Abstract
Biologists long believed that, once development is completed, no new neurons are produced in the forebrain. However, as is now firmly established, new neurons can be produced at least in two specific forebrain areas: the subventricular zone (SVZ) and the dentate gyrus (DG) of the hippocampal formation. Neurogenesis within the adult DG occurs constitutively throughout postnatal life, and the rate of neurogenesis within the DG can be altered under various physiological and pathophysiological conditions. The process of adult neurogenesis within the DG is a multi-step process (proliferation, differentiation, migration, targeting, and synaptic integration) that ends with the formation of a post-mitotic functionally integrated new neuron. Various markers are expressed during specific stages of adult neurogenesis. The availability of such markers allows the time-course and fate of newly born cells to be followed within the DG in a detailed and precise fashion. Several of the available markers (e.g., PCNA, Ki-67, PH3, MCM2) are markers for proliferative events, whereas others are more specific for early phases of neurogenesis and gliogenesis within the adult DG (e.g., nestin, GFAP, Sox2, Pax6). In addition, markers are available allowing events to be distinguished that are related to later steps of gliogenesis (e.g., vimentin, BLBP, S100beta) or neurogenesis (e.g., NeuroD, PSA-NCAM, DCX).
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Introduction
Biologists long believed that neurogenesis is restricted to embryonic brain development. In the 1960s, Altman and Das (1965, 1967) provided the first evidence that new cells can indeed be generated in the postnatal hippocampus. About 30 years later, these results were confirmed and extended by the use of the thymidine analog, bromodeoxyuridine (BrdU), which labels DNA during the S-phase of the cell cycle. The use of BrdU as a marker for cell division has enabled scientists to demonstrate that, in the adult hippocampus, neuronal progenitor cells can divide at the interface between the hilus and the granule cell layer, and that the rate of neurogenesis can be altered under various physiological and pathophysiological conditions, at least in rodents (Kuhn et al. 1996; Parent et al. 1997; Kempermann et al. 1997; Scott et al. 1998). Several years later, neurogenesis in the adult brain was also demonstrated for monkeys (Gould and Rakic 1981; Kornack and Rakic 1999; Gould et al. 1999a). Finally, Eriksson and coworkers (1998) demonstrated that neurogenesis can also be monitored in the adult human hippocampus.
Neurogenesis in the hippocampus is restricted to a relatively limited area, the subgranular zone (SGZ) of the dentate gyrus (DG; Fig. 1). The newly formed cells integrate into the granular layer of the DG and start to extend their axons and dendrites (Fig. 2) into their target areas (von Bohlen und Halbach 2007).
The hippocampus is a brain region capable of structural reorganization. Pre-existing neural circuits within the adult hippocampus can undergo modifications not only in cell numbers within the DG (neurogenesis), but also in dendritic spine numbers in all hippocampal subfields. These morphological alterations can induce long-lasting changes in hippocampal neuronal plasticity. Experience-induced changes both in the dendritic spines (von Bohlen und Halbach 2009) and in hippocampal neurogenesis can be observed, and a variety of factors, e.g., neurotrophins, are capable of modulating spine densities and neurogenesis. Thus, for example, the lack of trkB, the cognate receptor for brain-derived neurotrophic factor, has been demonstrated to result in reduced spine densities (von Bohlen und Halbach et al. 2006, 2008), reductions in neurogenesis (Bergami et al. 2008), and altered neuronal plasticity (Minichiello et al. 1999). Hence, both morphological alterations can be observed in the context of neuronal plasticity. However, whether and how these various plastic changes depend on each other remain to be clarified.
Aside from the DG, a further prominent region, in which ongoing adult neurogenesis can be observed, is the subventricular zone (SVZ). The newly born cells of the SVZ migrate and differentiate into neurons of the olfactory bulb (OB; Luskin 1993, 1994). Specifically, the newly generated neuronal cells in the SVZ migrate over a long distance to the OBs through the rostral migratory stream (RMS) and differentiate into interneurons at their final destination (Fig. 1). These newly generated neuronal cells in the OB establish synaptic contacts and functional connections with neighboring cells (Carlen et al. 2002; Belluzzi et al. 2003).
In addition to these regions, some reports have indicated that neurogenesis can also occur in other brain areas of adult mammals, including the neocortex (Gould et al. 1999b; Takemura 2005), the striatum (Van Kampen et al. 2004; Bedard et al. 2006), the amygdala (Bernier et al. 2002), the subcallosal zone (Seri et al. 2006), and the substantia nigra (Zhao et al. 2003; Yoshimi et al. 2005). However, neurogenesis in these areas seems to occur at substantially lower levels or might be induced under non-physiological conditions.
Stages of adult neurogenesis in the dentate gyrus
Neurogenesis within the DG occurs constitutively throughout postnatal life and is influenced by environment, behavior (Kempermann et al. 1997; Young et al. 1999; Ra et al. 2002; Kim et al. 2002; Uda et al. 2006), and aging (Zechel et al. 2010; von Bohlen und Halbach 2010). The hippocampal formation is involved in episodic and spatial memory (Rolls 2000), and an increased rate of hippocampal neurogenesis has been observed after hippocampal-dependent learning tasks (van Praag et al. 1999; Drapeau et al. 2003). However, other groups have not observed a correlation between hippocampal cell genesis and spatial learning ability (Merrill et al. 2003; Van der Borght et al. 2005). These differences might be attributed to neurogenesis being relate to some, but not all, types of hippocampal-dependent learning (Shors et al. 2002).
Currently, adult hippocampal neurogenesis is thought to consist of several developmental stages (Kempermann et al. 2004; Ming and Song 2005) that are characterized by morphological distinct cells. Based on this, the time-course of adult neurogenesis can be divided into various stages (Fig. 2). Since the precursor cells of the SVZ do not appear to be identical to the cells found in the SGZ of the DG (Seaberg and van der Kooy 2002), an alternative nomenclature has been proposed for the neurogenic cells located in the DG; this scheme is based on numbers (Kempermann et al. 2004), instead of the letters that had been originally used to describe the neurogenic cells within the SVZ (Doetsch et al. 1997).
