Long-lasting forms of memories require stable gene expression changes
3, which are in part orchestrated by chromatin-templated epigenetic processes
4. Of the epigenetic modifications identified to date in the nervous system, histone acetylation has been unequivocally associated with facilitating learning and memory
4. Acetylation diminishes the electrostatic affinity between neighboring histones and the DNA and, as a consequence, can promote a more open chromatin structure that allows for memory-related gene transcription
5.
Over the past decade, several studies have reported sporadic cases of reduced histone acetylation in animal models of neurodegeneration that are characterized by cognitive decline, including models of AD
4. Accordingly, pharmacological treatments aimed at increasing histone acetylation have shown promising results in reversing cognitive deficits in some of these models, predominantly by the use of non-selective HDAC inhibitors
6. However, the causative agent of such memory-impairing histone acetylation changes, and, hence, the best targets for pharmacological strategies, remain unknown. One likely candidate is HDAC2, a class I HDAC that negatively regulates memory and synaptic plasticity in the healthy mouse brain
7, 8.
To investigate whether HDAC2 mediates cognitive deficits associated with neurodegeneration, we measured its abundance in CK-p25 mice
9, 10, which inducibly and forebrain-specifically overexpress p25, a truncated version of p35. p25 aberrantly activates cyclin-dependent kinase 5 (Cdk5), and is implicated in various neurodegenerative diseases
11, including AD
12. Following six weeks of p25 induction, CK-p25 mice display AD-related pathologies such as neuronal loss
9, β-amyloid accumulation
10, reactive astrogliosis
9, and reduced synaptic density
13, most prominently in the hippocampus and the cortex, two brain areas important for memory formation and storage, respectively
14. Accordingly, six-week-induced CK-p25 (hereafter referred to as CK-p25) mice also display spatial and associative memory deficits
13.
Using immunohistochemistry and western blot analysis (WB), we found that HDAC2 was significantly increased in neuronal nuclei in hippocampal area CA1 in CK-p25 mice compared to control littermates (; see
Supplementary Fig. 2a for a specificity control for the HDAC2 signal). No changes in HDAC2 were observed in hippocampal area CA3 or the dentate gyrus (
Supplementary Fig. 3a, b), explaining the overall marginal increase in the entire hippocampus. Interestingly, this effect appears to be non cell-autonomous, as both p25-positive and p25-negative cells displayed elevated HDAC2. In contrast, levels of the structurally highly-related HDAC1, and of HDAC3, another class I HDAC involved in memory formation
15, were not changed (). Furthermore, HDAC2 was also increased in the prefrontal cortex of CK-p25 mice (
Supplementary Fig. 4), whereas in the amygdala, a brain area not affected by neurodegeneration in the CK-p25 mice, its levels remained unchanged (
Supplementary Fig. 3c). This neurodegeneration-associated increase of HDAC2 was confirmed in another mouse model of AD-related pathologies and cognitive decline, the 5xFAD mouse
16, 17 (
Supplementary Fig. 5).
Next, we aimed to determine the functional consequences of elevated HDAC2. Since HDAC2 has been shown to associate with the promoter region of genes involved in memory and synaptic plasticity
7, we hypothesized that it is enriched at these genes following neurodegeneration. Of the known HDAC2 targets
7, we focused on those that, in several independent studies, had been demonstrated to be downregulated in the human AD brain (
Supplementary Table 1). These include the immediate-early genes
Arc,
Bdnf exons
I,
II, and
IV,
Egr1,
Homer1, and
Cdk5, implicated in learning and memory, and genes related to synaptic plasticity such as the glutamate receptor subunits
GluR1,
GluR2,
NR2A, and
NR2B, as well as
Nfl (neurofilament light chain),
Svp (synaptophysin) and
Stg (synaptotagmin). Using chromatin immunoprecipitation (ChIP, for primers see
Supplementary Table 2), we found that HDAC2 is significantly enriched at these genes in the CK-p25 hippocampus, the exception being the promoter regions of the activity-dependent
Bdnf exons
I and
II18, and the housekeeping genes β-
actin, β-
globin and β-
tubulin (). In contrast, binding of HDAC1 and HDAC3 was unaltered (
Supplementary Fig. 6a, b). Interestingly, HDAC2 binding was not restricted to the promoter, as we also found HDAC2 more abundantly bound to the coding sequence of the same genes (
Supplementary Fig. 7 and
Supplementary Table 3 for primer sequences), in agreement with previous reports showing that HDAC2 can also bind to a gene’s coding region
19.
