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The Journal of Neuroscience, May 15, 2002, 22(10):4057-4065
Glial Cell Line-Derived Neurotrophic Factor is a Survival Factor
for Isolectin B4-Positive, but not Vanilloid Receptor 1-Positive,
Neurons in the Mouse
Melissa
Zwick1,
Brian M.
Davis4,
C. Jeffrey
Woodbury3,
John N.
Burkett1,
H. Richard
Koerber3,
James F.
Simpson2, and
Kathryn M.
Albers4
Departments of 1 Anatomy and Neurobiology and
2 Pathology, University of Kentucky School of Medicine,
Lexington, Kentucky 40536, and Departments of
3 Neurobiology and 4 Medicine, University of
Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15261
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ABSTRACT |
Most, if not all, nociceptor sensory neurons are dependent on nerve
growth factor (NGF) during early embryonic development. A large
subpopulation of these sensory neurons loses NGF dependency between
embryonic day 16 and postnatal day 14 and become responsive to glial
cell line-derived growth factor (GDNF), a member of the transforming
growth factor (TGF- ) family. To examine the survival and
phenotypic effects of GDNF on sensory neurons in vivo,
we generated transgenic mice that overexpress GDNF in the skin.
GDNF-overexpresser mice had increased numbers of small
unmyelinated sensory neurons that express the tyrosine kinase receptor
Ret and bind the plant isolectin B4 (IB4). Surprisingly, in wild-type
and transgenic mice, few (~2%) IB4-positive neurons expressed the
vanilloid receptor VR1, a heat-sensitive receptor expressed by many
IB4-positive neurons of the rat. Thus, in mouse, GDNF-dependent
IB4-positive neurons must use a non-VR1 heat receptor. In addition, the
behavior of GDNF-overexpresser animals to noxious heat or mechanical
stimuli was indistinguishable from wild-type animals, indicating that, on a behavioral level, peripherally applied GDNF does not alter the
sensitivity of the somatosensory system.
Key words:
glial cell line-derived growth factor; transgenic
mice; cutaneous; sensory neuron; somatosensory; development
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INTRODUCTION |
Sensory nervous system development
is dependent on the production of neurotrophic factors by targets of
innervation such as the skin or muscle (Thoenen et al., 1987 ;
Oppenheim, 1991 ). Best studied are the neurotrophins [nerve growth
factor (NGF), neurotrophin-3, neurotrophin-4, and brain-derived
neurotrophic factor], which support specific sensory populations
during development (Snider, 1994 ). The transforming growth factor (TGF- ) family member, glial cell line-derived growth factor (GDNF)
(Lin et al., 1993 ) is also expressed in the developing and adult skin
(Trupp et al., 1995 ; Fundin et al., 1999 ), suggesting that, similar to
neurotrophins, GDNF functions as a target-derived survival factor for
cutaneous neurons. In support of this notion, GDNF promotes the
in vitro survival of embryonic sensory neurons, particularly
ones that bind the lectin B4 (Molliver et al., 1997 ). In addition,
postnatal (P0) mice that lack GDNF have a 23% loss of dorsal root
ganglion (DRG) neurons, further supporting a role for GDNF in
neuron survival (Moore et al., 1996 ).
That GDNF supports isolectin B4 (IB4)-binding sensory neurons placed
new emphasis on the role of the IB4 population, particularly in regard
to pain signaling (Snider and McMahon, 1998 ). IB4-binding neurons form
one of two groups of small-diameter, unmyelinated C-fiber neurons
(Silverman and Kruger, 1990 ; Kitchener et al., 1993 ). Many of these
cells express the Ret receptor (Pachnis et al., 1993 ; Molliver
et al., 1997 ; Bennett et al., 1998 ) and the purinergic receptor,
P2X3 (Vulchanova et al., 1997 ), and project to
lamina II of the spinal cord, suggesting a role in nociception (Snider and McMahon, 1998 ). In contrast, NGF-dependent C-fibers express
the tyrosine kinase receptor A (trkA) and the peptides calcitonin gene-related peptide (CGRP) and substance P (Averill et al.,
1995 ; Verge et al., 1995 ; Perl, 1996 ), and primarily project to lamina
I-II (Woodbury et al., 2000 ).
The differences between GDNF- and NGF-dependent C-fibers suggest they
represent nociceptors with distinct functional properties (Snider and
McMahon, 1998 ). Conditions of chronic or persistent pain are
accompanied by physiological, molecular, and anatomical changes in the
sensory system, making it important to define how functional properties
of IB4-negative and IB4-positive neurons are established and regulated.
Previous studies of transgenic mice that overexpress NGF (NGF-OE mice)
showed that NGF caused significant changes in physiological properties
of unmyelinated C-fibers and myelinated A fibers, both of which
mediate pain (Davis et al., 1993 ; Stucky et al., 1999 ). These changes
included increased sensitivity to mechanical and thermal stimuli, and
in response properties, e.g., a fourfold increase in firing frequency in response to heat stimuli. Studies of IB4-positive neuron response properties, which are reported only for cultured neurons, show IB4-positive neurons have longer-duration action potentials and smaller
noxious heat-activated currents relative to non-IB4-binding neurons
(Fjell et al., 1999 ; Stucky and Lewin, 1999 ).