Type 1 cells
In restricted zones of the brain, radial glia cells not only give rise to astrocytes, but may also transform into astroglial stem cells (Merkle et al. 2004) or progenitor cells. Adult hippocampal neurogenesis originates from a cell with morphological and functional characteristics of a glial cell. Type 1 cells are thought to constitute the resident early precursor population. The somata of these cells are triangular-shaped and located in the SGZ. They extend an apical process toward the molecular layer of the DG and sometimes contact blood vessels. In addition, they can also extend shorter tangentially oriented processes at the base of the SGZ (Seri et al. 2001; Fukuda et al. 2003; Filippov et al. 2003). Cells belonging to type 1 are relatively abundant within the SGZ, but these cells are thought to divide rarely. The type 1 cells express glial fibrillary acidic protein (GFAP) and the intermediate filament nestin but are negative for the calcium-binding protein S-100beta, which is, for example, expressed in a distinct postmitotic astrocyte population (Seri et al. 2001; Ehninger and Kempermann 2008). Moreover, the type 1 cells express the radial glia marker brain lipid-binding protein (BLBP) and SRY-related HMG-box gene2 (Sox2; Steiner et al. 2006; Ehninger and Kempermann 2008). Notably, the SGZ also contains horizontally oriented astrocytes that lack a radial process (Filippov et al. 2003; Seri et al. 2004). Whether these astrocytes can also act as progenitors for other cells is still unclear (Ihrie and Alvarez-Buylla 2008).
Type 2a and 2b cells
Type 1 cells give rise to fast-proliferating intermediate precursors. Most of the expansion of the pool of newly generated cells occurs during the stage of type 2 cells. These cells are characterized by a small soma, irregularly shaped nucleus, and short and horizontally oriented processes (a strong apical process is missing). The type 2 cells show an overlap in the expression of several glial and neuronal markers. Early type 2 cells express the stem-cell marker Sox2 (Steiner et al. 2006). Type 2 cells can be divided in two subpopulations, both nestin-positive, one being negative and one being positive for the immature neuronal marker doublecortin (DCX), and are therefore named type-2a and type-2b, respectively (Kempermann et al. 2004).
Type 3 cells
The type 3 stage is a transition phase from the slowly proliferating “neuroblasts” to the postmitotic immature neuron. Under normal conditions, type 3 cells show little proliferative activity, but under pathophysiological conditions, such as in the case of seizures, they can dramatically increase their proliferative activity (Jessberger et al. 2005). Type 3 cells express markers of the neuronal lineage, but no markers of the glial lineage. They migrate over a short distance into the granular layer. The morphology of the type 3 cells is highly variable, reflecting their developmental transition: the orientation of the processes changes from horizontal to vertical and the processes vary in length and complexity. Exit from the cell cycle occurs at this stage and coincides with the transient expression of the calcium-binding protein calretinin.
The various early progenitor cells might also be combined into a first stage of neurogenesis that is characterized by proliferative events. Thus, during stage 1 (proliferative stage), the newly generated cells express the markers GFAP and nestin (Fukuda et al. 2003; Filippov et al. 2003). These precursors share many characteristics with embryonic radial glia cells (Levitt and Rakic 1980; Eckenhoff and Rakic 1984; Cameron et al. 1993), which act as neuronal progenitors during embryonic development (Hartfuss et al. 2001). In the next stage (stage 2: differentiation phase), the transient amplifying cells differentiate into immature neurons in the SGZ. The early stage 2 cells are nestin-positive but GFAP-negative and highly proliferative (Kronenberg et al. 2003). During this phase the cells are also thought to commit to a neuronal lineage. At later timepoints, the stage 2 cells transiently stop expressing nestin and start to express DCX (Kronenberg et al. 2003; Fukuda et al. 2003). After this stage, a short migration phase (stage 3) can be observed, during which immature neurons migrate a short distance into the granule cell layer of the DG.
Thereafter, the cells start to express calbindin and the development and elongation of the dendritic trees toward the molecular layer of the DG, and axon elongation toward area CA3 occurs (Hastings and Gould 1999; Ehninger and Kempermann 2008). The immature neurons still express DCX. In addition, the early postmitotic neurons (at least in mice) transiently express the calcium-binding protein calretinin (Brandt et al. 2003; Llorens-Martin et al. 2006) and start to express the postmitotic neuronal marker, neuron-specific nuclear protein (NeuN; Brandt et al. 2003), the most widely used indicator for “mature neurons” (Kempermann et al. 2004). Thus, during this stage (stage 4; Fig. 2), the newly generated neurons become postmitotic.
In the next stage (stage 5; Fig. 2), the newly formed granule neurons establish their synaptic contacts for receiving inputs from the entorhinal cortex and for sending outputs to the CA3 and hilar regions. Approximately 2–3 weeks after the newly generated cells have become postmitotic, calretinin is exchanged for calbindin in mature granule cells (Brandt et al. 2003; Kempermann et al. 2004). Calbindin is present in all mature granule cells (Rami et al. 1987; Baimbridge 1992), and the newly formed cells that express calbindin become functionally integrated into the hippocampus (van Praag et al. 2002). These neurons also express the postmitotic neuronal marker NeuN (Kuhn et al. 1996).
The concept of dividing neurogenesis into different stages allows the monitoring of hippocampal neurogenesis in more detail, since the various developmental stages correlate with the expression of different markers (Fig. 3).
Markers for proliferative events in adult dentate gyrus
5-Bromo-2’-deoxyuridine
A breakthrough in the identification of newly born cells in the brain was made on the development of 5-bromo-2’-deoxyuridine (BrdU) immunohistochemistry (Miller and Nowakowski 1988). Detection of newborn granule cells is mainly based on the assumption that BrdU is an S-phase-specific marker, and thus, the incorporation of BrdU into the DNA allows the detection of newly formed cells.
