Abstract
The nucleoredoxin gene NXNL2 encodes for two products through alternative splicing, rod-derived cone viability factor-2 (RdCVF2) that mediates neuronal survival and the thioredoxin-related protein (RdCVF2L), an enzyme that regulates the phosphorylation of TAU. To investigate the link between NXNL2 and tauopathies, we studied the Nxnl2 knockout mouse (Nxnl2−/−). We established the expression pattern of the Nxnl2 gene in the brain using a Nxnl2 reporter mouse line, and characterized the behavior of the Nxnl2−/− mouse at 2 months of age. Additionally, long term potential recording and metabolomic from hippocampal specimens were collected at 2 months of age. We studied TAU oligomerization, phosphorylation and aggregation in Nxnl2−/− brain at 18 months of age. Finally, newborn Nxnl2−/− mice were treated with adeno-associated viral vectors encoding for RdCVF2, RdCVF2L or both and measured the effect of this therapy on long-term potential, glucose metabolism and late-onset tauopathy. Nxnl2−/− mice at 2 months of age showed severe behavioral deficiency in fear, pain sensitivity, coordination, learning and memory. The Nxnl2−/− also showed deficits in long-term potentiation, demonstrating that the Nxnl2 gene is involved in regulating brain functions. Dual delivery of RdCVF2 and RdCVF2L in newborn Nxnl2−/− mice fully correct long-term potentiation through their synergistic action. The expression pattern of the Nxnl2 gene in the brain shows a predominant expression in circumventricular organs, such as the area postrema. Glucose metabolism of the hippocampus of Nxnl2−/− mice at 2 months of age was reduced, and was not corrected by gene therapy. At 18-month-old Nxnl2−/− mice showed brain stigmas of tauopathy, such as oligomerization, phosphorylation and aggregation of TAU. This late-onset tauopathy can be prevented, albeit with modest efficacy, by recombinant AAVs administrated to newborn mice. The Nxnl2−/− mice have memory dysfunction at 2-months that resembles mild-cognitive impairment and at 18-months exhibit tauopathy, resembling to the progression of Alzheimer's disease. We propose the Nxnl2−/− mouse is a model to study multistage aged related neurodegenerative diseases. The NXNL2 metabolic and redox signaling is a new area of therapeutic research in neurodegenerative diseases.
Keywords: Glucose metabolism, Thioredoxin, Tauopathy, Long-term potentiation, Metabolomics, Hippocampus, Area postrema, Gene therapy
1. Introduction
The nucleoredoxin-like 2 (NXNL2) gene, the paralogue of NXNL1, expresses two protein products by alternative splicing [1], the short rod-derived cone viability factor 2 (RdCVF2) and the longer thioredoxin-related protein RdCVF2L. We have previously reported that the inactivation of the Nxnl2 gene in the mouse results in a progressive deficit of vision and olfaction [2]. The extracellular protein RdCVF2 improves cone survival in vitro and the RdCVF2L protein prevents in vivo the phosphorylation of the microtubule associated protein τ (TAU), induced in the retina in response to light damage [3]. TAU is an intrinsically disordered protein which facilitates the assembly and stability of neuronal microtubules. Under pathological conditions, collectively known as tauopathies, TAU becomes hyperphosphorylated and detaches from microtubules, leading to the misfolding and formation of TAU aggregates forming neurofibrillary tangles (NFT). These are the hallmarks of several neurodegenerative diseases, such as Alzheimer's disease and frontotemporal dementia with parkinsonism linked to chromosome 17 (FTDP-17).
In the retina, considered an extension of the brain, the role of NXNL2 is partially redundant to that of NXNL1. NXNL1 which encodes two products through alternative splicing: RdCVF a protein secreted by rods photoreceptors and RdCVFL protecting rods and cones against damaging oxidation [4,5]. The delivery of both products of the NXNL1 gene, RdCVF and RdCVFL, is a promising future therapy for treating a broad range of retinal diseases, independent of genetic mutations [6]. The protective effect of RdCVF on cones results from its ability to stimulate cones’ glucose uptake via its interaction at the cell-surface of the cell with a complex formed between basigin-1 (BSG1) and the glucose transporter GLUT1 (SLC2A1) [7]. Glucose taken up by cones is metabolized through aerobic glycolysis, a partial anabolic metabolic pathway required for the renewal of the outer segments of photoreceptors, the neuronal structure where reside the light sensing opsins [8,9]. RdCVFL interacts physically with TAU in the retina and prevents its phosphorylation and aggregation [4,10]. The presumed thiol-oxidoreductase activity of RdCVFL relies on the production of NADPH by the metabolism of glucose through the pentose phosphate pathway (PPP) [11], so the action of RdCVF via BSG1/GLUT1 potentiates the redox power of the thioredoxin-related protein RdCVFL [12]. The two intricate activities of the NXNL1 gene products in the retina are essential to protect photoreceptors against starvation and oxidative damages constituting an endogenous neuroprotective metabolic and redox signaling [13].
Here, we observed that cognitive deficits precede sensory deficits of the Nxnl2−/− mouse. A systematic analysis of the behavior of young animals reveals a deficit in memory that was shown to result from a dysfunction of the hippocampus. This cognitive deficit evolves in aged animals into a tauopathy, a sequence of events resembling the clinical scenario in patients developing Alzheimer's disease [14].
2. Results
2.1. The behavior of the mouse with a targeted inactivation of the nucleoredoxin-like 2 geneis syndromic
We initially observed that Nxnl2−/− mice were hyperactive as compared to Nxnl2+/+ wild type controls, but also to Nxnl1−/− mice created on the same genetic background using the same technology. We performed a global behavioral analysis, reported here ordered by test sessions, using two groups of 12 ♂ mice at 2 months of age (Fig. 1). The use of only one sex was justified by the objective of getting more homogenous results and does not reflect any presumed biological gender distinction [15]. The animals were monitored for spontaneous water and food intake and rear activity during three sequential phases, habituation, dark and light. Nxnl2+/+ mice display an expected nocturnal drinking activity that is perturbed for Nxnl2−/− mice (Fig. 1A). During lighting periods, Nxnl2−/− are drinking more often than Nxnl2+/+ mice, but this is the contrary in the dark period (Supl. Fig. 1A). A similar situation was observed for their feeding behavior, but Nxnl2−/− mice do not exhibit reduced feeding at night. In fact, over a 32-h testing period, Nxnl2−/− mice have a higher food consumption (Supl. Fig. 1B). The number of rears that scores the exploratory behavior is also perturbed for Nxnl2−/− mice which display increased vertical activity during the 32-h testing period (Supl. Fig. 1C). The disorganization of the circadian activity of mice lacking the Nxnl2 gene is likely resulting from the loss of expression of the gene in the pineal gland, an indirectly light-sensitive part of the circadian system that harbors photoreceptor-related pinealocytes [16]. Daily profiling of Nxnl2 gene expression in the pineal gland shows a higher level of expression during daylight. The pineal gland is a crucial structure of the circadian system that is connected to the suprachiasmatic nuclei, the central circadian clock in mammals [17]. Overall, hyperphagia occurs in the absence of weight gain for Nxnl2−/− mice (Supl. Fig. 1D), suggesting that it is a consequence of their higher rearing activity and increased general activity [18].
This is visible in the open-field test performed with 150 lx in the center of the arena. The distance traveled is longer for Nxnl2−/− mice in 5 min test sessions carried in a novel open field (Fig. 1B), and is overall longer (p = 0.0078). A representative path trace of the trajectories shows that the Nxnl2+/+ mouse explores more often the periphery of the arena, while the Nxnl2−/− mouse crosses many times the center surface (Fig. 1C). While the traveled distance may translate to a higher general activity of Nxnl2−/− mice in agreement with the hyperactivity observed initially, the lack of aversion for brightly lit, open and unknown environments of the Nxnl2−/− mice shows that these animals have lost, at least partially, a phylogenetic anxiety-inhibitory behavior (Fig. 1D) [19].
The animals compared have similar body weight (Supl. Fig. 1D) and locomotor activity (Supl. Fig. 1E), but Nxnl2−/− mice have an average body temperature of 37.75 °C, higher to that of 37.31 °C of Nxnl2+/+ mice (Supl. Fig. 1F). The core body temperature is affected by time of the day as manifested through the circadian temperature rhythm [20]. In the mouse, body temperature is controlled by circadian lipid metabolism by thermogenic brown adipose tissue whose mitochondrial uncoupling increases energy expenditure under cold-stressed conditions [21]. During daytime, the mouse prefers an ambient temperature that is just 4–6 °C below its core temperature, and consequently behavior tests, performed here at 21–22 °C are done under slightly cold-stressed conditions [22]. The temperature of Nxnl2−/− mice was measured during the day, when they are abnormally active (Supl. Fig. 1C), which can explain the difference in core body temperature with Nxnl2+/+ mice. The high temperature is a possible consequence of its measurement during higher activity periods since brown adipose tissue metabolism is increased by both cold exposure and exercise [23,24], or by psychological stress-induced hyperthermia [25].
Compared mice have similar muscular strength (Supl. Fig. 1G), but Nxnl2−/− mice have a shorter mean latency in the string test (Fig. 1E). This traction reflex relies on the coordination between forelimb-hanging to gain hindlimb traction. The reduced latency shows that Nxnl2−/− mice have an over operating anteroposterior motor coordination by the cerebellum [26]. This is supported by the higher performance of Nxnl2−/− mice in a test that measures the ability of an animal to maintain balance on a rotating rod (Fig. 1F). This task requires motor coordination controlled by the cerebellum with many other regions involved in proprioceptive and vestibular functions. The mean latency before falling in the rotarod test is not correlated (r = 0.1157, n = 24) to the total distance traveled in the open field, indicating motor skills of the Nxnl2−/− mice were not acquired by increased locomotion.
The spatial and memory performance of Nxnl2−/− mice were first tested using Y-maze under 100 lx of light. The number of arm entries of Nxnl2−/− mice is higher than that of Nxnl2+/+ mice (Fig. 1G), which correlates with a higher locomotor activity. The inactivation of the paralogue gene Nxnl1, whose expression is restricted to the retina, does not trigger this phenotype (Fig. 1H). The specific task that relies on spatial working memory is the natural tendency to choose an alternative arm over an arm previously explored what is scored as % of spontaneous alternation [27]. We observed a non-statistical trend that was confirmed to be statistically significant by adding a second cohort (Fig. 1I). The Nxnl2−/− mice do not remember correctly which arm they have previously visited, which implies a deficit in learning and memory.
We alternated working memory tests with a test of anxiety-related behavior for logistic reasons dictated by the workflow. The tail suspension test is widely used to evaluate the antidepressant-like effects of drugs [28]. The decrease in the duration of the immobility shows that Nxnl2−/− mice have a reduced susceptibility to despair (Fig. 1J), inversely correlated (r = −0.5893, P = 0.0024) to the latency of the first immobilization (Supl. Fig. 1H). This invert correlation improves the detection of antidepressant-like behavior of Nxnl2−/− mice [29] and confirms the decrease in anxiety-related behavior previously observed (Fig. 1D).
The amplitude (arbitrary units) of the acoustic startle reflex of Nxnl2−/− mice to a startling acoustic pulse of 110 dB, but not for prepulses with lower intensities (70, 80, 85 and 90 dB/10 ms) is reduced as compared to Nxnl2+/+ mice (Fig. 1K). When a low-salience auditory stimulus precedes an unexpected startle-like acoustic stimulus, the startle motor reaction becomes less pronounced [30]. This phenomenon, known as prepulse inhibition, is normal for Nxnl2−/− mice (Supl. Fig. 1I). The deficit of acoustic startle reflex of Nxnl2−/− mice could translate the anxiolytic effect of the inactivation of Nxnl2 gene [31] (Fig. 1D). Alternatively, since aged Nxnl2−/− mice have a deficit in vision and olfaction [2], we cannot rule out that the reduced amplitude of the acoustic startle reflex is translating a reduction of auditory function, even at 2 months of age.
