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The Journal of Neuroscience, February 15, 2001, 21(4):1283-1291
Cardiotrophin-1, a Muscle-Derived Cytokine, Is Required
for the Survival of Subpopulations of Developing Motoneurons
Ronald W.
Oppenheim1,
Stefan
Wiese4,
David
Prevette1,
Mark
Armanini2,
Siwei
Wang1,
Lucien J.
Houenou1,
Bettina
Holtmann4,
Rudolf
Götz4,
Diane
Pennica3, and
Michael
Sendtner4
1 Department of Neurobiology and Anatomy and the
Neuroscience Program, Wake Forest University School of Medicine,
Winston-Salem, North Carolina 27157, Departments of 2 Cell
Biology and Technology and 3 Molecular Oncology, Genentech,
South San Francisco, California 94080, and 4 Klinische
Forschergruppe Neuroregeneration, Department of Neurology, University
of Wuerzburg, 97080 Wuerzburg, Germany
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ABSTRACT |
Developing motoneurons require trophic support from their
target, the skeletal muscle. Despite a large number of neurotrophic molecules with survival-promoting activity for isolated embryonic motoneurons, those factors that are required for motoneuron survival during development are still not known. Cytokines of the ciliary neurotrophic factor (CNTF)-leukemia inhibitory factor (LIF)
family have been shown to play a role in motoneuron (MN)
survival. Importantly, in mice lacking the LIFR or the CNTFR
there is a significant loss of MNs during embryonic development.
Because genetic deletion of either (or both) CNTF or LIF fails, by
contrast, to perturb MN survival before birth, it was concluded that
another ligand exists that is functionally inactivated in the receptor
deleted mice, resulting in MN loss during development. One possible
candidate for this ligand is the CNTF-LIF family member
cardiotrophin-1 (CT-1). CT-1 is highly expressed in embryonic skeletal
muscle, secreted by myotubes, and promotes the survival of cultured
embryonic mouse and rat MNs. Here we show that ct-1
deficiency causes increased motoneuron cell death in spinal cord and
brainstem nuclei of mice during a period between embryonic day 14 and
the first postnatal week. Interestingly, no further loss was detectable
during the subsequent postnatal period, and nerve lesion in young adult
ct-1-deficient mice did not result in significant
additional loss of motoneurons, as had been previously observed in mice
lacking both CNTF and LIF. CT-1 is the first bona fide muscle-derived
neurotrophic factor to be identified that is required for the survival
of subgroups of developing motoneurons.
Key words:
programmed cell death; spinal cord; CNTF; LIF; facial
motoneurons; axotomy
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INTRODUCTION |
Beginning with the
demonstration that developing motoneurons (MNs) depend on
muscle-derived proteins for their survival (Calof and Reichardt, 1984 ;
Dohrmann et al., 1986 ; Oppenheim et al., 1988 ; Arakawa et al., 1990 ), a
large number of putative neurotrophic factors from several different
gene families have been identified and shown to promote MN survival
both in vitro and in vivo (Henderson, 1996 ;
Oppenheim, 1996a ). One of the striking conclusions from all these
studies is that no single factor, even when given at optimal doses,
supports >20-30% of the total number of MNs that undergo normal
programmed cell death (PCD). Because treatment with combinations of two
or more factors increases MN survival considerably (Arakawa et al.,
1990 ; Hughes et al., 1993 ; Arce et al., 1998 ; Hanson et al., 1998 ), it
has been proposed that (1) individual MNs may require multiple factors
for optimal survival and (2) subpopulations of MNs may differ in their
trophic requirements based on their stage of maturation, peripheral
targets (e.g., limb vs nonlimb or between specific muscles), afferent
inputs, or functional properties (Oppenheim, 1996b ). For example, limb versus nonlimb innervating MNs require hepatocyte growth factor (HGF)-scatter factor (SF) for their survival (Ebens et al., 1996 ; Yamamoto et al., 1997 ; Novak et al., 2000 ). In the chick, brain-derived neurotrophic factor (BDNF) selectively promotes MN survival only during
the last half of the normal period of PCD (McKay et al., 1996 ; Becker
et al., 1998 ), and glial cell line-derived neurotrophic factor (GDNF)
is required for the survival of distinct subpopulations of MNs defined
by their pattern of receptor expression and location in the spinal cord
(Garcés et al., 2000 ; Oppenheim et al., 2000 ).
