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Endocrinology Vol. 138, No. 7 3024-3034
Copyright © 1997 by The Endocrine Society


ARTICLES

Spatial and Temporal Changes in the Insulin-Like Growth Factor (IGF) Axis Indicate Autocrine/Paracrine Actions of IGF-I within Wounds of the Rat Brain1

H. J. Walter, M. Berry, D. J. Hill and A. Logan

Department of Medicine (H.J.W., A.L.), University of Birmingham, Birmingham B15 2TT, United Kingdom; Department of Anatomy and Cell Biology (M.B.), UMDS, Guy’s Hospital, London SE1 9RT, United Kingdom; Department of Medicine, Physiology and Paediatrics (D.J.H.), Lawson Research Institute, London, Ontario N6A 4V2, Canada

Address all correspondence and requests for reprints to: Ann Logan, Department of Medicine, The University of Birmingham, Wolfson Research Laboratories, Queen Elizabeth Medical Centre, Edgbaston, Birmingham, B15 2TH, United Kingdom. E-mail: a.logan{at}bham.ac.uk


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
A precise role for insulin-like growth factors (IGFs), IGF-binding proteins (IGFBPs), and IGF-receptors (IGF-Rs) in damaged central nervous system (CNS) tissue has not been elucidated, although their expression in the ischemic brain has been demonstrated. However, little is known of IGF responses after CNS trauma. In this study, we have used ribonuclease protection assay, in situ hybridization, and immunohistochemistry to demonstrate that IGF-I, IGFBPs, and IGF-1R expression alters in response to a penetrating CNS injury. Within penetrant cerebral wounds in the acute phase of the response (1–7 days post lesion; dpl), increased levels of IGF-I, IGFBP-1, -2, -3, -6, and IGF-1R protein were localized to injury responsive astrocytes, neurons and cells of the monocyte lineage. IGF-I, IGFBP-2, and 3 showed a congruency in sites of messenger RNA (mRNA) and peptide expression, with IGF-I and IGFBP-2 mRNA expression predominating. IGF-I, IGFBP-1, and IGFBP-3 protein were also associated with the microvascular endothelium, which was accompanied by increased levels of IGFBP-3 mRNA. These early changes in IGFBP expression probably facilitate IGF-I action. Later in the wounding response (7–14 dpl), the expression of IGFBP-4 and IGFBP-5 peaked within astrocytes and neurons, with IGFBP-5 mRNA being specifically localized to the glia limitans within the wound, suggesting an inhibitory role for these proteins, down-regulating the effects of IGF-I chronically. Our evidence suggests that within penetrating CNS wounds, IGF-I acts in an autocrine/paracrine manner to regulate cellular responses, with its spatial and temporal availability being modulated by the differential presence of stimulatory vs. inhibitory IGFBPs.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
DURING THE acute response to central nervous system (CNS) penetrant injury, between 1–7 days post lesion (dpl), endogenously activated microglia and hematogenous macrophages phagocytose necrotic tissue. Fibroblasts, migrating from the meninges over 4–10 dpl, deposit matrix into the lesion, where angiogenesis is now occurring. Axonal growth is arrested in the walls of the wound by 8–10 dpl, as a dense fibrous scar condenses in the centre of the lesion and a glia limitans is formed contiguous with the glia limitans externa. By 14 dpl, the mesodermal core within this astrocyte/basal lamina membrane has contracted and this represents a significant physical, and possible biochemical barrier, to further axonal growth [see review by Logan et al. (1)]. This response is probably regulated by trophic factors, including the insulin-like growth factors (IGF)-I and -II (1). Other models of CNS injury provide experimental evidence to suggest multiple regulatory roles for the IGF axis in the wounding response. For example, increased expression of IGF-I was observed after hypoxic-ischemic CNS injury to both perinatal and adult rats (2, 3). However, to date, there is no evidence reported for changes in IGF expression within traumatic penetrating wounds to the CNS, injuries that evoke distinct cellular responses.

IGF-I is widely distributed in the fetal and neonatal CNS but restricted in the adult (4, 5, 6). Both the action and bioavailability of IGFs are regulated by a family of six high affinity binding proteins (IGFBP-1–6; see review by Jones and Clemmons (7), which are complexed to IGFs in the circulation and the extracellular space. IGFBP-2, -4, -5, and -6 are all reported to be expressed in the intact mature CNS, although IGFBP-2 predominates, particularly in the meninges and choroid plexus (8, 9, 10, 11, 12). IGF-1R messenger RNA (mRNA) is heterogeneously distributed in the CNS from early stages of development, but levels decline postnatally (13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23).

A precise role for IGF-I in the injured adult CNS remains to be defined, although a neurotrophic activity may be particularly relevant and IGF-I, together with IGFBPs and signalling receptors, is suggested to play an important role in the recovery of neural tissue from injury [see review by Logan et al. (1)]. We hypothesize that, if the IGF-I axis regulates traumatic CNS wound responses by an autocrine/paracrine action, then the expression of IGF-I, IGFBP, and receptors will alter in injury responsive cells at the site of a penetrating wound. Specifically, in the early proliferative phase of the injury response, we would expect IGF-I bioactivity to increase (either via increased expression/transport of ligand/receptor or by potentiation of IGF-I activity by locally expressed IGFBPs), whereas in the later phases as cellular responses decline, the expression of ligand/receptor/potentiating IGFBPs is reduced, perhaps with a concomitant increase in expression of inhibitory IGFBPs. Therefore, the aims of this study were to localize and quantify the levels of IGF-I, IGFBP-1 through -6, and IGF-1R mRNAs and proteins within CNS wounds by ribonuclease protection assay (RPA), in situ hybridization and immunohistochemistry over the course of the cellular response using a rat model of penetrating brain injury.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
Radioisotopes, Hyperfilm MP, and ß-max film were purchased from Amersham International (Aylesbury, Buckinghamshire, UK); restriction endonucleases from either Life Technologies (Paisley, Scotland), or Promega (Southampton, Hampshire, UK); modifying enzymes from Promega; and nucleotides from Pharmacia (St. Albans, Hertfordshire, UK). XL1-Blue (Stratagene, Cambridge, UK) bacteria were used. All other reagents not specified were analytical grade from either Sigma Chemical Co. Ltd. (Poole, Dorset, UK), or BDH Merck Ltd. (Poole, Dorset, UK).

