Abstract
The purpose of this study was to investigate the progression of changes in retinal ganglion cells and optic nerve glia in neurofibromatosis-1 (NF1) genetically-engineered mice with optic glioma. Optic glioma tumors were generated in Nf1+/− mice lacking Nf1 expression in GFAP+ cells (astrocytes). Standard immunohistochemistry methods were employed to identify astrocytes (GFAP, S100β), proliferating progenitor cells (sox2, nestin), microglia (Iba1), endothelial cells (CD31) and retinal ganglion cell (RGC) axons (Neurofilament 68k) in Nf1+/−, Nf1GFAPCKO (wild-type mice with Nf1 loss in glial cells), and Nf1+/−GFAPCKO (Nf1+/− mice with Nf1 loss in glial cells) mice. Ultrastructural changes in the optic chiasm and nerve were assessed by electron microscopy (EM). RGC were counted in whole retina preparations using high-resolution, mosaic confocal microscopy following their delineation by retrograde FluoroGold labeling. We found that only Nf1+/−GFAPCKO mice exhibited gross pre-chiasmatic optic nerve and chiasm enlargements containing aggregated GFAP+/nestin+ and S100β+/sox2+ cells (neoplastic glia) as well as increased numbers of blood vessels and microglia. Optic gliomas in Nf1+/−GFAPCKO mice contained axon fiber irregularities and multilamellar bodies of degenerated myelin. EM and EM tomographic analyses showed increased glial disorganization, disoriented axonal projections, profiles of degenerating myelin and structural alterations at nodes of Ranvier. Lastly, we found reduced RGC numbers in Nf1+/−GFAPCKO mice, supporting a model in which the combination of optic nerve Nf1 heterozygosity and glial cell Nf1 loss results in disrupted axonal-glial relationships, subsequently culminating in the degeneration of optic nerve axons and loss of their parent RGC neurons.
Keywords: neurofibromatosis-1, optic glioma, astrocyte, retinal ganglion cell, microglial cell, electron microscope tomography
Introduction
Neurofibromatosis type 1 (NF1) is a common autosomal dominant disorder that affects 1 in 3,000 people worldwide (Friedman, 1999). Individuals with NF1 are prone to the development of both benign and malignant nervous system tumors, including Schwann cell tumors (neurofibromas) and astrocytomas. The most common brain tumor seen in children with NF1 is a low-grade glial neoplasm that forms along the optic pathway (optic pathway glioma; OPG) (Listernick et al., 1989, Listernick et al., 1994). One-third to one-half of these tumors causes clinical symptoms, including visual loss and hypothalamic dysfunction (Listernick et al., 1994, Listernick et al., 1995, Balcer et al., 2001, Listernick et al., 2004, Thiagalingam et al., 2004). However, following treatment, few children with symptomatic optic gliomas have significant improvements in their vision (Dalla Via et al., 2007), suggesting that irreversible axonal dysfunction accompanies optic glioma formation and growth.
Individuals with NF1 are born with one functional and one mutated NF1 allele in every cell of their body: Tumor formation ensues only after the one remaining functional NF1 gene undergoes somatic mutation. In this regard, the brains of children with NF1 are composed of NF1+/− cells while the glial cells in the optic gliomas completely lack NF1 gene expression. To model optic gliomas in genetically-engineered mice, we previously developed Nf1+/− mice lacking Nf1 protein (neurofibromin) expression in astrocytes (Bajenaru et al., 2003). These Nf1+/−GFAPCKO mice develop optic nerve and chiasm low-grade astrocytomas that share many features of human NF1-associated optic gliomas, and have been extensively employed for basic science and preclinical translational science studies (Bajenaru et al., 2005, Daginakatte and Gutmann, 2007, Warrington et al., 2007, Hegedus et al., 2008, Hegedus et al., 2009).
