Development of Rat Tibia Innervation: Colocalization of Autonomic Nerve Fiber Markers with...

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Fax +41 61 306 12 34 E-Mail [email protected] www.karger.com Original Paper Cells Tissues Organs 2010;191:489–499 DOI: 10.1159/000276591 Development of Rat Tibia Innervation: Colocalization of Autonomic Nerve Fiber Markers with Growth-Associated Protein 43 Mariusz Gajda a Jan A. Litwin a Zbigniew Tabarowski b Olaf Zagólski c Tadeusz Cichocki a Jean-Pierre Timmermans d Dirk Adriaensen d a Department of Histology, Jagiellonian University Medical College, b Department of Physiology, Institute of Zoology, Jagiellonian University, and c Diagnostic and Therapeutic Medical Center ‘Medicina’, Kraków, Poland; d Laboratory of Cell Biology and Histology, Department of Veterinary Sciences, University of Antwerp, Antwerp, Belgium in the intercondylar eminence. In secondary ossification centers, NPY-IR fibers were seen from PD10, and in the bone marrow of the epiphyses from PD14. First VIP-IR and VAChT-IR fibers were observed on PD4 within the perioste- um, bone marrow and patellar ligament. From PD10 on, VIP- positive fibers were seen in the intercondylar eminence, and from PD14 in secondary ossification centers. GAP-43 proved to be superior to PGP 9.5 as marker of growing nerve fibers, mostly due to its earlier appearance. The presence of spe- cific nerve fibers may suggest possible involvement of auto- nomic innervation in regulation of bone development. Copyright © 2010 S. Karger AG, Basel Key Words Autonomic innervation Bone Development Immunohistochemistry Rat Abstract Development of autonomic innervation of the tibia was investigated in rat fetuses on gestational days (GD) 17–21 and in juvenile animals on postnatal days (PD) 1–28. Double immunofluorescence combined with confocal microscopy was applied to study colocalization of neuronal growth- associated protein 43 (GAP-43) and panneuronal marker protein gene product 9.5 (PGP) with markers of the auto- nomic nervous system: neuropeptide Y (NPY) and dopamine -hydroxylase (D H) for adrenergic, as well as vasoactive intestinal polypeptide (VIP) and vesicular acetylcholine transporter (VAChT) for cholinergic fibers. The first GAP-43- immunoreactive (GAP-IR) nerve fibers were seen on GD17 in the perichondrium of the proximal epiphysis. Further GAP- and PGP-IR innervation appeared in the perichondrium/ periosteum of the diaphysis and in the distal epiphysis (GD19), then in the bone marrow and in the intercondylar eminence (GD21). On PD1, NPY-IR and D H-IR fibers ap- peared within the diaphyseal periosteum and on PD4 within the bone marrow. From PD14, GAP-43 immunoreactivity of NPY-positive fibers decreased. From PD7 on, NPY-IR fibers were observed in cartilage canals of both epiphyses and Accepted after revision: October 3, 2009 Published online: January 14, 2010 Dr. Mariusz Gajda Department of Histology Jagiellonian University Medical College Kopernika 7, PL–31-034 Kraków (Poland) Tel./Fax +48 12 422 7027, E-Mail mmgajda @ cyf-kr.edu.pl © 2010 S. Karger AG, Basel 1422–6405/10/1916–0489$26.00/0 Accessible online at: www.karger.com/cto Abbreviations used in this paper CGRP calcitonin gene-related peptide DH dopamine -hydroxylase GAP-43, GAP growth-associated protein 43 GD gestational day IR immunoreactive NPY neuropeptide Y PD postnatal day PGP 9.5, PGP protein gene product 9.5 SP substance P TH tyrosine hydroxylase VAChT vesicular acetylcholine transporter VIP vasoactive intestinal polypeptide

Transcript of Development of Rat Tibia Innervation: Colocalization of Autonomic Nerve Fiber Markers with...

