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The Journal of Neuroscience, May 15, 2001, 21(10):3457-3475

Neurotrophic Factors and Receptors in the Immature and Adult Spinal Cord after Mechanical Injury or Kainic Acid

Johan Widenfalk, Karin Lundströmer, Marie Jubran, Stefan Brené, and Lars Olson

Department of Neuroscience, Karolinska Institute, S-171 77 Stockholm, Sweden


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Delivery of neurotrophic factors to the injured spinal cord has been shown to stimulate neuronal survival and regeneration. This indicates that a lack of sufficient trophic support is one factor contributing to the absence of spontaneous regeneration in the mammalian spinal cord. Regulation of the expression of neurotrophic factors and receptors after spinal cord injury has not been studied in detail. We investigated levels of mRNA-encoding neurotrophins, glial cell line-derived neurotrophic factor (GDNF) family members and related receptors, ciliary neurotrophic factor (CNTF), and c-fos in normal and injured spinal cord. Injuries in adult rats included weight-drop, transection, and excitotoxic kainic acid delivery; in newborn rats, partial transection was performed. The regulation of expression patterns in the adult spinal cord was compared with that in the PNS and the neonate spinal cord. After mechanical injury of the adult rat spinal cord, upregulations of NGF and GDNF mRNA occurred in meningeal cells adjacent to the lesion. BDNF and p75 mRNA increased in neurons, GDNF mRNA increased in astrocytes close to the lesion, and GFRalpha -1 and truncated TrkB mRNA increased in astrocytes of degenerating white matter. The relatively limited upregulation of neurotrophic factors in the spinal cord contrasted with the response of affected nerve roots, in which marked increases of NGF and GDNF mRNA levels were observed in Schwann cells. The difference between the ability of the PNS and CNS to provide trophic support correlates with their different abilities to regenerate. Kainic acid delivery led to only weak upregulations of BDNF and CNTF mRNA. Compared with several brain regions, the overall response of the spinal cord tissue to kainic acid was weak. The relative sparseness of upregulations of endogenous neurotrophic factors after injury strengthens the hypothesis that lack of regeneration in the spinal cord is attributable at least partly to lack of trophic support.

Key words: rat; GFRalpha ; NGF; BDNF; NT3; NT4; GDNF; NTN; CNTF; PSP; TrkA; TrkB; truncated TrkB; TrkC; p75; in situ hybridization; spinal cord injury; kainic acid; weight-drop; motoneuron


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

The lack of regenerative properties of the mammalian CNS is probably attributable to a combination of factors, such as the inhibitory character of glial scars and CNS white matter (Hoke and Silver, 1996; Chen et al., 2000) and lack of trophic support (Skene, 1989; Doster et al., 1991; Schnell, 1994; Tetzlaff et al., 1994; Fournier and McKerracher, 1997). Neurotrophic factors, including members of the NGF and GDNF families, are potent endogenous stimulators of neuron survival and nerve fiber growth. In addition, they have been reported to elicit beneficial effects when delivered after spinal cord injury (SCI) (Schnell, 1994; Grill et al., 1997; Kobayashi et al., 1997; Menei et al., 1998; Liu et al., 1999). However, the expression levels of mRNA-encoding neurotrophic factors and their receptors after SCI have not been thoroughly studied previously. Therefore, in the present study we have characterized the expression patterns of mRNA-encoding neurotrophic factors in the NGF and GDNF families and related receptors, focusing on normal spinal cord and regulations of mRNA levels in response to injury. These investigations should help clarify whether there is a lack of trophic support after SCI and which cells, if any, are responsible for neurotrophic factor synthesis. We also address the question of whether the spinal cord differs from the PNS, where successful regeneration occurs, in terms of injury-induced mRNA patterns. Moreover we ask whether the adult spinal cord differs from the neonate spinal cord in these respects, because a degree of regeneration or rerouting, or both, is known to take place after SCI in the neonate (Bernstein and Stelzner, 1983; Bregman and Goldberger, 1983). Finally, we have used the excitotoxin kainic acid, known to induce profound upregulation of neurotrophic factors and receptors in the brain, to determine whether any of these upregulations are shared by the spinal cord.

In addition to the NGF and GDNF families and their receptors, we also investigated expression levels of ciliary neurotrophic factor (CNTF). Glial fibrillary acidic protein (GFAP), myelin-associated glycoprotein (MAG), and c-fos were used to monitor the degree of lesion and the astrocytes and oligodendrocytes.

NGF, BDNF, NT3, and NT4 constitute the NGF family of neurotrophic factors (the neurotrophins), which act through the high-affinity receptor tyrosine kinases (TrkA, TrkB, TrkC) and the low-affinity p75 receptor (Lindsay, 1994). GDNF, neurturin (NTN), persephin (PSP), and artemin (ART) constitute the GDNF family of ligands, which belongs to the TGFbeta superfamily, and signal by binding to GFRalpha -1-4 (Ibáñez, 1998; Baloh et al., 2000) followed by activation of the signal-transducing tyrosine kinase RET (Martin-Zanca et al., 1986; Treanor et al., 1996; Trupp et al., 1996). During development, the neurotrophic factors support survival of and neurite outgrowth from various neuron populations. Limited amounts of neurotrophic factors are produced in the adult CNS, and the roles of neurotrophic factors in the adult brain and spinal cord are less well understood. They may increase neuronal survival (Tomac et al., 1995; Novikova et al., 1996), induce regeneration after injury (Schnell, 1994; Tuszynski et al., 1996; Grill et al., 1997; Kobayashi et al., 1997; Houweling et al., 1998; Menei et al., 1998; Liu et al., 1999), and be involved in synapse plasticity (McAllister et al., 1999). Neurotrophic factors have additionally been shown to prevent neurodegeneration after excitotoxic damage to the CNS (Tomac et al., 1995; Horger et al., 1998; Milbrandt et al., 1998; Rosenblad et al., 1999, 2000).

There are few reports dealing with regulation of neurotrophins or their receptors after spinal cord perturbations. Frisén and colleagues (1992, 1993) demonstrated upregulation of truncated TrkB mRNA in cells in the glial scar 3 weeks after longitudinal dorsal funiculus cuts. After SCI, the low-affinity receptor p75 upregulates in cells associated with blood vessels (Reynolds et al., 1991). A massive glial BDNF and NT3 expression close to the lesion shortly after SCI was reported recently (Hayashi et al., 2000). There are no previous studies of regulation of these molecules after weight-drop injury produced using the NYU impactor (Gruner, 1992). Dramatic upregulations of BDNF and NT4 mRNA in glial cells and neurons of the spinal cord after kainic acid delivery have been reported (Scarisbrick et al., 1999). The expression of GDNF family ligands and related receptors after SCI has not been studied previously.

