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1From the Department of Anatomy, Faculty of Medicine, The University of Hong Kong, Hong Kong, China; the 3Department of Neurology, General Air Force Hospital, Beijing, China; and the 4Laboratory for Neural Repair, Shantou University Medical College, Shantou, China.
| Abstract |
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METHODS. All animals underwent optic nerve transection (ONT) 0.5 mm behind the eyeball. Some animals underwent a replacement of the optic nerve with an autologous sciatic nerve graft (SNG) to allow axonal regrowth. To provide a neurotrophic supply, a peripheral nerve (PN) segment or brain-derived neurotrophic factor (BDNF)/ciliary neurotrophic factor (CNTF) was applied intravitreally. The time course of c-jun expression was first examined in both surviving and regenerating RGCs. Then, c-jun expression was examined in surviving and regenerating RGCs 3 weeks after intravitreal BDNF/CNTF treatment. Animals with vehicle eye injection were used as the control. Fluorescent dye was used for retrograde labeling of surviving (applied behind the eyeball) and regenerating (applied at the distal end of the SNG) RGCs. All retinas were immunohistochemically stained for c-jun.
RESULTS. c-Jun was not detected in normal RGCs, but weak expression was seen in surviving RGCs after ON injury. The proportion of c-junpositive (+) RGCs among surviving cell population was 52.6% to 86.5% 2 to 6 weeks after ONT. Among regenerating RGCs, more than 80% expressed c-jun in all treatment groups, a proportion that was significantly higher after CNTF treatment (90.7%). In addition, c-jun expression was much stronger in intensity and the c-jun+ nuclei were much larger in regenerating than in surviving RGCs.
CONCLUSIONS. c-Jun expression in RGCs was upregulated after injury. Most regenerating RGCs were c-jun+, and the intensity of c-jun expression was higher in regenerating than in surviving RGCs. CNTF also upregulated c-jun expression in RGCs.
Although neurotrophic factors, such as brain-derived neurotrophic factor (BDNF) and ciliary neurotrophic factor (CNTF), have been widely shown to promote survival or axon regeneration of injured RGCs,14 15 no information is available on the effects that these neurotrophic factors exert on c-jun expression in surviving and regenerating RGCs after ON injury. It is well known that axotomized RGCs can regrow their axons into a peripheral nerve (PN) graft that is attached to the transected ON.15 16 17 18 The PN secretes numerous diffusible neurotrophic factors, such as BDNF and CNTF, and thus is capable of enhancing RGC survival and axon regeneration when implanted in the eye.14 17 19 In this study, we first studied the time course of c-jun expression in surviving and regenerating RGCs, and then we investigated the proportion of c-jun+ RGCs in surviving and regenerating RGCs with or without intraocular BDNF/CNTF application 3 weeks after surgery. In addition, we examined the intensity of c-jun immunohistochemical staining and the size of c-jun+ nuclei under these conditions. These data provide valuable information on the relationship between c-jun expression and axonal regeneration, the effect of neurotrophic factor treatment, and possible specificity in cell morphology of c-jun+ RGCs.