Children with NF1-associated OPG may initially present loss of visual acuity, reduced color vision, abnormalities in visual evoked potentials, or optic nerve atrophy (Listernick et al., 1997, Wolsey et al., 2006). These clinical findings suggest damage to optic nerve axons: Axonal injury is known to lead to changes in retinal ganglion cell (RGC) function, eventually resulting in their death (Quigley et al., 1995, Levin and Gordon, 2002). Based on previous studies demonstrating that perturbations in the periaxonal environment can affect rapid anterograde and retrograde axonal transport in optic nerve axons, leading to axonal atrophy and RGC loss (Anderson and Hendrickson, 1974, Minckler et al., 1977, Quigley et al., 1979, Johnson et al., 2000, Pease et al., 2000, Quigley et al., 2000, Levin and Gordon, 2002), we employed the Nf1+/−GFAPCKO preclinical optic glioma mouse model to characterize the relationship between neoplastic astrocytes and neurons. Using a combination of light and electron microscopy approaches, we demonstrate ultrastructural features of optic glioma-associated axonopathy, destabilization of axon-glial interactions, and RGC loss.
EXPERIMENTAL PROCEDURES
Animals
All procedures concerning animals were in accordance with the ARVO Statement for the Use of Animals in Ophthalmic and Vision Research and under protocols approved by institutional IACUC committees at Washington University and the University of California-San Diego. Nf1GFAPCKO and Nf1+/−GFAPCKO mice were generated as previously described (Bajenaru et al., 2002, Bajenaru et al., 2003). Age-matched control animals were Nf1flox/flox (equivalent to wild-type) and Nf1+ mice. All mice were 9 months of age, maintained on a C57BL/6 background, housed in covered cages, fed with a standard rodent diet ad libitum, and kept on a 12-hour light/12-hour dark cycle.
Immunohistochemistry
Mice were transcardially perfused with oxygenated Ringer's solution at 37°C, followed by 4% paraformaldehyde (PFA, Sigma, St. Louis, MO) in phosphate-buffered saline (PBS) (pH 7.4, 37°C). Optic nerve/chiasm preparations were treated with the same fixative for 1 hour at 4 °C and transferred to 30% sucrose overnight before embedding into OCT medium and snap freezing. For immunofluorescence labeling, sections were blocked in 10% normal donkey serum (NDS, Jackson ImmunoResearch, West Grove, PA) in PBS for 1 hour at room temperature prior to incubation with the following antibodies: guinea pig polyclonal anti-GFAP antibody (1:500; Advanced ImmunoChemical, Long Beach, CA), chick monoclonal anti-nestin antibody (1:100; Neuromics, Edina, MN), goat polyclonal anti-Brn3a antibody (1:1,000; Santa Cruz Biotechnology, Santa Cruz, CA), rabbit polyclonal anti-sox2 antibody (1:1,000;Chemicon, Temecular, CA), rabbit polyclonal anti-Iba1 antibody (1:100; Wako Pure Chemical Industries, Japan), rat monoclonal anti-CD31 antibody (1:500; BD Pharmingen, San Diego, CA), mouse monoclonal anti-neurofilament 68k antibody (1:500; Sigma, St. Louis, MO) and mouse monoclonal anti-S100β antibody (1:1,000, St. Louis, MO) in 10% NDS for 16 hours at 4°C. Fluorescence-conjugated secondary antibodies were applied at 1:100 dilution for 4 hours at 4 °C and then washed with PBS. For myelin staining, the sections were stained with FluoroMyelin (Invitrogen, Carlsbad, CA). All tissue sections were counterstained with the nucleic acid stain Hoechst 33342 (1 μg/ml; Invitrogen). Images were acquired with confocal microscopy (Olympus FluoView1000; Olympus, Tokyo, Japan). The numbers of activated microglia and new blood vessels were quantified by direct counting of representative matched areas (1024 × 1024 pixels per field) in the prechiasmal optic nerves and chiasm using a 60×1.4 NA microscope objective. Counting was performed on specimens from at least four mice of each group.
