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To elucidate the pathogenic mechanisms in Huntington’s disease (HD) elicited by expression of full-length human mutant huntingtin (fl-mhtt), a Bacterial Artificial Chromosome (BAC)-mediated transgenic mouse model (BACHD) was developed expressing fl-mhtt with 97 glutamine repeats under the control of endogenous htt regulatory machinery on the BAC. BACHD mice exhibit progressive motor deficits, neuronal synaptic dysfunction, and late-onset selective neuropathology, which includes significant cortical and striatal atrophy and striatal dark neuron degeneration. Power analyses reveal the robustness of the behavioral and neuropathological phenotypes, suggesting BACHD as a suitable fl-mhtt mouse model for preclinical studies. Further analyses of BACHD mice provide additional insights into how mhtt may elicit neuropathogenesis. First, unlike prior fl-mhtt mouse models, BACHD mice reveal that the slowly progressive and selective pathogenic process in HD mouse brains can occur without early and diffuse nuclear accumulation of aggregated mhtt (i.e. as detected by immunostaining with the EM48 antibody). Instead, a relatively steady-state level of predominantly full-length mhtt and a small amount of mhtt N-terminal fragments are sufficient to elicit the disease process. Second, the polyglutamine repeat within fl-mhtt in BACHD mice is encoded by a mixed CAA-CAG repeat, which is stable in both the germline and somatic tissues including the cortex and striatum at the onset of neuropathology. Therefore, our results suggest that somatic repeat instability does not play a necessary role in selective neuropathogenesis in BACHD mice. In summary, the BACHD model constitutes a novel and robust in vivo paradigm for the investigation of HD pathogenesis and treatment.
Huntington’s disease (HD) is an autosomal dominant neurodegenerative disorder characterized by late-onset motor, psychiatric and cognitive deficits. Patients with adult-onset HD experience symptom onset around age 40 and death usually occurs 10-20 years after disease onset. HD is caused by a CAG repeat expansion (>35 repeats) in the huntingtin (htt) gene, encoding an expanded polyglutamine (polyQ) repeat in the widely expressed huntingtin protein (1993; Sharp et al., 1995). While the mutant protein is widely expressed, the most affected cell types in HD are the medium-sized spiny neurons (MSNs) in the striatum and pyramidal neurons in the cortex (Vonsattel and DiFiglia, 1998). The mechanisms underlying selective neuropathology in HD remain poorly understood.
Mouse models have been valuable in investigating the critical pathogenic mechanisms in HD (Zoghbi and Orr, 2000; Menalled and Chesselet, 2002). One group of mouse models expresses mouse (Hdh-KI models) (Wheeler et al., 2000; Menalled et al., 2002) or human fl-mhtt (Yeast Artificial Chromosome, YAC) (Hodgson et al., 1999; Slow et al., 2003). These models exhibit progressive motor and pathological deficits, and in YAC128 mice, culminates in selective cortical and striatal atrophy and neurodegeneration (Slow et al., 2003; Van Raamsdonk et al., 2005). A common feature of Hdh-KI and YAC128 mice is early and selective striatal localization of diffuse nuclear staining of mhtt with the EM48 antibody (Gutekunst et al., 1999). Thus, current fl-mhtt mouse models support the hypothesis that early nuclear localization of EM48 + mhtt may be a critical early pathogenic event in HD (Wheeler et al., 2000; Van Raamsdonk et al., 2005).
Another mechanism implicated in selective neuropathogenesis in HD is somatic CAG repeat instability. Somatic and germline repeat instability is present in multiple HD mouse models (Kennedy and Shelbourne, 2000; Ishiguro et al., 2001), and in post-mortem HD brain tissues (Shelbourne et al., 2007). Somatic repeat expansion may be modified by the mismatch repair systems (Manley et al., 1999; Wheeler et al., 2003), and a recent study suggests it could be initiated by an age-dependent single nucleotide excision DNA repair of oxidized nucleotides (Kovtun et al., 2007). Together, these studies promoted the hypothesis that tissue-specific and age-dependent somatic repeat expansion of the CAG repeat in mhtt may play a crucial role in selective neuropathogenesis in HD.
To address how fl-mhtt elicits selective neuropathogenesis in HD, we have applied the Bacterial Artificial Chromosome (BAC)–mediated transgenic approach (Yang et al., 1997; Gong et al., 2002) to generate a BAC transgenic mouse model of HD (BACHD). BACHD mice express fl-mhtt, exhibit progressive motor deficits and selective late-onset neuropathology without somatic repeat instability in the aged brain. Moreover, BACHD mice reproduce a mhtt aggregation pattern reminiscent of that in adult-onset HD. Importantly, a relatively steady state level of predominantly fl-mhtt and a small amount of mhtt N-terminal fragments, present in both the nucleus and cytoplasm, are responsible for the onset of neuropathology. Thus, BACHD mice represent a novel and robust in vivo paradigm to study HD pathogenesis and treatment.
A 240 kb RP11-866L6 BAC containing the 170 kb human htt locus was modified by adding an exon1 with 97 mixed CAA-CAG repeats (Kazantsev et al., 1999) into the human htt gene. BAC DNA was prepared according to published protocols (Yang et al., 1997; Gong, 2005) and microinjected into FvB fertilized eggs. BACHD mice were maintained in the FvB/NJ background and bred and maintained under standard conditions consistent with National Institutes of Health guidelines and approved by the UCLA Institutional Animal Care and Use Committees.
Genomic DNA was purified from the tails of three BACHD transgenic and three wildtype animals for copy number quantitation of exogenously derived fl-mhtt. Primers specific for fl-mhtt genomic DNA were designed (Forward: 5’-GAG CCA TGA TTG TGC TAT CG-3’, Reverse: 5’-AGC TAC GCT GCT CAC AGA AA-3’). Human genomic DNA was used as a two copy per diploid genome control in order to estimate copy number in BACHD mice. For RNA quantitation, total RNA was extracted using the RNaeasy mini-kit (Qiagen). A combination of random primer and oligo(dT)20 (Invitrogen) primed cDNA synthesis was used to generate cDNA for RT-PCR using OmniScript RT-PCR kit (Qiagen). Primers for RT-PCR were designed so that the forward primer recognized both endogenous Hdh and exogenous mhtt, while the reverse primers were species specific (Forward: 5’-ATC TTG AGC CAC AGC TCC AGC CA-3’, Reverse (human): 5’-GGC CTC CGA GGC TTC ATC AGG-3’, Reverse (murine): 5’-TCT GAA AAC ATC TGA GAC TTC ACC AGA-3’). Both primer sets generated products of approximately the same size (300 bp) and span the junction of exon 12-13. For RT-PCR, because we were directly comparing the levels of endogenous Hdh vs. exogenous mhtt, standards were generated in order to determine primer set efficiencies. Standards were derived from PCR amiplicons generated from each primer set which were sub-cloned in pCR2.1 (Invitrogen). Genomic DNA samples were normalized using 18S. Samples of cDNA were normalized against beta-actin. The quantitation of band intensities was done using Kodak 1D Image Analysis Software.
