Introduction shown to have a trophic effect on the nigrostriatal dopa-

Brain Research 883 2000 192–204 www.elsevier.com locate bres Research report Fibroblast growth factor-2-producing fibroblasts protect the nigrostriatal dopaminergic system from 6-hydroxydopamine a,b , c a,b c Clifford W. Shults , Jasodhara Ray , Kyoko Tsuboi , Fred H. Gage a Neurology Service , Veterans Affairs San Diego Healthcare System, VA Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161, USA b Department of Neurosciences , University of California, San Diego, La Jolla, CA, USA c Laboratory of Genetics , The Salk Institute for Biological Studies, La Jolla, CA, USA Accepted 22 August 2000 Abstract We tested the hypothesis that fibroblasts, which had been genetically engineered to produce fibroblast growth factor-2 FGF-2, can protect nigrostriatal dopaminergic neurons. Three groups of rats received either a burr hole only n55 or implantation of fibroblasts, which had been genetically engineered to produce b-galactosidase b-gal n58 or FGF-2 n58, at two sites in the right striatum. Two weeks later, the animals received an injection of 25 mg of 6-hydroxydopamine hydrobromide 6-OHDA midway between the two implant sites. The group that received FGF-2-fibroblasts had significantly fewer apomorphine-induced rotations than the groups that received a burr hole only or b-gal-fibroblasts at weeks 2 and 3 following lesioning with 6-OHDA. Testing for amphetamine-induced rotation revealed a mild reduction in rotation in the b-gal-fibroblast group compared to the burr hole only group, but a striking attenuation of amphetamine-induced rotation in the FGF-2-fibroblast group. There was also preservation of TH-IR neurons on the lesioned side relative to both control groups. The size of the grafts and the gliosis surrounding the injection sites did not differ between the FGF-2-fibroblast and b-gal-fibroblast groups. To further characterize the production of FGF-2 by the FGF-2-fibroblasts, we implanted FGF-2-fibroblasts and b-gal-fibroblast into the striatum of rats but did not lesion the animals with 6-OHDA. The animals were then sacrificed at 1, 2 and 5 weeks following implantation. Prior to implantation the FGF-2 fibroblasts contained 148 ng mg of FGF-2-immunoreactive FGF-2-IR material per mg of protein of cell lysate. After implantation FGF-2-IR material was noted in the grafts of FGF-2-fibroblasts, most conspicuously at 1 and 2 weeks following implantation. We also noted FGF-2-IR material in the nuclei of reactive astrocytes adjacent to the implants, and OX-42-immunoreactive OX-42-IR cells adjacent and occasionally within the implants. Our work indicates that fibroblasts genetically engineered to produce FGF-2 and implanted in the striatum can protect the nigrostriatal dopaminergic system and may be useful in the treatment of Parkinson’s disease.  2000 Elsevier Science B.V. All rights reserved. Theme : Disorders of the nervous system Topic : Degenerative disease: Parkinson’s Keywords : Parkinson’s disease; Fibroblast growth factor; Dopamine; Substantia nigra

