BRAIN RESEARCH ELSEVIER
Brain Research 677 (1995) 152-156
Short communication
Extracellular guanosine and guanosine-5'-triphosphate increase: NGF synthesis and release from cultured mouse neopallial astrocytes Pamela J. Middlemiss a,*, John W. Gysbers b, Michel P. Rathbone a,b a
Department of Biomedical Sciences, McMaster University, Health Science Centre, 4N25, 1200 Main Street West, Hamilton, Ont. L8N 3Z5, Canada Department of Medicine, McMaster University, Hamilton, Ont., Canada
Accepted 24 January 1995
Abstract
Cultures of neonatal mouse cortical astrocytes synthesized NGF mRNA and released immunoreactive NGF (ir-NGF) into the culture medium. Addition of 10 /zM guanosine or GTP to the cultures increased ir-NGF release by 6 and 2 fold, respectively, after 24 h, and increased NGF mRNA 6 fold after 4 h and 2-3 fold after 24 h. In contrast, neither adenosine nor ATP (each 1-100/zM) affected either NGF mRNA synthesis or ir-NGF release. Keywords: NGF synthesis; NGF mRNA; Astrocyte; Guanosine; GTP; Neurotrophin; ATP; Adenosine; cAMP
Extracellular purine nucleosides, e.g. guanosine (Guo) and adenosine (Ado), or nucleotides, e.g. guanosine-5'-triphosphate (GTP) and adenosine-5'-triphosphate (ATP), stimulate proliferation of astrocytes [1,18,23] and microglia [28] in vitro. The effects of Guo and G T P were greater than those of A d o and A T P [29,30]. Extracellular purines also stimulated reactive gliosis in vivo. [15]. Astroglial reaction after central nervous system (CNS) injury was previously considered largely deleterious [31,32]. However, astrocytes that become 'reactive' after brain injury or in pathological conditions may synthesize neurotrophins such as nerve growth factor (NGF), brain derived neurotrophic factor (BDNF) and neurotrophin-3 (NT-3) [3]. In contrast, in u n d a m a g e d adult brain, neurotrophins are largely confined to neurons [33]. Therefore after CNS injury, production of neurotrophins by astrocytes enhance neuronal sprouting, formation of collateral circuits and hence functional recovery [33]. Astrocytes in culture, like reactive astrocytes in vivo, can synthesize neurotrophins (for review see [33]). Secretion of N G F by astrocytes in culture is not constant [4,16,42] but depends on culture conditions [5]. Hence
* Corresponding author. Fax: (1) (905) 547-6892. 0006-8993/95/$09.50 © 1995 Elsevier Science B.V. All rights reserved SSDI 0006-8993(95)00156-5
results are not always consistent among investigators. Nevertheless, serum, several growth factors and cytokines all stimulate neurotrophin synthesis in astrocytes [36,43]. Recently Zafra et al. [44] reported that cytokines enhanced the synthesis of N G F m R N A by astrocytes while norepinephrine and glutamate receptor agonists did not [36,44]. However, Pechan et al. [25] reported that glutamate induced N G F gene expression in astrocytes. The role of cAMP in the stimulation of N G F synthesis in astrocytes is also controversial. Whereas some investigators have reported that activation of adenylate cyclase increased N G F m R N A synthesis in rat cortical astrocytes [35], others did not [43,44]. The effects of adenylate cyclase activation on N G F m R N A synthesis were sensitive to culture conditions [44]. Other factors, including F G F - 2 [36,42] and hydrogen peroxide ( H 2 0 2 ) , a cytotoxic molecule, have been also reported to increase astrocyte N G F m R N A [17,22]. Since Guo, Ado, G T P or A T P stimulated astrocyte proliferation we questioned whether they also affected the synthesis a n d / o r release of N G F by astrocytes. Moreover Guo, and to a lesser extent Ado, increased intracellular adenosine-3',5'-monophosphate (cAMP) in astrocytes whereas G T P and A T P had no effect [27]. As c A M P may stimulate N G F synthesis in astrocytes [35], this was further impetus to test the effects of extracellular purines on N G F synthesis.
