Adult mammalian central nervous system (CNS) axons are unable to regenerate after injury, but immature CNS neurons regenerate axons robustly (
1–
3). In addition to the development of an inhibitory CNS environment (
4,
5), a developmental loss in neurons’ intrinsic capacity for axon growth is thought to contribute to regeneration failure. For example, after birth, axonal outgrowth from rat retinal ganglion cells (RGCs, a type of CNS neuron) slows substantially (
6). Similar developmental declines in axon growth ability have been observed in mammalian tissue explants of brainstem (
7), cerebellum (
8,
9), entorhinal cortex (
10), and retina (
2). Various cell-autonomous factors such as cAMP (cyclic adenosine 3′,5′-monophosphate) and CREB (cAMP response element–binding protein) (
11,
12), Bcl-2 (B cell lymphoma/leukemia 2) (
13,
14), Rho/ROCK (Rho-associated kinase) (
15), Cdh1-APC (anaphase-promoting complex) (
16,
17), and PTEN (phosphatase and tensin homolog) (
18) have been suggested to play roles in this process. However, manipulating these regulators of axon growth, even when simultaneously overcoming environmental inhibition, only partially restores regeneration, suggesting that additional intrinsic axon growth regulators remain to be identified.
To investigate the molecular basis for the developmental loss of axon growth ability in RGCs, we took advantage of the fact that coculture with amacrine cell membranes is sufficient to signal embryonic RGCs to decrease their rapid axon growth (
6). Addition of the transcriptional inhibitor actinomycin D blocked this effect of amacrine membranes, and embryonic RGCs retained their capacity for axon growth (). These data suggest that gene transcription is required for the developmental loss of intrinsic axon growth ability in RGCs.
To identify candidate genes, we profiled gene expression from embryonic day 17 (E17) through postnatal day 21 (P21) RGCs (
19), spanning the period when axon growth ability declines in vivo (
6,
13). We screened 111 candidates whose expression changed more than threefold by over-expression in embryonic hippocampal neurons, and used automated image acquisition and neurite tracing (KSR instrument, Cellomics) for rapid, unbiased quantification of neurite length (
20); the investigator (D.L.M.) was blinded to gene identity until the screen was complete. The zinc-finger transcription factor, Krüppel-like factor–4 (KLF4), was the most effective suppressor of neurite outgrowth, decreasing average length by 50% (). In a separate, blinded screen examining growth cone morphologies, KLF4 again emerged as the most interesting candidate gene as growth cones in KLF4-overexpressing hippocampal neurons were consistently enlarged (e.g., ).
Although KLF4 regulates cell survival in other systems (
21–
23), we detected no differences in survival between KLF4- and control-transfected hippocampal neurons (
fig. S1A). To determine if the growth-suppressive effect was specific either to axons or dendrites, we manually traced Tau+ and MAP2+ neurites (
fig. S1B). Overexpression of KLF4 in embryonic hippocampal neurons significantly decreased the lengths of both axons (Tau+/MAP2−) and dendrites (Tau+/MAP2+) (
figs. S1 and S2). We also observed a reduction in branching (
fig. S3) and in the percentage of neurons that extended neurites (
fig. S1C). Taken together, these findings suggest that KLF4 acts independently of cell survival to suppress axon and dendrite initiation and elongation by hippocampal neurons in vitro.
We next asked whether KLF4 regulates axon growth of RGCs. KLF4 expression increased postnatally, both by microarray analysis (
19) () and by quantitative reverse transcriptase–polymerase chain reaction (qRT-PCR; ) of acutely purified RGCs. We purified RGCs from E20 rats and transfected them with FLAG-tagged KLF4 (
24) or a FLAG-only control. Overexpression of KLF4 in embryonic RGCs reduced the percentage of neurons extending neurites (), reduced neurite branching (
fig. S4), and reduced axon and, less so, dendrite lengths (). The average axon length of KLF4-transfected RGCs continued to increase over 3 days, but at a slower rate than control-transfected neurons (
fig. S5), suggesting that KLF4 overexpression decreases elongation rate. Furthermore, truncated KLF4 that lacked a C-terminal DNA binding domain (
fig. S2A) (
24) had no effect on axon growth (). Thus, KLF4 suppresses axon growth in embryonic RGCs, and KLF4’s DNA binding domain is required for its growth-suppressive activity.
We next tested whether knocking out KLF4 in developing RGCs enhances axon growth ability. Because KLF4-null mice die perinatally (
25), we used a Cre/lox strategy to target KLF4 knockout to RGCs. Floxed-KLF4 mice (
26) were crossed to ROSA-EYFP (enhanced yellow fluorescent protein) reporter mice and Thy-1–promoter Cre recombinase mice. About 50% of RGCs purified from Thy-1-cre/ROSA-EYFP mice were EYFP+ (
fig. S6). There was no effect of transgenic Cre expression on RGC neurite growth, neurite initiation, or survival in vitro (
figs. S7 and S8). To examine axon growth from KLF4-deficient RGCs in vitro, we purified RGCs from P12 Thy1-cre
+/−/KLF4
fl/fl/ROSA-EYFP
+ (“KO”) or Thy1-cre
−/ −/KLF4
fl/fl/ROSA-EYFP
+ (“WT”) littermate mice and cultured them for 3 days (). No effect of KLF4-KO was seen on survival (
fig. S8). P12 KLF4-KO RGCs showed a statistically significant increase in neurite initiation compared to controls (), mirroring our previous finding that overexpression of KLF4 decreases neurite initiation (). We also observed a significant increase in neurite lengths in KLF4-KO RGCs (). These data demonstrate that knocking out KLF4 enhances axon growth ability in P12 RGCs in vitro.
