Académique Documents
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Michael V Sofroniew
Department of Neurobiology and Brain Research Institute, University of California Los
Angeles, Los Angeles, California 90095-1763; e-mail: sofroniew@mednet.ucla.edu
Charles L Howe
Department of Neurology and Neurological Sciences, Stanford University, Stanford,
California 94305-5489; e-mail: c.howe@stanford.edu
William C Mobley
Department of Neurology and Neurological Sciences, Stanford University, Stanford,
California 94305; e-mail: ngfv1@leland.stanford.edu
INTRODUCTION
In mammals and other vertebrates, soluble peptide growth factors play essential
roles in intercellular communication. They exert their effects by signaling through
surface membrane receptors that interact with diverse types of intracellular secondmessenger systems. In a sometimes surprising manner, many growth factors have
been found to subserve a wide variety of functions by acting on many cell types
at different stages of development or in adult life.
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Nerve growth factor (NGF) was discovered 50 years ago as a molecule that regulates the survival and maturation of developing neurons in the peripheral nervous
system (PNS) (Levi-Montalcini & Hamburger 1951, 1953), and ideas about the
biological role of NGF have been dominated by concepts that arose from studies
on the differentiation and survival of young neurons. Until recently, the expectation was that the biology of NGF would center around the classical target-derived
neurotrophic factor paradigm in which NGF released by postsynaptic targets acts
on presynaptic neurons to build or maintain functional contacts and enhance the
function of well-defined neural circuits. Although this paradigm undoubtedly plays
a critical role in both the PNS and central nervous system (CNS), it does not appear to be the sole role for NGF actions. With the availability of tools that allow
sensitive and specific measurements of mRNA and protein levels for NGF and its
receptors, it has become apparent that NGF actions extend beyond the developmental period, beyond nerve cells, and even beyond the nervous system. Indeed,
NGF and its receptors are produced throughout adult life and during aging by
many different cell types. The dynamically regulated expression of NGF and its
receptors throughout adult life suggests multiple functions for NGF signaling,
many of which are poorly understood. NGF and NGF receptor expression can be
upregulated during the response to injury in both the PNS and CNS, and a growing body of evidence suggests that among other roles, endogenous NGF signaling
through both neurons and nonneuronal cells subserves neuroprotective functions
and facilitates neural repair.
One of the major advances of molecular neuroscience in the past 25 years has
been to recognize that much of the cellular damage resulting from such CNS
insults as stroke, trauma, and degenerative disease may be caused by a limited number of endogenously generated molecules with neurotoxic activities. Less
well developed is the idea that endogenous mechanisms exist to provide neuroprotection, and that endogenous molecules may be produced specifically to subserve
neuroprotective signaling functions (Mattson 1997). For NGF to be viewed as a
specifically expressed, neuroprotective molecule with widespread activity in the
CNS, several criteria must be fulfilled: (a) NGF and NGF receptor expression
must occur in cellular compartments where it could influence the neural response
to injury; (b) NGF signaling should be able to influence cellular events involved
in the response to insults and injury; (c) NGF should exert protective effects; and
(d) failure of NGF signaling should be associated with increased degeneration
and vulnerability to injury. In this review, we consider evidence supporting these
criteria and conclude that NGF does play a role in endogenous neuroprotection.
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13-kDa polypeptide chains, each of which has three intrachain disulfide bridges.
The crystal structure of NGF has been resolved (McDonald et al 1991). The NGF
dimer has an elongated shape with a core, or waist, that is formed by twisted beta
sheets; the molecule also features a cysteine-knot motif, a reverse turn at one end
(loop 3) and three beta-hairpin loops at the other (loops 1, 2, and 3). The amino
terminus of NGF is not defined in the crystal structure. An octapeptide derived from
the NGF amino terminus has potent bradykinin-like activity (Taiwo et al 1991)
and is normally produced in the mouse submandibular gland in response to stress,
but whether it is found under physiological conditions in other tissues is unknown
(Fahnestock et al 1991). NGF is part of the neurotrophin family of molecules, which
share a high degree of structural homology and includes brain-derived neurotrophic
factors (BDNF), neurotrophin-3 (NT-3), and neurotrophin-4 (NT-4) (Butte et al
1998; Ibanez 1994; Robinson et al 1995, 1999). Neurotrophins are found in both
mammals and lower vertebrates, and the neurotrophin homologues NT-6 and NT-7
were recently cloned in fish (Gotz et al 1994, Lai et al 1998).
NGF has two known receptors, TrkA and p75NTR (Bothwell 1995, Kaplan &
Miller 1997). TrkA is a single-pass transmembrane protein that serves as a receptor
tyrosine kinase (RTK) for NGF. NGF signaling through TrkA elicits many of the
classical neurotrophic actions ascribed to NGF (Loeb et al 1991). TrkA is a member
of the Trk gene family, which includes TrkB, the receptor for BDNF and NT-4, and
TrkC, the receptor for NT-3 (Kaplan & Miller 1997). NGF activates only TrkA;
NT-3 activates TrkA but only does so at much higher concentrations than does NGF.
Two isoforms for TrkA exist that differ in their extracellular domain through the
inclusion of six additional amino acids near the transmembrane domain of one of
the variants (TrkAII). Inclusion of the insert appears to relax the specificity of TrkA
activation; NT-3 mediated signaling is markedly enhanced through this receptor
isoform (Clary & Reichardt 1994). p75NTR is a transmembrane glycoprotein that
binds all members of the neurotrophin family with approximately equal nanomolar
affinity. p75NTR regulates signaling through TrkA; in addition, as discussed below,
NGF binding to p75NTR activates signaling pathways that are characteristic for this
receptor (Casaccia-Bonnefil et al 1999; Dobrowsky et al 1994, 1995; Friedman &
Greene 1999).
Recent findings for the three-dimensional structure of NGF bound to its TrkA
receptor provide a structural explanation for many of the results provided by mutagenesis studies (Wiesmann et al 1999). They show that NGF engages the TrkA
second immunoglobulin (Ig)-like domain through two distinct patches (Wiesmann
et al 1999). The first patch involves the four beta sheets that form the waist of the
NGF molecule together with the first loop (residues 2933); it includes NGF domains that show considerable homology with the other neurotrophins (Wiesmann
et al 1999). It is likely that NGF and its neurotrophin family members engage each
of their Trk receptors through this patch. The second patch is formed by the amino
terminus of NGF, which in the NGF-TrkA structure is well defined (Wiesmann
et al 1999). The lack of homology of the NGF amino terminus with that of other
neurotrophins suggests that the second patch serves to specify NGF binding to
TrkA. As yet there is no three-dimensional structure for NGF binding to p75NTR.
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Mutagenesis studies for NGF binding to p75NTR point to the importance of mostly
different domains (i.e. the first, third, and fourth loops and the carboxy-terminus)
(Ibanez et al 1992, Ryden & Ibanez 1997, Urfer et al 1994) than those identified
for binding to TrkA. The findings suggest that NGF could bind to both TrkA and
p75NTR simultaneously (Wiesmann et al 1999).
Both NGF and its receptors are produced during development, adult life, and
aging by many cell types in the CNS and PNS, immune and inflammatory system, and various tissues. Given the wide range of neuronal and nonneuronal cells
that have the potential to produce and/or respond to NGF, clues to the different
functions that might be played by NGF signaling have been obtained by examining the expression of NGF and its receptors. During development, expression
of NGF by target cells is compatible with its role as a survival and maturation
factor for afferent neurons. In addition, as discussed in this section, a large body
of evidence demonstrates that in response to numerous stimuli there is dynamic
regulation of NGF and NGF receptor expression. It is interesting that NGF and/or
its receptors are markedly upregulated by many cell types after tissue injury or
insult. Documenting the patterns for NGF and NGF receptor gene expression in
specific cells and tissues is required for documenting the plurality of NGF actions
and for interpreting their physiological significance.