In the present study, transgenic mice were used to examine how target
overexpression of GDNF affects survival, differentiation, and
properties of cutaneous neuron populations. This analysis shows that
GDNF increases survival of a subclass of IB4-positive neurons and
causes hypertrophy of IB4-positive afferents. Surprisingly, these
changes did not elicit differences in behavioral response thresholds to
either mechanical or heat stimuli. We also examined the effect of GDNF
on expression of the heat-sensitive vanilloid receptor VR1 (Caterina et
al., 2000 ). In rat, VR1 is expressed by 65-75% of IB4-binding neurons
(Guo et al., 1999 ; Michael and Priestley, 1999 ). In contrast, mouse DRG
populations had a small (2-3%) percentage of neurons that were both
VR1 and IB4-positive. Overexpression of GDNF did not change this low
percentage. Thus, a heat-sensitive channel other than VR1 must mediate
heat sensitivity in IB4-positive neurons.
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MATERIALS AND METHODS |
Generation of transgenic mice. The K14-GDNF transgene
contains 2.3 kb of the human K14 keratin promoter sequence, the mouse GDNF cDNA and intron-exon splice sites from the human growth hormone gene (Springer et al., 1995 ; Wang et al., 1997 ; LeMaster et al., 1999 ).
After microinjection into C3H × B6 F1 embryos, four founder lines
were isolated and used to produce F1 offspring. Mice were screened for
the transgene using slot blot and PCR assays on DNA from tail skin.
Reverse transcriptase-PCR analysis of RNA from back skin was used to
assay relative level of transgene expression. Two lines (324 and 097)
with highest expression levels were chosen for further study.
Reverse transcriptase-PCR. RNA was
isolated from shaved back skin using Trizol (Invitrogen,
Bethesda, MD). Samples were DNased, and 1 µg was reverse transcribed
using Superscript (Invitrogen) and random primers in a 20 µl reaction
volume. cDNAs were PCR amplified in 50 µl by adding 1.5 U
Taq polymerase (Promega, Madison, WI) PCR buffer,
deoxyribonucleotide mix, primers specific to the transgene or
endogenous GDNF (20 µM each), and 0.2 µl of
32P-dCTP. A separate reaction to amplify
actin was used as an internal standard. Typical reaction conditions
were: 1 min: 94°C, 1 min: 60°C, 2 min: 72°C. Band intensities
were quantified using a Storm PhosphorImager and ImageQuant software
(Molecular Dynamics, Sunnyvale, CA).
ELISA. Tissues were weighed and frozen
until homogenized in sample buffer (0.1 M PBS,
0.4 M NaCl, 0.1% Triton X-100, 2 mM EDTA, 0.1 mM
benzethonium chloride, 2 mM benzamidine, 0.1 mM PMSF, 20 K IU/ml aprotinin, and 0.5% BSA, pH
7.4) using either a polytron for skin or Duall type ground glass
homogenizer for ganglia. Samples were spun at 13,000 rpm for 15 min at
4°C and the supernatants were assayed using a GDNF ImmunoAssay
kit (Promega).
Neuronal counting methodology. The number of neurons was
determined using a modified Abercrombie counting method as described previously (Davis et al., 1996 ; Goodness et al., 1997 ). Briefly, ganglia were serial sectioned at 5 µm, stained using cresyl violet, and neurons containing visible nucleoli counted. Nucleolar number was
summed and multiplied by the interval between counted sections.
In situ hybridization. In situ hybridization was done to
detect Ret receptor mRNA using 35S-labeled
probes as described previously (Albers et al., 1994 ). Sense and
antisense RNA riboprobes (262 nucleotides in length) were
generated to sequences encoding the extracellular domain of the rat Ret
receptor (Trupp et al., 1996 ). Ganglia were frozen on dry ice, cut into
15 µm sections, and thaw mounted onto Superfrost slides. Sections
were brought to room temperature, immersion-fixed for 15 min in 4%
paraformaldehyde in PBS, and then washed in PBS, PBS with 0.2%
glycine, and 0.25% acetic anhydride in 0.1 M
TEA, pH 8.0. Sections were dehydrated, air-dried, and incubated with probe hybridization solution (Amresco, Solon, OH) containing 1 × 106 cpm/50 µl. A glass coverslip was
placed over the probe and secured to the slide by applying mounting
media around the cover glass. Slides were incubated overnight at 60°C
and then dipped in NTB2 photographic emulsion, exposed 1-2 weeks,
developed, and counterstained with hematoxylin and eosin. Sense
transcript controls processed in parallel showed no specific hybridization.