P.J. Middlemiss et al. /Brain Research 677 (1995) 152-156
Astrocytes from the cerebral cortex of newborn N I H Swiss mice (Harlan) were isolated according to Hertz et al. [14] and maintained in modified Dulbecco's medium [13] containing 10% horse serum (HS). After 2 weeks in culture the astrocytes formed a confluent monolayer. The cultures used in the assays consisted of > 95% glial fibrillary acidic protein positive, flat epithelial-like cells [13] with < 5% macrophages and approximately 1% oligodendrocytes of the total cells. The isolation method, the age of animals used, low seeding density and frequent medium changes kept the percentage of oligodendrocytic cell precursors and other cell types to a minimum. Oligodendrocytes can express N G F [2]. However, since oligodendrocytes represent such a small proportion of the total cell population, their contribution to the total level of N G F in the astrocyte conditioned medium (ACM) would be minimal. Thus the neurotrophins produced in the ACM would be almost entirely derived from the astrocytes. N G F release into astrocyte culture medium was determined using cultures, in logarithmic growth phase. Cultures were treated with Guo, Ado, G T P or ATP dissolved in phosphate buffered saline (PBS) or, as a control, PBS alone. After 24 h the medium was removed from the cultures and centrifuged. The supernatant, ACM, was then tested in a two-site, sandwich type ELISA [19]. Samples of ACM (100 /xl) or 2.5 S HPLC-purified mouse submandibular salivary gland N G F (Cedarlane) as the standard, were used in the assay and read using a Microfluor ELISA reader (exci-
150000-
Ado
Guo
}
W ~100000. v W W 50000Z
0
ITI 0
~
1'0
100
CONCENTRATION
0
1
lt0
100
(!~M) OF PURINE A D D E D
Fig. 1. The effect of Guo and Ado on the production of ir-NGF by mouse cortical astrocytes. Confluent monolayers of astrocytes were trypsinized and replated into 24 well plates (5×104 cells/well). After 2 h the medium was then replaced (DMEM containing 10% HS) and Guo or Ado or PBS was added to the cells. 24 h later the medium was removed and the ir-NGF level (expressed as pg/well) in the ACM was measured by ELISA. Bars represent the mean _+S.E.M. 10 /~M Guo significantly increased ir-NGF level in ACM above ir-NGF level for control cultures: A N O V A (* P < 0.001), Tukey's HSD.
150000"
153
GTP
ATP
W 100000-
W W 50000-
Yt
Z
& "1-
0 CONCENTRATION
1
10
100
(!~M) OF P U R I N E A D D E D
Fig. 2. The effect of GTP and Guo on the production of ir-NGF by mouse cortical astrocytes. The same experimental design was used as described in Fig. 1. Bars represent the mean_+ S.E.M. GTP significantly increased ir-NGF level in the ACM above ir-NGF level from control cultures: A N O V A (* P < 0.001, * * P < 0.0001), Tukey's HSD.
tation 360 nm; emission 450 nm). The sensitivity of this assay was 10 pg N G F / w e l l . The data obtained was analyzed by a one-way analysis of variance (ANOVA) followed by Tukey's HSD for significance. N G F m R N A was quantified by slot blot analysis using a random primed 32p-labelled 0.995 kb cDNA N G F probe in plasmid p G E M . N G F ( + ) . Northern blot analysis confirmed that this probe hybridized a 1.3 kb band of m R N A identical in size to N G F m R N A [34]. To ensure the film response was linear with respect to increasing amounts of 32p, various concentrations of total R N A was used. Autoradiography was performed using Hyperfilm-MP ( A m e r s h a m / U S B ) and intensifying screens. The data obtained was analyzed by a one-way A N O V A followed by Tukey's HSD for significance. Both Guo (Fig. 1) and G T P (Fig. 2) increased the immunoreactive-NGF (ir-NGF) level in ACM. The amount of ir-NGF in the ACM varied with the concentration of Guo or G T P added to the cultures. For both Guo and G T P the greatest increase in ir-NGF was observed at 10/~M. However, although Guo increased ir-NGF to 97,108 pg/well (Fig. 1), the increase due to G T P was only 33,571 pg/well (Fig. 2). In contrast, neither Ado (1-100 /~M) (Fig. 1) nor ATP ( 1 - 1 0 0 / x M ) (Fig. 2) increased the ir-NGF level in ACM above ir-NGF levels from control cultures. The N G F antibody used in the ELISAs recognizes NGF, B D N F and NT-3 [20]. The reaction of N G F antibody with NT-3 was slightly less than with N G F and about 100 fold greater than with BDNF (Dr. M. Coughlin, personal communication). Astrocytes produce NGF, NT-3 and B D N F [33]. These neurotrophins share 40-65% amino acid sequence homology and contain six conserved cysteine residues [24]. Therefore,
154
P.J. Middlemiss et al. / Brain Research 677 (1995) 152-156 < z
0.1-
0
i
0.075-
Z m a
O.05-
~5iii#iiii 0
0.025-
H:
i Con
Guo
4 hrs
i GTP
i
Con
Guo
24
GTP
hrs
Fig. 3. The effect of Guo (10 /zM) and GTP (10 /xM) on NGF mRNA levels in astrocytes 4 and 24 h after treatment. Total RNA, from harvested astrocyteswas extracted using TRIzol reagent (protocol Gibco BRL/Life TechnologiesInc.). Total RNA 0.25-4/xg, were spotted onto Hybond-Nfilters (Amersham) [40] and then hybridized. The resultant autoradiographs were densitometrically scanned (MCID Image Analysis) and the relative density per microgram of total RNA (ROD//xg RNA) spotted was determined for each sample. Bars represent the mean + S.E.M. By 4 and 24 h Guo and GTP significantly increased the ROD//xg RNA level above the ROD//xg RNA level from control cultures: ANOVA (* P < 0.001, * * P < 0.0001), Tukey's HSD.