The associative and memory performance of Nxnl2−/− mice were then tested after habituation to sessions during which a stimulus (the cue, a tone ♪) is paired with an aversive unconditioned stimulus (an electric foot-shock) [32]. Nxnl2+/+ mice respond to the aversive stimulus by reducing their locomotor activity more than Nxnl2−/− mice (Fig. 1L). The following day, the percentage of freezing of Nxnl2−/− mice when replaced the same environmental context (⌂) is lower than Nxnl2−/− mice (Fig. 1M, and Supl. Fig. 1J). The percentage of freezing of Nxnl2−/− mice is also lower than Nxnl2+/+ mice in response to the cue (♪) (Fig. 1N, and Supl. Fig. 1K). This points to a dysfunction of a neural circuit involving the amygdala, the cerebral cortex and the hippocampus [33]. This prompted us to look at the response to acute thermal pain of the animals that may interfere with the learning and memory test of cued and contextual fear conditioning. A heat stimulus applied to the tail does not trigger a difference in the response between the two mouse genotypes (Supl. Fig. 1L). Nevertheless, the first reaction of Nxnl2−/− mice (licking/jumping) on a 52 °C plate is delayed compared to Nxnl2+/+ mice (Supl. Fig. 1M) indicating the nociceptive threshold is abnormally high for Nxnl2−/− mice. Mice exhibit a marked fear of novel stimuli [34]. Pain and anxiety are closely linked and the reduction of anxiety is accompanied by a parallel decrease in pain sensitivity [35]. The reduced latency of Nxnl2−/− mice in the hot-plate test is likely due to their anxiolytic-related behavior (Fig. 1D, J and 1K).
Intraperitoneal injection of 50 mg/kg of pentylenetetrazol (PTZ), a convulsant drug, triggers an extended latency of Nxnl2−/− mice compared to wild-type controls (Fig. 1O), but the seizure profiles are comparable. One should notice that similar antiseizure effects of PTZ-induced seizures were observed after systemic administration of fructose-1,6-bisphosphate (FBP) in vivo [36]. Epilepsies, characterized by convulsive frequent febrile seizures are linked to impaired brain glucose metabolism [37]. This points to a modification of the brain glucose metabolism generated by the inactivation of the Nxnl2 gene.
Using unique cohorts allows the analysis of correlations. So, the anxiolytic-related behavior (anti-anxiety) measured during open field tests is correlated to the depression-like behavior seen by tail suspension immobility duration (Supl. Fig. 1O), which is inversely correlated to pain sensitivity measured by the hot-plate tests (Supl. Fig. 1P). Pain sensitivity is inversely correlated to sensorimotor gating, measured by acoustic startle reactivity (r = −0.4759, p = 0.0187) and to sensorimotor abilities, measured by string tests (r = −0.4993, p = 0.0180). Sensorimotor abilities (string tests) are correlated to PTZ sensibility (r = 0.4518, p = 0.0455, n = 11) and inversely correlated to core body temperature (r = −0.5132, p = 0.0146). Sensorimotor abilities measured by the rotarod test is correlated to pain sensitivity measured by the hot-plate test (r = 0.4176, p = 0.0423). Learning and memory measured by spontaneous alternation in the Y-maze is inversely correlated to sensorimotor abilities tested in the rotarod test (r = −0.4728, p = 0.0263). The inactivation of the Nxnl2 gene triggers a complex syndrome in which fear, pain sensitivity, coordination, learning and memory and possibly brain glucose metabolism are deficient what could be translated by an abnormally high core body temperature. The anxiolytic effect is regulated by the amygdala that is connected to the temporal two-thirds of the distal portion of hippocampal Cornu Ammonis (CA)1 region [38].
To address learning and memory in a test that does not depend on pain sensitivity, we used a novel cohort of ♂ to test the animals under 100 lx of ambient light in the Morris water maze at water temperature of 20–21 °C. After training, the latency to reach the visible platform of the Nxnl2−/− mice is longer than for the Nxnl2+/+ control mice (Supl. Fig. 1N). When the platform was hidden under the surface of water, a deficit in latency was also observed for Nxnl2−/− mice (Fig. 1P). Mice of both genotypes ameliorate every day their performance in the test using either visible or hidden platform, but while the deficit of Nxnl2−/− mice is observed from the first day with the visible platform, it is only perceptible at day two and statistically significant at day three with the hidden platform. The performances of this test rely on hippocampal-dependent visuospatial navigation [39]. The vision of Nxnl2−/− mice starts to deteriorate only after two months of age which cannot impairs with the test performed here on 2-month animals [2].
2.2. Impaired hippocampal plasticity upon nucleoredoxin-like 2 gene inactivation
The Nxnl2−/− syndrome encompasses many deficits in hippocampal-dependent learning and memory. Long-term potentiation (LTP) at the CA3 to CA1 hippocampal synapses are one the biological mechanisms supporting learning of goal-directed spatial task [40]. Thus, we aimed at investigating whether hippocampal LTP could be altered in Nxnl2−/− mice. We performed ex vivo extracellular recordings of field excitatory postsynaptic potentials (fEPSP) in the CA1 region while stimulating Schaffer collateral originating from CA3 (Additional file 1). We recorded several slices per animals. The postsynaptic recordings are distinct between the two genotypes (Supl. Fig. 2A). In 10 slices from 3 Nxnl2+/+ mice, high frequency stimulation (HFS) induced a long-lasting (>50 min), >2-fold increase in fEPSP amplitude compared to baseline (+168 ± 59) (Supl. Fig. 2B). In contrast, this form of LTP was significantly reduced and almost abolished (+10.6 ± 22%) in slices from Nxnl2−/− mice (Supl. Fig. 2C) [41].
We repeated the analysis of LTP by comparing that of the Nxnl2−/− mouse (BALB/c background) to an additional mouse model constructed by inserting a β-galactosidase reporter within the Nxnl2 locus of mice with C57Bl/6-N background (Supl. Fig. 2D). The Nxnl2−/− was constructed by deleting exon 1, encoding for RdCVF2, by homologous recombination [2] (Fig. 2A). For the homozygous reporter mice (Nxnl2R/R), the introduction of the reporter cassette erases the sequence of both RdCVF2 and RdCVF2L (Fig. 2E). Recording from this new mouse model showed similar results: LTP at CA3-CA1 was altered upon inactivation of Nxnl2 gene for Nxnl2−/− (Fig. 2B, C, D) and Nxnl2R/R (Fig. 2F, G, H). The two mouse models of Nxnl2 inactivation were produced in distinct genetic backgrounds (BALB/c and C57B/L6N), which reinforce the argument that the deficit is linked to the inactivation of the Nxnl2 gene. Importantly, the basal synaptic transmission did not appear altered in either of these mouse models for Nxnl2 inactivation as shown by the similar stimulus-response curves to those obtained from control animals (Supl. Fig. 2E, F). Overall, these electrophysiological recordings show alteration in hippocampal plasticity upon Nxnl2 deletion that could support spatial memory deficit.
2.3. The nucleoredoxin-like 2 gene is expressed in the area postrema
A corollary to the deficit in brain function of the Nxnl2−/− is that the Nxnl2 gene must be expressed in the brain. For the reporter allele R, β-galactosidase expression is presumably under the control of the endogenous Nxnl2 promoter, located in 5’ on its open reading frame, as shown in the retina [42]. In this configuration, the reporter will not distinguish the expression of RdCVF2L from that of RdCVF2, the later resulting from intron retention. Nevertheless, β-galactosidase staining of mouse tissues indicates the regionalization of Nxnl2 expression, taken as a whole. As expected from a previous study, the Nxnl2R/+ mouse at 2 months showed signals in the olfactory tube [2] (Supl. Fig. 3A). At higher resolution, the staining can be delineated to the olfactory sensitive neurons (Supl. Fig. 3B). These receptor neurons project their axons to the glomerular layer of the olfactory bulb (Supl. Fig. 3C). The adequacy between the β-galactosidase staining pattern and what is known of Nxnl2 expression confirms that the Nxnl2R/+ mouse is an appropriate model to explore Nxnl2 expression in the brain. We sectioned the brain of a Nxnl2R/+ mouse at 2 months to reveal the endogenous expression of the Nxnl2 gene at that age. We compared the blue coloration of stained sections of thirty-five regions of the Nxnl2R/+ brain to that of the negative control (Nxnl2+/+, C57BL/6-N), both at 2-month of age DOI 10.25493/4975-NDG. We detected scattered signals mapping to regions involved in the behavior that is altered in the Nxnl2−/− mouse, such as the hippocampic formation, the central, lateral, basolateral and basomedial nuclei of the amygdala, and throughout many other brain regions [43]. For example, Nxnl2 expression in the subiculum which is the main hippocampal exit through afferent ways from CA1. The most prominent and ordered signal was observed in the area postrema (Fig. 3A). The expression of the reporter protein was restricted to a subset of cells of the area postrema [44] (Fig. 3B). The area postrema is a member of the circumventricular organs composed of fenestrated capillaries with discontinuous expression of tight junction and extensive interactions of parenchymal cells of this organ with the cerebrospinal fluid (CSF) and blood circulation [45]. The reporter signal is increased in the area postrema of the Nxnl2R/R mouse, which indicates that the survival of Nxnl2 expressing cells of the area postrema does not require the action of the Nxnl2 gene, at least up to 2 months (Supl. Fig. 3D). Similar observations were made for another circumventricular organ, such as the subfornical organ involved in thirst and hunger (Supl. Fig. 3E) [46]. The sensory subfornical organ in the forebrain, as the area postrema in the hindbrain, lacks a normal blood-brain barrier such that neurons, within them, are exposed to blood-borne agents. This is also true for an adjacent positive region, the median preoptic nucleus that is involved in core body thermoregulation (Supl. Fig. 3F) [47]. Neurons in the median preoptic nucleus receive afferents from the subfornical organ.
The expression of Nxnl2 is circumscribed, but not restricted, to regions of the brain that are permeable to blood-borne molecules such as circulating hormones. The proximity of the Nxnl2 expressing cells in the area postrema to microvascular can be appreciated by immunohistochemistry using antibody against plasmalemma vesicle-associated protein (PLVAP/MECA-32) (Fig. 3C). MECA-32 is expressed in central and peripheral vasculature throughout development, but its expression in the cerebrovasculature is downregulated upon the establishment of the blood-brain barrier in the adult, remaining only expressed in vascular endothelial cells that establish fenestrated capillaries [48]. By RT-PCR, we show that the mRNA of both products of the Nxnl2 gene, the trophic factor RdCVF2 and the thioredoxin-related protein RdCVF2L are expressed by cells of the area postrema of the Nxnl2+/+ mouse and confirm the absence of RdCVF2 and RdCVF2L mRNAs in the homozygous Nxnl2R/R mouse (Fig. 3D). Since RdCVF2 is secreted [1] and because the action of its paralogue, RdCVF, is relayed by the glucose transporter GLUT1 [7], we looked at the expression of GLUT1 in the area postrema of the Nxnl2+/+ mouse. The expression of GLUT1 excluded a local role of GLUT1 in the potential protective action of RdCVF2) (Fig. 3E) [49].