We describe widespread expression of different neurotrophic factor receptors in the normal adult spinal cord, whereas expressions of ligands were low and spatially restricted. Upregulations of neurotrophic factors in gray and white matter of the spinal cord after injury were limited, indicating a relative lack of trophic support in the spinal cord. Strong neurotrophic factor expression was found in meningeal cells, whereas neurons and astrocytes presented only low levels. In contrast to the spinal cord glia, Schwann cells of affected nerve roots readily increased their neurotrophic factor synthesis, demonstrating a different ability of the PNS to provide trophic support. The regulation of neurotrophic factors in the spinal cord of newborn rats was almost identical to that found in adults. Kainic acid delivery led to only minor increases of neurotrophic factor levels and c-fos in the spinal cord. Brain regions of these animals exhibited more robust increases of c-fos, neurotrophic factors, and their receptors. Taken together, these results support the hypothesis that lack of regeneration in the spinal cord is attributable, at least partly, to lack of trophic support.


    MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Animals

A total of 154 adult female and 45 newborn Sprague Dawley rats (B&K Universal, Sollentuna, Sweden) were used. Adults, weighing between 200 and 300 gm, were kept under standardized conditions and given food and water ad libitum. Sixty-one adult rats were subjected to spinal cord weight-drop injury, and 27 were subjected to spinal cord transection. Fifty adult rats were included in a kainic acid experiment (35 were kainic acid treated and 15 were Ringer's solution treated), and 45 newborns were subjected to partial spinal cord transection. In Table 1, the number of animals killed at each time point for each individual experiment is displayed. In the SCI study of adult animals, no animals were lost before these determined time points. In the kainic acid study, two animals were lost. In the SCI study of newborn animals, one pup was lost. Animals were killed from 2 hr to 6 months after injury. All experiments had been approved by the Stockholm Animal Ethics Committee.


                              
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Table 1.   Overview of the number of animals included in different experiments of the present study

Surgery

Dorsal laminectomies at the level of the ninth thoracic vertebra were carried out under general halothane (Fluothane, AstraZeneca) anesthesia.

Adults. The exposed spinal cord was either left untouched (sham), contused (weight-drop), or completely transected. Contusion injuries were performed using the NYU impactor (Gruner, 1992) and a 25 mm drop. Sterile 3/0 and 2/0 sutures (PDSII and Ethilon II, Ethicon) were used to suture muscle and skin, respectively. Animals were given antibiotics (Borgal, Hoechst) the first week after injury and thereafter if needed. Animals were allowed to recover from anesthesia in warmed cages. A heating pad was placed under a part of each cage during the first 3 d after the operation. Urinary bladders were emptied manually three times every day the first week and twice daily thereafter to prevent urinary tract infections.

Newborns. Under anesthesia, inspections of respiratory rate and skin color were made at close intervals. The depth of analgesia was assessed by the pedal withdrawal reflex. Laminectomies were followed by partial spinal cord transections of approximately two-thirds of the spinal cord width, cutting one side completely. The skin was sutured using sterile 6/0 sutures (Vicryl, Ethicon). Pups were allowed to recover from anesthesia before being reunited with the dam. Delivery of halothane anesthesia to the newborn rats was according to Park and colleagues (1992).

Kainic acid treatment

Thirty-five adult rats were injected with kainic acid at a dose of 10 mg/kg, i.p.; 15 animals were given saline as controls. All animals were observed for development of seizures. Kainic acid-injected animals included in this study (n = 24) developed grade V seizures (repeated incidences of rising on the hindlimbs and falling over) (Sperk et al., 1985). Control animals had no such symptoms. Animals were killed 2 hr (three kainic acid-treated, three controls), 4 hr (nine kainic acid-treated, four controls), 1 d (six kainic acid-treated, four controls), 3 d (three kainic acid-treated, two controls), and 7 d (three kainic acid-treated, three controls) after injection. Seizure activity was still evident 4 hr after treatment. Twenty-four hours after treatment, animals had no overt signs of seizures.

In situ hybridization

Animals were decapitated, and brains and spinal cords were dissected at 2 hr (weight-drop, n = 4; adult sham, n = 2), 6 hr (weight-drop, n = 4; adult sham, n = 2; newborn partial transection, n = 5; newborn sham, n = 1), 12 hr (newborn partial transection, n = 5, newborn sham, n = 1), 1 d (transection, n = 4; weight-drop, n = 6; adult sham, n = 1; newborn partial transection, n = 5; newborn sham, n = 1), 3 d (transection, n = 2; weight-drop, n = 4), 7 d (transection, n = 4), 10 d (transection, n = 4), and 6 weeks (transection, n = 5; weight-drop, n = 8) after surgery. In addition, kainic acid-treated (see above), normal postnatal day 0 (P0) (n = 5), normal P1 (n = 2), and normal adult (n = 5) rats were included. Spinal cords and brains were rapidly dissected and frozen on dry ice. Although our efforts were focused on the spinal cord tissue, excluding dorsal root ganglia from quantification assessments, dorsal root ganglia served as a positive control tissue for many of the mRNA species not normally present in the spinal cord, such as p75. Cryostat sections (14 µm) were collected from seven to eight levels of the spinal cords, ranging from cervical to sacral, and with a distance of ~7 mm between adjacent levels. Sections were thawed to slides (ProbeOn, Fisher Biotech, Pittsburgh, PA). In situ hybridization was performed using radiolabeled oligonucleotide probes (Dagerlind et al., 1992). Probes complementary to GDNF (nucleotides 540-589) (Lin et al., 1993), NTN (970-1019) (Kotzbauer et al., 1996), PSP (261-310, 383-432) (Milbrandt et al., 1998), GFRalpha -1 (1067-1112) (Sanicola et al., 1997), GFRalpha -2 (1051-1094) (Baloh et al., 1997), RET (2527-2576) (Iwamoto et al., 1993), NGF (398-447) (Whittemore et al., 1988), BDNF (250-298) (Leibrock et al., 1989), NT3 (558-568) (Maisonpierre et al., 1990), NT4 (549-598) (Ip et al., 1992), TrkA (942-992) (Indo et al., 1997), TrkB (2567-2617) (Middlemas et al., 1991), truncated TrkB (167-211) (Middlemas et al., 1991), TrkC (1209-1259) (Merlio et al., 1992), p75 (873-920) (Radeke et al., 1987), GFAP (1397-1446) (Feinstein et al., 1992), and c-fos (489-538) (Curran et al., 1987) were used. All probes, except the ones complementary to GFRalpha -3, have been characterized previously [GDNF (Nosrat et al., 1996); NTN and GFRalpha -2 (Widenfalk et al., 1997); GFRalpha -1 and RET (Nosrat et al., 1997a); NGF and NT3 (Wetmore and Olson, 1995); BDNF (Wetmore et al., 1990); NT4 (Nosrat et al., 1997b)] and do not match any known sequence in GenBank except those of the intended genes. A control 50-mer random probe (Nosrat and Olson, 1995) not complementary to any sequence deposited in GenBank was also used. After 3' end-labeling with [35S]dATP (NEN DuPont) by terminal deoxynucleotidyl transferase (Amersham Pharmacia Biotech, Uppsala, Sweden), probes were purified (QIAquick Nucleotide Removal Kit Protocol, Qiagen, Hilden, Germany). Slides were incubated overnight (42°C) with 0.1 ml of hybridization mixture containing 50% formamide, 4× SSC (0.15 M NaCl, 0.015 sodium citrate, pH 7.0), 1× Denhardt's solution, 1% Sarcosyl, 0.02 M Na3PO4, pH 7.0, 10% dextransulfate, 0.06 M DTT, 0.1 mg/ml sheared salmon sperm DNA, and hot probe. Slides were then rinsed four times (45 min) in 1× SSC at 60°C. During a fifth rinse in 1× SSC, the bath was allowed to adjust to room temperature. Further rinsing was performed in distilled water and increasing concentrations of ethanol. Slides were then air dried and dipped in emulsion (Kodak NTB2, diluted 1:1 with water) or exposed for 3 weeks on x-ray films (Hyperfilm-beta -max, Amersham) for quantification (see below). After 6 weeks of exposure, slides were developed, counterstained with cresyl violet, and mounted (Entellan, Merck). All hybridization was performed under high-stringency conditions. The control probe was hybridized and processed together with the other probes and gave rise to no specific pattern of hybridization signals.

