Abstract
The 22q11 deletion (or DiGeorge) syndrome (22q11DS), the result of a 1.5- to 3-megabase hemizygous deletion on human chromosome 22, results in dramatically increased susceptibility for “diseases of cortical connectivity” thought to arise during development, including schizophrenia and autism. We show that diminished dosage of the genes deleted in the 1.5-megabase 22q11 minimal critical deleted region in a mouse model of 22q11DS specifically compromises neurogenesis and subsequent differentiation in the cerebral cortex. Proliferation of basal, but not apical, progenitors is disrupted, and subsequently, the frequency of layer 2/3, but not layer 5/6, projection neurons is altered. This change is paralleled by aberrant distribution of parvalbumin-labeled interneurons in upper and lower cortical layers. Deletion of Tbx1 or Prodh (22q11 genes independently associated with 22q11DS phenotypes) does not similarly disrupt basal progenitors. However, expression analysis implicates additional 22q11 genes that are selectively expressed in cortical precursors. Thus, diminished 22q11 gene dosage disrupts cortical neurogenesis and interneuron migration. Such developmental disruption may alter cortical circuitry and establish vulnerability for developmental disorders, including schizophrenia and autism.
Keywords: psychiatric disease
The neurodevelopmental hypothesis for diseases of cortical connectivity, initially proposed for schizophrenia (1), and later extended to autism spectrum disorders (2), suggests that anomalous cortical development underlies behavioral pathology. Despite inferred relationships between suspect developmental mechanisms, neuroanatomical or functional changes in patients, and postmortem cortical pathology, to our knowledge, there are no known direct links between specific cortical developmental mechanisms and pathogenesis. The near impossibility of prospective analyses in at-risk human fetuses further complicates rigorous evaluation of the hypothesis. Thus, the hypothesis may be more effectively evaluated in animal models of genetic or environmental risk for relevant diseases. In humans, 22q11 deletion/DiGeorge syndrome (22q11DS) confers the highest known genetic risk for schizophrenia (≈30%) (3, 4), increased susceptibility for autism spectrum disorders (≈25%) (5), and vulnerability for additional behavioral and learning disabilities (>60%) (5). Brain imaging in 22q11DS patients shows consistent anatomical defects, including reduced cortical gray matter and polymicrogyria (6–8), and postmortem analysis indicates cellular pathology associated with developmental defects including periventricular heteropias (9). We found that diminished 22q11 gene dosage in a 22q11DS mouse model compromises specific cortical neural stem cells, basal progenitors, and alters frequency and distribution of cortical projection neurons and GABAergic interneurons. These phenotypes suggest a link between a genomic lesion, altered cortical development, and subsequent changes in cortical circuitry that likely intensify risk for behavioral disorders in 22q11DS patients.
Results
Diminished Dosage of 22q11 Genes Disrupts Basal Progenitor Proliferation.
We first asked, using the LgDel mouse model of 22q11DS (10), whether 22q11DS cortical anomalies might reflect changes in cortical neurogenesis. We focused on two distinct classes of cortical progenitors: basal progenitors–transit amplifying progenitors in the cortical subventricular zone (SVZ)–and apical progenitors–self-renewing radial glial stem cells present in the cortical VZ. Each class can be recognized with combinations of proliferative and molecular markers (Fig. 1). We found reduced frequency of mitotic basal progenitors, identified by phosphohistone 3 labeling (PH3; a G2/M-phase cell-cycle marker) as well as SVZ location, throughout the embryonic day (E)13.5 LgDel cortex (79% of WT, P = 0.05, n = 5 per genotype) (Fig. 1 A–C; Fig. S1). Analysis of dual BrdU (90-min exposure; S-phase marker) and Tbr2 labeling (basal progenitors) confirms this deficit (76% of WT, t test, P = 0.049, n = 5) (Fig. 1 D–F). When systematically sampled at dorsal, medial, and lateral cortical locations, LgDel S-phase basal progenitor frequency was diminished by 32% in medial cortex (n = 5; t test, P = 0.045) (Fig. 1F Middle), 20% laterally (nonsignificant), and similar to normal dorsally.
