The Journal of Neuroscience, August 13, 2003, 23(19):7298-7310
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Neuromuscular Development after the Prevention of Naturally Occurring Neuronal Death by Bax Deletion
Woong Sun,
Thomas W. Gould,
Sharon Vinsant,
David Prevette, and
Ronald W. Oppenheim
Department of Neurobiology and Anatomy, and Neuroscience Program, Wake
Forest University School of Medicine, Winston-Salem, North Carolina
27157
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Abstract
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The removal of excess neurons by programmed cell death (PCD) is believed to
be critical for the proper development and function of the nervous system. A
major role of this neuronal loss is to attain quantitative matching of neurons
with their targets and afferents. Because motoneurons (MNs) in Bax
knock-out (Bax KO) mice fail to undergo PCD in the face of normal
target muscle development, we asked whether the excess rescued neurons in
Bax KO mice can develop normally. We observed many small atrophied
MNs in postnatal Bax KO mice, and these failed to innervate limb
muscle targets. When examined embryonically during the PCD period, however,
these excess MNs had initiated target innervation. To examine whether a
limitation in trophic factor availability is responsible for postnatal MN
atrophy and loss of innervation, we applied glial cell line-derived
neurotrophic factor (GDNF) to neonatal mice. GDNF injection for 7-14 d induced
the regrowth and reinnervation of muscle targets by atrophic MNs in
Bax KO mice and prevented the normal postnatal death of MNs in
wild-type mice. These results indicate that, although initially all of the
MNs, including those rescued by Bax deletion, are able to project to
and innervate targets, because of limited target-derived signals required for
maintaining innervation and growth, only a subpopulation can grow and retain
target contacts postnatally. Although sensory neurons in the dorsal root
ganglia are also rescued from PCD by Bax deletion, their subsequent
development is less affected than that of MNs.
Key words: motoneurons; target dependence; cell death; Bax; mouse; spinal cord; innervation
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Introduction
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Programmed cell death (PCD) is thought to be an important event in the
normal development and maintenance of the nervous system (for review, see
Oppenheim, 1991
). One of the
best-characterized cases of PCD occurs when postmitotic motoneurons (MNs)
begin to form synapses with their corresponding skeletal muscle targets. In
mice, approximately one-half of spinal MNs initially generated undergo PCD
during the 4-6 d period [embryonic day 13 (E13)-E19] after MNs contact their
muscle targets (Lance-Jones,
1982
; Oppenheim et al.,
1986
; Yamamoto and Henderson,
1999
). Competition among MNs for limiting amounts of
target-derived trophic factor (the neurotrophic hypothesis) is thought to be
crucial for this type of PCD (Hamburger
and Levi-Montalcini, 1949
;
Hamburger, 1975
;
Phelan and Hollyday, 1991
;
Caldero et al., 1998
;
Grieshammer et al., 1998
).
Consistent with this hypothesis, the exogenous administration of
target-derived neurotrophic factors diminishes, whereas genetic elimination of
trophic factors or their receptors augments, the PCD of MNs (Oppenheim et al.,
1988
,
1991
,
1992
,
1995
,
2000a
,
2001a
; Sendtner et al.,
1990
,
1992
; Yan et al.,
1992
,
1995
; Henderson et al.,
1993
,
1994
;
Koliatsos et al., 1993
;
DeChiara et al., 1995
;
Pennica et al., 1996
;
Novak et al., 2000
).
MNs undergoing PCD typically exhibit characteristics of apoptosis, such as
cytoplasmic membrane blebbing, nuclear condensation, and DNA fragmentation
(Chu-Wang and Oppenheim, 1978
;
Lo et al., 1995
). Because many
of the gene products regulating apoptosis have been identified, one approach
toward understanding the role of PCD in shaping the number of innervating MNs
is to examine mice deficient in proapoptotic and antiapoptotic genes. The
genetic alteration of either proapoptotic or antiapoptotic Bcl-2
family members rescues MNs from PCD
(Dubois-Dauphin et al., 1994
;
Martinou et al., 1994
;
Deckwerth et al., 1996
;
Lentz et al., 1999
), and, in
fact, the deletion of the proapoptotic gene Bax results in profound
effects on the survival of many kinds of neurons
(White et al., 1998
). Cultured
sympathetic and dorsal root ganglia (DRG) neurons from Bax knockout
(Bax KO) mice can live indefinitely in the absence of trophic factor
in vitro (Deckwerth et al.,
1996
; Lentz et al.,
1999
), and the PCD of facial and spinal MNs in vivo is
greatly reduced or absent after Bax deletion
(Deckwerth et al., 1996
;
White et al., 1998
).
In the present study, we examined neuromuscular development in Bax
KO mice to determine the extent to which rescued MNs can develop normally.
Using this model, we determined that the limb-muscle targets of MNs in the
Bax KO can only support the normal development of a proportion of all
of the surviving MNs, and that treatment with exogenous trophic factor [glial
cell line-derived neurotrophic factor (GDNF)] can rescue this phenotype,
reversing their atrophy and promoting regrowth of the axons of the excess
surviving MNs. Our observations suggest that, even after their developmental
role in regulating MN survival is completed, trophic signals continue to be
required to promote cell growth and to sustain target innervation.
Furthermore, these data show that atrophic Bax KO MNs lacking target
contacts can be induced to reinnervate their targets by treatment with
exogenous GDNF.
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Materials and Methods
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Animals and histology. Heterozygous Bax-mutant mice are
maintained on a C57BL/6 background. Sibling animals at the indicated embryonic
or postnatal stages were collected and individually genotyped by PCR as
described previously (Knudson et al.,
1995
). Embryos or postnatal animals were immersion-fixed in
Bouin's solution, processed, embedded in paraffin, sectioned (8-10 µm), and
stained with thionin. In a few animals, ventral roots (VRs) and dorsal roots
(DRs) and spinal cords were fixed with 4% paraformaldehyde and 2%
glutaraldehyde, postfixed in 2% osmium tetroxide, dehydrated, and embedded in
plastic (Epon). Semithin (1 µm) sections were made, stained with toluidine
blue, and photographed by CCD camera, and thin sections were observed by
electron microscopy.
For quantification of neuronal numbers, spinal cords and brains were fixed
in Bouin's solution, processed for paraffin embedding, sectioned at 8 -10
µm, and stained with thionin. Spinal and facial MNs and sensory neurons
were counted in every 5th or 10th section, according to the criteria described
previously (Clarke and Oppenheim,
1995
), in which only large Nissl-positive cells with a distinct
nucleus and nucleolus are included. Pyknotic neurons were identified and
counted by criteria described previously
(Clarke and Oppenheim, 1995
).
For examination of cell size, spinal cord or brainstem sections (every 10th)
were captured by CCD camera and examined by NIH Image software. Only neurons
with a distinct cell membrane and clear nucleus were included in cell size
measurements. In addition to spinal MNs, facial MNs were also included in our
analysis for two reasons: (1) to demonstrate that the effects of Bax
deletion are not restricted to spinal MNs and (2) because the facial motor
nucleus only contains somatic
-MNs
(Ashwell and Watson, 1983
),
whereas the lumbar signal motor nucleus contains
-MNs and a small
population of interneurons that are sometimes difficult to distinguish
histologically from the small atrophic MNs in the Bax KO.
For immunohistochemical analysis, animals were fixed in 4%
paraformaldehyde, cryoprotected in 30% sucrose, and sectioned (10 -20 µm).