it is likely that the N G F antibody reacts with a similar epitope exposed on the surface of each neurotrophin. The amino acid homology is greater between NT-3 and N G F than between B D N F and N G F [24]. This accords with their immunological cross-reactivity. To confirm that the astrocytes were indeed synthesizing N G F in response to Guo or GTP, we measured the relative amounts of N G F m R N A after treatment with these purines. Total m R N A was extracted from astrocytes 4 or 24 h after Guo, G T P or PBS (vehicle control) was added to their culture medium. Northern blot analysis revealed a single band of m R N A at 1.3 kb when probed with N G F (data not shown). Slot blot analysis showed that the amount of N G F m R N A produced in cells 4 h after addition of Guo or GTP was approximately 6 fold greater than that found in the PBS controls (Fig. 3). 24 h after Guo or GTP was added to the cultures, the amount of N G F m R N A in treated cultures was less than at 4 h, yet still 2 - 3 times greater than in the PBS controls (Fig. 3). The increase in N G F m R N A expression in astrocytes after treatment with Guo or GTP was similar to the 6 - 7 fold increase observed 4 - 6 h after exposure to H z O 2 [22,25] or glutamate [26]. In those cases, N G F m R N A levels increased 6 - 7 fold over untreated cultures 4 - 6 h after treatment. These data indicate that Guo or GTP, but not Ado
or ATP, stimulate N G F synthesis by astrocytes. Interestingly, Guo [10] and GTP [9], but not Ado or ATP, also stimulate neurite outgrowth from PC-12 cells in culture [11]. This raises the possibility that Guo and GTP, to a much greater extent than Ado and ATP, may stimulate neurotrophin synthesis in several cell types. N G F secretion by astrocytes is related to the rate of cell growth and decreases after serum deprivation [5]. Since extracellular purine nucleosides and nucleotides stimulate astrocyte proliferation [1,23,29,30] might this underlie their ability to increase N G F synthesis? We consider this unlikely; whereas all four purines stimulate astrocyte proliferation [1,23,29,30], only Guo and, to a lesser extent GTP, enhance N G F synthesis and release. GTP can be converted to Guo by a series of ectoenzymes which includes a nucleoside triphosphatase, nucleoside diphosphate phosphohydrolase and a 5'nucleotidase [7,8,21,37]. The ectoenzymes involved have complex kinetics and therefore would be unlikely to convert GTP stoichiometrically to Guo alone. Since both Guo and GTP were maximally effective at 10 p.M, it is therefore unlikely that GTP acted simply as a reservoir from which Guo was synthesized. Substances that increase intracellular cAMP may increase N G F synthesis by astrocytes [35]. Guo increases intracellular cAMP in astrocytes [27]. Therefore, Guo may employ cAMP in the signal transduction cascade that stimulates N G F synthesis. This cannot be true for GTP as it does not increase cAMP in astrocytes [27]. Therefore, Guo and GTP may enhance N G F synthesis through different signalling pathways. After brain injuries such as stroke, the extracellular concentration of Guo is elevated over 1 week [12,39]. Therefore, astrocytes are exposed to levels of extracellular Guo that may substantially exceed 10/zM [45], for prolonged periods. Our data indicate that at these concentrations either Guo or GTP is capable of stimulating N G F synthesis in astrocytes. In contrast to Guo, extracellular Ado concentrations may be elevated more transiently following tissue injury [12,39]. Extracellular Ado is rapidly removed by a number of processes, including re-uptake and the activity of ectoenzymes such as adenosine deaminase [6,38,41]. Thus extracellular Guo, rather than Ado, may well be particularly suited to providing a sustained influence to stimulate synthesis of neurotrophins by astrocytes after CNS injury. Experiments are under way to test whether Guo produces this effect in vivo as well as in vitro.