BrdU application is mainly conducted by intraperitoneal injection. Depending on the application mode (duration, concentration of applied BrdU, and survival times after BrdU injection), the numbers of labeled cells can vary within the brain (Cameron and McKay 2001; Dayer et al. 2003). For example, high concentrations of BrdU (about 300 mg per kg body weight) are needed to label all S-phase cells in the adult DG, because BrdU has to cross the blood-brain barrier (Cameron and McKay 2001). Treatments that disturb or disrupt the function of the blood-brain barrier, e.g., kainate lesions, epilepsy, or ischemia (Pardridge et al. 1975; Cornford and Oldendorf 1986; Bolton and Perry 1998), might therefore induce increases in the numbers of BrdU-labeled cells. This increase, however, might be independent of changes in proliferation, since the effects are attributable to altered BrdU availability in the brain. Moreover, BrdU turns out not to be an S-phase-specific marker, but, as a thymidine analog, a marker of DNA synthesis (Taupin 2007). Therefore, the study of neurogenesis with BrdU requires that cell proliferation and neurogenesis can be distinguished from other events involving DNA synthesis, such as DNA repair, abortive cell cycle re-entry, and gene duplication (Nowakowski and Hayes 2000; Bauer and Patterson 2005; Taupin 2007). However, several sets of experimental data suggest that the concentration at which BrdU is commonly applied is insufficient to detect cells undergoing DNA repair (Cooper-Kuhn and Kuhn 2002; Bauer and Patterson 2005). Further detailed information concerning the use of BrdU immunohistochemistry for studying adult neurogenesis can be found in the excellent review by Phillip Taupin (2007).
Proliferating cell nuclear antigen
Proliferating cell nuclear antigen (PCNA) is a subunit of DNA polymerase-delta and is essential for both DNA replication and the repair of DNA errors (Zacchetti et al. 2003). PCNA has its highest expression during G1 and S-phases, and its expression decreases in G2 and M-phases (Linden et al. 1992). This marker is also present in the early G0 phase because of its long half-live of 8–20 h (Zacchetti et al. 2003). Since PCNA is involved in DNA replication, PCNA can be used as a proliferation marker for adult hippocampal neurogenesis (Jin et al. 2001; Limke et al. 2003). Both PCNA and Ki-67 (see below) can label dividing cells. PCNA is expressed in all phases of the cell cycle including those not expressing Ki-67; however, use of an optical disector has revealed no significant difference in the number of PCNA- or Ki-67-positive cells within the hippocampus (Jinno 2011).
Ki-67
The name Ki-67 is derived from the city of origin (Kiel, Germany) and the number of the original clone in a 96-well plate (Gerdes et al. 1983). Ki-67 is expressed in all phases of the cell cycle except the resting phase and at the beginning of the G1 phase (Zacchetti et al. 2003). Because of its short half-life of about 1 h, it is rarely detectable in cells in the GO phase (Zacchetti et al. 2003).
Ki-67 is not detectable during DNA repair processes and is mainly absent in quiescent cells (Zacchetti et al. 2003). The number of Ki-67-positive cells is about 50% higher than that of BrdU-labeled cells in the DG, since BrdU can be incorporated into DNA only during the S-phase of the mitotic process, whereas Ki-67 is expressed throughout its duration (Kee et al. 2002). Since no major differences have been found in cell numbers expressing PCNA or Ki-67 within the DG (Jinno 2011), and as Ki-67 is thought to represent a more reliable marker for identifying cells that re-enter the cell cycle than PCNA (Kee et al. 2002), Ki-67 might be preferred as a marker. In addition, side effects that might accompany BrdU application (stress during application and mutagenesis following incorporation) are not applicable, since Ki-67 is intrinsically expressed (Kee et al. 2002).
Phosphohistone H3
Histone H3 is a part of the histone octamer. The phosphorylated form of histone H3 (phosphohistone H3; PH3) is present during the late G2 phase and in the M phase of cell division (Hendzel et al. 1997; Taupin 2007). PH3 is widely used to identify proliferating and mitotic cells in the hippocampus. Hypoxia-ischemia has recently been shown to induce DNA synthesis without cell proliferation in dying neurons in adult rodent brain. In this context, the proliferative cell marker Ki-67 has been demonstrated to be induced by hypoxia–ischemia in the affected hippocampus and is restricted to the pyknotic neuronal nuclei, whereas PH3 immunoreactivity has not been detected in pyknotic nuclei after hypoxia–ischemia (Kuan et al. 2004).
Minichromosome maintenance protein 2
Minichromosome maintenance protein 2 (MCM2) is involved in the control of DNA replication. The expression of MCM2 starts in early G1 and is maintained throughout the cell cycle. MCM2 is also expressed in cells that proliferate without actually synthesizing DNA and is thus present in higher numbers than the short-lived proliferation marker Ki-67 (Lucassen et al. 2010). MCM2 has been shown to be a suitable marker for cell proliferation, since it is not induced by apoptosis (Kodani et al. 2001; Osaki et al. 2002). Moreover, MCM2 has been reported to represent a better marker for cell proliferation than Ki-67 (Hanna-Morris et al. 2009). Thus, MCM2 has been successfully introduced as a proliferation marker in adult hippocampal neurogenesis (Amrein et al. 2007; Sivilia et al. 2008; Knoth et al. 2010; Lucassen et al. 2010).
Limitations of cell cycle markers
The use of cell cycle markers for studying adult neurogenesis within the hippocampus is however limited by the temporal expression of cell cycle proteins; thus, these markers were unable to identify (after exit from the cell cycle) newly born cells. Moreover, cell cycle markers do not allow us to distinguish whether the new cells belong to the glial or neuronal lineage or to other cell populations that are capable of cell division within the mature brain (Table 1). To determine whether changes in proliferation are indeed related to altered neurogenesis, these labels have to be combined with other immunohistological markers that identify newly formed neurons at later stages during the time-course of neurogenesis.
