AMER. ZOOL., 28:1065-1075 (1988) Neuronal Repair and Recovery of Function in the Polyclad Flatworm, Notoplana acticola1 HAROLD KOOPOWITZ AND MOLLY HOLMAN Department of Developmental and Cell Biology, University of California, Irvine, California 92717 SYNOPSIS. Polyclad flatworms are unable to regenerate or replace parts of their central nervous systems but are able to repair lesions in the cerebral ganglion or peripheral nerve plexuses. Repair of nerve lesions is very rapid and functional activity is reestablished within 48 hr. Bilateral coordination can be reestablished in animals with either split brains or in animals where half of the brain, on one side, has been excised. Animals with transplanted brains display normal behavior even if the brain has been rotated and inverted. Likewise, in animals which had the brain transplanted into the tail region, cerebral dominance was reestablished even after the brain was rotated through 180°. A time sequence of events during healing of cut nerves has been established. Sprouting starts approximately 4 hr after injury. Contact between a filopodium from the proximal section and distal stump occurs approximately 14 hr after the injury. Filopodia are subsequently retracted and the area of contact between the two segments increased. After 72 hr there are no filopodia and the axon appears to be intact. Healing between the two cut ends, therefore appears to involve fusion of the cut axons. Indirect evidence suggests that neurones recognize their own specific segments. within 5 days, recovery of behavior that Despite the fact that it is well known that involved connectives between the two planarian flatworms have remarkable pow- halves reappeared. Axons could be seen ers of regeneration and are able to replace coursing between the two halves. If the two entire heads containing the central ner- hemispheres of the ganglion were redivous system, very little is known about the vided then behavior was lost once more. One of the major effects of dividing the actual mechanisms of central nervous system regeneration within that group. In fact, brain into two is the loss of coordination basic questions such as whether or not there between the two sides of the animal. Avoidis cell constancy or identified neurones have ance behavior to an antero-lateral stimulus not been answered for the planarians. The such as a light jab is a longitudinal conpolyclad flatworms, on the other hand, have traction with subsequent extension and limited powers of regeneration. They are locomotion away from the stimulated side. unable to replace the brain if it is lost and In the absence of the brain the response is are even unable to replace sections of the a longitudinal contraction followed by a brain if those are excised (Hyman, 1951). backwards directed shuffle (Koopowitz, What regeneration is possible in polyclad 1973). Split brain animals respond to the flatworms, appears to be confined to stimulus like decerebrate animals for the peripheral parts of the body (Samuels and first 3-4 days but then recover their norKoopowitz, unpublished observations). On mal avoidance behavior (Fig. 1A). the other hand polyclad flatworms are able More remarkably, Faisst et al. (1980) to repair damage to the central nervous demonstrated that if one excised half of system in a very efficient manner. the brain that the severed stumps of the nerves on that side regrew back into the remaining half of the brain, where conREPAIR IN THE CENTRAL nections were reestablished. No discernNERVOUS SYSTEM Faisst et al. (1980) demonstrated that if ible differences could be detected between the brain was split in half longitudinally, avoidance turning by normal animals with intact brains and those that only possessed one half of a brain. In these experiments 1 From the Symposium on Nervous System Regener- it only took 4 days to partially reestablish ation in the Invertebrates presented at the Annual Meeting of the American Society of Zoologists, 27-30 the behavior (Fig. IB). In addition to anatomical and behavioral recovery, we were December 1986, at Nashville, Tennessee. INTRODUCTION 1065 1066 H . KOOPOWITZ AND M. HOLMAN 100 100 r HALF BRAIN SPLIT BRAIN T CO • t i i T 50 -1 - i I - i i _j •- / 50 / / A 10 B 20 0 10 20 POSTOPERATIVE DAYS FIG. 1. A. Recovery of avoidance turning by N. acticola following longitudinal hemisection of the brain. The arrow designates where the healed brain was resectioned. Data from a single animal. B. Recovery of avoidance turning by an animal where half of the brain had been excised on day 0. (After Faisst et al, 1980) also able to demonstrate physiologically that conducting systems across the brain were also functional. Despite the fact that nothing is known about the neuronal circuitry involved in avoidance behavior other than that the brain is required, these experiments pointed out several