Frozen sections of spinal cords were blocked with 5% goat serum and 0.1%
Triton X-100 in PBS for 30 min, and a cleaved caspase-3-specific antibody
(1:400; Cell Signaling, Beverly, MA) or SMI-32, an MN-specific antibody
(Gotow and Tanaka, 1994
;
Carriedo et al., 1995
;
Bar-Peled et al., 1999
) was
applied overnight (1:1000; Sternberger-Meyer, Jarrettsville, MD). After washes
with PBS, a Cy3-conjugated anti-rabbit antibody (1:400) or an Alexa
594-conjugated anti-mouse antibody (1:400) was applied for 30 min.
Subsequently, sections were washed, counterstained with Hoechst 33342,
mounted, and observed with a fluorescence microscope.
Muscle development. For muscle fiber staining, the triceps muscles
from 1-month-old mice were dissected and quickly frozen in isopentane cooled
in liquid nitrogen. Tissues were then sectioned on a cryostat and stained by
acid ATPase histochemistry (Green et al.,
1982
). To identify the neuromuscular junction, soleus muscles were
fixed in 4% paraformaldehyde. After blocking with 5% BSA and 0.3% Triton X-100
in PBS for 1 hr, a mixture of 2H3 (neurofilament; 1:100; Development Studies
Hybridoma Bank, Iowa City, IA) and SV2 (presynaptic nerve terminal; 1:200;
Development Studies Hybridoma Bank) antibodies were applied overnight at room
temperature (RT). After several washes, Cy3-conjugated anti-mouse antibody
(1:400; Jackson ImmunoResearch, West Grove, PA) and Alexa 594-conjugated
-bungarotoxin (5 µg/ml; Molecular Probes, Eugene, OR) were applied
for 1 hr. The muscles were then washed, mounted, and observed with a
fluorescence microscope.
Retrograde labeling. E14.5 mouse embryos were dissected and
immersion fixed in 4% paraformaldehyde for 2 hr and a DiI crystal was then
deposited at the base of the hindlimb bud. DiI was allowed to transfer to the
limb and spinal cord for 10 d at 37°C. Whole mounts of the limbs were
examined for orthograde labeling of peripheral nerves, and the thickness
(diameter) of the tibial nerve was measured from photomicrographs using NIH
Image software. Similarly, postnatal day 14 (P14) spinal cord was dissected
and fixed, and DiI was deposited into one ventral root [lumbar segment 4
(L4)]. After 40 d, labeled neurons were examined in 20 µm cryostat
sections. For retrograde labeling from limb muscle, 1-month-old mice were
anesthetized, and 10 µl of a 2.5 µg/ml DiI solution in 50% ethanol and
50% DMSO was injected into three to five locations within the gastrocnemius
muscle. Eight days after injection, animals were killed and labeled neurons
were examined in 20 µm sections of the spinal cord. Because the injection
of DiI in whisker pads gave strong background staining of blood vessels, Alexa
488-conjugated cholera toxin B subunit (2-4 µl of 100 µg/µl in PBS;
Molecular Probes) was instead used for retrograde labeling of facial MNs.
Retrograde labeling was used as a measure of innervation (i.e., the presence
of MN axons in target muscles) and is not meant to imply the presence of
structural or functional synapses.
In situ hybridization. Spinal columns were dissected from neonatal
mice (P1-P2), snap frozen in optimal cutting temperature medium (O.C.T.
Tissue-Tek), and sectioned at a thickness of 16 µm. Sections were postfixed
in 4% paraformaldehyde-PBS for 10 min, rinsed in PBS, acetylated for 10 min,
and prehybridized for 2 hr at RT, according to Schaeren-Wiemers and
Gerfin-Moser (1993
). Templates
for the GDNF receptor (c-ret, GFR
1) probes were kindly provided by Dr.
Chris Henderson (Institut National de la Santé et de la Recherche
Médicale, Marseille, France). Digoxigenin-labeled cRNA probes were
diluted in prehybridization solution at a concentration of 200 ng/ml and
incubated at 68°C overnight, rinsed in 5x SSC, incubated at
68°Cin0.2x SSC for 2 hr, rinsed in 0.2x SSC, rinsed in maleic
acid buffer (mab) (125 mM maleic acid, pH 7.5, 150 mM
NaCl), blocked in 2% blocking reagent (Hoffmann-La Roche, Basel,
Switzerland)-mab for 1 hr at RT, blocked in 20% normal sheep serum (Jackson
ImmunoResearch)-2% blocking reagent-mab for 1 hr at RT, and incubated at
4°C overnight in 1/5000 sheep anti-digoxigenin-blocking solution. Sections
were rinsed three times in mab, one time in buffer 3 (100 mM Tris,
pH 9.5, 100 mM NaCl, 50 mM MgCl2) containing
240 µg/ml levamisole, and finally incubated in 1/100 nitroblue
tetrazolium-5-bromo-4-chloro-3-indolylphosphate
(Hoffmann-LaRoche)-levamisole-buffer 3 for 1-8 hr at RT. Sections were rinsed
in buffer 3, postfixed, rinsed in PBS, mounted, and photographed. In a subset
of animals [n = 4 Bax and 4 wild type (WT)], the number of
c-ret-labeled cells in the lumbar ventral horn (VH) was counted in every 15th
section through the entire lumbar region. The identity of the small
immunolabeled profiles as cells was confirmed by Hoechst labeling of all of
the sections (see Results).
PCR. Total RNA was extracted from E14.5 mouse hindlimb muscles
using a total RNA extraction kit (SV total RNA extraction kit; Promega,
Madison, WI). After quantification, 1 µg of total RNA was reverse
transcribed by Moloney murine leukemia virus reverse transcriptase (Promega)
and subsequently PCR amplified using specific PCR primer sets. Ciliary
neurotrophic factor (CNTF), GDNF, and brain-derived neurotrophic factor (BDNF)
cDNAs were amplified by PCR for 33 cycles at 95°C for 45 sec, 58°C for
45 sec, and 72°C for 1 min. As a control, glyceraldehyde-3-phosphate
dehydrogenase (GAPDH) cDNA was amplified by PCR for 28 cycles at 95°C for
45 sec, 58°C for 45 sec, and 72°C for 1 min. Primers were as follows:
for CNTF, 5'-ATG GCT TTC GCA GAG CAA-3' and 5'-CTA CAT TTG
CTT GGC CCC-3' (GenBank #U05342); for GDNF, 5'-CTG ACC AGT TTG ATG
ACG TC-3' and 5'-TCT AAA AAC GAC AGG TCG TC-3'
(Inoue et al., 1999
); for
BDNF, 5'-AGC TGA GCG TGT GTG ACA GT-3' and 5'-TCC ATA GTA
AGG GCC CGA AC-3' (Tirassa et al.,
2000
); and for GAPDH, 5'-CAC CAC CAT GGA GAA GGC C-3'
and 5'-GAT GGA TGC CTT GGC CAG G-3'
(Tirassa et al., 2000
).
Amplified PCR products were resolved in 2.5% agarose gel, stained by ethidium
bromide, and visualized under UV illumination.
GDNF injection. Human recombinant BDNF and GDNF were gifts kindly
provided by Amgen (Thousand Oaks, CA). Factors were injected daily
subcutaneously at a dose of 1 µg/gm of body weight for 7-8 consecutive days
beginning on postnatal day 0. Vehicle (saline) was injected as a control. For
some experiments, GDNF (1 µg) was injected daily directly into the whisker
pad for 14 d, and a retrograde tracer (Alexa 488-cholera toxin B subunit) was
applied on the 12th day, and animals were allowed to survive for an additional
48 hr.
 |
Results
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Absence of PCD in Bax KO mice
We first reexamined PCD in the spinal cord of Bax KO mice. In a
previous study, it was reported that TUNEL+ cells were dramatically
reduced or absent in the LMC and DRG during development of Bax KO
mice (White et al., 1998
). We
also observed that active-caspase-3 immunoreactivity was absent in the LMC and
DRG of E14.5 Bax KO mice, whereas many neurons of wild-type
littermates exhibited active-caspase-3 immunoreactivity
(Fig. 1A,B,E,F).
