Stephen J Sawiak1, Nigel I Wood1, T Adrian Carpenter1, and A Jennifer Morton1
1University of Cambridge, Cambridge, United Kingdom
Synopsis
Huntington’s disease
is caused by an unstable gene carrying excessive polyglutamine CAG repeats.
Patients with genes carrying more CAG repeats have a less favourable outcome.
The R6/2 mouse has a fragment of the human HD gene with 100 CAG repeats. We
compared mice carrying longer CAG repeats (250 and 350) with wildtype controls
using high-resolution in vivo longitudinal MRI and spectroscopy. Paradoxically,
the 350CAG mice live longer, with ultimately similar but much slower atrophy
and metabolic changes than 250CAG mice. They may, therefore, be a more useful
model of HD with a longer window to evaluate pathology and treatments. Purpose
Huntington’s disease (HD) is a fatal, inherited
neurodegenerative disease with no known cure. Patients suffer from the disease
if they have >36 polyglutamine (CAG) repeats in the autosomal dominant HD gene
with more repeats associated with earlier onset of symptoms which worsen more
rapidly and cause death sooner. The R6/2 mouse is the most widely used model of
the disease, usually carrying a fragment of the human HD gene with 100 CAG
repeats
1. Previous studies of
behaviour and longevity of these mice has shown, unexpectedly, that mice with
much longer CAG repeats have later onset of symptoms and a longer lifespan
2. Here, we compared
disease onset and progression between sub-strains of mice carrying 250 CAG
repeats (R6/2 250 mice) and 350 CAG repeats (R6/2 350 mice) against wildtype
controls using high-resolution magnetic imaging and spectroscopy.
Methods
Animals
were scanned at 4.7T using a Bruker BioSpec 47/40 system (Bruker Inc.,
Ettlingen, Germany). Isoflurane (1-2.5% in 1l/min O2) was used for
anaesthesia. Structural imaging was achieved with a quadrature surface coil
using a rapid acquisition with relaxation enhancement (RARE) sequence (scan
parameters: TR/TEeff 3.5s/32ms, echo train length 12, field of view
25.6×19.2×10.0mm3, matrix 256×192×100). The final resolution was 100µm
isotropic and images were acquired in 1 hour 33 minutes.
Spectroscopy
was performed with the manufacturer PRESS sequence (TR 2.5s/TE 20ms) shimmed
with FASTMAP and prepared with VAPOR water suppression using manually-adjusted
pulses over a voxel of 2×2×2mm3 for 128 averages with
retrospectively frequency locking and outer volume suppression enabled.
Tensor-based
morphometry (TBM) was performed in SPM8 (Wellcome Trust Centre for Neuroimaging,
UCL) with SPMMouse3. Brain images were segmented
into grey/white matter portions and these were registered using DARTEL4 following5 to produce Jacobian determinant
maps of local volume change. The false discovery rate was controlled at q <
0.05 to control for type I errors due to multiple comparisons.
Spectra
were analysed using LCModel (v6.3) and results are reported relative to total
creatine and phosphocreatine.
Results
Typical
images from each group of mice are shown at the relative end-stage of each
group in Figure 1. For R6/2 250 mice the oldest mice reach 24 weeks, the oldest
350 R6/2 CAG mice reached 58 weeks.
For comparison, a WT mouse at 58 weeks is
also shown. The appearance of atrophy is striking in the R6/2 250 animals,
particular in the caudate and frontal cortex. Substantial ventricular expansion
is also evident in the R6/2 350 animals concomitant with lost striatal volume.
Figure 2
shows local volume changes between groups of R6/2 animals and WT controls at
12-15 weeks. At this stage, substantial atrophy is detected across the whole
cerebral cortex and most subcortical structures in the R6/2 250 mouse with
apparent sparing only of the midbrain, brainstem and some thalamic structures.
R6/2 350 mice show much more selective atrophy corresponding closely with
regions highly associated with human HD pathology, in particular the striatum,
frontal cortex and sensorimotor cortex.
Concentration ratios
from selected metabolites are shown in Figure 3. Significant decreases were
seen in the neuronal marker aspartate (NAA) over time for both groups of R6/2
mice, as well as total glutamate and glutamine. Taurine increased in both groups
but choline was seen to decrease significantly only in the R6/2 350 CAG mice.
Discussion
Both
groups of R6/2 mice had widespread atrophy that is visible at 8 weeks and
develop broadly similar changes over time but at a much slower rate in the 350
CAG animals. This deviation from the expected worsening of phenotype with more
CAG repeats is in line with other findings in the literature from behavioural
2 and electrophysiological studies
6 but has not been shown before in
terms of neuroanatomical or metabolic pathology as shown here. Despite the
slower time course, the CAG 350 mice still die from neurological disease and
have similar patterns of cerebral atrophy at end-stage to the 250 mice. This
animal model, therefore, may prove to be a useful model of HD with its larger
window to study disease mechanisms and evaluate potential therapies.
Acknowledgements
We are grateful to Desmond Tse and Simon Puttick for assistance with data acquisition. Animals and scans in this study were funded by CHDI Inc. in a grant to AJM.
References
1. Mangiarini, L., et al., Exon 1 of the HD gene with an expanded CAG repeat is sufficient to cause a progressive neurological phenotype in transgenic mice. Cell., 1996. 87(3): p. 493-506.
2. Morton, A.J., et al., Paradoxical delay in the onset of disease caused by super-long CAG repeat expansions in R6/2 mice. Neurobiol Dis, 2009. 33(3): p. 331-41.
3. Sawiak, S.J., et al., Voxel-based morphometry in the R6/2 transgenic mouse reveals differences between genotypes not seen with manual 2D morphometry. Neurobiol Dis, 2009. 33(1): p. 20-7.
4. Ashburner, J., A fast diffeomorphic image registration algorithm. Neuroimage, 2007. 38(1): p. 95-113.
5. Sawiak, S.J., et al., Voxel-based morphometry with templates and validation in a mouse model of Huntington's disease. Magn Reson Imaging, 2013. 31(9): p. 1522-31.
6. Cummings, D.M., et al., A critical window of CAG repeat-length correlates with phenotype severity in the R6/2 mouse model of Huntington's disease. J Neurophysiol, 2012. 107(2): p. 677-91.