Anatomically selective peripheral nerve ablation using intraneural ricin injection

Security breach: peripheral nerves provide unrestricted access for toxin delivery into the central nervous system

We explore the hypothesis that a potential explanation for the initiation of motor neuron disease is an unappreciated vulnerability in central nervous system defense, the direct delivery of neurotoxins into motor neurons via peripheral nerve retrograde transport. This further suggests a mechanism for focal initiation of neuro-degenerative diseases in general, with subsequent spread by network degeneration as suggested by the Frost-Diamond hypothesis. We propose this vulnerability may be a byproduct of vertebrate evolution in a benign aquatic environment, where external surfaces were not exposed to concentrated neurotoxins.

Suicide transport blockade of motor neuron survival generates a focal graded injury and functional deficit

We describe a pre-clinical spinal cord motor neuron injury model that is minimal invasive, reproducible, focal and easily applied to small rodents. Retrograde axonal transport of a pro-apoptotic phosphatidylinosotol 3’-kinase inhibitor, wortmannin, via the sciatic nerve results in loss of ipsilateral lumbar motor neurons proportional to the level of drug administered. Motor neuron loss was detected by choline acetyltransferase (ChAT) immunostaining and with a transgenic thy1-eGFP marker. The short half-life of wortmannin generates minimal wound spread, and wortmannin does not affect axon transport, as determined by co-injection of a pseudorabies virus tracer. Using quantitative transcript analysis, we found that ChAT transcripts significantly decreased at 14 days post-delivery of 1 μg wortmannin, relative to sham controls, and remained low after 90 days. Smaller effects were observed with 200 ng and 100 ng wortmannin. Wortmannin also generated a transient and significant increase in astrocyte Gfap transcripts after 14 days with a return to control levels at 90 days. Treated mice had hind limb spasticity and a forced motor function defect that was quantified using a water exit test. Controls rapidly exit a shallow water tray, and wortmannin treated animals were up to 12-fold slower, a phenotype that persisted for at least 3 months. Thus the focal delivery of wortmannin to motor neurons generates a reproducible and scalable injury that can facilitate quantitative studies on neural regeneration and repair. The efficacy of sciatic nerve suicide transport can also explain neurotoxin-mediated selective loss of motor neurons in diseases such as amyotrophic lateral sclerosis. All procedures were performed at Rutgers under established Institutional Animal Care and Use protocols (eIACUC_TR201800022, approved on March 20, 2018).

Quantification of motor neuron loss and muscular atrophy in ricin-induced focal nerve injury

BACKGROUND

Intrasciatic nerve injection of the Ricinus communis agglutinin (RCA or ricin) causes degeneration of motor neurons (MNs) with functional deficits, such as those that occur in amyotrophic lateral sclerosis (ALS). The objective of this study was to develop a new comprehensive platform for quantitative evaluation of MN loss, muscular atrophy and behavioral deficits using different ricin injection regimens.

NEW METHOD

Fluorogold (FG)-guided stereological quantification of MNs, in vivo magnetic resonance imaging (MRI) of muscular atrophy, and CatWalk behavioral testing were used to evaluate the outcome of rats treated with different ricin regimens (RCA60 0.5 μg, RCA60 3 μg, and RCA120 6 μg) as animal models of MN degeneration.

RESULTS

FG-guided stereological counting of MNs enabled identification, dissection and robust quantification of ricin-induced MN loss. The RCA60 0.5 μg and RCA120 6 μg regimens were found to be best suited as preclinical MN depletion models, with a low mortality and a reproducible MN loss, accompanied by muscle atrophy and functional deficits evaluated by MRI and the CatWalk method, respectively.

COMPARISON WITH EXISTING METHODS

1) Fluorogold neuronal tracing provides a robust and straightforward means for quantifying MN loss in the spinal cord; 2) MRI is well-suited to non-invasively assess muscle atrophy; and 3) The CatWalk method is more flexible than rotarod test for studying motor deficits.

CONCLUSION

Intrasciatic injection of RCA60 or RCA120 induces nerve injury and muscle atrophy, which can be properly evaluated by a comprehensive platform using FG-guided quantitative 3D topographic histological analysis, MRI and the CatWalk behavioral test.

Botulinum Neurotoxins: Qualitative and Quantitative Analysis Using the Mouse Phrenic Nerve Hemidiaphragm Assay (MPN)

The historical method for the detection of botulinum neurotoxin (BoNT) is represented by the mouse bioassay (MBA) measuring the animal survival rate. Since the endpoint of the MBA is the death of the mice due to paralysis of the respiratory muscle, an ex vivo animal replacement method, called mouse phrenic nerve (MPN) assay, employs the isolated N. phrenicus-hemidiaphragm tissue. Here, BoNT causes a dose-dependent characteristic decrease of the contraction amplitude of the indirectly stimulated muscle. Within the EQuATox BoNT proficiency 13 test samples were analysed using the MPN assay by serial dilution to a bath concentration resulting in a paralysis time within the range of calibration curves generated with BoNT/A, B and E standards, respectively. For serotype identification the diluted samples were pre-incubated with polyclonal anti-BoNT/A, B or E antitoxin or a combination of each. All 13 samples were qualitatively correctly identified thereby delivering superior results compared to single in vitro methods like LFA, ELISA and LC-MS/MS. Having characterized the BoNT serotype, the final bath concentrations were calculated using the calibration curves and then multiplied by the respective dilution factor to obtain the sample concentration. Depending on the source of the BoNT standards used, the quantitation of ten BoNT/A containing samples delivered a mean z-score of 7 and of three BoNT/B or BoNT/E containing samples z-scores <2, respectively.

