Abstract
Huntington’s disease (HD), a dominantly inherited neurodegenerative disease, is defined by its genetic cause, a CAG-repeat expansion in the HTT gene, its motor and psychiatric symptomology and primary loss of striatal medium spiny neurons (MSNs). However, the molecular mechanisms from genetic lesion to disease phenotype remain largely unclear. Mouse models of HD have been created that exhibit phenotypes reminiscent of those in the patient, and specifically, cortico-striatal disconnectivity appears to be a shared pathogenic event shared by HD mouse models and patients. Molecular studies have begun to unveil consistent molecular and cellular pathogenic mechanisms that may account for cortico-striatal miscommunication in various HD mouse models. Systems biological approaches help to illuminate synaptic molecular networks as a nexus for HD cortio-striatal pathogenesis, and may offer new candidate targets to modify the disease.
Introduction
Huntington’s disease is the most common dominantly inherited neurodegenerative disorder with normally middle-age onset of motor, cognitive and psychiatric symptoms and a progressive and lethal disease course [1]. HD pathology is characterized by selective degeneration of striatal medium spiny neurons (MSNs) and, to a lesser extent, cortical pyramidal neurons (CPNs). Currently, there is no effective therapy for HD. The causal mutation in HD is a CAG repeat expansion encoding an elongated polyglutamine (polyQ) repeat in Huntingtin (HTT). Importantly, the length of the repeat is inversely correlated with the age of disease onset [1]. The precise pathogenic mechanisms in HD remains poorly understood, and currently there is no consensus molecular therapeutic target for HD beyond mutant HTT (mHTT) itself. Among the many challenges to understand HD in molecular detail, there is the sheer large size of the HTT protein (>3144 amino acid), the incompletely understood and diverse cellular function of normal HTT, and the nearly ubiquitous expression of mHTT during development and in adult tissues [2]. Thus, detailed analyses of mammalian models of HD (e.g. mouse models), with intact molecular, cellular, and neuronal circuits are crucial to uncover consistent disease mechanisms that facilitate further therapeutic advances. In this review, we will discuss recent studies using mouse genetic models of HD to identify cellular substrates that mHTT targets to initiate the disease and a variety of molecular, physiological, and genetic studies demonstrating the crucial role of cortico-striatal miscommunication, particularly deterioration of synaptic function, in most mouse models of HD. Finally, we will summarize new systems biology studies that highlight the cortico-striatal synapses as a major hub in HD molecular pathogenic networks.
Genetic Mouse Models of Huntington’s Disease
The study of HD molecular pathogenesis in the mammalian brain context often depends on a plethora of genetically engineered mouse models [3]. HD mouse models can be broadly divided into three groups (Figure 1). The first group of models is those expressing a mHTT protein fragment and exhibits more aggressive, disease-like phenotypes [3]. The R6 series of mice (R6/2 and R6/1) is one of the most commonly used “mHTT fragment” models of HD [3]. It uses about 1Kb human HTT promoter to drive the expression of mHTT exon1 with 110 to over 150 CAG repeats, and the model shows early onset of robust motor impairment, brain atrophy, and lethal disease course reminiscent of juvenile HD [3].
The second group of mouse models are mutant Huntingtin (mHtt) knockin (KI) mice, which have expanded CAG repeats of varying sizes engineered into the endogenous murine Htt locus [3]. These allelic series of mHtt-KI mice have high construct validity and exhibit CAG-length dependent molecular and cellular phenotypes (e.g. transcriptional dysregulation, MSN electrophysiological changes), and for those lines with long CAG repeats (e.g. Q140 or Q175), late-onset behavioral impairment and modest neuronal loss [3].
The third group of mouse models, BACHD and YAC128, expresses full-length human mHTT from human genomic transgenes. These models overexpress human mHTT, and show common disease features such as progressive motor, cognitive and psychiatric-like behavioral deficits, selective forebrain atrophy, and mHtt aggregation in a pattern reminiscent of adult-onset HD [3]. BACHD and YAC128 mice tend to have more robust cortical and striatal atrophy phenotypes compared to HTT-KI mice of comparable polyQ length and age, however they also tend to have less robust nuclear mHTT aggregation and transcriptionopathy. These models are valuable to study pathogenesis elicited by full-length human mHTT.