2.4. Impaired metabolism of hippocampal specimens of Nxnl2−/− mice
In rodents, the area postrema is a single structure that descends out in to the 4th ventricle. By its position, even in the presence of an ependymal layer along the ventricular walls of the area postrema, the signals generated in the area postrema could circulate in the CSF to reach the brain areas that participate in the complex behavioral syndrome of the Nxnl2−/− mouse. The absence of suitable RdCVF2 antibodies led us to test this hypothesis by quantifying the metabolism of the hippocampus, since the paralog RdCVF in the retina regulates retinal metabolism. We standardized the dissection of well-mapped hippocampal specimens of 2 mm in diameter and 0.5 mm in thickness (Fig. 4A). The concentration of 39 metabolites covering 11 metabolic pathways was quantified in quadruplicates pools made of three standard specimens of the hippocampus of 2-month Nxnl2+/+ and Nxnl2−/− mice, for two successive experiments using slightly different metabolomic technologies (Table 1). Focusing here on differences in concentrations that are statistically significant for the first experiment, we organized the results centering on glucose consumption, as it is the major source of energy for neurons. The concentration of glucose-1-phosphate, a metabolite of glycogenolysis that corresponds to the production of glucose-6-phosphate (G6P) from glycogen storage, is lower in hippocampus specimens of Nxnl2−/− mice (Fig. 4B). Mice lacking glycogen synthase, essential for glycogen production, have impaired hippocampal LTP, similar to Nxnl2−/− mice [50]. The concentration of three metabolites of glycolysis: G6P, fructose 1,6-bisphosphate (FBP) and 2/3-phosphoglycerate (2/3 PG) is higher in hippocampus specimens of Nxnl2−/− than that of Nxnl2+/+ mice (Fig. 4C). The concentration of UDP-N-acetylglucosamine is lower in Nxnl2−/− hippocampus specimens (Fig. 4D). This metabolite is involved in O-GlcNAcylation of targeted proteins and produced by the hexosamine pathway that branches from glycolysis at the level of fructose-6-phosphate (F6P) [51]. O-GlcNAcylation of hippocampal proteins is reduced in brain starving of glucose, which decreases neuronal O-GlcNAcylation level in the hippocampus, impairs cognition and reduces dendritic spine density in the hippocampus of adult mice [52]. The concentration of phosphoribosylpyrophosphate, produced by the PPP is also lower in Nxnl2−/− hippocampal specimens (Fig. 4E). Collectively, the results represent an increase in the concentration of glycolytic metabolites and a decrease in that of glycogenolysis, hexosamine pathway and PPP (Fig. 4F). The concentrations of variable glycolytic metabolites are correlated, such as G6P with 2/3 PG (r = 0.7372, p = 0.0150, n = 10) and with FBP (Supl. Fig. 4A). In order to test the robustness of these data, we repeated the experiment with an additional cohort using an Orbitrap, a more precise instrument (Table 1) [53]. The additional results confirm the elevated concentration of the three identified glycolytic metabolites in the Nxnl2−/− hippocampal specimens and reveal a fourth one, phosphoenolpyruvate (Supl. Fig. 4B and C). Since both experiments include an internal standard, we combined their results, revealing that the lower concentration of UDP-N-acetylglucosamine in the Nxnl2−/− specimens is associated with an increase of UDP in the hexosamine pathway, two phenomena possibly linked metabolically (Supl. Fig. 4D) [54]. We found a slight but significant difference between the two experiments by analyzing the ratio ADP/ATP, but that small difference does not modify the general interpretation of the results (Supl. Fig. 4E) [55].
Table 1.
Study ID | Metabolite | First experiment (Qtrap) |
Second experiment (Orbitrap) |
Metabolic pathway | ||
---|---|---|---|---|---|---|
Nxnl2+/+ (n = 5) | Nxnl2−/− (n = 5) | Nxnl2+/+ (n = 5) | Nxnl2−/− (n = 4) | |||
1 | UDP-Glucose (μmol/l) | 2.32 ± 0.54 | 2.43 ± 0.55 | 2.70 ± 0.20 | 2.81 ± 0.53 | Glycogen synthesis |
2 | Glucose-1-phosphate (μmol/l) | 1.43 ± 0.23 | 0.99 ± 0.24 | 1.63 ± 0.30 | 3.34 ± 1.34 | Glycogenolysis |
3 | Glucose-6-phosphate (μmol/l) | 0.19 ± 0.11 | 0.49 ± 0.16 | 0.16 ± 0.03 | 0.26 ± 0.08 | Glycolysis |
4 | Fructose-6-phosphate (F6P) (μmol/l) | 0.06 ± 0.06 | 0.25 ± 0.11 | 0.35 ± 0.03 | 0.37 ± 0.05 | Glycolysis |
5 | Mannose-6-phosphate (μmol/l) | 0.03 ± 0.03 | 0.11 ± 0.09 | 0.10 ± 0.01 | 0.11 ± 0.01 | Hexosamine pathway (branching on F6P) |
6 | UDP-N-acetyl-glucosamine (μmol/l) | 1.76 ± 0.24 | 1.45 ± 0.11 | 1.55 ± 0.19 | 1.35 ± 0.20 | Hexosamine pathway |
7 | GDP-mannose (μmol/l) | 0.45 ± 0.14 | 0.31 ± 0.05 | LOQ | LOQ1 | Hexosamine pathway |
8 | Fructose-1,6-biphosphate (μmol/l) | 0.48 ± 0.18 | 2.45 ± 1.70 | 0.34 ± 0.11 | 1.18 ± 0.53 | Glycolysis |
9 | Glycerol-3-phosphate (C12/C13) | 2.29 ± 0.29 | 2.58 ± 0.33 | 5.41 ± 0.73 | 7.05 ± 1.68 | Kennedy path. (branching on glycolysis) |
10 | 2/3-Phosphoglycerate (2/3-PG) (μmol/l) | 2.70 ± 0.75 | 3.97 ± 0.62 | 1.35 ± 0.19 | 2.30 ± 1.12 | Glycolysis |
11 | Phospho-serine (μmol/l) | 0.05 ± 0.01 | 0.06 ± 0.01 | 0.20 ± 0.01 | 0.23 ± 0.01 | Serine synthesis (branching on 3-PG) |
12 | Phosphoenolpyruvate (μmol/l) | 0.65 ± 0.26 | 0.77 ± 0.16 | 0.47 ± 0.05 | 0.83 ± 0.41 | Glycolysis |
13 | Citrate (C12/C13) | 0.57 ± 0.11 | 0.54 ± 0.08 | 0.48 ± 0.03 | 0.39 ± 0.05 | Tricarboxylic acid cycle |
14 | cis-Aconitate (μmol/l) | 0.44 ± 0.05 | 0.43 ± 0.11 | 0.33 ± 0.02 | 0.29 ± 0.03 | Tricarboxylic acid cycle |
15 | α-Ketoglutarate (C12/C13) | 2.62 ± 0.08 | 2.57 ± 0.28 | 2.96 ± 0.20 | 3.16 ± 0.51 | Tricarboxylic acid cycle |
16 | 2-Hydroxyglutarate (μmol/l) | 0.60 ± 0.08 | 0.63 ± 0.16 | 0.67 ± 0.05 | 0.68 ± 0.11 | Branching from α-Ketoglutarate |
17 | Succinate (C12/C13) | 0.20 ± 0.11 | 0.14 ± 0.05 | 0.24 ± 0.08 | 0.41 ± 0.09 | Tricarboxylic acid cycle |
18 | Fumarate (C12/C13) | 5.83 ± 1.73 | 5.93 ± 0.83 | 4.42 ± 0.29 | 3.78 ± 0.76 | Tricarboxylic acid cycle |
19 | Malate (C12/C13) | 6.83 ± 0.95 | 6.79 ± 1.03 | 4.59 ± 0.29 | 4.27 ± 0.73 | Tricarboxylic acid cycle |
20 | 6-Phosphogluconate (μmol/l) | 0.07 ± 0.03 | 0.11 ± 0.05 | 0.17 ± 0.02 | 0.50 ± 0.21 | Pentose phosphate pathway |
21 | Ribose-1-phosphate (μmol/l) | 24.9 ± 3.3 | 22.0 ± 0.8 | 8.02 ± 0.94 | 6.35 ± 0.33 | Pentose phosphate pathway |
22 | Ribose-5-P + Ribulose-5-P (μmol/l) | 4.28 ± 0.93 | 5.03 ± 1.28 | 2.97 ± 0.21 | 1.72 ± 0.47 | Pentose phosphate pathway |
23 | Rib-5P (μmol/l) | NQ | NQ3 | 2.97 ± 0.21 | 1.72 ± 0.47 | Pentose phosphate pathway |
24 | Ribulose-5P (μmol/l) | NQ3 | NQ3 | 2.40 ± 0.10 | 1.38 ± 0.37 | Pentose phosphate pathway |
25 | Phosphoribosyl diphosphate (μmol/l) | 0.29 ± 0.01 | 0.25 ± 0.03 | 0.27 ± 0.02 | 0.28 ± 0.04 | Pentose phosphate pathway |
26 | Sedoheptulose-7-phosphate (μmol/l) | 1.60 ± 0.50 | 1.60 ± 040 | LOQ1 | LOQ1 | Pentose phosphate pathway |
27 | AMP (μmol/l) | 3.92 ± 0.42 | 3.86 ± 0.66 | 2.82 ± 0.17 | 3.74 ± 0.86 | Nucleotides synthesis |
28 | ADP (C12/C13) | 10.4 ± 1.0 | 10.4 ± 2.3 | 10.0 ± 0.80 | 11.4 ± 2.8 | Nucleotides synthesis |
29 | ATP (C12/C13) | 8.84 ± 0.79 | 8.91 ± 1.87 | 9.55 ± 0.87 | 11.3 ± 3.6 | Nucleotides synthesis and OXPHO |
30 | CMP (μmol/l) | 0.34 ± 0.04 | 0.31 ± 0.06 | 0.72 ± 0.09 | 0.79 ± 0.21 | Nucleotides synthesis |
31 | CDP (μmol/l) | 0.11 ± 0.02 | 0.11 ± 0.01 | 0.17 ± 0.01 | 0.24 ± 0.08 | Nucleotides synthesis |
32 | CTP (μmol/l) | 0.04 ± 0.02 | 0.03 ± 0.01 | LOQ1 | LOQ1 | Nucleotides synthesis |
33 | GMP (μmol/l) | 1.22 ± 0.15 | 1.07 ± 0.17 | 0.93 ± 0.10 | 1.15 ± 0.21 | Nucleotides synthesis |
34 | cGMP (μmol/l) | 0.23 ± 0.03 | 0.17 ± 0.06 | ND4 | ND4 | Nucleotides synthesis |
35 | GDP (μmol/l) | 2.73 ± 0.49 | 3.64 ± 0.91 | 2.26 ± 0.30 | 2.53 ± 0.92 | Nucleotides synthesis |
36 | Orotate (μmol/l) | 0.03 ± 0.03 | 0.11 ± 0.09 | 0.09 ± 0,01 | 0.10 ± 0.01 | Nucleotides synthesis |
37 | UMP (μmol/l) | 2.38 ± 0.26 | 2.40 +/0.30 | 2.83 ± 0.19 | 3.02 ± 0.57 | Nucleotides synthesis |
38 | UDP (μmol/l) | 0.31 ± 0.05 | 0.36 ± 0.11 | 0.16 ± 0.03 | 0.36 ± 0.21 | Nucleotides synthesis |
39 | UTP (μmol/l) | 0.37 ± 0.12 | 0.31 ± 0.08 | 0.09 ± 0.01 | 0.11 ± 0.03 | Nucleotides synthesis |
The steady-state concentration of a metabolite is proportional to its enzymatic production and use by the following metabolic reaction. It is consequently impossible to ensure that the increase in the concentration of G6P, as it is a central metabolite in different metabolic pathways, result from a higher rate of its synthesis by hexokinase or a reduced rate of entry into PPP, glycogen synthesis or glycolysis [51]. Since the conversion of glucose to G6P is irreversible, the production of G6P from glucose is directly linked to intercellular glucose that is uptaken by cells of the central nervous system by facilitative diffusion glucose transporters of the SLC2A family. We analyzed the expression of the three major SLC2A glucose transporters, GLUT1, GLUT3 and GLUT4 in the standard specimens of the hippocampus by western blotting. The expression of GLUT1 was found to be equivalent for both genotypes (Fig. 4G and Supl. Fig. 4F). A similar observation was made for GLUT3 (Supl. Fig. 4G). Four of the bands detected are specific (Supl. Fig. 4H). We detected two isoforms of the insulin-responsive glucose transporter GLUT4, the full-length isoform migrating above 50 kDa and a second isoform, most likely a non-functional GLUT4 protein (ΔEx-3-5) resulting from alternative splicing (Fig. 4H) [56]. The expression of the functional and full-length isoform is specifically reduced in the hippocampal specimens of Nxnl2−/− mice, which could contribute to the deficit in learning and memory of these mice since insulin modulates hippocampus-mediated spatial working memory via GLUT4 (Fig. 4I) [57]. The expression of glucose transporters and levels of metabolized analyzed by metabolomics suggests that the accumulation of glycolytic metabolites in the Nxnl2−/− hippocampus results in the deceleration of the metabolic flux triggering metabolite accumulation, captured at the time of the sacrifice of the animals.
