Organotypic brain slice co-cultures of the dopaminergic
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Organotypic brain slice co-cultures of the dopaminergic
Organotypic brain slice co-cultures of the dopaminergic system - A model for the identification of neuroregenerative substances and cell populations Der Fakultät für Biowissenschaften, Pharmazie und Psychologie der Universität Leipzig genehmigte DISSERTATION zur Erlangung des akademischen Grades doctor rerum naturalium Dr. rer. nat. vorgelegt von Dipl. Biochem. Katja Sygnecka, geb. Kohlmann geboren am 23.12.1983 in Lutherstadt Wittenberg Dekan: Prof. Dr. Erich Schröger Gutachter: Prof. Dr. Andrea Robitzki Prof. Dr. Bernd Heimrich Verteidigung: Leipzig, den 23.10.2015 BIBLIOGRAPHY Katja Sygnecka Organotypic brain slice co‐cultures of the dopaminergic system – A model for the identification of neuroregenerative substances and cell populations Faculty of Biosciences, Pharmacy and Psychology Leipzig University Dissertation 89 pages, 130 references, 29 figures, and 3 tables The development of new therapeutical approaches, devised to foster the regeneration of neuronal circuits after injury and/or in neurodegenerative diseases, is of great importance. The impairment of dopaminergic projections is especially severe, because these projections are involved in crucial brain functions such as motor control, reward and cognition. In the work presented here, organotypic brain slice co‐cultures of (a) the mesostriatal and (b) the mesocortical dopaminergic projection systems consisting of tissue sections of the ventral tegmental area/substantia nigra (VTA/SN), in combination with the target regions of (a) the striatum (STR) or (b) the prefrontal cortex (PFC), respectively, were used to evaluate different approaches to stimulate neurite outgrowth: (i) inhibition of cAMP/cGMP turnover with 3’,5’ cyclic nucleotide phosphodiesterase inhibitors (PDE‐ Is), (ii) blockade of calcium currents with nimodipine, and (iii) the co‐cultivation with bone marrow‐ derived mesenchymal stromal/stem cells (BM‐MSCs). The neurite growth‐promoting properties of the tested substances and cell populations were analyzed by neurite density quantification in the border region between the two brain slices, using biocytin tracing or tyrosine hydroxylase labeling and automated image processing procedures. In addition, toxicological tests and gene expression analyses were conducted. (i) PDE‐Is were applied to VTA/SN+STR rat co‐cultures. The quantification of neurite density after both biocytin tracing and tyrosine hydroxylase labeling revealed a growth promoting effect of the PDE2A‐Is BAY60‐7550 and ND7001. The application of the PDE10‐I MP‐10 did not alter neurite density in comparison to the vehicle control. (ii) The effects of nimodipine were evaluated in VTA/SN+PFC rat co‐cultures. A neurite growth‐ promoting effect of 0.1 µM and 1 µM nimodipine was demonstrated in a projection system of the CNS. In contrast, the application of 10 µM nimodipine did not alter neurite density, compared to the vehicle control, but induced the activation of the apoptosis marker caspase 3. The expression levels of the investigated genes, including Ca2+ binding proteins (Pvalb, S100b), immediate early genes (Arc, Egr1, Egr2, Egr4, Fos and JunB), glial fibrillary acidic protein, and myelin components (Mal, Mog, Plp1) were not significantly changed (with the exception of Egr4) by the treatment with 0.1 µM and 1 µM nimodipine. (iii) Bulk BM‐MSCs that were classically isolated by plastic adhesion were compared to the subpopulation Sca‐1+Lin‐CD45‐‐derived MSCs (SL45‐MSCs). The neurite growth‐promoting properties of both MSC populations were quantified in VTA/SN+PFC mouse co‐cultures. For this purpose, the MSCs were seeded on glass slides that were placed underneath the co‐cultures. A significantly enhanced neurite density within the co‐cultures was induced by both bulk BM‐MSCs and SL45‐MSCs. SL45‐MSCs increased neurite density to a higher degree. The characterization of both MSC populations revealed that the frequency of fibroblast colony forming units (CFU‐f ) is 105‐fold higher in SL45‐MSCs. SL45‐MSCs were morphologically more homogeneous and expressed higher levels of nestin, BDNF and FGF2 compared to bulk BM‐MSCs. Thus, this work emphasizes the vast potential for molecular targeting with respect to the development of therapeutic strategies in the enhancement of neurite regrowth. i Table of contents Abbreviations ....................................................................................................... 1 1. Introduction ............................................................................................... 2 1.1 The dopaminergic system ..................................................................................................... 2 1.2 Neurite regeneration following mechanical lesions of the CNS ........................................... 7 1.3 Organotypic brain slice co‐cultures ...................................................................................... 8 1.4 Promising substances and cells to enhance neuroregeneration ........................................ 10 1.5 The aim of the thesis .......................................................................................................... 14 2. The original research articles ..................................................................... 16 2.1 Phosphodiesterase 2 inhibitors promote axonal outgrowth in organotypic slice co‐ cultures ..................................................................................................................................... 17 2.2 Nimodipine enhances neurite outgrowth in dopaminergic brain slice co‐cultures ........... 35 2.3 Mesenchymal stem cells support neuronal fiber growth in an organotypic brain slice co‐ culture model ........................................................................................................................... 50 ...................................................................................................................................................... 3. References ................................................................................................ 66 Appendices ................................................................................................... 73 Summary ........................................................................................................................... 73 Zusammenfassung ............................................................................................................ 78 Curriculum Vitae ...................................................................................................................... 84 Track Record ............................................................................................................................ 85 Selbständigkeitserklärung ........................................................................................................ 87 Acknowledgments .................................................................................................................... 88 ii ABBREVIATIONS Abbreviations BM bone marrow BM‐MSC bone marrow‐derived mesenchymal stromal/stem cell cAMP adenosine 3’,5’ cyclic monophosphate CD cluster of differentiation CFU‐f fibroblast colony forming units cGMP guanosine 3’,5’ cyclic monophosphate CNS central nervous system DA dopamine DHP dihydropyridine Fig. figure GABA ɣ‐aminobutyric acid GFAP glial fibrillary acidic protein LDH lactate dehydrogenase MAP2 microtubule‐associated protein 2 MSC mesenchymal stromal/stem cell NGF nerve growth factor P postnatal day PDE 3’,5’‐cyclic‐nucleotide phosphodiesterase PDE‐I 3’,5’‐cyclic‐nucleotide phosphodiesterase inhibitor PFC prefrontal cortex PI propidium iodide qPCR quantitative real time reverse transcription polymerase chain reaction SL45‐MSC Sca‐1+Lin‐CD45‐‐derived mesenchymal stromal/stem cell SN substantia nigra SNc substantia nigra pars compacta STR striatum TH tyrosine hydroxylase VM ventral mesencephalon VTA ventral tegmental area 1 INTRODUCTION - The dopaminergic system 1. Introduction Axonal projections can get lost as a consequence of (i) brain injury (e.g. traumatic brain injury), (ii) the occurrence of cell death in neurodegenerative diseases, such as Parkinson’s disease, and (iii) the malformation of neuronal processes during development. The loss of these projections results in the impairment of the basic organization of neuronal circuits. To date, there are no adequate therapy strategies available that would lead to the complete regeneration of these neuronal circuits after injury or with the onset of neurodegenerative diseases. Of special interest is the loss or impairment of dopaminergic projections, because they play important roles in the regulation of physiological and psychological functions in the central nervous system (CNS). The dysfunctions that occur within these projections are pathophysiological features of Parkinson’s disease, depression, and schizophrenia. The recent and detailed studies of the anatomy of dopaminergic projections, as well as its specific physiological functions, and the growing knowledge around the pathophysiology of the above mentioned disorders have been of great benefit to the development of effective therapy strategies. However, the current therapeutic options are still insufficient. Taking into account the considerable consequences of disturbances of dopaminergic neuronal projections and regrowth failures after injury and/or in neurodegenerative diseases, there is a strong need for experimental models, in which these projections are reproduced. These experimental models would attempt to accelerate development, as well as the characterization and the selection of effective neurite outgrowth‐promoting substances. Organotypic brain slice co‐cultures that reconstruct dopaminergic projections could be such an experimental model. To fully understand the scale of the problem, there will be an introduction into the anatomy and the (patho)physiological characteristics of the dopaminergic projection system, as well as into general mechanisms of neurite regeneration. Next, the history and principles of dopaminergic organotypic co‐cultures will be looked at. Finally, the particular substances and cells that have been characterized with regard to their (neuroregenerative) effects in organotypic brain slice co‐cultures will be introduced. 1.1 The dopaminergic system The catecholamine dopamine (DA, Fig. 1A) is a neuromodulator that is involved in the regulation of the diverse functions of the CNS. Among these functions are motor control, reward and cognition. The five DA receptors (D1‐D5) that have been described so far belong to the family of seven transmembrane domain G‐protein coupled receptors (Fig. 1B). The DA receptors are divided into two subfamilies: the D1‐like (D1, D5) and the D2‐like (D2, D3, D4) DA receptors (1). While the former 2 INTRODUCTION - The dopaminergic system interact with a stimulatory Gs‐protein, the stimulation of the latter leads to the activation of inhibitory Gi‐proteins as reviewed in more detail in (2). This means that the DA can be an activating or an inhibitory neurotransmitter, depending on the DA receptor subtype. The main influences on subsequent signaling events are indicated in Fig. 1C. Fig. 1(A) The catecholamine neurotransmitter dopamine (DA). (B) The structure of the DA receptor (D1‐ subtype). Seven transmembrane helices are indicated (1‐7). Potential phosphorylation sites are represented on the intracellular loop and the intracellular COOH‐terminal tail. Potential glycosylation sites are indicated on the extracellular NH2 tail. (C) Intracellular events, following the stimulation of D1‐like and D2‐like DA receptors, respectively. AC ‐ adenylate cyclase. (B,C) are adopted from (3). 1.1.1 The anatomy of dopaminergic projections Using the brain of a rat, groups of dopaminergic and other catecholaminergic neurons were mapped out and grouped together as A1‐17. This was carried out with the formaldehyde histofluorescence method (4,5). Ninety percent of all brain DA neurons are located in the ventral mesencephalon (VM) and belong to the cell groups A8 (retrorubal area), A9 (substantia nigra (SN) pars compacta(c)) and A10 (ventral tegmental area, VTA) (6–9). These cell groups give rise to important projections to the forebrain with a topography organized in three planes: dorso‐ventral, medial‐lateral and anterior‐ posterior (10). Among them, the three main pathways are the mesostriatal (also termed nigrostriatal), mesocortical and mesolimbic dopaminergic pathways (11) (Fig. 2). The mesolimbic DA pathway is involved in reward and emotions and is comprised of dopaminergic projections from the ventral portions of the SNc and the VTA to the limbic forebrain (including e.g. nucleus accumbens, 3 INTRODUCTION - The dopaminergic system amygdala and piriform cortex). As they are quite relevant for the work presented here, the mesostriatal and the mesocortical projections are described in more detail below. Fig. 2(A) Scheme of dopaminergic projections in a rodent’s brain arising in the ventral tegmental area/substantia nigra‐complex (VTA/SN). It was not attempted to distinguish VTA and SN, because of retrograde labeling studies, which indicated that both the striatum and the cerebral cortex are innervated by dopaminergic projections originating in both VTA and SN (12,13). The mesocortical pathway (innervating e.g. the anterior cingulate cortex, ACg; and the prefrontal cortex, PFC), the mesolimbic pathway (innervating e.g. the amygdala, Amg; the nucleus accumbens, NAc; and the olfactory tubercle, OTb) and the mesostriatal pathway (innervating the striatum, STR) are indicated with arrows. Another target region of mesencephalic dopaminergic projections is the hippocampus, Hip. Regions that are relevant for the here presented work are highlighted with bold letters. (B) Coronal section of the ventral mesencephalon at the midrostral level of VTA/SN indicating the localization of VTA, SN pars compacta (SNc) and SN pars reticulata (SNr). (C‐E) Location of dopaminergic neurons of the VTA/SN projecting to (C) the PFC and ACg, (D) the STR and (E) the NAc. (A) adapted from (14); (B‐E) adapted from (9,15) 4 INTRODUCTION - The dopaminergic system 1.1.1.1 Mesostriatal Projections The mesostriatal pathway arises from the ventral and intermediate sheets of the SNc and the ventrolateral VTA and projects to the dorsal striatum (STR), which contains caudate and putamen (9). This pathway is important for motor planning and the execution of movement (11). Moreover, it seems to be involved in non‐motor functions, such as cognition (16). dopaminergic fibers of this particular projection have been shown to innervate patch structures within the patch‐matrix organization of the STR. The striatal "patch" compartment is identified by substance P‐like or leu‐enkephalin‐like immunoreactivity (17). Cortical and thalamic afferents, as well as the efferent targets (SNc and SN pars reticulata) of the two compartments are distinct, suggesting that patch and matrix are segregated, parallel input‐output systems (12). In the STR, ɣ‐aminobutyric acid (GABA)ergic medium spiny neurons are the most prevalent cell type, representing 95% of all striatal neurons (18). The major targets for the dopaminergic innervation are the dendritic shafts and spines of these medium spiny neurons, on which dopaminergic afferents form symmetric synapses (19). There is ultrastructural evidence that striatal cell types such as large aspiny cholinergic interneurons are targets of a few other TH‐immunoreactive boutons (20). The neuronal processes originating from the ventral tier of the SNc and projecting to the striatal patches have a diameter of 0.2‐0.6 µm and frequent varicosities (0.4‐1.0 µM), giving them a crinkled appearance (12). Additionally, they have been shown to be negative for the 28kDa calcium binding protein (now referred to as calbindin‐ D28k), in contrast to those innervating matrix structures of the STR (21). The STR is the major input structure of the basal ganglia, receiving projections from the cerebral cortex, the brainstem, and the thalamus. Among the projections from the brainstem are the mesostriatal projections that modulate two distinct pathways within the complex basal ganglia circuits: the direct and the indirect pathway. Dopaminergic projections from the SNc activate the direct pathway through the activation of DA receptors of the D1‐type. In contrast, the indirect pathway is inhibited by the activation of inhibitory D2 receptors. The balance between the direct and indirect pathway is believed to be important for normal motor function (22). 1.1.1.2 Mesocortical Projections The mesocortical projections arise in the dorsal tier of SNc and VTA and project to the anterior cingulate cortex, the entorhinal cortex, perirhinal cortex and the PFC (23,24). These pathways play a prominent role in concentration and the executive functions, such as the working memory (16,25,26). 5 INTRODUCTION - The dopaminergic system Only 33% of all PFC projections originating in the VTA are dopaminergic (27). There is evidence to suggest that most of the other neurons projecting from the VTA to the PFC are GABAergic (28–30). In addition to these two well‐recognized pathways, parallel glutamate‐only and glutamate‐DA pathways from the VTA to the PFC exist, as established by recent findings (31). The neurons in the PFC, which receive the dopaminergic inputs, are mainly pyramidal cells in the deeper layers (V,VI) of the PFC (32,33). They conduct excitatory signals to, for example, the VTA by mainly using the neurotransmitter glutamate. Additionally, DA receptors have been described on inhibitory cortical interneurons, which use GABA as a neurotransmitter (34). In contrast to the pyramidal cells, cortical interneurons do not conduct signals outside the cortical region (33,35,36). 1.1.2 The (patho)physiology of dopaminergic projections The afferents of the dopaminergic cell bodies of the VM innervate the STR, the cortical and limbic regions. These projections are involved in the regulation of crucial brain functions such as the motor function, emotions and cognitive control. Thus, the impairment of the dopaminergic neurocircuits is a common feature of neurological and psychiatric diseases: Parkinson’s disease. The degeneration of dopaminergic neurons in the SNc entails a reduction of dopaminergic projections to the dorsal STR, which leads to the dysregulation of the basal ganglia motor circuit. The cardinal motor symptoms of Parkinson’s disease ‐ tremor, rigidity and akinesia ‐ highlight the importance of DA projections for movement control (22,37,38). Depression. Disturbances in neurotransmission are believed to present the molecular basis of depression. Among them is the deficiency of the mesolimbic DA transmission that results in (i) reduced DA levels in the ventral STR, including the nucleus accumbens, and (ii) the dysfunction of the closely connected reward system. These particular disturbances are expected to cause anhedonia, a frequent symptom of depression (16,39). Moreover, lower extracellular DA in the dorsal STR has been associated with motor retardation in major depression disorder (40). New approaches targeting the dopaminergic system are of high interest, considering the current lack of therapy options that could reverse these effects. Schizophrenia. Much evidence suggests that schizophrenia is a neurodevelopmental disorder with genetic and environmental factors, which can cumulatively lead to different developmental trajectories (41). The reduced elaboration of inhibitory interneuron activity, and the exceeded pruning of the excitatory pathways cause an imbalance in the inhibitory and excitatory pathways in the PFC (42). The impairment of DA transmission in the PFC is associated with deficits in working memory ‐a core dysfunction in schizophrenia (25,26). Additionally, deficient DA function results in the hypostimulation of D1 receptors in the PFC. It has been suggested that this reduced stimulation 6 INTRODUCTION - Neurite regeneration can play a role in the development of the “negative” symptoms and cognitive impairments of the disease (43). It is of great importance to find therapeutic strategies to overcome the loss of dopaminergic projections or dysregulations of DA transmission in the described diseases. New approaches have to be developed and evaluated with the aim of enhancing the outgrowth of neuronal processes within the projection systems. 1.2 Neurite regeneration following mechanical lesions of the CNS Following brain injury, membrane resealing at the transection site of the severed axons is the first prerequisite for survival of the neuron. Another requirement for regeneration after mechanical lesions is the growth cone formation and extension. It has been demonstrated that high calcium influx leads to membrane resealing (44). In contrast, growth cone formation and axon elongation necessitate optimal calcium levels that are reached by cytoplasmic calcium homeostasis mechanisms, as reviewed by (45). Compared to the peripheral nervous system or to neurite growth during development, regenerative capacities of mammalian adult CNS neurons are limited. The regrowth of injured axons in the mature CNS is inhibited by extrinsic and intrinsic mechanisms. Extracellular growth‐inhibitory mechanisms include (i) repellent guidance cues that are important during development and upregulated following injury, for example ephrins and their receptors (46–48). Additionally, (ii) myelin proteins like Nogo‐A, myelin‐associated glycoprotein (MAG) and oligodendrocyte myelin glycoprotein (OMgp) present growth‐inhibitory factors. Furthermore, (iii) the glial scar impedes the regrowth of severed axons. It consists of activated astrocytes and the secreted extracellular matrix components, e.g. chondroitin sulfate proteoglycan, (as reviewed in more detail by (49,50)). A therapeutic approach to overcome this non‐permissive environment is the neutralization of growth‐inhibitory factors like Nogo‐A with specific antibodies (51–53), and the enzymatic digestion of chondroitin sulfate proteoglycan by chondroitinase ABC (53,54). Despite these extrinsic factors that impede axon regrowth, spontaneous axon regeneration has been observed under certain circumstances (55,56) as reviewed in (57). These observations suggest that there must be intrinsic mechanisms that enable the regenerating axon to overcome the inhibitory environment, which is created by the above mentioned factors. Examples of the intrinsic mechanisms, which lead to growth cone formation and extension, are the activation of gene expression, local protein synthesis and microtubule assembly (57). These processes are regulated by intracellular signaling pathways including the MAPK/ERK pathway and the PI3K/Akt pathway. These pathways interact with each other and with other signaling cascades in a complex manner that 7 INTRODUCTION - Organotypic brain slice co-cultures additionally differs between distinct neuronal cell types {Cui 2006 #213}{Heine 2015 #123}. Within this complex signaling network, the second messenger adenosine 3’,5’ cyclic monophosphate (cAMP) seems to be a key player, because it appears to interact with the above‐mentioned and other signaling pathways (58). Elevated intracellular cAMP levels have been shown to enable regenerating axons to overcome the growth‐inhibitory action of MAG (59,60). A therapeutic approach to enhance the intrinsic regeneration‐promoting processes could be the application of neurotrophic factors, e.g. NGF and BDNF that activate the respective signal transduction pathways, as well as the elevation of intracellular cAMP concentrations and subsequent activation of gene expression (58). 1.3 Organotypic brain slice co‐cultures Organotypic brain slice co‐cultures present an experimental model that provides some important advantages, in contrast to single‐cell culture or in vivo models. The complex cytoarchitecture of the brain tissue is preserved within these models. For example, Snyder‐Keller et al. demonstrated that the complex striatal matrix‐patch organization can be found in striatal slice cultures after ex vivo‐ cultivation and, to an even greater extent, in mesostriatal co‐cultures (VM+STR) (61). Moreover, within co‐cultures that reconstruct projection systems, the specific innervation of target regions corresponds to the in vivo situation. This has been shown by applying tracing methods, e.g. biocytin tracing (62), immunohistochemical stainings (63–65) and electrophysiological measurements (66,67). Additionally, organotypic (co‐)cultures provide good experimental access to the sample material, as well as precise control over the extracellular environment. The ex vivo cultivation and the characterization of explants of the VM can be traced back to the 1970s (68,69). In the first study of co‐cultures, tissue explants of the midbrain and the STR (caudate nucleus), derived from the brains of newborn dogs, were combined (70). In this study, the outgrowth of catecholamine containing fibers from the midbrain portion into the striatal slice was observed. This target‐oriented fiber growth, with plexiform nerve terminals in the STR, was confirmed in mesostriatal rat co‐cultures (63). The combination of VM slices with slices of (a) STR, (b) hippocampus or (c) cerebellum clearly demonstrated that the ex vivo observed target‐oriented neurite outgrowth correlates with the projections, which are built in vivo during the development. While there was significant ingrowth into STR, which represents a major target of mesencephalic dopaminergic neurons, only a few neurites grew into the hippocampal slice, a minor target region. No ingrowth of dopaminergic fibers was observed in co‐cultures with the cerebellum, a non‐target region for mesencephalic DA neurons (64). These findings were confirmed in a later study working with triple cultures containing (a) cerebral cortex+SN+STR or (b) cerebral cortex+VTA+STR, respectively (71). This study further demonstrated the specific innervation of (a) the STR by 8 INTRODUCTION - Organotypic brain slice co-cultures dopaminergic neurons from the SN and (b) the ingrowth into the cortex by DA neurons originating in the VTA. It should also be noted that the capacity to innervate the respective target regions is dependent on the age of the donor of the VM tissue explants: The innervation of the striatal tissue by dopaminergic cells of VM explants prepared from newborn rats (P0) is more intensive than those of P7‐derived VM explants (72). Furthermore, the importance of the striatal tissue donor’s age in nigrostriatal co‐ cultures has been demonstrated: dopaminergic fibers originating from the VM are only attracted to the STR at late embryonic (i.e. E19+) and early postnatal stages (i.e. <P4) (64,73). Triple cultures of the VM, the STR and a cortical part, revealed a rather moderate innervation of the cortex, when compared to the STR (66,71). Two principle cultivation techniques have become prevalent in recent decades and both methods consider the major requirements of organotypic cultivation. The necessary conditions are as follows: sufficient oxygenation, stable attachment to a substrate, and an appropriate culture medium (74). (i) The roller tube technique has been proven to allow the organotypic growth of neuronal tissue explants (75,76). However, there is a non‐physiological flattening to quasi‐monolayers, which is preferable when optimal optical conditions are required (74). (ii) If the maintenance of the semi‐ three‐dimensional structure is desired, the membrane interface technique would be the preferred method of choice (77). Modifications of the interface method have been mostly utilized in more recent studies (78). A preparation scheme of mesocortical and mesostriatal co‐cultures, which were used in the work presented here, is shown in Fig. 3 9 INTRODUCTION - Tested compounds and cell populations Fig. 3 Illustration of the preparation of mesocortical (left) or mesostriatal (right) co‐cultures. (A) Dorsal view on a neonatal rat brain. The regions containing ventral tegmental area/substantia nigra (VTA/SN) and the prefrontal cortex (PFC) are highlighted in dark and bright red, respectively. The region containing the striatum (STR) is highlighted in blue. (B) Coronal sections of the rat brain. Additional cuts are indicated by dashed lines to isolate PFC (*), VTA/SN (#) and the STR (*), respectively. (C) Coronal sections were placed side by side on membrane inserts as co‐cultures. During the ex vivo cultivation, co‐cultures were treated with nimodipine or MSC populations (VTA/SN+PFC) or with different PDE‐Is (VTA/SN+STR), respectively. (A,B) adapted from (79). 1.4 Promising substances and cells to enhance neuroregeneration As discussed above (see section 1.2), the regrowth of neurites after mechanical lesions is a very complex process. Many intrinsic and extrinsic factors influence the regrowth capacities of injured neurites. These factors provide a wide range of molecular targets for therapeutical approaches to enhance intrinsic regrowth mechanisms. In the following, substance candidates and cells with potential neuroregenerative properties that influence intracellular signaling, calcium currents or the extracellular microenvironment by the secretion of e.g. growth factors, will be presented. 1.4.1 Phosphodiesterase inhibitors 3’,5’‐cyclic‐nucleotide phosphodiesterases (PDEs, EC 3.1.4.17) are enzymes that hydrolyze the 3’ cyclic phosphate bond of the second messenger molecules cAMP and/or guanosine 3’, 5’ cyclic monophosphate (cGMP, the chemical structures of both molecules are presented in Fig. 1 of the original article, p. 29). These enzymes, therefore, regulate intracellular cell signaling. The superfamily of PDEs comprises of at least 21 genes/isoforms that are subdivided into 11 families (80,81). These PDE families differ in their substrate specificity, their kinetic and regulatory properties and their distribution in tissues and cells. The activity of PDEs is regulated (i) by their expression level 10 INTRODUCTION - Tested compounds and cell populations in the cell, (ii) by their posttranslational modifications (e.g. phosphorylation/dephosphorylation) and (iii) by their allosteric regulators, such as cAMP, cGMP and Ca2+/calmodulin. Early after the discovery of PDE activity, the nonselective inhibitors caffeine and theophylline, both methylxanthines, were found (82,83). These early PDE‐inhibitors (PDE‐Is) were used as therapeutic agents, e.g. for the treatment of airway diseases due to their bronchodilating clinical efficacy. However, their therapeutic index is narrow, because of the inhibition of nearly all PDEs in all tissues. More recently developed PDE‐Is target specific PDE isoforms (84). In the study presented here, we focused on two PDE families: PDE2 and PDE10. As there is only one gene/isoform belonging to each of these two families ‐PDE2A and PDE10A, respectively‐ I will refer to them as PDE2 and PDE10 in the following description. Both isoforms are dual substrate enzymes, being capable of the hydrolysis of both cAMP and cGMP. Another common feature is the N‐terminal GAF domain. In the case of PDE2, the binding of the allosteric factor cGMP to this domain activates the enzyme. Thus, PDE2 activity requires elevated cGMP concentrations to be functionally significant (85). PDE2 has been detected in the brain in unique neuronal populations. Its activity has, for example, been shown in striatal cells (86). It regulates cGMP levels in neurons, and is believed to be involved in long‐term memory (81). BAY60‐7550 is one example of potent and highly selective PDE2‐Is. It was shown in an in vivo mouse model that treatment with this PDE‐I enhances memory and learning by enhancing synaptic plasticity (87). PDE10 is highly expressed in the STR of the rodent brain (88). Thus, its involvement in the modulation of striatonigral and striatopallidal pathways has been suggested (89). Within the STR, PDE10 is expressed in medium spiny neurons, where it is supposed to regulate the metabolism of both cAMP and cGMP (89). The selective inhibition of PDE10 is discussed as a possibility to treat psychosis, because studies have demonstrated its efficacy in behavioral models predictive of antipsychotic activity (90). Moreover, with regard to the corticostriatal projections, PDE10‐Is could improve some of the cognitive symptoms of schizophrenia by increasing the activity of the GABAergic striatal medium spiny neurons (91). An effect on neurite outgrowth in the dopaminergic mesostriatal projection system by PDE2‐Is and PDE10‐Is has not been investigated, so far. 1.4.2 Nimodipine Nimodipine (isopropyl‐(2‐methoxyethyl)‐1,4‐dihydro‐2,6‐dimethyl‐4‐(3‐nitrophenyl)‐3,5‐pyridinedi‐ carboxylate, Bay e 9736, Fig. 4) is a dihydropyridine (DHP) derivative that has been found to selectively block the slow calcium currents (92) by specifically binding to L‐type voltage gated calcium channels. Nimodipine and other DHP derivatives block the calcium current by specifically binding to the α1 subunit of the channel protein (93). 