Members of the ciliary neurotrophic factor (CNTF)-leukemia
inhibitory factor (LIF)-cardiotrophin-1 (CT-1) family support
motoneuron survival (Arakawa et al., 1990 ; Sendtner et al., 1990 ;
Oppenheim et al., 1991 ; Henderson et al., 1994 ) by acting through
receptors involving LIFR and gp130. Genetic deletion of either
LIFR (Li et al., 1995 ), gp130 (Nakashima et al., 1999 ), or the
CNTFR (DeChiara et al., 1995 ) results in significant MN loss in
mouse embryos, in contrast to deletion of CNTF and/or LIF (Stewart et
al., 1992 ; Escary et al., 1993 ; Masu et al., 1993 ; Sendtner et al.,
1996 ). These data suggest that CT-1 is a likely candidate trophic
factor required for the survival of the subpopulations of MNs lost in LIFR and gp130-deficient mice. However, CT-1 fails to bind to CNTFR (Pennica et al., 1996 ; Robledo et al., 1997 ; Arce et al., 1999 ), indicating that yet another unknown CNTF-LIF family member is
involved in the MN loss in CNTFR -deficient mice.
To further characterize the role of CT-1 in MN survival, we have
examined: (1) the effects of CT-1 on cultured chick and mouse MNs; (2)
the effects of CT-1 treatment on the in ovo survival of
chick MNs and the in utero survival of mouse MNs; and (3)
the survival of MNs in mice-deficient in CT-1. The results from all three approaches support a physiological role for CT-1 in the survival
of subpopulations of developing MNs.
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MATERIALS AND METHODS |
Materials. Recombinant human
leukemia-inhibitory factor (rhLIF) and recombinant CT-1 were
obtained from Calbiochem (Bad Soden, Germany) or produced by Genentech
and provided by D. Pennica. Recombinant rat CNTF was prepared and
purified from Escherichia coli in our lab as described
(Masiakowski et al., 1991 ). Neurobasal medium, glutamax, HBSS,
and trypsin were obtained from Life Technologies (Eggenstein, Germany).
Horse serum was obtained from Linaris (Wertheim, Germany),
apotransferrin and other fine chemicals from Sigma (Deisenhofen, Germany), and metrizamide from Boehringer Ingelheim Bioproducts (Heidelberg, Germany).
Homologous recombination of the CT-1 gene. A mouse
genomic clone spanning a region of 16 kb between 2 SalI
restriction sites covering the complete ct-1 gene was
isolated from a lambda FIX II library. A 1 kb fragment between
NotI and EcoRI containing exon 1 of the
ct-1 gene was isolated and cloned 5' from a neoR cassette
into a Bluescript vector. Another 6.1 kb fragment SfiI to
EcoRV covering the 3'end of the ct-1 gene was
connected 3' to the neoR cassette. After linearization with
XhoI, the resulting DNA fragment was electroporated into
embryonic stem cells, and mice with homologous recombination of the
ct-1 gene were obtained by established techniques.
Homologous recombination in offspring of these mice was tested by
Southern blot analysis after digestion of mouse tail DNA with
EcoRI and XhoI. For the wild-type gene, this
resulted in a band of 15 kb, for the recombined gene in a band of 12 kb. A 1.2 kb XbaI-XhoI fragment was used as a probe.
The recombination of the ct-1 gene results in a
deletion of a region spanning exon 2 and the complete coding region of
exon 3.
Histological procedures and neuronal counts. The
brains and spinal cords were prepared from mice that were perfused with
4% freshly prepared paraformaldehyde or dissected and immersion-fixed in either Bouins or Carnoys solution, processed, paraffin-embedded, sectioned serially (7-10 µm), and stained with either thionin, cresyl violet, or hematoxylin and eosin. Motoneurons were counted in
every 5th or 10th section through each population examined, and the
totals were multiplied by 5 or 10 to give an estimate of total cell
numbers. Cell counts were done blind as to the treatment condition of
the embryo-postnatal animals (control vs experimental) using a well
established method that effectively eliminates the possibility of
counting the same cell (healthy or pyknotic) twice (Clarke and
Oppenheim, 1995 ). In the thoracic region MNs were only counted in one
segment (T2), identified by adjacent DRG, whereas the entire brachial,
lumbar, and cranial motor nuclei were counted. For assessing sensory
neurons, cells in every 5th section of the
4th lumbar (L4) dorsal root ganglion (DRG)
were counted. Cranial MNs in the facial and hypoglossal motor nuclei
were also assessed quantitatively as described above.
In-situ hybridization of ct-1 wild-type and
knock-out mice. Ct-1 wild-type and knock-out E13.5 mouse embryos
were immersion-fixed overnight at 4°C in 4% paraformaldehyde, then
cryoprotected overnight in 15% sucrose. Embryos were embedded in
OCT (catalog #4583; Tissue-Tek), frozen in liquid
nitrogen, and sectioned at a thickness of 16 µm. Sections were
processed for in situ hybridization for CT-1 by a
modification of a method previously described by Phillips et al.
(1990) . 33P-UTP labeled RNA probes were
generated as described by Melton et al. (1984) .
Simultaneous hybridization with two probes to different regions
of CT-1 mRNA was performed. The pair of sense and antisense probes were
synthesized from a 161 and 188 DNA fragment [nucleotides 20-180 and
645-832, respectively (Pennica et al., 1995 )] using T7 polymerase.