Animals and surgery
Surgery was performed aseptically under a British Government Home Office Licence. Groups of adult, female, 250 g Sprague-Dawley rats were anesthetized ip with a mixture of Medetomidine (SmithKline Beecham, Welwyn Garden City, Hertfordshire, UK) at 100 µg/kg body weight and Ketamine hydrochloride (Parke Davis Veterinary, Eastleigh, Hampshire, UK) at 10 mg/kg body weight or Hypnorm (fentanyl nitrate 0.135 mg/liter and fluanisone 10 mg/ml; Janssen Pharmaceuticals, Oxford, UK)/Hypnovel (midazolam 1 ml in 10 ml water; Roche, Welwyn Garden City, Hertfordshire, UK) anesthesia at 8 ml/kg body weight. Buprenorphine (Sterling Health, Guildford, Surrey, UK) was administered postoperatively as an analgesic. After craniotomy, to expose the cerebral cortex, an incisional wound was placed in the mediolateral right cerebral cortex using a David Kopf (Charles River, Margate, Kent, UK) stereotactic instrument. The lesion was made precisely to a depth of 4 mm along a 4.5 mm line parallel and 3 mm lateral to the midline and spanning the coronal suture. Animals were allowed to recover post surgery for periods of 0, 2, 5, 7, and 15 dpl.

Histology
Groups of four animals were deeply anesthetized (as for surgery) and perfused transcardially with 250 ml of saline followed by 250 ml of 4% paraformaldehyde (PFA) in saline. After excision, brains were postfixed overnight in 4% PFA (wt/vol, in 0.1 M sodium tetraborate) at 4 C, dehydrated in graded alcohols, embedded in low melting point polyester wax (24) and stored at 4 C. Sections, 7 µm thick, were cut through the lesion site using a microtome (Bright, Huntingdon, Cambridgeshire, UK) fitted with a cooled chuck, and mounted on slides coated with either a 1% gelatin solution (for immunohistochemistry), or with Biobond (British Biocell Int., Cardiff, Glamorgan, UK, for in situ hybridization). Once mounted, sections were air dried overnight and stored with desiccant at -70 C (in situ hybridization) or 4 C (immunohistochemistry) until use.

RNA extraction
Groups of three rats were killed with an anesthetic overdose, the brains removed, rapidly dissected on ice, and stored at -70 C until extraction. Total cellular RNA was extracted from the lesioned and unlesioned hemispheres of the brain, using the RNAzol B method (Biogenesis, Bournemouth, Dorset, UK), a modification of the single-step method (25). Briefly, frozen tissue was weighed and homogenized in 2 ml RNAzol per 100 mg tissue. Chloroform was added (0.2 ml/2 ml) and shaken for 15 sec before placing on ice for 5 min. Samples were centrifuged at 5000 x g for 20 min at 4 C (Dupont Sorvall RC5C, SS34 rotor, High Wycombe, Buckinghamshire, UK). The aqueous phase was removed and precipitated with an equal volume of isopropanol for 15 min on ice. Samples were centrifuged as above, washed with 75% ethanol, and redissolved in 200 µl ultrapure water. RNA was quantified by optical density at 260 nm and 280 nm and checked for integrity on a 1% agarose gel.

Complementary RNA (cRNA) probe synthesis
The 500-bp coding region of rat IGF-I (L. Murphy, Winnipeg, Canada) is contained within the pGEM blue plasmid (Promega). HindIII and PvuII were used to linearize the plasmid, and T7 and SP6 were used to generate the transcript for antisense and sense templates, respectively. The rat IGFBP-1–6 coding regions (from S. Shimasaki, San Diego, CA) were contained within the plasmid pBluescriptSK+ (Stratagene). The plasmids contained 407, 397, 699, 444, 300, and 246 bp fragments, respectively. EcoRI was used to generate antisense fragments for IGFBP-1 and -2, whereas ApaI was used for IGFBP-3; SmaI for IGFBP-4 and -6; and SacII for IGFBP-5 antisense templates. HindIII was used to generate all sense templates for the IGFBPs except for IGFBP-3 and IGFBP-6, where BamHI and EcoRI were used respectively. Riboprobe transcripts were made with T7 and T3, for the antisense and sense templates, for all IGFBPs, with the exception of IGFBP-3, where T3 was used for antisense and T7 for sense. The 265 bp IGF-1R fragment (D. LeRoith, Bethesda, MD) was cloned within the pGEM-3 plasmid (Promega). EcoRI and BamHI were used to linearize the riboprobe, with SP6 and T7 being used to generate the respective antisense and sense templates. Cyclophilin (J. Douglass, Portland, OR) was used as an internal control in all ribonuclease protection assays to ensure equal loading on gels. The plasmid contains a 680 bp coding region of rat cyclophilin complementary DNA cloned within pSP65 (Promega). Cyclophilin has a ubiquitous tissue and phylogenetic distribution and represents 0.1–0.4% of total cytosolic protein in many mammalian tissues. It possesses strong homology to the enzyme peptidyl-prolyl cis-trans isomerase, which catalyses the slow cis-trans isomerization of proline peptide bonds in oligopeptides and accelerates slow, rate-limiting steps in the folding of several proteins in the cell. HindIII was used to linearize the plasmid for the antisense template. SP6 polymerase was used to generate the antisense cRNA probe.

Preparation of cRNA probes for ribonuclease assay. Transcription buffer (40 mM Tris pH 7.5, 6 mM MgCl2, 2 mM spermidine and 10 mM sodium chloride), 20 U rRNasin, 10 mM DTT, 0.5 mM ATP, GTP, uridine (U)TP, 12 µM cytidine (C)TP (150 µM for cyclophilin), 0.5 µg linearized antisense plasmid, 50 µCi 32P CTP (5 µCi for cyclophilin), and 15U RNA polymerase were incubated together at 37 C for 1 h. DNase I (1U) was added and the reaction left at 37 C for a further 15 min. Yeast transfer (t)RNA (20 µg) was added before a phenol:chloroform/chloroform extraction and ethanol precipitation. The cRNA probe was washed with 75% ethanol, briefly dried and resuspended in ultrapure water. The probe, 1 µl in 5 ml Ecolite+ scintillation fluid (ICN Flow, High Wycombe, Buckinghamshire, UK), was counted (using a Pharmacia counter) for 60 sec. 32P-labeled cRNA probes were stored at -20 C for no longer than 1 week.