different things. In the first place, there is an apparent redundancy in the central machinery coordinating avoidance behavior and only half of the brain is needed despite the fact that this behavior involves the two sides of the body. It is possible that the sensory neurones feed directly onto the appropriate brain neurones. Secondly, new connections between the severed nerve stumps on one side of the brain and neurones on the other side must be able to recognize each other. BRAIN TRANSPLANTS More recently, Davies et al. (1985) were able to transplant entire brains between different individual animals. Once again, behavioral scoring was used. Four behaviors that require the presence of the brain were selected. These were ditaxic locomotion, righting, avoidance turning and feeding behavior. All four behaviors require the presence of a functionally reconnected brain in order to be executed properly. Transplantation is a simple oper- ation. The square of tissue between the animal's eyes is cut out. This tissue is cut all the way through the animal's body and contains epidermis, muscle layers, some digestive system and parenchyma as well as the brain. Usually the size of the tissue is just under 1 mm square. A similarly sized hole is made in the recipient animal. The worm is maintained with the part that will receive the brain out of water and the transplant tissue positioned in the hole. The preparation must be irrigated from time to time with normal sea water so that it does not dry out. The cut edges of the donor and recipient fuse together in a few hours. Thereafter the animals can be returned to normal sea water. The behaviors tested recovered within 3 days of the transplant operation. The way that recovery is scored depends on the completion of the total behavior. If we examine recovery (Fig. 2), we find that behavior may be elicited only a certain percentage of the time. In order to be performed even once the correct neuronal circuitry must have been repaired anatomically. It may take several days, however, to establish the circuitry so that it works functionally all the time. In addition the experiments suggest that individual neurones have "labels" that are constant from animal to animal within the same species. 1067 NERVE REPAIR IN FLATWORMS 100-1 LU 50- 50- o DITAXIS RIGHTING 1 2 35 10 20 0 1 2 3 5 10 20 DAYS SINCE TRANSPLANT Fie. 2. Behavioral recovery of N. actkola, following transplantation of the brain, with normal orientation. Four different behaviors were assessed. Data are means for six animals. Filled stars = performance of normal animals. Circles and open stars are data from two different groups of worms with transplanted brains. Note the X axis has two different time scales. (After Davies et al, 1985) ORIENTATION TO THE TARGET We found that it was possible to get reestablishment of the correct behavior after the brain was rotated 180° so that cut stumpsof Nerve VI leaving the brain, which normally run along the animal's length towards the tail, were juxtaposed to Nerves I and II that run towards the anterior margin of the worm. These animals recovered normal behavior and were indistinguishable from those with normal brains (Fig. 3). Histological reconstructions of the transplanted brains and nerves revealed that the nerves had merely fused with those nerve trunks that were closest to them. There are several pairs of identified sensory interneurones in the brain. We examined the physiology of four different identified neurones (Davies et al., 1985) in transplanted and rotated brains, some 21 days after transplantation. We found that they all received their appropriate input from peripheral sense organs, photoreceptors and mechanoreceptors and appeared to have normal physiology. When the cells were filled with Lucifer Yellow and examined it became apparent that their morphology had been altered. These interneurones normally have an axon that travels posteriorly for some distance (ca. 10 mm) along Nerve VI but get their input from the eyes or an anterior sensory groove wherein the vibration receptors are situated. In the transplants these cells had axonal processes which reversed themselves and travelled posteriorly towards their correct targets in Nerve VI. The way, however, that axons travelled towards the target varied with individual kinds of cells. In one case a wBRA cell had a den- 1068 H . KOOPOWITZ AND M. HOLMAN 1OO r , 50 50 - DITAXIS 0 0 1 2 1 3 2 5 3 5 10 10 20 0 20 0 1 2 1 3 2 5 10 3 5 10 DAYS SINCE TRANSPLANT FIG. 3. Behavioral recovery of N. acticola, following brain transplantation after the brain had been rotated through 180°. Details same as Figure 2. (After Davies el ai, 1985) drite on one side of the brain that had become converted into an axon that travelled through the brain towards the target while on the other side of the brain the normal axon merely turned