PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of nihpaAbout Author manuscriptsSubmit a manuscriptNIH Public Access; Author Manuscript; Accepted for publication in peer reviewed journal;
 
Neurobiol Dis. Author manuscript; available in PMC Jan 1, 2013.
Published in final edited form as:
PMCID: PMC3225509
NIHMSID: NIHMS325181
Core features of frontotemporal dementia recapitulated in progranulin knockout mice
N. Ghoshal,a J.T. Dearborn,b D.F. Wozniak,b and N.J. Cairnsac
aDepartment of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA
bDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA
cDepartment of Pathology & Immunology, Washington University School of Medicine, St. Louis, MO 63110, USA
Corresponding author: Nupur Ghoshal, MD, PhD, Charles F. and Joanne Knight Alzheimer's Disease Research Center, Department of Neurology, Washington University School of Medicine, 4488 Forest Park Avenue, Suite 101, St. Louis, MO 63108, Tel: 1-314-286-2683, Fax: 1-314-286-2448, ghoshaln/at/neuro.wustl.edu
Frontotemporal dementia (FTD) is typified by behavioral and cognitive changes manifested as altered social comportment and impaired memory performance. To investigate the neurodegenerative consequences of progranulin gene (GRN) mutations, which cause an inherited form of FTD, we used previously generated progranulin knockout mice (Grn-/-). Specifically, we characterized two cohorts of early and later middle-age wild type and knockout mice using a battery of tests to assess neurological integrity and behavioral phenotypes analogous to FTD. The Grn-/- mice exhibited reduced social engagement and learning and memory deficits. Immunohistochemical approaches were used to demonstrate the presence of lesions characteristic of frontotemporal lobar degeneration (FTLD) with GRN mutation including ubiquitination, microgliosis, and reactive astrocytosis, the pathological substrate of FTD. Importantly, Grn-/- mice also have decreased overall survival compared to Grn+/+ mice. These data suggest that the Grn-/- mouse reproduces some core features of FTD with respect to behavior, pathology, and survival. This murine model may serve as a valuable in vivo model of FTLD with GRN mutation through which molecular mechanisms underlying the disease can be further dissected.
Keywords: Frontotemporal lobar degeneration, frontotemporal dementia, knockout mouse, neurodegeneration, social behavior, memory, ubiquitin, progranulin
Frontotemporal dementia (FTD) represents 5-20% of all dementia cases and is the second most frequent dementia in people under the age of 65 years (Neary et al., 1998). Frontotemporal lobar degeneration (FTLD), the pathology causing FTD, is heterogeneous. Three FTD phenotypes are recognized: behavioral variant FTD (bvFTD), primary progressive aphasia (PPA) and semantic dementia (SD); these are initially characterized by changes in behavior, personality, and language with dementia and parkinsonism appearing late in the disease (McKhann et al., 2001). Behavioral changes include altered social comportment, lack of motivation, withdrawal, and apathy. Memory deficits are manifested by impaired social learning and memory performance. Dominantly inherited FTD comprises 5-10% of all FTD cases, with mutations in the progranulin gene (GRN) accounting for 53% of familial FTD (http://www.molgen.ua.ac.be/FTDMutations). Mutations in the progranulin gene co-segregate with affected individuals in these kindreds and have also been identified in cases of sporadic FTD (Baker et al., 2006; Cruts et al., 2006; Gass et al., 2006; Mesulam et al., 2007; Mukherjee et al., 2006). The pathology of FTLD with GRN mutation is characterized by focal atrophy of the frontal and temporal lobes and the striatum is frequently affected. Microscopy reveals the signature lesions of all FTLD entities: neuronal loss, gliosis, and ubiquitin-immunoreactive neuronal inclusions in affected areas. The pathological protein of the ubiquitinated inclusions in FTLD with GRN mutation has been identified as the TAR DNA-binding protein of 43 kDa (TDP-43) and TDP-43-positive aggregates are found at four sites: neuronal cytoplasmic inclusions (NCI), neuronal intranuclear inclusions (NII), dystrophic neurites (DN), and glial cytoplasmic inclusions (GCI) that are negative for tau, α-synuclein, β-amyloid and FUS (Cairns et al., 2007; Mackenzie et al., 2010).
Progranulin is a 593 amino acid precursor protein, which is further processed to 6 kDa active peptides called granulins (Bateman and Bennett, 2009). In the periphery, intact progranulin is a secreted growth factor that causes tumorigenicity when overexpressed and impaired cell growth and proliferation when less abundant (Bateman and Bennett, 2009). Moreover, progranulin and the granulins appear to have opposing effects. Progranulin functions are trophic and anti-inflammatory, whereas the granulins exhibit pro-inflammatory activity (Bateman and Bennett, 2009). However, the physiologic function of progranulin in the CNS or the mechanism by which it leads to neurodegeneration remain open questions. Most progranulin mutations introduce a premature termination codon leading to nonsense-mediated decay with resultant absence of the mutant GRN transcript. This loss of functional GRN implicates a haploinsufficiency mechanism for neurodegeneration (Bateman and Bennett, 2009).
Since the discovery of progranulin mutations in 2006 (Baker et al., 2006; Behrens et al., 2007; Cruts et al., 2006; Gass et al., 2006; Mesulam et al., 2007; Mukherjee et al., 2006), there has been an interest in developing mouse models of progranulin deficiency with the expectation that aspects of the FTD phenotype will be exhibited by the mice. In 2007, the first Grn knockout mice were simply generated by homologous recombination (exons 2-13 removed) and were described by Kayasuga and colleagues (Kayasuga et al., 2007). These Grn knockout mice are born with an expected Mendelian distribution and appear to grow and develop normally. Young 7-11 week old Grn knockout males exhibited enhanced aggressiveness and anxiety (Chiba et al., 2009; Kayasuga et al., 2007). In the current study, we used these mice to investigate the neurodegenerative consequences of GRN mutations. Specifically, we characterized two cohorts of early and later middle-age wild type (Grn+/+) and knockout (Grn-/-) mice using a battery of tests to assess neurological integrity and behavioral phenotypes analogous to FTD. Furthermore, immunohistochemical approaches were used to ascertain the presence of pathologic lesions characteristic of FTLD. Data presented here suggest that the Grn-/- mouse reproduces some analogous aspects of the FTD behavioral and FTLD pathological phenotypes.
Animals
Progranulin knockout mice (Grn-/-) were previously generated by insertion of the neomycin resistance gene into mouse Grn gene replacing exons 2-13 by homologous recombination (Kayasuga et al., 2007). The colony was expanded and maintained on a C57BL/6 background (Jackson Laboratory, Bar Harbor, ME). Grn-/- and Grn+/+ animals were obtained by mating heterozygote animals. Genomic DNA was obtained by tail biopsy at postnatal day 5 and genotyping was confirmed by polymerase chain reaction assay for both the WT (wild type) and KO (knockout) alleles. WT status was determined using the following primer set: 5′-TGCAGATGGGAAATCCTGCTTCCAGATGTC-3′ and 5′-TCCCCACGAACCATCAACCATAATGCAGCA-3′. KO status was determined using the following primer set: 5′-CCAATATGGGATCGGCCATTGAAC-3′ and 5′-CGCTCGATGCGATGTTTCGCTTGG-3′. Mice were housed and cared for in animal facilities administered through the Washington University Division of Comparative Medicine. All animal procedures were performed according to protocols approved by the Washington University Animal Studies Committee.
