Literature DB >> 24784230

Neuronal targets for reducing mutant huntingtin expression to ameliorate disease in a mouse model of Huntington's disease.

Nan Wang1, Michelle Gray2, Xiao-Hong Lu3, Jeffrey P Cantle3, Sandra M Holley4, Erin Greiner5, Xiaofeng Gu3, Dyna Shirasaki5, Carlos Cepeda4, Yuqing Li6, Hongwei Dong7, Michael S Levine4, X William Yang8.   

Abstract

Huntington's disease (HD) is a fatal dominantly inherited neurodegenerative disorder caused by a CAG repeat expansion leading to an elongated polyglutamine stretch in huntingtin. Mutant huntingtin (mHTT) is ubiquitously expressed in all cells but elicits selective cortical and striatal neurodegeneration in HD. The mechanistic basis for such selective neuronal vulnerability remains unclear. A necessary step toward resolving this enigma is to define the cell types in which mHTT expression is causally linked to the disease pathogenesis. Using a conditional transgenic mouse model of HD, in which the mice express full-length human mHTT from a bacterial artificial chromosome transgene (BACHD), we genetically reduced mHTT expression in neuronal populations in the striatum, cortex or both. We show that reduction of cortical mHTT expression in BACHD mice partially improves motor and psychiatric-like behavioral deficits but does not improve neurodegeneration, whereas reduction of mHTT expression in both neuronal populations consistently ameliorates all behavioral deficits and selective brain atrophy in this HD model. Furthermore, whereas reduction of mHTT expression in cortical or striatal neurons partially ameliorates corticostriatal synaptic deficits, further restoration of striatal synaptic function can be achieved by reduction of mHTT expression in both neuronal cell types. Our study demonstrates distinct but interacting roles of cortical and striatal mHTT in HD pathogenesis and suggests that optimal HD therapeutics may require targeting mHTT in both cortical and striatal neurons.

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Year:  2014        PMID: 24784230      PMCID: PMC4067603          DOI: 10.1038/nm.3514

Source DB:  PubMed          Journal:  Nat Med        ISSN: 1078-8956            Impact factor:   53.440


Huntington’s disease (HD) is characterized by progressive motor, psychiatric and cognitive deficits with an inexorable and fatal disease course[4]. HD postmortem brains show degeneration of the majority of striatal medium spiny neurons (MSNs) and, to a lesser extent, cortical pyramidal neurons (CPNs)[2]. Recent imaging studies suggest early and progressive loss of axons emanating from cortical neurons, including those projecting to the striatum, suggesting early dysfunction of cortico-striatal connectivity in HD[5]. Currently, there is no therapy to prevent or slow the pathogenesis of HD. Landmark genetic research has led to the identification of the causal genetic mutation for HD as a CAG repeat expansion translated into an expanded polyglutamine (polyQ) repeat in Huntingtin (HTT) protein[1]. HTT is ubiquitously expressed and capable of interacting with hundreds of brain proteins[6,7]. Among the fundamental but unsolved questions in HD pathogenesis are what cell types mutant HTT (mHTT) primarily targets to elicit the disease, whether the vulnerable cortical and striatal neurons are affected through cell-autonomous or non-cell-autonomous mHTT toxicities[8], and whether disease processes in these brain regions are causally linked[9]. Answers to these questions are highly relevant to advancing therapeutics that directly target HTT[10-13]. To gain insights into such questions, we developed a conditional Bacterial Artificial Chromosome (BAC) transgenic mouse model of HD (BACHD) that expresses human full-length mHTT (fl-mHTT) with 97Q[3]. BACHD mice exhibit progressive motor and psychiatric-like behavioral deficits and selective cortical and striatal atrophy but lack overt striatal neuronal loss, hence partially recapitulating the HD phenotypes[3,14]. BACHD is the first conditional human genomic transgenic mouse model for HD featuring strategically placed LoxP sites flanking mHTT-exon1 with the polyQ repeat, and hence the expression of fl-mHTT can be genetically reduced in Cre-expressing cell lineages (Fig. 1a).
Figure 1

Genetic reduction of full-length human mHTT in cortical, striatal or both neuronal populations in BACHD mice

(a) Schematic representation of Cre-mediated genetic reduction of mHTT in BACHD mice. Mutant HTT Exon-1 in the BACHD transgene is flanked by two LoxP sites, so fl-mHTT levels can be genetically reduced in cell types expressing Cre. (b) Histochemical staining for β-galactosidase to illustrate the Cre-mediated recombination patterns in double transgenic mice containing the Rosa26-LacZ reporter and one of the Cre mouse lines. Black arrows point to the ventral hippocampus, where Cre recombinase is expressed in Emx1-Cre and Emx1-Cre/Rgs9-Cre lineages. Scale bar = 2 mm. (c,d) Cre recombinase expression patterns in cortex (c) and striatum (d) of Emx1-Cre, Rgs9-Cre and Emx1-Cre/Rgs9-Cre mice crossed with Ai3 Cre reporter mice (mediating Cre-dependent YFP expression)[20]. Each panel is a composite that shows Cre activity (YFP signals in green) and neuronal staining (NeuN immunofluorescence in red). Scale bar = 100 μm. (e) Western blot with 1C2 (specific to expanded polyglutamine epitope) to detect mHTT but not WT murine Htt in BACHD mice. Subsequent quantitation reveals fl-mHTT protein levels in the cortex, striatum, and cerebellum of BACHD, BE, BR and BER mice (n = 4 per genotype; ***P < 0.001, **P < 0.01, *P < 0.05, one-way ANOVA followed by LSD post hoc test). (f) In situ hybridization with human mHTT exon-1 specific riboprobe reveals selective reduction of mHTT transcripts in the cortex, striatum or both regions in BE, BR and BER brains, respectively. Scale bar = 1 mm.