Immunolabeling and histochemical analysis. Age-matched adult
mice (4-6 months old) were deeply anesthetized with 2.5% avertin (2,2,2-tribromoethanol and tert-amyl alcohol diluted in 0.9% saline) and perfused transcardially with 4% paraformaldehyde in 0.1 M phosphate buffer (PB). Dorsal root ganglia
(L4/L5) were removed with a segment of spinal cord at the lumbar
enlargement, immersed in 4% paraformaldehyde for 1 hr, embedded in
10% gelatin in 0.1 M PB, fixed for 1 hr, and
then placed in 25% sucrose made in 0.1 M PB
overnight at 4°C. Sections were cut at 25 µm using a sliding microtome, blocked 1 hr at 25°C in 5% normal goat serum and 0.25% Triton X-100, and incubated overnight in primary antibody. Primary antibodies used were made against the purinergic receptor,
P2X3 (1:1000), CGRP (1:4000; Chemicon, Temecula,
CA), and the VR1 protein. Two anti-VR1 antibodies were used. In
diaminobenzidine-horseradish peroxidase detection assays, a rabbit
polyclonal antibody made to the C-terminal amino acids of the rat VR1
protein (Tominaga et al., 1998 ) was used at a 1:2000 dilution. For
immunofluorescent labeling for confocal analysis, a rabbit antibody
against the N terminus of rat VR1 was used (1:2000; Neuromics,
Minneapolis, MN). Both VR1 antibodies produced similar labeling
patterns in the DRG. For isolectin binding, the Bandeira
simplicifolia isolectin (IB4, 1:100) was obtained from Sigma (St.
Louis, MO). Antibody binding was visualized by
avidin-biotin-peroxidase complex formation (Vector Laboratories,
Burlingame, CA) or using fluorescent secondary binding (anti-rabbit IgG
conjugated to Cy2 or Cy3; 1:200, Jackson ImmunoResearch Laboratories,
Inc., West Grove, PA). For fluorescent detection, primary antibodies
were used at the following dilutions: CGRP (1:1000),
P2X3, (1:1000), VR1 (1:2000), and IB4-FITC
(1:100). For colocalization studies, three sections from each ganglia
were analyzed using a laser-scanning confocal microscope (Leica,
Wetzlar, Germany) and the number of labeled cells for each marker was
determined. Only those cells that contained nucleoli were counted. Area
measurements of 150 labeled neurons in three sections from each animal
were determined using Scion (Frederick, MD) Image software.
Saphenous nerve analysis. Mice were deeply anesthetized and
perfused transcardially with 4% paraformaldehyde in 0.1 M PB. Saphenous nerve segments at midthigh level
were removed, post-fixed 2 hr in 4% paraformaldehyde and 2%
glutaraldehyde, washed in 0.2 M Sorenson's
phosphate buffer, immersed in osmium tetraoxide for 90 min at 4°C,
dehydrated in graded ethanols, embedded in Spurr's resin (EM
Corporation, Chestnut Hills, MA), and cut at 0.7-0.8 nm on an
ultramicrotome (Reichert Ultracut E). Sections were stained with lead
citrate and uranyl acetate and photographed on an electron microscope
(H7000; Hitachi Ltd., Tokyo, Japan), and the images were assembled into
montages from which myelinated and unmyelinated axons were counted. To
determine axon diameters, 300 axon profiles were measured in each group
using Scion Image software.
Behavioral testing. Testing was performed without knowledge
of genotype using age-matched wild-type (n = 10) and
GDNF-OE (n = 10) mice. Mice were housed in group cages,
maintained on a 12 hr light/dark cycle in a temperature-controlled
environment (20.5°C), given food and water ad libitum, and
tested at the same time of day. For hot plate measures, mice were
confined to a Plexiglas cylinder (19.0 cm diameter × 20.0 cm
tall) on a hot plate set at 52.0 ± 0.2°C (Columbus Instruments,
Columbus, OH). The time for a response (hindpaw shake/flutter or
hindpaw lick) was measured to the nearest 0.1 sec. The test was
performed twice a day for 3 consecutive days. For tail flick testing,
mice were lightly restrained in a cloth and placed on a tail flick
analgesia meter (Columbus Instruments) where a focused beam of light
was applied directly to the middle of the tail until a response was
elicited. Testing was performed twice a day for 3 consecutive days.
Heat responsiveness was also measured using the Hargreaves' test
(Hargreaves et al., 1988 ). Individual mice were placed in Plexiglas
chambers (10.0 cm length × 10.0 cm width × 13.0 cm height)
set on a 6.0-mm-thick glass surface (IITC Inc., Woodland Hills, CA.).
Mice were acclimated to the chamber at least 2 hr before testing. A
radiant heat source (setting = 20) was applied to the plantar
surface of the mid-hindpaw of a resting mouse, and the tk;2withdraw
latency was measured to the nearest 0.1 sec. The left hindpaw was
tested on each mouse once a day for 3 consecutive days. Mechanical
responsiveness was tested by applying von Frey filaments (Stoelting,
Wood Dale, IL) of varying thickness to the dorsum of the foot and
recording the force needed to elicit a response, e.g., hindpaw
withdrawal, biting of the filament. Testing was done twice a day for 3 consecutive days.
Statistical analysis. Data are expressed as the mean ± the SEM. Parametric and nonparametric statistical tests were
performed as appropriate after fulfillment of all necessary
prerequisites using the StatView software package (Abacus Concepts,
Berkeley, CA).