11 INTRODUCTION - Tested compounds and cell populations Fig. 4 The dihydropyridine (DHP) derivate nimodipine. The DHP core is highlighted with bold lines and letters. Nimodipine is a highly lipophilic molecule. Thus, it can pass the blood brain barrier, resulting in a high distribution volume in the brain. However, when using it as a therapeutic agent, low oral bioavailability, short half‐life and high protein binding have to be considered (94). Nimodipine’s low adverse effect profile has been confirmed in numerous clinical trials and is advantageous for the clinical application of the substance (95–97). In the early eighties nimodipine was regarded as a vasodilatory agent with a preferential effect on cerebral vessels (98–100). Therefore, it has since been considered as an agent to counteract pathophysiological situations that are caused by insufficient blood supply to the brain. In addition to nimodipine’s dilatory effects on cerebral microvessels, a protective effect on nervous tissue, exerted by the modulation of metabolic processes, has been assumed (101). Later on in the eighties, direct neuronal effects were discussed and the application of nimodipine in epileptic seizures or withdrawal syndromes has since been pondered (102,103). Additionally, a preventive treatment of migraine was suggested (104,105). However, the clinical application of nimodipine was mainly related to its beneficial effects when applied after subarachnoid hemorrhage. In this clinical situation, nimodipine reduces the deleterious effects of related delayed cerebral vasospasm (106). Nevertheless, later research discovered other fields of application. Experimental studies in animal models demonstrated the neuroregenerative effects of nimodipine after mechanical peripheral nerve injury (107,108). Moreover, clinical studies have demonstrated improved nerve function after vestibular schwannoma surgery, especially when nimodipine was applied intravenously before, during and after the surgery (109). The studies described above investigated the effects of nimodipine treatment on neurite growth in the peripheral nervous system. Thus, a neurite growth‐promoting effect of nimodipine in experimental models of CNS projection systems remains to be elucidated. 1.4.3 MSC‐derived cell populations Mesenchymal stromal/stem cells (MSCs) have been intensively investigated as promising candidates for cell therapies in regenerative medicine. Currently, clinical trials are ongoing, applying bone 12 INTRODUCTION - Tested compounds and cell populations marrow (BM)‐derived MSCs to treat a variety of disorders: neurodegenerative disorders such as multiple sclerosis and Parkinson’s disease, disorders of the locomotor system, like osteoarthritis and injury of the articular cartilage, and others, e.g. acute respiratory distress symptoms, chronic and ischemic stroke, liver failure and spinal cord injury (http://www.clinicaltrials.gov/ 2015‐03‐03). In addition to the BM, MSCs have been isolated from nearly every adult tissue (as reviewed by (110)), mainly due to their presence in the perivascular region (111,112). However, the main sources of MSCs are adult BM (113,114), adipose tissue (115), and umbilical cord blood (116). MSCs are classically characterized by their ability to adhere to plastic surfaces and to undergo sustained proliferation. Their trilineage differentiation capacity into adipocytes, chondrocytes and osteoblasts in vitro has been first described by Pittenger (117) and became an important criterion for the definition of MSCs (118). Moreover, for human MSCs, cell surface expression of cluster of differentiation (CD)73, CD90 and CD105 as well as the absence of hematopoietic lineage markers such as CD11b, CD14, CD19 or CD34, CD45 or CD79 are required, to refer to the cells as MSCs (118). The characteristics for murine MSCs overlap partly with those described for human MSCs, but are generally less well defined (119). With regard to the development of new strategies for the treatment of neurological and neurodegenerative disorders, (i) it was assumed that MSCs would replace lost cells in the damaged tissue. In addition to their trilineage potential, the transdifferentiation into cells of other lineages, such as neurons, has been described in several studies (e.g. (120,121)). However, the experimental approach to characterize the neuronal phenotype, varies between the different laboratories and the validity of the results is controversial (as discussed by (122)). (ii) Immunomodulatory mechanisms have been described. MSCs limit stress response/inflammation and apoptosis following injury (123– 125). (iii) The capacity of MSCs to produce and secrete neurotrophic factors and, in addition, to induce growth factor secretion in host cells can be another powerful mechanism, creating a microenvironment around a lesion site that fosters the regeneration and repair of the damaged tissue, as it has been shown in preclinical studies (125–127). These paracrine effects are thought to contribute more significantly to the broad therapeutic efficacy of MSCs, as opposed to their plasticity, in achieving tissue repair. However, the composition of the secreted cytokines and growth factors varies significantly between different MSC preparations, because the proportions of the respective subpopulations of the intrinsically heterogeneous MSCs and their biological activity strongly depend on isolation and cultivation protocols (128). As a consequence, the effect of applied MSCs in the context of clinical application is hardly predictable. Some recent advances in experimentation allowed for attempts to isolate defined homogeneous MSC subpopulations. Thus, specific surface markers, in addition to the ones mentioned above, have been identified. Kucia et al. described a multiparameter sorting 13 INTRODUCTION - The aim of the thesis method, yielding a homogeneous murine BM‐derived cell population that expresses the stem cell antigen‐1 (Sca‐1) and is hematopoietic lineage‐depleted and CD45‐negative (Sca‐1+Lin‐CD45‐). These cells expressed the pluripotency markers SSEA‐1, Oct‐4, Nanog and Rex‐1 (129). Therefore, and because of their small size, the group termed them “very small embryonic‐like (VSEL) cells”. However, the pluripotency has not yet been rigorously proven (130). In another study, the surface markers, platelet‐derived growth factor receptor‐ߙ (PDGFR‐ߙ), and Sca‐1 were described as suitable for the isolation of a homogeneous cell population from murine BM that fulfills MSC criteria (111). The potential to enhance neurite outgrowth of the described subpopulations has not been compared to the growth‐promoting potential of bulk BM‐MSCs, yet. 1.5 The aim of the thesis As pointed out above, there is a need for the development of new therapeutic options to treat the consequences of axon (re)growth failures, especially within dopaminergic projections. Utilizing organotypic brain slice co‐cultures of the mesostriatal and the mesocortical projection systems, it was intended to evaluate different approaches that could help to enhance neuronal fiber growth: (i) Selective PDE‐Is, which interfere with intracellular second messenger turnover In particular, the specific inhibitors of PDE2 (BAY60‐7550, ND7001) and PDE10 (MP‐10) are of interest in the study presented here. (ii) Nimodipine, an inhibitor of transmembrane calcium currents The effects of the treatment with different concentrations of nimodipine (0.1 µM‐10 µM) were compared. (iii) Mesenchymal stromal/stem cells (MSCs), whose therapeutic potential is supposed to be based i.a. on the secretion of growth factors, which act extracellularly on the respective receptors In the work presented here, the neurite outgrowth‐enhancing potential of the prospectively isolated (Sca‐1+Lin‐CD45‐) murine MSC subpopulation that we name “SL45‐MSC” was compared to murine bulk BM‐MSC, classically isolated through plastic adhesion. Being already an established model for the analysis of the neurite growth‐promoting properties of pharmacological compounds, dopaminergic brain slice co‐cultures were applied to characterize substances and cells with regard to their: (a) neurite outgrowth‐promoting effect within DA projection systems, (b) possible toxic properties, (c) potential influence on gene expression. The work program is summarized in Fig. 5. 14 INTRODUCTION - The aim of the thesis Fig. 5 Work program. (A) The treatment of each study is indicated. (B) The projection systems that have been used for the respective study are represented as schemes. As indicated in the left and middle panel, PDE‐Is and nimodipine have been applied to the medium. The MSCs are plated on glass slides that were placed underneath the membrane inserts (right panel). In (C), the main analyses that have been conducted during or after the cultivation are specified. Neurite outgrowth was quantified in all studies. 15 RESEARCH ARTICLES 2. The original research articles In the following, the original research articles that have been published in peer reviewed journals are presented. Reprints were made by kind permission of the publishers: “Phosphodiesterase 2 inhibitors promote axonal outgrowth in organotypic slice co‐cultures.” (published in Neurosignals by S. Karger AG) “Nimodipine enhances neurite outgrowth in dopaminergic brain slice co‐cultures.” (published in International journal of developmental neuroscience by Elsevier Ltd.) “Mesenchymal Stem Cells Support Neuronal Fiber Growth in an Organotypic Brain Slice Co‐ culture Model.” (published in Stem cells and development by Mary Ann Liebert Inc. Publishers) 16 RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) Original Paper Received: November 3, 2011 Accepted after revision: February 29, 2012 Published online: August 31, 2012 Neurosignals DOI: 10.1159/000338020 Phosphodiesterase 2 Inhibitors Promote Axonal Outgrowth in Organotypic Slice Co-Cultures C. Heine a, b K. Sygnecka a, b N. Scherf c, d A. Berndt e U. Egerland e T. Hage e H. Franke b a Translational Centre for Regenerative Medicine (TRM), b Rudolf Boehm Institute of Pharmacology and Toxicology, and c Interdisciplinary Centre for Bioinformatics, University of Leipzig, Leipzig, d Institute for Medical Informatics and Biometry, Dresden University of Technology, Dresden, and e biocrea, Radebeul, Germany Key Words Axonal outgrowth ⴢ Biocytin ⴢ Development ⴢ Dopaminergic system ⴢ Organotypic slice co-culture ⴢ Phosphodiesterase ⴢ Regeneration ⴢ Repair ⴢ Tracing ⴢ Tyrosine hydroxylase Abstract The development of appropriate models assessing the potential of substances for regeneration of neuronal circuits is of great importance. Here, we present procedures to analyze effects of substances on fiber outgrowth based on organotypic slice co-cultures of the nigrostriatal dopaminergic system in combination with biocytin tracing and tyrosine hydroxylase labeling and subsequent automated image quantification. Selected phosphodiesterase inhibitors (PDE-Is) were studied to identify their potential growth-promoting capacities. Immunohistochemical methods were used to visualize developing fibers in the border region between ventral tegmental area/substantia nigra co-cultivated with the striatum as well as the cellular expression of PDE2A and PDE10. The quantification shows a significant increase of fiber density in the border region induced by PDE2-Is (BAY607550; ND7001), comparable with the potential of the nerve growth factor and in contrast to PDE10-I (MP-10). Analysis of © 2012 S. Karger AG, Basel 1424–862X/12/0000–0000$38.00/0 Fax +41 61 306 12 34 E-Mail karger@karger.ch www.karger.com Accessible online at: www.karger.com/nsg tyrosine hydroxylase-positive fibers indicated a significant increase after treatment with BAY60-7550 and nerve growth factor in relation to dimethyl sulfoxide. Additionally, a dosedependent increase of intracellular cGMP levels in response to the applied PDE2-Is in PDE2-transfected HEK293 cells was found. In summary, our findings show that PDE2-Is are able to significantly promote axonal outgrowth in organotypic slice co-cultures, which are a suitable model to assess growth-related effects in neuro(re)generation. Copyright © 2012 S. Karger AG, Basel Introduction Axonal projections and the basic organization of midbrain dopaminergic (DAergic) neurons are the subject of interest when studying human neurological disorders, e.g. Parkinson’s disease [1], schizophrenia [2], and drug abuse or addiction [3, 4]. The mesencephalon as a region of complex anatomical organization, and projection patterns of the DAergic neurons are divided into the retrorubral area C.H. and K.S. contributed equally to the study. PD Dr. Heike Franke Rudolf Boehm Institute of Pharmacology and Toxicology University of Leipzig, Härtelstrasse 16–18 DE–04107 Leipzig (Germany) Tel. +49 341 972 4602, E-Mail Heike.Franke @ medizin.uni-leipzig.de 17 RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) (A8 cell group), substantia nigra (SN; A9 cell group), and the ventral tegmental area (VTA; A10 cell group) [5–7]. Tract-tracing techniques have revealed three projections to forebrain targets, namely the mesolimbic, the mesocortical, and the nigrostriatal pathways (for references, see [8]). The trajectories from the SN and VTA target all intrinsic nuclei of the basal ganglia while exhibiting preferential concentrations of terminals in the dorsal and ventral striatum (STR) [1, 8]. The balance between these projections is thought to be regulated by afferent DAergic signals from the VTA and SN pars compacta, acting on differentially distributed D1 and D2 dopamine (DA) receptors, e.g. on striatal medium spiny neurons. The activation of D1 receptors leads to an intracellular accumulation of cyclic adenosine 3ⴕ,5ⴕ-monophosphate (cAMP) via the adenylyl cyclase and following activation of cAMP-dependent protein kinase. Otherwise, DA inhibits the adenylyl cyclase via D2 receptors (for references, see [9]). It is well known that disruption of DAergic cell activity and the loss of ascending projections to the basal ganglia results in the emergence of fundamental pathological features. Due to the necessity for therapeutic strategies promoting neuro(re)generation, there is a clear need to develop appropriate test systems to assess the potential of different substances regarding regeneration and repair of neuronal circuits. Over the last years, we established ex vivo models of organotypic slice co-cultures of the DAergic system [10–12]. Parts of this system were reconstructed using tissue slices from the VTA/SN and STR or the prefrontal cortex, respectively, to analyze the cytoarchitectural organization of the VTA/SN and the innervations of the target regions by DAergic fibers. Our results demonstrated that tyrosine hydroxylase (TH)-immunopositive neurons are also able to develop their characteristic innervation patterns in organotypic slice co-cultures [10]. A number of intracellular and extracellular molecules are involved in the regulation of neuronal differentiation. Using our model system, we were able to identify a trophic support in axonal outgrowth after purinergic stimulation [11, 12]. Moreover, second messengers cAMP and cyclic guanosine 3ⴕ,5ⴕ-monophosphate (cGMP), formed from the triphosphates ATP and GTP, appear to play prominent roles in regulating neuronal differentiation and neuroplasticity [13, 14]. Elevated intracellular levels of the cyclic nucleotides are important for axon regeneration, even beyond the required increase in cAMP levels needed to respond to most factors that support cell survival [15]. Cyclic nucleotide phosphodiesterases (PDEs) comprise a superfamily of metallophosphohydrolases that specifically cleave the 3ⴕ,5ⴕ-cyclic 2 Neurosignals phosphate moiety of cAMP and/or cGMP and terminate the action of cyclic nucleotide signaling [16]. Eleven individual PDE subfamilies (PDE1–PDE11) with varying selectivity for cAMP or cGMP have been identified in mammalian tissues based on sequence similarities, inhibitor sensitivity, and biochemical properties. They are involved in mediating a range of different functions, including cytoskeletal rearrangement, gene transcription, and regulation of ion channel function [17, 18]. Recent data have shown that PDE2 and PDE10 are localized in the nigrostriatal system and hydrolyze both cAMP and cGMP. The inhibition of PDE2 selectively increases cyclic nucleotide levels, influencing synaptic plasticity and memory formation [19, 20]. Inhibition of PDE10 modulates neuronal activity within the striatopallidal and nigrostriatal pathway and leads to efficacy in behavioral models predicting an antipsychotic effect [21–24]. The aim of the present study was to characterize possible trophic/regenerative properties of selected PDE2 inhibitors (PDE2-Is; BAY60-7550 and ND7001) and PDE10I (MP-10), as compared to the effect of the neurotrophin nerve growth factor (NGF) by using an organotypic slice co-culture model (VTA/SN+STR). To quantify the potential of stimulating fiber growth, density of neuronal fibers in the border region of slice co-cultures was determined using both biocytin-tracing technique and TH immunolabeling, and subsequent automated image quantification. Materials and Methods Materials/Substances Selected PDE-Is with different subclass specificities were used (details, see table 1; structural formula, see fig. 1): BAY60-7550 (2-(3,4-dimethoxybenzyl)-7-{(1R)-1-[(1R)-1-hydroxyethyl]-4phenyl-butyl}-5-methyl imidazo[5,1-f][1,2,4]triazin-4(3H)-one; Alexis Biochemicals, San Diego, Calif., USA), ND7001 (3-(8-methoxy-1-methyl-2-oxo-7-phenyl-2,3-dihydro-1H-benzo[e][1,4]diazepin-5-yl)-benzamide), and MP-10 (2-[4-(1-methyl-4-pyridin4-yl-1H-pyrazol-3-yl)-phenoxymethyl]-quinoline 3) were synthesized at biocrea (Radebeul, Germany). Furthermore, the following substances/factors were applied: NGF (Sigma-Aldrich, Taufkirchen, Germany), dimethyl sulfoxide (DMSO; AppliChem GmbH, Darmstadt, Germany), artificial cerebrospinal fluid (ACSF) of the composition (mM): 126 NaCl; 2.5 KCl; 1.2 NaH2PO4; 1.3 MgCl2, and 2.4 CaCl2 (pH 7.4; Hospital Pharmacy, University of Leipzig, Germany). In vitro PDE Assay PDE activity was measured by the conversion of [3H]-cAMP and [3H]-cGMP into [3H]-AMP and [3H]-GMP, respectively, as described previously [25]. PDEs 1B, 2A, 3A, 4A, 5A, 7B, 8A, 9A, 10A, and 11A were generated from full-length human recombi- Heine /Sygnecka /Scherf /Berndt / Egerland /Hage /Franke 18 RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) Fig. 1. Chemical structures of the PDE substrates cGMP and cAMP and of the PDE-Is BAY60-7550, ND7001, and MP-10. nant clones. PDE6 was isolated from bovine retina as described previously [26]. PDE activity was measured with the preferred substrates, in detail, for PDE1B, 2A, 3A, 4A, 7B, 8A, 10A, and 11A cAMP was used and for PDE5A, 6, and 9A cGMP, at or below the K m value (Michaelis-Menten constant). PDE1B and PDE2A were activated by Ca2+/calmodulin and by cGMP, respectively. The other PDEs did not need any additional activation procedure. Inhibition of PDE activity was measured using a scintillation proximity assay at varied compound concentrations and optimized fixed enzyme concentrations for each enzymatic assay. IC50 (half maximal inhibitory concentration) values were calculated with the Hill2 parameter model from at least four independent experiments, done in duplicates. Intracellular cGMP Assay The selected PDE-Is BAY60-7550 and ND7001 were tested in a cellular test system to analyze the effects on intracellular cGMP levels. Human embryonic kidney (HEK) 293 cells, stably transfected with the full-length sequence of human PDE2A (NM002599), were cultured in collagen I-coated 96-well plates (70,000 cells/well) over night. On the next day, the test compounds were administered at a final DMSO concentration of 0.5% and incubated for 30 min at 37 ° C and 5% CO2. This was followed by incubation with the guanylyl cyclase (GC)-activating agent sodium nitroferricyanide(III) dihydrate (sodium nitroprusside, SNP, 100 M; Sigma-Aldrich) for 10 min. Wells incubated without test compound in the presence and absence of SNP were used as controls for statistical analysis. The level of intracellular cGMP was determined with the enzyme-linked immunosorbent assay system (cGMP EIA System; GE Healthcare UK Ltd., Little Chalfont, England). Table 1. IC50 values (nM) of the PDE2-Is BAY60-7550 and ND7001, and the PDE10-I MP-10 against individual phosphodiesterases PDE hPDE2A hPDE1B hPDE3A hPDE4A hPDE5A bPDE6 hPDE7B hPDE8A hPDE9A hPDE10A hPDE11A BAY60-7550 0.18 426 >5,000 2,130 516 2,200 1,740 >5,000 >5,000 1,640 >5,000 ND7001 57 >5,000 >10,000 >10,000 >10,000 >10,000 >10,000 >10,000 >10,000 1,460 >10,000 MP-10 2,630 >5,000 >5,000 2,230 >5,000 >5,000 >5,000 >5,000 >5,000 1.14 >5,000 Overview of the IC50 values (nM) of the PDE2-Is BAY60-7550 and ND7001, and the PDE10-I MP-10 against individual human (h) PDEs as well as the bovine (b) PDE6. Phosphodiesterase 2 Inhibitors Promote Axonal Outgrowth Animals Neonatal rat pups (WISTAR RjHan, own breed; animal house of the Rudolf Boehm Institute of Pharmacology and Toxicology, University of Leipzig) of postnatal day 1–5 (P1–5) were used for preparation of the organotypic slice co-cultures. The animals were housed under standard laboratory conditions, under a 12- Neurosignals 3 19 RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) hour light/12-hour dark cycle and allowed access to lab food and water ad libitum. All of the animal use procedures were approved by the Committee of Animal Care and Use of the relevant local governmental body in accordance with the law of experimental animal protection. Preparation of Slice Cultures Slice co-cultures were prepared from P1–5 old rats and cultivated according to the ‘static’ culture protocol described by Franke et al. [10] (for details, see also fig. 2). Briefly, rat pups were decapitated and the brains were removed from the skull under sterile conditions. The brains were apposed to an agar block and fixed onto the specimen stage of a slicer (Leica VT 1000S; Nussloch, Germany) with cyanoacrylate glue (Histoacryl쏐; B. Braun, Tuttlingen, Germany). Coronal sections (thickness 300 m) were cut at mesencephalic (fig. 2: A) and forebrain levels (fig. 2: B). During the preparation of organotypic slice cultures of the ventral mesencephalon we did not attempt to separate the VTA and the SN. For further discussion, this area will be named VTA/SN. After preparation of the VTA/SN (fig. 2: A’, asterisk) and the STR (fig. 2: B’, asterisk), respectively, the slices were transferred into petri dishes filled with cold (4 ° C) preparation solution (MEM, Minimum Essential Medium, 2 mM glutamine; Invitrogen GmbH, Darmstadt, Germany) supplemented with the antibiotic gentamicin (50 g/ml; Invitrogen GmbH). Selected sections were placed next to each other on moistened translucent membrane inserts (0.4 m; Millicell-CM, Millipore, Bedford, Mass., USA) as cocultures (VTA/SN+STR) and were put in 6-well plates each filled with 1 ml incubation medium (50% MEM, 25% Hank’s Balanced Salt Solution, 25% heat inactivated horse serum; glutamine to a final concentration of 2 mM; all from Invitrogen GmbH and with 0.044% sodium hydrogen carbonate, NaHCO3; Sigma-Aldrich). The pH was adjusted to 7.2. The cultures were stored at 37 ° C in 5% CO2 and the medium was changed 3 times a week. Immunohistochemistry (a) Qualitative Characterization of PDEs. Following pre-incubation in 1% H2O2 solution for 25 min as well as in blocking solution containing 10% normal horse serum in 0.1 M PB for 1 h, respectively, the slices were incubated with goat anti-PDE2A (1:100; Santa Cruz Biotechnology, Inc., Santa Cruz, Calif., USA) or rabbit anti-PDE10 (1:500; FabGennix Inc., Frisco, Tex., USA) for 48 h at 4 ° C. (b) Quantitative Characterization of TH-Positive Fibers. After pre-treatment with H2O2 and incubation with blocking solution, the slices were incubated with mouse anti-TH (1: 1,000; Chemicon, Temecula, Calif., USA) for 48 h at 4 ° C. (a, b) After washing with PB, the slices were incubated with biotinylated anti-goat, biotinylated anti-rabbit or biotinylated anti-mouse immunoglobulin IgG (H+L) (1:65; Vector Laboratories, Inc., Burlingame, Calif., USA), respectively, for 2 h at room tem- B‘ * * VTA/SN + STR STR VTA/ SN Fig. 2. Schematic illustration of the preparation procedure to ob- tain organotypic slice co-cultures of the DAergic system as described previously by Franke et al. [10]. Intact brains were removed from 1- to 5-day-old rats. Afterwards, transverse cuts were made at the level of A to isolate the mesencephalon and the striatal region (B). Additional horizontal cuts were made indicated by the dashed lines to separate the VTA/SN (A’ *) and the STR (B’ *). In the last step, selected coronal sections (thickness 300 m) were placed next to each other on moistened membranes as co-cultures as shown in the pictures. 4 A‘ Fixation of the Tissues After 10 days in vitro (DIV), the cultures were fixed in a solution consisting of 4% paraformaldehyde, 0.1% glutaraldehyde, 15% picric acid in phosphate buffer (PB, 0.1 M; pH 7.4) for 2 h and subsequently washed with PB intensively. Following fixation, the co-cultures were cut into 50-m thick slices by means of the vibratome. B A Neurosignals perature. Afterwards, the avidin-biotin-horseradish peroxidase complex (1:50; ABC-Elite Kit, Vector Laboratories, Inc.) was applied and visualized by 3,3ⴕ-diaminobenzidine hydrochloride (DAB; Sigma-Aldrich) as the chromogen. For the TH immunolabeling, nickel/cobalt-intensified DAB was used. After mounting on glass slides, the stained slices were dehydrated in a series of graded ethanol, processed through n-butylacetate and coverslipped with Entellan (Merck, Darmstadt, Germany). Heine /Sygnecka /Scherf /Berndt / Egerland /Hage /Franke 20 RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) DIV 0 Cy5- (1:100) conjugated IgGs were diluted in TBS supplemented with 5% FCS and 0.3% Triton X-100 and the mixture was applied for 2 h at room temperature. TH-double immunofluorescence was performed using antibodies against mouse anti-TH (1:1,000; Chemicon) and goat antiPDE2A (1: 100; Santa Cruz Biotechnology, Inc.) or rabbit antiPDE10 (1: 500; FabGennix Inc.), respectively, in TBS-containing 5% FCS and 0.3% Triton X-100 for 48 h at 4 ° C. The visualization was performed with a mixture of DyLightTM 649-conjugated donkey anti-mouse IgG (1:100, color coded in green) and Cy3-conjugated donkey anti-rabbit or anti-goat (1: 1,000; Jackson ImmunoResearch, each). Subsequently, all slices were stained with the nucleic acid probe Hoechst as described above. After intensive washing and mounting on glass slides, all stained sections were dehydrated in a series of graded ethanol, processed through n-butylacetate and covered with Entellan. Preparation of slice co-cultures (P1–5 old rats) DIV 1 ST1 ST2 ST3 DIV 8 2h 3× Biocytin tracing ST4 48 h Fixation DIV 10 Acute exposure to biocytin Medium change ST Fig. 3. A detailed chronological scheme of the experimental pro- cedure is illustrated. During the incubation period of the cultures, the treatment was executed 4 times (ST), starting on DIV 1 using the respective substances. At DIV 8, the biocytin tracing was performed as described and, finally, at DIV 10, the co-cultures were fixed and analyzed. ST = Substance treatment. Immunofluorescence Single Labeling. After washing with Tris-buffered saline (TBS, 0.05 M; pH 7.6) and blocking with TBS containing fetal calf serum (FCS, 5%) and Triton X-100 (0.3%), the slices were incubated with mouse anti-TH (1: 1,000; Chemicon); mouse anti-III-tubulin (1: 400; Promega GmbH, Mannheim, Germany) or mouse antiglial fibrillary acidic protein (GFAP, 1:1,000; Sigma-Aldrich), respectively, for 48 h at 4 ° C. The visualization of the respective primary antibodies was performed with carbocyanine (Cy)2-conjugated goat anti-mouse IgG (1: 400; Jackson ImmunoResearch, West Grove, Pa., USA). In addition, slices were stained with the nucleic acid probe Hoechst 33342 (Hoe, final concentration 40 μg/ ml; Molecular Probes, Leiden, The Netherlands) to identify the cell nuclei. Multiple Fluorescence Labeling. After the blocking step, performed as described above, the slices were incubated with an antibody mixture of rabbit anti-microtubule-associated protein-2 (MAP2, 1: 500; Millipore, Temecula, Calif., USA), mouse antiGFAP (1:1,000; Sigma-Aldrich) and goat anti-PDE2A (1:100; Santa Cruz Biotechnology, Inc.) or mouse anti-MAP2 (1:1,000; Millipore), goat anti-GFAP (1: 300; Santa Cruz Biotechnology, Inc.) and rabbit anti-PDE10 (1: 500; FabGennix Inc.), respectively, in TBS-containing 5% FCS and 0.3% Triton X-100 for 48 h at 4 ° C. The simultaneous visualization of the different primary antisera was performed with a mixture of secondary antibodies specific for the appropriate species IgG (rabbit, mouse, goat; all from Jackson ImmunoResearch). In detail, Cy2- (1:400), Cy3- (1:1000), and Phosphodiesterase 2 Inhibitors Promote Axonal Outgrowth Confocal Microscopy Imaging of the fluorescence-labeled specimen was done using a confocal laser scanning microscope (LSM 510 Meta; Zeiss, Oberkochen, Germany). Excitation wave lengths were 633 nm (helium/neon2), 543 nm (helium/neon1), and 488 nm (argon). An ultraviolet laser (351/364 nm, Enterprise) was used to evoke the Hoechst fluorescence. Treatment Procedure According to the treatment procedure described in Heine et al. [12] (for a detailed time schedule, see fig. 3), the slice co-cultures were divided into different experimental groups and were treated with the following substances (final concentration): BAY60-7550 (10 M), ND7001 (10 M), MP-10 (10 M), and NGF (50 ng/ml). The experiments were performed in a blinded fashion, i.e. the compound identity was only provided after final data analysis. The substances (except NGF) were dissolved in DMSO, sterilized by filters (0.2 m; Sarstedt, Nümbrecht, Germany) and finally added to 1 ml incubation medium. To exclude influences resulting from the solvent DMSO (final concentration 0.1%), an additional control group was used, treated only with ACSF (1%). The substances were applied at each medium change (4 times within the incubation period). Tracing Procedure At DIV 8, small biocytin crystals (Sigma-Aldrich) of similar size were placed on the VTA/SN part of the co-cultures (according to [10]) under binocular control (for detailed time schedule, see fig. 3). Cultures were left in contact with the crystals for 2 h to allow the uptake of biocytin, followed by careful rinsing with fresh incubation medium. Then, the cultures were reincubated with medium containing the substances to allow for anterograde transport of the tracer. After DIV 10, the cultures were fixed as described above and cut into 50-m