The Journal of Neuroscience, August 27, 2003, 23(21):7783-7788
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Transplanted Olfactory Ensheathing Cells Promote Regeneration of Cut Adult Rat Optic Nerve Axons
Ying Li,1
Yves Sauvé,2
Daqing Li,1
Raymond D. Lund,2 and
Geoffrey Raisman1
1Division of Neurobiology, Norman and Sadie Lee
Research Centre, Medical Research Council National Institute for Medical
Research, London NW7 1AA, United Kingdom, and 2 Moran
Eye Center, University of Utah Health Sciences Center, Salt Lake City, Utah
84132
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Abstract
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Transplantation of olfactory ensheathing cells into spinal cord lesions
promotes regeneration of cut axons into terminal fields and functional
recovery. This repair involves the formation of a peripheral
nerve-like bridge in which perineurial-like fibroblasts are organized into a
longitudinal stack of parallel tubular channels, some of which contain
regenerating axons enwrapped by Schwann-like olfactory ensheathing cells. The
present study examines whether cut retinal ganglion cell axons will also
respond to these cells, and if so, whether they form the same type of
arrangement. In adult rats, the optic nerve was completely severed behind the
optic disc, and a matrix containing cultured olfactory ensheathing cells was
inserted between the proximal and distal stumps. After 6 months, the
transplanted cells had migrated for up to 10 mm into the distal stump.
Anterograde labeling with cholera toxin B showed that cut retinal ganglion
cell axons had regenerated through the transplants, entered the distal stump,
and elongated for 10 mm together with the transplanted cells. Electron
microscopy showed that a peripheral nerve-like tissue had been formed, similar
to that seen in the spinal cord transplants. However, in contrast to the
spinal cord, the axons did not reach the terminal fields, but terminated in
large vesicle-filled expansions beyond which the distal optic nerve stump was
reduced to a densely interwoven mass of astrocytic processes.
Key words: regeneration; CNS; adult; vision; eye; OECs; transplantation
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Introduction
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Lesions of the retinal ganglion cell (RGC) axons have been extensively used
as models for various repair strategies in the adult mammalian CNS (for
review, see Chierzi and Fawcett,
2001
). Retrobulbar section of adult rodent RGC axons results in
abortive sprouting (Zeng et al.,
1995
) and progressive cell death of the parent population
(Villegas-Perez et al., 1993
;
Berkelaar et al., 1994
).
Anastomosis of Schwann cell-containing peripheral nerves on to the optic nerve
stump has been shown to rescue axotomized RGCs
(Villegas-Pérez et al.,
1988
) and to mediate regrowth of their severed axons from behind
the optic disc to innervate pretectum and superior colliculus
(Vidal-Sanz et al., 1987
;
Avilés-Trigueros et al.,
2000
), where they form functional synapses
(Keirstead et al., 1989
;
Sauvé et al., 1995
).
Numerous studies have shown the stimulatory effects of various exogenous and
endogenous factors on the survival of axotomized RGCs (for review, see
Yip and So, 2000
) and
regeneration of their axons (Cui et al.,
1999
; Leon et al.,
2000
; Fischer et al.,
2001
).
Olfactory ensheathing cells (OECs) cultured from the adult rat olfactory
bulb and transplanted into the spinal cord induce regrowth of severed long
spinal axons and recovery of function (Li et al.,
1997
,
2003
; Ramón-Cueto et
al., 1998
,
2000
). The axonal repair is
associated with formation of a peripheral nerve-like structure in which
Schwann-like OECs enwrap the regenerating axons and are themselves enclosed
within a perineurial-like sheath of fibroblasts
(Li et al., 1998
). In the
present study we examined whether transplanted OECs would have a
growth-promoting effect on severed adult RGC axons and whether they would
establish similar peripheral nerve-like arrangements to those seen in the
repaired corticospinal tract.