Genomic DNA was prepared from tail using standard Proteinase K digestion (10 mg/ml) followed by phenol/chloroform extraction. Genomic DNA was extracted from brain tissue using the Qiagen DNeasy Tissue Kit. Primers flanking the polyQ repeat in exon 1 of mhtt were used to PCR amplify the polyQ regions, where 5’ primer was labeled with FAM. The PCR product was run on an automated sequencer (Applied Biosystems 3730XL) with Bioventures’ ROX1000 internal size standard. GeneMapper software version 4.0 (AppliedBiosystems) was used to determine PCR fragment size and the number of CAA-CAG repeats was calculated based on the size of the PCR products.
Mouse brains were dissected in ice-cold 100mM PBS supplemented with Complete Protease Inhibitor Cocktail tablets (Roche). Lysates were prepared by homogenizing brain tissue in a modified RIPA buffer using 10-12 strokes from a Potter-Elvehjem homogenizer followed by centrifugation at 4°C for 15 minutes (mins) at 16,100g. Resultant supernatants were used for all non-fractionation experiments. The pellet fraction was further processed to obtain the insoluble protein fractions as follows: Pellets were dissolved in 10% SDS and heated to 70°C for 10 mins. The mixture was then spun at 2000g for 30 seconds (secs) and the new soluble portion was taken to be the insoluble fraction.
Protein samples were prepared for loading by heating in NuPAGE 4x LDS buffer (Invitrogen) for 10 mins at 70°C. Proteins were resolved on either 10% Bis-Tris or 3-8% Tris-Acetate NuPAGE gels (Invitrogen) using either MOPS or Tris-Acetate running buffer, respectively, and wet-transferred onto PVDF membranes using NuPAGE transfer buffer (Invitrogen). Immunoblots were probed with anti-huntingtin 2166 and 1C2, and anti-histone H2B (Chemicon) at 1:3000 dilutions in 5% blocking solution, and anti-α-tubulin (Sigma) at a 1:10000 dilution in 5% blocking solution. Chemiluminescent detection was accomplished using ECL Plus Western Blotting Detection Reagents (GE Healthcare), Western Lightning Plus (Perkin Elmer) or SuperSignal West Pico Chemiluminescent Substrate (Pierce).
Brain tissue was homogenized on ice in 9 volume (w/v) of 0.25 M sucrose/buffer A (50 mM triethanolamine [pH 7.5], 25 mM KCl, 5 mM MgCl2, and 0.5 mM dithiothreitol, supplemented with Complete protease inhibitor cocktail tablets [Roche]) using 8-9 strokes from a Potter-Elvehjem homogenizer followed by centrifugation at 4°C for 15 mins at 800g. The supernatants were further centrifuged at 4°C for 1 hour (h) at 40,000g, and the resultant supernatants were taken to be the cytosolic fractions. The crude nuclear pellets from the initial centrifugation step were washed in 0.25 M sucrose/buffer A and centrifuged at 4°C for 10 mins at 800g. Pellets were resuspended in 2 mL of 2.3 M sucrose/buffer A and further homogenized on ice using 5-6 strokes from a dounce homogenizer. Homogenates were each mixed with 2 mL of 0.25 M sucrose/buffer A and 2 mL of 2.3 M sucrose/buffer A, and each mixture was layered onto 4 mL of 2.3 M sucrose/buffer A. Nuclei were pelleted by centrifugation at 4°C for 1 h at 80,000g, then resuspended in 0.25 M sucrose/buffer A and washed by centrifugation at 500g for 15 mins. The final pellets were designated as the nuclear fraction and were resuspended in 0.25 M sucrose/buffer A.
BACHD and wildtype littermates were trained on an Ugo Basile 7650 Accelerating Rotarod for 3 trials per day for 2 days at 2 months of age adapted from existing protocol (Clark et al., 1997). Animals were tested for 3 trials per day for 3 days at 2, 6, and 12 months of age. Animals from the same cohort of mice were measured at 2, 6 and 12 months. All rotarod tests were performed during the light phase of the light cycle.
Immunohistochemistry with rabbit polyclonal EM48 antibody (diluted 1:300) was performed using an established protocol to detect mhtt on 35 μm thick cryostat brain sections (Menalled et al., 2002; Gu et al., 2005). EM48 stained sections from BACHD brains were stained with Hematoxylin QS solution to identify the nucleus (Vector Laboratories, Inc.). Sections were imaged using a Zeiss Axioskop 2 microscope with an AxioCam HRc camera.
Electron microscopy (EM) was performed on 12 month old BACHD and wildtype littermates using an established protocol (Yu et al., 2003; Gu et al., 2005). Two BACHD and two wildtype littermates at 12 months were used for EM studies.
The optical fractionator method was used to determine the cortical and striatal volume and striatal neuronal number (Oorschot, 1996; Menalled et al., 2002). BACHD and wildtype animals were perfused with 4% paraformaldehyde. Thirty-five μm coronal brain sections were cut using a Leica CM 1850 cryostat. The first section was chosen at random from the first 10 sections containing striatum and every tenth section thereafter was stained with NeuN (1:500 dilution). Sections were analyzed using the Optical Fractionator Method using Stereo Investigator software (Microbrightfield). Striatal neuronal counts were obtained by counting NeuN positive cells that fell within a 50 μm × 50 μm grid size at 100X and within 10 μm of the thickness of the section. The Cavalieri method was used to determine the total volume of the striatum and cortex at 6 and 12 months of age. The same sections used for cell counts were used to estimate the volume of the cortex and striatum.
The toluidine blue staining of semi-thin brain sections was modified from existing protocols (Hodgson et al., 1999; Turmaine et al., 2000). BACHD and wildtype littermates were perfused with 2% glutaraldehyde and 2% paraformaldehyde. 1.5 μm thick sections were cut at Bregma level 0mm-1mm. The striatum was cut into dorsal, medial and lateral pieces. Each piece of tissue was fixed with 1% osmic acid solution for 1 h at room temperature. Tissue was embedded in epon overnight at 60°C, then 1.5 μm thick sections were cut on a Leica RM 2165 microtome and every tenth section was mounted on slides. Sections were stained with 1% toluidine blue in 1% sodium borate for 1 min at 60°C. Three sections a minimum of 150 μm apart for each striatal region were imaged using a MicroFire camera at 40X using a Zeiss Axioskop2 microscope. For each section, all neurons from five 1600 × 1200 pixel frames chosen at random were counted.