1. Introduction shown to have a trophic effect on the nigrostriatal dopa-

minergic system in vivo. Implantation of FGF-2-treated gel A number of studies have indicated that fibroblast foam into one striatum in 1-methyl-4-phenyl-1,2,3,6-tetra- growth factor-2 FGF-2 can have trophic effects on hydropyridine MPTP-treated mice increased the levels of mesencephalic, dopaminergic neurons [2,21,44]. FGF-2 dopamine and the activity of tyrosine hydroxylase TH in increases dopamine uptake and or survival of fetal dopa- the striatum bilaterally [31]. The effect diminished if FGF- minergic neurons in vitro, but the effect appears to require 2 was administered 7 days after treatment with MPTP [32]. the presence of glia [10,12,28]. FGF-2 has also been The ability of intrastriatal administration of FGF-2 to enhance the recovery of dopaminergic axons in MPTP- treated mice appears to be less in aged than in young mice Corresponding author. Tel.: 11-858-552-8585 ext. 3685; fax: 11- [9]. Similar to the effect of intrastriatal injection, intraven- 858-552-7513. E-mail address : cwshultsvapop.ucsd.edu C.W. Shults. tricular infusion of FGF-2 with heparin attenuated the 0006-8993 00 – see front matter  2000 Elsevier Science B.V. All rights reserved. P I I : S 0 0 0 6 - 8 9 9 3 0 0 0 2 9 0 0 - 0 C .W. Shults et al. Brain Research 883 2000 192 –204 193 behavioral effects and the loss of striatal dopaminergic for 5 min. The cells were centrifuged and resuspended at a fibers and nigral dopaminergic neurons in MPTP-treated final concentration of 100,000 cells ml in PBS with D - mice [7]. A trophic effect of FGF-2 on the nigrostriatal glucose 1.0 g l and 2 normal rat serum. dopaminergic system is not surprising in light of the Female Sprague–Dawley rats, which weighed approxi- presence of both FGF-2 and the FGF receptor-1 in the mately 225 g, were housed under a 12 h light dark cycle neurons of the substantia nigra pars compacta SNpc with free access to food and water and were cared for [4,6,20]. according to NIH guidelines. Prior to surgical procedures, A focus of our research has been to develop methods by the animals were anesthetized with a mixture of ketamine, which trophic factors, such as FGF-2, can be used effec- xylazine and acepromazine. Twenty-four animals were tively in the treatment of Parkinson’s disease. The cardinal used in the study. The animals received one of three pathological feature of Parkinson’s disease is loss of treatments: burr hole only two of these animals died prior dopaminergic neurons in the SNpc and their axons to the to lesioning with 6-OHDA n56, implantation of b-gal- striatum [17]. Pertinent to Parkinson’s disease are the fibroblasts n58, or implantation of FGF-2-fibroblasts observations that most of the neurons in the human SNpc n58. The burr hole was made at: anterior 20.5 mm and are immunoreactive for FGF-2 and in Parkinson’s disease lateral right 22.4 mm from bregma. The cells were there is disproportionate loss of FGF-2-immunoreactive implanted using a 10 ml Hamilton syringe with a 28-gauge neurons in the SNpc [47]. needle. The cells were implanted at two depths: 6.4 mm Although certain trophic factors, such as FGF-2, hold and 4.8 mm from the top of the skull. At each site 1.5 ml promise as treatments in Parkinson’s disease, the optimal of cells 150,000 were implanted. The cells were injected method of using trophic factors as treatments for Parkin- at a rate of 0.5 ml min, and the needle was left in place for son’s disease remains uncertain. Some of the issues that 5 min after each injection. must be addressed in development of trophic factors as Approximately 2 weeks later, the animals received a treatments for neurological disorders include: delivery to single, intrastriatal injection of 6-OHDA. Twenty-five the central nervous system, limitation of delivery to micrograms of 6-OHDA hydrobromide RBI-Sigma, St. specific regions of the central nervous system, and delivery Louis, MO, which was dissolved in 1.5 ml of normal of the optimal dose of trophic factor. A promising tech- saline with 0.2 ascorbic acid, was injected at a depth of nique for sustained delivery of a trophic factor to a specific 5.6 mm ventral to the skull at the same anterior posterior region of the central nervous system is to genetically and medial lateral coordinates at which the cells had been engineer cells, such as fibroblasts, to produce trophic injected. The injection site was chosen to be midway factors and implant the cells into specific brain region, e.g., between the two implant sites. 6-OHDA was injected over the striatum [13]. We have found that fibroblasts ge- 5 min, and the needle was left in place for an additional 5 netically engineered to produce FGF-2 and implanted into min before withdrawal of the needle. the striatum can protect the nigrostriatal system from Beginning the following week, the animals were tested intrastriatal injections of 6-OHDA. weekly for apomorphine-induced rotation 0.1 mg kg for 30 min and amphetamine-induced rotation 1.3 mg kg of amphetamine sulfate for the 20–60 min epoch following

2. Materials and methods injection.