We next asked if knocking out KLF4 during development enhances regeneration from adult RGCs in vivo. Thy1-cre
+/KLF4
fl/fl (KO), Thy1-cre
+/KLF4
fl/+ (Het), or Thy1-cre
+/KLF4
+/+ (WT) littermate mice were subjected to optic nerve crush, and after 2 weeks we assessed regeneration of RGC axons in the optic nerve. By adulthood, there were no differences in RGC number between KO, Het, and WT animals (
fig. S9A). Compared to controls, however, KLF4 KO mice showed an increased number of regenerating axons at multiple distances from the injury site (). KLF4 KO did not affect RGC survival after injury (
fig. S9B), showing that this increase in regenerating axons was not secondary to an increased RGC number. Thus, knocking out KLF4 expression during development increases the regenerative potential of adult RGCs.
Although knocking out KLF4 enhanced axon growth and regeneration, the size of the effect led us to speculate that other KLF family members might compensate for the loss of KLF4. The KLF family comprises 17 related transcription factors with homologous DNA binding domains and divergent activation and repression domains (
27). KLFs often regulate gene expression interactively, with both cooperative and competitive relationships among family members (
28–
30). Our microarray data suggested that many KLFs are expressed by RGCs (
19) and that some are developmentally regulated (
fig. S10). We reprofiled the expression of all 17 KLF family members in developing RGCs by RT-PCR and detected transcripts for 15 (). Furthermore, qRT-PCR revealed that KLF6 and KLF7 transcripts decrease more than 10-fold, whereas KLF9 increases more than 250-fold (). Thus, expression of multiple KLFs is regulated in developing RGCs.
Do other KLF family members also regulate neurite growth? Other KLFs can affect neurite branching in response to thyroid hormone (KLF9) (
31) or neurite outgrowth in zebrafish retinal explants (KLF6 and -7) (
32). In RGCs, overexpression of KLF9 significantly decreased growth, similar to KLF4, and KLF6 and -7 increased neurite growth 13 and 23%, respectively (). We comprehensively surveyed all 17 KLF family members’ on neurite growth in cortical neurons in vitro, and found that although no KLFs affected cell survival (
fig. S11), eight KLFs, including KLF4 and -9, suppressed neurite growth, and KLF6 and -7 again significantly increased neurite growth, 35 and 60%, respectively (). As with KLF4, effects on neurite growth depended on the DNA binding domain (
figs. S12 and S13). Clustering KLFs by sequence similarity revealed an association between functional domains (
27) and effects on neurite outgrowth (). For instance, overexpression of the BTEB cluster and the cluster containing KLF4 (orange and pink bars, respectively, ) decreased neurite growth. The TIEG and PVALS/T (
33)–containing clusters (blue and green bars, ) had no effect on neurite length. KLF6 and KLF7, with 85% homologous activation domains, both increased neurite length (yellow bars, ). To explore coordinate regulation of neurite growth by KLFs, we coexpressed all two-way combinations of KLFs -4, -6, -7, and -9 in cortical neurons. The negative effects of KLF4 on neurite growth were dominant over the otherwise positive effects of KLF6 or -7; the negative effects of KLF9 summed with those of KLF6 or -7 to no net effect (), suggesting a complexity to KLF-KLF interactions in regulating neurite growth. Thus, during development, RGCs down-regulate at least two growth-enhancing KLFs (KLF6 and -7), and up-regulate at least two growth-suppressive KLFs (KLF4 and -9), which may be dominant in their effect over KLF6 and -7.
These findings that the KLF family of transcription factors regulates axon growth in a number of CNS neurons have important implications. First, although KLF4 has been implicated in a wide variety of cellular events including differentiation (
34,
35), cancer progression (
36–
38), and stem cell reprogramming (
39), this function for KLF4 in postmitotic neurons advances our knowledge of the transcriptional regulation of axon regeneration. KLF4 targets relevant for regeneration may include genes selectively expressed in neurons or important in growth cone function. Second, the clustering of KLF gene function according to domain homology may provide a key for understanding how KLFs cooperate and compete to determine cellular phenotype, whether for axon regeneration or for other systems (
27). Third, the decrease in RGCs’ intrinsic axon growth ability (
6) parallels changes in expression within the KLF family: Postnatal RGCs express higher levels of axon growth-suppressing KLFs and lower levels of axon growth-enhancing KLFs; similar changes can be found in published corticospinal motor neuron data (
40). Thus, manipulating multiple KLF genes may be a useful strategy to add to existing approaches to increase the intrinsic regenerative capacity of mature CNS neurons damaged by injury or disease.