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The Journal of Neuroscience, February 1, 2000, 20(3):1036-1043
Nitric Oxide Influences Injury-Induced Microglial Migration and
Accumulation in the Leech CNS
Aileen
Chen1,
Shanta M.
Kumar2,
Christie
L.
Sahley2, and
Kenneth J.
Muller1
1 Department of Physiology and Biophysics,
University of Miami School of Medicine, Miami, Florida 33136, and
2 Department of Biological Sciences, Purdue University,
West Lafayette, Indiana, 47907
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ABSTRACT |
Damage to the leech or mammalian CNS increases nitric oxide
(NO) production and causes accumulation of phagocytic microglial cells
at the injury site. The aim of this study was to determine whether NO
plays a role in microglial migration and accumulation at lesions in
which NO is generated by a rapidly appearing endothelial nitric oxide
synthase (eNOS) in leeches. Immunohistochemistry and cytochemistry
demonstrated active eNOS before and throughout the period of microglial
accumulation at the lesion. Decreasing NO synthesis by application of
the NOS inhibitor
Nw-nitro-L-arginine
methyl ester (1 mM) significantly reduced microglial accumulation, whereas its inactive enantiomer
Nw-nitro-D-arginine methyl
ester (1 mM) resulted in microglial
accumulation similar to that in crushed controls. Increasing NO with
the donor spermine NONOate (SPNO) (1 mM) also inhibited
accumulation, but not in the presence of the NO scavenger
2-(4-carboxyphenyl)-4,4,5,5-teramethylimidazoline-oxyl-3-oxide (50 µM). The effect of SPNO was reversed by washout. SPNO
application reduced average microglial migratory speeds and
even reversibly arrested cell movement, as measured in living nerve
cords. These results suggest that NO produced at a lesion may be a stop
signal for microglia to accumulate there and that it can act on
microglia early in their migration. Thus, NO may assume a larger role
in nerve repair and recovery from injury by modulating accumulation of
microglia, which appear to be important for axonal regeneration.
Key words:
nitric oxide; cell migration; endothelial nitric oxide
synthase; Hirudo medicinalis; nerve repair; nerve
regeneration; microglia
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INTRODUCTION |
One of the first responses to CNS
injury is by microglial cells, the resident macrophages of the brain,
which retract their branches, become amoeboid, and migrate to the site
of damage. The migration leading to accumulation is thought to be
triggered by substances including cytokines released at the damage
site, but few studies have examined migration of microglia within the living nervous system. The role of microglia in recovery is
controversial, because although they may produce harmful cytotoxins
that induce neuronal death (Thanos et al., 1993 ; Barron, 1995 ; Angelov
et al., 1998 ), they may also secrete trophic factors that enhance neuronal survival (Barron, 1995 ; Elkabes et al., 1996 ) and components of extracellular matrix, such as laminin, that promote growth (von
Bernhardi and Muller, 1995 ). It has been shown in the leech that
immediately after injury, even before microglia accumulate, activity of
the constitutive endothelial nitric oxide synthase (eNOS) increases and
that some injured microglia, as well as the injured region of the
connective glia, express eNOS (Shafer et al., 1998 ). Significantly, the
eNOS immunoreactivity increases in parallel with NOS activity and
reflects activation of eNOS. An upregulation of NOS has also been
observed in certain diseased states of mammalian CNS and after
peripheral nerve injury, although in general this increase is in the
inducible nitric oxide synthase isoform and is delayed by hours
to days (Blottner et al., 1995 ).
Nitric oxide (NO) influences motile cells in both vertebrates and
invertebrates. It inhibits migration of rat vascular smooth muscle
cells (Sarkar et al., 1996 ) and active amoeboid invertebrate immunocytes and microglia, which become rounded (Magazine et al., 1996 ). The NO-induced changes in morphology and motility, thought to be
mediated principally by activation of guanylate cyclase, might be
modulated through changes in cell adhesion resulting from disruption of
the cytoskeleton (Frenkel et al., 1996 ; Yao et al., 1998 ).
The injured leech CNS, in which synapse regeneration is successful
(Camhi and Macagno, 1991 ; Nicholls, 1987 ), was examined to determine
whether NO could influence the migration and accumulation of microglial
cells (Stewart, 1994 ). Leech microglia are believed to produce laminin,
which promotes axon outgrowth (von Bernhardi and Muller, 1995 ).