Fax +41 61 306 12 34E-Mail [email protected]

Original Paper

Cells Tissues Organs 2010;191:489–499 DOI: 10.1159/000276591

Development of Rat Tibia Innervation: Colocalization of Autonomic Nerve Fiber Markers with Growth-Associated Protein 43

Mariusz Gajda a Jan A. Litwin a Zbigniew Tabarowski b Olaf Zagólski c Tadeusz Cichocki a Jean-Pierre Timmermans d Dirk Adriaensen d

a Department of Histology, Jagiellonian University Medical College, b Department of Physiology, Institute of Zoology, Jagiellonian University, and c Diagnostic and Therapeutic Medical Center ‘Medicina’, Kraków , Poland; d Laboratory of Cell Biology and Histology, Department of Veterinary Sciences, University of Antwerp, Antwerp , Belgium

in the intercondylar eminence. In secondary ossification centers, NPY-IR fibers were seen from PD10, and in thebone marrow of the epiphyses from PD14. First VIP-IR and VAChT-IR fibers were observed on PD4 within the perioste-um, bone marrow and patellar ligament. From PD10 on, VIP-positive fibers were seen in the intercondylar eminence, and from PD14 in secondary ossification centers. GAP-43 proved to be superior to PGP 9.5 as marker of growing nerve fibers, mostly due to its earlier appearance. The presence of spe-cific nerve fibers may suggest possible involvement of auto-nomic innervation in regulation of bone development.

Copyright © 2010 S. Karger AG, Basel

Key Words Autonomic innervation � Bone � Development � Immunohistochemistry � Rat

Abstract Development of autonomic innervation of the tibia wasinvestigated in rat fetuses on gestational days (GD) 17–21 and in juvenile animals on postnatal days (PD) 1–28. Double immunofluorescence combined with confocal microscopy was applied to study colocalization of neuronal growth-associated protein 43 (GAP-43) and panneuronal marker protein gene product 9.5 (PGP) with markers of the auto-nomic nervous system: neuropeptide Y (NPY) and dopamine � -hydroxylase (D � H) for adrenergic, as well as vasoactive intes tinal polypeptide (VIP) and vesicular acetylcholine transporter (VAChT) for cholinergic fibers. The first GAP-43-immunoreactive (GAP-IR) nerve fibers were seen on GD17 in the perichondrium of the proximal epiphysis. Further GAP- and PGP-IR innervation appeared in the perichondrium/periosteum of the diaphysis and in the distal epiphysis (GD19), then in the bone marrow and in the intercondylar eminence (GD21). On PD1, NPY-IR and D � H-IR fibers ap-peared within the diaphyseal periosteum and on PD4 within the bone marrow. From PD14, GAP-43 immunoreactivity of NPY-positive fibers decreased. From PD7 on, NPY-IR fibers were observed in cartilage canals of both epiphyses and

Accepted after revision: October 3, 2009 Published online: January 14, 2010

Dr. Mariusz Gajda Department of Histology Jagiellonian University Medical College Kopernika 7, PL–31-034 Kraków (Poland) Tel./Fax +48 12 422 7027, E-Mail mmgajda @ cyf-kr.edu.pl

© 2010 S. Karger AG, Basel1422–6405/10/1916–0489$26.00/0

Accessible online at:www.karger.com/cto

Abbreviations used in this paper

CGRP calcitonin gene-related peptideD�H dopamine �-hydroxylaseGAP-43, GAP growth-associated protein 43GD gestational dayIR immunoreactiveNPY neuropeptide YPD postnatal dayPGP 9.5, PGP protein gene product 9.5SP substance PTH tyrosine hydroxylaseVAChT vesicular acetylcholine transporterVIP vasoactive intestinal polypeptide

