Tuancheng Feng1, Shuyi Mai2, Jenn Marie Roscoe1, Rory R Sheng1, Mohammed Ullah1, Junke Zhang3, Isabel Iscol Katz1, Haiyuan Yu3, Wenjun Xiong2, Fenghua Hu1. 1. Department of Molecular Biology and Genetics, Weill Institute for Cell and Molecular Biology, Cornell University, Ithaca, NY, USA. 2. Department of Biomedical Sciences, City University of Hong Kong, Kowloon, Hong Kong SAR, China. 3. Department of Computational Biology, Weill Institute for Cell and Molecular Biology, Cornell University, Ithaca, NY, USA.
Abstract
Haploinsufficiency of progranulin (PGRN) is a leading cause of frontotemporal lobar degeneration (FTLD). Loss of PGRN leads to lysosome dysfunction during aging. TMEM106B, a gene encoding a lysosomal membrane protein, is the main risk factor for FTLD with PGRN haploinsufficiency. But how TMEM106B affects FTLD disease progression remains to be determined. Here, we report that TMEM106B deficiency in mice leads to accumulation of lysosome vacuoles at the distal end of the axon initial segment in motor neurons and the development of FTLD-related pathology during aging. Ablation of both PGRN and TMEM106B in mice results in severe neuronal loss and glial activation in the spinal cord, retina, and brain. Enlarged lysosomes are frequently found in both microglia and astrocytes. Loss of both PGRN and TMEM106B results in an increased accumulation of lysosomal vacuoles in the axon initial segment of motor neurons and enhances the manifestation of FTLD phenotypes with a much earlier onset. These results provide novel insights into the role of TMEM106B in the lysosome, in brain aging, and in FTLD pathogenesis.
Haploinsufficiency of progranulin (PGRN) is a leading cause of frontotemporal lobar degeneration (FTLD). Loss of PGRN leads to lysosome dysfunction during aging. TMEM106B, a gene encoding a lysosomal membrane protein, is the main risk factor for FTLD with PGRN haploinsufficiency. But how TMEM106B affects FTLD disease progression remains to be determined. Here, we report that TMEM106B deficiency in mice leads to accumulation of lysosome vacuoles at the distal end of the axon initial segment in motor neurons and the development of FTLD-related pathology during aging. Ablation of both PGRN and TMEM106B in mice results in severe neuronal loss and glial activation in the spinal cord, retina, and brain. Enlarged lysosomes are frequently found in both microglia and astrocytes. Loss of both PGRN and TMEM106B results in an increased accumulation of lysosomal vacuoles in the axon initial segment of motor neurons and enhances the manifestation of FTLD phenotypes with a much earlier onset. These results provide novel insights into the role of TMEM106B in the lysosome, in brain aging, and in FTLD pathogenesis.
Haploinsufficiency of the progranulin (PGRN) protein, due to heterozygous mutations in the granulin (GRN) gene, is a leading cause of frontotemporal lobar degeneration with TDP‐43 aggregates (FTLD‐TDP) (Baker et al, 2006; Cruts et al, 2006; Gass et al, 2006). PGRN is known as a secreted glycoprotein of 7.5 granulin repeats (Bateman & Bennett, 2009; Cenik et al, 2012). Accumulating evidence has suggested a critical role of PGRN in the lysosome(Paushter et al, 2018). Firstly, patients with homozygous PGRN mutations exhibit neuronal ceroid lipofuscinosis (NCL), a lysosomal storage disorder (Smith et al, 2012; Almeida et al, 2016). Lipofuscin accumulation and lysosome abnormalities were also found in PGRN‐deficient mice (Ahmed et al, 2010; Tanaka et al, 2014). Importantly, NCL‐related phenotypes have been reported in FTLD patients with GRN mutation (Gotzl et al, 2014; Valdez et al, 2017; Ward et al, 2017), supporting that lysosomal dysfunction serves as a common mechanism for NCL and FTLD. Secondly, PGRN is a lysosome resident protein (Hu et al, 2010). PGRN interacts with another lysosomal protein prosaposin (PSAP) to facilitate each other's lysosomal trafficking (Zhou et al, 2015, 2017c). Upon reaching the lysosome, PGRN is processed to granulin peptides by cathepsins (Holler et al, 2017; Lee et al, 2017; Zhou et al, 2017b). PGRN and granulin peptides have been shown to regulate the activities of several lysosomal enzymes, including cathepsin D (Beel et al, 2017; Valdez et al, 2017; Zhou et al, 2017a; Butler et al, 2019) and glucocerebrosidase (Arrant et al, 2019; Valdez et al, 2019; Zhou et al, 2019).Thirdly, PGRN is transcriptionally co‐regulated with a number of essential lysosomal genes by the transcriptional factor TFEB (Sardiello et al, 2009; Belcastro et al, 2011).Frontotemporal lobar degeneration‐TDP patients with GRN mutations show a high variability in age of onset and pathological presentation, even in cases with identical mutations (Van Deerlin et al, 2007), suggesting the existence of additional environmental or genetic factors that influence the disease manifestation. Genome‐wide association studies by several groups have identified TMEM106B, a gene encoding a type II transmembrane protein of unknown function, as a bona fide risk factor for FTLD, especially in patients with GRN mutations (Van Deerlin et al, 2010; Cruchaga et al, 2011; Finch et al, 2011; van der Zee et al, 2011). It has been proposed that TMEM106B functions as a risk factor for FTLD in a similar manner as APOE for Alzheimer's disease (Wood, 2010; Cruchaga et al, 2011; van der Zee & Van Broeckhoven, 2011; Deming & Cruchaga, 2014; Jain & Chen‐Plotkin, 2018). Cellular studies have revealed that TMEM106B is localized in late endosome/lysosome compartments and increased TMEM106B levels result in lysosome enlargement and dysfunction (Chen‐Plotkin et al, 2012; Lang et al, 2012; Brady et al, 2013). These findings suggest that TMEM106B is critical for proper lysosomal functions, and as such, TMEM106B might modify FTLD phenotypes by regulating lysosomal functions.Although GRN and TMEM106B were initially identified as genes associated with FTLD, these two genes have been intimately linked to brain health and associated with many other neurodegenerative diseases. First of all, GRN and TMEM106B have been discovered as the two main determinants of differential aging in the cerebral cortex with genome‐wide significance (Rhinn & Abeliovich, 2017). Secondly, a recent study identified GRN and TMEM106B as two of the five risk factors for a recently recognized disease entity, limbic‐predominant age‐related TDP‐43 encephalopathy (LATE) (Nelson et al, 2019). These two genes were also found to be associated with TDP‐43 proteinopathy and coordinate with each other to regulate gene expression in a genome‐wide transcription study (Yang et al, 2020). Furthermore, GRN and/or TMEM106B polymorphisms are associated with FTLD caused by C9ORF72 mutations (van Blitterswijk et al, 2014; Deming & Cruchaga, 2014; Gallagher et al, 2014; Lattante et al, 2014), cognitive impairment in amyotrophic lateral sclerosis (ALS) (Vass et al, 2011) and Parkinson's disease (PD) (Baizabal‐Carvallo & Jankovic, 2016; Tropea et al, 2019), and pathological presentation of Alzheimer's disease (AD) (Lee et al, 2011; Rutherford et al, 2012; Kamalainen et al, 2013; Perry et al, 2013; Sheng et al, 2014; Xu et al, 2017). Thus, it is critical to understand the functions of GRN and TMEM106B and how they genetically interact to affect neurodegeneration.The TMEM106B risk allele has been reported to increase the levels of TMEM106B mRNA (Van Deerlin et al, 2010; Chen‐Plotkin et al, 2012), suggesting that elevated TMEM106B levels increase the risk for FTLD‐GRN. Consistent with this finding, in our previous studies we found that TMEM106B overexpression in neurons exacerbates lysosomal abnormalities caused by loss of PGRN (Zhou et al, 2017d). As such, lowering TMEM106B levels were thought to be beneficial to FTLD‐GRN patients. This hypothesis was directly tested in a recent study, in which TMEM106B deficiency was shown to rescue lysosomal phenotypes, behavioral deficits, and retinal degeneration, but not lipofuscin accumulation and microglia activation associated with loss of PGRN in mouse models (Klein et al, 2017). However, another study has found that haploinsufficiency of TMEM106B cannot rescue phenotypes associated with PGRN haploinsufficiency (Arrant et al, 2018).Here we demonstrate that mice deficient in both TMEM106B and PGRN show reduced motor activity, hindlimb weakness, and altered clasping behavior. Neuronal loss and severe microglia and astrocyte activation have been observed in the spinal cord, retina, and brain of these mice. Drastic autophagy and lysosomal abnormalities, and ALS/FTLD‐related pathological changes have also been detected. Furthermore, TMEM106B deficiency alone leads to lysosome vacuolization in the axon initial segment (AIS) of motor neurons and ALS/FTLD‐related phenotypes during aging. Taken together, these results provide novel insights into the role of PGRN and TMEM106B in brain aging and neurodegenerative diseases.
