Long-term treatment with PP2 after spinal cord injury resulted in functional locomotor recovery and increased spared tissue

Odrick R. Rosas, Aranza I. Torrado, Jose M. Santiago, Ana E. Rodriguez, Iris K. Salgado, Jorge D. Miranda

1 Department of Physiology, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA

2 Department of Natural Sciences, University of Puerto Rico Carolina Campus, Carolina, PR, USA

Long-term treatment with PP2 after spinal cord injury resulted in functional locomotor recovery and increased spared tissue

Odrick R. Rosas1, Aranza I. Torrado1, Jose M. Santiago2, Ana E. Rodriguez1, Iris K. Salgado1, Jorge D. Miranda1

1 Department of Physiology, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA

2 Department of Natural Sciences, University of Puerto Rico Carolina Campus, Carolina, PR, USA

The spinal cord has the ability to regenerate but the microenvironment generated after trauma reduces that capacity. An increase in Src family kinase (SFK) activity has been implicated in neuropathological conditions associated with central nervous system trauma. Therefore, we hypothesized that a decrease in SFK activation by a long-term treatment with 4-amino-5-(4-chlorophenyl)-7-(t-butyl)pyrazolo[3,4-d]pyramidine (PP2), a selective SFK inhibitor, after spinal cord contusion with the New York University (NYU) impactor device would generate a permissive environment that improves axonal sprouting and/or behavioral activity. Results demonstrated that long-term blockade of SFK activation with PP2 increases locomotor activity at 7, 14, 21 and 28 days post-injury in the Basso, Beattie, and Bresnahan open fi eld test, round and square beam crossing tests. In addition, an increase in white matter spared tissue and serotonin fi ber density was observed in animals treated with PP2. However, blockade of SFK activity did not change the astrocytic response or in fi ltration of cells from the immune system at 28 days post-injury. Moreover, a reduced SFK activity with PP2 diminished Ephexin (a guanine nucleotide exchange factor) phosphorylation in the acute phase (4 days post-injury) after trauma. Together, these fi ndings suggest a potential role of SFK in the regulation of spared tissue and/or axonal outgrowth that may result in functional locomotor recovery during the pathophysiology generated after spinal cord injury. Our study also points out that ephexin1 phosphorylation (activation) by SFK action may be involved in the repulsive microenvironment generated after spinal cord injury.

nerve regeneration; trauma; regeneration; Src family kinase; Eph receptors; ephexin; spared tissue; locomotor recovery; GFAP; ED1; serotonin fibers; neural regeneration

Funding: The project was partially supported by the MBRS-RISE Program (R25 GM061838), MBRS-SCORE (SO6-GM08224), COBRE (5P20-GM103642), SNRP (NS39405) and RCMI (8G12MD007600).

Rosas OR, Torrado AI, Santiago JM, Rodriguez AE, Salgado IK, Miranda JD. Long-term treatment with PP2 after spinal cord injury resulted in functional locomotor recovery and increased spared tissue. Neural Regen Res. 2014;9(24):2164-2173.

Introduction

Trauma to the central nervous system (CNS) triggers a series of events leading to loss of function and movement. Different strategies have been used to improve locomotor activity after spinal cord injury (SCI) including stimulation of axonal regeneration and cell survival, remyelination of spared axons, reduction of edema and decreasing the in fl ammatory response (Baptiste and Fehlings, 2006; Kwon et al., 2009; Oudega et al., 2012; Alluin et al., 2014). However, none of these strategies have been entirely effective in animal or human studies. In vertebrates, one of the main problems is the amount of inhibitory proteins that are normally present in the adult spinal cord (Fawcett, 2006; Niclou et al., 2006; Fitch and Silver, 2008; Young, 2014).

After SCI, inhibitory proteins such as NOGO, MAG, OMgp, Eph and Semaphorin (Grados-Munro and Fournier, 2003; McGee and Strittmatter, 2003; Goldshmit et al., 2006) are upregulated, promoting axonal growth cone retraction. Deactivation of any of these proteins individually results in only partial recovery (Kim et al., 2003; Simonen et al., 2003; Zheng et al., 2003; Goldshmit et al., 2004; Figueroa et al., 2006; Fabes et al., 2007; Lee et al., 2010). These repellent signals mediate growth cone collapse through the activation of intracellular kinases (Forgione and Fehlings, 2014; Lin et al., 2014; Wang et al., 2014). Phosphorylation of NOGO-A by Src points to the complex regulation of this protein in the repulsive environment for axonal outgrowth that could be generated after trauma (Yokoyama et al., 2006). However, the role of Src family kinases (SFK) in the pathophysiology generated after SCI has not been studied in detail in the chronic stage after spinal cord trauma.

