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Molecular & Cellular Proteomics : MCP logoLink to Molecular & Cellular Proteomics : MCP
. 2017 Jun 28;16(8):1394–1415. doi: 10.1074/mcp.M116.064881

RhoA Inhibitor Treatment At Acute Phase of Spinal Cord Injury May Induce Neurite Outgrowth and Synaptogenesis*

Stephanie Devaux ‡,§,§§, Dasa Cizkova ‡,§,¶,§§, Khalil Mallah ‡,§§, Melodie Anne Karnoub , Zahra Laouby , Firas Kobeissy , Juraj Blasko **, Serge Nataf ‡‡, Laurent Pays ‡‡, Céline Mériaux , Isabelle Fournier , Michel Salzet ‡,¶¶
PMCID: PMC5546194  PMID: 28659490

Abstract

The therapeutic use of RhoA inhibitors (RhoAi) has been experimentally tested in spinal cord injury (SCI). In order to decipher the underlying molecular mechanisms involved in such a process, an in vitro neuroproteomic-systems biology platform was developed in which the pan-proteomic profile of the dorsal root ganglia (DRG) cell line ND7/23 DRG was assessed in a large array of culture conditions using RhoAi and/or conditioned media obtained from SCI ex vivo derived spinal cord slices. A fine mapping of the spatio-temporal molecular events of the RhoAi treatment in SCI was performed. The data obtained allow a better understanding of regeneration/degeneration induced above and below the lesion site. Results notably showed a time-dependent alteration of the transcription factors profile along with the synthesis of growth cone-related factors (receptors, ligands, and signaling pathways) in RhoAi treated DRG cells. Furthermore, we assessed in a rat SCI model the in vivo impact of RhoAi treatment administered in situ via alginate scaffold that was combined with FK506 delivery. The improved recovery of locomotion was detected only at the early postinjury time points, whereas after overall survival a dramatic increase of synaptic contacts on outgrowing neurites in affected segments was observed. We validate these results by in vivo proteomic studies along the spinal cord segments from tissue and secreted media analyses, confirming the increase of the synaptogenesis expression factors under RhoAi treatment. Taken together, we demonstrate that RhoAi treatment seems to be useful to stimulate neurite outgrowth in both in vitro as well in vivo environments. However, for in vivo experiments there is a need for sustained delivery regiment to facilitate axon regeneration and promote synaptic reconnections with appropriate target neurons also at chronic phase, which in turn may lead to higher assumption for functional improvement.


Among the inhibitory factors that prevent axonal regrowth in spinal cord injury (SCI)1, RhoA, an intracellular GTPase, is considered as a key target for the design of proregenerative strategies. Previous experiments have shown that lysophosphatidic acid, via activation of the RhoA pathway, induced neurite retraction and neuronal soma rounding (1). Conversely, the use of C3 transferase to inactivate Rho in primary neuronal culture confirmed the role of Rho in neurite outgrowth inhibition (24). Thus, blockers of the post-receptor components of RhoA are now used to improve long-distance axon regeneration and sprouting (5). Furthermore, there is evidence that RhoA-ROCK signaling mediates the inhibitory effects of chondroitin sulfate proteoglycans (CPSG) in neurons; whereas, the sustained delivery of Rho inhibitor and BDNF promotes axonal growth in CPSG region after SCI. Along this line, novel inhibitors i.e. cholesterol and sphingomyelin as novel myelin-associated inhibitors have also demonstrated to operate via RhoA-dependent mechanism(s) (68). On this basis, the RhoA pathway in neurons is considered to mediate the intracellular signaling of several major extracellular cues that inhibit neuroregeneration in SCI. Accordingly, the RhoA inhibitor Cethrin is currently under phase I/IIa clinical trials for the treatment of SCI (9).

One of the mechanism by which RhoA signaling inhibits neurite growth involves the p75 neurotrophin receptor. Indeed, several studies, using for some of them the p75 neurotrophin receptor- (p75NTR) -null mutant mice (7) showed that RhoA binds to p75NTR and forms part of the membrane raft receptor complex responsible for growth inhibition signaling (1012). However, a pan-proteomic approach that would identify the whole range of effects exerted by RhoA inhibition on neurons is still missing. In this context, we have recently demonstrated, based on spatial and temporal proteomic studies, that major differences between the rostral and caudal segments adjacent to the lesion could be demonstrated at day 3 post-SCI, in terms of injury mechanisms, inflammatory regulation and regeneration processes (13). In the rostral or lesion segments, multiple proteins belonging to the chemokines/cytokines family or exerting neurotrophic functions were identified. In contrast, multiple proteins identified in caudal segments appeared to relate with injury and necrosis events. Our data suggest that in acute SCI regionalization in terms of inflammatory and neurotrophic responses may occur because of alterations in protein dynamics between rostral and caudal segments (13). In addition, the proteomic profile in caudal segments was characterized by the neuronal expression of IgG2a neuronal and by a signature of axonal regrowth inhibition associating CSPG and proteins of the MEMO1-RHOA-DIAPH1 signaling pathway (14). The MEMO1-RHOA-DIAPH1 signaling pathway plays an important role in ERBB2-dependent stabilization of microtubules at the cell cortex and inhibits neurite outgrowth. Interestingly, a comparative proteomic approach performed by Liu et al. (2015) (15) at the caudal segment level has shown that the eukaryotic translation initiation factor 5A1 (eIF5A1) and Rho GDP dissociation inhibitor alpha (RhoGDIα), a member of Rho GDI family, played a major role in determining the extent of spontaneous functional recovery (15). In vitro, eIF5A1 overexpression in primary neurons increased cell survival and elongated neurite length whereas eIF5A1 knockdown reversed these effects (15). Moreover, eIF5A1 and RhoGDIα were involved in the same pathway as, both in vivo and in vitro, RhoGDIα up-regulation or down-regulation rescued the neuroregeneration impact of eIF5A1 down- or upregulation respectively (15).

In this context, the present study was designed to: (1) optimize SCI neurotherapy with RhoA inhibitors (RhoAi) and (2) gain further molecular insights on the mechanism(s) by which RhoAi may exert its neuroregenerative effects in SCI. For this purpose, we developed an in vitro neuroproteomic-systems biology platform in which the pan-proteomic profile of the dorsal root ganglia (DRG) cell line ND7/23 DRG was assessed in a large array of culture conditions using RhoAi and/or conditioned media obtained from SCI ex vivo derived spinal cord slices. In addition, pan-proteomic analyses and identification of functional biochemical pathways were coupled to the assessment of a large array of transcription factors.

This innovative analytical platform allowed a fine mapping of the spatio-temporal molecular events supporting the neuroregenerative impact of RhoAi in SCI. We then validate our finding by in vivo proteomic study at the level of the tissue segments and conditioned media. Our findings highlight the large molecular effects of RhoAi and provide an integrated mapping of such effects on the secretome, regulome and intra-cellular proteome of injured neurons.

Finally, our work points to the possible therapeutic potential of RhoAi administered in alginate scaffolds and delivered in a time- and segment-specific fashion. In particular, we show that RhoAi is able to promote neurite outgrowth and synaptic reconnection, but is not sufficient to induce and maintain a real beneficial outcome evaluated by BBB score. Thus our work open the door for new treatment scenario where a RhoA is a key player.

MATERIALS AND METHODS

Reagents

DMEM media, Phosphate buffer saline (PBS), fetal calf serum (FCS) were purchased from Invitrogen Life Technologies (Milan, Italy). All chemicals were of the highest purity obtainable. Water, formic acid (FA), trifluoroacetic acid (TFA), acetonitrile (ACN) were purchased from Biosolve B.V. (Valkenswaard, the Netherlands). Sodium dodecyl sulfate (SDS), dl-dithiothreitol (DTT), and iodoacetamide (IAA) were purchased from SIGMA (Saint-Quentin Fallavier, France). Trypsin/Lys-C Mix and Trypsin Mass Spec Grade was purchased from Promega (Charbonnieres, France). RhoA inhibitor was purchased from Cytoskeleton, Inc (Denver, CO). FK506 was purchased from Invivogen (Toulouse, France).

Experimental Design and Statistical Rational

All the experiments were performed with biological replicates. For protein extraction was performed from SCI tissues from control rats (n = 3) and rats 12 h after SCI treated with RhoAi + FK506 (n = 3) or not treated (n = 3). For the collection of the conditioned media, control rats (no balloon inflation, n = 6), rats 12 h post-injury (n = 6) and rats 3 days post-injury (n = 6) were sacrificed. For the behavioral experiments, 5 rats received saline and 5 rats received RhoAi + FK506. Statistical analysis: For the proteomic statistical analysis of conditioned media, as a criterion of significance, we applied an ANOVA significance threshold of p < 0.05, and heat maps were generated. Normalization was achieved using a Z-score with a matrix access by rows. Obtained data from tissue analyses and behavioral testing were reported as mean ± S.E. Mean values among different experimental groups were statistically compared by one-way ANOVA and Tukey's post hock tests using Graph pad PRISM software. Values of p < 0.05 were considered statistically significant (*p value of < 0.05, **p value of < 0.01, ***p < 0.001).

Intraspinal Delivery of RhoAi

Seven days after SCI, animals (n = 10) were anesthetized with 1.5–2% isoflurane and partial laminectomy at Th6–12 level was performed. Using a 50-μl Hamilton syringe (30G needle, Cole Parmer, Anjou, Quebec) connected to UltraMicroPump III with Micro4 Controller, 4-Channel (World Precious Instruments, Inc., Sarasota, FL) and stereotactic device, 2 intraspinal injections per animal were applied bilaterally to the lesion site and to the rostral and caudal segments (6 injections total). In most cases the lesion cavity was apparent through the dorsal site of spinal cord. Bilateral delivery of (1) saline (n = 5), (2) RhoAi, 0.1 μg/μl (n = 5) (2 injections of 2 μl of alginate containing RhoAi per injection on left and right sides with delivery rate of 0.5 μl/min, was performed at lesion cavity and 1 μl of pure RhoAi per injection at rostral and caudal segments. The volume of 1 μl was used in the case of intraspinal injections, whereas 2 μl injections for administration to the cavity site. Each delivery was positioned 1 mm from the spinal cord midline and injected at the depth of 1.8–2 mm from the pial surface of the spinal cord. The distance between injections was 1 mm, avoiding vessels. Intraspinal injections were followed by procedure published in our study (16). After injecting the dose of saline or RhoAi, the needle was maintained in the tissue for an additional 30 s. No antibiotic treatment was performed. Rats treated with RhoAi received daily intraperitoneal (i.p) injection of FK506 0.5 mg/kg/animal/3× during the first week, followed by dose of 0.25 mg/kg/animal/3× during the second week, whereas rats with vehicles received i.p saline. A separate group of SCI rats (n = 6) injected with RhoAi with respective saline controls (n = 6) that survived 12 h was performed for proteomic analyses.

Collection of Conditioned Media (CM) from Control and Lesioned Spinal Cord Segments

Experimental SCI rats at 3 days (n = 3) and at 12 h with (n = 3) or without RhoAi treatment (n = 3) and respective controls (n = 3/3D; n = 3/12h) were sacrificed by isoflurane anesthesia followed by decapitation. The spinal cord was pressure expressed by injecting sterile saline (10 ml) throughout the vertebrate canal, along the caudo-rostral axis. Each spinal cord was macroscopically observed to check that lesion was well centered at the Th8-Th9 level on the longitudinal axis. Entire spinal cord was divided into transversally sectioned slides (∼1.0 cm thick each) obtained from the lesion site (Th7-Th11) and from the segments rostral (C1-Th6) and caudal (Th12-L6) to the site of injury. Slides were then chopped into 0.5 cm thick sections (2 sections per segment) and deposited into a 12-well culture plate containing 1 ml DMEM without FCS. After 24 h incubation in a humidified atmosphere with 5% CO2 at 37 °C, 1 ml of SCI-derived conditioned media (SCI-CM) were collected (rostral (R1), lesion (L), caudal (C1) segments) and centrifuged 30 min at 15,000 rpm at 4 °C. Samples were stored at −80 °C.