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cells continue to produce NGF during adult life and modulate NGF production
in response to stimuli (reviewed by Levi-Montalcini et al 1995, 1996). In some
tissues, including skin and viscera such as the bladder, experimental evidence suggests that NGF production is markedly upregulated after injury or in response to
tissue inflammation or injury, but the NGF-producing cell types have not yet been
characterized (Dmitrieva et al 1997, McMahon et al 1995, Mendell et al 1999).
Among PNS glia, immature Schwann cells and satellite cells produce NGF during development (Mirsky & Jessen 1999). In adults, mature myelinating Schwann
cells downregulate NGF expression to undetectable levels, but after nerve injury,
reactive and dedifferentiated Schwann cells markedly upregulate NGF production
in vivo; in vitro, NGF expression by Schwann cells is upregulated by cytokines and
other inflammatory mediators (Lindholm et al 1987, Mirsky & Jessen 1999). As
for its receptors, the patterns for NGF expression suggest roles that extend beyond development and beyond its classical role as a target-derived neurotrophic
factor.
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autonomic outflow (Michael et al 1997). TrkA mRNA has been detected in CNS
regions where its cellular localization is yet to be established. Some hippocampal
pyramidal neurons may also express very low levels of TrkA (Cellerino 1995), and
a recent immunocytochemical study points to the presence of TrkA and p75NTR
proteins in pyramidal cells of the somatosensory cortex of the mature rat (Pitts &
Miller 2000). If confirmed, these results would contribute significantly to our understanding of NGF production and actions in the CNS. As detection methods
increase in sensitivity, it is likely that other NGF receptor-expressing neurons will
be identified in the CNS.
Among glial cells, light microscopic studies show that CNS astrocytes in vivo
rarely stain for p75NTR (P Belichenko & WC Mobley, unpublished observations).
However, as many as one fifth of astrocytes in the dentate gyrus were immunoreactive for p75NTR in a recent immuno-EM study (Dougherty & Milner 1999).
This result suggests that very low levels of p75NTR are present in many mature
astrocytes. p75NTR and, more controversially, TrkA are also expressed by astrocytes
in vitro, particularly after exposure to NGF or inflammatory cytokines (Hutton et al
1992, Hutton & Perez-Polo 1995, Kumar et al 1993, Semkova & Krieglstein 1999).
A detailed analysis of NGF receptor expression by reactive astrocytes after CNS
injury would provide information for detailing the actions of neurotrophins in the
CNS. Astrocytes are not alone in expressing NGF receptors. Oligodendrocytes
express p75NTR (Casaccia-Bonnefil et al 1996, Kumar et al 1993). Microglia have
the capacity to express p75NTR and TrkA, and expression levels are modulated by
inflammatory stimuli, such as cytokines and bacterial lipopolysaccharide (Elkabes
et al 1998). The diversity of NGF receptor expression in the CNS is at least as
great as that in the PNS and suggests that NGF signaling mediates many different
functions.
NGF-Producing Cells NGF is produced in the CNS during development and
throughout adult life. NGF-producing cells are present in the cortical target regions
of basal forebrain cholinergic neurons. Most such cells are neurons, including pyramidal neurons, though glial cells are occasionally found to contain NGF (Pitts &
Miller 2000). In the hippocampal formation, pyramidal and dentate granule neurons express NGF, as do subpopulations of GABAergic interneurons (French et al
1999, Gall & Isackson 1989, Pascual et al 1998). These neurons also serve as
targets of cholinergic innervation. In striatum, NGF is produced by a subpopulation of small interneurons (Bizon et al 1999). NGF expression in hippocampus is
regulated by neuronal activity; increases are caused by glutamatergic and cholinergic neurotransmission, and decreases are caused by GABAergic neurotransmission
(Berzaghi et al 1993, Knipper et al 1994, French et al 1999). Neuronal NGF expression in vivo is markedly upregulated by seizures, forebrain ischemia, marked
hypoglycemia, and tissue injury (Gall & Isackson 1989, Lindvall et al 1994, Zafra
et al 1991). Studies in vivo and in vitro indicate that cerebral insults influence NGF
gene expression via excitatory amino acid neurotransmission as well as through
other pathways (Lindvall et al 1994).
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Among glial cells, NGF is produced throughout the CNS by astrocytes and
microglia, and NGF expression in both cell types is markedly upregulated by
local tissue injury, inflammation, cytokines, and bacterial lipopolysaccharide (both
in vivo and in vitro) (Arendt et al 1995, Elkabes et al 1996, Heese et al 1998,
Micera et al 1998, Yoshida & Gage 1992). In astrocytes, NGF expression is also
upregulated by fibroblast growth factor, interleukin-1, glutamate agonists, reactive
oxygen species, high potassium, ischemia, and traumatic brain injury (Abiru et al
1998; Friedman et al 1996; Goss et al 1998; Gottlieb & Matute 1999; Pechan
et al 1992, 1993; Strauss et al 1968; Yoshida & Gage 1991). The data for NGF
expression in the uninjured brain are largely consistent with a role for NGF in
target-derived trophic support. Increased NGF levels in the injured CNS suggest
that astrocytes and microglial cells could serve as local sources of NGF for injured
neurons and other NGF responsive cell types.
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been delineated in PC12 cells. However, the insights gained from analysis of such
cell culture models are useful in the context of an instructive role for further investigation of NGF signaling within neurons and other neural cells. Likewise, studies
of NGF signaling have largely focused on developmental processes, such as neuronal differentiation and neurite outgrowth, but information about NGF signaling
mechanisms in other contexts, such as degeneration, death, and neuroprotection is
increasingly available.
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exchange of GDP for GTP (McCormick 1994). Ras then recruits the serinethreonine kinase C-Raf to the plasma membrane (Marshall 1994, Van Aelst et al
1993, Wood et al 1992). In PC12 cells, Raf family members (Jaiswal et al 1994,
Oshima et al 1991, Traverse & Cohen 1994) mediate NGF signaling by phosphorylating and thereby activating the dual-specificity MAP kinase kinase MEK1
at serine 217 and serine 221 (Jaiswal et al 1994, Lange-Carter & Johnson 1994,
Vaillancourt et al 1994). MEK1 activation leads to the phosphorylation of two
members of the MAP kinase family, extracellular signal-related kinases 1 and 2
(Erk 1/2) (Crews et al 1992, Crews & Erikson 1992). Erk1/2 are phosphorylated on
threonine 202 and tyrosine 204 by MEK1 (Payne et al 1991), leading to activation
and translocation of Erk1/2 into the nucleus (Chen et al 1992). Erk1/2 are prolinedirected serine-threonine kinases that phosphorylate several substrates, including
Elk-1 (Miranti et al 1995). Phosphorylation of Elk-1 at serine 383 and serine
389 stimulates its interaction with the transcription factor serum response factor
(SRF) and with the CAGGAT binding site of the serum response element (SRE)
within the c-fos gene (Gille et al 1995, Hill et al 1993, Mueller & Nordheim 1991,
Treisman 1992). c-fos is an immediate early gene that is rapidly transcribed in
response to many extracellular stimuli, including NGF, and is an early component
of a series of transcriptional events necessary for initiation and maintenance of
differentiation (Ginty et al 1994, Greenberg et al 1986, Sheng & Greenberg 1990).