In utero treatment with CT-1. BALB/c ByJ mice (The
Jackson Laboratory, Bar Harbor, ME) were bred at the Medical School
animal facility at Wake Forest University. On gestation day 14.5 [the morning a vaginal plug was observed is designated embryonic day 0.5 (EO.5)], pregnant females were anesthetized with ether, and partial
laparotomy was performed under sterile conditions. One uterus (three to
five embryos) was exposed, and each embryo injected with 5 µg of CT-1
in 5 or 10 µl of saline (0.9% NaCl, pH 7.2) using a modified 10 µl
gauge Hamilton microsyringe, as described previously (Houenou et al.,
1994 ). Injections were made into the amniotic fluid, embryos were
replaced in the uterus, and the mother was allowed to recover after the
abdomen was sutured. Fetuses from the contralateral uterus were used as
controls (saline only). On E18.5, mice were killed with an overdose of
ether, and fetuses were collected by cesarean section. Spinal cords
from control and trophic factor- or saline-treated embryos were
dissected out, fixed in Carnoys or Bouins solutions, and processed and
counted as described above.
Chick motoneuron cultures. Motoneurons were isolated
by the metrizamide gradient method of Bloch-Gallego et al. (1991) .
Briefly, spinal cords were dissected from E5.0 chickens, incubated in
trypsin (0.2% PBS), and dissociated by several passages through a 1.0 ml blue pipette tip. Dissociated cells were layered onto 6.8% metrizamide layer and centrifuged at 1600 rpm for 15 min. The cell
layer and the interface, containing predominantly large motoneurons, were collected and centrifuged for 10 min after being placed on 4% BSA
cushion. The cell pellet was resuspended and plated in four-well
Greiner dishes (Nunc, Roskilde, Denmark) previously treated with
polyornithine (1 µg/ml; Sigma) and laminin (20 µg/ml; Life
Technologies). A serum-free culture medium containing Leibovitz's L15
media (Life Technologies) supplemented with sodium bicarbonate (625 µg/ml, glucose 20 mM), progesterone (2 × 10 8
M; Sigma), sodium selenite (3 × 10 8
M; Sigma), conalbumin (0.1 mg/ml; Sigma),
putrescine
(10 4
M; Sigma), insulin (5 µg/ml; Sigma), and
penicillin-streptomycin (Life Technologies) was used. Unless otherwise
noted, 1 ml of complete L15 media, with or without muscle extract (20 µg/ml; prepared as previously described) or CT-1 was added to the
tissue culture wells that were then seeded with cells (2 × 104/well). Cultures were incubated in 5%
CO2 incubator at 37°C with saturated humidity.
For experiments in which immunolabeled MNs were counted, cells
were cultured on 10 mm round glass coverslips (Fisher Scientific, Houston, TX) treated as described above. Cells were first fixed with 10% formaldehyde in PBS, then incubated with monoclonal antibody to the gene product of the homeobox gene Islet-1, an early
marker of developing motoneurons (Ericson et al., 1992 ) (1:250 in PBS; anti-Islet-1 was provided by Tom Jessell) for 1.5-2.0 hr at 37°C. Coverslips were extensively washed with PBS and mounted with gel-mount (Biomed Instruments, Fullerton, CA). As a control, the primary antibody was omitted, and cells were fixed and incubated with the
fluorescein-labeled secondary antibody only, which resulted in no
specific labeling. MNs were counted in five predetermined 40×
objective fields. Only viable MNs were considered. Motoneurons were
identified as cells that were Islet-1 immunopositive, and cells were
considered viable if their nuclei had a uniform appearance (i.e., no
condensed chromatin). As reported previously (Milligan et al., 1994 ),
between 70 and 85% of the cells were immunopositive for Islet-1
at 2-4 hr after plating, confirming that the cultures were
greatly enriched for MNs. MN survival after 48 hr is expressed relative
to the number of Islet-1-positive cells present at the time of plating.
The data presented represent the results of four independent
replications using MEX and CT-1.
Mouse embryonic motoneuron cultures. Cultures of
spinal motoneurons from embryonic day 14 mice were prepared by a
metrizamide cushion centrifugation technique (Schnaar and Schaffner,
1981 ; Wiese et al., 1999 ). The ventrolateral parts of the lumbar spinal cords were dissected and transferred to HBSS containing 10 µM 2-mercaptoethanol. After treatment with
trypsin (0.05%, 10 min), tissues were triturated, and the cell
suspension was passed through a nylon mesh (100 µm pore size). The
cells were overlaid on 10% metrizamide in HBSS. The metrizamide
cushion was centrifuged for 20 min at 400 × g, and
cells from the interface were taken out and transferred to culture
medium without apotransferrin. Cells were plated at a density of 2000 cells/cm2 in four-well culture dishes
(Greiner, Nürtingen, Germany), precoated with polyornithine and
laminin as described (Arakawa et al., 1990 ). Cells were grown in
neurobasal medium (Life Technologies) with serum and 500 µM glutamax and 50 µg/ml apotransferrin at
37°C in a 5% CO2 atmosphere. Fifty
percent of the medium was replaced at day 1 and then every
second day. Neurotrophic factors were added at a concentration of 1 ng/ml. Culture medium was changed, and neurotrophic factors were
freshly added on days 1, 3, and 5. Initial counting of plated cells was
performed when all cells had attached to the bottom of the well after 4 hr in culture. Phase-bright cells were counted at day 1 and then every
second day until day 5. A total of 10 fields (1.16 mm2/field) were counted in each well at
each time point.