To address whether mHTT expression in MSNs, CPNs, or both could be responsible for aspects of disease phenotypes in BACHD, we first chose Cre mouse lines (Rgs9-Cre and Emx1-Cre) that have specificity to these neuronal populations[15-18]. Using distinct reporter mice with Cre-dependent expression of LacZ[19] or YFP (Ai3 mice)[20], we confirmed that Rgs9-Cre selectively activates Cre-dependent gene expression in striatal MSNs (Fig. 1b–d) but not in other brain regions (Supplementary Fig. 1a). Consistent with prior studies, Emx1-Cre is active in the CPNs in the cortex and hippocampus, a subset of neurons in the amygdala, and only a few neurons in the striatum (about 4%) and cerebellum (Fig. 1c,d and Supplementary Fig. 1a). In the thalamus, Emx1-Cre/Ai3 mice showed YFP signal in the neuropil (likely in the axon terminals of the CPNs), but not in the neuronal cell bodies (Supplementary Fig. 1a,b). Thus, our study confirmed that Emx1-Cre is a relatively cortex-specific Cre mouse line[15,17,18,21]. Finally, we showed that Emx1-Cre/Rgs9-Cre double transgenic mice efficiently drive Cre-dependent gene expression in both CPNs and MSNs (Fig. 1b–d), but very few other neuronal populations in the brain (Supplementary Fig. 1a). To generate a BACHD model series with genetic reduction of mHTT in MSNs, CPNs, or both, we crossed BACHD with Emx1-Cre/Rgs9-Cre double transgenic mice in the FvB/NJ inbred background. A cohort of BACHD, BACHD/Emx1-Cre (BE), BACHD/Rgs9-Cre (BR), BACHD/Emx1-Cre/Rgs9-Cre (BER) mice were generated and used to confirm selective reduction of mHTT mRNA and protein in distinct brain regions (Fig. 1e,f). Consistent with MSNs constituting a subset of the cells in the striatum (about 68%)[22], we found that BR mice have selective partial reduction of mHTT protein (about 50%) in the striatum, but not in the cortex or cerebellum (Fig. 1e). BER mice have significant (about 80% reduction) of mHTT compared to BACHD in both cortex and striatum, but not in the cerebellum (Fig. 1e). Interestingly, BE mice have about 70% reduction of mHTT protein in the cortex, but also about 40% reduction of mHTT protein in the striatum (Fig. 1e). Since in situ hybridization reveals that mHTT transcripts show selective reduction in BE cortex (Fig. 1f), and BER Western blots showed further significant mHTT protein reduction in the striatum compared to either BE or BR littermates (i.e. mHTT protein is reduced in different “compartments” in BE and BR; Fig. 1e), we conclude that the decrease of the striatal mHTT protein level in BE is due to reduction of mHTT protein that is synthesized in the cortical neurons and transported into the striatum within the corticostriatal and other corticofugal axons. Finally, Western blot analyses also demonstrate that Cre-mediated mHTT reduction in BACHD mice does not create any aberrant mHTT N-terminal fragments (Supplementary Fig. 2), and hence the phenotypic differences between BE, BR and BER can be interpreted in the context of fl-mHTT genetic reduction in the specific cortical or striatal neuronal cell types. We next tested whether age-dependent motor and psychiatric-like behavioral deficits in BACHD can be improved via genetic reduction of mHTT in cortical or striatal neurons. We characterized a cohort of BACHD, BE, BR, BER and wildtype (WT) mice at 2-months (2m), 6-months (6m) and 12-months (12m) using Rotarod (motor performance) and Open-field (locomotion) tests, which are reliable assays of motor impairment in BACHD[3,14]. BACHD mice show the largest progression of Rotarod deficit between 2m and 6m of age, while the progression is smaller albeit statistically significant between 6m and 12m (Fig. 2a–d, Supplementary Figure 3) [3,14]. Compared to WT mice, BR mice show significant Rotarod impairment at 6m and 12m, and reduced locomotion at 12m (Fig. 2a–d, Supplementary Table 1). Interestingly, although BE mice are still motorically impaired compared to WT, they do show significant, albeit partial amelioration of Rotarod performance at 6m and Open-field at 12m compared to BACHD (Fig. 2a, d, Supplementary Table 1). Importantly, BER mice show consistent and significant improvement of both motor phenotypes compared to BACHD at both testing ages (Fig. 2a–d, Supplementary Table 1).
Figure 2