Results
Loss of TMEM106B results in lysosome defects in motor neurons and ALS/FTLD‐related pathological changes
To determine the physiological function of TMEM106B, we generated a Tmem106b
mouse line using the CRISPR/Cas9 technique (Cong et al, 2013; Mali et al, 2013), in which a 341 bp fragment including the start codon was removed using two guide RNAs. Gene editing was verified by sequencing, PCR, and Western blot analysis using antibodies specific to TMEM106B (Feng et al, 2020). Loss of TMEM106B alone does not result in any obvious behavioral deficits in young mice, except slight motor coordination deficits on balance beams (Feng et al, 2020). A slight increase in GFAP levels, indicating astrocyte activation, as well as subtle changes in the levels of lysosomal proteins were also detected in TMEM106B‐deficient mice(Feng et al, 2020).To examine lysosome abnormalities in these mice more carefully, we stained brain sections and spinal sections with antibodies against lysosomal membrane protein LAMP1 and lysosomal protease cathepsin D. Enlarged LAMP1 and cathepsin D‐positive vacuoles ranging from 2 to 22 μm were frequently observed in the ventral horn of spinal cord sections of 5‐month‐old TMEM106B‐deficient mice. Immunostaining with the AIS marker neurofascin revealed that these vacuoles often accumulate at the distal end of the AIS in motor neurons (Fig 1A and B). These abnormal vacuoles were also observed in the facial motor nucleus, with increased diameters, consistent with the results from a recently published study (Luningschror et al, 2020). This suggests a critical role of TMEM106B in regulating lysosome dynamics specifically in motor neurons.
Figure 1
TMEM106B deficiency in mice results lysosome trafficking defects near AIS and ALS/FTLD‐related pathology
Spinal cord sections from 5‐month‐old WT and Tmem106b
mice were stained with anti‐neurofascin, anti‐ LAMP1 and anti‐Cath D antibodies. Accumulation of LAMP1 and CathD‐positive vacuoles at the distal end of AIS was observed in Tmem106b
motor neurons. Representative images from three independent mice were shown. Scale bar = 10 μm. n = 3. Data presented as mean ± SEM. Unpaired Student's t‐test. ****P < 0.0001.
Western blot analysis of p62, ubiquitin (Ub), TDP‐43, and p‐TDP-43 in RIPA‐ and urea‐soluble fractions from brain (C, E) and spinal cord (D, F) of 16‐month‐old WT and Tmem106b
mice. n = 5. Data presented as mean ± SEM. Unpaired Student's t‐test. *P < 0.05, ***P < 0.001, ****P < 0.0001.
TMEM106B deficiency in mice results lysosome trafficking defects near AIS and ALS/FTLD‐related pathology
Spinal cord sections from 5‐month‐old WT and Tmem106b
mice were stained with anti‐neurofascin, anti‐ LAMP1 and anti‐Cath D antibodies. Accumulation of LAMP1 and CathD‐positive vacuoles at the distal end of AIS was observed in Tmem106b
motor neurons. Representative images from three independent mice were shown. Scale bar = 10 μm. n = 3. Data presented as mean ± SEM. Unpaired Student's t‐test. ****P < 0.0001.Western blot analysis of p62, ubiquitin (Ub), TDP‐43, and p‐TDP-43 in RIPA‐ and urea‐soluble fractions from brain (C, E) and spinal cord (D, F) of 16‐month‐old WT and Tmem106b
mice. n = 5. Data presented as mean ± SEM. Unpaired Student's t‐test. *P < 0.05, ***P < 0.001, ****P < 0.0001.While no obvious changes in the levels of ubiquitinated proteins were detected in the 5‐month‐old TMEM106B‐deficient mice, a significant increase in the levels of ubiquitinated proteins as well as autophagy adaptor protein p62 and phosphorylated TDP‐43 (S403/S404) was observed in both brain and spinal cord lysates from the 16‐month‐old Tmem106b
mice (Fig 1C–F). These results suggest that TMEM106B deficiency leads to the development of ALS/FTLD‐related pathology during aging.
Ablation of both PGRN and TMEM106B leads to severe motor defects, neurodegeneration and microglia and astrocyte activation
Next, we generated mice deficient in both PGRN and TMEM106B by crossing Grn
mice (Yin et al, 2010a) with the Tmem106b
mice that we had previously generated. Tmem106b
Grn
mice are born at normal Mendelian frequency and do not show any obvious growth defects or body weight changes (Fig 2A). However, starting at around 3.5 months of age, these mice develop severe ataxia, hindlimb weakness, and motor defects ([Link], [Link]). Motor activities were severely impaired as shown in the open‐field test (Fig 2B and C). In addition, these mice have an abnormal hindlimb clasping behavior (Fig 2D and E), which is often observed in mice with lesions in the spinal cord, cerebellum, basal ganglia, and neocortex (Lalonde & Strazielle, 2011). By 5.5 months of age, these mice have to be sacrificed. No obvious hindlimb weakness or ataxia phenotypes were observed in 5‐month‐old and 16‐month‐old Tmem106b
Grn
and Tmem106b
Grn
mice (our unpublished observations), suggesting that total loss of both PGRN and TMEM106B is required for the development of these behavioral phenotypes.
Figure 2
Behavioral deficits of Tmem106b
Grn
mice
Data information: For all the behavioral studies, mixed male and female mice were used.
Tmem106b
Grn
mice do not show any changes in body weight. Body weight of 5‐month‐old mice of indicated genotypes were measured and analyzed. n = 6–10.
Tmem106b
Grn
mice show reduced activities in the open‐field test. 4.5‐month‐old mice were used in the study. Total movement was quantified. n = 8–10. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: ****P < 0.0001.
Tmem106b
Grn
mice show abnormal hindlimb clasping behavior. 5‐month‐old mice were used in the study. Severity score was quantified. n = 8–10. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: ***P < 0.001, ****P < 0.0001.
Behavioral deficits of Tmem106b
Grn
mice
Data information: For all the behavioral studies, mixed male and female mice were used.Tmem106b
Grn
mice do not show any changes in body weight. Body weight of 5‐month‐old mice of indicated genotypes were measured and analyzed. n = 6–10.Tmem106b
Grn
mice show reduced activities in the open‐field test. 4.5‐month‐old mice were used in the study. Total movement was quantified. n = 8–10. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: ****P < 0.0001.Tmem106b
Grn
mice show abnormal hindlimb clasping behavior. 5‐month‐old mice were used in the study. Severity score was quantified. n = 8–10. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: ***P < 0.001, ****P < 0.0001.The strong behavioral deficits of Tmem106b
Grn
mice indicate neuronal dysfunction. Immunostaining and Western blot analysis with antibodies against neuronal marker NeuN revealed a significant loss of neurons in the Tmem106b
Grn
spinal cord, accompanied by severe microglia and astrocyte activation with increased intensities of IBA1 and GFAP, the microglia and astrocyte markers, respectively (Figs 3A and B, and 4A and B). Loss of motor neurons in the ventral horn region was visualized using antibodies against choline acetyltransferase (CHAT) (Fig 3A and B). A significant decrease in the protein levels of postsynaptic marker PSD95 and presynaptic marker synaptophysin (SYN) was also observed in the spinal cord lysates (Fig 4A and B), indicating the loss of synapses. These data suggest that the simultaneous loss of PGRN and TMEM106B leads to severe neurodegeneration and microglia and astrocyte activation in the spinal cord. Similar, but milder, phenotypes were observed in the brain with a reduction in NeuN and an increase in GFAP protein levels, but the levels of PSD95 and SYN were not affected (Fig 4C and D). In the cerebellum, there were no obvious changes in the numbers of Purkinje cells and cerebellar granule neurons (Fig EV1A and B), but significant microglia and astrocyte activation was observed, as indicated by an increase in GFAP and IBA1 staining intensities (Fig EV1C and D).
Figure 3
Neuronal loss and increased gliosis in Tmem106b
Grn
spinal cord
Spinal cord sections (C1–C4) from 5‐month‐old mice of indicated genotypes were stained with indicated antibodies (A) and the numbers of NeuN, or CHAT‐positive cells, as well as IBA1 and GFAP intensities, were quantified (B). Three–five sections/mouse were used for quantification. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001. Scale bar: 20 μm for CHAT staining, 200 μm for other images.
Figure 4
Altered protein levels of NeuN, PSD95, SYN, and GFAP in Tmem106b
Grn
mice
Data information: n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001.Source data are available online for this figure.
Western blot analysis of NeuN, PSD95, SYN, GFAP, TMEM106B, PGRN, and GAPDH in spinal cord (C5–C8) (A, B) and brain (C, D) lysates from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice.
Figure EV1
Increased gliosis in the cerebellum of Tmem106b
Grn
mice
Immunostaining of CHAT, NeuN, GFAP, and IBA1 in cerebellum sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. The number of Purkinje cells/length of linear line of Purkinje cell arrangement (A), the number of granule cells in the stained sections (B) and GFAP (C) and IBA1 (D) intensities were quantified. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001. (A, B) Scale bar = 100 μm. (C, D) Scale bar = 500 μm.
Neuronal loss and increased gliosis in Tmem106b
Grn
spinal cord
Spinal cord sections (C1–C4) from 5‐month‐old mice of indicated genotypes were stained with indicated antibodies (A) and the numbers of NeuN, or CHAT‐positive cells, as well as IBA1 and GFAP intensities, were quantified (B). Three–five sections/mouse were used for quantification. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001. Scale bar: 20 μm for CHAT staining, 200 μm for other images.
