Tamara Vasilkovska1,2, Mohit H. Adhikari1,2, Joëlle van Rijswijk1,2, Eline Van Doninck1,2, Johan Van Audekerke1,2, Dorian Pustina3, Roger Cachope3, Haiying Tang3, Deanna M. Marchionini3, Ignacio Munoz-Sanjuan3, Annemie Van der Linden1,2, and Marleen Verhoye1,2
1Bio-Imaging Lab, Deparment of Biomedical Sciences, University of Antwerp, Antwerp, Belgium, 2μNEURO Research Centre of Excellence, University of Antwerp, Antwerp, Belgium, 3CHDI Management/CHDI Foundation, Princeton, NJ, United States
Synopsis
Keywords: Brain Connectivity, Preclinical, Huntington's Disease, dynamic resting-state fMRI
Dynamic analyses of resting-state (RS) fMRI
reveal transient constituents of RS networks such as the quasi-periodic patterns
(QPPs), and co-activation patterns (CAPs) that were shown to be sensitive
markers of neurodegenerative diseases in rodent models and humans. We
investigated the effect of early suppression of mutant huntingtin (m
Htt)
expression in the LacQ140 mouse model of Huntington’s disease (HD) on QPP and
CAP alterations at the manifest state. In both QPPs and CAPs, the observed
genotypic changes in local activity were reduced in the m
Htt suppressed
group. Additionally, a cross-validated, three-class classification using CAP
activations successfully predicted the mHtt suppressed
group
Introduction
Huntington’s disease (HD) is
the most common neurodegenerative disease of monogenic origin. Marked by an
abnormal expansion of the CAG repeat (>40) in the huntingtin gene, HD manifests
with progressive motor and cognitive impairments1. Despite the known
genetic background and disease trajectory, many therapeutical strategies remain
unsuccessful. Resting-state (RS) fMRI studies in HD have revealed functional connectivity
(FC) impairments in several brain networks that also occur before motor deficit
diagnosis2. However, these studies neglect the intermittent
brain-states constituting the RS networks such as quasi-periodic patterns
(QPPs) and co-activation patterns (CAPs) which can discern meaningful
variations in the brain network dynamics (Fig.1B). Robust alterations in these
brain-states have been detected in several neurodegenerative diseases such as
Parkinson’s3, Alzheimer’s
disease4,5 as well as HD6,7, making them promising
candidates for biomarkers to probe therapeutic strategies.
In
this cross-sectional study, we investigated the functional impact of early
(from 2-months of age) lowering of mutant huntingtin (mHtt) expression
in the heterozygous LacO/LacIR-regulatable LacQ140 HD mouse model at the
manifest state (11 months). Early blocking of mHtt expression in this
model results in a 40-50% reduction of systemic mHtt expression at the
manifest state8.
At first, we characterized the spatio-temporal alterations in QPPs and CAPs in
the fully mHtt expressed version of this model – LacQ140 in comparison
with wild type (WT) mice. We then hypothesized that these alterations would be
rescued in the cohort of mice in which mHtt expression was lowered from
2-months of age.Methods
RSfMRI data were acquired using a 9.4T Biospec MRI
scanner with a mouse-head 2x2 array cryo-coil in three groups of 11-month-old
mice: WT (10 males, 7 females), LacQ140 (9
males, 8 females) in which mHtt expression was allowed by adding the
lactose analog isopropyl ß-D-1-thiogalactopyranoside (IPTG), LacQ140_2M (9
males, 8 females) in which mHtt expression was lowered from 2 months
onward by withdrawing the IPTG. Mice were anesthetized using a mixture of
medetomidine (0.075mg/kg s.c. bolus; 0.15 mg/kg/h s.c. infusion) and 0.5% isoflurane.
10-minute RSfMRI scans were acquired 40min post-bolus using a T2*-weighted
single shot EPI sequence (TR/TE 500/15ms, 12 horizontal slices of 0.4mm, matrix
[90 70], resolution (300 x 300 x 400) µm3, 1200
repetitions (Fig.1), preceded by acquisition of 3D RARE images (TE/TR 51.2/1800
ms, matrix [256 192 128], resolution (78 x 104 x 78) µm3) to create
a study specific 3D template. Subject images were debiased, realigned, co-registered,
normalized, smoothed, filtered (0.01-0.2 Hz), and global signal regressed. For
each group, 200 short (3s) QPPs were extracted and clustered. Representative
(highest occurring) QPPs in each cluster were spatially matched between groups.
Z-scored BOLD signals of significantly activated (p<0.05, one-sample T-test,
FDR corrected) voxels of matched representative QPPs were compared between each
pair of groups using a two-sample T-test (p<0.05, FDR). QPP occurrences were
compared using one-way ANOVA (p<0.05, FDR). CAP analysis was performed on
concatenated pre-processed images from all subjects. All timeframes were
clustered in a 2-20 clusters range of similar spatial distributions of voxel
wise z-scored BOLD signals, averaged across cluster members to define CAPs. One-way
ANOVA was used to statistically compare median durations (p<0.05, FDR), occurrence
fractions (p<0.05, FDR), and mean voxel-wise spatial activations (p<0.05,
Bonferroni) of CAPs between the three groups. Finally, we investigated the
prediction power of CAPs’ spatial features to classify WT, LacQ140 and LacQ140_2M
mice using multinomial logistic regression classifier and confusion matrices.Results
Two anti-correlated QPPs and
CAPs, constituting anti-correlated lateral cortical network (LCN) and the
default mode-like network (DMLN) were robustly identified in the LacQ140 and
LacQ140_2M groups (Fig. 2, 3, 4). LCN QPP showed higher activation in the
frontal association cortex in WT and the LacQ140_2M groups as compared to the
LacQ140 group (Fig. 2). The LacQ140_2M showed additionally a higher activation
in the somatosensory cortex compared to the LacQ140. In the DMLN QPP, a higher
deactivation in the caudate putamen and higher activation in the olfactory bulb
was present in both WT and LacQ140_2M compared to the LacQ140 group (Fig. 3). In
the LCN CAP, activation in the somatosensory cortex and caudate putamen was the
highest in LacQ140_2M group, followed by WT and LacQ140 groups. In the DMLN
CAP, the activation in DMLN regions was the highest in LacQ140 mice, followed
by LacQ140_2M and WT groups (Fig. 4). Temporal
properties of CAPs and QPPs showed no group effect. Three-class Classification
accuracy was significantly higher than the chance-level for all partitions of
the image-series (Fig. 5 left). Confusion matrix showed, especially after the 10
CAPs partition, LacQ140_2M was predicted most accurately; and misclassified LacQ140_2M
subjects were more likely to be predicted as WT subjects rather than LacQ140
and vice-versa.Discussion and Conclusion
Our
findings demonstrate that, both QPPs and CAPs are significantly altered in the
LacQ140 HD mouse model at the manifest state and early mHtt-lowering results in
a therapeutic-like, rescue effect. Similarity between LacQ140_2M and WT groups
was confirmed in the confusion matrix of cross-validated classification
performed using CAPs’ spatial properties. Further, activation differences in
the somatosensory cortex and caudate putamen in both QPPs and CAPs indicate an
overcompensatory effect of the early mHtt suppression motivating a
future, longitudinal investigation of the impact of this early intervention.Acknowledgements
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