Differential amelioration of behavioral deficits and selective neurodegenerative pathology in BACHD mice with genetic mHTT reduction in cortical or striatal neurons

A cohort of BACHD, BE, BR, BER, and WT littermate mice in FvB/NJ background were tested for longitudinal behavioral deficits. Two motor tests were used: Accelerating Rotarod at 6m (a) and 12m (b) of ages, and spontaneous locomotion in an Automated Open-Field Test at 6m (c) and 12m (d) of ages. Moreover, the mice were also tested for psychiatric-like behavioral deficits using two tests: depression-like behaviors in the Forced Swimming Test (e) and anxiety-like behaviors in the Light-Dark Box Exploration Test (f). Mice of different genotypes at 12m of age were used to quantify forebrain weights (g) in addition to unbiased stereological measurement of cortical (h) and striatal (i) volumes. One-way ANOVA followed by LSD post hoc test was applied for all behavioral studies. *P < 0.05, **P < 0.01, ***P < 0.001, values represent means ± SEM. For 6-month Rotarod and Open Field Tests, n = 14, 14, 15, 13 and 15 for WT, BACHD, BR, BE and BER, respectively; for all other behavioral tests, n = 12 per genotype; n = 8 per genotype in all pathological studies (more detailed statistics in Supplementary Table 1).

BACHD mice exhibit psychiatric-like behavioral deficits including anxiety-like behavior in light-dark box exploration and depression-like behavior in forced swimming test (Fig. 2e,f)[14]. Interestingly, mHTT reduction in both BE and BER mice significantly improves both psychiatric-like behavioral deficits compared to BACHD, while BR mice are still impaired compared to WT mice. The psychiatric-like behavioral deficits in BACHD and BR mice cannot be simply attributed to motor impairment that interferes with testing, since the initial latency to enter the dark compartment from the well-lit compartment (a measure of locomotor ability to perform the task) is not significantly different among the genotypes (Supplementary Fig. 4). We next addressed where mHTT expression is critical for selective neurodegeneration, and whether non-cell-autonomous disease mechanisms could contribute to the disease pathogenesis. Our prior study using a conditional mHTT-exon1 model showed that non-cell-autonomous mHTT fragment toxicities likely contribute to neuronal toxicities, but the precise cellular origins for such toxicities remain unclear[15]. BACHD as a human genomic transgenic mouse model is particularly suitable to address this question due to its relatively accurate construct validity[23] and manifestation of selective brain atrophy that partially mimics HD[3]. BACHD mice at 12m show selective forebrain weight loss and stereologically-measured cortical and striatal volume loss (Fig. 2g–i). Importantly, the cerebellar weights do not significantly differ among all the genotypes (Supplementary Fig. 5), supporting HD-like neurodegenerative pathology in this model[3]. In our cohort of HD mice with brain-regional-specific fl-mHTT genetic reduction, only BER mice consistently show significant amelioration of the forebrain weight loss (Fig. 2g) and cortical and striatal volume loss compared to BACHD (Fig. 2h,i). BR mice at 12m still show significant brain atrophy in some (i.e. forebrain weight) but not all the readouts (Fig. 2g–i, Supplementary Table 1). Interestingly, BE mice do not show significant difference in all three brain atrophy phenotypes from neither BACHD or WT, suggesting that cortical mHTT reduction alone can exert behavioral benefit without significant ameliorate neurodegeneation phenotypes in BACHD (Fig. 2g–i, Supplementary Table 1). Our study reveals a remarkably consistent finding regarding the neuronal targets in which mHTT synthesis significantly contributes to disease pathogenesis (Table 1): First, genetic reduction of fl-mHTT in both cortical and striatal neurons in BER mice consistently improves all disease phenotypes measured in BACHD. Second, genetic reduction of mHTT in the cortical neurons in BE mice showed significant amelioration of psychiatric-like behavioral deficits, and partial improvement in motor deficits, suggesting that mHTT synthesized in the cortical neurons play an important role in the pathogenesis of behavioral deficits in HD mice. Finally, although we did not show any significant improvement of the behavioral deficits and neuropathology in BR mice compared to BACHD (Table 1), these data should be interpreted with caution, since our power analyses (Supplementary Table 1) suggest that a much larger sample size would be needed to conclusively show the absence of phenotypic improvement in BR mice.
Table 1

Summary of the behavioral and neuropathological phenotypic improvement of BE, BR and BER mice compared to BACHD mice

Percentage of improvement for a given phenotype represents the absolute mean value of the difference between BE/BR/BER and BACHD divided by the absolute mean value of the difference between BACHD and WT.