Besitzer
Copyright_hoch

Gajda /Litwin /Tabarowski /Zagólski /Cichocki /Timmermans /Adriaensen

Cells Tissues Organs 2010;191:489–499490

Introduction

The relatively dense innervation of bone includes pri-mary sensory afferents and postganglionic sympathetic fibers, mostly associated with blood vessels [Bjurholm et al., 1988a, 1988b; Hill and Elde, 1991; Hara-Irie et al., 1996; Serre et al., 1999; Mach et al., 2002]. The proportion of sensory (calcitonin gene-related peptide-immunoreac-tive; CGRP-IR) to noradrenergic postganglionic sympa-thetic (tyrosine hydroxylase-immunoreactive; TH-IR) nerve fibers differs in distinct regions of the bone, with sensory fibers being denser in the periosteum and sym-pathetic ones more abundant in the bone marrow [Mach et al., 2002]. In mature bone, autonomic nerve fibers be-long to adrenergic and cholinergic populations [Hohm-ann et al., 1986; Bjurholm et al., 1988b]. The sympathetic nervous system controls bone resorption by influencing osteoclasts and osteoblasts as well as regulating osseal blood flow [Trotman and Kelly, 1963; Hill et al., 1991; Takeda et al., 2002]. Vasoactive intestinal polypeptide (VIP) is known as a potent vasodilator, while noradrena-line causes a vasoconstrictory effect on resistance vessels isolated from the cancellous bone [Lundgaard et al., 1997, 2001]. Unloading-induced bone loss occurs through the control mediated via the sympathetic nervous system [Kondo et al., 2005]. The effect of autonomic neurotrans-mitters [noradrenaline, neuropeptide Y (NPY), VIP] on bone cells was confirmed by in vitro studies and denerva-tion experiments [Bjurholm et al., 1992; Cherruau et al., 1999; Hill et al., 1991; Lundberg et al., 2000]. Recent works have supplemented the traditional view that bone model-ing and remodeling are only regulated by paracrine (cy-tokines) and endocrine (parathormone, calcitonin) mechanisms, suggesting also the importance of the influ-ence of higher neuronal pathways [Patel and Elefteriou, 2007]. Fat-derived hormone leptin was found to control bone formation through a hypothalamic relay and these effects were shown to be mediated via the sympathetic nervous system [Takeda et al., 2002].

Numerous neuropeptides and enzymes, including substance P, CGRP, VIP, NPY and TH, were identified within bone tissues by immunohistochemistry and ra-dioimmunoassays [Bjurholm, 1991]. Growth-associated protein 43 (GAP-43, GAP) is a phosphoprotein located in the plasma membrane of developing and regenerating ax-ons [Gorgels et al., 1989]. GAP-43 was used in studies of developmental bone innervation [Gajda et al., 2000, 2005]. Protein gene product 9.5 (PGP 9.5, PGP), which belongs to a group of ubiquitin hydrolases, is a panneu-ronal marker and it has also been used in such investiga-

tions [Gajda et al., 2005; Sisask et al., 1995, 1996]. In the case of regenerating peripheral nerves, GAP-43-immu-noreactive fibers appeared earlier than fibers immuno-stained for general panneuronal marker PGP 9.5 [Li et al., 2001; Verze et al., 2003]. Sensory and autonomic neuro-mediators were found in nerve fibers of mature bone [Bjurholm et al., 1988a, 1988b]. Receptors for VIP and pituitary adenylate cyclase activating peptide (VPAC 1 , VPAC 2 , PAC 1 ), NPY (Y1, Y2), CGRP, substance P, as well as for classical neurotransmitters such as noradrenaline, serotonin and glutamate have been identified on bone cells (osteoclasts and osteoblasts) and several in vitro studies have shown that activation of these receptors can affect bone metabolism [Bjurholm, 1992; Konttinen et al., 1996; Lundberg et al., 2000; Chenu, 2004; Baldock et al., 2007]. Sympathetic adrenergic nerves containing nor-adrenaline, catecholamine-producing enzymes (TH and dopamine � -hydroxylase; D � H) and NPY, as well as cho-linergic ones utilizing VIP as cotransmitter were ob-served in bone [Bjurholm et al., 1988b; Hill and Elde, 1991; Hohmann et al., 1986; Tabarowski et al., 1996]. Ad-renergic fibers are exclusively associated with blood ves-sels and they are abundant in regions of high osteogenic activity, such as perichondrium/periosteum adjacent to the epiphyseal growth plate and metaphyseal bone mar-row. VIP-immunoreactive nerve fibers in the periosteum are associated with both vascular and nonvascular com-ponents, mostly within the cellular layer closest to the bone. Vesicular acetylcholine transporter (VAChT) car-rying acetylcholine into synaptic vesicles, thus necessary for cholinergic transmission, has recently been used as a marker for mapping of cholinergic terminals [Roghani et al., 1998].