2.5. The synergistic action of RdCVF2 and RdCVF2L in repairing the hippocampal dysfunction of Nxnl2−/− mice
The Nxnl2−/− hippocampus metabolic profiling supports that by analogy to RdCVF, produced by rods to stimulates cone metabolism in the retina [13], RdCVF2 produced in the area postrema increases glycolysis in cells within the hippocampus. In order to test this hypothesis, we constructed self-complementary adeno-associated vectors (AAV) encoding for RdCVF2 or RdCVF2L and GFP via a self-cleaving 2A peptide under the control of the cytomegalovirus enhancer/chicken β-actin (CMV/CBA) promoter. Serotype 9 allows AAV vectors to penetrate the brain when injected into the bloodstream of neonatal mice before the establishment of the blood-brain barrier [7,58]. In order to account for the purity and the functional titer of the AAV particles, we characterized the viral preparations with silver stain gel and electron microscopy. The silver stain showed no major impurities other than the VP1-3 proteins in expected ratios (Supl. Fig. 5A). The percentage of empty capsid particles of these preparations was quantified by transmission electron microscopy after uranyl acetate staining (Supl. Fig. 5B). While, the negative control (AAV2/9-GFP) has a ratio empty/total distinct from the two other recombinant AAVs, these two preparations have an indistinguishable ratio.
Following the intracardiac injection of Nxnl2−/− ♂ mice at post-natal day (PN) 4, the distribution of the transgene in the brain at 2 months was examined using anti-GFP immunohistochemistry (Fig. 5A). Among the cells transduced by AAV2/9.2 YF-CMV/CBA-RdCVF22AGFP the pyramidal neurons of the hippocampus are predominant (Fig. 5B). This peculiar tropism is not dependent on the encoded sequence since it was also observed for AAV2/9.2 YF-CMV/CBA-RdCVF2L2AGFP, as seen in a previous study (Supl. Fig. 5C) [59].
CA1 basal synaptic transmission of the Nxnl2−/− hippocampus is slightly higher than that of Nxnl2+/+ at two months after administration of the negative control (Supl. Fig. 5D). A similar observation was made for the two other vectors delivered individually or in combination (Supl. Fig. 5E). Nevertheless, no difference in the CA1 basal synaptic transmission could be observed between Nxnl2−/− at 2 months after delivery of RdCVF2 or RdCVF2L encoding AAVs (Supl. Fig. 5F). For measuring LTP, we proceeded as previously except that we recorded only one hippocampal slice per mouse to assure sphericity, which permits the use of two-way ANOVA - repeated measures for the statistical analysis of the results. In repeat measure design, each animal receives one of the treatments and then is measured at specific time points. Hence, animals are the experimental units [60]. In this new configuration, the treated mice are compared in a preclinical setting [61]. At two months, the traces of post-high frequency stimulation (HSF) recordings show an alteration for Nxnl2−/− versus Nxnl2+/+ hippocampus after AAV-GFP injection and intermediate situation for the Nxnl2−/− mice injected with Nxnl2 gene products (Fig. 5C). RdCVF2 alone rescues partially but significantly the fEPSP response of the Nxnl2−/− hippocampus when compared to AAV-GFP, supporting the formulated hypothesis above (Fig. 5D). Interestingly, we observed the same partial correction after the injection of AAV-RdCVF2L (Fig. 5E). More importantly, the combined administration of half the dose of RdCVF2 and RdCVF2L results in an almost complete reversion of LTP deficit of Nxnl2−/− mice at 2 months (Fig. 5F). This indicates that both products of the Nxnl2 gene act synergistically to restore the altered function of the hippocampus of the Nxnl2−/− mouse. The statistical power of repeat measure design is well illustrated by comparison to the design used in Fig. 2 (Supl. Fig. 5G). A close view of the fEPSP measures immediately following the HSP reveals a distinct recording traces that may be related to two different but coordinated rescue mechanisms (Supl. Fig. 5H). Following our hypothesis, the non-cell-autonomous activity of RdCVF2 does not require that AAV-RdCVF2 targets any specific region of the brain. However, the presumably cell-autonomous action of the thioredoxin-related protein RdCVF2L requires the transduction of dysfunctional cells, most likely, the hippocampal pyramidal neurons (Supl. Fig. 5C).
We analyzed the effect of the corrective therapy on cellular metabolism using 2-month hippocampal specimens (Supl. Fig. 6A). Overall, the intracardiac injection of AAV does not modify the metabolism within the hippocampus, since the concentrations of metabolites are equivalent in Nxnl2+/+ and Nxnl2−/− mice injected with AAV-GFP to those without injection (Table 1). The three glycolytic metabolites (G6P, FBP and 2/3 PG) are elevated in the Nxnl2−/− specimens after injection of either AAV-GFP or ½ AAV-RdCVF2 + ½ AAV-RdCVF2L (Fig. 5G). As previously observed, the concentration of G6P and FBP are correlated (Supl. Fig. 6B). The glycogenolysis and the hexosamine pathway (Supl. Fig. 6B, D) do not seem to be modified. Surprisingly the PPP was affected, as previously but was not corrected by the products of the Nxnl2 gene (Supl. Fig. 6E). We could not identify any metabolite that correlates statistically with the corrective effect measured by electrophysiology. We have used in that experiment animals of both sexes, but this is not the reason for the lack of effect on the metabolism (Supl. Fig. 6A). Pyramidal neurons that generate LTP represent a subset of the cell population and even possibly involve only a subset of synapses drowned in the mass of the hippocampus specimens [62]. This situation may preclude the identification to any significant change in metabolite concentration in the hippocampus as a whole. We validated the transduction of the AAVs expression of GFP in these specimens (Supl. Fig. 5I). We also analyzed the level of expression of GLUT4 in hippocampal specimens after AAV delivery. The treatment did not restore GLUT4 expression, but the result can be interpreted as a trend (Supl. Fig. 5J). This observation may be explained by the fact that only a subset of cells expresses GLUT4, among which the pyramidal neurons [63].
2.6. TAU is aggregated in the brain of the Nxnl2−/− mouse at 18 months of age
The contribution of RdCVF2L in the reversion of deficit in LTP was explored in the light of its ability to prevent TAU phosphorylation [3]. TAU phosphorylation favors its aggregation leading to the formation of NFT. At 2 months, the absence of difference in the status of TAU phosphorylation in the brain of Nxnl2−/− versus Nxnl2+/+ mice rules out the idea that LTP deficit of the Nxnl2−/− mice is produced by interference of TAU phosphorylation. (Supl. Fig. 7AB). In order to study TAU aggregation, we standardized a filter binding assay with human brain specimens of Braak stage VI [64] (Alzheimer +) and age-matched non Alzheimer brain (Alzheimer -) (Supl. Fig. 7C). NFT are characteristic of in Braak stage VI as detected by Gallyas-silver iodide staining [65]. Using this quantitative assay, we found that the brain of 2-month Nxnl2−/− mice contain more aggregated TAU than the 2-month Nxnl2+/+ brain (Supl. Fig. 7D). We found no difference in the expression of glial fibrillary acidic protein (GFAP) in the brain of 2-month mice (Supl. Fig. 7E), but discovered that the brain of the Nxnl2−/− mice show signs of neuroinflammatory astrogliosis at 10 months (Fig. 6A). The quantification of GFAP-positive cells in the CA1 region of the hippocampus at 12 months confirms the neuroinflammation (Supl. Fig. 7F). The upregulation of GFAP is likely preceded by the polarization of microglia (resident macrophages) that would aggravated hippocampal dysfunction by reducing glucose availability for neurons, as activated microglial cells shift towards glycolysis during inflammation [66]. Consequently, LTP deficit at 2 months does not result from neuroinflammatory astrogliosis (Supl. Fig. 7E), but may involve TAU aggregation (Supl. Fig. 7D).
By 18 months of age, TAU aggregation was found to be elevated in the brain of the Nxnl2−/− mice using filter finding assay on the whole brain (Fig. 6B and H). Human brain specimens from age-matched patients without and with NFT observed by anatomical pathology validate the assay (Supl. Fig. 7C). The expression of TAU protein is not modified in these conditions (Fig. 6C and G). The absence of expression of TAU in the brain specimen of the Mapt-/- mouse demonstrates that the signal detected by western blotting is specific [67]. TAU oligomers were more abundant in the brain of Nxnl2−/− mice (Fig. 6D and I). They are probably composed of phosphorylated TAU proteins, as seen in brain specimens of Alzheimer's disease patients. A growing body of evidence indicates that TAU oligomer formation precedes the appearance of NFT and contributes to neuronal loss. Cysteines residues (C608 and C639, P10636-1) within the regions R2 and R3 of the microtubule binding domain of TAU are involved in the formation of these oligomers of TAU. Phospho-TAU antibody AT100 is specific to the phosphorylated TAU at f T529, S531 and T534, AT8 recognizes Ser519 and T522 (P10636-1). The sequence surrounding these phosphorylated residues encompasses 45 amino-acids region that is 100% identical between human and mouse TAU (P10637-1). Those two well-studied epitopes are frequently found in postmortem brain specimens of patients who died of Alzheimer's disease [68]. We found more phosphorylation using AT100 (Fig. 6E and J) and AT8 antibodies (Fig. 6F and K) in whole brain samples from Nxnl2−/− as compared to Nxnl2+/+ mouse brains. We also found correlations of aggregation, oligomerization and phosphorylation. The correlation of aggregation with oligomerization (r = 0.6164, p = 0.0328) is lower than with phosphorylation at both AT100 (r = 0.9406, p < 0.0001) and AT8 (r = 0.8889, p = 0.0001) epitopes, suggesting that TAU oligomerization precedes its phosphorylation in the temporal sequence that leads to its aggregation within the Nxnl2−/− brain (Supl. Fig. 6G). Phosphorylation at AT8 and AT100 epitopes are highly correlated (r = 0.9119, p < 0.0001). We did not map the various stages leading from TAU oligomerization to its aggregation within the Nxnl2−/− brain. In Alzheimer's disease brains, the formation of NFT expands from the parahippocampal gyrus to the hippocampus and further to the cortex, so it is quite possible that the hippocampus of the Nxnl2−/− is affected by TAU aggregation as early as 2 months [38].