BACHD PhenotypesSignificant Disease Phenotype Amelioration (Percentage of Improvement)
BRBEBER
1. Motor Deficits
 Rotarod (6M)NS (29%)* (45%)** (70%)
 Rotarod (12M)NS (19%)NS (30%)* (63%)
 Spontaneous Locomotion (6M)NS (39%)NS (35%)* (82%)
 Spontaneous Locomotion (12M)NS (30%)** (83%)* (71%)
2. Psychiatric-like Behaviors
 Anxiety (Light-Dark Box)NS (29%)*** (85%)*** (100%)
 Depression-like (Forced Swim Test)NS (12%)** (100%)** (80%)
3. Neurodegeneration
 Forebrain WeightNS (−17%)NS (32%)* (81%)
 Cortical Volume LossNS (51%)NS (54%)** (100%)
 Striatal Volume LossNS (36%)NS (27%)** (100%)

NS: Not Significant

p<0.05,

p<0.01,

p<0.001

To further explore mechanisms underlying the differential rescue of disease phenotypes in our BACHD model series, we hypothesized that genetic reduction of mHTT in cortical or striatal neurons may have differential impact on cortico-striatal synaptic communication, which is known to be affected in HD[24]. HD mouse models often recapitulate the loss of synaptic marker proteins, such as the presynaptic protein synaptophysin and postsynaptic proteins Actinin 2 (Actn2) and PSD-95[24-28]. Interestingly, both Actn2 and PSD-95 are in the postsynaptic density (PSD) of MSNs and functionally interact with N-Methyl-D-Aspartate (NMDA) receptors[29-31]. The reduction of PSD-95 has been implicated in NMDA receptor dysfunction in HD[24,32]. By quantifying the immunofluorescence staining signals for these synaptic marker proteins in the dorsolateral striatal sections from 12m old mice, we show that BACHD mice exhibit significant reduction of all three synaptic marker proteins compared to WT mice (Fig. 3a–d). Interestingly, BR mice showed a significant increase of signals for both Actn2 and PSD-95 compared to BACHD, but with Actn2 levels still lower than WT and BER (Fig. 3c). Moreover, BR mice still exhibit significant loss of the presynaptic marker protein synaptophysin compared to WT (Fig. 3b). This result suggests that reduction of PSD marker proteins in MSNs is at least in part due to the cell-autonomous toxicities of mHTT within MSNs. In BE mice, we found a significant improvement of synaptophysin levels in the striatum (Fig. 3b), and surprisingly also significant amelioration of both Actn2 and PSD-95 deficits compared to BACHD, but with the level of Actn2 still lower than WT (Fig. 3c,d). These results suggest that mHTT reduction in CPNs can not only lead to cell-autonomous improvement of presynaptic marker protein levels in striatum but originated from the CPNs, but also exert non-cell-autonomous benefit on the postsynaptic marker protein expression in the MSNs. Finally, BER mice show the most consistent improvement of both presynaptic and postsynaptic marker proteins compared to BACHD, and also show significant improvement in Actn2 compared to BR (Fig. 3b–d). The latter finding suggests that, at least for this PSD protein, the reduction of mHTT in both cortical and striatal neurons elicits further disease-reduction benefit than mHTT reduction in the striatal MSNs alone.
Figure 3

Differential improvement of the levels of striatal presynaptic and postsynaptic marker proteins, as well as NMDA receptor-mediated synaptic currents in BACHD mice with genetic reduction of mHTT in cortical or striatal neurons

(a) The dorsolateral striatal sections from WT, BACHD, BE, BR and BER were immunostained for a presynaptic protein (synaptophysin) or two postsynaptic proteins (Actn2 and PSD-95). Scale bar = 100 μm. (b–d) Quantitation of relative fluorescence intensities reveals the levels for synaptophysin (b; n = 7 per genotype), Actn2 (c; BR, n = 10; all other genotypes, n = 7) and PSD-95 (d, n = 7 per genotype). *P < 0.05, **P < 0.01, values represent means ± SEM. More detailed statistics are presented in Supplementary Table 1. To evaluate cortical-striatal NMDA receptor function, evoked synaptic NMDA receptor-mediated currents in the MSNs of WT, BACHD, BE and BR mice were recorded. (e) The representative traces of NMDA receptor-mediated currents in the MSNs using patch-clamp recording in the presence of BIC and CNQX (n = 9–16 cells per group). All recordings were performed in transgenic mice and WT littermates. The ages of the mice were 13.3m, 14.2m and 15.7m for BACHD, BE and BR mice, respectively. (f) The quantification of normalized amplitude of NMDA receptor-mediated currents in striatal MSNs from BACHD, BR and BE mice compared to those from WT mice. Two way ANOVAs followed by Bonferroni post hoc tests. Values represent means ± SEM, **P < 0.01.

