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The Journal of Neuroscience, May 1, 2001, 21(9):3073-3084
Lack of Neurotrophin-4 Causes Selective Structural and Chemical
Deficits in Sympathetic Ganglia and Their Preganglionic
Innervation
Alexander
Roosen1,
Andreas
Schober1,
Jens
Strelau1,
Martina
Böttner1,
Jörg
Faulhaber2,
Gerald
Bendner1,
Sabrina L.
McIlwrath4,
Horst
Seller2,
Heimo
Ehmke3,
Gary R.
Lewin4, and
Klaus
Unsicker1
1 Department of Neuroanatomy and Interdisciplinary
Center for Neuroscience and 2 Department of Physiology,
University of Heidelberg, D-69120 Heidelberg, Germany,
3 Department of Physiology, University of Hamburg, D-20251
Hamburg, Germany, and 4 Max-Delbrück-Center for
Molecular Medicine, D-13122 Berlin-Buch, Germany
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ABSTRACT |
Neurotrophin-4 (NT-4) is perhaps the still most enigmatic member of
the neurotrophin family. We show here that NT-4 is
expressed in neurons of paravertebral and prevertebral sympathetic
ganglia, i.e., the superior cervical (SCG), stellate (SG), and celiac
(CG) ganglion. Mice deficient for NT-4 showed a
significant reduction (20-30%) of preganglionic sympathetic neurons
in the intermediolateral column (IML) of the thoracic spinal cord. In
contrast, neuron numbers in the SCG, SG, and CG were unchanged. Numbers
of axons in the thoracic sympathetic trunk (TST) connecting the SG with lower paravertebral ganglia were also reduced, whereas axon numbers in
the cervical sympathetic trunk (CST) were unaltered. Axon losses in the TST were paralleled by losses of synaptic terminals on SG
neurons visualized by electron microscopy. Furthermore,
immunoreactivity for the synaptic vesicle antigen SV2 was clearly
reduced in the SG and CG. Levels of catecholamines and tyrosine
hydroxylase immunoreactivity were dramatically reduced in the SG and
the CG but not in the SCG. Despite this severe phenotype in the
sympathetic system, blood pressure levels were not reduced and
displayed a pattern more typical of deficits in baroreceptor afferents.
Numbers of IML neurons were unaltered at postnatal day 4, suggesting a
postnatal requirement for their maintenance. In light of these and
previous data, we hypothesize that NT-4 provided by postganglionic
sympathetic neurons is required for establishing and/or maintaining
synapses of IML neurons on postganglionic cells. Impairment of synaptic connectivity may consequently reduce impulse flow, causing a reduction in transmitter synthesis in postganglionic neurons.
Key words:
preganglionic sympathetic neurons; intermediolateral
column; superior cervical ganglion; stellate ganglion; celiac ganglion; synapses; catecholamines; brain-derived neurotrophic factor
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INTRODUCTION |
Neurotrophins are a family of growth
factors with important functions in the control of neuron survival and
differentiation (Barde, 1989 ; Davies, 2000 ). The prototypic member of
the neurotrophins is nerve growth factor (NGF), which was discovered
>50 years ago and is instrumental in shaping the neurotrophic factor
concept (Levi-Montalcini, 1987 ). The classic neurotrophic factor
concept describes ontogenetic neuron death or survival, respectively, as a function of proteins that are synthesized and released by neuronal
target cells and act retrogradely on the neuronal cell body by
stimulating survival and differentiation machineries. There is
overwhelming evidence that this concept oversimplifies reality in many
directions, e.g., by not taking into account the diversities of
sources, mechanisms, actions, and cooperativities of neurotrophic
molecules (Korsching, 1993 ). Brain-derived neurotrophic factor (BDNF)
and neurotrophin-3 were discovered in the 1980s (Leibrock et al., 1989 ;
Maisonpierre et al., 1990 ) and assigned diverse functional roles in
neuron development (Snider, 1994 ) and synaptic plasticity (McAllister
et al., 1999 ).
Neurotrophin-4 (NT-4) is probably the least well understood
neurotrophin and distinct from other neurotrophins in several respects
(for review, see Ibánez, 1996 ). It is the most divergent member
of the neurotrophin family, almost ubiquitously expressed, and the only
one whose inactivation by gene targeting is not lethal during early
postnatal development. NT-4 knock-out mice show an ~50%
loss of nodose-petrosal and geniculate sensory neurons (Conover et al.,
1995 ; Liu et al., 1995 ; Erickson et al., 1996 ), with no apparent losses
occurring in dorsal root ganglia. However, NT-4 is required for the
survival of a subclass of hair follicle receptors (Stucky et al.,
1998 ). NT-4 and BDNF signal via the same high-affinity TrkB receptor
(Ip et al., 1993 ; Barbacid, 1994 ). However, mice deficient in
NT-4 show sensory deficits that display only partial overlap
with deficits noted in BDNF mouse mutants. This is
consistent with previous studies that have shown different biological
effects of NT-4 and BDNF in the visual (Riddle et al., 1995 ) and
dopaminergic nigrostriatal (Hyman et al., 1994 ) systems. Apparently,
NT-4 and BDNF also activate partially distinct signal transduction
cascades, as shown by the mutation of the shc adaptor binding site in
the trkB gene (Minichiello et al., 1998 ).
We and others (Causing et al., 1997 ; Schober et al., 1998 ) have shown
previously that preganglionic sympathetic neurons located in the
intermediolateral column (IML) of the spinal cord express TrkB. Mice deficient for TrkB show severe
ultrastructural alterations in axon terminals on adrenal chromaffin
cells, a major population of target cells for IML neurons (Schober et
al., 1998 ), but die too early for studying putative cell losses in the
IML neuron population. NT-4-deficient mice surviving into
adulthood display a modest loss of IML neurons projecting to the
adrenal medulla, suggesting a partial requirement for NT-4. The present
study provides evidence that NT-4 is not only expressed by
adrenal chromaffin cells but also by sympathetic postganglionic neurons
and that IML neurons throughout the spinal cord axis, their axon
terminals, and postganglionic neurons are severely affected in
NT-4 mouse mutants.
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MATERIALS AND METHODS |
Animals. Forty-five adult NT-4 ( / )
mice (129/Sv) and 35 corresponding wild-type mice of the same genetic
background (RCC Ltd., Füllinsdorf, Switzerland) were used.