In the present study, we investigated the time of ap-pearance during the pre- and postnatal development, as well as topographic distribution of autonomic nerve fi-bers in the developing long bone (tibia of rat hindlimb), using autonomic nerve fiber markers and neuronal growth marker GAP-43. Although a similar study was previously published by Sisask et al. [1996], we decided to use a wider panel of antibodies and confocal microscopy in order to obtain precise staging of nerve fiber develop-ment. Moreover, we sought confirmation whether in the developing bone GAP-43-IR fibers appear earlier than fibers immunostained for PGP 9.5, as reported for vari-ous regenerating peripheral nerves.

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Materials and Methods

Animals Adult Wistar rats of both sexes and timed pregnant females

were obtained from Charles River Laboratories (Brussels, Bel-gium). Conception was confirmed by the observation of the vag-inal plug, referred as day 0 of gestation (full gestation = 21 days). The animals were housed separately in acrylic cages with wood shavings in an air-conditioned room (22 8 3 ° C, 12 h/12 h dark/light cycle). They had access to water and standard rodent pellets ad libitum. National and international principles of laboratory animal welfare (conforming to NIH publication No. 86-23, re-vised 1985) were followed and the experiments were approved by the local ethics committee of the University of Antwerp.

Pregnant rats were killed by an overdose of sodium pentobar-bital (Nembutal; Sanofi, Brussels, Belgium) administered intra-peritoneally. Fetuses were obtained at gestational days (GD) 16(n = 8 from 2 different mothers), GD17 (n = 8 from 2 different mothers), GD19 (n = 8 from 2 different mothers) and GD21(n = 8 from 2 different mothers). The hindlimbs of fetuses were dissected out for further processing.

Offspring from different litters were sacrificed at postnatal day (PD) 1 (day of birth; n = 4), PD2 (n = 4), PD3 (n = 4), PD7(n = 4), PD10 (n = 3), PD14 (n = 3), PD21 (n = 3) and PD28 (n = 4) using an overdose of pentobarbital. Hindlimbs were dissected and the skin was removed to allow better penetration of the fixa-tive.

Deeply anesthetized (as described above) animals older than PD7 were first transcardially perfused with ice-cold Krebs-Ring-er solution followed by 4% phosphate-buffered (0.1 M , pH = 7.4) freshly prepared paraformaldehyde. Subsequently, limbs were postfixed as described below.

Tissue Preparation Dissected hindlimbs were fixed overnight by immersion in the

paraformaldehyde solution at 4 ° C, followed by rinsing in phos-phate-buffered saline (PBS, 0.01 M , pH = 7.4). Hindlimbs from animals older than GD21 were decalcified in 10% EDTA in Tris buffer (0.1 M , pH = 7) at 4°C for 5–14 days. The solution was re-freshed every 2–3 days. The hindlimbs were then rinsed in PBS and immersed overnight in 25% sucrose in PBS with 0.01% sodi-um azide at 4 ° C. Tissue blocks were mounted in TissueTek OCT compound (Sakura, Tokyo, Japan) on cryostat holders and were snap-frozen. Fifteen-micrometer-thick cryosections were cut in the sagittal plane, thaw-mounted on poly- L -lysine-coated slides and air-dried. Three or four serial sections were collected on each

slide. The procedures of material preparation did not influence immunostaining [Bjurholm et al., 1989].

Immunohistochemistry A pre-incubation step with 10% normal goat serum in PBS

containing 0.01% sodium azide, 0.05% thimerosal, 0.1% bovine serum albumin and 0.5% Triton X-100 was applied for 40 min to reduce non-specific binding and to increase penetration of the antibodies. For simultaneous demonstration of 2 antigens, an in-direct double-staining immunofluorescence procedure was ap-plied. The sections were incubated overnight at room tempera-ture in humid chambers with mixtures of primary antibodies in the following combinations: GAP/PGP, GAP/NPY, GAP/D � H, GAP/VIP and GAP/VAChT (see table 1 for the list of the primary antisera used). After rinsing in PBS, sections were incubated for 2 h at room temperature with a mixture of biotinylated sheep anti-mouse serum (RPN1001; diluted 1: 200; Amersham Biosciences, Amersham, UK) and Cy3-conjugated goat anti-rabbit serum (111-165-144 diluted 1: 500; Jackson IR, West Grove, Pa., USA). Follow-ing another rinse in PBS, FITC-conjugated streptavidin (RPN1232 diluted 1: 200; Amersham) was applied for 1 h at room tempera-ture. Primary and secondary antisera were dissolved in a solution used for pre-incubation; streptavidin conjugate was dissolved in PBS. After a final rinse, the sections were mounted with Vecta-shield medium (H-1000; Vector, Burlingame, Calif., USA) to min-imize photobleaching of fluorochromes. In the controls, the pri-mary or secondary antibodies were omitted and replaced by non-immune serum.