Since both cortical or striatal mHTT reduction can significantly improve the postsynaptic proteins known to regulate NMDA receptor function[29-31], we hypothesized that deficits in NMDA-mediated synaptic currents, if found in BACHD, could be ameliorated in BE or BR mice. To test this hypothesis, we examined striatal slices from BACHD, BE, BR and WT mice at a relatively advanced disease stage (13m–15m) for evoked synaptic NMDA currents. We found significantly impaired evoked synaptic NMDA currents in BACHD MSNs compared to those in WT (Fig. 3e,f). Importantly, both BE and BR mice no longer exhibit such deficits compared to respective WT littermates (Fig. 3e,f). To further strengthen the observation that cortical mHTT reduction can ameliorate striatal synaptic toxicities, we examined additional synaptic properties of MSNs in striatal slices from 12m old BE and BACHD mice. We found that BACHD MSNs exhibit a significant reduction of spontaneous excitatory post-synaptic currents (sEPSCs, frequencies at 5–15 pA) and a significant increase of spontaneous inhibitory postsynaptic currents (sIPSCs) compared to WT MSNs. These deficits are significantly ameliorated in MSNs of BE mice (Supplementary Fig. 6). Together, we conclude that mHTT in both striatal and cortical neurons contributes to the molecular and physiological deficits found in the synapses of striatal MSNs. Moreover, we demonstrated that mHTT synthesized in cortical neurons exerts non-cell-autonomous toxicities that contribute to synaptic pathogenesis within striatal MSNs. In summary, our study demonstrates a conceptually novel conditional BAC transgenic approach to unveil the distinct but interacting roles of cortical and striatal mHTT in disease pathogenesis in a human genomic transgenic mouse model of HD. We showed that highly selective reduction of mHTT in striatal MSNs contribute significantly to the cell-autonomous amelioration of striatal postsynaptic deficits in BR mice. However, these mice still exhibit significant behavioral deficits and selective forebrain atrophy. Such findings should be interpreted with caution since our power analyses showed that much larger numbers of mice are needed to fully exclude small phenotypic improvement between BR and BACHD mice (Supplementary Table 1). Together, our results suggest that mHTT in striatal MSNs contributes to some aspects of striatal pathogenesis, but the pathogenesis of many behavioral and neurodegenerative phenotypes in BACHD likely require mHTT expression outside the striatal MSNs. Our study is the first to evaluate the contribution of mHTT in cortical neurons in disease pathogenesis in a fl-mHTT transgenic mouse model of HD. An important finding in our study is that mHTT reduction in the Emx1-Cre lineage, relatively restricted to the CPNs, leads to partial amelioration of motor deficits and significant improvement of psychiatric-like behavioral deficits. Our study also suggests cortical mHTT genetic reduction can elicit cell-autonomous improvement of presynaptic marker protein expression, and non-cell-autonomous improvement of postsynaptic marker protein expression and synaptic neurotransmission within MSNs. This finding is consistent with our prior study demonstrating that pathological cell-cell interactions are necessary for disease pathogenesis in a mHTT fragment mouse model[15]. Our current study represents a significant advance by providing compelling evidence for non-cell-autonomous mHTT toxicities in striatal pathogenesis in a fl-mHTT mouse model, and by revealing that mHTT synthesized in the cortical neurons is a key source for such toxicities. Consistent with the emerging theme from other neurodegenerative disorders[8], our study supports the critical roles for non-cell-autonomous disease mechanisms in the pathogenesis and possibly therapy of HD. The most crucial finding in our current study, through the examination of BER mice, is that genetic reduction of mHTT in both cortical and striatal neurons results in the most consistent amelioration of all disease-like phenotypes in BACHD mice. Our result suggests an additive or synergistic role of cortical and striatal mHTT in HD pathogenesis. We favor the latter possibility due to the non-cell-autonomous roles for cortical mHTT in striatal synaptic pathogenesis. Certainly future studies are needed to delineate the specific, and possibly distinct, molecular pathogenic mechanisms elicited by mHTT in the cortical and striatal neurons that are underpinning the cortico-striatal pathological interactions in HD. Finally, our study provides novel insights into where in the brain mHTT should be therapeutically targeted to ameliorate the disease. To this end, we are cognizant of some limitations of the study. First, BACHD as well as other existing HD mouse models only partially mimic the behavioral and neurodegenerative phenotypes of HD[34]. Our genetic experiment is also constrained by the availability of Cre mouse lines with neuronal cell-type specific expression. Moreover, the onset of Emx1-Cre and Rgs9-Cre activities is during the embryonic and perinatal ages respectively, and hence our study addresses reduction of regional mHTT synthesis in disease prevention, rather than therapeutic intervention after the disease onset. Therefore, our study cannot exclude the possibility of more significant therapeutic impacts of striatal or cortical mHTT reduction in adult ages[10,11]. Notwithstanding such limitations, our study provides the first proof-of-concept on the benefit of targeting mHTT in the cortical neurons to partially ameliorate multiple behavioral deficits and non-cell-autonomously improve striatal pathology in HD. More importantly, it suggests that the optimal therapeutic strategy may require the delivery of HTT-lowering therapies to both cortical and striatal neuronal targets in HD. Interestingly, strategies preferentially delivering such therapies to the cortex[12] or the striatum [10,11] have been demonstrated in preclinical models. Future clinical trials will be needed to evaluate the distribution, efficacy and safety of these delivery strategies in HD patients, and to test whether the distinct but synergistic therapeutic benefits of HTT-lowering in the cortex and striatum, as predicted by our study in an HD mouse model, can also be achieved in patients.