They were kept under standard laboratory conditions with food and water
available ad libitum and a 12 hr light/dark cycle. In
addition, two litters each of both knock-out and wild-type mice at age
postnatal day 4 (P4) were used. In situ hybridization
experiments were performed with eight adult Hanover-Wistar female rats
(250 gm).
Fluoro-Gold labeling, tissue preparation, and quantitative
analysis. It has been shown previously that intraperitoneal
injection of the fluorescent tracer Fluoro-Gold (FG) labels the entire
population of viable sympathetic preganglionic (IML) neurons in the
spinal cord (Anderson and Edwards, 1994 ). Forty-eight hours after
intraperitoneal injection of 150 µl of FG (0.2%; Fluorochrome Inc.,
Englewood, NJ), animals were deeply anesthetized with diethylether and
transcardially perfused with freshly prepared 4% paraformaldehyde
(PFA). Thereafter, the whole thoracic spinal cord was exposed, and
spinal cord segments T1-T5 and T10-T12 were removed. These spinal
cord segments contain the majority of preganglionic neurons for the
superior cervical (SCG) and stellate (SG) ganglion, and for the
celiac/superior mesenteric ganglion complex (CG), respectively
(Strack et al., 1988 ; Pyner and Coote, 1994 ) (Fig.
1B). After 12 hr of
post-fixation (4% PFA), longitudinal serial sections of the spinal
cord at a thickness of 30 µm were performed on a vibrating blade
microtome (VT 1000 E; Leica, Nussloch, Germany), collected
free-floating, and mounted on chrom-alum-subbed slides. Sections were
examined bilaterally by a Zeiss (Oberkochen, Germany) Axiophot
fluorescent microscope using an UV filter set (excitation filter,
390-420 nm; barrier filter, 425-450 nm; Zeiss). We only counted
brightly fluorescent cells with a clearly visible nucleus, restricted
to the lateral funiculus (LF) and IML, in which 97% of preganglionic sympathetic neurons are located (Strack et al., 1988 ; Pyner and Coote,
1994 ). Total numbers were corrected for possible double counts of split
nuclei according to Abercrombie's formula (Konigsmark, 1970 ). Results
are given as mean ± SEM values in percent and tested for
statistical significance of differences by Student's t
test.

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Figure 1.
Anatomy of preganglionic and postganglionic
structures in the sympathetic nervous system relevant to the present
study (A). Cell bodies of preganglionic neurons
are located in the IML at distinct levels of the spinal cord and
project through rami communicantes (RC) to paravertebral
and prevertebral sympathetic ganglia. We have analyzed IML neurons at
levels T1-T5 that project to the paravertebral SCG and the SG, respectively. IML neurons projecting to the prevertebral
CG and the superior mesenteric ganglion (SMG), which
were also analyzed, cluster at spinal cord segments T10-T12. In our
study, we did not make an attempt to separate the intimately associated
CG and SMG; however, we did not include the aortorenal ganglion
(AG). The adrenal gland and its preganglionic neurons,
which peak in the IML T7-T10, are not shown. AO, Aorta.
Double bars through the CST and TST mark portions that
were analyzed for numbers of axons. B shows the
distribution of IML neurons projecting to the adrenal medulla
(AM) and various ganglia along the spinal cord
axis according to Strack et al. (1988) . The red portion
of the bar indicates the peak accumulation of IML
neurons for the respective targets.
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Immunohistochemistry. NT-4 (+/+) and ( / ) mice
were anesthetized and transcardially perfused with 4% PFA. The
following tissues were removed: the SCG and SG, the CG, and adrenal
glands. Tissues were then post-fixed for 1 hr and either processed for
paraffin embedding or cryoprotected overnight (15% sucrose). The
following primary antibodies were used: polyclonal anti-NT-4 (not
cross-reactive with BDNF; Chemicon, Temecula, CA), polyclonal
anti-tyrosine hydroxylase (TH) (Chemicon), and monoclonal anti-SV2 (a
kind gift from Dr. E. Stöckli, Basel, Switzerland). For NT-4
immunolabeling, cryoprotected tissues were cut on a cryostat (10 µm).
Sections were then mounted on chrom-alum-coated slides, dried at room
temperature for 30 min, and placed in 0.1 M
phosphate buffer (PB), pH 7.4. After nonspecific blocking with 5%
normal goat serum (diluted in PB, 0.1% Triton X-100) for 1 hr at room
temperature, sections were incubated with the primary antibody, diluted
1:500, for 24 hr at room temperature. Slides were washed three times
for 5 min each in PB, and binding of primary antibody was
visualized using a biotin-conjugated anti-rabbit IgG (1:200, 2 hr at
room temperature; Vector Laboratories, Burlingame, CA). Slides were
then washed as before and incubated with Cy3-conjugated streptavidin
(indocarbocyanine; Jackson ImmunoResearch, West Grove, PA) for another
2 hr at room temperature (diluted 1:2000). For TH
immunostaining, deparaffinized sections (7 µm) and
cryosections (10 µm) were washed in PBS, pH 7.4, and
preincubated in 10% rabbit serum (PBS), containing 0.1% Triton X-100,
for 1 hr at room temperature. Slides were washed three times for 3 min
each in PBS and then marked overnight at 4°C with primary antibody,
diluted 1:500 in 10 ml of PBS-100 µl of BSA-5 µl of Triton X-100.
Sections were washed as before and incubated with biotin-conjugated
anti-sheep IgG (Vector Laboratories) at a dilution of 1:100 for 1 hr at
room temperature. Slides were washed again, and staining was visualized
using Cy2- or Cy3-conjugated streptavidin (1:2000, room temperature, 1 hr; Jackson ImmunoResearch). SV2 immunohistochemistry was similar to TH
staining described above, with the exception that for nonspecific
blocking, normal horse serum was used, and the primary antibody was
diluted 1:100 and visualized directly with Cy3-conjugated anti-mouse
IgG (1:1000, room temperature, 2.5 hr; Jackson ImmunoResearch).
Cell counts of postganglionic sympathetic neurons. SCG, SG,
and CG were embedded in paraffin, serial sections at a thickness of 7 µm were performed, and every fifth section was collected and mounted
on gelatin-coated slides. Slides were Nissl-stained with cresyl violet.
For SCG, the total neuron number was determined according to Coggeshall
et al. (1984) . Because SG and CG are often merged to adjacent ganglia
making definition of borders difficult, we determined neuronal density
for these ganglia. Neurons were counted within a defined area of
180 × 180 µm2.
