Neuronal expression of growth-associated protein 43 (GAP-43) and the cell adhesion molecule L1 has been correlated with CNS axonal growth and regeneration, but it is not known whether expression of these molecules is necessary for axonal regeneration to occur. We have taken advantage of the fact that Purkinje cells do not express GAP-43 or L1 in adult mammals or regenerate axons into peripheral nerve grafts to test the importance of these molecules for axonal regeneration in vivo. Transgenic mice were generated in which Purkinje cells constitutively express L1 or both L1 and GAP-43 under the Purkinje cell-specific L7 promoter, and regeneration of Purkinje cell axons into peripheral nerve grafts implanted into the cerebellum was examined. Purkinje cells expressing GAP-43 or L1 showed minor enhancement of axonal sprouting. Purkinje cells expressing both GAP-43 and L1 showed more extensive axonal sprouting and axonal growth into the proximal portion of the graft. When a predegenerated nerve graft was implanted into double-transgenic mice, penetration of the graft by Purkinje cell axonal sprouts was strongly enhanced, and some axons grew along the entire intracerebral length of the graft (2.5-3.0 mm) and persisted for several months. The results demonstrate that GAP-43 and L1 coexpressed in Purkinje cells can act synergistically to switch these regeneration-incompetent CNS neurons into a regenerationcompetent phenotype and show that coexpression of these molecules is a key regulator of the regenerative ability of intrinsic CNS neurons in vivo.axonal regeneration ͉ CNS injury͞repair ͉ nerve graft ͉ transgenic mice A lthough intrinsic CNS neurons of adult mammals are normally unable to regenerate their axons after injury (1), some can be induced to regrow axons into and along segments of peripheral nerve grafted into the brain or spinal cord (2). Retinal ganglion cells and thalamic reticular nucleus neurons regenerate well into grafts (3, 4), but neocortical and neostriatal projection neurons do so very poorly, and cerebellar Purkinje cells do not do so at all (5). Successful regeneration of axons along nerve grafts occurs only from neurons that show prolonged upregulation of growth-associated molecules, including growthassociated protein 43 (GAP-43), cell adhesion molecule L1, and close homologue of L1 CHL1 (6).GAP-43 was the first neuronal growth-associated protein to be identified (7). It is concentrated in the cortical cytoskeleton of axonal growth cones, interacts with the cell membrane and actin filaments, and overexpression results in enhanced neurite outgrowth in vitro and enhanced axonal sprouting in vivo (8,9). Although the nervous system of GAP-43 knockout mice is grossly normal, there are pathway and circuit abnormalities in such mice (10-12); the current consensus view is that GAP-43 is involved in axonal sprouting and in the response of growth cones to guidance cues.L1 is the prototype of a widely distributed family of cell adhesion molecules (CAMs). It is present at the surface of growing axons during d...