We next assessed the acetylation of several histone (H) residues in the promoter region of these genes, for which acetylation has been shown to be important for learning, memory, and synaptic plasticity, such as H2B lysine (K) 5, H3K14, H4K5, and H4K12
4. ChIP analyses revealed a hypoacetylation for all residues at the neuroplasticity genes, (,
Supplementary Fig. 6c-e), albeit to different extents. Importantly, the acetylation of housekeeping genes was not altered. The effects of elevated HDAC2 levels appear to be restricted to histones, as we found no acetylation changes on other proteins regulated by this modification, such as tau, p53, and tubulin, nor in overall nuclear or cytoplasmic protein acetylation (
Supplementary Fig. 8).
Next, to determine the functional consequences of promoter hypoacetylation, we assessed the binding of activated (
i.e., phosphorylated) RNA Polymerase II (RNA Pol II), and found it to be markedly reduced (). This prompted us to measure the mRNA expression of these genes by quantitative RT-PCR (primers in
Supplementary Table 4). We found reduced expression for all genes with elevated HDAC2 binding and a concomitant decrease in histone acetylation and RNA Pol II binding (). Of note, HDAC2 likely acts together with the transcriptional repressor complexes CoREST, NuRD, and Sin3, as we found increased association of HDAC2 with these complexes in hippocampal CK-p25 extracts by co-immunoprecipitation (
Supplementary Fig. 9). Taken together, these results indicate that HDAC2 mediates a local chromatin compaction of neuroplasticity genes, which decreases their expression and may contribute to cognitive decline during neurodegeneration.
To causally examine such a scenario, we generated adeno-associated viral (AAV) vectors carrying either short-hairpin RNAs (shRNAs) directed against HDAC2 or scrambled control shRNAs (
Supplementary Fig. 10a, b). The knockdown efficiency of the shRNAs in culture was about 25 - 30% (
Supplementary Fig. 10c-f), ideally suited for the targeted normalization of the 20 - 50% increase of HDAC2 in the CK-p25 mice. We injected these vectors bilaterally into hippocampal area CA1 of two-week-induced CK-p25 and control mice, and assessed HDAC2 levels four weeks following viral injection (
Supplementary Fig. 10g). CK-p25 animals injected with an shRNA against HDAC2 (CK-p25, shHDAC2) showed reduced HDAC2 levels compared to CK-p25 animals injected with control scrambled shRNA (CK-p25, scr), indistinguishable from control mice injected with scrambled shRNA (CON, scr) (). Protein levels of HDAC1 and HDAC3 remained unchanged (
Supplementary Fig. 11). We observed transduction efficiencies of 53 - 61% (mean ± s.e.m., 57.4 ± 2.5; n=3-4 mice per group) and comparable infection rates in both control and CK-p25 hippocampi (
Supplementary Fig. 10h).
Next, we sought to determine whether reducing HDAC2 would alter the promoter histone acetylation and mRNA expression of neuroplasticity genes. We found that H4K12 acetylation was significantly enhanced on most of these genes, the majority of which also showed increased expression (). Importantly, most of these genes showed comparable, or even higher, expression in CK-p25, shHDAC2 mice compared to CON, scr animals.