Additional transcription factors contribute to the regulation of c-fos transcription in response to NGF signaling. The cAMP regulatory element binding protein
(CREB) is a transcription factor that binds to a site called the CRE, or cAMP
response element, within the c-fos promoter (Berkowitz et al 1989). NGF signaling leads to the phosphorylation of CREB at serine 133 via a Ras-dependent
mechanism (Ginty et al 1994). This allows CREB to interact with SRF and Elk-1
(Bonni et al 1995, Ramirez et al 1997), possibly via the transcriptional coactivator
protein CREB binding protein (CBP), which binds to phosphorylated serine 133
in CREB (Chrivia et al 1993). CBP also binds to SRF (Ramirez et al 1997) and
Elk-1 family members (Janknecht et al 1993). CREB may also play an important role in transcriptional regulation of several NGF-specific delayed response
genes, including the VGF gene. Mutation of the CREB binding site within the
VGF gene significantly reduced NGF-induced VGF transcription (Hawley et al
1992). It is interesting that VGF transcription may require the cooperation of
CREB with an as yet unidentified transcription factor product of an immediate
early gene. CREB is persistantly phosphorylated at serine 133 for several hours
after an initial NGF stimulus, and this may permit accumulated immediate early
gene proteins to interact with activated CREB. In contrast, EGF stimulation, which
does not lead to VGF transcription, only transiently phosphorylates CREB, such
that by the time sufficient immediate early gene product is present, activated CREB
may no longer be available to cooperatively stimulate VGF transcription (Bonni
et al 1995). This may be one mechanism by which NGF and EGF activate different
transcriptional programs leading to either differentiation or proliferation (Marshall
1994).
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1992, Traverse et al 1992), suggesting that the temporal dynamics of Erk1/2 activation may account for a differentiative versus proliferative signaling outcome.
One explanation for how two RTKs linked to very similar signaling pathways
might induce such very different MAP kinase activation kinetics requires a better understanding of the specific isoforms of certain adaptor proteins utilized in
these cascades. For example, while both NGF and EGF appear to utilize the classic Shc/Grb2/Sos/Ras/C-Raf/MEK pathway to activate Erk, NGF also utilizes an
accessory route to Erk activation that utilizes Gab2/CrkL/C3G/Rap1/B-Raf/MEK
(Figure 1). This second pathway, which may be unique to NGF signaling, promotes sustained activation of Erk1/2 (CB Wu, CF Lai, WC Mobley, submitted
for publication; York et al 1998). The persistant Erk activation that follows NGF
stimulation of the Rap1 pathway may induce expression of immediate early gene
proteins that interact with activated CREB, induce transcription of novel delayed
response genes, or both. Rap1 signaling through MAP kinase does not regulate
all aspects of differentiation, nor can one exclude a role for Ras. Expression of
a mutant Rap that blocks sustained Erk activation in response to NGF does not
block neurite outgrowth in PC12 cells (York et al 1998). On the other hand, complete inhibition of Erk activation, either by pharmacological inhibition of MEK or
transfection with a dominant-interfering MEK mutant, does block NGF-induced
neurite outgrowth (Cowley et al 1994, Pang et al 1995), and inhibition of Ras activity by microinjection of a Ras-neutralizing antibody also blocks differentiation
(Hagag et al 1986). Thus, Ras-dependent signaling is apparently important for
NGF-induced differentiation. It is likely that some early event triggered by a Rasand C-Raf-mediated activation of the Erk pathway is necessary for priming the
cell to respond to the later and sustained activation of Erk by the Rap1 and B-Raf
pathway.
Figure 1 The Ras-MAP kinase cascade downstream from TrkA. Following phosphorylation
of tyrosine 490 within TrkA, Shc is recruited to the receptor via either an SH2- or phosphotyrosinebinding domain-based interaction. Consequently, Shc is bound by the Grb2-Sos complex. Recruitment of Sos to the membrane brings it into proximity of Ras, where it functions as a GTP-exchange
factor, activating Ras. Activated Ras recruits and activates Raf. Raf is a serine-threonine kinase
that phosphorylates the MAP kinase kinase MEK on 2 serines. This phosphorylation event initiates
activity of the dual-specificity kinase, leading to activation of the MAP kinases Erk1/2 via phosphorylation of threonine 202 and tyrosine 204. Phosphorylated Erk1/2 then participate in at least
two cascades. Erk1/2 may translocate into the nucleus, where they phosphorylate the transcription
factor Elk-1, or they may phosphorylate the kinase Rsk. Phosphorylation of Elk-1 allows it to
interact with the accessory transcription factor SRF, after which it binds to the serum response
element (SRE) within the c-fos promoter region and contributes to initiation of transcription. Phosphorylation of Rsk leads to its nuclear translocation and consequent phosphorylation of CREB on
serine 133. Phosphorylated CREB is bound by the transcriptional coactivator protein CPB, which
also binds to the SRF-Elk complex, creating an extended transcriptional factor complex that leads
to c-fos transcription.
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of Src activity by antibody microinjection did not block neurite outgrowth induced
by infection with oncogenic Ras (Bar-Sagi & Feramisco 1985, Kremer et al 1991,
Noda et al 1985) but did inhibit NGF-induced neuritogenesis. It also caused retraction of established neurites induced by NGF or FGF treatment (Kremer et al
1991). Finally, both oncogenic Src and oncogenic Ras are able to prime PC12
cells, such that subsequent NGF treatment elicits a more rapid and robust neuritogenesis than NGF treatment of unprimed cells (Thomas et al 1991). It is interesting
that oncogenic Src activated the N-terminal c-jun kinase (JNK), a member of the
MAP kinase family, without activating Erk1/2 (Kuo et al 1997). Hence, one possible explanation for the role that both Src and Ras play in differentiation is that
they control the activity of a common MEK family member that is upstream of
both Erk1/2 and JNK (Ellinger-Ziegelbauer et al 1997, Lewis et al 1998). This
model is compatible with data showing that pharmacological inhibition of MEK
in PC12 cells abrogated neurite outgrowth in response to NGF (Pang et al 1995).
MEK activity is also regulated by several PKC isoforms (Berra et al 1993, 1995;
Schonwasser et al 1998, van Dijk et al 1997), and overexpression of either PKC or
PKC resulted in enhanced NGF-induced neurite outgrowth and enhanced NGFinduced JNK activation (Wooten et al 1999), while inhibition of atypical PKC
isoforms blocked NGF-induced activation of JNK (Wooten et al 1999). PI3 kinase is also implicated in signaling to JNK, as NGF-induced JNK activation was
impaired by either wortmannin or LY294002, and overexpression of PI3 kinase
resulted in neurite outgrowth and JNK activation in the absence of Erk activation
(Kobayashi et al 1997). Thus, a signaling cascade including Src, PI3 kinase, PKC,
and JNK appears to be involved in neurite outgrowth and differentiative signaling
and may either complement or parallel the Ras-Raf-MEK-Erk1/2 cascade.
Signaling through Src, PI3 kinase, PKC, and JNK may also play a role in cell
survival signaling. Overexpression of either Src or PKC enhanced PC12 cell survival in serum-free conditions, and both increased the activation of the transcription
factor NFB (Wooten et al 2000, 1999), apparently via JNK signaling. Moreover,
inhibition of Src or atypical PKC isoforms promoted cell death (Seibenhener et al
1999, Wooten et al 2000). Likewise, inhibition of PI3 kinase activity blocked cell
survival and reduced NGF-induced NFB activation (Wooten et al 2000). These
findings are compatible with data showing that activation of NFB promotes cell
survival and resistance to apoptosis, and that NGF induction of NFB is primarily
dependent on signaling through the JNK pathway (Wooten et al 2000). Thus, both
differentiative and survival signaling may be controlled in part by a signaling unit
that includes Src, PI3 kinase, and PKC.