Microglia in the segmented nerve cord of the leech can be identified
unambiguously without special markers, because the only other nucleated
cells among the thousands of axons that extend between segmental
ganglia are the two large glial cells, up to 5 mm in length, that
ensheathe the axons and are located midway between ganglia. Thus,
microglia can be tracked in the living cord with the aid of fluorescent
nuclear dyes (McGlade-McCulloh et al., 1989 ). The relationship between
NO and microglial migration and accumulation after CNS injury was
examined because NOS (1) is rapidly activated at the lesion, (2)
influences migrating cells, and (3) is generated by microglia
themselves (Shafer et al., 1998 ).
Portions of this paper have been published previously in abstract form
(Chen et al., 1998 ).
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MATERIALS AND METHODS |
Preparation and operations. Adult 4-6 gm adult leeches
(Hirudo medicinalis) were obtained from a commercial
supplier (Leeches USA, Westbury, NY) and maintained in artificial pond
water (Forty Fathoms, 0.5 gm/l H2O; Marine
Enterprises, Towson, MD) at 22°C. For experiments, individual
segmental ganglia with connectives or, for time-lapse video microscopy,
isolated connectives were dissected in physiological saline (Nicholls
and Baylor, 1968 ) and pinned in a dish coated with silicone rubber
(Sylgard 184; Dow Corning, Midland, MI). When periods of incubation
were required, as after crushing, preparations were placed in
Leibowitz-15 culture medium supplemented with 2% fetal calf serum,
0.6% glucose, and gentamicin (10 mg/ml) (Ready and Nicholls, 1979 ),
referred to here as L-15. Pharmacological reagents were dissolved in
L-15 or physiological saline, as indicated.
Staining of eNOS and microglial cells. To examine the
distribution of eNOS immunoreactivity and microglia at sites of injury, crushed cords were immunostained with monoclonal antibodies to human
eNOS (Transduction Laboratories, Lexington, KY), and microglial nuclei
then stained with Hoechst 33342 dye. In brief, connectives were
dissected, crushed with a pair of fine forceps (Dumont #5), and left at
room temperature for 5 min, 3 hr, 6 hr, or 24 hr in L-15. The tissue
was then fixed in 4% paraformaldehyde for 20 min, incubated 30 min in
a blocking solution [10% (v/v) fetal calf serum and 2% (v/v) Triton
X-100 in PBS, pH 7.5], and then kept overnight at 4°C in
anti-eNOS monoclonal antibody diluted 1:150 in blocking solution. For
the secondary antibody, a 1:200 dilution of Texas Red-conjugated rabbit
anti-mouse IgG (heavy and light chain; Molecular Probes, Eugene, OR)
was used. The tissue was mounted in glycerol with Hoechst 33342 dye (10 µg/ml) and viewed with a Zeiss (Oberkochen, Germany)
epifluorescence microscope and appropriate filters.
Determining the effect of NOS inhibition on accumulation.
Microglial accumulation was investigated in the presence of
Nw-nitro-L-arginine
methyl ester (L-NAME), a general NOS inhibitor. In brief, nerve cords
were crushed in a standard manner, incubated in 0.01-1
mM L-NAME or
Nw-nitro-D-arginine
methyl ester (D-NAME), the inactive enantiomer of
L-NAME, in leech saline with 10 mM glucose for 6 hr, fixed 30 min in 4% paraformaldehyde, rinsed in PBS, pH 7.4, and
stained 30 min in 1:750 Yo-Pro-1 (Molecular Probes). The Yo-Pro-1 dye was used because it is an argon-ion laser excitable nucleic acid stain
that allowed us to view a series of optical sections of washed tissue
with a Bio-Rad (Hercules, CA) laser scanning confocal microscope
equipped with fluorescein and rhodamine optics and a Nikon (Tokyo,
Japan) 20× objective. The accumulation of microglia was analyzed at
the crush over an area of ~0.08 mm2, by
capturing a Z series consisting of 25 2 µm optical sections through
the connectives. For each sample, microglia at the site of injury were
counted in every fifth section, and the average number of microglia in
the five sections was determined. Statistical significance was
determined by ANOVA, followed by post hoc analysis of the
significant main effects.
Determining the effect of exogenous NO on accumulation. The
NO donor spermine NONOate (SPNO) (Calbiochem, La Jolla, CA) was used to
determine the effect of exogenous NO on microglial accumulation. Stock
solutions of 100 mM SPNO (100×) were prepared in
sodium phosphate buffer, pH 8.5, and stored at 70°C in 10 µl
aliquots. Crushed cords were incubated in 1 mM
SPNO in L-15 culture medium for 3 hr, and microglial nuclei were
labeled with Feulgen's nucleic acid-specific stain, using the method
of Morgese et al. (1983) . The Feulgen stain was used to measure
accumulation at the highest concentration of cells and was more
permanent than fluorescent stains. Control cords were incubated in
L-15. In some cases, the NO scavenger
2-(4-carboxyphenyl)-4,4,5,5-teramethylimidazoline-oxyl-3-oxide (carboxy-PTIO or cPTIO) (50 µM) was included
with 1 mM SPNO to ensure that the effects of SPNO
were because of NO and not some other breakdown product of SPNO.
