Aurea Martins Bach1, Cristiana Tisca1, Mohamed Tachrount1, Carmelo Milioto2,3, Mireia Carcolé2,3, Shoshana Spring4, Remya R. Nair5,6, Thomas J. Cunningham6,7, Elizabeth M. C. Fisher8, Adrian M. Isaacs2,3, Brian J. Nieman4, Jason Lerch1, and Karla 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, 5Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, United Kingdom, 6Mammalian Genetics Unit, MRC Harwell Institute, Oxford, United Kingdom, 7MRC Prion Unit and Institute of Prion diseases, University College London, London, United Kingdom, 8Department of Neuromuscular Diseases, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
Synopsis
Keywords: Neurodegeneration, Preclinical
Amyotrophic lateral sclerosis (ALS) and
Frontotemporal dementia (FTD) form a disease spectrum with shared clinical,
pathological and genetic features. The most common mutations in ALS/FTD are in
the genes
C9Orf72,
TARDBP and
FUS. We used post-mortem
diffusion kurtosis imaging to assess microstructure imaging phenotypes in mouse
models of ALS/FTD with mutations in these genes. While mice with mutation in
Tardbp
presented reduced FA and MO in various white matter tracts, no difference could
be detected in mice with mutation in
Fus, and increased MO in a portion
of the corpus callosum was observed in mice with mutation in
C9orf72.
Introduction
Amyotrophic lateral sclerosis (ALS) and
Frontotemporal dementia (FTD) form a disease spectrum with shared clinical,
pathological and molecular features1. ALS patients present mainly motor defects, while FTD patients have
changes in executive function, language and behaviour. Approximately 50% of ALS
patients present behavioural and cognitive impairment and ~40% of FTD patients develop
motor dysfunction2. More than 30 genes are causative for ALS1, of which at least 17 genes are linked to ALS and FTD2. The most common genetic mutations in ALS and FDT are in C9Orf72,
TARDBP, and FUS genes2.
The disease mechanisms in ALS/FTD are not fully
understood and these diseases lack a cure or treatment. Animal models that
recapitulate features of ALS/FTD are essential to better understand disease
mechanisms and assess potential therapeutics. Due to the heterogeneous nature
of ALS/FTD, a range of animal models may be needed to better represent the ALS/FTD
subgroups3.
MRI can provide biomarkers of ALS/FTD and
contribute to the understanding of disease mechanisms and the development of candidate
therapies. Imaging signatures of FTD/ALS include cortical thinning4, atrophy of subcortical grey matter5, and altered diffusion-MRI metrics6, varying according to the gene involved7. Despite the numerous animal models of ALS/FTD, most imaging studies focus
on the SOD1 mouse, which is only representative of 2% of ALS cases8.
In this study, we explore post-mortem diffusion MRI
phenotypes in a broader range of mouse models of ALS/FTD with mutations in the
genes Tardbp, Fus, and C9orf72.Materials and methods
In total, 59 mice divided into three cohorts were
studied. Mice had mutations in Tardbp (TDP-M323K9: 8 TDP-M323K homozygous mutants, 8 wild-type (WT) littermates, 12
month-old), Fus (homozygous FUSDelta1410,11: 7 FUSDelta14 homozygous mutants, 10 WT littermates, 3-month-old), or C9orf72
(9 C9orf72-(PR)400 expressing PR dipeptide repeats12, 7 C9orf72-(GR)400 expressing GR dipeptide repeats12, and 10 WT littermates, 20 month-old). Ages were selected to reflect
advanced stages of the disease in each model. Mice were perfused with paraformaldehyde
4% in 0.1 M PBS under anaesthesia. Perfusion solutions contained 2 mM of
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% paraformaldehyde 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.
Diffusion MRI was performed on a 7.0 tesla MRI
scanner using a receive-only 4-channels surface cryoprobe and a volume transmit
resonator (Bruker Biosystems, Etlingen, Germany). Diffusion-weighted images
were acquired in 30 diffusion directions distributed across the sphere for 2
shells (b=2,500/10,000s/mm2), with four interleaved b=0 volumes
(segmented EPI, TE/TR=30/500ms, 12 segments, 100μm isotropic resolution, scan
time~12h). A separated b=0 volume with reversed phase encoding was acquired
prior to the diffusion-weighted images and allowed to correct off-resonance
effects using the package eddy13 (after
Gibbs ringing correction14). Signal was fitted with the diffusion kurtosis model using FSL15 dtifit with the --kurtdir option to estimate fractional anisotropy (FA),
mean diffusivity (MD), mode of anisotropy16 (MO), and kurtosis along parallel and perpendicular directions. Parallel
and perpendicular kurtosis were then used to extract mean kurtosis (MK), and
fractional anisotropy of kurtosis (FAK) (Figure 1, A-E).
Data was analysed separately for each cohort
(TDP-M323K, FUSDelta14 and C9orf72). The b=0 images from each animal were
averaged and the average b0 images were registered to a common space using pydpiper17. The same transforms were used to register all parametric maps to the
common space for each cohort. FA maps were averaged, thresholded to include
only voxels with FA above 0.3, and then skeletonised using FSL-TBSS18 to create a skeletonised white matter mask (Figure 1, F). For each
parametric map, voxels extracted with this mask were compared between mutant
mice and age-matched littermates using FSL-randomise19. Differences were considered significant for p<0.05 after
family-wise error (FWE) correction for multiple comparisons in each metric.Results
Multiple
white matter tracts presented reduced FA and reduced MO in TDP-M323K mice
(Figure 2). No differences could be detected in MD, MK, or FAK.
In
this study, no differences could be detected in white matter for any of the diffusion
MRI metrics assessed in homozygous FUSDelta14 mice.
Finally,
both C9orf72-(GR)400 and C9orf72-(PR)400 mice presented reduced MO in the
anterior portion of the corpus callosum (Figure 3). No further alteration could
be detected for FA, MD, MK or FAK in these mice.Discussion and conclusions
We
have previously described that the pattern of volumetric changes is different
in TDP-M323K, FUSDelta14 and C9Orf72-PR(400)/-GR(400) mice12 (Figure 4). In this study, we
showed that in addition to widespread volumetric changes20, TDP-M323K mice also present reduced
FA and MO in several white matter tracts. In contrast, FUSDelta14-hom mice,
which present volumetric changes affecting various brain regions11, did not show any detectable
alteration in white matter microstructure in the current study. Finally, C9orf72-(PR)400
and C9orf72-(GR)400 mice presented subtle changes in MO in the anterior portion
of the corpus callosum. This region is close to the taenia tecta, the only
structure where altered volume was observed in these animals12.
These
results expand the range of mouse models of ALS/FTD with microstructural
alterations assessed with MRI and reinforce the complementarity of structural
and diffusion MRI.Acknowledgements
This work was supported by the Wellcome Trust (grant 202788/Z/16/Z), MRC and Harwell funding. The Wellcome Centre for Integrative Neuroimaging is supported by core funding from the Wellcome Trust (grant 203139/Z/16/Z).References
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