 |
Materials and Methods
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Cell culture. Tissue was dissected from the outer nerve and
glomerular layers of locally inbred (syngeneic) adult female Albino Swiss (AS)
rat olfactory bulbs, trypsinized (1% trypsin for 30 min at 37°C), and
plated on to 35 mm dishes coated with poly-L-lysine and cultured
for 14 -17 d in DMEM-F-12 Nutrient Mix and 10% fetal calf serum (Invitrogen,
Gaithersburg, MD) to a density of
1.5 x 106 in a 35 mm
culture dish, then washed in the same medium without serum
(Li et al., 1998
). This is
based on the method of Ramón-Cueto and Nieto-Sampedro
(1992
), but without the
purification step. The initial plating density was critical for the cells to
produce a sufficiently firm matrix to allow transfer into the lesion site. The
optimal cell mixture was obtained between 14 and 17 d culture in DMEM-F-12
medium including 10% fetal calf serum (Invitrogen 3133-028), at which time
each dish yielded
1.5 million cells, of which
50% are p75-positive
OECs and 50% are fibronectin-positive olfactory nerve fibroblasts (ONFs)
(Li et al., 1998
), embedded in
a matrix of their own production, and covering the dish to a thickness of
20 µm. This cell-containing matrix was scraped off the dish with a
polythene scraper (3010; Costar, Cambridge, MA), gathered into a mass of
5 mm and cut into four or five pieces. Using number 5 watchmaker's
forceps (Dumont), the pieces were lifted out of the dish and transferred
directly into the lesion area. Compared with injections of cells in
suspension, this "endogenous matrix transfer method"
(Li et al., 2003
) provided a
semisolid mass that facilitated efficient harvesting of the cultured cells
from the dish, enabled the transplant to be formed into a physical bridge
between the cut nerve ends, and retained the cells in place during the crucial
early postoperative period.
Surgical procedures. In 122 adult female AS rats (220 -240 gm body
weight) under intraperitoneal tribromoethanol anesthesia (20 mg/100 gm body
weight), the optic nerve was exposed, and the optic nerve sheath was incised
intraorbitally at
2 mm from the optic disc, the nerve was lifted from the
sheath to allow complete transection with fine scissors. Completeness of
transection was confirmed visually by complete separation of the proximal and
distal stumps. The control group consisted of 49 lesioned rats without
transplants. In 73 rats, one or two pellets of OECs in matrix were inserted
into this cavity. The opening in the optic nerve sheath was closed with 10/0
Ethicon W2970 sutures (Johnson & Johnson, Edinburgh, UK), and this had the
effect of closing the gap by drawing the cut proximal and distal ends of the
nerve in proximity with each other.
Animal groups. Of the 73 rats with lesions and transplants, 39
were used for immunohistochemistry at survival times of 2 weeks (n =
10), 3 weeks (n = 12), 1 (n = 4),3(n =
4),8(n = 5), and 9 months (n = 4), 26 for cholera toxin B
(CTB) labeling of RGC axons at survival times of 5 (n = 8), 6
(n = 10), and 7 months (n = 8), 4 for electron microscopy at
a survival time of 7 months, and 4 for green fluorescent protein (GFP)
labeling of the transplanted cells at a survival time of 10 d. Of the 49 rats
with lesion alone, 14 were used for immunohistochemistry at survival times of
4 (n = 5), 6 (n = 4), and 7 months (n = 5), and 35
for CTB labeling of RGC axons at survival times of 2 weeks (n = 4), 1
(n = 5), 2 (n = 5), 3 (n = 5), 4 (n = 6),
6 (n = 6), and 8 months (n = 4).
Immunohistochemistry. Under deep terminal pentobarbitone
anesthesia, rats were perfused with 0.1 M PBS, and 16 µm
longitudinal cryostat sections were immunostained for glial fibrillary acidic
protein (GFAP), neurofilament, p75 low-affinity neurotrophin receptor,
fibronectin, and PO, a marker of peripheral myelin (for details, see
Li et al., 1998
).
CTB application. Under anesthesia, a glass micropipette with a 30
-50 µm tip was inserted tangentially through the sclera behind the lens,
and two 4 -5 µl aliquots of a 1% aqueous solution of CTB (List Biologic,
Campbell, CA) were injected into the vitreous. Detection of CTB was achieved
using the protocol of Angelucci et al.
