Human recombinant ADAMTS4 induces neurite outgrowth. Representative photomicrographs and tracings are shown of primary cortical rat neurons grown on poly-L-lysine/laminin and treated with ADAMTS4 at 1, 10 (D, E) and 50nM (F, G) and ADAMTS5 at 10nM (H, I) or culture medium containing BSA (B, C) at days 2 and 5 of culture and neurite outgrowth measured at day 6. At the end of culture, neurons were visualized by using anti-microtubule associated protein-2 immunocytochemistry and the Alexafluor 488-conjugated actin binding protein, phalloidin. The photomicrographs (B, D, F, H) were converted to grayscale and neurites traced (C, E, G, I). Data was calculated by dividing the area of the photograph occupied by neurite signal (μm2) divided by number of neurons in the field to generate mean ± SEM (μm2/neuron) that are shown in panel A. Treatment with ADAMTS4 resulted in a dose-dependent increase in neurite outgrowth (see panel A) and 10nM ADAMTS5 also significantly increased neurite outgrowth (* p ≤ 0.05 compared to untreated or medium + BSA treated wells). Three separate cultures were utilized in these experiments, with at least 10 fields in total for each treatment group, representing over 1,000 neurons for each group. Scale bars, 100μm.