nuclei was counted for each condition.
Statistical analysis. The statistical significance of
differences between the experimental groups was analyzed by a
two-tailed Student's t test.
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RESULTS |
Postnatal Schwann cells isolated from mice deficient for the p75
gene exhibit a survival advantage relative to wild-type cells
We initially assessed the role of p75 in regulating the survival
of postnatal (P1-P2) Schwann cells by comparing the viability of
Schwann cells isolated and purified from p75-deficient mice (Lee et
al., 1992 ) and that of wild-type littermates. The cells were initially
allowed to proliferate in serum and NRG-1, and to set up survival
assays, the cells were then dissociated and resuspended in
unsupplemented DMEM. The plating density was ~800 cells per well in
microwell plates, and the viability of the cells was assessed daily,
for 3 d, using an MTT assay. The p75-deficient Schwann cells
displayed a modest but significant survival advantage, with ~60% of
these cells surviving the 3 d culture period, in comparison to the
wild-type cultures in which, on average, less than 40% of the cells
survived (Fig. 1A).
There were also more crenated cells in the cultures of wild-type (Fig.
1B) than p75-deficient (Fig. 1C) Schwann
cells, and these cells displayed nuclear condensation, consistent with
death by apoptosis, as previously described (Syroid et al., 1996 ).

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Figure 1.
Postnatal Schwann cells isolated from
p75-deficient mice exhibit a survival advantage in
vitro, in comparison to wild-type cells, after growth factor
withdrawal. Shown in A is a graphical representation of
survival of postnatal cells using an MTT assay, from a representative
experiment of three independent assessments, with five separate wells
assessed daily over a 3 d period. Shown in B and
C are photomicrographs of cultures of postnatal
wild-type (B) and p75-deficient
(C) cells grown in serum-free conditions for 48 hr demonstrating a large number of crenated wild-type cells
(arrowheads), whereas the majority of p75-deficient
cells maintain a bipolar morphology. Scale bar, 10 µm.
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Postnatal Schwann cells express the p75 and NGF genes
We next confirmed, using RT-PCR, that wild-type mouse Schwann
cells cultured under the same conditions as the survival assay (in
unsupplemented DMEM) expressed the p75 gene (Fig.
2). This suggested that the survival
disadvantage of wild-type cells was likely to be a direct consequence
of disparity in the expression of p75 between the wild-type and
p75-deficient populations. We also established that the wild-type cells
expressed the NGF gene, one of the cognate ligands of p75, whereas the
gene encoding the high-affinity NGF receptor (TrkA) was barely
detectable (Fig. 2).

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Figure 2.
The p75 and NGF genes are expressed by postnatal
wild-type Schwann cells after growth factor withdrawal, but the trkA
gene is expressed at barely detectable levels. cDNA samples generated
from purified wild-type Schwann cells were subjected to PCR. The
expected 172 bp p75 (lane 2) and 409 bp NGF (lane
4) fragments were amplified from the sample. The
expected 320 bp (lane 6) trkA fragment was also
amplified, although at a very low level. This contrasted with the
robust amplification of the expected 320 bp trkA fragment in a cDNA
sample derived from PC12 cells (lane 8). Negative
controls were obtained by subjecting reagents to PCR reaction
conditions without template cDNA (p75 primers, lane 3;
NGF primers, lane 5; trkA primers, lane
7), and there was no amplification of the relevant
bands. Lane 1 represents the X174
HaeIII DNA ladder.
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Both embryonic wild-type and p75-deficient Schwann cells exhibit
potentiated in vitro viability in comparison to that of
postnatal wild-type cells
It was possible that postnatal p75-deficient Schwann cells
represented a selected subpopulation of the Schwann cells generated during embryogenesis. To investigate this possibility, Schwann cells
were isolated from the sciatic nerves of both wild-type and
p75-deficient mice at embryonic day 15, corresponding to the developmental stage at which definitive Schwann cells are thought to be
first generated (Jessen et al., 1994 ). The cells were cultured in DMEM
and 10% FCS for 24 hr, at which time 92% of plated p75-deficient cells and 87% of wild-type cells expressed the Schwann cell-specific marker, S100. After 24 hr, the cells were transferred to unsupplemented DMEM, and the viability of the cells at this time was compared to the
viability after a further 3 d of culture. The p75-deficient and
wild-type cells exhibited similar viability [80.1 ± 10% of wild-type cells and 91.4 ± 7.8% of p75-deficient cells remained viable after 3 d of culture in DMEM (n = 6 and 4, respectively; p > 0.10)]. This suggested that the
survival advantage of postnatal p75-deficient Schwann cells was not the
consequence of deletion in embryogenesis of a death susceptible
subpopulation of cells that otherwise survived in wild-type mice until
postnatal development.