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RESULTS |
Isolation of GDNF-overexpressing transgenic mice
The effect of target-derived GDNF on cutaneous sensory neurons was
investigated using transgenic mice (GDNF-OE) that overexpress GDNF in
skin. Promoter elements of the K14 keratin gene were used to drive
expression of the GDNF cDNA in skin keratinocytes (Fig. 1a). K14-regulated
transcription begins in whiskerpad skin at approximately embryonic day
11 (E11) (Figueiredo et al., 2001 ), overlapping with expression of
endogenous GDNF (Fundin et al., 1999 ). For dorsum and appendage skin,
transgene expression is expected to occur later, after the
cephalo-caudal gradient of endogenous K14 expression (approximately
E13.5) (Byrne et al., 1994 ). Transgene expression continues into
adulthood. Four founder lines (002, 097, 235, 324) were identified, and
their offspring were screened using slot blots and PCR. Relative level
of transgene transcription was defined in wild-type and GDNF-OE animals
using semiquantitative RT-PCR (Fig. 1b). Two lines (097 and
324) were established by mating F1 offspring to wild-type mice to
produce heterozygous offspring. To verify transgene translation and
specificity of transgene expression, ELISAs were done to measure
peptide levels in the skin, DRG, spinal cord, and plasma of adult
GDNF-OE and wild-type mice (Fig. 1c). A sixfold increase of
GDNF protein was detected in transgenic skin, whereas in DRG, where
retrograde transport from the skin is expected to increase GDNF peptide
(Matheson et al., 1997 ; Leitner et al., 1999 ), a 4.23-fold increase was measured. Spinal cord levels were also increased by 2.67-fold, suggesting anterograde transport of GDNF from the DRG to the dorsal horn. GDNF was not detected in the plasma of either wild-type or
transgenic animals.

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Figure 1.
Characterization of GDNF-overexpressing transgenic
mice. a, Gene construct for GDNF transgene expression.
Large arrow indicates transcription start site;
small arrows mark PCR primer binding sites used to
detect endogenous and transgene GDNF mRNAs. b, Reverse
transcriptase-PCR analysis shows relative level of GDNF mRNA in
transgenic lines (235, 097, 002, and
324) relative to wild-type littermates. Shown are
levels of total GDNF mRNA (endogenous and transgene derived),
transgene-derived GDNF mRNA, and actin mRNA. c, ELISA
measure of GDNF peptide in various tissues shows increased peptide in
skin, ganglia, and spinal cord. d, Footpad skin
immunolabeled with an antibody to PGP 9.5 shows skin of transgenic
animals is hyperinnervated, particularly in lower epidermal layers
(epi, epidermis; derm, dermis;
nb, nerve bundle). Arrows indicate nerve
fibers in epidermis. Scale bar, 50 µm.
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Target expression of GDNF enhances the in vivo
survival of specific sensory neuron types
The increase in GDNF peptide in transgenic animals was accompanied
by an increase in sensory neurons, as measured by counting neurons in
cresyl violet-stained serial sections of the L4/L5 dorsal root ganglia.
Counts showed a 27% increase (p < 0.050; t test) in neuron number in adult GDNF-OE animals relative
to wild-type littermates (wild-type, 16,831 ± 2403; GDNF-OE,
21,399 ± 999; n = 3 for each group). This
increase indicates a rescue of DRG neurons from the normal
development-associated program of cell death.
To identify the types of neurons rescued by GDNF overexpression,
neurochemical and receptor properties of L4/L5 DRG neurons were
analyzed. The percentage of neurons that express the Ret receptor was
determined using in situ hybridization. In wild-type mice
Ret-positive sensory neurons comprised 40.4% (n = 3)
of the DRG compared with 55.4% (n = 3) in GDNF-OE
ganglia, representing a 37% increase (p < 0.05). Ganglia were also labeled using IB4 and antibodies to CGRP, VR1,
and the purinergic receptor P2X3 (Table
1). The GDNF-OE ganglia had 50% more
IB4-positive neurons (wild-type, 32.5%; GDNF-OE, 48.9%) (Fig.
2a,b), although no change was
measured in the percentage of CGRP-positive neurons (Fig. 2c,d). In addition to number, the size of transgenic
IB4-positive neurons was on average 50% greater than wild-type neurons
(wild-type, 253.8 mm2 ± 6.1;
GDNF-OE, 516.4 mm2 ± 37.8;
p < 0.01) (Fig.
3a), compared with a 15%
increase in diameter for CGRP-neurons (wild-type, 284.9 mm2 ± 1.6; GDNF-OE, 328.8 mm2 ± 12.9; p < 0.05)
(Fig. 3b). Thus, the primary effect of GDNF was on the
nonpeptidergic IB4 population, although CGRP-positive neurons were also
responsive.

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Figure 2.
Cytochemical analysis of mouse L4/L5 dorsal root
ganglia. a, b, Sections of DRG immunolabeled with an
HRP-conjugated IB4 lectin. IB4-binding neurons of GDNF-OE mice
are larger. Counts of labeled and unlabeled neurons showed their
percentage also increased (Table 1). c, d, The
CGRP-immunopositive population in GDNF-OE mice was slightly larger
compared with wild-type ganglia. e, f, Immunolabeling
using avidin-biotin HRP detection showed no change in the size or
percentage of VR1-positive neurons in transgenic ganglia. g,
h, The size and number of P2X3-positive neurons
increased in GDNF-OE mice, although the percentage was
unchanged. See also Table 1. Scale bar, 50 µm.
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Figure 3.
The effect of GDNF overexpression on the size
distribution of specific neuronal populations. a, The
distribution of neuronal areas for IB4-positive neurons
(n = 3 in each group), CGRP-positive neurons
(n = 3 in each group) (b),
P2X3-positive neurons (n = 4 in each
group) (c), and VR1-positive neurons
(n = 3 in each group) (d) in
wild-type and transgenic ganglia. For each population examined,
transgenic neurons (filled bars) are
significantly larger relative to wild-type neurons (open
bars) (p < 0.050; t
test).