Protein Extraction from SCI Tissues

1 mm thick sections from rostral, lesioned and caudal segments from 12 h post-SCI rats (n = 3) were ground in 1.5 ml tubes. Two hundred microliters of extraction buffer (CHAPS 3.5%, Tris 0.1 m, Dithiothreitol (DTT) 50 mm, pH 10.0) were added in each tube. Samples were mixed for 5 min and sonicated for 20 min. Cell debris were removed by centrifugation (15 min, 15000 × g). 30 μl of supernatant were used for FASP analysis using Amicon 30 kDa (Millipore) and LysC/trypsin enzymatic mix (30 μg/ml in 0.05 m NH4HCO3) (17). After overnight incubation at 37 °C, the digests were collected by centrifugation. The filters were rinsed with 50 μl of NaCl 0.5 m. Digestion was quenched by adding TFA 5% to the digests. The peptides were desalted with a Millipore ZipTip device before LC-MS/MS analysis.

Protein Digestion of SCI-CM

One hundred fifty microliters of SCI-CM and control CM were denatured with 6 m urea in 40 mm HEPES, pH 8.0 by sonication on ice. The proteins were reduced with 50 μl DTT 10 mm for 40 min at 56 °C and alkylated with iodoacetamide 55 mm for 40 min in the dark. The alkylation reaction was quenched with thiourea 100 mm. The proteins were digested overnight at 37 °C with 30 μg/ml LysC/Trypsin mixture. The digestion was stopped with 10 μl TFA 17.5%. The peptides were desalted with a Millipore ZipTip device before LC MS/MS analysis.

In Vitro Neurite Outgrowth With SCI-CM

ND7/23 cell line (Sigma mouse neuroblastoma X rat neuron hybrid) was used to visualize in vitro the neurite outgrowth in presence of R1 and C1 conditioned media 3 days post injury in combination or not with RhoAi. ND7/23 cells were plated at a density of 18,000 cells/per well in 96- wells plate. The cells were starved overnight with DMEM medium supplemented with 2% Fetal bovine serum (FBS) + 1% antibiotics + 1% l-glutamine. Afterward, cells were stimulated with 1/3 R1 or C1 CM and 2/3 DMEM + 1% l-1% l-Glutamine + 1% penicillin-streptomycin (serum free medium) (14). The cells were treated or not with 1 μg/ml RhoAi in combination with 1/3 of CM with 2/3 DMEM supplemented medium 24 h after C1 or R1 stimulation in order to reproduce the injured environment. The optimum split ratio 1/3 (CM, RhAi): 2/3 culture DMEM was set to perform sustained culture conditions for cells, according to our previous studies (14). Live images of cells not stimulated with RhoAi were captured 48 h after R1 or C1 CM stimulation and the images of ND7/23 cells stimulated with CM and RhoAi were captured 24 h after RhoAi stimulation (corresponding to 48 h after CM stimulation) with a camera mounted on a phase-contrast microscope (Nikon Eclipse TS100). Measurements were performed by using ImageJ software to determine the neurite length and statistical significance evaluated with One-Way ANOVA followed by Tukey Kramer Test (GraphPadInStat 3.0).

Total Protein Extracts and Conditioned Media (CM) Collection

ND7/23 cells were plated in 6-well plates until confluent. The cells were starved overnight with DMEM supplemented with 2% FBS, 1% l-Glutamine and 1% penicillin-streptomycin. Cells were first stimulated with 1/3 of R1 or lesion or C1 CM 3 days post injury and 2/3 DMEM + 1% l-Glu + 1% antibiotics, or left untreated. After 24 h of CM stimulation, 1 μg/ml of RhoAi is added to the media. 24 h after RhoAi stimulation, the cell supernatants were collected, centrifuged (1000 rpm, 5 min) and immediately frozen at −80 °C, and the cells were collected and then lysed with RIPA buffer for total protein extraction (150 mm NaCl, 50 mm Tris, 5 mm EGTA, 2 mm EDTA, 100 mm NaF, 10 mm sodium pyrophosphate, 1% Nonidet P-40, 1 mm PMSF, 1× protease inhibitors). Cell debris was removed by centrifugation (20000 × g, 10 min, 4 °C). For the time course experiment after RhoAi, the cells were starved overnight. Cells were stimulated with RhoAi for 30 min (T30), 1 h (T1) and 4 h (T4) followed by the same protocol for total proteins extraction. The supernatants were collected and the protein concentrations were measured using the Bio-Rad Protein Assay. Experiments were performed in triplicates but not for T0, T30 min, T1 h, T4 h experiment with only one replicate.

Filter-aided Sample Preparation (FASP)

The total protein extract (0.1 mg) was used for FASP analysis as described previously (17). We performed FASP using Microcon devices YM-10 (Millipore) before adding trypsin for protein digestion (40 μg/ml in 0.05 m NH4HCO3). The samples were incubated overnight at 37 °C. The digests were collected by centrifugation, and the filter device was rinsed with 50 μl of NaCl 0.5 m. Next, 5% TFA was added to the digests, and the peptides were desalted with a Millipore ZipTip device before LC-MS/MS analysis.

Protein Digestion of Condition Medium

One hundred microliters of the CM were collected for each condition. Secretome digestion was performed as previously described (18). In brief, the cell supernatants were denatured with 2 m urea in 10 mm HEPES, pH 8.0 by sonication on ice. The proteins were reduced with 10 mm DTT for 40 min followed by alkylation with 55 mm iodoacetamide for 40 min in the dark. The iodoacetamide was quenched with 100 mm thiourea. The proteins were digested with 20 μg/ml LysC/Trypsin mixture overnight at 37 °C. The digestion was stopped with 0.5% TFA. The peptides were desalted with a Millipore ZipTip device in a final volume of 20 μl of 80% ACN elution solution. The solution was then dried using the SpeedVac. Dried samples were solubilized in water/0.1% formic acid before LC MS/MS analysis.

LC MS/MS Analysis

Samples were separated by online reversed-phase chromatography using a Thermo Scientific Proxeon Easy-nLC1000 system equipped with a Proxeon trap column (100 μm ID × 2 cm, Thermo Scientific) and a C18 packed-tip column (Acclaim PepMap, 75 μm ID × 15 cm, Thermo Scientific). Peptides were separated using an increasing amount of acetonitrile (5–35% over 120 min) at a flow rate of 300 nL/min. The LC eluent was electrosprayed directly from the analytical column and a voltage of 1.7 kV was applied via the liquid junction of the nanospray source. The chromatography system was coupled to a Thermo Scientific Q-exactive mass spectrometer programmed to acquire in a data-dependent mode Top 10 most intense ion method. The survey scans were done at a resolving power of 70,000 FWHM (m/z 400), in positive mode and using an AGC target of 3e6. Default charge state was set at 2, unassigned and +1 charge states were rejected and dynamic exclusion was enabled for 25 s. The scan range was set to 300–1600 m/z. For ddMS2, the scan range was between 200–2000 m/z, 1 microscan was acquired at 17,500 FWHM and an isolation window of 4.0 m/z was used.

MS Data Analysis of T0, T30 min, T1 h and T4 h Protein Extract After RhoAi Treatment

Tandem mass spectra were processed with Thermo Scientific Proteome Discoverer software version 1.4. Spectra were searched against UniprotKB/Swiss-Prot (version January 2016) filtered with Rattus norvegicus (31093 sequences) taxonomy using the SEQUEST HT algorithm (version 1.4.1.14). The search was performed choosing trypsin as the enzyme with one missed cleavage allowed. Precursor mass tolerance was 10 ppm, and fragment mass tolerance was 0.1 Da. N-terminal acetylation; and cysteine carbamidomethylation; methionine oxidation were set as variable modifications and cysteine carbamidomethylation as fixed modification. Peptide validation was performed with the Percolator algorithm by filtering based on a q-value below 0.01, which corresponds to a false discovery rate (FDR) of 1%. Proteins were identified with a minimum of 2 peptides with at least one unique peptide per protein. The data sets used for analysis and the annotated MS/MS spectra were deposited at the ProteomeXchange Consortium (http://proteomecentral.proteomexchange.org) via the PRIDE partner repository with the data set identifier PXD004639 (for review: Username: reviewer60033@ebi.ac.uk Password: 7O08FxXe).

MS Data Analysis of Protein Extract and Secretome After SCI-CM With or Without RhoAi Treatment

All the MS data were processed with MaxQuant (version 1.5.6.5) (19) using the Andromeda (20) search engine. Secretome and protein extract from ND7/23 cell line were processed in two different files. Proteins were identified by searching MS and MS/MS data against Decoy version of the complete proteome for Rattusnorvegicus of the UniProt database (21) (Release June 2014, 33,675 entries) combined with 262 commonly detected contaminants. Trypsin specificity was used for the digestion mode with N-terminal acetylation and methionine oxidation selected as the variable. Carbarmidomethylation of cysteines was set as a fixed modification, with up to two missed cleavages. For MS spectra, an initial mass accuracy of 6 ppm was selected, with a minimum of 2 peptides and at least 1 unique peptide per protein, and the MS/MS tolerance was set to 20 ppm for HCD data. For identification, the FDR at the peptide spectrum matches (PSMs) and protein level was set to 0.01. Relative, label-free quantification of proteins was performed using the MaxLFQ algorithm (22) integrated into MaxQuant with the default parameters. The data sets, the Perseus result files used for analysis and the annotated MS/MS spectra were deposited at the ProteomeXchange Consortium (23) (http://proteomecentral.proteomexchange.org) via the PRIDE partner repository (24) with the data set identifier PXD004639 (for review: Username: reviewer 60033@ebi.ac.uk Password: 7O08FxXe) for cellular extracts and secretomes. Analysis of the proteins identified was performed using Perseus software (http://www.perseus-framework.org/) (version 1.5.6.0). The file containing the information from identification was used with hits to the reverse database, and proteins only identified with modified peptides and potential contaminants were removed. Then, the LFQ intensity was logarithmized (log2[x]). Categorical annotation of rows was used to defined different groups after grouping replicates (1) Replicate (DMEM, R1, L, C1, R1 RhoAi, L RhoAi, C1 RhoAi), (2) Rho versus NT (DMEM, DMEM RhoAi, Rho (R1, L and C1 + RhoAi) and NT (R1, L and C1 without RhoAi). Multiple-samples tests were performed using ANOVA test with a FDR of 5% and preserving grouping in randomization. Normalization was achieved using a Z-score with a matrix access by rows.

For the statistical analysis, only proteins presenting as significant by the ANOVA test were used for statistical analysis. Hierarchical clustering depending protein extract or secretome were first performed using the Euclidean parameter for distance calculation and average option for linkage in row and column trees using a maximum of 300 clusters. For visualization of the variation of proteins expression depending to the condition, the profile plot tool was used with a reference profile and an automatic selection of the 10 or 15 correlated profiles. To quantify fold changes of proteins across samples, we used MaxLFQ. To visualize these fold changes in the context of individual protein abundances in the proteome, we projected them onto the summed peptide intensities normalized by the number of theoretically observable peptides. Specifically, to compare relative protein abundances between and within samples, protein lengths normalized to log 2 protein intensities (termed “iBAQ” value in MaxQuant) were added to the MaxLFQ differences. Functional annotation and characterization of identified proteins were obtained using PANTHER software (version 9.0, http://www.pantherdb.org) and STRING (version 9.1, http://string-db.org).

