We have previously reported that dorsal root ganglion neurons cultured
in the presence of the highly specific, reversible acetylcholinestera
se inhibitor 1,5-bis-(4-allyldimethylammoniumphenyl) pentan-3-one dibr
omide (BW284c51), showed significantly reduced neurite outgrowth and c
ontained massive perikaryal inclusions of neurofilaments. In the prese
nt report we have more closely examined these changes in a time course
study over a 21-day culture period using a combined morphological, im
munocytochemical and enzymatic approach and additionally, describe, th
e effects of acetylcholinesterase inhibitor treatment on the state of
neurofilament phosphorylation. Finally, we have examined the effects o
f co-administration of N-6,2'-0-dibutyryladenosine 3':5'-cyclic monoph
osphate (dbcAMP) with BW284c51. At 1 day in culture, both control and
treated cells displayed eccentrically located nuclei, numerous polysom
es and perikaryal accumulations of neurofilaments which were immunorea
ctive with both phosphorylation- and nonphosphorylation-dependent neur
ofilament antibodies. These cytological changes, which are common feat
ures of the chromatolytic reaction following axotomy in vivo, rapidly
resolved in the control neurons, where by 7 days in culture, the neuro
filament accumulations had completely disappeared and neurite outgrowt
h was robust. In contrast, inhibitor-treated neurons retained the post
-axotomy features up to 21 days and had significantly reduced neurite
outgrowth. In addition, we have investigated a possible role of cyclic
adenosine monophosphate (cAMP) in the recovery process since it has b
een shown to enhance neuritic outgrowth in cultured neurons. Our resul
ts demonstrate that the addition of dbcAMP, a membrane permeable analo
g of cAMP, significantly enhanced neuritic outgrowth and accelerated t
he recovery of BW284c51-treated dorsal root ganglion cells, as gauged
by the disappearance of the axotomy-related cytological changes. Treat
ment with dbcAMP also increased acetylcholinesterase activity which ha
s been positively correlated with neurite outgrowth both in vivo and i
n vitro. Together, these observations suggest that acetylcholinesteras
e has a non-cholinolytic, neurotrophic role in neuronal regeneration a
nd development.