From a disease modeling perspective, all the existing mouse models of HD have captured varying degrees of progressive, HD-like phenotypes, but they all have imperfect genetic construct and phenotypic validity (Figure 1), and none so far has demonstrated predictive validity that can foretell therapeutic efficacy in patients. Instead of focusing on any single model, we share the view that the field could benefit from studying pathogenic phenotypes and mechanisms that are shared by two or more HD mouse models.
Cortico-striatal miscommunication in HD and HD mouse models
Longitudinal imaging studies of premanifest and manifest HD patients report evidence for progressive disconnection between cortex and striatum [1]. In-depth functional MRI study [1] and a novel graph theoretical analysis of imaging data [4] came to similar conclusions that premanifest and early manifest HD showed a loss of specific cortico-striatal functional network connectivity, which are correlated with clinical progression.
Aberrant cortico-striatal synaptic communication is one of the most consistent findings across HD mouse models (Figure 1) [5,6]. The majority of these models show striatal MSN membrane property changes prior to the onset of behavioral symptoms, including increase in input resistance, depolarizing resting membrane potential, and increased excitability (e.g. rheobase). The synaptic properties of MSN are also altered. In R6/2 and YAC128, there is an early increase in spontaneous excitatory postsynaptic currents (sEPSCs) in MSNs, which is followed by late-onset decreases in sEPSCs [5]. The latter phenotype is shared with other HD mouse models (e.g. BACHD, Q175). Some of these models also showed reduction in evoked synaptic NMDA currents and Long Term Potentiation (LTP) [5,6].
Parallel to the electrophysiological changes is evidence of synaptic morphological degeneration in HD mice. MSN spine loss has been shown in all major HD mouse models (Figure 1) [7–9]. These models also show loss of presynaptic and postsynaptic marker proteins, such as synaptophysin and vGluT1 for presynapse, and PSD-95 and Actn2 for postsynapse (e.g. [5,10,11]). Further, the use of novel reporter mice or neuronal tracers that label axons [12–14] or dendrites [15] also help to show CPN axonal degeneration and MSN dendritic degeneration in mHtt-KI, BACHD and R6/2 mice, offering yet another cellular mechanism for cortico-striatal disconnection in HD mice.
Genetic evidence for the critical role of cortico-striatal neuronal interactions in HD pathogenesis
It has been known from HD neuropathology that both striatal and cortical neurons are vulnerable to atrophy and degeneration, but a key question is where in the brain mHTT targets to drive disease pathogenesis. To address such a question, a series of mouse models selectively expressing mHTT (or its toxic fragments) in MSNs and CPNs have been developed [16]. Initial studies with fragment models showed evidence for both cell-autonomous and non-cell-autonomous mHtt fragment toxicities in the disease [17–19], but the precise origin for pathological cell-cell interactions was unclear.
BACHD mice are a Cre/LoxP conditional BAC transgenic mouse model designed to interrogate the cell type(s) in which full-length mHTT expression is critical to aspects of the disease [29]. By flanking mHTT-exon1 with loxP sites, the expression of full-length mHTT in this model can be switched off in cells expressing Cre. We crossed BACHD with several Cre mouse lines to genetically reduce mHTT in the striatal MSNs (BACHD/Rgs9-Cre), CPNs (BACHD/Emx1-Cre), or both [20]. Interestingly, the removal of mHTT in the CPNs, but not in MSNs, partially improves motor phenotypes and fully rescues psychiatric-like deficits, but does not improve brain atrophy. Impressively, genetic removal of mHTT in both MSNs and CPNs, while preserving mHTT expression elsewhere in the brain, results in robust rescue of all the disease phenotypes including brain atrophy in this model.