However, because neurons may degenerate without caspase-3 activation and DNA
degradation (Oppenheim et al.,
2001b
), we also counted the number of pyknotic cells
(Clarke and Oppenheim, 1995
)
after Nissl staining (Fig.
1C,D,G,H). Although we frequently found typical pyknotic
bodies in the LMC and DRG of E14.5 wild-type embryos, these were never
observed in Bax KO mice.

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Figure 1. A, B, E, F, Immunostaining of activated caspase-3 in LMC (A,
E) or DRG (B, F) at E14.5 in WT (A, B) and Bax
KO (E, F) mice. Activated caspase-3 immunoreactivity was never
observed in Bax KO motoneurons or DRG neurons. C, D, G, H,
Nissl staining of E14.5 lateral motor column (LMC) (C,G) or L3 DRG
(D,H) of WT (C,D) and Bax KO (G, H) mice.
Arrows indicate pyknotic cells in WT mice (see also insets in C, D).
Scale bars: F-H (for A-H), 75 µm; insets, 10 µm.
I, Quantification of pyknotic cells in WT and Bax KO mice.
For MNs, values are mean (±SD) numbers of pyknotic cells per 1000
surviving cells. J, K, Quantification of axon numbers in 5-month-old
WT versus BaxKO L5 ventral (J) and dorsal (K)
roots. Values are means ± SDs (n = 3). *p < 0.05.
Myel, Myelinated; Unm, unmyelinated. L, M, Morphology of L5 ventral
root axons in WT (L) and Bax KO (M) mice. Note that
only Bax KO mice exhibit unmyelinated axons (inset in M is
an enlargement of the region indicated by the asterisk). Scale bars:
L (for L, M), 10 µm; inset, 1 µm.
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To determine whether spinal neurons are permanently rescued from PCD in
Bax KO mice, we counted the total number of axons (myelinated and
unmyelinated in the VRs and DRs of 5-month-old mice). When examined in the
electron microscope, the DRs in both Bax KO and WT mice contained
bundles of unmyelinated axons (data not shown), whereas unmyelinated axons
were only observed in the VRs of Bax KO mice
(Fig. 1, compare L,
M). The total numbers of Bax KO DR and VR axons were
173 and 204% of WT controls, respectively
(Fig. 1J,K). Because
40-50% of sensory and motor neurons degenerate during the normal PCD
period (Lance-Jones, 1982
;
Oppenheim et al., 1986
;
Grieshammer et al., 1998
;
Yamamoto and Henderson, 1999
),
the increase in VR and DR axon numbers in the adult Bax KO indicates
a virtual total absence of PCD in the Bax KO mice, and suggests that
cell death is prevented and not merely delayed.
Neuromuscular development is normal in Bax KO mice
We examined the muscles of 1-month-old mice to determine whether the
deletion of Bax modified muscle or neuromuscular junction
development. The wet weights of gastrocnemius and triceps muscles in
Bax KO mice were comparable with those of wild-type littermates
(Fig. 2G). In
addition, the fiber type distribution, the numbers of each fiber type, and the
diameter of individual fibers were comparable in soleus, gastrocnemius, and
triceps muscles of wild-type and Bax KO mice (data not shown)
(Fig. 2D-F).
Examination of neuromuscular junctions in the soleus muscle indicates that
each neuromuscular junction was singly innervated in both the wild-type and
Bax KO mice (Fig. 2, compare
B, C). Finally, the size and morphology of postsynaptic
end plates examined by
-bungarotoxin labeling was found to be similar
in Bax KO and WT mice (data not shown).

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Figure 2. A, Expression levels of neurotrophic factors in E14.5 hindlimbs
measured by semiquantitative reverse transcription-PCR. B, D,
Neuromuscular junctions (NMJ) in the soleus muscle of 1-month-old WT
(B) and Bax KO (D) mice. Postsynaptic acetylcholine
receptors (AChRs) were labeled with Alexa 594- -bungarotoxin (red), and
presynaptic axons-nerve terminal are labeled green. Nerve terminals overlying
AChR appear yellow. Both genotypes show focal innervation of end plates by
single axons, and end plate size and morphology are similar. Scale bar:
D (for B, D), 20 µm. C, E, Examination of muscle
fiber subtype composition using acidic ATPase staining in triceps muscles of
WT (C) and Bax KO (E) mice. In this staining
procedure, different muscle fibers are stained at different intensities (type
1 < type 2b < type 2a). Scale bar: E (for C, E), 20
µm. F, Quantification of muscle fiber numbers in adult triceps.
Five different fields were chosen and different fiber types were counted in
each field and then summated. G, The wet weight of adult
gastrocnemius and triceps muscles in Bax KO mice and WT littermates.
Values are means ± SDs; n = 3 for F and
G.
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To determine whether muscle-peripheral nerve-derived neurotrophic factors
were normally expressed, we compared the mRNA expression of CNTF, GDNF, and
BDNF in the Bax KO and WT hindlimb muscles on E14.5
(Fig. 2A).
Semiquantitative reverse transcription-PCR demonstrated that mRNA levels were
similar in the hindlimb muscles of the two groups, indicating that comparable
amounts of target- or peripheral nerve-derived trophic support were
potentially available to limb-innervating neurons in the Bax KO.
Together, these results suggest that, despite the elimination of neuronal PCD,
neuromuscular development was normal in Bax KO mice.
A proportion of MNs, but not DRG neurons, are markedly atrophied in
Bax KO mice
By counting neurons in Nissl-stained paraffin sections, we found a large
increase in DRG sensory neurons in Bax KO mice at all of the time
points examined (Table 1). In
contrast, when spinal and cranial MNs were counted on P0 (spinal) or P7-P10
(cranial), after the completion of PCD, MN numbers were similar in
Bax KO and WT mice. However, when cell counts were done during the
PCD period (i.e., E14.5 for spinal MNs and P0 for cranial MNs), there were
significantly more cells in the Bax KO mice. This apparent reduction
of MN numbers between embryonic and postnatal stages in the Bax KO
suggests that either the embryonically rescued MNs subsequently degenerate or
are postnatally no longer recognizable as MNs in Nissl-stained sections.
Several lines of evidence indicate that the latter alternative is true. In
semithin sections of P1 spinal cord, we found many small neurons
(Fig. 3F, arrows) in
the VH of Bax KO mice, whereas similar neurons were rarely observed
in the VH of WT mice; the cross-sectional area occupied by the ventral horn
also appeared consistently larger in the Bax KO
(Fig. 3, compare E,
F). In Nissl-stained sections, the small neurons within the
VH of the Bax KO exhibited scant cytoplasm and hence little Nissl
labeling, and accordingly, we refer to them as Nissl negative
(Fig 3B, arrows) (for
spinal MNs, compare A, B) (for facial MNs, compare C, D).
Although these Nissl-negative neurons are morphologically distinct from glia
(Fig. 3B,F,
asterisks), because their soma size and morphology are difficult to
distinguish from small spinal interneurons, they were excluded from our
postnatal MN counts. However, as described below, these are most likely MNs
rescued from PCD after Bax deletion. Similar small atypical MNs were
also present in the VH of adult Bax KO mice (data not shown).