During postnatal development the percentage of Schwann cells
undergoing apoptosis is similar in the sciatic nerves of wild-type and
p75-deficient mice
We and others had previously identified that Schwann cell death
occurs in a stochastic fashion in the peripheral nerves of the
postnatal rat (Grinspan et al., 1996 ; Syroid et al., 1996 ). We
therefore investigated whether peripheral nerves isolated from postnatal p75-deficient mice exhibited reduced cell death. To study
this, we isolated sciatic nerves from both P1 wild-type and
p75-deficient mice. Using TUNEL assays, we found that the percentage of
apoptotic cells was similar to that which we had previously observed in
the neonatal rat sciatic nerve (Syroid et al., 1996 ). However, there
was no significant difference in the percentage of apoptotic nuclei in
normal (0.13%) and p75-deficient nerves (0.14%) (Tables
1,
2). This demonstrated that
although deficiency of the p75 gene renders Schwann cells less
susceptible to cell death in vitro in basal conditions,
apoptosis can still occur in the Schwann cells of p75-deficient mice
in situ.
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Table 2.
Percentage of Schwann cell apoptosis 24 and 72 hr after
transection of P1 wild-type and p75-deficient sciatic nerves
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After axotomy the percentage of Schwann cells undergoing apoptosis
is significantly upregulated in the distal stumps of postnatal
wild-type sciatic nerves in comparison to p75-deficient mice
It remained possible that activation of p75 accounted for the
upregulated Schwann cell apoptosis that occurs in the sciatic nerves of
neonatal rodents after axotomy, previously documented by Grinspan et
al. (1996) . To investigate this, sciatic nerves from both P1 wild-type
and p75-deficient mice were transected distal to the sciatic notch.
Both the distal and proximal nerve stumps, together with the intact
contralateral nerve, were then harvested either 24 or 72 hr after
axotomy. As indicated in Tables 1 and 2, transection resulted in a very
significant (13-fold) increase in the percentage of apoptotic Schwann
cells in the distal nerve stumps of wild-type animals at 24 hr after
axotomy and a twofold increase 72 hr after axotomy. There was, however,
no significant increase in the percentage of apoptotic nuclei in the
p75-deficient mice at either time point (Fig.
3). On the other hand, there was no
increase in the percentage of apoptotic nuclei in the proximal nerve
stumps of either the wild-type or the p75-deficient nerves. Collectively, these findings suggest that p75 is implicated in mediating the death of Schwann cells that have lost contact with axons
and, hence, neuronal-derived growth factors.

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Figure 3.
Schwann cell apoptosis is upregulated in
the axotomized nerves of P1 wild-type mice in comparison to that
exhibited in the axotomized nerves of p75-deficient mice. The sciatic
nerves of P1 mice were axotomized, and the distal stumps were harvested
24 hr later. The sectioned nerves were assessed using DAPI
staining to identify nuclei (A, C) and by TUNEL
(B, D). A significantly increased number and percentage
of condensed and TUNEL-positive nuclei were present in the wild-type
nerves (A, B) in comparison to the number observed in
nerves isolated from p75-deficient mice (C, D). Scale
bar, 10 µm.
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The expression of the p75 and NGF genes is upregulated
after axotomy
Given that p75-mediated postnatal Schwann cell death in
vitro was likely to be consequent to NGF binding, we next
confirmed that the NGF gene was expressed within postnatal and adult
rodent sciatic nerves. Using RNase protection, we confirmed that P1 rat nerves expressed NGF mRNA and that the level of expression of the NGF
gene was upregulated approximately threefold 24 hr after axotomy (Fig.