| Methods |
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All animals were anesthetized with pentobarbitone sodium (50 mg/kg body weight, intraperitoneally) for all operations. The left optic nerves in all animals were exposed and transected intraorbitally with a pair of microsurgery scissors. Transection was made approximately 0.5 mm from the posterior pole of the eye, avoiding damage of the blood vessels underneath. In a pilot study, two fluorescent dyes, one gold (Fluorogold; FG; n = 4; Fluorochrome, Englewood, CO) and the other yellow (Diamidino Yellow; DY; n = 4; Sigma-Aldrich, St. Louis, MO), soaked in gelfoam (Pharmacia & Upjohn, Uppsala, Sweden) were applied at the ON stump to label the surviving RGCs immediately after the ON transection. A survival time of 2 days was given, and then the animals were perfused with 4% paraformaldehyde, and the retinas were dissected. To achieve a flat retina on the slide, a cut was made through each quadrant, and the retinas were placed onto gelatin-coated slides. The fluid on the slide was dried with a piece of tissue paper, the retina was flattened by using a fine pen brush and coverslipped with glycerol (Merck, Darmstadt, Germany), and the number of labeled RGCs was counted to compare the labeling efficiency of these two methods. Similar staining efficiency was seen in both methods (Figs. 1A 1B) , thus confirming the efficiency of FG labeling. Note that we have shown that efficiency of DY labeling is high.20 However, injection difficulties were encountered using DY, as it tended to block the tip of the micropipette. We also wanted to observe the somata morphology of labeled RGCs, but DY only labels nuclei. Thus, FG, which labels cytoplasm of RGCs, was chosen for the remainder of the study. The use of FG for retrograde labeling of RGCs and its efficiency have also been shown in our studies.14 15 17 18
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Time-Course of c-Jun Expression
c-Jun expression in RGCs soon (3 hours to 8 days) after ON axotomy has been reported,8 9 and thus the time course of c-jun expression in this study was investigated only at 2, 3, 4, and 6 weeks after ON injury in animals with (1) optic nerve transection (ONT), (2) replacement of the ON with a sciatic nerve graft (SNG), and (3) placement of an SNG+PN segment in eye (SNG+PN). Because no further surgery was performed in the ONT group, this group was used for the c-jun expression study in surviving RGCs. In the other two groups with SNG, a 1-cm segment of autologous sciatic nerve was obtained from the left leg and attached to the ocular stump of the ON to support axon regeneration. The distal end of the PN graft was sutured under the scalp. One of the two groups also received a small segment of peroneal nerve in the eye. After a hole was made in the limbus of the superior part of the left eye, the segment of desheathed PN, 2 mm in length, was inserted into the vitreous with the aid of a micropipette. The hole was then closed with a 10-0 suture. In our previous studies,17 19 no obvious damage was seen in the retina 4 weeks after PN insertion. Occasionally, an inserted PN segment was seen sticking to the peripheral part of the retina at the insertion site. c-Jun expression was studied in regenerating RGCs in these two SNG groups.
c-Jun Expression 3 Weeks after Intravitreal Neurotrophic Factor Treatment in Animals with ONT Only
For this study, the animals received ONT only and were divided into the following four groups: (1) Animals in the vehicle-injected group (SNG+H2O; n = 5) received 2 µL of distilled water intravitreally; (2) BDNF-treated animals (n = 6) received intravitreal injections of 5 µg/2 µL BDNF (recombinant human BDNF; Regeneron Pharmaceuticals, Tarrytown, NY); (3) CNTF-treated animals (n = 5) received intravitreal injections of 2 µg/2 µL CNTF (recombinant human CNTF; Regeneron); and (4) BDNF+CNTF-treated animals (n = 6) received intravitreal injections of 5 µg BDNF and 2 µg CNTF in 2 µL. Repeated injections were performed every 5 days thereafter with a total of four injections in each animal. Eye injections were performed at the peripheral part of the retinas using a micropipette.15 17 All animals were allowed to survive for 3 weeks. Two additional intact animals were used for c-jun immunohistochemistry in normal animals.
c-Jun Expression 3 Weeks after Intravitreal Neurotrophic Factor Treatment in Animals with ONT+SNG
In this part, in addition to ONT, the animals received an attachment of ON with an SNG. The intravitreal BDNF/CNTF interventions and survival time were the same as in the ONT groups. Thus, the animals in the ONT+SNG group were divided into the following four treatment groups: (1) vehicle-injected group (SNG+H2O; n = 6) and (2) BDNF- (n = 6), (3) CNTF- (n = 7), and (4) BDNF+CNTF-treated (n = 6) animals.