Aberrant apical progenitor proliferation or radial migration is not the basis for the basal progenitor proliferation defect. There are comparable numbers of S-phase apical progenitors in LgDel and littermate controls at each cortical site (Fig. 1F Bottom). Also, apical progenitors generate basal progenitors at similar frequencies in each genotype (Fig. 1 G–I). Furthermore, apical progenitor radial processes, on which nascent basal progenitors as well as newborn neurons migrate, seem unperturbed in the mutant (Fig. 1J).
Of the 22 22q11 genes expressed in the developing cerebral cortex (11), two genes (Tbx1 and Prodh) have emerged as candidates for many 22q11DS phenotypes, including behavioral anomalies (12, 13). Nevertheless, we found no differences in basal progenitor frequency in either hemizygous Tbx1 or homozygous Prodh hypomorphic mice (Fig. 1 C and F) (embryonic gene expression; Fig. S2). Thus, diminished Tbx1 dosage or Prodh activity is unlikely to explain the proliferative phenotype associated with hemizygous 22q11 deletion.
A Subset of 22q11 Genes Is Associated with the Cortical Proliferative Zone.
We asked whether other genes in the 22q11 region might contribute to apparent disruption of cortical basal progenitor proliferation in the LgDel mouse. We evaluated candidates by noting their putative cell-cycle function, selective expression in the cortical VZ/SVZ, and maximal expression during neurogenesis. Five 22q11 genes are thought to regulate the cell cycle: Ranbp1 (14), Cdc45l (15), Hira (16), Ufd1l (17), and Sept5 (18); a sixth gene with unknown function, Htf9c, shares a promoter with Ranbp1 (19), and thus, was also analyzed. Ranbp1 and Cdc45l are specifically and robustly expressed in the VZ/SVZ (Fig. 2 A and B). Htf9c and Ufd1l are enhanced in the VZ/SVZ and developing cortical plate (Fig. 2 C and D). Hira is weakly present throughout the developing cortex (Fig. 2E). Last, Sept5 is absent from the VZ/SVZ, instead localized to the developing cortical plate (Fig. 2F). Ranbp1, Cdc45l, and Htf9c are maximally expressed during cortical neurogenesis [E12-postnatal day (P)0] with a large decline thereafter (Fig. S3). In contrast, there is stability (Ufd1l), modest transient increase (Hira), or significant, sustained increase (Sept5) of the other genes (Fig. S3). Thus, expression localization, dynamics, and established cell-cycle function suggest candidate 22q11 genes for the basal progenitor phenotype.
Altered Expression of Cell-Cycle Genes in the LgDel Cortex.
We next asked whether expression of these six 22q11 genes or other genes beyond the 22q11 interval is diminished in the embryonic LgDel mouse cortex. Expression of all six 22q11 genes is diminished by ≈50% in E13.5 LgDel cortex (Fig. 3A). Diminished cortical expression of these 22q11 genes, as well as altered basal progenitor proliferation, suggests there may be further changes in cell-cycle regulatory genes beyond the 22q11 region. We probed a cell-cycle specific array (SABiosciences) with cDNA from E13.5 LgDel and WT cortex. We found and confirmed reduced expression in LgDel cortex of 3/84 array genes (Fig. 3B): Cyclin D1, a key component of the G1/S cell-cycle transition (20, 21); E2f2, involved in S-phase progression (20); and Sestrin2, thought to regulate proliferation in response to cellular stress (22). Local expression of each protein is enhanced in the SVZ, and each is variably seen in basal progenitors, sometimes in combination with the 22q11 protein, Cdc45l (Fig. 3 C–E). Thus, expression of cell-cycle regulatory genes beyond the 22q11 region is disrupted in the cortical VZ/SVZ in concert with aberrant basal progenitor proliferation.
Altered Layer 2–4 Neurons in the Maturing LgDel Cortex.