2.7. Prevention of TAU aggregation in the brain of the Nxnl2−/− mouse by 18 months’ gene therapy
Nxnl2−/− mice got an intracardiac injection of recombinant AAV vectors at PN4, then housed in normal conditions for 18 months. Then, after sacrifice, the expression of the AAV transgene was analyzed by western blotting using 80 μg of whole brain extract with an anti-GFP antibody. As a positive control, we used a retinal extract of an rd10 mouse subretinally injected with an AAV2-7M8-CMV/CBA-GFP [69]. We detected the expression of GFP in the brain of all Nxnl2−/− mice injected with AAV2/9-2 YF-CMV/CBA-GFP (Fig. 7A). However, we could not detect the expression of GFP in the brain of animals injected with ½ AAV2/9-2 YF-RdCVF22AGFP combined with ½ AAV2/9-2 YF-RdCVF2L2AGFP. The absence of detectable GFP is likely reflective of the lower expression of GFP positioned downstream of a self-cleaving 2A peptide, as observed previously in the retina [7] (Supl. Fig. 5I), and the lower dose injected in this experiment (1 × 1012 vg) as compared to 4 × 1012 vg (Fig. 5). Bypassing this limitation, we measured semi-quantitatively the phosphorylation of TAU using AT100 antibody. The reduction of TAU phosphorylation in the whole brain of the Nxnl2−/− mice treated with both products of the Nxnl2 gene is striking, even if it not statistically significant (Fig. 7B). There is a 20% reduction of the expression of TAU in those specimens, but this cannot explain the reduction of its phosphorylation. Since it has not been possible to visualize the expression of the transgenes, we do not know if mice 4 and 9 express the corrective genes. By excluding these two mice, 18% of the effective of the cohort, the difference in AT100 phosphorylation, standardized to the expression of TAU, grazes statistical significance (p = 0.0719). Excluding in addition mouse 1 that did not develop TAU phosphorylation for unknown reason, 27% of the cohort, the result becomes significant (p = 0.0068). This phenomenon is also visible if one takes into account the variability of AT100 phosphorylation observed in the untreated animals at 18 months (Fig. 6J). The average AT100 phosphorylation, normalized by cytoplasmic actin, is lower in the treated Nxnl2−/− mice (Fig. 7C). In other words, the treatment with the combination of RdCVF2 and RdCVF2L over 18 months-period reduces the phosphorylation, and by extension the aggregation of TAU, in five out of seven treated Nxnl2−/− mice.
3. Discussion
3.1. Possible mechanisms of the synergistic effect of RdCVF2 and RdCVF2L on hippocampal function
The Nxnl2 gene is expressed in various parts of the mouse brain with a prominent expression in the area postrema, where both RdCVF2 and RdCVF2L are expressed. While we have not identified the types of cells that express the gene in this part of the brain, the area postrema is located at the interface of the blood circulation that carries peptidic hormones from the periphery to the central nervous system. In addition, the absence of brain blood barrier between this organ, as for other sensory circumventricular organs expressing Nxnl2, puts the gene at a node between circulating hormones regulating directly or indirectly glycemia, the concentration of circulating glucose and its use by neurons of the brain. The extracellular truncated trophic factor RdCVF2 can participate in the generation of LTP, recorded on hippocampal slices by acting on glucose uptake [1]. The area postrema is in contact with the CSF secreted by the choroid plexus. CSF circulation distributes glucose to cells of the brain through its regulated flow [70]. The absence of RdCVF2 is sensed by the abnormal glycolysis measured in the hippocampus of the Nxnl2−/− mouse (Fig. 4A–F). The restoration of LTP after delivery of RdCVF2 in this mouse model demonstrates the role of this truncated thioredoxin (Fig. 5D). To our surprise, we failed to restore the metabolism of the hippocampus by re-expressing the products of the Nxnl2 gene under the control of a ubiquitous CMV/CBA promoter (Fig. 5G). We know that with this approach, RdCVF2 is expressed at abnormally higher levels in many cells in the brain, which is not a natural situation, regarding both its physiological distribution and its expression level [42]. This absence of correlation between function and metabolism means that the Nxnl2 gene does not regulate glucose metabolism globally in the brain and that its effect is restricted to a subset of cells, and even a subset of cells in the hippocampus, such as pyramidal cells that generate the LTP in response to an excitatory signal. The modification of glycolysis in hippocampus is probably due to metabolic plasticity within the organ, such as astrocytes even if no GFAP reactivity could be observed at 2 months (Supl. Fig. 7E). The reintroduction of RdCVF2 under a ubiquitous promoter would not correct for this metabolic plasticity. GLUT4 expression is restricted by cells with altered function, and is downregulation in the Nxnl2−/− hippocampus is certainly involved (Fig. 4H) [63]. This fits with the regulation of glycolysis by RdCVF2 via its interaction with a cell-receptor expressed by the hippocampal pyramidal neurons as well as by other neurons involved in the other studied behaviors (Fig. 1). This putative cell surface receptor is certainly not BSG1 because its expression is restricted to the retina and the pineal gland [71]. We speculate that this receptor is complexed with GLUT4 by analogy with the mode of action of RdCVF, through GLUT1 [7].
The synergistic action of RdCVF2 with RdCVF2L is reminiscent of the action of its paralogue Nxnl1, involved in glucose uptake and in redox homeostasis in the retina [12,13]. A difference in the mode of action of RdCVF2 and RdCVF2L is reflected by non-contiguous fEPSP traces after gene therapy (Supl. Fig. 5H). Concerning redox homeostasis, the reduction of the concentration of one of the metabolites of the PPP in the first experiment is in agreement with such scenario (Fig. 4E). Nevertheless, one of the cysteines of the catalytic site of the thioredoxin-related protein RdCVF2 is replaced by a serine in all placental mammals for which the genome sequence is available [3]. Consequently, the RdCVF2L protein does not carry a thioredoxin active site, but that of a monothiol glutaredoxin, as glutaredoxin 3 [72]. Glutaredoxins reduce S-glutathionylation, of redox sensitive cysteines in proteins. Under oxidative stress conditions, cysteines are non-enzymatically oxidized with the tripeptide glutathione (GSH), one of the most crucial cellular thiol buffers. The formation of protein-SSG, termed S-glutathionylation, protects protein thiols under oxidative conditions, since it can be reverted by electron transfer. It prevents further oxidations of thiol groups of proteins to sulfenic, sulfinic, and sulfonic acids, the latter oxidation being irreversible. The protein S-glutathionylation cycle, initiated under oxidative conditions, is inverted when a reducing environment is restored. Deglutathionylation restores protein function and S-glutathionylated glutaredoxin is then reduced by reduced glutathione. Hippocampal-dependent learning and memory functions are peculiarly sensitive to oxidative stress [73]. The protection of LTP by RdCVF2L was achieved by direct transduction of hippocampal pyramidal neurons with AAV2/9-2 YF-RdCVF2L (Supl. Fig. 5C).
The positive role of the Nxnl2 gene on synaptic plasticity and memory is theoretically produced by an effect on the N-methyl-d-aspartate (NMDA) receptors. Seven cysteines of NMDA-receptor subunits are regulated by oxidoreduction and could be targeted by the monothiol glutaredoxin activity of RdCVF2L [74]. The synergistic effect of RdCVF2 and RdCVF2L would result from the action of RdCVF2 regulation of glucose metabolism on neurons of hippocampal pyramidal and by deglutathionylation of NMDA-receptor by RdCVF2L. Deglutathionylation of NMDA-receptor by RdCVF2L depends on metabolism of glucose by the PPP to generate NADPH and with RdCVF2 increasing glucose uptake, the action of RdCVF2L would be regulated by that of RdCVF2 [12].
RdCVF2 can also synergize with RdCVF2L by regulating transmembrane electrochemical gradients. The cellular Na/K-ATPase pump activity relies on ATP produced by glycolytic, rather than by ATP from mitochondrial respiratory chain [75]. The Na/K-ATPase re-establishes the potassium and sodium gradients which are necessary to fire action potentials. Neurons, such as hippocampal pyramidal neurons expend a large fraction of the ATP they produce to maintain their required intracellular Na and K concentrations [76]. RdCVF2 could increase locally, at the level of its receptor on hippocampal pyramidal neurons, the concentration of ATP produced from glucose by glycolysis. The addition of ATP generates functional LTP on hippocampal slices [77]. In addition, RdCVF2-mediated glycolysis can branch to the production of triglycerides that can participate in structural LTP, the reorganization of cytoskeletal architecture that produces new synaptic buttons, similarly to RdCVF's ability to stimulate aerobic glycolysis to produce of triglycerides for cone outer segment renewal [7]. A local action of RdCVF2 through the dendritic spines expressing its putative RdCVF2 cell-surface receptor and GLUT4 would explain the inability to restore the whole metabolism of the hippocampus (Fig. 5G) [63].
3.2. The implication of NXNL2 in neurodegenerative diseases
Oligomerization, phosphorylation at AT100 and AT8 epitopes and aggregation of TAU are hallmarks of tauopathies, such as Alzheimer's disease. Neuropathologically Alzheimer's disease is defined by the combined presence of extracellular amyloid-beta (Aβ) plaques and intracellular TAU NFT, but the MAPT gene encoding TAU was never found to be genetically associated with Alzheimer's disease [78]. Similar to MAPT, the NXNL2 gene is not genetically associated with Alzheimer's disease [79]. This means that positive, but not negative genome wide association studies (GWAS) signals can lead to a conclusion on essential mechanisms of Alzheimer's disease and leaves opened the possibility of NXNL2 participation in Alzheimer's disease.
There is growing evidence for a close link between altered glucose metabolism and Alzheimer's disease pathogenesis. Aging, viewed as a slow steady accumulation of unrepaired oxidative damages, is the most relevant risk factor triggering Alzheimer's disease as a disease-memory impairment of hippocampal function, the earliest affected brain region in Alzheimer's disease. Redox enzymes are candidate regulators of the disease. Due to its dual function in regulating glucose uptake and redox status of TAU, the NXNL2 gene is positioned at a central place in this pathological aging scenario.
4. Conclusions
One of the most striking observations made on the Nxnl2−/− mouse model is the parallel between memory dysfunction at 2-months that resembles mild-cognitive impairment predisposing to the development of Alzheimer's disease [14] and the aggregation of TAU at 18-month, which is equivalent of NTF found in the brain of Alzheimer's disease patients, after autopsy. For the young Nxnl2−/− mouse, LTP dysfunction is attributed to the lack of RdCVF2 and RdCVF2L that act synergistically (Fig. 5A–F). For the aged Nxnl2−/− mouse, the protection against aggregation is believed to be the results of RdCVFL2 action, which can prevent TAU phosphorylation and its subsequent aggregation (Fig. 7) [3]. However, since the treatment was administrated in young animals, TAU aggregation may be the result of metabolic and redox dysfunctions that occurred progressively throughout the life of mice as shown in 2-month Nxnl2−/− brain (Supl. Fig. 7D). A highly speculative conclusion would be that treating patients at the stage of mild-cognitive impairment with the products of the NXNL2 gene could be effective in preventing Alzheimer's disease. The restoration of LTP by corrective gene therapy shows this potential.
5. Experimental model and methods
5.1. See additional file 1 for complete methods
LTP recording
After delivery, Mice were housed in standard ventilated cages (IVC, Sealsafe, Techniplast, Marcoussis, France) coupled to an air-handling unit (TouchSLIMline, Exhaust, Techniplast, Marcoussis, France), equipped with solid floors and a layer of bedding. The cages were cleaned at regular intervals to maintain hygiene. Environmental parameters were as follows: temperature: ∼22°C, relative humidity: ∼55%. Mice had ad libitum access to standard rodent chow. The food was stored under dry and cool conditions in a well-ventilated storage room. Mice had ad libitum access to pre filtered and sterile water. The amounts of food and water were checked daily, supplied when necessary and refreshed once a week. Mice were kept on a 12-h light/dark cycle. Experimenters were blinded to genotype and treatment for all experiments. Data were analyzed by measuring the slope of individual fEPSPs at 0-1.5 ms from the top of the signal by linear fitting using Clampfit (Molecular Devices, Union City, CA). LTP was quantified by comparing the mean fEPSP slope over the post- high frequency stimulation (HFS) period with the mean fEPSP slope during the baseline period. Group effects was assessed by changes in fEPSP slope, expressed as the percentage of the baseline value. For figure 5, only one hippocampal slide was used per animals.