Current treatment concepts for neuromas-in-continuity

A neuroma-in-continuity is a neuroma that results from failure of the regenerating nerve growth cone to reach peripheral targets. It occurs within an intact nerve in response to internally damaged fascicles, resulting in a distal portion of the nerve that no longer functions properly. Management of neuromas-in-continuity is challenging. Chemical methods, and microsurgical techniques including fascicular ligation, and burying into muscle and bone have been reported to prevent neuroma-in-continuity formation. The purpose of this article is to present novel techniques for neuroma-in-continuity management, and to discuss the related literature.

Response of glial cells and activation of complement following motorneuron degeneration induced by toxic ricin

Motor nerve transection in adult rats induce a series of metabolic and structural changes in the injured neurons as well as in surrounding glial cells; however, without substantial neuronal degeneration. In the present study we found, in contrast with axotomy, a massive neuronal death in the ipsilateral hypoglossal nucleus following injection of toxic ricin (RCA) into the hypoglossal nerve, which is in line with previous observations. Injection of RCA enables examination of the glial reaction in a situation where neuronal degeneration is profound, which has been the approach in the present study. We found an increase in OX42-, GFAP-, and transferrin-immunoreactivity in microglial, astroglial, and oligodendroglial cells respectively, in the ipsilateral hypoglossal nucleus three to seven days following injection of toxic ricin in the hypoglossal nerve. Proliferation was found in astrocytes as well as in microglial cells, as shown by uptake of bromodeoxyuridine. In addition, the complement cascade was activated locally in the ipsilateral hypoglossal nucleus, as demonstrated by immunohistochemical detection of complement components C3d and C9. Complement activation may serve several effects in the glial-neuronal interactions. Stimulation of phagocytosis by reactive microglia is probably the most important one. Furthermore, the degenerative neuronal somata showed increased immunoreactivity for clusterin, which is a known complement inhibitor, but a decrease in clusterin-mRNA. In conclusion, the glial cell response was in several aspects principally different following massive motorneuron degeneration induced by toxic ricin in comparison to previous findings reported after axotomy.

Selective inhibition of neuronal protein synthesis by retrogradely transported ricin

The ability of the lectin, ricinus communis agglutinin I (ricin120), to undergo retrograde axonal transport and cause degeneration of neuronal cell bodies has been frequently exploited to establish the origin of peripheral axons. Since this cytotoxic action of ricin results from its inactivation of ribosomes, the retrogradely transported lectin was employed in the present study to inhibit protein synthesis in dorsal root ganglion (DRG) neurons whose axons project into the lumbar nerve trunk of bullfrog tadpoles. The procedure was developed to examine, during tadpole metamorphosis, the ratio of fast-transported radiolabeled protein accumulating at the proximal side of a nerve trunk ligature to the total newly synthesized protein in the cell bodies of origin. The relatively small diameter and fragility of the developing lumbar nerve trunks necessitated introduction of ricin by bath application to the cut nerve end rather than by intraneural injection. Consistent uptake of ricin was achieved by pretreatment with the phospholipase A2 inhibitor, mepacrine, that blocks resealing of severed nerve fibers. Optimal time and dosage of ricin were established by determining the maximal achievable inhibition of [35S]methionine into DRG protein. In stage XVI tadpoles, maximal inhibition of approximately to 65% was observed after 16 h incubation in 2.5 mg/ml ricin. As evidence that neuronal protein synthesis was effectively suppressed, there was no detectable anterograde axonal transport of [35S]protein subsequent to ricin treatment.(ABSTRACT TRUNCATED AT 250 WORDS)

Collateral sprouting in the electrosensory lateral line lobe of weakly electric teleosts (gymnotiformes) following ricin ablation

Sprouted collateral axons were observed in the electrosensory lateral line lobe (ELL) of gymnotiform teleosts (Apteronotus leptorhynchus) following the ablation of the supraorbital branch of the anterior lateral line nerve. Ablation was accomplished by using microinjections of the toxic lectin ricin. Sprouted axons were followed for up to 26 weeks postablation. Ricin exposure severely reduced axonal numbers and the peripheral electroreceptors in the region innervated by these fibers. To visualize sprouted fibers, intact lateral line afferent nerve branches were anterogradely labelled with the neuronal tract tracers horseradish peroxidase or cobalt chloride, or the monoclonal antibody Q26A3. Within the four somatotopically organized ELL segments, sprouted collaterals were first observed two weeks after ricin injection in the medial and centromedial segments, and four weeks postinjection in the centrolateral and lateral segments. Sprouting involved intrasegmental, horizontally directed axons from adjacent nerve branch terminal fields, and mixed intra- and extrasegmental, dorsally directed axons from the ELL deep fiber layer. The sprouting response was robust but variable in its timing, peaking between 6 and 12 weeks. Subsequently, the intrasegmental, horizontally directed fibers were retained but the mixed dorsally directed fibers, including all extrasegmental axons, were retracted. Therefore, this sprouting response appears to consist of a collateral overproduction followed by a selective axonal retraction. In our view, the most likely explanation for this axonal retraction is that the descending inputs from the isthmus and the cerebellum, as well as commissural fibers from the contralateral ELL, maintain established somatotopic relationships by eliminating somatotopically mismatched sprouted collaterals.