Fluorescence Microscopy Sections were examined using an Olympus BX-50 (Olympus,

Tokyo, Japan) epifluorescence microscope equipped with filter sets: U-MNIBA and U-MNG for FITC and Cy3 visualization, re-spectively. Relative densities of nerve fibers in distinct locations were semiquantitatively evaluated in tissue sections by 2 indepen-dent observers. We adopted very strict topographical criteria, i.e., only fibers intimately related to the bone rudiment were consid-ered.

For precise demonstration and colocalization of the examined antigens, the images were registered with a Zeiss LSM 410 (Zeiss, Jena, Germany) confocal laser scanning microscope. An argon laser ( � = 488 nm), a helium-neon laser ( � = 543 nm) as well as appropriate dichroic mirrors and emission filters (FT510, LP515 and FT560, LP570) were used for excitation of the fluorochromes and acquisition of their emission spectra. Stacks of acquired opti-cal sections were stored as graphic files and further processed

Table 1. Primary antibodies used in the study

Antigen Host/type Dilution Vendor; catalogue number

Growth-associated protein 43 mouse/monoclonal 1:1,000 Boehringer Mannheim, Mannheim, Germany; 1379011Protein gene product 9.5 rabbit/polyclonal 1:500 Biogenesis, Poole, UK; 7863-0504Dopamine �-hydroxylase rabbit/polyclonal 1:1,000 Chemicon, Temecula, Calif., USA; AB1585Neuropeptide Y rabbit/polyclonal 1:400 Affiniti, Exeter, UK; NA1233Vasoactive intestinal polypeptide rabbit/polyclonal 1:400 Affiniti, Exeter, UK; VA1285Vesicular acetylcholine transporter rabbit/polyclonal 1:1,000 Sigma, St. Louis, Mo., USA; V5387

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with 3D-reconstruction software (Imaris 3.0; Bitplane, Zurich, Switzerland) working on an Indigo 2 workstation (Silicon Graph-ics, Mountain View, Calif., USA). Final images were obtained as a result of ‘extended focus/maximal intensity projection’ trans-formation and presented as TIFF files at a resolution of 512 ! 512 pixels.

Results

A schematic drawing presenting topography of the de-veloping rat tibia is shown in figure 1 .

Fetal Period (GD16–GD21) The earliest GAP-immunoreactive (GAP-IR) nerve fi-

bers related to the tibial rudiment were found on GD17 in the perichondrium of the proximal epiphysis ( fig. 2 ). At this stage of development the expression of panneuronal marker PGP was weaker than that of GAP. From GD19 on, GAP-IR and PGP-IR fibers were clearly seen in the perichondrium/periosteum of the diaphysis and in the distal epiphysis. From GD21 they also appeared in the bone marrow cavity. Nonvascular fibers were seen run-ning free between hematopoietic cells but most of medul-lary fibers accompanied blood vessels ( fig. 3 ). From GD21 on, nerve fibers immunoreactive for GAP-43 and PGP 9.5 were located in the region of the intercondylar eminence. During the fetal period, no fibers expressing any of the autonomic markers could be observed in the close vicin-ity of the tibial rudiment.

Postnatal Period (PD1–PD28): Adrenergic Innervation (NPY, D � H) From PD1 onwards, nerve fibers containing NPY were

observed within the periosteum of the diaphysis ( fig. 4 ) and from PD4 within the bone marrow of the shaft ( fig. 5 ). Initially, they were not numerous but their number and intensity of immunostaining increased until PD14. All NPY-IR fibers accompanied blood vessels of different siz-es, forming intramural plexuses ( fig. 6 ). Especially dense innervation was observed in large nutritious vessels pen-etrating into the bone ( fig. 7 ). They were frequently seen in vascular canals ( fig. 8 ). Already among early detected NPY-IR fibers there were ones not co-expressing GAP-43 ( fig. 5 ). From PD14 onwards, GAP-43 immunoreactivity of NPY-positive fibers markedly decreased ( fig. 5 , 6 , 8 ). From PD7 on, NPY-positive fibers could be observed in the cartilage canals of both epiphyses and in the intercon-dylar eminence ( fig. 9 ). NPY-IR fibers were present in the secondary ossification centers from PD10 and in the bone marrow of the epiphyses from PD14. After PD14, the