Markers for early stages of adult gliogenesis and neurogenesis
Glial fibrillary acidic protein
In the adult brain, GFAP is widely known as a marker for mature astrocytes. However, a large proportion of the newborn cells in the SGZ of the hippocampal region are also GFAP-immunopositive (Eckenhoff and Rakic 1988; Maslov et al. 2004). Since cell genesis in the adult brain can give rise to neurons and glial cells, the GFAP-positive new cells might represent cells that are generated during gliogenesis (Eckenhoff and Rakic 1988; Steiner et al. 2004). However, during adult neurogenesis, new neurons are reported to originate from a cell that has astrocytic properties and expresses GFAP (Doetsch et al. 1997). The use of transgenic animals has convincingly demonstrated that GFAP-expressing progenitors are the principal source of constitutive neurogenesis in the adult mouse forebrain (Garcia et al. 2004): targeted ablation of dividing GFAP-expressing cells in the adult mouse SGZ abolishes the generation of neuroblasts and new neurons in the DG. Moreover, transgenically targeted cell-fate mapping has shown that essentially all neuroblasts and neurons that are newly generated in the adult mouse forebrain in vivo are derived from progenitors that express GFAP. GFAP-expressing progenitors are thought to represent the predominant sources of constitutive adult neurogenesis (von Bohlen und Halbach 2010). However, the use of GFAP as a marker for neurogenesis is hampered because the glial cell lineage and mature astrocytes are also GFAP-positive (Table 1).
Nestin
In 1990, nestin was discovered to be an intermediate filament expressed in many, if not all, neural precursor cells (Lendahl et al. 1990). Two years later, proliferating cells in the adult rodent brain were shown initially to express the neural-specific intermediate filament nestin and subsequently to develop the morphology and antigenic properties of neurons and astrocytes (Reynolds and Weiss 1992). During brain development, nestin is expressed by astrocytes and radial glia cells, and nestin expression starts to disappear around postnatal day 11 (P11) in the rat cortex (Kalman and Ajtai 2001).
Based on these data, nestin might provide an ideal marker to examine neurogenesis within the adult brain. Cells immunoreactive for nestin are thought to be involved in neurogenesis and to differentiate into neurons (Doyle et al. 2001; Cao et al. 2006; Yue et al. 2006). Thus, during the first stage of neurogenesis, the newly generated cells express nestin and GFAP (Fukuda et al. 2003; Filippov et al. 2003). During the second stage, in which the transient amplifying cells differentiate into immature neurons in the SGZ, the early stage 2 cells are nestin-positive but negative for GFAP (Kronenberg et al. 2003).
However, limitations also exist in the use of nestin in brain sections, since a variety of factors, such as cerebral ischemia (Duggal et al. 1997), traumatic brain injury (Sahin et al. 1999), de-afferentiation of the DG (Brook et al. 1999), or neurotoxicity (Yoo et al. 2005) can induce nestin re-expression in glial cells (Table 1). Furthermore, experiments involving organotypic slice cultures must be carefully interpreted, since the persistent expression of nestin in glial cells has been demonstrated in organotypic slice culture of the rat cortex (Schmidt-Kastner and Humpel 2002).
SRY-related HMG-box gene 2
The high-mobility group transcription factor Sox2 is expressed by stem cells and precursor cells during development and by neural stem cells (NSC), and therefore, Sox2 is likely to be involved in self-renewal and precursor differentiation (Episkopou 2005; Jiang et al. 2008). Deletion of Sox2 in mice has been found only to induce minor brain defects at birth; however, shortly afterwards, neurogenesis has been found to be completely lost in the hippocampus, leading to DG hypoplasia (Favaro et al. 2009).
Sox2 is expressed in the adult brain in proliferating precursor cells (as marked by the incorporation of BrdU) and in glial-like cells that are believed to represent stem cells (Ferri et al. 2004). Since Sox2 is known to be expressed within neural progenitors throughout adulthood (Brazel et al. 2005), Sox2 has been established as a stem cell marker in adult neurogenesis. Sox2 is expressed mainly by type 1 and type 2a cells but is rarely observed to be expressed by type 2b or type 3 cells (Steiner et al. 2006).
Musashi-1
In the developing murine central nervous system (CNS), Musashi-1 protein is highly enriched in the CNS stem cells (Sakakibara et al. 1996). Single-cell culture experiments indicate that Musashi-1 expression is associated with neural precursor cells that are capable of generating neurons and glia, whereas in fully differentiated neuronal and glial cells, Musashi-1 expression is lost (Sakakibara et al. 1996). Musashi-1 has subsequently been shown to be expressed by cells that are mainly positive for nestin, rarely positive for DCX or polysialylated embryonic form of the neural cell adhesion molecule (PSA-NCAM), and negative for markers of mature neurons or astrocytes (Crespel et al. 2005). Thus, Musashi-1 might represent a further marker for identifying neuronal progenitor cells within the DG.
Paired box gene 6
Paired box gene 6 (Pax6) was first identified as a paired box (Pax) family member that was expressed during CNS development and was cloned on the basis of its homology to the Drosophila gene for paired (Walther and Gruss 1991). Shortly after the identification of Pax6, mutations in the PAX6 gene were shown to be associated with aniridia (Ton et al. 1991; Jordan et al. 1992; Hanson et al. 1993; Davis and Cowell 1993). The transcription factor Pax6 is expressed in precursor cells during embryonic CNS development and plays an important role in the regulation of cell proliferation and neuronal fate determination (Götz et al. 1998; Heins et al. 2002; Englund et al. 2005).