(1996
) with minor
modifications. Briefly, 5 d after CTB injection, the rats were perfused with
4% paraformaldehyde. Sixteen micrometer cryostat sections were incubated in
0.1 M glycine for 30 min and blocked in a PBS solution containing
2.5% bovine serum albumin (BSA) (Boehringer Mannheim, Mannheim, Germany) and
0.5% Triton X-100, followed by a solution containing goat anti-CTB antibody
(List Biologic) diluted 1:4000 in a PBS containing 2% normal rabbit serum
(NRS), 2.5% BSA, and 2% Triton X-100 overnight at room temperature, washed in
PBS, and incubated in biotinylated rabbit anti-goat IgG antibody (Vector
Laboratories, Burlingame, CA) diluted 1:200 in 2% NRS, 2.5% BSA, and 2% Triton
X-100 in PBS for 2 hr at room temperature, followed by 1:200
streptavidin-green (Alexa Fluor 438; Molecular Probes, Eugene, OR) in PBS for
2 hr at room temperature, washed in PBS, and counterstained with propidium
iodide for confocal microscopy.
Electron microscopy. The rats were perfused with a mixture of 1%
paraformaldehyde and 1% glutaraldehyde, and the optic nerves were dissected
out and embedded in resin (for details, see
Li and Raisman, 1995
).
GFP labeling of transplanted cells. One day before transplantation
the cells were transfected with an adenoviral vector harboring enhanced GFP
(Clontech, Palo Alto, CA). This labels 25-50% of the cells and provides a
strong fluorescent label for up to 12-14 d after transplantation
(Ruitenberg et al., 2002
).
After 10 d survival, these rats were perfused with 4% paraformaldehyde, and 20
µm cryostat sections were examined in the fluorescent microscope.
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Results
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Lesions alone
In the intact animal, the two injections of CTB into the vitreous body
label a substantial contingent of retinal ganglion cell axons dispersed evenly
throughout the optic nerve. One month after retrobulbar section of the optic
nerve, numerous CTB-labeled axons are still present in the segment of the
nerve attached to the retina. For the last 200 µm before the cut, the axons
emit numerous collaterals at right angles to the main axis and then terminate
as a neuromatous tangle at the cut surface. Despite the fact that the gap
between the cut proximal and distal stumps becomes progressively physically
bridged by a 2-3 mm segment of vascularized connective tissue, no axons are
ever seen to advance into this bridge, and none reach the distal stump. At
increasing survival times, there is a major reduction in the numbers of axons
present in the proximal nerve, with only a very small number remaining at 8
months (Fig. 1). Compared with
the intact nerve, there is a markedly increased density of GFAP staining in
both proximal and distal stumps. This obscures the normal linear arrangement
of astrocytic rows and transverse processes
(Fig. 2A,B), and is
associated with the formation of a dense meshwork of interweaving processes
(see Fig. 7C)

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Figure 1. CTB labeling of RGC axons (green) showing progressive decrease from 1, 3,
6-8 months (m) after lesion without transplant. d, Distal stump; p,
proximal stump. Counterstained with propidium iodide (red). Longitudinal
confocal images. Scale bar, 250 µm.
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Figure 2. GFAP staining of the intact optic nerve (A), lesioned optic nerve
without transplant (B), and with transplant (C). Survival
times, 7 months in B, 8 months in C. Asterisks, the cut end
of the proximal stump. Longitudinal sections. Scale bar, 250 µm.
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Figure 7. A, Huge axon varicosity (a) densely packed with mitochondria and
synaptic and dense core vesicles, and making direct contact with massive
collagen bundles (c). B, An axon terminal varicosity (a) retaining a
partial contact with the process of a Schwann-like OEC (arrow). C,
Densely packed astrocytic processes (s) in the optic nerve stump distal to the
furthest extension of the transplanted OECs and associated RGC axon growth.
Longitudinal sections. Survival time, 7 months. Scale bar, 1 µm.