thick slices by means of the vibratome. The visualization of the traced axons was performed using a previously described protocol [10]. Briefly, the anterogradely transported tracer biocytin was labeled using the ABC-Elite Kit (1:50; Vector Laboratories, Inc.), in combination with nickel/cobalt-intensified DAB. After mounting on glass slides, all stained sections were handled as described above. Neurosignals 5 21 RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) d f c a b e  g h Fig. 4. a Overview of a DAergic nigrostriatal co-culture (VTA/ SN+STR) using the biocytin-tracing technique in combination with DAB labeling. The small biocytin crystals had been placed onto the VTA/SN part of the co-culture; afterwards, the anterograde tracer was transported from the cell bodies to the outgrowing fibers. The cell bodies (labeled black) of the VTA/SN and the respective outgrowing fibers, linking the border region and growing into the STR, are shown. b–f Examples of TH immunofluorescence labeling to characterize the expression of the DAergic marker in the co-cultures: TH-IR was observed on cell bodies and outgrowing fibers within the VTA/SN (b, e) as well as on fiber 6 Neurosignals i processes in the border region (c, d) and the STR (d, f). In the border region, strong TH-IR was observed (e.g. arrowhead in c, d) on fibers, but also an increased number of ‘dot-like’ structures (e.g. arrows in c, d) was found. Finally, within the STR, a fine network of TH-positive fibers and ‘dot-like’ structures is characteristic (f). g–i The expression of III-tubulin- (g), GFAP- (astroglial marker) (h), as well as MAP2- (neuronal marker) (i) positive fibers in the border region is demonstrated, together with the nuclear stain Hoechst (Hoe) 33342. Scale bars: a 10 m; b–d, f 20 m; e 50 m; g–i 10 m. Heine /Sygnecka /Scherf /Berndt / Egerland /Hage /Franke 22 RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) Automated Image Quantification The quantification of outgrowing biocytin-traced fibers as well as of the TH-labeled fibers was performed within the border region of the co-cultures, i.e. the part where the two initially separated brain slices were grown together (fig. 4a). The following criteria were used for the selection of the biocytin-traced slices: (a) the tracer was correctly placed on the VTA/SN; (b) the major part of the VTA/SN was characterized by a dense network of biocytin-traced structures, and (c) no traced cell bodies had been observed in the target region STR (described in detail in [12]). The raw images were obtained at 20! magnification from the whole border region by a usual transmitted light bright field microscope (Axioskop 50; Zeiss, Oberkochen, Germany) equipped with a CCD camera. Due to the usual problems with sensor noise and the large amount of light absorption and scattering inside the complex tissue structure of the stained co-culture slices, the axonal structures are typically blurred and image quality further suffers from inhomogeneous illumination. The border region is composed of both vesicular and fibrous structures (in the following only termed fibers) due to the dynamic transport properties of the tracer biocytin. Thus, a tailored image analysis pipeline had to be designed to quantify the fiber density in an automated manner. This procedure can be roughly split into two parts: image pre-processing and fiber detection. Pre-Processing of the Images At first, a deconvolution of the images was computed to reduce the blur and highlight the expected ‘true’ structures of the fibers. Since the real point-spread function of the microscope setup was lacking, the convolution kernel was estimated by a general Gaussian function (the width of the Gaussian is empirically set to 2 pixels), which is a reasonable guess in the general case of isotropic blur. The actual deconvolution was done with a damped least squares method (see [27]). The deconvolution step inevitably leads to an increase in noise. Since noisy image structures would lead to a high number of false positive hits for subsequent detection of vesicular structures, a total variation-based smoothing step was applied to suppress single pixel noise in the images while preserving structures of interest [28]. Large-scale blurry structures in the background (due to structures from out-of-focus structures in the tissue) were subsequently removed by applying a top-hat transform, image structures larger than a given threshold were removed (a cutoff of 40 pixels was used here, see [29] for details). Quantification of the Fiber Density After pre-processing, the fiber structures appeared as well-defined bright regions that clearly stood out against the background. These regions were then extracted by Otsu thresholding [30]. Subsequently, the image area occupied by the fibers was measured to obtain a reasonable estimate of the underlying axonal density of the analyzed specimen. Precisely, the ratio of the number of foreground pixels (fibers) against the total number of pixels in the images was taken, giving the percentage of area occupied by fibers in the focal plane. Statistics Statistical analysis of the intracellular cGMP assay was performed using Student’s t test. Statistically significant differences Phosphodiesterase 2 Inhibitors Promote Axonal Outgrowth were considered at a p level !0.05 (* p ! 0.05, ** p ! 0.01, *** p ! 0.001; the error bars indicate the SEM). Statistical analysis of the quantitative data, comparing the different treatment groups, was performed using a Wilcoxon Rank Sum test. Each individual group was compared to the control group DMSO. To correct for multiple pairwise testing between groups, a conservative Bonferroni p value correction was applied. Statistically significant differences were considered at a p level !0.05 (* p ! 0.05, ** p ! 0.01, *** p ! 0.001). For each group, the treatment experiments were repeated for at least three individual preparations. Results IC50 Values of Selected PDE-Is The potency and selectivity of BAY60-7550, ND7001, and MP-10 were confirmed against individual human purified proteins of each PDE family (except for PDE6, which was isolated from bovine retina), and the results are shown in table 1. The data of the IC50 values against PDE2A indicated the following ranking: BAY60-7550 1 ND7001 1 MP-10. The PDE2-I BAY60-7550 inhibited the target enzyme with high potency with an IC50 value of 0.18 nM, and ND7001 was characterized as a PDE2-I with moderate affinity (IC50 = 57 nM). Both compounds are highly selective against all other PDE isoforms. MP-10 inhibited the activity of PDE10 with high potency (IC50 = 1.14 nM) as well as high selectivity towards each individual isoform of the PDE family. In general, PDE proteins show a high degree of sequence homology across different species, especially within their catalytic domains (for review, see [17, 18]). Thus, it is very unlikely that PDE-Is show species-specific effects with regard to their inhibitory activity. We have tested, for example, the PDE2-I ND7001 in a reference experiment using rat and human PDE2 proteins and could not detect any significant differences in their inhibitory activity across species (data not shown). Effects of PDE2-Is on Intracellular cGMP Level The PDE2-Is BAY60-7550 and ND7001 had been selected for the cellular cGMP assay. Measurement of cGMP levels in HEK293 cells, stably transfected with the full-length sequence of human PDE2A, confirmed that PDE2-I BAY60-7550 (fig. 5a) and ND7001 (fig. 5b) increased cGMP levels in a dose-dependent manner. In the presence of SNP (100 M), these compounds significantly increased cGMP levels as compared to the control group. These findings suggest that PDE2 may play a major role in the degradation of cGMP under conditions of Neurosignals 7 23 RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) 350 BAY60-7550 (μM) ** 300 250 200 *** 150 * 100 ** * 50 * * 50 40 30 20 10 0 0 a ND7001 (μM) 60 cGMP (fmol/well) cGMP (fmol/well) 70 ** Medium SNP 0.005 0.01 0.05 0.1 0.5 1 5 10 b Medium SNP 0.005 0.01 0.05 0.1 0.5 1 5 10 Fig. 5. Dose-dependent effects of PDE2-Is BAY60-7550 (a) and ND7001 (b) on intracellular cGMP levels in a PDE2-HEK293 cell line. BAY60-7550 and ND7001 (in the presence of the GC stimulator SNP) increased the intracellular cGMP level in a dose-dependent fashion. Values are shown in fmol cGMP per well. The error bars indicate SEM. The numbers of independent experiments per compound were: BAY60-7550 (n = 8) and ND7001 (n = 4), performed in duplicates. Differences to SNP were considered to be statistically significant according to a p level !0.05 (* p ! 0.05, ** p ! 0.01, *** p ! 0.001). GC stimulations. The numbers of independent experiments per compound were: BAY60-7550, n = 8, and ND7001, n = 4, performed in duplicates. typical routes during the development of the central nervous system and that selected guidance molecules support this innervation [32–34]. Characterization of the Organotypic Co-Cultures (VTA/SN+STR) In the present study, the VTA/SN and the STR, main parts of the DAergic nigrostriatal projection system, were prepared from P1–5 old rats, a period during which the rat exhibits an adult localization of the neurons, although the axonal network is still immature [31]. Following fixation of the cultures at DIV 10, the slices were characterized using different labeling techniques. Immunohistochemistry/Immunofluorescence The expression of TH, a marker for DAergic neurons, was shown using immunofluorescence labeling in combination with confocal laser scanning microscopy. The results indicate the presence of TH-positive cell bodies and fibers in the VTA/SN (fig. 4b, e), whereas the expression of the marker was restricted to fibers within the border region (fig. 4c, d) and the STR (fig. 4d, f). Fluorescence images illustrating the differences in the expression of TH immunoreactivity (IR) in the respective anatomical parts of the DAergic system are shown in figure 4b–d. The pictures especially exemplify the expression of the ‘dot-like’ structures in the border region and the target area (also observed after biocytin tracing, see fig. 6). Furthermore, antibodies against neuronal markers, i.e. III-tubulin and MAP2 and the astroglial marker GFAP, were used to prove the existence of neuronal processes and glial cells, especially within the border region of the co-cultures. A positive IR for all investigated markers was observed in VTA/SN and STR. Examples are shown in figure 4g–i, where the existence of III-tubulin- (fig. 4g), MAP2(fig. 4i), and GFAP- (fig. 4h) labeled fibers spanning the border region and, thus, linking the two slices could be verified. These results are consistent with the results Biocytin Tracing The morphology of the biocytin-traced cell bodies as well as the outgrowth of the fibers were analyzed in treated as well as untreated control co-cultures. An example of an untreated biocytin-traced co-culture is shown in figure 4a. In general, numerous biocytin-marked fibers (labeled in black) originating from the VTA/SN, ramified and crossed the border region between the two brain slices. Moreover, their fiber processes were observed to grow into the striatal part of the culture. The fiber pathways of the VTA/SN+STR co-cultures developed an innervation pattern similar to that found in vivo [10]. These findings are in accordance with other studies, showing that the projections of axons to their targets follow special stereo8 Neurosignals Heine /Sygnecka /Scherf /Berndt / Egerland /Hage /Franke 24 RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) a b c d e f Fig. 6. Results of the biocytin tracing after substance treatments are demonstrated within the border region of the co-cultures. Compared to control conditions applying ACSF (a) and DMSO (b) an increase in biocytin-positive fibers in PDE2-Is-treated cocultures using BAY60-7550 (d) and ND7001 (e) was observed. These effects were comparable with the effect evoked by the growth factor NGF (c). Co-cultures treated with MP-10 (f) were characterized by few biocytin-traced innervations within the border region. Scale bar: a–f 20 m. found in our previous studies, demonstrating the expression of neuronal and glial fiber connections within VTA/ SN + prefrontal cortex co-cultures [12]. Further light microscopic and triple immunofluorescence labeling studies with specific antibodies directed against PDE2A and PDE10 were performed to demonstrate the expression of these isoforms. Examples are shown in figure 7. The light microscopic data indicated the expression of PDE2A on cell bodies and fibrous structures in the STR and VTA/SN (data not shown) and correlate with the immunofluorescence data. The immunofluorescence labeling was predominately found at the plasma membrane as well as in the cytoplasm (an example for the STR is given in fig. 7a–c, arrows). Moreover the co-localization of the PDE2A-IR on MAP2-immunopositive cells could be observed (example for VTA/SN; fig. 7f–h, arrows). We did not find PDE2-positive fibers in the border region (an example is shown in fig. 7d, e). Double immunofluorescence experiments using TH and PDE2A indicated no co-expression on cell bodies or fibers in all parts of the studied co-cultures, as shown in figure 7i–m. Light microscopic images also confirmed the evidence of PDE10-marked cell bodies and fibers in the STR and the VTA/SN. Additional investigations using double immunofluorescence labeling with antibodies against TH and the PDE10 isoform indicated the expression of PDE10 on cell bodies and single fibers. On the other hand, no co-expression with TH-positive fibers (STR, VTA/SN) or the localization on TH-positive neurons (VTA/SN) could be found (fig. 7n–q). The obtained results thus clearly underline the expression of the investigated isoforms in the VTA/SN+STR cocultures during development. Phosphodiesterase 2 Inhibitors Promote Axonal Outgrowth Neurosignals Treatment of Organotypic Co-Cultures with PDE2and PDE10-Is Qualitative Results of the Fiber Growth (Biocytin Tracing) Further co-cultures (VTA/SN+STR) had been used to study the influence of selected PDE-Is, with different subclass specificities, on fiber growth and sprouting. All experiments were performed in a blinded fashion, i.e. the compound identity was provided after final data analysis. 9 25 RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) a b f g i j n o Fig. 7. Confocal images of multiple immunofluorescence labeling using antibodies against PDE2A (a–m) and PDE10 (n–q) in com- bination with MAP2 (neuronal marker), TH (DAergic marker), and Hoechst (Hoe) are shown. a–h PDE2A is expressed in the STR and VTA/SN especially on cell bodies (plasma membrane, cytoplasm; co-expression with MAP2 is indicated by arrows). No labeling was found on fibers in the border region (example given in 10 Neurosignals c e d h k m l q p d, e). The double-labeling experiments with antibodies against TH indicated neither co-localization of PDEA2 and TH in the STR, VTA/SN, nor in the border region (i–m). PDE10 was found to be expressed on cell bodies and also on fibers (indicated by arrows in n–q), but no co-localization was found with TH-positive structures in the studied regions. Scale bars: a–c 5 m; d–h 10 m; i 20 m; j, k 20 m; l–o 10 m; p, q 20 m. Heine /Sygnecka /Scherf /Berndt / Egerland /Hage /Franke 26 RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) b Fig. 8. a–d TH-positive fibers after substance treatment (a ACSF; b NGF, c DMSO, d BAY60-7550 solved in DMSO) within the border region of the co-cultures are shown (scale bar: a–d 20 m). e Results of automated image quantification to measure the den- sity of the TH-positive fibers in the border region of differently treated co-cultures in comparison to control conditions. After TH labeling, the fiber density was quantified, taking the ratio of the number of foreground pixels (fibers) over the total number of pixels in the images to reveal the size of the area occupied by fibers. The box-whisker plots represent the empirical distribution of the fiber densities in the different groups (the vertical axis corresponds to the percentage of image pixels belonging to labeled fibers). Compared with ACSF and DMSO, the growth factor NGF induced a significant increase in TH-positive fibers in the studied co-cultures. In contrast, the PDE2-I BAY60-7550 evoked only a small but significant increase of the number of TH-positive fibers, in comparison with the solvent DMSO. The numbers of analyzed images per group are: ACSF (n = 8), DMSO (n = 20), NGF (n = 33) and BAY60-7550 (n = 94). Differences were considered statistically significant at a p level !0.05 (* p ! 0.05, *** p ! 0.001). c d Percentage of image pixels belonging to TH-positive fibers a *** 0.10 * 0.08 0.06 0.04 0.02 0 e ACSF NGF DSMO BAY60-7550 As described in the Methods section, the co-cultures were treated 4 times with the respective substances, over an incubation time of 10 days and, afterwards, the outgrowth of the biocytin-traced fibers in the border region was analyzed. Differences in fiber outgrowth within the border region could be observed for the different treatments, and examples of these results are illustrated in figure 6. An increase in biocytin-positive fibers was apparent in PDE2-I- (e.g. BAY60-7750, fig. 6d) treated co-cultures in comparison to control conditions (ACSF, fig. 6a; DMSO, fig. 6b). The growth factor NGF evoked an effect comparable to the PDE2-Is under study (fig. 6c). Co-cultures treated with MP-10, an inhibitor of the PDE10, were characterized by fewer biocytin-traced innervations within the border region compared to the effects induced by the PDE2-Is (fig. 6f). Furthermore, the ‘dot-like’ structures are of particular interest. They could be observed in the border region and the target region (STR) after substance treatment. This expression was also found after TH labeling of outgrowing fibers (see also fig. 4, 8). A significant increase in the number of puncta was noticeable after treatment with BAY60-7550. Phosphodiesterase 2 Inhibitors Promote Axonal Outgrowth Neurosignals Quantification of Fiber Density (Biocytin Tracing) Starting from light microscopic images, the density of the biocytin-positive fibers was measured for all treatment groups in the border region of the co-cultures using the automated image quantification described above. The respective results of the tested substances are shown as box-whisker plots in figure 9. A significant increase in neuronal fiber outgrowth after application of the PDE2Is BAY60-7550 and ND7001 was observed, with BAY607550 exhibiting the strongest effect. These results were of 11 27 Fiber density (percentage of pixels belonging to fibers) RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) expression of TH-positive fibers in the border region (examples are shown in fig. 8a–d). Especially the effect of NGF as trophic factor was clearly visible. *** 0.14 *** 0.12 0.10 *** 0.08 0.06 0.04 0.02 0 ACSF DMSO NGF BAY60- ND7001 7550 MP-10 Fig. 9. Automated image quantification to measure the fiber den- sity in the border region of different treated co-cultures in comparison to control conditions. After biocytin tracing, the fiber density was quantified, taking the ratio of the number of foreground pixels (fibers) over the total number of pixels in the images to reveal the size of the area occupied by fibers. The boxwhisker plots represent the empirical distribution of the fiber densities in the different groups (the vertical axis corresponds to the percentage of image pixels belonging to traced fibers). The analysis revealed a significant increase in neuronal fiber outgrowth after application of PDE2-Is BAY60-7550 and ND7001, with effects comparable to the stimulation capacity of NGF. The inhibitor of PDE10, MP-10, caused a significantly lower fiber density in the border region, similar to the results of ACSF and DMSO. The numbers of analyzed images per group were: ACSF (n = 22), DMSO (n = 62), NGF (n = 41), BAY60-7550 (n = 101), ND7001 (n = 103), and MP-10 (n = 76). Statistically significant differences were considered at a p level !0.05 (*** p ! 0.001). Quantification of the Fiber Density (TH Immunolabeling) Moreover, the density of the TH-positive fibers was analyzed and quantified for all treatment groups as described above. The results are shown in figure 8e. The growth factor NGF induced a significant increase in THpositive fibers in the studied co-cultures as compared to ACSF and DMSO. In contrast, the PDE2-I BAY60-7550 evoked a smaller (in comparison to the biocytin tracing) but statistically significant increase in the density of THpositive fibers under these conditions (as compared with the DMSO group). The observed difference in effect size of BAY60-7550 treatment between biocytin tracing and TH labeling suggests an involvement of additional neurotransmitter populations, other than the TH-positive (DAergic) subgroup. Although small differences between DMSO and ACSF exist, they were not found to be statistically significant. The numbers of analyzed images per group are: ACSF (n = 8), DMSO (n = 20), NGF (n = 33), and BAY60-7550 (n = 94). Differences were considered statistically significant at a p level !0.05 (* p ! 0.05, ** p ! 0.01, *** p ! 0.001). Discussion comparable effect size as for the neurotrophic factor NGF. MP-10 (PDE10-I) caused a clearly lower fiber density in the border region, akin to the effects observed in the control groups. Moreover, no significant differences in fiber density could be observed between the ACSF and the DMSO control group, thus excluding adverse effects resulting from the solvent DMSO. The numbers of analyzed images per group are: ACSF (n = 22), DMSO (n = 62), NGF (n = 41), BAY60-7550 (n = 101), ND 7001 (n = 103), and MP-10 (n = 76). Treatment of Organotypic Co-Cultures with PDE2-I and NGF – Characterization of DAergic Fibers Qualitative Results of the Fiber Growth (TH Immunolabeling) Treatment of the co-cultures with ACSF, NGF, DMSO, and BAY60-7550 (solved in DMSO) and immunolabeling with antibodies against TH indicated differences in the 12 Neurosignals The characterization of determinants of innervation patterns and the activities of growth promoting factors are of special interest for the development of clinical strategies to promote fiber development and, thereby, the regeneration of neuronal circuits. Using the ex vivo model of organotypic slice co-cultures, consisting of the VTA/ SN and the STR, in combination with biocytin tracing, TH immunolabeling, and subsequent automated image quantification, it was shown that substances with the potential to inhibit PDE2 (BAY60-7550, ND7001) were able to increase neuronal fiber outgrowth, in contrast to the studied PDE10-I (MP-10) and the control substances ACSF and DMSO. The data suggest a role for PDE2-Is, possibly mediated via cGMP, in the induction of fiber outgrowth in the nigrostriatal projection system. In PDE2-transfected HEK293 cells, a dose-dependent increase of intracellular cGMP levels in response to PDE2-Is, the previously described reference compounds BAY60-7550 and ND7001, Heine /Sygnecka /Scherf /Berndt / Egerland /Hage /Franke 28 RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) could further be shown. These data indicate that inhibition of PDE2 results in a dose-dependent augmentation of intracellular cGMP levels. In vivo studies on rats have shown that DAergic neurons emerged around embryonic day 10, with the first nerve fibers appearing in the STR around embryonic days 14–15. The innervations are completed at about P15 [35]. Thus, the situation in the established ex vivo model strongly correlates with the developmental processes of physiological neuronal circuits. The observed neurite outgrowth pattern is consistent with our own previous data obtained under in vivo conditions [10]. PDEs are involved in distinct tasks in the brain, both in the mature rat brain and at embryonic as well as postnatal stages when significant developmental and maturational events are in progress [19, 20, 36]. An increase in PDE activity was reported during development of the brain from fetus to adulthood [37, 38]. Our data indicate an expression of PDE2A and PDE10 on cells in the DAergic co-culture preparations, consequently underlining a role of these isoenzymes in early development. Hydrolyzing PDE families have distinct expression patterns within the central nervous system. For instance, striatal medium spiny neurons express mRNA for the PDE1B, 2A, 4B, 7B, 9A, and 10A isoforms (for references, see [39, 40]). A prominent PDE2A-IR was found besides the STR in the isocortex, hippocampus, and basal ganglia. Moreover, a high expression was observed in the SN and VTA on cell bodies and terminals [20, 36], which is supported by the findings presented in this work. PDE10 mRNA and protein are highly enriched in medium spiny neurons in the STR, within the cell bodies and dendrites as well as on SN axons [22, 41, 42]. PDE10A is associated with post-synaptic membranes of these medium spiny neurons and their dendrites and spines [43]. Under physiological conditions, the dual substrate enzyme PDE2(A) plays a critical role in the feedback control of cellular cAMP and cGMP levels, resulting in acute and long-term changes of neuronal functions. The basal PDE2 activity in neurons is low, but it is stimulated by an acute increase in cGMP following GC activation during signal transduction. In detail, a characteristic feature of PDE2 is the positive cooperativity with the substrate cGMP due to an allosteric cGMP binding site at N-terminal domains [40, 44]. This cyclic nucleotide stimulates cAMP degradation such that higher concentrations of cGMP inhibit cAMP hydrolysis and low levels of cGMP enhance the rate of cAMP hydrolysis [39, 44]. Besides the described features of PDE2, also special GAF domains of PDEs 5, 6, 10, and 11 bind cGMP and may regulate the catalytic activity or protein-protein interactions (for references, see [45]). As a consequence, inhibition of PDE2 selectively increases cGMP and cAMP in brain active synapses [19, 44]. Incubation of cultured neurons and hippocampal slices with the selective PDE2-I BAY60-7550 resulted in increased cGMP levels [44]. This is in accordance with our present data, indicating a dose-dependent increase of intracellular cGMP levels in response to the investigated PDE2-Is obtained in the HEK cell line. Inhibition of the PDE10A causes also increased levels of cAMP and cGMP [40], with the difference that the regulation of the two cyclic nucleotides by PDE10A is independent [22]. The involvement of cAMP/cGMP during neuronal development in synaptic plasticity and memory formation has been described [19, 36, 44]. Recent data suggest a role of cAMP (via cAMP-dependent protein kinase) in neuritogenesis and synaptogenesis during neuronal differentiation in NG108-15 cells [14]. The particular role of exchange proteins directly activated by cAMP (Epac) will be of specific interest for further studies as they are known to be involved in mediating cAMP responses. These are implicated in various cellular processes such as integrin-mediated cell adhesion and cell-cell junction formation or influencing, for example, cortical actin cytoskeleton (for review, see [46]). cGMP can regulate directional guidance of growth cones [13, 47] and is involved in the outgrowth of cortical neurons during maturation [32]. The observed trophic effects clearly show that inhibitors of PDE2 are able to modulate neuronal fiber outgrowth in VTA/SN+STR cocultures in contrast to the studied PDE10-I (MP-10), suggesting an involvement of PDE2, via cGMP signaling, in synaptic plasticity. Data from Boess et al. [44] confirm that inhibition of PDE2, e.g. by the selective PDE2-I BAY60-7550, increases cGMP/cAMP in cultured neurons and hippocampal slices, resulting in enhanced long-term potentiation of synaptic transmission, which is thought to be a key factor implicated in pro-cognitive activity without affecting basal synaptic transmission. A role of PDE2A activity in memory processes is further supported by the results of Song et al. [47] and Rutten et al. [19] showing that BAY60-7550 reportedly improves performance of rodents in recognition memory tasks. Inhibition of PDE10 promotes effects modulating basal ganglia function in ways that suggest a particular therapeutic utility in the treatment of psychosis in schizophrenia [22, 23, 48]. It has also been shown that PDE10-I increases phosphorylation of key cAMP-dependent substrates, such as cAMP response element-binding protein, extracellular receptor kinase, or, more recently, the Phosphodiesterase 2 Inhibitors Promote Axonal Outgrowth Neurosignals 13 29 RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) AMPA-receptor GluR1 subunit [48–51]. Sotty et al. [51] further suggest a modulatory role of PDE10A on mesolimbic DAergic neurotransmission, via the D1-regulated feedback loop controlling midbrain DAergic neuronal activity. Therefore, investigating its modulatory role to affect the confluence of the corticostriatal glutamatergic and the midbrain DAergic pathways will be of particular interest. The regulation of cAMP synthesis by DA and other neurotransmitter receptors has been extensively studied. But the importance of cAMP degradation by PDEs and the precise roles of each PDE isoform in DAergic signaling are not yet completely understood, owing to the diversity of PDE isoforms expressed in the STR and the complexity of their potential regulation (for review, see [24]). The authors conclude that the inhibition of PDEs upregulates cAMP/PKA signaling in three neuronal subtypes, resulting in (a) the stimulation of DA synthesis at DAergic terminals, (b) the inhibition of D2 receptor signaling in striatopallidal neurons, and (c) the stimulation of D1 receptor signaling in striatonigral neurons. However, it should be noted that the striatopallidal system as well as the corticostriatal glutamatergic projection are not constituents of the organotypic slice co-culture system used in the present study – possibly causing the different inhibitory effects of the investigated PDE-Is (especially for PDE10-I). However, the mechanism of inhibition responsible for the observed effects of the two kinds of PDE-Is needs further experimental investigations, especially the role of PDE10 to affect the corticostriatal glutamatergic and the midbrain DAergic pathways. Finally, in the present study, the growth-promoting effect of the PDE-Is was compared with the stimulating capacity of NGF, which elicited a significant increase in fiber outgrowth intensity. Neurotrophins, like NGFs and their receptors, are the major regulators of neuronal survival during development, after injury or nervous system diseases [52]. NGF promotes neurite extension through a cAMP-independent signaling pathway involving Ras, PKC, and extracellular signal-regulated protein kinase [53]. It has been shown that cAMP also induces neuronal differentiation in PC12 cells and that the co-treatment of NGF and dibutyryl cAMP exhibits synergistic effects on neurite outgrowth [54]. Moreover, NGF increases cGMP level and activates PDEs in PC12 cells [55]. Also other trophic molecules have been shown to enhance survival and neurite outgrowth of mesencephalic DAergic neurons in single cell cultures or slice cultures [56–58]. Treatment of organotypic slice co-cultures with BDNF resulted in enhanced survival of TH-positive neurons and an increased growth of TH-positive fibers into the striatal 14 Neurosignals tissue [58]. GDNF has been shown to act as a powerful chemoattractant for outgrowing DAergic axons in organotypic co-cultures [33, 59] as well as under in vivo conditions [60]. Finally, Thompson et al. [60] showed that axonal regrowth in the nigrostriatal trajectory can be further enhanced by the addition of trophic support by overexpression of GDNF in the striatal target. In summary, cAMP/cGMP are involved in survival, repair, and remodeling in the nervous system both during development and after injury, and PDE2 appears to act as an important regulator in these processes. In the present study, we were able to analyze the specific potential of PDE-Is in mediating the growth of defined fiber connections under controlled conditions, using the ex vivo model of organotypic slice co-cultures of the nigrostriatal system in combination with an automated image quantification. Hence, our results strongly support a trophic role of PDE2-Is in shaping interneuronal connections during the early phase of neuronal development. The characterization of the molecular and functional basis underlying the observed effects of PDE2-Is in regeneration and repair of disrupted neuronal circuits will be an important next step to foster the development of improved ways for the treatment of neurological disorders. Acknowledgements The authors thank Katrin Becker and Katrin Krause (Rudolf Boehm Institute of Pharmacology and Toxicology) for technical assistance. The work presented in this paper was made possible by funding from the German Federal Ministry of Education and Research (BMBF, PtJ-Bio, 0313909) and was supported by the European Fund for Regional Development (EFRE) and by the Free State of Saxony (grant No. SAB12525). References 1 Redgrave P, Rodriguez M, Smith Y, Rodriguez-Oroz MC, Lehericy S, Bergman H, et al: Goal-directed and habitual control in the basal ganglia: implications for Parkinson’s disease. 