number and localization of NPY-positive fibers remained unchanged. NPY-IR fibers displayed a characteristic var-icose morphology. In bone marrow areas, megakaryo-cytes/megakaryoblasts revealed cross-immunoreactivity with antibodies raised against NPY antigen ( fig. 5 , 6 ), as already reported [Ericsson et al., 1987].

The temporal pattern of appearance and localization of D � H-IR fibers was identical to those immunostained for NPY but the immunostaining intensity of this mark-er was inferior to NPY (not shown).

Postnatal Period (PD1–PD28): Cholinergic Innervation (VIP, VAChT) First VIP-IR fibers could be observed on PD4 in the

periosteal region of the shaft ( fig. 10 ) as well as in the

Proximalsecondaryossificationcenter

Primaryossificationcenter

Distalsecondaryossificationcenter

Fig. 1. Schematic drawing of a sagittal section of the tibia showing locations of primary and secondary ossification centers.

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Fig. 2. GD17. Weakly PGP-immunopositive ( a ) and GAP-IR ( b ) fibers in the perichondrium of the proximal epiphysis of the cartilagineous primordium. Some GAP-IR and PGP-immunonegative fibers are in evidence (arrows). PE = Proximal epiphysis; PC = perichondrium. Fig. 3. PD1. PGP-IR ( a ) and GAP-IR ( b ) fibers accompanying blood vessels (arrows) in the bone marrow of the diaphysis. Fig. 4. PD1. NPY-IR ( a ) and GAP-IR ( b ) fibers (arrows) in the periosteum (PO) of the diaphysis (D). M = Skeletal muscle.

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Fig. 5. PD7. NPY-IR ( a ) and GAP-IR ( b ) fibers in the bone marrow of the diaphysis. Some of NPY-IR fibers lack GAP-43 immunostaining (arrows). Note NPY-like immunoreactivity in megakaryocyte (arrowhead). Fig. 6. PD28. NPY-IR ( a ) and GAP-immunonegative ( b ) fibers (arrows) in a plexus of fibers around the large blood vessel of the diaphyseal bone marrow. Note almost complete disappearance of GAP-IR fibers. Megakary-ocytes are marked with arrowheads. Fig. 7. PD7. NPY-IR ( a ) and GAP-IR ( b ) fibers accompanying the large nutritional artery penetrating from the periosteum (PO) to the diaphysis (D). Fig. 8. PD28. NPY-IR ( a ) and GAP-immunonegative ( b ) fibers (arrow) around blood vessel in bone canal of the diaphysis.

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Fig. 9. PD14. NPY-IR ( a ) and GAP-IR ( b ) vascular fibers in the intercondylar eminence (arrows). Fig. 10. PD4. VIP-IR ( a ) and GAP-IR ( b ) fibers in the periosteum (PO) of the diaphysis. Fig. 11. PD14. VIP-IR ( a ) and GAP-IR ( b ) fibers in the region of patellar ligament (PL). P = Patella; IE = inter-condylar eminence. Fig. 12. PD28. VIP-IR ( a ) and GAP-IR ( b ) fibers (arrow) in the intercondylar eminence (IE).

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bone marrow. However, they were significantly fewer in number than were NPY-positive fibers and they were particularly numerous in the neighborhood of the patel-lar ligament ( fig. 11 ). From PD10 onwards, numerous VIP-positive fibers were observed within soft tissues of the knee joint and the intercondylar eminence ( fig. 12 ). They reached the area of the secondary ossification cen-ter through cartilage canals around PD14. VIP-positive fibers had varicose morphology and disclosed no partic-ular predisposition to perivascular location.

The temporal pattern of appearance and localization of VAChT-IR fibers was identical to those immuno stained for VIP but the immunostaining intensity of this marker was inferior to VIP (not shown).

Immunoreactivity for GAP-43 did not disappear even in the most mature individuals studied; GAP-IR fibers are presented in figures 9 b, 12 b (PD14) and in figures 6 b, 8 b, 12 b (PD28).