Pax6-expressing cells are also present in the adult DG and SGZ (Nacher et al. 2005). In the SGZ, Pax6 is expressed in early progenitor cells that show radial glia-like morphology and are positive for GFAP and nestin (Maekawa et al. 2005; Nacher et al. 2005; Hevner et al. 2006; Osumi et al. 2008), whereas a smaller population of the Pax6-positive cells exhibits PSA-NCAM or DCX immunoreactivity (Maekawa et al. 2005; Nacher et al. 2005). Moreover, Pax6 immunoreactivity is also found in neurogenic differentiation (NeuroD)-immunopositive cells (Nacher et al. 2005). Thus, Pax6 might represent a suitable marker for newly generated cells in the DG during differentiation. However, we should take into account that a small subpopulation of hilar mature neurons and certain astrocytes of the adult hippocampus also express Pax6 (Nacher et al. 2005). Concerning the expression of Pax6 in astrocytes (Table 1), Pax6 has been demonstrated to be not only a key transcription factor that controls neurogenesis, but also a regulator of proliferation, differentiation, and migration of astrocytes in the CNS (Sakurai and Osumi 2008).
Markers for the glial lineage
Based on their orientation, two different types of astrocytes can be distinguished in the DG (Seri et al. 2004): radial astrocytes (displaying a large cell body with a major radial process that penetrates the granular layer) and horizontal astrocytes (without a radial process, but with extended branched processes parallel to the subgranular layer and short thin secondary branches into the hilus and the granular layer).
Glial fibrillary acidic protein
GFAP is widely known as a marker for mature astrocytes in the adult brain. However, a large proportion of the newborn cells in the SGZ of the DG are also GFAP-immunopositive. Thus, GFAP is not an exclusive marker for mature astrocytes but is also a marker for newly born cells (see above). With regard to the astrocytes located in the DG, GFAP stains both horizontal and radial glia cells (Seri et al. 2004)
Vimentin
The two major intermediate filament proteins of glial cells are vimentin and GFAP. Vimentin can form intermediate filaments with either nestin or GFAP as obligatory partners, whereas GFAP can form filaments on its own (Eliasson et al. 1999).
Early during brain development, radial glia and immature astrocytes express mainly vimentin. Toward the end of gestation, a switch occurs whereby vimentin is progressively replaced by GFAP in differentiated astroglial cells. Thus, during the development of the human hippocampus, the first glial cells that appear are vimentin-positive radial glial cells. At week 8, a gradual transition from vimentin to GFAP reactivity in the radial glial cells occurs, and these GFAP-positive radial glial cells transform into astrocytes from week 14 onward (Stagaard Janas et al. 1991).
In normal adult CNS, vimentin is not expressed in astrocytes but only in some specialized glial cells such as those of the Bergmann glia and radial glia, and ependymal cells (Bramanti et al. 2010). However, vimentin has been reported to be expressed by both horizontal and radial glia cells in the adult DG (Seri et al. 2004).
Brain lipid-binding protein
BLBP is a small nucleocytoplasmic protein expressed by radial glia cells during brain development and by adult radial glia cells (Pinto and Gotz 2007). It is expressed by radial glia cells in various brain regions during development but has also been observed to be expressed by type 1 cells in the DG (Brunne et al. 2010). Moreover, BLBP is expressed in type-2 cells but labels only a small percentage of the proliferating cells (Steiner et al. 2006). BLBP is thought to represent an radial-glia-like progenitor marker, since it is co-expressed neither with the mature astrocytic marker S100beta nor with the markers of the neuronal lineage, e.g., DCX or NeuN (Brunne et al. 2010). BLBP-positive radial glia cells can divide and thus are positive for Ki-67 (Hartfuss et al. 2001). However, PCNA (used as a proliferation marker) is only expressed by less than 10% of the BLBP-immunopositive cells within the DG (Jinno 2011). BLBP represents a marker for radial glia cells and can be used to monitor gliogenesis within the DG; however, under specific circumstances, BLBP can also be expressed by astrocytes (Pinto and Gotz 2007), e.g., by Gomori-positive astrocytes (Young et al. 1996).
S100beta
S100beta is a member of the S100 family. This family of proteins was termed “S100” because it was soluble in 100% saturated ammonium sulfate solution. The calcium-binding protein S100beta is, for example, expressed in a distinct postmitotic astrocyte population (Seri et al. 2001; Ehninger and Kempermann 2008) and in Schwann cells of the peripheral nervous system. S100beta is thought to represent one of the most specific and reliable markers for astrocytes (Savchenko et al. 2000). At least in the SVZ, S100beta expression defines a state in which GFAP-expressing cells lose their neural stem cell potential and acquire a more mature developmental stage (Raponi et al. 2007); thus, GFAP and nestin co-expressing progenitors have been shown to be negative for S100beta (Filippov et al. 2003). Within the DG, horizontal but not radial astrocytes can be stained with S100beta (Seri et al. 2004).
EAAT1 and EAAT2
EAAT1 (also known as glutamate-aspartate transporter; GLAST) and EAAT2 (also known as glutamate transporter; GLT1) represent markers of the glial lineage. Thus, GLT1 and GLAST proteins are demonstrable in astrocytes (Kugler and Schleyer 2004). Concerning the DG, a majority of the proliferating cells in the hilar region that express S100beta has been described as also being immunopositive for GLAST (Namba et al. 2005). GLAST is a marker for glial differentiation; it is expressed from embryonic days 13/14 (E13/14) in mice and persists into adulthood (Barry et al. 2008). However, by using hippocampal cultures, GLT1 protein (Brooks-Kayal et al. 1998) or both GLAST and GLT (Plachez et al. 2000) have been found to be expressed in neuronal subpopulations. With regard to this issue, we should note that, following the original cloning of GLT1 (Pines et al. 1992), GLT1 protein was thought to be localized exclusively in astrocytes in the normal mature brain. GLT1 and GLAST are typically present as alternately spliced forms (Lee and Pow 2010). Currently, GLT1 is known to occur in diverse variants. With respect to the GLT1a isoform, its mRNA is strongly expressed by hippocampal neurons, especially in area CA3 (Chen et al. 2004), and mRNA for the GLT1b isoform can also be detected in neurons of area CA3 (Chen et al. 2004). Thus, GLAST can be used in brain sections to identify astrocytes within the hippocampal formation. As far as GLT is concerned, we should keep in mind that, at least in the hippocampal areas CA1-CA3, it is also expressed by neuronal populations (Table 1).