Once an effect of SPNO on microglial accumulation had been determined,
the reversibility of the effect of SPNO was examined. For these
experiments, individual ganglia with their attached connectives were
dissected intact and placed in L-15 alone (controls) or with 1 mM SPNO. Connectives were crushed by fine forceps anterior and posterior to ganglia and placed in three separate groups. First, as
controls, the crushed preparations were incubated in L-15 for 6 hr.
Second, crushed preparations were incubated in 1 mM SPNO
for 6 hr. Third, to determine whether the effect of SPNO was
reversible, a crushed group was incubated 3 hr in SPNO and then washed
3 hr in L-15.
To quantify peak accumulation for each group, the following sampling
technique was used with Feulgen-stained tissue, referred to here as a
"line count." A hairline in a microscope ocular was positioned
perpendicular to the longitudinal axis of the crush, and the number of
nuclei within the sheath touching or intersecting the line in a
through-focus series at the crush was then counted in a double-blind
manner. Counts were made for both connectives at the anterior and
posterior margins of the crush in which accumulation was highest, three
series each. The counts were averaged and then analyzed using an ANOVA
for repeated measures. Post hoc comparisons of the
significant effects were assessed with a Newman-Keuls post hoc test. This method measures accumulation at the highest
concentration of cells.
Low-light video microscopy. To determine the effect of
L-NAME, D-NAME, and SPNO on
microglial movement in injured preparations, individual live
Hoechst-stained cells were tracked using low-light video microscopy.
Procedures were basically those of McGlade-McCulloh et al. (1989) . In
brief, 2-3 mm pieces of connective were dissected, stained 10-30 min
with Hoechst 33342 dye [0.001% (wt/vol) in leech saline], and pinned
overnight at 16°C in L-15 with supplements. Although some microglia
accumulate at the cut ends, by the time the cord is crushed the next
day, the microglia are stationary and uniformly distributed, except for
a local accumulation at the severed ends. Just before recording, the
connectives were crushed and placed in a saline with 23 mM MgCl2 replacing NaCl mole for mole to reduce muscle movement. To view moving cells, each
preparation was illuminated with a Zeiss 12 V, 100 W tungsten-halogen lamp in a 350 µm length of connectives ~50 µm from the crush. To
minimize UV illumination of the tissue, a 30% neutral density filter
and a computer-controlled shutter were placed in the path of the
excitation beam. Images were captured and enhanced at 2.5 min intervals
with a CCD camera and Argus-10 low-light enhancement image processor
(Hamamatsu, Hamamatsu City, Japan) and Image 1/AT imaging software
(Universal Imaging Corporation, Media, PA). For each cord, a baseline
was recorded, followed by treatment with 1 mM
L-NAME, 1 mM
D-NAME, or 1 mM SPNO and
washout of the drugs. For analysis, cells were selected that were
visible through all three 30 min treatment periods. Average cell speed
was then calculated by measuring the distance traveled by the same
individual cells during each 30 min treatment period (n = 9 cells total through all treatments, and n = 6 and 3 from two cords, respectively). The results were statistically analyzed
as described for the microglia accumulation experiment.
Movement of microglia in three-dimensional collagen gels.
Three-dimensional (3-D) collagen gels (Guthrie and Lumsden, 1994 ) were
adapted for leech at room temperature (Blackshaw et al., 1997 ) and
examined with phase microscopy to observe directly the effects of NO
donors on microglial movement. In brief, segments of nerve cord,
including ganglia, were cultured in sterile collagen gels in
supplemented L-15 culture medium up to 10 d, during which time
microglia migrated out of the cord into the transparent surrounding gel
(Blackshaw et al., 1997 ). For experiments with the NO donor SPNO, the
drug was added to a final concentration of 1 mM
after an initial period of observation in L-15 culture medium and
cleared after 30 min. As a control, the NO scavenger-reduced hemoglobin (Hb) was added to dishes either before or after SPNO exposure. Hb was
reduced using methods of Rentería and Constantine-Paton (1995)
with slight modification. In brief, bovine Hb (Sigma, St. Louis, MO)
was diluted to 1 mM in distilled water and then
chemically reduced by the addition of 10-fold sodium hydrosulfite. The
Hb solution was dialyzed overnight at 4°C in distilled water and then
added to experimental dishes to a final concentration of 0.02 mM.