High Resolution Large Scale Mosaic Imaging, Electron Microscopy and Electron Microscope Tomography
Mice were deeply anesthetized with Nembutal (10 mg/100g body weight) and transcardially perfused with oxygenated Ringer's solution at 37°C, followed by 1.5% paraformaldehyde (PFA) and 2.5% glutaraldehyde in 0.1M sodium cacodylate buffer (pH 7.4). Optic nerve/chiasm were post-fixed in 1% OsO4, post-stained with 2% uranyl acetate at 4°C, dehydrated through graded ethanol/acetone solutions, and embedded in Durcupan resin (Fluka, St. Louis, MO). For large scale mosaic imaging, semi-thin (0.5μm) sections were stained with toluidine-blue. Images were captured at 100X using an Olympus spinning disk confocal microscope (Olympus America Inc., Center Valley, PA) equipped with a motorized automated stage controlled by MicroBrightField Neurolucida software (MBF Bioscience Inc., Williston, VT).
For conventional EM, ultrathin (80-100 nm) sections were post-stained with uranyl acetate and lead salts prior to imaging using a JEOL JEM 1200EX transmission EM operated at 80kV. The negatives were digitized at 1800 dpi using a Nikon CoolScan system, giving an image size of 4033 × 6010 pixel array and a pixel resolution of 1.77 nm. For electron microscope tomography, semi-thick sections of optic nerve/chiasm from mice of each genotype were cut at a thickness of 400-500 nm. Sections were then stained for 30 minutes in 2% aqueous uranyl acetate, followed by 15 minutes in lead salts. Fiduciary cues consisting of 10 nm and 20 nm colloidal gold particles were deposited on opposite sides of the section. For each reconstruction, a series of images at regular tilt increments was collected with a JEOL JEM 4000EX intermediate voltage EM operated at 400 kV. The specimens were irradiated before initiating a tilt series to limit anisotropic specimen thinning during image collection. Tilt series were recorded on film at 6,000X magnification with an angular increment of 2° from −60° to +60° about an axis perpendicular to the optical axis of the microscope using a computer-controlled goniometer to increment accurately the angular steps. The illumination was held to near parallel beam conditions and optical density maintained constant by varying the exposure time. The IMOD package (Mastronarde, 1997) was used for rough alignment with the fine alignment and reconstruction was performed using the TxBR package (NCMIR, UCSD, La Jolla, CA) (Lawrence et al., 2006). .
Retrograde Labeling of Retinal Ganglion Cells
One week prior to euthanasia, FluoroGold (1 μl/injection; Fluorochrome Inc., Englewood, CO) diluted in saline was microinjected bilaterally into the superior colliculi of anesthetized mice with a mixture of ketamine (Fort Dodge Animal Health) and xylazine (Vedeco Inc.) in a stereotactic apparatus, as previously described (Kim et al., 2004). Fluoro-Gold is taken up by the axon terminals of RGC neurons and transported retrogradely to the cell bodies in the retina (Selles-Navarro et al., 1996). The FluoroGold in the RGC neurons persists for at least 3 weeks without significant fading or leakage (Dong et al., 1996). Mosaic image arrays from retinal flat-mounts (n=6 retinal flat-mounts/mice/group) were captured under an Olympus spinning disk confocal microscope (Olympus America Inc., Center Valley, PA) equipped with a high-precision closed loop XY stage and closed loop Z control with commercial mosaic acquisition software from MicroBrightField (MBF Bioscience Inc., Williston, VT) modified by us (Chow et al., 2006, Price et al., 2006). The microscope was equipped with a high-resolution CCD camera for high-speed mosaic acquisition. Images were stored in Photoshop files (Adobe Systems Inc., San Jose, CA).