Detection of positive autoradiographic signals was based on serial observations of adjacent sections from each tissue specimen, and accumulation of silver grains in the emulsion above specific cells and tissues was identified by the staining procedures. Only cells over which silver grain accumulation was clearly above surrounding background levels and could be confirmed by both dark-field and bright-field high magnification were regarded as positive.

Astrocytes and oligodendrocytes were distinguished by morphology and localization. Comparisons were made with adjacent sections hybridized with GFAP (astrocytes) and MAG (oligodendrocytes) mRNA probes. Clear distinction between the two glial cell types was sometimes difficult but could be accomplished, e.g., for reactive astrocytes near lesions and oligodendrocytes in horizontally sectioned spinal cord white matter, where oligodendrocytes typically line up in rows.

Quantification of x-ray films was performed blindly for all probes and treatments with specific labeling confirmed by microscopic observations on emulsion-dipped slides. Exceptions were BDNF and p75 mRNA probes, where the signals were restricted to a very small number of cells, making quantification from x-ray film exposures unsuitable. BDNF and p75 mRNA in situ hybridization signals instead were quantified using emulsion-dipped slides by counting the number of positively labeled cells per section. Two sections per spinal cord level (cervical ~2 cm above lesion, thoracic immediately below the lesion, and lumbar ~2.5 cm below the lesion) and animal were averaged, resulting in one value per level and animal. For probes analyzed using x-ray-films, treatment groups to be compared were exposed together on one x-ray film, enabling reliable between-group comparisons under standardized conditions. Occasionally artifacts precluded quantification of certain sections, resulting in different numbers of animals for different probes. No group included in quantification had fewer than four individuals. Hence, sham-operated, normal P2, kainic acid-treated animals killed 3 and 7 d after treatment were not included in quantifications. Only sections clearly devoid of artifacts were measured. X-ray films were developed and computer scanned, and quantification of the optical density was performed using image analysis software (NIH Image 1.62, National Institutes of Health, Bethesda, MD). Background levels were set to 0 and complete blackening of the film was set to 100, and calibration was determined as a straight line between the two control values. The areas measured for each probe and experiment were as follows: c-fos and GFAP in the whole cross section; NGF in the meninges of adults at thoracic level (SCI); and the whole cross section including meninges in newborn; NT3 and TrkA in the whole cross section including meninges in newborn; truncated TrkB in both white and gray matter of adults and whole cross section in newborn; TrkB and TrkC in spinal cord gray matter (kainic acid and SCI experiments); GDNF in the meninges of adults at thoracic level (SCI) and in the whole cross section area including meninges in newborn; GFRalpha -1 in spinal cord gray and white matter in adults and spinal cord gray matter in newborn; GFRalpha -2 in the dorsal horns of adult spinal cords (kainic acid and SCI experiments) and in spinal cord gray matter in newborn; and RET in motoneurons of the ventral horns (kainic acid and SCI experiments). Spinal cords from adult normal and spinal cord-injured animals were analyzed at cervical, thoracic, and lumbar levels. When measurements were to be performed in gray matter, which was often absent at the level of the injury, a thoracic level was chosen immediately below the level of the lesion. Kainic acid-treated animals were quantified at the lumbar level. Spinal cords of newborn animals were analyzed at the level of the injury (thoracic) and below (lumbar).

Ribonuclease protection assay

Six spinal cords each were collected from normal newborn (P0) rats, as well as 12 hr and 1 d after partial spinal cord transection in newborn rats. Eight spinal cords each were collected from normal adult rats, 1 d after complete transection and 6 weeks after weight-drop injury. Spinal cords of adults and spinal cords with adjacent parts of the vertebral column of newborn animals were rapidly dissected and frozen on dry ice. Pieces of adult spinal cord (~10 mm long) were collected starting from the lesion center and reaching 1 cm caudally. From neonates, 7-mm-long tissue pieces, with the lesion located centrally and thus containing the whole spinal cord lesion, were collected. RNA was extracted by phenol-chloroform extraction (RNAgents Total RNA Isolation System, Promega) followed by purification (RNeasy Mini kit, Qiagen). The ribonuclease protection assay (RPA) protocol was according to instructions (Ambion RPAIII, modified protocol for PharMingen Riboquant multi-probe template sets) and [32P]-labeled probes (Riboprobe in vitro Transcription System, Promega). Equal amounts of total RNA (6 µg) were hybridized, using probes complementary to rat NGF, BDNF, GDNF, CNTF, NT3, NT4, L32, and GADPH (Rat multi-probe template set rNT-1, Riboquant, PharMingen). Protected cRNA fragments were separated by denaturing 5% polyacrylamide gel electrophoresis. X-ray films were exposed to the gels overnight (for pictures) and to phosphoimager plates for 3 hr (for quantifications). Quantification using computer software connected to a phosphoimaging system (IBAS3000, BAS reader, Raytest Isotopenmessgeräte) was performed by measuring the average radioactivity per square millimeter for each band. The housekeeping gene L32 was used as an internal standard, ensuring RNA integrity and equal RNA loading.

Immunohistochemistry and counterstaining

Normal adult animals (n = 8), weight-drop injured (1 week, n = 8; 6 weeks, n = 8; 6 months n = 1) animals, and adult animals subjected to partial spinal cord transection as newborn (n = 3) were anesthetized deeply by intraperitoneal injections of pentobarbital and intracardially perfused with 50 ml of Tyrode's solution, containing 0.1 ml of 5000 IOU/ml heparin (Løvens), followed by 200 ml fixative (4% paraformaldehyde and 0.4% picric acid in PBS). Spinal cords were carefully dissected and post-fixed for 1 hr in fixative (4% paraformaldehyde and 0.4% picric acid in PBS), rinsed several times in 10% sucrose in PBS, and stored at 4°C until sectioned. Cryostat sections (14 µm thick) were taken at seven to eight spinal cord levels with 7 mm intervals, and primary antibodies were applied overnight at room temperature. The primary antibodies that were used are listed in Table 2. Secondary antisera were conjugated with FITC or rhodamine (Jackson ImmunoResearch) and usually diluted 1:50. For each spinal cord and antibody, ~100 sections collected from cervical to lumbar level and mounted on five to seven slides, were microscopically examined regarding immunoreactivity. Control slides treated with secondary antibodies were examined in parallel. Double-labeling with GFAP and GFRalpha -1 antibodies was used to confirm astrocyte labeling.