4). This result, together with our
in vitro findings, suggests that Schwann cells are
themselves a source of NGF within the developing nerve, enabling cell
death to be initiated by either paracrine or autocrine mechanisms. The
result also suggests that an increase in the availability of NGF is
unlikely to be the sole cause of the upregulated cell death that occurs
in the transected postnatal nerve. Consistent with this view, we found
that the level of expression of the p75 gene was upregulated ~14-fold
24 hr after axotomy (Fig. 4). This suggested that an increase in p75
expression was likely to be a significant contributory factor to the
induction of potentiated Schwann cell death observed within postnatal
nerves undergoing Wallerian degeneration. In contrast, although
expression of the NGF and p75 genes were also upregulated in adult
nerve after axotomy, the expression was only increased to levels
similar to those found in the intact postnatal nerve.

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Figure 4.
Expression of NGF and p75 mRNA is upregulated in
rat sciatic nerve during Wallerian degeneration. Unilateral
transections of P1 and adult rat sciatic nerves were performed, and
ribonuclease protection analyses were performed using total RNA (1 µg
per hybridization reaction) isolated from both the intact contralateral
nerve (CL) and the transected distal nerve stump
(T), 24 hr after transection, or using 10 µg of
tRNA as a negative control, as indicated. NGF expression
(A) and p75 expression (B)
in the degenerating neonatal nerve is upregulated by ~3-fold and
14-fold, respectively, relative to that in the contralateral control
nerve. NGF and p75 expression is also upregulated in degenerating adult
nerves, but the level of expression only reaches that found in the
intact P1 nerve. The major 484 bp protected NGF RNA fragment and the
452 bp protected p75 RNA fragment are indicated. Autoradiographic
exposure was for 66 hr. The bottom panels in A and
B show the relative GAPDH expression from corresponding
cohybridization reactions using the GAPDH RNA probe. Autoradiographic
exposure was for 20 hr.
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DISCUSSION |
Our initial results established that postnatal Schwann cells
isolated from mice with a deficiency for the p75 gene exhibit a
survival advantage over wild-type cells in basal conditions. This
differential survival potential could have either been attributable to
signaling via p75 in wild-type cells or, alternatively, could have been
the consequence of the premature loss, during embryogenesis in
p75-deficient mice, of a subpopulation of Schwann cells with increased
susceptibility to death. Analysis of E15 Schwann cells suggested that
there was no differential survival potential between newly generated
wild-type and p75-deficient cells, and both embryonic populations
exhibited potentiated survival in comparison to postnatal wild-type
cells. This result argued against heterogeneous survival potential
among newly generated Schwann cells in embryonic p75-deficient mice and
also indicated that p75-mediated effects within the Schwann cell
lineage are developmentally regulated. Thus, the parsimonious explanation for the differential survival of the postnatal wild-type and p75-deficient cells is that p75 is directly implicated in the
mediation of Schwann cell death. This effect could have been mediated
by constitutive activity of the p75 receptor, as suggested by Rabizadeh
et al. (1993) ; alternatively, the p75-mediated activity could have been
ligand-dependent. Ligand-induced activation of p75 would indeed appear
to be a potential contributory mechanism, given that preliminary
results indicate that anti-NGF antibodies increase the viability of
wild-type Schwann cells in vitro by up to 50% after 48 hr
in DMEM, whereas they have no effect on the viability of p75-deficient
cells (T. J. Kilpatrick, unpublished data). This would suggest
that endogenously produced NGF can inhibit Schwann cell viability by
either autocrine or paracrine mechanisms.
Although our results implicate a role for p75 in the death of wild-type
cells in vitro, there was no difference in the survival of
wild-type and p75-deficient Schwann cells within intact P1 sciatic
nerves. Furthermore, there was a basal level of cell death in the
p75-deficient mice, indicating that either there is no role for p75 in
the induction of Schwann cell apoptosis in postnatal development or
that alternative signal transduction pathways mediating cell death can
be induced in the context of p75 deficiency.
What could account for the disparity between the in vitro
and in vivo results? First, it is well established that the
expression of the p75 gene is upregulated during in vitro
culture (Lemke and Chao, 1988 ), suggesting that axonal contact could,
of itself, downregulate p75 expression. Second, Schwann cells in
vivo are exposed to axonally derived factors, such as NRG-1 and
insulin-like growth factor-1, which are known to act as Schwann cell
survival factors (Syroid et al., 1996 , 1999 ). It is of note, however,
that rat Schwann cells grown in vitro with the survival
factors NRG-1 and IGF-1 remain susceptible to p75-induced killing
(Soilu-Hänninen et al., 1999 ). Ultimately, it is likely that the
balance between the supply of trophic factors and NGF, together with
the expression profile of p75, are critical determinants of whether a
postnatal Schwann cell survives or dies.