Determination of IML neuron numbers by AChE and Nissl
staining. Nissl-stained cryostat sections of P4 mice thoracic
spinal cord [NT-4 ( / ), n = 3;
NT-4 (+/+), n = 3; segments T1-T5], as well as adult mice spinal cord [NT-4 ( / ),
n = 3; NT-4 (+/+), n = 3;
segments T10-T12] were used for determining numbers of sympathetic
preganglionic neurons (100 adjacent cross-sections per animal, 20 µm). To identify IML neurons reliably, we counterstained Nissl-stained sections weakly by AChE histochemistry (Andrä and Lojda, 1986 ). Sections were stained for 45 min at 37°C in the following solution (60 ml): 30.0 mg of acetylthiocholine iodide (Serva
Feinbiochemica, Heidelberg, Germany), 44.4 ml of 0.1 M Tris-maleate buffer, pH 5.0 (containing 0.1%
Triton X-100), 6.0 ml of 0.4 M sodium citrate,
6.0 ml of 0.12 M copper citrate, 3.0 ml of 0.16 M potassium ferricyanide, and 0.6 ml of
10 3 M
tetraisopropylpyrophosphoramide (iso-OMPA; Sigma, St. Louis, MO).
Sections from knock-out and wild-type animals were always processed in
parallel. Neurons were counted within an area of 120 × 240 µm2 for P4 mice and within an area of
240 × 240 µm2 for adult mice.
Electron microscopy. Animals were perfused with 4% PFA, and
the SCGs, SGs, and the CG were removed. SCGs and SGs were taken with
~1 mm of attached cervical sympathetic trunk (CST) or the thoracic
sympathetic trunk (TST), entering the ganglia at their caudal poles.
Samples were post-fixed for 24 hr in 1.5% glutaraldehyde and 1.5% PFA
in PB and embedded in Epon according to standard protocols. Thin
sections were collected on Formvar-coated 75 mesh copper grids (Pelco,
Redding, CA), stained with 5% uranylacetate, followed by lead citrate,
and examined and photodocumented using a Zeiss electron microscope
(EM10A). Cross sections of the CST and TST were used for analyzing
numbers of axons.
Cross-sections of the SG were used for examining numbers of synaptic
terminals and average length of presynaptic and postsynaptic membrane
specializations. In addition, numbers of lysosomes were counted in
postganglionic cell bodies and dendrites. Complete cross-sections from
five levels of an NT-4 (+/+) and an NT-4 ( / ) SG were examined.
Determination of catecholamine content. NT-4 (+/+) and
( / ) mice were killed rapidly by CO2
intoxication. Adrenal glands, SCGs, and the CG were quickly removed.
Catecholamines were quantified by HPLC as described by
Müller and Unsicker (1981) . Statistical significance was
determined by Student's t test.
RNA preparation and reverse transcription-PCR. Reverse
transcription (RT)-PCR was used to determine the expression of
NT-4 and BDNF transcripts in sympathetic ganglia
(SCG, SG, and CG) of adult wild-type and NT-4-deficient
mice. For NT-4 control experiments, mRNA expression in
skeletal muscle of wild-type and NT-4 knock-out mice was
analyzed. BDNF amplification was verified by using cerebellar tissue of
wild-type animals. Mice were killed by CO2
intoxication, ganglia were quickly removed, and total RNA was isolated
from tissues using Trizol (Life Technologies, Karlsruhe,
Germany) according to the manufacturer's guidelines. RNase inhibitor
(2 U; MBI Fermentas, St. Leon-Rot, Germany) and 1 U of RQ1 DNase
(Promega, Mannheim, Germany) was added to 1 µg of total RNA in a
final volume of 12 µl. Reactions were incubated for 15 min at 37°C
and 5 min at 80°C. First-strand cDNA was synthesized in a final
volume of 40 µl. Reactions consisted of 1 µg of total RNA and final
concentrations of 1× first strand buffer [5× first-strand buffer:
250 mM Tris-HCl, pH 8.3, 375 mM KCl, 15 mM
MgCl2 (Life Technologies)], 10 mM dithiothreitol (DTT), and 1 mM each of dNTPs (Promega), 25 ng/µl random
hexamer primers (Promega), 1 U/µl RNase inhibitor (MBI Fermentas),
and 20 U/µl Moloney murine leukemia virus reverse
transcriptase (Life Technologies). The reaction mixture was incubated
at 37°C for 2 hr, heated for 5 min at 90°C, cooled to 4°C for 5 min, and supplemented with 2 U of RNase H (Life Technologies). Samples
were incubated 20 min at 37°C.
After reverse transcription, cDNA samples were subjected to PCR
amplification using specific primers based on the mouse sequences for
NT-4 and BDNF. The NT-4 forward and
reverse primers (5'-CCCAAGTTGAGGGAAAACAA-3' and
5'-GCCAGGGTCCTCTGATGTTA-3') and the BDNF-specific oligonucleotides (5'-GCCCAACGAAGAAAACCATA-3' and 5'-TCAGTTGGCCTTTGGATACC-3')
amplify PCR products of 299 bp. Forward and reverse primers for
amplification of -actin cDNA (Genembl accession
number J00691) were 5'-TCATGAAGTGTGACGTTGACATCCGT-3' and
5'-CCTAGAAGCATTTGCGGTGCACGAT-3', respectively. Reactions were performed in 0.2 ml thin-walled reaction tubes in a Eppendorf Mastercycler Gradient thermocycler. Reagents were assembled in a final
volume of 50 µl with 6 µl of first-strand cDNA, 2 µM
forward primer, 2 µM reverse primer, 1× PCR buffer
[10× PCR buffer: 200 mM Tris-HCl, pH 9.0, and 500 mM KCl (Promega)], 2.5 mM
MgCl2, and 0.1 mM each of dNTPs and
RNase-free water to 49.5 µl. cDNA was denatured at 94°C for 5 min,
after which the temperature was lowered to 72°C. Taq DNA
polymerase (0.5 µl, 2.5 U; Promega) was then added, and cDNAs were
amplified for 32 and 36 cycles (NT-4 and BDNF) or
24 cycles ( -actin; 58°C). One round of amplification consisted of
30 sec at 94°C, 30 sec at 62°C, and 30 sec at 72°C. PCR reactions
(12.5 µl) were run on agarose gels (Life Technologies) in 1× TAE
buffer (0.04 M Tris-acetate and 0.001 M EDTA), and reaction products were visualized
after soaking gels in 0.5 µg/ml ethidium bromide solution in
distilled water for 10 min, with a transilluminator (Renner GmbH,
Dannstadt, Germany). Pictures were taken by a computer-assisted gel
documentation system (Intas, Göttingen, Germany). For
semiquantitative analysis of BDNF mRNA in wild-type and
NT-4-deficient mice, -actin was used as a
standard. The same cerebellar BDNF PCR reaction was run on both gels
and exhibits identical signal intensity, thus permitting a direct
comparison of wild-type and NT-4 knock-out gels. BDNF
signals of all three ganglia of four NT-4-deficient and four
wild-type mice were semiquantified by computer software (NIH Image).
