Aurea B. Martins-Bach1, Carmelo Milioto2,3, Shoshana Spring4, Mireia Carcolé2,3, Thomas J. Cunningham5, Elizabeth M. C. Fisher6, Adrian M. Isaacs2,3, Brian J. Nieman4, Jason Lerch1, and Karla L. Miller1
1Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom, 2UK Dementia Research Institute at UCL, Faculty of Brain Sciences, University College London, London, United Kingdom, 3Department of Neurodegenerative Disease, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom, 4Mouse Imaging Centre, The Hospital for Sick Children, Toronto, ON, Canada, 5Mammalian Genetics Unit, MRC Harwell Institute, Oxfordshire, United Kingdom, 6Department of Neuromuscular Diseases, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
Synopsis
Mutations
in the C9orf72 gene are the most prevalent genetic alteration in ALS/FTD.
This study investigates neuroanatomical phenotypes in two C9orf72 knock-in
mouse models separately expressing either poly-(PR) or poly-(GR) dipeptide-repeats.
Ex-vivo structural MRI (40 μm isotropic resolution) was acquired at 7T. After
registration, the deformation fields were used to estimate voxels and region-of-interest
volumes for comparison between mutants and wild-type mice. Although neuroanatomical
phenotypes have been previously described in C9orf72 patients and other ALS/FTD
mouse models, 20-month-old poly-(PR) and poly-(GR) mice presented subtle alterations.
Further investigations to assess microstructural and histological changes in
these mouse models are in progress.
Introduction
Mutations
in the C9orf72 gene are the most prevalent genetic alteration in
amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD) patients1,2. Specifically, patients present a
repeat expansion of a six-nucleotide sequence in the C9orf72 gene, ranging
from 30 to several thousand repeats3. Although this sequence is in a
non-coding region of the gene, it can be unconventionally translated into
dipeptide repeat proteins (DPRs). DPR inclusions are observed in the brain of FTD
and ALS patients early in the disease4. From all five possible DPRs
translated from this repeat expansion in C9orf72, at least two,
poly-(GR) and poly-(PR), are known to be potently neurotoxic5.
In this study, ex-vivo MRI was used to assess
possible neuroanatomical alterations in two C9orf72 knock-in mouse
models separately expressing either poly-(PR) or poly-(GR) DPRs. These mice
were recently generated using CRISPR technology to target the endogenous mouse C9orf72
locus and insert codon-optimised repeats in frame with the endogenous ATG,
leading to expression of either poly-(PR) or poly-(GR) peptides under the
control of the endogenous mouse C9orf72 promoter. Our hypothesis was
that these mice would develop FTD- and/or ALS-like neuroanatomical phenotypes
that could be captured with ex-vivo MRI. Here, we present first results from
structural MRI, with microstructural MRI and histology planned as future work
on the same cohorts.Materials and Methods
Ten poly-(PR),
8 poly-(GR) mice and 10 wild-type (WT) littermates (females, 20.4±0.8
months-old) were studied. Mice were deeply anesthetized with isoflurane and
intracardially perfused with saline solution, followed by 4% formalin. Both
saline and formalin contained 2 mM Gd-contrast agent (Gd-CA; Gadovist, Bayer
Vital GmbH, Leverkusen, Germany). Heads were removed and dissected, keeping brains
in the skull. Brains were immersed in 4% formalin with 2 mM Gd-CA for 24h at 4oC,
and then kept in PBS with 2 mM Gd-CA and 0.05% azide at 4oC until
scanned. MRI was performed on a 7.0 tesla MRI scanner (Agilent Inc., Palo Alto,
CA), using sixteen custom-built solenoid coils to image the brains in parallel6. Anatomical images with 40 μm
isotropic resolution were acquired using a T2-weighted 3D fast spin-echo
sequence, with TR=350 ms, 6 evenly spaced echoes between TE=12-72 ms (effective
TE=30ms), field-of-view of 20x20x25 mm3, matrix size = 504x504x630,
4 averages and cylindrical acquisition of k-space7. Total imaging time was
approximately 14 hours.
Brain
images were iteratively aligned to a minimum deformation template space generated
from all the brains in the study8,9, and the deformation field
necessary to bring each brain to this space was used to compute voxel volumes,
represented as the logarithm of the Jacobian determinant. Voxel volumes were
used to compute the total brain volume for each mouse and the volume of 182 regions
of interest after atlas-based segmentation10. Volumes were modelled as a
function of genotype, and false discovery rate (FDR) was used for multiple
comparison correction.Results
There was
no detectable effect of genotype in total brain volume (Figure 1). On the analysis
of regions of interest after atlas-based segmentation, only one brain region,
the dorsal taenia tecta, presented a significant difference in volume as a
function of genotype. The volume of the dorsal taenia tecta was increased in
poly-(PR) mice when compared to WT. Poly-(GR) mice presented a trend of
increased volume in the same region, but it didn’t reach statistical
significance (Figure 2). No significant differences could be identified on the
voxel-wise analysis for poly-(PR) or poly-(GR) mice (FDR 20%, Figure 3).Discussion
Cortical
thinning11 and white matter alterations12 are generally described in ALS/FTD,
and widespread cortical and subcortical atrophy is observed in C9orf72
patients and pre-symptomatic carriers13. Interestingly, there are also
reports of increased grey matter volume in ALS patients without cognitive
impairment12, which has been related to inflammation
preceding neuronal loss or to compensatory mechanisms.
Our group
has previously reported widespread relative volumetric changes in the brain of two
mouse models of ALS/FTD with mutation in the Fus gene14 (FUSDelta14-homozygous15) and in the Tardp gene16 (Tardp-M323K17). In contrast to the C9orf72
models described here, those models exhibited multiple regions of decreased and
increased relative volume when compared to WT littermates (Figure 3, A-B).
Mouse models
with mutation in C9orf72 are relevant for ALS/FTD since they correspond
to the most common genetic cause of these diseases1,2. However, in the present study, there
were only mild neuroanatomical alterations in the poly-(PR) mouse model with
mutation in C9orf72, and no detectable change in poly-(GR) mice. The increased
volume in the dorsal taenia tecta, a grey matter region in the olfactory peduncle,
could reflect inflammation and oedema in this area due to poly-(PR) DPR toxicity.
Other MRI modalities exploring tissue microstructure, as well as histological
analysis will allow further exploration of the brain phenotypes in these C9orf72
DPR knock-in mouse models.Conclusions
Mouse
models with mutation in C9orf72 leading to selective expression of
poly-(GR) and poly-(PR) DPRs presented a subtle neuroanatomical phenotype, with
volumetric alterations detected with MRI only in poly-(PR) mice. Further
investigations to assess microstructural alterations in these mouse models of
ALS/FTD are in progress. Histological analysis will allow to identify the
microscopic alterations leading to MRI phenotypes.Acknowledgements
Brian J. Nieman, Jason Lerch and Karla Miller contributed equally to this work. This
work was supported by the Wellcome Trust (grant 202788/Z/16/Z), Oxford Wellcome
Institutional Strategic Support Fund (0009875), The Motor Neurone Disease
Association and the Packard Center for ALS Research. The Wellcome Centre for
Integrative Neuroimaging is supported by core funding from the Wellcome Trust
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