Fluorescent Tracer FG Application
FG was applied 3 days before the animals were killed. For animals that received ON transection only, FG soaked in gelfoam (Pharmacia Upjohn, Uppsala, Sweden) was applied to the newly cut ocular stump to label the surviving RGCs. For animals in the groups with SNG, 1 µL of 2% FG (dissolved in 0.9% sodium chloride and 0.01% Triton X-100) was injected into the distal end of the graft 2 to 3 mm away from the ligated end through a micropipette, to label the RGCs that had regrown their axons into the graft. Two additional animals received injection of FG into the SNG immediately after surgery, and the animals were perfused 3 days later to check whether the injection method would allow the dye to diffuse to the ON head and label surviving RGCs nonspecifically. Note that RGCs start to regrow their injured axons into an SNG only 4 to 5 days after ON injury.21
Immunohistochemistry
The eyes with multiple injections showed no obvious damage or infections. All animals were killed with an overdose of pentobarbital sodium. Retinas were dissected and fixed in 4% paraformaldehyde in 0.1 M Tris buffer for 45 minutes. After washes in Tris buffer and blocking in 5% goat serum medium for 30 minutes, the retinas were incubated with primary antibody raised in rabbit against c-jun/activator protein (AP)-1 protein (Oncogene, Manhasset, NY) overnight at 4°C. The retinas were washed three times with PBS (10 minutes each), and further immunohistochemical staining was performed by incubating the retinas with FITC-conjugated goat anti-rabbit secondary antibody (Vector Laboratories, Burlingame, CA) for 60 minutes at room temperature. c-Junexpressing cells in the retinas were observed under a fluorescence microscope (DMR; Leica, Heidelberg, Germany).
Data Collection and Analysis
The number of stained cells in the retinas was estimated with a systematic sampling method at 40x magnification. In each quadrant of the retina, labeled cells were counted within a grid (area, 200 x 200 µm) moving from the optic disc at 500-µm intervals toward the peripheral retina. The areas of the retinas were measured using a computerized digital tablet, and the number of labeled cells was obtained by multiplying the mean density in each retina by the size of the retinal area. In each group, the number of FG-labeled RGCs, c-jun+ cells, and double-labeled RGCs was counted. Furthermore, the cell size of FG-labeled RGCs and the area of c-jun+ RGC nuclei in randomly selected parts (area, 200 x 200 µm each) of the retinas were measured with an image-analysis system (Neurolucida; MicroBrightField, Colchester, VT) at 40x magnification. The nuclei measurement in the ONT group was obtained from surviving RGCs, whereas in the SNG groups, they were obtained from regenerating RGCs. For statistical comparison, Bonferronis test was used to compare intragroup statistical differences after one-way analysis of variance (ANOVA).
| Results |
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Time Course of c-Jun Expression
Average Number of Surviving RGCs at Different Time Points after ONT and the Average Proportion of c-Jun+ RGCs.
The number of surviving RGCs dramatically decreased after ONT. The average number ± standard deviation of surviving RGCs 2 to 6 weeks after ONT is shown in Figure 2A . Briefly, there was a mean of 11,397 ± 1,187 surviving RGCs per retina 2 weeks after ONT. This number decreased to 7064 ± 2891 per retina at 3 weeks after ONT, 4986 ± 2914 per retina 4 weeks after ONT and 4043 ± 945 per retina 6 weeks after ONT. Note that the average number of RGCs in normal adult hamsters is 65,890 ± 5,684 per retina22 (Fig. 2A) . Thus, more than 80% of RGCs died by 2 weeks after the ON injury, and by 6 weeks, nearly 94% were lost (Fig. 2A) .
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The Average Proportion of c-Jun+ RGCs in the Regenerating RGC Population.
Two weeks after ONT and an attachment of an SNG, the average proportion of c-jun+ RGCs in the regenerating RGC population increased to 85.8% ± 8.23% (n = 6) in the SNG group and 84.4% ± 7.3% (n = 5) in the group with SNG plus intravitreal implant of the PN segment (Fig. 3) . These two percentages are not significantly different from each other, but are both significantly (P < 0.01) higher than that in surviving RGCs at the same time point.
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At 4 weeks after ON injury, the average proportion of regenerating RGCs that expressed c-jun remained at high levels in the SNG (95.2% ± 4.08%; n = 6) and SNG+PN (93.6% ± 2.99%; n = 6) groups (Fig. 3) . These two percentages are significantly higher (P < 0.05) than that in the surviving RGCs at the same time interval (Figs. 2B 3) . In addition, the proportion in the SNG group at this time interval is significantly (P < 0.01) higher than that at 3 weeks.