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RESULTS |
Nitric oxide synthase and microglial cell accumulation colocalize
at sites of CNS injury
To determine the spatial and temporal relationship of
injury-induced nitric oxide synthase and accumulating microglial cells, nerve cords were double-stained with a monoclonal antibody for human
eNOS and with the fluorescent nuclear dye Hoechst 33342. In uncrushed
cords, eNOS immunoreactivity is absent (Shafer et al., 1998 ), and
microglial cells are evenly distributed throughout the connectives
(Morgese et al., 1983 ). Cords fixed 5 min after a crush showed eNOS
immunoreactivity at the lesion (Shafer et al., 1998 ) (Fig.
1A) but no accumulation
of microglia within the crush (Fig. 1B). Three hours
after crushing, however, eNOS immunoreactivity remained at the crush
(Shafer et al., 1998 ) (Fig. 1C), and microglial cells had
clustered there (Fig. 1D). At 24 hr, eNOS
immunoreactivity extended slightly beyond the crush region and appeared
more diffuse than at 3 hr (Fig. 1E). Microglial cells
also occupied a larger region expanding to areas outside the crush
(Fig. 1F). Although both eNOS immunoreactivity and
microglial cell accumulation were localized to the crush site, their
spatial distributions were not identical. The region of eNOS
immunoreactivity was broader, extending beyond the high density of
microglia. Thus, after injury, there was an immediate appearance of
nitric oxide synthase immunoreactivity that persisted during later
stages of microglial accumulation.

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Figure 1.
Appearance of eNOS immunoreactivity and microglial
cell accumulation at sites of CNS damage. The connectives connecting
ganglia are paired, with the bundled axons of each connective
surrounded by a cellular sheath. Adult leech nerve cords were crushed
and double-stained with a monoclonal antibody against human eNOS and
with the fluorescent nuclear dye Hoechst 33342. The approximate
longitudinal extent of the crushes is indicated by vertical
dotted lines. Five minutes after crushing, eNOS
immunoreactivity was present among nerve fibers in the connectives
(A), but microglial cells were still evenly
distributed throughout the connectives (B),
resembling controls. Note that immunoreactivity was predominantly where
crushed axons, glia, and microglia were located and not in the sheath.
Three hours after injury, eNOS immunoreactivity persisted at the lesion
(C), and microglial cells had accumulated
(D). After 24 hr, eNOS immunoreactivity was more
diffuse and expanded outside the crush (E).
Microglial cells also occupied a larger area
(F).
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NOS inhibitors block microglial cell accumulation
To determine how NO production at the crush affects microglial
cells, NO production was blocked with the NOS inhibitor
L-NAME. Microglial cell accumulation in cords was examined
4-6 hr after injury. As controls, crushed cords were incubated in
similar concentrations of D-NAME. Microglia accumulated in
1 mM D-NAME (Fig.
2A) but not in 1 mM L-NAME (Fig.
2B). Even at lower concentrations of L-NAME (100-750 µM),
accumulation was reduced compared with control cords incubated in leech
saline containing 10 mM glucose alone or in
D-NAME (data not shown).

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Figure 2.
NOS inhibition blocked microglial accumulation.
Adult leech nerve cord crushed 6 hr before fixing and stained with the
fluorescent nuclear stain Hoechst 33342 to show microglia.
Vertical dotted lines indicate longitudinal extent of
crush. D-NAME (1 mM), the inactive
enantiomer of L-NAME, did not block microglial accumulation
at the crush (A), whereas 1 mM
L-NAME blocked microglial accumulation
(B).
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To quantify the effect of NOS inhibition on microglial cell
accumulation, microglial cells were counted in a series of planes through the lesion after incubating crushed, living cords 6 hr in
L-NAME, D-NAME, or saline vehicle alone.