Immunolesioning: selective destruction of neurons using immunotoxin to rat NGF receptor

192 IgG, a monoclonal antibody to the rat nerve growth factor (NGF) receptor, was disulfide-coupled to saporin, a ribosome-inactivating protein. Systemic injection of 192 IgG-saporin destroyed sympathetic postganglionic neurons and some sensory neurons. Injection of 192 IgG-saporin into the lateral ventricle destroyed cholinergic neurons of the basal forebrain. These results show that antineuronal immunotoxins are a powerful approach that may prove useful in a variety of neurobiological applications.

Studies in autotomy: its pathophysiology and usefulness as a model of chronic pain

An interesting behavioral syndrome results in animals from the same or similar types of lesions that lead to deafferentation pain in humans; many neurectomized animals begin to scratch, bite, or self-mutilate their denervated limb, a phenomenon termed autotomy. The proposition that this behavior in animals is a response to the chronic pain of peripheral nerve injury has met with considerable controversy. If this issue were resolved, then a better understanding of the neurophysiology of autotomy might help elucidate the mechanisms of the human conditions. To determine the association between deafferentation and the autotomy behavior, we developed a pharmacologically induced functional deafferentation preparation using chronic perineural lidocaine infusion of the sciatic nerve. This 'chronic lidocaine' model's behavior was compared with that of the neurectomy model. While autotomy was noted in 80% of the latter group, no animal undergoing a chronic perineural infusion of lidocaine autotomized. We thus conclude that autotomy is not a response to non-painful sensory deafferentation, but rather that this behavior is a response to pain. We also studied the development of autotomy in a variety of other focal denervation preparations. On the basis of these data, we conclude that autotomy is not due to loss of sensory input on a functional basis nor to an action potential-mediated process. Rather, nerve damage which coincidentally involves sensory loss is necessary and sufficient for the development of this behavior. We suggest that interruption of a humoral feedback process homeostatically operating within the first order sensory neuron with its effect exerted post-synaptically leads to autotomy. The evidence supports the existence of a loss of a transportable, humoral autotomy inhibitory factor.

Behavior of cat abducens motoneurons following the injection of toxic ricin into the lateral rectus muscle

The aim of this investigation was to study the behavior of identified abducens motoneurons in the chronic cat following a single injection of toxic ricin into the lateral rectus muscle. Lateral rectus electromyographic potentials induced by VIth nerve stimulation disappeared, and abducens antidromic field potentials decreased by 90% 3 days following ricin injection. Several abnormalities and a significant decrease in eye position and velocity sensitivities were observed in motoneuron activity up to 8-10 days following ricin injection. Contrary to a previous report for axotomized abducens motoneurons, no functional sign of recovery was observed. Histological analysis showed a survival of 10-15% of the abducens motoneuron population 10 days following ricin injection. From this time on, recorded motoneurons behaved like controls, but showed a specific retraction signal suggesting an exclusive projection onto the retractor bulbi muscle. Although intermingled in the nucleus with motoneurons, no recorded abducens internuclear interneuron was affected by the ricin during one month following the injection.

Expression of choline acetyltransferase and nerve growth factor receptor within hypoglossal motoneurons following nerve injury

In the present study we employed light microscopic immunocytochemical techniques in order to investigate the temporal response of choline acetyltransferase (ChAT) and nerve growth factor receptor (NGFr) within hypoglossal motoneurons following unilateral transection or crushing of the XII nerve or after intraneural injections of ricin into the nerve. In control rats (i.e., sham operated) virtually all the motoneurons of the XII nucleus displayed intense immunolabeling for ChAT and were devoid of NGFr immunoreactivity. As early as 3 days post-operative the intensity and the number of ChAT-labeled neurons were reduced on the axotomized side compared to the non-lesioned side. This decrease was maximal approximately two weeks post-operative when virtually no ChAT-labeled cells were present on the lesioned side. In contrast, no loss of hypoglossal neurons was found using Nissl stains. This absence of ChAT immunolabeling persisted for several days, yet by 30 days many of the motoneurons had begun to re-express the enzyme. In contrast to the decrease in ChAT immunoreactivity, transection of the XII nerve also resulted in the expression of NGFr immunoreactivity within the lesioned motoneurons. This response was detected as early as one day post-operatively and continued throughout all time points thus far examined including times after many of the motoneurons had begun to re-express ChAT. Crushing of the XII nerve effected the expression of ChAT and NGFr in a manner comparable to, yet less intense than, that observed following transection. Ricin injected directly into the XII nerve resulted in the loss of hypoglossal motoneurons as demonstrated both in immunohistochemical and Nissl-stained tissue preparations. The cell loss was readily apparent 3 days post-operatively, and ChAT immunoreactivity permanently disappeared. NGFr immunolabeling was seen only in scattered surviving neurons but not in ricin poisoned cells. The possible mechanisms underlying the differential expression of ChAT and NGFr are discussed.