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Transplantation of OECs
Cells
GFP labeling of the transplanted OECs confirms that the endogenous matrix
transfer method (Li et al.,
2003
) allows efficient retention of a dense mass of cells in the
lesion cavity. By 10 d after operation the cells have taken up their typically
elongated form,
100 -150 µm in length, and aligned along the axis of
the nerve. As in the rats with nontransplanted lesions, the 2-3 mm gap between
the cut proximal and distal surfaces of the nerve becomes progressively
bridged by vascularized connective tissue. The fluorescent signal from the
adenovirally transduced GFP shows that this bridge is densely infiltrated by
the elongated transplanted cells (Fig.
3) (in which case we estimate there are
15,000 transplanted
cells). The fluorescent signal from the adenovirally transduced GFP label
fades progressively after 2 weeks, so that subsequent detection of the
transplanted cells relies on p75 and fibronectin immunohistochemistry and
electron microscopy.

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Figure 3. A, Low-power photomicrograph to show the location of the
transplant (T; immunostained for fibronectin) within the repaired optic nerve
sheath (s). B, GFP labeling (green) to show the aligned mass of
transplanted OECs crossing the lesion from proximal (p) to distal (d) stumps.
A smaller population of OECs track out into the area of the sutures (arrows).
Counterstained with propidium iodide (red). Survival times, 2 weeks
(A), 10 d (B). Longitudinal confocal images. Scale bars, 250
µm.
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Axons
At 2 weeks neurofilament immunohistochemistry shows many small bundles of
axons already penetrating throughout the transplant area. At 5-8 months after
operation, CTB labeling shows bundles of optic nerve axons leaving the
proximal optic nerve stump, crossing the entire 2-3 mm length of the
transplant, and entering the distal stump, where the fibers are distributed
throughout the cross-sectional area of the optic nerve, but with some
preference for the periphery (Fig.
4). The regenerating fibers are straight, unbranched, and of fine
diameter (see EM below). As they proceed distally, the axons aggregate into
larger fascicles within which individual axons are too closely packed to be
separately resolved by light microscopy. From the point at which they were
cut, the regenerating axons extend overall for
10 mm into the distal
stump, but never reach the optic chiasma or tract, or the terminal fields.
Estimates of the numbers of regenerating fibers taken at a distance of 2 mm
below the transplant, in the distal part of the nerve, in each of the five
animals at 6 months survival were 224, 252, 350, 266 (by CTB labeling), and
230 (by electron microscopy.)

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Figure 4. CTB labeling (green) of regenerating RGC axons induced by OEC transplants
(T). Counterstained with propidium iodide (red). Longitudinal confocal images.
Survival time, 6 months in A; 7 months in B. Scale bar, 500
µm.
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The GFAP labeling pattern shows an intensification broadly similar to that
after lesion alone, although with some suggestion of a more "open"
texture at the proximal interface (Fig.
2B,C, asterisks, compare the cut end of the proximal
stump).
Electron microscopy
Semithin and ultrathin sections show that the proximal and distal stumps
are joined by a slender bridge of
100 -150 µm diameter and 300 - 400
µm length, consisting of strands of compact, highly vascularized tissue
enclosed within the repaired outer optic nerve sheath
(Fig. 5A,B).

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Figure 5. Transplanted OECs (arrow) forming a slender, highly vascularized tissue
bridge (arrows) across the lesion. A, Longitudinal section;
B, cross section. s, Repaired optic nerve sheath. Resin sections (1-
to 2-µm-thick) stained with methylene blue and Azur II. Survival time, 7
months. Scale bars: A, 200 µm; B, 300 µm.
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The transplants contain two types of cells: OECs and ONFs. As in the
olfactory nerves in situ, and in culture, the p75-positive
("Schwann-like") OECs are always accompanied by approximately
equal numbers of fibronectin-positive ("fibroblast-like") ONFs
(Li et al., 2003
). As in the
transplants into the corticospinal tract
(Li et al., 1998
), the OECs
are Schwann-like cells that enwrap the axons (although never myelinating in
the case of the present optic nerve transplants). They do not make direct
contact with any other cell type and are surrounded on their abaxonal surfaces
by basal lamina. The ONFs are fibroblast-like cells that lie in close
proximity to each other and coalesce to form an outer sheath around channels
containing the OECs are their associated axons. The ONFs do not make direct
contact with either axons or OECs, from which they are separated by a collagen
containing extracellular space.