Experimental design of behavioral studies
The behavioral studies were conducted in two cohorts of mice (Table 1). A 1-h locomotor activity/exploratory behavior test and a battery of sensorimotor measures were administered to the Grn-/- (n=12; 8M, 4F) and Grn+/+ (n=8; 7M, 1F) mice in the first cohort when they were 9-12 months of age. Cognitive testing was conducted at an older age (i.e., 13-16 months; Table 1) so that the mice would be roughly comparable in physiology to middle-aged and older humans (Turnbull et al., 2003). Because of the original report of enhanced aggression in young (7-11 week old) Grn -/- mice (Kayasuga et al., 2007), both groups of mice were assessed for their reactivity to handling three days after completing the sensorimotor battery, and twelve days after that, the resident intruder test was conducted. After an intervening period of four months when the mice were 13-16 months of age, they were tested on the Morris water maze to study their spatial learning and memory capabilities.
Table 1
Table 1
Time lines for behavioral testing of two cohorts of Grn-/- and Grn+/+ mice
To provide enhanced statistical power for evaluating water maze performance and to gain a more even distribution of gender across genotypes, a second independent cohort of mice [Grn-/-: n=14; 4M,10F and Grn+/+: n=12; 4M, 8F] was tested on the water maze task at the same age (13-16 months) and the data from the two cohorts were combined for statistical analyses involving traditional water maze variables (Table 1). An olfactory preference test, the 1-h locomotor activity test, and battery of sensorimotor measures were also administered to this second cohort (Table 1). Mice from the second cohort were also tested on a learning set protocol in the water maze approximately 10 weeks after completion of the traditional water maze testing when they were 16-19 months old (Table 1).
1-hr locomotor activity/exploratory behavior test and sensorimotor battery
Locomotor activity and exploratory behaviors were evaluated in all mice over a 1-h period using computerized photobeam instrumentation as previously described (Wozniak et al., 2004). General activity variables (total ambulations, rearings) along with measures of emotionality, including time spent, distance traveled and entries made in a 33 × 11 cm central zone, as well as distance traveled in 5.5 cm wide peripheral zone around the edge of the chamber were analyzed. All mice were also evaluated on a battery of sensorimotor tests (walking initiation, ledge, platform, 90° inclined screen, inverted screen, and pole) designed to assess balance, strength, and coordination, as previously described (Wang et al., 2002; Wozniak et al., 2004).
Reactivity to handling
Three days after completing testing on the battery of sensorimotor measures, the mice from cohort 1 were assessed on a reactivity to handling test using our previously described procedures (Gallitano-Mendel et al., 2007). A five-point scale was used to rate a mouse during each of 3 sessions with a score of “1” indicating hyporeactivity to handling (little or no resistance to being captured, picked up, and handled) at one end of the scale, and a score of “5” indicating hyper-reactivity to handling (extreme resistance to capture as well as frequent jumping, biting and escape-related behaviors) at the other end (see Gallitano-Mendel et al., 2007 for greater details). Means were computed from the ratings of the three “blinded” evaluators such that each mouse was assigned a single score for each of the three sessions.
Resident-intruder
The resident-intruder test was administered to all male mice in the first cohort (N = 15) using a protocol similar to our previously published methods (Gallitano-Mendel et al., 2008). Males were individually housed for 4 weeks prior to testing. During testing, an unfamiliar male “intruder” was placed in the home cage of a subject mouse. Three 10-minute sessions, (one session on each of three consecutive days), were videotaped and agonistic interactions and other behaviors were scored by a rater who was “blinded” to the genotype of each mouse. An aggression index score was calculated for each mouse on each test day, which was composed of the summated durations of fighting and biting. Measures such as pawing, following, and time spent alone were also quantified.
Holeboard olfactory preference
Grn-/- and Grn+/+ mice in the second cohort (N = 23) were evaluated for possible differences in olfactory preference using our own modified version of a previously published procedure (Moy et al., 2008). Our protocol involves the use of a computerized holeboard apparatus (16 in × 16 in), containing 4 corner and 4 side holes, with a side hole being equidistant between the corner holes (Learning Holeboard; MotorMonitor, Kinder Scientific, LLC, Poway, CA). Pairs of photocells were contained within each hole (27 mm in diameter) and were used to quantify the frequency and duration of pokes. Specifically, a mouse was required to place its head into a hole at a depth of at least 35 mm and break a photobeam in order for the response to be registered as a hole poke. Odorants were placed at the bottom of two opposing corner holes although access to the odorants was blocked. Mice were administered a 1-h trial on each of four test days. The first day involved habituation to the apparatus without the presence of experimental odors. On the second day, fresh corncob bedding was placed in 2 corner holes while all other holes remained empty. This odorant was familiar in that it was used in the home cages of the mice. On the third day, a novel odorant (filter paper impregnated with 2 ml of coconut extract) was placed in 2 of the corner holes. After testing on the third day, mice were exposed to a small amount of fruit-flavored cereal in their home cages. The following day, food was removed from the home cages and after overnight food restriction, a final 1-h trial was administered which involved placing the fruit-flavored cereal in the bottom of 2 corner holes. Holes containing odorants were counterbalanced between and within groups. Dependent variables included total numbers of hole pokes and average number of hole pokes per hole type (odorant vs empty). The latter variable involved dividing the total number of pokes in each type of hole by the number of holes of that type, i.e., 2 odorant or 6 empty holes.
Morris water navigation
Spatial learning and memory were evaluated in the Morris water maze using a computerized tracking system (PolyTrack, San Diego Instruments, San Diego, CA) utilizing procedures similar to those previously described (Wozniak et al., 2004; Wozniak et al., 2007). The protocol included conducting cued (visible platform, variable location), place (submerged, hidden platform, constant location), and probe (platform removed) trials where escape path length and latency, and swimming speeds were calculated for the cued and place trials. [See Supplemental Information for additional details.]
Learning set water maze
Approximately 10 weeks after completion of traditional water maze testing, mice in the second cohort (N=23) were tested on a learning set protocol in the water maze using a procedure similar to one we have used in rats (Hartman et al., 2005). Briefly, mice were trained using methods resembling those utilized during the place condition except that a new platform location was used on each of five consecutive days and no probe trial was administered. On each day, four trials were conducted [60-s maximum; 30-s inter-trial interval (ITI), (15 s on the platform and 30 s in a holding cage)] which were split into blocks of two, with each block being separated by approximately 1 h where the platform location and sequence of starting points were pseudo-randomly varied across test days. Group performances were compared on trial 2 since it represents a measure of short-term working memory where the mouse must recall the platform location on the immediately preceding trial rather than what it had learned previously in the water maze. General acquisition performance was also evaluated by quantifying the daily improvement from trial 1 to trial 4 within each group.
Tissue processing
Animals from different age groups ranging from 10 weeks to 24 months were deeply anesthetized by intraperitoneal injection of ketamine/xylazine cocktail and tissues were fixed by intracardiac perfusion with phosphate-buffered saline (PBS) followed by 4% paraformaldehyde. Brains were harvested and post fixed in 4% paraformaldehyde. After paraffin embedding, coronal sections were cut at 6μm.
Histology
To determine the anatomical distribution of pathology, coronal slices were taken at multiple levels to include: olfactory bulb, cerebral cortex, striatum, hippocampus, dentate gyrus, thalamus, hypothalamus, midbrain, pons, medulla oblongata, and cerebellum. Six um sections were stained with hematoxylin and eosin (H&E) and cresyl violet. Immunohistochemistry was performed on deparaffinized and rehydrated sections. For β-amyloid, phospho-TDP43, phospho-α-synuclein, and casein kinase-1 immunohistochemistry, sections were pretreated with formic acid (98%) to enhance antigen retrieval. Sections were incubated with the following primary antibodies: sheep anti-mouse progranulin (1:600; R&D, Minneapolis, MN), mouse monoclonal phospho-TDP-43 (1:40,000; CosmoBio, Carlsbad, CA), rabbit polyclonal anti-ubiquitin (1:4,000; DAKO, Carpinteria, CA), rabbit polyclonal anti-GFAP (1:1,000; DAKO, Carpinteria, CA), rabbit polyclonal IBA-1 (1:3,000; Wako, Richmond, VA), mouse monoclonal anti-β-amyloid 10D5 (1:100,000; Eli Lilly, Indianapolis, IN), mouse monoclonal PHF-1 (1:500; a gift from Dr. Peter Davies, Albert Einstein College of Medicine, New York, NY), mouse monoclonal phospho-α-synuclein (1:10,000; Wako, Richmond, VA), mouse monoclonal CK-1 (1:250; Chemicon, Temecula, CA), rabbit polyclonal anti-synaptophysin (1:1,000; Abcam, Cambridge, MA), and mouse monoclonal NeuN (1:1,000; Chemicon, Temecula, CA). Species-specific biotinylated secondary antibodies were applied followed by avidin-horseradish peroxidase, and the chromogenic substrate diaminobenzidine tetrahydrochloride (DAB; Vector Laboratories, Burlingame, CA) was used for detection of horseradish peroxidase. To ensure even staining between sections, all sections were stained as a batch. Sections were counterstained with hematoxylin. Additional sections were set aside for quantitative densitometry and were not counterstained.