Crushed cords treated with 1 mM L-NAME had
counts similar to uncrushed cords, with significantly fewer cells
accumulated at the lesion site than crushed controls. In the presence
of 1 mM L-NAME, the average ± SEM number
of cells accumulated at a crush site was 18.6 ± 1.8 cells, a
level similar to noncrushed cords (14.2 ± 1.8), and significantly
lower than control cords incubated in saline with glucose (99.8 ± 32.6) or 1 mM D-NAME (105.6 ± 25.3), the
inactive enantiomer of L-NAME (n = 4 for
each treatment) (Fig. 3). There was a
significant difference between the crushed cords treated with 1 mM L-NAME and control cords
not exposed to drug treatment (ANOVA; Scheffe's test;
F(3,12) = 5.848; p = 0.0106; p < 0.05). Because inhibition of NOS activity reduced the microglial cell accumulation to levels comparable with
those in uncrushed cords, it appears that the NO produced after injury
influenced the aggregation of microglial cells at the site of injury.

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Figure 3.
L-NAME significantly reduced
microglial accumulation. In 1 mM L-NAME,
significantly fewer cells accumulated at the lesion site than in
crushed controls (Crush) and were instead similar to
uncrushed controls (data not shown). In contrast, in 1 mM
D-NAME, an inactive isoform of L-NAME,
microglia accumulated at the crush site in numbers equivalent to
crushed control cords. For each sample nerve cord, the average number
of microglia at the crush site was determined (see Materials and
Methods). There was a significant difference between microglial cell
accumulation at the lesion site in injured tissue treated with1
mM L-NAME compared with tissue treated with 1 mM D-NAME (ANOVA; Scheffe's test;
F(3,12) = 5.848; p = 0.0106; n = 4).
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NO donors block microglial cell accumulation
If microglia aggregate at a lesion as a result of locally
increased NO, then a general increase in NO might disrupt the
injury-induced NO gradient and interfere with accumulation. Crushed
nerve cords were bathed in a 1 mM solution of SPNO, a NO
donor with a relatively long half-life
(t1/2 = 4 hr at 25°C) for 3 hr, and
control cords were bathed in L-15. Control cords incubated in L-15 for
3 hr had large numbers of cells gathered at the lesion (Fig.
4A), whereas cords
incubated in the NO donor SPNO had significantly less accumulation there (Fig. 4B). As indicated in Figure
5, control cords incubated in L-15 for 3 hr had large numbers of cells gathered at the lesion (line count,
9.2 ± 0.7 microglia; n = 5 cords), whereas cords incubated in the NO donor SPNO had significantly less accumulation at
the crush (4.0 ± 0.4 microglia; n = 3 cords). In
cords that were treated with SPNO and then washed, microglia
accumulated at the crush (8.0 ± 0.8 microglia; n = 2 cords). No significant differences were observed between the
baseline and wash conditions (ANOVA; Scheffe's test;
F(2,6) = 20.87; p < 0.002; Newman-Keuls post hoc; p < 0.05).

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Figure 4.
NO donor SPNO blocked microglial accumulation.
A, Control. Without drug, there was a marked increase in
microglia at the lesion (dotted line) inside the sheath
by 3 hr. B, Exposure to 1 mM SPNO for 3 hr
blocked the accumulation of microglia at the lesion. Cell nuclei were
Feulgen-stained.
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Figure 5.
Quantitative comparison of the effect of SPNO on
microglial accumulation. SPNO inhibited microglial cell accumulation,
and this effect was reversible. Nerve cords were crushed and incubated
in culture medium (Control) for 6 hr, 1 mM SPNO for 6 hr (SPNO), and 1 mM SPNO for 3 hr followed by a 3 hr wash in L-15
(Wash). Accumulation was measured by counting microglial
cell nuclei that intersected a line at right angles to the long axis of
the connectives (see Materials and Methods). The SPNO treatment
significantly reduced microglial accumulation at the lesion site
compared with controls. Washed cords (Wash) had cell
counts similar to crush controls that sat for 6 hr in L-15
(Control) but were significantly different from
cords that were incubated in 1 mM SPNO for 6 hr
(SPNO) (ANOVA; Scheffe's test;
F(2,6) = 20.87; p < 0.002; Newman-Keuls post hoc; p < 0.05; n = 5). Error bars are SEM. Groups
significantly different from control are indicated by *.
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To determine that the effects of SPNO were caused by released NO and
not SPNO degradation products, experiments were conducted with aged
SPNO, which would have been expected to have a diminished effect. From
a single animal, ganglia were exposed 3 hr to 1 mM SPNO
depleted by having been prepared 36 hr earlier. With a line count, an
average of 5.7 ± 0.2 microglia was measured (n = 8 crushes), which was more cells accumulated at the crush than in
segments of cord bathed in fresh SPNO (3.6 ± 0.2 microglia;
n = 4 crushes) but was fewer cells than in controls
(8.3 ± 0.3; n = 4 crushes). Thus, partially
expired SPNO was less potent than a fresh solution in blocking
accumulation. Incubation of 1 mM SPNO with 0.5 mM cPTIO, a scavenger of NO in the solution, was
sufficient to prevent blocking of microglial cell accumulation
(8.0 ± 0.1 microglia; n = 12 crushes).