Src proteins belong to the tyrosine kinases family, whichregulate cell migration, survival, adhesion and differentiation (Thomas and Brugge, 1997). V-Src was initially identi fi ed as the transforming protein of the Rous sarcoma virus (Ohta et al., 1989). Several proteins are included in the Src kinases family: Src, Yes, Fyn, Fgr, Lyn, Hck, Lck, Blk and Yrk. Src kinases are proteins of approximately 52–62 kDa with similar structure, containing six domains: (a) myristylation domain, (b) unique region, (c) SH3 domain, (d) SH2 region, (e) kinase domain and (f) C-terminal region (Xu et al., 1997). The cellular counterpart of v-Src is c-Src that is a member of the non-receptor tyrosine kinases. c-Src is observed in nerve growth cones (Robles et al., 2005) and mediates the signal cascade that has been implicated in the regulation of neurite outgrowth (Lakshmi et al., 2006; Zhao et al., 2009), as well as microglial activation after transient forebrain ischemia (Choi et al., 2005). Blockade of SFK in the brain or in spinal cord injury results in some neuroprotective outcomes, suggesting a role of these kinases in the adverse environment generated after trauma (Akiyama et al., 2004; Lennmyr et al., 2004; Jadhav et al., 2007; Liang et al., 2009; Liu et al., 2014). However, its analysis is limited to the fi rst few hours to days after injury (7 days post-injury), and to the best of our knowledge, chronic/long-term treatment (28 days post-injury) has not been evaluated.

We hypothesize that a long-term decrease in SFK activity after SCI would generate a permissive environment for axonal outgrowth/sprouting and/or functional locomotor recovery. The rationale behind this hypothesis is that blockade of SFK activity with 4-amino-5-(4-chlorophenyl)-7-(t-butyl) pyrazolo[3,4-d]pyramidine (PP2) will prevent the activation of a cascade of intracellular events, result in the formation of growth cones, extension or sprouting of axons across the lesion epicenter, decrease inflammation process or gliotic response, and eventually increase in functional locomotor recovery. In this study, we analyzed the role of SFK in the pathophysiology generated after SCI at the behavior, anatomical and cellular levels.

Materials and Methods

Surgery and injection of PP2

Forty adult female Sprague-Dawley rats (Hilltop Lab Animals Inc, Scottdale, PA, USA), weighing 200–250 g were randomly divided into a sham group (n = 8) and an experimental group (n = 32). Rats were anesthetized with intraperitoneal injections of acepromazine (Vetus Animal Health, Rockville Center, NY, USA; 0.85 mg/kg), ketamine (Fort Dodge Animal Health, Fort Dodge, IA, USA; 87.7 mg/kg) and xylazine (Boehringer Ingelheim, Ridge fi eld, CT, USA; 4.2 mg/kg). Control (sham) rats received only a T10laminectomy (n = 8), without contusion. Injured rats received a moderate contusion (12.5 mm height) at the T10level with the New York University (NYU) Impactor device (Gruner, 1992; Miranda et al., 1999; Cruz-Orengo et al., 2006; Figueroa et al., 2006). The surgery was concluded with the skin, fascia and muscles sutured.

Ten minutes after contusion, PP2 (Tocris Biosciences, Missouri, USA; 1.5 mg/kg), an SFK inhibitor, was administered to the rats in the experimental group (n = 12) (Paul et al., 2001; Lennmyr et al., 2004; Hou et al., 2007). Injections of 4-amino-7-phenylpyrazolo[3,4-d]pyramidine (PP3; Tocris Biosciences, Ellisville, MO, USA), an inactive analog (n = 12), and dimethyl sulfoxide (DMSO; Sigma-Aldrich, St. Louis, MO, USA) (n = 8) were used as controls (Gilmore et al., 2001). PP2, PP3 and DMSO (vehicle) injections were administered intraperitoneally every 3 days for 28 days, to ensure long-term blockade of SFK activity throughout the 4 weeks of behavioral analyses and end-point histochemical studies. After surgery, cefazolin (25 mg/kg; Bristol-Myers Squibb, New York, NY, USA) was subcutaneously administered for 7 consecutive days to all groups to reduce the possibility of bacterial infections. Finally, the bladders of injured rats were expressed three times per day until spontaneous voiding returned. In addition, Buprenex (buprenorphine; Reckitt & Colman Pharmaceuticals, Inc., Richmond, VA, USA; 0.05 mg/kg, subcutaneously) was used in all rats for 3 consecutive days as a post-operative analgesic (Santiago et al., 2009).