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Figure 3. A, B, Nissl-stained lumbar MNs of P0 WT (A) and
Bax KO (B) mice (motor column enclosed by dotted lines).
Arrowheads in B indicate small neurons within ventral horn motor
column (see also inset). Scale bar: A (for A, B), 50 µm.
C, D, Nissl-stained facial MNs of P10 WT (C) and
Bax KO (D) mice. Scale bar: C (for C, D),
50 µm. E, F, Plastic-embedded (1 µm) sections of lumbar MNs in
the ventral horn of P2 WT (E) and Bax KO (F) mice.
Arrows indicate small atrophied MNs, arrowheads indicate normal MNs, and
asterisks indicate glial cells (inset in E is an enlargement of a
glial cell). Aberrantly small neurons were also evident in the adult spinal
cord ventral horn of Bax KO (data not shown). Scale bar: F
(for E, F), 50 µm. G, H, SMI-32 immunoreactivity in P0
lumbar spinal cord VH of WT (G) and Bax KO (H)
mice. I-L, Localization of c-ret (I, J) and GFR 1
(K, L) mRNAs in P2 WT (I, K) and Bax KO (J,
L) mice. Scale bar: L (for G-L), 50 µm. Arrowheads
in J and L indicate c-ret + atrophic MNs. Insets
in I-L are higher magnifications of c-ret+ and GFR 1
+ normal and atrophic MNs. M-P, Higher magnification
images of c-ret-immunolabeled MNs in the ventral horn of WT (M) and
Bax KO (O) together with Hoechst labeling of MN nuclei in
the same sections (N, P). Scale bar: M (for M-P),
15 µm. Arrows indicate normal large MNs, and small atrophic MNs are
indicated by arrowheads.
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Although these small neurons failed to express the putative MN-specific
marker SMI-32 (Fig. 3, compare G,
H), they retained the MN-specific expression of the GDNF
receptors c-ret and GFR
1 (I-L, arrows). In mice, most lumbar
MNs express c-ret, whereas only a subset of MNs express GFR
1
(Garces et al., 2000
;
Oppenheim et al., 2000). Similarly, in the Bax KO, virtually all of
the small- as well as normal-sized MNs appear to express c-ret, whereas only a
subpopulation of both express GFR
1 mRNA, suggesting that the atrophied
MNs retain a typical MN pattern of neurotrophic factor receptor expression.
Cell counts of all of the c-ret+ cells in the lumbar ventral horn
of WT (n = 4) and Bax KO (n = 4) mice
(Fig. 3, M-P) revealed
a 45% increase in the Bax KO (p < 0.01; t test).
Ultrastructural examination showed that the small neurons in the VH of
Bax KO mice contain only a small amount of cytoplasm and cytoplasmic
organelles such as mitochondria and rough endoplasmic reticulum compared with
the larger, normalsized MNs (Fig.
4). Despite these changes, the atrophic MNs appear otherwise
healthy and exhibit no typical signs of degeneration. Furthermore, immature
axosomatic and axodendritic synapses were present on these cells as well as on
the larger MNs (Fig.
4B,D). These results indicate that, postnatally, the
Bax KO-rescued MNs are atrophied, but, on the basis of cytology,
these cells appear otherwise healthy. Because the SMI-32 antibody recognizes a
nonphosphorylated form of neurofilament protein (neurofilament-H) found only
in the cytoplasm of MNs in the spinal cord
(Gotow and Tanaka, 1994
;
Carriedo et al., 1995
;
Bar-Peled et al., 1999
), the
scant cytoplasm present in the small Bax KO-rescued MNs may not be
sufficient to give a detectable signal. Alternatively, these MNs may not
express neurofilament-H. As described above, however, even the small atrophic
MNs express mRNA for the MN marker c-ret.

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Figure 4. Electron micrographs of MNs in P2 WT (A) and Bax KO
(C) lumbar spinal cord. Dotted lines indicate the soma and proximal
dendrites. Synapses indicated by arrows in A and C are
enlarged in B and D. Although immature, both axodendritic
(B) and axosomatic (D) synapses exhibit postsynaptic
densities (arrows) and synaptic vesicles (arrowheads). Despite being atrophic,
the subpopulation of Bax KO-rescued MNs contain mitochondria (m),
rough endoplasmic reticulum (rer), and Golgi apparatus (g). N, MN nuclei.
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Axons from developmentally rescued MNs in the postnatal Bax
KO do not innervate target muscles
To determine whether the atrophied MNs in postnatal Bax KO mice
innervate their targets, we placed DiI either in the L5 ventral root or in
target muscles and examined whether the cell bodies were retrogradely labeled.
After DiI deposition in the P14 ventral root (L5) of WT mice, we found that
only large, Nissl-positive MNs in the ipsilateral VH were brightly labeled
(Fig. 5A-C). In
contrast, many of the small, Nissl-negative as well as the large,
Nissl-positive MNs were labeled in Bax KO mice
(Fig. 5D-F, arrowheads
and insets). A size-frequency histogram demonstrates that there is a group of
small labeled neurons (<100 µm2) in the Bax KO that
are absent in WT mice (Fig.
5G). After injection of DiI into adult gastrocnemius
muscle, however, small labeled MNs were never observed in either 1-month-old
wild-type or Bax KO mice (Fig.
5H,I)(n = 3). Similarly, we never observed
retrograde labeling of small Nissl-negative facial MNs at P14; the total
number of labeled facial MNs was similar in WT versus Bax KO mice
after whisker pad injection of a retrograde tracer (see
Fig. 8E). Finally, in
a previous study, we observed that injection of DiI into middle to distal
regions of the sciatic nerve immediately after axotomy at that site on P2
(Sun and Oppenheim, 2003
)
fails to label any small atrophic MNs in the Bax KO. From these data,
we conclude that, by P2, the Bax KO-rescued MNs have withdrawn their
axons to a site between the ventral root and the middle to distal sciatic
nerve.

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Figure 5. Retrograde labeling by DiI from the ventral root in P14 WT (A-C)
or Bax KO (D-F) mice. Comparison of Nissl stained (A,
D) and DiI labeled (B, E) (see also merged image in C,
F) shows that both small Nissl-negative and large Nissl-positive MNs are
DiI labeled in Bax KO mice. Insets show example of a small
DiI-labeled neuron in Bax KO. Arrows indicate retrogradely labeled
atrophic MNs in Bax KO mice. In A-C, ventral-dorsal is
up-down, respectively, and medial-lateral is left-right, respectively.
However, to include insets in D-F, the orientation is reversed.
G, Size-frequency histogram of DiI-labeled neurons. The number of
labeled neurons was counted in every 10th section from three different animals
and summated. Bax KO has an additional peak of small neurons in
addition to the typical large MNs. H, I, DiI labeling of MNs from
muscle in P28 WT (H) and Bax KO (I) mice. No small
atrophied neurons were labeled in either group. Scale bars: D (for
A-F), I (for H, I), 100 µm; D, inset
(for D-F, insets), 10 µm. J-P, Immunostaining of tubulin
(K, N) and peripherin (L, O) in the distal sciatic nerve of
WT (K, L) and Bax KO (N, O) mice (see also merged
images in M and P). Peripherin+ small-sized
sensory axons were more abundant in Bax KO mice, whereas the number
of large tubulin +, peripherin - axons was comparable in
the two genotypes (J). Five different fields in each nerve were
examined after double staining in each animal, and the numbers of double- and
single-labeled axons were counted. Values are means ± SDs; n =
4; *p < 0.05, t test, WT versus Bax KO. Scale
bar, N (for K-P), 50 µm.