Electron micrographs taken across these tissue bridges show that they
consist of a mass of channels varying between 1 and 10 µm diameter, which
are formed by overlapping hollow cylindrical sheets of electron-dense
fibroblast cytoplasm and which are filled with collagen fibrils
(Fig. 6A,B). The
channels and the collagen fibrils are aligned along the longitudinal axis of
the nerve (Fig. 6C).
The fibroblastic sheets are
0.5-1.0 µm in width; at higher power they
can be seen to be closely adherent at numerous electron-dense junctions
(Fig. 6D). At least
six of the channels shown in Figure
6A contain nerve bundles consisting of masses of
unmyelinated axons, ranging in diameter from 0.1 to 1.5 µm, also aligned
longitudinally, and partially or completely en-wrapped in thin cytoplasmic
sheets arising from the elongated OECs
(Fig. 6B). The
remaining channels contain only collagen. Facing the collagen-containing
space, the outward-facing surfaces of the cytoplasmic sheets of the OECs, and
also less completely, the inner-facing surfaces of the cell processes making
up the fibroblastic sheath are clothed by a basal lamina. No myelination was
seen in any of the samples, either in semithin or ultrathin sections, or with
P0 immunostaining.

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Figure 6. Electron micrographic samples from the bridge of transplanted OECs.
A is a cross section, showing multiple tissue channels formed by the
processes of the fibroblast-like cells (F). Some channels (arrows) contain
regenerating RGC axons enwrapped in thin processes of Schwann-like OECs (S in
B) that lie in a collagen-filled space, other channels (x) contain
only collagen. B, Cross section of a single fibroblastic channel
containing the nucleated perikaryon of a Schwann-like OEC (S) that gives rise
to fine cytoplasmic sheets completely (a) or partially (b) enclosing
regenerating RGC axons and other, probably astrocytic processes. C is
a longitudinal section showing the linear fibroblastic processes forming the
walls of adjacent collagen-containing tubular channels. D, High-power
micrograph showing the numerous symmetrical electron-dense junctions between
tightly apposed fibroblastic processes. Survival, 7 months. Scale bars:
A, 4 µm; B, 2 µm; C, 6 µm; D, 0.5
µm.
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At progressively more distal levels, the axons become more closely packed
together, and the relative number of OEC processes decreases. This is the
ultrastructural equivalent of the dense bundling seen in the CTB confocal
pictures (Fig. 4d).
The advance of the axons is coextensive with the migration of the OECs and
ONFs. At the furthest distances (
10 mm) from the level of the original
cut where the migration of the transplanted OECs into the distal stump ceases,
the nerve fibers escape from the ensheathing processes of the OECs and expand
into huge terminal varicosities densely filled with clear and dense core
vesicles (Fig. 7A,B).
There is no indication of synaptic contacts with any postsynaptic element. The
terminals are directly apposed to massive interweaving collagen bundles that
mark the transition to the distal part of the denervated optic nerve stump,
which, at 7 months, consists of densely packed astrocytic processes
(Fig. 7C). Compared
with the axon-containing proximal stump, where the astrocytes still have a
degree of longitudinal orientation, the much more numerous, finer astrocytic
processes of the distal, empty stump (beyond the furthest axon extension) form
a random meshwork from which oligodendrocytes and myelin have disappeared.
 |
Discussion
|
|---|
These observations show that transplanted adult OECs survive within a
complete transection of the adult optic nerve and, in addition, migrate into
the adjacent proximal and distal stumps of the optic nerve. They are able to
stimulate and guide regeneration of cut retinal ganglion cell axons for up to
10 mm into the distal stump. The peripheral nerve-like organization of the
transplanted tissue in the optic nerve is strikingly similar to that which we
observed after transplantation of OECs into the lesioned corticospinal tract
(Li et al., 1998
). In both the
corticospinal tract and the optic nerve, the fibroblast-like ONFs play a key
role. Aggregations of cell bodies give rise to thin cytoplasmic sheets, shaped
into hollow cylinders and tightly bound by numerous membrane adhesions. The
effect is to produce a parallel stack of tubular, collagen-containing channels
aligned with the long axis of the host tract. These ONF channels act as
conduits for the Schwann-like OECs and their enclosed axons.