For the first experiment (Table 1), intracellular metabolites were analyzed as described in [17] Briefly, analysis was performed by high performance anion exchange chromatography (Dionex ICS 2000 system, Sunnyvale, USA) coupled to a triple quadrupole QTrap 4000 (AB Sciex, CA USA) mass spectrometer. This analytical technology allows the separation and analysis of numerous highly polar metabolites belonging to several chemical families in the same analytical run. All samples were analyzed in the negative mode by multiple reaction monitoring. The amounts of metabolites of glycolysis, pentose phosphate pathways, tricarboxylic acid cycle as well as nucleotides were determined. To ensure highly accurate quantification, the isotope dilution mass spectrometry (IDMS) method was used. For quantification the addition of full 13C E. coli extract which contains a majority of the target metabolites was used, the internal standard. The quantification for each metabolite was first expressed as 13C/12C ratio or as 12C area if the internal 13C standard was not available. For metabolites for which a chemical standard was available, the absolute quantification was calculated from the corresponding calibration curve. For the second and the third experiment (Table 1 and Supplementary Fig. 6a), we used a LTQ Orbitrap Velos™ / Liquid anion exchange chromatography Dionex™ ICS-5000+ Reagent-Free™ HPIC™ equipment. The analyses were carried out on an IC-MS platform of a liquid anion exchange chromatography Dionex™ ICS-5000+ Reagent-Free™ HPIC™ (Thermo Fisher Scientific™, Sunnyvale, CA, USA) system, coupled to a Thermo Scientific™ LTQ Orbitrap Velos™ mass spectrometer (Thermo Fisher Scientific, San Jose, CA, USA) equipped with a heated electrospray ionization probe. Liquid anion exchange chromatography was performed with the Thermo Scientific Dionex ICS-5000+ Reagent-Free HPIC system (Thermo Fisher Scientific, Sunnyvale, CA, USA) equipped with an eluent generator system (ICS-5000+EG, Dionex) for automatic base generation (KOH). Analytes were separated within 50 min, using a linear KOH gradient elution applied to an IonPac AS11 column (250 x 2 mm, Dionex) equipped with an AG11 guard column (50 x 2 mm, Dionex) at a flow rate of 0.35 ml/min. The gradient program was following: 0 min: 0.5 mM, 1 min: 0.5 mM, 9.5 min: 4.1 mM, 14.6 min: 4.1 mM, 24 min: 9.65 mM, 31.1 min: 90 mM and 43 min: 90 mM, then 43 to 48 min vat 0.5 mM. The column and autosampler temperatures were thermostated at 25°C and 4°C, respectively. The injected sample volume was 15 μl. Measures were performed in triplicates from separate specimens. Mass detection was carried out in a negative electrospray ionization (ESI) mode at a resolution of 60 000 (at 400 m/z) in full-scan mode, with the following source parameters: the capillary temperature was 350°C, the source heater temperature, 300°C, the sheath gas flow rate, 50 arbitrary units (a.u.), the auxiliary gas flow rate, 5 arbitrary units (a.u.), the S-Lens RF level, 60%, and the source voltage, 2.75 kV. Data acquisition was performed using Thermo Scientific Xcalibur software. Metabolites were determined by extracting the exact mass with a tolerance of 5-10 ppm. For quantification the addition of full 13C E. coli extract which contains a majority of the target metabolites was used, and quantified as above. Data were processed using TraceFinder 4.1 software. For the third experiment (Supplementary Fig. 6a), the gradient was modified as follows equilibration with 7 mM KOH during 1.0 min; then KOH ramp from 7 to 15 mM, 1–9.5 min; constant concentration 10.5 min; ramp to 45 mM in 10 min; ramp to 70 mM in 3 min; ramp to 100 mM in 0.1 min; constant concentration 8.9 min; drop to 7 mM in 0.5 min; and equilibration at 7 mM KOH for 7.5 min.
5.2. Ethics approval and consent to participate
The mouse lines were maintained at the animal facility Charles Foix (UMS28) under standard conditions with access ad libitum to food and water with a 12-h light/dark cycle. The animals under experimentation were transferred to the animal facility of the Institut de la Vision under the agreement obtained April 26th, 2016 and for 5 years of the direction départementale de la protection des populations de Paris (B-75-12-02) and principal investigator (T.L.) certificate (N°A-75-1863; OGM n°5080 CA-II). Mice were housed with access ad libitum to food and water with a 12-h light/dark cycle of 20–50 lx. All experiments were performed in accordance with the European Community Council Directives of September 22, 2010 (2010/63/UE). The sex and age of animal subjects are: Figs. 1 and S1: ♂ PN60 ± 2 at the start of the standardized procedure. Fig. 2BCD: ♂ PN86 ± 8. Fig. 2FGH: ♂ PN69 ± 6. Fig. S2ABC: ♂ PN53 ± 7. Fig. 3AC, E and S5: ♂ PN60. Fig. 3D: ♂♀ PN71 ± 4. Fig. 4A ♀ PN73. Fig. 4BI and S4: ♂♀ PN63 ± 1. Figs. 5A and S5C: ♂ PN63. Fig. 5BG ♂ PN69 ± 6. Fig. 6A: ♂ PN300. PN330 ± 30. Fig. 6BK and S7G: ♂ PN 561. Fig. S6; ♂♀ PN63 ± 3. Fig. 7: ♂♀ PN471. Fig. S7AE: ♂♀ PN66. Fig. S7F: ♂ PN330 ± 30.
5.3. Availability of data and materials
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Nucleoredoxin-like 2 LTP https://doi.org/10.17632/2rprjfnvk4.1
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Behavior tests of the Nxnl2 knock-out mouse https://doi.org/10.17632/y6d6zsgfyv.1
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eBrain: DOI 10.25493/4975-NDG
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Metabolomics: DOI 10.17632/yjmhvpp7rf.1
5.4. Animals
The Nxnl2−/− mice on BALB/c background were generated previously [2]. The BALB/c (Nxnl2+/+) mice were used as their wild-type controls. The Nxnl2R/R mice was generated at the Institut Clinique de la Souris http://www.ics-mci.fr/en/ using embryonic stem cell clones on a C57BL/6-N background from the VelociGene project # VG14768 MMRRC:059676-UCD. These clones were produced using bacterial artificial chromosome (BAC)-based targeting vectors were constructed to replace the coding sequence of the Nxnl2 gene with a β-galactosidase reporter gene at positions (51,266,695–51,270,168) of the mouse chromosome 13, corresponding to the ATG and TGA of the RdCVF2L mRNA. The mice, generated on a C57BL/6-N background, were genotyped using multiplex PCR with wild-type: 5′-CCGCTTCTAGGACAGATGTCAG-3'and 5′-GGTAGCATCGCAACTTGGATAAC-3′, R allele: 5′-GTGGTTTGTCCAAACTCATCA-3′ and 5′-GAAGTTATCTCGAGTCGCTACCTTAG-3′ primers. The heterozygous mice (Nxnl2R/+) were produced by crossing with C57BL/6-N, wild-type mice, which were using as negative controls (Nxnl2+/+, C57BL/6-N).
5.5. Behavior testing
The tests were performed on groups of 12 ♂ Nxnl2−/− and Nxnl2+/+ aged of 2 months at the department of Phenotyping of the Institut Clinique de la Souris (Phenotyping - Institut Clinique de la Souris (ics-mci.fr) using standardized procedures and a well-established pipeline [80]. The tests were performed following an ordered process: 1 - Spontaneous activity and food/water intake, 2 - Open-field test (Anxiety-related and social behavior), 3- SHIRPA (General health and basic sensory functions), 4 - Grip test (Sensori-motor abilities), 5 - Traction reflex test/String test (Sensori-motor abilities), 6 - Rotarod test (Sensori-motor abilities), 7 - Y-maze spontaneous alternation (Learning and memory), 8 - Tail suspension test (Depression-like behavior), 9 - Acoustic startle reactivity and pre-pulse inhibition, 10 - Contextual and cued fear conditioning (Learning and memory), 11 - Hot plate test (Pain sensitivity), 12 - Pentylenetetrazol susceptibility. The water Morris maze test (Learning and memory) was performed on a distinct cohort of 12 ♂ Nxnl2−/− and Nxnl2+/+ aged of 2 months. The Y-maze spontaneous alternation was also performed on an additional cohort of 12 ♂ Nxnl2−/− and Nxnl2+/+ aged of 2 months and on a cohort of 12 ♂ Nxnl1−/− and Nxnl1+/+ aged of 2 months. On testing days, animals were transferred to the antechambers of the experimental room 30 min before the start of the experiment. All experiments were performed between 8:00 a.m. and 4:00 p.m. A resting period of 2 days to 1 week was used between two consecutive tests. Row data are available at https://data.mendeley.com/datasets/y6d6zsgfyv/1.
5.6. LTP recording
Recordings were performed on hippocampal slices of groups of ♂ Nxnl2−/− and Nxnl2+/+ aged of 2 months at E-Phy-Science https://www.e-phy-science.com/ (Fig. 2, Fig. 5). Recordings were also performed on hippocampal slices of groups of ♂ Nxnl2−/− and Nxnl2+/+ aged of 2 months at Institut du Fer à Moulin https://ifm-institute.org/en/home/ according to a protocol previously described (Supl. Fig. 2A) [81]. Mice were deeply anesthetized with isoflurane and decapitated. The brain was quickly removed and immersed in ice-cold pre-oxygenated artificial cerebrospinal fluid (aCSF). 400 μm-thick slices were prepared using a vibratome (VT 1000S; Leica Microsystems, Bannockburn, IL), and placed in a holding chamber in aCSF containing: 124 mM NaCl, 3.5 mM KCl, 1.5 mM MgSO4, 2.5 mM CaCl2, 26.2 mM NaHCO3, 1.2 mM NaH2PO4, 11 mM glucose, continuously oxygenated (pH = 7.4, 27 °C). Slices were allowed to recover in these conditions from the slicing at least 1 h before recording. For electrophysiological recordings, a single slice was placed in the recording chamber, submerged and continuously superfused with gassed (95% O2, 5% CO2) aCSF (28–31 °C) at a constant rate (2 ml min−1) for the reminder of the experiment. Extracellular field excitatory postsynaptic potentials (fEPSPs) were recorded in the Cornu Ammonis (CA)1 stratum radiatum using a glass micropipette filled with aCSF. fEPSPs were evoked by the electric stimulation of Schaffer collaterals/commissural pathway at 0.1 Hz with a bipolar tungsten stimulating electrode placed in the stratum radiatum (100 μs duration). Stable baseline fEPSPs were recorded by stimulating at 30% maximal field amplitude for 20 min prior to beginning experiments [single stimulation every 20 s (3 Hz)]. Synaptic transmission (input/output) curves were constructed to assess basal synaptic transmission in groups of animals. Long-term potentiation (LTP) was induced by the following stimulation protocol: 3 trains of 100 stimulations at 100 Hz at the same stimulus intensity, with a 20 s interval between trains. Following this conditioning stimulus, a 1 h test period was recorded where responses were again elicited by a single stimulation every 20 s (3 Hz) at the same stimulus intensity. Signals were amplified with an Axopatch 200B amplifier (Molecular Devices, Union City, CA) digitized by a Digidata 1550 interface (Axon Instruments, Molecular Devices, Union City, CA) and sampled at 10 kHz. Recordings were acquired using Clampex (Molecular Devices) and analyzed with Clampfit (Molecular Devices, Union City, CA). Row data are available at https://data.mendeley.com/datasets/2rprjfnvk4/1.