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Katja Sygnecka Organotypische Gewebe-Co-Kulturen des dopaminergen Systems –Ein Modell zur Identifikation neuroregenerativer Substanzen und Zellen Nachweis über Anteile der Co-Autoren: Titel: Phosphodiesterase 2 inhibitors promote axonal outgrowth in organotypic slice co-cultures Journal: Neurosignals Autoren: C. Heine, K. Sygnecka, N. Scherf, A. Berndt, U Egerland, T. Hage, H. Franke (geteilte Erstautorinnenschaft: CH und KS) Anteil Sygnecka (Erstautorin): - Gewebekulturen (Präparation, Behandlung, Aufarbeitung) - Immunhistochemie - Faserquantifizierung - Analyse und Verarbeitung der Daten - Revision und Fertigstellung des Manuskripts Anteil Heine (Erstautorin): - Projektidee - Konzeption - Gewebekulturen (Präparation, Behandlung, Aufarbeitung) - Immunhistochemie - Faserquantifizierung - Analyse und Verarbeitung der Daten - Erstellen der Abbildungen - Schreiben der Publikation Anteil Scherf: - Bioinformatische Bildauswertung Anteil Bernd, Egerland, Hage: - Synthese von applizierten Substanzen - In vitro PDE Assay - Intrazellulärer cGMP Assay Anteil Franke (Letztautorin): - Projektidee - Konzeption - Gewebekulturen (Präparation, Tracing) - Schreiben der Publikation 33 RESEARCH ARTICLES - Phosphodiesterase Inhibitors (PDE-Is) 34 Int. J. Devl Neuroscience 40 (2015) 1–11 RESEARCH ARTICLES - Nimodipine Contents lists available at ScienceDirect International Journal of Developmental Neuroscience journal homepage: www.elsevier.com/locate/ijdevneu Nimodipine enhances neurite outgrowth in dopaminergic brain slice co-cultures Katja Sygnecka a,b,∗,1 , Claudia Heine a,b,1 , Nico Scherf c , Mario Fasold d , Hans Binder d , Christian Scheller a,e , Heike Franke b a Translational Centre for Regenerative Medicine (TRM), University of Leipzig, Philipp-Rosenthal-Straße 55, 04103 Leipzig, Germany Rudolf Boehm Institute of Pharmacology and Toxicology, University of Leipzig, Härtelstr. 16-18, 04107 Leipzig, Germany c Institute for Medical Informatics and Biometry, Dresden University of Technology, Fetscherstraße 74, 01307 Dresden, Germany d Interdisciplinary Centre for Bioinformatics, University of Leipzig, Härtelstr. 16-18, 04107 Leipzig, Germany e Department of Neurosurgery, University of Halle-Wittenberg, Ernst-Grube-Str. 40, 06120 Halle/Saale, Germany b a r t i c l e i n f o Article history: Received 19 September 2014 Received in revised form 24 October 2014 Accepted 26 October 2014 Available online 4 November 2014 Keywords: Calcium channel blockade Development Neurite growth Nimodipine Organotypic slice co-culture Regeneration a b s t r a c t Calcium ions (Ca2+ ) play important roles in neuroplasticity and the regeneration of nerves. Intracellular Ca2+ concentrations are regulated by Ca2+ channels, among them L-type voltage-gated Ca2+ channels, which are inhibited by dihydropyridines like nimodipine. The purpose of this study was to investigate the effect of nimodipine on neurite growth during development and regeneration. As an appropriate model to study neurite growth, we chose organotypic brain slice co-cultures of the mesocortical dopaminergic projection system, consisting of the ventral tegmental area/substantia nigra and the prefrontal cortex from neonatal rat brains. Quantification of the density of the newly built neurites in the border region (region between the two cultivated slices) of the co-cultures revealed a growth promoting effect of nimodipine at concentrations of 0.1 M and 1 M that was even more pronounced than the effect of the growth factor NGF. This beneficial effect was absent when 10 M nimodipine were applied. Toxicological tests revealed that the application of nimodipine at this higher concentration slightly induced caspase 3 activation in the cortical part of the co-cultures, but did neither affect the amount of lactate dehydrogenase release or propidium iodide uptake nor the ratio of bax/bcl-2. Furthermore, the expression levels of different genes were quantified after nimodipine treatment. The expression of Ca2+ binding proteins, immediate early genes, glial fibrillary acidic protein, and myelin components did not change significantly after treatment, indicating that the regulation of their expression is not primarily involved in the observed nimodipine mediated neurite growth. In summary, this study revealed for the first time a neurite growth promoting effect of nimodipine in the mesocortical dopaminergic projection system that is highly dependent on the applied concentrations. © 2014 ISDN. Published by Elsevier Ltd. All rights reserved. Abbreviations: ANOVA, analysis of variance; Arc, activity-regulated cytoskeleton-associated protein; CBPs, Ca2+ binding proteins; DAB, 3,3 -diaminobenzidine hydrochloride; DIV, days in vitro; Egr, early growth response protein; FCS, fetal calf serum; Fos, proto-oncogene c-Fos; GFAP, glial fibrillary acidic protein; HS, horse serum; IEGs, immediate early genes; Junb, transcription factor jun-B; LDH, lactate dehydrogenase; LSM, laser scanning microscope; LVCC, L-type voltage-gated Ca2+ channels; Mal, myelin and lymphocyte protein; MAP2, microtubule associated protein-2; Mog, myelin oligodendrocyte glycoprotein; MrpL32, mitochondrial ribosomal protein L32; NB-A, Neurobasal-A; NGF, nerve growth factor; P, postnatal day; PFC, prefrontal cortex; PI, propidium iodide; Plp1, myelin proteolipid protein 1; Pvalb, parvalbumin; qPCR, quantitative reverse transcription polymerase chain reaction; SOM, self-organizing maps; TBS, tris buffered saline; Ubc, ubiquitin; VTA/SN, ventral tegmental area/substantia nigra. ∗ Corresponding author at: Rudolf Boehm Institute of Pharmacology and Toxicology, University of Leipzig, Härtelstr. 16-18, 04107 Leipzig, Germany. Tel.: +49 0341 97 24606; fax: +49 0341 97 24609. E-mail addresses: katja.sygnecka@trm.uni-leipzig.de (K. Sygnecka), claudia.heine@trm.uni-leipzig.de (C. Heine), nico.scherf@tu-dresden.de (N. Scherf), mario@bioinf.uni-leipzig.de (M. Fasold), binder@izbi.uni-leipzig.de (H. Binder), christian.scheller@medizin.uni-halle.de (C. Scheller), heike.franke@medizin.uni-leipzig.de (H. Franke). 1 Both authors contributed equally to the study. http://dx.doi.org/10.1016/j.ijdevneu.2014.10.005 0736-5748/© 2014 ISDN. Published by Elsevier Ltd. All rights reserved. 35 2 K. Sygnecka et al. / Int. J. Devl Neuroscience 40 (2015) 1–11 1. Introduction Nimodipine is a blocker of the L-type voltage-gated Ca2+ channels (LVCC), which regulate the intracellular Ca2+ concentration. Calcium ions (Ca2+ ) play an important role in neuronal plasticity (Gispen et al., 1988). Their intracellular concentration is crucial for the regulation of axonal and dendritic growth, guidance during neuronal development and for resprouting of axons after injury (for review see Gomez and Zheng, 2006). It has been shown that proper neuronal development proceeds when the intracellular Ca2+ is within an optimal range (Fields et al., 1993; Kater and Mills, 1991; Kater et al., 1988). Therefore, the modulation of Ca2+ channels such as the LVCC is of special interest, when neurite (re)growth is desired. Being one of the examined LVCC blockers, the dihydropyridine derivate nimodipine has been intensively studied. Its beneficial effects have been confirmed in clinical studies (Liu et al., 2011, Scheller and Scheller, 2012) and in diverse experimental studies, where it has been applied to models of various disorders. These experimental studies, analyzing the effect of nimodipine (and other dihydropyridine LVCC blockers), focused on (i) the neuroprotective properties after different kinds of neuronal injury (Harkany et al., 2000; Krieglstein et al., 1996; Lecht et al., 2012; Li et al., 2009; Rami and Krieglstein, 1994; Weiss et al., 1994), for example by reducing the consequent intracellular free Ca2+ overload after e.g. ischemic injury and excitotoxic lesion (Kobayashi and Mori, 1998) and (ii) the neurite growth promoting characteristics, mainly investigated in the peripheral nervous system (Angelov et al., 1996; Lindsay et al., 2010; Mattsson et al., 2001). LVCC are expressed in a couple of brain regions of the central nervous system, among them the mesencephalon (Mercuri et al., 1994; Nedergaard et al., 1993; Takada et al., 2001), the cortex, and the hippocampus (Dolmetsch et al., 2001; Quirion et al., 1985; Tang et al., 2003). In the cortex, LVCC are located on the entire postnatal neuron including dendrites and axonal processes (Tang et al., 2003). Although the beneficial outcomes of LVCC modulation by nimodipine are well established, the exact cellular and molecular mechanisms by which this modulation occurs are still unclear. Nevertheless, results of some previously published studies may in part explain how neurite growth after nimodipine treatment is accomplished. An upregulation of Ca2+ binding proteins (CBPs, parvalbumin (Pvalb), S100b, calbindin) has been observed in cortical neurons after nimodipine administration (Buwalda et al., 1994; Luiten et al., 1994). Furthermore, the expression of the glial fibrillary acidic protein (GFAP) was enhanced following longterm nimodipine treatment (Guntinas-Lichius et al., 1997). An increase in myelination was found surrounding the recovering neurons after unilateral facial crush injury and interestingly also around neurons located in the contralateral nonlesioned site in nimodipine treated animals (Mattsson et al., 2001). Moreover, microglial-mediated oxidative stress and inflammatory response was attenuated by nimodipine (but not by other LVCC blockers) in dopaminergic neurons/microglial co-cultures (Li et al., 2009). In this study, we wanted to investigate whether nimodipine directly influences neurite growth. We further aimed to elucidate which genes are potentially involved in the nimodipine mediated growth effects. To address these questions, we determined the neurite density in the border region of organotypic co-cultures of the mesocortical dopaminergic system, which culture together brain slices of the ventral tegmental area/substantia nigra (VTA/SN) and prefrontal cortex (PFC) (Heine et al., 2007; Heine and Franke, 2014), and analyzed gene expression patterns of nimodipine treated samples and control samples. Our findings indicate that nimodipine, at appropriate dosages, is a promising substance to enhance neurite outgrowth as shown in RESEARCH ARTICLES - Nimodipine the applied co-culture model of the dopaminergic (CNS)-projection system. 2. Experimental procedures 2.1. Materials The solvent ethanol was purchased from AppliChem GmbH (Darmstadt, Germany) and VWR International (Dresden, Germany), respectively. Glutamate, nerve growth factor (NGF), and staurosporine were purchased from Sigma–Aldrich Co. (St. Louis, MO, USA). Nimodipine (pure substance) was a gift from Bayer Vital GmbH (Leverkusen, Germany). 1000-fold stock solutions of nimodipine were prepared in absolute ethanol and finally added to 1 ml of incubation medium (resulting ethanol concentration 0.1%, details see Section 2.3). Untreated cultures (“untreated”) or cultures treated with the vehicle ethanol (“ethanol”, resulting end concentration 0.1%) were used as control groups. 2.2. Animals Neonatal rat pups (WISTAR RjHan, own breed; animal house of the Rudolf Boehm Institute of Pharmacology and Toxicology, University of Leipzig) of postnatal day 1–4 (P1-4) were used for the preparation of the organotypic slice co-cultures. The animals were housed under standard laboratory conditions of 12 h light–12 h dark cycle and allowed free access to lab food and water ad libitum. All of the animal use procedures were approved by the Committee of Animal Care and Use of the relevant local governmental body in accordance with the law of experimental animal protection. All efforts were made to minimize animal suffering and to reduce the number of animals used. 2.3. Preparation, culture and treatment of slice co-cultures Dopaminergic brain slice co-cultures were prepared from P1-4 rats and cultured according to the “static” culture protocol described previously (Heine et al., 2007; Heine and Franke, 2014). In brief, coronal sections (300 m) were cut at mesencephalic and forebrain levels using a vibratome (Leica, Typ VT 1200S, Nussloch, Germany). For details see also supplementary Fig. S1. After separation of VTA/SN and PFC, respectively, the slices were transferred into petri dishes, filled with cold (4 ◦ C) preparation solution (Minimum Essential Medium (MEM) supplemented with glutamine (final concentration 2 mM) and the antibiotic gentamicin (50 g/ml); all from Invitrogen GmbH, Darmstadt, Germany). Thereafter, the selected sections were placed as co-cultures (VTA/SN + PFC, 4 co-cultures per well) on moistened membrane inserts (0.4 m, Millicell-CM, Millipore, Bedford, MA, USA) in 6-well plates (Fig. S1.A3), each filled with 1 ml incubation medium (50% Minimal Essential Medium, 25% Hank’s Balanced Salt Solution, 25% heat inactivated horse serum (HS), 2 mM glutamine and 50 g/ml gentamicin; all from Invitrogen GmbH supplemented with 0.044% sodium bicarbonate, Sigma-Aldrich; pH was adjusted to 7.2), referred to as “25% HS incubation medium”. Supplementary Fig. S1 can be found, in the online version, at http://dx.doi.org/ 10.1016/j.ijdevneu.2014.10.005. The preliminary gene expression studies (microarray analysis, quantitative reverse transcription polymerase chain reaction, qPCR) have been conducted after culture under serum-free culture conditions. Therefore, after 4 days in vitro (DIV) the 25% HS incubation medium was replaced by serum-free medium (Neurobasal-A (NB-A) medium, 1 mM glutamine supplemented with 2% B27 and 50 g/ml gentamicin; all from Invitrogen GmbH), referred to as “NB-A incubation medium”. Nimodipine (final concentration 10 M) or the vehicle ethanol (0.1%), respectively were added to the incubation medium at DIV4, 6, 8 and 11. To determine the concentration of nimodipine that would be appropriate, we first analyzed previous published studies and the therein used concentrations (10 M: Blanc et al., 1998; Krieglstein et al., 1996; Lecht et al., 2012; Tang et al., 2003; 20 M: Martínez-Sánchez et al., 2004; Pisani et al., 1998; Pozzo-Miller et al., 1999; 50 M: Bartrup and Stone, 1990, toxic at higher concentrations: Turner et al., 2007). Second, we quantified nimodipine uptake into the co-cultures with applied nimodipine concentrations ranging from 10 M to 40 M in a preliminary experiment. We found the lowest dose applied (10 M nimodipine in the culture medium) yielded a sufficiently high concentration in the tissue (unpublished results). Therefore, the following studies were at first conducted with 10 M nimodipine. The analysis of neurite growth in the organotypic brain slice co-cultures is a well-established technique in our lab (Heine et al., 2013; Heine et al., 2007). Therefore, the neurite growth analysis has been performed after culture in 25% HS incubation medium. For the neurite growth quantification, slice co-cultures were divided into different experimental groups and were treated with nimodipine at different concentrations (first 10 M, later 0.1 M and 1 M) or the vehicle control ethanol. A second control group was left untreated. Nimodipine and ethanol were added directly after the preparation and at each medium change at DIV1,4,6 and 8 (Fig. 1). In a second study the effect of 1 M nimodipine alone or in combination with 50 ng/ml NGF (final concentration) was compared to 50 ng/ml NGF alone. These culture conditions (25% HS incubation medium, substance application five times as indicated in Fig. 1) were also applied for toxicity tests and later gene expression studies. In addition, tissue slices of the nimodipine treated groups were dissected 36 RESEARCH ARTICLES - Nimodipine K. Sygnecka et al. / Int. J. Devl Neuroscience 40 (2015) 1–11 3 gene expression was performed by the CP method with MrpL32 and Ubc serving as reference housekeeping genes. 2.5. Neurite quantification Fig. 1. Culture and treatment schedule. For neurite growth, toxicity and later gene expression analysis, nimodipine or ethanol were applied at day in vitro (DIV)0, 1, 4, 6 and 8. Neurite growth was quantified after biocytin tracing at DIV8 and fixation at DIV11, as indicated. For the analysis of toxicity and gene expression, co-cultures were harvested at DIV11. in nimodipine containing preparation medium. This is in accordance to in vivo data of a human study, where prophylactic treatment had the strongest beneficial effect (Scheller et al., 2012). For this reason, 36 nM nimodipine were added to the preparation solution on the basis of findings in the literature (Lindsay et al., 2010). 2.4. Analysis of gene expression 2.4.1. RNA extraction and quality control RNA extraction was performed for microarray analysis and quantitative reverse transcription polymerase chain reaction (qPCR). At the end of culture, both regions of the co-cultures (PFC and VTA/SN) were separated with a scalpel and all PFCand VTA/SN-slices from one well, containing four co-cultures, were pooled to one sample, respectively. Afterwards total RNA was isolated using TRIzol reagent (Life Technologies, Gaithersburg, MD, USA) according to the manufacturer’s instructions. The total RNA was alcohol precipitated for a second time with addition of ammonium acetate and GlycoBlue (Life Technologies) for optimal recovery of the nucleic acids. RNA integrity and concentration for each sample that was later on applied to the microarray, was examined on an Agilent 2100 Bioanalyser (Agilent Technologies, Palo Alto, CA, USA) using the RNA 6.000 LabChip Kit (Agilent Technologies) according to the manufacturer’s instructions. RNA integrity and concentration of samples, that were investigated by qPCR, were examined on a 1.5% agarose gel and with NanoDrop1000 (NanoDrop Technologies, Wilmington, DE, USA), respectively. 2.4.2. Microarray analysis Microarray measurements were conducted at the microarray core facility of the Interdisziplinäres Zentrum für klinische Forschung (IZKF) Leipzig (Faculty of Medicine, University of Leipzig). Biotin labeled probes were prepared from 250 ng of total RNA using the TargetAmpTM -Nano Labeling Kit for Illumina® Expression BeadChip (Biozym, Hessisch Oldendorf, Germany) according to the manufacturer’s instructions. Hybridization of labeled probes to an Illumina Rat Ref12 BeadChip (Illumina Inc., San Diego, CA, USA) using the respective BeadChip kit (Illumina) was done according to the protocol of the manufacturer. Bead level data was preprocessed using standard Illumina software resulting in background-corrected, quantile-normalized expression estimates which were used for further analysis. Ranked lists of differentially expressed genes were obtained in treatment-vs.-control comparisons and judged using the Welch’s t-test and subsequent False Discovery Rate adjustment (Opgen-Rhein and Strimmer, 2007). Gene Set Z-scoring (Törönen et al., 2009) was used to perform gene set analysis using gene-ontology terms (Wirth et al., 2012). 2.4.3. qPCR Reverse transcription was performed using the RevertAidTM H Minus First Strand cDNA Synthesis Kit (Fermentas, St. Leon-Rot, Germany) with 1 g total RNA and oligo(dT)18 primer. qPCR was conducted using a LightCycler (Roche Diagnostics, Mannheim, Germany) in a total volume of 10 l per capillary containing 5 l QuantiTect SYBR Green 2× Master Mix (Roche), 0.4 l cDNA, 1 l primer (5 M, each) specific for the different target genes or the reference genes (mitochondrial ribosomal protein L32, MrpL32 and ubiquitin, Ubc) and 3.6 l water. The oligonucleotide primer sequences are listed in Table A.1. The Hot Start Polymerase was activated by a 15 min pre-incubation at 95 ◦ C, followed by 55 amplification cycles at 95 ◦ C for 10 s, 60 ◦ C for 10 s and 72 ◦ C for 10 s. The obtained crossing point (CP) values were between 15 and 28 for the different target genes. A melting curve analysis was performed to verify correct qPCR products. The following appropriate controls have been used: no template control (water) and “reverse transcription-minus control”, in order to exclude the presence of genomic DNA in the samples. Quantification of 2.5.1. Tracing and neurite visualization To quantify neurite outgrowth between the two slices of the co-cultures, biocytin-tracing (detailed time schedule in Fig. 1) was performed according to a previously described protocol (Franke et al., 2003; Heine et al., 2007). At DIV8, small biocytin-crystals of similar size were placed onto the VTA/SN slice of the co-cultures. Co-cultures were left in contact with the crystals for 2 h to allow the uptake of biocytin. Afterwards they were reincubated with medium containing the respective nimodipine concentrations for 48 h. At DIV11, the cultures were fixed and cut into 50 m vibrosections. Afterwards, the anterograde tracer biocytin was labeled using the avidin–biotin-complex (1:50, ABC-Elite Kit, Vector Laboratories, Inc., Burlingame, CA, USA), in combination with nickel/cobalt-intensified 3.3 -diaminobenzidine hydrochloride (DAB; Sigma–Aldrich) as a chromogen. After mounting on glass slides, all stained sections were dehydrated in a series of graded ethanol, processed through n-butylacetate and covered with Entellan (Merck, Darmstadt, Germany). 2.5.2. Automated image quantification The quantification of outgrowing biocytin-traced neurites was performed as previously described (Heine et al., 2013; Heine and Franke, 2014). Briefly, microscopic images were taken at 40-fold magnification in the border region (where the two initially separated brain slices were grown together, for details see also Fig. S1.B1) using an usual transmitted light bright field microscope (Axioskop 50; Zeiss Oberkochen, Germany) equipped with a CCD camera (DCX-950P, SONY Corporation, Tokyo, Japan). The following criteria were used for the selection of the biocytintraced slices: (a) the tracer was correctly placed on the VTA/SN, (b) the major part of the VTA/SN was characterized by a dense network of biocytin-traced structures and (c) no traced cell bodies had been observed in the target region PFC (in more detail described in Heine et al., 2007). During image acquisition, preceding treatments of the observed tissue slices were hidden from the experimenter. After pre-processing of the images (for details see Heine et al., 2013), neurite structures appeared as well-defined bright regions. Subsequently, the image area occupied by the neurites was measured to obtain a reasonable estimate of the underlying neurite density of the analyzed specimens. Precisely, the ratio of the number of foreground pixels (neurites) against the total number of pixels in the images was taken, giving the percentage of area occupied by neurites in the focal plane. Neurite density was subsequently normalized to the median values of the untreated controls of each individual experiment. 2.6. Analysis of cell death 2.6.1. Lactate dehydrogenase (LDH) activity in conditioned culture medium LDH release into the 25% HS incubation medium was quantified after treatment with 0.1 M, 1 M and 10 M (time schedule according to Fig. 1). Medium samples were collected at every medium exchange (DIV1, 4, 6, 8) and before fixation (DIV11), and stored at −20 ◦ C until further analysis. When the samples reached room temperature after thawing, LDH activity was measured by the method of Koh and Choi (1987) applied to 96-well plate format using filter-based plate reader device (Polarstar Omega von BMG Labtech, Offenburg, Germany) measuring the absorption at 340 nm. Briefly, the LDH substrate pyruvate and the coenzyme NADH (both Sigma–Aldrich) were added to the conditioned medium samples and the decrease of NADH due to LDH activity was measured over the time (every 10 s for 3 min). To exclude variations due to temperature changes between individual sets of measurements, LDH activity of all samples has been normalized to the control sample (untreated) at DIV1 of the respective preparation. 2.6.2. Active caspase 3 immunolabeling and propidium iodide (PI) uptake For the active caspase 3 immunolabeling and PI (Invitrogen GmbH) uptake quantification, nimodipine was applied at 0.1 M, 1 M and 10 M as described above for the neurite quantification study. As positive controls for caspase 3 activation and the induction of necrosis, 5 M staurosporine (for 4 h) and 10 mM glutamate (for 48 h), respectively, have been added to the incubation medium prior to fixation of the co-cultures at DIV11. PI (7.5 M) was added 3 h before the fixation to every culture well. After fixation, co-cultures were cut into 50 m slices as described above and stained. In detail, slices were blocked with Tris buffered saline (TBS, 0.05 M; pH 7.6) containing fetal calf serum (FCS, 5%) and Triton X-100 (0.3%) for 30 min. Then, the slices were incubated with a primary antibody directed against active caspase 3 (produced in rabbit, 1:50, MBL International, Inc., Woburn, MA, USA) for 48 h at 4 ◦ C. After washing with TBS, the secondary antibody (donkey anti rabbit Alexa488 conjugated IgG, 1:400, Jackson ImmunoResearch, West Grove, PA, USA), diluted in TBS supplemented with 5% FCS and 0.3% Triton X-100, was applied for 2 h at room temperature. For further characterization of active caspase 3 positive cells, multiple fluorescence labeling was performed. The slices were incubated with a mixture of primary antibodies (rabbit anti-active caspase 3, 1:50, MBL International, 37 4 K. Sygnecka et al. / Int. J. Devl Neuroscience 40 (2015) 1–11 RESEARCH ARTICLES - Nimodipine in combination with mouse anti-microtubule associated protein-2 (MAP2), 1:1000, Millipore, Temecula, CA, USA and goat anti-GFAP, 1:1000, Santa Cruz Biotechnology, Inc., Santa Cruz, CA, USA) for 48 h at 4 ◦ C. After washing with TBS, the secondary antibodies (donkey anti rabbit Cy3 conjugated IgG, 1:1000 and donkey anti mouse Alexa488 conjugated IgG, 1:400 and donkey anti goat Dyelight 647 conjugated IgG, all Jackson ImmunoResearch, West Grove, PA, USA), diluted in TBS supplemented with 5% FCS and 0.3% Triton X-100, was applied for 2 h at room temperature. In addition, slices were stained with the nucleic acid probe Hoechst 33342 (40 g/ml, Molecular Probes, Leiden, Netherlands), to identify the cell nuclei. After mounting on glass slides, all stained sections were dehydrated and covered as described above. 2.6.3. Image analysis Fluorescence labeled specimens were imaged with a confocal laser scanning microscope (LSM 510 Meta; Zeiss, Oberkochen, Germany). Excitation wavelengths were 633 nm, 543 nm, 488 nm and 351 nm/364 nm to evoke the Dyelight 647, PI, Alexa488 and Hoechst fluorescence, respectively. Microscopic images were taken at 20-fold magnification. For each group, 6 slices were analyzed within the PFC and VTA/SN, (3 pictures per slice and region, resulting in 18 pictures per group and region). During image acquisition and manual cell counting preceding treatments of the observed tissue slices were hidden from the experimenter. Cells positive for active caspase 3 were counted manually with the help of ImageJ cell counter plugin (http://rsb.info.nih.gov/ij/; http://rsbweb.nih.gov/ij/plugins/cell-counter.html). PI uptake quantification was conducted with an algorithm implemented in Wolfram Mathematica 9.0.1. To assess the number of PI positive cell nuclei, a global threshold for binarization was chosen to divide the image in PI positive nuclei and background. Furthermore, a maximal particle size was defined to estimate the number of cell nuclei in regions where the segmentation could not separate single nuclei. In those cases, the area of the region was divided by the mean cell size (which was determined from a visually verified image), to obtain a rough estimate of the number of cells which are connected in this region. 2.7. Statistics All quantitative data (except microarray analysis) has been analyzed with SigmaPlot 12 statistical analysis program. Details referring to the applied tests are specified in the respective result section and in the figure legends. 3. Results 3.1. Upregulation of immediate early genes (IEGs) in the PFC after treatment with 10 M nimodipine To elucidate the mode of action of nimodipine, we conducted a microarray study to preliminarily identify the genes whose expression is modulated by nimodipine application. After substance application (4 times 10 M, for details regarding the chosen concentration see Section 2.3), co-cultures were separated into PFC and VTA/SN. The two regions were analyzed individually. Gene expression patterns of untreated, vehicle control ethanol, or nimodipine treated samples were compared. There were no differentially expressed genes in the VTA/SN, but we found upregulated genes in the nimodipine treated PFC samples. Therefore, we focused on the PFC samples for further gene expression analyses. Self-organizing map (SOM) analysis of the microarray data was used to visualize the expression patterns of each sample that has been applied to the microarray. The comparison of the SOMs revealed that the expression patterns of both controls (untreated and ethanol) were very similar to each other. Therefore, the samples of the two groups were combined to a single control group for further analysis of the microarray study. Differential expression analysis of nimodipine versus control group within the PFC yielded seven genes with log fold changes > 2 (log2 FC, p-value Welch’s ttest): Arc (activity-regulated cytoskeleton-associated protein, log2 FC 3.487, p = 0.018), Egr1 (early growth response protein 1, log2 FC 2.466, p = 0.06), Egr2 (log2 FC 3.568, p = 0.095), Egr4 (log2 FC 2.844, p = 0.177), Fos (proto-oncogene c-Fos, log2 FC 2.05, p = 0.219), JunB (transcription factor jun-B, log2 FC 2.069, p = 0.280), and Pmch (pro-MCH precursor, log2 FC 2.853, p = 0.499). The transcripts of the IEGs (Arc, Egr1,2,4, Fos and JunB) were quantified by qPCR of five independent preparations. With the exception of JunB, significantly higher gene expressions were confirmed after nimodipine treatment, with median values ranging from 5-fold to 36-fold compared Fig. 2. Results of qPCR validation experiments. (A–F) Expression levels of the IEGs, which were found to be upregulated in the PFC in the microarray study: Arc, activityregulated cytoskeleton-associated protein; Egr1,2 and 4, early growth response protein 1, 2 and 4; Fos, proto-oncogene c-Fos; Junb, transcription factor jun-B are expressed as CP, normalized to untreated control (y-axis), while x-axis represents the different treatments (application of 0.1% ethanol (in the figure: eth) or 10 M nimodipine (in the figure: Nim), respectively at DIV4, 6, 8 and 11). Statistical analysis was done in comparison to vehicle control ethanol. (A–E) Treatment with 10 M nimodipine increased expression of the investigated genes of interest significantly. Data are shown as box plots, n(independent samples) = 5, *p < 0.05, **p < 0.01, Mann–Whitney rank sum test. to vehicle control ethanol, Mann–Whitney rank sum test, p < 0.05, p < 0.01 (Fig. 2). All of these validated upregulated genes belong to the group of IEGs. The transcriptional activation of these genes after nimodipine treatment, which are involved in neurite growth and plasticity (reviewed in Pérez-Cadahía et al., 2011; Shepherd and Bear, 2011) strongly suggested a nimodipine induced enhancement in neurite growth in our test system under the applied conditions. 