Although there is a strong genetic component to schizophrenia and autism, it is clear that certain environmental factors can strongly raise the risk for these disorders. One of the best studied of these environmental risk factors in schizophrenia is maternal infection, particularly respiratory infection (reviewed by Penner and Brown, 2007;
Brown 2006). In autism, a highly significant effect was seen with maternal rubella infection, although increased risk has also been reported for other maternal viral infections (reviewed by
Patterson 2002;
Hyman et al., 2006; Moy and Nadler, 2007). In modeling this risk factor in rodents, major abnormalities have been reported in the offspring of infected or immune-activated mothers using behavioral assays that are relevant for schizophrenia and autism. These assays include PPI of the acoustic startle, social interaction, anxiety behavior in the open field and with a novel object, amphetamine-induced locomotion, and latent inhibition (
Borrell et al., 2002;
Fortier 2004;
Meyer U et al 2005;
Meyer 2006;
Ozawa et al., 2006;
Shi 2003;
Zuckerman 2003).
Given the construct and face validity of this model for schizophrenia and autism, it was of interest to examine the cerebellum to determine if there is pathology that resembles that seen in these disorders. This is particularly important in the context of autism, where cerebellar pathology is a commonly reported histological and imaging abnormality. Our finding of a localized deficit in PCs strikingly resembles that seen in autism both in location and magnitude, with a 25% reduction in PC linear density reported in autism (
Ritvo 1986) and 33% (influenza) and 20% (poly(I:C)) reductions reported here. While significant changes in the cerebellum have also been found in schizophrenia, there has been little evidence reported as to whether such changes may be more prominent in particular lobules. A preliminary report did indicate, however, that the volume of lobules VI and VII inversely correlate with positive symptoms and hallucinations in schizophrenia (
Pierson et al., 2003).
What is the basis for the discrete, localized deficit in PCs? At 50–80 μm in diameter, PCs are very large neurons. Each cell has over 200,000 synapses, giving the cell an exceptionally high metabolic demand, which predisposes PCs to both excitotoxicity and ischemic death (
Kern 2003). While histologically uniform at a superficial level, the cerebellum can be compartmentalized into a variety of patterns based on expression of particular molecules, the spatial effects of mutations, and its connectivity. The PCs in lobules VI and VII are distinctive, and perhaps more vulnerable to developmental insults, for several reasons. (i) These cells express a unique combination of molecular markers, both in the neonate and the adult (
Ozol et al., 1999;
Rogers et al., 1999). (ii) They receive a distinct set of afferent inputs (olivocerebellar, pontocerebellar and cuneocerebellar mossy fibers), and they project to specific regions of the fastigial (pursuit eye movements) and interposed nuclei (
Armstrong et al., 2001). (iii) They receive unique migrational cues; in the
weaver mutant mouse (
girk2), PC progenitors specifically in lobules VI and VII appear not to migrate outward to form a monolayer (
Armstrong et al., 2001). (iv) PCs in lobules VI and VII (and in IX and X) preferentially survive following 3-acetylpyridine ablation of the inferior olive in
Shaker mutant rats (
Tolbert et al., 2000). Numerous mutations and toxic insults have been associated with distinct patterns of PC loss and survival (
Sarna et al., 2003), some of which are inversely correlated with expression of the neuroprotective protein HSP25/27. Since the pattern of cell loss in each case is specific to the type of insult, the selective loss of PCs in lobule VII in the influenza model is a particularly important parallel with autism.
When we administer influenza virus at E9.5, the peak of the inflammatory response occurs around E12 (
Fritz et al., 1999;
Swiergiel, et al., 1999;
Swiergiel et al., 1997a;
Swiergiel et al., 1997b), which is also the time at which we administer poly(I:C). This time window of maximal cytokine production corresponds with the timing of PC neurogenesis. Precursor PCs are born during embryonic days E11–E13 in the mouse. Postmitotic PCs migrate radially from the neuroepithelium of the ventricle towards the cortical surface between E13–E17 along radial glial fibers (
Hatten 1999;
Hatten et al., 1997;
Hatten et al., 1995; Miale and Sidmen, 1961;
Uzman 1960;
Yuasa et al., 1991). By the time of birth, all PCs occupy their position between the EGL and IGL. The activated immune system produces many molecules, such as cytokines and chemokines, which have the potential to alter the neurogenesis and migration of PCs. Our data suggest that the primary deficit occurs in this early stage, with maternal immune activation resulting in abnormal migration of PC precursors. It is also possible that PC precursor proliferation is affected.
The abnormal GC development that we observe may be secondary to the PC deficit, as granule cell development is dependent on signals from PCs. Sonic hedgehog is produced by PCs and is required for proliferation of GC precursors, and it induces increased migration of GCs from cortical explants
in vitro (
Dahmane et al., 1999). Our data show that at P17, a time when most BrdU+ GCs have migrated to the IGL in controls, many GCs still remain in the ML in exposed animals. Furthermore, these animals have a persistent EGL that is most prominent in lobules VI and VII, suggesting that a pool of GCs have yet to migrate. PC deficits have the potential to slow GC migration due to the lack of Shh or other factors normally produced by PCs. However, it seems that GCs eventually do receive the proper migration cues and form the IGL, because we do not find GCs in the ML of adult animals.
There are several possible functional consequences of the PC deficit observed here. Lobules VI and VII are also called the oculomotor vermis, since their function is linked to eye movements. Our finding that offspring of poly(I:C)-treated mice display abnormalities in classical eye blink conditioning (Lee 2007) could be related to the PC deficits reported here. The fact that abnormalities in eye blink conditioning are also found in autism (
Sears et al., 1994;
Steinmetz et al., 2001) and schizophrenia (
Brown and O’Donnell 2005;
Marenco et al., 2003;
Sears 2000) is a further link between these disorders and the maternal immune activation model. Recent evidence suggests that abnormalities in eye tracking are present in infants with high risk for autism, suggesting that impaired eye tracking or eye contact may play a role in later deficits in social interaction (
Merin et al., 2007). Due to the importance of the oculomotor vermis in these behaviors, understanding the mechanisms that lead to PC deficits could be crucial in understanding the pathology of autism and schizophrenia.
In retrospect, it is perhaps not surprising that this model of maternal immune activation yields offspring with behaviors and pathologies in common with both autism and schizophrenia. Both disorders share the epidemiological risk factor of maternal infection, and in his original description of autism, (Kanner 1943) noted the similarities with the negative symptoms of schizophrenia. A new challenge is to study those abnormalities in the mouse model that may be specific for autism or schizophrenia.