5.7. β-galactosidase staining
For β-galactosidase enzymatic staining, two months aged mice were perfused by transcardial perfusion with 4% paraformaldehyde. Brains were removed and fixed by immersion in 4% paraformaldehyde for 2 h followed by incubation in sucrose 30% over-night (ON). Coronal sections were cut at 25 μm on a HM 450 sliding microtome (Thermo Scientific, Waltham, MA USA). For detection of β-galactosidase, sections were rinsed in phosphate-buffered saline (PBS) 1× and incubated for 24 h in staining solution (0.1 M ferricyanide, 0.1 M ferrocyanide, 1 M MgCl2, 20 mg/ml 5-bromo-4-chloro-3-indolyl-β-d-galactopyranoside in PBS 1 × 0.1% Tween®) at 37 °C in a humidified incubator. After washing in PBS, sections were mounted in Fluoromount™ Aqueous Mounting Medium. Slides were scanned at cellular resolution with a Nanozoomer (Hamamatsu, Hamamatsu City, Japan). The profile in the whole Nxnl2R/+ brain is available at DOI 10.25493/4975-NDG.
5.8. Metabolomic analysis
Metabolomic analysis of standardized hippocampal specimens of ♂ Nxnl2−/− and Nxnl2+/+ aged of 2 months (Fig. 4) or treated ♂ and ♀ Nxnl2−/− and Nxnl2+/+ aged of 2 months (Fig. 5) were performed by the national infrastructure MetaToul https://www6.toulouse.inrae.fr/metatoul/. The brain is extracted from the cranium, making sure not to damage it, then rinsed in PBS. We removed the cerebellum, making sure not to damage the extremities of the 2 lobes and glued the brain on the support of the vibratome, posterior side up. Using a vibratome, we cut 0.5 mm slices lengthwise until reaching the hippocampus. We collected 0.5 mm slices with hippocampal tissue in PBS. Using a binocular magnifying glass, we selected slices with well visible hippocampus morphology (serrated gyrus of the hippocampus visible). We then made three standardized sections using a punch of 2 mm diameter, collected in an Eppendorf tube, and immediately frozen in liquid nitrogen while awaiting sample processing, then further stored at −80 °C. On the day of extraction of the metabolites, we set-up the freeze-mill to cool. The tubes were taken out of −80 °C and left them in liquid nitrogen while waiting. We added 3 steel balls to the tubes containing the hippocampus specimens and immediately placed them in the previously cooled ball mill. We performed 5 × 1 min 30 frequency/sec on a liquid nitrogen-refrigerated CryoMill (Retsch, Haan, Germany). When tissues were powdered, we added 1 ml per tube of methanol/H2O (80/20) previously cooled to −80 °C plus 120 μl of 13C internal standard. We proceed for 1 min successively with 10 s of vortex +10 s of sonicator +10 s on ice. The specimens were centrifuged for 5 min at 4 °C 13,000 g. The supernatants were collected in a 2-ml Eppendorf tube to which we added 1 ml of cold methanol/H2O (80/20) mixed to the pellet and performed the same 1 min vortex/sonicator/ice cycle, as before. We centrifuged the tubes for 5 min at 4 °C at 13,000 g, recovered the 2nd supernatant and pooled it with the 1st one. The resulting standardized hippocampal specimens were frozen by immersing in liquid nitrogen and stored at −80 °C pending metabolomic analysis. The specimens were sent on dry-ice. Processed data are available at DOI 10.17632/yjmhvpp7rf.1. Row data are available upon request.
5.9. Recombinant adeno-associated viral (AAV) vector production and validation
Plasmids AAV2/9-2 YF- cytomegalovirus enhancer/chicken β-actin (CMV/CBA)-RdCVF22Agreen fluorescent protein (GFP) and AAV2/9-2 YF-CMV/CBA-RdCVF2L2AGFP contain the GFP protein, a self-cleaving 2A peptide upstream of the cDNA of mouse RdCVF2 (Q9D531-4) and mouse RdCVF2L (Q9D531-3) respectively under the control of the CMV/CBA promoter. AAV2/9-2 YF-CMV/CBA-GFP is the negative control. Recombinant AAV was purified via iodixanol gradient ultracentrifugation as described previously [7]. The 40% iodixanol fraction was then buffer-exchanged against PBS supplemented with 0.001% tween-20 and concentrated using ultrafiltration on with a cutoff of 100 kDa (Amicon Ultra-15) to a final volume of 200 μl. DNase-resistant viral genomes in the concentrated stock were then tittered by qPCR relative to standards. Vector concentrations were calculated in viral genomes (vg)/ml with AAV2/9-2 YF-CMV/CBA-GFP at 1.35 × 1014 viral genome (vg)/ml, AAV2/9-2 YF-CMV/CBA-RdCVF22AGFP at 1.16 × 1014 vg/ml, and AAV2/9-2 YF-CMV/CBA-RdCVF2L2AGFP at 8.85 × 1013 vg/ml. The quality controls were performed by silver staining using ProteoSilve™ Silver Stain Kit (PROT-SIL1, Sigma, St Louis, MI, USA) and the procedure recommended by the supplier. Each lane was loaded with 1 × 1010 vg with 100 mM dithiothreitol (DTT) onto a 4–12% gel (Supl. Fig. 5A). Uranyl acetate straining was done according to Ref. [82]. Just before pipetting, microtubes were shaken to resuspend the virus particles. 5 μl of each sample was deposited on a 300-mesh nickel grids with 10 nm formvar and 1 nm carbon film (Electron Microscopy Sciences, USA) side up for 1 min at room temperature to let the virus particles adsorb on the film. Samples were quickly rinsed with one first drop (filtered with a 0.22 μm isopore) of 2.5% w/v uranyl acetate (Prolabo, Fontenay-sous-Bois, France) diluted with ultrapure water, then contrasted 1 min with a second drop of the same solution in the dark. Excess solution was removed using a Whatman grade n°40 ashless filter paper and grids were let dry at room temperature. Observations were performed using a LaB6 JEM 2100 HC TEM (Jeol, Japan), at 200 kV, spot size 1, condenser aperture 1 (150 μm diameter) and objective aperture 3 (15 μm diameter). Acquisitions were made with a side mounted Veleta charge-coupled device (CCD) camera driven by iTEM software version 5.2 (Olympus, Tokyo, Japan). Images were recorded with a 2k x 2k pixels definition (binning 1 × 1) and a 750 ms exposure time. Quantification of the ratio of empty versus full particles was obtained from the mean of counting of 4 independent images taken at magnification 300,000 (Supl. Fig. 5B). The intracardiac injection in PN4 mice was done as described previously [7]. PN4 Nxnl2−/− or Nxnl2+/+ mice (BALB/c) aged were injected directly in the heart with 20 μl of viral solution (4 × 1012 vg) for AAV2/9-2 YF-CMV/CBA-GFP, AAV2/9-2 YF-CMV/CBA-RdCVF22AGFP and AAV2/9-2 YF-CMV/CBA-RdCVF2L2AGFP (Fig. 5). ½ AAV2/9-2 YF-CMV/CBA-RdCVF22AGFP + ½ AAV2/9-2 YF-CMV/CBA-RdCVF2L2AGFP corresponds to 2 × 1012 vg of each recombinant vector (Fig. 5). Alternatively, we injected only 10 μl of ½ AAV2/9-2 YF-CMV/CBA-RdCVF22AGFP + ½ AAV2/9-2 YF-CMV/CBA-RdCVF2L2AGFP which correspond to corresponds to 0.5 × 1012 vg of each recombinant vector (Fig. 7).
5.10. Immunohistochemistry and histological staining
Two months aged Nxnl2R/+ (Fig. 2C) and Nxnl2+/+ (Fig. 2E) ♂ mice were perfused by transcardial perfusion with 4% paraformaldehyde. Brains were removed and fixed by immersion in 4% paraformaldehyde for 2 h followed by incubation in sucrose 30% ON. Coronal sections were cut at 25 μm on a HM 450 sliding microtome (Thermo Scientific™). After β-galactosidase staining, Nxnl2R/+ slices were permeabilized in 0.3% Triton X-100 in PBS for 4 min and block in 5% bovine serum albumin (BSA), 10% normal goat serum (NGS) in PBS for 1h 30 at room temperature (RT). After two washes of 5 min in PBS, slides were incubated ON at 4°C rat monoclonal anti-PLVAP (BD Biosciences, Franklin Lakes, NJ USA Cat# 553849, research resource identifiers (RRID): AB_395086, 1/20) (Fig. 2C), plus rabbit polyclonal anti-GLUT1 antibodies (Alpha-diagnostic, San Antonio, TX, USA, GT11-A, RRID: AB_1616630, 1/100) (Fig. 2D) in 5% bovine serum albumin (BSA), 10% normal goat serum (NGS) in PBS. Slides were washed twice for 10 min in 5% BSA in PBS and once 10 min in 1% BSA, 0.1% tween-20 in PBS at RT, then 1h 30 at room temperature (RT) with anti-rat HRP (Jackson ImmunoResearch, West Grove, PA, USA, RRID: AB_2340639, 1/200) in 2% NGS 0.1% Triton in PBS (Fig. 2C) or in the secondary incubation with anti-rat fluo-λ488 (1/400) and anti-mouse fluo-λ594 (1/400) in 1% BSA, 10% NGS, 0.1% tween-20 (Fig. 2C). Nxnl2+/+ brain was dissected after intra-cardiac perfusion of in 4% paraformaldehyde/PBS (PFA 4%/PBS) with a peristaltic pump followed by the incubation of (PFA 4%/PBS) ON at 4°C. Tissues were incubated successively in 10, 20 and 30% sucrose at 4°C and embedded in optimal cutting temperature (OCT medium) and then freezing in isopentane cooled in liquid nitrogen between −40 and 45°C. The staining protocol with hematoxylin-eosin is standard with 12 min for hematoxylin and 2 min for eosin on 12 μm horizontal cryostat sections (Fig. 4A). The brain specimens of Nxnl2+/+ and Nxnl2−/−, were obtained after intra-cardiac perfusions as above and incubated successively in 10, 20 and 30% sucrose at 4°C and cutting with a slide microtome (HM450, Microm) and a freezer unit with 60 μm sagittal slide. The floating sections with observation of GFP were selected for immunohistochemistry with a chicken polyclonal antibodies anti-GFP (Abcam, Cambridge, MA, USA, Cat# ab13970, RRID: AB_300798, 1/1250) ON at 4°C, then, after 2 h with saturation step with triton 0.1%/PBS and revealed with a secondary goat anti-chicken λ488 (1/600) and with Hoechst 33342 (Invitrogen, Carlsbad, CA, USA) during 1 h at room temperature and imaged with an epifluorescence microscope (Leica, Wetzlar Germany) (Fig. 5A and B and Supl. Fig. 5). Slices were permeabilized in 0.3% Triton X-100 in PBS for 4 min and block in 5% bovine BSA, 10% NGS in PBS for 1h 30 at room temperature (RT). After two washes of 5 min in PBS, slides were incubated ON at 4°C with mouse monoclonal antibody anti-RBFOX3/NeuN (Millipore, Burlington, MA, USA, Cat# MAB377, RRID: AB_2298772, 1/500 dilution) and rabbit polyclonal anti-GFAP antibodies (Agilent, Santa Clara, CA, USA, Cat# N1506, RRID: AB_10013482, 1/500). Slices were washed twice in PBS then incubated 1h 30 at RT with and fluo-λ488 conjugated goat anti-mouse and fluo-λ594 conjugated goat anti-rabbit antibodies (Fig. 6A).