Estimation of neuron numbers
Stereological counts of NeuN-positive neurons were undertaken in 20μm sections adjacent to those used for quantitative immunohistochemistry (see below). Three sites were investigated: the CA1 subfield of the hippocampus, the cortex extending from the retrospenial granular cortex to the secondary somatosensory cortex, and the dorsal thalamus (including the lateral and medial dorsal thalamus) at Bregma ~ -1.6 (Paxinos and Franklin, 2001). To make unbiased estimates of neuron numbers in the three brain regions, the optical fractionator probe was used, as implemented by the Stereo Investigator software package (MicroBrightField, Williston, VT) and a Nikon E800 microscope with motorized stage in three dimensions. Briefly, a three-dimensional counting probe (x, y, and z dimensions of 50 × 50 × 10 μm, respectively) was applied to a systematic random sample of sites at each of the three sites. The outline of the area of interest was outlined using a 4x objective (cortex: ~4mm2; thalamus: ~2mm2; and CA1 subfield: ~0.2mm2) and the neuron count was determined using a 100× oil immersion lens with a high numerical aperture (NA = 1.40) which allows for the focusing of a thin focal plane inside a thick section. Each NeuN-positive neuron with a visible nucleus and nucleolus was counted as the experimenter focused down through 10 μm of tissue. Variations in section thickness caused by shrinkage during tissue processing restricted the guard border to 1 to 4 μm. Pilot studies determined the variables of Stereo Investigator, including the size of the counting brick and sampling grid, to yield results with a coefficient of error (m = 0) (Gundersen and Jensen, 1987) for the population estimate of 0.05 to 0.1. The volume of the sampling area was estimated using the Cavalieri estimator (Fabricius et al., 2008) and together with the estimate of the total number of neurons obtained from the optical fractionator, an estimate of the neuronal density, Nv (cells/mm3) was obtained.
Quantitative immunohistochemistry of DAB-stained sections
As we used several antibodies with optically continuous staining characteristics (variable grey scale intensities) and heterogeneous morphological features, we employed computerized quantitative densitometric techniques as previously described (Ghoshal et al., 2001; Ghoshal et al., 2002). Quantitation of immunoreactive lesions on non-counterstained sections was undertaken by a single observer (NG) and performed as previously reported (Ghoshal et al., 2001; Ghoshal et al., 2002). Briefly, digital images were captured using a Nikon Eclipse 800 light microscope coupled to a XC30 digital camera (Olympus Imaging America, Center Valley, PA, USA). All sections immunostained with one antibody were analyzed during a single session to minimize changes due to illumination, lamp intensity, or camera setting (Ghoshal et al., 2001; Ghoshal et al., 2002). From each region of interest (hippocampus, cortex, thalamus), digital images representing three non-overlapping fields (0.09mm2) were captured. After each field was captured, the stage was moved manually to a new field using fiduciary landmarks, as determined by differential interference contrast (DIC) microscopy, to ensure non-redundant evaluation. Total immunoreactivity was estimated for each image by using the Set Threshold Function in the AnalySIS imaging software package (Olympus Soft Imaging Solutions, Lakewood, CO, USA). The following light intensity thresholds were selected to maximize the signal-to-noise ratio and were applied uniformly to all digital images: 145 for ubiquitin, 150 for both GFAP and IBA-1. The Phase Analysis function reported the percentage of the entire field that was included within the threshold. This value is equivalent to the total percentage of immunoreactivity present per field.
Statistical analyses
Survival curves for Grn-/-, Grn+/-, and Grn+/+ mice were created using the product limit method of Kaplan and Meier and the Log-rank (Mantel-Cox) Test was used to statistically test survival differences among these genotypes using GraphPad Prism statistical software package (GraphPad Software, Inc., La Jolla, CA, USA). Data from an individual mouse were censored if death was not due to natural causes (e.g., malocclusion, abscesses, or euthanization).
In general, analysis of variance (ANOVA) models were used to analyze the behavioral data. Typically, ANOVA models used for each cohort included one between-subjects variable (Genotype), and one within-subjects variable such as Blocks of Trials. Some models included two within-subjects variables such as trials and test sessions. The between-subjects variable, Gender, was included in the ANOVAs used to analyze the water maze data when both cohorts were combined since increased numbers for both sexes provided adequate power to analyze this variable. When ANOVAs with repeated measures were conducted, the Huynh-Feldt adjustment of alpha levels was used for all within-subjects effects containing more than two levels in order to help protect against violations of the sphericity/compound symmetry assumptions underlying this ANOVA model. Bonferroni correction was used to help maintain alpha levels at 0.05 when multiple comparisons were conducted.
Statistical analyses for quantitative immunohistochemistry involved measuring percent thresholds from three non-overlapping fields (0.09mm2) as recorded by digital images which were examined for each mouse and each antibody; the analyses were based on the three-field averages. Unpaired t-test with Welch's correction was used to statistically test differences between Grn-/- and Grn+/+ mice using GraphPad Prism statistical software package (GraphPad Software, Inc., La Jolla, CA, USA) (Ghoshal et al., 2001; Ghoshal et al., 2002).
Grn mice breeding, survival, and housing
Grn+/- mice were crossbred to generate Grn+/+, Grn+/-, and Grn-/- at the expected Mendelian distribution of 25, 50, 25%, respectively. Predicted Mendelian distribution was achieved in the colony. Grn+/+ offspring represented 25% of the pups (n=38 of 152 pups). Grn+/- offspring represented 49% of the pups (n=75 of 152 pups). Grn-/- offspring represented 26% of the pups (n=39 of 152 pups). Differential survival was noted among the genotypes such that Grn+/+ had median survival of 761 days (n=5) and Grn+/- had median survival of 803 days (n=42); whereas, Grn-/- had median survival of 514 days (n=25) (Fig. 1). 50% survival for Grn+/+ was 746 days, 791 days for Grn+/-, and 502 days for Grn-/- mice. The survival curves were significantly different (p<0.0001). Other than showing decreased overall survival, Grn-/- mice did not require any special consideration in terms of housing or handling. They could easily be group housed and were able to tolerate standard handling in the barrier facility. Initially, based on other groups' observations, we delayed obtaining genomic DNA from tail clips to postnatal day 21. However, upon returning to our standard operating procedure of procuring tails on postnatal day 5, no change in Grn-/- survival was noted. Our experience differs markedly from another group examining these mice (Ahmed et al., 2010) in terms of achieving Mendelian distribution, decreased survival of elder Grn-/- mice, and normal housing and handling protocols without adverse outcomes.
Fig. 1
Fig. 1
Kaplan-Meier survival plots for Grn mice
Changes in sample sizes due to attrition during the behavioral studies [See Supplemental Results].