Altered protein levels of NeuN, PSD95, SYN, and GFAP in Tmem106b
Grn
mice
Data information: n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001.Source data are available online for this figure.Western blot analysis of NeuN, PSD95, SYN, GFAP, TMEM106B, PGRN, and GAPDH in spinal cord (C5–C8) (A, B) and brain (C, D) lysates from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice.
Increased gliosis in the cerebellum of Tmem106b
Grn
mice
Immunostaining of CHAT, NeuN, GFAP, and IBA1 in cerebellum sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. The number of Purkinje cells/length of linear line of Purkinje cell arrangement (A), the number of granule cells in the stained sections (B) and GFAP (C) and IBA1 (D) intensities were quantified. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001. (A, B) Scale bar = 100 μm. (C, D) Scale bar = 500 μm.Progranulin has been shown to be neuroprotective in retinae (Tsuruma et al, 2014). PGRN deficiency leads to neuronal loss and lipofuscin accumulation in the retina in both humans and mice (Hafler et al, 2014; Ward et al, 2014, 2017). To determine whether TMEM106B ablation exacerbates these phenotypes, we examined the retinal sections from 5‐month‐old Tmem106b
Grn
mice. Consistent with previous findings, PGRN ablation leads to the loss of photoreceptors, indicated by the thinning of the outer nuclear layer (ONL), which is mostly composed of nuclei of the rod photoreceptors, and this phenotype is enhanced in the Tmem106b
Grn
mice (Fig 5A and B). We further stained retinal sections with antibodies against red/green and blue opsins to label all cone photoreceptor cells. Although the number of cone cells did not decrease drastically in the single‐ or double‐knockout mice, a significant reduction in the length of the cone outer segment (COS) was observed in retinas from Tmem106b
Grn
mice (Fig 5A and B), suggesting that cone cells are also affected in the double‐knockout mice. Retinal ganglion cells, as indicated by Brn3a staining, do not seem to be affected in the Grn
or Tmem106b
Grn
mice (Fig 5A and B). TUNEL staining revealed increased apoptosis in Tmem106b
Grn
retinae (Fig 5C and D). Microglia activation and Müller cell gliosis—shown by IBA1 and GFAP staining, respectively—were observed in Grn
mice, but they were significantly increased in Tmem106b
Grn
mice (Fig 5E–H). Taken together, these data support that the loss of TMEM106B exacerbates neuronal loss and gliosis phenotypes in the retinae of the Grn
mice.
Figure 5
Retinal neurodegeneration and gliosis in Tmem106b
Grn
mice
Data information: GCL, ganglion cell layer; INL, inner nuclear layer; IPL, inner plexiform layer; ONL, outer nuclear layer; OPL, outer plexiform layer. n = 3–6. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001. Scale bar = 50 μm.
Retinal sections from 5‐month‐old mice were stained with indicated antibodies. Thickness of each layer, number of Brn3a‐positive cells (retinal ganglion cells) per section and length of outer segment as indicated by opsin staining are quantified.
Increase in apoptosis in Grn
and Tmem106b
Grn
retina as indicated by TUNEL assay. TUNEL‐positive signals per section were quantified.
Increase in Müller glial activation in Tmem106b
Grn
retina as indicated by GFAP staining. GFAP intensity per section was quantified and normalized to WT control.
Increase in microglia activation in Grn
and Tmem106b
Grn
retina as indicated by IBA1 staining. The number of IBA1‐positive cells per section was quantified.
Retinal neurodegeneration and gliosis in Tmem106b
Grn
mice
Data information: GCL, ganglion cell layer; INL, inner nuclear layer; IPL, inner plexiform layer; ONL, outer nuclear layer; OPL, outer plexiform layer. n = 3–6. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001. Scale bar = 50 μm.Retinal sections from 5‐month‐old mice were stained with indicated antibodies. Thickness of each layer, number of Brn3a‐positive cells (retinal ganglion cells) per section and length of outer segment as indicated by opsin staining are quantified.Increase in apoptosis in Grn
and Tmem106b
Grn
retina as indicated by TUNEL assay. TUNEL‐positive signals per section were quantified.Increase in Müller glial activation in Tmem106b
Grn
retina as indicated by GFAP staining. GFAP intensity per section was quantified and normalized to WT control.Increase in microglia activation in Grn
and Tmem106b
Grn
retina as indicated by IBA1 staining. The number of IBA1‐positive cells per section was quantified.
Increased expression of inflammation and lysosome genes in Tmem106b
Grn
mice
To dissect molecular pathways affected by the loss of both TMEM106B and PGRN, we performed RNA‐Seq analyses of cortex and spinal cord samples from 2.7‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Loss of TMEM106B or PGRN alone results in minimal changes in gene expression at this young age, but loss of both TMEM106B and PGRN leads to differential expression of inflammatory and lysosomal genes in the cortex (Table EV1 and Fig 6A), and spinal cord (Dataset EV1 and Fig 6B). Among the 12 genes upregulated in the Tmem106b
Grn
cortex samples, inflammatory and lysosomal pathways are the two pathways mainly represented (Fig 6A). These two pathways are also significantly enriched in the spinal cord samples (Figs 6C and EV2A), with many differentially expressed genes (DEGs) encoding cytokine and cytokine receptors, complement system proteins, immune signaling proteins, and lysosomal proteins. Among the 320 downregulated genes in the spinal cord, Ap1s2, which encodes the sigma‐2 subunit of the heterotetrameric adaptor protein‐1 (AP‐1) complex, is the only lysosomal gene. Other downregulated genes include many genes involved in synapse formation and function (Fig EV2B), which might reflect changes in neuronal functions in these mice.
Figure 6
Transcriptome analysis reveals increased expression of inflammation and lysosome genes in Tmem106b
Grn
mice
Data information: Inflammation genes are highlighted in magenta, and lysosomal genes are highlighted in blue.
Heatmap illustrating gene expression changes in WT, Tmem106b
, Grn
, and Tmem106b
Grn
cortex (A) and spinal cord (B) samples isolated from 2.7‐month‐old mice. n = 3. Genes with FDR P ≤ 0.05, LogFC ≥ 0.5 or ≤ 0.5 between WT and Tmem106b
Grn
groups are plotted based on hierarchical clustering analysis.
Heatmap illustrating gene expression changes in the inflammation and lysosome pathways in WT, Tmem106b
, Grn
, and Tmem106b
Grn
spinal cord samples.
Figure EV2
Gene Ontology analysis of RNA‐Seq data from spinal cord of Tmem106b
Grn
mouse
Gene enrichment analysis using cellular component, KEGG pathways, molecular function, and biological process for upregulated differentially expressed genes (DEGs) in the Tmem106b
Grn
(DKO) spinal cord samples compared to WT with FDR ≤ 10%.
Gene enrichment analysis using cellular component, molecular function, and biological process for downregulated differentially expressed genes (DEGs) in the Tmem106b
Grn
(DKO) spinal cord samples compared to WT with FDR ≤ 10%.
Venn diagrams showing the overlap among differentially expressed genes (DEGs) (WT vs Tmem106b
Grn
) identified by RNA‐Seq, known DAM genes, and mouse lysosomal genes. The odd ratios between DEGs vs non‐DEGs for DAM genes and lysosome genes are 78.8 (P‐value < 2.2e−16) and 9.0 (P‐value < 2.2e−16), respectively. Fisher's exact test.
Venn diagrams showing the overlap among up‐ or downregulated differentially expressed genes (DEGs) in the Tmem106b
Grn
spinal cord samples identified by RNA‐Seq, known DAM genes, and lysosomal genes.
Transcriptome analysis reveals increased expression of inflammation and lysosome genes in Tmem106b
Grn
mice
Data information: Inflammation genes are highlighted in magenta, and lysosomal genes are highlighted in blue.Heatmap illustrating gene expression changes in WT, Tmem106b
, Grn
, and Tmem106b
Grn
cortex (A) and spinal cord (B) samples isolated from 2.7‐month‐old mice. n = 3. Genes with FDR P ≤ 0.05, LogFC ≥ 0.5 or ≤ 0.5 between WT and Tmem106b
Grn
groups are plotted based on hierarchical clustering analysis.Heatmap illustrating gene expression changes in the inflammation and lysosome pathways in WT, Tmem106b
, Grn
, and Tmem106b
Grn
spinal cord samples.