Animal experimentation followed NIH guidelines and was conducted with the approval of the University of Puerto Rico Institutional Animal Care and Use Committee. All efforts were made to reduce the number of animals used and their suffering.

Behavioral studies

Rats treated with PP2, PP3 and DMSO (n = 8 for each group) were analyzed with the Basso, Beattie, and Bresnahan (BBB) open fi eld, grid walking and beam crossing tests to observe functional locomotor recovery. The BBB open fi eld test was used to assess hindlimb movement as reported previously (Basso et al., 1995). Brie fl y, the score range from 0 to 21, each number has a description of movement improvement. All rats were previously tested (each one re fl ected a score of 21). After surgery, each group was tested at 7, 14, 21 and 28 days post-injury. Two investigators observed the rats for 4 minutes without knowing which treatment was administered (double blinded), and assigned a score depending on the movement of the rat hindlimbs (Santiago et al., 2009).

The beam-crossing test was used to examine the ability of the rat to control its balance (Merkler et al., 2001). The rat crossed two different beam shapes: a 1-meter square (2 cm × 2 cm) and a round (2 cm diameter) bar. The score ranged from 0 to 2. Brie fl y, crossing half bar without legs equals 0.5 points and crossing the whole bar equals 1.0 point. If the rat used one leg, 0.5 was added and if the rat used both, 1.0 was added. The time course of the study was exactly the same as previous tests (i.e., at 7, 14, 21 and 28 days post-injury).

Immunohistochemistry

Single labeling studies were performed to identify fibers associated with 5-hydroxytryptamine (5-HT), reactive astrocytes and macrophages in spinal cord of injured rats (n =3) treated with PP2, PP3 and DMSO. To euthanize the rats, pentobarbital (40–50 mg/kg) was injected intraperitoneally. This was followed by a transcardial perfusion, initiated with ice-cold phosphate buffered solution (PBS), pH 7.4 (Sigma-Aldrich), followed by ice-cold 4% paraformaldehyde to fi x the tissue as described by Rosas et al. (2011). The spinal cords were sectioned at a thickness of 40 μm using a Leica crystat cryocut 1800 (Nussloch, Germany), either transversally or longitudinally.

Sections were washed with 0.01 M PBS at room temperature and post- fi xed with 4% paraformaldehyde at 4°C. Also, 0.1% Triton x-100 was added to permeate cell membranes and sections were blocked with 0.01 M PBS/3% bovine serum albumin to reduce non-specific background. To analyze supraspinal axonal outgrowth, a rabbit anti-5-HT polyclonal antibody (1:1,000; Immunostar Inc., Hudson, WI, USA), to study reactive gliosis, a mouse anti-GFAP (1:100; BD Biosciences, Franklin Lakes, NJ, USA) and to determine macrophages at the lesion epicenter, a mouse anti-ED-1 (1:500; Serotec, Raleigh, NC, USA) were used to incubate spinal cord sections (overnight at 4°C). On the following day, slides were washed and then incubated with rhodamine-red donkey anti-rabbit (1:200; Jackson ImmunoResearch Laboratories Inc., West Grove, PA, USA) or ALEXA-488 donkey anti-mouse IgG (1:250; Carlsbad, CA, USA) secondary antibodies for 2 hours at room temperature to visualize axonal or neurite fi bers, reactive astrocytes and macrophages. Sections incubated with control IgG1 (Cell Signaling, Danver, MA, USA) as well as other sections treated with saline instead of the primary antibody were used as negative controls. Finally, sections were mounted with ProLong ® Antifade Kit (Molecular Probe Invitrogen, Eugene, OR, USA) and the cover slips were fi xed with nail polish (Rosas et al., 2011). Images for the immunoreactivity of 5-HT fi bers were captured with a Zeiss LSM 5 PASCAL Confocal Microscope system (Carl Zeiss MicroImaging Inc., Thornwood, NY, USA) from areas located 2 mm rostral and caudal to the lesion epicenter. GFAP or ED1 immunoreactive images were obtained with an Axio Observer Z1 Zeiss Fluorescence microscope (Carl Zeiss MicroImaging Inc., Thornwood, NY, USA). At least three sections per animal (n = 3), rostral and caudal within the lesion epicenter (5 mm), were analyzed with Adobe Photoshop® CS5 (Adobe system Inc., San Jose, CA, USA) to determine the intensity of the signal. The images, taken at the same magni fi cation (40×) and illumination parameters, were divided with a standard grid of 8 × 10 and each block/quadrant with immuno fl uorescence was counted. GFAP and ED1 immunofl uorescence were determined with ImageJ 1.43u® software (Wayne Rashband, NIH, USA) to quantify the intensity of the signal. Figures were prepared and assembled with Adobe Photoshop and the photographs in each fi gure were edited equally.