Grn-/- mice exhibited normal levels of locomotor activity
Results from ANOVAs conducted on the activity data from the Grn-/- and Grn+/+ mice in the first cohort (Fig. 2A-B, left panels) showed that the groups did not differ significantly with regard to general ambulatory activity (total ambulations) or exploratory behavior (vertical rearing frequency). In addition, the Grn-/- and Grn+/+ groups exhibited significant decreases in total ambulations across the test session (Block 1 vs Block 6; p < 0.0003) thus demonstrating habituation. Similarly, the Grn-/- and Grn+/+ mice also showed significant habituation across the session for rearing frequency (p = 0.024 and 0.003, respectively). Also, no differences were observed between groups with regard to the emotionality variables (time spent, distance traveled, or entries made into the center of the test field).
Fig. 2
Fig. 2
Grn-/- mice displayed normal levels of locomotor activity and exploratory behavior and only mild sensorimotor deficits at older ages
Similar results were found concerning the activity data from the second cohort in that no significant differences were observed between the Grn-/- and Grn+/+ mice concerning total ambulations or rearings (Fig. 2A-B, right panels), and that both groups showed significant habituation in total ambulations across the session (p < 0.0002). However, both groups of mice exhibited lower levels of rearing particularly during the early time blocks and both the Grn+/+ and Grn-/- mice showed smaller decreases in rearing from Block 1 to Block 6 than were observed in the younger cohort (p = 0.038 and p > 0.05, respectively). [See Supplemental Results for ANOVA details from these and other tests.]
Grn-/- mice showed intact sensorimotor capabilities except for impaired performance on the inverted screen test in the older, second cohort
No significant differences were found between groups in the younger cohort for any of the six measures within the sensorimotor battery similar to that shown in graphs depicting the data for the ledge test (Fig. 2C-D, left panels). This was also true for the second, older cohort except for the inverted screen test (Fig. 2C-D, right panels) where the Grn-/- mice remained hanging upside down on the screen for a significantly shorter period of time, [F(1,22) = 11.07, p = 0.003], relative to the Grn+/+ controls.
Grn-/- mice were less reactive to handling than Grn+/+ controls
An ANOVA of the reactivity to handling data showed that, on average across test sessions, the Grn-/- male mice were hyporeactive to handling (p = 0.009), compared to Grn+/+ males (Fig. 3A), and that reactivity to handling scores generally decreased over the test sessions (p < 0.0005). Subsequent pairwise comparisons showed that significant differences (Bonferroni corrected; p < 0.05/3 = 0.017) were observed during session 3 (p = 0.013), while large differences were also observed during session 2 (p = 0.020).
Fig. 3
Fig. 3
Grn-/- male mice were not hyperaggressive but showed evidence of altered social interactions
Grn-/- mice showed diminished social interactions rather than heightened aggression on the resident-intruder test
No significant differences were observed between the Grn-/- and Grn+/+ mice on an index of aggression (fighting + biting durations) across the test sessions (Fig. 3B). However, compared to Grn+/+ mice, the Grn-/- group showed significantly shorter duration of pawing (Fig. 3C) during nonaggressive interactions (p = 0.005), with significant differences being observed during session 3 (p = 0.004), although large differences were also observed during sessions 1 (p = 0.018) and 2 (p = 0.021). The Grn-/- mice were also found to follow the intruder mouse for a significantly shorter duration of time (Fig. 3D) compared to the Grn+/+ controls (p = 0.018). This effect was mostly due to significant differences being observed during session 3 (p = 0.004). The Grn-/- group also spent a significantly greater amount of time alone (Fig. 3E) compared to the Grn+/+ mice, (p = 0.004), and the effect of Test Session was significant as well (p = 0.0027), suggesting that the time spent alone was different across sessions. Pairwise comparisons showed that differences between groups were significant during sessions 1 (p = 0.006) and 2 (p= 0.012), while differences were also large during session 3 (p = 0.026).
Grn-/- and Grn+/+ mice show similar olfactory preferences across different odorants
Results from the holeboard olfactory preference test indicated that the Grn-/- and Grn+/+ mice in the second (older cohort) had similar levels of general hole poking (data not shown) and exhibited similar hole poking preferences for a familiar odorant (fresh bedding), and a familiar food odorant (cereal) when tested under food restricted conditions, although neither group showed a preference for a novel odorant (coconut extract) (Fig. 4). Planned contrasts conducted within each group for the familiar odorant data showed that, on average, both the Grn-/- and Grn+/+ mice made significantly greater numbers of pokes into the holes containing bedding versus the empty holes (p = 0.0001 and 0.044, respectively) (Fig. 4A). In contrast, neither the Grn-/- nor the Grn+/+ mice poked significantly more often into the novel odorant versus the empty holes (Fig. 4B). However, both the Grn-/- and the Grn+/+ mice poked significantly more frequently into the holes that contained a familiar food odorant versus the empty holes (p < 0.00005) when the mice were tested following overnight (20-h) fasting (Fig. 4C). These data suggest that the Grn-/- mice had at least relatively normal olfactory functions.
Fig. 4
Fig. 4
Grn-/- and Grn+/+ mice showed similar olfactory preferences for different odorants
Grn-/- mice show mild spatial (place) learning and memory deficits in the Morris water maze
Analysis of the cued trials data revealed that there were no significant overall effects involving either Genotype or Gender with regard to escape path length (Fig. 5A) or latency, or swimming speeds (data not shown), suggesting that the Grn-/- mice did not have impairments in non-associative functions that would affect their swimming performance in the subsequent place trials. In contrast, an ANOVA on the path length data from the place condition (Fig. 5B) showed that the acquisition performance of the Grn-/- group was significantly impaired relative to the Grn+/+ control mice (p = 0.012). Differences between groups were significant for block 3 (p = 0.005) with large differences also being observed during blocks 2 (p = 0.033) and 5 (p = 0.018). Differences between groups were even greater for escape latency (data not shown) although differences in swimming speeds (Fig. 5C) indicated that latency was not appropriate for evaluating acquisition performance. Specifically, an ANOVA on the swimming speeds revealed that the Grn-/- mice swam significantly more slowly, on average across the blocks of trials, relative to the Grn+/+ group (p = 0.0001).
Fig. 5
Fig. 5
Grn-/- mice exhibited mild spatial learning and memory deficits in the Morris water maze
The Grn-/- mice also showed impaired retention performance compared to the Grn+/+ mice during the probe trial in terms of platform crossings, (p = 0.045), suggesting that the Grn-/- mice had less reliable retention of the exact location of where the platform had been (Fig. 5D). However, the Grn-/- group performed as well as Grn+/+ mice with regard to less highly resolved indices of retention such as time spent in the target quadrant and spatial bias (Fig. 5E). Moreover, additional analyses showed that both groups demonstrated a spatial bias for the target quadrant by spending significantly more time in it relative to the times spent in the other quadrants (p < 0.00005).
No overall effects involving Gender were found for any of the place or probe trial variables. Importantly, additional ANOVAs on the place and probe trial data, which included the variables of Genotype, Cohort, and Blocks of Trials showed that there were no significant overall effects involving Cohort, including any interactions, thus justifying the combination of the cohorts.
Grn-/- mice displayed a general acquisition deficit on a learning set water maze task
Planned comparisons conducted on the escape path lengths of the Grn-/- and Grn+/+ mice from the older cohort showed they did not differ significantly on trial 2 (Fig. 6A), and neither group improved their averaged performance from trial 1 to trial 2. This suggested that training was not extensive enough for either group to demonstrate good working memory performance. However, the groups did differ in terms of general daily acquisition performance (trial 1 vs trial 4), which was analyzed in two ways. One analysis involved an ANOVA containing Genotype and Trial collapsed across test days (Fig. 6A) which yielded a significant effect of Trial, (p = 0.048). Subsequent contrasts indicated that the Grn+/+ mice significantly improved their performance from trial 1 to trial 4 (p = 0.024) suggesting some acquisition of the learning set task, while the Grn-/- mice showed no significant improvement.