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We tested whether increased GDNF altered the percentage of neurons that
express proteins involved in nociceptive processing by labeling
sections of ganglia using antibodies against VR1 or the purinergic
receptor P2X3. VR1-positive neurons respond to noxious chemical (vanilloids) and heat stimuli (Caterina et al., 1997 ),
whereas neurons expressing P2X3 respond to
purinergic compounds associated with injury, e.g., ATP (Chen et al.,
1995 ). No difference was measured in the percentage of VR1-neurons
between wild-type (22.3%) and transgenic (15.4%) ganglia (Table 1,
Fig. 2e,f), although a small increase (16%) in the
mean somal area occurred in transgenics (wild-type, 162.8 mm2 ± 8.4; GDNF-OE, 189.1 mm2 ± 3.1; p < 0.05)
(Fig. 3d). For P2X3-neurons, the
percentage of P2X3-positive profiles was
unchanged in GDNF-OE ganglia (Table 1, Fig. 2g,h), but the
average somal area increased dramatically and was 87% larger than
wild-type measures (wild-type, 284.6 mm2 ± 15.4; GDNF-OE, 533.4 mm2 ± 16.1; p < 0.0001) (Fig. 3c).
Phenotypic overlap was analyzed by determining the amount of
coexpression in IB4, CGRP, VR1, and P2X3
populations. Double-labeling of L4/L5 wild-type ganglia for IB4 and
CGRP showed that only 3.5% of
IB4-positive neurons expressed CGRP (Table 2, Fig.
4a,b), consistent with
findings in the rat (Averill et al., 1995 ). This percentage was
unchanged (3.8%) in GDNF-OE ganglia. For P2X3, 87% of wild-type and 81% of transgenic IB4-positive profiles were P2X3-reactive, similar to studies in rat where
68% of IB4-positive cells were P2X3-positive
(Bradbury et al., 1998 ). Although the number of IB4-positive neurons
that express P2X3 was unchanged in transgenics, a
slight increase in P2X3 neurons that express IB4
was measured (wild-type, 75%; GDNF-OE, 88%; p < 0.050) (Table 2, Fig. 4e,f). For VR1
expression, an unexpectedly low percentage of overlap in VR1 and
IB4 expression was found for both wild-type (2.83%) and transgenic
(8.62%) ganglia (Table 2, Fig. 4c,d). This was surprising
in light of previous studies of rat DRG that showed 78% of VR1 neurons
were IB4-positive (Guo et al., 1999 ) and indicates a significant
difference between mouse and rat in VR1 expression.

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Figure 4.
Analysis of phenotypic overlap in mouse dorsal
root ganglia. a, b, Sections of DRG labeled with IB4
(green) and CGRP (red) show little
overlap (yellow) between the two populations in
wild-type and transgenic sections. c, d,
Similar to IB4/CGRP overlap, IB4-positive (green)
and VR1-positive (red) neurons have little overlap in
wild-type and transgenic animals. e, f, Unlike VR1 and
CGRP, IB4-positive (green) and
P2X3-positive (red) neurons overlap almost
completely. See also Table 2. Scale bar, 100 µm.
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Cutaneous expression of GDNF modifies peripheral and central
projections of sensory afferents
Previous studies have shown that the phenotype and density of
cutaneous sensory populations can be significantly modified by target
overexpression of neurotrophic factors (Albers et al., 1994 , 1996 ;
LeMaster et al., 1999 ). To examine effects of GDNF on skin innervation,
adult footpad skin was immunolabeled using an antibody to protein gene
product 9.5 (PGP 9.5), a marker that labels both myelinated and
unmyelinated fibers. Labeled fibers were increased in transgenic skin,
particularly in the epidermis, where thin, beaded unbranched fibers
infiltrated the basal and spinosum epidermal layers (Fig.
1d). These fibers were not tyrosine hydroxylase-positive,
ruling out the possibility of their being sympathetic in origin (data
not shown). In addition, no change was observed in the density or
pattern of anti-CGRP labeling in the transgenic skin (data not shown).
A significant increase in the density of P2X3
afferents was found in transgenic skin, particularly in the epidermis
(data not shown). This increase likely reflects the increase in somal
size measured in the P2X3-positive neurons (Fig.
3c).
Afferents projecting to the transgenic skin were further examined by
analysis of axons in the saphenous nerve, a cutaneous nerve that
innervates skin of the medial calf and foot. The average cross-sectional profile of saphenous nerves in GDNF-OE mice was doubled
in size relative to wild-type nerves (wild-type, 14,691 mm2 ± 881; GDNF-OE, 29,503 mm2 ± 1555) (Fig.