Expression of, CNTFR- , LIFR ,
gp130, CNTF, and LIF in ct-1 +/+ and ct-1 /
mice. CNTFR- , LIFR , gp130, and CNTF mRNA levels were
determined with semiquantitative RT-PCR tests that were standardized to
-actin mRNA. DNase-treated total RNA from spinal cord or sciatic nerve was used, and the RT reaction was performed with random hexamer
primers according to the manufacturer's recommendations (Life
Technologies, Karlsruhe, Germany). The primer combinations used for the
individual receptor PCRs were: for CNTFR- forward 5'-CAAGGTCTC-CATAAGTGTCAGC-3'; reverse
5'-GTCACTCCAT-GTCCCAAT- CTCA-3' (product size: 354 bp); LIFR :
forward 5'-CAG-TTTCAGCCAGGA-GTAAGAT-3'; reverse
5'-GGTCAGCAATTCTCAGTGT-CTT-3' (product size: 334 bp); gp130: forward
5'-CGCAGTCAAAG-TCCGTCTCACA-3'; reverse 5'-GCTTCATTTTTCCCCACTT TCT-3' (product size: 492 bp); CNTF: forward
5'-GAGCAATCACCTCTGACCCTT-3'; reverse 5'-CAGGCTGGATCAAGACAGTAAG-3'
(product size: 321 bp). The PCRs were performed for 30 and 35 cycles
with 95°C for 30 sec, 58°C for 30 sec, and 72°C for 30 sec. The primers used for the PCR amplification of -actin
were the following: forward 5'-GTGGGCCGCCCTAGGCACCAG-3'; reverse
5'-CTCTTTAATGTCACGCACGATT- TC-3' (product size: 539 bp on cDNA level
and 1090 bp on genomic DNA level). The -actin PCR was performed for
30 and 35 cycles with 95°C for 30 sec, 58°C for 30 sec, and 72°C
for 90 sec.
For analysis of LIF expression, a quantitative RT-PCR test was
performed with total RNA from sciatic nerve from ct-1 +/+
and ct-1 / mice. The RT reaction and subsequent PCR
amplification were performed in the presence of a shortened LIFR cRNA,
as described (Sendtner et al., 1996 ). We have used 2, 4, and 8 fg of the shortened LIF cRNA standard for estimation of LIF mRNA levels
in the sciatic nerve.
RT-PCR products were evaluated with the AIDA software (Raytest,
Straubenhardt, Germany). The data were analyzed with the GraphPad software (San Diego, CA).
Calculation and statistics. Single estimations
(percentage of surviving neurons relative to the number of originally
plated cells in individual wells) from independent experiments were
pooled, and the results were expressed as mean and SEM.
Statistical significance of differences was assessed by ANOVA followed
by Bonferoni's test using the GraphPad Prism software.
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RESULTS |
CT-1 supports embryonic chick and mouse motoneurons
in vivo
CT-1 is a potent survival factor for isolated embryonic rat
(Pennica et al., 1996 ), mouse (Arce et al., 1999 ), and chick
motoneurons. To characterize the effect of CT-1 on embryonic
motoneurons in vivo, the factor was applied daily onto the
chorioallantoic membrane of developing chick embryos (Fig.
1A) between embryonic
days 5 and 9. CT-1 has a modest but significant effect on survival of lumbar motoneurons at daily doses of 5 or 10 µg. The effect of CT-1
treatment at 10 µg/d was lower than the rescue effect of muscle
extract (Fig. 1A), suggesting that CT-1 acts on
subpopulations of motoneurons and thus does not support the survival of
all motoneurons that undergo cell death during this critical
development period. Similarly, CT-1, at optimal concentrations, support
only ~50% of isolated lumbar chick spinal motoneurons in culture,
which is significantly lower (p < 0.02) than
the effect of muscle extract in the same cultures (Fig.
1B).

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Figure 1.
The effects of CT-1 on the survival of developing
chick embryo motoneurons in vivo
(A) and in vitro
(B). A, CT-1 treatment has a
modest but significant dose-dependent effect on MN survival in
vivo. ap < 0.01 versus CONT;
bp < 0.001 versus CONT;
cp < 0.01 versus 5 or 10 µg of CT-1.