Accumulation of microglia in cPTIO was not different from crushed
control cords, showing that cPTIO blocks SPNO inhibition of
accumulation and suggesting that the SPNO-induced inhibition of
microglial cell accumulation occurred via a mechanism involving NO.
SPNO but not L-NAME blocks microglial cell accumulation
by stopping or slowing migration
Video microscopy of living microglia in situ was used
to determine why they did not accumulate when NO levels were
manipulated. Among the possibilities were that the drug (1) stopped
migration, (2) disoriented cells, changing their direction but not rate
of movement, or (3) blocked the usual stop signals, causing cells to
move through the lesion. With time-lapse video microscopy and low-light
fluorescent illumination, live Hoechst-stained microglial nuclei were
tracked in crushed connectives (McGlade-McCulloh et al., 1989 ) to test
these possibilities. After a 30 min baseline to establish the directed
movement of cells toward the lesion, migrating cells in the cord were
exposed to 1 mM L-NAME, 1 mM D-NAME, or 1 mM SPNO and tracked for an additional 30 min. The drug was then washed out, and preparations were observed for 30 min
more to determine reversibility. The average distance traveled by each
cell that stayed visible through the entire recording was determined
for each treatment period. Comparisons with cells tracked during only
one phase of the treatment indicated that the recorded cells were
representative; movements are principally along one dimension, so
travel was measured as distance relative to location at the beginning
of observation or treatments. The fraction of microglia moving was
within the range of 15-40% reported previously (McGlade-McCulloh et
al., 1989 ), with no evidence of variation across the field of view,
consistent with observations (K. J. Muller, unpublished
observations) that microglia >500 µm from the lesion begin moving
within 5 min of cord injury.
Overall, migrating cells stopped or slowed after SPNO exposure;
however, a range of behaviors was observed. Figure
6, with each symbol
representing a separate cell of six observed, shows the locations of
cells at 10 min intervals relative to the start of the treatment
period, with positive values representing displacement toward the
lesion. Some cells moved toward the crush at variable speeds, even in
baseline recordings (top panel). In SPNO
(middle panel), the initial responses of cells ranged
from immediate stopping (cells 2 and 5) to
slowing little (e.g., cell 3). However, toward the end of
the SPNO incubation period, all cells slowed if they had not stopped.
After washout of SPNO, microglia overall increased their travel
(bottom panel). One nucleus (5) initially
moved away from the crush, a behavior reported previously for
microglia, although for a distance <10 µm, the cell nucleus alone
rather than the entire cell might have moved (McGlade-McCulloh et al., 1989 ). Although the population of microglial cells was heterogeneous as
to movement, the independent migration of each cell was inhibited during SPNO exposure. No cells (of 131 total in two cords) began moving
during SPNO treatment.

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Figure 6.
NO slows migrating microglial cells. The distances
traveled by six different microglial cells (indicated by 6 symbols and numbers 1-6 on the abscissa)
were measured by low-light fluorescence video microscopy at 10 min
intervals for each 30 min treatment period (Baseline,
SPNO, Wash). The first
point in each plot is time 0. Cells were selected if
they could be tracked throughout.
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Speed for each cell was calculated from the distance traveled in each
30 min treatment period, and an average velocity was calculated for
each treatment group (Fig. 7). For a
baseline, mean ± SEM speed was measured to be 0.93 ± 0.13 µm/min (n = 9 cells). For all nine cells, including
the six in Figure 6, movement slowed significantly to 0.43 ± 0.12 µm/min during SPNO treatment (p < 0.05), with
a recovery to the baseline (0.92 ± 0.07 µm/min) after washout
of SPNO. Thus, SPNO blocked microglial cell accumulation by stopping or
slowing cells migrating to the crush.

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Figure 7.
SPNO slows the migration of cells to a crush.
Low-light fluorescence video microscopy was used to track individual
Hoechst-stained microglia as they migrated to a crush, as in Figure 6
(n = 9 cells from 2 cords). Selected cells remained
in the same focal plane during each 30 min treatment period: baseline
(Baseline), 1 mM SPNO (SPNO),
and SPNO washout (Wash). A significant decrease in
velocity was observed after SPNO exposure (p < 0.05). Cells recovered to baseline velocity after washout. Error
bars are SEM. Comparisons were made using Kruskal-Wallis rank sum
ANOVA (p = 0.008) and Dunnett's post
hoc analysis at the p = 0.05 level.