3.2. No enhanced neurite growth after treatment with 10 M nimodipine In parallel to preliminary gene expression analysis, we investigated whether nimodipine may enhance neurite growth in the dopaminergic system. Therefore a treatment study with 10 M nimodipine in comparison to untreated and vehicle ethanol treated control co-cultures was performed, following a well-established treatment schedule for neurite growth analysis (Fig. 1 and Heine et al., 2007, 2013). Surprisingly, treatment with nimodipine at this concentration did not enhance neurite growth in the border region 38 RESEARCH ARTICLES - Nimodipine K. Sygnecka et al. / Int. J. Devl Neuroscience 40 (2015) 1–11 (for details see Fig. S1) of the co-cultures. Automated image quantification of at least 60 analyzed pictures per group revealed that the median value for neurite density in 10 M nimodipine treated co-cultures was even lower than neurite density in the vehicle control (10 M nimodipine was 85% of ethanol group, p = 0.283; Mann–Whitney rank sum test, data not shown). 3.3. 10 M nimodipine induces an increase in active caspase 3 positive cells, but has no influence on PI uptake, LDH release and bax/bcl-2 ratio We wanted to clarify whether the application of 10 M nimodipine to the co-cultures induces (neuro-)toxic effects. Different toxicological methods have been used after application of 0.1 M, 1 M, and 10 M nimodipine (according to the treatment schedule shown in Fig. 1) to quantify apoptotic and necrotic cell death: (i) measurement of LDH release into the incubation medium, (ii) PI uptake quantification, (iii) analysis of caspase 3 activation in immunostained co-culture slices, and (iv) calculation of the bax/bcl-2 ratio. The highest LDH activity was detected at DIV1 (Fig. 3A ). It decreased during the culture period without a significant difference between the differently treated groups. These findings are substantiated by the analysis of PI uptake into the PFC and the VTA/SN, where no significant changes were observed after the different treatments, except in the positive control treated with glutamate (10 mM, 48 h). Data are shown in Fig. 3B. Moreover, the number of the active caspase 3 positive cells was quantified after immunofluorescence labeling (exemplary microscopic images are shown in Fig. 3D–F). We found a slightly but significantly increased number of cells being positive for active caspase 3 staining after treatment with nimodipine (10 M) in the cortical part of the cell culture compared to the vehicle ethanol treated control (p < 0.05). In comparison, the positive control staurosporine, which is known to induce apoptosis, was characterized by an obviously much higher number of active caspase 3 positive cells (p < 0.01); n(analyzed images) = 18, ANOVA on ranks followed by all pairwise multiple comparison procedures (Dunn’s test) (Fig. 3C). To assess apoptosis with a second method, expression levels of bax and bcl-2 were quantified and bax/bcl-2 ratio was calculated for all different treatments (untreated, ethanol, nimodipine (0.1–10 M)) in PFC and VTA/SN samples. In contrast to active caspase 3 immunoreactivity, no significant changes were detected between the different groups (data not shown). With multiple fluorescence labeling, we further aimed to characterize the identity of the cells being apoptotic after application of 10 M nimodipine. Active caspase 3 positive cells are often surrounded by GFAP positive structures (Fig. 3G). Additionally, we found active caspase 3 immunoreactivity and apoptotic fragmentation of cell nuclei (Fig. 3G, insert) located in areas where MAP2 staining is less defined (Fig. 3H,I), indicating a locally restricted loss of MAP2 immunoreactivity during apoptosis. 3.4. Significant enhancement of neurite growth after treatment with 0.1 M and 1 M nimodipine After having shown that 10 M nimodipine induces caspase 3 activation in the organotypic brain slice co-cultures whereas 0.1 M and 1 M do not, the neurite growth promoting potential of nimodipine was investigated again by applying these lower concentrations to the co-cultures (according to the time schedule of treatment in Fig. 1). After application of nimodipine at both concentrations (0.1 M, 1 M), a visible increase in biocytin-traced outgrowing neurites in the border region of the co-cultures was observed in comparison to control conditions (untreated control, ethanol; Fig. 4A). In contrast, neurite density after the application of 5 10 M nimodipine is as low as in the images of the controls (Fig. 4A). These qualitative observations have been confirmed by automated image quantification, revealing a significant augmentation of the neurite density in co-cultures which had been treated with 0.1 M and 1 M nimodipine (116% and 127% of vehicle control ethanol, respectively), n(analyzed images) > 225, p < 0.01, ANOVA on ranks followed by all pairwise multiple comparison procedures (Dunn’s test) (Fig. 4B). For a better estimation of the neurite growth promoting impact of nimodipine in our co-culture system, the effect of 1 M nimodipine was compared to the well-known growth factor NGF. To check additionally for potential synergistic action, both compounds were also applied together. The strongest effect was observed for the combination of both compounds (138% of vehicle control ethanol), followed by 1 M nimodipine (127% of vehicle control ethanol) and NGF alone (119% of vehicle control ethanol), (see supplementary Fig. S2). All of these treatments were significantly higher than the vehicle control ethanol (p < 0.01). The combination of nimodipine (1 M) and NGF was significantly higher than NGF alone (p < 0.05) but not significantly higher than 1 M nimodipine, n(analyzed images) > 173, ANOVA on ranks followed by all pairwise multiple comparison procedures (Dunn’s test). Supplementary Fig. 2 can be found, in the online version, at http://dx.doi.org/10.1016/j.ijdevneu.2014.10.005. 3.5. Expression levels of CBPs, IEGs and myelin constituents are not altered by 0.1 M and 1 M nimodipine With neurite density quantification, we did show a neurite growth promoting effect of nimodipine (0.1 M, 1 M) in the dopaminergic projection system. Nevertheless, the mode of action remained unclear and we wanted to address this issue. After culture under the conditions, where enhanced neurite outgrowth was found, we quantified the changes in expression levels of several genes in PFC and VTA/SN separately (Fig. 5 exemplarily shows the results for the PFC, treatment according to Fig. 1): (i) The CBPs Pvalb and S100b have been reported to be upregulated after nimodipine treatment (Buwalda et al., 1994; Luiten et al., 1994). Our results revealed no significant changes in gene expression in our model in response to nimodipine application. (ii) It was shown that nimodipine treatment causes an increase in the thickness of the myelin sheath (Mattsson et al., 2001). Therefore, we quantified expression levels of the myelin constituents myelin and lymphocyte protein (Mal), myelin oligodendrocyte glycoprotein (Mog) and myelin proteolipid protein 1 (Plp1). Again, no significant changes in gene expression were found. (iii) Guntinas-Lichius et al. (1997) described a nimodipine induced increase in transcripts of GFAP. We quantified GFAP in our experimental model, detecting no significant change in expression levels. (iv) Furthermore, we tested if the IEGs that were found to be up-regulated in the microarray will also be up-regulated under the conditions that lead to enhanced neurite growth. The findings from the microarray and subsequent qPCR validation (with 10 M nimodipine) were not confirmed after culture under neurite growth conditions. We found that the expression of Arc, Egr1, Egr2, Fos and Junb was not significantly changed after treatment with nimodipine (0.1 M, 1 M). Nevertheless, there is a tendency of a concentration dependent reduction of expression levels of the above mentioned genes, which was significant for Egr4 after application of 1 M nimodipine, n(independent samples) = 6 for all analyzed transcripts (Fig. 5). 4. Discussion We investigated the effects of nimodipine in an organotypic co-culture model of the dopaminergic system and we found 39 6 K. Sygnecka et al. / Int. J. Devl Neuroscience 40 (2015) 1–11 RESEARCH ARTICLES - Nimodipine Fig. 3. Toxicity testing. (A) LDH release into 25% HS incubation medium. Data have been normalized to the control value at DIV1 of the respective preparation. Being maximal at DIV1, LDH activity decreased during the culture period without significant differences between the differently treated groups. (B) Propidium iodide uptake quantification in the co-cultures, shown as percentage of maximal damage after treatment with 10 mM glutamate. No significant changes were found after nimodipine (in the figure: Nim) application in comparison to the vehicle control ethanol (in the figure: eth). Data are shown as means, error bars indicate standard error, n(analyzed pictures) = 18, except glutamate: n = 9, **p < 0.01, ANOVA followed by all pairwise multiple comparison procedures (Holm–Sidak test). (C) Quantification of active caspase 3 positive cells 40 RESEARCH ARTICLES - Nimodipine K. Sygnecka et al. / Int. J. Devl Neuroscience 40 (2015) 1–11 7 Fig. 4. Neurite outgrowth quantification. (A) Representative microscopic images of biocytin positive neurites in the border region, as they were used for neurite density quantification. For comparison and reference, an image of neurites treated with 10 M nimodipine is included, (scale bar: 50 m). (B) Neurite growth is significantly increased after treatment with 0.1 M and 1 M nimodipine (in the figure: Nim) in comparison to the vehicle control (0.1% ethanol). Neurite density data have been normalized to the median value of the untreated control group of each individual preparation. Data are shown as box plots, n(analyzed pictures) > 225, **p < 0.01, ANOVA on ranks followed by all pairwise multiple comparison procedures (Dunn’s test). increased density of neurites in the border region of the co-cultures after application of nimodipine at certain concentrations (0.1 M, 1 M). The application of 10 M nimodipine did not enhance neurite density. In contrast, we observed a moderate caspase 3 activation following application of 10 M nimodipine. Moreover, we quantified the expression of several genes (CBPs, IEGs, GFAP and myelin constituents) in the co-cultures after incubation under the conditions, where enhanced neurite growth has been found. The expression of the investigated genes did not change significantly after treatment, indicating that other mechanisms are involved in the observed nimodipine mediated neurite growth. (in the graph: active caspase 3+ cells) in the cortical parts of the co-cultures detected by immunofluorescence staining. There are significantly more active caspase 3 positive cells found after application of 10 M nimodipine, but not as pronounced as after application of 5 M staurosporine (in the figure: sts), which served as a positive control for the induction of apoptosis. Data are shown as box plots, n(analyzed pictures) = 18, *p < 0.05, **p < 0.01, ANOVA on ranks followed by Dunn’s multiple comparison against ethanol. (D–F) Confocal fluorescence microscopic images of the cortical part of the co-cultures after application of (E) 1 M and (F) 10 M nimodipine in comparison to (D) vehicle control ethanol. The number of active caspase 3 positive cells after treatment with 10 M nimodipine is markedly increased. (G–I) Higher magnification of an active caspase 3 positive cell after treatment with 10 M nimodipine; the active caspase 3 positive cell body (red, arrow) is surrounded by GFAP positive structures (green, G). Hoechst staining exhibits the fragmentation of the nucleus, typical for apoptotic cells, highlighted in the insert in (G). No clear co-localization with MAP2 (green, H and I) has been found, probably due to reduced immunoreactivity in apoptotic neurons (I). Active caspase 3 negative neurons with well-defined cell bodies are indicated by empty arrowheads. (Scale bars: D–F = 50 m; G–I = 20 m) 41 8 K. Sygnecka et al. / Int. J. Devl Neuroscience 40 (2015) 1–11 RESEARCH ARTICLES - Nimodipine Fig. 5. Gene expression analysis in the PFC after treatment under “neurite growth promoting conditions”. (A–E, G) Expression levels of immediate early genes decrease after application of 0.1 M and 1 M nimodipine. (F, H–L) Expression levels of GFAP, myelin constituents (Mal, Mog, Plp1) and Ca2+ binding proteins (Pvalb, S100b) are not significantly altered by nimodipine treatment under the applied conditions. Results are expressed as CP, normalized to the untreated control (y-axis), while the x-axis represents the different treatments according to Fig. 1. n(independent samples) = 6, *p < 0.05. (A–H, K) Data are shown as means, error bars indicate standard error, ANOVA followed by multiple comparisons vs. vehicle control ethanol (in the figure: eth), (Holm–Sidak test). (I, J, L) Data are shown as box plots, ANOVA on ranks; differences of expression levels were not significant. 4.1. Calcium and neurite growth Axon outgrowth occurs within optimal levels of intracellular Ca2+ . If levels rise above or fall below a narrow optimal level growth is decelerated or inhibited (Kater et al., 1988). This suggests that nimodipine at concentrations of 0.1 M and 1 M – the concentrations that enhanced neurite density in our study – influences intracellular Ca2+ concentrations in a way that is optimal for neurite outgrowth in the used model. Even though it is not proven by our experiments, based on the published literature it seems very likely that Ca2+ is the causative agent in our model: LVCC play an active and specific role in mediating the effects of Ca2+ on growth cone motility and morphology, and different studies reported that Ca2+ influx through these channels affect axonal growth (Nishiyama et al., 2003; Schmitz et al., 2009; Tang et al., 2003). In addition, process extension is not only regulated by prolonged shifts in Ca2+ influx or intracellular baseline changes, but also by temporal intracellular Ca2+ fluctuations (Gomez and Zheng, 2006). Transient elevations of intracellular Ca2+ levels, either spontaneous or electrically stimulated, are known to affect neurite extension. It was shown that the incidence, frequencies, and amplitudes of Ca2+ transients are inversely related to the rate of axon outgrowth (Gomez et al., 1995; Gomez and Spitzer, 1999; Gu and Spitzer, 1995). This is consistent with our observations and the results of other studies, which have shown that partial blocking or silencing of Ca2+ influx by LVCC blockade accelerated axonal sprouting and outgrowth (Angelov et al., 1996; Lindsay et al., 2010; Mattsson et al., 2001). As already mentioned above, the concentration of the applied LVCC blockers seems to be crucial. Daschil and Humpel (2014) have shown a dose-dependent effect of LVCC blockers on the survival of SN pars compacta neurons in dopaminergic brain slices. Among the tested concentrations (0.1 M, 1 M and 10 M), only 1 M and 10 M nifedipine and 1 M nimodipine markedly enhanced the survival of SN neurons. In addition, after blockade of LVCC with nifedipine at increasing concentrations (5–30 M), Tang et al. (2003) observed increased axon lengths of cortical neurons in cell culture experiments. They also applied nimodipine (10 M) and found neurite growth enhancement. In contrast, we did not find growth promotion, but rather toxic effects with nimodipine used at this concentration. This discrepancy likely relates to differences between the two model systems and application schemes (single versus repeated long-term application). The latter is especially likely to be a relevant difference as Koh and Cotman (1992) reported that prolonged LVCC blockade has detrimental effects on neurons. 42 RESEARCH ARTICLES - Nimodipine K. Sygnecka et al. / Int. J. Devl Neuroscience 40 (2015) 1–11 4.2. Neuroprotection and neurotoxicity In this study, we focused on the regenerative and growth promoting potential of nimodipine in the dopaminergic system. However, parameters of neuroprotection have also been analyzed. The absence of a reduction of LDH release in the nimodipine (0.1 M, 1 M, 10 M) treated samples after the preparation of the brain slices (representing a mechanical insult with deterioration of neuronal connections) does not suggest a neuroprotective effect of nimodipine in the used experimental model. In contrast, quantification of active caspase 3 after nimodipine (10 M) application revealed the induction of apoptosis. Recently, it was reported that 10 M nimodipine is toxic to cultured hippocampal neurons (Sendrowski et al., 2013). Additionally, high concentrations and prolonged administration of LVCC blockers like nimodipine have been reported to be toxic in primary cell cultures (Koh and Cotman, 1992) and in vivo (Turner et al., 2007). There is an increased vulnerability to Ca2+ deprivation especially within a tight time window during postnatal neuronal development (around P7) (Turner et al., 2007). Moreover, Puopolo et al. (2007) have found that nimodipine (3 M) completely blocks spontaneous firing in acutely dissociated SN pars compacta neurons, and Mercuri et al. (1994) did show in mesencephalic brain slice cultures that spontaneous electrical activity of dopaminergic neurons is blocked by the application of 10 M nimodipine. It is widely accepted that electrical activity is a prerequisite for neuronal survival and its blockade leads to programmed cell death (as reviewed by Mennerick and Zorumski, 2000). Therefore, we suggest that the observed caspase 3 activation and the absence of enhanced neurite growth in the co-cultures after application of 10 M nimodipine could be a result of the reduced electrical activity (due to the LVCC blockade). With multiple fluorescence labeling after application of 10 M nimodipine, we found active caspase 3 immunoreactivity located in areas where MAP2 staining is less defined compared to the surroundings where MAP2 staining is distinctly demarcated. Therefore, our interpretation of the multiple immunofluorescence labeling is that presumably neurons undergoing apoptosis following LVCC blockade by 10 M nimodipine. This is in line with other reports, indicating that disappearance of MAP2 can be used as a marker for neurotoxic events (Koczyk, 1994). Moreover, earlier studies demonstrated that only neurons – not glial cells – are vulnerable to higher concentrations of nimodipine (Koh and Cotman, 1992). We suggest that the GFAP positive structures surrounding active caspase 3 positive cell bodies most likely belong to reactive astrocytes, which envelop apoptotic neurons and thereby isolate the dying cells from the environment. 4.3. Nimodipine’s mode of action and target cells To elucidate the mechanism leading to the reported beneficial effects of nimodipine, gene expression has been analyzed using expression microarrays. We found a group of genes belonging to IEGs to be upregulated in the nimodipine treated PFC samples. Given that (i) the PFC is the target region of the dopaminergic neurite processes and therefore the region where new connections are established; (ii) the PFC is supposed to produce guiding signals that trigger neurite ingrowth (Gomez-Urquijo et al., 1999; Plenz and Kitai, 1996) and (iii) changes in gene expression in the VTA/SN following nimodipine application were not found in the applied model, we focused on the PFC samples for further gene expression analyses. Applying qPCR after culture under the conditions promoting enhanced neurite growth, we pursued the leads from other published investigations and interpreted our own preliminary microarray analysis as discussed below: 9 Transient upregulation of Pvalb and S100b until P10 was observed in the neocortex and the hippocampus after maternal perinatal nimodipine administration in rats (Buwalda et al., 1994). This upregulation of CBPs was supposed to be one of the mechanisms that lead to the observed neuroprotective effect of nimodipine after perinatally occurring ischemic insults. We did not find such an increase in transcripts encoding for the chosen CBPs (Pvalb, S100b) in response to nimodipine treatment in the cortical part of the co-cultures at the end of the culture period. LVCC are also present on glia (D’Ascenzo et al., 2004; Latour et al., 2003; Westenbroek et al., 1998). It was shown that long-term treatment with nimodipine (in vivo, >42 days) led to enhanced and prolonged astroglial ensheathment of axotomized, target deprived neurons in an in vivo model of facial and hypoglossal nerve resection, (Guntinas-Lichius et al., 1997). It was further shown that nimodipine reduced cell loss and increased GFAP immunoreactivity in a model of traumatic brain injury (Thomas et al., 2008). However, quantification of GFAP encoding mRNA transcripts did not reveal changes of gene expression levels in our model at DIV11. In addition, application of nimodipine increased not only the number and size of myelinated axons of the facial nerve but also increased the degree of myelination, both in lesioned and nonlesioned facial nerves (Mattsson et al., 2001). In order to explore whether nimodipine application affects myelination and thereby stabilizes axonal growth in our model, we quantified the transcripts of the myelin components Mal, Mog and Plp1. No significant gene expression changes have been found, suggesting that this aspect is not relevant for the enhanced neurite growth observed in dopaminergic brain slice co-cultures. In the microarray and qPCR analysis, we found IEGs to be upregulated after 10 M nimodipine application. We wanted to confirm this upregulation under the conditions that enhanced neurite outgrowth. IEGs are closely related to neuronal growth and plasticity and therefore are interesting candidates for the regulation of neurite growth (reviewed in Pérez-Cadahía et al., 2011; Shepherd and Bear, 2011). However, the findings from the microarray analysis were not reproduced after application of 0.1 M or 1 M nimodipine. In contrast, we found a decrease in expression levels after nimodipine (0.1 M, 1 M) treatment. The down-regulating effect of a dihydropyridine LVCC blocker on the expression of IEGs (e.g. c-Fos, JunB, Egr1 and others) is in line with the results of Murphy et al. in cultured cortical neurons (Murphy et al., 1991) and with the findings reviewed by Sheng and Greenberg, which demonstrated an upregulation of these genes not only after stimulation with growth factors (NGF and Epidermal Growth Factor, EGF) but also after Ca2+ influx and depolarization (Sheng and Greenberg, 1990). This study further corroborates the notion that blockade of Ca2+ influx inhibits IEG expression rather than induces it. In summary, the results of the gene expression analysis indicate that the regulation of the expression of the investigated genes cannot clearly explain the observed nimodipine mediated neurite growth in the applied model of the dopaminergic projection system. Therefore, referring to the investigated genes, nimodipine-induced neurite outgrowth does not seem to depend on mRNA synthesis. In contrast, mechanisms including non-coding RNA or nimodipine-induced protein modifications should be considered and examined in further investigations. 4.4. Conclusion and translational outlook Nimodipine – at certain concentrations (0.1 M, 1 M) – seems to influence the intracellular Ca2+ concentration in a way 43 10 K. Sygnecka et al. / Int. J. Devl Neuroscience 40 (2015) 1–11 RESEARCH ARTICLES - Nimodipine Table A.1 Sequences of primers for quantitative polymerase chain reaction (qPCR). Target Accession ID Forward primer Reverse primer Genes of interest Arc Bax Bcl-2 Egr1 Egr2 Egr4 Fos Junb Gfap Mal Mog Plp1 Pvalb S100b(eta) NM NM NM NM NM NM NM NM NM NM NM NM NM NM 019361.1 017059.2 016993.1 012551.2 053633.1 019137.1 022197.2 021836.2 017009.2 012798.1 022668.2 030990.2 022499 013191.1 GCCAGTCTTGGGCAGCATAG ACCCGGCGAGAGGCAG GACTGAGTACCTGAACCGGC ACCTGACCACAGAGTCCTTTTC CTACCCGGTGGAAGACCTCG TATCCTGGAGGCGACTTCTTG TACTACCATTCCCCAGCCGA AGGCAGCTACTTTTCGGGTC AGCTTACTACCAACAGTGCCC CTGCAGTGGTGTTCGCCTAT TGTGTGGAGCCTTTCTCTGC CTGCAAAACAGCCGAGTTCC AAGAGTGCGGATGATGTGAAGA AGAGGGTGACAAGCACAAGC CACTGGTATGAATCACTGCTGG CTCGATCCTGGATGAAACCCT AGTTCCACAAAGGCATCCCAG GCAACCGGGTAGTTTGGCT GATCATGCCATCTCCAGCCAC TCCAGGAAGCAGGAGTCTGTT CTGCGCAAAAGTCCTGTGTG TTGCTGTTGGGGACGATCAA TCATCTTGGAGCTTCTGCCTC GCTCCCAATCTGCTGTCCTA TGAACTGTCCTGCGTAGCTG AGGGAAACTAGTGTGGCTGC CAGAATGGACCCCAGCTCATC TTCCTGCTCTTTGATTTCCTCCA Housekeeping genes MrpL32 Ubc NM 001106116.1 NM 017314.1 TTCCGGACCGCTACATAGGTG ACACCAAGAAGGTCAAACAGGA CTAGTGCTGGTGCCCACTGAG CACCTCCCCATCAAACCCAA that is advantageous for neurite outgrowth. Thereby nimodipine enhances neurite density in organotypic co-cultures of the dopaminergic projection system, as demonstrated for the first time in this study. In addition, we did show that a set of genes whose expression levels were quantified are not changed by nimodipine application, suggesting that other mechanisms are involved in the observed nimodipine mediated effects. The here presented data support previous clinical observations of the beneficial effect of nimodipine e.g. on the preservation of cranial nerve functions following vestibular schwannoma surgery (Scheller et al., 2007). Regarding the use of nimodipine against diseases affecting especially the dopaminergic system, primarily further in vivo data and eventually clinical studies will have to be conducted. In general, nimodipine is a usually well-tolerated drug (Castanares-Zapatero and Hantson, 2011). Therefore no barriers in the use of nimodipine for neurite outgrowth in clinical situations are expected. The elucidation of the detailed mode of action of nimodipine as a neuroprotective and neuroregeneration promoting substance – especially within the dopaminergic projection system – will help to foster its application and the identification of new targets and therapy options also within the dopaminergic projection system. Acknowledgements The authors thank Katrin Becker and Anne-Kathrin Krause (Rudolf Boehm Institute of Pharmacology and Toxicology) for technical assistance. We thank Dr. Martin Reinsch at the Analytisches Zentrum Biopharm GmbH (Berlin, Germany) for quantifying the nimodipine concentrations in the co-culture tissues. The authors are grateful to Dr. Knut Krohn and the members of the microarray core facility of the Interdisziplinäres Zentrum für klinische Forschung (IZKF) Leipzig (Faculty of Medicine, University of Leipzig) for performing the microarray measurements. We also thank Christin Zöller for her secretarial contribution and Jennifer Ding for providing language help. The work presented in this paper was made possible by funding from the German Federal Ministry of Education and Research (BMBF 1315883). Furthermore, the study was supported by Bayer Vital GmbH (Leverkusen, Germany). The funding sources have not been involved in the study design, in the collection, analysis and interpretation of data; in the writing of the report; or in the decision to submit the article for publication. Appendix A. Table A.1 References Angelov, D.N., Neiss, W.F., Streppel, M., Andermahr, J., Mader, K., Stennert, E., 1996. Nimodipine accelerates axonal sprouting after surgical repair of rat facial nerve. J. Neurosci. 16, 1041–1048. Bartrup, J.T., Stone, T.W., 1990. Dihydropyridines alter adenosine sensitivity in the rat hippocampal slice. Br. J. Pharmacol. 101, 97–102. Blanc, E.M., Bruce-Keller, A.J., Mattson, M.P., 1998. 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(B1) Schema of a co‐culture consisting of PFC and VTA/SN; the transparent box indicates the border region, where the two initially separated slices were grown together and where neurite density was quantified after biocytin‐tracing and histochemical processing (described in detail in section 2.5.1). (B2) Microscopic image of a biocytin‐traced co‐culture slice after treatment with 1µM nimodipine. Biocytin‐traced cell bodies are located in the VTA/SN. Outgrowing neurites cross the border region between VTA/SN and PFC and grow into the PFC. (Scale bar: 500µm) 46 RESEARCH ARTICLES - Nimodipine (Suppl.) Supplementary Fig.S.2: Neurite outgrowth quantification after application of 1µM nimodipine (in the figure: Nim) and 50ng/ml nerve growth factor (NGF) alone or in combination. (A) Representative microscopic images of biocytin positive neurites in the border region as they were used for neurite density quantification, (scale bar: 50µm). (B) Neurite density data has been normalized to the median value of the untreated control group of each individual preparation. Neurite growth is significantly increased after treatment with 1µM nimodipine, 50ng/ml NGF and the combination of both in comparison to the vehicle control (0.1% ethanol). No significant increase in neurite density has been observed among the Nim‐, NGF‐ and Nim+NGF‐treated groups. Neurite density data have been normalized to the median value of the untreated control group of each individual preparation. Data are shown as box plots, n(analyzed pictures)>173, **p<0.01, ANOVA on Ranks followed by All Pairwise Multiple Comparison Procedures (Dunn's Method). 