                              
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Table 2.   Antibodies used in the present study

Quantification of the intensity of GFRalpha -1 immunoreactivity was performed on a blind basis using computer image analysis equipment (Nikon, Microphot-FXA; ZVS-47EC CCD video camera). The dorsal roots of 16 weight-drop-injured (1 week, n = 8; 2 weeks, n = 8) and 8 normal animals were included. The weight-drop-injured animals were analyzed at two levels: the cervical level and the level of the injury. The intensities of GFRalpha -1 immunoreactivity in one cervical and one thoracic dorsal root were measured in two sections for each animal and averaged, resulting in one value per animal and level. When GFRalpha -1 immunoreactivity was quantified in spinal cord white matter of cervical dorsal funiculi, normal, degenerating (the portion hosting ascending sensory fibers), and nondegenerating white matter (the portion hosting descending fibers such as the corticospinal tract) of the cervical dorsal funiculi were measured separately in two sections per animal, yielding one value for each tissue and animal. Comparisons were made between dorsal roots at cervical and thoracic levels 1 week after injury, and normal/degenerating/nondegenerating spinal cord white matter tissue at cervical levels 6 weeks after injury.

Behavior tests

Behavior analyses of adult animals subjected to a partial spinal cord transection as newborns were performed by BBB scoring (Basso et al., 1995) and a grid pathway test (Grill et al., 1997). The BBB score for evaluation of hindlimb function after SCI ranges from 0, which corresponds to flaccid paralysis, to 21, which is normal gait. Animals were allowed to walk around freely in a circular field (1.2 m in diameter) for 4 min while movements of the hindlimbs were closely observed. Ranking according to the scoring system described by Basso and colleagues (1995) includes frequency and quality of hindlimb movement as well as forelimb/hindlimb coordination. In the grid pathway test, animals are allowed to walk three times voluntarily across a 1.2-m-long grid pathway. The number of errors (hindlimbs stepping through the grid) was counted for each crossing. The three values were averaged and resulted in one value per animal. Four adult animals, which were partially spinal cord transected as neonates, were examined with respect to their hindlimb function 6 months after injury. For comparison in the grid pathway test, 20 normal animals were also examined. Six months after injury, animals were tested on two occasions 2 d apart. Although both sessions gave rise to similar results, the statistics of only one session are presented in Results.

Statistical analyses and image processing

Statistical analyses used for comparison of different in situ hybridization probe signals and RPA autoradiograms included factorial ANOVA followed by a Fisher's post hoc test. Data from the grid pathway test were analyzed using an unpaired t test (confidence interval 95%). For statistical analyses of the GFRalpha -1 immunohistochemistry, an unpaired t test (confidence interval 95%) and ANOVA followed by a Fisher's post hoc test were used. Significance levels were defined as follows: *p < 0.05; **p < 0.01; ***p < 0.001. Photomicrographs were scanned, digitally processed, and compiled using computer image software. Occasional particles of dust and other obvious artifacts were digitally retouched.


    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Mechanical injury of rat spinal cord

Lesion characteristics

Adult. Complete transections lead to severe damage of the spinal cord restricted to the level of injury, whereas weight-drop injuries lead to the characteristic egg-shaped zone of necrosis (Fig. 1A) extending several spinal cord segments rostrocaudally. One important difference between the two injury models is that in weight-drop injuries the dura is left mechanically intact, whereas in the transection model the dura is cut, exposing the spinal cord. Cutting the dura has severe consequences for the cerebrospinal flow and may aggravate secondary degenerative processes. It could also induce repair responses in meningeal cells other than those seen after contusion injury.



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Figure 1.   Dark-field photomicrograph depicting GFAP mRNA in situ hybridization signals in normal and weight-drop-injured adult spinal cord. A, Horizontal section showing the lesion area 1 d after injury. The primary lesion zone with the shape of an ellipse is characterized by markedly reduced mRNA synthesis, whereas cells surrounding the lesion are strongly positive for the GFAP mRNA probe. B, E, H, GFAP mRNA hybridization signals in normal uninjured spinal cord at cervical, thoracic, and lumbar levels. C, F, I, One day after SCI, GFAP mRNA signals have increased at the thoracic level close to the lesion (F) but also at cervical (C) and lumbar levels (I). Note increased signals in cells around the central canal at cervical and lumbar levels. D, G, J, Six weeks after injury, strong GFAP mRNA expression is present in degenerated white matter, especially at the level of injury (G). Degenerating white matter fiber tracts, such as the ascending sensory tract in the dorsal funiculus above the lesion (D), and the descending corticospinal tract below the lesion in the dorsal funiculus (J), are also strongly labeled. Scale bar (shown in B): A, 650 µm; B-J, 1 mm.

In the necrosis zone of contused animals, mRNA signals were generally lost because of absence of living spinal cord neurons and glia (Fig. 1A). This loss of signal was seen for all investigated neurotrophic factor and neurotrophic factor receptor mRNA species and is not described below for each individual mRNA species. Likewise, the absence of hybridization signals in the lesion area after transections caused by necrosis is not detailed below. The astroglial response, monitored by probes for GFAP mRNA after weight-drop and transection injury, is shown in Figure 1. GFAP mRNA hybridization signals increased gradually up to the latest time point investigated, 6 weeks after injury (Fig. 1B-J) (quantification data not shown), and the upregulation was observed primarily in degenerating fiber tracts at cervical, thoracic, and lumbar levels (Fig. 1D,G,J). The mRNA expression of the immediate-early gene c-fos was also investigated to further characterize the glial and neuronal response to injury. In normal intact spinal cord, c-fos mRNA was restricted to a few cells in the dorsal root entry zone. After mechanical SCI, c-fos mRNA signals were upregulated at all times investigated, the strongest for weight-drop injury being 1 d after injury (Figs. 2A,B, 3A,F,K). One day after injury, strong c-fos mRNA signals were found close to the injury in glial cells, primarily astrocytes, and in neurons. Strong c-fos labeling was also observed in ependymal cells of the central canal. At cervical levels 1 d after weight-drop injury, c-fos-labeled neurons were found in laminas VII-VIII and at lumbar levels IV-VII and X. Six weeks after injury, glial cells, primarily astrocytes, and neurons close to the lesion expressed low levels of c-fos mRNA. At cervical and lumbar levels 6 weeks after injury only low levels of c-fos were found, restricted to a few cells located in the same laminas as 1 d after injury.



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Figure 2.   Alterations of c-fos mRNA expression in response to SCI and kainic acid delivery. A, Two hours after weight-drop injury of the adult spinal cord, glial cells and neurons present strong c-fos mRNA signals close to the lesion. B, Six weeks after injury, glial cells and some neurons close to the injury are still positively labeled by the c-fos probe. C, A weak c-fos mRNA expression is found in newborn (P0) spinal cord. D, One day after partial transection of the newborn spinal cord (SCI 1 d), robust c-fos mRNA upregulations occur primarily in cells of the gray matter and in nerve roots. E, In normal adult rat spinal cord, very low levels of c-fos mRNA were found. F, One day after kainic acid delivery, scattered neurons in Rexed's laminas III-VII present strong c-fos mRNA signals. G, In a normal brain (the brain of the animal depicted in E), no robust c-fos mRNA signals can be found. H, One day after kainic acid delivery (the brain of the animal depicted in F), dramatic c-fos hybridization signals appear in areas such as the neocortex, the hippocampal formation, and amygdala. Scale bar (shown in A): A, B, G, H, 1 mm; C, D, 2 mm; E, F, 300 µm.