Basal progenitors give rise primarily to layer 2–4 projection neurons. Therefore, diminished proliferation of these cells in the embryonic LgDel cortex might be accompanied by changes in neuronal composition of the supragranular cortical layers at later ages. Thus, we determined the frequency of supra- and infragranular cortical neurons in P5 LgDel cortex. Using a pan-neuronal marker, NeuN, we found no significant change in the total frequency of neurons located in radial probes systematically located at lateral, medial, or dorsal cortical sites (Fig. 4 A and B). However, there was a trend toward diminished NeuN cell frequency in the medial probe location. Therefore, we determined NeuN cell frequency at this location in 10 equivalent bins between the pial surface and white matter. We found reduced NeuN cell frequencies in the medial supragranular LgDel cortex (Fig. 4C). We further evaluated the laminar specificity of this change using markers for molecularly distinct cortical neurons. There was a 20% decrease in the frequency of neurons labeled for Cux1, a layer 2–4 selective marker (23), in the medial LgDel cortex (n = 5 per genotype; t test, P = 0.02) (Fig. 4D). In contrast, the frequency of neurons labeled for Tbr1, a layer 5/6 selective marker (24), is unchanged (Fig. 4D). Also, Cux1 neuron frequency is unchanged at all cortical sites in Tbx1+/− mice and Prodh−/− deficient mice (data not shown).
To determine whether this specific change in layer 2–4 neuron frequencies reflects altered basal progenitor proliferation at E13.5 (Fig. 1), we analyzed the frequency of E13.5 birth-dated Cux1 or Tbr1 neurons in the P5 cortex. The frequency of E13.5 BrdU birth-dated/Cux1 double-labeled neurons was diminished by 50% only at the medial location (n = 4 LgDel, n = 5 WT; P = 0.01) (Fig. 4E). However, there was no significant difference in E13.5 BrdU injected/Tbr1 labeled layer 5/6 cells (Fig. S4). There was no evidence of compensation by accelerated neurogenesis later in development. We found no significant difference in E18.5 BrdU/Cux1 cell frequency between genotypes (Fig. 4E). Last, we did not see prolonged neurogenesis. E19.5 birth-dated neurons were not present in LgDel or WT P5 cortex (data not shown). Apparently, proliferative changes in E13.5 basal progenitors prefigure a corresponding change in the frequency of supragranular projection neurons in the medial cortex of LgDel mice.
Altered Distribution of Interneurons in the LgDel Cortex.
Changes in interneurons, as well as projection neurons, have been associated with schizophrenia and other disorders of cortical connectivity (25, 26). Thus, we analyzed the distribution of parvalbumin-labeled interneurons, a proposed target for pathologic change (25, 26), in the LgDel postnatal cortex. There was no significant difference in parvalbumin cell frequency at P21. Nevertheless, their laminar distribution changes in the medial, but not lateral or dorsal cortex (two-way ANOVA, P = 0.03, n = 5 per genotype) (Fig. 5 A and B). We asked whether this change reflects altered migration of embryonic GABAergic neuroblasts. Parvalbumin is not expressed in mouse cortex until the second postnatal week (27). Therefore, we labeled the embryonic GABAergic cohort with calbindin (Fig. 5C), which is expressed in migrating interneurons (28). The frequency of calbindin-labeled cells did not differ in the two genotypes at E13.5. However, their distribution from the corticostriatal boundary to the cortical hem was altered in LgDel embryos (two-way ANOVA, P = 0.05, n = 5 per genotype) (Fig. 5E). The proportion of calbindin labeled cells in progressively medial locations diminishes more rapidly (Fig. 5 D and E), suggesting disrupted or delayed interneuron migration in the embryonic LgDel cortex.
Discussion
We show that a genomic lesion associated with significant risk for schizophrenia, autism, and other behavioral disorders disrupts neurogenesis as well as frequency and distribution of projection neurons and migration of interneurons in a restricted region of the cerebral cortex. Our results suggest local changes in gray matter and neuropil, deduced from imaging and pathological assessment in 22q11DS patients (6–9), may reflect altered identity, abundance, and connections of projection neuron classes due to disrupted basal progenitor proliferation, and parallel changes in interneuron migration and placement during development. These phenotypes provide support for the neurodevelopmental hypotheses of disorders of cortical connectivity associated with 22q11DS.