Subnetwork Enrichment Pathway Analyses and Statistical Testing

The Elsevier's Pathway Studio version 9.0 (Ariadne Genomics/Elsevier) was used to deduce relationships among differentially expressed proteomics protein candidates using the Ariadne ResNet database (25, 26). “Subnetwork Enrichment Analysis” (SNEA) algorithm was selected to extract statistically significant altered biological and functional pathways pertaining to each identified set of protein hits (C1, R1, L after RhoA inhibitor treatment sets). SNEA utilizes Fisher's statistical test used to determine if there are nonrandomized associations between two categorical variables organized by specific relationship. SNEA starts by creating a central “seed” from all relevant entities in the database, and retrieving associated entities based on their relationship with the “seed” (i.e. binding partners, expression targets, protein modification targets, regulation). The algorithm compares the sub-network distribution to the background distribution using one-sided Mann-Whitney U-Test, and calculates a p value indicating the statistical significance of difference between two distributions. In our analysis, “GenBank” ID and gene symbols from each set were imported to the software to form an experimental data set. For the reconstruction of networks of pathways, biological processes and molecular function were evaluated for each single protein hit and its associated targets (networks and pathways) (27, 28). Integrated Venn diagram analysis was performed using “the InteractiVenn”; a web-based tool for the analysis of complex data sets.

Behavioral Testing

Animals were evaluated using Basso, Beattie, and Bresnahan (BBB) open-field test to assess motor function after SCI at day 0, 7, 14, 21, 28, 35, 42 and 49 days post injury. Each rat was tested for 5 min by two blinded examiners. BBB test measures locomotor outcome (hind limb activity, body position, trunk stability, tail position and walking paw placement) of rats utilizing the rating scale ranges from 0 (no observable hind limbs movements) to a maximum of 21 (plantar stepping, coordination and trunk stability like control rats).

Immunohistochemistry

After survival period, animals were deeply anesthetized by intraperitoneal thiopental injection (50 mg/kg) and perfused transcardially with 500 ml saline, followed by 500 ml of 4% paraformaldehyde (PFA) in 0.1 m phospate buffer (PB). Spinal cords were removed, postfixed in 4% PFA at 4 °C overnight, embedded in gelatin-egg albumin protein matrix (10% ovalbumin, 0.75% gelatin) polymerized by glutaraldehyde (albumin from chicken egg white, grade II, Sigma-Aldrich) subsequently fixed in 4% PFA, and cryoprotected with 30% sucrose in 0.1 m PB at 4 °C. Cryostat sagittal spinal cord sections (40 μm) were cut from rostral, central or caudal blocks (each 0.5 cm thick) and collected in 24-well plates with 0.1 m PBS containing 0.1% sodium aside. For immunohistochemistry, free floating sections (40 μm) were immersed in PBS (0.1 m; pH 7.4) containing 10% normal goat serum (NGS), 0.2% Triton X-100 for 2 h at room temperature to block nonspecific protein activity. This was followed by overnight incubation at 4 °C with primary antibodies: rabbit anti-growth associated protein-GAP-43 (GAP-43; 1:500, Merck-Millipore), and mouse anti-synaptophysin (SYN; 1:500, Merck-Millipore) for 24 h. Afterward sections were washed in 0.1 m PBS and incubated with secondary fluorescent antibodies goat anti-mouse, goat anti-rabbit conjugated with Texas Red (Alexa Flour 594) and fluorescein isothiocyanate (FITC) (Alexa Flour 488) at room temperature for 2 h. For general nuclear staining 4–6-diaminidino-2-phenylindol (DAPI) (1:200) was added to the final secondary antibody solutions. Finally, sections were mounted and cover slipped with Vectashield mounting medium (Vector Laboratories).

Quantification Analysis

Immunohistochemically stained sections were analyzed using confocal microscope (Leica DM1500) and quantification was performed by ImageJ software. Five sections per animal were analyzed for each staining in rostral, lesion and caudal segments. For synaptophysin quantification analysis, images were first transformed into monochromatic 8-bit images and then threshold was adjusted to optimal value. Synaptophysin positivity was evaluated as a percentage of black pixels in overall image (value 0–255, where 0 = white pixels, 255 = black pixels). For axonal regrowth evaluation, GAP-43 positive fibers were measured manually in micrometers. Total length of axon fibers was averaged for each image.

RESULTS

We previously performed a spatio-temporal study of the SCI from 3 days to 10 days after lesion. Our data suggest that in acute SCI regionalization in terms of inflammatory and neurotrophic responses may occur because of alterations in protein dynamics between rostral and caudal segments (13). In addition, the proteomic profile in caudal segments was characterized by the neuronal expression of IgG2a and by a signature of axonal regrowth inhibition associating CSPG and proteins of the MEMO1-RHOA-DIAPH1 signaling pathway (14). The MEMO1-RHOA-DIAPH1 signaling pathway plays an important role in ERBB2-dependent stabilization of microtubules at the cell cortex and inhibits neurite outgrowth. In this context, we established an in vitro proteomic system biology platform in order to better understand the impact of RhoAi on DRG neurons in time course, followed by in vivo SCI experiments to further compare and validate the similarities and differences of treatment approaches.

In Vitro Neuroproteomic-systems Biology Platform Targeting RhoA Signaling
Impact of RhoAi Treatment on Neurite Outgrowth

In vitro, RhoAi was added to ND7/23 DRGs cell line cultivated with spinal cord conditioned media (CM-SCI) collected from lesion (L), rostral (R1) and caudal (C1) segments (Fig. 1). Time course analysis showed that ND7/23 cells in presence of R1 or C1 conditioned media initiated neurite outgrowth at 24 h after cultivation and the results were statistically significant at 48h (Figs. 1A, 1B). Afterward, the ND7/23 cells were treated with 1 μg/ml of RhoAi in combination with 1/3 of CM and 2/3 DMEM supplemented medium 24 h after C1 or R1 stimulation to reproduce the injured environment. In this context, neurite outgrowth appeared at 48 h with longer extensions when compared with non-RhoAi treatment (Figs. 1A, 1B). These results established the ability to block the MEMO1-RHOA-DIAPH1 signaling pathway and stimulate neurogenesis using such RhoAi.

Fig. 1.

Fig. 1.

The effect of the downstream Rho kinase inhibition on the neurite outgrowth in vitro. Representative Fields showing the ND7/23 DRGs cell line cultivated in presence of R1, L or C1 CM with or without RhoAi stimulation during after 24 h with CM and for a total stimulation of 48 h (A–B). The cultured cells in presence of R1, L or C1 CM at 3 days after SCI start to produce neurite outgrowth, with statistical significance at 48 h (A). Arrows indicate the neurite outgrowth (A). Control was done in DMEM media without serum, to be in the same media than CM after SCI. Enhanced outgrowth referred to dense network of elongated processes interconnecting cells was documented in treatment group. Quantification of neurite outgrowth by ImageJ demonstrates the effect of RhoAi on neurite outgrowth (B) (One Way ANOVA followed by Tukey-Kramer test *p < 0.05, **p < 0.01, ***p < 0.001, ns = nonsignificant). C, Heat map of proteins from the secretome after different stimulation of ND7/23 DRG cell line. Control (DMEM) or lesion (L), rostral (R1) or caudal (C1) conditioned media from spinal cord 3 days after injury were used to stimulate the cells with or without stimulation of RhoA inhibitor 24 h after CM stimulation (a). Zoom of the cluster showing a difference between SCI-CM media stimulation with lesion CM and proteins name expressed in this cluster (b).

Impact of RhoAi Treatment on ND7/23 DRGs Proteome

In order to identify proteins involved with RhoAi the proteomic approach was then performed with ND7/23 DRGs cell lines incubated with CM-SCI collected from L, R1, and C1 segments in presence or absence of RhoA inhibitor, using identical scenario as in experiments for neurite outgrowth evaluation (Fig. 1C). Secretomes collected in each condition have been processed by shotgun analyses. Proteins with an abundance that was significantly different among the samples were determined according to the MaxQuant and Perseus software. As a criterion of significance, we applied an ANOVA significance threshold of p < 0.05, and heat maps were generated (Fig. 1C, supplemental Data S1). Heat maps were performed and hierarchical clustering indicated two main branches i.e. one for Control branch (CTB)(DMEM conditions with or without RhoAi) and the second one is related to Conditioned medium branch (CMB) (L, R1, or C1 conditions with or without RhoAi). This branch is then sub-divided into two sub-branches: lesion on one side and R1 or C1 on the other side (Fig. 1Ca). From these data, clear clusters could be retrieved between the two branches. By contrast, in the CMB, only one main cluster allowed to differentiate all media in presence or absence of Rhoi (a yellow boxed area). A zoom of this cluster is presented in Fig. 1Cb and the ibaq quantitative values in Table I. Main proteins found in this cluster that could be sorted according to their over-expressed intensities are in the following order: immunoglobulins (IgG chains light and heavy), AKT proteins (AKT1, AKT2, and AKT3), BMP1, syntaxin 12, serpin 3, GMP ganglioside activator, meosin, hemopexin, protein VSP26b, 14-3-3 protein theta, and protein disulfide isomerase. The important finding is that the ibaq value showed that most of these proteins are under-expressed under DMEM conditions whereas, in presence of CMB alone or with RhoAi, they are over expressed, with some exemptions (Table I). Immunoglobulins were overexpressed particularly in the samples associated with lesion, treated with CM from Lesion segment alone and with RhoAi and in CM from C1 alone. For AKT proteins family, real differences could be registered between AKT3, AKT1, and AKT2 in relation to CM from rostral and lesion segments. With RhoAi, the level of AKT3 was diminished when compared with untreated cells. For AKT1 and AKT2 proteins, RhoAi increased their level in R1 and diminished these in lesion and C1. Serpina3c, Snx12, Gm2a, meosin, Timm44, Cthrc1, Stx6, vsp26b, Itih1, Aqp4, aggrecan core protein, BMP1 were over-expressed in C1 in presence of RhoAi compared with R1 or lesion with or without treatment. In R1, with RhoA inhibitor, only AK1 and AKT2 were overexpressed, by contrast Timm44, STX6, Cthrc1, AKT3, STX6 were under-expressed. In lesion, most of proteins present in this cluster were under-expressed or had the same level with RhoAi treatment except of Gm2a, hemopexin, Protein disulfide-isomerase, Stx6 that are over-expressed.

Table I. iBAQ value of the selected cluster reflecting the more divergent quantitative value of between treatment and conditioned medium from R1, lesion or C1 at 3 days after SCI.
DMEM DMEM_rho R1 R1_rho L L_rho C1 C1_rho
Ig kappa chain C region, B allele 18.6 NaN 25.3 25.2 26.9 27.4 25.6 25.5
Ig lambda-2 chain C region 17.9 16.4 22.2 21.8 23.3 23.8 22.0 22.0
Ig gamma-1 chain C region NaN NaN 22.0 20.4 24.4 22.8 22.7 20.9
Ig gamma-2A chain C region 18.6 17.4 25.1 25.1 27.0 27.2 26.0 25.4
Ig gamma-2B chain C region 15.5 20.2 25.1 24.7 26.7 27.3 26.0 26.1
Ig gamma-2C chain C region 19.0 NaN 19.6 19.3 21.8 21.4 22.0 19.9
Hemopexin 17.5 17.6 24.9 24.9 26.5 26.3 25.2 25.2
Akt3 19.3 18.7 20.2 18.4 19.2 20.1 20.4 19.8
Akt1;Akt2 15 17.7 19.6 20.2 20.3 19.1 16.7 NaN
Serpina3c NaN NaN 21.9 21.0 24.1 23.3 22.4 22.6
Snx12 22.6 22.4 22.9 23.0 22.4 23.2 23.3 23.7
Gm2a 21.9 22.9 23.0 23.8 23.9 24.4 24.7 24.6
Moesin 26.5 26.6 25.8 26.4 26.2 26.9 26.9 27.2
Timm44 19.3 19.6 18.1 16.9 18.5 17.9 18.7 18.2
Cthrc1 22.9 24.5 22.9 24.0 23.7 23.8 24.2 24.6
Hemoglobin subunit beta-1 21.1 21.3 25.3 25.0 28.4 28.4 25.1 26.6
Itih1 16.9 17.7 19.2 19.0 22.3 21.4 19.9 19.4
Aqp4 NaN NaN 24.4 24.7 23.8 23.8 25.5 25.3
Aggrecan core protein 17.4 NaN 20.3 20.1 19.2 17.8 20.9 19.9
Stx6 20.5 21.3 21.2 20.7 20.4 21.9 21.3 22.1
Vps26b 20.8 21.2 22.5 21.4 20.7 21.0 21.4 21.5
14-3-3 protein theta 27.1 27.5 27.8 27.8 27 27.6 27.9 28.2
Metalloendopeptidase, BMP1 19.3 18.9 19.4 19.8 21.1 19.5 19.8 20.4
Protein disulfide-isomerase 23.9 23.5 24.2 24.6 24.2 25.1 24.5 24.6

NaN: NonAssigned Number.