Whole-cell patch clamp recordings from MSNs were obtained using standard methods (Cepeda et al., 1998). Cells were identified by soma size, basic membrane properties (input resistance, membrane capacitance, and time constant), and in some cases, by the addition of biocytin (0.2%) to the internal solution. The patch pipette (3-5 MΩ) contained the following solution (in mM): K-gluconate-140 mM, HEPES-10 mM, MgCl2-2 mM, CaCl2-0.1 mM, EGTA-1.1 mM, and K2ATP-2 mM, for voltage and current clamp (pH 7.25-7.3, osmolality, 280-290 mOsm). Spontaneous postsynaptic currents were recorded in standard artificial cerebrospinal fluid (ACSF) composed of the following (in mM): NaCl-130 mM, NaHCO3-26 mM, KCl-3 mM, MgCl2-2 mM, NaHPO4-1.25 mM, CaCl2-2 mM, and glucose-10 mM (pH 7.4, osmolality, 300 mOsm). Cells were held at -70 mV to minimize the contribution of GABAA receptors and that of voltage-gated conductances. After characterizing the basic membrane properties of the neuron, spontaneous postsynaptic currents (PSCs) were recorded for variable periods of time (usually 3-6 minutes). The membrane current was filtered at 1 kHz and digitized at 200 μsec using Clampex (Foster City, CA). Spontaneous EPSCs were analyzed offline using the Mini Analysis Program (Jaejin Software, Leonia, NJ). The threshold amplitude for the detection of an event was adjusted above root mean square noise level (generally 3-4 pA). This software was used to calculate PSC frequency, amplitude for each synaptic event, and to construct amplitude-frequency histograms. Frequencies were expressed as number of events per second (in Hz).
Quantitative RT-PCR. RNA was extracted from mouse brain tissue according to the Trizol reagent (Invitrogen) protocol. Total RNA was treated with TURBO DNase (Ambion) followed by cDNA synthesis using SuperScript III Reverse Transcriptase kit (Invitrogen). PCR primers for qRT-PCR used are as followed:BDNF exonIV forward 5’-GCA GCT GCC TTG ATG TTT AC-3’; BDNF exon IV reverse 5’-CCG TGG ACG TTT ACT TCT TTC-3’; BDNF coding sequence forward 5’-ATT AGC GAG TGG GTC ACA GC-3’; BDNF coding sequence reverse 5’-TCA GTT GGC CTT TGG ATA CC-3’; GAPDH forward 5’-CTG AGT ATG TCG TGG AGT CTA CTG G-3’; GAPDH reverse 5’-GTC ATA TTT CTC GTG GTT CAC ACC-3’. Quantitative PCR was performed in an iCycler (Bio-rad) with the SYBR-green supermix (Bio-rad). The threshold cycle for each sample was chosen from the linear range and converted to a starting quantity by interpolation from a standard curve run on the same plate for each set of primers. The BDNF exon IV mRNA levels and coding sequence mRNA levels were normalized for each well to the GAPDH mRNA levels.
All data is shown as the mean ± standard error of the mean (SEM). For rotarod analysis, SPSS 14.0 statistics software (Chicago, IL) was used to perform all of the analysis. The significance level was set at 0.05. A general linear Model with repeated measures was performed to assess within subjects effects of age, the interaction of genotype and age, and between subjects effect of genotype. Student’s t-test was used to compare the performance of BACHD and wildtype mice for each trial at all ages examined (comparing one variable between two genotypes). In some sets of data, one-way ANOVA was used to analyze the time effect on rotarod performance of BACHD mice and wildtype mice from 2, 6, and 12 months of age. Tukey-HSD post hoc analysis was performed for pairwise comparisons among ages. For neuropathology and stereology studies, all comparisons between BACHD and wildtype mice are shown as mean± standard error of the mean (SEM). Comparisons were made with an independent sample Student’s t test with a significance level of 0.05. For electrophysiological studies, data in the text and figures are presented as mean ± standard error of the mean (SEM). Differences between groups were assessed with Student’s t-tests or appropriate designed ANOVAs. The significance level was set at 0.05.
We engineered a 240 kb human BAC (RP11-866L6) that contains the entire 170 kb human htt locus with about 20 kb of the 5’ flanking genomic sequence and about 50 kb of the 3’ flanking genomic sequence so that wildtype htt-exon 1 was replaced with mhtt-exon 1 containing 97 mixed CAA-CAG repeats encoding a contiguous polyQ repeat (Fig. 1A; (Yang et al., 1997; Kazantsev et al., 1999; Gong et al., 2002). Two LoxP sites are located in the 5’ untranslated region of mhtt and in intron 1 flanking mhtt-exon 1. Thus, these LoxP sites do not interfere with the expression of fl-mhtt but do allow for Cre-mediated excision of mhtt-exon 1. As a result, the BACHD model is designed to be a conditional inactivation model in which Cre can switch off fl-mhtt expression. We microinjected purified intact BACHD DNA into fertilized murine FvB eggs, and obtained 14 transgenic founders. Initial Western blot analyses with 1C2, an antibody against an expanded polyQ epitope, revealed that the majority of the founder lines expressed full-length mhtt (data not shown). We focused our phenotypic analyses on the BACHD-I line (referred to as BACHD in the remainder of the text) that expresses relatively high levels of intact mhtt. In addition, we also performed phenotypic analyses of another independent BACHD line (BACHD-L line) to confirm that the phenotypes observed in BACHD mice are not due to the transgene integration effects. Quantitative PCR analyses of the genomic DNA revealed that BACHD mice have tandem integrates of about 5 copies of the BAC transgene, and quantitative reverse transcriptase PCR (qRT-PCR) analyses using 2-month old brain RNA revealed that BACHD mice express fl-mhtt at about 3-fold the mRNA level of the endogenous Hdh at the mRNA level. To assess mhtt protein expression, we first performed Western blot analyses using the 1C2 antibody, which showed that BACHD mice ubiquitously express fl-mhtt (about 350 kD) at comparable levels in the cortex, striatum, and cerebellum (Fig. 1B). Upon longer exposure, we detected a small amount of mhtt N-terminal fragments containing the expanded polyQ repeat in the 2-month old BACHD brains, however these mhtt fragments were a minority species compared to fl-mhtt (Fig. 1C). To visualize expression of both fl-mhtt and the endogenous wildtype murine htt, we used the mAb2166 antibody, which is able to detect both proteins, with mhtt migrating as a slightly higher molecular weight band than the wildtype murine htt due to the glutamine repeat expansion. Since the mAb2166 antibody is known to bind more strongly to wildtype htt than to mhtt (Wheeler et al., 2000), we cannot precisely quantitate the mhtt protein level in BACHD mice. However, based on the relative affinity of this antibody to mutant and to wildtype htt in Hdh-Q111 knockin mice (ibid), and from multiple mAb2166 Western blots (Fig. 1B, 1D), we estimate the expression level of mhtt protein in BACHD mice to be about 1.5 to 2 fold the level of endogenous htt. In addition, the BACHD-L line mice also express the mhtt protein, although at a much lower level than the BACHD mice as revealed by both 1C2 and mAb2166 (Fig. S2A,B). Finally, to demonstrate that BACHD mice express functional mhtt in an endogenous-like expression pattern (at least during embryonic development), we bred BACHD mice onto the Hdh null background (Zeitlin et al., 1995). The BACHD transgene was able to rescue the embryonic lethality of the Hdh null mice in a Mendelian ratio: there are 6 rescued mice (BACHDTg/+/Hdh-/-) out of a total of 53 mice born (an observed rate of 11.3% as compared to the expected rate of 12.5%); and we did not observe any Hdh-/- mice born without the BACHD transgene (an observed rate of 0 % as compared to the expected rate of 12.5%). Furthermore, Western blot analyses with mAb2166 revealed that rescued mice expressed only mhtt and not murine wildtype htt (Fig. 1D). These results demonstrate that fl-mhtt is properly expressed in BACHD mice and it retains all of the essential functions of wildtype htt during development.