Antinociception produced by electrical stimulation of vagal afferents: independence of cervical and subdiaphragmatic branches

Expt. 1 showed that electrical stimulation of either the main dorsal or ventral branch of the subdiaphragmatic vagus could produce inhibition of the nociceptive tail-flick reflex in lightly anesthetized rats. The antinociception produced by electrical stimulation of the dorsal subdiaphragmatic vagus was eliminated by resection of the right cervical vagus, but relatively unaffected by resection of the left cervical vagus. The opposite effects for cervical vagal resection were obtained with electrical stimulation of the ventral branch of the subdiaphragmatic vagus. These results indicate that the antinociceptive effects of subdiaphragmatic vagal stimulation are mediated via uncrossed afferents traveling in the cervical vagus to activate an inhibitory spinopetal system. These findings are consistent with the established anatomy of vagal afferents. Expt. 2 showed that degeneration of the dorsal subdiaphragmatic vagus did not alter the threshold intensity of right cervical vagal stimulation necessary to produce inhibition of the tail-flick reflex. These results demonstrate that the antinociceptive effects of cervical vagal stimulation are primarily due to activation of the cardiopulmonary component of the nerve, rather than the subdiaphragmatic component. The second experiment also demonstrated that the subdiaphragmatic branch of the vagus can be selectively degenerated with ricin while leaving the cervical branch intact, even though the cell bodies of both sets of afferents are located within the nodose ganglion. These data are discussed in terms of vagal afferents and their role in the modulation of nociceptive transmission.

Quantitative study of neuronal degeneration induced by Ricinus toxin and crush of postganglionic nerves in the ciliary ganglion of quail

The effects of Ricinus toxin on the neurons of the ciliary ganglia were investigated in the quail. The neuronal death and the morphological alterations of the ganglionic cells were assessed following injection of the toxin in the anterior chamber of the eye or after application of the toxin on the postganglionic nerves at a crush site. A 45% loss of choroid neurons without loss of ciliary neurons was observed after postganglionic nerve crush alone. Injection of the toxin in the anterior chamber of the eye led to a selective loss of ciliary neurons (38%). Application of the toxin to the crushed postganglionic nerves led to a loss from both neuronal populations (40% of total neurons). This work indicates that different procedures result in selective lesion of the different neuronal populations in the ciliary ganglion.

Anatomical and neurochemical evidence for suicide transport of a toxic lectin, volkensin, injected in the rat dorsal hippocampus

Volkensin, a ribosome-inactivating toxic lectin which has been proposed as a 'suicide transport' agent in the CNS, was unilaterally injected in the rat dorsal hippocampus at a dose of 1.2 ng. Three to 5 days after the injection, degenerating neurons were observed at the electron microscope in the medial septum-diagonal band area ipsilateral to the injection. Ten days after the injection, the number of pyramidal neurons in the CA3 region of the contralateral hippocampus, which are the major source of hippocampal commissural fibers, was obviously decreased. At the same survival time, the number of choline acetyltransferase (ChAT) immunoreactive neurons in the ipsilateral medial septum-diagonal band area was moderately but significantly decreased. These neurons are known to be the major source of the septohippocampal cholinergic projection. Concomitantly, microchemical assays of ChAT levels revealed a 25% decrease of enzyme activity in the medial septum-diagonal band area ipsilateral to the injection. This was accompanied by a 33% decrease of ChAT in the ipsilateral ventral hippocampus which was interpreted to be due, at least in part, to the degeneration of cholinergic septal neurons projecting to both the dorsal and the ventral hippocampus. Taken together, these results provide clear evidence that volkensin is taken up by nerve terminals in the injected area of the brain and retrogradely transported to the cell bodies originating the projection, which are killed by the toxin. The usefulness of the strategy of 'suicide transport' in the CNS is, therefore, confirmed.(ABSTRACT TRUNCATED AT 250 WORDS)

Temporal progression of cortical reorganization following nerve injury

Damage to peripheral nerves of adult mammals causes reorganization of somatosensory maps in the cerebral cortex. An understanding of the temporal progression of cortical changes is important for understanding the underlying mechanisms. The present experiments utilized neurophysiological recordings to analyze the time course of reorganization in the S-I cortical hindpaw area in adult rats. Following loss of sciatic inputs, the cortical area responding to low threshold inputs from the hindpaw saphenous nerve expands. A brief, early onset period of rapid expansion is followed by a prolonged period of slow increase. The temporal progression suggests that early onset changes condition the central nervous system for later changes.

Ultrastructural observations of non-selective effects of ricin treatment (RCA-120) in the rat dorsal root ganglion

The effects of ricin (RCA-120) on non-injected dorsal root ganglion (DRG) cells, sharing the same DRG as the injected ones, were studied after ricin injections into the tibial nerve and B-HRP injections into the peroneal nerve. Numerous DRG cells containing B-HRP reaction product and exhibiting signs of advanced degeneration were observed. The findings suggest that ricin may be released from dying injected DRG neurons and taken up by adjacent non-injected DRG cells, which subsequently degenerate.