Markers for the neuronal lineage
T-box brain gene 2
In 1999, a new member of the mammalian brain-specific T-box gene family, Tbr2, was identified and characterized and shown to be expressed in several regions of the developing brain (Kimura et al. 1999). Interestingly, Tbr2 mRNA expression was detected in the hippocampus only from E18.5 onward; whereas Tbr2 expression disappeared in most parts of the mature adult brain, it remained detectable in the hippocampus and OB (Kimura et al. 1999), raising the idea that Tbr2 might be involved in adult neurogenesis. Indeed, Tbr2 protein expression has been found to be restricted to the SGZ of the adult DG. Tbr2 does not co-localize with the glial marker S-100beta, but with a small fraction of Sox2-positive and Pax6-positive cells (Hevner et al. 2006; Hodge et al. 2008). Furthermore, Tbr2 expression overlaps with NeuroD expression in some cells (Hevner et al. 2006), and a small fraction (about 25%) of cells positive for DCX and PSA-NCAM (Hodge et al. 2008) and for Prospero-related homeobox gene 1 (Prox1; Lavado et al. 2010) have been found to be immunopositive for Tbr2, suggesting that Tbr2 is progressively down-regulated as the cells become committed to the neuronal lineage and exit the mitotic cycle (Hodge et al. 2008). Consistent with this, Tbr2 does not co-localize with calretinin, calbindin, or NeuN, which are expressed either in immature or mature granule cells (Hodge et al. 2008). Thus, Tbr2 is thought to be expressed mainly by type 2 and by a smaller fraction of type 3 progenitors and that Tbr2-positive progenitors are committed to the neuronal but not glial lineage (Hevner et al. 2006; Hodge et al. 2008).
NeuroD
The basic helix-loop-helix protein NeuroD has been identified as a differentiation factor for neurogenesis in diverse species, ranging from Xenopus to humans (Lee et al. 1995; Tamimi et al. 1996). NeuroD represents a transcription factor expressed at later stages of neuronal commitment (Lee et al. 1995) and might act as a neuronal determination gene (Tamimi et al. 1996). Moreover, NeuroD has been shown to be important for the proper development of the DG (Miyata et al. 1999; Liu et al. 2000).
NeuroD is expressed during neurogenesis in the adult DG (Kawai et al. 2004). NeuroD-positive cells can be found in the SGZ and inner granule cell layer (Seki 2002a; Hevner et al. 2006), and about 50% of Pax6-positive cells co-express NeuroD (Nacher et al. 2005). Furthermore, NeuroD expression is found in PSA-NCAM-positive cells within the DG (Seki 2002a, 2002b; Seri et al. 2004), but NeuroD expression precedes that of PSA-NCAM (Seki 2002b). Thus, NeuroD is a marker for the early cells of the neuronal lineage and thus can be used to identify early mitotic active neuronal cells in the DG.
PSA-NCAM
The polysialylated embryonic form of the neural cell adhesion molecule (NCAM), abbreviated to PSA-NCAM, is highly expressed during brain development. PSA-NCAM immunoreactivity has been found in cells that seem to be progenitor cells related to neural stem cells (Ben-Hur et al. 1998).
With regard to the adult brain, newly generated and developing granule cells in the adult DG highly express PSA-NCAM (Seki and Arai 1991), and some days after BrdU-injection, BrdU-positive/PSA-NCAM-positive cells can be observed within the DG (Seki 2002b).
PSA-NCAM-positive cells do not express GFAP (Seki and Arai 1999), but most PSA-NCAM-expressing cells are positive for NeuroD and DCX or for the mature neuronal marker NeuN (Seki 2002a). Thus, PSA-NCAM seems to be expressed at a later stage of neurogenesis, and PSA-NCAM expression seems to persist in young postmitotic neurons.
Within the hippocampus, non-granular PSA-NCAM-positive neurons can also be observed (Table 1), most of which are located in the non-pyramidal layers of hippocampal areas CA1-CA3 (Nacher et al. 2002). PSA-NCAM has been shown to be up-regulated in the hippocampus during hippocampal-dependent learning tasks (Venero et al. 2006) and seems also to play a role in promoting synaptogenesis and activity-dependent remodeling of synapses (Dityatev et al. 2004), indicating that PSA-NCAM is an important regulator of hippocampal plasticity (Cremer et al. 2000). Thus, changes in hippocampal PSA-NCAM immunoreactivity might not exclusively be correlated with changes in hippocampal neurogenesis.
Various forms of stress have been reported to decrease neurogenesis in the adult hippocampus (Luo et al. 2005; Warner-Schmidt and Duman 2006; Mitra et al. 2006). Chronically stressed rats have been reported to express reduced amounts of NCAM but increased levels of polysialylation (Sandi et al. 2001). Along this line, treatment with 3 weeks of chronic restraint stress, on one hand, suppresses proliferation within the DG by nearly 25% but, on the other hand, increases PSA-NCAM expression by 40% (Pham et al. 2003). Thus, under certain experimental conditions, the results obtained by using PSA-NCAM as an immunohistological marker of ongoing neurogenesis within the hippocampus might have to be interpreted with caution.
TOAD/Ulip/CRMP 4
The TUC (TOAD [turned on after division]/Ulip [UNC-33-like protein]/CRMP [collapsin response-mediator protein]) protein family members are thought to be involved in growth cone collapse (Minturn et al. 1995a). During brain development, TUC-4 is not expressed by progenitor cells but is expressed by postmitotic neurons as they begin their migration (Minturn et al. 1995b). TUC-4 expression reaches its highest levels in all neurons during the peak of axonal growth and is down-regulated afterward but can be re-expressed during adulthood, e.g., by axotomy (Quinn et al. 1999).