47 RESEARCH ARTICLES - Nimodipine Nachweis über Anteile der Co-Autoren, Dipl. Biochem. Katja Sygnecka Organotypische Gewebe-Co-Kulturen des dopaminergen Systems –Ein Modell zur Identifikation neuroregenerativer Substanzen und Zellen Nachweis über Anteile der Co-Autoren: Titel: Nimodipine enhances neurite outgrowth in dopaminergic brain slice cocultures Journal: International Journal of Developmental Neuroscience Autoren: K. Sygnecka, C. Heine, N. Scherf, M. Fasold, H. Binder, C. Scheller, H. Franke (geteilte Erstautorinnenschaft: KS und CH) Anteil Sygnecka (Erstautorin): - Konzeption - Gewebekulturen (Präparation, Behandlung, Aufarbeitung) - Immunhistochemie - Faserquantifizierung - Genexpressionsstudien - Erstellen der Abbildungen - Schreiben der Publikation Anteil Heine (Erstautorin): - Projektidee - Konzeption - Gewebekulturen (Präparation) - Schreiben der Publikation Anteil Scherf: - Bioinformatische Bildauswertung Anteil Fasold, Binder: - Unterstützung bei der Analyse der Microarray-Ergebnisse Anteil Scheller: - Projektidee Anteil Franke (Letztautorin): - Konzeption - Gewebekulturen (Präparation, Tracing) - Schreiben der Publikation 48 RESEARCH ARTICLES - Nimodipine 49 RESEARCH ARTICLES - MSCs STEM CELLS AND DEVELOPMENT Volume 00, Number 00, 2014 Mary Ann Liebert, Inc. DOI: 10.1089/scd.2014.0262 ORIGINAL RESEARCH REPORT Mesenchymal Stem Cells Support Neuronal Fiber Growth in an Organotypic Brain Slice Co-culture Model Katja Sygnecka,1,2 Andreas Heider,1 Nico Scherf,3 Rüdiger Alt,1,4 Heike Franke,2,* and Claudia Heine1,2,* Mesenchymal stem cells (MSCs) have been identified as promising candidates for neuroregenerative cell therapies. However, the impact of different isolation procedures on the functional and regenerative characteristics of MSC populations has not been studied thoroughly. To quantify these differences, we directly compared classically isolated bulk bone marrow-derived MSCs (bulk BM-MSCs) to the subpopulation Sca1 + Lin - CD45 - -derived MSCs - (SL45-MSCs), isolated by fluorescence-activated cell sorting from bulk BMcell suspensions. Both populations were analyzed with respect to functional readouts, that are, frequency of fibroblast colony forming units (CFU-f), general morphology, and expression of stem cell markers. The SL45MSC population is characterized by greater morphological homogeneity, higher CFU-f frequency, and significantly increased nestin expression compared with bulk BM-MSCs. We further quantified the potential of both cell populations to enhance neuronal fiber growth, using an ex vivo model of organotypic brain slice cocultures of the mesocortical dopaminergic projection system. The MSC populations were cultivated underneath the slice co-cultures without direct contact using a transwell system. After cultivation, the fiber density in the border region between the two brain slices was quantified. While both populations significantly enhanced fiber outgrowth as compared with controls, purified SL45-MSCs stimulated fiber growth to a larger degree. Subsequently, we analyzed the expression of different growth factors in both cell populations. The results show a significantly higher expression of brain-derived neurotrophic factor (BDNF) and basic fibroblast growth factor in the SL45-MSCs population. Altogether, we conclude that MSC preparations enriched for primary MSCs promote neuronal regeneration and axonal regrowth, more effectively than bulk BM-MSCs, an effect that may be mediated by a higher BDNF secretion. Recent reports and reviews suggest a beneficial role of MSCs in recovery after neuronal injury and in neurodegenerative diseases like Parkinson’s disease [4–8]. For example, positive effects of MSCs on fiber regeneration have been shown under various experimental conditions, such as cell cultures [9,10], organotypic slice culture models [11–13] and also in vivo [14,15]. Besides the synthesis of extracellular matrix molecules, stabilization of the microenvironment, and immune modulatory properties, the production of humoral factors appears to be one of the relevant processes for the observed regenerative effects of MSCs [16,17]. In this context, the expression and secretion of growth factors such as brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF), glial cell-derived neurotrophic factor (GDNF), or basic Introduction S tudying neuronal regeneration and regrowth is important in potentially treating neurological diseases associated with the loss of neurons and their corresponding fiber projections. In this context, stem cells that positively influence neuronal regeneration and axonal regrowth are of great interest for the development of cell therapeutic strategies. Mesenchymal stem cells (MSCs) are multipotent precursors, which are capable of differentiation into bone, cartilage, and adipose tissues. They can be obtained easily from, for example, adult bone marrow (BM), adipose tissue, or umbilical cord blood. Conventionally, MSCs are isolated from human or animal tissue through plastic adhesion and culture procedures [1–3]. 1 Translational Centre for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany. Rudolf Boehm Institute of Pharmacology and Toxicology, University of Leipzig, Leipzig, Germany. 3 Faculty of Medicine Carl Gustav Carus, Institute for Medical Informatics and Biometry (IMB), Dresden University of Technology, Dresden, Germany. 4 Vita 34 AG, Leipzig, Germany. *These two authors contributed equally to the work. 2 1 50 RESEARCH ARTICLES - MSCs 2 fibroblast growth factor (bFGF, also known as FGF2) have been elucidated [9,13,14,18–20]. MSCs are intrinsically heterogeneous and are comprised of a diverse repertoire of distinct subpopulations (for review see Phinney [21]). It is accepted that methods used to isolate, expand, and cultivate MSCs significantly affect their overall composition and therefore their therapeutic potential [22–25]. Current limitations in the use of MSCs underline the need to identify specific surface markers that can be used to investigate the physiological functions and biological properties of MSCs [26]. Morikawa et al. have recently shown that MSCs need not necessarily be isolated by culture expansion, but can be prospectively isolated from primary tissue, yielding a highly enriched homogeneous subpopulation [3]. These PaS cells are a subpopulation of the very small embryonic-like stem cell population described earlier by Kucia et al. that have shown a broad differentiation potential beyond the mesenchymal lineage in vitro [27,28]. The prospective isolation of MSCs will certainly have to be considered for safer and more effective clinical treatments in the future [26]. Therefore, gaining knowledge about the different MSC populations and the use of standardized protocols for the preparation of homogenous cell populations and their expansion is integral. We set out to investigate the impact of the isolation procedure on the functional and regenerative characteristics of MSC populations. In this study, bulk BM-derived MSCs (bulk BM-MSCs), directly expanded from cell suspensions of isolated BM of 8-week-old mice, were compared to Sca-1 + Lin - CD45 - -derived MSCs (SL45-MSCs), which were sorted from lineage depleted BM suspensions via fluorescenceactivated cell sorting (FACS) from mice of the same age. The properties of both populations were analyzed in regards to their (i) ability to form fibroblast colony-forming units (CFU-f), (ii) general appearance and morphology, (iii) expression of stem cell markers and growth factors, and (iv) neuronal fiber growth promoting potential. To examine fiber growth, an organotypic brain slice co-culture model of the mesocortical dopaminergic projection system consisting of brain slices of the ventral tegmental area/substantia nigra (VTA/SN) and the prefrontal cortex (PFC) of newborn mice was employed. Fiber density in the border region between the two slices was quantified after cocultivation with either BM-MSCs or sorted SL45-MSCs underneath the slice co-cultures using biocytin tracing and subsequent automated image analysis. The growth factor BDNF was applied to the co-culture medium as a positive control for fiber growth enhancement. The co-cultures serve as a model of both development and regeneration, as the growth of fiber connections under ex vivo conditions strongly correlates with the development of neuronal circuits in vivo, and the dopaminergic projections in the neonatal mouse brains are cut during preparation. Therefore, this model is suitable to analyze growth promoting effects of substances and cells in a context that is close to the in vivo situation, as demonstrated in a number of previous studies [29–31]. Materials and Methods Animals For the preparation of the organotypic brain slice co-cultures, neonatal mouse pups of postnatal day 2 (P2) were used (C57BL/ 6, own breed; animal house of the Rudolf Boehm Institute of SYGNECKA ET AL. Pharmacology and Toxicology, University of Leipzig, Leipzig, Germany). For the isolation of the MSC populations, 8-weekold C57BL/6 mice were used (Medizinisch-Experimentelles Zentrum, University of Leipzig, Leipzig, Germany). Both genders were used for the preparation of the organotypic brain slice co-cultures and the isolation of both MSC populations. No gender-specific differences between male or female mice were observed. The animals were housed under standard laboratory conditions, under a 12 h light–12 h dark cycle and allowed access to lab food and water ad libitum. All of the animal use procedures were approved by the Committee of Animal Care and Use of the relevant local governmental body in accordance with the law of experimental animal protection. Isolation and expansion of investigated cells Isolation of murine BM. BM was isolated following a method modified from Morikawa et al. [3]. Tibiae and femura were dissected out of 8 – 1-week-old C57BL/6 mice. After cleaning, the bones were crushed with a pestle, and marrow was flushed out with 5 mL of wash buffer [phosphate buffered saline (PBS) with 0.3% citrate phosphate dextrose buffer (both Sigma-Aldrich, Taufkirchen, Germany) and 1% bovine serum albumin (BSA; SERVA, Heidelberg, Germany)]. The resulting solution was passed through a 0.45 mm cell strainer (Greiner Bio-One GmbH, Frickenhausen, Germany) before proceeding. The remaining bone chips were further minced using scissors and digested at 37C using an enzyme solution: Accutase containing penicillin/streptomycin (Pen/Strep 100 U/mL and 100 mg/mL, respectively; both PAA Laboratories GmbH, Cölbe, Germany), 2 mM calcium chloride (Sigma-Aldrich), and 1 mg/mL collagenase IV (SERVA). Afterward, the pooled cell fractions were then washed once with wash buffer and manually counted using a Neubauer counting chamber (Carl Roth GmbH andCo. KG, Karlsruhe, Germany). Derivation of MSCs from murine BM. About 107 bulk BM cells were seeded in 75 cm2 culture flasks (Greiner Bio-One GmbH) and cultivated in bulk BM-MSCs maintenance medium [alpha-modification of Eagle’s minimal essential medium with 10% fetal bovine serum (FBS), supplemented with Pen/Strep (100 U/mL and 100 mg/mL, respectively; all from PAA Laboratories)] to derive MSCs. After 2 days, an initial washing step with PBS was performed to remove nonadherent cells. Afterward, fresh bulk BM-MSCs maintenance medium was applied. For further expansion the medium was changed every 2–3 days. Cells were passaged via trypsinization (using trypsin; PAA Laboratories) when reaching 80% confluency. Passages 3–5 have been used for all experiments in this study except for the colony forming unit-fibroblast (CFU-f) assay (see below). Isolation of SL45-MSCs. The isolation procedure was adapted from Kucia et al. and Morikawa et al. [3,28]. Mature blood cells were removed from BM preparations via the magnetic activated cell sorting lineage depletion kit (biotinylated antibody cocktail; Miltenyi Biotech, Bergisch Gladbach, Germany). Lineage negative (Lin - ) cells were stained with anti-Sca-1-phycoerythrin(-PE) and anti-CD45PE-carbocyanine(-Cy)7 in addition to Streptavidin-AlexaFluor-488 to label and exclude any remaining Lin + cells (all from eBiosciences, Frankfurt a.M., Germany), for 30 min at 4C using saturation concentrations recommended by the 51 RESEARCH ARTICLES - MSCs MESENCHYMAL STEM CELLS SUPPORT NEURONAL FIBER GROWTH manufacturer. To discriminate living cells from dead cells and debris, Hoechst (5 mg/mL) and propidium iodide (PI; 2 mg/mL) stains (all Sigma-Aldrich) were employed. Sca-1 + CD45 - Lin - Hoe + PI - (SL45)-MSCs were sorted by FACS in FACS sort buffer (PBS with 1% FBS, 1 mM ethylenediaminetetraaceticacid, and 25 mM HEPES; all SigmaAldrich; 0.2 mm sterile filtered) using a BD FACS Vantage SE cell sorter (BD Biosciences, Heidelberg, Germany). Cultivation of SL45-MSCs. Sorted SL45-MSCs were cultivated in 25 cm2 culture flasks (Greiner Bio-One GmbH) in bulk BM-MSCs maintenance medium until passage 2. Afterward, cells were cultivated in SL45-MSCs maintenance medium [alpha MEM with 30% FBS, Pen/Strep (100 U/mL and 100 mg/mL, respectively); PAA Laboratories] and 50 ng/ mL recombinant human FGF2 (Peprotech, Hamburg, Germany). The administration of FGF2 and additional serum to the medium was needed for the prolonged in vitro growth of SL45-MSCs, as the cells would stop growing after 3 passages without additional FGF2. For further expansion, the medium was changed every 2–3 days. Upon reaching 80% confluence the cells were passaged using Accutase (PAA Laboratories). Passages 3–5 have been used for all experiments in this study except for the CFU-f assay (see below). CFU-f assay To empirically determine the frequency of CFU-f in cell suspensions, freshly isolated cells, either sorted SL45-MSCs (starting with 1,000 cells) or bulk BM-MSCs (starting with 107 cells), were cultivated for 14 days in Ø 3 cm culture dishes or in 75 cm2 culture flasks, respectively (both Greiner Bio-One GmbH). The cell numbers are a consequence of intrinsic differences in availability of the cells and their respective colony frequencies. The frequency of colony forming cells in bulk BM-MSCs is far lower than in the SL45 population. Plating the same number of cells would therefore generate either too many SL45-derived colonies or too few BM-MSC-derived colonies for reliable quantification. For this reason, we adjusted the input cell number to yield quantifiable numbers of colonies. The CFU-f assays were performed for both MSC populations in bulk BM-MSC maintenance medium. The cells were fixed using methanol (AppliChem GmbH, Darmstadt, Germany) and stained using Giemsa stain (Sigma-Aldrich). The resulting primary colonies were counted using a binocular microscope. Immunofluorescence staining The two MSC preparations from either bulk BM or SL45 cells were characterized by applying immunofluorescence staining after cultivation under maintenance conditions. When the cultures reached 80% confluency, cells were fixed for 10 min with 4% paraformaldehyde (PFA; Merck, Darmstadt, Germany) in PBS at room temperature (RT). After the fixation step, cells were washed with PBS with 0.5% Tween 20 (PBST; both Sigma-Aldrich). Reactive PFA endings were saturated in a 30 min incubation step with 20 mM glycine (Carl Roth GmbH and Co. KG) in PBS. After permeabilization with 0.1% Triton-X 100 (Applichem GmbH) for 5 min, cells were washed and incubated over night at 4C in blocking solution [PBS-T with addition of 3% FBS (PAA Laboratories), 1% 3 BSA (SERVA)] and primary antibodies: mouse anti-bIII tubulin (1:500; Promega, Mannheim, Germany) and rabbit antinestin (1:400; Chemicon, Temecula, CA). Cells were washed again and stained for 1.5 h at RT in blocking solution containing secondary antibodies: donkey anti-mouse and donkey anti-rabbit conjugated with Cy2 or Cy3 (1:400/1:800, respectively; both Jackson Immunoresearch, West Grove, PA) followed by washes with Tris-buffered saline with 0.5% Tween 20 (Sigma-Aldrich). Finally, staining of the cell nuclei was performed using Hoechst 33342 (Sigma-Aldrich) at concentration of 5 mg/mL for 10 min. Then cells were washed again, embedded in fluorescence mounting medium (Dako Deutschland GmbH, Hamburg, Germany), and immunofluorescence labeling was analyzed using an inverted microscope (Nikon Eclipse Ti) equipped for the detection of Cy2, Cy3 and Hoechst. RNA extraction and quantitative real-time polymerase chain reaction Quantitative real-time polymerase chain reaction (qPCR) was conducted to quantify the expression of (i) stem cell markers nestin and bIII tubulin under maintenance conditions and (ii) growth factors: BDNF, ciliary neurotrophic factor (CNTF), FGF2, GDNF, hepatocyte growth factor (HGF), insulin-like growth factor 1 (IGF1), NGF, and neuregulin 1 (NRG1) after cultivation in maintenance medium or in brain slice culture medium (for composition see section ‘‘Preparation and cultivation of slice co-cultures’’) in both bulk BM-MSCs and SL45-MSCs. For gene expression analysis under co-culture cultivation conditions (meaning in brain slice culture medium, rather than in co-culture with brain slices), 1 day after seeding of the bulk BM-MSCs or SL45-MSCs, respectively, into 25 cm2 culture flasks, maintenance medium was changed to brain slice culture medium. Corresponding to the duration of cultivation of cells underneath the co-cultures, after 3.5 days cells were harvested for RNA-extraction. Total RNA was isolated using TRIzol reagent (Life Technologies, Gaithersburg, MD) according to the manufacturer’s instructions. RNA concentration was measured with NanoDrop1000 (NanoDrop Technologies, Wilmington, DE). Reverse transcription was performed using the RevertAidTM H Minus First Strand cDNA Synthesis Kit (Fermentas, St. LeonRot, Germany) with 0.1 mg total RNA and oligo(dT)18 primer in 20 mL total reaction volume. qPCR was conducted using a LightCycler (Roche Diagnostics, Mannheim, Germany) in a total volume of 10 mL per capillary [LightCycler Capillaries (20 mL); Roche Applied Science, Mannheim, Germany] containing 5 mL QuantiTect SYBR Green 2 · Master Mix (Roche Applied Science), 0.4 mL cDNA, 1 mL primer (5 mM each) specific for the different target genes or the reference genes [mitochondrial ribosomal protein L32 (MrpL32) and ubiquitin (Ubc)], and 3.6 mL water. Sequences of all used primers are listed in the Supplementary Table S1 (Supplementary Data are available online at www.liebertpub.com/scd). The Hot Start Polymerase (contained in the QuantiTect SYBR Green 2· Master Mix) was activated by a 15 min preincubation at 95C, followed by 55 amplification cycles at 95C for 10 s, 60C for 10 s, and 72C for 10 s. A melting curve analysis was performed to verify correct qPCR products. The following appropriate controls have been used: no template control (water) and 52 RESEARCH ARTICLES - MSCs 4 SYGNECKA ET AL. ‘‘reverse transcription-minus control,’’ to exclude the presence of genomic DNA in the samples. Quantification of gene expression was performed by the DCP method with MrpL32 and Ubc serving as reference housekeeping genes. Determination of the BDNF concentration in the conditioned media To further investigate growth factor production and secretion on the protein level, the concentration of BDNF has been quantified in conditioned brain slice culture medium. Conditioned medium of cells that were used for RNA extraction (see above) was collected and kept at - 80C until analysis. BDNF levels were measured using a multiplexed particle-based flow cytometric cytokine assay [32]. Assay kits were purchased from Millipore (Zug, Switzerland). The procedures closely followed the manufacturer’s instructions. The analysis was conducted using a conventional flow cytometer (Guava EasyCyte Plus; Millipore). Preparation and cultivation of slice co-cultures Slice co-cultures consisting of a prefrontal and a mesencephalic slice were prepared from P2 mice and cultivated according to the ‘‘static’’ culture protocol using a transwell system as described previously for rats [29,33]. After decapitation of the pups, the brains were removed from the skull and immersed into low melting agar. Forebrain- and mesencephalon-containing brain parts were separated with coronal cuts and the resulting tissue blocks were fixed onto the specimen stage of a vibratome (Leica, Typ VT 1200S, Nussloch, Germany). Coronal sections (thickness 300 mm) were cut at mesencephalic and forebrain levels to obtain slices of the VTA/SN and the PFC, respectively. A scheme to illustrate the preparation procedure is shown in Fig. 1. Four co-cultures were placed on one membrane insert (0.4 mm, Millicell-CM; Millipore) in a six-well plate (NuncTM Multidish; Thermo Scientific via VWR International GmbH, Dresden, Germany), filled with 1 mL of the brain slice culture medium [25% MEM, 25% Basal Medium Eagle without glutamine, 25% horse serum, glutamine to a final concentration of 2 mM, gentamicin 50 mg/mL (all from Invitrogen GmbH, Darmstadt, Germany), and 0.6% glucose (Hospital Pharmacy, University of Leipzig, Leipzig, Germany), pH adjusted to 7.2]. Twenty-four hours before the preparation of the organotypic co-cultures, 105 bulk BM-MSCs or SL45-MSCs, respectively were seeded on poly-l-lysine (Sigma-Aldrich)coated glass slides (Carl Roth GmbH and Co. KG) and were cultivated in the respective maintenance medium (see above). After the completion of the preparation these glass slides were transferred underneath the membrane inserts with the organotypic co-cultures. Co-cultures were kept at 37C and 5% CO2. Culture medium was changed every 2–3 days and glass slides were changed at days in vitro (DIV)4 and DIV7. The cells used for the exchange were derived from continuing cultures of the original input cells, ensuring that cells of the same batch and age were used throughout each experiment. Control cultures were cultivated without any additional cells or substances. As a reference for the growth promoting potential, BDNF (75 ng/mL; Peprotech) was added to the brain slice culture medium with every FIG. 1. Preparation of brain slice co-cultures of the mesocortical dopaminergic projection system [(A), black arrow]. After decapitation of the mouse pups, the brain was removed from the skull under sterile conditions. Coronal cuts were made at the level of forebrain and mesencephalon [(A), dashed lines]. The brain parts were fixed on the specimen stage of a slicer and cut as indicated [(B), dashed lines] to isolate PFC (*) and VTA/SN (#), respectively. Coronal sections of 300 mm thickness were cut and resulting sections were placed as co-cultures on the moistened membranes (C) and inserted in six-well plates filled with brain slice culture medium. After DIV10 the slices were fixed and the biocytin tracing was visualized. (D) Schematic co-culture slice to illustrate the localization of the PFC, the border region and the VTA/SN in greater magnification. PFC, prefrontal cortex; VTA/SN, ventral tegmental area/ substantia nigra; DIV, days in vitro. medium exchange in an additional experimental group (BDNF group). For detailed information see also Fig. 2. Tracing procedure, fixation, and visualization of fibers Biocytin tracing, fixation, and subsequent processing of the co-cultures were performed as previously described [29,31,33]. At DIV8, small biocytin crystals (SigmaAldrich) were placed on the VTA/SN part of the co-cultures 53 RESEARCH ARTICLES - MSCs MESENCHYMAL STEM CELLS SUPPORT NEURONAL FIBER GROWTH 5 FIG. 2. Time schedule indicating preparation at DIV0 and subsequent medium changes, exchange of glass slides with bulk BM-MSCs and SL45-MSCs, tracing at DIV8 and fixation at DIV10. BDNF was applied after every medium exchange to the ‘‘BDNF group.’’ BM-MSCs, bone marrow-derived mesenchymal stem cells; BDNF, brain-derived neurotrophic factor; SL45-MSCs, Sca-1 + Lin - CD45 - derived MSCs. under binocular control. After 2 h, the co-cultures were rinsed carefully with brain slice culture medium. To allow the anterograde transport of the tracer, the co-cultures were reincubated for 48 h. At DIV10, the co-cultures were fixed in a solution consisting of 4% PFA, 0.1% glutaraldehyde (SERVA), and 15% picric acid (Sigma-Aldrich) in phosphate buffer (PB, 0.1 M, pH 7.4) for 2 h and were subsequently washed with PB. Afterward, co-cultures were cut into 50 mm thick slices with the vibratome and collected in PB. Biocytin was visualized with the avidin-biotin-horseradish peroxidise complex (1:50, ABC-Elite Kit; Vector Laboratories, Inc., Burlingame, CA) and ammonium nickel (II) sulfate hexahydrate/Cobalt (II) chloride hexahydrate (Ni/ Co; both Sigma-Aldrich) intensified 3,3¢-diaminobenzidine hydrochloride (Sigma-Aldrich). Stained slices were mounted on glass slides and embedded with Entellan (Merck) when completely dried. Quantification of fiber density for multiple comparisons against the control group and against the BDNF group. Statistical significance of the expression of various growth factors (mRNA-level; BDNF additional protein-level) was determined by Student’s t-test or Mann–Whitney Rank Sum Test, as indicated. All quantitative data have been analyzed with SigmaPlot 12 statistical analysis program, all significant differences were considered at a Plevel below 0.05 (*P < 0.05, **P < 0.01, ***P < 0.001). Results Characterization of bulk BM-MSCs and sorted SL45-MSCs under maintenance conditions Primary CFU-f are 10,000-fold enriched in SL45-MSCs versus bulk BM-MSCs. While bulk BM-MSCs were directly ex- panded from cell suspensions of freshly isolated BM of 8-week-old mice, SL45-MSCs were sorted from lineage depleted BM suspensions via FACS-sorting from mice of the same age (for details see Fig. 4A1–A4). Microscopic images from the whole border region were obtained with a transmitted light bright field microscope (Axioskop 50; Zeiss, Oberkochen, Germany) equipped with a CCD camera at 40 · magnification. The border region of the co-culture is the part where the two initially separated brain slices were grown together (for illustrations see also Figs. 1D and 3A, B2). Slices were used for analysis only if they fulfilled the following criteria: (i) the tracer was correctly placed on the VTA/SN, (ii) the major part of the VTA/SN was characterized by a dense network of biocytin-traced structures and (iii) no traced cell bodies had been observed in the target region PFC (previously described in more detail in [30]). A tailored image analysis procedure had been designed to quantify the fiber density in an automated manner, described previously in detail [31]. After preprocessing and image binarization, the ratio of the number of foreground pixels (fibers) to the total number of pixels in the images was taken, yielding an estimate of the percentage of area occupied by fibers (fiber density) in the focal plane. Statistics Statistical significance of the frequency of CFU-f and of the expression level of nestin and bIII tubulin between the different cell populations was assayed by Student’s t-test. Statistical analysis of the fiber growth promoting effect of the different MSC populations was performed using Kruskal– Wallis analysis of variance on Ranks followed by Dunn’s test FIG. 3. Biocytin labeling. (A) Overview of a biocytintraced co-culture slice (after cultivation with bulk BMMSCs). (B1–B3) Microscopic images of traced cell bodies in the VTA/SN (B3), traced fibers in the border region of the co-culture (B2) and in the PFC (B1) at higher magnification. Scale bars: (A) 500 mm, (B1–B3) 100 mm. PFC, prefrontal cortex; VTA/SN, ventral tegmental area/substantia nigra. 54 RESEARCH ARTICLES - MSCs 6 SYGNECKA ET AL. FIG. 4. Primary CFU-f and representative illustration of the isolation of SL45 cells. (A1–A4) SL45-MSCs were sorted from suspensions of murine bone marrow of 8-week-old mice. For this purpose, cells were stained with Hoechst, PI, lineage markers (Lin), and a combination of Sca-1 and CD45. (A1) All events plotted with regard to forward scatter (FSC) and Hoechst signal intensity. (A2) Histogram showing PI staining of Hoechst + cells from (A1). (A3) Hoechst + , PI - cells were stained for Lin expression. (A4) The dot plot shows Hoechst + , PI - , and Lin - cells that were analyzed for expression of CD45 and Sca-1. Sca-1 + , Hoechst + , PI - , Lin - , and CD45 - cells (SL45-MSCs) were found at a frequency of 3.75%. (B) After 2 weeks of cultivation, CFUf contained in both bulk BM-MSCs and SL45-MSCs and both cell populations gave rise to newly formed colonies comprised of spindle-shaped, fibroblast-like cells. The CFU-f frequency was far higher in SL45-MSCs than in bulk BM-MSCs. Data are shown as box-whisker plots; SL45-MSCs: n = 5, bulk BM-MSCs: n = 8; Student’s t-test, ***P < 0.001. (C1, C2) Sorted SL45-MSCs are shown in the micrographs at day 0 (d0) and 14 (d14) after sorting. Scale bars: (C1) 100 mm, (C2) 250 mm. CFU-f, fibroblast colony forming units; PI, propidium iodide. Color images available online at www.liebertpub.com/scd Primary sorted SL45-MSCs (1,000 cells) and bulk BMMSCs (107 cells) were subjected to a CFU-f assay. These cell numbers are a consequence of intrinsic differences in availability of the cells and their respective colony frequencies (for details see section ‘‘CFU-f assay’’ in ‘‘Materials and Methods’’). Two weeks after inoculation, both unsorted and sorted cells gave rise to newly formed colonies comprising spindle-shaped, fibroblast-like cells. As an example, sorted SL45-MSCs are shown in Fig. 4C1 at day 0 and in Fig. 4C2 at day 14 after sorting, respectively. The frequency of CFU-f was 5.3 · 10 - 6 – 4.1 · 10 - 6 (n = 8) in bulk BM-MSCs and 5.3 · 10 - 2 – 3.3 · 10 - 2 (n = 5) in SL45MSCs (Fig. 4B). Primary CFU-f were 10,000-fold enriched in prospectively isolated SL45-MSCs compared to bulk BM-MSCs. This suggests that SL45-MSCs are a more homogeneous cell population not only with respect to surface marker expression but also in terms of functional properties. Higher expression of nestin in SL45-MSCs versus bulk BMMSC. Nestin and bIII tubulin are markers for immature neuronal cells. Nestin on its own, however, has been shown to mark precursor cells of both neuronal and mesenchymal lines [34–36]. bIII Tubulin on the other hand is co-expressed in some mesenchymal cells together with nestin before any neuronal differentiation takes place [37]. A characterization of the nestin and bIII tubulin protein expression in both unsorted bulk BM-MSCs and sorted SL45-MSCs was performed using immunofluorescence staining with antibodies against these markers. We observed a difference in nestin and bIII tubulin expression between classically isolated MSCs and those derived from sorted SL45 cells (Fig. 5A, B). While almost all SL45-MSCs expressed nestin, the population of bulk BMMSCs was heterogeneous and also contained many cells that did not express nestin. This observation was compatible with our general impression that bulk BM-MSCs are generally more heterogeneous, with some cells showing a classical spindle-shaped MSC morphology, others appearing broader and less well defined in shape. In contrast, in SL45-MSCs the predominant cell type shows a smaller spindle-shaped or oligopolar morphology with rather small or condensed nuclei, a clearly defined cell body, and a prominent expression of nestin. bIII Tubulin-positive cells occurred with similar frequency in both cell populations. Furthermore, the expression of nestin and bIII tubulin in both populations was determined on a mRNA level. The 55 RESEARCH ARTICLES - MSCs MESENCHYMAL STEM CELLS SUPPORT NEURONAL FIBER GROWTH 7 tated fiber outgrowth of cell bodies originating from the VTA/SN could be observed. Neuronal processes sprouting from the black labeled cell bodies of the VTA/SN surmounted the border region between the initially separated slices and grew into the target region PFC. An example of a VTA/SN + PFC co-culture after cultivation with bulk BMMSCs is shown in Fig. 3. We compared the fiber growth promoting potential of MSCs derived from sorted SL45 cells and bulk BM-MSCs to BDNF-treated and untreated controls, respectively. Examples of biocytin traced fibers within the border region are shown for all groups in Fig. 6A. The quantification of the fiber density in the border region revealed a significant growth promoting effect for both MSC preparations. The corresponding box-whisker plots are shown in Fig. 6B. Both SL45-MSCs and bulk BM-MSCs exhibit a significantly stronger growth promoting effect compared with control. As expected, BDNF also enhanced fiber growth in comparison to untreated control conditions. However, the effect was significantly less pronounced than that of the co-cultures with SL45-MSCs, suggesting a greater neurosupportive stimulus of these mesenchymal cells. FIG. 5. Nestin and bIII tubulin expression. (A, B) Immunofluorescence staining against nestin (red), bIII tubulin (green), and Hoechst (blue) of (A) unsorted bulk BM-MSCs and (B) sorted SL45-MSCs expanded nondifferentiated cells growing in maintenance medium: (A) Only some bulk BM-MSCs show immunoreactivity for nestin, whereas (B) almost all SL45-MSCs were positive for nestin. bIII Tubulin-positive cells occurred with similar frequency in both cell populations. (C, D) mRNA expression levels of nestin and bIII tubulin (Tubb3) in the two cell populations after cultivation under maintenance conditions are expressed as DCP (relative expression normalized to the housekeeper genes Ubc and MRPL32, y-axis). (C) Nestin expression was significantly higher in SL45-MSC samples (mean > 400-fold compared to bulk BM-MSCs, P < 0.05). (D) No significant difference in the expression of bIII tubulin was detected by quantification of the mRNA transcripts (P = 0.63). Data are shown as mean – standard error of the mean, n > 4 independent cell preparations, *P < 0.05, Student’s t-test. Scale bars: (A, B) 100 mm. MrpL32, mitochondrial ribosomal protein L32; n.s., not significant; Ubc, ubiquitin. Color images available online at www.liebertpub.com/scd qPCR-results confirmed our qualitative observations from the immunostaining experiments. Nestin was detectable in both MSC populations with a significant higher expression in the