Luxol fast blue/cresyl violet histochemistry

Several sections (3–5) that cover an area of 5 mm within the lesion epicenter, from each animal (n = 3), were stained with cresyl violet (Sigma-Aldrich) to visualize nuclei and with luxol fast blue (Luxol Fast Blue, Alfa Aesar, Heysham, Lancashire, UK) for myelin as previously described (Figueroa et al., 2006; Santiago et al., 2009). The selection of sections in this range of 5 mm within the lesion epicenter provides an overview of the area and any effect of PP2 in white matter spared tissue. Once the counter-stain assay was done, the sections were visualized using a Digital Microscope (Fisher Scienti fi c, Pittsburgh, PA, USA) and photomicrographs were taken using the Motic version 1.2 professional software. The stained spinal cord sections were morphometrically analyzed with ImageJ 1.43u® software (Wayne Rashband) to determine the extent of white matter spared tissue. To calculate the area of remnant tissue, the outer border of the spinal cord and the inner border of the lesion cavity, including the remainder of the grey matter, were delineated and the redundant area was substracted from the total (outer border) area.

Protein extraction, immunoprecipitation and western blot assays

Immunoprecipitation and western blots assays were used to determine the effect of PP2 on ephexin1 phosphorylation (activation). Pentobarbital (40–50 mg/kg) was injected intraperitoneally to euthanize the rats (n = 4) at 4 days post-injury because this time point is the peak of ephexin activation after SCI (Rosas et al., 2011). Then, transcardial perfusion was made with 0.01 M ice-cold PBS, pH 7.4 (Sigma-Aldrich). The spinal cords containing approximately 5 mm of the lesion epicenter were dissected and removed. Protein extraction and immunoprecipitation protocols were conducted as described by Rosas et al. (2011). Brie fl y, 86.5 µg of protein extract was mixed overnight with 40 µL of protein G sepharoseTMbeads (Amersham Biosciences, Uppsia, Sweden) and 5 µL of antibody against phospho-ephexin1 (GLLY(PO4) QEYRDKST – NCBI References Sequence: 001104784; Gen-Script, Piscataway, NJ, USA). The immunocomplex (G-bead/ Antibody/Phospho-ephexin1) was centrifuged and the pellets were resuspended in Lammeli Sample Buffer (Bio-Rad, Hercules, KY, USA). A 10% SDS-PAGE, followed by western blot assay was used to analyze the effect of PP2 and PP3 on Ephexin phosphorylation from the immunoprecipitated extracts. Antibody against ephexin1 (rabbit anti-ephexin polyclonal antiserum (1:1,000; ECM Biosciences, Versailles, KY, USA)) was used to identify the amount of ephexin from the immunoprecipitate complex. HRP signal was enhanced with SuperSignal West Dura extended version (Pierce, Rockford, IL, USA). The development and analysis of the nitrocellulose membranes were performed in the Versadoc™ Imaging System and Quantity One Software (Bio-Rad). To standardize phospho-ephexin1 protein levels, GAPDH (monoclonal anti-GAPDH 1:5,000; Sigma-Aldrich) was utilized as a loading control to analyze the initial extract used for immunoprecipitation assay.

Statistical analysis

Figure 1 Behavioral tests demonstrating an increased locomotor activity of rats with spinal cord injury after treatment with PP2, a blocker of Src family kinases.