PI3 Kinase Pathway PI3 kinase and Src are also implicated in survival signaling via the common substrate Akt, a serine-threonine kinase also known as protein
kinase B (PKB), or related to A and C protein kinase (RAC-PK). Akt is regulated
by growth factor and serum factor signaling through PI3 kinase (Alessi et al 1996;
Andjelkovic et al 1996; Burgering & Coffer 1995; Franke et al 1995, 1997; Klippel
et al 1997). PI3 kinase is a heterodimer composed of an 85-kDa regulatory subunit
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and a 110-kDa catalytic subunit. Activation of the kinase involves binding of the
regulatory subunit either directly or via adaptors to activated RTKs. This interaction with the cytoplasmic domain of an RTK results in recruitment of the 110-kDa
catalytic subunit to the plasma membrane, where it can interact with and phosphorylate membrane phosphoinositides. Such phosphorylation results in the production of PI-3,4-P2 and PI-3,4,5-P3. Akt interacts with PI-3,4-P2 or PI-3,4,5-P3,
and with the 3-phosphoinositide-dependent kinase (PDK1). PDK1 contains a
pleckstrin homology domain that binds PI-3,4-P2 or PI-3,4,5-P3, and this binding is necessary to permit PDK1 to phosphorylate and activate Akt (Alessi et al
1997a,b; Cohen et al 1997; Stephens et al 1998; Stokoe et al 1997). Hence, TrkA
signaling via PI3 kinase presumably signals to generate 3-phosphoinositides that
bind PDK1 and induce the activation of Akt. PDK1 phosphorylates the activation loop of several other serine-threonine kinases, including certain isoforms of
PKC (Chou et al 1998, Le Good et al 1998), suggesting that PI3 kinase-mediated
generation of 3-phosphoinositides may also control differentiative or survival signaling via PKC activation.
Mediation of TrkA survival signaling by PI3 kinase is indicated by the results
of experiments showing that two inhibitors of PI3 kinase activity, wortmannin and
LY294002, induce apoptosis in PC12 cells and sympathetic neurons supported
by NGF (Crowder & Freeman 1998, Yao & Cooper 1995). The role of Akt in
regulation of cell survival downstream from PI3 kinase is suggested by the fact
that overexpression of Akt in primary cultures of cerebellar neurons or sympathetic neurons provides protection against death induced by serum withdrawal or
inhibition of PI3 kinase, while expression of dominant-interfering forms of Akt
blocked NGF-mediated survival (Crowder & Freeman 1998, Dudek et al 1997).
The mechanism by which Akt mediates survival is unclear, though Akt has been
reported to bind and phosphorylate Bad, a member of the Bcl-2 family of proteins
(Figure 2) (Datta et al 1997, del Peso et al 1997). Phosphorylation of Bad prevents
it from binding the anti-apoptotic Bcl-2 family members Bcl-2 and Bcl-XL (Zha
et al 1996), shifting the cell to contain more Bcl-2 homodimers than Bcl-2/Bax
heterodimers. The Bcl family is composed of two groups of proteins, one that
promotes cell survival and includes Bcl-2 and Bcl-XL, and the other that promotes
cell death and includes Bad and Bax (Boise et al 1995, Kroemer 1997, Steller
1995). The members of the Bcl family form homo- and heterodimers, and the
balance of each dimer within the cell is considered to regulate the maintenance
of survival or the induction of death. In the absence of phosphorylation of Bad
on serine 112 and serine 136, Bad signals to promote cell death, apparently by
forming heterodimers with Bcl-XL. Formation of these heterodimers leads to the
generation of Bax homodimers. Homodimerization of Bax induces its translocation into mitochondria and insertion into the mitochondrial membrane (Gross et al
1998). There it leads to altered mitochondrial membrane potential via ion channel formation and to generation of cytotoxic reactive oxygen species (Xiang et al
1996). In contrast, the phosphorylation of Bad promotes cell survival by inducing
an interaction between Bad and the 14-3-3 protein. This interaction effectively
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Figure 2 TrkA survival signaling TrkA phosphorylation leads to the activation of PI3 kinase.
PI3 kinase catalyzes the production of 3-phosphoinositides, including PI-3,4,5-P3, which bind to
and activate PDK1. PDK1 associates with and phosphorylates the serine-threonine kinase Akt. Akt
then phosphorylates Bad, inducing its association with the 14-3-3 protein and sequestering it from
heterodimerization with Bcl-XL. As a result of Bad sequesteration, Bcl-XL is able to heterodimerize
with Bax, preventing Bax homodimerization. Homodimerized Bax is a key element in apoptotic
signaling, via its role in altering mitochondrial membrane potential, and the balance of Bax:Bax
homodimers versus Bax:Bcl-XL heterodimers may determine whether the cell lives or dies.
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sequesters Bad from any interaction with Bcl-XL, keeping the balance of BclXL/Bax heterodimers high and preventing Bax homodimerization (Zha et al 1996).
Hence, TrkA survival signaling involves PI3 kinase-mediated activation of Akt and
the consequent maintenance of Bcl-XL/Bax heterodimers. Src is also implicated in
the activation of Akt via a mechanism that involves PI3 kinase and SHP-2 (Datta
et al 1996, Hakak et al 2000). This interaction may explain the finding, presented
above, that inhibition of Src promotes cell death, and it suggests that additional
complexity may exist in the mechanism by which TrkA signaling induces cell
survival.
TrkA activation may be linked to the phosphotidylinositol 3-kinase (PI3 kinase)
pathway via binding of Grb2 and the Grb2-associated binder-1 (Gab1) protein to
tyrosine 490. Gab1 was initially identified as a Grb2-associated protein in a human
glial tumor expression library and was also identified in a yeast 2-hybrid screen
using the Met RTK as bait (Holgado-Madruga et al 1996, Weidner et al 1996).
Gab1 is a member of a family of adaptor proteins that includes Gab2, IRS-1,
IRS-2, and Dos, all of which exhibit sequence homology, and all of which link
plasma membrane RTKs to intracellular signaling cascades (Bausenwein et al
2000, Gu et al 1998). Gab1 contains several SH2 and SH3 binding domains that
recognize PI3 kinase and SHP-2, as well as Grb2, Nck, and Crk (Holgado-Madruga
et al 1996, Weidner et al 1996). Gab1 is tyrosine phosphorylated in response to
signaling downstream from TrkA (Holgado-Madruga et al 1997), and it is also
induced to associate with PI3 kinase, recruiting the p85 subunit to the plasma
membrane and eliciting activation. Furthermore, overexpression of Gab1 reduced
the concentration of NGF necessary for mediating cell survival in serum-free
conditions, while expression of a mutant Gab1 lacking the PI3 kinase binding
sites enhanced apoptosis (Holgado-Madruga et al 1997). These data suggest that
anti-apoptotic TrkA signaling to PI3 kinase and the Akt pathway is mediated by
Gab1. This is supported by the finding that adenovirus-mediated expression of
Gab1 in PC12 cells is sufficient to support enhanced survival, even in the absence
of NGF signaling, and that this enhancement is correlated with increased PI3
kinase signaling (Korhonen et al 1999). However, Gab1 appears to utilize both
the PI3 kinase pathway and the MAP kinase pathway to mediate its effect on cell
survival, as pharmacological inhibition of both MEK and PI3 kinase was required
to fully suppress Gab1-mediated cell survival (Korhonen et al 1999). Finally,
adenovirus-expressed Gab1 enhanced neurite outgrowth in response to NGF via
a mechanism that was sensitive to either MEK inhibition or PI3 kinase inhibition
(Korhonen et al 1999). These results suggest that Gab1 plays a role as an adaptor
protein for both the PI3 kinase pathway and the MAP kinase pathway downstream
from TrkA signaling. However, another member of the Gab family, Gab2, was
recently identified as a substrate for tyrosine phosphorylation downstream of TrkA,
and Gab2 was found in complex with CrkL, C3G, and SHP-2 following NGF
treatment of PC12 cells (CB Wu, CF Lai, WC Mobley, submitted for publication).
