Abstract
Mutations in PLA2G6, which encodes calcium-independent phospholipase A2 group VIA (iPLA2-VIA), underlie the autosomal recessive disorder infantile neuroaxonal dystrophy (INAD). INAD typically presents in the first year of life, and leads to optic atrophy and psychomotor regression. We have examined PLA2G6 expression in early human embryonic development by in situ hybridization. At Carnegie Stage (CS) 19 (approximately 7 post conception weeks [PCW]), strong expression is evident in the ventricular zone (VZ) of midbrain and forebrain suggestive of expression in neural stem and progenitor cells. At CS23 (8 PCW) expression is also detectable in the VZ of the hindbrain and the subventricular zone (SVZ) of the developing neocortex, ganglionic eminences and diencephalon. By 9 PCW strong expression in the post-mitotic cells of the cortical plate can be seen in the developing neocortex. In the eye, expression is seen in the lens and retina at all stages examined. PLA2G6 expression is also evident in the alar plate of the spinal cord, dorsal root ganglia, the retina and lens in the eye and and several non-neuronal tissues, including developing bones, lung, kidney and gut. These findings suggest a role for PLA2G6 in neuronal proliferation throughout the developing brain and in maturing neurons in the cortical plate and hindbrain. Although widespread PLA2G6 expression is detected in neuronal tissues, the pattern shows dynamic changes with time and indicates that INAD pathogenesis may begin prior to birth.
Keywords: PLA2G6, INAD, neurodegeneration, development, in-situ hybridization
1. INTRODUCTION
Infantile neuroaxonal dystrophy (INAD) is an autosomal recessive disease with early onset and rapid progression of hypotonia, hyperreflexia and tetraparesis. INAD belongs to a larger class of neuroaxonal dystrophies, which include pantothenate-kinase associated neurodegeneration (PKAN), idiopathic neurodegeneration with brain iron accumulation (NBIA), and Schindler disease. Within this group, INAD has the earliest onset, with motor and cognitive skill regression presenting at a median age of 15 months [14, 18]. Optic atrophy is also commonly observed. Historically, INAD was diagnosed from histological evidence of neuroaxonal spheroids in peripheral nerves [24]. The detection of cerebellar atrophy and iron accumulation in the globus pallidus by MRI is also diagnostic of INAD, although iron accumulation often is not observed until later in the disease [14, 18, 23].
In 2006, the causative gene for INAD was identified as PLA2G6, which encodes a calcium-independent phospholipase (A2 group IVA) [23]. PLA2G6 mutations are found in the vast majority of INAD patients and have also been described in individuals previously diagnosed with idiopathic NBIA [14], as well as individuals with adult-onset dystonia-parkinsonism [29]. Phospholipases A2 comprise a large family of enzymes that catalyze the hydrolysis of sn-2 ester bonds of glycerophospholipids, producing free fatty acids and lysophospholipids [12]. Arachidonic acid and other fatty acids released by iPLA2-VIA can initiate apoptosis, inflammation, and cell growth [4, 36]. The lysophospholipid remaining in the cell membrane can also trigger cellular processes, including chemotaxis and fusion of biological membranes [2, 10].
The early presentation of INAD suggests that iPLA2-VIA may have a developmental role. Malik and colleagues [20] showed that the Pla2g6 knockout mouse [5] develops neurological impairments by 13 months and accumulates neuroaxonal spheroids similar to those in human INAD patients. In addition, four month old Pla2g6 knockout mice have decreased brain docosahexaenoic acid (DHA) metabolism and signaling [6]. In a second INAD mouse model, point mutations within Pla2g6 result in motor dysfunction and neuroaxonal spheroids as early as 7 weeks of age [39]. These studies, however, did not examine Pla2g6 expression during mouse development. Pla2g6 expression has been shown in mouse sagittal sections at embryonic day 14.5 as part of the high-throughput Eurexpress project [38]. At this stage, the strongest expression seen in the brain is in the alar plate of the developing hindbrain with prominent expression also in an analogous region of the midbrain. Pla2g6 also appears to be expressed weakly in the developing diencephalon and telencephalon of the forebrain. Expression was also detected in spinal cord and the bones of the developing skull, face, ribcage and limbs (EMAGE entry 18166; genex.hgu.mrc.ac.uk).