Statistical Analysis and Data Dissemination
The data are presented as the mean ± SD. Mice from each of the genotypes were evaluated using one-way analysis of variance (ANOVA) and the t-test with Bonferroni correction. High resolution large scale mosaic images described in this paper are available through the Cell Centered Database (http://ccdb.ucsd.edu) under project P2054.
RESULTS
Increased Neoplastic Astrocyte Proliferation in Nf1+/−GFAPCKO Mouse Optic Glioma
Gross anatomical inspection of the optic chiasm/nerves from wild-type, Nf1+/−, and Nf1GFAPCKO mice showed normal appearances at 9 months of age (Fig. 1A-C). In contrast, these regions in Nf1+/−GFAPCKO mice appeared as gross fusiform enlargements involving the pre-chiasmatic optic nerves and optic chiasm (Fig. 1D). Previous studies on human glioma have demonstrated that the tumoral cells often express proteins typically found in neural stem or astroglial progenitor cells (sox2 and nestin) (Almqvist et al., 2002, Schmitz et al., 2007, Zhang et al., 2008, Gangemi et al., 2009, McCord et al., 2009). To determine whether the GFAP-immunoreactive cells in pre-chiasmatic optic nerves and chiasm of Nf1+/−GFAPCKO mice were astrocytoma cells, we employed nestin and sox2 double labeling immunohistochemistry. As shown in Figure 1, GFAP-immunoreactive cells (astrocytes) with thin fibrillary processes were found in the pre-chiasmatic optic nerves and chiasm of wild-type, Nf1+/−, and Nf1GFAPCKO mice (Fig. 1E-G, I-K, M-O and Q-S). In contrast, comparable regions of the optic pathway of Nf1+/−GFAPCKO mice showed irregularly-shaped and thickened GFAP+ cells (astrocytes) (Fig. 1H, L, P and T). In addition, while nestin-immunoreactive cells were not observed in wild-type, Nf1+/−, or Nf1GFAPCKO mouse optic nerves (Fig. 1I-K), Nf1+/−GFAPCKO mouse had nestin-positive irregularly-shaped and thickened cells (Fig. 1L). Similarly, sox2-immunoreactive cells were rarely observed in wild-type, Nf1+/− and Nf1GFAPCKO mice (Fig. 1M-O and Q-S), but were significantly increased in the optic nerves of Nf1+/−GFAPCKO mice (Fig. 1P and T). Moreover, the GFAP+ or S100b+ glial cells in the optic pathway of these mice co-labeled with glioma-associated progenitor cell markers (sox2 and nestin; Fig. 1L and 1T), supporting their classification as neoplastic astrocytes. Quantitative analysis revealed that the number of sox2+ cells was significantly increased in the pre-chiasmatic optic nerve and optic chiasm (Fig. 1U).
To evaluate ultrastructural changes in the pre-chiasmic optic nerves of Nf1+/−GFAPCKO mice, we analyzed large samples at high resolution by recording wide-field mosaic images (~70 fields at 100X) of longitudinal sections of the optic chiasm/nerve stained with toluidine blue. Gross anatomical analysis of the optic chiasm/nerves from control mice showed a normal appearance at 9 months of age (Supplementary Fig. 1A-a), whereas optic gliomas appeared as gross thickenings and enlargements of the pre-chiasmic nerve in Nf1+/−GFAPCKO mice (Supplementary Fig. 1B-b). Examination of electron micrographs revealed well-oriented bundles of axons near linearly-arranged columns of astrocytes within the pre-chiasmatic optic nerves of wild-type (not shown), Nf1+/− (not shown) and Nf1GFAPCKO mice (Fig. 1V, Supplementary Fig. 1A). In striking contrast, we found hypercellular tumor cell nests, focal disruption of axon bundles, swelling and voids in individual axonal fibers, and associated lamellar spheroid arrays, as well as a lack of the linear orientation of fibers and glia observed in the Nf1GFAPCKO mice (Fig. 1W, Supplementary Fig. 1B). Moreover, many cells within the tumor areas of Nf1+/−GFAPCKO mouse optic nerves showed irregular nuclear morphology and an elongated cytoplasm, which contained many organelles and glial filaments (Supplementary Fig. 1D, F-H), suggesting that these cells are neoplastic astrocytes.