Two-way analysis of variance was used to determine the effect of PP2 on functional locomotor recovery at different time points after SCI. Pairwise comparison of the means was made using Bonferroni post hoc test to analyze the data and compare the values of PP2 treated rats versus the rats treated with PP3 or DMSO. Similar analyses were used for the other behavioral tests. Moreover, one-way analysis of variance followed by Bonferroni post hoc test was used to compare the effect of PP2 versus PP3 or DMSO at 28 days post-injury on the amount of spared tissue and serotonin-stained fibers to analyze axonal outgrowth, on the amount of glial fibrillary acidic protein expresion to study the gliotic response and on ED-1 immunoreactivity to determine the amount of macrophage cells. In addition, paired two-tailed t-test was used to demonstrate statistical difference for the effect of PP2 on ephexin phosphorylation (activation) versus the control group (PP3) through SFK. Error bars showed the standard error of the mean (SEM) and statistical tests were performed at a pre-set alpha of 0.05. All statistical tests were performed with the GraphPad Prism® Version 5.0a for MAC (GraphPad Software, San Diego, CA, USA).

Results

Functional locomotor recovery

The BBB open fi eld test and the beam crossing test were used to assess the recovery of locomotor activity in injured rats after treatment with PP2, PP3 or DMSO. In the BBB open fi eld test (Figure 1A), rats treated with PP2 (a Src family kinase inhibitor) achieved higher BBB scores than those treated with PP3 (an inactive analog used as a control) at 7 (P ＜ 0.05), 14 (P ＜ 0.05) and 28 (P ＜ 0.01) days post-injury or DMSO (control) at 7 (P ＜ 0.01), 14 (P ＜ 0.001), 21 (P ＜ 0.01) and 28 (P ＜ 0.001) days post-injury. However, BBB scores of the PP2 treated group were lower than those of the sham group (at 7, 14, 21 and 28 (P ＜ 0.001) days post-injury). Two-way analysis of variance followed by Bonferroni post hoc test was used to determine the signi fi cant differences among samples studied (F(3,140)= 148.18; P ＜ 0.0001)

The beam crossing test was divided in two assays, using square and round bars. PP2-treated rats showed a higher capacity for crossing both bars than control (DMSO and PP3) groups. In the square bar test, rats treated with PP2 showed an increase in score compared with PP3 or DMSO groups at 21 and 28 days post-injury (P ＜ 0.05;Figure 1B). In the round beam test, PP2 group also demonstrated an increase in score compared with PP3 (7 (P ＜ 0.05), 14 (P ＜ 0.01) and 28 (P ＜ 0.05) days post-injury) or DMSO (7 and 14 (P ＜ 0.05) days post-injury) (Figure 1C). Rats treated with PP2 were able to cross the round beam without paw positioning but maintaining some balance by the fi rst 2 weeks. This pattern was also observed in the 4thweek, where significant difference was observed in both beams, but more prominent with the square beam crossing test. Sham groups, as expected, achieved higher scores in both tests compared to PP2, PP3 and DMSO groups (P ＜ 0.001). Two-way analysis of variance followed by Bonferroni post hoc test was used to determine the signi fi cant differences among samples studied in square (F(3,110)= 69.58; P ＜ 0.0001) and round tests (F(3,110)= 126.87; P ＜ 0.0001).

Figure 2 A blocker of Src family kinases PP2 treatment increased white matter spared tissue after spinal cord injury.

Spared tissue, axonal outgrowth, astrocytic response, and in fi ltration of cells

Histological studies of white matter spared tissue were done with luxol blue/cresyl violet staining. Stained spinal cord sections (within 5 mm of the lesion epicenter) treated with the SFK inhibitor, PP2, showed an elevated amount of spared tissue and reduced size of the lesion cavity, relative to DMSO and PP3 control groups (Figure 2A). Statistical analysis (Figure 2B) showed that PP2-treated group displayed more white matter spared tissue than PP3 (P ＜ 0.05) and DMSO (P ＜ 0.001) groups at 28 days post-injury (n = 3). One-way analysis of variance followed by Bonferroni post hoc test was used to determine the signi fi cant differences among samples studied (F(2,6)= 31.72, P = 0.0006).

Anatomical assays using an antibody against serotonin (5-HT) illustrated the presence of fi bers caudal (approximately 2 mm) to the lesion epicenter (Figure 3A) in PP2 group (35.67 ± 0.8819) compared to PP3 (P ＜ 0.01, 13.67 ± 2.333) and DMSO (P ＜ 0.001, 10.33 ± 3.180 (Figure 3B)) groups at 28 days post-injury (n = 3). Control experiments performed with IgG1 or saline, instead of the primary antibody against 5-HT, did not show any immunoreactivity (data not shown). One-way analysis of variance followed by Bonferroni post hoc test was used to determine the significant differences among samples studied (F(2,6)= 34.80, P = 0.0005).

Figure 3 A blocker of Src family kinases PP2 increased serotonin immunoreactivity caudal to the lesion epicenter after spinal cord injury.