Both germline and somatic repeat instability is a feature of triplet repeat disorders including HD (Pearson et al., 2005), and has been observed in mouse models of these disorders (Mangiarini et al., 1997; Kennedy et al., 2003; Watase and Zoghbi, 2003; Wheeler et al., 2003). Somatic repeat expansion in HD is shown to be more pronounced in the vulnerable cortical and striatal neurons in HD mice (Kennedy and Shelbourne, 2000; Ishiguro et al., 2001) and in HD patients (Shelbourne et al., 2007), and may be dependent on an age-dependent oxidation-DNA damage repair cycle (Kovtun et al, 2007). Therefore, these results prompted the hypothesis that somatic repeat expansion in HD may be critical to disease onset and/or selective neuropathogenesis in the disorder (Kennedy and Shelbourne, 2000). One strategy to test whether somatic repeat instability is necessary for the pathogenesis of selective neuropathology is to develop a mouse model which expresses full length mhtt with a stable polyQ repeat.
The polyQ repeat in mhtt in the BACHD mouse model was generated using a mixed CAA-CAG repeat from the reiteration of the CAA CAG CAG CAA CAG CAA sequence, which encodes a pure polyQ stretch (Kazantsev et al., 1999). Polyglutamine repeats with interruptions of the CAG repeat have been shown to be stable in vivo (Pearson et al., 1998; Choudhry et al., 2001; Dorsman et al., 2002). We used established methodology, GeneMapper scanning plus sequencing, to analyze the CAA-CAG repeat lengths in BACHD mice (Mangiarini et al., 1997; Manley et al., 1999; Kovtun et al., 2007). We demonstrated that BACHD mice consistently show repeat lengths of 97 CAA-CAG repeats in the germline from both maternal and paternal transmissions (Fig. 2A, 2E). These mice do not exhibit any repeat expansion or retraction as demonstrated by a single sharp peak obtained from GeneMapper analysis (Fig. 2A). Furthermore, when we examined repeat lengths in DNA from the cortex (Fig. 2B), striatum (Fig. 2C) and cerebellum (Fig. 2D) of BACHD mice at 12 months of age, we always detected a single peak with 97 CAA-CAG repeats which is the same as the repeat length observed in the germline (Fig. 2E). Thus, we conclude that the polyQ repeat length in BACHD mice is stable both in the germline and in aged somatic brain tissues at 12 months of age. The stable polyQ repeat in the BACHD model, as predicted by the nature of its mixed CAA-CAG repeat, provide us an opportunity to address whether somatic repeat instability would be necessary to elicit HD-like disease pathogenesis by fl-mhtt in vivo.
An important clinical feature of HD is late-onset and progressive motor deficits. However, even years before the onset of overt motor deficits, such as chorea, HD patients exhibit subtle motor and cognitive deficits (Brandt et al., 1995; Smith et al., 2000). We performed repeated testing of BACHD and wildtype mice at 2, 6, and 12 months of age to assess their motor performance and learning using the accelerating rotarod paradigm (Clark et al., 1997). A general linear model ANOVA with repeated measures (SPSS 14.0) revealed an effect of genotype on performance (over the 3 day testing period) at 2 months (F1,62=10.5, p<0.003), 6 months (F1,51=34.61, p<0.0001), and 12 months of age(F1,23=74.03, p<0.0001). At 2 months of age BACHD mice exhibited a subtle but significant decrease in rotarod performance in multiple trials when compared to wildtype mice (Fig. 3A, p<0.04, Student’s t test). When the same cohort of mice were tested on the rotarod at 6 months of age, BACHD mice performed significantly worse than wildtype mice in all trials examined (p<0.004, Student’s t test) (Fig. 3B). The significant decrease in rotarod performance of BACHD mice as compared to wildtype mice was maintained at 12 months of age for all trials examined (p<0.003, Student’s t test) (Fig. 3C). As shown in Fig. 3D, when comparing rotarod performance over time (2, 6, and 12 months of age), BACHD mice showed a significant progressive decline in performance as they aged (one-way ANOVA, F2,82=20.103, p<0.0001). Tukey-HSD post hoc tests reveal a significant decrease in performance from 2 to 6 months (p<0.0001) and 2 to 12 months (p<0.0001). In contrast, there was no significant overall time effect on rotarod performance for wildtype controls (F2,57=2.362, p=0.104), suggesting the wildtype mice can maintain the same level of performance as they age. Repeated measures ANOVA analysis (average of day 3 trials at 2, 6, and 12 months of age) revealed a significant effect of age (F2,46=3.327, p<0.05) and genotype (F1,23=41.05, p<0.0001) on rotarod performance; in addition, ANOVA analysis also revealed a significant genotype and age interaction (F2,46=10.017, p<0.0001). Taken together, these data demonstrate that BACHD mice have progressive and robust rotarod deficits.
Since previous studies revealed that overexpression of both mutant and wildtype htt in YAC transgenic mice leads to increased body weight (Van Raamsdonk et al., 2006), and body weight could be a factor influencing rotarod performance (McFadyen et al., 2003), we examined the relationship between weight and rotarod performance in BACHD mice. Similar to YAC mice, we found that BACHD mice have significant weight gain an average of 20-30% compared to wildtype controls between 2 and 6 months of age (Fig. S1A; p< 0.001, Student’s t test), and they maintain this weight gain between 6 and 12 months. However, we found that the rotarod performance in this cohort of BACHD mice at 6 months is not significantly correlated with weight (Fig. S1B, R2=-0.0275, p=0.184). Furthermore, using an established method to identify the subset of mutant mice within the normal weight range (within two standard deviations of the wildtype mouse weight (Kernie et al., 2000), we found that this subgroup of BACHD mice performed comparable to those BACHD mice with weight gain, and both sub-groups performed significantly worse than the wildtype controls (Fig. S1C, p<0.001, Student’s t test). Therefore, we conclude that while BACHD mice experience weight gain the weight changes do not correlate with the rotarod deficits in this cohort of mice. In summary, our data demonstrate that BACHD mice exhibit progressive motor deficits, a key clinical feature of HD.
While the mhtt protein is ubiquitously expressed in the brain, the neuropathology in HD is remarkably selective, where dramatic and robust atrophy and neuronal cell loss is seen in the caudate/putamen and to a lesser extent in the cortex (Vonsattel et al., 1985; Vonsattel and DiFiglia, 1998). In addition atrophy and cell loss has also been described in the hypothalamus and hippocampus (Kremer et al., 1991; Spargo et al., 1993; Kassubek et al., 2004; Petersen et al., 2005). We evaluated the neuropathology in BACHD brains at 6 and 12 months of age. At 6 months of age, using multiple assays, including brain weight and stereological volume measurement of the cortex and striatum, we did not detect any significant differences between BACHD mice and wildtype littermates (data not shown). At 12 months of age, the majority of BACHD brains were visibly atrophic compared to those of the wildtype littermate controls upon gross examination (Fig. 4A and B). When we compared brain weight, we found that the forebrain (whole brain minus the cerebellum and olfactory bulb) of BACHD mice weighed 20% less than that of the controls (wildtype=0.446g, n=10; BACHD=0.356g, n=13; p<0.001, Student’s t test) but the cerebellar weight was comparable between the two genotypes (wildtype=0.130, BACHD=0.134; p= 0.25, Student’s t test). Therefore, despite widespread expression of fl-mhtt, BACHD mice exhibit a pattern of selective brain atrophy similar to that of the HD patients.