The basal progenitor deficit in the LgDel model of 22q11DS apparently leads to altered frequency of supragranular neurons later in life. Basal progenitors may generate projection neurons for all cortical layers (29). Nevertheless, several observations suggest that they give rise primarily to supragranular pyramidal cells (30). Such projection neurons, present in altered numbers in LgDel cortex, may fail to elaborate appropriate local and long distance projections. The resulting disruptions in circuitry may lead to pathological changes, including altered interneuron distribution and frequency, as well as altered projection neuron connection in diseases of cortical connectivity that accompany 22q11DS (31–33). In contrast, apical progenitors are spared. Their ability to generate basal progenitors is unimpaired; their capacity to support radial migration is not noticeably altered, and their primary neuronal progeny (infragranular projection neurons) do not seem affected. Thus, our results identify a specific cortical progenitor class as a target for pathologic change, and specific cortical layers as subsequent loci for potentially altered circuitry in 22q11DS.
These alterations in the 22q11DS mouse model are restricted to medial cortical regions. Regionally selective basal progenitor and supragranular neurons deficits may reflect divergent activity of local signals and transcription factors (34). 22q11 genes may normally modulate the mode and tempo of basal progenitor division in the context of regional signals, resulting in appropriate local differences in cortical thickness, surface area, and gyral patterns (35). At present, one postmortem study of three 22q11DS schizophrenic brains (9) and a limited number of global MRI studies in 22q11DS patients (6–8) have been completed. The periventricular heterotopias and subtle differences in cortical thickness and gyral complexity in frontal and temporal cortical regions are generally consistent with region-selective developmental changes. Anterior frontal motor/association areas (36) appear most compromised in LgDel mice; nevertheless, it is difficult to predict cortical regions that might be similarly altered in 22q11DS patients.
Secondary effects due to cardiovascular phenotypes associated with Tbx1 (10, 37) or metabolic deficiency due to mitochondrial Prodh function (38, 39) do not appear to compromise basal progenitor proliferation and cortical development independent of other 22q11 genes. A recent study indicates that congenital heart defects may contribute to cortical anomalies in 22q11DS (40). However, the largest defects in cortical gyral patterns are independent of cardiovascular malformations. Thus, our results are consistent with current clinical evidence that suggests some dissociation between brain and cardiovascular phenotypes in 22q11DS. Nevertheless, additional 22q11 genes that influence either cardiovascular development or metabolic function (41, 42) may secondarily contribute to cortical phenotypes in 22q11DS.
Recent evidence suggests that at least two 22q11 genes, Zddhc8 (43) and Dgcr8 (44), can compromise forebrain circuitry, particularly in the hippocampus. Our data suggests additional candidates (particularly Ranbp1 and Cdc45l) as potential contributors to altered cortical development in 22q11DS. RANBP1 polymorphisms have been associated with schizophrenia vulnerability in non-22q11 deleted individuals (45) and restricted CDC45L, as well as UFD1L, deletion has been associated with 22q11DS clinical features including heart, craniofacial, and thymic anomalies (42). The cell-cycle functions of both Ranbp1 and Cdc45l, their diminished expression in LgDel VZ/SVZ, and parallel diminished expression of CyclinD1 and E2f2, major regulators of the G1/S check point, indicate that local activity of 22q11 genes may influence cortical cell-cycle dynamics. This influence may extend beyond cortical development. These genes continue to be expressed in adult forebrain neurons and precursors (11), and may be part of larger cell-cycle regulatory networks that are differentially disrupted in schizophrenic and bipolar patients (46). Last, altered cell-cycle control in cortical precursors due to diminished 22q11 gene dosage may also contribute to increased tumorigenesis in 22q11 patients (47).
There are several potential explanations for altered placement, but not frequency, of parvalbumin interneurons, the most numerous cortical interneuron subtype (48), most often associated with pathology in disorders of cortical connectivity (25, 26). Diminished 22q11 gene dosage may disrupt interneuron specification in the medial ganglionic eminence, where most of these cells are generated, or their migration to the cortex. Such changes may compromise the ability of subsets of interneurons to recognize appropriate regional or laminar positions. Alternately, altered migratory interneurons might perturb basal progenitor integrity (49) due to the close proximity of these cell types; thus, disrupting subsequent cortical proliferation as well as projection neuron and interneuron distribution. Last, changes in interneuron migration or distribution may reflect disrupted basal progenitor proliferation. Basal progenitors secrete chemoattractants for migrating interneurons (50), and diminished numbers in medial cortical regions may make them less effective migratory targets.