In situ hybridization. Adult Wistar rats were deeply
anesthetized, and SCG, SG, and CG ganglia were removed and
frozen on dry ice. Sections (20 µm) were cut on a cryostat,
thaw-mounted onto silane-coated slides, and stored at 70°C.
Cryosections were then post-fixed for 10 min in 4% PFA and rinsed
twice in PBS. Slides were incubated for 10 min with 1.5%
triethanolamine, 0.33% acetanhydride, and 50 mM
HCl, washed in PBS, and dehydrated. Air-dried sections were hybridized
with 2 × 107 cpm
35S-labeled cRNA probe per 1 ml of
hybridization mixture (50% formamide, 10% dextransulfate, 0.3 M NaCl, 5 mM EDTA, 20 mM Tris, pH 7.5, 10 mM DTT,
and 1 mg/ml yeast RNA) and hybridized overnight at 60°C in a
humidified chamber. Riboprobes were derived from a pGEM-T plasmid
(Promega) containing 249 bp of the rat NT-4 coding sequence (EMBL accession number RNNT4P) (Ip et al., 1992 ). The plasmid was linearized with appropriate restriction enzymes, and riboprobes were transcribed in the presence of
35S-UTP using SP6 polymerase (Promega) for
preparing the antisense probe and T7 polymerase (Promega) for
generating the sense probe. After hybridization, sections were washed
three times for 30 min in 2× SSC at room temperature and subsequently
incubated for 30 min at 37°C with 20 µg/ml RNase A in 2× SSC.
Slides were rinsed in 2× SSC and washed three times for 30 min at
55°C in 50% formamide-2× SSC, 2× SSC, and 0.2× SSC. After
dehydration, sections were air-dried and dipped into LM-1 emulsion
(Amersham Pharmacia Biotech, Piscataway, NJ), exposed for 8-12 weeks
at 4°C, and developed according to the manufacturer's guidelines.
Counterstaining was performed with hematoxylin-eosin.
Blood pressure measurements. Blood pressure was measured in
six female wild-type 129/Sv mice and six NT-4 knock-out
mice weighing 23-30 gm (age of 4-5 months). After surgery, the mice
were housed individually in plastic cages. They had access to a
standard mouse chow diet and tap water ad libitum. All
experiments and procedures were done in accordance with the national
law for the care and use of research animals.
Surgical procedures. For catheter implantation, the mice
were anesthetized with ketamine and rompun (100 mg/kg and 4 mg/kg, i.p., respectively). Supplemental doses of ketamine were
administered as needed. With the use of aseptic techniques, a catheter
was placed in the left femoral artery for the measurement of arterial blood pressure. The catheter (diameter of 300-500 µm) was
made as described previously by Mattson (1998) . Catheters were tunneled subcutaneously and exteriorized through a 15 cm piece of lightweight spring; the tethering spring was attached to the back of the animal by
sewing a 1-cm-diameter stainless steel button into the strap muscles
between the scapulae. The free end of the spring was connected to a
swivel device at the top of the cage. During and after surgery, the
animals were kept warm and received a single dose of cefazoline (10 mg,
i.v.). The mice were allowed to recover for at least 48 hr after the
surgery before the recordings were conducted. With this surgical
procedure, the mice regain full use of the catheterized limb and moved
easily throughout their cages. The catheters were filled with 50 U of
heparin in 1 ml of saline, sealed, and only opened when they were used
for measurements.
Measurements. Arterial blood pressure was recorded for 1 hr
in awake mice moving freely in their own cage on days 2 and 3 after
surgery. Arterial blood pressure was measured by a pressure transducer
(PRC-21K; Keller) with a calibrated amplifier (Föhr Medical
Instruments, Seeheim, Germany) connected to the arterial catheter.
Arterial blood pressure data were continuously stored on a computer
(80586 + Labtech Note Book V 10.2.1) at a sampling rate of 500 Hz,
after analog-to-digital conversion (model DAS-16; Keithly-Metrabyte,
Tauton, MA).
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RESULTS |
Paravertebral and prevertebral sympathetic ganglia express NT-4
mRNA and protein
Having shown previously that virtually all preganglionic
sympathetic (IML) neurons in the thoracic spinal cord express the neurotrophin receptor for both BDNF and NT-4, TrkB (Causing
et al., 1997 ; Schober et al., 1998 ), we first investigated whether NT-4 was expressed in sympathetic ganglia to possibly act on
IML neurons. Because paravertebral and prevertebral sympathetic ganglia differ significantly with regard to their requirement for the paradigmatic neurotrophin NGF (Thoenen, 1972 ; Smeyne et al., 1994 ), we
chose the SCG (Fig. 1A) and the SG (Fig.
1A) as representatives of the paravertebral ganglia
and the CG (Fig. 1A) as representatives of the
prevertebral ganglia. The distribution and peak accumulation of IML
spinal cord neurons projecting to these ganglia is shown in Figure
1B (cf. Strack et al., 1988 ). Figure
2A demonstrates that
all three sympathetic ganglia investigated contain NT-4 mRNA revealed by RT-PCR. Skeletal muscle, which is known to synthesize large
amounts of NT-4 (Timmusk et al., 1993 ; Funakoshi et al., 1995 ;
Griesbeck et al., 1995 ), was used as a positive control. In
situ hybridization (Fig. 2D,E)
confirms the presence of NT-4 mRNA in the CG and localizes
grains predominantly to large neuronal cell bodies. NT-4
immunoreactivity (IR) is also detectable in neuronal cells (Fig.