Figure 4 Astrogliosis immunoreactivity was not altered after a blocker of Src family kinases PP2 treatment in injured spinal cords.

Figure 5 Macrophage immunoreactivity was not altered after a blocker of Src family kinases PP2 treatment in injured spinal cords.

Figure 6 A blocker of Src family kinases PP2 treatment after spinal cord injury reduced ephexin 1 phosphorylation.

Immunohistochemistry studies were used to identify reactive astrocytes (GFAP) and macrophages (ED1) in fi ltration to the lesion epicenter (within 5 mm of the lesion epicenter). In both cases, no signi fi cant differences were observedbetween groups at 28 days post-injury. For GFAP (Figure 4) and ED1 analyses (Figure 5), one-way analysis of variance followed by Bonferroni post hoc test was used to determine the significant differences among samples studied [GFAP: (F(2,9)= 0.1948, P = 0.864); ED1: (F(2,9)= 0.2224, P = 0.8048)]. Sections treated with control IgG1 or saline did not present any immunoreactive signal in the GFAP or ED1 experiments (data not shown), confirming the specificity of the signal obtained with the primary antibodies.

Ephexin phosphorylation

Ephexin1 was investigated as a possible target of SFK activation. Immunoprecipitation assays demostrated that PP2 treatment affected ephexin1 phosphorylation at 4 days post-injury. The 4 days post-injury time point was used since previous studies demonstrated a peak of ephexin phosphorylation at this stage (Rosas et al., 2011). The antibody against the ephexin1 phosphorylated at Tyr 87 showed a unique band at 80 kDa in the injured spinal cord treated with PP3 (Figure 6A). Densitometry analysis (Figure 6B) demonstrated a significant reduction at 4 days post-injury (P ＜ 0.05) of ephexin1 phosphorylation in rats treated with PP2 versus those treated with PP3, con fi rming that ephexin1 is a substrate of Src family kinases. A t-test was used to determine the signi fi cant difference among the studied groups (P = 0.0465, t = 3.278, df = 3, paired two-tailed t-test, n = 4).

Discussion

In the present study, we demonstrated that blockade of SFK by PP2 after SCI resulted in an improved functional locomotor recovery using two behavioral assays. Moreover, the amount of spared tissue and serotonin fi bers increased when PP2 was administered to injured rats. We also examined the levels of reactive gliosis and the amount of microglia at the lesion epicenter but failed to find significant changes. The results obtained also suggest that ephexin1 (a guanine nucleotide exchange factor) could be a substrate of this family of kinases, which may contribute to the repulsive environment generated after trauma. Taken together, these results support our hypothesis that SFK activation after SCI plays a role in the microenvironment for axonal outgrowth, sprouting, and/or cell survival.

We focused on altering SFK, which may modulate growth cone activity, neurite extension and synapse formation using an SFK inhibitor. PP2 is an inhibitor that effectively blocks SFK activity, in vivo and in vitro, but recent data suggest that it could be classi fi ed as a non-selective blocker (Brandvold et al., 2012). Published reports established that PP2 is an inhibitor for the SFK that blocks Src, Lck, Fyn and Hck (Hanke et al., 1996; Bain et al., 2007), with some inhibitory activity on kinases like CK1, RIP2, GAK and the c-terminal Src kinase. Permeation of PP2 into the spinal cord was not investigated in this study, but other investigators published that PP1 (a similar hydrophobic compound) penetrates well the central nervous system (Paul et al., 2001). Studies on SCI, brain trauma, cerebral ischemia (transient or permanent) and/or a stroke utilized intraperitoneal injections of PP1 or PP2 and obtained positive results, suggesting that these compounds have the ability to cross the blood-brain barrier (Paul et al., 2001; Akiyama et al., 2004; Lennmyr et al., 2004; Jadhav et al., 2007; Liu et al., 2014). However, we could not discard the possibility that PP2 also enters the spinal cord because a compression injury to this tissue may generate some damage to the blood-brain barrier permitting its entrance.