5a). This increase was
reflected by a 59% increase in total axon number in GDNF-OE nerves
(wild-type, 2290 ± 147; GDNF-OE, 3633 ± 81;
p < 0.05). The number of myelinated axons was
increased 26% (wild-type, 543 ± 28; GDNF-OE, 687 ± 12;
p < 0.05), whereas unmyelinated axons increased 72%
(wild-type, 1709 ± 117; GDNF-OE, 2945 ± 74;
p < 0.05). To assess axon hypertrophy, the diameter of
myelinated (without the myelin sheath) (Fig. 5b) and
unmyelinated axons (Fig. 5d) was plotted as a frequency
distribution histogram. On average, both myelinated and unmyelinated
axons were hypertrophied in GDNF-OE mice, with the mean diameter for myelinated axons increased 39% (wild-type, 2.35 µm ± 0.06;
GDNF-OE 3.27 µm ± 0.19; p < 0.01), and
unmyelinated diameters increased by 19% (wild-type, 0.59 µm ± 0.06; GDNF-OE, 0.79 µm ± 0.02; p < 0.05). The
impact of axon hypertrophy on the thickness of the myelin sheath was
also measured (Fig. 5c). Axon diameter was positively correlated with myelin thickness for both genotypes, although GDNF-OE
axons had thinner myelin for a given axonal diameter. Thus, the
increase in axon diameter in GDNF-OEs was not accompanied by a
proportional increase in myelin thickness.

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Figure 5.
Overexpression of GDNF increases axon number
and size in the saphenous nerve. a, Cross-section of
representative sections from the saphenous nerve of GDNF-OE
(left; 29,503 ± 1555 mm2) and
age-matched wild-type mice (right; 14,691 ± 881 mm2). Nerve diameter was approximately double in
transgenic mice. For each group, n = 3;
p < 0.001; t test. Scale bar, 50 µm. b, d, Distribution of myelinated and unmyelinated
axons in the saphenous nerve of wild-type (open bars)
and GDNF-OE mice (filled bars). For each group,
n = 3. Myelinated axon diameter includes the nerve
axon only, without the myelin sheath. Note both axon distributions in
GDNF-OE animals are shifted to the right, reflecting hypertrophy of
myelinated and unmyelinated fibers (p < 0.050; t-test). c, Regression analysis of
myelin thickness versus axon diameter for wild-type (open
circles, dashed line) and GDNF-OE mice (filled
circles, continuous line). For each group,
n = 3. A significant linear correlation was
calculated for both genotypes (wild-type,
r2 = 0.53; p < 0.001; GDNF-OE, r2 = 0.79;
p < 0.001), although GDNF-OE axons had thinner
myelin for a given axonal diameter (p < 0.050; ANCOVA).
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The central projections of IB4, CGRP, and VR1 populations were also
evaluated by immunolabeling sections of lumbar spinal cord.
IB4-positive projections in the dorsal horn were significantly enhanced
(Fig. 6), whereas the band thickness of
CGRP- and VR1-positive afferents in lamina I were unchanged.

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Figure 6.
GDNF overexpression in skin increases primary
afferent density in the spinal cord dorsal horn. a, b,
The band of IB4 (green) labeling in the dorsal
horn is broader and overlaps more superficially with the band of CGRP
(red) labeling in GDNF-OE animals compared with
wild-type animals. c, d, The band of VR1
(red) labeling shows no overlap with the band of IB4
(green) labeling and is unchanged in GDNF-OE
mice. Scale bar, 100 µm.
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GDNF-OE transgenic mice do not exhibit alterations in
behavioral sensitivity to thermal and mechanical stimuli
GDNF-responsive, IB4-binding neurons are thought to comprise one
of two populations of sensory neurons that mediate nociception. To test
whether the increase in sensory neuron number and afferent projections
affected the behavior of GDNF-OE animals to nociceptive stimuli, the
response of animals to mechanical and heat stimuli were measured.
Sensitivity to mechanical force was tested using calibrated von Frey
filaments of varying thickness applied to the dorsum of the hindpaw
until a response was elicited. No difference in response threshold was
found between wild-type and GDNF-OE mice (Fig.
7). Three different behavioral tests for
heat threshold were used to evaluate thermal sensitivity: (1) mice were
placed on a hot plate set at 52°C, (2) tails of mice were exposed to a focused radiant heat source, and (3) the ventral surface of the foot
was exposed to a focused heat source (the Hargreaves' test). All three
tests, performed on age-matched groups of animals, showed no difference
in withdrawal response time between wild-type and GDNF-OE mice (Fig.
7). Thus, although significant changes occurred in the peripheral and
central anatomy of GDNF-responsive populations, behavioral sensitivity
to noxious stimuli was unchanged.

View larger version (19K):
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|
Figure 7.
The GDNF-mediated enhancements of the sensory
system do not affect thermal or mechanical behavioral sensitivity.
a, Transgenic and wild-type animals were tested for
changes in thermal sensitivity by exposing them to a hot plate set at
52.0 ± 0.2°C, a radiant heat source applied to the tail (tail
flick), and radiant heat applied to the foot (Hargreaves' assay). No
significant difference was measured between the behavior of transgenic
and wild-type mice (n = 10 in each group).
b, Cumulative sum distribution of mechanical thresholds
to von Frey filament stimulation in wild-type (open
circles) and GDNF-OE (filled circles)
mice (n = 10 in each group). No significant change
in behavioral response was measured.
|
|
 |
DISCUSSION |
Increased expression of GDNF in the skin was found to enhance the
survival and afferent projection density of a specific subset of DRG
neurons. These findings demonstrate that GDNF, a member of the TGF-
growth factor family, functions in vivo as a target-derived growth factor in a manner similar to the prototypical neurotrophin growth factor family. Given the 23% loss of neurons observed in P0
GDNF / mice (Moore et al., 1996 ), the
27% increase in survival of L4/L5 DRG neurons caused by GDNF
overexpression in the skin indicates that many of these GDNF-responsive
DRG neurons are cutaneous afferents.
