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Feng et al.                                                                                                                                                         Growth cone collapse in adult sensory neurons

                                                              of NGF, GDNF, and NT-3 caused the greatest increases
                                                              in growth cone collapse; conversely, when compared
                                                              with the pure EG-conditioned medium, inhibition of
                                                              BDNF did not appear to result in a significant increase
                                                              in growth cone collapse.  This suggests that NGF,
                                                              GDNF, and NT-3 are the most important neurotrophic
                                                              factors in preventing or reversing SEMA3A-induced
                                                              collapse in the co-treatment setting.

                                                              In the post-treatment setting, inhibition of all
                                                              neurotrophic factors resulted in significant increases
                                                              in growth cone collapse when compared with the pure
                                                              EG-conditioned medium.  This suggests that all the
                                                              neurotrophic factors in this study play an important role
                                                              in reversing SEMA3A-induced growth cone collapse
                                                              in a post-treatment setting. This particular setting is
                                                              unique in that it tests both inhibition and reversal of
                                                              growth cone collapse because it is the only time frame
                                                              where SEMA3A-induced collapse had already begun
                                                              before the EG-conditioned medium was introduced.
                                                              This may suggest why all 4 neurotrophic factors were
                                                              important in the post-treatment setting.

                                                              Previous studies have analyzed the combined effect
                                                              of neurotrophic factors on neuronal development and
                                                              regeneration  in  different  settings.  Madduri  et  al.
                                                                                                            [36]
                                                              observed that NGF and GDNF work synergistically
                                                              in axon development; GDNF plays a greater role in
                                                              axon  elongation  while  NGF  plays  a  greater  role  in
                                                              axon branching. In another study that analyzed the
                                                              length of neurite outgrowth, the results demonstrated
                                                              that individual inhibition of BDNF and GDNF resulted
                                                              in  decreased  neurite  length,  but  inhibition  of  both
                                                              neurotrophic factors resulted in the greatest reduction
                                                              in length.  Furthermore, Hansebout et al.  showed
                                                                      [37]
                                                                                                    [24]
                                                              that NGF, BDNF, GDNF, and NT-3 all play individual
                                                              roles in DRG neurite growth. In other SEMA3A models,
           Figure 6: Images of DRG neurons from each sub-group in the post-  Wanigasekara et al.  found that SEMA3A-sensitive
                                                                                [18]
           treatment experiment. Each white bar represents 25 μm. DRG:   neurons were heterogeneous in their expression
           dorsal root ganglion
                                                              of NGF, GDNF, and neuritin receptors.  Their study
           settings. In fact, inhibition of BDNF in the co-treatment   suggests that all of these factors have a role in axonal
           setting did not cause a significant increase in collapse,   and growth cone regeneration. Finally, Ben-Zvi et al.
                                                                                                            [27]
           suggesting a negligible role for BDNF in that time   demonstrated  that  SEMA3A,  NGF,  BDNF,  and  NT-3
           setting. Combined, these results suggest that while   all play roles in determining whether DRG survive in
           these  neutrophic  factors  play  large  roles,  none  are   mouse embryo models.
           individually essential to the neuroprotective process.
                                                              The post-treatment model attempts to mimic the
           The impact of each neurotrophic factor appears to   clinical setting  of  post-trauma treatment  of  spinal
           be variable. In the pre-treatment setting, inhibition of   cord injury. Our study is novel in that it suggests the
           BDNF or NT-3 resulted in the greatest increases in the   entire  complement  of  neurotrophins  is  necessary  to
           percentage of growth cone collapse when compared   maximally reverse and prevent further insult to the
           with the pure EG-conditioned medium. This suggests   damaged area. However, no individual factor appears
           that BDNF and NT-3  play the most  important roles   to be essential to the process. Since inhibition of each
           in  preventing  SEMA3A-induced  collapse  in  the  pre-  neurotrophic factor (NGF, BDNF, GDNF, NT-3) resulted
           treatment setting. In the co-treatment setting, inhibition   in an increase in growth cone collapse, it suggests EG
            186                                                                   Neuroimmunology and Neuroinflammation ¦ Volume 3 ¦ August 31, 2016
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