2C) and colocalizes with TH (Fig. 2B),
corroborating the notion that sympathetic neurons express
NT-4 mRNA and protein. Similarly, NT-4 mRNA and
IR were localized in neuronal cell bodies of SCG and SG (data not
shown).

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Figure 2.
Expression of NT-4 mRNA and protein
revealed by RT-PCR (A; 36 cycles), in
situ hybridization (ISH) of the CG
(D, E), and IR of the CG
(C). B shows a consecutive section
to C stained for TH. A, RT-PCR
demonstrates expression of NT-4 mRNA in skeletal muscle (as
a positive control) in the celiac, stellate, and superior cervical
ganglion. Respective signals are absent in NT-4 mouse mutants. D,
In situ hybridization shows that neuronal perikarya in
the CG are prominent sites of expression of NT-4 mRNA.
E, A higher magnifications reveals localization of
grains over large neuronal cell bodies. B,
C, TH- and NT-4-IR in consecutive sections of a CG
reveal the presence of NT-4 protein in catecholaminergic sympathetic
neurons. Scale bars: B-D, 500 µm; E,
50 µm.
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IML neurons are decreased in adult NT-4-deficient mice
To investigate the putative physiological role of NT-4 for the
maintenance of preganglionic sympathetic neurons in the adult IML, we
labeled the entire population of preganglionic sympathetic neurons by
intraperitoneal injection of FG in both NT-4 (+/+) and
( / ) animals. Figure 3, A
and B, demonstrates a longitudinal section of the thoracic
spinal cord (T7-T10) showing FG-labeled neurons in the IML and LF.
Figure 3C-E presents the result of the cell counts of
preganglionic sympathetic neurons in spinal cord segments T1-T5,
T7-T10, and T10-T12. Segments T1-T5 contain the bulk of
preganglionic neurons projecting to the SCG and SG, T7-T10 the
majority of preganglionic neurons for the adrenal medulla, and segments
T10-T12 most IML neurons projecting to the CG (Fig. 1B) (Strack et al., 1988 ; Pyner and Coote, 1994 ). In
all spinal cord segments studied, numbers of preganglionic sympathetic
neurons were significantly reduced in NT-4-deficient mice compared with wild-type littermates. Reductions were highest in segments T10-T12 ( 30%), which project to the CG, and relatively modest in T7-T10 ( 14%), in which preganglionic neurons for the adrenal medulla are
concentrated. Losses of preganglionic neurons at T1-T5 amounted to
23%. Because NT-4 deficiency might compromise Fluoro-Gold
labeling of IML neurons without resulting in IML neuron death, we
conducted an independent series of experiments counting IML neurons on
serial transverse spinal cord sections (segments T10-T12) stained by Nissl and AChE methods (Fig. 4). These
counts revealed a 24.5% loss of IML neurons in mutant mice. Together,
these data indicate that loss of NT-4 results in a significant
numerical deficit in preganglionic sympathetic neurons throughout the
spinal cord axis.

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Figure 3.
Fluoro-Gold labeling
(A, B) and quantitative evaluation
(C-E) of IML neurons in wild-type and
NT-4-deficient mice. A and B
show longitudinal sections through the IML and adjacent LF at T1-T5,
displaying Fluoro-Gold-labeled preganglionic sympathetic neurons.
C-E, Adult mice lacking NT-4
show significant losses of Fluoro-Gold-labeled IML neurons, the extent
of which varies in different spinal cord segments. Data are given as
mean ± SEM. p values derived from Student's
t test are as indicated. Scale bars, 50 µm.
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Figure 4.
IML neuron counts in Nissl- and AChE-stained
spinal cord sections (segments T10-T12) of wild-type and
NT-4-deficient mice.
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Losses of preganglionic sympathetic neurons are not caused by a
numerical deficit in postganglionic neurons
A numerical decrease in preganglionic sympathetic neurons might
result from a loss of postganglionic neurons, as has been documented
for the NGF-deprived chick embryo, in which destruction of
paravertebral ganglia causes severe defects in the columna Therni, an
equivalent of the mammalian IML (Oppenheim et al., 1982 ). We therefore
counted neurons in the SCG, the SG, and the CG, as described in
Materials and Methods. However, significant differences in numbers of
postganglionic neurons comparing NT-4 knock-outs and
wild-type littermates were not detected (data not shown).
Numbers of axons in the thoracic sympathetic trunk are decreased in
NT-4 ( / ) mice
To confirm the significant losses of IML neurons in mice lacking
NT-4, we counted axon numbers in the CST and TST as an independent measure for IML neuron numbers. As reported previously (Brooks-Fournier and Coggeshall, 1981 ) and as shown in Figure 1A, the
majority of axons (84%) in the CST represent preganglionic fibers.
Similarly, most axons in the TST are preganglionic. As shown above,
numbers of postganglionic neurons in the SCG and SG were unaltered in NT-4-deficient mice. Hence, any alterations in numbers of
axons in the TST and CST are likely to result from changes in
preganglionic axon numbers. Figure
5A-C shows electron
micrographs of cross-sections of the TST in an
NT-4-deficient mouse and a wild-type littermate. As
reported, there were only very few myelinated fibers, because preganglionic sympathetic axons in mouse and rat are mostly
unmyelinated (Hedger and Webber, 1976 ). Axon counts revealed a
significant 22% reduction in the number of axons in the TST, close to
the 23% loss of IML neurons in segments T1-T5. Axon numbers in the CST were not altered, suggesting that the specific IML projections to
the SCG are probably not affected. Together, these data confirm the
reduction in IML neuron numbers seen in NT-4-deficient mice but suggest distinct responses of preganglionic neuron subpopulations projecting to the SCG or SG, respectively, to the loss of NT-4.

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Figure 5.
Qualitative and quantitative evaluation of axons
in the TST and CST (compare with Fig. 1). A-C show
electron micrographs of cross-sections through the TST. The majority of
axons represent preganglionic connections; preganglionic axons in
rodents are mostly unmyelinated. D and E
show the results of axon counts in the TST (D)
and CST (E) of adult wild-type and
NT-4-deficient mice. Whereas numbers of axons in the CST do
not significantly differ in wild-type and mutant mice, axon numbers of
the TST are reduced by 22% in mutant mice compared with wild-type
littermates. Data are given as mean ± SEM. Scale bars:
A, C, 50 µm; B, 10 µm.