To determine the types of neurons affected by GDNF, we examined the
physical and neurochemical properties of the DRG and spinal cord. GDNF
overexpression increased the number and average size of myelinated and
unmyelinated afferents, demonstrating heterogeneity in the phenotype of
GDNF-responsive neurons. In wild-type mice, 40% of DRG neurons
expressed mRNA encoding the kinase receptor Ret and 32% bound the
lectin IB4. For GDNF-OE ganglia, the percentage of Ret neurons
increased to 55%, and IB4-positive neurons increased to 49% of the
total population, representing a 37 and 50% increase, respectively.
That a total rescue of Ret and IB4 populations did not occur likely
reflects heterogeneity in trophic sensitivity, i.e., although most
IB4-binding neurons express the Ret receptor (Molliver et al., 1997 ),
some (12-20%) express the NGF receptor trkA (Goodness et al., 1997 ).
In addition, Ret-positive neurons express various GPI-linked GDNF
family receptor- coreceptors (GFR s) that, in conjunction with
Ret, bind other GDNF family ligands, e.g., neurturin, persephin, and
artemin (Baloh et al., 1997 , 1998 ; Klein et al., 1997 ; Milbrandt et
al., 1998 ; Trupp et al., 1998 ). Thus, not all Ret and IB4-binding
neurons are responsive to GDNF, i.e., express GFR 1. They may instead
share or have exclusive responsiveness to NGF or other GDNF family
members. This is demonstrated by a recent study that showed 30.5% of
mouse DRG neurons that express GFR 3 are IB4-positive (Orozco et al.,
2001 ). Because GFR 3 is the preferred coreceptor for artemin (Baloh
et al., 1998 ), the GFR 3-positive IB4 neuron subset should be less
affected (if at all) by GDNF overexpression. Similarly, DRG neurons
that express the neurturin receptor GFR 2 should also be less
affected by enhanced levels of GDNF.
Phenotypic profiling of sensory populations in transgenic animals
further identified neuronal populations affected by GDNF expression.
The percentage of CGRP neurons was unchanged in transgenic ganglia, as
was the percentage of CGRP neurons that bound IB4. Although we expected
the percentage of neurons that express CGRP and bind IB4 to be
maintained, we did not expect the total population of CGRP neurons to
be maintained because in rat, only 18% of trkA neurons (which are
virtually all CGRP-positive) express the GFR- 1 coreceptor (Bennett
et al., 1998 ). For the purinergic receptor P2X3,
the percentage of labeled neurons was unchanged as well, although the
subpopulation of P2X3 neurons that were
IB4-positive increased from 76 to 89% in transgenic ganglia. This
increase was accompanied by a marked increase in somal size that likely reflects the increase in branching of
P2X3-positive fibers in the epidermis. The
expression of the VR1 in transgenic ganglia was also examined. VR1
receptors bind capsaicin and are expressed in a subset of medium- and
small-diameter primary afferents (Caterina et al., 1997 ).
VR1 / mice lack capsaicin sensitivity
and are also impaired in the detection of noxious heat (Caterina et
al., 2000 ), indicating a dual sensitivity. In rat, 67% of IB4-positive
neurons expressed the VR1 receptor, suggesting VR1 imparts heat
sensitivity to IB4-binding neurons (Guo et al., 1999 ). Given the 50%
increase in IB4-binding neurons in GDNF-OE ganglia, it was surprising
that the percentage of VR1 neurons in transgenics (15.4%) was
statistically unchanged relative to wild-type ganglia (22%). Also
unexpected was the low percentage of IB4-binding neurons in wild-type
and transgenic ganglia that expressed VR1 (2-3%). This low level of
coexpression contrasts with the 67% coexpression in rat. The
percentage of VR1-positive neurons that were IB4-positive in wild types
was also quite low (2.8%), but did increase in transgenic ganglia (8.6%). This responsive population may reflect neurons that are CGRP-IB4-positive, because many CGRP neurons are VR1-positive (data
not shown).
These findings present two possibilities with respect to the role of
VR1 in heat sensitivity of mouse IB4-positive neurons: (1) mouse
IB4-positive neurons are not sensitive to heat or (2) channels other
than VR1 mediate heat sensitivity in these cells. The first possibility
seems unlikely for several reasons. Studies on cultured mouse sensory
neurons by Stucky and Lewin (1999) show that both IB4-positive and
IB4-negative cells exhibit significant heat currents. These cell types
differ in the size of their heat currents (heat currents of
IB4-negative neurons are 70% larger) and density of TTX-resistant
channels (IB4-positive neurons have greater density), but the
percentage of cells responding to heat in each population was the same
(45%). In addition, intracellular recordings by C. J. Woodbury and H. R. Koerber (unpublished data) of intact mouse sensory neurons
show the majority of IB4-positive cells in wild-type mice exhibit brisk
heat responses and that the percentage of responsive cells increases in
GDNF-OE mice. The second possibility, that channels other than VR1 are
responsible for heat sensitivity, is more likely and supported by
studies of VR1 / knock-out mice
(Caterina et al., 2000 ). Although VR1 /
mice exhibit a loss in the capsaicin response, recording from primary
afferent fibers show a reduction, but not absence of a heat response.