Another interesting finding in this study is the synaptic phenotypic changes in these models. BACHD striatum showed loss of both presynaptic marker (synaptophysin) and postsynaptic markers (PSD-95 and Actn2). As expected, the presynaptic marker loss can be reversed with cortical mHTT reduction. However, surprisingly, the postsynaptic marker loss can be partially restored by either cortical or striatal mHTT reduction, suggesting possible synergy of both cell-autonomous and non-cell-autonomous mechanisms. Consistent with the latter idea, the evoked synaptic NMDA defects in BACHD MSNs is partially reversible by mHTT reduction in either CPNs or MSNs [10]. This latter study is further supported by in vivo recording demonstrating normalization of striatal neuronal activities and behavioral phenotypes with cortical reduction of mHTT [21]. Together, these findings demonstrated distinct but interacting roles of mHTT in cortical and striatal neurons in HD pathogenesis, and suggest both cell-autonomous and non-cell-autonomous mHTT toxicities are important for striatal synaptic dysfunction and synapse loss.
Molecular mechanisms linked to cortico-striatal miscommunication in HD mice
As a molecular genetic disease, a key unanswered question in HD is what is the cascade of molecular events that originated from Htt CAG repeat expansion and leads to the progressive dysfunction and degeneration of the vulnerable neurons? Here we will briefly review selected literature on the known molecular mechanisms that likely contribute to cortico-striatal miscommunications in HD mouse models.
Mutant Htt impairs vesicular transport and multiple presynaptic functions
An evolutionarily conserved function of HTT is vesicular transport [2]. Htt participates in multiple molecular complexes (e.g. Hap1/Dynein/Dynactin/Kinesin, Hap40/Rab5, and Optineurin/Myosin) involved in vesicle and organelle trafficking. Cargos of HTT in fast axonal transport include synaptic precursor vesicles, BDNF-containing vesicles, and APP-positive vesicles (reviewed by [2]). PolyQ-expanded Htt impairs the kinetics of its cargo transport, and in some cases, cargo release (e.g. BDNF) (Figure 2).
Htt may also directly affect presynaptic vesicular function, including neurotransmitter release. Mutant Htt binds to synaptic vesicles through interaction with Hap1 [22], which is involved in synaptic vesicle exocytosis by interacting with synapsin-1 [23]. Consistent with this mechanism, targeted expression of mHtt-exon1 to the presynaptic terminal interferes with presynaptic glutamate release in the striatum, and produces disease phenotypes in mice [24].
Hip1 is another Htt interactor that appears to have important presynaptic function [25]. The c. elegans homolog of Hip1 (Hip1r) regulates synaptic localization of synaptobrevin, a protein crucial for vesicle fusion. Interestingly, Hip1 null mice have defects in synaptic vesicle recycling. Moreover in the worm model, Hip1r and other presynaptic endocytic proteins are modifiers of mHTT fragment toxicities in neurons [25].
The third endocytic trafficking partner of Htt that may contribute to synaptic pathology is Rab11. Rab11 levels and activity critically depend on the presence of normal Htt, and cortical neurons from Q140 KI mice showed defective Rab11-dependent endocytosis [26]. Interestingly, in a Drosophila model overexpressing mHtt fragments, the presynaptic vesicle deficits, synaptic transmission, and neurodegeneration can be ameliorated by Rab11 overexpression [27,28].
The NMDA receptors at the striatal synapses: neuroprotection vs. neurotoxicity
Several mechanisms have been proposed to implicate the progressive changes in NMDA currents in HD striatal MSNs in disease pathogenesis (Figure 2) [5,6,29]. One set of studies using primarily the YAC transgenic HD models (e.g. YAC128) showed the dysfunction of the GluN2B subunit of the NMDA receptor, particularly its extrasynaptic mislocalization, is likely an early and important pathogenic event [30]. Synaptic NMDA currents and downstream nuclear signaling has been shown to be neuroprotective and extrasynaptic NMDA signaling can induce alternative cell death pathways [29] (Figure 2). Consistent with this model, mHtt appears to alter this synaptic/extrasynaptic NMDA signaling balance by reducing the activity-driven expression or function of Creb, Tcp1, and Pgc-1α, and such deficits can be diminished by low dose memantine [30,31].
An alternative explanation of NMDA receptor mediated toxicity in HD striatal neurons is the selective mis-trafficking of the GluN3A subunit of the NMDA receptor [7]. Mutant Htt binds to and disrupts Pacsin1-GluN3A interactions, leading to the reduction of Pacsin1-mediated recycling of GluN3A [7]. Excessive GluN3A at the striatal postsynapse results in synapse loss in YAC128 which can be prevented by genetic deletion of GlueN3A in these HD mice.