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|
SV2, a synaptic vesicle antigen, is reduced in the SG
and the CG but not in the SCG
We next investigated whether the reduction in numbers of
preganglionic sympathetic neurons seen in NT-4 knock-out
mice was accompanied by a loss of a marker for synaptic vesicles in
preganglionic axon terminals. SV2 is a transmembrane glycoprotein
specific for small synaptic vesicles in the peripheral nervous system
and the CNS (Buckley and Kelly, 1985 ; Feany et al., 1992 ).
Figure 6 reveals the localization of
SV2-IR in SCG, SG, and CG. As can be seen in Figure
6A, the antigen is localized outside the cell bodies of sympathetic neurons, which only display background IR. Localization of IR is consistent with the presence of SV2 in synaptic endings terminating in their majority on dendrites of postganglionic neurons. Consistent with our counts of IML neurons and preganglionic axons, we
found an overt decrease in SV2-IR in the SG (Fig.
6C,D) and CG (Fig.
6E,F) but not in the SCG
(Fig. 6A,B).

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Figure 6.
SV2, a synaptic vesicle antigen in preganglionic
terminals, is distinctly affected in the SCG (A,
B), SG (C, D), and CG
(E, F) of NT-4 mutant
mice. SV2-IR is localized in structures, presumed axon terminals on
dendrites, surrounding the large cell bodies of sympathetic ganglion
cells, which exhibit only background fluorescence. SV2-IR is clearly
reduced in axon terminals of the SG and CG, but not the SCG, of
NT-4-deficient mice (B, D,
F) compared with wild-type littermates
(A, C, E). Scale bar, 100 µm.
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|
Losses of preganglionic cell bodies and axons are accompanied by a
reduction in numbers of synaptic terminals on postganglionic
sympathetic neurons in NT-4 knock-out mice
To investigate whether reduced SV2-IR resulted from a loss of
antigen or a numerical loss of synaptic terminals, we performed EM
counts of synaptic terminals in the SG of NT-4 ( / ) and
NT-4 (+/+) mice. Synapses were defined by the presence of
presynaptic and postsynaptic membrane specializations and accumulations
of small synaptic vesicles in the active zone. Figure
7, B, C, and F, presents qualitative and quantitative data and reveals a
significant 28% reduction in the number of synaptic terminals in
NT-4-deficient mice. Again, this reduction matches the
losses of preganglionic cell bodies and axons shown above. We also
measured the length of presynaptic and postsynaptic membranes in
NT-4 ( / ) and NT-4 (+/+) mice, without
detecting significant differences (data not shown).

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Figure 7.
Numbers of synapses (B,
C, F) and dense bodies
(D, E, G) were evaluated
in electron micrographs taken from five sections through the SG, with a
distance of 250 µm, within an area of 0.74 × 0.74 mm per
section (A) from one NT-4-deficient
mouse and one wild-type littermate. Criteria for synapses were
presynaptic and postsynaptic membrane specializations and accumulations
of synaptic vesicles in the active zone (B,
C). Although ultrastructural features of synaptic nerve
endings were not overtly changed in NT-4 knock-outs compared
with wild-type animals (B, C), there were
significant quantitative differences in numbers of synapses
(F). Numbers of lysosomes in neuronal cell bodies
and dendrites seemed to be augmented in the NT-4 knock-outs,
however, without becoming significant (G). Scale
bars: B, C, 1 µm; D,
E, 2 µm.
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Losses of preganglionic sympathetic neurons result in a reduction
of TH immunoreactivity and catecholamine content
Preganglionic synaptic activity crucially regulates transmitter
synthesis in postganglionic sympathetic neurons and adrenal chromaffin
cells (Thoenen et al., 1969 ; Viveros, 1975 ; Zigmond and Ben-Ari, 1977 ).
We therefore investigated TH-IR and catecholamine content in
sympathetic ganglia and adrenal medulla of NT-4-deficient mice and wild-type littermates. As shown in Figure
8, TH-IR was not noticeably different in
the SCG of knockout and wild-type mice (Fig.
8A,B). However, TH
immunofluorescence was clearly decreased in the SG, CG, and adrenal
medulla of mice lacking NT-4 compared with controls. Thus, these and
the above data corroborate the notion that the preganglionic
innervation to the SCG of NT-4-deficient mice is not overtly
impaired, whereas the loss of preganglionic neurons, which innervate
SG, CG, and adrenal medulla, results in TH deficiency.

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Figure 8.
Comparison of TH-IR in the SCG (A,
B), SG (C, D), CG
(E, F), and adrenal medulla
(G, H) of
NT-4-deficient mice and wild-type littermates. Although
TH-IR is not overtly altered in the SCG, the SG, CG, and adrenal
medulla reveal a qualitative reduction of TH staining intensity. Scale
bars: A-D, G, H, 50 µm;
E, F, 100 µm.
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|
To investigate whether reduction of TH-IR resulted in a decrease in
catecholamine levels in the respective ganglia and adrenal gland, we
measured catecholamine content by HPLC-electrochemical detection.
Figure 9 documents a drastic 64% loss of
noradrenaline in the CG and an ~46% reduction in adrenaline in the
adrenal gland. Surprisingly, in view of the above data, there was also
a moderate reduction of noradrenaline in the SCG.

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Figure 9.
Quantitative determinations of catecholamines by
HPLC-electrochemical detection in the SCG
(A), CG (B), and adrenal
gland (AG; C) of
NT-4-deficient mice and wild-type littermates reveal
significant losses of noradrenaline in the SCG and, more severely, in
the CG, and losses of adrenaline in the adrenal gland. Data are given
as means ± SEM.
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Aggregates of lysosomes in cell bodies and dendrites of neurons in
the stellate ganglion
Comparisons of electron micrographs of neuronal perikarya and
dendrites in the SG suggested increased numbers of lysosomes in
NT-4 mutant mice (Fig.
7D,E). Although the subsequent
counts revealed an apparent tendency for an increase in numbers of
lysosomes in both perikarya and dendrites in SG neurons of
NT-4-deficient mice (Fig.
7F,G), differences were found not
to be statistically significant.