Long-term administration of PP2 enhanced locomotor activity (Figure 1), spared tissue (Figure 2) and axonal outgrowth and/or sprouting (Figure 3). An improvement in functional locomotor activity of rats treated with PP2 was confirmed by increased BBB score (Figure 1A) and beam crossing-tests (square and round (Figure 1Band1C)) when compared to control groups (PP3 and DMSO). Long-term neurological recovery after closed head injury was also observed when male mice were treated with PP2 (Schumann et. al., 2008). Anatomical and histological results support the improvement seen in hindlimb locomotion activity of the behavioral analysis, because rats treated with PP2 for 28 days (long-term treatment) presented more white matter spared tissue (Figure 2) than PP3 or DMSO groups. Also, we observed more 5-HT fi bers (Figure 3) caudal to the lesion epicenter in the PP2 treated group after 4 weeks of SFK blockade suggesting axonal outgrowth and/or sprouting. Similar results were observed in the acute phase after trauma when PP1 (another SFK inhibitor) was administered to rats with mild spinal cord compression injury (Akiyama et al., 2003). They observed some motor function improvement and reduction in the area of edema within the fi rst 2 weeks.

In the BBB open fi eld test, we observed a signi fi cant improvement in locomotor function at 7 days post-injury and the differences of scores (rate of change) between PP2-treated group and DMSO-treated or PP3-treated group were similar between 7 and 21 days. However, the rate of change in motor function changed between 21 and 28 days post-injury when rats treated with PP2 were compared to control groups (DMSO or PP3), suggesting a chronic effect on locomotor recovery in this stage after treatment. The beam crossing test results suggest that long-term blockade of SFK signi fi cantly improves equilibrium and body balance in the acute and chronic phases after SCI. Considerably, higher scores were obtained by rats treated with PP2 in the round beam test, without falling (with partial paw placement or without paw placement) compared to control groups at the beginning (7–14 days after SCI). These results were also observed at the 4thweek with the square beam test and suggest that inhibition of SFK could have an effect on the vestibulospinal and propioception related tracts, improving body posture, balance, and equilibrium. Therefore, our results con fi rmed those fi ndings obtained by Akiyama et al. (2003) in the acute phase after SCI. Moreover, our results confirmed a role of SFK activity in the chronic phase of the pathophysiology generated after SCI in adult rats since long-term blockade of this kinase (28 days) improved locomotor behavior, spared tissue and neurite outgrowth.

Activation of c-Src in reactive astrocytes has been observedafter cortical lesions (Gangoso et al., 2012). The results obtained at 28 days post-injury were different than expected. Rats treated with PP2 at 28 days post-injury presented an increased spared tissue (Figure 2) without a change in reactive gliosis immunoreactivity (Figure 4) compared with those treated with PP3 and DMSO after injury. These results suggest that SFK activity is not involved in cyst formation or in the reactive gliosis differentiation.

Injury to the spinal cord promotes macrophage infiltration (Schwartz et al., 2006) as a part of the inflammatory responses to remove debris after the physical insult. We studied this cellular process to determine if SFK activity plays a role in macrophage infiltration to the spinal cord after trauma. However, immunohistochemistry analysis did not demonstrate signi fi cant change at 28 days post-injury (Figure 5). On the other hand, previous studies demonstrated a reduction in macrophage in fi ltration to the lesion epicenter after administration of PP1 at 3 and 7–8 days post-injury, which is important for neuroprotection (Akiyama et al., 2003, 2004). This discrepancy could be possible because macrophages mainly in fi ltrate the lesion epicenter between day 3 and day 8 (Popovich et al., 1997), and we studied the amount of macrophages at 28 days post-injury. Any change in the in fi ltration of macrophages by PP2 probably already occurred in the fi rst week after trauma.

The immunoprecipitation analysis demonstrated that ephexin-1 is a possible target for Src family kinases. Moreover, previous studies demonstrated the presence of ephexin1 at the lesion epicenter and its activity (phosphorylation) altered at different time points after SCI (2, 4 and 14 days post-injury) (Rosas et al., 2011). In addition, in vitro reports demonstrated that ephexin1 phosphorylation retracts neurites (Shamah et al., 2001), promotes axonal growth cone collapse (Sahin et al., 2005), and regulates dendritic spine retraction (Fu et al., 2007a). Ephexin1 function is mediated when EphA receptors interact with any of its ligands (ephrinA1–A5 or ephrin B1–B3) (Klein, 2009) or after the activation of the fibroblast growth factor receptor-EphA4 heterocomplex (Zhang et al., 2007). Once the Eph-ephrin interaction takes place, EphA receptor dimerizes and an autophosphorylation occurs. Then, it recruits other proteins such as Src tyrosine kinase (Sahin et al., 2005), Cdk5 (Fu et al., 2007b) and ephexin1 (Sahin et al., 2005).