Proteomic Analyses of RhoAi Effect on ND7/23 DRGs Cell Line

Global analysis was then performed by regrouping all conditioned medium treatment with RhoAi samples compared with nontreated (NT) samples with RhoA and compared with control i.e. DRG cells cultivated with only DMEM with or without RhoAi. We have identified 3133 proteins (Fig. 2A) that clustered (Fig. 2B). In this context, two branches separated the secreted factors. The first branch separates the factors detected in control (culture medium with DMEM) from the ones cultivated with SCI CM. The second branches separated the ones treated with or without RhoAi (Fig. 2B). Of the 5 differentiated clusters that were identified (See yellow boxes), 2 contained over-expressed proteins (clusters 1,2) and 3 under-expressed proteins (clusters 3,4,5) (Fig. 2B). These clusters have been regrouped (Table II) and functional pathways extracted from Subnetwork Enrichment Analysis (SEA) was generated (Fig. 2C). Although 16 secreted proteins from ND7/23 DRGs cell line were overexpressed after RhoAi treatment, 23 were under-expressed (Table II, supplemental Data S2). Among the 16 overexpressed proteins, some were already known to be implicated in neurites outgrowth or neurogenesis e.g. Pde6d (29), Ltbp4 (30), Clip2 (31), Enah (32), Vps26b (33), Sema7a (34), BDNF/NT3 (35), UNC5C (36), Ephrin A5 and Ephrin B receptor (34), VEGF (37). Pathway analyses reflected that nucleic proteins involved in cell cycle regulation, transcription activation, and cell survival were under-expressed in cells treated with RhoAi. On the other hand, proteins involved in stem cell proliferation, neuronal migration, axon guidance, neurotransmission, synaptic transmission, and nerve development were over-expressed (Fig. 2C). These results confirm that despite the presence of an inflammatory medium containing neurites outgrowth inhibitors, RhoAi still positively impacts the functional behavior of DRG cells and stimulates the neurite outgrowth process. On this basis, a time course proteomic study was undertaken in order to further identify the molecular and functional targets of RhoAi in DRG cells in presence of C1, R1, or lesion secreted factors.

Fig. 2.

Fig. 2.

A, Venn diagram of identified secreted proteins from ND7/23 DRG cell line with DMEM (control) or with pool of SCI secreted factors (Lesion, Rostral, Caudal) after RhoAi treatment or not (NT). B, Heat map of proteins from the secretome after treatment with RhoA inhibitor (Rho) or not (Not treated, NT) of ND7/23 DRG cell line with DMEM (control) or with SCI secreted factors (Lesion, Rostral, Caudal). C, System biology analysis for network identification in the proteins over and under expressed in the 5 selected clusters issued from heat map of proteins with different secretion profiles of ND7/23 DRG cell line incubated with DMEM (control) or with pool of SCI secreted factors (Lesion, Rostral, Caudal) after RhoA inhibitor treatment.

Table II. iBAQ values of the selected cluster reflecting the modulated expressed proteins in conditioned media treated or not with RhoA inhibitor. NT regroups all nontreated cells and RhoAi are all treated cells with RhoA inhibitor.
Gene name Protein name DMEM DMEM RhoAi NT RhoAi
Ctlb Clathrin light chain B 22.9108 20.9079 24.6101 24.5589
Psmd9 26S proteasome non-ATPase regulatory subunit 9 22.0575 22.5024 23.731 23.3539
Ltbp4 Protein Ltbp4 20.7261 21.3022 21.4152 21.2313
Vegfa Vascular endothelial growth factor A 22.2847 21.7441 22.6636 22.6461
Ctsz Cathepsin Z 22.2676 22.4209 23.5532 23.7262
Pde6d Phosphodiesterase 6D, cGMP-specific, rod, delta 22.9597 22.3894 23.2059 23.9704
Stx6 Syntaxin-6 20.5775 21.3753 21.159 21.6134
Clip2 CAP-Gly domain-containing linker protein 2 18.8133 19.9872 20.7688 20.9273
Ywhaq 14-3-3 protein theta 27.1402 27.5267 27.636 27.8027
Gga1 Golgi associated, gamma adaptin ear containing, ARF binding protein 1 21.1791 21.474 21.5419 21.8458
Gm2a GM2 ganglioside activator 21.9105 22.9234 23.9187 24.059
Clu Clusterin 21.5919 21.6096 24.059 24.173
Fkbp2 Peptidyl-prolyl cis-trans isomerase 24.2425 25.0884 25.3438 25.2155
Pdxk Pyridoxal kinase 21.3779 23.0917 23.8266 24.1404
Enah Protein Enah 21.4766 22.2339 21.0658 22.1981
Vps26b Protein Vps26b 20.8545 21.2238 21.3013 21.4243
Phax Phosphorylated adapter RNA export protein 20.6057 21.5545 20.0058 19.9327
C1orf123 UPF0587 protein C1orf123 homolog 19.8283 21.1305 23.2625 22.6816
Ddt d-dopachrome decarboxylase 16.4287 NaN 23.5922 22.1647
Minpp1 Multiple inositol polyphosphate phosphatase 1 20.7669 21.2727 20.8248 20.6688
Sar1b GTP-binding protein SAR1b 21.694 21.3152 22.3763 21.0747
Timm44 Mitochondrial import inner membrane translocase subunit TIM44 19.3845 19.6954 18.3148 17.6879
Mvd Diphosphomevalonate decarboxylase 21.7602 22.097 21.6105 20.9859
Ranbp3 Protein Ranbp3 21.6703 21.842 20.7514 20.5318
Ipo4 Importin 4 21.2689 22.5999 20.5059 21.1659
Gtpbp4 Nucleolar GTP-binding protein 1 20.5677 21.7242 19.3613 19.1347
Fnta Farnesyltransferase, CAAX box, alpha 20.1966 21.4274 19.902 19.6791
Cul2 Protein Cul2 22.5187 22.6432 21.8199 21.1874
Nae1 NEDD8-activating enzyme E1 regulatory subunit 21.1429 22.6173 21.6993 21.0846
Eif1a Eukaryotic translation initiation factor 1A 24.6291 24.4566 23.3243 23.0823
Aimp2 Aminoacyl tRNA synthase complex-interacting multifunctional protein 2 24.6959 24.8529 24.2577 24.0347
Cstf2 Protein Cstf2 19.0881 19.8525 17.8731 18.7524
Mybbp1a Myb-binding protein 1A 20.4748 20.2285 20.4614 19.8938
Psmd1 26S proteasome non-ATPase regulatory subunit 1 24.2726 24.1721 23.5677 23.3707
Sf3a2 Splicing factor 3A subunit 2 24.508 24.8563 22.9886 22.9425
Tomm70a Mitochondrial import receptor subunit TOM70 21.4271 22.0365 20.8489 19.3298
Pcna Proliferating cell nuclear antigen 25.5532 26.1335 24.8067 25.222
Arpc3 Actin-related protein 2/3 complex subunit 3 24.4744 24.7873 24.3182 24.6005
Ago2 Protein argonaute-2 19.1549 20.7609 18.8243 18.982
Lmnb1 Lamin-B1 25.0612 25.1812 24.723 24.7027
Rps16 40S ribosomal protein S16 27.2324 27.7085 26.8235 26.6169
Khdrbs1 KH domain-containing, RNA-binding, signal transduction-associated protein 1 25.7151 25.6983 25.0325 25.056
Bclaf1 BCL2-associated transcription factor 1, isoform CRA_a 24.1191 24.2525 22.9701 23.1659
Rps19l1 Protein Rps19l1 27.747 27.8637 26.4202 26.8181
Snrpd3 Protein Snrpd3 25.7155 26.0016 25.3816 26.0275
Slc39a10 Protein Slc39a10 20.4879 21.6648 19.3242 19.6973
Tcerg1 Protein Tcerg1 22.7216 22.8235 22.1174 22.4468
Sf3a3 Protein Sf3a3 24.4827 24.3498 23.7063 23.5636

NaN: NonAssigned Number.

Cellular Proteomic Investigation of RhoAi Treatment of ND7/23 DRG Cell Line Cultivated With Conditioned Media from Spinal Cord Injury Segments

The proteomic analyses performed 24 h after treatment, allowed to identify 4030 proteins from which 179 modulated proteins were found between nontreated and treated cells (supplemental Data S2, supplemental Data S3A). From these 179 proteins, numerous factors were identified that could regulate the intrinsic growth capacity, including certain transcription factors (TF), such as cAMP-responsive element binding protein (CREB), signal transducer and activator of transcription 3 (STAT3), nuclear factor of activated T cell (NFAT), c-Jun activating transcription factor 3 (AFT3) and Krüppel-like factors (KLFs), and intracellular signaling proteins, such as PI3 kinase, Akt, phosphatase and tensin homolog (PTEN), suppressor of cytokine signaling 3 (SOCS3), B-RAF, dual leucine zipper kinase (DLK), and insulin/insulin-like growth factor-1 (IGF-1) signaling have been detected (38, 39). The Ibaq value confirmed the over-expression of Tp53, Stat2, Stat3, Proteins of the Smad family (smad1, smad2, smad3, smad4, and smad5), Smarcc1 (Baf155), and Smarcc2 (Baf170), Akt3, rpap3, b-raf, and PTEN (Table III). The string protein analysis confirms that all these proteins can be gathered in the same network (supplemental Data S3B). Nevertheless, one most intriguing is the presence of PTEN. Subnetwork global Analysis was generated between RhoAi treated DRG cells incubated with conditioned medium of R1, Lesion or C1 (Fig. 3). 24 h after treatment, complete disparities are observed between the 3 conditioned media after treatment. Only C1 medium clearly showed over-expressed proteins involved in neurite outgrowth, neuronal migration, and neurogenesis (Fig. 3A). Whereas with R1 medium, proteins detected are involved in neurite outgrowth, neuronal cell death, inflammation and cell proliferation and differentiation (Fig. 3B). The proteomic profile of DRG cells stimulated with lesion medium showed a unique enrichment in molecules involved in apoptosis and necrosis, inflammation, T cell response and, as well as neutrophils chemotaxis (Fig. 3C). Subnetwork Enrichment Analysis (supplemental Data S3) confirmed the presence of specific complementary proteins involved in dendrite morphogenesis such as CAMK1, SIPA1L1 and L1CAM (supplemental Data S3Ca). Proteins involved in cell death and proteins degradation such as TSC1, WDFY3 and OGT were found to be specific to lesion treatment (supplemental Data S3Cb). Proteins involved in neurite outgrowth and neuronal migration such as FARP1, srGAP2, RAB6B, MAP3K4, and STK25 are specific to C1 treatment (supplemental Data S3Cc).