Nf1+/−GFAPCKO Mouse Optic Gliomas Contain Microglia
Growing evidence indicates that microglia may play important roles in brain tumor formation and progression (Badie and Schartner, 2001, Graeber et al., 2002). Furthermore, recent studies from our group have shown that Nf1+/−microglia are critical cellular determinants of optic glioma growth and elaborate key growth factors and cytokines that increase the proliferation of Nf1-/- astrocytes (Daginakatte and Gutmann, 2007, Daginakatte et al., 2008). At 9 months of age, Nf1+/−GFAPCKO mice have significantly more microglia than wild-type, Nf1+/− or Nf1GFAPCKO mice (Fig. 2). These findings support the notion that optic glioma formation is associated with microglia infiltration.
Increased Vascularization in Nf1+/−GFAPCKO Mouse Optic Glioma
To characterize new blood vessel formation in the gliomas of Nf1+/−GFAPCKO mice, we performed CD31 immunohistochemistry, a marker for endothelial cells. As shown in Figure 3, we observed increased numbers of CD31-immunoreactive cells in the pre-chiasmatic optic nerves of Nf1+/−GFAPCKO mice (Fig. 3D) compared to wild-type, Nf1+/− and Nf1GFAPCKO mice (Fig. 3A-C). Quantitation revealed that the number of CD31+ cells was significantly increased in the pre-chiasmatic optic nerve and optic chiasm (Fig. 3E).
Abnormal Optic Nerve Axon Organization in Nf1+/−GFAPCKO Mice
To determine whether optic glioma formation results in changes in axonal organization, we performed double-labeling immunohistochemistry for both GFAP (astrocytes) and neurofilament 68k (axons). As shown in Figure 4, astrocytes with elongated processes and well-oriented axonal fiber projections were present in the pre-chiasmatic optic nerves of wild-type, Nf1+/−, and Nf1GFAPCKO mice (Fig. 4A-C, E-G and M-O). In contrast, comparable regions from Nf1+/−GFAPCKO mice showed irregularly shaped and thickened astrocytes (Fig. 4D, H and P) and disoriented axonal fiber projections associated with axonal swelling (Fig. 4D, L and P). These findings indicate that glioma formation results in disorganization of the normal optic nerve axonal architecture.
Axonal and Myelin Degeneration in the Nf1+/−GFAPCKO Mouse Optic Nerve
To determine whether optic glioma formation induces axonal and myelin degeneration, we performed FluoroMyelin staining and transmission EM or EM tomography. FluoroMyelin staining (Fig. 5A) and EM analysis (Fig. 5Aa) showed a large number of healthy-looking cross-sectional axonal profiles of pre-chiasmatic optic nerves in Nf1GFAPCKO mice. In contrast, comparable regions from Nf1+/−GFAPCKO mice showed the presence of severe alterations, including disruption of myelin, hypermyelination, spherical lamellar bodies and focal disruption of axon bundles (Fig. 5B, 5Bb).
Using EM tomography, 3D reconstruction images revealed the linear orientation of axonal fibers in Nf1GFAPCKO mouse optic nerves (Fig. 5C, 5E). In contrast, comparable regions of the optic nerves from Nf1+/−GFAPCKO mice showed marked disorientation of axonal fiber projections and myelin degeneration (Fig. 5D, 5F). Interestingly, many axons with internodal lamellar spheroid bodies were associated with axons exhibiting various stages of degeneration. Chronic abnormalities of myelination were evidenced by hypermyelination surrounding multiple fibers (Fig. 5D). Moreover, compared with Nf1GFAPCKO mice (Fig. 5G), the pre-chiasmatic optic nerves from Nf1+/−GFAPCKO mice exhibited nodal blebs with loss of subaxolemmal density and disorganized paranodes (Fig. 5H) as well as accumulation of dense bodies within the swollen axons (Fig. 5I). No differences in optic nerve ultrastructure were observed in 9 month-old wild-type or Nf1+/− mice (data not shown).