Numbers in bars represent number of observations. B,
Survival of lumbar MNs in vitro after treatment with
CT-1 for 48 hr. ap < 0.01 versus CONT;
bp < 0.005 versus CONT;
cp < 0.02 versus 10 or 100 ng.
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We have also tested the effects of a single CT-1 injection into
the uterus of pregnant mice at day 14 after conception. The embryos
were isolated on day 18.5, and the number of motoneurons was determined
in serial sections of the lumbar spinal cord. Similarly as observed in
chick embryos, the extent of naturally occurring loss of motoneurons
was significantly reduced by the CT-1 treatment (Table
1), indicating that developing mouse
motoneurons can also respond to CT-1 treatment in vivo.
Characterization of a CT-1-responsive subpopulation of mouse
spinal motoneurons
To characterize the subpopulation of CT-1-responsive
motoneurons in more detail, we have isolated motoneurons from the
lumbar spinal cord of 14-d-old mouse embryos and compared survival of these cells in the presence of CNTF, LIF, CT-1, or a combination of
these factors. After 5 d in culture, CT-1 supported the survival of 45.8 ± 4.2% of the initially plated motoneurons (Fig.
2). Survival rates were similar to
previously reported values for embryonic rat motoneurons (Pennica et
al., 1996 ). CNTF and LIF supported the survival of 43.7 ± 4.0 and
52.6 ± 3.6%, respectively, of isolated E14 mouse motoneurons.
Whereas the combination of CNTF and LIF did not show any additive
effects (51.8 ± 3.8% survival), CT-1-mediated survival was
significantly enhanced when LIF (63.7 ± 2.0%) or CNTF were added
(60.8 ± 2.7%) together with this factor. The combination of
CT-1, CNTF, and LIF does not enhance motoneuron survival beyond the
levels observed with combinations of CT-1-CNTF or CT-1-LIF. Similarly, the combination of CT-1 with BDNF or GDNF supported significantly more motoneurons than BDNF or GDNF alone. This indicates that subpopulations of motoneurons exist that respond to CT-1 but not
to CNTF and/or LIF, and that the population of motoneurons in the E14
mouse spinal cord expressing the CNTFR does not fully overlap with
the population of motoneurons expressing the putative CT-1R .

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Figure 2.
Cardiotrophin supports subpopulations of
embryonic mouse lumbar spinal motoneurons. Survival of isolated
motoneurons from E14 mouse lumbar spinal cord after 5 d in culture
without or with neurotrophic factors. GDNF and BDNF were added at 1 ng/ml, CNTF, and CT-1 at 10 ng/ml. Addition of the combinations CT-1
and GDNF, CT-1 and BDNF, or CT-1 and CNTF supported significantly more
motoneurons than CT-1 alone (***p < 0.001, ANOVA).
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Generation of ct-1-deficient mice
To characterize the subpopulations of motoneurons that
physiologically depend on CT-1 in vivo, the corresponding
gene was inactivated by homologous recombination in embryonic stem
cells. A region from the EcoRI site within exon 1 and the
SfiI site in exon 3 was deleted from the genomic clone which
was used for generation of the targeting vector and replaced by a
Neomycin resistance cassette (Fig.
3A). This targeting strategy
deletes the coding region from exon 1 to exon 3. Heterozygous embryonic
stem cell clones were identified, and heterozygous mice carrying
the mutation were generated by standard knock-out techniques. The
heterozygous mice were back-crossed with C57/Bl6 mice. Ct-1
/ and ct-1 +/+ mice used in this study were obtained
from ct-1 +/ parents of the C57/Bl6 background or from F1
generation ct-1 / and ct-1 +/+ mice from
these ct-1 +/ mice on C57/Bl6 background.

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Figure 3.
Gene knock-out of
cardiotrophin-1 (ct-1) in mice.
A, Map of the construct made for gene inactivation of
ct-1. B, CT-1 in situ
hybridization of sagittal and transverse sections of E13.5 wild-type
and ct-1 KO mice. CT-1 is expressed at significant
levels in myotubes but not in spinal cord. A mixture of probes covering
exon 1 and 2 and a 3'untranslated region of the ct-1
gene (Pennica et al., 1996 ) that is deleted by the homologous
recombination event and showed that mice homozygous for this mutation
did not express CT-1 mRNA in a form that could be recognized by these
probes, indicating that no CT-1 protein was produced in these mice.
Scale bars, 1 mm.
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Ct-1-deficient mice are viable at birth and
indistinguishable with respect to body weight, respiratory parameters,
movement, and other behavioral characteristics from wild-type mice.
During postnatal life, no obvious abnormalities are detectable up to 1 year. To show that ct-1 is not expressed as a truncated gene product in these mice, in situ hybridization was performed
on sections from E13.5 WT and ct-1 / mice (Fig.
3B). Probes covering exon 1 and 2 and a 3'untranslated
region of the ct-1 gene (Pennica et al., 1996 ) which is
deleted by the homologous recombination, showed that mice homozygous
for this mutation did not express CT-1.