Table III. iBAQ values of transcription factors present in protein extract between treated and not treated cells in presence of not the SCI-CM.
DMEM DMEM RhoAi NT RhoAi
Tp53 23.5 23.6 23.6 25.2
Stat3 18.6 19.4 21.8 21.9
Stat2 17.8 19.0 21.0 21.1
Smad5;Smad1 17.7 19.2 17.8 18.9
Smad2;Smad3 20.3 23.2 21.0 24.0
Smad4 17.2 19.8 20.3 17.6
Smarcc1 21.8 23.0 22.0 22.8
Smarcc2 19.6 22.5 17.6 21.0
Akt3 14.9 19 16.8 22.1
Rpap3 20.6 21.7 20.5 21.0
B-raf 0.0 0.0 20.6 20.8
Pten 18.4 15.7 19.5 20.9
Fig. 3.

Fig. 3.

System biology analysis for network identification in the proteins overexpressed in extract of treated ND7/23 DRG cell line incubated with of SCI secreted factors (A) Caudal, (B) Rostral, (C) Lesion.

Proteomic Investigation of the Time Course of RhoAi Treatment on ND7/23 DRGs Cells Line

To investigate the time course of molecular events induced by RhoA inhibitor on ND27/23 DRG cell line, we performed a kinetic proteomic study on cell extracts obtained at 30 min, 1h or 4 h post-treatment (supplemental Data S4). 2389 proteins were overall identified (supplemental Data S4A and S5) Global networks were generated from specific proteins identified in each conditions (supplemental Data S4). Compared with T0 where it can be observed that proteins are integrated in 4 overexpressed clusters (mRNA degradation, mitotic spindle checkpoint, ER to Golgi transport and vesicular trafficking) (data not shown), at 30 min after treatment, several specific cellular events occurred including chromatin condensation, cellular stress response, anchorage independent growth and malignant transformation (supplemental Data S4Ba). At 1 h, all intracellular signaling converged to NFkB (supplemental Data S4Bb) and at 4 h, secretory pathways, cell invasion and mitochondrial respiration were the major pathways activated by RhoA inhibitor treatment in DRG cells (supplemental Data S4Bc) Specific enrichments were performed from the comparisons of each time points after treatment. From T0 to T1 h, most induced proteins were involved in nucleocytoplasmic transport (Fig. 4), from T0 to T4 h, a majority of the differentially expressed proteins were implicated in ER-associated protein catabolism (Fig. 4), from T0 to T30 min and to T4 h, two clusters of proteins were detected, namely nonselective vesicle building and cell spreading (data not shown). From T1 h to T4 h, chaperones proteins are identified (Fig. 4). Finally, transition from T0, T30 min, and T1 h to T4 h involved several clusters linked to oxidative stress, cell proliferation, differentiation and migration (data not shown) and in particularly some TF are observed at specific time points after treatment (Table IV). In particular, BAF155 and BAF170 were present from time T0 to T24 h, whereas Smad2 was detected from T0 to T1h, and then at T24 h. AKT3 protein only showed at 1h with no detection before and after this time point. All the other TFs ware detected only after 24 h of treatment (Table IV).

Fig. 4.

Fig. 4.

Enrichment subnetwork associated to specific over-regulated proteins in time course of RhoA inhibitor treatment with emphases of transcription factors identified i.e. ND7/23 DRG cells line treated with or not RhoA inhibitor and proteins were extracted at different time (T30 min, T1 h, T4 h, T24 h) before analyzed by subnetwork enrichment analysis.

Table IV. LFQ values of transcription factors identified in DRG cell extracted in time course after RhoA inhibitor treatment.
T0 30min_RhoAi 1h_RhoAi 4h_RhoAi 24h_RhoAi
TP53 NaN NaN NaN NaN 25.0195
stat1 NaN NaN NaN NaN 23.0283
stat2 NaN NaN NaN NaN 24.2915
smad1, smad5, smad9 NaN NaN NaN NaN 19.3541
smad2 26.367 26.2884 25.7629 NaN 26.1066
BAF155 27.6803 27.7077 27.634 27.3488 27.7905
BAF170 25.9233 25.7679 26.8157 26.6822 26.5469
AKT3 NaN NaN 22.8568 NaN NaN

NaN: NonAssigned Number.

Investigate RhoA inhibitor in Vivo

According to the time course experiments results (Fig. 4) and the fact that at 24 h exposure to RhoA inhibitor all transcription processes in DRG cells are impacted, we decided to investigate the treatment 12 h after SCI. Proteomic studies were realized from tissues in the 3 segments at both side of the lesion and also in secretome (Fig. 5).

Fig. 5.

Fig. 5.

A, Heat map of proteins from the extracted tissues segments (rostral, lesion, caudal) after 12h SCI, control or SCI + RhoA inhibitor treatment. B, Heat map of proteins from the secreted factors from segments (rostral, lesion, caudal) after 12h SCI, control or SCI + RhoA inhibitor treatment.

Tissue extracted proteins collected in each condition have been processed by shotgun analyses. Heat maps of proteins with an ANOVA significance threshold of p < 0.05, were generated (Fig. 5A, supplemental Data S6). Heat maps were performed and hierarchical clustering indicated two main branches i.e. one for SCI and the second one is related to treated animal with RhoA Inhibitor and control (without lesion). This branch is then subdivided between RhoA inhibitor treatment in function of the considered segment (Rostral, Lesion and Caudal) on one side and control in the other side (Fig. 5A). From these data, clear clusters could be retrieved between the two branches. Clusters 1 and 2 are specifically found in Rostral and Caudal segments after SCI. Cluster 1 integrates many subexpressed proteins in SCI segments (Fig. 5A, supplemental Data S6). By contrast, cluster 2 constitutes the one of overexpressed proteins in SCI. Such proteins are in control and treated animals sub-expressed in caudal and lesion segments. A slight overexpression is registered in rostral segments (control and treated animals). No inflammatory proteins were detected in cluster 2 whereas proteins involved in neurites outgrowth are present (e.g. CD166, advilin, neuritin, Neurocan, L1Cam, Vcan, Limbic system-associated membrane protein, neuronal growth regulator 1 precursor, C1qBp, SLIT-ROBO Rho GTPase-activating protein 2, Roundabout homolog 1, Ciliary neurotrophic factor) (Table V). In RhoA inhibitor treatment, these neurite outgrowth factors expression is less important in both tissue (Table V) but also in secretome (Table VI). However, proteins involved in synaptogenesis, their level of expression is increased after RhoA inhibitor treatment. The LFQ of synapsins, synthaxins, GAP43, Synaptojanin-1 is higher in lesions segment in treated animals compared with the only injured ones (Tables V and VI).