backwards and ran outside the brain towards its target (Fig. 4). Clearly, parts of cells within the brain are able to sense their position in relation to their normal targets. Even if the transplanted brain was positioned upside-down in the recipient animal normal behavior was reestablished. However, if the brain was also rotated as well as being inverted then feeding behavior, which is the most complex of the behaviors tested, only recovered in two out of the many transplants that we attempted. The other three behaviors recovered without any trouble. When the brain in the anterior end was inverted a supernumerary vil- lus-like process was produced and the brain migrated into the tip of the villus. POSTERIORLY POSITIONED BRAINS The extreme plasiticity of the nervous system in Notoplana acticola can be demonstrated when the brain is transplanted to a position not normally occupied by that organ. We found that when the brain was transplanted to a site posterior to the pharynx and near the tail that the brain would still reconnect to the nervous system and that it would reestablish its behavioral control functions. Clear evidence of the recovery of function could be seen on the third day after the operation. Once again the behavior of these animals was indistinguishable from that of normal unoperated animals. Clearly the brain was able to reestablish functional connections. Exactly how NERVE REPAIR IN FLATWORMS 1069 TARGET FIG. 4. Camera lucida drawing of the wBRA cells from the brain of N. acticola after rotation of the brain through 180°. Drawn from living preparation. The axons proceeding to the new target have been cut short. Brain is 600 /im in diameter. it does this is a mystery. There is indirect difference if the brain is rotated so that its evidence that much of the neuronal normal anterior nerve trunks are oriented machinery programming motor patterns is towards the tail. During the first few days in the peripheral plexuses (Gruber and following surgery behavior was reestabEwer, 1962; Koopowitz, 1974) but we do lished as in other transplants. Righting not know how the central neurones from behavior was monitored in these experithe brain feed into and control those ments as the average time taken to turn peripheral motor neurones. We do not over rather than the number of times the know much about how connections are animal executed the behavior correctly. made with these posteriorly positioned When this is done we find a gradual brains and for reasons discussed below, it improvement in the animal's ability to right is unlikely that we will be able to achieve itself and this ability is lost when the villus a clear understanding in the near future. containing the brain is extirpated (Fig. 5). We surmise that either alternate preexist- Histological examination of the worms ing pathways might be used, possibly in the reveals that the main longitudinal nerve form of nerve-nets, or else cells are able to chords of the recipient (Nerve VI) had seek out their targets over comparatively joined with nerves coming from the brain. vast distances. After several days a villus is produced and the brain is positioned at its tip. In those villi where we have tried to reconstruct POSTERIORLY ROTATED BRAINS brains following serial sectioning we find As with brains positioned in the front of that the anatomical organization of the the worm it does not seem to make much brain is lost. Known landmarks such as spe- 1070 H . KOOPOWITZ AND M. HOLMAN 100 CD CO 40 LU CO LU 50 §5 LU DC 20 g DC 10 DAYS 20 FIG. 5. Recovery of righting behavior in worms where the brain was transplanted and rotated through 180°. Brain positioned in the tail of the worms. At the arrow the brain was removed by cutting off the supernumerary villus. Note that decerebrate worms are able to right themselves but they take much longer times than animals with brains. Points are means and bars standard errors, n = 33. (After Gallemore, unpublished) 10 DAYS 100 LU CO O 50 cific cells and areas of neuropil can no longer be recognized and frequently the tough outer brain sheath is not present. It is currently impossible to identify the "identified" neurones in brains which have been transplanted to the rear of the worm. When the behavior returns, the animals with posteriorly rotated brains still prefer to use their original anterior ends for orientation. However, in a small number of worms, we find a subtle change in both righting behavior and escape locomotion. Over the course of time (up to 15 days) the tail may start to assume an increasingly active role, acting like an anterior end. This is noticeable in righting behavior (Fig. 6A) and to a certain extent in avoidance locomotion (Fig. 6B) as well. The transference of behavior to the tail is never complete. Even so, the fact that some transference occurs is remarkable. In righting behavior the