Preparation of cRNA probes for in situ hybridization. Transcription buffer (40 mM Tris, pH 7.5, 6 mM MgCl2, 2 mM spermidine and 10 mM sodium chloride), 20 U rRNasin, 10 mM DTT, 2 mM ATP, GTP, CTP, 0.5 µg linearized antisense or sense plasmid, 200 µCi 35S UTP, and 15U RNA polymerase were incubated together at 37 C for 2 h. DNase I (1U) was added and the reaction left at 37 C for a further 15 min. To the reaction mix, 60 mM EDTA pH8.0 was added to a final volume of 50 µl. This was applied to a Sephadex G50 Quick Spin column (Boehringer Mannheim, Lewes, E. Sussex, UK) that was centrifuged at 1100 x g (Heraeus Sepatech Varifuge 3.2RS, Brentwood, Essex, UK) for 4 min. DTT was added to a final concentration of 150 mM. The probe, 1 µl in 5 ml Ecolite+ scintillation fluid, was counted for 60 sec. 35S-labeled cRNA probes were stored at -20 C and were kept for approximately 2 weeks. Before use, the 35S-labeled cRNA probes were recounted and checked on a 4% polyacrylamide/8 M urea gel to check integrity.

Ribonuclease protection assay
Ribonuclease protection assay (RPA) was performed on total RNA extracted from the cerebral hemispheres of three rats from each treatment group. Total RNA (20 µg) was dissolved in 30 µl of hybridization solution (80% formamide, 40 mM PIPES pH 6.4, 400 mM sodium chloride, and 1 mM EDTA pH 8.0) containing 60,000 cpm and 20,000 cpm of an IGF-related and cyclophilin 32P-labeled cRNA probe. After being heated to 85 C for 5 min, the cRNA probe was allowed to anneal the endogenous RNA at 45 C overnight. At the end of the hybridization, the solution was diluted with 350 µl of RNase digestion buffer (300 mM sodium chloride, 10 mM Tris pH 7.4, and EDTA pH 7.5), containing 40 µg/ml of RNase A and 500U/ml of RNase T1, and incubated for 1 h at 30 C. Proteinase K (100 µg) in 10% SDS was added to the sample and the mixture incubated at 37 C for an additional 20 min. After a phenol/chloroform extraction and ethanol precipitation, the pellet containing the RNA:RNA hybrid was briefly dried and resuspended in loading buffer (80% formamide, 0.1% xylene cyanol, 0.1% bromophenol blue and 2 mM EDTA, pH 8.0). The samples were boiled at 90 C for 5 min and separated on a 4% polyacrylamide/8 M urea gel. 32P end-labeled (DNA polymerase 1) HinfI digested pBR322 fragments were used as molecular markers. The mRNA protected fragments were visualized by autoradiography against Amersham Hyperfilm MP at -70 C.

Statistical analysis of RPA
Autoradiographic films were scanned using a ScanJet IIc and Deskscan II software (both from Hewlett Packard, Geneva, Switzerland) into a Macintosh LC475 computer (Apple Computer Inc., Cupertino, CA). Bands corresponding to the protected RNA fragments of both the IGF and cyclophilin were densitometrically quantified using NIH Image Analysis software (NIH). The IGF-related bands of interest were normalized by dividing IGF-related mRNA pixel values by cyclophilin values. Both the mean and SEM were calculated and plotted. Significance differences in relation to data from either the 0 dpl control or the contralateral unlesioned hemisphere were examined using single-factor, ANOVA with a significance level ({alpha}) of 5%.

In situ hybridization
Mounted sections were dewaxed in ethanol, rehydrated, washed, and digested with 10 µg/ml proteinase K in 0.1 M Tris containing 50 mM EDTA at 37 C for 30 min. Sections were rinsed in deionized water followed by an incubation in 0.1 M triethanolamine (TEA), pH 8.0, for 3 min. The sections were then acetylated for 10 min with 0.25% acetic anhydride in 0.1 M TEA for 10 min, rinsed in 2x standard sodium citrate (SSC), dehydrated through a graded series of ethanol washes, and air dried under vacuum for 2 h before hybridization. Hybridization with the 35S-labeled cRNA probe (1 x 107 cpm/ml) was performed at 55 C overnight in 10 mM Tris pH 8.0 containing 50% formamide, 0.3 M NaCl, 1 mM EDTA pH 8.0, 0.02% polyvinylpyrrolidone, 0.02% Ficoll, 0.02% BSA, 10 mM DTT, 0.05 mg/ml torula yeast RNA (C. P. Laboratories, Bishops Stortford, Hertfordshire, UK), 0.5 µg/ml tRNA and 10% dextran sulphate (wt/vol). After hybridization, sections were rinsed for 1 h in 4x SSC and treated with 25 µg/ml RNase A in 10 mM Tris pH 8.0 containing 0.5 M NaCl and 1 mM EDTA, pH 8.0, at 37 C for 30 min. This was followed by increasing high-stringency washes of SSC containing 1 mM DTT, finishing with 0.1x SSC at 65 C for 30 min. Slides were then dehydrated through a graded series of ethanol, dried under vacuum and then exposed to Hyperfilm ß-max film for 10 days at 4 C to examine gross changes in mRNA. For microscopic analysis, slides were exposed to Ilford K5 liquid autoradiographic emulsion (Ilford Ltd., Basildon, Essex, UK) for 2 weeks at 4 C, processed with Kodak D19 developer, rinsed and fixed with Kodak rapid fixer. The slides were rinsed for 30 min in tap water, counterstained with Mayer’s haemalum, examined by dark-field and bright-field microscopy using a Zeiss Axioscope microscope, and photographed using Ilford PanF ISO 50 black and white film.