Gene Ontology analysis of RNA‐Seq data from spinal cord of Tmem106b
Grn
mouse
Gene enrichment analysis using cellular component, KEGG pathways, molecular function, and biological process for upregulated differentially expressed genes (DEGs) in the Tmem106b
Grn
(DKO) spinal cord samples compared to WT with FDR ≤ 10%.Gene enrichment analysis using cellular component, molecular function, and biological process for downregulated differentially expressed genes (DEGs) in the Tmem106b
Grn
(DKO) spinal cord samples compared to WT with FDR ≤ 10%.Venn diagrams showing the overlap among differentially expressed genes (DEGs) (WT vs Tmem106b
Grn
) identified by RNA‐Seq, known DAM genes, and mouse lysosomal genes. The odd ratios between DEGs vs non‐DEGs for DAM genes and lysosome genes are 78.8 (P‐value < 2.2e−16) and 9.0 (P‐value < 2.2e−16), respectively. Fisher's exact test.Venn diagrams showing the overlap among up‐ or downregulated differentially expressed genes (DEGs) in the Tmem106b
Grn
spinal cord samples identified by RNA‐Seq, known DAM genes, and lysosomal genes.Many genes upregulated in Tmem106b
Grn
samples belong to the gene signature associated with microglia activation during neurodegeneration, so‐called disease‐associated microglia (DAM) or neurodegenerative microglia (mGnD)(Keren‐Shaul et al, 2017) (Krasemann et al, 2017; Deczkowska et al, 2018), including Trem2, Tyrobp, Lgals3, Cd68, and Gpnmb (Figs 6A and C and EV2C and D, Table EV2). The upregulation of the galectin‐3 protein, encoded by the Lgals3 gene, and GPNMB protein was confirmed by Western blot analysis of spinal cord and brain lysates. Both galectin‐3 and GPNMB show a specific upregulation in the Tmem106b
Grn
spinal cord and brain lysates, with minimal changes in the Tmem106b
and Grn
samples (Fig 7A–D), supporting that the loss of both PGRN and TMEM106B leads to excessive microglia activation. Immunostaining with antibodies against galectin‐3, CD68, and cathepsin D (CathD) showed a significant overlap in the expression patterns of these proteins in the microglia, suggesting that these proteins are co‐regulated in Tmem106b
Grn
mice (Fig 7E).
Figure 7
Increases in microglia activation in Tmem106b
Grn
mice
Western blot analysis of galectin‐3 and GPNMB in the spinal cord (A, B) and brain (C, D) lysates from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: ***P < 0.001, ****P < 0.0001.
Immunostaining of galectin‐3, CathD, and CD68 in spinal cord sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Scale bar = 10 μm.
Source data are available online for this figure.
Increases in microglia activation in Tmem106b
Grn
mice
Western blot analysis of galectin‐3 and GPNMB in the spinal cord (A, B) and brain (C, D) lysates from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: ***P < 0.001, ****P < 0.0001.Immunostaining of galectin‐3, CathD, and CD68 in spinal cord sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Scale bar = 10 μm.Source data are available online for this figure.
Lysosome abnormalities in Tmem106b
Grn
mice
Our RNA‐Seq analysis also showed increased expression of many lysosomal genes in the Tmem106b
Grn
cortex (Fig 6A and Table EV1) and spinal cord samples (Figs 6C and EV2, and Dataset EV1), indicating that the lysosomal pathway is affected in these mice. Lipofuscin accumulation is an indication of lysosome dysfunction, and PGRN deficiency has been known to increase lipofuscin accumulation (Ahmed et al, 2010; Tanaka et al, 2014). An additional increase in lipofuscin signals was observed in the retina (Fig 8A and B), spinal cord (Fig 8C and D), and thalamus (Fig 8E and F) of Tmem106b
Grn
mice compared to those of Grn
mice, indicating that TMEM106B ablation further exacerbates lysosome abnormalities in PGRN‐deficient mice. Furthermore, a drastic upregulation of lysosomal proteases, cathepsins B, D, and L, was observed in spinal cord lysates (Fig 8G and H) and to a lesser extent, in the brain lysates (Fig EV3A and B) from Tmem106b
Grn
mice. An upregulation of lysosomal membrane proteins, LAMP1 and LAMP2, was observed in spinal cord lysates but not the brain lysates (Figs 8G and H, and EV3A and B).
Figure 8
Increases in the levels of lipofuscin and lysosome proteins in Tmem106b
Grn
mice
Data information: For all the analyses, data are presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05; **P < 0.01; ***P < 0.001; ****P < 0.0001; ns, no significance. Source data are available online for this figure.
Lipofuscin accumulation in the retina: The number of autofluorescent puncta per section was quantified. ONL: outer nuclear layer; INL: inner nuclear layer; OPL: outer plexiform layer; IPL: inner plexiform layer; GCL: ganglion cell layer. n = 3–6. Scale bar = 50 μm.
TMEM106B and PGRN deletion results in increased autofluorescence in the spinal cord (C, D) and thalamus (E, F) of 5‐month‐old mice. n = 3. Scale bar = 10 μm.
Western blot analysis of lysosomal proteins in the spinal cord lysates from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Asterisk indicates non‐specific bands. n = 3.
Figure EV3
Western blot analysis of lysosomal protein levels in Tmem106b
Grn
mouse brain lysate
Western blot analysis of lysosomal proteins in brain lysates of 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Asterisk indicates non‐specific bands. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001, ns, no significance.
Increases in the levels of lipofuscin and lysosome proteins in Tmem106b
Grn
mice
Data information: For all the analyses, data are presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05; **P < 0.01; ***P < 0.001; ****P < 0.0001; ns, no significance. Source data are available online for this figure.Lipofuscin accumulation in the retina: The number of autofluorescent puncta per section was quantified. ONL: outer nuclear layer; INL: inner nuclear layer; OPL: outer plexiform layer; IPL: inner plexiform layer; GCL: ganglion cell layer. n = 3–6. Scale bar = 50 μm.TMEM106B and PGRN deletion results in increased autofluorescence in the spinal cord (C, D) and thalamus (E, F) of 5‐month‐old mice. n = 3. Scale bar = 10 μm.Western blot analysis of lysosomal proteins in the spinal cord lysates from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Asterisk indicates non‐specific bands. n = 3.
Western blot analysis of lysosomal protein levels in Tmem106b
Grn
mouse brain lysate
Western blot analysis of lysosomal proteins in brain lysates of 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Asterisk indicates non‐specific bands. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001, ns, no significance.Exacerbation of lysosome abnormalities in Tmem106b
Grn
mice suggests a non‐overlapping role of PGRN and TMEM106B in regulating lysosome function. Since we have shown lysosome vacuolization in the AIS region of the Tmem106b
motor neurons (Fig 1A and B), we co‐stained LAMP1, cathepsin D (CathD), and the AIS marker neurofascin in Grn
and Tmem106b
Grn
spinal cord sections. An increased accumulation of LAMP1 and cathepsin D‐positive vacuoles at the distal end of the AIS of motor neurons was observed in the Tmem106b
Grn
spinal cord sections, compared to those from age‐matched Tmem106b
mice (Fig 9A and B). This phenotype was not observed in spinal cord sections from PGRN deficient mice (Fig 9A). These data indicate that loss of both PGRN and TMEM106B exacerbates lysosome abnormalities in axons, which is likely to contribute to neuronal dysfunction and neuronal death in these mice.
Figure 9
Lysosomal vacuolization in the axon initial segments of motoneurons in spinal cord sections of Tmem106b
and Tmem106b
Grn
mice
Spinal cord sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice were stained with anti‐neurofascin, anti‐LAMP1, and anti‐CathD antibodies. Representative images from three independent mice were shown. Scale bar = 10 μm.
Quantification of LAMP1‐positive vacuoles (> 2 μm) for experiments in (A). Four–six sections/spinal cord from three mice were analyzed for each genotype. Data presented as mean ± SEM. Unpaired Student's t‐test: ****P < 0.0001.
Lysosomal vacuolization in the axon initial segments of motoneurons in spinal cord sections of Tmem106b
and Tmem106b
Grn
mice
Spinal cord sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice were stained with anti‐neurofascin, anti‐LAMP1, and anti‐CathD antibodies. Representative images from three independent mice were shown. Scale bar = 10 μm.Quantification of LAMP1‐positive vacuoles (> 2 μm) for experiments in (A). Four–six sections/spinal cord from three mice were analyzed for each genotype. Data presented as mean ± SEM. Unpaired Student's t‐test: ****P < 0.0001.Our RNA‐Seq analysis revealed changes in the expression of several microglia and astrocyte‐specific genes. To determine lysosome abnormalities in these cell types, we performed the co‐staining of LAMP1, cathepsin D (CathD), and glial markers GFAP and IBA1. We found severe lysosome abnormalities in astrocytes and microglia in the spinal cord sections of Tmem106b
Grn
mice (Fig 10A and B). A significant increase in the staining intensities of lysosomal proteins, such as LAMP1 and cathepsin D, was detected in these cells. In addition, LAMP1‐positive lysosomes are abnormally enlarged in both astrocytes and microglia in the Tmem106b
Grn
mice (Fig 10A and B), supporting that PGRN and TMEM106B are critical for lysosomal function in these cells.
Figure 10
Lysosome abnormalities in Tmem106b
Grn
astrocytes and microglia
Immunostaining of GFAP (A) or IBA1 (B) with LAMP1 and Cath D in the spinal cord sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Scale bar = 5 μm.
Lysosome abnormalities in Tmem106b
Grn
astrocytes and microglia
Immunostaining of GFAP (A) or IBA1 (B) with LAMP1 and Cath D in the spinal cord sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Scale bar = 5 μm.To further examine the lysosomal dysfunction in Tmem106b
Grn
mice, ultrastructural analysis of spinal cord sections using transmission electron microscopy (TEM) was carried out. The TEM images showed the accumulation of electron‐dense lysosomes and autophagosomes in myelinated axons (Fig 11A), indicating that the loss of PGRN and TMEM106B likely results in trafficking defects of autophagosomes and lysosomes in myelinated axons in addition to lysosome abnormalities in the AIS. From the TEM analysis, we also observed accumulation of myelin debris and dark amorphous inclusions in microglia (Fig 11B), indicating a defect in cellular clearance in the Tmem106b
Grn
microglia. The accumulation of autophagosomes in the double‐knockout mice was further confirmed by Western blot analysis using antibodies against LC3, an autophagosome marker. A significant increase in the lipidated form of LC3 (LC3‐II), which decorates autophagosome membranes, was observed in Tmem106b
Grn
spinal cord lysates (Fig 11C). This indicates an increase in autophagy induction or a block in autophagy–lysosome fusion/lysosomal degradation, with the latter more likely given the lysosomal abnormalities in Tmem106b
Grn
mice.
