To date, delivery of
neurotrophic factors has only allowed to transiently protect axotomized facial motoneurons against cell death. In the present report, long-term protection of these neurons was evaluated by continuously expressing the
neurotrophic factor glial cell line-derived neurotrophic factor (
GDNF) within the facial nucleus using a lentiviral vector system. The viral vector was injected unilaterally into the facial nucleus of 4-month-old Balb/C mice. In contrast to
axotomy in other adult rodents, facial nerve lesion in these animals leads to a progressive and sustained loss and/or
atrophy of >50% of the motoneurons. This model thus represents an attractive model to evaluate potential protective effects of
neurotrophic factors for adult-onset motoneuron diseases, such as
amyotrophic lateral sclerosis. One month after unilateral lentiviral vector injection, the facial nerve was sectioned, and the animals were killed 3 months later. Viral delivery of the
GDNF gene led to long-term expression and extensive diffusion of
GDNF within the brainstem. In addition, axotomized motoneurons were completely protected against cell death, because 95% of the motoneurons were present as demonstrated by both Nissl staining and
choline acetyltransferase immunoreactivity. Furthermore,
GDNF prevented lesion-induced neuronal
atrophy and maintained proximal motoneuron axons, despite the absence of target cell reinnervation. This is the first evidence that viral-mediated delivery of
GDNF close to the motoneuron cell bodies of the facial nucleus of adult mice can lead to complete and long-term protection against lesion-induced cell death.