Immunohistochemistry
All antibodies used were IgG fractions of rabbit polyclonals, except for IGFBP-5 (IgG fraction of an IGFBP-5 guinea pig polyclonal). Antihuman IGF-I antibody (TCS Biologicals Ltd., Botolph Claydon, Buckinghamshire, UK) cross-reacted 10% with IGF-II, and was used at 1:200. Antirat IGFBP-1 antibody (S. Shimasaki) had no known cross-reaction with other binding proteins and was used at 1:3500. Antibovine IGFBP-2 antibody (Amano Biologicals, Troy, CA) cross-reacted 0.1% with IGFBP-1, -3, -4, and -5, and was used at 1:3000. Antirat IGFBP-3 antibody (S. Shimasaki) cross-reacted with no other binding proteins, and was used at 1:3000. Anti-human IGFBP-4 antibody (TCS Biologicals) had a cross-reactivity with IGFBP-1, -3, and -5 of 0.1–1% and up to 50% with IGFBP-2, and was used at 1:3000. Antihuman IGFBP-5 antibody (TCS Biologicals) had a cross-reactivity with IGFBP-2 and IGFBP-3 of less than 1%, and was used at 1:250. Antirat IGFBP-6 antibody (S. Shimasaki) cross-reacted with no other known binding proteins, and was used at 1:3500. Antihuman IGF-1R antibody (TCS Biologicals Ltd.) cross-reacted with neither IGF receptor-2 (IGF-2R) nor the insulin receptor, and was used at 1:3000. Recombinant human IGF-I, IGFBP-1, and IGFBP-3 were from TCS Biologicals Ltd. Recombinant IGFBP-2, -4, -5, and -6 were purchased from Amano Biologicals. All peptides and antibodies were usually stored at -20 C. If in frequent use, aliquots were stored at 4 C to prevent repetitive freeze/thawing. All recombinant proteins were stored at -70 C.

Immunoperoxidase staining was performed using the ABC Vectastain Elite kit (Vector Laboratories, Peterborough, Cambridgeshire, UK). The tissue sections were dewaxed in 100% ethanol for 5 min and then rehydrated in 5 min steps in descending concentrations of ethanol to ultra-pure water. Subsequent to a 5 min equilibration in PBS, the endogenous peroxidase was quenched by incubating with 0.01% hydrogen peroxide (H2O2) in PBS for 30 min. The sections were rinsed in PBS and incubated in 1.5% goat serum (vol/vol, Vector Laboratories) diluted in PBS containing 0.1% BSA for 30 min to block nonspecific staining.

After an overnight incubation at 4 C, with the appropriate concentration of growth factor, binding protein or receptor protein-A-purified primary antibody diluted in PBS supplemented with 5% BSA, the sections were treated with a 1:200 dilution of biotinylated goat antirabbit IgG for 1 h, except for the IGFBP-5 antibody treated sections where biotinylated anti-guinea pig IgG was used. This was followed by a 1-h incubation with the Vectastain Elite ABC reagent (Vector Laboratories), a biotin-avidin-peroxidase complex. Finally, the sections were treated for 2–7 min with 0.5 mg/ml 3'3'-diaminobenzidine in PBS containing 0.01% H2O2. All steps were separated by PBS buffer washes. The sections were washed in PBS, counterstained with Mayer’s haemalum, dehydrated, cleared, and mounted. Sections were examined by bright-field microscopy at high and low power magnification, under differential interference contrast (DIC) optics, on a Zeiss Axioscope microscope and photographed using Fujicolor Super G plus ISO 200 color film.

The specificity of the antibodies was assessed by preincubating the primary antibody with excess (>1 µg) of the appropriate homologous or heterologous antigenic growth factor/binding protein. All binding protein antibodies were preincubated with each recombinant binding protein to determine specificity of staining. Sections were also processed with the primary or secondary antibody omitted. All of these controls yielded no visible staining of the sections.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The cellular localization of IGF-I, IGFBP-1 through 6, and IGF-1R mRNA and protein within penetrant wounds of the cerebral hemisphere is summarized in Table 1Go. All data mentioned, but not presented herein, are available for inspection on written request to the corresponding author. In every section studied by immunohistochemistry, all of the IGFBPs localized to the white matter tracts of the brain, probably associated with myelin. Paradoxically, only the mRNA of IGFBP-5 was detected in oligodendrocytes at significant levels. The localization of IGFBP-2 to myelinated tracts has been catalogued by us in detail elsewhere (9). The significance of this depot of binding proteins remains to be established but clearly indicates storage at sites distal to those of synthesis. It seems that the choroid plexus is a likely source of binding proteins. Sequestration to specific anatomical sites might occur after transport via cerebrospinal fluid after secretion from the plexus.


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Table 1. Localization of IGF-I, IGFBPs and IGF-1R mRNA and protein in the intact and lesioned cerebral hemisphere visualized by in situ hybridization and immunohistochemistry

 
IGF-I
Up to three IGF-I protected mRNA species of 450, 500, and 520 bp were detected by RPA in both unlesioned and lesioned cerebral hemispheres (Fig. 1Go). IGF-I mRNA expression was increased significantly (F>Fcrit at 5% level; Table 2Go) in lesioned hemispheres at 5 dpl and 7 dpl, when compared with the unlesioned hemisphere (0 dpl). There was also a significant difference (F>Fcrit at 5% level; Table 2Go) between levels in lesioned, compared with contralateral unlesioned hemispheres at 5 dpl and 7 dpl. Expression of IGF-I mRNA peaked at 7 dpl in the lesioned hemisphere. At 10 dpl, levels of IGF-I mRNA in the lesioned cerebrum were not significantly different from those both of the 0 dpl lesioned and the contralateral unlesioned hemisphere, in which there was a uniform pattern of low level mRNA expression. The injury-related changes in IGF-I mRNA expression within the wounds were visualized by in situ hybridization and, using morphological criteria, signal was localized to cellular components of the damaged neuropil, which are predominantly astrocytes and neurons (Figs. 2Go and 3Go). Endothelial cells of the wound microvasculature also expressed IGF-I mRNA.



