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Ret Signaling in Enteric Nervous System Development


Ret is a transmembrane tyrosine kinase that is critical for kidney development, and for formation of the sympathetic, parasympathetic, and enteric nervous system (ENS) as well as for some aspects of sensory neuron development. Inactivating Ret mutations in mice and humans cause a failure of ENS precursor proliferation that leads to intestinal aganglionosis. The absence of ganglion cells in the bowel causes intestinal obstruction that can be fatal. To perform it normal function during development, Ret acts as a growth factor receptor for four ligands (Glial cell line-derived neurotrophic factor (GDNF), Neurturin (NRTN), Artemin (ARTN) and Persephin (PSPN). For these ligands to activate Ret, a glycosylphosphatidylinositol-linked co-receptor (GFRalpha1, GFRalpha2, GFRalpha3, or GFRalpha4) must also be present on the cell surface. Over the past few years, we have demonstrated that different Ret ligands and co-receptors appear to play distinct roles in ENS development. GDNF signaling via the GFRalpha1/Ret complex is critical early in development for neural crest precursor proliferation and survival. Neurturin signaling via GFRalpha2 provides trophic support for the majority of enteric neurons in the mature mouse. Artemin does not appear to play a significant role in supporting intrinsic innervation to the gut, but is critical for extrinsic sympathetic innervation to the gut. Thus the interplay between these Ret ligands controls enteric neuron cell number, cell size and neuronal fiber density within the ENS. Changes in the expression patterns for these factors causes alterations in both ENS anatomy and intestinal function. Ongoing work in the lab to create and analyze novel mouse models with altered Ret signaling will more definitively determine how the ENS may be shaped by specific alterations in Ret signaling components.

Figure Legend: Whole mount acetylcholinesterase staining of the bowel shows many of the neurons and neuronal fibers within the ENS. This method is a much more sensitive way to detect changes in ENS structure than evaluation of tissue cross-sections. Comparing (A) to (B) shows the reduced neuronal fiber density in Neurturin deficient mice (B) compared to wild type animals (A). In contrast to the relatively mild effect of Neurturin deficiency, GDNF, GFRalpha1 and Ret deficient animals have more severe intestinal aganglionosis (Compare (C) to (D)). The aganglionosis in these animals extends from the proximal duodenum to the end of the gastrointestinal tract.


Retinoids in Enteric Nervous System Development


Vitamin A metabolites (retinoids) control many aspects of mammalian development by activating the RAR and RXR retinoid receptors. These receptors are transcription factors that regulate gene expression. For many years retinoids have been known to influence the development of undifferentiated neuronal precursor cells. More recently it has become clear that retinoids also influence the expression of Ret and Ret signaling components. There are ongoing studies in the laboratory to examine the effects of retinoid deficiency and excess on enteric nervous system development. These experiments include examining the effects of retinoids on ENS precursors in primary culture and in developing mice.


Molecular Analysis of ENS development


While great progress has been made over the past few years in identifying molecules that control specific aspects of enteric nervous system development, there are still many unanswered questions. One of the primary questions that we are investigating is the specification of neuronal subsets within the ENS. This includes identifying molecular markers that specify enteric neurons within different regions of the gut, and distinct subpopulations of neurons within a single region of the gut. To pursue this project we are using modern molecular methods (gene chip, EST analysis, directed RT-PCR) to identify novel markers of specific neuronal subpopulations within the ENS. This project has already led to the identification of a transcription factor whose expression is largely restricted to colonic enteric neurons during development and in the mature mouse. This opens new avenues for investigating how the distinctly different plexi of neurons within the colon and small bowel are created.



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