TUC-4 can be used as a marker for early postmitotic neurons (Fernandez et al. 2002) but seems also to be expressed in mitotic cells during neurogenesis. Thus, in vitro experiments investigating the neurogenesis of stem cells derived from marrow stromal cells have shown that TUC-4 is expressed in mitotic and postmitotic presumptive neurons (Munoz-Elias et al. 2003). The time-window of TUC-4 expression during neurogenesis resembles that of PSA-NCAM and DCX (Cecchini et al. 2003). Thus, TUC-4 is co-expressed with PSA-NCAM in young rats but seems to be expressed for a longer period than PSA-NCAM (Seki 2002a). TUC-4 stains not only the cell bodies, but also their processes, which often extend through the granule cell layer into the molecular layer. TUC-4 immunostaining results in an intense labeling of new neurons located in the DG, and in the hilus and CA1, a few cells also display faint TUC-4 immunoreactivity (Poulsen et al. 2005). Thus, TUC-4 can be used as a marker for various stages of adult neurogenesis in the DG, since TUC-4 is expressed by mitotic cells and by early immature neurons.
Doublecortin
DCX is a brain-specific microtubule-associated protein whose exact function is still not fully understood. It is thought to act as a microtubule stabilizer. Mutations in the human X-linked gene DCX cause, in females, defects in the cortical layering, known as "double cortex" syndrome (Gleeson et al. 1998, 1999b). DCX is a protein that promotes microtubule polymerization and is present in migrating neuroblasts and young neurons (Francis et al. 1999; Gleeson et al. 1999a). DCX is also present in the tips of neurites of non-migratory immature neurons, suggesting its role in the growth of neuronal processes, downstream of directional or guidance signals (Friocourt et al. 2003). Since DCX is present not only in the soma, but also in the processes of newly generated neurons, this marker can be used in combination with others, for example, with tract-tracing dyes such as dextran amines (von Bohlen und Halbach and Albrecht 1998), to investigate the morphology of these neurons in detail.
A central phase of neurogenesis is associated with the expression of DCX. This phase ranges from the progenitor stage to the calretinin-positive stage, during which the newly generated cells extend their dendrites and axons to establish functional connections (Knoth et al. 2010). Thus, DCX expression is thought to be specific for newly generated neurons, since nearly all DCX-positive cells express early neuronal antigens but lack antigens specific for glial cells, undifferentiated cells, or apoptotic cells (Rao and Shetty 2004).
Concerning DCX expression at early stages of adult neurogenesis, no overlap with the expression of nestin has been shown, and upon neuronal specification, the expression of nestin is thought to be abruptly terminated (Couillard-Despres et al. 2005). However, we should mention that, by using transgenic mice expressing green fluorescent protein (GFP) under the nestin promoter, a brief overlap of DCX expression with nestin expression has been found (Kronenberg et al. 2003; Steiner et al. 2006). Temporally, the expression of DCX is largely in-frame with the expression of PSA-NCAM; therefore, double-labeling with these markers does not help in grouping the differently marked cells to different stages of neurogenesis. However, by combining DCX-labeling with the labeling of markers specific for postmitotic neurons, a differentiation between mitotic and postmitotic neurons can be made. Thus, transient co-expression of DCX and NeuN has been observed (Brown et al. 2003; Couillard-Despres et al. 2006), and the down-regulation of DCX expression coincides with the induction of NeuN expression (Brown et al. 2003; Couillard-Despres et al. 2006). Therefore, DCX can be used as a marker for new neurons within the granule layer of the DG, but outside this structure, DCX has been observed in brain regions that have not been linked to adult neurogenesis (Table 1), such as in some cortical areas and within the striatum (Nacher et al. 2001; Liu et al. 2008). In addition, at least in the adult human neocortex, DCX has also been found to be expressed by mature astrocytes (Verwer et al. 2007).
Neuron-specific class III beta-tubulin
Antibodies against the neuron-specific class III beta-tubulin (Tuj-1) were initially used to study the distribution and morphology of immature neurons in the developing mouse telencephalon (Easter et al. 1993; Menezes and Luskin 1994). Expression of Tuj-1 starts as early as E8.5 in mice (Easter et al. 1993) and can be detected throughout brain development (Menezes and Luskin 1994). Tuj-1 has been found to label newly generated immature postmitotic neurons (Menezes and Luskin 1994). With regard to adult neurogenesis, Tuj-1 is used as a neuron-specific marker of newly generated cells (Parent et al. 1997; Doetsch et al. 1997; Gould et al. 2001). Tuj-1 is expressed in early postmitotic and differentiated neurons and in some mitotically active neuronal precursors; based on this, Tuj-1 immunoreactivity has been shown in DCX-immunoreactive (Yang et al. 2004) and PSA-NCA-immunopositive (Ambrogini et al. 2004) neurons. The expression of mRNA for Tuj-1 persists in neurons that display a high complexity in dendritic trees and electrophysiological properties that resemble those of mature DG cells. These neurons also show immunoreactivity for NeuN (Ambrogini et al. 2004) and therefore represent postmitotic neurons. In contrast to DCX immunostaining, that for Tuj-1 staining is weaker, and Tuj-1 immunoreactivity does not extend into neurites (Kempermann et al. 2003). Furthermore, evidence has been presented that Tuj-1 might also be expressed by basket cells in the DG (Seri et al. 2004).
Calretinin
Calretinin is known as a marker for specific non-pyramidal gamma-aminobutyric acid (GABA)ergic neurons within the adult hippocampus. Calretinin-positive neurons, mainly interneurons, can be found in all layers of all hippocampal fields, including areas CA1-CA3 and the DG (Jacobowitz and Winsky 1991; Miettinen et al. 1992; Gulyas et al. 1992). In 1996, a subpopulation of calretinin-positive neurons in the DG was described that was localized at the interface with the hilus. These cells were not positive for interneuron markers such as GABA but were immunoreactive for PSA-NCAM (Liu et al. 1996) and were therefore considered to represent newly generated postmitotic neurons.
