Qiang Li1,2, Gang Li3, Qi Peng3, Dan Wu1, Hanbing Lu4, Yihong Yang4, Jiangyang Zhang1,5, and Wenzhen Duan3,6,7
1Dept. of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Dept. of Radiology, Tangdu Hospital, Xi'an, China, People's Republic of, 3Dept. of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4National Institute on Drug Abuse, Baltimore, MD, United States, 5Dept. of Radiology, New York University School of Medicine, New York, NY, United States, 6Dept. of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 7Program in Cellular and Molecular Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States
Synopsis
Huntington’s disease (HD) is an autosomal
dominant inherited neurodegenerative disorder, and several MRI modalities have been used to monitor
disease progression. To date, little is known regarding the link between
altered functional connectivity and structural atrophy and clinical deficits. In
this study, we investigated the functional connectivity and structural changes
in a mouse model of HD that
recapitulate the key neuropathology and phenotype of HD. Our results revealed significant
correlations between functional MRI connectivity and structural atrophy,
as well as behavioral performance in the mouse model. Introduction
Huntington’s
disease (HD) is an autosomal dominant inherited neurodegenerative disorder. To
date, proven neuroprotective strategies remain elusive. Part of the problem has
been that most of the trials have attempted intervening at a time when the
degenerative process is already far advanced and hence when it would be
difficult even for the most effective therapy to demonstrate any benefit. Treatment
of HD is likely to be most beneficial in the early, possibly pre-manifestation
stage. The challenge is to determine the best time for intervention and
evaluate putative neuroprotection in the absence of clinical symptoms.
Therefore noninvasive, objective, sensitive biomarkers to identify the early
dysfunction in the HD brain are strongly needed. Resting state-fMRI (rs-fMRI) is a promising
tool in detecting early neuronal dysfunction in HD brain, because it allows us to
study multiple brain networks without confounding effects of cognitive ability
to perform a given behavioral task, which makes the rs-fMRI more promising as a
translational bridge in HD. Altered
resting-state functional brain connectivity was detected by rs-fMRI in
prodromal and early manifest HD subjects (1-3). However, little is known
regarding the association between altered functional connectivity and clinical
presentations. Mouse models of HD become valuable in such studies. The study in HD
mice will provide an important bridge between HD patients and mouse models of HD,
enabling us to make stronger conclusions about how regionally specific neuronal
dysfunction relates to phenotype and neuropathology. In this study, we
investigated the functional connectivity and structural changes in a mouse
model of HD, and revealed relationships between functional MRI measures and
structural atrophy, as well as behavioral performance in the mouse model.
Methods
N171-82Q HD mouse model has been widely used in
HD research; these HD mice display progressive and selective brain atrophy and
motor dysfunction which recapitulate the key neuropathology and phenotype of HD
(4). Thirteen HD and seven littermate wild-type
(WT) control mice were included in this study. During imaging, the animal was
anaesthetized with 0.5% isoflurane and i.p. infusion of dexmedetomidine similar
to the setting used in (5). Structural and functional MRI scans were performed
on a horizontal 11.7 Tesla scanner with a 72 mm volume transmitter and a 15 mm
planar surface coil and the following imaging parameters: i) T2-weighted MRI
(RARE): TE/TR = 40/4000 ms, echo train length=8, NA=2, in-plane resolution =
0.1 mm x 0.1 mm, 33 slices with 0.5 mm thickness; ii) rs-fMRI (GE-EPI): single
shot, TE/TR = 13.8/1200 ms, in-plane resolution = 0.25 mm x 0.25 mm, 21 slices
with 0.5 mm thickness, and 300 repetitions. Structural volumes were obtained
from the T2-weighted MRI as described in (4). Analyses of rs-fMRI data were conducted
using SPM8 and GIFT software. The striatum functional network was defined by
independent component analysis with GIFT. Correlation analyses were performed
between striatal functional connectivity and volumes and between striatal
functional connectivity and motor behavior scores (balance beam test).
Results
HD mice
demonstrated significantly lower functional connectivity in bilateral striatum and
higher connectivity between the striatum and anterior cingulate cortex compared
to the WT mice (Fig. 1). Structural MRI confirmed significant striatal atrophy
in the HD mice compared to the WT group, and behavioral tests showed
significant motor deficits in the HD mice indicated by prolonged transverse time
on balance beam (p < 0.05). The functional connectivity within left striatum
and between left striatum and right striatum were negatively correlated with the
transverse time on the balance beam in these mice (p =0.005, r2 =
0.369; p = 0.021, r2 = 0.261), and the left striatum-anterior
cingulate cortex functional connectivity was negatively correlated with the
left striatal volumes (Fig. 2) (p = 0.002, r2 = 0.423). The striatal connectivity was also negatively
correlated with the left striatal volumes (Fig. 3) (p =0.009, r2 =
0.321; p = 0.022, r2 = 0.260).
Discussions and Conclusions
While
rs-fMRI has been used to study HD patients (1-3), little is known regarding the
relation of the altered functional brain connectivity to clinical presentations as many factors can affect rs-fMRI signals. Our results demonstrated altered
striatal functional connectivity in the HD mice and significant correlations
between striatal functional connectivity and striatal atrophy/behavior
deficits. Further validation of the potential use of rs-fMRI measure as an
early biomarker for HD will have significant impact on future clinical trials
to evaluate the treatment efficacy using sensitive biomarker and instruct
critical treatment time.
Acknowledgements
The study was supported by R01NS082338 and R01HD074953 from the National Institute of Health.References
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