This finding suggests that Gab2 may adapt TrkA to the Rap1/B-Raf pathway by
inducing NGF-dependent activation of C3G, a Rap GTP exchange factor. In that
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activation of the Rap1 pathway leads to MEK activation in parallel with the Ras
pathway, as described above, it is possible that overexpressed Gab1 subsumes the
role of endogenous Gab2 in mediation of neurite outgrowth.
FRS-2 In addition to binding Shc and Gab, tyrosine 490 also appears to mediate
the interaction of TrkA with FRS-2, a novel membrane-anchored adaptor protein
that is tyrosine phosphorylated in response to NGF (Kouhara et al 1997, Ong
et al 2000). Phosphorylated FRS-2 binds to the Grb2-Sos signaling unit, forming
a multi-protein complex that includes Crk and the protein tyrosine phosphatase
SHP-2 (Hadari et al 1998, Kouhara et al 1997, Meakin et al 1999). Formation of
this complex is necessary for FRS-2 activation of the MAP kinase pathway. FRS-2
competes with Shc for binding to tyrosine 490 on TrkA, adding an interesting
layer of complexity to the signaling cascades elicited by NGF treatment (Meakin
et al 1999). FRS-2 may or may not be identical to SNT (Friedman & Greene 1999,
Kouhara et al 1997), a protein that may be a candidate for the factor that controls the
decision between cell-cycle progression and cell-cycle arrest, a critical component
of differentiative signaling. The ability of SNT to bind the cyclin-dependent kinase
substrate p13suc1, and the fact that it is rapidly tyrosine phosphorylated in response
to NGF (Rabin et al 1993) suggests that SNT may be the mediator of this key
decision. While the relationship between SNT and FRS-2 is still unresolved, recent
evidence indicates that human FRS-2 does bind p13suc1 in a constituitive manner
(Meakin et al 1999), strengthening the possibility that FRS-2 is an SNT.
It is interesting to note that mutations in tyrosine 490 of TrkA do not abolish
NGF induction of the MAP kinase signaling pathway. However, cells expressing
TrkA with a double mutation at tyrosine 490 and tyrosine 785 do not exhibit
MAP kinase activation or neurite outgrowth in response to NGF (Stephens et al
1994). This finding suggests that there is an as yet undiscovered complexity or
redundancy to the interaction of adaptor proteins with tyrosines 490 and 785. One
possible component in this additional complexity is the recent finding that Grb2
binds directly to activated TrkA at both tyrosine 785 and the kinase activation loop
tyrosines (MacDonald et al 2000). This additional route to the Ras pathway may
circumvent loss of either tyrosine 490 or tyrosine 785, but not both.
PLC and PKC Pathways Tyrosine 785, near the C terminus of TrkA, is within
a consensus site for the binding of the SH2 domain of phospholipase C- (PLC ).
This tyrosine is required for NGF-dependent recruitment of PLC to TrkA and
for the phosphorylation and activation of PLC (Vetter et al 1991). Following
binding to tyrosine 785 of TrkA, PLC is activated and induced to hydrolyze
phosphatidylinositol 4,5-bisphosphate (PI 4,5-P2). PLC -mediated hydrolysis of
PI 4,5-P2 yields two products that each function as intracellular second messengers:
inositol 1,4,5-P3 (IP3), which interacts with its specific receptor on the endoplasmic
reticulum to induce the release of intracellular calcium, and diacylglycerol (DAG),
which is a potent activator of protein kinase C (PKC) isoforms (Lee & Rhee 1995).
IP3-mediated release from intracellular calcium stores leads to the activation of
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rAPS- and SH2-B-Mediated Pathways Two other adaptor proteins that do not
appear to interact with either tyrosine 490 or tyrosine 785 are rAPS and SH2-B,
which were recently identified as TrkA substrates in developing cortical and sympathetic neurons (Qian et al 1998). Both rAPS and SH2-B were found in complex
with Grb2, and either adaptor was able to mediate NGF induction of MAP kinase
activation. In nnr5 PC12 cells that express extremely low levels of TrkA, cotransfection with rAPS and a TrkA mutant lacking all tyrosines except those in the
kinase activation loop, or with SH2-B and this TrkA mutant, led to robust neurite
outgrowth (Qian et al 1998). Moreover, while the interaction between rAPS and
Grb2 is at least partially dependent on tyrosine phosphorylation of rAPS, Grb2
appears to bind to SH2-B constituitively via an SH3 interaction. Finally, antibodies
to SH2-B inhibited NGF-dependent survival of cultured neonatal sympathetic neurons, and transfection with a dominant-interfering mutant of SH2-B completely
blocked the elaboration of axons by cultured sympathetic neurons. This suggests
that SH2-B and rAPS are critical elements in the TrkA signaling pathway necessary for both neurite outgrowth and survival, but that their interaction with TrkA
may utilize a novel association mechanism.
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There are two classes of binding sites for NGF: Low-affinity receptors bind
NGF with nanomolar affinity, whereas high-affinity receptors bind NGF with an
affinity that is 100-fold greater (i.e. 1011 M) (Meakin & Shooter 1992, Sutter et al
1979). The two classes are distinguished by the much slower rate of dissociation
from high-affinity receptors (Landreth & Shooter 1980, Meakin & Shooter 1992,
Schechter & Bothwell 1981, Woodruff & Neet 1986). High-affinity receptors are
thought to play an important role in mediating NGF actions. Dissociation of NGF
from TrkA is slow (Meakin et al 1992), which suggests that TrkA contributes to the
formation of these receptors. TrkA is often referred to as the high-affinity receptor,
a designation that suggests TrkA alone binds NGF with high affinity. However,
although there is a small amount of high-affinity binding of NGF in cells expressing
only TrkA, most NGF binding to such cells is of low affinity (Mahadeo et al 1994).
In fact, most high-affinity binding appears to reflect the interaction of p75NTR with
TrkA. p75NTR has been shown to increase the rate of association of NGF with
TrkA, thereby increasing the number of high-affinity receptors (Mahadeo et al
1994). Moreover, p75NTR enhances activation of TrkA (Barker & Shooter 1994).
Of note, a recent study showed that some receptor complexes from which NGF
was slowly released contained p75NTR (Huang et al 1999).
p75NTR may also interact with TrkA to modify binding specificity. In fibroblasts
that express only TrkA, NT-3 and NT-4/5 are able to activate the receptor, whereas
in PC12 cells, which express both p75NTR and TrkA, only NGF is able to activate
TrkA (Berkemeier et al 1991, Ip et al 1993). Likewise, mutant PC12 cells that
express only very low levels of p75NTR exhibit NT-3-induced TrkA activation
(Benedetti et al 1993). Finally, postnatal sympathetic neurons normally exhibit very
limited survival in culture in response to NT-3, but these same neurons isolated from
p75NTR transgenic knockout mice show a much more robust NT-3-induced survival
response (Lee et al 1994c). These data suggest that p75NTR may function to tune
individual neurons to specific neurotrophin responsiveness, thereby controlling the
ability of such neurons to compete for target-derived neurotrophic support. It is
interesting to note that sympathetic neurons normally undergo a switch in trophic
dependence, from an early dependence upon NT-3 to a later dependence on NGF,
and that this switch is temporally correlated to the onset of p75NTR expression
(Birren et al 1993). Furthermore, as NGF signaling via TrkA appears to control
p75NTR expression in these cells (Miller et al 1991, 1994; Verdi & Anderson
1994; Verge et al 1992; Wyatt et al 1990), it is possible that first contact between the innervating sympathetic fibers and NGF available from the target field
elicits the trophic dependency switch. Also, the expression of p75NTR by cells that
have received an NGF signal from the target may increase the sensitivity of those
neurons to low levels of target-derived NGF, leading to a situation in which those
neurons that express p75NTR are better able to compete for synaptic space within
the target. Hence, the ability of p75NTR to sharpen TrkA binding specificity may
play a significant role in the maturation of target innervation, and may control the
competition that defines the adult pattern of innervation. Whether p75NTR plays
such a role in synaptic competition within the central nervous system remains to
be determined.