Expression of CNTF receptor components, CNTF and LIF in
ct-1-deficient mice
We have investigated the relative expression levels of
gp130, LIFR , and CNTFR mRNA in the spinal cord of 3-month-old
ct-1 +/+ and ct-1 / mice (Fig.
4). In addition, CNTF mRNA levels in
spinal cord (Fig. 4a) and sciatic nerve (Fig. 4c)
and LIF mRNA levels in sciatic nerve (Fig. 4b) were
determined. Our data indicate that lack of CT-1 does not lead to
changes in expression of receptor components for CNTF and LIF, nor does
it alter expression of CNTF and LIF in sciatic nerve of postnatal
mice.

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Figure 4.
Analysis of expression of, CNTFR-LIFR , gp130,
CNTF, and LIF, in CT-1 +/+ and CT-1 / mice. a,
Comparative analysis of CNTFR- , LIFR , gp130, and CNTF in spinal
cord of ct-1 +/+ and ct-1 / mice. The
RT-PCR was performed with Random-Hexamer primer amplified spinal cord
RNA, and the signals were compared with -actin signals from the same
batches of cDNA. The relative intensities for CNTFR- , LIFR ,
gp130, and CNTF mRNAs are shown on the left side. Values
shown represent mean ± SEM from at least three independent
experiments. On the right, representative results from individual PCR
reactions are shown. b, LIF mRNA levels in sciatic nerve
from ct-1 +/+ and ct-1 / mice.
Absolute levels of LIF mRNA were determined by use of a shortened
competitor cRNA standard, which is identical with the LIF mRNA sequence
except for an 81 bp internal deletion (Sendtner et al., 1996 ). Data
shown are mean ± SEM from three independent experiments. A
picture of a representative 1.5% agarose gel showing the PCR
amplification products is shown on the right side.
c, CNTF mRNA levels in sciatic nerve from
ct-1 +/+ and ct-1 / mice. The
relative intensity of CNTF mRNAs conferred to -actin signals were
determined as described in a. Values shown are mean ± SEM from three independent experiments.
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Enhanced loss of motoneurons in the spinal cord and brainstem motor
nuclei of ct-1-deficient mice occurs between embryonic
day 13 and birth
Measurement of grip strength in 4-month-old ct-1
/ mice revealed a significant reduction of muscle strength in
comparison to wild-type controls (ct-1 / mice, 0.79 ± 0.02 N, n = 6; wild-type mice, 0.96 ± 0.01 N,
n = 4, p < 0.0005). However, this loss
of muscle strength did not lead to any other obvious behavioral
impairments in these mice.ct-1-deficient mice could be
inbred and produced viable offspring.
Histological analysis of 13- to 14-d-old control and
ct-1 / embryos revealed normal motoneuron numbers in the
lumbar spinal cord. Similarly, the number of motoneurons in the facial
nucleus of 15-d-old ct-1 / embryos was normal. However,
motoneuron loss during the subsequent period of naturally occurring
cell death was enhanced in the lumbar spinal cord (Fig.
5) by 23 and 26% at postnatal days 1 (P1) and 9, respectively (Table
2). In the thoracic spinal cord,
motoneuron loss was enhanced by 29% at birth and by >40% at
postnatal day 9. Similar loss of motoneurons was observed in the
brachial spinal cord (Table 2).

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Figure 5.
Transverse sections of the lumbar spinal cord from
P1 wild-type (A) and ct-1 /
homozygous (B) mice. DR,
Dorsal root; DRG, dorsal root ganglion;
VH, ventral horn; VR, ventral root.
Except for the presence of fewer MNs, the homozygous spinal cord is
indistinguishable from the wild-type control. Scale bar, 75 µm.
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Enhanced loss of motoneurons was also detectable in brainstem
motor nuclei (Table 3). In newborn
and in 9-d-old postnatal mice, motoneuron numbers in the facial and
hypoglossal nuclei were 20-25% lower than in wild-type controls.
Interestingly, no further loss of motoneurons could be observed at
later stages of postnatal development. In this respect,
ct-1-deficient mice differ from CNTF-deficient mice, in
which loss of motoneurons was not detectable in the facial nucleus
until 6 months of age (Masu et al., 1993 ). Sensory neurons in the L4
dorsal root ganglion on P9 were unaffected in ct-1 /
mice (control, 4789 ± 215, n = 5 vs ct-1 / , 5018 ± 406, n = 5).