Acknowledgements We thank Drs. M. Fahnestock for providing the N G F c D N A probe and for advice, J. Staniz for assis-
P.J. Middlemiss et al. /Brain Research 677 (1995) 152-156
t a n c e w i t h t h e E L I S A , M. C o u g h l i n f o r p r o v i d i n g t h e NGF and anti-NGF and for advice, and M.P. Elliott for e d i t o r i a l c o m m e n t s . T h i s w o r k w a s s u p p o r t e d by grants from The Hospital For Sick Children Foundation, Toronto;, Advanced ImmunoTherapeutics, Tustin, C A ; a n d G. C a l d e r . J . W . G . h e l d a N e u r o - O n c o l o g y Foundation Post-Doctoral Fellowship.
References [1] Abbracchio, M.P., Saffrey, M.J., Hopker, V. and Burnstock, G., Modulation of astroglial cell proliferation by analogues of adenosine and ATP in primary cultures of rat striatum, Neuroscience, 59 (1994) 67-76. [2] Byravan, S., Foster, L.M., Phan, T., Verity, A.N. and Campagnoni, A.T., Murine oligodendroglial cells express nerve growth factor, Proc. Natl. Acad. Sci., 91 (1994) 8812-8816. [3] Ceccatelli, S., Ernfors, P., Villar, M.J., Persson, H. and Hokfelt, T., Expanded distribution of mRNA for nerve growth factor, brain-derived neurotrophic factor, and neurotrophin-3 in the rat brain after colchicine treatment, Proc. Natl. Acad. Sci., 88 (1991) 10352-10356. [4] Furukawa, S., Furukawa, Y., Satoyoshi, E. and Hayashi, K., Synthesis and secretion of nerve growth factor by mouse astroglial cells in culture, Biochem. Biophys. Res. Commun., 136 (1986) 57-63. [5] Furukawa, S., Furukawa, Y., Satoyoshi, E. and Hayashi, K., Synthesis/secretion of nerve growth factor is associated with cell growth in cultured mouse astroglial cells, Biochem. Biophys. Res. Commun., 142 (1987) 395-402. [6] Geiger, J.D. and Nagy, J.I., Adenosine deaminase and [3H]nitrobenzylthioinosine as markers of adensoine metabolism and transport in central purinergic systems. In M. Williams (Ed.), Adenosine and Adenosine Receptors, Humana, Clifton, NJ, 1990, pp. 225-288. [7] Gordon, E.L, Pearson, J.D. and Slakey, L.L., The hydrolysis of extracellular adenine nucleotides by cultured endothelial cells from pig aorta, J. Biol. Chem., 261 (1986) 15496-15504. [8] Grondal, E.J.M. and Zimmermann, H., Ectonucleotidase activities associated with cholinergic synaptosomes isolated from Torpedo electric organ, J. Neurochem., 47 (1986) 871-881. [9] Gybers, J.W., Lamb, D.P., O'Banion, M.K., Martzen, M.R. and Rathbone, M.P., Molecular mechanisms of guanosine and GTP induced neurite outgrowth, Soc. Neurosci. Abstr., 19 (1993) 541.13. [10] Gysbers, J.W. and Rathbone, M.P., Guanosine enhances NGFstimulated neurite outgrowth in PC12 cells, NeuroReport, 3 (1992) 997-1000. [11] Gysbers, J.W. and Rathbone, M.P., Guanosine and GTP enhance NGF-stimulated neurite outgrowth in PC-12 cells, Soc. Neurosci. Abstr., 18 (1992) 420.6. [12] Hagberg, H., Anderson, R., Lacadewicz, J., Jacobson, I., Butcher, S. and Sandberg, M., Extracellular adenosine, inosine, hypoxanthine and xanthine in relation to tissue nucleotides and purines in rat striatum during transient ischemia, J. Neurochem., 49 (1987) 227-231. [13] Hertz, L., Juurlink, B.H.J., Formark, H. and Schousboe, A., Astrocytes in primary culture. In S.E. Pfeiffer (Ed.), Neuroscience Approached Through Tissue Culture, CRC, Boca Raton, FL., 1982, pp. 175-186. [14] Hertz, L., Juurlink, B.H.J., Hertz, E., Fosmark, H. and Schousboe, A., Preparation of primary cultures of mouse (rat) astro-
155