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Figure 1. IGF-I mRNA detected by ribonuclease protection assay. A, Representative autoradiograph. B, Relative mRNA ratios. Means, SEM the mean and significance are shown. Key: M, marker (bp); R, IGF-I undigested riboprobe control; C, cyclophilin undigested riboprobe control; D, IGF-I and cyclophilin digested control; 0–12, sample time point (dpl); UL, unlesioned; L, lesioned; IGF-I, IGF-I protected mRNA band; CP, cyclophilin protected mRNA band; {square}, unlesioned hemisphere; •, lesioned hemisphere; *, P < 0.05 with respect to 0 dpl sample.

 

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Table 2. Analysis of variance of RPAs

 


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Figure 2. Autoradiographic macroscopic visualization of IGF-I mRNA by in situ hybridization in brains. A, Intact brain, IGF-I antisense hybridized; B, Intact brain, IGF-I sense hybridized; C, lesioned brain at 7 dpl, IGF-I antisense hybridized; D, lesioned brain at 7 dpl, IGF-I sense hybridized. Nonspecific binding, of the sense cRNA probe, to the hematogenous core of the wound is visible. Key: Pir, Piriform cortex; M, Meninges; small arrows depict course of lesion.

 


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Figure 3. Microscopic dark field (A, C, E, G) and bright field (B, D, F, H) visualization of IGF-I mRNA by in situhybridization in brains. Arrowed areas in BF micrographs indicate positive hybridization. A, Meninges, intact brain; B, Meninges, intact brain; C, Piriform cortex, intact brain; D, Piriform cortex, intact brain; E, Intact cerebral cortex; F, Intact cerebral cortex; G, Lesioned cerebral cortex at 7 dpl, taken from area representative of the lesion course; H, Lesioned cerebral cortex at 7 dpl, taken from area representative of the lesion course. Key: bar = 10 µm (dark field) and 5 µm (bright field).

 
In the intact cerebral hemisphere, the ependyma, subependymal plate, meninges, choroid plexus, blood vessels, and only occasional cortical neurons expressed immunoreactive IGF-I peptide. Immunopositive macrophages were evident in the hemorrhagic core of the lesion at 1 dpl, together with immunopositive endothelial cells of the neuropil microvasculature. Astrocytes, neurons and microglia coincidentally become immunopositive by 3 dpl, with their numbers increasing to peak between 5 and 7 dpl (Fig. 4Go).



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Figure 4. Cellular localization of immunoreactive IGF-I and IGFBP-2 peptide in lesioned cerebral hemispheres at 5 dpl. Bright field micrographs taken under oil immersion using DIC optics are shown. A, IGF-I lesioned hemisphere, astrocytes (arrowed); B, IGF-I lesioned hemisphere, neurons (arrowed); C, IGF-I lesioned hemisphere, macrophages (arrowed); D, Preabsorbed IGF-I antibody control (arrows indicate lesion path); E, IGFBP-2 lesioned hemisphere, astrocytes (arrowed); F, IGFBP-2 lesioned hemisphere, neurons (arrowed); G, IGFBP-2 lesioned hemisphere, macrophages (arrowed); H) preabsorbed IGFBP-2 antibody control (arrows indicate lesion path). Key: bar = 2 µm.

 
IGFBP-1
No 407-bp protected mRNA species, corresponding to the predicted IGFBP-1 mRNA, was identified in any of the samples by RPA, although cohybridization with a cyclophilin cRNA demonstrated expected levels of cyclophilin mRNA transcripts. Neither was any signal corresponding to IGFBP-I mRNA detectable throughout either the intact or lesioned cerebral hemispheres by in situ hybridization (Table 1Go). The same complementary DNA probe was previously shown by us to detect IGFBP-1 mRNA in adult rat liver (26).

In contrast to the mRNA studies, IGFBP-1 peptide was observed in the ependyma, choroid plexus, meninges, the white matter tracts and also in the cerebral microvasculature of the intact and lesioned brain. After injury, numerous immunopositive macrophages, neurons, astrocytes and, in particular, microvasculature endothelial cells were observed in the wound from 2 dpl, with the number of positive cells becoming maximal between 5–7 dpl (Table 1Go).

IGFBP-2
A 397-bp protected mRNA species was identified by RPA corresponding to IGFBP-2 RNA in all samples of unlesioned and lesioned hemispheres. Even by this relatively insensitive technique of analysis, changes in expression within the whole hemisphere were significant (F>Fcrit at 5% level; Table 2Go), with IGFBP-2 mRNA increasing at 7 dpl when compared with the 0 dpl hemispheres (Fig. 5Go). As previously reported by us (9), levels of IGFBP-2 mRNA were high in the meninges and choroid plexus of the intact brain, detected by in situ hybridization. Some mRNA was also expressed in layers V and VI of the neocortex. Macroscopic and microscopic increases in IGFBP-2 mRNA were identified in the damaged neural parenchyma, predominately astrocytes and neurons, identified by morphological criteria. The increased local levels of IGFBP-2 mRNA were apparent, by the more sensitive in situ hybridization method, at 2 dpl and were sustained thereafter until at least 15 dpl. At 2 dpl, IGFBP-2 mRNA expression was extensive within the damaged neuropil (Fig. 6Go).



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Figure 5. IGFBP-2 mRNA detected by ribonuclease protection assay. A, Representative autoradiograph. B, Relative mRNA ratios. Means, SEM and significance are shown. Key: R, IGFBP-2 undigested riboprobe control; C, cyclophilin undigested riboprobe control; D, IGFBP-2 and cyclophilin digested control; 0–12, sample time point (dpl); M, marker (bp); UL, unlesioned; L, lesioned; IGFBP-2, IGFBP-2 protected mRNA band; CP, cyclophilin protected mRNA band; {square}, unlesioned hemisphere; •, lesioned hemisphere; *, P < 0.05 relative to 0 dpl sample.

 


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Figure 6. Autoradiographic macroscopic visualization of IGFBP-2 mRNA by in situ hybridization in brains. A, Intact brain, IGFBP-2 antisense hybridized; B, Intact brain, IGFBP-2 sense hybridized; C, Lesioned brain at 2 dpl, IGFBP-2 antisense hybridized; D, Lesioned brain at 2 dpl, IGFBP-2 sense hybridized. Nonspecific binding, of the sense cRNA probe, to the hematogenous core of the wound is visible. Key: ChP, Choroid plexus; M, Meninges; small arrows depict course of lesion.