Figure 11
Autophagy–lysosome dysfunction in the Tmem106b
Grn
spinal cord
Accumulation of autophagosomes and lysosomes in the spinal cord sections from a 5‐month‐old Tmem106b
Grn
mouse as shown by transmission electron microscope analysis. Scale bar = 1 μm. Arrows: autophagosome; arrowheads: lysosomes; (a): axon.
Accumulation of myelin debris and amorphous inclusions in the microglia in the spinal cord sections from a 5‐month‐old Tmem106b
Grn
mouse as shown by transmission electron microscope analysis. Scale bar = 1 μm. Arrows: myelin debris; arrowheads: dark amorphous inclusions; (m): microglia.
Western blot analysis of LC3‐I and LC3‐II in the spinal cord lysates from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: ****P < 0.0001.
Immunostaining of TFE3 and IBA1 in the spinal cord sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Nuclear signals of TFE3 in IBA1‐positive microglia were quantified. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: ***P < 0.001, ****P < 0.0001. Scale bar = 10 μm.
Source data are available online for this figure.
Autophagy–lysosome dysfunction in the Tmem106b
Grn
spinal cord
Accumulation of autophagosomes and lysosomes in the spinal cord sections from a 5‐month‐old Tmem106b
Grn
mouse as shown by transmission electron microscope analysis. Scale bar = 1 μm. Arrows: autophagosome; arrowheads: lysosomes; (a): axon.Accumulation of myelin debris and amorphous inclusions in the microglia in the spinal cord sections from a 5‐month‐old Tmem106b
Grn
mouse as shown by transmission electron microscope analysis. Scale bar = 1 μm. Arrows: myelin debris; arrowheads: dark amorphous inclusions; (m): microglia.Western blot analysis of LC3‐I and LC3‐II in the spinal cord lysates from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: ****P < 0.0001.Immunostaining of TFE3 and IBA1 in the spinal cord sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Nuclear signals of TFE3 in IBA1‐positive microglia were quantified. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: ***P < 0.001, ****P < 0.0001. Scale bar = 10 μm.Source data are available online for this figure.Many lysosomal genes are under the transcriptional control of members of the melanocyte inducing transcription factor (MiTF) family, including MiTF, TFEB, and TFE3. Under starvation or lysosomal stress, these transcriptional factors are translocated into the nucleus to induce the expression of many genes in the autophagy–lysosome pathway (Napolitano & Ballabio, 2016; Bajaj et al, 2019). To determine whether this pathway is activated in the Tmem106b
Grn
mice, we stained spinal cord sections with antibodies against TFE3. A significant increase of nuclear TFE3 signals was observed in the microglia of the spinal cord sections of Tmem106b
Grn
mice, in comparison with those of Tmem106b
, Grn
, and WT controls (Fig 11D and E). This result indicates that lysosomal dysfunction in microglia results in a positive feedback loop through the TFE3/TFEB pathway to upregulate the expression of lysosomal genes. Activation of TFE3/TFEB could also drive the expression of inflammatory genes, which has been shown in several studies (Nabar & Kehrl, 2017; Brady et al, 2018).
ALS/FTLD‐related phenotypes in Tmem106b
Grn
mice
The accumulation of ubiquitin‐positive aggregates comprised of TDP‐43 is a hallmark of ALS/FTLD. However, these pathological features were not present in our PGRN‐deficient mice (Fig 12A and B). No obvious TDP‐43 pathology was observed in the 5‐month‐old TMEM106B‐deficient mice either, although there is a small but significant increase in p62 levels in the insoluble fraction (Fig 12A and B). However, an obvious and highly significant accumulation of ubiquitinated proteins and autophagy adaptor protein p62 in both soluble and insoluble fractions and phosphorylated TDP‐43 (S403/S404) in the insoluble fraction was detected in the 5‐month‐old Tmem106b
Grn
brain lysates and spinal cord lysates (Fig 12A and B). Immunostaining using antibodies against p62 and ubiquitin (Ub) showed accumulation of p62 and ubiquitin‐positive aggregates in Tmem106b
Grn
spinal cord sections (Fig 12C and D). p62‐positive aggregates are also present in the cortex, thalamus, hippocampus (Fig EV4), and cerebellum (Fig EV5) in the Tmem106b
Grn
mice. Taken together, these data support that ablation of TMEM106B enhances the manifestation of FTLD phenotypes in the PGRN‐deficient background.
Figure 12
FTLD‐related pathological changes in Tmem106b
Grn
mice
Western blot analysis of p62, ubiquitin (Ub), TDP‐43 and p‐TDP-43 in RIPA‐ and urea‐soluble fractions from spinal cord (C5–C8) and brain of 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Spinal cord: n = 3; brain: n = 4. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05; **P < 0.01, ***P < 0.001, ****P < 0.0001.
Immunostaining of p62 and ubiquitin in the spinal cord sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. The number of p62 or Ub positive puncta was quantified. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: ***P < 0.001, ****P < 0.0001. Scale bar = 10 μm.
Source data are available online for this figure.
Figure EV4
Accumulation of p62 aggregates in the brain of Tmem106b
Grn
mice
Immunostaining of p62 in brain sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice, and images were taken from cortex, thalamus, and hippocampus regions. n = 3. Scale bar = 20 μm. Source data are available online for this figure.
Figure EV5
Accumulation of p62 aggregates in the cerebellum of Tmem106b
Grn
mice
Immunostaining of p62 and CHAT in cerebellum sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Yellow line indicates the border between Purkinje cell layer and granule cell layer. Scale bar = 15 μm. (B) Number of p62 puncta in Purkinje cell layer and granule cell layer was quantified. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05, **P < 0.01, ****P < 0.0001.
FTLD‐related pathological changes in Tmem106b
Grn
mice
Western blot analysis of p62, ubiquitin (Ub), TDP‐43 and p‐TDP-43 in RIPA‐ and urea‐soluble fractions from spinal cord (C5–C8) and brain of 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Spinal cord: n = 3; brain: n = 4. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05; **P < 0.01, ***P < 0.001, ****P < 0.0001.Immunostaining of p62 and ubiquitin in the spinal cord sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. The number of p62 or Ub positive puncta was quantified. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: ***P < 0.001, ****P < 0.0001. Scale bar = 10 μm.Source data are available online for this figure.
Accumulation of p62 aggregates in the brain of Tmem106b
Grn
mice
Immunostaining of p62 in brain sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice, and images were taken from cortex, thalamus, and hippocampus regions. n = 3. Scale bar = 20 μm. Source data are available online for this figure.
Accumulation of p62 aggregates in the cerebellum of Tmem106b
Grn
mice
Immunostaining of p62 and CHAT in cerebellum sections from 5‐month‐old WT, Tmem106b
, Grn
, and Tmem106b
Grn
mice. Yellow line indicates the border between Purkinje cell layer and granule cell layer. Scale bar = 15 μm. (B) Number of p62 puncta in Purkinje cell layer and granule cell layer was quantified. n = 3. Data presented as mean ± SEM. One‐way ANOVA tests with Bonferroni's multiple comparisons: *P < 0.05, **P < 0.01, ****P < 0.0001.
Discussion
TMEM106B is a critical regulator of lysosomal trafficking in motor neuron axons
TMEM106B has been shown to regulate many aspects of lysosomal function, including lysosome morphology (Chen‐Plotkin et al, 2012; Lang et al, 2012; Brady et al, 2013), lysosome pH (Chen‐Plotkin et al, 2012; Klein et al, 2017; Kundu et al, 2018), lysosome exocytosis (Kundu et al, 2018), and lysosomal trafficking in neuronal dendrites (Schwenk et al, 2014). In this study, we have found that TMEM106B deficiency leads to the accumulation of LAMP1 and cathepsin D‐positive vacuoles at the distal end of the AIS of motor neurons in the spinal cord (Fig 1A and B), consistent with a recent report (Luningschror et al, 2020). This result supports a critical role of TMEM106B in regulating lysosomal trafficking and/or dynamics at the distal end of the AIS. Although the detailed mechanism remains to be determined, TMEM106B was shown to regulate retrograde lysosomal transport in motor neurons (Luningschror et al, 2020). The selective effect of TMEM106B loss on motor neurons is puzzling, given that TMEM106B has been identified as a FTLD risk factor. It is possible that long axons and the complex arborization of motor neurons render them more susceptible to any subtle perturbation. In our recent study, we found that TMEM106B deficiency leads to myelination defects (Feng et al, 2020). Although myelination defects not necessarily affect the integrity of the AIS (Clark et al, 2016), it is possible that a slight alteration of myelin sheath formation in TMEM106B‐deficient motor neurons makes the axon membrane easy to swell at the distal end of the AIS, where myelination begins. We speculate that the myelination defects together with increased retrograde lysosomal trafficking and possibly lysosome fusion events result in the formation of giant lysosome vacuoles specifically at the distal end of the AIS.Since lysosomes are required for the degradation of autophagic cargoes, lysosomal dysfunction often leads to a defect in autophagy flow. We have detected the accumulation of p62 and ubiquitinated proteins in the brain and spinal cord lysates of 16‐month‐old TMEM106B‐deficient mice (Fig 1C–F), indicating that lysosomal dysfunction caused by the loss of TMEM106B leads to autophagy defects during aging. Similar phenotypes have been reported in a recently published study (Luningschror et al, 2020), although at a much younger age.