Motoneuron cell death after facial nerve transection is not
enhanced in ct-1-deficient mice
To investigate whether CT-1 plays a similar role in the
maintenance of axotomized motoneurons in adult mice as CNTF and LIF, the facial nerve was transected in 4-week-old mice, and survival of
motoneurons was determined 2 weeks later by counting motoneuron cell
bodies in the facial nuclei both on the lesioned and unlesioned side
(Fig. 6). In ct-1 KO mice,
86 ± 5% of the motoneurons survived after nerve lesion, compared
with 95 ± 7% in wild-type mice (Table 4). This difference was not statistically
significant. Similar results were obtained when the lesion was
performed at 3 or 6 months (data not shown), suggesting that lack of
CT-1 does not lead to enhanced loss of motoneurons after axotomy.

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Figure 6.
Morphology of the facial nuclei in postnatal day
42 wild-type and ct-1 / mice. In these mice, the
facial nerve was transected on postnatal day 28. Mice were perfused,
brainstem serial sections were prepared, and the motoneurons were
analyzed 2 weeks after the lesion. A and
D show the brainstem containing both facial nuclei in
ct-1+/+ (A) and
ct-1 / (D) mice;
B and E show the unlesioned side of
ct-1+/+ and ct-1 / mice at higher
magnification; C and F the lesioned side.
Scale bars: A, D, (shown in
D), 1 mm; B, C,
E, F, (shown in E), 100 µm.
|
|
 |
DISCUSSION |
The CNTF-LIF family of neurotrophic cytokines includes at
least four proteins that can support motoneuron survival via receptor complexes involving gp130 and LIFR (Gearing et al., 1987 ;
Stöckli et al., 1989 ; Pennica et al., 1995 ; Senaldi et al.,
1999 ; Shi et al., 1999 ). Among these molecules, CNTF and
LIF are the best characterized, whereas the physiological function of
CT-1 and the recently discovered cardiotrophin-like cytokine
(CLC)-novel neurotrophin (NNT-1) (Elson et al., 2000 ) for
motoneurons is largely unknown. CT-1 resembles CNTF by the lack of a
hydrophobic signal peptide. Thus, CT-1 cannot be released via a
conventional secretory pathway from synthesizing cells. However,
experiments with cultured myotubes have shown that a significant
proportion of CT-1 produced by these cells is found in the culture
medium (Pennica et al., 1996 ). This suggests that the factor might be
released by an unconventional mechanism and thus be available to
responsive cells. Our finding that developmental motoneuron survival is
reduced in ct-1-deficient mice suggests that CT-1, despite
the lack of a secretory signal peptide, is released from muscle cells
and plays a physiological role for these neurons during a critical
period of development. Thus, cardiotrophin-1 is the only ligand acting
on gp130/LIFR heterodimeric receptors that appears to be
physiologically required for the survival of motoneurons during
embryonic development.
CT-1, in contrast to CNTF, is produced at relatively high levels
in the embryonic limb bud (Pennica et al., 1996 ) and thus could act as
a target-derived neurotrophic factor on responsive motoneurons.
Skeletal muscle is considered as the most important source of trophic
support for embryonic motoneurons. In the chick embryo, removal of a
limb bud results in massive loss of innervating motoneurons (Hamburger,
1934 , 1975 ; Oppenheim, 1981 ; Burek and Oppenheim, 1996 ; Caldero et al.,
1998 ). Ablation of skeletal muscle by genetic manipulation in mice
results in virtually complete loss of motoneurons between embryonic day
14 and birth (Grieshammer et al., 1998 ). These results underline the
importance of skeletal muscle for motoneurons during this critical
period of development.
The first evidence on the identity of CNTF family members that
might be involved in this process was from mice in which receptor components were deleted by homogenous recombination. Developmental cell
death of spinal and brainstem motoneurons is enhanced in mice lacking
gp130 (Nakashima et al., 1999 ), LIFR (Li et al., 1995 ), or CNTFR
(DeChiara et al., 1995 ). Thus, members of the CNTF-LIF family of
neurotrophic cytokines seem to be involved as modulators of motoneuron
survival during this critical period of development. However, ablation
of the genes for CNTF and/or LIF does not result in enhanced death of
developing motoneurons (Masu et al., 1993 ; Sendtner et al., 1996 ). By
contrast, deficiency of CNTF and the combined lack of CNTF and LIF
result in enhanced postnatal loss of motoneurons. This reflects the
observation that CNTF expression in Schwann cells is only found
postnatally (Sendtner et al., 1992 ) and that significant
quantities of LIF are only produced in Schwann cells after nerve lesion
in adult rodents (Banner and Patterson, 1994 ; Curtis et al., 1994 ).
CNTF and LIF are not expressed in significant quantities by skeletal
muscle. Therefore, the observation that CNTFR -deficient mice show a
similar loss of motoneurons as LIFR or even gp130-deficient mice
suggests the presence of additional factors that act through CNTFR ,
LIFR , and gp130 on developing motoneurons. However, even in mice
lacking these receptor components, the loss of motoneurons in brainstem nuclei and the spinal cord is in the range of 40% and thus much lower
than in mice in which skeletal muscle was removed (Grieshammer et al.,
1998 ), suggesting that additional target-derived factors are involved
that act via independent receptors and thus support survival of
motoneurons (Henderson et al., 1998 ; Oppenheim, 1996a ). Furthermore,
these data indicate that subpopulations of motoneurons might differ in
their requirement for specific survival factors during development.