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Figure 8. A-D, Retrograde labeling of facial MNs in WT (A, B) and
Bax KO (C, D) mice 14 d after intramuscular (whisker pad)
injection of saline (A, C) or GDNF (B, D). Scale bar:
D (for A-D), 50 µm. E, Quantification of total
labeled facial MN numbers after 8 d of subcutaneous injection or 14 d of
intramuscular injection of saline (Sal) or GDNF. Values are means ± SD;
n = 3; *p < 0.05 compared with P0 value;
++p < 0.05 compared with saline-treated group. F,
G, Electron micrographs of lumbar MNs in saline (F)- or GDNF
(G)-treated (1 µg/gm of body weight, s.c. injection) Bax
KO mice on P7. Dotted lines indicate the soma of atrophic MNs (A) adjacent to
a healthy normal (N) MN. gc, Glial cell. Arrows in G indicate growth
cones. A growth cone is shown at a higher magnification in the inset to
G. Scale bars: F, 10 µm; G, 10 µm; inset, 2
µm.
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We also examined the distal sciatic nerve of adult Bax KO mice and
wild-type littermates after double immunofluorescence staining with
-tubulin (TuJ-1) and peripherin antibodies. We used a peripherin
antibody that only labels sensory axons together with the
-tubulin
antibody, which labels both sensory and motor axons, to quantify the number of
distal sensory and motor axons in Bax KO mice. Although MNs were
never labeled by peripherin, peripherin strongly stained small- to mediumsized
DRG neurons and weakly stained large DRG neurons (data not shown). Although
the total number of
-tubulin-labeled axons in the Bax KO mice
did not quite reach statistical significance (p < 0.10, n
= 3) (Fig. 5J), the
number of
-tubulin+/peripherin+ sensory axons was
significantly increased by 44%, whereas the number of
-tubulin+/peripherin- motor axons was unchanged
(n = 3) (Fig.
5K-P), indicating that the number of motor axons reaching
the distal sciatic nerve was similar in Bax KO and WT mice. Although
we cannot exclude the possibility that small, unmyelinated motor axons were
not labeled (or not visible), many of the small unmyelinated,
peripherin+ sensory axons in the Bax KO were, in fact,
detectable in these preparations. Additionally, the absence of retrograde
labeling of small atrophic MNs after either sciatic nerve or muscle injection
of DiI (Fig. 5H,I) is
consistent with our interpretation that atrophic spinal MNs in the postnatal
Bax KO do not innervate target muscles in the hindlimb.
Development of MNs during the PCD period in Bax KO mice
Because the number of Nissl-positive MNs is increased in Bax KO
versus WT mice when examined during the embryonic PCD period, we next asked
whether these excess MNs are initially able to innervate their targets. The
size of MNs in the E14.5 Bax KO appears somewhat smaller than in WT
embryos (Fig. 6, compare A,
B), and a size-frequency profile is consistent with this
impression (C). This is in striking contrast to the situation in
postnatal animals in which two MN groups (normal-sized and atrophic MNs) were
clearly distinguished (Fig.
5G). A similar developmental profile was also observed
for the size of facial MNs in the Bax KO mice (data not shown). To
examine limb innervation on E14.5, DiI was placed distal to the plexus region
of the hindlimb bud to orthogradely label limb nerves and retrogradely label
spinal neurons. Although quantification of axon numbers was not possible, the
Bax KO mice appear to have an increased number of nerve fibers
innervating the limb (Fig. 6, compare
D,F, E,G). For example, when we examined whole mounts
from 13 DiI-labeled embryos without previous knowledge of genotype (blinded),
the three embryos judged to have the greatest amount (density) of limb
innervation were all Bax KO animals; the remaining 10 embryos were
either heterozygote or wild-type mice. In higher magnification views of the
tibial nerve just distal to the branching point, all of the Bax KO
mice exhibit a thicker nerve (Fig. 6,
compare E, G). In fact, measures of the thickness
(micrometers) of the tibial nerve indicates that it is significantly larger in
the Bax KO (18.7 ± 5.6 in WT vs 35.9 ± 6.1 in the
Bax KO; n = 3; p < 0.05; t test). In
the spinal cord of these same embryos, there was intense and widespread DiI
labeling in both the DRG and spinal motor column, suggesting that virtually
all of the motor and sensory neurons had projected axons to the limb bud at
E14.5 (Fig. 5 H, I).
Together, the embryonic and postnatal results indicate that, whereas all of
the MNs initially innervate the hindlimb in the Bax KO embryo, a
subset of Bax KO MNs fail to maintain innervation postnatally and
become atrophied.

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Figure 6. A-C, Comparison of MN size in lumbar VH of E14 WT (A) and
Bax KO (B) mice. Dashed lines in A and B
indicate medial border of the ventral horn. The size-frequency histogram shows
that Bax KO MNs (n = 4) are smaller than WT MNs (n
= 3) (C). Ventral (D-G) views of orthogradely labeled
developing nerves in hindlimb whole mounts of E14 WT (D, F) and
Bax KO (E, G). Arrowheads and arrows in
D-G indicate tibial nerve. Arrows in insets indicate where
tibial nerve diameter is measured. Higher magnification of the tibial nerve
branch shows that the nerve in Bax KO (G) appears thicker
and more arborized than in WT (F). H, I, Retrograde labeling
of neurons in the VH and DRG of WT (H) and Bax KO
(I). Scale bars: B (for A, B), 50 µm; E
(for D, E), 1 mm; G (for F, G), 100 µm;
I (for H, I), 100 µm; G, inset (for F,
G, insets), 20 µm. J-M, Retrograde labeling of facial MNs
from the whisker pad for P6-P7 (J, L) or P3-P7 (K, M) in WT
(J, K) and Bax KO (L, M) mice (see Results). Arrows
indicate a subpopulation of atrophic MNs retrogradely labeled in Bax
KO mice (see also insets J vs L showing individual labeled
normal vs atrophic MNs). Scale bars: J (for J-M), 50 µm;
L, inset (for J, L, insets), 10 µm. N,
Quantification of retrogradely labeled healthy (open bars) or atrophic (closed
bars) MNs (n = 3). *p < 0.05, compared with P3-P4 value;
+p < 0.05, compared with P3-P7 value; t
tests.
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To directly examine the retraction of axons and the atrophy of Bax
KO MNs, we applied a retrograde tracer (Alexa 488-conjugated cholera toxin B
subunits) into the whisker pad of P3 or P6 WT and Bax KO mice, and
counted the number of labeled MNs (Fig.
6J-N). Because the PCD of facial MNs occurs between E16
and P7, postnatal labeling of innervating MNs provides a means of assessing
the extent of atrophy and axon retraction by excess Bax KO-rescued
MNs. In Bax KO mice, we found many very small (<100
µm2) retrogradely labeled MNs
(Fig. 6L, inset) on P3
through P8, whereas by P14 such atrophic neurons could no longer be
retrogradely labeled (Figs.
6L,
8C). In contrast,
labeled atrophic MNs were never observed at any age in WT mice. To quantify
the cellular atrophy and axon retraction, healthy and atrophic (<100
µm2) retrogradely labeled MNs were counted separately after
different labeling schedules. In WT mice, there were fewer retrogradely
labeled facial MNs on P7 after tracer injection on either P3 (4 d survival) or
P6 (1 d survival) compared with the number present on P4 after tracer
injection on P3 (Fig.