 
In intact brains, immunoreactive IGFBP-2 peptide was observed within the myelinated nerve tracts, ependyma, meninges, and choroid plexus and also the individual myelinated corticofugal axons of neurons of layers V and VI of the cerebral hemispheres. After lesioning, IGFBP-2 immunopositive cells occupied the wounds at all time points studied from 2–15 dpl, with more immunopositive neurons, macrophages and astrocytes present at 5 dpl than at any other time, and with astrocytic staining being particularly intense (Fig. 4Go). Thereafter, the level of immunoreactivity declined towards that seen in controls.

IGFBP-3
A 699-bp protected mRNA species corresponding to IGFBP-3 was identified by RPA both in unlesioned and contralateral lesioned cerebral hemispheres. By RPA, no significant difference in IGFBP-3 mRNA signal was detected in the lesioned hemisphere compared with either the contralateral unlesioned hemisphere at any time point or the 0 dpl animals (data not shown). The more sensitive in situ hybridization technique demonstrated low levels of IGFBP-3 mRNA expression in the meninges and choroid plexus in intact brains. Local increases in IGFBP-3 mRNA expression occurred within cerebral wounds, with especially prominent levels associated with blood vessels (Fig. 7Go). The wound response was sustained between 2–10 dpl, and peaked at 7 dpl. In the intact brain, the spatial and temporal pattern of IGFBP-3 immunopositive staining in the intact and lesioned brain was very similar to that of IGFBP-1, with particularly high levels of protein associated with the cerebral microvasculature, the response also peaking at 5 dpl (Table 1Go).



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Figure 7. Autoradiographic macroscopic visualization of IGFBP-3 mRNA by in situ hybridization in brains. A, Intact brain, 0 dpl IGFBP-3 antisense hybridized; B, Intact brain, IGFBP-3 sense hybridized; C, Lesioned brain at 2 dpl, IGFBP-3 antisense hybridized; D, Lesioned brain at 2 dpl, IGFBP-3 sense hybridized. Nonspecific binding, of the sense cRNA probe, to the hematogenous core of the wound is visible. Key: bv, blood vessels; small arrows depict course of lesion.

 
IGFBP-4
A 444-bp protected mRNA species corresponding to IGFBP-4 mRNA was detected by RPA in all of the samples of lesioned and unlesioned cerebral hemispheres. At 7 and 10 dpl, IGFBP-4 mRNA expression was significantly increased (F>Fcrit at 5% level; Table 2Go) in lesioned cerebral hemispheres when compared with the contralateral unlesioned hemispheres (data not shown). In situ hybridization of sections of the intact brain showed strikingly high levels IGFBP-4 mRNA in the tenia tecta, indiseum griseum, choroid plexus, and layers II, V and VI of the neocortex (not shown). No macroscopic or microscopic changes in IGFBP-4 mRNA were identified within the neuropil of the injured cerebrum (Table 1Go).

In the intact brain, the distribution of IGFBP-4 peptide was very similar to that of other binding proteins, with the ependyma, choroid plexus, meninges, and myelinated nerve tracts staining. Similarly, after injury IGFBP-4 immunopositive astrocytes, neurons, microglia and macrophages appeared in the damaged neuropil; this response becoming maximal between 7–10 dpl (Table 1Go).

IGFBP-5
Rat IGFBP-5 cRNA probed RPAs demonstrated a 300-bp protected mRNA species corresponding to IGFBP-5 mRNA in all RNA samples of unlesioned and lesioned cerebral hemispheres. RPA revealed no significant differences in the expression of IGFBP-5 mRNA in any of the animals studied (data not shown). In situ hybridization of the intact brain localized IGFBP-5 mRNA to blood vessels, meninges, choroid plexus, subependymal plate and, unique for IGFBP-5, myelinated nerve tracts. By this more sensitive method, a focal increase in IGFBP-5 mRNA expression was strikingly prominent in the developing glia limitans of the wound after 7 dpl (Figs. 8Go and 9Go).



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Figure 8. Autoradiographic macroscopic visualization of IGFBP-5 mRNA by in situ hybridization in brains. A, Intact brain, IGFBP-5 antisense hybridized; B, Intact brain, IGFBP-5 sense hybridized; C, Lesioned brain at 7 dpl, IGFBP-5 antisense hybridized; D, Lesioned brain at 7 dpl, IGFBP-5 sense hybridized. Nonspecific binding, of the sense cRNA probe, to the hematogenous core of the wound is visible. Key: cc, Corpus callosum; SubE, Subependymal plate; gl, glia limitans; small arrows depict course of lesion.

 


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Figure 9. Microscopic dark field (A, C, E, G, I) and bright field (B, D, F, H, J) visualization of IGFBP-5 mRNA by in situhybridization in brains. Arrowed areas in BF micrographs indicate positive hybridization. A, Blood vessel, intact brain; B, blood vessel, intact brain; C, Septohippocampal nuclei, intact brain; D, Septohippocampal nuclei, intact brain; E, Subependymal plate, intact brain; F) Subependymal plate, intact brain; G) intact cerebral cortex; H) intact cerebral cortex; I) lesioned cerebral cortex at 7 dpl, taken from area representative of the lesion course; J) Lesioned cerebral cortex at 7 dpl, taken from area representative of the lesion course. Key: bar = 10 µm (dark field) and 5 µm (bright field).

 
In the intact cerebral hemispheres, IGFBP-5 immunoreactivity was apparent in the meninges, ependyma, choroid plexus, blood vessels, and all myelinated nerve tracts. Immunopositive macrophages were visible in the cerebral wounds at all time points. Whereas neurons became weakly immunpositive, astrocytes demonstrating strong immunoreactivity peaked during the 7–10 dpl period of gliosis (Table 1Go).

IGFBP-6
A 246 bp protected mRNA species was identified by RPA corresponding to IGFBP-6 mRNA, and no significant differences in levels were observed between unlesioned and lesioned cerebral hemispheres (not shown). In situ hybridization of the intact brain localized low levels of IGFBP-6 mRNA to the meninges and choroid plexus; however, there were no macroscopic or microscopic changes apparent in IGFBP-6 mRNA within the damaged cerebral neuropil at any time point (Table 1Go).