A number of studies have shown the structural and above all functional
repair of spinal cord injuries by transplants of OECs (Li et al.,
1997
,
2003
; Ramón-Cueto et
al., 1998
,
2000
;
Lu et al., 2002
). In the
spinal cord, the regenerating axons are able to leave the transplant and
re-enter the host tracts. In the optic nerve, however, the regenerating RGC
axons terminate in large expansions and do not continue further distally in
the optic nerve stump. In the electron micrographs of the optic nerve
transplants, the axons are never seen unaccompanied by OEC and ONF processes.
They are never found on their own extending into the astrocytic territory of
the distal stump. Thus, in the optic nerve, the advance of the axons is
coextensive with the migration of the OECs and ONFs and their processes.
Because the mammalian optic nerve consists almost entirely of retinofugal
axons, axotomy causes effectively total loss of axons from the distal stump,
and this results in the death of the oligodendrocytes (for references, see
Li et al., 1999
), which are
removed (together with the myelin debris) by tissue phagocytes. The distal
stump is reduced to a densely interwoven mass of fine astrocytic processes
(Fig. 7C) that does
not retain any of the original longitudinally aligned elements that could have
provided a pathway to enable the axons to bridge the long distances to the
terminal fields.
In contrast, regenerating corticospinal axons not only cross the bridge of
transplanted OECs, but also re-enter the distal part of the corticospinal
tract, where they become myelinated by host oligodendrocytes from adjacent
fiber tracts. As a working hypothesis, we are inclined to attribute this
success to this possibility of access to an aligned glial tract structure
(Suzuki and Raisman, 1992
). In
the case of the regenerating retinal ganglion cell axons, there are no other
fibers present in the distal optic nerve stump, so the aligned tract structure
is completely lost, oligodendrocytes are absent, and the astrocytes and their
processes lose all longitudinal alignment.
Apart from the absence of aligned channels, the failure of axon growth may
be caused by the absence of growth-promoting stimuli or the presence of
inhibitors. It seems unlikely that oligodendrocytes or oligodendrocytic myelin
can be the cause of the failure of the RGC axons to leave the transplants
because neither oligodendrocytes nor myelin are present in the denervated
optic nerve stump. Moreover, they are present in the corticospinal tract,
where re-entry and regeneration does occur. On the other hand, the astrocytic
meshwork of the distal optic nerve stump would be rich in inhibitory molecules
such as chondroitin sulfate proteoglycans
(Davies et al., 1997
;
Bradbury et al., 2002
;
Grimpe and Silver, 2002
).
Possibly the migratory limits of the transplanted OECs are established by the
progression of events associated with the degeneration and reactive gliosis,
so that by the time the cells have reached 10 mm, the gliotic reaction has
reached a level that precludes further migration.
Other studies have indicated that regeneration can be enhanced by
stimulatory events within the eye as well as by manipulating the environment
through which the axons run (Cui et al.,
1999
; Leon et al.,
2000
; Yip and So,
2000
; Fischer et al.,
2001
). Here we show a special permissive role for OECs to limit
parent cell loss and support axon growth both across the gap and into the
distal stump. It is clear, however, that to achieve full repair, other
components are needed.
 |
Footnotes
|
|---|
Received June 2, 2003;
revised July 7, 2003;
accepted July 8, 2003.
This work was supported by the British Neurological Research Trust, the
International Spinal Research Trust, and the Wellcome Trust. Dr. Maria
Cristina Cenni and members of Professor Maffei's team in Pisa generously gave
us instruction in cholera toxin B labeling. Dr. Pauline Field provided
important collaboration. Laiwen Fu is acknowledged for histology and Grant
Roalfe for cell culture.
Correspondence should be addressed to Dr. Geoffrey Raisman, Division of
Neurobiology, National Institute for Medical Research, The Ridgeway, Mill
Hill, London NW7 1AA, UK. E-mail:
graisma{at}nimr.mrc.ac.uk.
Copyright © 2003 Society for Neuroscience
0270-6474/03/237783-06$15.00/0
 |
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