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Figure 3.   Regulation of different mRNA species in the spinal cord after weight-drop injury as monitored by in situ hybridization. Quantifications of c-fos, truncated TrkB, and GFRalpha -1 were performed by measuring the relative optical density on x-ray films exposed to hybridized sections. Quantifications of BDNF and p75 were performed by counting the number of positively labeled cells per section. All statistical comparisons were made to normal animals (N). A, At the cervical level c-fos was significantly increased at 2 hr and 1 d after injury (F(4,20) = 4.9; p < 0.01). B, Significant increase of truncated TrkB in white matter at cervical levels was found 6 weeks after surgery (F(3,18) = 48; p < 0.001) C, At the cervical level significant upregulation of GFRalpha -1 mRNA in white matter was found 6 weeks after injury (F(4,21) = 3.3; p < 0.05). D, The number of BDNF mRNA-labeled cells was significantly increased 6 hr after injury (F(4,24) = 3.3; p < 0.05). E, There was an increase in the number of p75 cells 6 hr, 1 d, and 6 weeks after injury at the cervical level, but the difference compared with normal was not statistically significant. F, At the thoracic level c-fos was significantly increased at 2 hr, 6 hr, and 1 d after injury (F(4,20) = 6.6; p < 0.01). G, A significant increase of truncated TrkB in white matter at the thoracic level was found 6 weeks after surgery (F(3,18) = 108; p < 0.001). H, At the thoracic level significant upregulation of GFRalpha -1 mRNA in white matter was found 6 weeks after injury (F(4,21) = 28; p < 0.001). I, The number of BDNF mRNA-labeled cells was significantly increased at the thoracic level 2 hr, 6 hr, and 1 d after injury (F(4,24) = 11; p < 0.001). J, The number of p75 probe-labeled cells was elevated at 6 hr, 1 d, and 6 weeks after injury at the thoracic level. The difference was significant after 1 d (F(3,17) = 21; p < 0.001). K, c-fos mRNA expression levels were significantly increased 2 hr, 6 hr, and 1 d after injury (F(4,20) = 5.1; p < 0.01). L, A significant increase of truncated TrkB in white matter at lumbar levels was found 6 weeks after surgery (F(3,18) = 54; p < 0.001). M, At the lumbar level significant upregulation of GFRalpha -1 mRNA in white matter was found 6 weeks after injury (F(4,21) = 14; p < 0.001). N, The number of BDNF mRNA-labeled cells was significantly increased at the lumbar level 6 hr after injury (F(4,30) = 3.1; p < 0.05). O, The number of p75 mRNA-labeled cells was elevated at 6 hr, 1 d, and 6 weeks after injury at the thoracic level. The increase was significant after 1 d (F(3,17) = 8; p < 0.01).

Newborn. Partial transection injuries penetrating the dura in newborn rat spinal cord led to severe local injury. Moderate increases of GFAP mRNA (Fig. 4A-F) and strong increases of c-fos mRNA (Fig. 2C,D) were observed 1 d after the operation. In the necrosis zone, mRNA signals were generally lost because of the absence of living spinal cord cells (Fig. 4D). This loss of signal was seen for all investigated neurotrophic factor and neurotrophic factor receptor mRNA species and is not described below for each individual mRNA species. A few of the animals that were allowed to grow to adulthood were investigated regarding behavior and general histology. Compared with normal uninjured controls, animals receiving a partial transection as newborns showed only minor behavior differences. No difference could be found using the BBB score for hindlimb function; all animals scored the highest possible value, 21. However, when we used the grid pathway test used previously to assess corticospinal tract regeneration functionally (Grill et al., 1997), animals receiving a partial transection as newborns were found to make a higher number of errors, 2.83 ± 0.30 (mean ± SEM), compared with controls 0.97 ± 0.15 (unpaired t test; p < 0.001; df = 22; t = 5.2). Spinal cords of treated animals displayed a markedly decreased cross-section area at the level of injury compared with normal spinal cords. The white matter of the lesioned side was reduced at the level of the lesion and several millimeters above and below (Fig. 5). Examination of 5HT- and TH-positive fibers above and below lesion revealed no gross anatomical disturbances of those systems. The dorsal corticospinal tract can be labeled by GAP-43 and CAM kinaseII in the normal intact adult rat spinal cord (Terashima, 1995). In animals receiving a partial transection as newborns and studied in adulthood, the dorsal corticospinal tract exhibited GAP-43 and CAM kinaseII immunoreactivity above the lesion. Below the lesion these two immunoreactivities were lacking in the expected position, supporting an altered development of the corticospinal tract in neonatally injured rats as shown previously for this kind of lesion (Bernstein and Stelzner, 1983).



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Figure 4.   Dark-field photomicrograph depicting GFAP mRNA in situ hybridization signals in normal and injured neonatal spinal cord. A, C, E, GFAP mRNA hybridization signals in normal uninjured neonatal spinal cord. B, D, F, One day after injury GFAP mRNA expression is increased in tissue close to the lesion (B, D) and slightly increased in ventral white matter at the lumbar level (F). Scale bar (shown in A): A, B, 600 µm; C-F, 300 µm.



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Figure 5.   Appearance of the adult spinal cord of neonatally injured animal. Five levels, cervical to lumbar, of a spinal cord collected from an adult individual that underwent a partial spinal cord transection as newborn. A cut spanning approximately two-thirds of the width of the thoracic spinal cord beginning from the right side was carried out on the first postnatal day, a time point when long nerve fiber tracts, such as the corticospinal tract, are developing. The white matter of the cut side is reduced in size at all levels, but most prominently at thoracic levels close to the injury. This animal scored 21 (= normal) on the BBB score as an adult. Luxol fast blue was used for staining. Scale bar, 1 mm.

Neurotrophins and related receptors

TrkA. TrkA mRNA hybridization signals were not found in normal uninjured adult spinal cord. A subpopulation of dorsal root ganglia neurons was positively labeled in adults (Fig. 6D) as well asin neonates (Fig. 7B). No robust upregulations could be detected in the spinal cord white or gray matter at any time point after SCI in either neonates or adults. However, in neonatal dorsal roots, TrkA mRNA signals were upregulated on the affected side 6, 12, and 24 hr after injury (data not shown).



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Figure 6.   Expression of mRNA encoding neurotrophic factor receptors in the intact normal spinal cord of the adult rat. A, RET mRNA signals are seen in motoneurons. B, p75 mRNA signals were not detectable in spinal cord gray or white matter but were detectable in a subpopulation of dorsal root ganglia neurons, which is shown here in a horizontal section of cervical spinal cord. C, GFRalpha -1 mRNA signals are present in motoneurons and interneurons. D, TrkA mRNA expression was not found in spinal cord gray or white matter but was found in a subpopulation of dorsal root ganglia neurons, which is shown here in a horizontal section of cervical spinal cord (section adjacent to B). E, GFRalpha -2 mRNA signals are seen in the dorsal horns of gray matter and in a subpopulation of dorsal root ganglia neurons. F, TrkB mRNA synthesis occurs throughout the gray matter. Scale bar (shown in A): A-F, 700 µm.