RGC loss in Nf1+/−GFAPCKO Mice
To assess RGC loss in Nf1+/−GFAPCKO mice with optic glioma, we retrogradely labeled RGC neurons by FluoroGold injection into the superior colliculus. Mean RGC densities per retina for each group are presented in Table 1. As shown in Figure 7, Nf1+/−GFAPCKO mice exhibited significantly reduced numbers of RGC neurons (32.9% in the central, 31.3% in the middle, and 41.9% in the peripheral areas) compared to wild-type (Fig. 6A, B and Fig. 7), Nf1+/− (Fig. 6C, D and Fig. 7) and Nf1GFAPCKO mice (Fig. 6E, F and Fig. 7). In addition, RGC loss was significant in the peripheral areas of Nf1+/− and Nf1GFAPCKO mice (Fig. 7). To provide additional confirmatory evidence for RGC loss, we also labeled whole mount retinas with Brn3a, an antibody specific for RGCs (Nadal-Nicolas et al., 2009, Raymond et al., 2009). Brn3a labeling of Nf1+/−GFAPCKO mice showed a similar pattern of RGC loss compared to FluoroGold labeling (Supplementary Fig. 2).
Table 1.
Strain | Age (Months) |
RGC neuronal density per retina (RGC neurons/mm2) |
||
---|---|---|---|---|
Central | Middle | Peripheral | ||
WT | 9 | 5225 ± 156 | 4350 ± 82 | 2400 ± 189 |
Nf1+/− | 9 | 5075 ± 210 | 4150 ± 130 | 2100 ± 90* |
Nf1GFAPCKO | 9 | 5100 ± 91 | 4200 ± 113 | 1950 ± 86* |
Nf1+/−GFAPCKO | 9 | 3500 ± 338* | 3000 ± 192* | 1400 ± 129* |
Values are shown as the mean ± SD.
P < 0.05 compared with 9-month-old wild-type mice, n = 6 retinal flat-mounts/mouse/group).
DISCUSSION
Previous studies from our group have shown that optic glioma formation in Nf1+/−GFAPCKO mice begins with increased astrocyte proliferation coupled with increased numbers of microglia and endothelial cells in the evolving tumor surround at 6 weeks of age (Bajenaru et al., 2003, Bajenaru et al., 2005). Optic gliomas are readily detected by magnetic resonance imaging (MRI) and gross inspection in 95-98% of these mice by 3 months of age (Bajenaru et al., 2003, Bajenaru et al., 2005, Banerjee et al., 2007). In addition, there is accompanying axonal disorganization in the optic nerve as well as RGC apoptosis at the time of glioma detection (Hegedus et al., 2009). Collectively, these observations suggest a temporal course of tumor evolution in which increased astrocyte (glial cell) proliferation and associated stromal changes advance over a period of 6 weeks to radiologically-evident neoplasia and neuronal dysfunction.
While these reports provide important information about early tumor evolution, they raise important questions about events subsequent to glioma formation. First, do the GFAP+ cells in the tumors represent reactive glial cells as suggested by Parada and colleagues (Zhu et al., 2005) or true neoplastic glia? Second, what is the relationship between stromal cells and neoplastic glia beyond 3 months of age? Third, is optic nerve degeneration a progressive process in Nf1+/−GFAPCKO mice?