6N). This reduction between P3 and P7 most likely
reflects the normal postnatal PCD of facial MNs during this period
(Ashwell and Watson, 1983
). In
contrast, a similar comparison in the Bax KO indicates that, between
P3 and P7, there is a reduced number of labeled normal MNs and an increased
number of labeled atrophic MNs, resulting in no net change in the total number
of labeled MNs (2190 ± 151 vs 2267 ± 30; n = 3). This
is consistent with a subpopulation of MNs becoming atrophic between P3 and P7
in the Bax KO mice. Many Bax KO facial MNs remain atrophic
into adult stages (White et al.,
1998
). A comparison of labeled MNs on P7 after tracer injection on
P3 versus P6 in the Bax KO shows similar numbers of normal large MNs
in the two groups but a reduction in the number of labeled atrophic MNs
present on P7 in the P3-versus-P6 injected group
(Fig. 6). This is consistent
with the occurrence of axon retraction and target denervation by a
subpopulation of facial MNs between P3 and P6 in the Bax KO mice.
Postnatal injection of GDNF rescues late dying WT MNs from normal PCD
and induces growth of the atrophic Bax KO-rescued MNs
Our examination of MN development in Bax KO mice indicates that a
proportion of MNs are unable to differentiate normally and fail to maintain
target innervation beyond the embryonic period (spinal MNs) or the early
postnatal period (facial MNs). We reasoned that a plausible explanation for
this failure could be insufficient trophic support from target muscles; that
is, although because of Bax deletion, these MNs can survive
independent of target-derived survival signals, they may still require trophic
support for cellular growth and maintenance of innervation, and this putative
trophic support may in some sense be limiting. To test this, we applied
exogenous trophic factor (GDNF) to postnatal Bax KO mice and observed
whether such treatment could prevent or reverse MN atrophy
(Fig. 7). We chose GDNF for
this study, because it is a potent survival factor for embryonic MNs
(Henderson et al., 1994
;
Oppenheim et al., 2000a
), and
because we recently found that neonatal axotomy increased GDNF expression in
the proximal nerve, resulting in regrowth of the subpopulation of atrophic
Bax KO MNs (Sun and Oppenheim,
2003
). We injected GDNF subcutaneously daily (1 µg/gm of body
weight) from P0. Both wild-type and Bax KO mice treated with GDNF
exhibited a retardation of the normal increase in body weight and a severe
motor tremor (data not shown), as has been reported previously
(Keller-Peck et al., 2001
).
Because many animals died after 9 -10 d of subcutaneous GDNF treatment, we
examined animals after 7 d of daily injections when all of the animals
appeared healthy and viable. Wild-type mice treated with GDNF exhibited 22%
more lumbar MNs on P7 compared with saline-injected control animals, whereas
Bax KO mice treated with GDNF had 47% more discernible (i.e., large
Nissl-positive) lumbar MNs compared with saline-treated Bax KO mice
(Fig. 7A). In
contrast, BDNF treatment (daily subcutaneous injection; 1 µg/gm of body
weight) did not affect the number of discernible MNs in either group.
Examination of the distribution of lumbar spinal MNs along the rostrocaudal
axis after GDNF treatment showed that the number of caudal lumbar MNs was
selectively increased in GDNF-injected WT mice, whereas more MNs were present
in both rostral and caudal regions in Bax KO mice
(Fig. 7B). Because the
small amount of normal postnatal PCD of lumbar MNs occurs primarily in caudal
segments (Yamamoto and Henderson,
1999
; Oppenheim et al.,
2000a
), these data suggest that prevention of postnatal PCD is
responsible for the increase in MN number in WT animals, whereas the marked
increase in MNs in Bax KO mice is attributable to the growth of the
atrophic Bax KO-rescued MNs, which are located in all segments of the
lumbar spinal cord.

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Figure 7. The effect of postnatal GDNF treatment in WT and Bax KO mice. GDNF
and BDNF were injected subcutaneously from P0 for 7 consecutive days, and the
number of MNs (mean ± SD) in spinal cord (A, right) and facial
nucleus (C, right) were counted at P7 (n = 3 for
A-C) (*p < 0.01). The left side of A and
C shows the number of MNs at different ages in untreated animals.
B, Number (mean ± SD) of MNs in the rostral or caudal
one-fifth of lumbar spinal cord after 1 week of GDNF injections (*p
< 0.01). D, Size-frequency histogram of facial MNs in WT and
Bax KO mice after GDNF treatment. The number of labeled neurons was
counted in every 10th section from three different animals and summated.
Because atrophic MNs in saline-treated Bax KO mice did not meet
counting criteria, only Nissl-stained, healthy MNs were included in this
analysis (see Results).
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The effect of GDNF treatment was even more profound for facial MNs. There
were 59% more MNs in WT and 130% more MNs in Bax KO mice on P7 after
GDNF treatment (Fig.
7C). The number of facial MNs in P7 GDNF-treated WT mice
is close to the P0 value for WT facial MN number, whereas the number of facial
MNs in GDNF-treated Bax KO mice is similar to the number of MNs
present before the embryonic onset of PCD on E16
(Ashwell and Watson, 1983
).
Therefore, GDNF appears to completely prevent the postnatal PCD of facial MNs
in WT mice and rescues cell size in all of the atrophied facial MNs in
Bax KO mice.
The soma size of facial MNs was markedly affected by GDNF
(Fig. 6D). Soma
size-frequency profiles of saline-treated WT and Bax KO facial MNs
were similar. In GDNF-treated WT mice, MNs >250 µm2 were
greatly increased, whereas the number of MNs in GDNF-treated Bax KO
mice was increased in all of the cell size categories
(Fig. 7D). Because we
excluded the small atrophic (Nissl-negative) neurons in the saline-treated
Bax KO group from the soma size analyses, the increase in the number
of small neurons in GDNF-treated Bax KO mice is attributable to the
presence of previously atrophic neurons that were now increased in size, so
that they met our criteria (e.g., Nissl-positive) for inclusion in both the
cell counts and MN soma size measures (see Materials and Methods). These
results indicate that GDNF increased the soma size of both normal and atrophic
MNs in WT and Bax KO mice.
GDNF induces regrowth and reinnervation of axons of the Bax
KO-rescued MNs
Because previous studies have demonstrated that GDNF promotes MN survival
but fails to prevent axonal degeneration in a mouse model of MN disease (Sagot
et al., 1996
,
1998
), we examined whether
GDNF can induce axonal growth and target muscle reinnervation by the excess
Bax KO-rescued MNs. After 6 d of daily subcutaneous GDNF treatment,
we injected a retrograde tracer into the whisker pad, the target of a subset
of facial MNs, and assessed the number of retrogradely labeled MNs 2 d after
tracer injection (Fig. 8).
Although there was a significant increase in the number of labeled MNs in the
GDNF-versus saline-treated Bax KO mice [2549 ± 77 (n
= 3) vs 1690 ± 139 (n = 3)], labeled MN numbers in the
GDNF-treated Bax KO mice were similar to the number of labeled MNs in
P1 Bax KO mice [2549 ± 77 (n = 3) vs 2635 ±
220 (n = 3)]. These results suggest that, whereas 8 d of GDNF
injection completely inhibited additional postnatal axon retraction, such
treatment failed to induce target reinnervation by already atrophied and
denervated MNs. Because most mice injected subcutaneously with GDNF from P0
died after 9 -10 d, we used an alternative method of injection to address the
question of whether a longer duration of GDNF treatment could promote
reinnervation. Mice that received intramuscular injections of GDNF (1
µg/mice) daily into the whisker pad were viable for >2 weeks, with only
minor side effects such as weak tremor and a slight retardation of body
growth. Accordingly, we examined the number of retrogradely labeled facial MNs
on P14 after 2 weeks of GDNF treatment
(Fig. 8A-E). After
saline treatment, the number of labeled MNs in Bax KO mice was not
significantly different from that in WT mice, indicating that all of the
atrophic Bax KO-rescued MNs failed to innervate their targets by 2
weeks. In contrast, when compared with the Bax KO saline group, GDNF
treatment for 2 weeks resulted in a 307% increase in the number of labeled MNs
in the Bax KO (Fig.