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Figure 7.   Expression of mRNA encoding neurotrophic factor receptors in the intact normal spinal cord of newborn rat. A, GFRalpha -1 mRNA signals are found throughout the gray matter, with motoneurons displaying particularly strong signals, and in a subpopulation of dorsal root ganglia neurons. B, TrkA mRNA expression is present in dorsal root ganglia neurons. C, GFRalpha -2 mRNA signals are found throughout the gray matter and in a subpopulation of dorsal root ganglia neurons. D, TrkB mRNA synthesis occurs throughout the gray matter and in some dorsal root ganglia neurons. E, RET mRNA signals were confined to motoneurons and a subpopulation of dorsal root ganglia neurons. F, The probe directed against truncated TrkB plus full-length TrkB-labeled cells in dorsal root ganglia and spinal cord gray and white matter. G, p75 mRNA signals are seen in motoneurons and many dorsal root ganglia neurons. H, TrkC mRNA expression is present throughout gray matter and in many dorsal root ganglia neurons. Scale bar (shown in A): A-H, 170 µm.

TrkB. TrkB mRNA in spinal cords of normal uninjured adult (Fig. 6F) and newborn (Fig. 7D) animals was present in most neurons of the gray matter throughout the spinal cord and in a subpopulation of dorsal root ganglia neurons. Expression patterns were in agreement with previous findings (Klein et al., 1990; Ernfors et al., 1992). No robust alteration of full-length TrkB message could be detected in the spinal cord at any time point after injury in either adult or newborn animals.

Truncated TrkB. Truncated TrkB mRNA signals, defined as signals seen in areas where the full-length TrkB probe was negative, were fairly weak and found in white matter tissue of the normal uninjured adult spinal cord in agreement with Frisén et al. (1992). Upregulation after SCI was found 6 hr after surgery, and increased expression continued up to the latest time point investigated, which was 6 weeks after injury. Figure 8 depicts truncated TrkB mRNA hybridization signals in normal spinal cord and at selected time points after injury. Six weeks after injury a strong truncated TrkB mRNA hybridization signal was present in degenerating fiber tracts of the white matter along the whole length of the spinal cord (Fig. 8C,F,I). For instance, the ascending fiber tract of the dorsal funiculus was strongly positive above the lesion (Fig. 8C) and weakly labeled below (Fig. 8I). The expression pattern of truncated TrkB resembles the distribution of GFAP mRNA expression (see above) or vimentin expression (data not shown) at similar time points, suggesting that cells were mainly reactive astrocytes (Eddleston and Mucke, 1993). No specific robust truncated TrkB signals could be found in oligodendrocytes, although we cannot rule out the possibility that some oligodendrocytes were positive. Close to weight-drop injury or transection injury signals were strong in both gray and white matter. The upregulations were statistically significant in both white and gray matter, although much more prominent in white matter (Fig. 3B,G,L). Microscopic observations suggest that the increase was confined to glial cells, although we cannot rule out a minor increase of truncated TrkB mRNA expression in neurons. No robust truncated TrkB mRNA labeling could be found in the scar tissue 6 weeks after injury (Fig. 8J). Ependymal cells of the central canal were positively labeled (Fig. 8J). In normal newborn animals, truncated TrkB mRNA signals were present in cells of the white matter (Fig. 7F). No robust upregulation could be found during the postoperative period investigated.



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Figure 8.   Truncated TrkB and p75 mRNA are both upregulated after injury to the adult spinal cord. Hybridization was performed with a probe that recognizes both truncated and full-length TrkB. The expression of truncated TrkB was deduced from comparisons with the expression pattern of the full-length-specific TrkB probe. No robust increases in hybridization signals could be detected when using a probe only complementary to full-length TrkB. A, D, G, The expression of full-length TrkB and truncated TrkB mRNAs in normal uninjured spinal cord is found in neurons of the gray matter and glial cells, respectively. B, E, H, One day after injury glial cells near the injury upregulated truncated TrkB mRNA signals (E). The truncated TrkB mRNA expression is also increased to some extent at cervical and lumbar levels (B, H). C, F, I, Six weeks after injury, white matter tissue at the injury level is strongly positive for truncated TrkB probe (F). In addition, the truncated TrkB mRNA expression is markedly increased in cells of degenerated fiber tracts, such as the ascending sensory tract in the dorsal funiculus above the lesion (C), and the descending corticospinal tract below the lesion in the dorsal funiculus (I). J, Horizontal section of a spinal cord 6 weeks after complete transection. Cells strongly positive for the truncated TrkB probe are found in both gray and white matter tissue but not in the glial scar separating the rostral and caudal stumps. Ependymal cells of the central canal are also strongly positive, as seen in the rostral stump (left) along the midline and reaching the glial scar in the middle. K, Bright-field photomicrograph showing strong truncated TrkB mRNA signals in a subpopulation of cells in the lateral funiculus of lumbar white matter 6 weeks after the operation. L, Neurons close to the lesion 1 d after injury labeled by p75 mRNA hybridization. Scale bar (shown in A): A-I, 1 mm; J, 300 µm; K, L, 25 µm.

TrkC. TrkC mRNA hybridization signals in normal uninjured adult as well as newborn (Fig. 7H) spinal cord were found in motoneurons and most other neurons in gray matter and a subpopulation of dorsal root ganglia neurons, in agreement with previous studies (Ernfors et al., 1992; Merlio et al., 1992; Elkabes et al., 1994). No robust upregulation of TrkC mRNA could be detected in the spinal cord at any time point after injury.

p75. p75 mRNA expression could not be detected in normal uninjured adult spinal cord, in agreement with previous findings (Ernfors et al., 1989). A subpopulation of adult dorsal root ganglia neurons was positive (Fig. 6B). After both weight-drop and transection injury, p75 mRNA hybridization signals upregulated in neurons, especially in close proximity to the lesion, where most neurons including motoneurons were labeled, but also at cervical and lumbar levels (Figs. 3E,J,O, 8L). Positively labeled neurons at a distance from the injury were present in Rexed's laminas V-IX, varying with time after injury and level. Most neurons were found in lamina VII. No robust upregulation of p75 mRNA could be found in pyramidal layer V cells of the cerebral hindlimb motor cortex after injury in adult animals (data not shown). In newborns, p75 mRNA signals were found in ventral horns and a subpopulation of dorsal root ganglia neurons (Fig. 7G). No change in expression levels was found in newborns in response to injury.

BDNF. BDNF mRNA expression in normal uninjured adult spinal cord was detected only in a few neurons of gray matter restricted to Rexed's lamina VII, in good agreement with previous findings (Conner et al., 1997). Counting of positively labeled neurons revealed an increase in the number of positively labeled cells in spinal cord gray matter of injured animals (Fig. 3D,I,N). The BDNF mRNA signals after injury were found in laminas IV, V, and VII. RPA assays demonstrated an increase in BDNF mRNA in the adult spinal cord 1 d, but not 6 weeks, after injury (Figs. 9I, 10B). In neonatal spinal cord, weak BDNF mRNA signals were found in some gray matter cells. A subpopulation of dorsal root ganglia cells of both neonatal and adult animals was strongly positive (data not shown), in agreement with previous findings (Ernfors et al., 1992). Partial transection of the spinal cord in newborns led to no robust alteration of BDNF mRNA in the spinal cord tissue at the level of the lesion or below (Fig. 10A).