Degenerative changes of neurons in the superior cervical ganglion following an injection of Ricinus communis agglutinin-60 into the vagus nerve in hamsters

The present study describes neuronal changes in the superior cervical ganglion of hamsters following injection of Ricinus communis agglutinin-60 (RCA-60) into the ipsilateral vagus nerve in the cervical region. There were no noticeable structural changes in the ganglion 1 day after injection. Between 3 and 15 days after injection, a small number of neurons located in the caudal part of the ganglion underwent degenerative changes including disappearance of rough endoplasmic reticulum and cytoplasmic vacuolation. The structural alterations were most acute 7 days after the injection when some neurons showed signs of total vacuolation and lysis. A second phase of neuronal change occurred after longer survival periods extending from 60 to 120 days after injection. The most striking feature of such neurons was darkening of their dendrites associated with abnormally high density cytoplasm that contained mitochondria with disrupted cristae. As distinct from the early phase in which cell necrosis was observed, there was no evidence of cell death of neurons bearing darkened dendrites. Since examples of exfoliation of the affected dendrites and their phagocytosis by satellite cells were extremely rare, it is postulated that these structural alterations are probably reversible but over an extended period. The significance of the two phases of degenerative change is discussed in connection with the acute and possible chronic effects of the toxic lectin. The present study also confirms the presence of postganglionic sympathetic axons in the cervical vagus nerve.

Neuronotoxic effects of monoclonal anti-Thy 1 antibody (OX7) coupled to the ribosome inactivating protein, saporin, as studied by suicide transport experiments in the rat

As a first attempt to develop suicide transport agents based upon antineuronal antibodies, we studied an immunotoxin directed against the Thy 1 antigen which is on rat neurons. The immunotoxin was composed of mouse monoclonal anti-Thy 1 antibody (OX7) and the ribosome-inactivating protein, saporin, and was prepared using the heterobifunctional cross linker, SPDP, which provides a disulfide linkage between the two protein components. This immunotoxin reliably and selectively destroyed ipsilateral vagal motor and sensory neurons after injection into the cervical vagus. Injection of the immunotoxin into the caudate nucleus produced destruction of the ipsilateral substantia nigra, pars compacta and intralaminar thalamic nuclei (parafascicular and central median). Anti-mouse IgG immunoperoxidase staining confirmed axonal transport of OX7 by vagal sensory and motor neurons and by caudate afferents and efferents. Systemic toxicity was not observed with OX7-saporin. The neuronotoxic effects of OX7-saporin were specific since injections of a similarly constructed immunotoxin of irrelevant specificity or a mixture of OX7 and saporin were without suicide transport activity. These results show the feasibility of using immunotoxins as suicide transport agents.

Anti-Thy-1 immunotoxin, OX7-saporin, destroys cerebellar Purkinje cells after intraventricular injection in rats

Thy-1 is an abundant surface glycoprotein of rat neurons. OX7 is a monoclonal antibody with high affinity for Thy-1. This study sought to determine if intraventricularly administered OX7 could serve as a carrier to deliver cytotoxin to neurons, thus destroying those neurons. Saporin (Sap), a ribosome-inactivating protein was disulfide-coupled to OX7 (OX7-Sap). OX7-Sap, OX7, saporin alone, pooled non-immune mouse IgG, and an irrelevant immunotoxin, RFT-1-Sap, were injected into the lateral ventricles of anesthetized adult rats. Animals were observed for 1-8 days. OX7-Sap-injected animals developed coarse head tremor and gait/truncal ataxia in a dose-dependent manner beginning 24 h or more after injection. All control animals remained healthy. After OX7 or OX7-Sap injection, immunoperoxidase staining for mouse IgG was most intense and specific in the molecular and Purkinje cell layers of the cerebellar cortex. Cresyl violet staining demonstrated destruction of the Purkinje cell layer in the OX7-Sap-treated animals but not in controls. These results indicate that intraventricular injections of OX7 can be used to deliver biologically active moieties to the Purkinje cells. This approach may prove useful in analysis of Purkinje cell function and as a model of cerebellar degeneration.

Dose- and time-dependent selective and non-selective effects of ricin (RCA 120) on rat primary sensory neurons

The distribution of degenerating fibers in the spinal cord was studied in Fink-Heimer-stained sections following treatment of the tibial nerve with ricinus communis agglutinin (RCA 120). The ricin was either injected into the nerve or applied in a capsule on the transected nerve. Short survival times and low doses of ricin resulted in degeneration in somatotopically appropriate parts of the medial dorsal horn. Longer survival times and higher doses resulted in degeneration which progressively expanded into inappropriate areas in the central and lateral parts of the dorsal horn and in deeper laminae regardless of the mode of application. Furthermore, the effect of a ricin injection into the tibial nerve on transganglionic transport of choleragenoid horseradish peroxidase (B-HRP) in the peroneal nerve was studied following a simultaneous or delayed B-HRP injection. A simultaneous ricin and a B-HRP injection resulted in primary afferent HRP labeling in the gray matter, regardless of the dose of ricin. Following a delayed B-HRP injection almost no primary afferent labeling was seen in the gray matter, unless a very low dose of ricin was injected. This study shows that treatment of a peripheral nerve with a high dose of ricin and a long survival time may result in a considerable non-selective degeneration of fibers in the spinal cord. A selective degeneration may, however, be obtained by using lower doses or shorter survival times.