animal normally grips with the anterior margin and pulls itself over but in a number of worms with rotated transplants, the SLU> rr 10 20 DAYS FIG. 6. Transference of behavior from the front to the tail following transplantation of the brain to the rear. The brain was rotated through 180°. A. Orientation in righting behavior. Circles are the normal orientation using anterior margin and stars are where the worm used its tail to grip. Abscissa is in days posttransplantation. B. Mean avoidance behavior using anterior end (solid line) and using tail (broken line). Bars are standard errors. (After Gallemore, unpublished) tail may be used for the original gripping. The avoidance locomotion is not identical to that seen in normal animals. In a normal worm, a jab at the front end results in a retraction of the longitudinal musculature, 1071 NERVE REPAIR IN FLATWORMS a turn away from the site of stimulation and then vigorous ditaxic locomotion with the anterior end leading. Ditaxic locomotion is a complex behavior involving the posterior progression of alternate waves of contraction (Faisst, 1979). It is never seen in decerebrate animals. Animals with posteriorly transplanted and rotated brains will after a few days walk with normal ditaxic locomotion. In response to an anterior aversive stimulus such as a pin prick, animals with transplanted brains indulge in a kind of retrograde motion shuffling off backwards with the tail leading. This can also be seen if the prick is delivered to the rear. About half of the time the worms indulge in this type of retrograde shuffle (Gallemore et al., unpublished observations). It is unlikely that the animals could produce a totally new organizational axis for their bodies but even a partial reorganization suggests that the system is capable of profound changes. HEALING OF CUT NERVES The major reason for investigating repair using the Notoplana preparation comes from a much simpler type of preparation where we have started to investigate the manner by which cuts through axons are repaired. Initially we found that if Nerve VI, the major longitudinal nerve cord, was severed that the portion of the body posterior to the cut acted as if it was decerebrate. Feeding behavior in that region was by local feeding reflexes and that segment continued to accept food as long as it was offered. There was no satiation. Between 36 and 48 hr after the surgery the worms regained their normal feeding patterns (Table 1). If the cuts were prevented from healing then recruitment of new pathways on the contralateral side of the body could be demonstrated. When the cut was allowed to heal, both histological and electrophysiological examination indicated that the cut ends of the nerve had rejoined (Koopowitz etal, 1975, 1976). HEALING AT THE SINGLE CELL LEVEL The organization of Nerve VI has not been examined in detail but can be expected to be similar to that seen in other TABLE 1. Recovery of feeding turning in N. acticola following a lesion to Nerve VI on one side of the body.* Treatment Series 1: Normal recovery Normal Cut exp. side Healed Cut control side Series 2: Recruitment Normal Cut exp. side Healed recut exp. side Cut side Control side 100 4.3 94.9 79.8 100 92.3 97.9 0.0 100 5.6 92.1 72.1 0 100 97.9 100 * Numbers given are in percentages. Ten animals were used for each study and approximately ten readings obtained per individual (after Koopowitz et al., 1975). large nerves of the ventral submuscular plexus (Chien and Koopowitz, 1974). The cords contain a mix of cell bodies, axons and small areas of neuropil. There appears to be no obvious pattern to the arrangement of those components within the cord. A number of axons in Nerve VI arise from neurones that have their cell bodies in the brain. For convenience they can be arranged into two groups, those that have large diameter axons (approximately 10 urn or greater) and those with smaller diameter axons. Ultrastructural investigations showed that the large diameter axons are invested with a glial sheath that can be several layers thick. In our current series of experiments we have been concerned with events that happen after the large diameter axons have been severed. Currently, we cut Nerve VI and at set times after the injury fill brain cells with Lucifer Yellow dye and then examine the extent of filopodium production and also the events associated with repair. The cut is made with a sliver of razor blade, making a lesion about 2 mm wide that goes through the entire body, cutting muscles as well as Nerve VI itself. The cut ends of the wound are drawn together in a matter of hours although an obvious scar can be discerned for several days. In many respects flatworms are ideal for these kinds of investigations. The animals are small and flat, relatively translucent and the entire prep- 1072 H. KOOPOWITZ AND M. HOLM AN nature of the nervous system which may function as a possible nerve-net (Koopo300witz, 1973), severed axons may be able to reconnect to any of several different distal stumps and make functional connections. 