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Figure 9.   Regulation of different mRNA species after SCI measured by RPA (A, B, E, F, I, J) and in situ hybridization (C, D, G, H, K, L). Bars in RPA graphs represent average radioactivity per area (detected by phosphoimaging) expressed in arbitrary units and displayed as percentage of the housekeeping gene L32. A, GDNF mRNA was increased at the level of injury 1 d after transection (T), but not 6 weeks after weight-drop (WD) injury (F(2,30) = 8; p < 0.01). B, GDNF mRNA expression levels were significantly elevated at the level of injury 1 d after partial transection of the neonatal spinal cord measured by RPA (F(2,15) = 4.3; p < 0.05). C, Quantification of in situ hybridization demonstrated increased GDNF mRNA expression at the level of the injury, 6 hr, 12 hr, and 1 d after injury. D, No significant difference in GDNF mRNA expression could be found at the lumbar level. E, NGF mRNA probe signals were upregulated 1 d after transection, but not 6 weeks after weight-drop injury (F(2,30) = 11; p < 0.001). F, NGF mRNA expression levels were significantly elevated at the level of injury 12 hr and 1 d after partial transection of neonatal spinal cord (F(2,15) = 4.3; p < 0.05). G, NGF mRNA expression increased at the thoracic level 6 hr, 12 hr, and 1 d after injury. H, No significant difference in NGF mRNA expression could be found at the lumbar level. I, BDNF mRNA probe signals were upregulated 1 d after transection but not 6 weeks after weight-drop injury (F(2,30) = 9; p < 0.001). J, No statistically significant differences in NT3 mRNA expression were found after injury. K, No statistically significant differences were found in truncated TrkB mRNA expression at the thoracic level after injury. L, Likewise, no statistically significant differences were found in truncated TrkB mRNA expression at the lumbar level.



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Figure 10.   Neurotrophic factor expression in intact and injured adult and neonatal spinal cord. Representative autoradiograms from RPAs are shown. A riboprobe complementary to the housekeeping gene L32 was used as an internal standard. A, At the newborn stage, NGF and GDNF mRNA signals increased. B, GDNF, NGF, and BDNF signals were upregulated 1 d after transection in adults. C, CNTF mRNA levels were upregulated 1 d after kainic acid delivery.

NGF. NGF mRNA in situ hybridization signals could not be detected in normal adult spinal cord (Fig. 11A), correlating well with previous findings (Korsching and Thoenen, 1985). With use of RPA, weak signals were found (Fig. 10B). After injury, weight-drop as well as transection, meningeal cells and some Schwann cells of nerve roots exhibited strong NGF mRNA signals (Fig. 11B,G). Positively labeled cells were primarily found in arachnoidea and seen 6 hr, 1 d, and 3 d after injury, peaking at 1 d. RPAs confirmed the in situ hybridization findings, with upregulated levels of NGF mRNA 1 d, but not 6 weeks, after injury (Figs. 9E, 10B). At the neonatal stage, neurons of the lateral horn presented moderate levels of NGF mRNA (Fig. 12A,D), and an area located centrally, close to the midline, presented low levels. Meningeal cells and white matter were devoid of significant signals (Fig. 12A,D). After injury of the newborn spinal cord, strong NGF mRNA signals were found in the meningeal cells around the site of the lesion (Fig. 12B,C,H,I). Most positively labeled cells resided in arachnoidea. Strong NGF mRNA labeling in the meningeal cells was detected 6 hr, 12 hr, and 1 d after injury (Fig. 9G). Significant increases were also detected by RPA quantification (Fig. 9F, 10A). No robust alterations of NGF mRNA signals could be detected in gray or white matter above or below the lesion (Figs. 9H, 12E,F).



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Figure 11.   GDNF and NGF mRNA expression is increased after injury of the adult spinal cord. A, No robust NGF mRNA signals were found in normal uninjured spinal cord. B, Six hours after weight-drop injury, strong NGF mRNA signals were found in meningeal and Schwann cells close to the lesion. C, In normal adult spinal cord, no robust GDNF mRNA expression could be detected. D, Six hours after weight-drop injury, a marked upregulation of GDNF mRNA signals was found in meningeal and Schwann cells at the level of the lesion. Weak GDNF mRNA signals were observed in glial cells, presumably astrocytes, in the immediate lesion vicinity (arrow). E, Horizontal section of a thoracic dorsal root in a normal animal. No specific GDNF mRNA labeling is observable. F, Six hours after weight-drop injury, intense GDNF mRNA labeling was found in dorsal root Schwann cells at the lesion level. G, Bright-field images depicting meningeal cells expressing NGF mRNA 6 hr after injury. H, GDNF mRNA signals in cells of the dorsal meninges 6 hr after injury. Scale bar (shown in A): A-D, 400 µm; E, F, 250 µm; G, H, 60 µm.



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Figure 12.   NGF mRNA hybridization signals increase after partial transection injury to the neonatal spinal cord. A, D, NGF mRNA expression in normal uninjured neonatal (P0) spinal cord is present in cells of the gray matter lateral horn (A, D). B, C, E, F, Six and 12 hr after injury, NGF mRNA synthesis is markedly increased in meningeal cells around the lesion. Schwann cells of dorsal roots on the transected side (left side) also exhibit strong NGF mRNA signals, whereas the dorsal roots of the opposite side are devoid of signal or only weakly positive (B, C). At lumbar levels no altered expression of NGF mRNA could be found (E, F). G, Sagittal section of normal uninjured neonatal spinal cord. No robust NGF mRNA signals are seen in meningeal cells. H, Sagittal section of neonatal spinal cord 1 d after injury exhibiting strong NGF mRNA expression in meningeal cells close to the lesion. I, Bright-field view depicting NGF probe-labeled meningeal cells close to the lesion. Scale bar (shown in A): A-F, 250 µm; G, H, 400 µm; I, 40 µm.

NT3. NT3 mRNA hybridization signals could not be detected by in situ hybridization of either normal or injured adult spinal cord. In good agreement with previous findings (Ernfors and Persson, 1991; Ernfors et al., 1992), the neonatal spinal cord exhibited moderate NT3 expression signals in cells of the ventral horn (data not shown). RPAs did not detect any statistically significant alterations of NT3 mRNA after SCI (Figs. 9J, 10A,B).

NT4. NT4 mRNA hybridization signals could not be detected by in situ hybridization of either adult or neonatal spinal cord tissue. Measured by RPA, only very low NT4 mRNA levels were detected in adult and neonatal spinal cord (Fig. 10A,B), which is in agreement with previous findings (Timmusk et al., 1993). No statistically significant alterations of NT4 mRNA after SCI could be detected by RPAs.