Table V. LFQ values of extracted proteins from Rostral, Lesion and Caudal spinal cord tissue segments after SCi treated or not with RhoAi inhibitor. Ctrl are control (non injured spinal cord), R: Rostal, L: Lesion, C: caudal.
CTRL_R: CTRL_L: CTRL_C: 12h_R1: 12h_L: 12h_C1: 12hRhoAi: 12hRhoAi: 12hRhoAi_C:
Immune response
    C1qbp 28.7281 28.9566 28.492 30.3982 28.5262 30.5145 29.2501 29.1898 28.682
    Complement C3 29.886 29.6559 29.9432 31.0477 34.1094 32.3526 31.1368 33.1222 31.7935
    Complement C4 24.1624 25.5162 25.4897 26.4889 30.5689 28.4565 25.685 29.19 27.2686
    Complement C1q subcomponent subunit B 0 0 0 0 0 0 26.0273 0 0
    Complement C1q subcomponent subunit C 0 24.3657 0 0 0 0 0 0 0
    Complement component C8 beta chain 0 0 0 0 27.0921 0 0 25.5121 24.1331
    Complement component C9 20.6843 21.907 21.584 23.2098 29.1238 26.3681 27.3374 27.7471 25.9411
    Complement component receptor 1-like protein 25.9538 25.7398 25.7819 26.1517 26.6249 25.6688 25.9764 26.0176 26.0884
    Plasma protease C1 inhibitor 21.9091 21.6787 0 24.0432 25.6243 23.9382 22.9491 24.5487 24.0977
    Complement component C6 0 0 0 26.6044 0 0 0 0 0
    Complement factor I 0 21.8155 0 21.9156 24.2797 23.1515 0 23.6044 22.6531
    CD59 glycoprotein 29.3553 28.7384 28.5483 30.045 0 29.8041 29.431 28.3659 28.5551
    Calreticulin 30.3539 30.4037 30.1042 31.5178 30.0788 31.0377 30.1996 30.5428 30.2458
    C-reactive protein 26.9635 27.0947 26.4773 27.9756 31.1635 30.0916 28.2168 29.7884 28.6591
    Granulin 0 0 0 0 0 0 24.682 0 0
    Cathepsin D 29.7399 29.7065 29.9347 29.7652 29.9342 29.177 29.6499 29.8039 29.734
    Cathepsin B 26.4879 26.2006 26.1943 26.7471 27.1834 27.2444 26.627 26.6212 26.3421
    Metalloproteinase inhibitor 1 24.4787 0 0 0 23.7008 24.4859 0 23.6957 0
    Coronin-1B 27.8259 27.9756 27.7563 27.5874 27.5131 27.5089 27.5923 27.9777 27.9927
Macrophages
    Macrophage migration inhibitory factor 29.1689 28.7423 29.053 31.0293 29.9068 30.4098 29.0155 29.2374 28.5224
    CD44 antigen 28.3697 27.4084 26.6637 29.0996 28.3202 28.2835 28.8144 27.7426 27.4679
    40S ribosomal protein S19 26.2744 26.1574 26.4055 26.099 26.2149 26.444 26.6833 26.1101 26.369
    Monocyte differentiation antigen CD14 0 0 0 24.3638 0 24.4814 0 24.5376 23.7652
    Galectin-3 27.4 26.8846 26.9943 27.267 26.6923 27.0701 28.1228 27.082 27.637
Lymphocytes
    OX-2 membrane glycoprotein CD200 27.1098 26.8565 27.3148 27.9532 27.721 26.8187 27.1825 26.8036 27.2357
    Interleukin-6 0 0 0 0 0 0 0 24.5464 0
    Galectin-9 0 0 0 0 0 0 0 24.8124 0
    Galectin-1 28.0673 28.1859 27.8461 29.5435 28.2439 29.1543 28.9204 28.6793 28.2582
Axone guidance and neuroprojection
    Neuronal cell adhesion molecule 28.3747 28.2927 27.7871 29.35 27.4188 29.064 28.4497 27.7616 28.2066
    Neural cell adhesion molecule 1 32.4232 32.194 30.2964 32.9503 31.7339 32.5599 32.5278 31.6936 32.1682
    Contactin-1 32.2173 31.9221 31.8193 31.9986 31.6651 31.7923 32.2479 31.626 31.857
    Contactin-2 28.9387 28.8157 28.8216 28.8182 28.7005 29.1454 28.9924 28.6006 28.7917
    Contactin-6 23.2088 0 0 0 0 0 0 0 0
    Ciliary neurotrophic factor 25.9902 25.5696 0 25.8031 26.6816 25.2438 26.3952 25.8348 0
    Ciliary neurotrophic factor receptor subunit alpha 26.2012 25.6966 24.6474 26.0656 0 26.1004 26.176 25.0767 25.3544
    Microtubule-associated protein tau 26.573 27.1903 26.4541 28.1576 24.4961 27.5894 26.7015 26.0034 25.9388
    Serine/threonine-protein kinase PAK 1 28.8507 28.6902 28.3637 29.0165 28.8644 28.8778 28.6802 28.4948 28.3956
    Serine/threonine-protein kinase PAK 2 28.9398 28.9734 28.773 28.6315 29.173 28.6132 29.0577 28.8708 28.7119
    Serine/threonine-protein kinase PAK 3 26.4831 26.3709 25.8599 26.0144 25.602 26.4497 26.1559 25.7755 25.9308
    Ras-related C3 botulinum toxin substrate 1 30.5455 30.4461 30.394 29.8527 29.6301 30.1777 30.0043 30.1716 30.4824
    Stathmin 27.2512 27.2802 27.0872 28.2757 27.1847 28.1408 27.4795 26.6755 26.615
    Dynactin subunit 1 29.2738 29.54 29.961 29.2582 29.8643 29.5239 29.1975 29.9102 29.9308
    Dynactin subunit 2 29.7365 29.3865 28.9563 31.4829 28.5675 30.1708 30.012 28.8102 28.9053
    Neurofilament light polypeptide 34.2938 34.1048 34.1248 35.5144 33.9815 34.9206 34.5556 34.2306 33.8022
    Neurofascin 31.6569 31.5308 31.6061 31.6377 31.2274 31.7652 31.4217 31.2587 31.326
    Neurotrimin 27.8574 27.7146 27.3797 28.9268 27.3013 28.87 28.0115 27.4806 27.5792
Synaptogenesis
    Amphiphysin 29.4976 29.241 28.7458 29.5412 28.4997 29.5075 29.6889 29.3147 28.9834
    Neuromodulin (Gap43) 26.0049 26.2203 25.0803 27.8744 27.3324 28.5281 26.9088 26.9559 25.7284
    Septin-2 30.7857 30.7968 30.7657 30.703 30.5815 30.3587 30.6164 30.5811 30.8189
    Septin-7 31.2706 31.0765 31.1749 30.9634 30.9051 30.9054 30.8971 30.8622 31.1669
    Septin-11 30.5869 30.3154 30.3478 30.4453 30.2735 30.2949 30.2648 30.2315 30.3821
    Neuronal-specific septin-3 26.0469 26.1993 26.6058 26.5943 26.8693 26.1907 26.0773 26.1151 26.2937
    Synaptosomal-associated protein 25 29.803 29.4783 29.7242 30.3553 29.8905 29.8291 30.2962 29.6259 29.3015
    Clathrin coat assembly protein AP180 30.5941 30.1753 30.1606 30.0674 29.0666 29.8655 29.7581 29.7103 29.9472
    Syntaxin-1A 26.0896 25.0462 25.5124 26.6115 25.8905 26.8451 26.1068 24.8309 24.7728
    Syntaxin-1B 31.73 31.4813 31.7764 32.6772 31.5843 32.5454 31.8193 31.3674 31.4307
    Syntaxin-4 26.2012 26.2102 25.9347 27.1188 0 26.4108 26.6618 25.714 25.6763
    Syntaxin-6 0 0 0 24.6624 0 24.8498 25.3597 23.9229 24.6809
    Syntaxin-7 25.8101 25.4393 25.34 26.2645 25.5659 26.0658 26.516 25.3204 25.2442
    Syntaxin-12 27.1608 26.8334 26.3655 28.1826 27.9286 27.7641 27.8767 27.3567 26.9969
    Transitional endoplasmic reticulum ATPase 32.37 32.3843 32.3696 32.4276 32.5097 32.4979 32.5959 32.3411 32.4893
    Synapsin-1 31.5567 31.6679 31.823 31.0818 30.3824 30.7278 30.8602 31.1259 31.3804
    Synapsin-2 31.0072 31.0899 31.3307 30.0422 30.2673 30.26 30.3979 30.7083 30.9847
    Synapsin-3 25.7542 25.908 26.0802 24.9825 0 25.3337 25.6177 25.2498 26.0414
    Synaptojanin-1 30.7919 30.7568 30.7616 30.3893 30.6522 30.4433 30.1267 30.3779 30.433 35_37
    Neurochondrin 30.5182 30.6686 30.7907 30.1339 29.8085 30.722 30.303 30.4256 30.5542
    Pyridoxal phosphate phosphatase 27.9193 28.1961 28.1013 27.8666 28.3912 28.1327 27.3449 27.7145 28.0545 32_35
Neurite inhibitor
    Reticulon-3 NSPL2 31.1689 30.8046 30.9321 30.9646 31.4276 30.5861 31.1854 30.5309 30.9663 29_32
    Reticulon-4 NOGO 30.6277 30.4752 29.8974 30.0109 29.6917 29.3222 31.3016 30.4981 30.463
    Reticulon-1 NSP 29.2289 28.8309 28.3363 28.4483 28.4548 27.7247 29.516 28.8732 28.2107 26–29
    Neurocan core protein;150 kDa adult core glycoprotein 27.6527 27.7243 27.8845 27.8121 25.7571 28.4479 27.8713 28.2034 27.9606
    Transforming protein RhoA 30.1643 30.1233 29.8269 30.9399 30.204 31.2588 30.7987 29.6035 29.9969 23–26
Motoneuron degeneration
    Superoxide dismutase [Cu-Zn] 29.5928 29.4838 28.7923 30.4429 29.6148 30.8709 29.1448 29.1306 28.2098 20–23
    Superoxide dismutase [Mn], mitochondrial 30.7542 30.8809 30.5194 30.6183 30.1651 30.2116 30.5079 30.6009 30.3795
    Vesicle-associated membrane protein-associated protein 28.3033 27.8166 27.2693 27.8553 27.9969 28.3629 29.5427 27.8769 28.2573 0
    Vesicle-associated membrane protein-associated protein 28.4227 28.7318 28.0221 28.5148 28.8434 28.5188 29.6487 28.632 28.6503
Table VI. LFQ values of proteins in conditioned medium from Rostral, Lesion and Caudal spinal cord after SCi treated or not with RhoAi inhibitor. Ctrl are control (noninjured spinal cord), R: Rostal, L: Lesion, C: caudal.
CTRL_R: CTRL_L: CTRL_C: 12h_R1: 12h_L: 12h_C1: 12hRhoAi_R: 12hRhoAi_L: 12hRhoAi_C
Immune response
    C1qbp 24.738 26.3726 25.4189 24.998 26.9301 25.9556 26.1525 26.3788 25.8713
    Complement C3 30.1649 30.2469 30.4003 32.4697 33.64 31.612 33.4385 34.7228 33.4798
    Complement C4 25.4776 25.8759 26.1018 28.9522 30.6004 27.9489 29.893 31.8007 30.1023
    Complement C5 25.9602 25.7853 23.9819 23.2276 25.3591 24.2936 23.6097 26.4624 24.4067
    Complement C1q subcomponent subunit A 0 23.325 23.1357 24.2908 25.3708 24.7565 25.3859 26.1327 24.9915
    Complement C1q subcomponent subunit B 25.2074 24.6629 25.0491 24.8465 25.914 25.4211 25.3622 26.8024 25.6331
    Complement C1q subcomponent subunit C 23.4591 23.0113 23.2329 24.0514 25.0646 24.2719 25.2219 26.943 25.3557
    Complement component C1q receptor 0 0 0 0 24.5259 0 0 0 0
    Complement factor D 0 0 0 24.5028 27.4706 24.7466 26.0636 27.7602 25.6997
    Complement component C8 beta chain 0 0 24.1013 24.8709 26.8099 25.5902 25.695 27.912 26.2396
    Complement component C9 23.9076 24.2238 23.2094 26.7085 29.5338 26.3446 28.03 30.3084 28.5837
    Complement component receptor 1-like protein 0 0 0 0 0 0 0 0 0
    Complement C1s subcomponent 0 0 0 0 24.2484 0 0 0 0
    Plasma protease C1 inhibitor 24.3359 24.1063 24.2612 27.1953 28.9329 26.5912 27.3051 28.9396 28.2716
    Complement component C6 0 0 0 26.4634 26.3165 25.0005 25.4934 27.0124 25.6378
    Complement factor I 23.1836 23.4684 24.3513 26.5448 29.4083 24.7069 27.2249 30.242 28.494
    CD59 glycoprotein 28.4292 28.4786 28.3672 27.1374 28.138 27.9081 27.6525 26.6107 28.2075
    Calreticulin 26.8708 27.3492 27.092 28.9193 29.3654 29.1833 28.5346 29.1985 28.5683
    C-reactive protein 0 0 0 26.502 28.0808 25.9519 26.858 28.1045 26.7323
    Granulin 25.6662 25.6306 25.533 26.1775 26.2815 26.2632 25.3612 26.2861 25.9562
    Cathepsin D 27.1854 27.1477 27.3999 27.8205 27.9832 27.7454 27.9087 27.879 27.6514
    Cathepsin B 26.4328 26.6551 26.1484 28.1505 28.3689 27.5517 27.1771 28.3135 27.4103
    Metalloproteinase inhibitor 1 22.0379 0 21.8268 28.9081 29.5229 28.0251 25.9409 26.9787 26.7214
    Metalloproteinase inhibitor 2 0 0 0 0 22.2404 0 0 0 0
    Man0-binding lectin serine protease 1 0 0 0 0 22.5053 26.1173 23.8029 23.3006 22.9136
    Coronin-1B 27.9178 27.581 27.9542 27.7296 27.546 27.5622 27.4981 27.1976 27.3889
Macrophages
    Macrophage migration inhibitory factor 28.6312 28.6472 29.1578 30.025 29.8091 29.8451 29.1279 29.0539 29.368
    CD44 antigen 28.6619 28.6368 28.9394 28.7988 27.3233 27.7898 27.0054 27.7731 27.2653
    40S ribosomal protein S19 26.936 26.5581 26.6926 26.971 26.5204 26.7498 26.7398 26.0823 26.6695
    Monocyte differentiation antigen CD14 0 0 0 23.9354 25.0241 24.5459 23.9976 24.7557 24.1249
    C-C motif chemokine 7 0 0 0 23.1407 22.0415 22.5686 24.707 24.4162 22.9219
    Galectin-3 30.2327 30.1402 30.038 28.8223 28.8036 28.1901 28.625 28.7123 28.0306
Lymphocytes
    OX-2 membrane glycoprotein CD200 25.7871 0 23.9863 24.7009 0 24.314 24.0589 24.3939 0
    Interleukin-6 24.2086 25.4681 25.5759 26.3852 26.3842 25.2731 24.483 25.7921 25.3782
    Galectin-9 0 0 0 0 0 0 0 25.9002 0
    Galectin-1 32.6737 32.5669 32.6506 32.9122 32.5662 32.6704 32.5203 31.9418 32.3181
Axone guidance and neuroprojection
    SLIT-ROBO Rho GTPase-activating protein 2 25.811 25.6238 25.7599 25.3082 25.0385 0 25.3939 25.5015 25.5566
    Roundabout homolog 1 0 0 0 0 0 0 24.2002 0 0
    Neuronal cell adhesion molecule 30.0049 30.0433 30.1589 29.9667 29.358 29.534 29.3445 28.5453 29.3049
    Neural cell adhesion molecule 1 31.8917 31.7802 31.8729 31.4973 30.8715 31.4746 30.9124 30.4901 30.9638
    Contactin-1 31.1681 31.1474 31.1927 31.2253 30.5841 31.0327 30.7078 29.9266 30.6822
    Contactin-2 27.1585 27.0329 26.9043 27.9345 27.5488 27.9311 27.2592 27.2804 27.6615
    Contactin-6 0 0 0 0 0 0 0 0 0
    Ciliary neurotrophic factor 24.8506 22.9907 24.8529 25.702 24.2431 23.1797 24.9799 0 23.9798
    Ciliary neurotrophic factor receptor subunit alpha 25.5707 25.9662 26.225 26.2736 25.7004 25.3727 25.4933 25.4363 25.8105
    Microtubule-associated protein tau 29.8709 29.8023 29.8523 30.1694 30.0955 30.3025 29.0003 29.1989 29.4275
    Serine/threonine-protein kinase PAK 1 26.9748 26.9665 27.1239 27.0781 27.6013 27.5802 27.0074 26.7041 26.8892
    Serine/threonine-protein kinase PAK 2 28.2927 28.3138 28.3501 28.2557 28.1431 28.3057 28.1116 27.3161 27.8498
    Serine/threonine-protein kinase PAK 3 25.1338 25.6572 25.0201 25.5953 25.7014 25.6594 25.0651 24.3002 24.6999
    Ras-related C3 botulinum toxin substrate 1 28.0705 27.898 27.8852 27.7834 28.1549 27.8566 27.6868 27.5539 27.683
    Stathmin 29.9996 29.7308 29.304 29.5653 29.1745 29.2003 28.6635 27.8664 28.5358
    Stathmin-2 26.8569 0 27.3217 26.9841 25.8723 27.0713 0 27.2374 27.1862
    Stathmin-3 0 0 0 0 25.0665 0 0 25.2965 23.8687
    Dynactin subunit 1 28.0911 28.3327 28.6056 28.9071 28.9773 28.9652 28.4454 28.2142 28.4339
    Dynactin subunit 2 28.7806 28.9857 28.9949 29.2243 29.2137 28.8862 28.856 28.0408 28.7832
    Neurofilament light polypeptide 34.2667 34.2316 34.4903 34.4496 34.5105 34.7609 34.4873 34.3372 34.4296
    Neurofascin 30.9973 30.9744 31.0475 31.0709 30.8239 30.9752 30.5183 30.2627 30.5834
    Neurotrimin 28.0367 28.2084 28.2405 27.692 26.4522 27.3746 27.1734 26.5754 27.3955
Synaptogenesis
    Amphiphysin 30.2217 30.0149 29.9956 29.9535 29.6507 29.9519 29.3595 29.2831 29.5719
    Neuromodulin (Gap43) 28.8527 28.5882 28.2403 28.5208 28.9444 29.3156 27.9061 29.0011 28.1697
    Septin-2 29.028 28.3363 28.5575 29.3037 28.892 29.0671 29.1068 27.862 28.9142
    Septin-7 29.0049 28.8985 28.7175 29.2234 29.0177 28.9794 29.1438 28.5489 28.8042
    Septin-11 29.3508 29.4111 29.2963 29.3621 29.4668 29.2324 28.5523 28.3832 28.8227
    Neuronal-specific septin-3 25.9282 26.3278 26.7128 25.007 25.666 24.9764 25.0325 26.1522 25.8445
    Synaptosomal-associated protein 25 28.4208 28.3124 28.0879 28.5773 28.772 28.6392 27.9596 27.9273 27.9611
    Clathrin coat assembly protein AP180 29.1256 29.1284 29.5914 29.6023 29.4552 29.9059 29.5692 29.2666 29.8548
    Syntaxin-1A 0 0 25.5853 24.2792 0 0 0 0 0
    Syntaxin-1B 29.1377 29.0178 29.4568 29.1801 29.0735 29.4064 28.6937 28.9094 28.8049
    Syntaxin-4 0 0 0 24.4928 0 23.1944 0 0 0
    Syntaxin-6 25.9919 25.8572 25.6012 25.5197 25.2579 25.3073 25.1944 25.5921 25.118
    Syntaxin-7 26.9034 26.7065 26.7391 26.7648 26.7745 26.6727 26.0186 25.8722 25.7425
    Syntaxin-12 27.8446 28.1482 28.1291 28.0619 28.0481 28.0051 27.4685 27.1641 27.5336
    Transitional endoplasmic reticulum ATPase 32.0864 32.077 32.1498 32.0258 32.2272 32.1135 31.8542 31.8688 31.9899
    Synapsin-1 28.0302 28.3761 28.7221 28.6303 28.4171 29.0134 28.3068 27.9067 28.4044
    Synapsin-2 25.725 25.7088 26.2018 27.6418 27.6301 27.4681 27.1919 27.1391 27.7261
    Synapsin-3 0 25.1638 25.838 25.4378 24.7563 25.856 24.4428 24.885 23.6882
    Synaptojanin-1 29.4918 29.7069 29.8756 30.1903 30.4005 30.5397 30.2573 29.8646 30.4292 35_37
    Neurochondrin 29.3351 29.4719 29.5332 29.5585 29.2703 29.9478 29.6878 28.5345 29.6794
    Pyridoxal phosphate phosphatase 28.8329 28.7449 29.1759 28.9972 28.7643 29.188 28.5418 28.2626 28.7458 32_35
Neurite inhibitor
    Reticulon-3 NSPL2 25.569 25.9135 27.4908 26.5108 27.3052 27.245 25.4609 25.9404 26.456 29–32
    Reticulon-4 NOGO 28.851 28.847 28.1195 29.7588 30.207 29.573 29.1236 29.0453 29.1769
    Reticulon-1 NSP 29.332 29.2308 28.9172 29.6171 30.0765 29.4196 28.6395 28.7221 28.6849 26–29
    Neurocan core protein;150 kDa adult core glycoprotein 29.6908 29.7793 29.5196 29.1797 28.2469 28.8289 28.4866 27.6944 28.2507
    Transforming protein RhoA 28.0322 27.9209 28.4694 28.2827 28.1263 28.0672 28.0185 27.9293 28.0899 23–26
Motoneuron degeneration
    Superoxide dismutase [Cu-Zn] 33.3356 33.0349 33.3785 33.2127 33.0219 33.0858 32.5989 32.6046 32.6408 20–23
    Superoxide dismutase [Mn] 25.1239 25.2252 25.8339 27.7429 28.0497 27.5506 27.9035 27.6236 27.5134
    Vesicle-associated membrane protein-associated 29.3076 29.0153 29.1555 28.5349 28.6744 28.2749 28.2185 28.1113 28.0187 0
    Vesicle-associated membrane protein-associated 29.7099 29.3958 29.9305 29.2614 29.2928 28.9969 28.6397 28.7428 28.848