A recently published study suggest mHtt may affect the dendritic and synaptic targeting of GluN2A [32]. GluN2A is significantly reduced on the membrane of Q175 as well as R6/2 mice. The mechanism is due to Htt interaction with and mislocalization of SorCS2, which has an important role in trafficking GluN2A. Haploinsufficiency of SorCS2 resulted in exacerbated motor phenotypes in Q175 mice, suggesting a protective role of SorCS2-NR2A interaction [32].
Currently, it remains unclear what the relative contributions of GluN2A, GluN2B and GluN3A are to HD synatopathogenesis. The concept of neuroprotective synaptic NMDA signaling is an attractive one as it may account for the cortico-striatal pathological interactions in HD mice [10]. Since both cortical and striatal mHTT reduction can partially restore the postsynaptic NMDA currents and PSD-95 and Actn2 levels (both involved in NMDA receptor localization), it is tempting to postulate that disruption of these latter synaptic proteins may play a role in striatal synaptic NMDA dysfunction in HD mice.
Trans-synaptic trophic factor signaling: presynaptic BDNF vs postsynatpic TrkB signaling
Another attractive mechanism that may account for cortico-striatal pathological interactions in HD is the BDNF secretion from cortical neurons and its signaling in the striatum (Figure 2). Striatal MSNs do not synthesize their own BDNF, and instead rely on activity-dependent release of BDNF synthesized in cortical neurons to maintain MSN transcriptional signatures and pro-survival program [33,34]. In the cortex, mHtt affects BDNF levels through several mechanisms. It can reduce BDNF transcription due to elevated nuclear levels of REST, which is normally retained in the cytoplasm by wildtype HTT (but less so by mHTT). Reduction of BDNF mRNA or protein has been described in a several HD mouse models including R6/2, mHtt-KI, BACHD, and YAC128 [35–39]. However, a recent study showed the levels of BDNF is unaltered in two such models [40], which warrants further studies to resolve such discrepancy. The functional significance of BDNF discrepancy has been shown by genetic restoration of BDNF expression or administration of TrkB agonist, which can reduce disease phenotypes in HD mouse models [9,37]. Beyond BDNF synthesis, axonal transport and release of BDNF is also defective in HD (see above). Using a BACHD cortico-striatal primary neuronal co-culture system, a recent study showed BDNF trafficking deficits in cortical neurons is responsible for reduced BNDF release and striatal MSN atrophy, and both deficits can be ameliorated with improvement of chaperonin-mediated proteostasis [41].
Besides the cortical BDNF deficits, emerging evidence also showed impaired BNDF signaling through the TrkB receptor in MSN may also contribute to the disease. Htt plays a key role in the trafficking of TrkB vesicles in MSN dendrites [42]. Mutant Htt alters the attachment of TrkB vesicles to the microtubules, leading to decreased signaling in mHtt-KI neurons [42]. Another study using both BACHD and Q175 KI mice shows consistent defects in BDNF-dependent LTP in the synapse of the indirect-pathway MSNs (D2-MSNs), a subpopulation of MSNs that are most vulnerable in HD [40]. The mechanism for reduced LTP is due to aberrant activation of p75NTR and PTEN, which in turn suppress the PI3K-Akt axis that are critical for LTP induction. Together, these studies provide convincing evidence that mHTT can impair both local and long distance signaling of TrkB receptor signaling in HD MSNs, hence may synergize with the presynaptic BDNF deficits to elicit cortico-striatal pathological interactions in HD.
Endocannibinoid signaling: Where is CB1 critical in HD?