Relative densities of nerve fibers in distinct areas of the developing rat tibia are summarized in table 2 .

Discussion

This study demonstrated the development of auto-nomic innervation in long bone using for the first time combined double immunohistochemistry for autonomic and developmental markers and confocal microscopy. In our hands, GAP-43 appeared to be a superior marker of growing nerve fibers since it allowed earlier detection of bone-related nerve fibers than PGP 9.5 [Gajda et al., 2005; Li et al., 2001]. Moreover, the disappearance of GAP-43-immunoreactive fibers in later stages of the development may reflect nerve fiber maturation (PGP 9.5 remains). Only a very limited number of papers have been pub-lished so far in which the authors systematically followed

Table 2. Sequence of appearance of nerve fibers immunoreactive for various neural markers and their relative densities in selected regions of rat tibia

Region of tibia Marker Stage of development

GD17 GD19 GD21 PD1 PD4 PD7 PD10 PD14 and later

Perichondrium/periosteum GAP-43 + ++ ++ +++ +++ +++ +++ ++PGP 9.5 + a ++ ++ ++ +++ +++ +++ +++NPY/D�H + ++ ++ ++ ++VIP/VAChT + + + +

Bone marrow (diaphysis) GAP-43 + + ++ +++ ++ ++PGP 9.5 + + ++ ++ +++ +++NPY/D�H + ++ ++ ++VIP/VAChT + + + +

Intercondylar eminence GAP-43 + ++ +++ +++ ++ ++PGP 9.5 + + ++ +++ +++ +++NPY/D�H + ++ ++VIP/VAChT ++ b +++ b

Secondary ossification centers GAP-43 + c ++ ++PGP 9.5 + c ++ ++NPY/D�H + c + ++VIP/VAChT + c +

Bone marrow (epiphysis) GAP-43 + ++PGP 9.5 + ++NPY/D�H ++VIP/VAChT +

Relative densities of nerve fibers: + = single, ++ = sparse, +++ = numerous.a Very low intensity. b Patellar ligament. c Cartilage canals.

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the innervation in long bone during the fetal and postna-tal periods using immunolabeling for neuropeptides and general neuronal markers [Gajda et al., 2000, 2005, 2009; Sisask et al., 1995, 1996; Hara-Irie et al., 1996]. Only a single study [Sisask et al., 1996] has described the devel-opment of autonomic nerve fibers in bone.

Our results are mostly consistent with those reported by Sisask et al. [1996] but provide precise temporal and spatial description of growing autonomic nerve fibers in the developing rat tibia. We found adrenergic fibers in the secondary ossification centers from PD14, while Sisask et al. [1996] observed them much later (PD24). Also, cholin-ergic (VIP-IR) fibers in the secondary ossification centers were seen earlier in our study. This discrepancy can be explained by more sensitive immunohistochemical pro-cedure and type of primary antibodies used.

In this study, autonomic nerve fibers were demon-strated in the joint-associated tissues: NPY-positive fibers in the intercondylar eminence from PD7 onwards and VIP-positive fibers in the knee joint and the intercondy-lar eminence from PD10 on. Abundant VIP-positive fi-bers were seen in the neighborhood of the patellar liga-ment. Sisask et al. [1996] did not describe presence of au-tonomic nerve fibers in these locations. The distribution of autonomic neuropeptides, especially NPY and VIP, may suggest their specific roles in the local regulation of bone physiology, such as blood flow, bone formation and resorption. NPY and VIP are supposed to be involved in bone growth and remodeling [Bjurholm et al., 1988b; Hill and Elde, 1991; Lundberg et al., 2000; Chenu, 2004; Bal-dock et al., 2007].

During development of long bone innervation, we ob-served a characteristic sequence of marker appearance. Initially, nerve fibers revealed the presence of develop-mental markers, then panneuronal markers appeared, followed by sensory or autonomic markers. In case of au-tonomic fibers, the adrenergic population appeared first, followed by the cholinergic one.