Interestingly, it must be noticed that Rock1 and RhoA are overexpressed in SCI and inhibited in RhoA inhibitory treated samples, confirming the efficiency of the treatment. Immune components are only detected in cluster 4. These are over-expressed in lesion after SCI, sub expressed in control and modulated in RhoA inhibitor treated animals (Fig. 5A, supplemental Data S6, Table V). Among the identified inflammatory proteins like complement proteins family (C3, C4a, C9), C-reactive protein, Alpha-1-macroglobulin, Alpha-2-macroglobulin, Plasminogen Plasmin heavy chain A Activation peptide are detected in segments after SCI with a higher ratio in Lesion compared with rostral and caudal segments (Table V, supplemental Data S6) which is in line with the data obtained in collected secretome (Fig. 5B, Table VI, supplemental Data S7). RhoA inhibitor treatment increased the level of IgG2b and IgG2c in lesion and caudal segments. In summary, RhoA inhibitor did not diminished the level of the antibodies in segments but their sub classes. The proportion of IgG2 (a,b,c) compared with IgG1 is higher in treated animals. Moreover, concerning the global impact of the RhoA inhibitor treatment 12 h after SCI on the proteome pattern in both sides of lesion segment (Tables V and VI). It is clearly that the treatment turned the proteome of the lesion and the caudal segments close to the one found in control, except for the rostral which is more divergent (Fig. 5A). Moreover, what was the most surprising is the low level of proteins involved in inflammation in tissue and in secretome (Tables V and VI). More proteins which are involved in neurite outgrowth, neurogenesis and synaptogenesis are identified in SCI compared with ones identified with RhoA inhibitor treatment (Tables V and VI). It seems that factors produced by the cells in tissue promote neurogenesis itself and RhoA will modify such process.

To confirm the proteomic data outlining the role of the RhoAi treatment at early stage of the lesion, we decided to design in vivo experiments consisting in the local intraspinal delivery of RhoAi and by an intraperitoneal injection of an immunosuppressant, calcineurin inhibitor (FK506) to diminish inflammation (14). Here were administered RhoAi in an alginate scaffold (with no growth factors) which biocompatibility and its intrinsic beneficial impact on neurite outgrowth was previously showed (16).

Behavioral assessment by BBB open field scale showed that 7 days after treatment with RhoAi and FK506, the score significantly increased to score 5.0 when compared with SCI group (Fig. 6J). Nevertheless, the locomotor function remained unchanged during the entire survival and reached a plateau. In contrary, SCI group showed slow gradual improvement from beginning reaching score 5.0 with certain time delay at 30 days when compared with treated group, but still slightly improving with score around 6 at final 49 days. These data clearly demonstrated that compared with SCI without treatment, the beneficial effect of RhoAi was seen only at early time points of the treatment but not during later survival, even in combination with alginate and anti-inflammatory compound. On the other hand the immunohistochemical analyses of spinal cord tissue showed that RhoAi + FK506 treated group exhibited significantly higher density of synaptophysin (SYN)+vesicles at lesion site (Figs. 6A) in comparison to SCI group (Figs. 6A, 6C) but no apparent differences between rostral and caudal segments were detected (Figs. 6E). Similarly, quantification of GAP-43 immunoreactivity outlining regrowth axons within damaged dorsal and lateral white matter tracts did not show significant differences between SCI and SCI RhoAi + FK506 treated groups (Fig. 6I). Dense network of GAP-43 immunoreactive axons of different thickness oriented in various directions were present in both rostral and caudal segments as well as at the lesion epicenter in both experimental groups (Fig. 6I). Furthermore, the sections taken from control-naive rats revealed no GAP-43 immunoreactivity, nor in the gray or white matter regions (data not shown), confirming that GAP-43 positivity strictly correlates with axonal outgrowth after SCI (Fig. 6Ha, b). These data show that single intraspinal delivery of RhoAi in combination with FK506 promote neurite outgrowth and synaptogenesis in distinct segments, but without the ultimate clinical improvement of locomotion.

Fig. 6.

Fig. 6.

Quantification of synaptophysin (SYN) positivity at the lesion site (A) and rostral-caudal segments (E) showed significant decrease of SYN after injury, whereas RhoAi + FK506 treatment increased SYN expression significantly at lesion, but not in rostral or caudal segments (E), *p < 0. 05, ** p < 0.001, *** p < 0.0001, One-way ANOVA. Representative images of synaptophysin immunoreactivity (SYN, green) revealed intensely stained synaptic vesicles - punctate structures within the spinal cord- lesion site in control (B) and treated group (D), note only occasional synaptic vesicles on sections from SCI rats (C). Confocal imaging with double labeling of GAP-43 (red) and SYN (green) antibodies, confirmed enhanced growth of axons with dense synaptic vesicles distribution after RhoAi + FK506 treatment at lesion (G). Note, areas containing GAP-43 positive fibers, but only occasional SYN expression at lesion in SCI group (F). Quantification of GAP-43 positive fibers did not reveal significant differences between SCI and SCI RhoAi+ FK506 groups (I), outlining growing axons within damaged dorsal and lateral white matter tracts (Ha, Hb). Note, high number of GAP-43 axons penetrating the lesion site, with dense (arrowheads) or sporadic positive synaptic vesicles (asterisk) (Ha). Scale bar = 25 μm. BBB open field test in SCI rats (blue line) and SCI rats treated with RhoAi + FK506 (red line) at 0, 7, 14, 21, 28, 35, 42 and 49 days post injury, reveals that BBB score in treated rats reached 5 at 14 days and remained unchanged, whereas, rats without treatment reached score 5 at 30 days and further slightly improved (J).

DISCUSSION

We previously demonstrated the benefic impact on neurite outgrowth in vivo after delivery of functionalized alginate scaffold loaded with Epidermal Growth factor (EGF) and basic Fibroblast Growth Factor (bFGF) (16). Significant enhancement of spinal cord tissue sparing and an increased number of choline acetyltransferase motoneurons and sensory fibers were registered. We also document the enhancement of axonal outgrowth in corticospinal tracts and an increased density of blood vessels in central lesion. However, although a switch of microglia functional behavior was observed, this therapeutic strategy did not appear to impact astrocytes functions (16). In our recently published spatio-temporal study of acute SCI (13), we demonstrated that in terms of inflammatory and neurotrophic responses, the rostral segments could be clearly distinguished from caudal ones, which indicated a regionalization effect. Among the factors detected in caudal segments, CSPG, neuronal IgG2a were identified along with the MEMO1-RHOA-DIAPH1 signaling pathway (14) which is known to inhibit neurite outgrowth.