After axotomy, the percentage of Schwann cells undergoing apoptosis was
considerably increased in the distal stumps of postnatal wild-type
nerves at 24 hr after axotomy and also increased, although to a lesser
extent, at 72 hr after axotomy, data essentially in agreement with
those generated by Grinspan et al. (1996) . We also found that the
percentage of Schwann cells undergoing apoptosis was significantly
greater within the distal nerve stumps of postnatal wild-type nerves in
comparison to the distal nerve segments of p75-deficient mice. The
absence of p75 appears to prevent rather than delay apoptosis because
there was a clear disparity in the percentage of apoptotic Schwann
cells within wild-type and p75-deficient distal sciatic nerve segments
at 72 hr as well as 24 hr after axotomy. In summary, this set of
observations strongly suggests that p75 is implicated in mediating the
Schwann cell death observed in the wild-type animals.
What accounts for the increased susceptibility of neonatal wild-type
Schwann cells to die after axotomy? First, we have documented that the
expression of the p75 gene is very significantly upregulated in the
distal stump of postnatal nerves after axotomy. Second, the access of
cells in the distal stump to axonally produced growth factors is
rapidly abrogated after axotomy. Third, the inflammatory cells that
infiltrate peripheral nerve after axotomy can secrete NGF (Lindholm et
al., 1987 ). With regard to this latter phenomenon, it is of note that
Frade and Barde (1998) have suggested that microglia secrete the NGF
that activates p75 on chick retinal ganglion cells, to expedite the
developmentally regulated death of these neurons. It is possible,
however, that infiltrating inflammatory cells are not the only source
of NGF within postnatal sciatic nerve after axotomy, because we have
shown that Schwann cells cultured in vitro express NGF mRNA
and that levels of NGF mRNA were only threefold greater in the distal
stump than in the intact nerve.
One potential caveat with respect to the in vivo results is
that a significant proportion of dorsal root ganglionic (DRG) sensory
neurons express p75 (Buck et al., 1987 ; Verge et al., 1992 ) and that
the number of DRG neurons is reduced in the p75-deficient mice (Stucky
and Koltzenburg, 1997 ). The responsiveness of these neurons to p75
appears to be developmentally regulated; on the one hand, p75
potentiates the survival of embryonic DRG neurons, presumably by
increasing the affinity of neurotrophin binding to the Trk receptors
but, on the other hand, p75 also potentiates the death of postnatal DRG
neurons (Barrett and Bartlett, 1994 ). Could the deficiency of DRG
neurons in the p75-deficient mice explain the disparity in Schwann cell
death observed in the axotomized wild-type and p75-deficient nerves?
Such a disparity could occur if in the p75-deficient mice there were a
pre-existing loss of a subpopulation of DRG neurons that after axotomy
in wild-type mice displayed disproportionately impaired capacity to
provide trophic support to Schwann cells within the distal stump.
However, our in vitro results, in which postnatal
p75-deficient cells displayed a significant survival advantage in the
absence of axonal influence, argue strongly for an intrinsic difference
between the wild-type and p75-deficient Schwann cells. Furthermore, it
has been suggested that the loss of sensory neurons in p75 mice is not
confined to a functionally defined subpopulation (Stucky and
Koltzenburg, 1997 ). An alternative explanation for the in
vivo result could be that there are intrinsic differences between
wild-type Schwann cells that ensheath the subpopulation of DRG neurons
that are deficient in the p75-deficient mice and those Schwann cells
that ensheath the neuronal population common to both wild-type and p75-deficient nerves. This did not appear to be the case, because there
was a random array of TUNEL-positive Schwann cell nuclei in the
wild-type nerves rather than a concentration of these nuclei along the
course of individual axons. We conclude that it is most likely that the
differences observed in Schwann cell viability in wild-type and
p75-deficient mice after axotomy are a direct consequence of the
differential expression of p75 by these cells.