Six weeks after ONT, most of the regenerating RGCs in the SNG (88.8% ± 6.82%; n = 5) and SNG+PN (93.3% ± 2.34%; n = 5) groups were still c-jun+ (Fig. 3) . These data show that surviving RGCs reached the peak of c-jun expression at 3 weeks after ON injury, whereas regenerating RGCs stayed at a high c-jun+ proportion throughout the 6-week examination period (Figs. 2B 3) , indicating a close association of c-jun expression and axon regeneration.
Intensity of Staining and Morphology of c-Jun+ Cells.
Apart from analysis of the percentage of c-jun+ RGCs in surviving and regenerating RGC populations, we also examined the intensity of c-jun immunohistochemical staining and the morphology of c-jun+ nuclei. Overall, c-jun expression was weak in surviving RGCs (Fig. 1D) , whereas it was markedly stronger in the regenerating RGCs (Figs. 1F 1H) . Most c-jun+ nuclei in the SNG and SNG+PN groups were round with a smooth boundary (Figs. 1F 1H) , whereas those in the ONT group were small, with some round and some irregularly shaped (Fig. 1D) . Of interest, the nuclei of 32 strongly c-jun+ regenerating RGCs randomly selected in the SNG group were 135.4 ± 31.9 µm2 on average, and 29 c-jun+ regenerating RGCs in the SNG+PN group had an average nucleus size of 156.6 ± 23.5 µm2. In contrast, the nuclei of 29 randomly selected surviving RGCs in the ONT group were of a much smaller size (73.9 ± 14.4 µm2). The difference in nucleus size between surviving and regenerating c-jun+ RGCs is statistically significant (P < 0.05).
c-Jun Expression 3 Weeks after Neurotrophic Factor Treatment in Animals with ONT Only
In this part of the study, no SNG was attached to the ON stump, thus c-jun expression was examined only in surviving RGCs. The proportion of c-jun+ RGCs was 79.6% ± 6.83% in the vehicle-injected group (Fig. 4A) . This is similar to what was obtained (86.5% ± 4.87%) in a time course study in ONT-only (without eye injection) animals at the same time point, confirming that ON injury caused upregulation of c-jun expression. The proportion of c-jun+ surviving RGCs increased to 90.7% ± 2.04% in CNTF-treated and 86.2% ± 8.7% in BDNF-treated eyes (Fig. 4A) . The former is significantly higher than the vehicle control. Thus, CNTF upregulated c-jun expression in surviving RGCs (Fig. 4A) . Combined injection of BDNF and CNTF did not further increase the percentage (87.4% ± 7.37%) of surviving RGCs that expressed c-jun (Fig. 4A) .
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Besides the differences in the proportion of c-jun+ RGCs between surviving and regenerating RGC populations after neurotrophic factor treatment, we noticed that the c-jun staining intensity was also different between them. Figure 7 shows the characteristics of FG-labeled RGCs and c-jun+ RGCs under these conditions.
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| Discussion |
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c-Jun and RGC Axonal Regeneration and Neuronal Survival
Results in studies have suggested that c-jun may play a role in neurite outgrowth, as c-jun overexpression or inhibition of the c-jun pathway has been shown to enhance neurite outgrowth in vitro.24 25 In this study, we found that 75.4% to 79% of surviving RGCs expressed c-jun 3 to 4 weeks after axotomy. However, in regenerating RGCs, there was a much higher proportion of c-jun+ RGCs (>93%). Similar close correlation of c-jun expression and axonal regeneration was also found in the goldfish.23 We also found that the immunoreactivity of c-jun was stronger and the size of c-jun+ nuclei was larger in regenerating than in surviving RGCs. These data indicate that the production of c-jun was increased in regenerating RGCs, another indication of a close association between c-jun and axonal regeneration.
CNTF promoted RGC axon regeneration in our previous studies14 15 17 and upregulated the expression of c-jun in surviving RGCs in this study. There are at least two distinct pathways that can mediate the signaling of CNTF. One is Janus kinase (JAK) and signal transducer and activator of transcription (STAT) pathway, and the other is the Ras and mitogen-activated protein kinase (MAPK) pathway.26 c-Jun is involved in both pathways.26 It has been reported that direct interaction between c-jun and a STAT protein (STAT3) results in synergistic transcriptional activation.27 It is thus possible that c-jun potentiates the promoting effect of CNTF on axon regrowth by interacting with its signal-transduction pathways.