To further quantify the magnitude of cortical and striatal atrophy in BACHD brains, we used unbiased stereology to determine the cortical and striatal volume in 6 and 12 month old BACHD mice (Menalled et al., 2002). We did not find a significant difference in the cortical or striatal volumes between 6 month old BACHD and wildtype controls (n=5 per genotype). However, at 12 months of age, BACHD brains exhibited a robust decrease in both the cortical volume (BACHD= 3.6 × 1010 μm3, wildtype=5.2 × 1010 μm3, 32% of wildtype controls, p<0.002, Student’s t test; n=7 per genotype) and striatal volume (BACHD=1.25 × 1010 μm3, wildtype=1.74 × 1010 μm3, 28% of wildtype controls; p<0.02, Student’s t test; n=7 per genotype). This result demonstrates that BACHD mice have late-onset, atrophy of the cortex and striatum. HD neuropathology is also characterized by neurodegeneration primarily targeting the striatal medium spiny neurons (MSNs) (Vonsattel and DiFiglia, 1998). As a pathological marker of this neurodegenerative process, dying striatal neurons in the brains of HD patients and HD mice can be identified by electron microscopy (EM) as darkly-stained (by osmium), atrophic neurons that lack clear morphology of the subcellular organelles (Davies et al., 1997; Yu et al., 2003). These dark degenerating neurons can also be identified by toluidine blue staining of semi-thin (1.5μm) brain sections (Davies et al., 1997; Hodgson et al., 1999; Wheeler et al., 2002). We used these techniques to examine BACHD striata for evidence of neurodegeneration at 12 months of age. We first performed EM analyses using 12 month old BACHD brains and wildtype controls (n=2 per genotype), and consistently found the presence of degenerating dark neurons in the cortices and striata of the BACHD mice, but not in the wildtype control mice (Fig. 5A,B). To further quantify the extent of dark neuron degeneration in the striatum, we used toluidine blue staining of semi-thin striatal brain sections from 12 month old BACHD and wildtype littermates (n=5 per genotype). We examined neurons in the lateral, medial, and dorsal areas of the striata of all mice. Semi-thin striatal sections from the wildtype mice rarely had darkly stained neurons, with the vast majority of the cells exhibiting normal morphology (Fig. 5C). Semi-thin sections of BACHD mice consistently contained numerous neurons with dark toluidine blue staining and atrophic morphology (Fig. 5D). In BACHD brains, the lateral striatal region was the most affected, and the medial and dorsal regions exhibited only a few dark neurons. Remarkably, in the lateral striata of BACHD mice, about 14 % of the total neurons counted were dark neurons (387/2781, n=5 BACHD mice), which was significantly higher than the number in wildtype control mice (0.34% or 10/2876, n=5 wildtype mice; p<0.003, Student’s t test). Finally, to assess the striatal neuronal loss, we used unbiased stereology to count the number of NeuN + striatal neurons in 12-month old BACHD and control mice. We did not find any significant difference in the number of striatal NeuN positive neurons between BACHD and control mice (BACHD: 2,129,025±56400; wildtype: 2,037,701±82031; n=5 per genotype; p=0.39, Student’s t test), suggesting that BACHD striatal medium spiny neurons are degenerating (i.e. atrophy and dark neurons) but have not yet been lost at this age. In summary, BACHD mice recapitulate HD neuropathology, as evidenced by selective cortical and striatal atrophy and significant striatal dark neuron degeneration.
Progressive aggregation of mhtt is another pathological hallmark of HD mice and HD patients (DiFiglia et al., 1997; Gutekunst et al., 1999; Kuemmerle et al., 1999). In adult-onset HD patients, mhtt aggregation patterns consist predominantly of large neuropil aggregates (NAs, also known as dystrophic neurites; ibid), with only a small percentage of aggregates present in the nucleus (called nuclear inclusions or NIs; ibid). Interestingly, this nuclear versus cytoplasmic distribution of mhtt aggregates in the cortex is opposite in juvenile-onset HD patients, with NIs being the predominant species (DiFiglia et al., 1997). Furthermore, a greater number of large aggregates are observed in the cortex of both juvenile- and adult-onset HD brains when compared with the striatum (DiFiglia et al., 1997; Gutekunst et al., 1999). Previous studies of mhtt aggregation in full length mhtt expressing mouse models (i.e. YAC models and Hdh-KI mice) revealed early and selective diffuse nuclear accumulation of aggregated mhtt, as detected by the EM48 antibody, in the striatum and cortex by 6 months of age (Hodgson et al., 1999; Li et al., 2000; Wheeler et al., 2000; Menalled et al., 2002; Slow et al., 2003; Van Raamsdonk et al., 2005).
To determine whether mhtt aggregation patterns in BACHD brains reproduce the pattern seen in HD patient brains, we used the polyclonal EM48 antibody to stain 6-, 12-, and 18- month old BACHD and wildtype brains. To our surprise, EM48 failed to detect obvious or diffuse nuclear mhtt accumulation in the striata or cortices of the BACHD mice at any age examined (Fig. 6A-F). However, under the same staining conditions, we could readily detect nuclear accumulation of mhtt by EM48 staining in 12 month old YAC128 mice (Fig. 6I) and in an mhtt-exon1 mouse model developed in our lab (Gu et al, 2005; 2007). Instead, in BACHD brains at both 12 and 18 months but not at 6 months of age, we detected large mhtt inclusions (up to 2.5 μm in diameter) in the deep cortical layers, smaller inclusions (0.5-1.5 μm in diameter) in the upper cortical layers, and very few tiny aggregates (<1 μm in diameter) in the striatum (Fig. 6 E, H). Overall, the frequency of aggregates is higher in the cortex than in the striatum: on average, we detected about 1 aggregate per 1000 μm2 in the cortex and 0.3 aggregates per 1000 μm2 in the striatum. We quantified the relative subcellular distribution of these aggregates in the neuropil (NAs) versus the nucleus (NIs) by double staining the 12 and 18 month old brain sections with Hematoxylin (staining the nucleus) and EM48 (Fig. 6G,H). We found that at both 12 and 18 months, approximately 93 % of the aggregates were NAs and only about 7 % were NIs in both the cortex and striatum (Fig. 6J, K). This subcellular distribution pattern of mhtt aggregation, particularly in the BACHD cortex, resembles what has been observed in adult-onset HD (DiFiglia et al., 1997; Gutekunst et al., 1999). In addition to the cortex and striatum, occasional EM48 + neuropil aggregates were also detected in the globus pallidus and substantia nigra of BACHD animals, but they were not detected in other brain regions such as the cerebellum and brain stem (data not shown). In summary, the BACHD model demonstrates progressive accumulation of mhtt aggregates, and it reproduces a mhtt aggregation pattern that is reminiscent of that in adult-onset HD. Since overall BACHD mice have a very low abundance of mhtt aggregation in the striatum, and lack striatal nuclear translocation of EM48 (+) mhtt, our data suggests that progressive and selective nuclear translocation and accumulation of EM48 (+) mhtt is not necessarily associated with the pathogenesis in BACHD mice.