In contrast to the mRNA, there were significant levels of IGFBP-6 peptide in the meninges, choroid plexus, ependyma, and subependymal layers of the intact hemisphere. Immunopositive macrophages, neurons, astrocytes, and microglia were also observed at all time points in the immediate area of neuropil around the lesion, with labeled neurons, astrocytes and microglia being most abundant at 5 dpl (Table 1Go).

IGF-1 receptor
A 265-bp protected mRNA species corresponding to IGF-1R was present in all RPA samples. This expression was seen to be ubiquitous through the hemisphere by in situ hybridization, with the highest levels found in areas where high levels of IGF-I mRNA also occurred. There were no significant increases in IGF-1R mRNA in any of the lesioned animals observed by either RPA or in situ hybridization (Table 1Go). In intact and lesioned cerebral hemispheres there was a pattern of IGF-1R peptide localization similar to that of IGF-I peptide. Immunoreactivity was visible in the ependyma, meninges, choroid plexus and, after injury, in cortical neurons, glia and macrophages, with a strong reaction also observed in the endothelial cells of the brain microvasculature (Table 1Go).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Taken together, these results clearly demonstrate spatio-temporal changes in expression of IGF-I and specific IGFBPs within damaged CNS tissue after a penetrating injury. Our observations, coupled with those made in other models of CNS injury, provide a substantial body of experimental evidence to suggest both gliogenic and neurotrophic roles for the increased levels of IGF-I that are expressed in traumatic, as well as ischemic, CNS wounds (2, 3, 5, 27, 28, 29, 30, 31, 32, 33, 34).

Modulation of IGF-I action is complex, occurring at the levels of transcription, translation, and ligand activation. IGF availability can also be regulated by IGFBPs. Because no significant changes were observed in the expression of IGF-1R mRNA after injury, altered receptor transcription may not be a prime determinant of IGF-I bioactivity within CNS wounds. Presumably, receptor turnover on target cells is sufficient to meet the needs of both physiological and pathological responses. Discrete focal and transient increases in transcription and localization of IGF-I and IGFBPs within injury-responsive cells indicate ligand expression and bioavailability as prime determinants of IGF-I bioactivity.

IGF-I and IGF-1R expression in cortical wounds
IGF-I mRNA transcripts in the same size range were identified in intact and lesioned brains by RPA (450, 500, and 520 bp). The expression of these multiple transcripts has been demonstrated previously (35, 36, 37, 38), the variations being contributed to by the differing use of polyadenylation sites in exon 6 (39). In agreement with previous reports (6, 21, 40), the intact rat brain showed ubiquitous low levels of expression of the IGF-I mRNA signal by in situ hybridization, with some discrete anatomical foci of higher expression. The pattern of expression accurately reflected that seen for IGF-1R [confirming the work of others (6, 41)], with both ligand and receptor synthesis colocalized to specific sets of neurons, suggesting both a paracrine and autocrine activity of IGF-I in the intact brain. In general, neurons and astrocytes of the intact cortical neuropil showed little or no IGF-I or IGF-1R peptide.

IGF-I mRNA and peptide increased coordinately within the same injury-responsive cells after wounding. Although the choroid plexus does contain immunoreactive IGF-I, little or no IGF-I is measurable in the cerebrospinal fluid by RIA after injury (unpublished observations). Hence, this distal site does not seem to be a primary source of IGF-I for injury-responsive cells in the wound. The discrete IGF-I mRNA and peptide response is acute, substantial, restricted to the lesioned area, and its peak coincides with the time of both maximal astrocyte reactivity and active axonal sprouting. This suggests that IGF-I acts in wounds in both an autocrine and/or paracrine manner. Because IGF-I is reported to stimulate both gliosis and neurite outgrowth in vivo and in vitro, acute phase gliogenic and neurotrophic roles within CNS wounds are implicated. The transient nature of IGF-I activation is evidenced by the declining levels of both mRNA and protein observed within wounds as the cellular responses proceed towards scar maturation and cessation of axonal regeneration. The rapid decline in IGF-I levels may reflect restoration of tissue homeostasis, which may be enhanced by changed patterns of expression of specific IGFBPs.

IGF-I and IGF-1R in the microvasculature
The strong localization of IGF-I and IGF-1R mRNAs and peptides to endothelial cells of the brain microvasculature may be associated with transport across the blood brain barrier (20) and colocalization to highly vascularized sites (42). High concentrations of IGF-I are found in the serum and, because CNS wounds are the focus of an angiogenic response, the presence of IGF-I in capillary endothelial cells suggests a possible route of entry from the blood into the lesion. However, the expression of IGF-I mRNA by blood vessels in the wound suggests that de novo synthesis by endothelial cells, as well as import from the blood, might contribute to the focal increase of IGF-I in the wound microvasculature. Interestingly, an angiogenic activity of IGF-I has also been demonstrated (43).

IGFBP expression in cortical wounds
The bioavailability of IGF-I within wounds is probably modulated by IGFBPs and documentation of the spatial and temporal response of IGFBPs within wounds offers a first step in the elucidation of their function in brain injury responses. Functional interaction between IGFBPs and IGF-I is suggested by both their colocalization and coordinate modulation of expression. Previous studies with other models of CNS damage suggest that IGFBP-1, -2, -4, -5, and -6 may all contribute to injury responses (2, 44, 45, 46, 47).

In most cases, our observations of the anatomical distribution of IGFBP mRNA expression in the intact adult rat brain correlated with previous studies. Whereas the mRNA for IGFBP-2 through -6 were all expressed in the choroid plexus, perhaps indicative of their secretion into the CSF, individual binding proteins showed distinct anatomical patterns of gene expression and peptide localization elsewhere within the brain, suggestive of distinct physiological roles. For example, IGFBP-3 and IGFBP-5 mRNA expression was localized to blood vessels, having perhaps a role in modulating IGF efflux into the brain from the circulation. In contrast, IGFBP-4 mRNA showed an extremely precise pattern of high expression in specific clusters of neurons (such as the tenia tecta and indiseum griseum) indicating possible roles in neuronal function. However, at present, any physiological function for the IGFs and their binding proteins in the normal adult brain remains speculative.