The earliest nerve fibers in developing tibia (observed on GD17) expressed only GAP-43 immunoreactivity [Gajda et al. 2000, 2005]. The next marker was PGP 9.5, being widely present from GD19. Neurochemically deter-mined fibers appeared later (GD21) and displayed expres-sion of sensory neuropeptides CGRP and substance P [Gajda et al., 2005]. The first autonomic adrenergic and cholinergic fibers were discerned on PD1 and PD4, re-spectively. A similar sequence has also been reported by others [Sisask et al., 1995, 1996; Hara-Irie et al., 1996]. Interestingly, in our studies GAP-43 persisted in nerve fibers of the most mature animals. This observation could

suggest that this protein is not only a developmental marker but is also present in the mature nervous system [Del et al., 1994; Vento and Soinila, 1999].

An analogous sequence of nerve fiber appearance has been observed in fracture healing and in ectopic bone formation. First, GAP-43-IR nerve fibers can be found in the fracture hematoma and in the periosteum as early as 3 days after experimental fracture of rat tibia [Li et al., 2001]. PGP 9.5-IR fibers were present 1 week post-trau-ma, and within 14 days CGRP-containing fibers were ob-served in the periosteum [Hukkanen et al., 1993]. NPY-positive fibers were only occasionally observed during fracture healing and very weak immunoreactivity for VIP was seen in scanty fibers present in soft tissues sur-rounding the fracture callus [Hukkanen et al., 1995].

In another experimental model of bone formation, an allogenic demineralized bone matrix implanted into rat abdominal wall, CGRP-IR, substance P-immunoreac-tive, NPY-IR, VIP-IR and TH-IR fibers appear in the con-nective tissue between chondroblastoid cells 10 days after implantation [Bjurholm et al., 1990]. Over the next 3 weeks, they gradually attain a shape and distribution re-sembling normal osseal nerves. NPY-containing nerve fibers can be seen after 8 weeks, particularly in the bone marrow, and these fibers remain abundant at 16 weeks. VIP-immunoreactive fibers are only observed in the sur-rounding periosteum-like fibrous tissue 4–6 weeks after implantation.

The time of appearance of the particular neuromedia-tors in nerve fibers in peripheral tissues does not neces-sarily reflect the sequence of appearance of the same markers in corresponding ganglia. In the rat, VIP is first detectable at embryonic day 14.5 in one third of all cate-cholaminergic neurons of the stellate ganglion (some of which are still dividing). Thereafter, the VIP content in the neurons decreases by 95% until birth [Tyrrell and Landis, 1994]. In postnatal life, the proportion of VIP-positive neurons increases till PD10 [Masliukov and Tim-mermans, 2004]. Similarly, the expression of other neu-ropeptides (NPY, galanin, somatostatin) and enzymes involved in neurotransmitter production (tyrosine hy-droxylase, choline acetyltransferase) vary during early postnatal development of stellate ganglia in rats and mice [Masliukov and Timmermans, 2004].

In adult rats, sympathetic cholinergic postganglionic neurons innervating the periosteum are one of the three neuron classes, apart from sudomotor and vasodilator neurons [Anderson et al., 2006]. They contain VIP and lack NPY. Asmus et al. [2000, 2001] proved that during de-velopment, axons growing from sympathetic ganglia, dis-

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playing initially noradrenergic properties, are down-regu-lated and they acquire cholinergic and peptidergic pheno-type. In periosteum transplanted to a site supplied by noradrenergic fibers, noradrenergic to cholinergic/peptid-ergic shift was observed [Asmus et al., 2000]. These find-ings suggest that nerve fibers acquire their final physiolog-ical phenotype after contact with target tissue. Periosteal cells influence sympathetic neuron phenotype by releasing a soluble cholinergic phenotype-promoting factor that is neither leukemia inhibitory factor nor ciliary neurotroph-ic factor [Asmus et al., 2001]. In our study, VIP-IR nerve fibers were discerned later than NPY-IR ones. This obser-vation could be explained by possible change from NPY-IR to VIP-IR fibers in the developing bone.

Conclusions

Relatively dense autonomic innervation of long bone rudiment may suggest its involvement in the control of long bone development. Changes in expression of the particular neural markers reflect maturation of the os-seal innervation. GAP-43 proved to be a superior nerve fiber marker to PGP 9.5 due to its earlier appearance in bone-related nerve fibers and its (at least partial) disap-pearance in maturing fibers.

Development of Autonomic Innervation in Rat Tibia

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