METHODS

Generation and breeding of conditional HD mice

BACHD mice were generated and maintained in the FvB/NJ background as described[3]. Emx1-Cre and Rgs9-Cre mice were backcrossed into the FvB/NJ background (>10 generations) and then bred to generate Emx1-Cre/Rgs9-Cre (ER) double transgenic mice. BACHD and ER mice were bred to generate the cohort of mice with 8 different genotypes: BACHD, BE, BR, BER, Emx1-Cre, Rgs9-Cre, Emx1-Cre/Rgs9-Cre and WT. All mice were maintained and bred under standard conditions consistent with National Institutes of Health guidelines and approved by the University of California, Los Angeles Institutional Animal Care and Use Committees. Genomic DNA was prepared from mouse tails, and BACHD and various Cre lines were genotyped using established PCR protocols[3,15,16].

Cre reporter mouse assay

Emx1/Rgs9 double Cre mice were mated with lacZ Cre reporter mice (Gt(ROSA)26Sor) from the Jackson Laboratory (JAX003309). Brain sections from reporter mice crossed with Emx1-Cre, Rgs9-Cre or Emx1-Cre/Rgs9-Cre Cre mice (postnatal-day 90) were used to perform β-galactosidase histochemical assay using our established protocol[33]. Additionally, Emx1-Cre/Rgs9-Cre double transgenic mice were mated with Ai3 (Gt(ROSA)26Sortm3(CAG-EYFP)Hze/J) Cre reporter mice from the Jackson Laboratory (JAX007903)[20]. Mice carrying Cre and YFP transgenes were perfused with 4% paraformaldehyde in 0.1M PBS at postnatal-day 90. Brains were post-fixed overnight at 4°C. Brain sections (20μm in thickness) were prepared using a Leica 1800 Cryostat (Deerfield) and stained with anti-NeuN (1:1000; mouse mAb, Millipore) followed by anti-mouse Alexa 594 based on our established protocols[15].

Western blotting

Protein lysates and Western blots were performed using our established protocols[3]. Immunoblots were probed with 1C2 (specific for expanded polyglutamine repeat; Chemicon) and anti-α-tubulin (Sigma) at 1:3000 dilutions in 5% blocking solution[3]. For quantitation of Western blots, five mice per genotype were used in the study.

In situ hybridization

The human mHTT fragment within the two loxP sites was cloned into pCR2.1-TOPO Vector using TOPO TA Cloning Kit (Life Technologies) and used as the cDNA template. RNA was labeled with 35S-UTP using RNAMaxx High Yield Transcription Kit (Agilent) with T7 polymerase (Roche Applied Science, Indianapolis, IN). The radioactive in situ hybridization was performed using our established protocol[35].

General experimental design

The sample sizes used for our experiments were pre-determined based on the power analyses for longitudinal behavioral and neuropathological studies in BACHD mice[3,14]. For our study, randomization and allocation of a given genotype is not necessary and hence was not performed. No individual data points were excluded from the statistical analyses. Sex-matched mice of appropriate genotypes were used for behavioral and neuropathological studies by investigators who were blinded to the genotypes.

Behavioral studies

Rotarod and Open-Field Exploration tests were performed for BACHD, WT, BE, BR and BER mice generated from BACHD x ER double-Cre at 2-, 6- and 12-months of age (n = 12–15 per genotype) using our established protocols[3]. The psychiatric-like behavioral tests were performed on the above mice at 12-months of age. The Light-Dark Exploration tests were performed as described before[36]. The Forced Swimming tests were performed using a standard protocol. Briefly, mice were allowed to acclimate to the experimental room at least one hour before testing. One mouse was put into a Plexiglas tank or a transparent plastic cylinder (15 cm diameter) filled with water (25 °C) to a height of 25 cm and videotaped for 6 minutes. The last 4 minutes of video was used to score for immobility, which was defined as absence of all movement except motions required for keeping the head above the water. Time spent immobile was recorded and analyzed. Open-Field testing was performed during the dark phase of the light/dark cycle, while other behavioral tests were performed during the light phase.

Neurodegenerative pathology

The analyses of forebrain weight, cerebellar weight, and unbiased stereological measurements of cortical and striatal volumes in BACHD, BE, BR BER and WT mice (N=8 per genotype) at 12-months of age were performed using our established protocols[3,36].

Detection of presynaptic and postsynaptic marker proteins by immunofluorescence and quantitation of the indirect fluorescent signal intensities

Twelve-month old BACHD, BE, BR, BER and WT mice (n = 7–10 per genotype) were used for indirect immunofluorescent staining for Synaptophysin, Actn2 and PSD-95 in the striatum. Antibodies against synaptophysin (mouse Alexa Fluor 488 Conjugated mAb, Millipore), Actn2 (rabbit mAb, Epitomics) and PSD-95 (mouse mAb, UC Davis/NIH NeuroMab Facility) were used following manufacturer instructions with modification. Thin coronal brain sections (5μm) containing dorsal striatum (near bregma +1.2 mm) were prepared and immunostained with antibodies against synaptophysin (1:200), Actn2 (1:500) or PSD-95 (1:500). The latter two were followed by goat-anti-rabbit or goat anti-mouse secondary antibody conjugated to Alexa Fluor 594 (1:300, Invitrogen). For each mouse, two randomly selected dorsal striatal regions (near bregma +1.2 mm) were imaged at high magnification (63x) using a Zeiss LSM510 confocal laser-scanning microscope. The indirect immunofluorescence intensities of the images were measured using Image J software (NIH). All images for different genotypes were obtained and processed under identical conditions.