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Perhaps the most interesting facet of the interaction of TrkA and p75NTR is
evidence for reciprocal effects on signaling. Barker and colleagues provided evidence that signaling through p75NTR inhibits signaling though TrkA. Addition
of BDNF to PC12 cells markedly reduced the TrkA activation and downstream
signaling events that were elicited by treatment with an NGF mutant that only
binds to TrkA (MacPhee & Barker 1997). BDNF is known to activate sphingomyelinase and increase ceramide levels (Dobrowsky et al 1995). Ceramide
addition produced changes similar to those seen with BDNF. It is interesting
that both BDNF and ceramide treatment were shown to increase phosphoserine
content on the intracellular domain of TrkA (MacPhee & Barker 1997), which
suggests that BDNF acts through p75NTR and ceramide production to influence
TrkA signaling. Completing the analysis of signaling interactions, there are examples in which TrkA has a negative or restraining effect on p75NTR signaling.
Although NGF effectively induced sphingomyelin hydrolysis in cells expressing
p75NTR in the absence of TrkA, NGF did not do so in PC12 cells. This effect
is apparently mediated by TrkA signaling because inhibition of TrkA signaling
by the inhibitor K252a restored the ability of NGF to hydrolyze sphingomyelin
(Dobrowsky et al 1995). In another example, when oligodendrocytes were transfected with TrkA, treatment with NGF induced activation of the MAPK pathway,
suppressed JNK activity, and prevented cell death without influencing the activation
of NFB (Yoon et al 1998). These studies document the existence of robust, reciprocal interactions between TrkA and p75NTR. An important goal is the elucidation
of the molecular basis for these interactions and the definition of their physiological
significance.
Signaling Endosomes
Internalization of the NGF-TrkA complex plays an important role in intracellular
signaling, particularly in neurons, where retrograde transport of the signal from
distant axon terminals is required to trigger signaling in the cell body. Considerable
evidence suggests that this internalization involves endocytosis and the formation
of signaling endosomes, organelles in which NGF continues to be bound to its
activated receptors (Grimes et al 1996, 1997; Riccio et al 1997; Tsui-Pierchala &
Ginty 1999; Ure & Campenot 1997; Watson et al 1999). TrkA and p75NTR activation appears to occur predominantly in caveolae-like membranes that contain
many of the intermediates of their signaling pathways (Bilderback et al 1999,
Huang et al 1999). It is possible that signaling endosomes are derived from these
membranes, but it is noteworthy that at least some TrkA appears to be internalized
via clathrin-coated membranes (CL Howe, JS Valletta, WC Mobley, submitted
for publication). In fact, in recent studies we have shown that NGF increased the
association of clathrin with membranes and induced the formation of complexes
containing activated TrkA, clathrin heavy chain, and the plasma membrane specific adaptor complex, AP2. Moreover, we discovered that clathrin-coated vesicles
isolated from NGF-treated cells contained NGF bound to activated TrkA, linking
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formation of the TrkAclathrin complex to endocytosis via clathrin-coated membranes. It is exciting to note that Shc was recruited to these membranes, as was
Ras and activated Erk1/2. Importantly, we found that NGF-induced clathrin-coated
vesicles were able to signal in an in vitro kinase assay to propagate the NGF signal from Erk to Elk. Our findings indicate that NGF signals from endosomes and
that clathrin-coated vesicles are one source of signaling endosomes produced in
response to NGF treatment (CL Howe, JS Valletta, WC Mobley, submitted for publication). In other recent work, we have also isolated additional membranes that
contain the NGF signal, suggesting the existence of a variety of signaling endosome species (CB Wu, CF Lai, WC Mobley, submitted for publication). Whether
p75NTR signals from endosomes is an interesting possibility that requires further
study, though preliminary evidence suggests that p75NTR does utilize the clathrin
pathway for internalization, hinting at the existence of clathrin-coated vesicles
that contain p75NTR and p75NTR-associated signaling elements (CL Howe, AP
Kruttgen, E Shooter, WC Mobley, unpublished observations). These findings are
consistent with the concept that NGF signaling initiates the endocytosis of specialized membrane regions to form signaling endosomes that are enriched both in NGF
receptors and their downstream signaling second-messenger target molecules.
Signaling endosomes may exist as signaling complexes in the cytoplasm that
can be transported from the site of their formation along neurites to the cell
body.
Positive Feedback
There are several means by which positive feedback could be exerted in NGF
signaling loops. First, as described above, NGF upregulates the expression of its
own receptors. Second, NGF upregulates expression of such effector molecules
as acetylcholine (Mobley et al 1985) or substance P and related tachykinins
(Lindsay & Harmar 1989), which on their release would be expected to upregulate
the expression of NGF by target tissues (Berzaghi et al 1993, French et al 1999,
Woolf et al 1994). These changes may lead to reinforcement and strengthening of
NGF signaling in a positive feedback manner (Sofroniew & Mobley 1993). The
functional consequences of these effects are poorly understood. In nociceptive neurons, NGF upregulates the expression of neuropeptides such as substance P and calcitonin gene-related peptide, and positive feedback in this system may facilitate the
induction of sensitization and hyperalgesia in response to tissue injury (Malcangio
et al 1997; Mendell 1996; Verge et al 1995, 1996). In the forebrain, positive feedback may represent a means of reinforcing heavily used cholinergic connections,
with significant ramifications for learning- and memory-related plasticity (Howe &
Mobley 2001).
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Reports also exist of synergistic interactions between glutamate and NGF (CohenCory et al 1991) or other neurotrophins (Morrison & Mason 1998) in sculpting
neuronal survival or morphology during development. Interactions between glutamate and neurotrophin signaling that modulate neuronal excitablility persist in
mature neurons (McAllister 1999). The intracellular signaling mechanisms involved in these effects are not yet known, and evidence for direct convergence
of intracellular signaling mechanisms has not yet been reported, but it appears
possible along several pathways, including modulation of cytoplasmic Ca2+ levels
(Mattson 1996).
Estrogen Estrogen enhances neuronal growth and differentiation and regulates
cytoskeletal and growth-associated gene expression. There is now evidence for
both colocalization of estrogen and NGF receptors in the same cells (ToranAllerand et al 1992), and for direct convergence of NGF and estrogen signaling
through the MAPK pathway (Singer et al 1999, Singh et al 1999). Such mechanisms
may contribute to the many modulatory effects of estrogen on neural function. An
important unresolved issue is how estrogen signals to induce MAPK activation.
Intracellular Signals Much attention has focused on NGF signaling effects on
intracellular Ca2+, and there is reason to believe that Ca2+ plays an important role
in many aspects of the biology of NGF and the other neurotrophins. In recent studies using PC12 cells, and fibroblasts transfected with TrkA or p75NTR, NGF was
shown to signal through TrkA and p75NTR to cause acute and transient increases
in intracellular Ca2+ as a result of increased uptake through L-type Ca2+ channels
(Jia et al 1999, Jiang et al 1999). TrkA activation also increased intracellular Ca2+
mobilization (Jiang et al 1999). A number of functions can be envisioned for the
increased intracellular Ca2+ that follows NGF treatment. The Ca2+ set point hypothesis posits that the level of cytoplasmic Ca2+ determines the degree of NGF
signaling required to suppress cell death mechanisms during development (Johnson & Deckwerth 1993). Effects of NGF signaling on cytoplasmic Ca2+ levels also
represent a means for NGF to influence the plasticity and vulnerability of mature
neurons (Mattson et al 1995). It is tempting to suggest that through acute changes
in intracellular Ca2+, NGF could influence the behavior of synapses through
increased release of neurotransmitters or of other neurotrophins (Berninger &
Poo 1996, Kruttgen et al 1998).