3>2OOUsually, within 36 to 48 hr following the cut the nerve is able to conduct impulses across the scarred region. Our original light histology (Koopowitz et al., 1976) revealed = 100that the cut ends of the axons in the region of the scar had become swollen, but we were unable to ascertain if cut ends of the 8 12 axons had fused to produce a continuous Time (hours) cylinder or if they had merely come into FIG. 7. Growth rates of filopodia from severed axons very close proximity by some kind of gap in Nerve VI of A', acticola. The maximum filopodium or possibly a chemical synaptic junction. length from a single filled cell was measured. Contact with the distal severed stump is first noted about 14 There is also the problem of how new hr after cutting. The filopodia measured are not nec- connections are made. Chemical axoessarily the ones that actually made contact. Each point refers to a single filled cell. Abscissa is time after axonal synapses have been found in regions where leech axons have repaired themNerve VI was cut. selves (Fernandez and Fernandez, 1974). Possibly the initial contact could also be aration can be examined on the stage of a due to gap junctions. Another question to compound microscope. The rapidity with be answered is whether or not the nature which they heal also allows one to carry of the junction changes with time. Our curout experiments in a relatively short period rent experiments suggest that within 2 of time and one can carry out the kinds of days the portions of the axon actually observations in an almost intact animal that fuse together and cytoplasmic continuity is can only be done in tissue culture in other reestablished. The major question remains: how does a cell recognize the appropriate situations. segment to which it needs to become attached? PROBLEMS CONCERNING NERVE REPAIR Four possibilities suggest themselves as AXONAL REPAIR processes that could account for the events that take place during the healing process. The maximum rate by which processes (1) The severed axons could sprout and grow out from the severed stump was mearegrow to their original targets. The distal sured by filling cells at known times after severed portions of the axons might then Nerve VI was cut. Typically, sprouting be expected to degenerate. Electron commences approximately 4 hr after injury microscopic examinations of the region of and sprouts appear to grow at a steady rate, the nerve which had been cut have revealed slightly less than 30 nm per hour (Fig. 7). myelin bodies suggesting that a certain The filopodia make contact with the distal amount of degeneration does take place. severed stump approximately 14 hr after (2) The animals are able to recruit alter- surgery and at that time Lucifer Yellow nate pathways through undamaged por- dye introduced into the cell soma in the tions of the nerve plexus. This has in fact brain will be transported into the distal been demonstrated with regards to feeding stump, suggesting that cytoplasmic contibehavior. (3) The cut ends of the severed nuity is reestablished. Once a connection axons are able to find each other, recon- has been made between a filopodium and nect and become functional. In this case the distal stump, the entire stump is filled. there would be a one to one specificity or It is quite clear that the filopodia are not perhaps specificity for a particular class of merely growing towards the target area. neurone. (4) Because of the plexiform Following contact filopodium length is NERVE REPAIR IN FLATWORMS 12 1073 14 Fie. 8. Camera ludda drawings of living axons at various times after cutting Nerve VI of N. acticola. Arrows denote points of contact between proximal and distal axon segments. The brain is positioned at the top of the drawing. Numbers refer to hours after cut was made. Each drawing was a different cell. Cell at far right had not made contact after 19 hr. reduced and 60-70 hr later most signs of filopodia are no longer evident. Examination of the distal stumps at the time that contact is made revealed (Fig. 8) that sprouting from the distal stump had also taken place. Initial contact is usually between a single very slender filopodium and a distal segment. On four occasions, two filopodia from the proximal side made contact with the same distal stump. We have never seen dye-coupling between one proximal portion and more than one distal segment. This suggests that there is some specificity in the reconnections between those neurones that we have been investigating. One case is interesting in this regard. One neurone was filled that had failed to make contact by 19 hr (Fig. 8) and this neurone displayed an unusually large