Fig. 6
Fig. 6
Grn-/- mice displayed impaired acquisition performance on a learning set protocol in the water maze
To provide an additional assessment of each group's daily acquisition performance on the learning set task, another ANOVA was conducted within each group, which contained two within-subjects variables [trial 1 vs trial 4; and test days (1-5)]. The results of this analysis for the Grn-/- group, showed a significant effect of Test Day, (p < 0.00005), although the effect of Trial was not significant (Fig. 6B), suggesting that set learning did not occur. In contrast, we found significant effects for both Test Day, (p = 0.0016), and more importantly, a significant effect of Trial (p = 0.047), for the Grn+/+ mice (Fig. 6C), documenting significantly improved performance in the control mice suggesting that learning had occurred. Thus, only the Grn+/+ mice showed evidence of having acquired the learning set task.
Neuropathology
We observed no macroscopic brain changes in the Grn-/- mice. Microscopy was undertaken using standard stains and a panel of antibodies to detect the most commonly encountered molecular pathologies seen in neurodegenerative diseases. In the Grn-/- mice we observed a marked increase in the number of ubiquitinated structures (the fine structure of these is the focus of a separate study), largely in the neuropil and a pronounced glial reaction including microglial activation (increase in cell body size and number of ramified processes) and astrogliosis (increase in cell body size, increase in GFAP-immunoreactivity, and increase in size and number of astrocytic processes (Figs. 8 and and9;9; and see below). In the Grn-/- mice there was no evidence, in multiple cortical and subcortical nuclei, of β-amyloidosis, tauopathy, α-synucleinopathy, or TDP-43 proteinopathy. None of the compact neuronal TDP-43-immunoreactive cytoplasmic inclusions (NCI), neuronal intranuclear inclusions (NII), dystrophic neurites (DN), or glial inclusions commonly seen in FTLD with Grn mutation were present (Armstrong et al., 2011).
Fig. 8
Fig. 8
Increased microgliosis observed in 24-month old Grn-/- mice
Fig. 9
Fig. 9
Increased astrocytosis observed in 24-month old Grn-/- mice
Neuron density
Unbiased stereology was used to estimate the density of neurons in the hippocampus, cortex, and thalamus in a section adjacent to those used to assess markers of gliosis, ubiquitination, and other markers of pathology associated with FTLD with GRN mutation. Using the optical fractionator and Cavielieri's estimate of the area of interest, the neuronal density, Nv (cells/mm3), was calculated. The density of neurons in the dorsal thalamus of the Grn-/- mice was less than that of the Grn+/+ mice (115,400 ± 5,000 and 141,200 ± 16,000 neurons/mm3 (mean ± SEM), respectively), but this was a non-significant trend in the relatively small number of mice available (p = 0.17). No differences were found between the estimates of the sample volume and neuron number in Grn-/- and Grn+/+ mice in the cortex (222,400 ± 11,400 and 198,000 ± 9,700 neurons/mm3 (mean ± SEM; p = 0.16), respectively) or the CA1 subfield of the hippocampus (151,400 ± 58,400 and 148,100 ± 21,000 neurons/mm3 (mean ± SEM); p = 0.95), respectively.
Ubiquitin immunoreactivity is increased in elder Grn-/- mice
To investigate the pathological substrate of the social behavior and memory deficits in Grn-/- and Grn+/+ mice, FTLD-related brain changes were investigated. No discernible changes were detected by 10 weeks of age (data not shown). However, at 21.5 months (comparable to a 70-year-old human (Turnbull et al., 2003)), gliosis (microglia activation and reactive astrocytosis) was detected in Grn-/- relative to Grn+/+ mice. At that age, increased ubiquitin-immunoreactivity was noted in the Grn-/- frontal lobes in the form of parenchymal ubiquitin-positive grains and dystrophic neurites and granular neuronal cytoplasmic inclusions (NCI). To evaluate these findings further, a group of 24 month old mice (comparable to an 80-year-old human Grn+/+ (n=4) and Grn-/- (n=4) were assessed.
The most pronounced morphological changes in the Grn-/- mice were: extracellular ubiquitin-immunoreactive grains, a few foamy macrophages containing ubiquitin immunoreactivity, and rare neuronal cytoplasmic aggregates of ubiquitin-positivity; no compact fibrillary inclusion bodies were seen (Fig. 7). In the hippocampus, densitometry revealed significantly increased ubiquitin immunoreactivity in Grn-/- mice as compared to age-matched Grn+/+ mice (p = 0.0002). There was increased cytoplasmic ubiquitin-immunoreactive granularity in the Grn-/- neurons and an occasional NCI was seen. In the cortex, the ubiquitin staining in Grn-/- mice was quantitatively comparable to Grn+/+ (p = 0.1179). However, the staining in Grn-/- mice included parenchymal ubiquitin-immunoreactive grains and neurites which were rarely seen in the age-matched Grn+/+ mice. In the thalamus, there was significantly increased ubiquitin-immunoreactivity in Grn-/- versus Grn+/+ mice (p = 0.0012). The ubiquitin-immunoreactivity in Grn-/- thalamus was a combination of extracellular grains and neurites and cytoplasmic aggregates of varying forms. Notably, the most predominant intensely stained structures in the region were ubiquitin-positive grains/neurites in the brain parenchyma (Fig. 7). The increased ubiquitination in Grn-/- mice was also accompanied by neuronal vacuolation comparable to the observations of Ahmed and colleagues (Ahmed et al., 2010) although we did see a modest reduction in dorsal thalamic neurons this did not reach statistical significance.
Fig. 7
Fig. 7
Increased ubiquitination observed in 24-month old Grn-/- mice
Microglial activation in elder Grn-/- mice
Microglial activation was assessed using a marker of activated microglia (IBA-1). In the hippocampus, there was proliferation of microglia/macrophages in the Grn-/- mice as compared to the age-matched Grn+/+ mice (p=0.0421). Activated microglia were also present in the cortex (p=0.0019) and thalamus (p=0.0011). In the three regions of interest, the microglia were increased in number and degree of arborization among Grn-/- mice. As with the increase in ubiquitin-immunoreactivity in the thalamus, microglial activation was most marked in the thalamus (Fig. 8).
Astrocytosis in elder Grn-/- mice
Astrocytosis was assessed by quantitative GFAP densitometry. In the hippocampus, there was increased astrocytosis in the Grn-/- mice as compared to the age-matched Grn+/+ mice (p<0.0001). The degree of astrocytosis was statistically just as robust in the cortex (p<0.0001) and thalamus (p<0.0001). However, the absolute burden of astrocytosis was markedly more in the thalamus (Fig. 9).
Absence of TDP-43 proteinopathy in elder Grn-/- mice
While FTLD with GRN mutation is typified by TDP-43-immunoreactive inclusions, no TDP-43-immunoreactive inclusions (neuronal or glial) were detected in the elder Grn-/- mice. In particular, we looked at multiple, cortical, subcortical, brain stem, and cerebellar nuclei, including the dentate fascia, but found no discrete granular or filamentous inclusion bodies with either phosphorylation-independent or phosphorylation-dependent anti-TDP-43 antibodies. In addition, no lesions were identified which were tau, α-synuclein, FUS, or β-amyloid-positive.
Our results show that middle-aged and older Grn-/- mice (comparable to the age at onset in FTD (Turnbull et al., 2003)) have a phenotype that qualifies them as a useful model of frontotemporal dementia. Behavioral characteristics of our middle-aged Grn-/- male mice include an absence of elevated aggressiveness in contrast to the presence of hyperaggressiveness reported in juvenile Grn-/- males (Kayasuga et al., 2007). The middle-aged Grn-/- male mice of our colony also exhibited behavioral patterns that were interpreted as representing reduced levels of social engagement. Our data also suggest that older middle-aged Grn-/- mice have cognitive impairments such as mild learning and memory deficits. These behavioral characteristics combined with our neuropathological findings of neurodegeneration, increased ubiquitin-immunoreactivity, microglial activation and reactive astrocytosis in aged Grn-/- mice support the utility of the Grn-/- mouse model of frontotemporal dementia.