cytes. In A. Shahar, J. deVellis, A. Vernadakis and B. Haber (Eds.), A Dissection and Tissue Culture Manual of the Nervous System, Liss, New York, 1989, pp. 105-108. [15] Hindley, S., Herman, M.A.R. and Rathbone, M.P., Stimulation of reactive astrogliosis in vivo by extracellular adenosine diphosphate or an adenosine A(2) receptor agonist, J. Neurosci. Res., 38 (1994) 399-406. [16] Houlgatte, R., Mallat, M., Brachet, P. and Prochiantz, A., Secretion of nerve growth factor in cultures of glial cells and neurons derived from different regions of the mouse brain, J. Neurosci. Res., 24 (1989) 143-152. [17] Ip, N.Y., Li, Y., Yancopoulos, G.D. and Lindsay, R.M., Cultured hippocampal neurons show responses to BDNF, NT-3, and NT-4, but not NGF, J. Neurosci., 13 (1993) 3394-3405. [18] Kim, J.-K., Rathbone, M.P., Middlemiss, P.J., Hughes, D.W. and Smith, R.W., Purinergic stimulation of astroblast proliferation: Guanosine and its nucleotides stimulate cell division in chick astroblasts, Z Neurosci. Res., 28 (1991) 442-445. [19] Larkfors, L. and Ebendal, T., Highly sensitive enzyme immunoassays for b-nerve growth factors, J. Immuno. Methods, 97 (1987) 41-47. [20] Murphy, R.A., Acheson, A., Hodges, R., Haskins, J., Richards, C., Reklow, V.C., Barker, P.A., Alderson, R.F. and Lindsay, R.M., Immunological relationships of NGF, BDNF, and NT-3: recognition and functional inhibition by antibodies to NGF, J. Neurosci., 13 (1993) 2853-2862. [21] Nagy, A.K., Shuster, T.A. and Delgado-Escueta, A.V., EctoATPase of mammalian synaptosomes: identification and enzymatic characterization, J. Neurochem., 47 (1986) 976-986. [22] Naveilhan, P., Neveu, I., Jehan, F., Baudet, C., Wion, D. and Brachet, P., Reactive oxygen species influence nerve growth factor synthesis in primary rat astrocytes, J. Neurochem., 62 (1994) 2178-2186. [23] Neary, J.T. and Norenberg, M.D., Signalling by extracellular ATP: physiological and pathological considerations in neuronal-astrocytic interactions, Prog. Brain Res., 94 (1993) 145151. [24] Negro, A., Corsa, V., Skaper, S.D. and Callegaro, L., Nerve growth factor antibodies recognize neurotrophin-3, Neurochem. Res., 18 (1993) 705-709. [25] Pechan, P.A., Chowdhur, K., Gerdes, W. and Seifer, W., Glutamate induces the growth factors, NGF, bFGF, the receptor FGF-R1 and c-fos mRNA expression in rat astrocyte culture, Neurosci. Lett., 153 (1993) 111-114. [26] Pechan, P.A., Chowdhury, K. and Seifert, W., Free radicals induce gene expression of NGF and bFGF in rat astrocyte culture, NeuroReport, 3 (1992) 469-472. [27] Rathbone, M.P., Middlemiss, P.J., DeLuca, B. and Jovetich, M., Extracellular guanosine increases astrocyte cAMP: inhibition by adenosine A 2 antagonists, NeuroReport, 2 (1991) 661-664. [28] Rathbone, M.P., Middlemiss, P.J., Gysbers, J.W., Hindley, S. and Juurlink, B.H.J., Puringeric mechanisms in glia-neuronal interactions after brain injury and in neurodegenerative disorders, Workshop on Deterioration, Stability, and Regeneration of the Brain During Normal Aging, Madrid, Spain, 17 (1994) (Abstract). [29] Rathbone, M.P., Middlemiss, P.J., Hooftman, E. and Kim, J.-K., Purinergic stimulation of astrocyte proliferation by picomolar concentrations of adenine and guanine nucleosides and nucleotides, 13th Annual Meeting of Canadian College of Neuropsychopharmacology, 13.6 (1990) (Abstract). [30] Rathbone, M.P., Middlemiss, P.J. and Kim, J.-K., Purine nucleosides and nucleotides stimulate proliferation of serum starved astrocytes in tissue culture, 4th Canadian Neuro-Oncology Meeting, 4 (1990) (Abstract). [31] Reier, P.J. and Houle, J.D., The astrocytic scar: its functional