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In contrast to this, slowing of migration caused by SPNO, 1 mM L-NAME, and 1 mM
D-NAME did not affect the migration rate of microglia. The
average velocity of individual microglial cells in injured nerve cords
treated with 1 mM L-NAME was 10.2 ± 2.0 µm/min, whereas the average velocity in tissue treated with 1 mM D-NAME was 8.8 ± 1.4 µm/min.
Statistical analysis indicated that treatment with 1 mM
L-NAME compared with treatment with L-15 or 1 mM D-NAME did not significantly affect the
average velocity of migrating microglia (ANOVA;
F(2,18) = 0.434; p = 0.6544; n = 5).
To understand better the mechanisms by which microglia stopped moving
in the presence of NO, movement of microglial filopodia and
lamellipodia was observed directly in 3-D collagen gels. In gels, the
entire cell can be viewed continuously and not only the nucleus in time
lapse. Microglia migrated from explants of nerve cord into the gels and
were viewed with phase optics for up to 10 d in culture. SPNO,
added to a final concentration of 1 mM in L-15 culture
medium layered on the gel, completely arrested movement of 10 of 21 cells examined and markedly slowed the movement of nine others, with no
effect on two. For 15 cells that had slowed or stopped, washout
reversed the effect in nine within the viewing time. An example is
shown in Figure 8 in which movement was
estimated by subtracting successive frames (top row,
difference is white area in last frame). Movement
of the lamellipodia stopped with the addition of 1 mM SPNO (Fig. 8, middle row) and
resumed within minutes of washout (Fig. 8, bottom row).
Addition of aged SPNO solutions as controls had no effect in three
preparations examined (data not shown). In two preparations, the NO
scavenger reduced-hemoglobin was added either 15 min before addition of
SPNO or after incubation in SPNO for 80 min, and in each case, the SPNO
was without effect, indicating that NO specifically arrested cell
movement.

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Figure 8.
NO donor SPNO reversibly arrested movement
of microglial cells in three-dimensional collagen gels. Microglia that
migrated into the gels moved their lamellipodia with little
translocation. Phase contrast images in each row were
separated by 5 min intervals; right panels are
computer-generated subtractions of the last two images and show cell
movement in 5 min in white. Addition of SPNO to a final
concentration of 1 mM in L-15 culture medium arrested
movement of lamellipodia (middle row), whereas addition
of aged NO donor solutions (data not shown) was without effect. The
usual motility resumed within minutes of washout (bottom
row).
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 |
DISCUSSION |
NOS activity has been associated previously with the appearance of
microglia at CNS lesions in the leech. The present paper demonstrates
that microglia accumulate after early expression of NOS activity and
eNOS immunoreactivity. Microglia distributed throughout the CNS at the
time of injury are one source of NOS activity (Shafer et al., 1998 ).
The timing and location of NO production, immediately at the site of
injury and before microglial accumulation, are consistent with a role
for NO in modulating migration of the cells. In this study of the
expression of eNOS immunoreactivity, the density of cells within the
crush peaks by 24 hr after injury. Later, cells also accumulate
adjacent to the lesion (Morgese et al., 1983 ). The high density
persists up to 8 weeks after injury, although synapses have already
reformed. The injury that severs axons also damages the connective
glial cell; after months, the glia degenerate and microglia ensheathe the axons (Elliott and Muller, 1981 ).
SPNO acts directly to reduce accumulation of microglia at the lesion by
blocking or reducing migration, not through a cytotoxic effect. The
inhibitory effect of SPNO was blocked by the NO scavenger carboxy-PTIO,
and partially expired SPNO was less effective than fresh SPNO at
blocking migration. Aged SPNO might possess toxic NO breakdown products
such as peroxynitrites, but these would be expected to increase with
time and, if the inhibition were primarily caused by these by-products,
then aged SPNO should have enhanced block of accumulation, which it did
not. Instead, the blocking effect was reduced, consistent with reduced
levels of NO. Third, the effect of SPNO could be reversed by washing
either before or after crushing. Both inactive and activated microglia responded to SPNO in a manner inconsistent with cytotoxicity. L-NAME too acted specifically to reduce accumulation,
although not by stopping migrating microglia, as the inactive
enantiomer D-NAME did not affect accumulation.