Ablation of TMEM106B exacerbates phenotypes associated with loss of PGRN
In direct contradiction to a recently published report (Klein et al, 2017), we found that mice deficient in both TMEM106B and PGRN develop severe neurodegenerative phenotypes, with reduced motor activity in the open‐field test (Fig 2B and C), hindlimb weakness, and altered clasping behavior (Fig 2D and E). These mice develop severe ataxia around 5 months of age ([Link], [Link]) and must be sacrificed. Severe neuronal loss and microglia and astrocyte activation were observed in the spinal cord (Fig 3), brain (Fig 4), and retina (Fig 5) at 5 months of age. Our TMEM106B‐deficient mice generated using the CRISPR/Cas9 technique completely removed any TMEM106B products and have been backcrossed with wild‐type C57/BL6 mice for seven generations to eliminate any CRISPR off‐target effects before crossing with Grn
mice, thus allowing us to re‐test the genetic interaction between PGRN and TMEM106B in mouse models. It should be noted that two additional studies published in this issue of EMBO reports have also found similar phenotypes in independently created Tmem106b
Grn
mice (Werner et al, 2020; Zhou et al, 2020a). Together, our results strongly argue that a TMEM106B deficiency exacerbates phenotypes associated with loss of PGRN.
Lysosomal abnormalities and autophagy defects in Tmem106b
Grn
mice
Analysis of lysosomal phenotypes in the Tmem106b
Grn
mice showed severe lysosome abnormalities, indicated by a significant increase in lipofuscin signals (Fig 8A–F); the upregulation of many lysosomal proteins shown by Western blot analysis (Figs 8G and H, and EV3) and immunostaining (Figs 7E and 10), lysosome enlargement in astrocytes (Fig 10A) and microglia (Fig 10B) and the accumulation of lysosomes shown in TEM images (Fig 11A). These phenotypes are reminiscent of features exhibited by lysosome storage diseases and further corroborate the critical roles of PGRN and TMEM106B in the lysosome. In addition, Tmem106b
Grn
mice show a defect in autophagy with a significant increase in LC3‐II levels and accumulation of autophagosomes (Fig 11), which likely explains the accumulation of p62 and ubiquitinated proteins in the brain lysates and spinal cord lysates of these mice (Fig 12).While the exact function of PGRN in the lysosome is still unclear, it has been shown that PGRN is processed to granulin peptides in the lysosomal compartment (Holler et al, 2017; Lee et al, 2017; Zhou et al, 2017b). The loss of PGRN leads to reduced cathepsin D activities (Beel et al, 2017; Valdez et al, 2017; Zhou et al, 2017a; Butler et al, 2019), defects in lysosomal trafficking of prosaposin (Zhou et al, 2017c), and reduced glucocerebrosidase activities (Arrant et al, 2019; Valdez et al, 2019; Zhou et al, 2019). In mouse models, PGRN deficiency has been shown to result in lysosomal dysfunction in an age‐dependent manner (Kao et al, 2017; Paushter et al, 2018). In aged Grn
−/− mice, lipofuscin deposits and enlarged lysosomes were observed, as well as diffuse or granular cytosolic ubiquitin deposits and p62 aggregation (Ahmed et al, 2010; Yin et al, 2010b; Wils et al, 2012; Tanaka et al, 2014). Reduced autophagic flux and autophagy‐dependent clearance have also been reported in PGRN‐deficient mice (Chang et al, 2017). Early lysosomal deficits have been reported specifically in PGRN‐deficient microglia (Gotzl et al, 2018). PGRN deficiency also leads to increased lysosome exophagy in macrophages, which enhances atherosclerosis (Nguyen et al, 2018).Although the loss of either PGRN or TMEM106B alone results in lysosomal dysfunction in mouse models, the lysosome abnormalities are exacerbated in Tmem106b
Grn
mice and appear at a much earlier stage. At 2.7 months of age, there are minimal changes in gene expression in Tmem106b
or Grn
mice. However, massive upregulation of lysosomal and inflammatory genes was observed in 2.7‐month‐old Tmem106b
Grn
spinal cord samples as shown in our RNA‐Seq analysis (Figs 6 and EV2). With the non‐overlapping functions of PGRN and TMEM106B in the autophagy–lysosome pathway, it is not surprising that deficiency of both proteins leads to severe defects.
Neurodegenerative phenotypes in Tmem106b
Grn
mice
The severe hindlimb weakness and motor dysfunction observed in the Tmem106b
Grn
mice led us to examine pathologies in the spinal cord. A significant reduction of NeuN‐positive neurons and CHAT‐positive motor neurons was found in the Tmem106b
Grn
spinal cord sections (Fig 3). Motor neurons are likely more affected likely due to a specific role of TMEM106B in regulating lysosome dynamics in the AIS region of motor neurons (Fig 1A and B) (Luningschror et al, 2020). In the brain, there is also a significant reduction of NeuN protein levels in Tmem106b
Grn
mice, although to a lesser extent compared to that of the spinal cord (Fig 4). It is possible that specific subsets of neurons in the brain are more sensitive to the loss of PGRN and TMEM106B and future studies using specific markers might help us identify the subtypes of neurons that are affected. Since PGRN and TMEM106B are associated with FTLD in humans, identification of the types of neurons affected by these two genes in the regions affected by FTLD might give insights into the selective vulnerability of neurons.Accumulation of lysosomes and autophagosomes is observed in the myelinated axons in the spinal cord sections of Tmem106b
Grn
mice (Fig 11A), indicating that the transport of lysosomes and autophagosomes might be impaired in Tmem106b
Grn
neurons. While the cause of this phenotype is unclear at the moment, defects in autophagosome and lysosomal trafficking in myelinated axons combined with lysosomal defects near the AIS of motor neurons and reduced lysosomal enzyme activities due to the loss of PGRN are likely to drive neuronal dysfunction and eventually result in neuronal death in the double‐knockout mice.
Glial dysfunction in Tmem106b
Grn
mice
Progranulin deficiency has been shown to cause microglial activation in an age‐dependent manner (Martens et al, 2012; Lui et al, 2016; Kao et al, 2017; Takahashi et al, 2017; Gotzl et al, 2019). At 2.7 months of age, there are minimal gene expression changes in PGRN‐deficient brain or spinal cord samples in our RNA‐Seq analysis (Fig 6). However, massive upregulation of inflammatory genes has been observed in the spinal cord and to a lesser extent, in the brain samples of the Tmem106b
Grn
mice, indicating that the loss of TMEM106B exacerbates microglial activation in PGRN‐deficient mice. Examination of lysosome abnormalities revealed enlarged lysosomes and elevated levels of lysosomal proteins in microglia and astrocytes (Fig 10). The lysosomal phenotypes in astrocyte and microglia could be attributed to both lysosomal dysfunction in these cells and an increased load to clear neuronal debris due to neuronal death in the Tmem106b
Grn
mice. It is likely that lysosomal dysfunction in microglia and astrocytes further triggers mis‐regulated activation of these cells, which aggravates neurodegeneration in the Tmem106b
Grn
mice.In addition, a single point mutation in the lumenal domain of TMEM106B has recently been associated with hypo‐myelinating leukodystrophy (Simons et al, 2017; Yan et al, 2018). Myelination defects have been observed in TMEM106B‐deficient mice (Feng et al, 2020; Zhou et al, 2020b). While the extent of myelin disruption remains to be tested in the Tmem106b
Grn
mice, myelinating defects might also contribute to the pathology of the Tmem106b
Grn
mice.