When generating transgenic mice it is important to characterize independent lines of mice to ensure that the phenotypes identified in one line are not merely due to consequences of transgene integration. To that end, we performed behavioral and neuropathological analyses of another mouse line, the BACHD-L line. Western blot analyses with 1C2 and mAb2166 antibodies show that BACHD-L mice express predominantly full-length mhtt, but at a level that is about one third of that of the BACHD line in three brain regions, the cortex, striatum, and cerebellum (Fig. S2A, B). To determine if there were any motor deficits present in the BACHD-L mice, we performed rotarod analysis on these mice. At 2 months of age, rotarod performance of BACHD-L mice was comparable to their wildtype littermates. However, at 6 months of age, over the three days of repeated testing there are significant genotype differences between BACHD-L mice and wildtype littermates (F=5.328, p=0.035) (Fig. S2C,D). We next performed EM48 analyses to determine if the adult-onset pattern of mhtt aggregation, a key distinguishing phenotype in BACHD mice compared to the previous fl-mhtt mouse models, could be replicated in BACHD-L line. As shown in Figure S1 E-H, our examination shows 12 month old BACHD-L brains have only a few small aggregates predominantly in the neuropil in the cortex and very tiny aggregates in the striatum, and we did not detect any diffuse EM48 + nuclear translocation of mhtt in either the cortex or the striatum. Thus, the EM48 staining pattern in BACHD-L line resembles the adult-onset HD pattern as seen in BACHD mice, albeit the size and load of mhtt aggregates is much less compared to BACHD as a result of lower level fl-mhtt expression in this line. Preliminary analyses of brain weight in BACHD-L line at 12 months did not yet reveal forebrain atrophy (data now shown), suggesting the neurodegenerative process in this model with lower level of mhtt expression is likely to be much slower than BACHD mice. In addition, the BACHD-L line exhibits an increase in weight when compared to wildtype siblings at 2 mth of age (BACHD-L=27.4g, wildtype=25.3g, p<0.05; Fig. S2I). However the percent weight gain in BACHD-L line mice (2 mth= 8%, 6 mth 14% increase over wildtype siblings) is less than what is seen in BACHD mice (2 mth=21%, 6 mth 33% increase over wildtype). Taken together, this data suggests that even though the BACHD-L line of mice expresses a much lower level of the full-length mhtt protein, these mice exhibit progressive rotarod deficits and replicate the adult-onset pattern of mhtt aggregation displayed by the BACHD mice, thus providing independent validation of several key phenotypes in the BACHD mice.
Next we performed biochemical analyses to determine whether BACHD mice have comparable levels of soluble mhtt fragments as compared to one of the previous fl-mhtt models, YAC128 mice; and furthermore, whether progressive accumulation of such non-aggregated mhtt N-terminal fragments is a pathogenic feature of BACHD mice. Previous studies revealed that transfected primary neurons containing diffusely expressed mhtt fragments had an increased risk of death as compared to transfected neurons containing mhtt inclusions (Arrasate et al., 2004). PolyQ-containing mhtt N-terminal fragments, as detected by 1C2 antibody, have been shown to progressively accumulate in an Hdh-KI mouse model in vivo (Zhou et al., 2003). We first compared mhtt fragments in 12 month old BACHD and YAC128 mice. As shown in Figure S3, with the 1C2 antibody, BACHD and YAC128 mice both express predominantly fl-mhtt, but they both have a small amount of mhtt fragments. This result is consistent with the interpretation that the mhtt N-terminal polyQ fragments may contribute to disease pathogenesis in both BACHD and YAC128 mice.
We then performed a series of Western blot analyses to examine whether BACHD mice exhibit progressive nuclear or cytoplasmic accumulation of mhtt N-terminal fragments over the course of disease, as previously observed in Hdh-KI mice (ibid). We performed Western blot analyses on cortical and striatal extracts using the S830 antibody, an anti-mhtt-exon 1 antibody which detects both soluble and certain aggregated mhtt N-terminal fragments, but not wildtype murine htt on Western blots (Benn et al., 2005). Analyses were performed on both the soluble fraction and the 10% SDS-soluble fraction. In the latter fraction, 10% SDS was shown to solubilize a substantial amount of mhtt aggregates from patient brain tissue (Huang et al., 1998). At both 2 and 12 months of age, we detected predominantly fl-mhtt and a small amount of mhtt N-terminal fragments in the BACHD cortex and striatum (Fig. 7A,B). We did not detect a significant amount of aggregated mhtt in the wells, which is consistent with the low mhtt aggregate-load in these mice (Fig. 6B,E). We next performed nuclear and cytoplasmic fractionation of the BACHD brains at 2, 6, and 12 months of age followed by Western blotting with the 1C2 antibody to determine if any polyQ-containing mhtt N-terminal fragments accumulated over time. As shown in Fig. 7, at all ages tested and in both the cortex and striatum, we detected predominantly fl-mhtt in the cytoplasm and a small amount of fl-mhtt in the nucleus. We did not detect progressive nuclear or cytoplasmic accumulation of any polyQ-containing mhtt N-terminal fragments up to 12 months of age with the 1C2 antibody. When we re-probed the same blot with mAb2166 (Fig. 7 E and F & Fig. S4), we were unable to detect any mhtt fragments unique to BACHD mice. We could detect some bands in the range of 55-64 kDa in both the wildtype and BACHD cortices and striata, which may change in abundance between 2 and 12 months in the mutant cortices (Figure 7E). However, our interpretation is that these fragments are not polyQ-containing mhtt N-terminal fragments for the following reasons. First, the abundance of these fragments is comparable between wildtype and BACHD cortices at 12 months (ibid). Second, we do not detect any accumulation of such mhtt polyQ fragments in the same molecular range with the 1C2 antibody over time (Figure 7C). However, our current analyses do not permit us to definitely address whether these mAb2166-positive fragments may have any pathogenic significance in BACHD mice.
In summary, our biochemical analyses provided evidence that BACHD mice have a small amount of polyQ-containing mhtt N-terminal fragments that may contribute to disease pathogenesis, but these polyQ-containing toxic mhtt fragments do not exhibit progressive nuclear or cytoplasmic accumulation prior to the onset of selective neuropathology. Since our data demonstrated a relatively small amount of fl-mhtt and wildtype htt in the nucleus, it suggests that fl-htt may have a normal nuclear function, and the relatively steady-state low level of nuclear mhtt could also play a pathogenic role in HD.