Although the Grn-/- and Grn+/+ mice exhibited similar levels of aggressiveness, there were robust differences on other more socially-oriented indices of the resident-intruder test (pawing, following, time spent alone), which showed that the Grn-/- mice interacted much less frequently with the young intruder males compared to the Grn+/+ group. The results from the reactivity to handling test indicated that the Grn-/- males were somewhat hyporeactive to handling suggesting diminished aggressiveness in this situation. Since there were no differences in the levels of locomotor activity or exploratory behaviors between Grn-/- and Grn+/+ mice, these results may indicate a possible lack of interest in, or awareness of, possibly threatening environmental events on the part of the Grn-/- mice. The consistent lack of differences between Grn-/- and Grn+/+ mice in the older cohort across different types of odorants argues against the existence of olfactory abnormalities being responsible for a lack of increased aggressiveness in the Grn-/- mice. Additional studies including formal social behavioral analyses are needed to clarify the phenotype of Grn-/- mice.
The Morris water maze and learning set results indicate mildly impaired learning and memory performance in the Grn-/- mice that this is likely due to cognitive deficits. Specifically, the Grn-/- mice exhibited significantly longer escape path lengths in navigating to the submerged platform during acquisition training in the place (spatial learning) condition. The Grn-/- mice also exhibited probe trial deficits in terms of platform crossings, a measure which represents a relatively highly resolved retention of the platform location. However, the Grn-/- mice were not impaired on more generalized aspects of retention such as time spent in the target quadrant or spatial bias for the target quadrant. These water maze results suggest that Grn-/- mice have mild acquisition deficits and slightly less precise retention of the platform location, although they eventually showed signs of reference-memory-based spatial learning. Further evidence of compromised cognitive function in the Grn-/- mice comes from the water maze learning set data collected in the older cohort of mice. These results indicated that the Grn+/+ control mice showed significantly improved performance from trial 1 to trial 4, demonstrating some acquisition of the learning set task while the Grn-/- mice showed no such evidence of learning. Since neither group displayed improved performance from trial 1 to trial 2, our learning set results should not be construed as a demonstration that Grn-/- mice have “normal” working (trial-dependent) memory capabilities. Additional studies that allow for a demonstration of learning in working-memory-based tasks in Grn+/+ mice are required to evaluate this type of memory in Grn-/- mice.
One might argue that since the Grn-/- mice swam significantly more slowly in the place condition, their impaired acquisition performance may have reflected sensorimotor disturbances rather than cognitive deficits. Based on the inverted screen test it seems that older Grn-/- mice had minor sensorimotor dysfunction such as reduced grip strength, but this did not produce any impairments on the other six sensorimotor measures or alter the locomotor activity/exploratory behavior of the Grn-/- mice. More importantly, the nearly identical escape path lengths of the Grn-/- and Grn+/+ mice during the cued trials suggest that if the Grn-/- mice had a sensorimotor disturbance, it did not affect their swimming performance in that they were able to demonstrate control-like levels of cued learning performance. Since the groups did not differ on any of the cued trials variables, it is difficult to attribute any non-associative dysfunction in the Grn-/- mice (visual, sensorimotor, or motivational disturbances) as being responsible for the spatial learning performance deficits. Additional evidence supporting the idea that Grn-/- mice have cognitive impairments comes from the learning set data where the critical analyses involved within-subjects comparisons (i.e., trial 1 vs trial 4) with regard to path length in each group. Therefore, differences in swimming speeds between groups should not have affected the outcomes of these contrasts. Confidence in our results has been strengthened by comparable behavioral findings (impaired social interaction and cognition) that have been recently reported in a conditional Grn knockout mouse model using the Cre-lox system to delete the promoter and exons 1-4 (Yin et al., 2009; Yin et al., 2010).
In an effort to understand the neurological basis for the behavioral phenotype of the Grn-/- mouse and to evaluate its utility in serving as a model of FTLD, we conducted various histopathological analyses and found lesions pathognomonic for FTLD with GRN mutation. Increased ubiquitination, microgliosis, and astrocytosis were found in Grn-/- mice in all regions of interest: hippocampus, cortex, and thalamus. These lesions were present in 12 month old Grn-/- mice and to a significantly greater degree in the 24 month old Grn-/- mice. The pathological changes seen in the Grn-/- mice correlate well with the behavioral changes that were noted beginning at 9-12 months of age. The age-dependent increase in these lesions has been shown by another group working with this particular Grn model (Ahmed et al., 2010). However, there are key differences that are likely due to colony effects since Ahmed et al experienced deviations from the Mendelian distribution in their Grn-/- mouse breeding program. In addition, their Grn-/- mice were particularly sensitive to handling resulting in heightened postnatal death, which was not the case with our mice (Ahmed et al., 2010).
Notably, one signature lesion of FTLD with GRN mutation, TDP-43 proteinopathy, was not seen in this murine model. This could be because these mice were not yet old enough to demonstrate TDP-43 inclusions or even nuclear-cytoplasmic translocation. However, given that the pathologic analyses were conducted on 24-month-old mice (comparable to an 80-year-old human (Turnbull et al., 2003)), it is unlikely that the mice would survive much longer to develop TDP-43 proteinopathy. The lack of TDP-43 proteinopathy has also been shown by two other groups using these mice, albeit at somewhat younger ages than investigated here (Ahmed et al., 2010; Dormann et al., 2009). There are other instances in which progranulin deficiency has not resulted in TDP-43 pathology. In one study, progranulin was acutely knocked down in zebrafish without causing a reduction in nuclear staining or increased cytoplasmic staining of TDP-43 (Shankaran et al., 2008). In another study, GRN knockdown in HeLa and SH-SY5Y cells failed to induce caspase activation and proteolytic cleavage of full-length TDP-43 into the 35 kDa C-terminal fragments (CTF) associated with FTLD with GRN mutation (Dormann et al., 2009). These studies suggest that perhaps TDP-43 proteinopathy (nuclear clearance and cytoplasmic aggregation, phosphorylation, and C-terminal cleavage) are not necessary for disease. Additional evidence comes from the first mutant TDP-43 transgenic mouse in which a clear motor neuron disease phenotype developed at 3 months accompanied by ubiquitinated cytoplasmic inclusions but not TDP-43 inclusions (Wegorzewska et al., 2009). The TDP-43 mouse model suggests that TDP-43 aggregates are perhaps not necessary for neurodegeneration (Wegorzewska et al., 2009). However, one other Grn-deficient mouse model has demonstrated phosphorylated, cytoplasmic TDP-43 in situ (Yin et al., 2009). Furthermore, TDP-43 cytoplasmic accumulations have been reported in two Grn-deficient mouse primary cortical neuron systems (Guo et al., 2010; Kleinberger et al., 2010).
The brain regions in which histopathological markers and lesions were documented provide possible substrates for the behavioral impairments observed in Grn-/- mice. For example, it is reasonable to predict that neuropathological changes in the hippocampus and fronto-temporal cortical regions are likely to contribute to the learning/memory deficits and abnormal social behaviors, respectively, in Grn-/- mice. Although less well appreciated, thalamic damage may also play a role in the cognitive disturbances. For example, thalamic lacunes may contribute to cognitive decline independent of Alzheimer's disease pathology (Gold et al., 2005), and thalamic atrophy is a clinically relevant biomarker of multiple sclerosis (Houtchens et al., 2007) and Alzheimer's disease (de Jong et al., 2008). Important information relevant to this mouse model of FTD may be provided by future studies that focus on whether Grn-/- mice show an additional accelerated decline in cognitive capabilities and/or other behavioral changes in advanced age when neuropathological markers become conspicuous.