Slice electrophysiological recordings

Whole-cell patch clamp recordings from MSNs were obtained using standard methods[26]. Cells were identified by soma size, basic membrane properties (input resistance, membrane capacitance, and time constant. The patch pipette (3–5 MΩ) contained the following solution (in mM): Cs-methanesulfonate 130, CsCl 10, NaCl 4, MgCl2 1, MgATP 5, EGTA 5, HEPES 10, GTP 0.5, phosphocreatine 10, leupeptin 0.1 (pH 7.25-7.3, osmolality, 280–290 mOsm). Spontaneous postsynaptic currents (PSCs) were recorded in standard artificial cerebrospinal fluid (ACSF) composed of the following: 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). After characterizing the basic membrane properties of the neuron, NMDA receptor-mediated synaptic currents were evoked by electrical stimulation of afferent cortical fibers using a metal bipolar stimulating electrode. The stimulating electrode was placed on the dorsolateral corpus callosum 150–250 μm from the recording electrode. Stimuli (0.5 ms pulse duration, 0.1–1.0 mA intensity) were delivered at intervals of approximately 30 sec. Evoked NMDA receptor-mediated EPSCs were recorded at a holding potential of +40 mVin ACSF containing 10 μM bicuculline (BIC, a GABAA receptor antagonist) and 10 μM 6-cyano-7-nitroquinoxaline-2,3-dione (CNQX). Recording electrodes also contained QX-314 to block Na+ channel-mediated currents.

Statistical analyses

All data are shown as the mean ± standard error of the mean (SEM). SPSS 17.0 statistics software (Chicago, IL) was used to perform all of the statistical analyses. One-way Analysis Of Variance (ANOVA) followed by LSD post hoc analysis was used. The minimum significance level was set at P < 0.05.
  36 in total

1.  Potential endpoints for clinical trials in premanifest and early Huntington's disease in the TRACK-HD study: analysis of 24 month observational data.

Authors:  Sarah J Tabrizi; Ralf Reilmann; Raymund A C Roos; Alexandra Durr; Blair Leavitt; Gail Owen; Rebecca Jones; Hans Johnson; David Craufurd; Stephen L Hicks; Christopher Kennard; Bernhard Landwehrmeyer; Julie C Stout; Beth Borowsky; Rachael I Scahill; Chris Frost; Douglas R Langbehn
Journal:  Lancet Neurol       Date:  2011-12-02       Impact factor: 44.182

2.  Sustained therapeutic reversal of Huntington's disease by transient repression of huntingtin synthesis.

Authors:  Holly B Kordasiewicz; Lisa M Stanek; Edward V Wancewicz; Curt Mazur; Melissa M McAlonis; Kimberly A Pytel; Jonathan W Artates; Andreas Weiss; Seng H Cheng; Lamya S Shihabuddin; Gene Hung; C Frank Bennett; Don W Cleveland
Journal:  Neuron       Date:  2012-06-21       Impact factor: 17.173

Review 3.  Pathophysiology of Huntington's disease: time-dependent alterations in synaptic and receptor function.

Authors:  L A Raymond; V M André; C Cepeda; C M Gladding; A J Milnerwood; M S Levine
Journal:  Neuroscience       Date:  2011-08-27       Impact factor: 3.590

4.  alpha-actinin-2 in rat striatum: localization and interaction with NMDA glutamate receptor subunits.

Authors:  A W Dunah; M Wyszynski; D M Martin; M Sheng; D G Standaert
Journal:  Brain Res Mol Brain Res       Date:  2000-06-23

5.  Cortex-restricted disruption of NMDAR1 impairs neuronal patterns in the barrel cortex.

Authors:  T Iwasato; A Datwani; A M Wolf; H Nishiyama; Y Taguchi; S Tonegawa; T Knöpfel; R S Erzurumlu; S Itohara
Journal:  Nature       Date:  2000-08-17       Impact factor: 49.962

6.  Assessment of cortical and striatal involvement in 523 Huntington disease brains.

Authors:  Tiffany C Hadzi; Audrey E Hendricks; Jeanne C Latourelle; Kathryn L Lunetta; L Adrienne Cupples; Tammy Gillis; Jayalakshmi Srinidhi Mysore; James F Gusella; Marcy E MacDonald; Richard H Myers; Jean-Paul Vonsattel
Journal:  Neurology       Date:  2012-10-03       Impact factor: 9.910