Existing mouse models of neurodegeneration suggest that neuronal dysfunction often precedes neurodegeneration and may provide important clues regarding the nature of early pathogenic mechanisms that trigger late-onset degeneration. In BACHD mice, we have already demonstrated robust motor deficits in rotarod performance at 6 months of age that precede the onset of selective neuropathology at 12 months. We examined basic electrophysiological and synaptic properties in 6 month old BACHD mice for direct evidence of neuronal dysfunction. We performed voltage and current clamp recordings of striatal MSNs using patch pipettes in acute brain slices from wildtype and BACHD mice. There were no significant differences in passive membrane properties (capacitance, input resistance or time constant) or resting membrane potentials (RMPs) in MSNs from wildtype (n=22) and BACHD (n= 19) mice (data not shown). Neurons from both groups of mice displayed typical inward rectification (Fig. 8A). In contrast, there were significant differences in the occurrence of spontaneous inward currents. The overall frequency of spontaneous EPSCs (holding potential -70 mV) was slightly reduced in MSNs from BACHD compared to wildtype mice (1.8 ± 0.21 and 2.3 ± 0.26 Hz respectively, Fig. 8B), but the difference was not statistically significant (p=0.16). However, analysis of amplitude-frequency histograms of spontaneous currents revealed that a number of medium- to large-amplitude bins displayed significantly reduced frequencies in cells from BACHD mice (Fig. 8C). When grouped together, the difference in frequency of events >20 pA was significantly reduced in BACHD compared to wildtype mice (Fig. 8C inset, p<0.01). Cumulative inter-event interval distributions, a measure of release probability, were not different between cells from wildtype and BACHD mice (Fig. 8D). In contrast, the relative probability of occurrence of small-amplitude events was significantly greater in cells from BACHD compared to wildtype mice (Fig. 8E) which is expected since there was a significant decrease in larger amplitude events. These results suggest that the excitatory input to the striatal MSNs is altered very early in the BACHD brains, and it is possible that this early neuronal dysfunction may underlie some of the motor deficits observed in this model.
Since BDNF is a well-known molecular player in modulation of synaptic transmission and plasticity (Lu, 2003) and axonal transport (Baquet et al., 2004; Gauthier et al., 2004) and cortical BDNF expression (Zuccato et al., 2001) is affected in existing HD mice and HD patients, we examined whether an alteration of cortical BDNF expression might be an early phenotype in the BACHD brains. We performed quantitative RT-PCR analyses using RNA derived from BACHD cortices at 6 months of age, and we found a robust 50% reduction of cortical BDNF transcripts, which is significant compared to that in the wildtype controls (Fig. 9, p < 0.05, Student’s t test). Our results suggest that a reduction in cortical BDNF transcription is an early and robust feature of the BACHD model. Taken together, both the striatal electrophysiological studies and cortical BDNF expression analyses provide direct evidence that early cortical and striatal neuronal dysfunction coincides with the occurrence of motor deficits, and may contribute to the late onset selective neuropathogenesis in BACHD mice.
We next asked whether BACHD could be used as a robust preclinical mouse model of HD expressing fl-mhtt. To facilitate preclinical studies in HD, a mouse model should have phenotypes that not only recapitulate key features of disease (i.e. selective neuropathology) but are also robust with low phenotypic variability. Using the data obtained from the characterization of the BACHD mice, we have performed power analyses to estimate the number of mice that would be required in order to observe a rescue of some of the disease relevant parameters identified in the BACHD mice. BACHD mice demonstrated significant rotarod deficits at 6 months of age without overt neuropathological changes. Power analysis showed that a sample size of only 22 BACHD mice per treatment group (i.e. drug treatment or vehicle controls) is necessary to have 80% power of detecting a modest therapeutic benefit (i.e a 30% rescue of the rotarod deficit at 6 months of age; Fig. 10A, E). In addition to the behavioral assessment after therapeutic intervention, neuropathological assessment is also necessary. Power analysis demonstrated that to have an 80% chance to detect a 30% rescue of the striatal dark neuron degeneration phenotype we would only need to use 14 BACHD mice per treatment group (Fig. 10B, E). Furthermore, to have an 80% chance to observe a 30% rescue of the cortical and striatal volumes, we would only need to use 5 and 11 mice per treatment group respectively (Fig. 10C,D,E). In the neuropathological measures, a standard deviation of 15-20% can be expected. Thus, the power analyses reveal that BACHD mice exhibit robust behavioral and neuropathological outcomes, demonstrating BACHD is a suitable fl-mhtt mouse model for HD preclinical studies.
We have developed a novel human fl-mhtt expressing transgenic mouse model of HD to study disease pathogenesis and to test preclinical candidates. BACHD mice express functional human fl-mhtt under the control of its endogenous regulatory machinery and recapitulate several key phenotypic features of HD, including progressive motor deficits, late-onset and relatively selective neuropathology in the cortex and striatum with no change in cerebellum, and a pattern of mhtt aggregation reminiscent of that in adult-onset HD. Several salient phenotypic features of BACHD mice, including progressive motor deficits and an adult-onset pattern of mhtt aggregation, can be replicated in the independent BACHD-L line. The BACHD-L mice have a milder phenotype than BACHD mice due to their lower level of fl-mhtt expression. Our power analyses on the key behavioral and neuropathological outcomes provide strong evidence that BACHD mice could be used as a novel and robust preclinical fl-mhtt mouse model for HD. One phenotype of BACHD mice, the body weight gain, is not a clinical feature of HD since HD patients often exhibit weight loss after disease onset. Since overexpression of both human mutant and wildtype htt in the YAC models (i.e. YAC128 and YAC18) also result in weight gain as in BACHD mice (Van Raamsdonk et al., 2006), the weight gain phenotype in these mice is likely due to the dose-dependent increase of htt function. This is further supported by the comparison of the BACHD and BACH-L lines where BACHD mice weigh more than the lower expressing BACHD-L line mice. Previous analyses of the YAC mice showed that HD-related neuropathology only occurs in the mice expressing mhtt but not those expressing the wildtype htt (ibid), demonstrating the weight gain is not causally related to the HD-like phenotypes in these mice. Consistent with this interpretation, our current analyses reveal that the rotarod deficits in BACHD mice are not correlated with weight gain, and significant and selective HD-like neuropathology (including selective brain atrophy and adult-onset HD pattern of mhtt aggregation) can occur in aged BACHD brains despite the body weight phenotype. Therefore, we conclude that the HD-like phenotypes in BACHD mice are due to the pathogenic effects of mhtt, and are not due to the dosage-dependent effects of increasing htt function (i.e. weight gain). In summary, our phenotypic analyses demonstrate that BACHD mice are a novel and robust paradigm to study the pathogenic effects of fl-mhtt in vivo and to test preclinical candidates.
