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Feng et al.                                                                                                                                                         Growth cone collapse in adult sensory neurons

                                                              The results show that the EG-conditioned medium,
                                                              which  contains  NGF,  BDNF,  GDNF,  and  NT-3,  is
                                                              neuroprotective when applied prior to or concurrently
                                                              with  SEMA3A-induced  collapse,  and  regenerative
                                                              when applied 40 min after said collapse. In previous
                                                              studies, it has been shown that when NGF, GDNF or
                                                              neuritin is applied to DRG overnight, it is protective
                                                              against  SEMA3A-induced  collapse.   In  addition,
                                                                                               [18]
                                                              Hansebout et al.  found that EG-conditioned medium
                                                                            [24]
                                                              expressed NGF, BDNF, GDNF, and NT-3 and could
                                                              induce neurite growth in cultured DRGs.

                                                              This phenomenon may be due to either neurotrophic
                                                              factor inhibition or reversal of SEMA3A-induced DRG
                                                              apoptosis.  Transplanted adipose derived stem cells
                                                                       [35]
                                                              into nerve conduits of rat DRG showed differentiation
                                                              of the adipose derived stem cells and the subsequent
                                                              release of NGF, BDNF, GDNF and NT-4.  This was
                                                              linked with a reduction in DRG mRNA expression of
                                                              apoptotic factors Bax and caspase-3 and an increase
                                                              in expression of the anti-apoptotic factor Bcl-2. [35]

                                                              These  experiments  also  suggest  the  novel  finding
                                                              that NGF, BDNF, GDNF, and NT-3 are all involved
                                                              in the  process  of  preventing  or  reversing  SEMA3A-
                                                              induced collapse, but no individual neurotrophic factor
                                                              is essential to this process. In almost all cases, the
                                                              application  of  treatment  medium  with  inhibition  of
                                                              individual neurotrophic factors appeared  to result in
                                                              significantly increased levels of collapse compared to
                                                              the pure EG-conditioned control medium. However,
                                                              individual  inhibition  did  not  cause  full  collapse,  as
                                                              determined by the SEMA3A control group.  This is
                                                              most apparent in the pre-treatment and co-treatment




           Figure 4: Images of DRG neurons from each sub-group in the co-
           treatment experiment. Each white bar represents 25 μm. DRG:
           dorsal root ganglion
           In all groups treated with EG-conditioned medium and an
           inhibitory antibody (blue bars), the percentage of growth
           cone collapse was significantly higher when compared
           to EG-conditioned medium alone (orange bar) (anti-
           NGF, P < 0.0001; anti-BDNF, P < 0.0001; anti-GDNF, P <
           0.0001; anti-NT3, P < 0.0001) [Figure 5]. Representative
           DRG neurons images from each sub-group in the post-
           treatment group are shown in Figure 6.

           DISCUSSION

           The  experiments  demonstrate  the  novel  finding  that
           EG-conditioned medium may protect DRG growth
           cones against  SEMA3A-mediated collapse  when
           applied before, concurrently, and after SEMA3A.    Figure 5: Post-treatment experiment results. ****P < 0.0001
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