To better understand the potential role for PLA2G6 in neuronal development and pathogenic mechanisms underlying disease, we examined PLA2G6 expression by in-situ hybridization across several stages of human embryonic and early fetal development.
2. MATERIALS AND METHODS
2.1 Human tissue collection and processing
Human embryonic and fetal tissues were obtained from the MRC-Wellcome Trust Human Developmental Biology Resource (www.hdbr.org), Institute of Human Genetics, Newcastle University. The samples were collected with appropriate maternal consents and ethical approval by the Newcastle and North Tyneside Research Ethics Committee. Tissue sections from 7 samples were analysed: Carnegie Stage (CS) 19 (~7 PCW, n=2), CS23 (8PCW, n=3) and 9 PCW (n=2). The stage of embryonic development (CS19 and CS23) was determined by assessment of external morphology as described [9, 25]. For fetal samples (9PCW) age was estimated from measurements of foot length and heel to knee length. These were compared with a standard growth chart [15].
2.2 In situ hybridization
Three fragments of the cDNA for human PLA2G6; 453 bp of PLA2G6 exon 2- exon4 (probe 1), 517 bp of PLA2G6 exon 11–15 (probe2) and 557 bp of the PLA2G6 3’UTR (probe3) were amplified from Homo sapiens PLA2G6 mRNA (Accession: CU013143) and cloned into pCR-BluntII-TOPO (Invitrogen). The construct sequences were verified and prepared using HiSpeed Plasmid Midi kit (Qiagen). To create the PLA2G6 antisense probe, the plasmid was linearized with SpeI and amplified from the T7 promoter. To create the PLA2G6 sense control probe, the plasmid was linearized with Not1 and amplified from the Sp6 promoter. Probes were labeled with digoxygenin (DIG) using the DIG-RNA labeling kit (Roche Applied Science) according to manufacturer’s instructions. All probes were tested and PLA2G6 probe 3 was selected for the studies subsequently described.
In situ hybridizations were performed as previously described [22] with some modifications. Briefly, sections were dewaxed in xylene, gradually hydrated in decreasing ethanol concentrations before incubation in Proteinase K (20µg/ml) at room temperature (RT), followed by fixation in 4% paraformaldehyde in PBS. Background was reduced by treating with 0.1M Triethanolamine pH 8. Sections were air dried and probe added (300ng labeled probe per 100ul of Dig Easy Hyb mix (Roche)) at 68°C overnight. The next day sections were washed once in 5× SSC then once in 2× SSC at 60°C then incubated with Anti-digoxigenin AP Fab fragments (Roche) diluted 1:1000 at 4°C overnight. Sections were then washed and expression detected using NBT/BCIP (20ul/ml Roche) in 0.1M Tris/0.1M NaCl (pH 9.5) in the dark at RT. Developing was stopped by rinsing slides first in 0.1M Tris/0.1M NaCl (pH 9.5) then in distilled H2O. Sections were mounted using Aquamount and analyzed using a Zeiss Axioplan 2 microscope. Images were captured with a Zeiss Axiovision 4 imaging system.
3. RESULTS
In order to characterize the potential role of PLA2G6 in fetal development, we examined PLA2G6 expression by in situ hybridization during human embryonic (CS19 and CS23) and early fetal (9 PCW) development.
3.1 PLA2G6 expression in the brain
At CS19, PLA2G6 expression was evident in the VZ of the pallium neuroepithelium (NEP) in the developing telencephalon (Figure 1A). The NEP is a pluripotent pseudostratified tissue of neural stem cells that extends from the frontal pole to the spinal cord and is the source of all neurons and neuroglia of the developing nervous system [7]. By CS23, PLA2G6 expression is detected in both the VZ and SVZ of the pallium, while by 9PCW strong signal is also detected in the differentiating neurons of the cortical plate (Figure 1B and C respectively). Strong expression is also seen in proliferative zones in other regions of the developing forebrain such as the ganglionic eminences (Figure 1B, D, E) and thalamus (Figure 1D, F).