Anti-ricin antibody protects against systemic toxicity without affecting suicide transport

Ricin is an effective suicide transport agent which reliably destroys sensory and motor neurons in anatomically selective fashion after peripheral nerve application. In the present study, we gave subcutaneous injections of commercially available antiricin antibody (ARA) at the time of ricin application to peripheral nerves. The ARA protected rats against systemic ricin poisoning without altering the suicide transport activity of ricin. This approach removes a significant barrier to the routine use of ricin and should prove useful when ricin is employed to ablate large peripheral nerves. However, antibody protection permits use of such large ricin doses that the toxin may diffuse within the CNS destroying neurons adjacent to those that project through the injected nerve. Consequently, antibody and ricin doses must be optimized for any particular experimental situation.

Cortical organization after treatment of a peripheral nerve with ricin: an evaluation of the relationship between sensory neuron death and cortical adjustments after nerve injury

The present study was designed to assess whether cortical changes after peripheral nerve damage are related to the degree of death of primary sensory neurons in the damaged nerve. The cytotoxin ricin was injected into the sciatic nerves of adult rats to kill primary sensory neurons with axons through the injection site. Following periods of 6-101 days, the S-I hindpaw map was evaluated with neurophysiological techniques and compared with the hindpaw maps of previously studied normal adult rats and adult rats that had undergone adult or neonatal sciatic section at a comparable level of the nerve. These comparisons allowed evaluation of cortical functional organization following different degrees of sensory neuron loss after sciatic nerve injury. There were three main results. 1) The comparison of ricin-treated and normal adult rats indicated that ricin treatment interrupted inputs from the sciatic skin territory on the hindpaw and caused a limited increase in the size of the cortical area that was activated by stimulation of hindpaw skin innervated by the remaining saphenous nerve. 2) The cortical maps of rats that had undergone adult ricin treatment (relatively large primary neuron loss) or section during adulthood (small to moderate primary neuron loss) were similar. In both groups, only the saphenous hindpaw skin was represented in cortex, and the cortical area that was activated by stimulation of the saphenous hindpaw skin had undergone a comparable limited enlargement. 3) The comparison of ricin-treated adult rats (relatively large primary neuron loss) and adult rats that had undergone neonatal section (relatively large primary neuron loss) indicated that cortical organization differed after these treatments. In particular, after ricin treatment the cortical area that was activated by stimulation of the saphenous hindpaw skin was larger than the comparable area in neonatal denervates, and the topographical progressions between the hindpaw and adjacent body representations were not as variable as after neonatal section. These findings indicate that cortical maps are altered after injection of ricin into a nerve. The similarity in cortical organization after ricin treatment (relatively large sensory neuron loss) and nerve section in adults (relatively small sensory neuron loss) and the differences in cortical organization after ricin treatment and nerve section in neonates (both relatively large sensory neuron loss) indicate cortical changes do not covary as a simple function of the degree of peripheral neuron death.

Attempts to prevent equine post neurectomy neuroma formation through retrograde transport of two neurotoxins, doxorubicin and ricin

Digital neurectomies, performed to relieve pain and lameness, are often complicated postoperatively by formation of painful neuromas. In this study attempts were made to deliver lethal doses of neurotoxin to the cell bodies of the transected digital nerve fibres via long-distance retrograde axon transport and, thereby, prevent the regenerative changes that lead to neuroma formation. After applying doxorubicin in various ways to the digital nerve stumps of ponies, degenerating or necrotic neurones appeared only sporadically in the spinal ganglia. Although doxorubicin was largely ineffective in retrograde destruction of cell bodies, when absorbed in pledgets on the stumps it exerted a sustained action which prevented Schwann cell proliferation and axon sprouting. Ricin, in contrast to doxorubicin, was effective in retrograde destruction of sensory neurons. Many affected neurons were devoid of polysomes but packed with mitochondria; others had advanced to various stages in cytolysis. Despite its effectiveness, ricin cannot be recommended because of its extreme toxicity. The clinical use of retrograde transport in equine neurectomy will probably depend on future development of hybrid toxins with high neural specificity and low systemic toxicity.

Selective neuronal destruction by Ricinus communis agglutinin I and its use for the quantitative determination of sciatic nerve dorsal root ganglion cell numbers

The selectivity of the neurotoxic lesion of Ricinus communis agglutinin I (RCAI) in rat dorsal root ganglia was examined. RCAI was injected in the sural nerve on one side. Two weeks later, the injected nerve, as well as the ipsilateral peroneal nerve, were examined in 1-micron-thick plastic embedded sections in the light microscope. The injected nerves showed a complete or almost complete Wallerian-like degeneration of myelinated fibers, but there were no signs of fiber damage in the uninjected nerves, which to a large extent originate in the same ganglia as the injected ones. We conclude that RCAI does not diffuse into and destroy ganglion cells adjacent to those that have transported the substance. We then used this selectivity in the effect of RCAI to determine indirectly the relative number of neurons in dorsal root ganglia L4-L6 which contribute to the sciatic nerve. Three weeks after unilateral injections of RCAI in the sciatic nerve, the L4-L6 dorsal root ganglion cells were counted bilaterally. On average, relative neuronal numbers between injected and uninjected sides were 0.36, 0.15 and 0.64 for L4, L5 and L6 respectively. From these data we conclude that the sciatic nerve receives on average of 64%, 85% and 36%, respectively of its sensory contribution from these ganglia.

