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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


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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 LIFRbeta or the CNTFRalpha 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


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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 LIFRbeta and gp130. Genetic deletion of either LIFRbeta (Li et al., 1995), gp130 (Nakashima et al., 1999), or the CNTFRalpha (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 LIFRbeta and gp130-deficient mice. However, CT-1 fails to bind to CNTFRalpha (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 CNTFRalpha -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.


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

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-alpha , LIFRbeta , gp130, CNTF, and LIF in ct-1 +/+ and ct-1 -/- mice. CNTFR-alpha , LIFRbeta , gp130, and CNTF mRNA levels were determined with semiquantitative RT-PCR tests that were standardized to beta -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-alpha forward 5'-CAAGGTCTC-CATAAGTGTCAGC-3'; reverse 5'-GTCACTCCAT-GTCCCAAT- CTCA-3' (product size: 354 bp); LIFRbeta : 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 beta -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 beta -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.


    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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.

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.


                              
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Table 1.   In utero treatment with CT-1 on E14 leads to enhanced survival of lumbar motoneurons 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 CNTFRalpha does not fully overlap with the population of motoneurons expressing the putative CT-1Ralpha .



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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).

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.

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, LIFRbeta , and CNTFRalpha 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-LIFRbeta , gp130, CNTF, and LIF, in CT-1 +/+ and CT-1 -/- mice. a, Comparative analysis of CNTFR-alpha , LIFRbeta , 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 beta -actin signals from the same batches of cDNA. The relative intensities for CNTFR-alpha , LIFRbeta , 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 beta -actin signals were determined as described in a. Values shown are mean ± SEM from three independent experiments.

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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Table 2.   Number of spinal motoneurons (L1-L6) in ct-1 -/- and control mice

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).


                              
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Table 3.   Number of motoneurons in brainstem nuclei of ct-1 -/- and control mice

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.


                              
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Table 4.   Facial nerve lesion in ct-1-deficient mice does not lead to enhanced loss of motoneurons


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

The CNTF-LIF family of neurotrophic cytokines includes at least four proteins that can support motoneuron survival via receptor complexes involving gp130 and LIFRbeta (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), LIFRbeta (Li et al., 1995), or CNTFRalpha (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 CNTFRalpha -deficient mice show a similar loss of motoneurons as LIFRbeta or even gp130-deficient mice suggests the presence of additional factors that act through CNTFRalpha , LIFRbeta , 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 LIFRbeta (Li et al., 1995), gp130 (Nakashima et al., 1999), or even CNTFRalpha -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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W. Sun, T. W. Gould, S. Vinsant, D. Prevette, and R. W. Oppenheim
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C. D. Pozniak, F. Barnabe-Heider, V. V. Rymar, A. F. Lee, A. F. Sadikot, and F. D. Miller
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E. Juttler, V. Tarabin, and M. Schwaninger
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U. Schweizer, J. Gunnersen, C. Karch, S. Wiese, B. Holtmann, K. Takeda, S. Akira, and M. Sendtner
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