The survival of isolated motoneurons in culture is enhanced when
factors from skeletal muscle and Schwann cells are added in combination
(Arce et al., 1998 ). For example, CT-1 and GDNF act synergistically
when added together to isolated spinal motoneurons from rat embryos.
However, when combinations of factors acting via shared receptor
components such as CNTF and LIF or BDNF and neurotrophin-4
(NT-4) (Hughes et al., 1993 ) are tested at saturating concentrations, additive effects are not observed. However, such culture conditions do not necessarily reflect the physiological situation in vivo, where the availability of each of these
factors might be limited. Indeed, mice in which two ligands from the
same gene family such as CNTF and LIF (Sendtner et al., 1996 ) or BDNF and NT-4 (Conover et al., 1995 ; Liu et al., 1995 ) are inactivated show
a more severe loss of neurons than the single knock-out animals.
However, recent evidence suggests that such data may not
necessarily reflect redundancy. Neurons from mice in which the
Shc-binding site of the trkB receptor is mutated show a differential
response to NT-4 and BDNF (Minichiello et al., 1998 ). Moreover, the
finding that the expression of members of the same gene family such as BDNF and NT-4 are differentially regulated in skeletal muscle (Funakoshi et al., 1993 , 1995 ; Griesbeck et al., 1995 ) suggests a
differential role of these factors for subtypes of motoneurons. We have
shown that the subpopulation of motoneurons that can be supported by
CNTF only partially overlaps with CT-1-responsive motoneurons.
Moreover, the extent of motoneuron loss observed in
ct-1-deficient mice is less than that in LIFR (Li et al., 1995 ), gp130 (Nakashima et al., 1999 ), or even CNTFR -deficient mice
(Conover et al., 1995 ). Thus, CT-1 appears to be a specific muscle-derived neurotrophic factor for a subpopulation of embryonic motoneurons. It will be interesting to determine whether the recently identified CNTF family member, CLC/NNT (Senaldi et al., 1999 ; Shi et al., 1999b ), acts together with CT-1 in regulating
motoneuron survival during embryonic development.
An important difference between CNTF and CT-1-deficient mice is
the time course when motoneuron loss occurs. In both CNTF-deficient mice and CNTF-LIF double knock-out mice, enhanced loss of motoneurons was not detectable during embryonic development (Masu et al., 1993 ;
Sendtner et al., 1996 ). Motoneuron degeneration in these mice was only
detectable after birth, and enhanced motoneuron cell death was observed
in particular when motoneurons were axotomized in CNTF-LIF
double-deficient mice at an age of 4 weeks or later. In contrast,
motoneuron loss in the facial nucleus of CT-1-deficient mice after
axotomy did not differ from controls at 2 or 6 months. This suggests
that CT-1, which is predominantly expressed in skeletal muscle, does
not act as a lesion factor for supporting the survival of axotomized
motoneurons after birth. In contrast, CNTF, which is physiologically
expressed at relatively high quantities in Schwann cells (Stöckli
et al., 1989 , 1991 ; Rende et al., 1992 ), and LIF, which is produced at
significant levels in Schwann cells after nerve lesion (Banner and
Patterson, 1994 ; Curtis et al., 1994 ), apparently act together to
support survival of lesioned postnatal motoneurons (Sendtner et al.,
1996 ). Thus, CT-1 differs significantly from CNTF and LIF and, with the
possible exception of HGF-SF (Yamamoto et al., 1997 ; Novak et al.,
2000 ), seems to be the first classical target-derived neurotrophic
factor for motoneurons identified so far that acts physiologically
in vivo on a subpopulation of developing motoneurons during
the critical period of naturally occurring cell death.
 |
FOOTNOTES |
Received Aug. 31, 2000; revised Oct. 26, 2000; accepted Nov. 14, 2000.
This work was supported by grants from the Human Frontier Science
Program Organization, the Deutsche Forschungsgemeinschaft (To61/8-4),
and the Bundesministerium für Bildung, Wissenschaft, Forschung
und Technologie (01KO9705) (M.S.), by National Institutes of Health
Grants NS20402 and NS36945 (R.W.O.), and a Muscular Dystrophy
Association grant (L.J.H.). We thank J. Kara, M. Pfister, and T. Swanson for excellent technical assistance. We are also indebted to M. Moore for helping in generating the CT-1 KO mice and W. Wood for
helpful discussions during the course of this work.
Correspondence should be addressed to Michael Sendtner, Klinische
Forschergruppe Neuroregeneration, Department of Neurology, University
of Wuerzburg, Josef-Schneider-Strasse 11, 97080 Wuerzburg, Germany. E-mail: sendtner{at}mail.uni-wuerzburg.de.
 |
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