Endocannabinoids (EcB) are lipid signals that mediate retrograde trans-synaptic suppression via binding to the endocannabinoid receptor CB1 [43]. EcB molecules synthesized in the striatal MSN synapses can bind to CB1 in the cortico-striatal glutamatergic synapses to elicit long term depression (LTD) [44]. CB1 is broadly expressed in the brain, and the striatal down-regulation of CB1 receptor is a transcriptional signature of HD (Figure 2) [45]. One key question is whether presynaptic or postsynaptic CB1 is crucial to the disease? A series of studies reveals fascinating roles for CB1 in both CPNs and MSNs in HD models. The first study surprisingly showed that deletion of CB1 in glutamatergic neurons in the forebrain (e.g. CPNs), but not those in GABAergic neurons (e.g. MSNs), exacerbate motor phenotypes and striatal pathology in R6/2 mice [46]. This result suggests presynaptic CB1 is likely important to mediate neuroprotection in this HD model. In the striatum, CB1 expression could also be relevant to the disease. Genetic re-expression of CB1 in R6/2 striatum resulted in rescue of both presynaptic and postsynaptic marker loss, MSN synapse loss, electrophysiological deficits, and striatal atrophy [47,48]. However, these mice did not show behavioral improvement, suggesting the rescue is only partial [48]. Interestingly, chronic CB1 agonist administration seems to improve both motor impairment and reduce MSN marker loss [49]. Together, the studies thus far suggest that CB1 functions in both CPNs and MSNs to provide neuroprotection, and reduction of CB1 in the cortico-striatal axis could be a key to synaptic miscommunication in HD.
The roles of astrocytes, microglia, and oligodendrocytes in HD neuronal communication defects
Mutant Htt is not exclusively expressed in the neurons, and recent studies have highlighted the role of glia cells, including astrocytes [50], microglia [51], and oligodendrocytes [52], in mediating aspects of HD pathogenesis (Figure 2).
Astrocytes are thought to perform a variety of functions in the healthy brain including but not limited to: maintenance of blood-brain barrier, regulation of synaptic function, and metabolic support for neurons [50,53]. Upon CNS injury, astrocytes become ‘reactive’ and can confer both protective and harmful effects to neurons [53]. In HD, one major hypothesis of mHtt toxicity in astrocytes is the downregulation of glutamate transporter Glt1 (Slc1a2), which is responsible for extracellular glutamate uptake in the forebrain [50]. Such defects are found in HD postmortem brains, and in a majority of HD mouse models. Transgenic expression of mHTT fragments selectively in astrocytes can elicit Glt1 reduction and disease pathology [54]. Downregulation of astrocytic Glt1 is consistent with the model of enhanced excitotoxicity at the striatal MSNs [5]. The β-lactam antibiotic ceftriaxone can upregulate both striatal and cortical Glt1 levels in R6/2 mice, which in turn normalize glutamate uptake and improve behavioral deficits [55].
HD astrocytes may affect MSN function through another mechanism, the reduction of the Kir4.1 potassium channel expressed on the astrocytes [56]. This channel is responsible for extracellular K+ homeostasis. Reduced Kir4.1 levels and currents were found in R6/2 and Q175 mice, and viral-mediated restoration of Kri4.1 channels in the astrocytes can normalize extracellular K+ level, MSN membrane defects, and amelioration multiple disease phenotypes. Subsequent studies showed astrocytic Ca2+ signaling and glutamate transporter defects (likely due to Glt1) in R6/2 and Q175 can be partially improved with Kir4.1 overexpression [57,58].
Besides astrocytes, microglia as the resident innate immune cells in the brain also emerge as a critical player both in normal synaptic homeostasis and in pathogenesis of synaptic degeneration [59]. In HD, mHtt expression causes cell-autonomous activation of microglia via increased expression of myeloid lineage determining transcription factors, which in turn enhance transcription of neuroinflammatory factors and confer non-cell-autonomous toxicity to neurons (Figure 2) [60].
Finally, the oligodendrocyte is a crucial cell type involved in myelination, and its role in HD has been reported but not yet extensively investigated [61]. In mouse models, mHtt affects oligodendrocyte function and elicits reduced myelination through interference of PGC-1α function [62]. Moreover, mHtt can reduce oligodendrocyte-specific gene expression through interference with myelin regulatory factor (MYRF) [52]. Together, these studies underscore the need to further explore oligodendrocyte dysfunction in HD cortico-striatal misscommunication.