Blood pressure measurements reveal elevated blood pressure levels
and enhanced blood pressure variability in
NT-4-deficient mice
Because the sympathetic nervous system is a key component for the
maintenance of normal blood pressure levels, the severe deficits in the
sympathetic system of mice lacking NT-4 suggested to us that they may
display a hypotensive phenotype. We therefore examined baseline blood
pressure and heart rate levels in adult unrestrained
NT-4-deficient mice. Unexpectedly, these mice were not
hypotensive but showed even slightly elevated blood pressure levels
compared with wild-type controls (Table
1). This higher resting blood pressure
was associated with a highly significant increase of spontaneous blood
pressure variability by ~40% (p < 0.0017).
Heart rates and heart rate variabilities were not different between
wild-type and NT-4-deficient mice.
Losses of IML neurons in NT-4 knock-out mice must occur during or
after postnatal development
To clarify the time period for an NT-4 requirement by
preganglionic sympathetic neurons, we counted numbers of IML neurons in
spinal cord segments T1-T5 of NT-4 ( / ) and (+/+) mice
at P4. Figure 10 demonstrates that
numbers of preganglionic neurons visualized by Nissl staining and AChE
histochemistry were not significantly different. This suggests that
losses of IML neurons presumably become apparent at later time points
in postnatal development.

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Figure 10.
Quantification of acetylcholinesterase-positive,
Nissl-stained IML neurons within an area of 120 × 240 µm of the
intermediate gray in the spinal cord at P4. Numbers of IML neurons in
NT-4-deficient mice (C, D)
were not significantly reduced compared with controls
(B, D) at this age. Data are given as
mean ± SEM. Scale bars: A, 500 µm;
B, C, 50 µm.
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BDNF mRNA is upregulated in the SG and CG, but not SCG, of
NT-4-deficient mice
Because both NT-4 (this study) and BDNF (Causing et al., 1997 )
occur in sympathetic ganglia, we investigated the possibility of a
compensatory upregulation of BDNF mRNA in sympathetic
ganglia of NT-4-deficient mice. RT-PCR data shown in Figure
11 suggest a distinct upregulation of
BDNF mRNA in the CG and SG, but not SCG, of NT-4-deficient
mice. This observation is consistent with the observation that the CG
and the SG, but not the SCG, of NT-4-deficient mice receive a reduced
preganglionic innervation.

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Figure 11.
RT-PCR for BDNF (32 cycles) and
actin (24 cycles) mRNAs. Celiac, stellate, and superior
cervical ganglia were separately pooled from four
NT-4-deficient mice and four wild-type littermates. The same
cerebellar sample was run on both gels, making signals on both gels
directly comparable. BDNF mRNA signals were standardized
using the -actin signal. Signal intensity was quantified
using computer software (NIH Image). Analysis of signal intensities
suggests upregulation of BDNF mRNA in the CG and SG (both
affected by the NT-4 knock-out) but not in the SCG (not
affected).
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|
 |
DISCUSSION |
The present study reveals a role for NT-4 for the maintenance of a
subset of IML neurons in the spinal cord and their synaptic terminals
in paravertebral and prevertebral sympathetic ganglia. The
NT-4 ( / ) phenotype includes (1) losses of IML neurons
throughout the thoracic spinal cord, (2) losses of preganglionic axons
in the TST projecting to the SG, (3) decreased IR for the synaptic vesicle marker SV2 in SG and CG, (4) losses of synaptic terminals in
the SG, and (5) reduced TH-IR and catecholamine levels in SG and CG but
(6) no losses of postganglionic sympathetic neurons. The numerical
decrease of IML neurons is not apparent at P4. Because previous counts
of IML neurons in P12 TrkB ( / ) mice (Schober et al.,
1997 ) had not revealed a numerical deficit in IML neurons either, we
conclude that the losses in IML neurons seen in adult NT-4
mutant mice must occur at later postnatal ages. Sympathetic ganglia of
rat and mouse undergo extensive remodeling in the first postnatal
month. Numbers of postganglionic neurons decrease significantly during
this time period, possibly because of the limitation of trophic
supply, such as NGF, from their target areas (Lichtman and Purves,
1980 ; Purves and Lichtman, 1980 ). Preganglionic axons still sprout and
become rearranged in the adult mouse (Purves et al., 1986 ). Several
lines of evidence indicate that BDNF, NT-4, and their cognate receptor
TrkB are crucial in these events. We have reported previously that
synaptic terminals on adrenal chromaffin cells are already structurally
impaired in P12 TrkB-deficient mice (Schober et al., 1997 ),
the latest time point that can be studied before death of these
mutants. At P12, neuronal perikarya are not compromised as yet. This
indicates that synaptic terminals of IML neurons may be an early target
of TrkB ligands and that subsequent degeneration of IML neurons in the
spinal cord might be a secondary event. Further along this line,
Causing and coworkers (1997) using transgenic mice have elegantly shown
that amounts of BDNF provided by postganglionic sympathetic neurons of
the SCG are crucial in regulating synaptic innervation density.
Our data indicate that, in addition to BDNF, NT-4 must be considered to
be an important regulator of synaptic innervation to sympathetic
neurons. This is also consistent with our observation that
BDNF mRNA is compensatorily upregulated in the CG and SG of
NT-4-deficient mice. Together, these data implicate that
adult mice with a combined loss of NT-4 and BDNF or a loss of TrkB, once they are generated, may reveal a more severe sympathetic ganglia
and IML neuron phenotype than NT-4 ( / ) mice but also putative subtle differences. Identification of putative distinct target
molecules of BDNF and NT-4 in preganglionic axon terminals and cell
bodies could help to define distinct actions of the two neurotrophins.
Although BDNF and NT-4 act through binding to the same TrkB receptor,
they have been shown to activate partly distinct signaling cascades.
Thus, mutating the shc adaptor binding site on TrkB has revealed
diverse effects of BDNF and NT-4 in vivo (Minichiello et
al., 1998 ). Whereas nearly all NT-4-dependent sensory neurons were lost
in TrkBshc/shc mutant mice,
BDNF-dependent neurons were only modestly affected. Moreover,
TrkBshc/shc mutant mice did not
show any effects in BDNF-dependent differentiation of CNS neurons or in
the function of sensory neurons that mediate innocuous touch.
Furthermore, knocking the NT-4 gene into the BDNF
locus has revealed unique biological activities of NT-4 in vivo (Fan et al., 2000 ).