Our study demonstrated many instances of the presence of IGFBP peptide in the absence of significant levels of mRNA, e.g. in myelinated tracts throughout the brain, where high levels of alI IGFBPs were found colocalized with expression of the IGFBP-5 mRNA only. Similarly, little or no IGFBP-1, IGFBP-4, or IGFBP-6 mRNAs, but significant levels of immunoreactive IGFBP proteins were seen in injury-responsive cells within wounds. As IGFBP-2 through -6 mRNAs are expressed in the choroid plexus epithelium, from where they can be secreted into the CSF, transport through ventricles and subarachnoid spaces to sites of sequestration and activity in brain parenchyma is a possibility. Whether localization at sites distal to synthesis supports this transport hypothesis or simply reflects protein accumulation in areas of very low local mRNA expression is the subject of a subsequent study to be reported by us elsewhere. Certainly, after a penetrating CNS injury, IGFBPs may concentrate in the wound from distal as well as local sources.

IGFBPs in the microvasculature
The colocalization of IGFBP-1, -3, and -5 with IGF-I to endothelial cells of the brain microvasculature suggest their possible involvement in the modulation of IGF-I efflux across the blood/brain barrier. Because IGFBP-1 may not be synthesized at all within the brain and is capable of crossing the endothelial cell border (48), it may function to transport IGF-I from the blood across the blood/brain barrier. Interestingly, two isoforms of IGFBP-1 have been identified, one which associates with the cell membrane, and a soluble species which can inhibit IGF-I bioavailability in vitro, suggesting alternative roles for IGFBP-1 peptide. IGFBP-1 is known to be involved in adhesion cascades, by binding via its RGD sequence to {alpha}5ß1-integrins (49). Integrins have been implicated in the wounding cascade in the same model as used in these experiments (M. Berry, unpublished observations). Hence, the IGFBP-1/IGF-I complex may be transported across the endothelial cell barrier into the wound, where it may subsequently bind to the extracellular matrix. In this reservoir, IGF-I may be cleaved from IGFBP-1 by locally produced proteases, allowing its interaction with other IGFBPs or IGF-1R both on the endothelium and on other injury-responsive cells in the wound. As increased levels of matrix are deposited in the maturing wound and proteolysis subsides, locally bound IGFBP-1 may serve to sequester and thereby limit IGF-I availability within wounds. The appearance of IGFBP-1 protein at the wound site over the 2–5 dpl period suggests rapid mobilization and its persistence in the lesion is consistent with the above arguments. In contrast, the striking, rapid and transient (2–5 dpl) increase in IGFBP-3 mRNA expression observed within blood vessels of the injured cerebrum, is suggestive of regulated expression, perhaps consolidating the early IGF-I potentiating activity of IGFBP-1 and mediating an acute phase, injury-related efflux of IGF-I from the circulation. Hence, in the injured brain, IGFBP-3 may also play an important role in regulating IGF-I transport to, and localization within, wounds via the extracellular fluid. The observed late (5–10 dpl) localization of IGFBP-5 protein to endothelial cells of the wound microvasculature, together with its reported inhibitory effects on IGF action in other in vivo and in vitro systems indicates a role in chronic IGF-I sequestration, thereby aiding homeostasis recovery by down-regulating IGF-I efflux and bioactivity.

IGFBPs within the damaged neuropil
All six IGFBPs accumulate in penetrant CNS wounds, but IGFBP-2 predominates. Whereas IGFBP-1 and IGFBP-3 seem to be associated predominately with the responding wound microvasculature, IGFBP-2, -4, -5, and -6 proteins localize strongly to astrocytes and neurons. Our observations of the spatial and temporal changes in IGFBPs suggest that whilst IGFBP-2 and IGFBP-6 predominantly promote IGF-I activity in the acute phase of the injury response, IGFBP-4 and IGFBP-5 may be inhibitory, facilatating IGF-I down-regulation as the cellular wounding response subsides.

In cerebral wounds there was a significant, rapid, and precise focal increase in IGFBP-2 protein and mRNA expression, which correlated spatially and temporally with IGF-I expression. Because astrocytes, neurons, and macrophages all coexpressed the peptides, a functional relationship between IGF-I bioactivity and this binding protein is plausible. IGFBP-2 potentiates IGF activity (7, 49) and thus could enhance the acute phase effects of IGF-I on target cells, either by altering the half-life or facilitating ligand presentation to the receptor. Although IGFBP-6 gene expression did not change detectably after injury, macrophages, neurons and astrocytes also became strongly immunopositive in the acute phase of the response, suggesting a potential role in enhancing IGF-I bioactivity in the early phases of the wounding response.

Current evidence suggests that IGFBP-4 acts predominantly to suppress IGF activity (7, 49). In these cerebral lesions, the levels of IGFBP-4 peptide expression increased chronically, peaking between 7–10 dpl, and we suggest that the late activation of this inhibitory IGFBP may aid IGF-I down-regulation to regain tissue homeostasis. The increase of IGFBP-5 expression also occurred relatively late in the wounding response (only apparent after 7 days) and was extremely focal, with IGFBP-5 mRNA and peptide tightly colocalized to the astrocytes comprising the reforming glia limitans. This region is matrix-rich and, because IGFBP-5 is known to interact with the extracellular matrix (particularly heparan sulphates) and is inhibitory to IGF action (7, 49), this binding protein may also help to sequestrate and down-regulate IGF-I activity within wounds as the cellular response subsides.

We conclude from these studies on IGF-I, IGFBPs and IGF-1R that cellular responses to brain injury may be regulated by IGF-I under the influence of several IGFBPs, because both are colocalized within injury-responsive cells. It is possible that IGF-I functions as a local autocrine/paracrine factor contributing to the acute phase injury responsiveness of astrocytes and neurons. The temporal and spatial availability of the ligand, and therefore its bioactivity, may be regulated by the differential presence of stimulatory vs. inhibitory IGFBPs.


    Acknowledgments
 
Our thanks are due to Fiona Ruge and Jonathan Carlisle for their assistance in sectioning tissue samples.


    Footnotes
 
1 This work was supported by Grants (to A.L. and M.B.) from The Wellcome Trust and The International Spinal Research Trust. Back

Received December 20, 1996.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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