Enhancement of sympathetic neuron survival by synergistic action of NT3 and GDNF

Although roles of neurotrophin-3 (NT3) and glial cell line-derived neurotrophic factor (GDNF) are suggested for sympathetic neuron development, survival activity of either NT3 or GDNF alone on cultured embryonic rat sympathetic neurons is low (10-20%). We demonstrate that a combination of both NT3 and GDNF exerts a remarkable survival activity (85%). NT3 and GDNF did not affect expression levels of their receptors. However, stimulation with both NT3 and GDNF caused tyrosine-phosphorylation of Ret/GDNF-receptor at a level higher than that caused by GDNF alone. Furthermore, stimulation with both GDNF and NT3 induced an enhanced Thr308-phosphorylation of Akt kinase. These results suggest that the actions of NT3 and GDNF converge at the Ret/GDNF-receptor to enhance survival of the developing sympathetic neurons through activation of the phosphatidylinositol (PI) 3-kinase/Akt pathway.