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afferent neurons, (b) a locally released paracrine factor that affects both neurons
and nonneuronal cells, (c) an autocrine factor acting on the same cells that produce
and release it, and (d) an endocrine factor that acts after transport through the blood
stream (Levi-Montalcini et al 1995, 1996).
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additional studies are required to detail NGF effects in the developing nervous
system, gene disruption studies have documented an important role for NGF in
the survival and differentiation of both PNS and CNS neurons.
Interesting additional themes have emerged that have considerably modified
the original neurotrophic hypothesis. First, CNS and PNS neurons are not continuously dependent on the constitutive supply of a single target-derived factor
throughout life. Rather, a variety of different molecules from different sources
influence developmental survival and maturation. For example, sensory neurons
are transiently dependent for survival on different neurotrophins at different time
points as they progress through phases of development (Davies 1994). Second,
transiently required growth factors may derive from sources other than the final
target region, such as local interactions around the cell bodies (Enokido et al 1999),
or intermediate targets that axons encounter and then grow past en route to final
destinations (Wang & Tessier-Lavigne 1999). Third, NGF signaling can also mediate axon sprouting, as well as growth cone turning and local guidance (Campenot
1977, Gallo et al 1997, Patel et al 2000, Rice et al 1998, Tuttle & OLeary 1998).
For example, a recent study shows that NGF is critical for the elongation of the peripheral but not the central processes of sensory neurons (Patel et al 2000). Fourth,
NGF can also induce the death of certain developing neurons by signaling through
p75NTR in the absence of TrkA, as in the retina (Frade & Barde 1998, Frade et al
1996). Regarding glia, NGF may regulate the development of oligodendrocytes,
but here too, rather than promoting survival, NGF signaling via p75NTR can under
certain circumstances induce the death of these cells (Casaccia-Bonnefil et al 1996,
Chao et al 1998, Gu et al 1999). Taken together, these findings point to the complex
neurotrophic environment that guides the development of the nervous system. A
role for TrkA signaling in NGF actions during development is well established and
appears to be the dominant theme in signaling events that are required for survival
and differentiation. Nevertheless, it is apparent that p75NTR has important roles to
play in modulation of TrkA signaling and may also independently regulate cell
survival. The stage is now set for exploring the details of NGF signaling in the
developing nervous system.
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and CNS cholinergic neurons do not die for many months after NGF withdrawal
(Johnson & Deckwerth 1993; Sofroniew et al 1990, 1993; Svendsen et al 1994).
Adult sympathetic neurons also do not die acutely after immunologically induced
NGF withdrawal; instead, they undergo a gradual cell death of about 25% after
one month, which increases to about 40% after 3 months (Ruit et al 1990). The
resistance of these neurons to NGF withdrawal may be caused by loss of the cfos induction that normally follows such withdrawal in young neurons and by
consequent interruption of a cascade that involves both c-fos and Bax (Easton et al
1997). Although these mature NGF-responsive neurons become independent of
NGF for acute survival, they all undergo atrophic changes if subjected to NGF
withdrawal. These changes take the form of cell shrinkage (which is often severe)
and reduced transmitter-related gene expression.
It is likely that TrkA signaling mechanisms are implicated in these changes,
since NGF has been shown to increase cell size in neurons that do not express
p75NTR (Holtzman et al 1995). Because mature NGF receptor expressing neurons
do not require a constitutive supply of NGF for acute survival, the possibility exists that acute fluctuations in NGF signaling dynamically regulate various types
of activities in mature NGF-responsive cells. As discussed in this section, these
functions include modulation of the plasticity of NGF-responsive neurons. A particularly well-documented and striking example of this is the regulation by NGF
of mature nociceptive neurons (Woolf et al 1996).
The widespread production of NGF by glial cells and other nonneuronal cells
is leading to new ideas about other types of NGF functions, prominent among
which appear to be roles in inflammation and the response to injury in the CNS,
PNS, and peripheral tissue. NGF appears likely to have other functions that are
currently not well understood. For example, NGF infused into the lateral cerebral
ventricles induces hypophagia and weight loss in rats (Winkler et al 2000), and
NGF treatment has been reported to affect appetite in patients in clinical trials
(Petty et al 1994).
Plasticity of NGF-Responsive Neurons The adult nervous system exhibits a
remarkable ability to alter both its structure and function in response to stimuli,
a capacity commonly referred to as plasticity. Neurotrophins are implicated as
molecular mediators of specific forms of both structural and functional plasticity.
NGF has thus far been associated in particular with effects on structural plasticity and has far fewer reported direct effects on neuronal activity in comparison
with other neurotrophins, such as BDNF (McAllister 1999). Nevertheless, NGF
has reported effects on stimulus-dependent activity in adult somatosensory cortex
(Cellerino & Maffei 1996, Gu et al 1994, Prakash et al 1996) that appear to be mediated by TrkA and facilitated by p75NTR (Pizzorusso et al 1999). The mechanistic
basis for these effects is unclear but may involve NGF-dependent modulation of
cholinergic function and subsequent modification of cortical plasticity (Howe &
Mobley 2001). In the PNS, NGF regulates the cell body size, terminal sprouting, dendritic arborization, and gene expression of sympathetic neurons and small
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and CNS microglia by increasing their phagocytic activity and by inducing their
expression of interleukin-1, Fc receptor, and lysosomal proteases of the cathepsin
family (Liuzzo et al 1999; Susaki et al 1996, 1998). NGF is chemotactic for neutrophils (Gee et al 1983). NGF influences T and B lymphocyte proliferation, is an
autocrine survival factor for B lymphocytes, and stimulates immunoglobulin production (Levi-Montalcini et al 1996, Otten et al 1994, Torcia et al 1996). Through
its interactions with immune and inflammatory cells, as well as with glia and neurons, NGF has been suggested to play a role in various diseases with postulated
autoimmune and inflammatory components, including arthritis and demyelinating
diseases (Aloe 1998, Bonini et al 1999, Levi-Montalcini et al 1996).
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reverse atrophy that has already occurred (Cuello 1994). The intracellular pathways through which NGF signaling protects TrkA and p75NTR expressing neurons
from axotomy-induced death are not defined.
Protection from Glutamate Excitotoxicity Aloe (1987) first reported a protective effect of NGF against glutamate receptormediated excitotoxicity, such that
NGF infusions reduced the overall size of excitotoxic lesions in the striatum and
prevented the death of cholinergic, NGF receptorexpressing, striatal neurons.
These observations have been confirmed by others using local infusions of NGF
or grafts of cells genetically modified to secrete NGF (Davies & Beardsall 1992,
Frim et al 1993, Martinex-Serrano & Bjorklund 1996, Schumacher et al 1991).
NGF has also been reported to protect PC12 cells from anoxia and glucose deprivation, or from nitric oxide cytotoxicity (Boniece & Wagner 1993, Wada et al 1996).
To examine the potential role of endogenous NGF signaling in the protection of
NGF-responsive neurons from excitotoxicity, we recently studied septal cholinergic neurons that express NGF receptors and project to hippocampus and are thus,
in contrast to striatal cholinergic neurons, well separated from their target cells that
produce NGF. Both local and target-derived (i.e. retrogradely transported) NGF
signaling significantly attenuated glutamate receptormediated excitotoxic death
of these neurons in young adult rats. In addition, aged rats that have a reduced
capacity to retrogradely transport NGF, and young adult rats given target lesions
that deplete access to retrogradely derived NGF, both exhibited (a) significantly
increased vulnerability of cholinergic neurons to glutamate receptormediated
toxicity, (b) significantly reduced protective effects of local NGF, and (c) significantly reduced levels of TrkA. Chronic intracerebroventricular NGF significantly
restored TrkA and the protective effect of local NGF (Horner et al 1999; HHD
Lam, CH Horner, J Berke, JD Cooper, RE Brown, SB Dunnett, MV Sofroniew,
submitted for publication). These findings suggest that in adult forebrain, signaling through TrkA serves ongoing neuroprotective functions. They also suggest that
loss of endogenous NGF signaling leads to increased vulnerability of these cells to
excitotoxicity. However, the intracellular pathways through which NGF signaling
protects TrkA and p75NTR expressing neurons from glutamate receptormediated
death are not yet defined.