Altered placement of interneurons, as well as frequency of layer 2–4 projection neurons due to diminished 22q11 gene dosage, may establish vulnerability for any of several behavioral disorders associated with 22q11DS (3–5). Although our observations are unlikely to provide a singular explanation for the range of psychiatric illness found in 22q11DS, disrupted corticogenesis due to basal progenitor defects establish a likely contributor to circuit vulnerability (and behavioral disturbances) in the LgDel mouse model of 22q11DS (51), and provide some guidance for subsequent analyses of brain abnormalities in 22q11DS.
Materials and Methods
Experimental Animals.
Mice carrying a hemizygous deletion from Idd to Hira were maintained on a C57BL/6J background (LgDel mice) (10). The Pro/ReJ line (C57BL/6J) contains a base substitution that reduces, but not abolishes Prodh function (13). The Tbx1 line (129S) replaces Tbx1 with a neomycin cassette deleting all but the first 22 aa (52). Animal procedures met the University of North Carolina, Chapel Hill Institutional Animal Care and Use Committee requirements.
RNA Isolation, cDNA Synthesis, and qPCR.
Tissues were dissected and homogenized in TRIzol (Invitrogen). RNA was isolated, and cDNA synthesized as described previously (53). Primers for qPCR are listed in Maynard et al. (11) or Table S1. Sybr green reagent (Applied Biosystems), with 200 μM forward and reverse primer, was used to amplify cDNA using the ABI 7500 system.
Tissue Preparation and Immunofluorescence.
Embryonic brains were dissected in PBS and immersion-fixed overnight in 4% paraformaldehyde (PFA). Postnatal animals were perfused through the heart with 4% PFA after anesthetization (urethane 2 mg/kg). Fixed brains were sectioned and stained as described previously (11). Primary antibodies are listed in Table S2. For fluorescent detection, species appropriate Alexafluor 488 and 546 nm secondary antibodies were used. To generate a novel avian anti-Cdc45l antibody, chickens were immunized with the peptide CZERNRKRRGRREWEARRKD and antisera were affinity purified and tested by Western blotting (Aves Labs).
BrdU Labeling.
Timed pregnant mice (E12.5 and 13.5 for proliferation, and E13.5, 18.5, and 19.5 for birth-dating) were injected i.p. with BrdU (50 mg/kg body weight). Standard BrdU immunolabeling techniques were used after sodium citrate steam treatment (antigen retrieval), and only heavily labeled cells were counted.
In Situ Hybridization (ISH).
The 22q11 genes were cloned into PBluescript for DNA templates. Digoxigenin-labeled riboprobes were made and used for ISH as described previously (53). A Nikon 80i microscope and Retiga CCD camera was used for brightfield imaging.
Cell Counts.
The 1-μm optical sections were collected on a Zeiss LSM-510 laser scanning confocal microscope coded, and counted blind. Values reflect averages across at least two adjacent sections. In embryonic brains, cells were counted at the level of mid-ganglionic eminences across the whole cortex from the cortical/striatal boundary to the cortical hem. Also, counting boxes (200 μm wide) were placed at dorsal, medial, and lateral sites. For migration analysis, five equidistant bins were defined to assess distribution from the corticostriatal boundary to the cortical hem. In postnatal cortex, cells were counted in coronal sections at the level of the anterior commissure. Counting boxes (400 μm wide) were placed at dorsal, medial, and lateral sites.
Statistics.
We used two-tailed Student t tests to evaluate significance of mean cell number differences between LgDel and WT samples, and two-way ANOVA to compare cell distributions. When differences were observed using ANOVA, posthoc least significant difference (LSD) tests were used to determine significant difference between specific bins.
Supplementary Material
Acknowledgments.
A.-S.L. was supported by National Institute of Child Health and Human Development Grants HD042182 and HD029178, and the Silvio M. Conte Grant MH64065. Confocal microscopy and ISH analysis used University of North Carolina Neurosciences Center core facilities (NS031768).
Footnotes
The authors declare no conflict of interest.
This article is a PNAS Direct Submission.
This article contains supporting information online at www.pnas.org/cgi/content/full/0905696106/DCSupplemental.
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