Systems biology reveals synapses as a hub for HD molecular pathogenic networks
In neurodegenerative disorders including HD, the gradual dysfunction and eventual degeneration of selected neuronal cells are accompanied by complex molecular changes in both neurons and non-neuronal cells over time. High-throughput sampling of transcriptomes, interactomes, and other types of omics data in disease models and wildtype controls often yield hundreds or thousands of individual molecular changes between genotypes or conditions (e.g. age), which is difficult to interpret and further pursue functional studies. Integrative systems biology approaches, such as Weighted Gene Coexpression Network Analyses (WGCNA), reduce these complex systems into a small number of coherent gene modules based on gene co-expression relationships [63]. A major advantage of such coexpression networks approach, as opposed to the traditional differential expression (DE) or gene enrichment methods, is to provide inter-connectivity relationship (edges) between any two genes (nodes) in the network. Those with the most connected genes in a module are called hub genes [64]. Hub gene status is often meaningful to annotate a module for specific biological factors (e.g. functional pathways, cell types, or genotypes and disease status) [63]. Moreover, hub genes are generally thought to be central to the module biology, hence are considered prime candidates for experimental validation of hypothesis generated by any given module [63]. The latter concept could be particularly helpful in studying the complex biology of HD, as often hundreds to thousands of molecular changes can be seen in any model systems expressing mHtt. To date, such an integrative systems biology approach has been applied to HD in two areas, Htt in vivo interactome [65] and mHtt-driven transcriptomes [39]. Interestingly, both unbiased analyses reveal cortico-striatal synapses appear to be a hub in HD molecular networks.
Huntingtin interactome demonstrates identified modules of interactors at synapses
Through its large protein-protein interaction surfaces, which include dozens of HEAT repeats, Htt and its N-terminal fragments can bind over one thousand interacting partners ex vivo or in vivo [65–68]. Interestingly, a recent meta-analysis of combined Htt interactome datasets, with 1619 interactors, highlighted the enrichment of presynaptic exosome proteins and homeostatic synaptic plasticity proteins among known Htt interactors [69]. To apply systems biology to study the Htt interactome, we used WGCNA to analyze the in vivo spatiotemporal Htt proteomic interactome derived from BACHD and WT mice at 2m and 12m and in three brain tissues, cortex, striatum, and cerebellum (Figure 3) [65]. The study yielded over 740 candidate Htt interactors that are associated with Htt in particular spatiotemporal context. Interestingly, these in vivo Htt interactors are highly enriched with known presynaptic or postsynaptic proteins (Figure 3A, Supplementary Table 1). Using the semi-quantitative peptide counts as input, we defined six WGCNA coexpression modules. Four modules are noteworthy in relationship to cortico-striatal communication. First, the Red Module, which is the most correlated with Htt and contains Htt itself, is enriched with proteins involved in axonal transport, 14-3-3s (synaptic plasticity), chaperonins (e.g. Tcp1), and LTD. Blue module and Yellow modules are enriched with presynaptic and postsynaptic proteins, respectively. Finally, Green module has mostly actin cytoskeletion proteins and synaptic proteins. Importantly, some of the hub genes from these modules are either functionally implicated in HD pathogenesis already, or shown to be novel modifiers of mHtt toxicity in a Drosophila model [65]. Together, this network view of the Htt interactome provides not only different biological contexts for different interactors, but also prioritized molecular candidates (e.g. based on hub-gene status), to study the role of Htt interactors in HD cortico-striatal pathogenesis.