156
P.J. Middlemiss et al. / Brain Research 677 (1995) 152-156
bearing on axonal elongation and transplantation approches to CNS repair system. In S.G. Waxman (Ed.), Functional Recouery in Neurological Disease, Raven, New York, 1988, pp. 87-138. [32] Reier, P.J., Stensaas, L.J. and Guth, L, The astrocytic scar as an impediment to regeneration in the central nervous system. In C.C. Kao, R.P. Bunge and P.J. Reier (Eds.), Spinal Cord Reconstruction, Raven, New York, 1983, pp. 163-195. [33] Rudge, J.S., Astrocyte-derived neurotrophic factors. In S. Murphy (Ed.), Astrocytes: Pharmacology and Function, Academic, San Diego, CA, 1993, pp. 267-305. [34] Rudge, J.S., Alderson, R.F., Pasnikowski, E., McClain, J., Ip, N.Y. and Lindsay, R.M., Expression of ciliary neurotrophic factor and the neurotrophins-nerve growth factor, brain-derived growth factor, and neurotrophin-3 in cultured rat hippocampal astrocytes, Eur. J. Neurosci., 4 (1992) 459-471. [35] Schwartz, J.P. and Mishler, K., /3-Adrenergic receptor regulation, through cyclic AMP, of nerve growth factor expression in rat cortical and cerebellar astrocytes, Cell. Mol. Neurobiol., 10 (1990) 447-457. [36] Spranger, M., Lindholm, D., Bandtlow, C., Heumann, R., Gnahn, H., Naher-Noe, M. and Thoenen, H., Regulation of nerve growth factor (NGF) synthesis in the rat central nervous system: Comparison between the effects of interleukin-1 and various growth factors in astrocyte cultures and in vivo, Eur. J. Neurosci., 2 (1990) 69-76. [37] Stephanovic, V., Ledig, M. and Mandel, P., Divalent cation activated ectonucleotide triphosphatase activity of the nervous system cells in tissue culture, J. Neurochem., 27 (1976) 799-805. [38] Stone, T.W., Newby, A.C. and Lloyd, H.G.E., Adensoine re-
lease. In M, Williams (Ed.), Adenosine and Adenosine Receptors, Humana, Clifton, NJ, 1990, pp. 173-223. [39] Van Wylen, D.G.L., Park, T.S., Rubio, R. and Berne, R.M., Increases in cerebral interstitial fluid adenosine concentration during hypoxia, local potassium infusion and ischemia, J. Cereb. Blood Flow Metab., 6 (1986) 522. [40] Wahl, G.M., Ong, E., Meinkoth, J., Franco, R. and Barinaga, M., Northern (RNA) Transfer onto S&S NYTRAN nylon Membranes. In M. Grunstein, P. Thomas, and G.M. Wahl (Eds.), Transfer and Immobilization of Nucleic Acids to S&S Solid Supports, Schleicher & Schuell, Keene, NH, 1987, pp. 16-18. [41] Williams, M., Purine receptors in mammalian tissues: pharmacology and functional significance, Annu. Reu. Pharmacol. Toxicol., 27 (1987) 315-345. [42] Yoshida, K. and Gage, F.H., Fibroblast growth factors stimulate nerve growth factor synthesis and secretion by astrocytes, Brain Res., 538 (1991) 118-126. [43] Yoshida, K. and Gage, F.H., Cooperative regulation of nerve growth factor synthesis and secretion in fibroblasts and astrocytes by fibroblast growth factor and other cytokines, Brain Res., 569 (1992) 14-25. [44] Zafra, F., Lindholm, D., Castren, E., Hartikka, J. and Thoenen, H., Regulation of brain-derived neurotrophic factor and nerve growth factor mRNA in primary cultures of hippocampal neurons and astrocytes, J. Neurosci., 12 (1992) 4793-4799. [45] Zetterstrom, T., Vernet, L., Ungerstedt, U., Tossman, U., Jonzon, B. and Fredholm, B.B., Purine levels in the intact rat brain. Studies with an implanted perfused hollow fibre, Neurosci. Lett., 29 (1982) 111-115.