We now know that the transient expression of calretinin can be observed during neurogenesis in the murine DG. Calretinin is not expressed by early progenitor cells, since calretinin-expressing cells are negative for Ki-67 (Brandt et al. 2003). At late phases of neurogenesis, new neurons express calretinin together with DCX (Brandt et al. 2003; Jinno 2011) or NeuN but do not express GABA (Brandt et al. 2003). At later time-points, the newly generated neurons stop expressing calretinin and start to express calbindin, a marker of mature DG cells (Brandt et al. 2003). Thus, calretinin expression within the DG is restricted to a short postmitotic time-window in which axonal and dendritic targeting is supposed to take place (Kempermann et al. 2004; Ming and Song 2005).
Calretinin was believed to represent a marker for the late stage of adult neurogenesis only in the murine DG. However, as recently reported, calretinin is expressed by newly formed neurons (that are also immuno-positive for DCX) in the human DG (Knoth et al. 2010).
Calbindin
Calbindin mRNA is highly expressed by cerebellar Purkinje cells and in granule cells of the DG (Sequier et al. 1988). Calbindin protein is present in granule cells of the DG, in a large proportion of CA1 and CA2 pyramidal neurons, and in a distinct population of local circuit neurons (Seress et al. 1991, 1992). During development, calbindin immunoreactivity has been shown to occur postnatally, and the expression of calretinin correlates with the onset of synaptogenesis in the hippocampus (Rami et al. 1987). Calbindin is used as a marker for mature DG granule cells (Rami et al. 1987; Eriksson et al. 1998; Liu et al. 1998; Nilsson et al. 1999; Dominguez et al. 2003), since it is expressed in mature neurons together with NeuN (Scharfman et al. 2005) but is not co-expressed with PSA-NCAM (Dominguez et al. 2003) or with calretinin, the marker for immature postmitotic neurons (Nacher et al. 2002; Brandt et al. 2003).
Neuron-specific nuclear protein
The expression of NeuN is observed in most neuronal cell types throughout the nervous system, with the exception of some neuronal populations such as cerebellar Purkinje cells and OB mitral cells (Mullen et al. 1992) and cells located in the glomerular layer of the OB (Winner et al. 2002). However, NeuN is not expressed by non-neuronal cells (Wolf et al. 1996).
NeuN is a soluble nuclear protein (Mullen et al. 1992) that has been localized to the cell nucleus and to the cytoplasm of postmitotic neurons (Lind et al. 2005). Within the hippocampus, NeuN can be used as a marker of postmitotic cells and labels both “normal” postmitotic neurons and newly generated postmitotic neurons. Markers such as PSA-NCAM or DCX are expressed during neurogenesis by mitotic and early postmitotic neurons. Thus, double-labeling with one of these markers together with NeuN allows us to distinguish between early mitotic and late postmitotic neurons.
Prospero-related homeobox gene 1
The homeobox gene Prox1 is expressed in the DG during embryonic development and adult neurogenesis. Prox1 is important for the maintenance of intermediate progenitors during adult neurogenesis (Lavado et al. 2010). Prox1 is required for the maturation of granule cells within the DG, since conditional inactivation of Prox1 results in an absence of progenitors in the SGZ, and adult Nestin-Cre-Prox1F/F mice display nearly a complete loss of granule cells in the DG (Lavado et al. 2010).
Prox1 is not expressed in nestin- or Sox2-positive cells but is expressed in DCX-positive new cells, and Prox1 expression can also be observed in calretinin-positive cells in the DG and in adult granule cells (Lavado et al. 2010). Thus, Prox1 can be used as a marker for postmitotic young neuronal cells in the DG (Liu et al. 2000; Navarro-Quiroga et al. 2006); however, Prox1 expression has also been reported to start in type 2b cells (Steiner et al. 2008), indicating that Prox1 can be used as a marker for the neuronal lineage. Since Prox1 is also expressed by NeuN-positive granule cells in the DG (Steiner et al. 2008), the use of Prox1 as a single marker does not allow us to distinguish between newly formed neurons and mature granule cells.
Perspectives
Neurogenesis within the adult hippocampus is not a simple switch from a dividing precursor to a functional mature neuron but consists of a series of developmental events that occur in a specific sequence. Currently, whether hippocampal neurogenesis starts with a stem cell that is located within or outside the hippocampus is still not clear. Progenitor cells are thought to be located in the SGZ of the DG, where they proliferate and differentiate and can give rise to new neurons.
The establishment of the BrdU technique has been a breakthrough in monitoring adult neurogenesis. However, newly formed progenitor cells in the brain need not necessarily provide new neurons, since the population of early dividing cells is heterogeneous, and since neurogenesis is interspersed with gliogenesis (Seri et al. 2001; Kempermann et al. 2004; Steiner et al. 2004).
Markers that can be used to stain proliferative events (such as Ki-67 and other markers) might not, per se, label cells that give rise to new neurons (or glia cells). Markers such as Sox2 or nestin are helpful for identifying cells that might give rise to new glia cells or neurons in the adult hippocampus. The availability of diverse markers, specific for either gliogenesis or adult neurogenesis, not only allows us to distinguish between these two distinct processes, but also enables us to monitor the time course and fate of the newly generated cells in detail. Since most of the available markers have various advantages and disadvantages, the careful combination of the different markers can help to elucidate more precisely the roles and functions of adult gliogenesis and neurogenesis under a variety of conditions, e.g., in relation to learning and memory or in the context of neurological disorders. During the last few years, new markers to monitor gliogenesis and neurogenesis in the adult DG have been discovered and successfully introduced. A major problem in studies of adult neurogenesis is currently the lack of a unique marker defining adult neural stem cells (Landgren and Curtis 2011). Stem cells express many genes that are also expressed by astrocytes (Doetsch 2003; Garcia et al. 2004). Nevertheless, absolutely reliable markers that allow neuronal and glial precursors to be distinguished at early stages of adult gliogenesis and neurogenesis are currently not available.
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von Bohlen und Halbach, O. Immunohistological markers for proliferative events, gliogenesis, and neurogenesis within the adult hippocampus. Cell Tissue Res 345, 1–19 (2011). https://doi.org/10.1007/s00441-011-1196-4
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DOI: https://doi.org/10.1007/s00441-011-1196-4