GDNF family ligands and related receptors

RET. RET mRNA expression was observed in motoneurons of normal adult (Fig. 6A) and neonatal spinal cord and a subpopulation of dorsal root ganglia cells (Fig. 7E), in agreement with previous findings (Nosrat et al., 1997a; Golden et al., 1999; Leitner et al., 1999; Widenfalk et al., 1999). No change of RET mRNA levels could be detected after injury.

GFRalpha -1. GFRalpha -1 mRNA signals were found in most neurons of the spinal cord gray matter and a subpopulation of dorsal root ganglia cells in adults as well as newborns (Figs. 6C, 7A). Motoneurons in the ventral horn were strongly positive. These findings were in agreement with previous studies (Nosrat et al., 1997a; Golden et al., 1999; Leitner et al., 1999). Beginning 1 d after injury, GFRalpha -1 mRNA levels were upregulated in dorsal roots at the lesion level. Three days after injury, weak GFRalpha -1 mRNA signals were found in glial cells close to the lesion. In adult spinal cord 6 weeks after impact injury, a few cells of the scar tissue were GFRalpha -1 mRNA positive, suggesting that they might be Schwann cells. In addition, moderate GFRalpha -1 mRNA hybridization signals were found in degenerating white matter, presumably in astrocytes (Figs. 3C,H,M, 13A). There was no statistically significant increase in gray matter tissue.



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Figure 13.   GFRalpha -1 protein immunoreactivity is increased in nerve roots and degenerating white matter after SCI. A, Dark-field photomicrograph depicting GFRalpha -1 in situ hybridization signals in degenerating white matter, close to the lesion, 6 weeks after weight-drop. B, GFRalpha -1 immunostaining in a dorsal horn and nerve root in a normal animal. Robust immunoreactivity is seen in lamina II of the dorsal horn. Other laminas of the gray matter are weakly positive, and in the nerve root the GFRalpha -1 antibody labels some nerve fibers and possibly weakly Schwann cells. C, GFRalpha -1 immunoreactivity in a cervical dorsal root 6 weeks after weight-drop injury. Some nerve fibers are positive, and a weak staining is possibly also present in Schwann cells. D, One week after injury a dramatic increase in GFRalpha -1 immunoreactivity is seen in Schwann cells of a dorsal root immediately caudal to the weight-drop site (thoracic level). Meningeal cells are also GFRalpha -1 positive. E, Increased GFRalpha -1 immunoreactivity (green fluorescence), was found in degenerating white matter of the ascending fiber tract in the dorsal funiculus 6 weeks after weight-drop injury. Autofluorescence in infiltrating immune cells (orange-yellow fluorescence) is also seen. Note that no robust immunolabeling is seen in the white matter adjacent to the ascending portion of the dorsal funiculus. F, Six weeks after injury, robust GFRalpha -1 antibody immunoreactivity (green) is observed in the remaining white matter at the level of injury. Numerous immune cells/phagocytes are present, displaying an orange-yellow autofluorescence. Scale bar (shown in A): A, 200 µm; B, 400 µm; C-F, 100 µm.

The GFRalpha -1 antibody was tested on P0 rat kidney, and GFRalpha -1 immunoreactivity correlated well with previous studies of GFRalpha -1 mRNA expression in P0 kidney (Nosrat et al., 1997a; Golden et al., 1999). In the spinal cord, the most prominent GFRalpha -1 immunoreactivity was found in lamina II of the dorsal horn, labeling axon terminals of sensory neurons. The rest of the spinal cord gray matter was only weakly labeled (Fig. 13B). In dorsal root ganglia, a subpopulation of neurons was GFRalpha -1 positive, correlating well with previous studies of GFRalpha -1 mRNA (Bennett et al., 1998). The most striking difference 1 and 6 weeks after injury was an increased GFRalpha -1 immunoreactivity in nerve roots at the level of the lesion (Figs. 13D, 14A). Six weeks after injury an increased GFRalpha -1 immunolabeling was found in degenerating fiber tracts of the spinal cord white matter (Figs. 13E,F, 14B), correlating well with in situ hybridization data. No specific GFRalpha -1 immunostaining could be found in nondegenerating white matter. Additionally, a few cells in the scar tissue 6 weeks after injury were moderately labeled. Six months after injury the GFRalpha -1 immunostaining of degenerated white matter still persisted but had become somewhat weaker.



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Figure 14.   GFRalpha -1 protein levels increase in injured nerve roots and degenerating white matter of the spinal cord. A, The intensity of GFRalpha -1 immunoreactivity in thoracic nerve roots in normal animals (N) and animals subjected to SCI 1 week earlier (WD 1 w). A marked increase is observed in injured nerve roots (unpaired t test; df = 14; t = 8.6; p < 0.001). B, An increase in GFRalpha -1 protein levels was also found in degenerating white matter of the spinal cord 6 weeks after injury (ANOVA; F(2,21) = 11; p < 0.001). Measurements were performed in intact white matter in normal animals (N), in nondegenerated white matter in the dorsal funiculus at the cervical level 6 weeks after injury (WD 6 w non-deg), and in degenerated white matter in the dorsal funiculus at the cervical level 6 weeks after injury (WD 6 w deg).

GFRalpha -2 mRNA expression was detected in adults as weak labeling of laminas I, III, and IV of the dorsal horns and strong hybridization signals in a subpopulation of dorsal root ganglia cells (Fig. 6E). The spinal cords of uninjured newborn animals exhibited a weak GFRalpha -2 mRNA hybridization labeling throughout the gray matter and in a subpopulation of dorsal root ganglia cells (Fig. 7C). Expression patterns were in agreement with previous findings (Widenfalk et al., 1997; Golden et al., 1999; Leitner et al., 1999). SCI led to no robust alteration in GFRalpha -2 mRNA expression in either adult or newborn rats.

GDNF. GDNF mRNA hybridization signals could not be detected by in situ hybridization in normal adult spinal cord (Fig. 11C,E). After injury strong upregulation of GDNF mRNA occurred in the meninges (Fig. 11E,H) and Schwann cells of nerve roots (Fig. 11F). The time course of this increased expression resembled that for NGF, starting 2 hr after injury and continuing up to 3 d after injury. Analyses with RPA demonstrated increased GDNF mRNA levels 1 d, but not 6 weeks, after injury (Figs. 9A, 10B).

In neonatal spinal cord, strong GDNF mRNA signals were found in cells located dorsolateral to the central canal, presumably Clark's nucleus (thoracic nucleus), and weak signals were noted in the dorsal horns (Fig. 15A,D), as reported previously (Nosrat et al., 1996; Widenfalk et al., 1999). After partial transection of neonatal spinal cord, a marked upregulation was seen in meningeal cells in the lesion vicinity (Fig. 15B,C,I). Similar to the upregulation of NGF mRNA, most GDNF-positive cells were found in the arachnoid. GDNF mRNA in situ hybridization signals were upregulated 6 hr, 12 hr, and 1 d after injury (Fig. 9C). No robust alteration could be found in gray or white matter of the spinal cord below the lesion (Figs. 9D, 15E,F). RPAs revealed that the upregulation was statistically significant 12 hr after the operation (Figs. 9B, 10A).



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Figure 15.   GDNF mRNA hybridization signals increase after partial transection injury to the neonatal spinal cord. A, D, Normal uninjured neonatal (P0) spinal cord exhibits strong