The role of TMEM106B in FTLD
Although PGRN haploinsufficiency is a leading cause of FTLD with ubiquitin‐positive TDP‐43 aggregates in humans (Baker et al, 2006; Cruts et al, 2006; Gass et al, 2006; Neumann et al, 2006), PGRN deficiency in mice does not result in robust accumulation of ubiquitinated proteins or TDP‐43 aggregates in our studies (Fig 12). Since TMEM106B has been identified as the main risk factor for FTLD‐GRN, genetic manipulation of TMEM106B levels might allow us to generate a better mouse model for FTLD‐GRN based on the genetic interaction between these two genes in FTLD.Since increased TMEM106B protein levels correlate with increased risks for FTLD with GRN mutations, we have generated TMEM106B transgenic mice and found that TMEM106B overexpression in neurons exacerbates lysosomal abnormalities caused by the loss of PGRN (Zhou et al, 2017d), consistent with their interaction as observed in human FTLD cases. In this study, we further showed that ablation of TMEM106B in a PGRN deficienct background leads to severe lysosomal abnormalities and neurodegeneration. Several pathological features of FTLD, including accumulation of autophagy adaptor protein p62, ubiquitinated protein and LC3 were observed in our Tmem106b
mice at 16 months of age (Fig 1C–F). Phosphorylated TDP‐43, a hallmark of FTLD, was also detected in the spinal cord and brain lysates of 16‐month‐old TMEM106B‐deficient mice (Fig 1C–F). These FTLD‐related pathologies were evident in the brain and spinal cord of 5‐month‐old Tmem106b
Grn
mice but not Grn
mice (Fig 12). These data strongly indicate that the loss of function of TMEM106B potentiates the development of FTLD pathology. Taken together, our studies suggest that TMEM106B levels need to be tightly regulated. Either too much or too little TMEM106B will lead to the disruption of proper lysosomal function as shown both in vitro in cell culture and in vivo in mouse models, which can have detrimental effects on the health of neurons.In that regard, it will be interesting to analyze the phenotypes of Tmem106b
Grn
mice in order to determine whether a partial loss of function of TMEM106B alters phenotypes associated with PGRN deficiency. Since FTLD is caused by PGRN haploinsufficiency in humans, it is also important to examine phenotypes in Tmem106b
Grn
and Tmem106b
Grn
mice in order to determine whether we can utilize the genetic interaction between TMEM106B and PGRN to establish a better mouse model for FTLD‐GRN. Although no obvious motor deficits or ataxia phenotypes have been observed in these mice, more work in the future is required to fully characterize molecular and cellular pathological changes in these mice.Our studies further underscore the critical roles of PGRN and TMEM106B in the lysosome in maintaining the health of the nervous system. Besides FTLD, GRN and TMEM106B have been implicated in brain aging (Rhinn & Abeliovich, 2017) and many other neurodegenerative diseases. In addition to GRN and TMEM106B, many other lysosomal genes are directly involved in neurodegenerative diseases and lysosomal dysfunction has emerged as a common mechanism for neurodegeneration (Peng et al, 2019). The dosage effect seen in the GRN gene has been replicated in many other lysosomal genes, in which homozygous mutations lead to early‐onset lysosomal storage disorders while heterozygous mutations lead to adult‐onset neurodegenerative diseases. Future studies are needed to dissect the exact functions of PGRN, TMEM106B, and lysosomes in maintaining a healthy nervous system.
TMEM106B knockout mice were produced using CRISPR/Cas9 genome editing with two guide RNAs (5′‐AGTGAAGTGCACAAC GAAGA‐3′, 5′‐ACCCTATGGGATATATTTAC‐3′) targeting exon 3 of mouse TMEM106B, flanking the start codon. C57BL/6J × FVB/N mouse embryos were injected with gRNAs and Cas9 mRNA at the Cornell Transgenic Core Facility. Editing was confirmed by sequencing PCR products from genomic DNA, and the loss of protein products was determined by Western blot of tissue lysates. Offspring from the founder containing 341 bp deletion were backcrossed to C57BL/6J for seven generations and used for the study. Δ341 bp knockout mouse genotyping was performed by PCR using oligos 5′‐GTGCACAACGAAGACGGAAG‐3′ and 5′‐TGGCAAACCTCAGGCTCATT‐3′ to specifically detect the WT allele (550 bp), and using oligos 5′‐GTTCACCTGCAGTGCCAACT‐3′ and 5′‐TTGTTTGCTTTTGTGTTTCTGA‐3′ to detect the mutant allele (397 bp). C57/BL6 and Grn
−/− mice (Yin et al, 2010a) were obtained from The Jackson Laboratory. All animals (1–6 adult mice per cage) were housed in a 12 h light/dark cycle. Mixed male and female mice were used for this study.
Behavioral test
4.5‐ to 5‐month‐old mixed male and female Grn
−/, Tmem106b
−/, and Tmem106b
−/
Grn
−/ mice, and WT controls in the C57/BL6 background (8–10 mice/group) were subject to the following behavioral tests: (i) Open‐field test: Mice were placed in a clear plastic chamber (40 × 40 × 40 cm) for 15 min. Total movements in the open field were automatically recorded by the Viewer III software (Biobserve, Bonn, Germany). The apparatus was thoroughly cleaned with 70% ethanol. (ii) Hindlimb clasping test: Briefly, mice were suspended by the base of the tail and their behaviors were recorded for 30 s by the Viewer III software (Biobserve, Bonn, Germany). Hindlimb clasping was rated from 1 to 3 based on severity (Lieu et al, 2013). For all behavioral analyses, experimenters were blind to the genotypes of the mice.
Tissue preparation for Western blot analysis
Mice were perfused with 1× PBS, and tissues were dissected and snap‐frozen with liquid nitrogen and kept at −80°C. On the day of the experiment, frozen tissues were thawed and homogenized on ice with bead homogenizer (Moni International) in ice‐cold RIPA buffer (150 mM NaCl, 50 mM Tris–HCl [pH 8.0], 1% Triton X‐100, 0.5% sodium deoxycholate, 0.1% SDS) with 1 mM PMSF, proteinase, and phosphatase inhibitors. After centrifugation at 14,000 g for 15 min at 4°C, supernatants were collected as the RIPA‐soluble fraction. The insoluble pellets were washed with RIPA buffer and extracted in 2× v/w of Urea buffer (7 M Urea, 2 M Thiourea, 4% CHAPS, 30 mM Tris, pH 8.5). After sonication, samples were centrifuged at 200,000 g at 24°C for 1 h and the supernatant collected as the Urea‐soluble fraction. Protein concentrations were determined via BCA assay and then standardized. Equal amounts of protein were analyzed by Western blotting using the indicated antibodies.
Immunofluorescence staining, image acquisition, and analysis
Mice were perfused with cold PBS, and tissues were post‐fixed with 4% paraformaldehyde. After dehydration in 30% sucrose buffer, tissues were embedded in O.C.T compound (Electron Microscopy Sciences). 15‐μm‐thick sections were blocked and permeabilized with either 0.1% saponin in Odyssey blocking buffer or 0.2% Triton X‐100 in 1× PBS with 10% horse serum before incubating with primary antibodies overnight at 4°C. The next day, sections were incubated with secondary fluorescent antibodies at room temperature for 1 h. After fluorescence immunolabeling, the sections were stained with Hoechst and then mounted using mounting medium (Vector laboratories). To block the autofluorescence, all sections were incubated with 1× TrueBlack Lipofuscin Autofluorescence Quencher (Biotium) in 70% ethanol for 30 s at room temperature before or after the staining process. Antigen retrieval was performed by microwaving the sections in sodium citrate buffer (pH 6.0) for 15 min. Images were acquired on a CSU‐X spinning disk confocal microscope (Intelligent Imaging Innovations) with an HQ2 CCD camera (Photometrics) using 40×, 63×, and 100× objectives. Eight to 10 different random images were captured, and the fluorescence intensity was measured directly with ImageJ after a threshold application. Lower magnification images were captured by 10× or 20× objectives on a Leica DMi8 inverted microscope. Three to five images were captured from each sample, and the fluorescence intensity was measured directly with ImageJ after a threshold application. Data from ≥ 3 brains in each genotype were used for quantitative analysis.
Immunohistochemistry
Spinal cord sections were pretreated with 10 mM sodium citrate buffer (pH 6.0) for 15 min for antigen retrieval. After washing with PBS, sections were incubated with 3% hydrogen peroxidase in PBS for 10 min at room temperature to quench the endogenous peroxidase activity. Sections were then blocked and permeabilized with 0.2% Triton X‐100 in PBS with 10% horse serum followed by incubating with goat anti‐CHAT antibody overnight at 4°C. After washing in 1× PBS, sections were incubated sequentially with biotinylated rabbit anti‐goat secondary antibody, prepared VECTASTAIN Elite ABC reagent (Vector Laboratories), and DAB peroxidase substrate solution (Vector Laboratories) until desired stain intensity developed. After dehydration in graded ethanol, and vitrification by xylene, sections were mounted. Images were acquired using a 20× objective on a Leica DMi8 inverted microscope. The total number of CHAT‐positive cells were counted in each spinal cord section, using three to five sections from each mouse.
Characterization of retina phenotypes
Eyes were enucleated, and retinae were dissected and fixed in 4% paraformaldehyde in PBS at 4°C overnight. The fixed retinae were cryoprotected in 30% sucrose overnight and embedded in optimal cutting temperature compound. Frozen sections (20 μm thick) were prepared using a Thermo HM525NX cryostat. Retinal sections were blocked in 5% BSA in PBST (PBS with 0.1% Triton X‐100), stained with primary antibodies at 4°C overnight, and washed three times with PBST. Sections were then stained using secondary antibodies, including donkey anti‐rabbit Alexa Fluor 594, donkey anti‐rabbit Alexa Fluor 488, and donkey anti‐goat Alexa Fluor 488 (Jackson ImmunoResearch), and were co‐stained with DAPI in the dark for overnight at 4°C. Apoptotic cells were evaluated using the TUNEL BrightGreen Apoptosis Detection Kit according to the manufacturer's protocol (Vazyme Biotech). Images were taken using a 20× objective on a Zeiss LSM880 confocal microscope. Images used for comparison between groups were taken side by side using the same confocal settings. ImageJ software was used to quantify relative GFAP immunofluorescent intensity of whole retinal section and thickness of outer nuclear layer (ONL), inner nuclear layer (INL), and inner plexiform layer (IPL) at 1 mm from optic nerve head in retinas. The numbers of IBAl‐positive cells, Brn3a‐positive cells, and TUNEL‐positive cells in each retinal section were quantified manually. The length of the outer segment of the cone photoreceptors was measured using Nikon NIS Elements AR Offline Station. Three–six eyeballs per group were analyzed for the studies.