In the midbrain, PLA2G6 expression is detectable in the VZ of the alar plate at CS19 (Figure 1J), CS23 (Figure 1H) and persists through to 9PCW (data not shown). In contrast, expression in the hindbrain is barely detectable at CS19 (data not shown). Yet at CS23 (Figure 1H and I) and 9PCW (Figure 1K and L), PLA2G6 is expressed in the VZ in the isthmus, cerebellum, pons and medulla oblongata and clearly present in differentiating neurons of developing nuclei in the medulla (Fig 1K and L). PLA2G6 expression is also seen in the telencephalic choroid plexus, a glycogen-rich epithelial tissue formed by proliferative stem cells that may play a part in anaerobic metabolism during early development [7] (data not shown).
3.2 PLA2G6 expression in the eye and spinal cord
PLA2G6 expression was found in the lens and developing neurosensory retina at CS19, CS23 and PCW9 (Figure 2). Expression in the retina was sparse initially but became stronger and more widespread throughout the developing retina by 9PCW. Interestingly, in one CS23 sample, we also observed strong staining in the optic nerve (Figure 2B). The optic nerve comprises axons from retinal ganglion cells and glial precursors: astrocyte precursors arising from the optic stalk and oligodendrocyte precursors from the preoptic area [27, 35]. However, the optic nerve only begins to be myelinated at five months of gestation [13]. PLA2G6 expression was detected in the spinal cord, principally in the alar plate, as well as in the dorsal root ganglia at CS19 and CS23. Spinal cord expression was not analyzed at 9PCW; however, we did observe it throughout the spinal cord and in dorsal root ganglia at 13PCW (data not shown).
3.3 PLA2G6 in non-neuronal tissues
Results from RT-PCR experiments in a battery of RNAs from different tissues at 9PCW suggested that PLA2G6 was expressed widely in non-neuronal tissues (data not shown). This was confirmed by tissue in situ hybridisation as shown in Figure 3. PLA2G6 expression was detected in lung (Figure 3A), kidney (both metanephros and mesonephros Figure 3B and C respectively), gonad (Figure 3C), muscles in the tongue and surrounding the eye (Figure 3 D and 3H), nasal epithelium (Figure 3E), surrounding the developing bones (Figure 3F) and in the intestine (Figure 3G).
4. DISCUSSION
The present study was carried out to characterize PLA2G6 expression in the developing human embryonic and fetal nervous system. We found that PLA2G6 has a dynamic expression pattern both in terms of the location of expression and the differentiation state of expressing cells. PLA2G6 is expressed in forebrain and midbrain before it is detectable in hindbrain. Throughout the developing brain, PLA2G6 is expressed in proliferative zones: VZ in all regions, as well as the SVZ in the developing telencephalon including the ganglionic eminences. In the diencephalon there is strong expression in the thalamus and hypothalamus. This expression pattern is in contrast to the only available comparison data derived from studies in developing mouse; in murine studies VZ expression in the alar plate of the midbrain and hindbrain has been described, but none is seen in the VZ of the forebrain (diencephalon or telencephalon) and there is only weak expression in the outer cortical plate/mantle layer in the developing neocortex (EMAGE entry ID 18166). However, this mouse data is only from a single stage and does not capture the dynamic changes in expression pattern seen in human as described above. In our studies of the human forebrain, PLA2G6 was also detected in the differentiated neurons of the cortical plate in the developing cerebral neocortex. Similarly, expression is seen in differentiated neurons in the hindbrain; for example, in the inferior olives of the medulla. At the stages examined, there is no PLA2G6 expression in differentiated neurons of the midbrain.