The heat response in VR1 / mice, like
wild-type mice, exhibits a tight linear correlation between mean
response rate and temperature, but the slope of this correlation is
less in VR1 / mice, indicating a
reduced response. Thus, for IB4-positive neurons of the mouse, channels
other than VR1 must transduce a heat response.
Given the heat sensitivity of IB4-binding neurons and the
increase in neuron number and afferent projections in GDNF-OE mice, we
tested age-matched animals using several behavioral paradigms with the
expectation that these changes would elicit heightened sensitivity to
noxious stimuli. Remarkably, sensitivity to heat and mechanical stimuli
was unchanged in transgenics relative to wild-type animals. This
finding differs significantly from animals that overexpress NGF in the
skin (NGF-OEs), which have double the number of neurons that express
trkA and CGRP and increased sensitivity on behavioral (Davis et al.,
1993 ) and physiologic (Stucky et al., 1999 ) levels. Because both models
exhibit hyperinnervation and increased cell numbers, what could
underlie the difference between NGF and GDNF responses? One possibility
is that the behavioral assays were not sufficiently sensitive to detect
changes in GDNF-OE animals. This seems unlikely given the anatomical
enhancements and the fact that three different approaches were used
(for heat testing), all of which produced the same result. In addition, studies of primary afferent properties using an ex vivo
preparation (Ritter et al., 2000 ) have shown that GDNF-OE mice have
increased numbers of polymodal nociceptors that exhibit mechanical and
heat sensitivity (Woodbury and Koerber, unpublished data). The
lack of a behavioral phenotype in GDNF-OE mice could possibly result if
the increased expression and transport of GDNF from the periphery to
the spinal cord modifies the dorsal horn environment in a way that
tempers input of noxious stimuli, e.g., by altering gene expression
and/or the neurochemical environment. Enhanced transport of GDNF to the
transgenic spinal cord is suggested based on the increase in GDNF
peptide in transgenic spinal cord measured by ELISA. Additional support
for such a mechanism is provided by immunolabeling studies of normal
rat spinal cord that show GDNF immunoreactivity in the dorsal horn
(Holstege et al., 1998 ) and the finding that GDNF, when applied
intrathecally, is neuroprotective and reverses changes in behavior and
gene expression elicited in models of neuropathic pain (Bennett et al.,
1998 ; Bradbury et al., 1998 ; Boucher et al., 2000 ).
The protective and antinociceptive effects of GDNF and the lack of
behavioral phenotype in GDNF-OE mice contrasts with the biologic
effects associated with increased levels of NGF. For example, when
intrathecally applied, NGF does not reverse the mechanical or thermal
hypersensitivity that develops after a partial ligation of the sciatic
nerve, whereas GDNF applied intrathecally does (Boucher et al., 2000 ).
Mice that overexpress NGF in skin are also hypersensitive to mechanical
and heat stimuli on single afferent and behavioral levels. Also unlike
GDNF-OE mice, NGF-OE mice retain high levels of NGF in the ganglia and
do not transport NGF to the spinal cord (Davis et al., 1994 ). Thus,
both factors serve as target-derived survival factors for nociceptor
development, but in adult systems their mode of action may diverge,
with GDNF having direct central affects, whereas NGF affects peripheral tissues, e.g., regulating inflammatory cascades and gene expression in
spinal ganglia. Having multiple nociceptor systems dependent on the
balanced expression of several growth factors could impart an important
homeostatic function that allows regulation and control of painful
stimuli processing. Perturbations in this balance caused by injury or
disease could underlie conditions in which abnormal pain signaling
persists over extended periods of time.
 |
FOOTNOTES |
Received Nov. 2, 2001; revised Feb. 21, 2002; accepted March 1, 2002.
This work was supported by National Institutes of Health Grants NS31826
(B.M.D.) and NS/GM33730 (K.M.A.).We thank Dr. J. Springer (University
of Kentucky) for providing the GDNF cDNA, Dr. C. Ibáñez (Karolinska Institute) for the Ret cDNA, Dr. R. Elde (University of
Minnesota) for the P2X3 antibody, and Dr. D. Julius
(University of California San Francisco) for the VR1 antibody. We also
thank Dr. B. Maley and M. G. Engle for assistance in electron and
confocal microscopy, Teresa Noel for excellent technical assistance,
and P. Crumrine for his statistical expertise (University of Kentucky).
Correspondence should be addressed to Kathryn M. Albers, Department of
Medicine, Scaife Hall, Room 560A, University of Pittsburgh School of
Medicine, Pittsburgh, PA 15261. E-mail: kaa2{at}pitt.edu.
 |
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Reduced Expression of A-Type Potassium Channels in Primary Sensory Neurons Induces Mechanical Hypersensitivity
J. Neurosci.,
September 12, 2007;
27(37):
9855 - 9865.
[Abstract]
[Full Text]
[PDF]
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K. M. Albers and B. M. Davis
The Skin as a Neurotrophic Organ
Neuroscientist,
August 1, 2007;
13(4):
371 - 382.
[Abstract]
[PDF]
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