Immunoprecipitation studies were performed, as a first approach, to demonstrate that PP2 decreases ephexin1 phosphorylation after intraperitoneal injection. The result con fi rmed that PP2 is effective against ephexin1 phoshorylation/activation (Figure 6), as has been reported for the effect of PP2 on N-methyl-D-aspartarte receptor subunit NR2B in the hippocampus after closed head injury (Schumann et al., 2008). Phosphorylation of ephexin1 plays a critical role in the induction of axonal growth cone collapse because it activates preferentially RhoA, which causes cytoskeletal changes (Shamah et al., 2001; Knoll and Drescher, 2004; Sahin et al., 2005) and this cascade of intracellular events may inhibit axonal outgrowth and/or synapse formation. In our experimental model, long-term blockade of SFK activity after SCI with PP2 ensured a reduction in the level of ephexin1 activation (phosphorylation) for 28 days and this may result in a decrease in RhoA activity (Sahin et al., 2005). Consequently, supraspinal axons may sprout in our contusion model resulting in the formation of synapse that improved the locomotor activity of the injured animals. Therefore, a possible Eph-ephrin interaction is mediated through ephexin after SCI that triggers a cellular response, generating a non-permissive environment for functional locomotor recovery.

A previous report has demonstrated that ephexin1 is expressed in neurons and axons (Rosas et al., 2011) that contain EphA3, A4 and A7. Therefore, if ephexin1 phosphorylation (activation) is decreased by PP2 (a SFK inhibitor) for 28 days, more neurons and axons can extend their neurites and growth cone bulbs, suggesting fi ber sprouting at the lesion epicenter. However, we could not discard the possibility of SFK and/or ephexin1 role in synapse remodeling after SCI (Frank et al., 2009; Shi et al., 2010a, b) or regulation of vascular permeability in the injured central nervous system (Eliceiri et al., 1999; Paul et al., 2001; Akiyama et al., 2003, 2004).

In conclusion, this study provides information regarding the behavioral, anatomical/cellular and biochemical effect of PP2 treatment after SCI. These fi ndings suggest that SFK initiates a cascade of events that block locomotor recovery. Our study also point out that ephexin1 phosphorylation (activation) by SFK action may be involved in the repulsive microenvironment generated after SCI. The results obtained cannot exclude the possibility that SFK regulates axonal outgrowth and locomotor recovery through modulation of the phosphorylation of other substrates and/ or intermediates that may phosphorylate ephexin1. While Bain et al. (2007) published in vitro studies reporting that other kinases (CK1, RIP2, GAK and the c-terminal Src kinase) may be blocked by PP2, published in vivo studies in models of trauma, focal or global brain ischemia point to the inactivation of Src-kinase family by PP2 (Lennmyr et al., 2004; Hou et al., 2007; Liu et al., 2014). Therefore, future experiments should combine a group of kinase inhibitors to dissect in detail the kinases involved in ephexin phosphorylation. The locomotor recovery observed after PP2 treatment is not complete due to additional inhibitory proteins and factors that block axonal regeneration. More studies are needed to elucidate the intracellular cascade of events initiated by these kinases.

Acknowledgments:This research project is in partially fulfillment of Odrick R. Rosas doctoral thesis dissertation. We acknowledge Dr. Luz C. Arocho for her technical support during the surgeries. Also, we would like to recognize Dr. Martine Behra and Luis Colón for their support in the capture of images with the Zeiss fluorescent microscope (obtained with the grant 1P30NS069258-01) and Dr. Alan Preston for his editorial revision.

Author contributions:Rosas OR and Miranda JD designed the study. Rosas OR, Torrado AI, Santiago JM, Rodriguez AE and Salgado IK provided some technical support, researchguidance and performed the experiments. Rosas OR, Torrado AI, Salgado IK and Miranda JM evaluated the data for statistical significance. Rosas OR, Torrado AI, Santiago JM and Salgado IK prepared the figures with the data obtained. Rosas OR prepared the first draft of the manuscript and Miranda JD reviewed the document and was responsible for the article. All authors contributed to the writing of the final draft and approved the final version of the manuscript.

Con fl icts of interest:None declared.

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Copyedited by Mladinic M, Li CH, Song LP, Zhao M

10.4103/1673-5374.147949

Jorge D. Miranda, Ph.D., Physiology Department, University of Puerto Rico School of Medicine, San Juan, PR 00936-5067, USA, jorge.miranda3@upr.edu.

http://www.nrronline.org/

Accepted: 2014-10-08