Broad expression of iPLA2 in the brain has also been reported in adult mammals. In adult monkey brain, high iPLA2 expression was detected in the cerebral neocortex, hippocampus, cerebellum and brain stem, with lower expression in the thalamus and hypothalamus [26]. Within the basal ganglia, the caudate nucleus, putamen and nucleus accumbens were densely labeled while the globus pallidus, subthalamic nucleus and substantia nigra pars compacta were lightly labeled [26]. Within these tissues, iPLA2 expression was predominately localized to the nuclear envelope of neurons, dendritic spines or axon terminals, while expression was sparse or absent in myelinated axons, large diameter dendrites, glial cells and endothelial cells [26]. iPLA2 expression has also been reported in rat cerebellum, with strong expression in the nuclei of Purkinje cells and granule and stellate cells [34]. These findings are consistent with an ongoing role for iPLA2 in signal transduction and lipid metabolism in a variety of CNS cell types In the adult eye, iPLA2-VIA expression has previously been reported as very strong in the retinal pigment epithelium, strong in the optic nerve axons and cornea, and moderate in the iris, ciliary body and lens [17]. Interestingly, iPLA2-VIA is proposed to regulate RPE proliferation and migration, and may play a role in proliferative vitreoretinopathy [16]. Our data indicates that PLA2G6 is expressed in retina and lens as early as CS19 (approx 7 PCW). In addition, we observed expression in the sheath of the optic nerve in one sample. Although retinopathy is not common in PLA2G6-associated disease, optic atrophy is typical [14]. Indeed, Kurian et al. observed reduced volume in the optic chiasm and optic nerves on radiographical imaging in eight out of ten PLA2G6 mutation-positive patients [18], consistent with an important postnatal role for PLA2G6 in maintaining optic nerve integrity.
A survey of non-neuronal embryonic tissues revealed broad PLA2G6 expression. Previously, PLA2G6 was detected in all 23 adult human tissues examined by Northern blot [19]. In our study, strong expression was detected surrounding the developing bones of the arm and in the lung, kidney, gut and muscles of the tongue and surrounding the eye. At the stages examined, we did not detect strong expression in the developing bones of the face and skull. Again, this result is in contrast with the available data in developing mouse. However, the latter data are limited and differences between the species may be temporal rather than spatial. In other studies, iPLA2-VIA is shown to be expressed in numerous cell lines including macrophages [1], pancreatic cells [31], astrocytes [30] and renal cells [11]. Broad PLA2G6 expression is consistent with its role in membrane phospholipid maintenance and divergent signaling pathways [3].
Several disorders with predominantly neurodevelopmental defects are caused by genes with a widespread expression pattern during human development [21, 37]. In addition, degenerative neurological disorders can be caused by mutations in a widely expressed gene, exemplified by Rett syndrome and pantothenate kinase-associated neurodegeneration [32, 40]. Similarly, in several trinucleotide repeat disorders, expanded polyglutamine proteins are ubiquitously expressed but cause selective neurodegeneration in specific brain regions [28].
Our results suggest that PLA2G6 is positioned to play a role in early neuronal development. Disruption of this process may contribute to the widespread neurological problems observed in INAD. In fact, embryonic and fetal PLA2G6 expression suggests that INAD pathogenesis could initiate in-utero. Several INAD mouse models are available to further investigate the effect of PLA2G6 mutations on embryonic development [8, 20, 33, 39]. Certainly, in-utero PLA2G6 function should be considered when treatment strategies for INAD are in development.
Supplementary Material
Acknowledgements
This work was supported by National Institute of Child Health and Human Development (to S.H.), the Neurodegeneration with Brain Iron Accumulation (NBIA) Disorders Association (to S.H), the Association Internationale De Dystrophie Neuro Axonale Infantile (AIDNAI) (to S.H.) and the Huebner Family Pediatric Neurobiology of Disease Fellowship (to B.P.). The human embryonic and fetal material was provided by the Joint MRC-Wellcome Trust Human Developmental Biology Resource (http://www.hdbr.org) at the IHG, Newcastle-upon-Tyne, UK.
Abbreviations
- INAD
infantile neuroaxonal dystrophy
- NBIA
neurodegeneration with brain iron accumulation
- PCW
post weeks conception
- PKAN
pantothenate-kinase associated neurodegeneration
- SVZ
subventricular zone
- VZ
ventricular zone
Footnotes
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