number of filopodia. One cannot help but wonder if this was because contact had not yet been made? By inference it appears probable that the two cut stumps of the axon may be drawn together by the filopodia after contact has been made. The filopodium appears to get shorter and wider until it can no longer be discerned. In an earlier study in our laboratory (C. Palkowski, unpublished) it was found that healing and reestablishment of feeding behavior were delayed by 24 hr if the cut surface of the wound was washed with 0.2 mg-ml"1 Concanavilin A. In the present study we looked at the effect of Concanavilin A on filopodium sprouting in healing neurones. While we did not see any differences in the initiation times of sprouts between controls and treated preparations, we did find what appeared to be significant differences in orientation of filopodia towards the target (Table 2). In the control group 78% of the filopodia produced were oriented towards the target while the other 22% grew away from the target area. In preparations treated with 0.2 mg-ml"1 Concanavilin A slightly over half, 54%, of the filopodia grew towards the target and the other 46% grew in other directions. Differences between treated and control groups were found to be significant 1074 H . KOOPOWITZ AND M. HOLMAN FIG. 9. Camera lucida drawings of living axons at various times after cutting Nerve VI and following treatment with Concanavilin A. Arrows denote position of contact between proximal and distal axon segments. The brain is positioned at the top of the drawing. Numbers refer to hours after cut was made. using a Chi2-test (Zar, 1984), x2 = 7.02 and 0.01 < P < 0.005. While there seemed to be a slight increase in the total number of filopodia produced with Concanavilin A treatment these numbers were not statistically significant. An additional effect may be the apparent length of time before filopodial retraction after axonal contact and fusion has occurred but this has not been examined in detail yet. Figure 9 suggests that healing may be even more rapid than in untreated controls. If surface glycoproteins are involved with target orientation as our experiment suggests, Concanavilin A certainly does not appear to interfere with axon-axonal fusion although we do not know if it interferes with contact specificity. That remains to be tested. DISCUSSION At this stage, the studies on nerve repair in Notoplana acticola have contributed more insight into the organization of the nervous system in polyclads than into the processes and problems associated with nervous system repair and regeneration. The ability of the brain to reintegrate itself into the nervous system irrespective of where it is positioned suggests that the brain may be interacting with diffusely conducting networks and specificity involves recognizing the appropriate network. Certainly such networks do exist with regards to sensory systems in polyclads (Koopowitz, 1973, 1975). It is difficult, however, to reconcile the inability to integrate information when the brain is turned through 90° with the presence of diffusely conducting nerve networks that it could integrate into if the TABLE 2. Effects of Concanavilin A on Jilopodial growth in damaged neurones.* Treatment Concanavilin A Control # filopodia towards target # filopodia away from target Total 37 43 32 12 69 55 * Filipodia growing posteriorly were scored as orienting towards the target. Others were scored as growing away from the target. Seven cells each were scored for experimental and control treatments. Data significant x ! = 7.02 and 0.01 < P < 0.005. NERVE REPAIR IN FLATWORMS brain is twisted through 180° and/or even inverted. There also does appear to be a fair amount of specificity. Repair and fusion in individual axons occur on a one to one basis and it is suggested that there may be "search" conditions with profuse sprouting if the appropriate axon cannot be encountered. This in turn suggests that some kind of feedback mechanism must be involved that regulates sprouting and perhaps is also involved with the withdrawal of filopodia once contact has been made. Intriguing questions still remain to be answered. How do cells within the brain "know" their position in relation to that of their targets and how do they restructure existing neurites such as dendrites into axons? How do cells recognize the target once it has been reached and how is the sequence of events involved with fusion regulated? Finally, is repair to damaged nerves carried out using the same basic processes in all animal groups or is there a diversity in the ways that different taxa repair themselves? We think that the polyclad flatworms may be instrumental in helping us understand and perhaps answer some of these questions. REFERENCES Davies, L., C. L. Keenan, and H. Koopowitz. 1985. 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