A key finding in this study was that Grn-/- mice have decreased survival. This, to our knowledge, has not previously been reported for this murine model of FTD. There was no alteration in the Mendelian inheritance pattern and, therefore, the differences cannot be attributed to embryonic or early-life deaths. Even the Grn-/- mice had a median survival of 514 days, which is consistent with a disorder occurring in later life. The Grn-/- mice did not appear to suffer from ailments at a greater rate than their Grn+/- and Grn+/+ siblings. Findings from another Grn-deficient mouse model offer some insights into the differential survival observed in the current study. Yin et al. found their Grn-deficient mice to have exaggerated inflammation and impaired host defense mechanisms (Yin et al., 2009). The Grn-deficient brains showed a failure to clear infection quickly with resultant bacterial proliferation and greater inflammation than seen in the wild type. No survival data were provided to conclude definitively that dysregulated inflammation resulted in differential survival of their mice. When reviewing human FTD survival data, it appears that hereditary forms of the disease are more aggressive in their course than sporadic FTD such that mean disease duration of FTD patients with negative family history has been reported at 9.9 years versus 8.4 years in FTD patients with positive family history (Chiu et al., 2010). In the same study, patients with GRN mutation had a survival of 7.7 years (Chiu et al., 2010).
The Grn-/- murine model described in detail in the current study recapitulates key aspects of FTD in terms of behavior, pathology, and survival thus making it a useful model system to dissect the mechanism by which progranulin deficiency results in FTD behavioral symptoms and FTLD pathology. As novel targets and therapies are developed, this model will provide a well-defined system in which future therapeutics can be screened and tested.
Highlights
  • Characterization of a progranulin knockout mouse model of frontotemporal dementia.
  • The mice exhibit reduced social engagement and learning and memory deficits.
  • Pathology includes ubiquitination, microgliosis, and reactive astrocytosis.
  • Progranulin knockout mice have decreased overall survival compared to wild type.
  • These mice reflect key aspects of FTD in terms of behavior, pathology, and survival.
Supplementary Material
Acknowledgments
We thank Prof. Masugi Nishihara for providing us with the Grn-/- mice, Sara Conyers of the Washington University Animal Behavior Core for assistance with the behavioral testing, Deborah Carter of the Knight ADRC Neuropathology Core Laboratory for histology and immunohistochemistry, Cathy Roe of the Knight ADRC Biostatistics Core for guidance and supervision of the survival analyses. Support was provided by the National Institute on Aging of the National Institutes of Health: T32-NS007205 (NG); P01-AG003991 (NG, NJC) and P50-AG005681 (NG, NJC); an NIH Neuroscience Blueprint Interdisciplinary Center Core Grant P30-NS057105 to Washington University (DFW), and the Charles and Joanne Knight Alzheimer Research Initiative (NJC).
Support: T32-NS007205; P01-AG03991 (NG, NJC) and P50-AG005681 (NG, NJC); P30-NS057105 (DFW); Charles and Joanne Knight Alzheimer Research Initiative (NJC)
Footnotes
Author Disclosure Information: N. Ghoshal, has participated or is currently participating in clinical trials of antidementia drugs sponsored by: Bristol-Myers Squibb, Elan/Janssen, Eli Lilly, Novartis, Pfizer, and Wyeth; J.T. Dearborn, None; D.F. Wozniak, None; N.J. Cairns, None.
This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
  • Ahmed Z, Sheng H, Xu YF, Lin WL, Innes AE, Gass J, Yu X, Hou H, Chiba S, Yamanouchi K, Leissring M, Petrucelli L, Nishihara M, Hutton ML, McGowan E, Dickson DW, Lewis J. Accelerated Lipofuscinosis and Ubiquitination in Granulin Knockout Mice Suggests a Role for Progranulin in Successful Aging. Am J Pathol 2010 [PubMed]
  • Armstrong RA, Carter D, Cairns NJ. A Quantitative Study of the Neuropathology of Thirty-Two Sporadic and Familial Cases of Frontotemporal Lobar Degeneration with Tdp-43 Proteinopathy (Ftld-Tdp) Neuropathol Appl Neurobiol 2011 [PMC free article] [PubMed]
  • Baker M, Mackenzie IR, Pickering-Brown SM, Gass J, Rademakers R, Lindholm C, Snowden J, Adamson J, Sadovnick AD, Rollinson S, Cannon A, Dwosh E, Neary D, Melquist S, Richardson A, Dickson D, Berger Z, Eriksen J, Robinson T, Zehr C, Dickey CA, Crook R, McGowan E, Mann D, Boeve B, Feldman H, Hutton M. Mutations in progranulin cause tau-negative frontotemporal dementia linked to chromosome 17. Nature. 2006;442:916–9. [PubMed]
  • Bateman A, Bennett HP. The granulin gene family: from cancer to dementia. Bioessays. 2009;31:1245–54. [PubMed]
  • Behrens MI, Mukherjee O, Tu PH, Liscic RM, Grinberg LT, Carter D, Paulsmeyer K, Taylor-Reinwald L, Gitcho M, Norton JB, Chakraverty S, Goate AM, Morris JC, Cairns NJ. Neuropathologic heterogeneity in HDDD1: a familial frontotemporal lobar degeneration with ubiquitin-positive inclusions and progranulin mutation. Alzheimer Dis Assoc Disord. 2007;21:1–7. [PubMed]
  • Cairns NJ, Bigio EH, Mackenzie IR, Neumann M, Lee VM, Hatanpaa KJ, White CL, 3rd, Schneider JA, Grinberg LT, Halliday G, Duyckaerts C, Lowe JS, Holm IE, Tolnay M, Okamoto K, Yokoo H, Murayama S, Woulfe J, Munoz DG, Dickson DW, Ince PG, Trojanowski JQ, Mann DM. Neuropathologic diagnostic and nosologic criteria for frontotemporal lobar degeneration: consensus of the Consortium for Frontotemporal Lobar Degeneration. Acta Neuropathol (Berl) 2007;114:5–22. [PMC free article] [PubMed]
  • Chiu WZ, Kaat LD, Seelaar H, Rosso SM, Boon AJ, Kamphorst W, van Swieten JC. Survival in progressive supranuclear palsy and frontotemporal dementia. J Neurol Neurosurg Psychiatry. 2010;81:441–5. [PubMed]
  • Cruts M, Gijselinck I, van der Zee J, Engelborghs S, Wils H, Pirici D, Rademakers R, Vandenberghe R, Dermaut B, Martin JJ, van Duijn C, Peeters K, Sciot R, Santens P, De Pooter T, Mattheijssens M, Van den Broeck M, Cuijt I, Vennekens K, De Deyn PP, Kumar-Singh S, Van Broeckhoven C. Null mutations in progranulin cause ubiquitin-positive frontotemporal dementia linked to chromosome 17q21. Nature. 2006;442:920–4. [PubMed]
  • de Jong LW, van der Hiele K, Veer IM, Houwing JJ, Westendorp RG, Bollen EL, de Bruin PW, Middelkoop HA, van Buchem MA, van der Grond J. Strongly reduced volumes of putamen and thalamus in Alzheimer's disease: an MRI study. Brain. 2008;131:3277–85. [PMC free article] [PubMed]