sorted SL45-MSCs (mean DCP = 13.793) compared with the bulk BM-MSCs (mean DCP = 0.0318) (Fig. 5C). The mRNA expression of bIII tubulin was comparable in both MSC populations. There was no significant difference in the number of bIII tubulin-transcripts between the two analyzed cell populations (Fig. 5D). MSCs derived from enriched SL45-MSCs were more potent in stimulating fiber growth than classically isolated bulk BM-MSCs After fixation of the dopaminergic co-cultures at DIV10 and visualization of the biocytin tracing, the target orien- Sorted SL45-MSCs expressed significantly higher levels of the growth factors BDNF and FGF2 We assessed the expression of growth factors that could be responsible for the observed fiber growth promoting effect of bulk BM-MSCs and sorted SL45-MSCs. The mRNA of the growth factors BDNF, CNTF, FGF2, GDNF, HGF, IGF1, NGF, and NRG1 was detected by qPCR in cell samples both after cultivation in maintenance medium and in brain slice culture medium, respectively. Under maintenance conditions, the mRNA of BDNF, FGF2, and NGF was significantly higher expressed in SL45-MSCs than in bulk BM-MSCs (Student’s t-test, P < 0.05, data not shown). Consistent with this observation, BDNF and FGF2 were expressed to a significantly greater extent in the SL45-MSC population (Fig. 7A, B) after cultivation in brain slice culture medium. Under this condition, the median DCP for NGF transcripts was also higher in SL45-MSCs, but the difference between the two groups was not significant (Fig. 7C). Additionally, secreted BDNF protein has been quantified in the conditioned brain slice culture medium of both cell populations. The BDNF concentration in SL45-supernatants was significantly higher (median value: 0.487 fg/mL/cell) than in bulk BM-MSC supernatants (median value: 0.026 fg/mL/cell), P < 0.01, n = 6. However, the resulting BDNF concentrations in the incubation media with SL45 or bulk BM-MSCs (mean values: 288 and 17 pg/mL, respectively) were lower than in the BDNF-positive control, where 75 ng/mL BDNF was added. Taken together, these measurements show a production of important growth factors by both cells types. This might be one of the major reasons for the observed effect on fiber growth in those cultures, which could explain the additional cell-specific benefit of the MSCs over the BDNF-treated control. Discussion The present study confirms the previously reported neurosupportive and regenerative features of MSCs, and additionally highlights the importance of isolation and expansion 56 RESEARCH ARTICLES - MSCs 8 SYGNECKA ET AL. FIG. 6. Quantification of fiber density in the border region of organotypic brain slice co-cultures after application of different BM-derived stem cell populations. (A) Microscopic images of traced fibers in the border regions of the co-cultures after cultivation with (A2) classically isolated bulk BM-MSCs, (A3) SL45-MSCs in comparison to (A4) BDNF-treatment and to (A1) control conditions. (B) Fiber quantification revealed that SL45-MSCs showed the highest benefit for fiber growth, followed by bulk BM-MSCs. The effect of BDNF was less pronounced than after co-cultivation with any of the MSC preparations. Data are shown as box-whisker plots and represent the empirical distribution of fiber densities of the investigated groups, control: n = 50 images, bulk BM-MSCs: n = 111 images, SL45-MSCs: n = 186 images, BDNF: n = 93 images; **P < 0.01 in comparison to control, #P < 0.01 in comparison to BDNF, Kruskal–Wallis analysis of variance on Ranks followed by Dunn’s test for multiple comparisons. Scale bar: (A1–A4) 50 mm. conditions. We provided evidence that sorted SL45-MSCs differ from bulk BM-MSCs in certain aspects: SL45-MSCs were enriched for primary CFU-f, were more homogeneous, expressed higher protein- and mRNA-levels of nestin, and expressed higher amounts of the growth factors BDNF and FGF2 compared with the more heterogeneous bulk BMderived cell population. Moreover, utilizing organotypic dopaminergic slice co-cultures, we have shown that both BM-MSC populations significantly enhanced neuronal fiber growth in comparison with control conditions. The growth promoting effect of the cells was more pronounced than the effect of the growth factor BDNF. Interestingly, sorted SL45-MSCs were more potent in stimulating fiber growth in our co-culture system, indicating that this cell population is enriched for cells that are responsible for the observed regenerative and trophic effects. FIG. 7. The expression of BDNF, FGF2, and NGF in bulk BM-MSCs and sorted SL45-MSCs, quantified by quantitative real-time polymerase chain reaction. (A–C) Expression levels of BDNF, FGF2, and NGF in the two cell populations are expressed as DCP (relative expression normalized to the housekeeper genes Ubc and Mrpl32, y-axis). Significantly higher expression levels of (A) BDNF and (B) FGF2 were revealed in the SL45-MSC population. No significant difference in the expression of (C) NGF between the two cell populations was detected, but there is a tendency to higher expression in the SL45-MSC samples. Data are shown as box-whisker plots, n > 4 independent cell preparations, *P < 0.05, **P < 0.01, Mann–Whitney Rank Sum Test. FGF2, basic fibroblast growth factor; NGF, nerve growth factor; n.s., not significant. 57 RESEARCH ARTICLES - MSCs MESENCHYMAL STEM CELLS SUPPORT NEURONAL FIBER GROWTH Conventionally cultured MSCs yield heterogeneous populations that often contain contaminating cells due to the significant variability in the isolation method, the tissue origin, and the lack of specific MSC markers [21,23,26]. Moreover, experimental artifacts introduced by inconsistent cell culture protocols or following extensive culture manipulation may result in changes of the MSCs’ properties or in the aging processes of the cells, both causing complications in the utilization of MSCs as therapeutic tools (for review see Wang et al. [25]). As an example, the number of passages was shown to greatly influence the survival rate, migration, and neuroprotective capacities of MSCs [38]. With regard to the use of MSCs in clinical medicine, it is anticipated that more homogeneous cell preparations will yield more consistent clinical outcomes that exhibit both dose responsiveness and more reproducible outcomes [21]. Collectively, these studies underline the importance of preparing adequate homogenous cell populations of MSCs. In our study, we found a higher frequency of nestinpositive cells and significantly more mRNA transcripts of nestin in SL45-MSCs compared with classically isolated bulk BM-MSCs. This is in accordance with results of other studies, where the heterogeneity of primary MSC cultures and an increase in the percentage of nestin-positive MSCs as a function of the number of passages were observed [39]. This further implicated the superior proliferative capacity of nestin-positive MSCs. The expression of nestin and bIII tubulin in undifferentiated cells has been reported previously and has been taken as evidence for proliferative and progenitor potential [35,40– 42]. Furthermore, nestin has been described as a marker for MSCs in the recent literature [34,37,43]. In this context, it was shown that nestin-positive MSCs contain all the CFU-f activity of the BM, can self-renew in serial transplantation, and are able to differentiate toward mesenchymal lineages [34,37]. Indeed, we could confirm multilineage differentiation capacity into adipogenic, chondrogenic, and osteogenic lineages in both bulk BM-MSCs and SL45-MSCs (Supplementary Fig. S1). Several findings point to an active role of MSCs in experimental in vitro and in vivo models of different diseases of the CNS, including Parkinson’s disease, stroke, multiple sclerosis, traumatic brain or spinal cord injury [8,44–48]. As an example, animal studies in traumatic brain injury have shown improved functional outcome when MSCs were injected intracerebrally or intravenously [49,50]. Human MSCs were beneficial after spinal cord injury due to the increase in axonal sprouting and in the number of surviving rat cortical neurons in vivo [51]. Further underlining the importance of MSCs, there are 77 clinical trials registered using MSCs in neuropathological conditions (www.clinicaltrials.gov, website of the National Institutes of Health, Bethesda, MD, search for ‘‘mesenchymal stem cells and CNS,’’ October 2014, eg, regarding Parkinson’s disease: NCT01446614). The regeneration of injured neuronal cells and the corresponding fiber projections are of great interest with respect to the described neurological diseases. Organotypic brain slices that can be maintained in culture for several weeks facilitate the study of cellular interactions and mechanisms in this context. Furthermore, this technique represents a powerful tool for the development of ex vivo models of neurological disorders and to investigate approaches for 9 potential stem cell therapies (for review see Daviaud et al. [52]). For example, MSCs revealed a significant neuroprotective effect in ischemia models of organotypic hippocampal slices [19,53]. In organotypic spinal cord slices, topically applied MSCs survived, migrated into the slice, and promoted host neurite extension [11,12] and axonal outgrowth from the cortex to the spinal cord [13]. Here, we describe a beneficial effect of BM-MSC preparations with a particular focus on the clinically relevant parameter of axonal outgrowth in the dopaminergic system. Our data indicate that SL45-MSCs are more potent than bulk BM-MSCs. Therefore, SL45-MSCs appear to be particularly well suited to promote neuro(re)generation ex vivo. Our findings show that MSC preparations derived from a defined cell population enriched for primary MSCs are advantageous in different aspects. (i) SL45-MSCs have a higher fiber growth promoting potential compared to conventional bulk BM-MSCs. (ii) A more homogenous MSC population can be obtained much faster starting from preenriched CFU-f, allowing for a shorter expansion phase in vitro, and hence a lower risk of culture prone alterations or mutation accumulations on the MSC population. (iii) Due to the more homogeneous population derived from enriched primary MSCs, the risk of contamination with alloreactive immune cells might potentially be lower. Summarizing, we suggest the use of cell material that is more homogeneous and highly enriched in CFU-f activity as a starting point for cell therapeutic development. This is in line with previously published studies and their conclusions [1,3,26,28,54]. Earlier studies were based on the assumption that the neuroregenerative effects of MSCs are caused by the replacement of damaged cells by differentiation into neurons or glia [55,56]. However, the current opinion favors a model of regeneration induced by the release of soluble factors, such as trophic factors. Thus, the capacity of MSCs to actively alter the microenvironment via these factors may contribute more significantly to tissue repair than their plasticity [16,24,47]. Our findings also suggest a stimulating effect mediated via soluble secreted factors as the main reason for the observed impact on fiber growth, as the cells where plated underneath the co-cultures without direct contact to the brain slices in our study. This hypothesis is in line with findings by other groups, demonstrating the secretion of trophic factors by MSCs, including BDNF, NGF, GDNF, FGF2, and the vascular endothelial growth factor [9,18,57–59]. We detected the mRNA of the growth factors BDNF, CNTF, FGF2, GDNF, HGF, IGF1, NGF, and NRG1 by qPCR in all assessed cell samples. The significantly higher expression of BDNF and FGF2 in the SL45-MSC population, which has exemplarily been confirmed on the protein level for BDNF, could be a reason for the more pronounced effect evoked by the sorted SL45-MSC population as compared to the classically isolated bulk BM-MSCs. This might result from the homogeneity of the populations with SL45-MSCs where the cells express similar levels of growth factors, while the more heterogeneous bulk BM-MSCs consist of a mixture of both secreting and non-secreting cells. The observed growth promoting effect of the growth factor producing MSC populations in the dopaminergic projection system is not surprising, taking into account that previous studies have shown the beneficial effects of BDNF, GDNF, and FGF2 on mesencephalic dopaminergic neurons [60–62]. These growth factors are considered to mediate 58 RESEARCH ARTICLES - MSCs 10 dopaminergic neuronal survival and neuroprotection. Thus, they had become potential candidates for the therapy of Parkinson’s disease [63–66]. For example, BDNF provides support for both developing and adult dopaminergic neurons [67–70]. So BDNF resulted in enhanced survival of tyrosine hydroxylase-positive neurons and increased growth of tyrosine hydroxylase-positive fibers into striatal tissue [71]. GDNF, which is especially important for the development of embryonic dopaminergic neurons [72], induced neuronal survival and promoted the innervation of target areas [73– 76]. FGF2 stimulated the proliferation of dopaminergic progenitor cells, promoted survival and neurite outgrowth of dopaminergic neurons, and participated in nigrostriatal pathway formation and target innervation [66,77,78]. The impact of the BDNF application to the brain slice culture medium was less pronounced than the growth facilitating properties of both MSC populations under study. This is in agreement with previous studies showing that the combined application of neurotrophins (eg, BDNF and NGF) elicited greater axon growth than treatment with each neurotrophin alone [79]. Moreover, Crigler et al. revealed that MSCs express potent neuroregulatory molecules in a restricted manner in addition to growth factors like BDNF and NGF. These growth factors may further contribute to MSC-induced effects on neuronal survival and nerve regeneration [9]. Conclusion In conclusion, both MSC preparations exerted highly beneficial effects on fiber outgrowth in organotypic brain slices of the dopaminergic system well above the level of untreated controls, and had also a stronger effect than the positive control BDNF. Thus, MSCs appear to be very well suited to promote neuro(re)generation. The outcome was dependent on the isolation and expansion conditions and we could show that the more homogeneous sorted SL45-MSCs were more potent in stimulating fiber growth, indicating an enrichment of cells that are responsible for the observed regenerative and trophic effects. The higher expression levels of nestin, BDNF, and FGF2 in SL45-MSCs compared to classically isolated BM-MSCs may serve as an explanation for the higher potential in stimulating fiber growth as demonstrated in this study. Acknowledgments The authors thank Katrin Becker and Katrin Krause (Rudolf Boehm Institute of Pharmacology and Toxicology) as well as Gabrielle Öhme and Sabine Hecht (TRM Leipzig) for excellent technical assistance. The authors are grateful to Adrian Urwyler (Cytolab, Regensdorf, Switzerland) for performing the BDNF measurements in the conditioned media. The authors thank Jennifer Ding for providing language help. 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Fibroblast growth factor 2 regulates adequate nigrostriatal pathway formation in mice. J Comp Neurol 520:3949–3961. Oishi Y, J Baratta, RT Robertson and O Steward. (2004). Assessment of factors regulating axon growth between the cortex and spinal cord in organotypic co-cultures: effects of age and neurotrophic factors. J Neurotrauma 21:339–356. Address correspondence to: Katja Sygnecka Translational Centre for Regenerative Medicine (TRM) c/o Rudolph Boehm Institute of Pharmacology and Toxicology University of Leipzig Härtelstr. 16-18 Leipzig 04107 Germany E-mail: katja.sygnecka@trm.uni-leipzig.de Received for publication May 27, 2014 Accepted after revision November 10, 2014 Prepublished on Liebert Instant Online XXXX XX, XXXX 61 RESEARCH ARTICLES - MSCs (Suppl.) Supplementary Data changed every 2–3 days. After 21 days, osteogenesis was analyzed. Materials and Methods Differentiation protocols Five thousand cells/cm2 were seeded in maintenance medium and expanded. At a confluency of 80%, medium was replaced by adipogeneic differentiation medium [Dulbecco’s modified Eagle’s medium (DMEM)/ F12 (1:1; PAA Laboratories, GmbH, Cölbe, Germany), 5% rabbit serum, 3.925 mg/L dexamethasone, 10 mg/L insulin, 111.1 mg/L 3-isobutyl-1-methylxanthin, 35.76 mg/L indomethacine, and 10 mM HEPES (all from Sigma-Aldrich) supplemented with Pen/Strep (100 U/mL and 100 mg/mL, respectively; all from PAA Laboratories)]. This medium was partly (50%) changed every 2–3 days. After 7 days, cells were fixed and adipogenesis was analyzed. Chondrogenesis. About 250,000–500,000 cells were centrifuged in 1 mL maintenance medium in a 15 mL-falcon tube at 270 g for 3 min. After 24 h incubation at 37C, medium was replaced by chondrogeneic differentiation medium [DMEM/F12 (1:1; PAA Laboratories), 10% fetal calf serum (FCS; PAA Laboratories), 39.25 mg/L dexamethasone, 1% ITS-Premix, 37.84 mg/mL l-ascorbic acid 2-phosphate (all from Sigma-Aldrich, Taufkirchen, Germany), 46.24 mg/mL proline, and 10 ng/mL transforming growth factor beta 1 (Peprotech) supplemented with Pen/Strep (100 U/mL and 100 mg/mL, respectively; all from PAA Laboratories)]. This medium was partly (50%) changed every 2–3 days. After 21 days, chondrogenesis was analyzed. Osteogenesis. Five thousand cells/cm2 were seeded in maintenance medium and expanded. At a confluency of 80%, medium was replaced by osteogenic differentiation medium [DMEM/F12 (1:1; PAA Laboratories), 10% FCS (PAA Laboratories), 39.25 mg/L dexamethasone, 2.16 mg/mL b-glycerophosphate, and 25.61 mg/mL lascorbic acid (all from Sigma-Aldrich) supplemented with Pen/Strep (100 U/mL and 100 mg/mL, respectively; all from PAA Laboratories)]. This medium was partly (50%) Adipogenesis. Analysis of differentiation Adipogenesis. Cells were fixed with 3.7% paraformaldehyde (PFA) for 30 min, washed with propylene glycol (Sigma-Aldrich), and incubated in Oil Red O solution (0.5%; Sigma-Aldrich in propylene glycol) for 10 min at room temperature. Afterward, cells were washed with propylene glycol until washing reagent remained colorless. Cells were analyzed with a usual light microscope (Nikon). Chondrogenesis. Processing of the cell aggregates: Cells were fixed with 3.7% PFA for 120 min and washed twice with phosphate-buffered saline (PBS) followed by histological processing: dehydration in graded series of ethanol, xylole, and melted paraffin (Vogel GmbH and Co. KG, Giessen, Germany), embedding in paraffin, hematoxyline/ erythrosine staining [10–15 s in Mayer’s hematoxylin solution (Merck, Darmstadt, Germany), 10–15 s in 0.6% erythrosine solution (Merck) in 35% ethanol, four drops of acetic acid/200 mL added directly before use], sectioning with a microtome (Leica RM 2165, 4 mm), mounting on glass slides, rehydration in series of xylole and graded ethanol, washing in water, and staining. Masson’s Trichrome staining: After postfixation at 60C for 60 min with Bouin’s fluid (Sigma-Aldrich), slices were washed under running tap water for 10 min at room temperature (RT). All followed steps were conducted at RT. Slices were incubated for 10 min in Weigert’s iron hematoxylin solution (Sigma-Aldrich) followed by washing with water for 10 min. Then, slices were stained with ponceau fuchsine solution [0.75 g/L ponceau de xylidin, 0.25 g/L acid fuchsine (both Sigma-Aldrich) 1% acetic acid] for 30 min, followed by a rinsing step with 1% acetic acid. Incubation in phosphotungstic acid (2%; Sigma-Aldrich) for 2 min was conducted followed by a rinsing step with 1% acetic acid. Finally, slices were incubated in Fast Green solution (0.2% Fast Green FCF; Supplementary Table S1. Sequences of Primers for Quantitative Polymerase Chain Reaction Target Accession ID Forward primer Reverse primer Bdnf Cntf Fgf2 Gdnf Hgf Igf1 Mrpl32 Nes Ngf Nrg1 Tubb3 Ubc NM_007540.4 NM_170786.2 NM_008006.2 NM_010275.2 NM_010427.4 NM_010512.4 NM_029271.2 NM_016701.3 NM_013609.3 NM_178591.2 NM_023279.2 NM_019639.4 GGCTGACACTTTTGAGCACG ACCTCTGTAGCCGCTCTATCT CGACCCACACGTCAAACTAC CTGAAGACCACTCCCTCGG TCAGGACCATGTGAGGGAGAT GGACCGAGGGGCTTTTACTT CAGAGCTGGAGTCGCTTTGT AGAGGACCCAAGGCATTTCG GGGGGAGTTCTCAGTGTGTG ACTGGCATCTGTATCGCCCT TTCGTCTCTAGCCGCGTGAA CCCACACAAAGCCCCTCAAT CAAGTCCGCGTCCTTATGGT AGGCCTTGATGTTTTACATAAGATT GTTGGCACACACTCCCTTGA TCTTCAGGCATATTGGAGTCAC ACATCCACGACCAGGAACAA TCCGGAAGCAACACTCATCC TGAGGATGGATGGTCTCTGGA TGCCTTCACACTTTCCTCCC CACCTCCTTGCCCTTGATGT CTGCCGCTGTTTCTTGGTTTT CTCCCAGAACTTGGCCCCTATC AAGATCTGCATCGTCTCTCTCAC Bdnf, brain-derived neurotrophic factor; Cntf, ciliary neurotrophic factor; Fgf2, basic fibroblast growth factor; Gdnf, glial cell-derived neurotrophic factor; Hgf, hepatocyte growth factor; Igf-1, insulin-like growth factor 1; Mrpl32, mitochondrial ribosomal protein L32; Ngf, nerve growth factor; Nrg1, neuregulin 1; Ubc, ubiquitin. 62 RESEARCH ARTICLES - MSCs (Suppl.) SUPPLEMENTARY FIG. S1. In vitro differentiation assays showing tri-lineage potential of bulk bone marrow-derived mesenchymal stem cell (BM-MSC) (A–C) and Sca-1 + Lin - CD45 - -derived MSC (SL45-MSC) (D–F) populations starting from fibroblast colony forming units. (A, D) Adipogenesis was demonstrated by Oil red O staining of lipid globules. (B, E) Chondrogenesis was confirmed by (B1, E1) Masson’s Trichrom staining (collagene appears green; nuclei are blue-black; cytoplasm is stained red); (B2, E2) Safranin O staining (proteoglycans appear orange-red; nuclei are blue-black; cytoplasm is stained gray-green). (C, F) Osteogenesis of bulk BM-MSCs (C1, C2) and SL-45-MSCs (F1, F2) was indicated by Alizarin Red staining of depositions of calcium mineralized matrix. Micrographs of representative experiments are shown. Scale bars: (A–E) 100 mm, (F) 200 mm. Sigma-Aldrich in 1% acetic acid) for 5 min, followed by a last rinsing step with 1% acetic acid. Safranin O staining: Slices were incubated with Safranin O solution (0.2%; Sigma-Aldrich in 1% acetic acid) for 10 min, followed by a washing step with aqua dest. Thereafter, slices were stained with Fast Green solution [0.04% Fast Green (Chroma, Stuttgart, Germany) in 0.2% acetic acid] for 15 s. Slices were then washed with aqua dest. and embedded when dried. All steps were conducted at RT. Embedding of stained slices: After the staining, slices were washed with 96% ethanol for 3 min and rinsed with xylole. After having dried, slices were embedded with Roti Histokit (Carl Roth GmbH and Co. KG, Karlsruhe, Germany). Osteogenesis. Cells were fixed with 3.7% PFA for 30 min, washed with PBS and incubated in 1% Alzarin Red solution (Sigma-Aldrich) for 5 min at room temperature. Afterwards, cells were washed with PBS until washing reagent remained colorless. Cells were analyzed, after having dried with a usual light microscope. 63 RESEARCH ARTICLES - MSCs Nachweis über Anteile der Co-Autoren, Dipl. Biochem. Katja Sygnecka Organotypische Gewebe-Co-Kulturen des dopaminergen Systems –Ein Modell zur Identifikation neuroregenerativer Substanzen und Zellen Nachweis über Anteile der Co-Autoren: Titel: Mesenchymal stem cells support neuronal fiber growth in an organotypic brain slice co-culture model Journal: Stem cells and Development Autoren: K. Sygnecka, A. Heider, N. Scherf, R. Alt, H. Franke, C. Heine Anteil Sygnecka (Erstautorin): - Konzeption - Gewebekulturen (Präparation, Behandlung, Aufarbeitung) - Immunhistochemie (Zellen) - Faserquantifizierung (Co-Kulturen) - Genexpressionsstudien (Zellen) - Quantifizierung sezernierter Wachstumsfaktoren: Generierung der Proben, Auswertung - Erstellen der Abbildungen - Schreiben der Publikation Anteil Heider: - Präparation und Kultivierung der Zellen - CFU-f-Analyse - Differenzierung der Zellen Anteil Scherf: - Bioinformatische Bildauswertung (Faserquantifizierung) Anteil Alt: - Projektidee - Konzeption Anteil Franke (Letztautorin): - Projektidee - Gewebekulturen (Präparation, Tracing) - Schreiben der Publikation Anteil Heine (Letztautorin): - Projektidee - Konzeption - Gewebekulturen (Präparation) - Schreiben der Publikation 64 RESEARCH ARTICLES - MSCs 65 REFERENCES 3. References (1) Kebabian JW and Calne DB. 1979. Multiple receptors for dopamine. Nature 277(5692):93–96. (2) Gingrich JA and Caron MG. 1993. 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Cytometry A 83(1):72–75. 72 SUMMARY - Introduction, aim and methods Summary Introduction and the aim of the thesis The loss of neurons and their projections, is a common feature of mechanical injuries of the brain and of neurological diseases. This loss results in the disturbance of the affected neuronal circuits. Due to their importance in the regulation of many physiological and psychological functions in the CNS, the impairment of dopaminergic projections, resulting in disorders like e.g. Parkinson’s disease, depression and schizophrenia, is especially severe. The most important dopaminergic projections originate in the ventral mesencephalon (VM) containing among others the ventral tegmental area (VTA) and the substantia nigra (SN) pars compacta. Cell bodies of most of the brains dopaminergic cells, which are characterized by the expression of the key enzyme of dopamine (DA) synthesis: the tyrosine hydroxylase (TH), are located in the VM. Mesostriatal projections innervating the striatum (STR), mesocortical projections targeting cortical regions such as the prefrontal cortex (PFC), and mesolimbic projections innervating in limbic regions, are distinguished according to their target regions. New therapeutical approaches have to be developed and evaluated for the treatment of those diseases resulting from the impairment of dopaminergic projections or from mechanical lesions e.g. after traumatic brain injury. For this purpose, appropriate experimental models are needed. In recent decades, organotypic brain slice cultures were established as versatile and effective models. One of the main advantages of these models, in comparison to primary cell culture, is the preservation of the complex cytoarchitecture in the brain tissue under ex vivo conditions. Moreover, the specific innervation of target regions within slice co‐cultures of projection systems corresponds to the in vivo situation. Compared to in vivo experimental models, there is better accessibility to the sample material, and the extracellular milieu can be controlled more precisely. The aim of the work presented here was (i) to evaluate substances and cell populations with regard to their neuronal fiber/neurite growth‐promoting properties, utilizing mesostriatal (VTA/SN+STR) and mesocortical (VTA/SN+PFC) co‐cultures. Furthermore, it was intended (ii) to analyze possible toxic effects with appropriate methods and (iii) to investigate the influence of the treatment on gene expression after the cultivation. Summary of the applied methods The preparation of the above introduced brain slice co‐cultures started with brains of neonatal mice or rats (P0‐3). The co‐cultures were cultivated on semipermeable membrane inserts for 10‐11 days in vitro. The substances were added to the culture medium, whenever the medium was changed. The 73 SUMMARY - Results cell populations to be tested were seeded on coated glass slides and placed underneath the membrane inserts without direct contact to the co‐cultures. The glass slides were replaced by new ones when cells were confluent. For the analysis of neuroregenerative processes within the co‐cultures, newly built neurites were visualized by biocytin tracing; dopaminergic structures were detected with the immunostaining of TH. For the tracing, biocytin crystals were placed directly onto the VTA/SN. After the uptake of the tracer by the cells, it was transported anterogradely into the cellular processes. After the fixation of the co‐cultures the biocytin‐labeled structures were visualized with immunohistochemical methods. Microscopic images of the border region between the two brain slices of the co‐cultures that were taken, following biocytin tracing or TH labeling, were used for the quantification of fiber density, applying automated image processing procedures. The percentage of pixels belonging to fibrous structures was determined using this procedure. In addition to fiber growth analysis, toxicological effects and the effects on gene expression potentially exerted by the tested substances or cells were analyzed. Necrotic cell death was assessed by the quantification of (a) the activity of the lactate dehydrogenase (LDH) released from the tissue, and (b) propidium iodide (PI) uptake by the cells. Apoptotic events were detected by the immunostaining of active caspase 3 in tissue sections and subsequently quantified by the counting of active caspase 3‐positive cell bodies. Further, gene expression in co‐cultures and cells has been analyzed on microarrays and with quantitative real time reverse transcription polymerase chain reaction (qPCR), on the RNA level, and by immunostainings, on the protein level. Results Phosphodiesterase inhibitors in rat mesostriatal co‐cultures Cyclic adenosine/guanosine monophosphates (cAMP/cGMP) are second messengers that mediate many important signaling pathways within a cell. The degradation of cAMP and cGMP by 3’,5’‐cyclic‐ nucleotide phosphodiesterases (PDEs) inactivates these pathways. In the work presented here, we focused on two PDE families: PDE2 and PDE10. As there is only one gene/isoform (PDE2A and PDE10A, respectively) belonging to each of these two families, I will refer to them as PDE2 and PDE10, in the following. Both PDE2 and PDE10 are strongly expressed in the STR. With the first experiments, IC50 values of the tested PDE inhibitors (PDE‐I) were determined, using human purified proteins from each PDE family. It was shown that both the inhibitors of PDE2 (BAY60‐ 7550, ND7001) and of PDE10 (MP‐10) are highly potent and highly specific for the respective isoform. In addition, the cGMP level was measured following the PDE2‐I application to HEK293 cells stably transfected with the complete sequence encoding for the human PDE2. It was found that PDE2‐Is increased the cGMP level in a concentration‐dependent manner. 