Transmission electron microscopy
Isolated spinal cords were fixed in 2.5% glutaraldehyde, 2% paraformaldehyde in 0.1 M sodium cacodylate/HCl buffer (pH7.3). After washing with the 0.1 M sodium cacodylate/HCl buffer (pH7.3), tissues were post‐fixed in 1% osmium tetroxide, 1.5% potassium ferricyanide, followed by dehydrating in 25, 50, 70, 95, 100, and 100% alcohol. Finally, the tissues were embedded using the Quetol 651/NSA Embedding Kit (Electron Microscopy Sciences), followed by polymerization in a 60°C oven for 36 h. After polymerization, blocks were sectioned at 70 nm, transferred onto 3 mm copper grids, and stained for 30 min in 1.5% aqueous uranyl acetate. Images were acquired on Morgnani 268 transmission electron microscope (FEI).
RNA‐Seq analysis
RNAs were extracted from spinal cord and cortex regions using TRIzol (Thermo scientific). RNA quality was checked using NanoDrop, gel electrophoresis, and Agilent 4200 TapeStation. cDNA library was then generated using the QuantSeq 3′ mRNA‐Seq Library Prep Kit FWD for Illumina (Lexogen). 86 bp single‐end sequencing was performed on an Illumina NextSeq500 (Illumina) using services provided by the Cornell Biotech Facilities. Data quality was assessed using FastQC (https://www.bioinformatics.babraham.ac.uk/projects/fastqc/). Reads that passed quality control were aligned to reference genome (Ensembl 98.38) (Zerbino et al, 2018) using STAR(Dobin et al, 2013). The number of reads in each gene was obtained using HTSeq‐count(Anders et al, 2015). Differential expression analysis was performed using the R package edgeR (Robinson et al, 2010), followed by the limma package with its voom method (Law et al, 2014). Genes with FDR control P‐value ≤ 0.05 and log fold change ≥ 0.5 were identified as differentially expressed genes. Heatmaps were made using the R package gplots. Gene enrichment analysis using cellular component, KEGG pathways, molecular function, and biological process was performed using DAVID 6.8(da Huang et al, 2009a,b).
Statistical analysis
All statistical analyses were performed using GraphPad Prism 8. All data are presented as mean ± SEM. Statistical significance was assessed by unpaired Student's t‐test (for two group comparison), one‐way ANOVA tests with Bonferroni's multiple comparisons (for multiple comparisons), or Fisher's exact test (analysis of contingency tables). P values less than or equal to 0.05 were considered statistically significant. *P < 0.05; **P < 0.01; ***P < 0.001; ****P < 0.0001.
Author contributions
TF bred the mice and characterized all the phenotypes except retina with the help from RRS, MU, and IIK. SM characterized retinal phenotypes under the supervision of WX. JMR performed EM analysis. JZ performed bioinformatic analysis for the RNA‐Seq data under the supervision of HY. FH supervised the project and wrote the manuscript together with TF. All authors have read and edited the manuscript.
Conflict of interest
The authors declare that they have no conflict of interest.Expanded View Figures PDFClick here for additional data file.Table EV1Click here for additional data file.Table EV2Click here for additional data file.Dataset EV1Click here for additional data file.Movie EV1Click here for additional data file.Movie EV2Click here for additional data file.Source Data for Expanded ViewClick here for additional data file.Review Process FileClick here for additional data file.Source Data for Figure 1Click here for additional data file.Source Data for Figure 4Click here for additional data file.Source Data for Figure 7Click here for additional data file.Source Data for Figure 8Click here for additional data file.Source Data for Figure 11Click here for additional data file.Source Data for Figure 12Click here for additional data file.
Authors: Marka van Blitterswijk; Bianca Mullen; Alexandra M Nicholson; Kevin F Bieniek; Michael G Heckman; Matthew C Baker; Mariely DeJesus-Hernandez; Nicole A Finch; Patricia H Brown; Melissa E Murray; Ging-Yuek R Hsiung; Heather Stewart; Anna M Karydas; Elizabeth Finger; Andrew Kertesz; Eileen H Bigio; Sandra Weintraub; Marsel Mesulam; Kimmo J Hatanpaa; Charles L White; Michael J Strong; Thomas G Beach; Zbigniew K Wszolek; Carol Lippa; Richard Caselli; Leonard Petrucelli; Keith A Josephs; Joseph E Parisi; David S Knopman; Ronald C Petersen; Ian R Mackenzie; William W Seeley; Lea T Grinberg; Bruce L Miller; Kevin B Boylan; Neill R Graff-Radford; Bradley F Boeve; Dennis W Dickson; Rosa Rademakers Journal: Acta Neuropathol Date: 2014-01-03 Impact factor: 17.088
Authors: Cas Simons; David Dyment; Stephen J Bent; Joanna Crawford; Marc D'Hooghe; Alfried Kohlschütter; Sunita Venkateswaran; Guy Helman; Bwee-Tien Poll-The; Christine C Makowski; Yoko Ito; Kristin Kernohan; Taila Hartley; Quinten Waisfisz; Ryan J Taft; Marjo S van der Knaap; Nicole I Wolf Journal: Brain Date: 2017-12-01 Impact factor: 13.501
Authors: Kareem C Clark; Anna Josephson; Savannah D Benusa; Rebecca K Hartley; Matthew Baer; Suneel Thummala; Martha Joslyn; Brooke A Sword; Howard Elford; Unsong Oh; Aysegul Dilsizoglu-Senol; Catherine Lubetzki; Marc Davenne; George H DeVries; Jeffrey L Dupree Journal: Glia Date: 2016-04-21 Impact factor: 7.452
Authors: Hansen Lui; Jiasheng Zhang; Stefanie R Makinson; Michelle K Cahill; Kevin W Kelley; Hsin-Yi Huang; Yulei Shang; Michael C Oldham; Lauren Herl Martens; Fuying Gao; Giovanni Coppola; Steven A Sloan; Christine L Hsieh; Charles C Kim; Eileen H Bigio; Sandra Weintraub; Marek-Marsel Mesulam; Rosa Rademakers; Ian R Mackenzie; William W Seeley; Anna Karydas; Bruce L Miller; Barbara Borroni; Roberta Ghidoni; Robert V Farese; Jeanne T Paz; Ben A Barres; Eric J Huang Journal: Cell Date: 2016-04-21 Impact factor: 41.582
Authors: Todd Logan; Matthew J Simon; Anil Rana; Gerald M Cherf; Ankita Srivastava; Sonnet S Davis; Ray Lieh Yoon Low; Chi-Lu Chiu; Meng Fang; Fen Huang; Akhil Bhalla; Ceyda Llapashtica; Rachel Prorok; Michelle E Pizzo; Meredith E K Calvert; Elizabeth W Sun; Jennifer Hsiao-Nakamoto; Yashas Rajendra; Katrina W Lexa; Devendra B Srivastava; Bettina van Lengerich; Junhua Wang; Yaneth Robles-Colmenares; Do Jin Kim; Joseph Duque; Melina Lenser; Timothy K Earr; Hoang Nguyen; Roni Chau; Buyankhishig Tsogtbaatar; Ritesh Ravi; Lukas L Skuja; Hilda Solanoy; Howard J Rosen; Bradley F Boeve; Adam L Boxer; Hilary W Heuer; Mark S Dennis; Mihalis S Kariolis; Kathryn M Monroe; Laralynne Przybyla; Pascal E Sanchez; Rene Meisner; Dolores Diaz; Kirk R Henne; Ryan J Watts; Anastasia G Henry; Kannan Gunasekaran; Giuseppe Astarita; Jung H Suh; Joseph W Lewcock; Sarah L DeVos; Gilbert Di Paolo Journal: Cell Date: 2021-08-26 Impact factor: 66.850
Authors: Yihan Li; Simon M Laws; Luke A Miles; James S Wiley; Xin Huang; Colin L Masters; Ben J Gu Journal: Cell Mol Life Sci Date: 2021-10-27 Impact factor: 9.207
Authors: Xiaolai Zhou; Mieu Brooks; Peizhou Jiang; Shunsuke Koga; Aamir R Zuberi; Matthew C Baker; Tammee M Parsons; Monica Castanedes-Casey; Virginia Phillips; Ariston L Librero; Aishe Kurti; John D Fryer; Guojun Bu; Cathleen Lutz; Dennis W Dickson; Rosa Rademakers Journal: EMBO Rep Date: 2020-08-05 Impact factor: 8.807
Authors: Fei Mao; John L Robinson; Travis Unger; Marijan Posavi; Defne A Amado; Lauren Elman; Murray Grossman; David A Wolk; Edward B Lee; Vivianna M Van Deerlin; Sílvia Porta; Virginia M Y Lee; John Q Trojanowski; Alice S Chen-Plotkin Journal: Acta Neuropathol Date: 2021-06-21 Impact factor: 15.887
Authors: Georg Werner; Markus Damme; Martin Schludi; Johannes Gnörich; Karin Wind; Katrin Fellerer; Benedikt Wefers; Wolfgang Wurst; Dieter Edbauer; Matthias Brendel; Christian Haass; Anja Capell Journal: EMBO Rep Date: 2020-09-14 Impact factor: 8.807