The analyses of BACHD mice provided novel insights into the role of somatic repeat instability in selective neuropathogenesis in HD. Prior studies of Hdh knock-in mice (Kennedy and Shelbourne, 2000; Ishiguro et al., 2001) and a recent study in HD patients (Shelbourne et al., 2007) have implicated somatic CAG repeat expansion in selective neuronal vulnerability in HD, since the expansion is more dramatic in the striatum and less so in the cerebellum. A recent study also reveals that the CAG repeat expansion in the mouse brains appears to be due to an age-dependent repair of oxidized DNA base pairs by the excision repair enzyme, OGG1 (Kovtun et al., 2007). This latter study provides a mechanism to support the role of somatic repeat instability in age-dependent disease pathogenesis in HD. Despite these appealing results, more direct genetic studies are needed to address the role of somatic repeat instability in mhtt in the pathogenesis of selective neuropathology in vivo. We believe the BACHD model provides some novel insights into this question. Our results clearly demonstrate that somatic repeat instability is not required for the onset of progressive motor deficits and selective neuropathology in the BACHD model. Our study is consistent with prior studies from other polyQ disease mouse models (i.e. SCA1 and SCA7 mice) suggesting somatic repeat instability in a given region is not correlated with neuropathology (Orr et al., 1993; Libby et al., 2003; Watase and Zoghbi, 2003; Jackson et al., 2005). Although our model argues against the role of somatic instability in selective neuropathogenesis in HD, our data could not exclude the possibility that somatic repeat expansion could be a modifier of disease pathogenesis in vivo.
Our analyses of the BACHD mice also provided novel molecular insights into how mhtt may elicit selective neuropathogenesis in vivo. Studies of previous fl-mhtt mouse models consistently demonstrate an early and selective striatal and cortical nuclear accumulation of aggregated form of mhtt which is stained positive by EM48 (Li et al., 2000; Wheeler et al., 2000; Menalled et al., 2002; Slow et al., 2003). These studies prompted the hypothesis that nuclear accumulation of EM48 + mhtt may be a critical early event required for selective neuropathogenesis in HD (Leavitt et al., 1999; Ross, 2002). Analyses of BACHD and BACHD-L mice do not reveal any diffuse nuclear accumulation of EM48 + mhtt in the cortex or striatum up to 18 months of age. This is not due to any technical issues related to EM48 immunostaining since we can readily detect EM48 nuclear staining in the striata of our mhtt exon1 model (Gu et al., 2005; Gu et al., 2007) and YAC128 mice (Fig. 6I). EM48 staining revealed that BACHD mice exhibit a distribution pattern of mhtt aggregates (i.e. more cortical than striatal and predominantly neuropil and less nuclear) reminiscent of that in adult-onset HD (DiFiglia et al., 1997; Gutekunst et al., 1999). Thus, BACHD is the first fl-mhtt mouse model demonstrating that early striatal and cortical nuclear accumulation of EM48 + mhtt is not necessary for selective neuropathogenesis. This result clearly emphasizes the important contribution of cytoplasmic full length and fragmented mhtt in HD pathogenesis, but our biochemical analyses consistently reveal a small fraction of mhtt in the nucleus, hence suggesting the nuclear mhtt may also be pathogenic in our model.
Proteolysis of fl-mhtt to generate toxic mhtt N-terminal fragments has been postulated as a critical mechanism for HD pathogenesis (Ross, 2004; Graham et al., 2006). Our analyses of BACHD mice, particularly the comparison of mhtt fragments in this model with YAC128 mice (Fig. S4), is consistent with the model that the mhtt N-terminal fragments may contribute to the disease pathogenesis in BACHD mice. Since recent studies suggest that the caspase 6-cleavage of fl-mhtt can generate a particular toxic mhtt fragment in vivo (Graham et al, 2006), we have initiated collaboration (with R.K. Graham and M.R. Hayden; and with L.M. Ellerby) to characterize mhtt proteolysis in BACHD mice. Our initial analyses reveal that BACHD brains also have a small amount of caspase-6 cleaved mhtt toxic fragments (data not shown). Although our study is consistent with the potential role of mhtt fragments in HD pathogenesis, our biochemical analyses consistently reveal relatively steady state levels of mhtt N-terminal fragments present in BACHD brains between 2 and 12 months of age. Hence, our study supports a model in which a relatively steady state level of predominantly fl-mhtt and small amount of mhtt toxic fragments are sufficient to initiate selective neuropathogenesis in HD.
Analyses of BACHD mice provide strong evidence that aberrant corticostriatal neuronal interactions may underpin selective neuropathogenesis in HD. Our electrophysiological studies revealed that spontaneous excitatory neurotransmission, in the form of AMPA receptor mediated sEPSCs, are significantly reduced in BACHD striatal neurons at 6 months of age. Although our current study could not precisely determine the cellular origin for such deficits (i.e. cortical neurons vs striatal neurons), it is apparent that abnormal reduction of the glutamatergic communication between the cortical and striatal neurons is an early dysfunction in BACHD mice. This result is consistent with prior studies revealing early dysfunction in cortical inputs and NMDA receptors in striatal neurons long before the onset of neurodegenerative changes in a variety of HD mouse models (Levine et al., 1999; Cepeda et al., 2001; Zeron et al., 2002; Cepeda et al., 2003; Starling et al., 2005). As further support of aberrant corticostriatal interactions in BACHD mice, our study reveals a robust reduction of BDNF expression in BACHD cortex at 6 months of age. BDNF is an important neurotrophic factor in regulating neuronal transmission (Lu, 2003), striatal neuronal survival (Baquet et al., 2004), and has previously been implicated in HD pathogenesis (Zuccato et al., 2001; Gauthier et al., 2004). Our study provides valuable confirmation on the potential role of cortical BDNF reduction in selective striatal pathogenesis in HD. Based on our previous studies in a mhtt fragment model that pathological cell-cell interactions are likely to be important in HD pathogenesis (Gu et al., 2005; Gu et al., 2007), future studies are needed to more precisely define the role of pathological cell-cell interactions in a fl-mhtt mouse model. To this end, the BACHD model is specifically designed to be the first Cre/LoxP conditional mouse model of HD, in which the expression of fl-mhtt can be switched off in any cell type expressing Cre recombinase (data not shown). Future analyses of BACHD mice with fl-mhtt overexpression switched off in specific cell types (i.e. cortical pyramidal neurons or striatal medium spiny neurons) will help to define the roles of cell-autonomous mhtt toxicities and pathological cell-cell interactions in selective neuropathogenesis in HD.
This work was generously supported by grants from the Hereditary Disease Foundation and NINDS/NIH (5R01NS049501 and 1R21NS047391) to X.W.Yang. We would like to thank N. S. Wexler and C. Johnson for support and discussions; Scott Zeitlin (U. Virginia) for the Hdh Knockout mice; G. Bates (U. College London) for the S830 antibody; M. A. Hickey and M.F. Chesselet for advice on mouse behavioral studies; T. Fielder (UCI) for performing the pronuclear microinjections; and members of the Yang Lab for discussions and comments on the manuscript. We would also like to thank R.K. Graham, M.R. Hayden and L.M. Ellerby for sharing unpublished data. M. Gray is supported by the UCLA Mental Retardation Research Center training grants (5T32HD007032) from National Institute of Child Health and Human Development), and by the UCLA Center for Neurobehavioral Genetics Training Grant (5T32NS048004 from NINDS).