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It is difficult simply to dismiss this possibility. Although radiolabeled NGF binding to brain sections defines the known NGF-responsive populations, Altar et al
(1991) also found significant binding in the hippocampus, in the subiculum, and
in the cingulate, frontal, parietal, and occipital cortex. It is likely that much of this
binding is attributable to NGF receptor expression on the axons of known NGF
responsive neurons. However, the formal possibility also exists that this binding
represents the expression of a novel receptor on cells in these regions. A third
option is that widespread neuroprotective effects of NGF on neurons that do not
appear to express TrkA and p75NTR are mediated via NGF signaling through such
NGF-responsive nonneuronal cells as glia and inflammatory cells. Several lines
of evidence support this possibility. As described above, nonneuronal cells (a)
express both NGF and NGF receptors, and expression is generally upregulated
by injury and other CNS insults, (b) respond to NGF signaling, and (c) generate
molecules that are potentially toxic to neurons, such as nitric oxide and reactive
oxygen species, as part of their response to injury and inflammation. Potentially
neuroprotective effects of NGF include the rapid inhibition of reactive oxygen
species generation in vitro (Dugan et al 1997) and the rapid inhibition of basal and
glutamate receptorinduced nitric oxide synthase in vivo (Lam et al 1998).
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Neurons NGF receptor expression in peripheral nerve cells changes after axotomy; TrkA and p75NTR expression by sensory neurons decreases (Verge et al
1996), whereas motor neurons begin to reexpress detectable levels of p75NTR
(Ernfors et al 1988, Wood et al 1990). Neither the reasons for, nor the consequences of, the decline in TrkA expression by axotomized sensory neurons are
understood. Nevertheless, sensory neurons regenerate robustly and, after regeneration, reexpress TrkA at preinjury levels. As described above, motor neurons
express high levels of p75NTR during the period of axon outgrowth during development and downregulate expression to undetectable levels after contact with target
structures. After injury in adult PNS, motor neurons that are allowed to regenerate
recapitulate this developmental event and reexpress p75NTR during the period of
axon regeneration. Reexpression does not occur in neurons that are not allowed to
regenerate and requires retrograde transport from axons growing through injured
peripheral nerve tissue (Bussmann & Sofroniew 1999, Wood et al 1990). It is not
yet clear whether p75NTR reexpression plays an essential role in the regeneration
of either sensory or motor neurons; however, recent findings show that p75NTR signaling through Rho and ceramide pathways may be involved in promoting axon
elongation (Brann et al 1999, Lehmann et al 1999, Yamashita et al 1999b).
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Axon Sprouting and Growth Forebrain cholinergic neurons that express TrkA
and p75NTR exhibit neurite outgrowth in response to NGF in adults, particularly
after injury (Heisenberg et al 1994, Kawaja & Gage 1991, Kordower et al 1994),
suggesting that NGF may stimulate regrowth and reorganziation of connectivity
of receptor bearing neurons after injury. Several other populations of CNS neurons
transiently express p75NTR during development and, in a manner similar to primary
motor neurons, downregulate this expression after maturity. These populations
include cerebellar Purkinje, hippocampal pyramidal neurons, and retinal neurons.
Whether these neurons reexpress p75NTR after injury, as do regenerating motor
neurons, and whether NGF signaling might increase their axon regeneration, as in
the PNS, is a point for further study. In support of this possibility, NGF induces
neurite outgrowth in developing hippocampal pyramidal neurons in vitro, via a
p75NTR-ceramidemediated signaling pathway (Brann et al 1999), and in retinal
neurons, p75NTR signaling activates Rho pathways, which have been associated
with axon growth (Lehmann et al 1999, Yamashita et al 1999b).
Other intriguing recent observations suggest that stimulation with NGF and
other growth factors may regulate the intrinsic capacity of neurons to regenerate
transected axons through the hostile extracellular environment of the injured adult
CNS. In adult spinal cord, NGF and other growth factor infusions stimulate the
regrowth of fibers of receptor-expressing sensory neurons across the PNS-CNS
border in a manner that does not occur in the absence of growth factor, which
suggests that the growth factors (including NGF) enabled these axons to overcome environmental cues that inhibit axon elongation in the CNS (Ramer et al
2000). The signaling mechanism for this effect is not established, but evidence
from other studies suggests it may involve cAMP. It has been known for some
time that if the peripheral nerves containing peripheral branches of DRG sensory
neurons receive two lesions within a short period of time, axon regeneration occurs more rapidly after the second injury. Moreover, a conditioning lesion made
to the peripheral branches of DRG neurons a number of days prior to a lesion
of the central branches results in increased regeneration of these central branches
into PNS-grafts (Richardson & Issa 1984). Neumann & Woolf (1999) recently
extended these observations by showing that a peripheral conditioning lesion also
enables considerable regeneration of the central branches of DRG neurons in the
absence of any other intervention after a second, delayed injury in the adult CNS.
The findings of Cai et al (1999) suggest a possible mechanism underlying these
observations by showing that NGF and other growth factors can mimic the effects
of peripheral conditioning lesions by increasing the capacity of DRG neurons to
grow on otherwise inhibitory CNS myelin substrates in vitro. The intracellular
signaling pathway for this effect involves elevation of neuronal cAMP levels and
requires PKA activity. NGF and other growth factors are generated within the
injured peripheral nerve tissue and are transported back to the injured neurons
within the time frame of the observed enhancements of axon regeneration by the
conditioning lesion. Such findings point toward the potential to exploit signaling
mechanisms of NGF and other growth factors to facilitate repair in the CNS.
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that aged rats with reduced capacity to retrogradely transport NGF exhibit significantly increased vulnerability of cholinergic neurons to glutamate toxicity. These
findings suggest that endogenous NGF serves neuroprotective functions, and that
loss of target-derived NGF signaling, by increasing vulnerability to excitotoxicity,
may contribute to the gradual loss of basal forebrain cholinergic neurons in aging
and Alzheimers disease. The potential for failure of neuroprotective mechanisms
provided by endogenous growth factor signaling to cause or exacerbate neurodegeneration is not widely considered in the context of mechanisms that may be
operant in neurodegeneration. A better understanding of such mechanisms may
facilitate the development of protective interventions.
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CONCLUSIONS
Growth factors play important roles as intercellular signaling molecules throughout
development, adult life, and aging. Many growth factors influence a wide range
of cell types and take part in numerous functions. NGF is no exception, and ideas
about its functions have steadily expanded. In addition to its long-recognized
developmental effects on the survival and maturation of a few restricted neuronal
populations in the PNS and CNS, NGF has effects on numerous types of neurons
and nonneuronal cells throughout adult life and during aging. Among its different
functions, NGF signaling appears to play important roles in the response to injury
or disease that subserve neuroprotection and neural repair.
ACKNOWLEDGMENTS
The authors wish to acknowledge the support of the McGowan Charitable Trust,
the Adler Foundation, the Christopher Reeve Paralysis Foundation, and NIH Grant
NS24054. CL Howe is supported by a Howard Hughes Medical Institute Predoctoral Fellowship and the Adler Foundation. We also thank numerous colleagues
for discussions, information, and criticism, including J-D Delcroix, C-B Wu, P
Belichenko, A Salehi, J Valletta, S Lai, A Langer-Gould, and A Kruttgen.
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