Based on these findings, we investigated whether such regained chromatin and transcriptional plasticity might translate into morphological and physiological changes in the surviving neurons. To this end, we measured synaptic density by Svp immunohistochemistry, labeling the presynaptic terminals of functional synapses, and dendritic abundance by microtubule-associated protein 2 (MAP2) immunoreactivity. We found that, whereas Svp and MAP2 were reduced in the stratum radiatum of CK-p25, scr animals (as previously described for CK-p25 mice
13, 20), their abundance was markedly increased in CK-p25, shHDAC2 animals, to levels comparable to CON, scr animals (). Interestingly, however, the number of surviving neurons, as evidenced by NeuN immunohistochemistry, was not altered by HDAC2 reduction (
Supplementary Fig. 12). Then, we measured synaptic plasticity by electrophysiological recordings and observed that long-term potentiation (LTP) in CA1 neurons was undistinguishable between CK-p25, shHDAC2 and CON, scr animals, but significantly improved over CK-p25, scr animals. A similar effect was observed for basal synaptic plasticity (
Supplementary Fig. 13). Together, these data indicate that, although HDAC2 normalization did not impact neuronal survival, it did reinstate morphological and synaptic plasticity in the surviving neurons.
We hypothesized that the reduction of HDAC2 would also counteract the cognitive deficits associated with neurodegeneration. For this, we assessed associative and spatial memory on a fear-conditioning and water maze task, respectively, two types hippocampus-dependent memory that are severely perturbed in CK-p25 animals
13. We observed that associative memory of CK-p25, shHDAC2 animals returned to levels of CON, scr animals (). Likewise, CK-p25, shHDAC2 animals showed significantly reduced escape latencies compared to CK-p25, scr animals during training in the water maze () and, 24h later, they spent significantly more time in the target quadrant, indistinguishable from the performance of CON, scr mice (). Overall, swimming behavior was similar between the different groups (
Supplementary Fig. 14a, b), and altering HDAC2 levels
per se did not affect locomotor activity or anxiety as assessed by an open field test (
Supplementary Fig. 14c-f). Together, these results suggest that elevated HDAC2 levels are causally involved in the cognitive decline associated with neurodegeneration in CK-p25 mice, but that the prevention of HDAC2 upregulation rescues memory capacities.
To gain insight into the mechanisms underlying the increase in HDAC2, we exposed primary hippocampal neurons to neurotoxic stimuli characteristic of AD-related neurodegeneration, hydrogen peroxide (H
2O
2) and amyloid-β (Aβ) oligomers
21, 22. As revealed by immunocytochemistry and WB, treatment with either H
2O
2 or Aβ
1-42, but not control Aβ
42-1, oligomers was sufficient to increase HDAC2 (, left panels;
Supplementary Fig. 15a-d). Importantly, both neurotoxic stimuli increased
Hdac2 at the mRNA level (), and increased
Hdac2 transcription was also evident in the CK-p25 hippocampus (), suggesting the involvement of transcriptional mechanisms.
This prompted us to screen the
Hdac2 promoter for potential binding sites of transcriptional regulators. Using transcription factor binding databases
23, we found a well-conserved recognition element for the glucocorticoid receptor 1 (GR1) in the proximal promoter region of
Hdac2 (). GRs are activated by phosphorylation following behavioral or cellular stress and, upon binding to the glucocorticoid responsive element (GRE) in a gene’s promoter region, GRs can act as transcriptional activators or repressors, depending, in part, on the residue phosphorylated
24. Of the known phosphorylation sites, serine (S) 211 has been robustly associated with activated forms of GR1
25.
Based on this knowledge, we examined whether S211 phosphorylation on GR1 was increased following neurotoxic insults
in vitro, and in the CK-p25 brain
in vivo. Immunocytochemical labeling and WB of cultured hippocampal neurons following H
2O
2 and Aβ
1-42 treatment revealed a significantly increased phosphorylation of GR1 on S211 (PGR1) compared to control conditions (, right panels,
Supplementary Fig. 15a-d, see
Supplementary Fig. 2b for anti-PGR1
S211 specificity). Furthermore, the CK-p25 hippocampus showed similarly increased PGR1 levels (,
Supplementary Fig. 16). Remarkably, we observed that the increase of PGR1 occurred concurrently with that of HDAC2 following neurotoxicity () and, using forebrain extracts of conditional Cdk5 knock-out (Cdk5cKO) and control mice
26, we identified Cdk5 as a PGR1 kinase
in vivo ().