74 SUMMARY - Results In another set of experiments, co‐cultures of the mesostriatal projection system of rats were characterized immunohistochemically after 10‐11 days in vitro. Besides the analysis of the expression of dopaminergic (TH), neuronal (microtubule‐associated protein 2, MAP2, βIII‐tubulin) and glial (glial fibrillary acidic protein, GFAP) markers employing multiple fluorescence stainings, the expression of PDE2 and PDE10 in the co‐cultures was of interest. Both PDE isoforms were detected on fibers and cell bodies in VTA/SN and STR, respectively. No co‐localization of the PDE2 or PDE10 with TH was found. Following the characterization of substances and co‐cultures as described above, the co‐cultures were treated with BAY60‐7550, ND7001 and MP‐10. The biocytin tracing and immunohistochemical staining of TH revealed that BAY60‐7550 and ND7001 increased neurite outgrowth in a similar fashion to the nerve growth factor (NGF). In contrast, MP‐10 did not enhance fiber density compared to the vehicle control (0.1% DMSO). These observations suggest an involvement of PDE2‐regulated cell signaling pathways in the neuronal fiber outgrowth within the mesostriatal system. Nimodipine in rat mesocortical co‐cultures The dihydropyridine derivative nimodipine is a specific inhibitor of L‐type voltage gated calcium channels with a vasodilatory effect, preferentially on cerebral blood vessels. Additionally, nimodipine was shown to inhibit calcium channels that are expressed by neurons. Studies in animal models and clinical trials have demonstrated the neuroregenerative and neuroprotective properties of nimodipine in the peripheral nervous system. However, the underlying mode of action had not been elucidated so far. The aim of the work presented here was to examine the influence of nimodipine on gene expression and neurite outgrowth in mesocortical rat co‐cultures. Employing microarrays, the comparison of gene expression patterns of VTA/SN and PFC, which were divided after the cultivation and analyzed separately, revealed that the expression of the immediate early genes (Arc, Egr1, Egr2, Egr4, Fos and JunB) was increased in the 10 µM nimodipine‐treated samples of the PFC. However, neuronal fiber growth quantification following treatment with 10 µM nimodipine revealed that there was no significant change in fiber density in the border region between the two brain slices of the co‐ cultures in comparison to vehicle control co‐cultures (0.1% ethanol). Instead, it was found that 10 µM nimodipine induced the activation of caspase 3. In contrast, the number of active caspase 3‐positive cells was not altered by the application of 0.1 µM and 1 µM nimodipine. None of the tested concentrations of nimodipine (0.1‐10 µM) influenced the amount of LDH release nor the uptake of PI by the co‐cultures. Neurite growth analysis was repeated with 0.1 µM and 1 µM nimodipine and a significant enhancement in fiber density was found, similar to the effect of NGF. 75 SUMMARY - Results To get some insight into the mechanisms, underlying the observed enhanced neurite outgrowth induced by 0.1 µM and 1 µM nimodipine, the expression levels of selected genes were quantified with qPCR, following cultivation and treatment. The genes were coding for (a) glial (Gfap) and oligodendrocytic structure proteins (Mal, Mog, Plp1), (b) calcium binding proteins (Pvalb, S100b) and (c) immediate early genes (Arc, Egr1, Egr2, Egr4, Fos and JunB). With one exception (Egr4), the expression of the genes of interest was not significantly altered by nimodipine treatment, when compared to the vehicle control samples. In conclusion, besides the well‐described indications of nimodipine application (inhibition of delayed cerebral ischemia caused by vasospasms following subarachnoid hemorrhage; perioperative application during surgery of vestibular schwannoma), this study demonstrates the concentration‐ dependent neurite growth‐promoting effect of nimodipine within a model of a CNS projection system. MSC‐derived cell populations and mouse mesocortical co‐cultures With regard to new therapeutical strategies for the treatment of neurological and neurodegenerative diseases, research on cell therapies has attracted enormous attention in the last decades with a special focus on mesenchymal stromal/stem cells (MSCs). An enhancement of neurite outgrowth by MSCs has been shown in many in vitro and in vivo studies. These findings indicate a neuroregenerative potential of these cells that seems to result from the release of immunomodulatory and trophic factors. Bulk MSCs, classically obtained by plastic adhesion, are generally heterogeneous. Different isolation and cultivation protocols yield MSC cultures with different proportions of the respective subpopulations, resulting in varying compositions of the above‐mentioned secreted factors. There have been efforts to isolate and characterize homogeneous subpopulations, e.g. with regard to specific surface markers by fluorescence‐activated cell sorting from bulk MSCs. One of these described subpopulations are Sca‐1+Lin‐CD45‐‐derived MSCs (SL45‐MSCs). The aim of the present work was the comparison of bulk bone marrow (BM) derived MSCs (bulk BM‐ MSCs) and SL45‐MSCs, both obtained from the BM of adult mice. The basic characterization of the two MSC populations revealed that (a) SL45‐MSCs contain 105‐fold higher portion of fibroblast colony forming units (CFU‐f), (b) the morphological appearance of the rather small SL45‐MSCs was more homogeneous, (c) nestin was significantly higher expressed in SL45‐MSCs, while there was no difference in βIII‐tubulin expression between the cell populations (both proteins are considered as markers for mesenchymal cells as well as for progenitors of the mesenchymal and neuronal lineage) and (d) transcripts coding for several growth factors (e.g. BDNF, FGF2, GDNF, and NGF) were 76 SUMMARY - Conclusions and outlook detected in RNA extracts of samples of both cell populations, with a significantly higher expression of BDNF and FGF2 in SL45‐MSCs, which was confirmed for BDNF on the protein level. For the evaluation of neurite growth‐promoting properties on mesocortical mouse co‐cultures, the MSCs were seeded on glass slides that were placed underneath the membrane inserts without direct contact to the co‐cultures. A significantly enhanced neuronal fiber growth within the co‐cultures was induced by both bulk BM‐MSCs and SL45‐MSCs, when compared to untreated and BDNF‐treated control co‐cultures. Comparing the two MSC populations, neurite density in the co‐cultures was increased to a higher degree by SL45‐MSCs (being significantly higher than the fiber density resulting from BDNF treatment), possibly due to the higher expression of BDNF and FGF2, as described and to other factors secreted by SL45‐MSCs. Hence, this study clearly demonstrated that the isolation method applied to obtain MSC preparations influences their neuroregenerative properties. The more homogeneous SL45‐MSCs possess a higher potency with regard to CFU‐f and to the fiber growth enhancement potential in the mesocortical projection system. Conclusions and Outlook The neurite regrowth after injury or in neurological diseases is a complex process with many intrinsic and extrinsic orchestrating factors. The growth‐promoting effects of (i) the modulation of second messenger (cAMP, cGMP) turnover with PDE‐Is, (ii) the partial blockade of calcium currents by nimodipine and (iii) the paracrine effects of MSCs, e.g. by secretion of growth factors, as demonstrated in the studies presented here, reflect the diversity of potential molecular targets for the enhancement of regenerative neurite regrowth. However, the detailed molecular mechanisms underlying the above mentioned observations remain to be elucidated in further studies. Moreover, it is not fully understood, to which extent the different cell types of the CNS contribute to the beneficial effects of the applied treatments during the different phases of regeneration. A better understanding of the intracellular signaling events and their interactions would allow to make use of potential synergistic effects of different treatment, more efficiently. 77 ZUSAMMENFASSUNG - Einführung und Zielstellung Zusammenfassung Einführung und Zielstellung der Arbeit Der Verlust von Nervenzellen und deren Fortsätzen ist sowohl die Folge mechanischer Verletzungen des Gehirns als auch ein gemeinsamer Aspekt vieler neurologischer Erkrankungen. Dieser Verlust führt zur Störung betroffener Projektionsbahnen. Bedingt durch die große Bedeutung dopaminerger (DAerger) Projektionen für physiologische und psychologische Funktionen, wie die gezielte Ausführung von Bewegungsabläufen, Belohnung und Kognition; sind Beeinträchtigungen dieser Projektionssysteme besonders schwerwiegend und werden in Krankheitsbildern, wie zum Beispiel Morbus Parkinson, Depression oder Schizophrenie deutlich. Die wichtigsten DAergen Projektionsbahnen haben ihren Ursprung im ventralen Mesencephalon (VM), das unter anderem das ventrale tegmentale Areal (VTA) und die Substantia nigra (SN) pars compacta enthält. In diesen Regionen des Gehirns befindet sich ein Großteil der DAergen Zellkörper des Gehirns, die sich durch die Expression des Schlüsselenzyms der Dopamin (DA)‐Synthese, der Tyrosin‐Hydroxylase (TH), auszeichnen. Die einzelnen Projektionsbahnen werden nach den Zielgebieten unterschieden: mesostriatale Projektionen innervieren das Striatum (STR), mesokortikale Projektionen innervieren kortikale Regionen, z.B. den präfrontalen Kortex (PFC), und mesolimbische Projektionen innervieren limbische Areale. Um die Störungen der DAergen Projektionen oder auch mechanische Verletzungen des Gehirns, z.B. nach Schädel‐Hirn‐Traumen, adäquat behandeln zu können, müssen neue Therapieformen entwickelt und geprüft werden. Dafür sind geeignete Modellsysteme notwendig. In den letzten Jahrzehnten wurden organotypische Hirnschnittkulturen als vielseitige und effektive Modelle etabliert. Ein entscheidender Vorteil dieser Modelle gegenüber Primärzellkulturen ist der Erhalt der komplexen Cytoarchitektur des Gehirngewebes unter Kulturbedingungen. Darüber hinaus wurde in Co‐Kulturen aus zwei oder mehreren Hirnschnitten gezeigt, dass das zielgerichtete Auswachsen neuronaler Fortsätze unter ex vivo‐Bedingungen den in vivo‐Mustern entsprechend erfolgt. Gegenüber klassischen in vivo‐Versuchen bieten organotypische Kulturen eine bessere Zugänglichkeit zum Probenmaterial und erlauben die genaue Kontrolle des extrazellulären Milieus. Ziel der hier dargestellten Arbeit war die Charakterisierung verschiedener Substanzen und Zellpopulationen hinsichtlich ihrer Wirkung auf das neuronale Faserwachstum (auch als Neuritenwachstum bezeichnet) unter Verwendung von mesostriatalen (VTA/SN+STR) und mesokortikalen (VTA/SN+PFC) Gewebe‐Co‐Kulturen. Mögliche toxische (Neben‐)Wirkungen an den Co‐Kulturen sollten mit geeigneten Methoden erfasst werden. Weiterhin sollten im Anschluss an die Kultivierung eventuelle Einflüsse der Behandlung auf die Genexpression untersucht werden. 78 ZUSAMMENFASSUNG - Methoden und Ergebnisse Überblick über die angewandten Methoden Auf die Präparation der oben beschriebenen Co‐Kulturen aus Hirngewebsschnitten neugeborener Ratten oder Mäuse (P0‐3) folgte die Kultivierung auf semipermeablen Membraneinsätzen für einen Zeitraum von 10‐11 Tagen. Die Substanzen wurden bei jedem Medienwechsel über das Kulturmedium appliziert. Die zu testenden Zellen wurden auf Glasplättchen unterhalb der Membraneinsätze ohne direkten Kontakt zu den Co‐Kulturen platziert und bei Konfluenz ausgetauscht. Zur Analyse neuroregenerativer Prozesse in den Co‐Kulturen wurden die neu auswachsenden Neuriten mittels Biocytin‐Tracing dargestellt bzw. die DAergen Strukturen durch immunohistochemische Färbung von TH nachgewiesen. Für die erstgenannte Methode wurden Biocytinkristalle auf die VTA/SN aufgebracht. Der Tracer wurde von den Zellen aufgenommen und anterograd in die Fortsätze transportiert. Nach Fixierung der Co‐Kulturen wurden die so markierten Zellkörper und Fortsätze mit immunhistochemischen Methoden sichtbar gemacht. Die Quantifizierung der Faserdichte nach Tracing oder TH‐Färbung erfolgte an mikroskopischen Aufnahmen der Grenzregion zwischen den zwei Hirnschnitten einer Co‐Kultur mittels digitaler Bildverarbeitung. Dabei wurde der Anteil der Pixel im Bild, der Neuriten zuzuordnen ist, bestimmt. Darüber hinaus kamen Methoden zur Untersuchung toxischer Eigenschaften der Substanzen und der Wirkung auf die Genexpression in den Co‐Kulturen zum Einsatz: Die Quantifizierung nekrotischer Zelluntergänge erfolgte durch (a) die Aktivitätsbestimmung der aus dem Gewebe freigesetzten Laktatdehydrogenase (LDH) und (b) die Quantifizierung der Propidiumiodid (PI)‐Aufnahme durch beschädigte Zellen. Apoptotische Vorgänge infolge der Substanzapplikation wurden mittels Immunfluoreszenz‐Markierung und Quantifizierung des frühen Apoptose‐Markers, der aktivierten Caspase 3, in den Gewebeschnitten erfasst. Weiterhin war die Analyse der Expression verschiedener Gene in den Co‐Kulturen und Zellen Gegenstand der experimentellen Arbeiten. Verwendete Methoden waren auf RNA‐Ebene Microarray‐Untersuchungen und quantitative Echtzeit‐Reverse‐ Transkriptase‐Polymerase‐Kettenreaktion (qPCR), sowie auf Proteinebene immunhistochemische Färbungen. Ergebnisse Phosphodiesterase‐Inhibitoren in mesostriatalen Co‐Kulturen der Ratte Die zyklischen Mononukleotide cAMP und cGMP (zyklisches Adenosin‐bzw. Guanosinmonophosphat) sind second messenger, über die viele wichtige Vorgänge in der Zelle vermittelt werden. Die „Abschaltung“ des Signals erfolgt enzymatisch durch Phosphodiesterasen (PDEs). In der vorliegenden Arbeit lag der Fokus auf PDE2A und PDE10A. Da dies jeweils die einzigen Isoformen der PDE2‐ bzw. 79 ZUSAMMENFASSUNG - Ergebnisse PDE10‐Familie sind, werde ich mich im Folgenden mit PDE2 bzw. PDE10 auf sie beziehen. Eine deutliche Expression von beiden PDEs, PDE2 und PDE10, ist im STR gezeigt worden. Der erste Teil dieser Studie bestand in der Bestimmung der IC50‐Werte der ausgewählten PDE‐ Inhibitoren (Is) unter Verwendung gereinigter humaner Proteine jeder PDE‐Familie. Es konnte gezeigt werden, dass sowohl die PDE2‐Is (BAY60‐7550, ND7001) als auch der PDE10‐I (MP‐10) hochspezifisch und potent wirken. Die Applikation der PDE2‐Is in Kulturen der Zelllinie HEK293, die stabil mit der vollständigen Sequenz der humanen PDE2 transfeziert war, führte zu einer konzentrationsabhängigen Erhöhung von cGMP. Mit weiteren Versuchen wurden organotypische Co‐Kulturen (VTA/SN+STR) im Anschluss an die Kultivierung immunhistochemisch charakterisiert. Neben der Untersuchung der Expression DAerger (Tyrosinhydroxylase, TH), neuronaler (Mikrotubuli‐assoziiertes Protein 2, MAP2, βIII‐Tubulin) und gliärer (Saures Gliafaserprotein, GFAP) Markerproteine mittels Mehrfachfluoreszenzfärbungen war die Expression von PDE2 und PDE10 von Interesse. Beide PDEs wurden jeweils in den Zellkörpern und Fasern in VTA/SN und STR detektiert. Weder PDE2 noch PDE10 war mit TH co‐lokalisiert. Nach den oben beschriebenen Charakterisierungen der PDE‐Is und der Co‐Kulturen erfolgte die Behandlung der Co‐Kulturen mit BAY60‐7550, ND7001 und MP‐10, gefolgt von der Quantifizierung des neuronalen Faserwachstums mittels Biocytin‐Tracing und nach immunhistochemischer Detektion der TH. BAY60‐7550 und ND7001 verstärkten das Auswachsen der Neuriten, ähnlich dem Wachstumsfaktor NGF (engl. nerve growth factor). MP‐10 bewirkte hingegen keinen wachstumsfördernden Effekt im Vergleich zur Lösungsmittel‐Kontrolle (0,1% DMSO). Diese Beobachtungen legen eine Beteiligung PDE2‐regulierter Signalwege am neuronalen Faserwachstum nahe. Nimodipin in mesokortikalen Co‐Kulturen der Ratte Das Dihydropyridinderivat Nimodipin ist ein spezifischer Inhibitor des spannungsgesteuerten Calciumkanals vom L‐Typ mit gefäßerweiternder Wirkung ‐ vorwiegend auf zerebrale Blutgefäße. Zudem ist eine Wirkung der Substanz auf die Calciumkanäle von Neuronen bekannt. Präklinische und klinische Studien konnten eine neuroregenerative bzw. neuroprotektive Wirkung von Nimodipin im peripheren Nervensystem zeigen, wobei der zugrunde liegende Wirkmechanismus bisher nicht bekannt ist. In der vorliegenden Arbeit sollte in mesokortikalen Co‐Kulturen der Ratte eine mögliche Regulation der Genexpression mittels Microarray‐Untersuchungen sowie ein Einfluss auf das Auswachsen von Neuriten durch Nimodipin geprüft werden. Die Analyse der Genexpressionsmuster in VTA/SN und PFC, die nach der Kultivierung und Behandlung der Co‐Kulturen getrennt voneinander untersucht wurden, ergab eine erhöhte Expression von sogenannten „Frühe‐Antwort‐Genen (engl. immediate early genes)“ (Arc, Egr1, Egr2, Egr4, JunB und Fos) in den Proben des PFC in der mit 10 µM 80 ZUSAMMENFASSUNG - Ergebnisse Nimodipin behandelten Gruppe. Die nachfolgende Quantifizierung des Neuritenwachstums nach Behandlung mit 10 µM Nimodipin ergab jedoch, dass diese Konzentration der Substanz die Neuritendichte in der Grenzregion zwischen VTA/SN und PFC im Vergleich zu Kontroll‐Co‐Kulturen nicht signifikant veränderte. Stattdessen ergaben toxikologische Untersuchungen, dass 10 µM Nimodipin die Aktivierung der Caspase 3 induzierte. Nach Behandlung mit 0,1 µM und 1 µM Nimodipin wurde keine Veränderung der Anzahl aktiver Caspase 3‐positiver Zellen beobachtet. Ein Einfluss auf die Freisetzung von LDH bzw. der Aufnahme von PI wurde bei keiner der applizierten Nimodipin‐Konzentrationen (0,1 µM‐10 µM) gefunden. Eine erneute Neuritenwachstumsstudie mit 0,1 µM und 1 µM Nimodipin zeigte eine Erhöhung der Neuritendichte, ähnlich der nach Applikation des Wachstumsfaktors NGF. Um Einblick in den molekularen Wirkmechanismus zu bekommen, der dem verstärkten Auswachsen der Neuriten zu Grunde liegen könnte, wurde im Anschluss an die Kultivierung und die Behandlung mit 0,1 µM und 1 µM Nimodipin die Expression von Genen kodierend für (a) Strukturproteine von Gliazellen (Gfap) und Oligodendrozyten (Mal, Mog, Plp1), (b) Calcium‐bindende Proteine (Pvalb, S100b) und (c) „Frühe‐Antwort‐Gene“ (Arc, Egr1, Egr2, Egr4, JunB und Fos) mittels qPCR untersucht. Mit einer Ausnahme (Egr4) wurden durch die Behandlung mit Nimodipin keine signifikanten Veränderungen der Expression der betrachteten Gene im PFC im Vergleich zu den Kontrollgruppen (unbehandelt und Lösungsmittelkontrolle: 0,1% Ethanol) gefunden. Mit dieser Studie konnte am Beispiel mesokortikaler Co‐Kulturen erstmals gezeigt werden, dass Nimodipin neben den bisher bekannten Anwendungen (z.B. Verhinderung von verzögerter zerebraler Ischämie durch Vasospasmen infolge von Subarachnoidalblutung, perioperative Applikation bei operativer Entfernung von Vestibularschwannomen) in Abhängigkeit der Konzentration einen regenerativen Effekt im zentralen Nervensystem hat. MSC‐Populationen und mesokortikale Co‐Kulturen der Maus Im Hinblick auf neue Behandlungsstrategien für neurologische und neurodegenerative Erkrankungen ist die Verwendung von Zelltherapien seit einigen Jahren ein intensiv beforschtes Feld. Dabei richtete sich besondere Aufmerksamkeit auf mesenchymale Stroma‐/Stammzellen (MSCs). Das in zahlreichen in vitro‐ und in vivo‐Studien beobachtete neuroregenerative Potential von MSCs, das sich u.a. durch eine Verstärkung des neuronalen Faserwachstums zeigte, scheint auf die Sezernierung immunmodulatorischer und wachstumsfördernder Faktoren zurückzuführen zu sein. Bei klassisch durch Adhäsion auf Plastikoberflächen gewonnenen MSCs handelt es sich um eine heterogene Zellpopulation (bulk MSCs), wobei die Anteile der entsprechenden Subpopulationen in Abhängigkeit von Isolierungs‐ und Kultivierungsprotokollen variieren können. Daraus ergeben sich voneinander abweichende Zusammensetzungen der freigesetzten Faktoren. In der Vergangenheit gab es Bemühungen, einzelne Subpopulationen zu isolieren und zu charakterisieren. Dies erfolgt zum 81 ZUSAMMENFASSUNG - Fazit und Ausblick Beispiel anhand der exprimierten Zelloberflächenmarker mittels Fluoreszenz‐aktivierter Zellsortierung ausgehend von bulk MSCs. Eine der bisher beschriebenen Subpopulationen sind die Sca‐1+Lin‐CD45‐(SL45)‐MSCs. In der vorliegenden Studie sollten aus dem Knochenmark (engl. bone marrow, BM) von adulten Mäusen gewonnene bulk BM‐MSCs mit der daraus isolierten SL45‐MSC‐Subpopulation verglichen werden. Die Grundcharakterisierung der beiden Zellpopulationen zeigte, dass sich die SL45‐MSCs von den bulk BM‐MSCs durch einen 105‐fach höheren Anteil an kolonieformenden Einheiten (CFU‐f) unterschieden. Zudem waren sie von gleichmäßigerer Morphologie, mit vorwiegend kleineren Zellen. Die Expression von Nestin war in den SL45‐MSCs signifikant höher, während es keinen Unterschied in Bezug auf die Expression von βIII‐Tubulin gab. Beide Proteine gelten als Marker sowohl für mesenchymale Zellen als auch für Vorläuferzellen neuronaler und mesenchymaler Linien. Die Expression verschiedener Wachstumsfaktoren (BDNF, FGF2, GDNF, NGF, u.a.) wurde mittels qPCR in RNA‐Extrakten beider Zellpopulationen nachgewiesen, wobei eine signifikant höhere Expression von BDNF und FGF2 durch SL45‐MSCs festgestellt wurde, die im Fall von BDNF auch auf Proteinebene bestätigt werden konnte. Zur Bestimmung wachstumsfördernder Eigenschaften der MSC‐Populationen auf Neuriten in mesokortikalen Co‐Kulturen der Maus wurden bulk BM‐MSCs und SL45‐MSCs jeweils auf Glasplättchen ohne direkten Kontakt zu den Gewebe‐Co‐Kulturen unterhalb der Membraneinsätze eingebracht. Beide untersuchten Zellpopulationen steigerten das Neuriten‐Wachstum in den Co‐Kulturen signifikant, wobei der Effekt der SL45‐MSCs stärker (signifikant höhere Neuritendichte als nach Behandlung mit BDNF) ausfiel als der der bulk BM‐MSCs. Eine mögliche Erklärung dafür könnte u.a. die gezeigte höhere Expression von BDNF und FGF2 sowie weiterer nicht identifizierter durch die SL45‐MSCs sezernierter Faktoren sein. Die Studie machte also deutlich, dass MSC‐Populationen, die mit verschiedenen Isolationsmethoden gewonnen wurden, unterschiedliche neuroregenerative Eigenschaften aufweisen. Die homogeneren SL45‐MSCs sind potenter als die bulk BM‐MSCs, sowohl im Hinblick auf die Bildung von Kolonien als auch im Hinblick auf die regenerationsfördernde Wirkung im mesokortikalen Projektionssystem. Fazit und Ausblick Das erneute Auswachsen von Neuriten infolge mechanischer Schädigung oder neurologischer Erkrankungen umfasst ein komplexes Zusammenspiel verschiedener extrinsischer und intrinsischer Faktoren. Die wachstumsfördernden Wirkungen (i) der PDE‐Is, die in die Deaktivierung der second messenger cAMP/cGMP eingreifen, (ii) der teilweisen Blockade von Calciumströmen durch Nimodipin und (iii) der parakrinen Effekte von MSCs, z.B. durch die Freisetzung von Wachstumsfaktoren; wie es 82 ZUSAMMENFASSUNG - Fazit und Ausblick in den hier dargestellten Studien gezeigt wurde, verdeutlicht die Vielfältigkeit möglicher molekularer Angriffspunkte für die Verstärkung regenerativen Auswachsens neuronaler Fasern. Die molekularen Mechanismen, die den beschriebenen Effekten zugrunde liegen, müssen jedoch Gegenstand zukünftiger Studien sein. Darüber hinaus ist bisher nicht vollständig verstanden, über welche Zelltypen des ZNS die Effekte der Behandlungen in den verschiedenen Phasen der Regeneration vermittelt werden. Mit einem umfassenden Verständnis der intrazellulären Signalwege und deren Wechselwirkungen könnten mögliche synergistische Effekte von verschiedenen Behandlungen effizient genutzt werden. 83 CV Curriculum Vitae Personal Data Name Contact private: Katja Sygnecka, born Kohlmann Oststr. 95, 04317 Leipzig Phone: 01577 195 44 93 katja_sygnecka@yahoo.de functional: Rudolf Boehm Institute of Pharmacology and Toxicology, Leipzig University Härtelstr. 16‐18, 04107 Leipzig Katja.Sygnecka@trm.uni‐leipzig.de Katja.Sygnecka@medizin.uni‐leipzig.de Date of birth 23rd December 1983 German Nationality Research Experience since 2009/07 Research assistant, PhD student TRM Leipzig/ Rudolf Boehm Institute of Pharmacology and Toxicology, Leipzig University Subject: Organotypic brain slice co‐cultures: an ex vivo high content analysis tool for multiple applications. 2008/12‐2009/06 Research assistant Institute of Anatomy, Leipzig University Subject: Regulated intramembranous proteolysis of KIT – a process relevant for arteriosclerosis? 2007/05‐12 Student research assistant Endocrinological Research Laboratory, University Hospital Leipzig Techniques: PCR, cloning, protein isolation, chelate‐chromatography and western blot Formal Education 2008/09 Graduation with public defense as Dipl. Biochem. 2008/04‐09 Diploma thesis Institute of Biochemistry, Faculty of Medicine, Leipzig University, Subject: Establishment of a protocol for chromatin immune precipitations (ChIP). 2007/03‐04 Project work Division of Molecular biological‐biochemical Processing Technology, Center for Biotechnology and Biomedicine (BBZ) Subject: Establishment of an impedance‐based screening system for the detection of apoptotic events in suspension cell lines 2005 – 2006 Study abroad: Biochemistry/Biotechnology at INSA de Lyon in Lyon, France 2003 – 2008 Study of Biochemistry at the Leipzig University 1994 – 2003 Grammar school Lucas‐Cranach‐Gymnasium, Lutherstadt Wittenberg, Certificate: Abitur 84 TRACK RECORD Track Record Research Articles C. Heine, K. Sygnecka, N. Scherf, M. Grohmann, A. Bräsigk, H. Franke (2015) P2Y1 receptor mediated neuronal fibre outgrowth in organotypic brain slice co‐cultures. Neuropharmacology 93:252‐266 K. Sygnecka, A. Heider, N. Scherf, R. Alt R, H. Franke, C. Heine. (2015) Mesenchymal Stem Cells Support Neuronal Fiber Growth in an Organotypic Brain Slice Co‐culture Model. Stem cells and development 24(7):824‐835 K. Sygnecka*, C. Heine*, N. Scherf, M. Fasold, H. Binder, C. Scheller, H. Franke. (2015) Nimodipine enhances neurite outgrowth in dopaminergic brain slice co‐cultures. International journal of developmental neuroscience 40:1–11. E. Dossi, C. Heine, I. Servettini, F. Gullo, K. Sygnecka, H. Franke, P. Illes, E. Wanke. (2013) Functional regeneration of the ex‐vivo reconstructed mesocorticolimbic dopaminergic system. Cerebral cortex 23:2905–2922. C. Heine*, K. Sygnecka* N. Scherf, A. Berndt, U. Egerland, T. Hage, H. Franke. (2013) Phosphodiesterase 2 inhibitors promote axonal outgrowth in organotypic slice co‐cultures. Neurosignals 21:197–212. C. Merkwitz, P. Lochhead, N. Tsikolia, D. Koch, K. Sygnecka, M. Sakurai, K. Spanel‐Borowski, A.M. Ricken. (2011) Expression of KIT in the ovary, and the role of somatic precursor cells. Progress in histochemistry and cytochemistry 46(3):131‐84. * The authors KS and CH contributed equally to the studies Poster Presentations K. Sygnecka, C. Heine, N. Scherf, H. Franke. Organotypic brain slice co‐cultures as a screening system for fibre growth promoting substances. 8th Leipzig Research Festival for Life Sciences 2009; Leipzig, 17 – 18 Dec. 2009 K. Sygnecka, C. Heine, N. Scherf, H. Franke. The model of organotypic dopaminergic slice co‐cultures –a screening system for fibre growth promoting substances. 7th FENS Forum of European Neuroscience; Amsterdam, 3 – 7 July 2010 K. Sygnecka, C. Heine, M. Grohmann, N. Scherf, H. Franke. Qualitative and quantitative toxicological methods in organotypic brain slice co‐cultures. 9th Leipzig Research Festival for Life Sciences 2010; Leipzig, 16 – 17 Dec. 2010 K. Sygnecka, C. Heine, M. Grohmann, N. Scherf, H. Franke. Organotypic brain slice co‐cultures of the dopaminergic system –a versatile tool for the investigation of toxicological properties of novel substances. 9th Göttingen Meeting of the German Neuroscience Society; Göttingen, 23 – 27 March 2011 85 TRACK RECORD K. Sygnecka, C. Heine, N. Scherf, H. Franke. Organotypic brain slice co‐cultures – an ex vivo test system to investigate regeneration supporting substances in the central nervous system. 10th Leipzig Research Festival for Life Sciences 2011; Leipzig, 15 – 16 Dec. 2011 K. Sygnecka, C. Heine, N. Scherf, H. Franke. Enhancement of neuronal fibre growth in organotypic brain slice co‐cultures. 11th Leipzig Research Festival for Life Sciences 2012; Leipzig, 13 – 14 Dec. 2012 K. Sygnecka, C. Heine, N. Scherf, H. Franke. Different approaches to enhance neuronal fibre growth in organotypic dopaminergic brain slice co‐cultures. 10th Göttingen Meeting of the German Neuroscience Society; Göttingen, 13 – 16 March 2013 K. Sygnecka, C. Heine, N. Scherf, C. Strauss, C. Scheller, H. Franke. Enhanced Regeneration of Neuronal Fibres after Nimodipine Treatment in an Organotypic Dopaminergic Brain Slice Co‐Culture Model. World Conference on Regenerative Medicine; Leipzig, 23 – 25 Oct. 2013 K. Sygnecka, C. Heine, A. Heider, N. Scherf, R. Alt, H. Franke. Mesenchymal stem cells support neuronal fiber growth in organotypic brain slice co‐cultures of the dopaminergic projection system. Fraunhofer Life Science Symposium Leipzig 2014; Leipzig, 9 – 10 Oct. 2014 86 Selbstständigkeitserklärung Hiermit erkläre ich, die vorliegende Dissertation selbständig und nur unter Verwendung der aufgeführten Literatur und Hilfsmittel angefertigt zu haben. Direkt oder indirekt übernommene Gedanken aus fremden Quellen wurden in dieser Arbeit als solche kenntlich gemacht. Leipzig, 20.05.2015 ____________________________________ Katja Sygnecka 87 ACKNOWLEDGMENTS Acknowledgments I would like to thank Prof. Robitzki and Prof. Schaefer for being the formal supervisors of this dissertation. This constellation allowed me, on the one hand, to submit the dissertation to the Institute of Biochemistry at the Faculty of Biosciences, Pharmacy and Psychology and, on the other hand, to do the experimental work in PD Dr. Heike Franke's group at the Rudolf Boehm Institute for Pharmacology and Toxicology (RBI) at the Medical Faculty of the University of Leipzig. I would like to thank Prof. Bernd Heimrich from the Department of Anatomy and Cell Biology, University of Freiburg for taking time out from his busy schedule to serve as my external reader. A very special thanks goes out to my supervisors, Dr. Claudia Heine and PD Dr. Heike Franke, who were always open to my questions, ideas and sorrows. They were always on hand to listen and give helpful advice and inspiration regarding the experimental work in the lab, as well as during the writing process of research reports and this dissertation. This thoroughly engaging project that I was entrusted with, presented many challenges as well as the opportunity to apply a wide range of techniques allowing me to grow as a research scientist. I owe them thanks for giving me the opportunity to gain experience outside the lab in terms of participation at conferences and a summer school, and the archival position at the GLP facilities of the Translational Center for Regenerative Medicine (TRM) Leipzig. In addition to this, they supported me in my first attempts to guide younger researchers. This was made possible when I applied for DAAD grants within the RISE project (Research Internships in Science and Engineering); and also when they entrusted me with the guidance of undergraduates. I appreciate all the freedom, trust and encouragement I received during my PhD from these two ladies. Two other very important ladies during my PhD were the technical assistants Anne‐Kathrin Krause and Katrin Becker. Anne‐Kathrin Krause took care of the laboratory animals used for this work. Katrin Becker took over increasingly more of the laboratory work, especially during the last half of my work, which allowed me to focus on data analysis and the publication of results. I must also acknowledge the members of the Schaefer group and the Aigner group (Division of Clinical Pharmacology, RBI) for giving me access to the various instruments in their laboratories and their kind help with my technical questions. I would further like to thank Prof. Bechmann and PD Dr. Ricken for the use of the laser scanning microscope at the Institute for Anatomy. The members of the core unit “DNA technologies”, led by PD Dr. Knut Krohn at the Interdisciplinary Center for Clinical Research, were very helpful with the preparation of the samples for gene expression analysis and the conduction of the microarray analysis. 88 ACKNOWLEDGMENTS I thank all my co‐authors for the fruitful cooperation and helpful discussions during the various experimental phases of the studies, as well as during the writing process of the research articles. I recognize that this research would not have been possible without financial support from the BMBF. This financed the research project via the TRM Leipzig. Moreover, I would like to thank the TRM Leipzig for the organization of numerous training sessions and workshops (e.g. project management, intercultural communication). I am also grateful for having been made an associate member of the graduate school InterNeuro, which gave me the opportunity to meet other neuroscientists and gain insight into their research topics. Additionally, I would like to thank InterNeuro for providing travel grants for my participation at conferences. I also want to express my gratitude to the DAAD and InterNeuro who provided scholarships, within the framework of RISE, for the undergraduates from American universities with whom I worked. Their names are Susan Sheng and Jennifer Ding. Of course, I am also very thankful for Susan and Jennifer's ambitious engagement and demonstrable interest in my PhD project. I would also like to thank Ria Hylton for language editing. Finally, I would like to express my gratitude to my friends and my family for being there in times of intense hardship, as well as during the more enjoyable and relaxing moments. Among other things, it was the exchange of perspectives and ideas beyond (bio‐)scientific questions that provided me with the drive and energy that I needed to get through the PhD and to finish it. 89