Aurea Martins Bach1, Shoshana Spring2, Zeinab Ali3, Brian J. Nieman2, John Sled2, Remya R. Nair3,4, Elizabeth Fisher5, Silvia Corrochano6, Thomas Cunningham3,7, Jason Lerch1, and Karla Miller1
1Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom, 2Mouse Imaging Centre, The Hospital for Sick Children, Toronto, ON, Canada, 3Mammalian Genetics Unit, MRC Harwell Institute, Oxford, United Kingdom, 4Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, United Kingdom, 5Department of Neuromuscular Diseases, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom, 6Neurological Disorders Group, Hospital Clínico San Carlos, IdISSC, Madrid, Spain, 7MRC Prion Unit and Institute of Prion diseases, University College London, London, United Kingdom
Synopsis
Keywords: Neurodegeneration, Preclinical
Amyotrophic lateral sclerosis (ALS) is a
progressive neurodegenerative disease characterized by aggregates of TDP-43 in
the brain. The TDP-M323K mouse model of ALS has a mutation in
Tardbp and
presents progressive motor, neurological and behavioural phenotypes, in
addition to widespread changes in brain volume at 12 months of age. Here, we
assessed if these volumetric changes are progressive or if they are already present
before other symptoms start to present. Post-mortem structural MRI in 3- and 12
months-old TDP-M323K mice revealed that brain volume is already altered in
young adults despite the absence of major clinical and pathological phenotypes.
Introduction
Amyotrophic lateral sclerosis (ALS) is a
progressive neurodegenerative disease that leads to death usually 3-4 years
after diagnosis. Patients present progressive brain imaging alterations such as
cortical thinning1 and atrophy of subcortical grey matter2. There is high clinical variability and more than 30 genes are known to
cause ALS3. Despite this heterogeneity, more than 98% of ALS patients present
aggregates of the TDP-43 protein in the brain4. TDP-43 is an RNA-binding protein with a role in RNA processing and
maturation and is encoded by the gene TARDBP (or TDP). Mutations in
TARDP account for ~5% of familial ALS5.
The TDP-M323K mouse is a model of ALS with an ENU-induced
missense mutation in the Tardp gene (p.M323K). Homozygous TDP-M323K mice
present altered splicing in target mRNAs and altered expression of multiple
genes. Mice develop progressive neurological and motor phenotypes, with grip
strength loss at 12 months of age, p62 and ubiquitin inclusions in the spinal
cord and brainstem at 18 months of age, and reduction in motor units and motor
neuron count in the spinal cord at 24 months of age6. Additionally, early innate behaviour deficit is observed from 3 months
of age, and late, progressive anxiety-like phenotype and deficits in associative
learning and memory are observed from 12 months of age (data not published).
We have previously described widespread changes in
brain structure in 12-month-old homozygous TDP-M323K mice7 that recapitulate alterations observed in human ALS patients8. However, it is not clear if these volumetric changes are progressive,
like in ALS patients, or if they are already detectable before other symptoms
start to present. In this study, we assessed structural brain phenotypes in
post-mortem samples of TDP-M323K mice at 3- and 12 months of age (11- and 54-weeks-old) using
high-resolution T2-weighted MRI.Materials and methods
In total, 29 mice were studied: 6 TDP-M323K homozygous
mutants 11-week-old, 7 wild-type littermates 11-week-old, 8 TDP-M323K
homozygous mutants 54-week-old, and 8 wild-type littermates 54-week-old (all females,
C57BL/6J-DBA/2J background). Mice were perfused with paraformaldehyde (PFA) 4%
in 0.1 M PBS under anaesthesia. All perfusion solutions contained 2mM of
Gadovist, a Gd-contrast agent (Gd-CA; Bayer Vital GmbH, Leverkusen, Germany).
Brains were kept in the skull, fixed overnight in PFA-4%/Gd-CA (2mM), and
stored at 4°C in PBS/Gd-CA (2mM)/Na-azide (0.05%) until scanned.
Structural MRI was performed at 7.0 tesla. Samples
from 54-week-old mice were scanned in a multi-channel 7 Tesla MRI scanner
(Agilent Inc., Palo Alto, CA). Sixteen samples were imaged in parallel using a
custom-built 16-coil solenoid array9 (T2W 3D FSE cylindrical k-space acquisition sequence10, TR/TE/ETL = 350 ms/12 ms/6, TEeff = 30ms, two averages, FOV/matrix-size = 20 × 20 × 25 mm/504 × 504 × 630, total-imaging-time 14 h). Samples from 11-week-old mice were scanned
in a Bruker 7-Tesla 306 mm horizontal bore magnet (BioSpec 70/30 USR, Bruker,
Ettlingen, Germany). Eight samples were imaged in parallel using a custom-built
8-coil solenoid array (same scan parameters as for 54-week-old samples, but
four effective averages, FOV/matrix-size = 20.2 × 20.2 × 25.2 mm/504 × 504 ×
630, total-imaging-time = 13.2 h). For all samples, the resulting anatomical
images had isotropic resolution of 40µm voxels.
Images were registered using pydpiper11. Volumes were estimated from the Jacobian determinants and modelled as
a function of genotype and age including an interaction term. Differences were
considered significant for p<0.05 after false discovery rate (FDR) correction.Results
Total
brain volume was reduced in TDP-M323K mice (p=4.5e-15) and increased with age
(p=0.0012). However, no interaction between genotype and age could be detected
in the comparison of total brain volume (p=0.3761, Figure 1).
In
the voxel-wise analysis, both absolute volume changes and relative volume
changes (after removing global scaling differences) were assessed. The effects
of genotype, age, and the interaction between genotype and age in absolute
volumes are shown in Figure 2, and the same effects in relative volumes are
shown in Figure 3. TDP-M323K mice showed a widespread reduction in absolute
volume, relative reduction in volume in white matter regions and relative
increase in volume in grey matter regions when compared to wild-type
littermates. Age led to expected changes in relative volume, in particular
reduction of the cortical volume and increase of the white matter volume
relative to the whole brain. In this study, we did not observe an interaction
between genotype and age in relative volume changes, but a possible interaction
between age and genotype was observed at FDR 10%.Discussion and conclusions
ALS
patients present imaging phenotypes that can be detected before clinical
symptoms12. However, changes in the volume of brain regions are in general
progressive12.
Here
we have shown that TDP-M323K mice have alterations in brain volume detectable
with post-mortem structural MRI since early adulthood. Despite progressive
neurological and motor phenotypes, only a few brain regions may present
progressive changes in volume observable with this technique, in contrast to
what is observed in ALS patients.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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