Acute and chronic effects of the neurolytic agent ricin on dorsal root ganglia, spinal cord, and nerves

The short- and long-term effects of ricin injections into nerves have been evaluated with light microscopy in the dorsal root ganglia, spinal cord, and peripheral nerves in rats and cats. Dorsal root ganglion cells initially exhibited chromatolysis, followed by gliosis and cell death. These changes were associated with Fink-Heimer degeneration in the somatotopically appropriate region of the dorsal horn. There were no signs of chromatolysis in dorsal horn neurons in ricin-injected animals, but chromatolytic motoneurons were observed. Ricin produced acute necrosis of injected nerves and dissolution of axoplasm. At long survival times (greater than 4 weeks) some apparently regenerating axons were seen in the injection sites of rats. Cell counts indicated that a substantial percentage of dorsal root ganglion neurons associated with the injected nerves were killed, but the presence of regenerating axons suggested that some cells survived the ricin treatment. Although the lesion may not always be complete, even with maximum sublethal doses, this method appears to be useful for specifically destroying afferent fibers associated with a particular nerve without transynaptic destruction of dorsal horn neurons.

Synthesis and in vitro and in vivo activity of a hybrid composed of ricin B chain-barley ribosome-inactivating protein

In our continued studies on hybrid proteins for use as cytotoxins and possible suicide transport agents, we have begun to investigate the use of ribosome-inactivating proteins (RIP) isolated from grain. The RIP from barley has been purified to homogeneity by modifications of the methods of Roberts and Selitrennikoff and crosslinked to the binding subunit B of the seed toxin ricin (RTB). The resulting hybrid was purified by a combination of gel filtration and affinity chromatography on acid-washed Sepharose 4B. This model suicide transport agent was assayed in vitro against K-562 cells and was found to be cytotoxic in a dose-dependent manner (ID50 = 0.15 micrograms/ml). Lactose inhibited the toxicity of the hybrid, indicating that cytotoxicity was dependent on the cell binding property of the ricin B moiety. In addition, free RIP and free ricin B, either alone or in combination, were nontoxic over this concentration range. The in vivo effects of the RTB-RIP hybrid were assessed by pressure microinjection into the vagus nerves of rats. Injection of 0.18 to 6.5 micrograms of conjugate resulted in death of vagal sensory but not motor neurons after 3-17 days. The cytotoxic changes in vagal sensory neurons were identical to those previously observed with a variety of RIP toxins such as ricin.

Response of endogenous glial cells to motor neuron degeneration induced by toxic ricin

The injection of toxic lectin from Ricinus communis into the rat facial nerve resulted in suicide transport and rapid degeneration of facial motor neurons. The reaction of glial cells to neuronal death in comparison with nerve crush lesions was studied by using lectin-HRP conjugates derived from Griffonia simplicifolia for the selective staining of microglial cells at both light and electron microscopic levels. In addition, the proliferative activity of microglia was assessed by quantification of 3H-thymidine incorporation. The astrocytic response was evaluated by light microscopic immunocytochemistry for glial fibrillary acidic protein. In the degenerating facial nucleus local microglial cells responded by rapid proliferation and phagocytosis of neuronal debris. After nerve crush, no phagocytes were observed, but microglial proliferation and perineuronal satellitosis were prominent. The astrocytic expression of glial fibrillary acidic protein in response to nerve crush proceeded gradually over a period of several weeks after which it declined, contrasting with accelerated astrocytic hypertrophy and permanent glial scarring after neuronal degeneration. These results show that the expression of glial fibrillary acidic protein by fibrous astrocytes is intensified after lethal neuronal injury compared to sublethal insults. In the absence of any observations indicating participation of hematogenous elements, it is proposed that local microglial cells transform into brain macrophages.

Modeccin and volkensin but not abrin are effective suicide transport agents in rat CNS

Suicide transport is a term applied to the technique of producing anatomically selective neural lesions using axonally transported cytotoxins. Because the cytotoxic lectins, abrin, modeccin and volkensin are effective suicide transport agents in the peripheral nervous system, the present study sought to determine if they were effective suicide transport agents in the rat CNS. Toxins were stereotactically pressure microinjected unilaterally into the caudate nucleus of rats. After 2-13 days survival, brain sections were processed for catecholamine histofluorescence or Nissl stained with Cresyl violet. All 3 agents produced extensive necrosis at the caudate injection site. In addition, modeccin and volkensin but not abrin produced destruction of neurons in the ipsilateral substantia nigra and intralaminar thalamus. Histofluorescence confirmed loss of dopaminergic neurons from the ipsilateral substantia nigra after modeccin or volkensin but not abrin injections. These results indicate that modeccin and volkensin are effective suicide transport agents within the rat CNS, presumably due to retrograde axonal transport of the toxins. These agents may prove extremely useful in producing anatomically selective lesions of neurons afferent to a toxin injection site.