The distinction between hyperproliferating, reactive astrocytes (gliosis) and neoplasia has not been firmly established in genetically-engineered mouse models of cancer. Morphologically, reactive astrocytes have thickened processes and intense GFAP immunoreactivity, similar to neoplastic glial cells. These morphological changes were detected in some of the cells in the Nf1+/−GFAPCKO mouse optic glioma specimens (Bajenaru et al., 2003); however, we observed additional features in optic glioma astrocytes that support the classification of these lesions as tumors. Using electron microscopy, astrocytes with prominent glial filaments also exhibited irregular, elongated nuclei (nuclear atypia) and small membrane bound organelles, including mitochondria. This is consistent with prior studies demonstrating that astrocytoma tumor cells are elongated (“piloid”) and contain many glial filaments as well as contain cytoplasm rich in organelles and mitochondria (Scheithauer and Bruner, 1987, Liberski and Kordek, 1997, Liberski, 1998).
In addition to cellular morphology, lineage markers are frequently employed to distinguish differentiated astrocytes from neoplastic astrocytes. Two commonly used markers are nestin and sox2, which are typically expressed by progenitor cells. As have been described in human gliomas, Nf1+/−GFAPCKO mouse optic glioma cells expressing GFAP or S100b also co-expressed nestin or sox2. It should be were also immunoreactive for nestin or sox2, supporting the existence of a limited progenitor cell population within these tumors. These results are consistent with previous studies demonstrating that small clusters of immature progenitors expand to populate the tumor (Hemmati et al., 2003, Singh et al., 2003). It is not known whether optic glioma formation is associated with the de-differentiation of neoplastic astrocytes to a less mature, progenitor-like cell, or whether tumors arise following Nf1 inactivation in progenitor cells present in the pediatric optic nerve, as has been debated for high-grade gliomas (Bachoo et al., 2002, Uhrbom et al., 2002, Dai and Holland, 2003). Additional studies are in progress to address the cell of origin of optic glioma.
Recent studies from our group and others have demonstrated that the tumor microenvironment is critical for nervous system tumor development in the context of the NF1 inherited cancer syndrome. Both central nervous system (CNS) gliomas (Bajenaru et al., 2003, Zhu et al., 2005) and peripheral nervous system (PNS) neurofibromas (Zhu et al., 2002, Yang et al., 2008, Le et al., 2009) require Nf1 stromal heterozygosity coupled with Nf1 loss in preneoplastic cells (e.g., Schwann and glial cell precursors). Bi-allelic loss of NF1 gene expression in NF1-associated patient neurofibromas (Colman et al., 1995, Perry et al., 2001) and gliomas (Gutmann et al., 2000, Kluwe et al., 2001) has previously been demonstrated, and in combination with NF1+/− stromal cell types, culminates in benign nervous system tumor formation. In the PNS, mast cells produce soluble factors that drive neurofibroma formation (Yang et al., 2006), while brain microglia elaborate paracrine growth and survival molecules that facilitate glioma formation in the CNS (Daginakatte and Gutmann, 2007, Warrington et al., 2007). In the current study, we report increased numbers of microglia in the vicinity of the optic glioma. This increase in microglia does not reflect Nf1 heterozygosity alone or a response to Nf1 glial cell loss, but is most likely a consequence of glioma formation. In addition, we observed more vascularity in response to tumor formation, as evidenced by increased numbers of CD31+ endothelial cells. This is consistent with our previous study (Bajenaru et al., 2005) and extends these findings to a much later time point in glioma development. In human low-grade glioma tumors, ultrathin section microscopy studies have demonstrated endothelial hyperplasia, surface in-folding of endothelial cells, and irregularities of the basal lamina (Shibata, 1989, Takeuchi et al., 2004), similar to what we observed in the mouse optic gliomas. Moreover, the finding of increased vascularity in the murine optic glioma tumors parallels the increased contrast enhancement on MRI observed in human NF1-associated optic glioma (Perilongo et al., 1999, Jost et al., 2008). Future studies will be required to determine whether microglial infiltration precedes endothelial proliferation during optic glioma evolution.