It will be important to establish whether p75-mediated Schwann cell
death influences repair after peripheral nerve injury in the postnatal
animal. Subsequent to nerve crush, axonal regrowth is dependent on the
survival and proliferation of Schwann cells distal to the injury site
(Abercrombie and Johnson, 1946 ; Grinspan et al., 1996 ). However, it is
also possible that regulated apoptosis of Schwann cells is necessary to
facilitate nerve repair. Thus, it is uncertain as to whether repair
will be potentiated or compromised in the context of p75 deficiency.
The situation could be further complicated by the possibility that p75
expressed on Schwann cells might act to enhance the presentation of the
neurotrophins to axons, thereby promoting neuronal regeneration (Zhou
et al., 1996 ).
It is well established that Schwann cell apoptosis does not occur in
the distal stump of axotomized adult rodent nerves even at intervals as
long as 60 d after axotomy (Grinspan et al., 1996 ). This
difference in Schwann cell viability within axotomized postnatal and
adult nerves could be accounted for by either environmental differences
or, alternatively, by intrinsic differences between the postnatal and
adult Schwann cell. With regard to the latter possibility, it is of
note that although the expression of the p75 and NGF genes is
upregulated within the distal nerve stump of axotomized adult nerves,
their levels of expression are much less than that observed within
transected postnatal nerves. It is also possible that there are
developmentally regulated differences in the ability of Schwann cells
to signal transduce via the p75 pathway. We have recently established
that there is a disparity in the ability of the anti-apoptotic protein,
Bcl-2, and the poxvirus caspase inhibitor, CrmA (cytokine response
modifier A) to protect Schwann cells against p75-mediated apoptosis.
Bcl-2 fails to provide protection, whereas the CrmA-mediated
potentiation of survival suggests that either caspase-1 or -8, both of
which act as apoptotic proteases, is involved in the p75-mediated
signal transduction pathway (Soilu-Hänninen et al., 1999 ). It has
also recently been suggested that in oligodendroglia, caspase-1, -2, and -3 are activated downstream of p75 (Gu et al., 1999 ). It will thus
be of considerable interest to determine whether there is a difference
in the expression profile of these proteins, as well as of various
"inhibitor of apoptosis" proteins (Deveraux and Reed, 1999 ), within
postnatal and adult Schwann cells. It will also be important to
determine whether there is reactivation of the p75 signal transduction
pathway within Schwann cells in the context of peripheral neuropathic disorders in which there is upregulation of Schwann cell apoptosis. In
this way, it may be possible to predict the therapeutic utility of
modulating p75 expression in the context of peripheral neuropathy.
 |
FOOTNOTES |
Received Aug. 13, 1999; revised May 4, 2000; accepted May 17, 2000.
This work was supported by a grant from the National Institutes of
Health (G.L.), The National Health and Medical Research Council of
Australia (T.J.K.), and the Viertel Senior Medical Research Fellowship
(T.J.K.). This work was also supported by postdoctoral fellowships from
the National Multiple Sclerosis Society and the Muscular Dystrophy
Association (D.E.S.), the Behringer-Ingelheim Funds, and Human
Frontiers in Science Program Organization (P.R.M.), by the Howard
Hughes Medical Institute (T.J.K.), and the Bushell Fellowship of the
Royal Australasian College of Physicians (T.J.K.). We thank Danny
Ortuño, Darcie Baynes, and Kylie Shipham for technical assistance. We are also grateful to Dr. D. Wen and collaborators at
AMGEN for the supply of recombinant neuregulin-1.
Correspondence should be addressed to Dr. Trevor J. Kilpatrick, The
Walter and Eliza Hall Institute of Medical Research, Post Office, The
Royal Melbourne Hospital, Victoria 3050, Australia. E-mail
kilpatrick{at}wehi.edu.au.
 |
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E. J. Coulson, K. Reid, M. Baca, K. A. Shipham, S. M. Hulett, T. J. Kilpatrick, and P. F. Bartlett
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X. Wang, J. H. Bauer, Y. Li, Z. Shao, F. S. Zetoune, E. Cattaneo, and C. Vincenz
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M. L. Feltri, D. G. Porta, S. C. Previtali, A. Nodari, B. Migliavacca, A. Cassetti, A. Littlewood-Evans, L. F. Reichardt, A. Messing, A. Quattrini, et al.
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