Completeness and selectivity of ricin "suicide transport" lesions in rat dorsal root ganglia

Ricinus communis agglutinin (MW 60 kDa type, RCA60, ricin) injected into the rat sciatic nerve produces massive degeneration of cells in those dorsal root ganglia (DRGs) known to contain the sensory cells-of-origin of the sciatic nerve. We have evaluated the extent of this cell death quantitatively. Using 1 or 2 micrograms RCA60, the average proportion of L5 DRG neurons destroyed closely matched the proportions of neurons in this ganglion known to have an axon in the sciatic nerve. A lower dose, 0.2 microgram ricin, produced substantially less cell death. There was heavy fiber degeneration in the sciatic nerve proximal to the injection site, but not in a nearby tributary nerve with which it shares the L5 DRG. Furthermore, the topographic distribution of Fink-Heimer argyrophilia corresponded to the known sciatic nerve distribution. The data suggest that at appropriate doses toxic ricin can produce a near complete and selective lesion by retrograde "suicide transport".

Autotomy in rats after nerve section compared with nerve degeneration following intraneural injection of Ricinus communis agglutinin I

Partial unilateral deafferentation of the hind limb of rats was carried out by section of the sciatic nerve or the intraneural injection of Ricinus communis agglutinin 1 (RCA I). The development of autotomy was observed over a 6 week period. The axotomized animals autotomized more than those injected with RCA I. A neuroma developed on the proximal stump of the axotomized nerves. Within 7 days the axons of the RCA I-injected nerve degenerated and the cell bodies in dorsal root ganglia L4 and L5 were destroyed. Since the RCA I-injected animals autotomized, it is concluded that purely central factors have a role in the generation of this abnormal behavior. As the axotomized animals autotomized more than the RCA I-treated ones it is further concluded that abnormal impulse activity arising from a neuroma may be an additional factor in causing autotomy.

Effects of intraneural injection of Ricinus communis agglutinin-60 into rat vagus nerve

The dorsal motor nucleus (DMN) of the rat was studied at various survival periods following an intraneural injection of Ricinus communis agglutinin-60 (RCA-60) into the vagus nerve at the mid-cervical region. No obvious structural changes were noted in the DMN 2 and 4 days after the injection of RCA-60. At 5 and 6 days after the RCA-60 injection, the larger neurons (measuring 19 X 12 microns) in the DMN underwent chromatolytic degeneration whereas the smaller ones (measuring 10 X 6 microns), characterized by their infolded nuclei, remained unaffected. The majority of the degenerating DMN neurons became pale and crenated in outline. Other structural changes included swollen mitochondria with disrupted cristae and profiles of rough endoplasmic reticulum denuded of ribosome particles. A few of the degenerating neurons became extremely condensed and darkened. Axon terminals which showed synaptic contacts with these cells remained normal. Both pale and darkened degenerating dendrites, derived from the degenerating neurons, were present in the neuropil. In addition to these, degenerating axon terminals with clumping or swelling of synaptic vesicles were also present. They were presynaptic to dendrites of various sizes. Massive infiltration of mononuclear cells occurred in the DMN. These cells reached the DMN by diapedesis and were actively engaged in the phagocytosis of degenerating neuronal elements. While most of the invading cells transformed into active neuronal macrophages, some of them eventually died in the neuropil of the DMN. Light microscopic study by Fink-Heimer's method for degenerating fibres and terminals revealed their distribution to the DMN, nucleus of the tractus solitarius, nucleus commissuralis, dorsolateral and lateral part of the hypoglossal nucleus and the area postrema. It was concluded from this study that RCA-60, when injected into the cervical vagus was retrogradely transported to the cell body of the DMN neurons of the larger category. The selective destruction of the DMN neurons by RCA-60 elicited a massive infiltration of mononuclear cells which gave rise to the neural macrophages. The RCA-60 injected also killed the vagal sensory neurons as demonstrated by the numerous degenerating fibres and axon terminals in the DMN which would represent their central processes.

Neuronotoxicity of axonally transported toxic lectins, abrin, modeccin and volkensin in rat peripheral nervous system

In an attempt to find new and more useful suicide transport agents, the cytotoxic lectins abrin, modeccin and volkensin were pressure microinjected into peripheral nerves (vagus, hypoglossal and sciatic) of adult rats. After 33 h-5 days survival, the brainstems, spinal cords and corresponding sensory ganglia were examined histologically. All three lectins produced profound chromatolysis, and destruction of sensory and motor neurons projecting axons through the injected nerves. Volkensin and modeccin were significantly more potent than any previously reported suicide transport agent. It is concluded that abrin, modeccin and volkensin are effective, unselective suicide transport agents in the rat peripheral nervous system but none is clearly superior to ricin for making restricted sensory and motor neuron ablations. However, modeccin and volkensin are fundamentally different from any previously reported suicide transport agents with respect to spread within the CNS which destroyed neurons adjacent to those initially taking up and transporting the toxin. Possibly this is due to the different oligosaccharide binding specificity of modeccin and volkensin compared to other suicide transport agents. Modeccin and/or volkensin may prove useful in making lesions of CNS interneurons using the suicide transport strategy.