7.  Network organization of the huntingtin proteomic interactome in mammalian brain.

Authors:  Dyna I Shirasaki; Erin R Greiner; Ismael Al-Ramahi; Michelle Gray; Pinmanee Boontheung; Daniel H Geschwind; Juan Botas; Giovanni Coppola; Steve Horvath; Joseph A Loo; X William Yang
Journal:  Neuron       Date:  2012-07-12       Impact factor: 17.173

8.  Cortical excitatory neurons and glia, but not GABAergic neurons, are produced in the Emx1-expressing lineage.

Authors:  Jessica A Gorski; Tiffany Talley; Mengsheng Qiu; Luis Puelles; John L R Rubenstein; Kevin R Jones
Journal:  J Neurosci       Date:  2002-08-01       Impact factor: 6.167

9.  Identification of the cortical neurons that mediate antidepressant responses.

Authors:  Eric F Schmidt; Jennifer L Warner-Schmidt; Benjamin G Otopalik; Sarah B Pickett; Paul Greengard; Nathaniel Heintz
Journal:  Cell       Date:  2012-05-25       Impact factor: 41.582

10.  A toolbox of Cre-dependent optogenetic transgenic mice for light-induced activation and silencing.

Authors:  Linda Madisen; Tianyi Mao; Henner Koch; Jia-min Zhuo; Antal Berenyi; Shigeyoshi Fujisawa; Yun-Wei A Hsu; Alfredo J Garcia; Xuan Gu; Sebastien Zanella; Jolene Kidney; Hong Gu; Yimei Mao; Bryan M Hooks; Edward S Boyden; György Buzsáki; Jan Marino Ramirez; Allan R Jones; Karel Svoboda; Xue Han; Eric E Turner; Hongkui Zeng
Journal:  Nat Neurosci       Date:  2012-03-25       Impact factor: 24.884

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  81 in total

Review 1.  Huntington Disease: Linking Pathogenesis to the Development of Experimental Therapeutics.

Authors:  Tiago A Mestre; Cristina Sampaio
Journal:  Curr Neurol Neurosci Rep       Date:  2017-02       Impact factor: 5.081

2.  Cortical Network Dynamics Is Altered in Mouse Models of Huntington's Disease.

Authors:  Elissa J Donzis; Ana María Estrada-Sánchez; Tim Indersmitten; Katerina Oikonomou; Conny H Tran; Catherine Wang; Shahrzad Latifi; Peyman Golshani; Carlos Cepeda; Michael S Levine
Journal:  Cereb Cortex       Date:  2020-04-14       Impact factor: 5.357

3.  Meta-analytic evaluation of the association between head injury and risk of amyotrophic lateral sclerosis.

Authors:  Yukari Watanabe; Takamitsu Watanabe
Journal:  Eur J Epidemiol       Date:  2017-10-27       Impact factor: 8.082

Review 4.  Viral vectors for therapy of neurologic diseases.

Authors:  Sourav R Choudhury; Eloise Hudry; Casey A Maguire; Miguel Sena-Esteves; Xandra O Breakefield; Paola Grandi
Journal:  Neuropharmacology       Date:  2016-02-21       Impact factor: 5.250

Review 5.  The choreography of neuroinflammation in Huntington's disease.

Authors:  Andrea Crotti; Christopher K Glass
Journal:  Trends Immunol       Date:  2015-05-20       Impact factor: 16.687

Review 6.  Developmental origins of cortical hyperexcitability in Huntington's disease: Review and new observations.

Authors:  Carlos Cepeda; Katerina D Oikonomou; Damian Cummings; Joshua Barry; Vannah-Wila Yazon; Dickson T Chen; Janelle Asai; Christopher K Williams; Harry V Vinters
Journal:  J Neurosci Res       Date:  2019-07-28       Impact factor: 4.164

7.  Hdac4 Interactions in Huntington's Disease Viewed Through the Prism of Multiomics.

Authors:  Joel D Federspiel; Todd M Greco; Krystal K Lum; Ileana M Cristea
Journal:  Mol Cell Proteomics       Date:  2019-04-30       Impact factor: 5.911

Review 8.  Therapeutic approaches to Huntington disease: from the bench to the clinic.

Authors:  Nicholas S Caron; E Ray Dorsey; Michael R Hayden
Journal:  Nat Rev Drug Discov       Date:  2018-09-21       Impact factor: 84.694

9.  Phagocytic glia are obligatory intermediates in transmission of mutant huntingtin aggregates across neuronal synapses.

Authors:  Kirby M Donnelly; Olivia R DeLorenzo; Aprem DA Zaya; Gabrielle E Pisano; Wint M Thu; Liqun Luo; Ron R Kopito; Margaret M Panning Pearce
Journal:  Elife       Date:  2020-05-28       Impact factor: 8.140

10.  Cortical efferents lacking mutant huntingtin improve striatal neuronal activity and behavior in a conditional mouse model of Huntington's disease.

Authors:  Ana María Estrada-Sánchez; Courtney L Burroughs; Stephen Cavaliere; Scott J Barton; Shirley Chen; X William Yang; George V Rebec
Journal:  J Neurosci       Date:  2015-03-11       Impact factor: 6.167

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