  • Dormann D, Capell A, Carlson AM, Shankaran SS, Rodde R, Neumann M, Kremmer E, Matsuwaki T, Yamanouchi K, Nishihara M, Haass C. Proteolytic processing of TAR DNA binding protein-43 by caspases produces C-terminal fragments with disease defining properties independent of progranulin. J Neurochem. 2009;110:1082–94. [PubMed]
  • Fabricius K, Wortwein G, Pakkenberg B. The impact of maternal separation on adult mouse behaviour and on the total neuron number in the mouse hippocampus. Brain Struct Funct. 2008;212:403–16. [PMC free article] [PubMed]
  • Gallitano-Mendel A, Wozniak DF, Pehek EA, Milbrandt J. Mice lacking the immediate early gene Egr3 respond to the anti-aggressive effects of clozapine yet are relatively resistant to its sedating effects. Neuropsychopharmacology. 2008;33:1266–75. [PubMed]
  • Gass J, Cannon A, Mackenzie IR, Boeve B, Baker M, Adamson J, Crook R, Melquist S, Kuntz K, Petersen R, Josephs K, Pickering-Brown SM, Graff-Radford N, Uitti R, Dickson D, Wszolek Z, Gonzalez J, Beach TG, Bigio E, Johnson N, Weintraub S, Mesulam M, White CL, 3rd, Woodruff B, Caselli R, Hsiung GY, Feldman H, Knopman D, Hutton M, Rademakers R. Mutations in progranulin are a major cause of ubiquitin-positive frontotemporal lobar degeneration. Hum Mol Genet. 2006;15:2988–3001. [PubMed]
  • Ghoshal N, Garcia-Sierra F, Fu Y, Beckett LA, Mufson EJ, Kuret J, Berry RW, Binder LI. Tau-66: evidence for a novel tau conformation in Alzheimer's disease. J Neurochem. 2001;77:1372–85. [PubMed]
  • Ghoshal N, García-Sierra F, Wuu J, Leurgans S, Bennett DA, Berry RW, Binder LI. Tau Conformational Changes Correspond to Impairments of Episodic Memory in Mild Cognitive Impairment and Alzheimer's Disease. Exp Neurology. 2002;177:475–93. [PubMed]
  • Gold G, Kovari E, Herrmann FR, Canuto A, Hof PR, Michel JP, Bouras C, Giannakopoulos P. Cognitive consequences of thalamic, basal ganglia, and deep white matter lacunes in brain aging and dementia. Stroke. 2005;36:1184–8. [PubMed]
  • Gundersen HJ, Jensen EB. The efficiency of systematic sampling in stereology and its prediction. J Microsc. 1987;147:229–63. [PubMed]
  • Guo A, Tapia L, Bamji SX, Cynader MS, Jia W. Progranulin deficiency leads to enhanced cell vulnerability and TDP-43 translocation in primary neuronal cultures. Brain Res. 2010;1366:1–8. [PubMed]
  • Hartman RE, Lee JM, Zipfel GJ, Wozniak DF. Characterizing learning deficits and hippocampal neuron loss following transient global cerebral ischemia in rats. Brain Res. 2005;1043:48–56. [PubMed]
  • Houtchens MK, Benedict RH, Killiany R, Sharma J, Jaisani Z, Singh B, Weinstock-Guttman B, Guttmann CR, Bakshi R. Thalamic atrophy and cognition in multiple sclerosis. Neurology. 2007;69:1213–23. [PubMed]
  • Kayasuga Y, Chiba S, Suzuki M, Kikusui T, Matsuwaki T, Yamanouchi K, Kotaki H, Horai R, Iwakura Y, Nishihara M. Alteration of behavioural phenotype in mice by targeted disruption of the progranulin gene. Behav Brain Res. 2007;185:110–8. [PubMed]
  • Kleinberger G, Wils H, Ponsaerts P, Joris G, Timmermans JP, Van Broeckhoven C, Kumar-Singh S. Increased Caspase Activation and Decreased Tdp-43 Solubility in Progranulin Knockout Cortical Cultures. J Neurochem 2010 [PubMed]
  • Mackenzie IR, Neumann M, Bigio EH, Cairns NJ, Alafuzoff I, Kril J, Kovacs GG, Ghetti B, Halliday G, Holm IE, Ince PG, Kamphorst W, Revesz T, Rozemuller AJ, Kumar-Singh S, Akiyama H, Baborie A, Spina S, Dickson DW, Trojanowski JQ, Mann DM. Nomenclature and nosology for neuropathologic subtypes of frontotemporal lobar degeneration: an update. Acta Neuropathol. 2010;119:1–4. [PMC free article] [PubMed]
  • McKhann GM, Albert MS, Grossman M, Miller B, Dickson D, Trojanowski JQ. Clinical and pathological diagnosis of frontotemporal dementia: report of the Work Group on Frontotemporal Dementia and Pick's Disease. Arch Neurol. 2001;58:1803–9. [PubMed]
  • Mesulam M, Johnson N, Krefft TA, Gass JM, Cannon AD, Adamson JL, Bigio EH, Weintraub S, Dickson DW, Hutton ML, Graff-Radford NR. Progranulin mutations in primary progressive aphasia: the PPA1 and PPA3 families. Arch Neurol. 2007;64:43–7. [PubMed]
  • Moy SS, Nadler JJ, Poe MD, Nonneman RJ, Young NB, Koller BH, Crawley JN, Duncan GE, Bodfish JW. Development of a mouse test for repetitive, restricted behaviors: relevance to autism. Behav Brain Res. 2008;188:178–94. [PMC free article] [PubMed]
  • Mukherjee O, Pastor P, Cairns NJ, Chakraverty S, Kauwe JS, Shears S, Behrens MI, Budde J, Hinrichs AL, Norton J, Levitch D, Taylor-Reinwald L, Gitcho M, Tu PH, Tenenholz Grinberg L, Liscic RM, Armendariz J, Morris JC, Goate AM. HDDD2 is a familial frontotemporal lobar degeneration with ubiquitin-positive, tau-negative inclusions caused by a missense mutation in the signal peptide of progranulin. Ann Neurol. 2006;60:314–22. [PMC free article] [PubMed]
  • Neary D, Snowden JS, Gustafson L, Passant U, Stuss D, Black S, Freedman M, Kertesz A, Robert PH, Albert M, Boone K, Miller BL, Cummings J, Benson DF. Frontotemporal lobar degeneration: a consensus on clinical diagnostic criteria. Neurology. 1998;51:1546–54. [PubMed]
  • Paxinos G, Franklin KBJ. The Mouse Brain in Stereotaxic Coordinates. Academic Press; London, UK: 2001.
  • Shankaran SS, Capell A, Hruscha AT, Fellerer K, Neumann M, Schmid B, Haass C. Missense mutations in the progranulin gene linked to frontotemporal lobar degeneration with ubiquitin-immunoreactive inclusions reduce progranulin production and secretion. J Biol Chem. 2008;283:1744–53. [PubMed]
  • Turnbull IR, Wlzorek JJ, Osborne D, Hotchkiss RS, Coopersmith CM, Buchman TG. Effects of age on mortality and antibiotic efficacy in cecal ligation and puncture. Shock. 2003;19:310–3. [PubMed]
  • Wegorzewska I, Bell S, Cairns NJ, Miller TM, Baloh RH. TDP-43 mutant transgenic mice develop features of ALS and frontotemporal lobar degeneration. Proc Natl Acad Sci U S A. 2009;106:18809–14. [PubMed]
  • Wozniak DF, Hartman RE, Boyle MP, Vogt SK, Brooks AR, Tenkova T, Young C, Olney JW, Muglia LJ. Apoptotic neurodegeneration induced by ethanol in neonatal mice is associated with profound learning/memory deficits in juveniles followed by progressive functional recovery in adults. Neurobiol Dis. 2004;17:403–14. [PubMed]
  • Yin F, Banerjee R, Thomas B, Zhou P, Qian L, Jia T, Ma X, Ma Y, Iadecola C, Beal MF, Nathan C, Ding A. Exaggerated inflammation, impaired host defense, and neuropathology in progranulin-deficient mice. J Exp Med 2009 [PMC free article] [PubMed]
  • Yin F, Dumont M, Banerjee R, Ma Y, Li H, Lin MT, Beal MF, Nathan C, Thomas B, Ding A. Behavioral deficits and progressive neuropathology in progranulin-deficient mice: a mouse model of frontotemporal dementia. FASEB J 2010 [PubMed]