It has been shown that long-lasting c-jun is coexpressed with growth-associated protein (GAP)-43 in regenerating neurons in the thalamus and cerebellum and correlates well with the axonal regrowth potential.11 GAP-43 plays an important role in axonal regeneration.28 The coexpression of c-jun and GAP-43 has also been found in RGCs in rats.29 The highly conserved c-jun site, activator protein (AP)-1, has been detected in the promoter region of the GAP-43 gene, and the AP-1containing promoter can strongly regulate the transcription of GAP-43.30 31 These data suggest that c-jun is involved in regulating the expression of GAP-43. It has also been suggested that c-jun may play multiple roles in neuronal survival and axonal regeneration. The manifestation depends on which partners it uses to form an AP-1 complex and on its phosphorylation state and activity.30
The significant difference in nucleus size between c-jun+ surviving and regenerating RGCs indicates the different expression level among the surviving and regenerating RGCs. It may also suggest that a specific RGC population has a preferentially expressed c-jun, better survived the ON injury and is more capable of regenerating their injured axons. It is interesting to see that CNTF and BDNF, to a lesser extent, increased the size of RGC somata and c-jun+ nuclei. Both CNTF and BDNF can enhance axon and neurite growth in RGCs. Whereas regenerating RGCs tend to have larger somata, CNTF and BDNF have different effects on RGC axonal regeneration into a PN graft. CNTF promotes axon regeneration into PN grafts, whereas BDNF does not.17 However, BDNF enhances neurite outgrowth within the retina.15 Although we also observed an increase in the total number of c-jun+ RGCs in BDNF-treated rats, the percentage of c-jun RGCs remained unaffected, and the increase may merely be a reflection of more RGCs that had survived the injury after BDNF treatment.
c-Jun has been reported to involve in neuronal survival and axon growth in adults32 and, although controversial,33 during development.34 c-Jun expression in RGCs can be induced by axotomy and is coincident with the apoptotic loss of RGCs.9 Recently, c-jun has been shown to be directly involved in ON-lesioninduced apoptosis of RGCs,13 and inhibition of c-jun activity reduces neurotoxicity-induced loss of nigrostriatal dopaminergic neurons.35 Therefore c-jun has been hypothesized to act as a death signal in degenerating neurons. However, c-jun overexpression fails to affect adult Purkinje cell survival after axotomy in vivo.36 Recently, it has been shown that the concentration of c-jun is not critical for neuronal survival but rather the concentration of active (phosphorylated) c-jun.37
Because phosphorylated c-jun plays a critical role in neuronal survival, it will be interesting to see what the level of phosphorylated c-jun is in surviving and regenerating RGCs after ON injury. However, studies in whole retinas using conventional methods such as PCR and Western blot may not accurately reflect what occurs in RGCs,38 because RGCs account for only a small proportion among the total retinal neuronal populations. The exact role of c-jun in axonal regeneration is still unclear. Whereas c-jun overexpression promotes neurite outgrowth in vitro, it fails to do so in vivo.36 We are currently investigating its role in axonal regeneration in vivo and are trying to clarify the mechanism, if it does play a part in promoting axon regeneration.
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| Footnotes |
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Supported by a grant from the Research Grant Council of Hong Kong and awards from the University of Hong Kong and Shantou University Medical College.
Submitted for publication May 6, 2003; revised July 18, 2003; accepted August 20, 2003.
Disclosure: Q. Lu, None; Q. Cui, None; H.K. Yip, None; K.-F. So, None
The publication costs of this article were defrayed in part by page charge payment. This article must therefore be marked "advertisement " in accordance with 18 U.S.C.
1734 solely to indicate this fact.
Corresponding author: Kwok-Fai So, Department of Anatomy, Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Hong Kong, China; hrmaskf{at}hkucc.hku.hk.
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