We then sought to determine whether GR1 phosphorylation increases
Hdac2 transcription. We first examined the binding of PGR1 to the
Hdac2 promoter by PGR1-ChIP and primer pairs (
Supplementary Table 2) spanning a region from −1000bp to +300bp around the
Hdac2 transcriptional start site (, top). We found that PGR1 binding to the
Hdac2-GRE was significantly increased in the CK-p25 hippocampus (, bottom). Similar results were obtained following Aβ
1-42 treatment of primary hippocampal cultures (
Supplementary Fig. 15e). Second, to determine whether GR1 is directly capable of transcriptionally activating
Hdac2, we cloned the
Hdac2 promoter with and without the GRE into a luciferase construct and tested its activity in CAD cells, a primary neuron-like cell line. We found that the presence of the GRE alone increased the luciferase activity by approximately 3-fold but that, upon the addition of a constitutively active form of GR, GR526 (see Methods), this activity was further doubled. However, without the
Hdac2-GRE, the addition of GR526 had no effect (
Supplementary Fig. 17). Importantly, we found that the
Hdac2-GRE also responds to neurotoxic stimuli. When CAD cells were treated with either H
2O
2 or Aβ
1-42, luciferase activity was significantly increased, but only with the GRE present (, orange bars). Furthermore, the capability of GR to activate
Hdac2 critically depends upon its phosphorylation. When S211 was mutated to alanine (GRS211A), GR was no longer capable of activating
Hdac2 in vitro (). This dependency on S211 phosphorylation also occurs
in vivo, as Cdk5cKO forebrain extracts
26 had reduced PGR1 and HDAC2 levels (). Taken together, these results suggest that AD-related neurotoxic stimuli lead to an increase in
Hdac2 gene transcription by mechanisms involving GR activation and interaction with the
Hdac2-GRE.
Lastly, to assess the relevance of these findings in humans, we compared HDAC2 abundance in
post-mortem brain samples from patients with varying degrees of non-familial AD, the most common form of neurodegeneration-associated dementia worldwide
27. The cases used here (
Supplementary Table 5) are defined by the Braak and Braak (BB) stages
28, which are characterized by the accumulation of hyperphosphorylated tau protein in the cortices (
Supplementary Fig. 18), and by increasing neurodegeneration
28 and cognitive impairment
29. We found that, in all AD-related BB stages, HDAC2 was significantly elevated in hippocampal area CA1 () and the entorhinal cortex (
Supplementary Fig. 19a, d), which are the earliest and most affected brain areas in AD
2 and crucial for memory formation and storage
14. HDAC2 accumulation was visible beginning at BB stage I/II, implicating it as an early event in the progress of AD. In contrast, levels of HDAC1 and HDAC3 were not altered (;
Supplementary Fig. 19b, c, e, f). Thus, elevated levels of HDAC2 may also accompany the cognitive decline of the human neurodegenerating brain.
The findings presented in this study describe that epigenetic mechanisms substantially contribute to the cognitive decline associated with AD-related neurodegeneration. While it is well documented that neuronal loss and Aβ- or tau-induced neurotoxicity acutely disable synaptic functions, in turn leading to cognitive deficits
1, 2, 30, the HDAC2-mediated epigenetic blockade of neuroplasticity-related gene expression could delineate a process by which memory functions become permanently impaired in the AD brain (
Supplementary Fig. 1a). This blockade appears to be induced by GR1; thus, GRs may function as molecular mediators between neurodegeneration-associated neurotoxic stressors and cognitive impairment (
Supplementary Fig. 1b).
Intriguingly, our findings may also provide a potential explanation, at least in part, as to why, in some clinical trials, cognitive impairments in AD patients persist despite successful Aβ clearance
27: Once the epigenetic blockade is in place, reducing Aβ generation and deposition alone may not be sufficient to rescue against cognitive dysfunction. A more efficacious strategy may therefore lie in the combination of Aβ reduction with the inhibition of HDAC2. By extension, these findings pinpoint HDAC2 as the likely target of non-selective HDAC inhibitors that counteract cognitive decline in AD mouse models
6 and, as a result, strongly advocate for the development of HDAC2-selective inhibitors. Finally, our finding that HDAC2 inhibition likely re-instates transcriptional, morphological, and synaptic plasticity in the surviving neurons of the neurodegenerating brain raises hope that such plasticity is not irrevocably lost, but merely constrained by the epigenetic blockade.