8E). Because these animals also had significantly more
labeled MNs than did the P1 Bax KO group, these data indicate that 2
weeks of daily GDNF treatment (P0 -P13) induced most of the Bax
KO-rescued subpopulation of facial MNs to regrow axons to their whisker pad
targets. Although it is possible that these increases in retrograde labeling
after GDNF treatment could reflect effects that are independent of regrowth
and reinnervation (e.g., terminal sprouting, resulting in increased uptake of
tracer or enhanced retrograde transport), we consider this unlikely. First,
atrophic MNs were never retrogradely labeled in the Bax KO mice.
Second, we also observed that, after only 7 d of subcutaneous injection of
GDNF, there appear to be increased numbers of well defined growth cone-like
profiles (for similar examples of spinal cord growth cones, see
Foelix and Oppenheim, 1973
;
Skoff and Hamburger, 1974
;
Vaughn et al., 1977
) in the
ventral spinal cord of Bax KO mice, suggesting that GDNF, acting
either directly or indirectly, also induces neurite growth and synaptogenesis
within the spinal cord of Bax KO mice
(Fig. 8, compare F,
G). Finally, results from retrograde labeling with DiI, which
acts by passive diffusion in the cell membrane and not by active fast
axoplasmic transport (Honig and Hume,
1989
), were similar to that after cholera toxin labeling (data not
shown).
 |
Discussion
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Since its discovery almost a decade ago as a proapoptotic member of the
Bcl-2 gene family (Oltvai et al.,
1993
), Bax has been shown to be essential for the PCD of
several populations of developing neurons
(Deckwerth et al., 1996
;
Vekrellis et al., 1997
;
White et al., 1998
;
Lentz et al., 1999
;
Patel et al., 2000
;
Fan et al., 2001
;
Li et al., 2001
). In addition
to its role in the execution pathway during neuronal PCD, a related question
that has received much less attention is the extent to which neurons rescued
from PCD by Bax deletion can grow, differentiate, and function
normally in vivo.
Absence of PCD but normal neuromuscular development in Bax
KO mice
Using a variety of methods, we confirmed and extended a previous report
that the PCD of sensory (DRG) and motor neurons is absent in Bax KO
mice (White et al., 1998
).
Because the TUNEL technique used by White et al.
(1998
) may not detect neurons
undergoing PCD by a nonapoptotic pathway
(Oppenheim et al., 2001b
;
Yaginuma et al., 2001
), we
used additional criteria of cell death including morphological indices at the
light- and electron-microscopic levels as well as caspase activation.
Regardless of the technique used, we were unable to detect PCD of sensory or
motor neurons. In addition, we found that the number of axons in the VR and DR
of adult Bax KO mice animals was greatly increased, consistent with
the complete rescue of these populations from PCD.
On the basis of a number of quantitative and histological criteria, the
limb muscles of WT and Bax KO mice were indistinguishable, suggesting
that neither endogenous Bax within muscle cells nor the excess number
of proprioceptive DRG sensory neurons or MNs in the Bax KO mice
altered muscle development. Similarly, when examined during the PCD period,
comparable amounts of mRNAs for GDNF, CNTF, and BDNF were expressed in the
limb muscles of Bax KO mice and WT littermates. Therefore, it is
unlikely that the rescue of sensory or motor neurons in the Bax KO
mice can be explained by an indirect effect on their targets. Although we did
not attempt to quantify the number of neuromuscular synapses in WT versus
Bax KO muscles, because we did not find any alterations in the size
or shape of end plates and because, despite the presence of excess MNs,
individual end plates were innervated by a single axon in both WT and
Bax KO mice, neuromuscular innervation appears to be normal after
Bax deletion. This was our first indication that the subpopulation of
MNs rescued from PCD in the Bax KO may be unable to sustain target
innervation.
Atrophic changes in the excess MNs rescued from PCD in Bax
KO mice
We found that a subpopulation of the MNs in Bax KO mice apparently
undergo a gradual atrophy between embryonic and postnatal stages. Because
these atrophied MNs have little rough endoplasmic reticulum, which is the
substrate for Nissl stains (Lieberman,
1974
), they appear as Nissl-negative profiles in histological
sections. Because the atrophy of cultured sympathetic neurons from
Bax KO can be reversed by treatment with NGF
(Deckwerth et al., 1996
), we
reasoned that the atrophy of a subpopulation of MNs in the Bax KO
mice may also be attributable to trophic factor deprivation. Our observation
that the treatment of Bax KO mice with GDNF can reduce MN atrophy is
consistent with this idea. Furthermore, we found that axotomy-induced target
deprivation in neonatal Bax KO mice fails to induce PCD, but
increases the number of MNs that are atrophied
(Sun and Oppenheim, 2003
).
Together, these data indicate that the atrophied MNs in the Bax KO
may be unable to obtain sufficient target-derived trophic support to maintain
normal growth and development. In fact, we find that, although all of the MNs
in the Bax KO appear to initiate target innervation in the embryo, by
the end of the PCD period on E19-P1 for spinal MNs and by P7-P14 for facial
MNs, the subpopulation of atrophied MNs fail to maintain target
innervation.
On the face of it, the atrophy and loss of innervation by the excess MNs in
the Bax KO mice may appear inconsistent with the situation after the
rescue of MNs by activity blockade. In both chick and mouse embryos, the loss
of neuromuscular activity rescues virtually all of the MNs from PCD
(Oppenheim et al., 2000b
;
Banks et al., 2001
;
Terrado et al., 2001
;
Misgeld et al., 2002
;
Brandon et al., 2003
), yet the
excess MNs grow and differentiate normally and maintain target innervation.
However, in the case of activity blockade, MN axons branch profusely
intramuscularly at the very onset of both innervation and PCD, resulting in
increased access of MNs to target-derived trophic support
(Oppenheim et al., 2000b
),
which promotes growth and differentiation and maintains innervation. It is
likely this difference between MNs rescued by activity blockade versus by
Bax deletion that is crucial for the occurrence of atrophy and loss
of innervation in the Bax KO mice.
In striking contrast to MNs, the growth of other populations of spinal
neurons appears to be less affected by Bax deletion. For example, DRG
neurons remain Nissl positive, and although moderately reduced in size, they
retain the cytological criteria for inclusion in cell counts at all stages of
development. Whereas postnatally a subpopulation of Bax KO MNs are
atrophied and Nissl negative, and therefore excluded from our cell counts
(thus, MN numbers are similar in WT and Bax KO), we consistently
found 150 -200% more DRG neurons in Bax KO mice at all of the time
points examined. Therefore, although, as a population, Bax KO-rescued
DRG neurons are somewhat smaller than normal, they appear considerably less
affected than MNs. Recently, Patel et al.
(2000
) reported increased
numbers of sensory fibers innervating central and peripheral targets at P0 in
Bax KO mice, and they showed that the peripheral innervation is NGF
dependent (Patel et al.,
2000
). We also find that, even in the adult, there are increased
numbers of peripherin+ (sensory) axons in the distal sciatic nerve
of Bax KO mice. Therefore, the excess sensory neurons in Bax
KO mice may be able to maintain target innervation, which is likely to be
responsible for the reduced atrophic phenotype of DRG neurons.