Previous work with low-light video microscopy has shown that microglia
travel individually to lesions, not moving uniformly as a herd, and
that at any time no more than 20% of microglia near a lesion are
moving (McGlade-McCulloh et al., 1989 ). As a population, the microglia
also appear to be heterogeneous in their response to exogenous NO. Some
cells stopped completely and others showed varying amounts of slowing.
This is consistent with variability in the arrest of movement by
cultured microglia upon addition of SPNO. Although the source of these
differences is unknown, in mammals, different types of injury can
elicit different activation states (Kreutzberg, 1996 ). Moreover, a
single injury can yield differential gene expression in mammalian
microglial cell populations (Elkabes et al., 1996 ; Reichert and
Rotshenker, 1996 ; Tanaka et al., 1998 ). A variety of other signals
might also be expected to act on migrating microglia and be unevenly
distributed in the nervous system (Smith et al., 1987 ). Despite
differences among cells, however, a general inhibitory action of NO was
observed for the entire group.
It is possible that the injury-induced NO acts as a stop signal for
migrating microglia. According to this hypothesis, the highest
concentrations of NO would be at the crush, which would stop the
migration of cells, presumably to repair damaged tissue. Both our
accumulation and low-light video microscopy studies support this
notion. The NO donor SPNO increased NO levels all along the cord, which
reversibly arrested migration, even outside the crush. It appears that
application of SPNO to the entire cord stopped the cells in place,
effectively preventing them from migrating to the crush, resulting in
reduced microglial accumulation at the lesion site. Incubation of
crushed cords in the NOS inhibitor L-NAME reduced NO levels
and microglial cell accumulation but did not affect the migration rate
or population of microglia moving. Low-light video recordings in the
presence of L-NAME suggest that, in the absence of NO,
microglia continue to migrate and do not accumulate at the lesion,
supporting the hypothesis that injury-induced NO serves as a stop
signal for migrating microglia.
Several substances, including NO, have been shown to inhibit movement
or growth at one concentration and have an opposite, promoting effect
at other concentrations. In migrating neutrophils, low concentrations
of NO can enhance movement and higher concentrations inhibit movement
(VanUffelen et al., 1996 , 1998 ). Similarly opposing effects of NO have
been observed in neuronal growth cones of Helisoma (Van
Wagenen and Rehder, 1999 ) and growing neurites in rat dorsal root
ganglion (Tsukada and Fukuda, 1998 ). Also in growth cones, intracellular [Ca2+] (Kater and Mills,
1991 ; Rehder and Kater, 1992 ) and [cAMP] (Song et al., 1997 ) have
each been proposed to provide such a dual regulation of extension. We
have not completely ruled out a dual role for NO in leech microglial
migration in which high concentrations of NO at the crush would stop
migration, whereas lower concentrations at a distance in which
microglial cells are migrating might promote it. NO application can
halt microglial migration, but a chemoattractive role for NO is less
clear because blocking NO production does not interfere with
injury-induced movement of microglial cells. Other attractive agents,
however, might act in addition to NO and continue to drive cells to the crush.
The effects of NO on nerve repair and regeneration extend beyond
influencing microglia, because NO has been shown to influence the
movement of growing axons. In addition to the examples mentioned above,
NO halted neurite motility in chick dorsal root ganglion explants (Hess
et al., 1993 ) and collapsed growth cones in retinal ganglion axons
(Rentería and Constantine-Paton, 1995 ). Conversely, in the
presence of NOS inhibitors, retinal axons grew past their targets (Wu
et al., 1994 ; Cramer et al., 1996 ; Gibbs and Truman, 1998 ). Thus, NO
might hold axons close to their point of synapse until permanent
connections form, might be a retrograde signal for activity-dependent
pruning of synapses (Williams et al., 1994 ; Wu et al., 1994 ; Wang et
al., 1995 ), or both. Because microglia themselves produce NO at both
early and late stages of repair, they are likely to sculpt repair by
both promoting and inhibiting axon growth.
 |
FOOTNOTES |
Received Aug. 27, 1999; revised Nov. 8, 1999; accepted Nov. 11, 1999.
This work was supported by National Institutes of Health Grants NS34927
and NS37025 to K.J.M. and C.L.S. We thank Orie Shafer for conducting
preliminary experiments, Shirly Mildner for counting microglia, and
Susanna Blackshaw for instruction in making collagen gels.
Drs. Chen and Kumar contributed equally to this work.
Correspondence should be addressed to Dr. Kenneth J. Muller, Department
of Physiology and Biophysics (R-430), University of Miami School of
Medicine, Miami, FL 33136. E-mail: kmuller{at}newssun.med.miami.edu.
 |
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