Huntingtin CAG-length dependent transcriptomic and proteomic networks also impair cortico-striatal synapses
The study by Langfelder et al. [39] used an allelic series of murine Htt-KI mice with increasing CAG repeats to address the question of why mHtt CAG-expansion appears to be inversely correlated with the severity of disease reminiscent of a similar relationship in HD. By densely sampling the transcriptomes and proteomes of this mHtt allelic series of mouse lines at multiple ages and tissues (Figure 4A), the study helps to build a rich resource to study age and CAG-length dependent molecular changes in HD mice. To probe the underlying biological factors driving Htt CAG-length dependent differential gene expression, we applied WGNCA to identify coexpression gene modules that are robustly CAG-length and age dependent. We found 13 modules in the striatum, 5 in the cortex, and none in the liver. Importantly, several of the striatal and cortical CAG-length dependent gene modules are relevant to understanding synaptopathogenesis in HD (Figure 4B). First, striatal M2 module, the most significant CAG-length dependent downregulated module with 1867 genes, is highly enriched with several types of genes: striatal MSN marker genes and D2-MSN marker genes, GPCR & cAMP signaling, postsynaptic density (PSD), LTP, and interestingly, neuronal synaptic activity dependent genes (Figure 4B; supplementary Table 1). Another interesting striatal module is M25, which is down-regulated with Htt CAG expansion and is enriched with genes involved in glutamatergic receptor signaling, synaptic LTP, and D2-MSN genes (Figure 4; Supplementary Table 1). Since the mHtt-KI mice do not show any MSN loss at the age we did RNA-sequencing, the M2 and M25 modules provide the following insights: First, mHtt CAG expansion seems to impair the maintenance of the striatal MSN identity gene expression, particularly those for the vulnerable D2-MSNs. Second, the transcription of synaptic genes is also impaired, especially those involved in LTP. Finally, the synaptic activity driven transcription is reduced, including those implicated in neuroprotection (e.g. Npas4, Nr4a1, etc.) [29]. In the cortex, we found M4 is down-regulated with CAG-length and age, and is enriched with genes in Ca2+ signaling, synapse/PSD, and markers of glutamatergic neurons. Since Ca2+ signaling is important for neuronal activity and neurotransmission, we interpret M4 module could be relevant to study mHtt induced reduction in presynaptic neurotransmission in CPNs. Together, our transcriptomic network analyses provide evidence for mHtt CAG-length dependent impairment in presynaptic and postsynaptic gene expression in CPNs and MSNs, respectively, and evidence for reduced neuronal activity-driven transcription in MSNs.
Finally, our study also provides several strategies for further investigation of molecular mechanisms underlying cortico-striatal pathogenesis in HD. First, one can prioritize in an unbiased manner, based on the hub gene status for top CAG-length dependent modules in striatum and cortex, for genetic perturbation to test novel gene function in modifying disease molecular networks. Second, programs such as Ingenuity Pathway Analyses (IPA) can predict potential upstream regulators of a given module. Interestingly, for the striatal CAG-length dependent down-regulated genes, the top upstream regulators are Htt, Creb1, CBP (Crebpp), Crem, and BDNF (Supplementary Table 1). These upstream regulators are consistent with the hypothesis that both BDNF and NMDAR-driven nuclear signaling defects contribute to striatal transcriptionopathy in mHtt-KI mice. Finally, using label-free quantitative proteomics, we validated 790 genes as being dysregulated in a CAG-length dependent manner at both RNA and protein levels mHtt-KI striata [39]. Importantly, these mHtt dysregulated proteins are also highly enriched with synaptic proteins (Supplementary Table 1), and a significant subset of these dysregulated proteins are among candidate Htt interactors (Figure 4C). These latter proteins provide another systems biology generated gene list to investigate synaptopathogenesis in HD.
Conclusions
The miscommunication between cortex and striatum is a key pathological event found in HD patients and recapitulated in multiple HD mouse models. Genetic and molecular analyses in HD mice support distinct but interacting roles of mHTT in cortical and striatal neurons, as well as glia, in eliciting synaptic communication deficits and overall disease phenotypes. Detailed molecular studies begin to yield diverse molecular and cellular mechanisms that may contribute to cortico-striatal pathogenesis in HD. Finally, systems biology offers a new avenue to obtain a more global view of mHtt-induced molecular pathogenic networks, which so far also highlight synaptic gene networks in HD mice. Together, these approaches are converging to depict a more coherent molecular picture on how mHtt may elicit cortico-striatal miscommunication in HD mouse brains, which in turn may provide new disease modifying targets for therapeutic development.
Supplementary Material
Highlights.
Diverse mouse models of HD have important phenotypic and molecular similarities
Disconnectivity of the cortico-striatal synapse drives the disease progression
Distinct molecular mechanisms and glia cells play roles in cortico-striatal miscommunication
Systems analysis reveal cortico-striatal synapses as key hubs in HD molecular pathogenic networks
Acknowledgments
We thank Peter Langfelder and Fuying Gao for help in bioinformatics, and members of the Yang lab for thoughtful discussions and support of this review. The authors apologize to researchers whose work could not be cited due to space constraints. This work was supported by grants from the NIH (R01-NS084298 and U01-MH106008), Hereditary Disease Foundation (HDF), and CHDI Foundation, Inc. X.W.Y. is also supported by Leslie Gehry Brenner Prize from HDF.
Footnotes
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