Postnatal application of GDNF rescues MNs from death and atrophy
Our observations indicate that neuromuscular development in Bax KO
mice is normal, and that, despite the presence of excess MNs, hindlimb muscles
can only support innervation by control numbers of MNs (i.e., approximately
one-half of the MNs present after Bax deletion). From this
perspective, it appears that the remaining MNs are unable to maintain
innervation and thus undergo atrophy. We reasoned that, if these deficits were
caused by insufficient target-derived trophic support, then treatment with
exogenous trophic factors might be able to reverse the deficits. We chose
GDNF, because it is a potent survival factor for embryonic MNs and is present
in embryonic muscles and Schwann cells
(Henderson et al., 1994
;
Oppenheim et al., 1995
;
Garces et al., 2000
;
Oppenheim et al., 2000a
). In
addition, GDNF appears to be involved in the regulation of neuromuscular
development at multiple stages, including MN survival, axonal growth, and
postnatal remodeling of innervation
(Nguyen et al., 1998
;
Costantini and Isacson, 2000
;
Widmer et al., 2000
;
Keller-Peck et al., 2001
;
Linnarsson et al., 2001
).
Furthermore, in a separate study, we found that the loss of proximal axons
from the atrophied MNs in the Bax KO could be prevented by putative
endogenous regeneration signals after neonatal axotomy, and that the
expression of GDNF is upregulated in the proximal sciatic nerve after axotomy
(Sun and Oppenheim, 2003
). For
these reasons, GDNF appeared to be a good candidate as a trophic signal
responsible for the regrowth of axons in this situation.
The postnatal injection of GDNF completely inhibited the late stage of
normal PCD of facial and spinal MNs in WT mice. Because the PCD of mouse
facial MNs occurs between E16 -P7, the application of GDNF was begun in the
middle of the PCD period for facial MNs (P0). We found a 47% increase in MN
number in WT mice, indicating that nearly all of the postnatal MN death was
prevented by GDNF. This was surprising in that neither single nor combinations
of exogenous neurotrophic factor(s) have been shown previously to completely
block PCD (Oppenheim, 1996
).
Part of the reason for this striking effect may be that GDNF appears to be
more effective during late stages of PCD. In the chick, application of GDNF
in ovo at early stage (E5-E9) rescued 25% of spinal MNs from PCD,
whereas treatment from E9 completely prevented PCD during this late stage in
the cell death period (Oppenheim et al.,
1995
). GDNF has also been shown to completely prevent postnatal MN
death in an in vitro spinal cord slice model
(Rakowicz et al., 2002
). We
are currently examining the mechanisms by which GDNF has such a striking
effect on postnatal MN survival.
In addition to preventing postnatal PCD in WT mice, GDNF also reverses the
atrophy of excess MNs in the Bax KO. Approximately 47% more spinal
MNs were Nissl positive and thus were now included in the cell counts of
GDNF-treated Bax KO mice. The effect of GDNF on facial MNs in the
Bax KO mice was even more profound in that virtually all of the MNs
now met the criteria for inclusion in cell counts. Accordingly, the number of
facial MNs in GDNF-treated Bax KO mice was similar to the number of
MNs present before the onset of PCD on E15-E16. The soma size of GDNF-treated
MNs was significantly larger than MNs in the saline-treated group of both WT
and Bax KO mice, indicating that GDNF can induce the growth of both
normal and atrophied MNs. Consistent with these observations, a
growth-promoting effect of GDNF on injured MNs has also been reported
(Oppenheim et al., 1995
;
Yan et al., 1995
;
Hottinger et al., 2000
). We
also observed many growth cone-like profiles in the ventral horn of the
Bax KO spinal cord after treatment with GDNF, suggesting that GDNF
may induce axonal or dendritic growth and synaptogenesis in the spinal cord.
These data indicate that the subpopulation of MNs that would have normally
been lost by PCD, but are rescued by Bax deletion, retain the
capacity to regrow and reinnervate peripheral targets in response to trophic
signals such as GDNF.
A model for explaining the development of excess MNs in Bax
KO mice
At the peak period of PCD for spinal (E14.5) and facial MNs (P0), when the
excess MNs are Nissl positive and can be readily counted in Bax KO
mice, the overall size of MNs appears to be only moderately reduced compared
with normal WT MNs. In contrast, by the end of the PCD period, the excess MNs
become severely atrophied, and only control numbers of MNs that retain a
normal size and morphology are present. A comparison of the smallest cell
sizes in embryonic versus postnatal Bax KO mice suggests that the MNs
actually atrophy versus exhibit arrested growth. We postulate that, in WT
mice, as MNs undergo normal PCD and are eliminated from the competitive pool,
there would be more target-derived trophic factors available for the survival
and growth of the remaining MNs. However, because the subpopulation of MNs
that would normally undergo PCD are retained after Bax deletion,
competition among MNs for access to limiting amounts of trophic support from
the target is increased, resulting in the retarded growth of a proportion of
the surviving MNs and a gradual loss of innervation. A similar hypothesis has
been proposed to explain the atrophy and reduced neurite growth of cultured
Bax-deficient sympathetic neurons
(Deckwerth et al., 1996
) and
the reduced cell size of mouse spinal MNs in vivo rescued from
developmental PCD by overexpression of the antiapoptotic gene Bcl-2
(Zup et al., 2003
).
What are initially only small differences in the access to target-derived
trophic signals between MNs may affect the growth rate of their axons, which
could further increase differences in their capacity to grow and acquire
target-derived trophic support. The ability of GDNF to reverse this process in
postnatal Bax KO animals (Fig.
9) suggests that GDNF affects primarily terminal growth and
extension of axons, although we cannot exclude an effect on intercalary axonal
growth (Goldberg, 2003
).
Whether the Bax KO MNs that reinnervate their targets after GDNF
treatment can form functional synaptic contacts and contribute to motor
behaviors is currently under investigation.

View larger version (36K):
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|
Figure 9. A schematic model of the development of Bax KO neurons after the
elimination of PCD. In wild-type animals (A), excess MNs are
eliminated from competition during the PCD period, so that the remaining MNs
can now obtain sufficient trophic support for normal growth and survival. In
contrast, because excess MNs in Bax KO mice (B) survive and
compete for trophic support, the growth of all of the MNs is initially
retarded. However, as a result of increasing limb size, the excess MNs whose
axonal growth is slower than that of normal MNs lose contact with targets,
which causes them to atrophy. As a consequence of the loss of competition from
the excess MNs, the remaining MNs grow, differentiate normally, and maintain
synaptic contact with the target. Postnatal treatment with GDNF (C)
is able to rescue MNs from atrophy and loss of innervation.
|
|
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Footnotes
|
|---|
Received Oct. 8, 2002;
revised Jun. 17, 2003;
accepted Jun. 18, 2003.
This work was supported by National Institutes of Health Grant NS20402 to
R.W.O. We thank Carol Mansfield for her assistance.
Correspondence should be addressed to Dr. Ronald W. Oppenheim, Department
of Neurobiology and Anatomy, Wake Forest University School of Medicine,
Winston-Salem, NC 27157. E-mail:
roppenhm{at}wfubmc.edu.
W. Sun's present address: Department of Anatomy, College of Medicine, Brain
Korea 21, Korea University, 126-1 Anam-Dong, Sungbuk-Gu, Seoul, Korea
136-705.
Copyright © 2003 Society for Neuroscience
0270-6474/03/237298-13$15.00/0
 |
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