In vitro and in vivo studies confirmed the effect of the RhoA inhibitor on synaptogenesis and modulation of neurogenesis. In fact, DRG cell line incubated with conditioned media obtained from 24 h conditioned medium of rostral, lesion and caudal segments 3 days after SCI, as we previously published (14), showed a slight increase of neurites outgrowth whereas in presence of RhoA inhibitor, this outgrowth is significant. The proteomic analyses of the secreted factors of the DRG cells under RhoA inhibitor treatment in presence of the different collected conditioned medium clearly showed difference between segments. Immunoglobulins are overexpressed particularly in the samples associated with lesion, and from caudal segment. AKT proteins family expressed real differences between rostral and lesion segments. Level of AKT3 diminished whereas the ones of AKT1 and AKT2 proteins, RhoAi increased their level in rostral and diminished in lesion and caudal segments. Serpina3c, Snx12, Gm2a, meosin, Timm44, Cthrc1, Stx6, vsp26b, Itih1, Aqp4, aggrecan core protein, BMP1 are over-expressed in caudal in presence of RhoAi compared with rostral segment or lesion. In rostal segment, with RhoA inhibitor, only AK1 and AKT2 are overexpressed, by contrast Timm44, STX6, Cthrc1, AKT3, STX6 are under-expressed. In lesion, most of proteins present in this cluster were under-expressed or had the same level with RhoAi treatment except of Gm2a, hemopexin, Protein disulfide-isomerase, Stx6 that are over-expressed. Global proteomic analyses, confirmed that among the 16 over-expressed proteins under RhoAi treatments, some were already known to be implicated in neurites outgrowth or neurogenesis e.g. Pde6d (29), Ltbp4 (30), Clip2 (31), Enah (32), Vps26b (33), Sema7a (34), BDNF/NT3 (35), UNC5C (36), Ephrin A5 and Ephrin B receptor (34), VEGF (37). In vivo experiments, reflected that under RhoAi treatment 12 h after SCI, neurites outgrowth factors are detected in both tissues extracts and secretome (e.g. CD166, advilin, neuritin, Neurocan, L1Cam, Vcan, Limbic system-associated membrane protein, neuronal growth regulator 1 precursor, C1qBp, SLIT-ROBO Rho GTPase-activating protein 2, Roundabout homolog 1, Ciliary neurotrophic factor). Similarly, proteins involved in synaptogenesis like synapsins, synthaxins, GAP43, Synaptojanin-1 are also elevated after RhoAi treatment.

We also showed by our time course proteomic experiments that several transcription factors are produced. Smad proteins family is one of the key players in the regeneration process. Smad1 is known to integrate signals from BMP receptors. Together with Smad4, phosphorylated Smad1 assembles a multi-subunits complex that regulates transcription (40). In the absence of Smad1, conditioned DRG neurons show impairment in axon elongation in vitro (40). Moreover, blockade of BMP signaling with the BMP antagonist Noggin inhibits axonal growth in both naive and preconditioned DRG neurons (40). The LFQ results reflected that Smad1, Smad5 and Smad9 appeared at 24 h whereas Smad2 is always present except at 4 Hours (Table IV). The second important player appears to be the tumor suppressor p53. Previous studies have shown that following SCI, transcriptionally active p53 undergoes a series of acetylation events on its C-terminal domain (41, 42). After injury, active gene transcription is necessary to synthesize new proteins needed for axon growth. Acetylated-p53, together with CBP/p300 and PCAF, selectively occupies regulatory regions upstream to the TSS of proneurite and axon-outgrowth genes such as Coronin1b, Rab13, and GAP-43 during an early regenerative response (43). Acetylated-p53 may have a critical role in modulating different transcriptional responses during axonal regeneration (4446). For STATs proteins, absence of STAT3, peripheral nerve regeneration is impaired in DRG neurons (47, 48). Interestingly, sustained STAT3 expression promotes terminal and collateral sprouting by controlling initiation of axon growth after dorsal columns injury (47, 48). Stat3 is detected in detected only at 1 h. Interestingly is the presence of SWI/SNF complex subunit SMARCC1 (BAF155) and SMARCC2 (BAF170) proteins (49). These two proteins belong to the neural progenitors-specific chromatin remodeling complex (npBAF complex) and the neuron-specific chromatin remodeling complex (nBAF complex). The npBAF complex is essential for the self-renewal/proliferative capacity of the multipotent neural stem cells. The nBAF complex along with CREST plays a role regulating the activity of genes essential for dendrite growth (50). These two proteins are overexpressed after RhoAi treatment. Altogether these data pointed out that the chromatin-remodeling BAF complex (formed by the two subunits BAF155 and BAF170) known to play a role in brain development (51) is a key target of RhoAi treatment in acute SCI. BAF (Brg1/Brm Associated Factors) complex is a multisubunit chromatin remodeling complex that alters the position of nucleosomes thereby regulating gene expression. Although, specific BAF subunits selectively interact with transcription factors to regulate gene expression programs, the logic underlying the composition of the BAF complex remains largely unknown. Here we showed that this complex can interact with Smad2/3 and TP53 transcription factors at the early stage of the treatment impacting the cellular traffic and increase vesicles production that are secreted at least 24 h after treatment. The transcription factors Smad2 and Smad3 are known to mediate a large set of gene responses induced by TGF-β and recent observations have showed interactions between the two Smads and BAF complex. BAF complex is incorporated into transcriptional complexes that are formed by activated Smads in the nucleus, on target promoters (52). At 24 h, all TF implicated in control of neurites outgrowth factors expression are present. Expression in DRG cell of robo1, nestin, N chimaerin, glomulin, MAGED 1, TRPV2 in presence of R1 conditioned medium or, slit, FARP1, srGAP2, and STK25 in C1 conditioned medium confirms the differential activation of the DRG cells dependently to the medium considered.

In this context, we investigated the impact of a local treatment of RhoAi in conjunction with an intraperitoneal injection of FK506. The main scenario was to combine factors with both anti-inflammatory and neuro-stimulatory potential to scale up the treatment. Because in our previous study, we did not observe beneficial effect of sustained, long term FK506 delivery, we have decided to shorten the delivery regiment up to 14 days (53). Spinal cord sections dissected from different segments revealed numerous synaptophysin labeling at the lesion site and adjacent segments. Moreover, dense network of GAP-43 immunoreactive axons of different thickness oriented in various directions were present in both rostral and caudal segments as well as at the lesion epicenter. These data confirmed that the treatment has enhanced neurite outgrowth in both segments with dense synaptic contacts at the epicenter of the lesion. The BBB score showed a significant improvement at 7 days after treatment and continued with plateau characteristics, whereas the SCI group revealed delayed and gradual locomotor improvement during entire survival. These data clearly showed different locomotor outcome between both groups, thus revealing beneficial effect of RhoAi + FK 506 delivery at the initial phase of the treatment, but not at longer survival. Thus, treated group launched recovery much earlier than SCI, which regenerate more slowly but at overall survival both groups revealed similar recovery pattern at long term (49 days). This could be caused by low dose of RhoAi delivered via single application that was probably not sufficient for long term stimulation and inhibition of RhoA pathways. For example, previous study demonstrating beneficial recovery of injured CNS axons treated with RhoA-inhibiting NSAID ibuprofen delivery was initiated 1 h after the injury until 5 days post-trauma, via daily subcutaneous injections (54). It is also difficult to determine whether concentration of RhoAi (1 μg/10 μl) that was set according to published studies, represented an optimal concentration and was biologically attainable to the concentration used in vitro. To address this, it would require a complex of comparative and dose response studies processed under in vitro and in vivo conditions. Second important factor that should be mentioned is the route of RhoAi administration. Oral, intramuscular, subcutaneous, or intravenous drug deliveries which imposes a minimal burden on the animals could be applied on daily basis, but not intraspinal-local delivery which requires surgery. Thus, complex factors have to be taken in account to develop an optimal treatment scenario that could complementary sum the efficacy of RhoAi treatment.

Taken together, we demonstrated here that RhoAi treatment provokes sequential activation events in time course resulting in chromatin remodeling, selective and timely activation of transcription factors leading to the expression of a large array of factors involved in neurite outgrowth. Major factors include receptors (Robo1, Plexin A3, Plexin B2, UNC5C, neuropilin 1), ligands (semaphorin 7A, netrin, Ephrin A5, Slit2, BDNF/NT3) and transcription factor (β catenin, WLS, Phox2a, Pho2b) previously shown to regulate axonal regrowth (Fig. 7). We confirm in vivo their presence under RhoAi treatment in tissue and in secreted factors. Regional differences regarding the effects of conditioned medium generated from distinct spinal cord segments indicate that each segment is endowed with a specific ability to secrete axonal regrowth-modifying molecules. Interestingly, in this context, both the R1 and C1 segments harbor a potential to produce such neurites outgrowth factors allowing growth cone formation and activation as we evidence by in vitro and in vivo experiments. These segments are the most impacted by the RhoAi treatment at the early stage of the growth cone formation leading enhanced neurite outgrowth and synaptogenesis. Thus, to improve the efficiency of SCI treatment with RhoAi, it appears essential to specifically target the R1 and C1 segments and to operate in a timely fashion to bypass the regeneration plateau observed 7 days after the treatment.

Fig. 7.

Fig. 7.

Schematic representation of the positive growth cone guidance after RhoA inhibitor treatment. The scheme integrates the specific proteins identified after proteins cell extraction or from the secretome. Signaling pathways linked to identify proteins are also presented.

DATA AVAILABILITY

The raw data and annotated MS/MS spectra were deposited at the ProteomeXchange Consortium (http://proteomecentral.proteomexchange.org) via the PRIDE partner repository with the data set identifier PXD004639.

Supplementary Material

Supplemental Data

Footnotes

Author contributions: D.C. and M.S. designed research; S.D., D.C., K.M., M.K., Z.L., J.B., C.M., I.F., and M.S. performed research; S.D., D.C., K.M., M.K., Z.L., F.K., J.B., S.N., L.P., C.M., I.F., and M.S. analyzed data; S.D., D.C., and M.S. wrote the paper.

* This research was supported by a collaboration between the Fundamental and Applied Biology Mass Spectrometry Laboratory (MS) and grants from Ministère de L'Education Nationale, L'Enseignement Supérieur et de la Recherche, INSERM, Région Nord-Pas de Calais (to SD), SIRIC ONCOLille Grant INCa-DGOS-Inserm 6041aa (IF) and Université de Lille 1 (SD), APVV-15-0613 (DC), VEGA 2/0125/15, Stefanik (MS) APVV SK-FR-2015-0018 (DC).

Inline graphic This article contains supplemental material.

Author contribution statement: DC, MS have got the funding for the project and have written the paper. SD, DC, KM, MAK, ZL, CM, JB, IF have done the experiments. SN, LP, FK have performed part of the bioinformatics analyses. All authors have reviewed the manuscript.

1 The abbreviations used are:

SCI
spinal cord injury
DRG
dorsal root ganglia
CPSG
chondroitin sulfate proteoglycan
RhoGDIα
rho GDP dissociation inhibitor alpha
FASP
filter aided sample preparation
PSM
peptide spectrum matches.

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Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Supplementary Materials

Supplemental Data

Data Availability Statement

The raw data and annotated MS/MS spectra were deposited at the ProteomeXchange Consortium (http://proteomecentral.proteomexchange.org) via the PRIDE partner repository with the data set identifier PXD004639.


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