Several lines of evidence suggest roles for NT-4 in regulating axon
sprouting. Thus, NT-4 administered into striated muscle induced
sprouting of intact adult motor nerves. NT-4 is highly expressed in slow, type I muscle fibers, increased by electrical stimulation, and decreased after blockade of neuromuscular
transmission. Thus, muscle-derived NT-4 seems to act as an
activity-dependent neurotrophic signal for growth and remodeling of
adult motor neuron innervation (Funakoshi et al., 1995 ). Furthermore,
we have shown that sympathetic preganglionic cholinergic axons within
the adrenomedullectomized rat adrenal gland sprout extensively after
replacement of the adrenal medulla by gel foam containing NT-4 (Schober
et al., 1998 ). It is therefore conceivable that NT-4 secreted by
postganglionic sympathetic neurons triggers sprouting of preganglionic
axon terminals, thereby regulating numbers of synaptic endings.
If the preganglionic synaptic terminal to sympathetic ganglia is the
primary target of NT-4, then changes in postganglionic and
preganglionic neuronal cell bodies of NT-4 mutant mice might be indirect. Preganglionic synaptic activity has long been known to
regulate transmitter synthesis in postganglionic neurons (Thoenen et
al., 1969 ; Zigmond and Ben-Ari, 1977 ). Thus, reductions of TH-IR and
levels of catecholamines in the SG and CG may well result from reduced
preganglionic input. Our observation of a 35% loss of catecholamines
in the SCG that is not accompanied by structural synaptic deficits
suggests that lack of NT-4 may also cause more subtle functional
impairment, e.g., with regard to preganglionic impulse flow.
The reduction in the number of IML neurons may be the result of
decreased retrograde trophic input from postganglionic neurons. Whether
this retrograde factor is NT-4 itself remains to be established. We
have not been able to demonstrate retrograde axonal transport of NT-4
in preganglionic sympathetic neurons (Schober et al., 1998 ). For
fibroblast growth factor-2 (FGF-2), it has been shown that components
of the FGF receptor-activated signaling cascade rather than FGF-2
itself are retrogradely transported (Hendry et al., 1995a ,b ). Thus, the
failure to document retrograde axonal transport of NT-4 does not
disprove this neurotrophin as a trophic factor for IML neurons.
Nevertheless, sympathetic postganglionic neurons might support IML
neurons by retrograde factors other than neurotrophins, e.g., factors
also found in adrenal chromaffin cells, such as FGF-2, ciliary
neurotrophic factor, glial cell line-derived neurotrophic factor, and
transforming growth factor- (Blottner et al., 1989a ,b , 1996 ;
Blottner and Unsicker, 1990 ; Schober et al., 1999 ).
Our data concerning the SCG distinguish this sympathetic ganglion in
several respects from the SG and CG. First, numbers of axons in the
cervical sympathetic trunk were not significantly decreased in
NT-4 ( / ) mice. The SCG receives its preganglionic input
exclusively through the connection between the SG and SCG; a
sympathetic ganglion cervicale medium is absent in rodents (Hedger and
Webber, 1976 ). Postganglionic axons leave the SCG mainly through the
nervi jugulares, caroticus internus, caroticus externus, rami laryngopharyngeales, and ramus cardiacus. The CST contains
mostly preganglionic axons (84%), together with sympathetic afferents (5%) and few postganglionic fibers (11%) (Brooks-Fournier and Coggeshall, 1981 ). Because numbers of postganglionic cell bodies in the
SCG (this study), numbers of dorsal root ganglionic neurons (Conover et
al., 1995 ; Liu et al., 1995 ), and numbers of axons in the CST are not
reduced in NT-4-deficient mice, it is likely that the
preganglionic input to the SCG is unaltered. This notion is supported
by unaltered SV2-IR in preganglionic terminals and TH-IR in
postganglionic neurons of the SCG. The reduction in catecholamine content, however, suggests that other features of SCG neuron functions, as transmitter synthesis, may be affected by NT-4
deficiency. In this context, it may be worth noting that the SCG is
different from other sympathetic ganglia in several regards, e.g., its
origin from the postotic hindbrain neural crest (Durbec et al., 1996 ). Suggestions to explain the differential sensitivity of SCG and other
sympathetic ganglia may include a caudorostral gradient in the NT-4
requirement, possibly linked to the rostrocaudal gradient in the
sequence of development of sympathetic ganglia.
In view of the manifold deficits in the sympathetic nervous system, it
was surprising that NT-4-deficient mice are not hypotensive. Ganglionic blockade by hexamethonium or inhibition of
1-adrenergic transmission by prazosin induces
large blood reductions in conscious mice (Janssen et al., 2000 ),
indicating a prominent role of sympathetic tone in murine blood
pressure control. The present observations indicate that a lack of NT-4
does not compromise efferent sympathetic control of arterial resistance
vessels. The observed higher blood pressure level and enhanced blood
pressure variability in NT-4-deficient mice may rather
suggest a defect in the afferent limb of the arterial baroreflex.
Increased blood pressure variability is a hallmark of baroreceptor
deafferentiation (Cowley, 1992 ). NT-4-deficient mice show
substantial reductions in nodose-petrosal sensory neurons, however,
without defects in baroreceptor innervation, as seen in mice lacking
BDNF (Brady et al., 1999 ). Thus, the enhanced blood pressure
variability in NT-4 ( / ) mice may be caused by a loss of
only a small subset of nodose-petrosal sensory neurons, by a defect in
the nucleus tractus solitarii, or it may be even unrelated to the
histological changes in the afferent sympathetic pathways. Clearly,
additional studies are required to determine the cellular basis for the
enhanced blood pressure variability in NT-4-deficient mice.
In conclusion, the present study is the first demonstration of a
physiological relevance of NT-4 for the maintenance of structural and
functional integrity of the sympathetic preganglionic and postganglionic circuitry. Thus, NT-4, the "odd one out" in the neurotrophin family (Ibánez, 1996 ), is gradually broadening its spectrum of functions and gaining importance compared with its fellow neurotrophins.
 |
FOOTNOTES |
Received July 14, 2000; revised Feb. 7, 2001; accepted Feb. 8, 2001.
This work was supported by Deutsche Forschungsgemeinschaft Grant SFB
488, TP a6. We thank Barbara Brühl and Richard Hertel for
excellent technical assistance.
A.R. and A.S. have contributed equally to this work.
Correspondence should be addressed to Dr. Andreas Schober, Department
of Neuroanatomy, University of Heidelberg, Im Neuenheimer Feld 307, D-69120 Heidelberg, Germany. E-mail:
andreas.schober{at}urz.uni-heidelberg.de.
 |
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