Finally, we sought to determine whether axonal degeneration and RGC neuronal loss is a progressive process in Nf1+/−GFAPCKO mouse optic gliomas. Previously, we showed that RGC neuronal death is not observed at 6 weeks of age, but is easily detected by 3 months of age (Hegedus et al., 2009). Whereas wild-type, Nf1+/−, and Nf1GFAPCKO mice at 3 months of age have fewer than 5% TUNEL+ RGC neurons, Nf1+/−GFAPCKO mice exhibit 15-20% TUNEL+ RGC neurons. While the percentage of TUNEL+ (apoptotic) RGC neurons was not directly measured in Nf1+/−GFAPCKO mice at 9 months of age, we observed a 36% reduction in the total number of RGC neurons. As before, Nf1+/−, and Nf1GFAPCKO mice at 9 months of age have similar numbers of RGC neurons. Based on the findings in this study and our previous report (Hegedus et al., 2009), we hypothesize that RGC neuron loss results from early changes in axonal integrity as a direct consequence of glioma development. Studies are currently underway to define the temporal course of RGC death from optic glioma. It should be noted that the neuronal loss is a consequence of Nf1 optic glioma formation, not Nf1 loss in RGCs. Using Rosa-YFP reporter mice, we previously reported that the Cre activity in the GFAP-Cre transgenic mouse line used to drive Nf1 loss leads to recombination in some retinal astrocytes, but not in retinal neurons (Hegedus et al., 2009) or oligodendrocytes (Hegedus, unpublished observations). These findings support our finding that most of the astrocytes in the mouse optic nerve are deficient for Nf1 gene expression, while the neurons and microglia have reduced Nf1 expression (Nf1+/− cells).
Axonal injury is known to cause changes in RGC neuronal function, eventually resulting in death (Quigley et al., 1995, Morgan, 2000, Wax and Tezel, 2002, Osborne et al., 2004, Buckingham et al., 2008). In light of our finding of axonal degeneration, it is likely that loss of axonal integrity perturbs rapid anterograde and retrograde axonal transport in the optic nerve, as has reported for other optic nerve pathologic states (Anderson and Hendrickson, 1974, Minckler et al., 1977, Johnson et al., 2000, Pease et al., 2000, Quigley et al., 2000, Levin and Gordon, 2002). Present experiments are aimed at identifying the signaling pathways deranged in Nf1+/− RGC neurons that predispose these cells to axonal degeneration and apoptosis in the context of glioma formation. In this regard, recent studies from our laboratory have shown that Nf1+/− RGC neurons have reduced neurite lengths, growth cone diameters, and survival, which reflect reduced cyclic AMP levels in vitro and in vivo (Brown JA et al., J. Neurosci 2010).
In summary, our findings demonstrate that the combination of optic nerve Nf1 heterozygosity and glial cell Nf1 loss results in disrupted axonal-glial relationships, which culminate in the degeneration of optic nerve axons and, ultimately, the loss of their parent RGC neurons. The ability to define the responsible stromal cell types and developmental windows of RGC neuronal susceptibility in this preclinical mouse model of NF1-associated optic glioma affords unique opportunities to develop treatment strategies that target the correct cells in the tumor microenvironment at the correct time during tumor evolution and growth to optimally reduce glioma-associated damage.
Supplementary Material
ACKNOWLEDGMENTS
This research was supported by grants from the National Cancer Institute (NCI U01-CA141549-01) and National Center for Research Resources (P41 RR004050). The Cell Centered Database is supported by NIH grants from NCRR RR004050, RR RR08605 and the Human Brain Project DA016602 from the National Institute on Drug Abuse, the National Institute of Biomedical Imaging and Bioengineering and the National Institute of Mental Health. We thank Masako Terada, Hiroyuki Hakozaki and Ohkyung Kwon for their excellent technical assistance, and Eric Bushong for critical reading of manuscript.
Supporting grants: NCI UO1-CA84314 (to DHG and MHE) and NCRR P41 RR004050 (MHE)
Footnotes
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