5.11. Western blotting
For western blotting analysis of hippocampal specimens, Nxnl2−/− and Nxnl2−/− standardized hippocampal specimens (Fig. 4G and H, Supl. Fig. 4G and H) or standardized hippocampal specimens from AAV-treated Nxnl2−/− mice (Supl. Fig. 5I and J) were prepared from three 0.5 mm thick vibratome slice of 2 mm Ø, all from 2-month mice. Tissues were sonicated twice 10 s on ice in 50 mM Tris-HCl (pH 7.5), 1 mM EDTA, 1 mM DTT, 1% Triton X-100, 1 mM phenylmethylsulfonyl fluoride (PMSF), 0.14 mM Tosyl-l-lysine chloromethyl ketone hydrochloride (TLCK) in the presence of a cocktail of proteinase inhibitors (P2714, Sigma, St Louis, MI, USA). After 30 min on ice, the extracts were centrifuged 5 min at 12,000 rpm at 4°C and 40 μg of whole cell extracted were loaded on a sodium dodecyl sulfate (SDS) gel and transferred to a 0.22 μm nitrocellulose membrane. The samples were not heated for GLUT1 analysis [7,83]. After Saturation, the membranes were incubated with rabbit polyclonal anti-GLUT1 antibodies (Alpha-diagnostic, San Antonio, TX, USA, GT11-A, RRID: AB_1616630, 1/500), rabbit monoclonal anti-GLUT3 antibody (Abcam, Cambridge, MA, USA, Cat# ab191071, RRID: AB_2736916, 1/1000), mouse monoclonal anti-GLUT4 antibody (Santa Cruz Biotechnology, Santa Cruz, CA, USA, Cat# sc-53566, RRID: AB_629533, 1/100) or chicken polyclonal antibodies anti-GFP (Abcam, Cambridge, MA, USA, Cat# ab13970, RRID: AB_300798, 1/5000) ON at 4°C. The western blots were revealed with anti-rabbit or anti-mouse IgG coupled to peroxidase. The signals do not appear with the secondary antibody alone. After stripping the membrane 15 min at RT using reblot plus strong antibody stripping solution (Millipore, Burlington, MA, USA, 60512), the membranes they were incubated with mouse monoclonal anti-ACTB (Millipore, Burlington, MA, USA, Cat# MAB1501, RRID: AB_2223041, 1/10,000) ON at 4°C and revealed with anti-mouse IgG coupled to peroxidase (Jackson Immunoresearch, West Grove, PA, USA, 1/10,000). Filter binding assay was performed as previously described [4] (Fig. 6B, Supl. Fig. 7C). The human brain specimens were provided by NeuroCEB. After dissection of the brain of 18-month Nxnl2+/+ an Nxnl2−/−, the cerebellum was removed. Brain extracts were made in lysis buffer (10 mM Tris HCl, pH 8.0, 150 mM NaCl, 1 mM EDTA, 1% NP40, 1% sodium deoxycholate), sonicated and suspended in PBS 2% SDS. 50 μg of protein extract was filtered through 0.22 μm nitrocellulose membrane using Bio-Dot SF assembly (Bio-Rad, Hertfordshire, UK). The 0.22 μm membrane was probed with mouse monoclonal anti-TAU antibody (Santa Cruz Biotechnology, Santa Cruz, CA, USA, Cat# sc-58860, RRID: AB_785931, 1/500). To study TAU expression, oligomerization and phosphorylation, extracts from 18-month Nxnl2+/+, Nxnl2−/− (untreated and treated), Mapt+/+ and Mapt−/- brains without cerebellum were sonicated twice 10 s on ice in 50 mM Tris-HCl (pH 7.5), 1 mM EDTA, 1 mM DTT, 1% Triton X-100, 1 mM PMSF, 0.14 mM TLCK, a cocktail of proteinase inhibitors (P2714, Sigma) and phosphatase inhibitor cocktail (524627, Calbiochem). After 30 min on ice, the extracts were centrifuged 5 min at 12,000 g at 4°C and 40 μg of the supernatant, the whole cell extracted were loaded with Laemmli buffer on a SDS-gel, then transferred to a 0.45 mm polyvinylidene fluoride (PVDF) membrane (Millipore, Burlington, MA, USA). For oligomerization, a 4–12% Bis-Tris protein gel (ThermoFisher, Cat #NP0322BOX) was used instead of SDS-gel that was run under non-reducing conditions (Fig. 6C). After saturation, the membranes were incubated either with chicken polyclonal antibodies anti-GFP (Abcam, Cambridge, MA, USA, Cat# ab13970, RRID: AB_300798, 1/5000) (Fig. 7A) mouse monoclonal anti-TAU antibody (Santa Cruz Biotechnology, Santa Cruz, CA, USA, Cat# sc-58860, RRID: AB_785931, 1/500) (Fig. 6C and D), mouse monoclonal anti-phosphoTAUAT100 antibody (Thermo Fisher Scientific, Sunnyvale, CA, USA Cat# MN1060, RRID: AB_223652, 1/200 (Fig. 6, Fig. 7B) or mouse monoclonal anti-phosphoTAUAT8 antibody (Thermo Fisher Scientific, Sunnyvale, CA, USA Cat# MN1020, RRID: AB_223647, 1/200) (Fig. 6F) ON at 4°C. Western blots were revealed with anti-species immunoglobulin (Ig)G coupled to peroxidase (Jackson Immunoresearch, West Grove, PA, USA, 1/15,000). After stripping as above, the membranes were incubated with mouse monoclonal anti-ACTB (Millipore, Burlington, MA, USA, Cat# MAB1501, RRID: AB_2223041, 1/10,000) (Fig. 6H) ON at 4°C and revealed with anti-mouse IgG coupled to peroxidase (Jackson Immunoresearch, West Grove, PA, USA, 1/15,000). After stripping as above, the membranes were incubated with mouse monoclonal anti-ACTB (Millipore, Burlington, MA, USA, Cat# MAB1501, 1/10,000). The quantification was made by respecting the proportion of bands in each piece of membrane assembled as indicated by a chevron (<) (Fig. 6). Extracts from 2-month Nxnl2+/+ and Nxnl2−/− brains without cerebellum were prepared and analyzed with mouse monoclonal anti-phosphoTAUAT100 antibody (Thermo Fisher Scientific, Sunnyvale, CA, USA, Cat# MN1060, RRID: AB_223652, 1/200) as above (Supl. Fig. 7aA). After stripping, the membrane was incubated with mouse monoclonal anti-ACTB (Millipore, Burlington, MA, USA, Cat# MAB1501, RRID: AB_2223041, 1/10,000) ON at 4°C and revealed with anti-mouse IgG coupled to peroxidase (Jackson Immunoresearch, West Grove, PA, USA, 1/15,000). After stripping as above, the membranes were incubated with mouse monoclonal anti-ACTB (Millipore, Burlington, MA, USA, Cat# MAB1501, 1/10,000). The membrane was then re-stripped and analyzed for the absence of signal using the secondary antibody alone, then incubated with mouse monoclonal anti-GFAP (Sigma-Aldrich Cat# G3893, RRID: AB_477010, 1/1000) (Supl. Fig. 7B).
5.12. RT-PCR
To analyze the expression of the Nxnl2 gene and the mRNAs of its two splicing variants, we dissected area postrema of 2-month Nxnl2R/R (2♀ and 2♂), Nxnl2R/+ (4 ♀) and Nxnl2+/+ (2♀ and 2♂) mice and used RNA from Nxnl2+/+ and Nxnl2−/− retinas as control [2]. RNA were purified with RNesay minikit (Qiagen, Hilden, Germany) and treated with DNAse I before reverse transcription. PCR was performed with the following primers RdCVF2: 5‘-AGTGCGGAGGAGATGTTGG-3’ and 5′-GCTCTGAAACAATAGCACGGT-3′, RdCVF2L: 5‘-AGATGTTGGACTTCATGCGC-3’ and 5′- GAAAACATCGGCTGCTTCCA-3′, βGal: 5′-TGACTGTAGGGGCTGATG TTG-3′ and 5′-GGTAAACTGGCTCGGATTAGGG-3’. The amplification products were validated by sequencing.
5.12. Statistical analyses
Fig. 1, Supplemental Fig. 1, Fig. 2, Supplemental Fig. 2, Fig. 4, Supplemental Figure 4BD: Student's t-test. Supplemental Fig. 4A: Pearson correlation. Supplemental Fig. 4E: Student's t-test. Fig. 5CF: Two-way ANOVA - repeated measures. Fig. 5G: One-way ANOVA. Supplemental Figure 5BF and J: Student's t-test. Supplemental Fig. 5G: One-way ANOVA. Supplemental Fig. 5H: Two-way ANOVA - repeated measures. Fig. 5J: One-way ANOVA. Supplemental Fig. 6B: Pearson correlation. Supplemental Figure 6CE: One-way ANOVA. Fig. 7 and Supplemental Fig. 7A: Student's t-test. Supplemental Fig. 7C: Pearson correlation.
Funding
This research was funded by the Agence Nationale pour la Recherche (ANR, Maladies neurologiques et maladies psychiatriques, 2008), Fondation Plan Alzheimer (2011), Fondation Vaincre Alzheimer (2019). This work was also supported by Inserm, Sorbonne Université, and IHU FOReSIGHT [ANR-18-IAHU-0001].
Authors' contributions
C.J., F.O., E.C., G.M-P., M.C., N.A-A., F.B., Q.C., H.M., L.G. performed the experiments. M.F., D.D., J-C.P., J-C.P. J-A.S. provided scientific and technical expertise. T.L. and C.J. designed the project. T.L. wrote the manuscript. All authors read and approved the final manuscript.
Declaration of competing interest
C.J., J-A.S. and T.L. hold two patents on the use of the NXNL2 gene products as therapeutic agents (WO2010029130A1 and WO2008148860A1). Correspondence and requests for materials should be addressed to T Léveillard (thierry.leveillard@inserm.fr).
Acknowledgements
We thank Jesús Avila, Floriant Bellvert, Alexis Canette, Orna Corchia, Hana N. Dawson, Charles Duyckaerts Vanessa Ferracane, Stéphane Fouquet, Ram Fridlich, Denis Guedin, Camilla Hagen Blixhavn, John Han, Sandrine Hugues-Ascery, Hamid Meziane, Fabrice Riet, Tania Sorg, Alban Vignaud, Celphedia and Phenomin at the Institut Clinique de la Souris, the Electron Microscopy Facility, Institut de Biologie Paris-Seine and NeuroCEB for their invaluable help.
Footnotes
Supplementary data to this article can be found online at https://doi.org/10.1016/j.redox.2021.102198.
Abbreviations
- 2/3 PG
2/3-phosphoglycerate
- a.u.
Arbitrary unit
- AAV
Adeno-associated viral
- aCSF
Artificial cerebrospinal fluid
- BSA
Bovine serum albumin
- BSG1
Basigin-1
- CA
Cornu Ammonis
- CCD
Charge-coupled device
- CMV/CBA
Cytomegalovirus enhancer/chicken β-actin
- CSF
Cerebrospinal fluid
- DOI
Digital object identifier
- DTT
dithiothreitol
- F6P
Fructose-6-phosphate
- FBP
fructose 1,6-bisphosphate
- fEPSP
Field excitatory postsynaptic potentials
- FTDP-17
Frontotemporal dementia with parkinsonism linked to chromosome 17
- G6P
glucose-6-phosphate
- GFAP
Glial fibrillary acidic protein
- GFP
Green fluorescent protein
- GSH
Glutathione
- HFS
High frequency stimulation
- IDMS
Isotope dilution mass spectrometry
- Ig
Immunoglobulin
- LTP
Long-term potentiation
- NFT
Neurofibrillary tangles
- NGS
normal goat serum
- NMDA
N-methyl-d-aspartate
- NXNL1
Nucleoredoxin-like 1 gene
- NXNL2
Nucleoredoxin-like 2 gene
- ON
Over-night
- PBS
Phosphate-buffered saline
- PFA
paraformaldehyde
- PMSF
Phenylmethylsulfonyl fluoride
- PN
Post-natal day
- PPP
Pentose phosphate pathway
- PTZ
Pentylenetetrazol
- PVDF
Polyvinylidene fluoride
- RdCVF
Rod-derived cone viability factor
- RdCVF2
Rod-derived cone viability factor 2
- RdCVF2L
Rod-derived cone viability factor 2, long isoform
- RdCVFL
Rod-derived cone viability factor, long isoform
- RRID
research resource identifiers
- RT
room temperature
- SDS
Sodium dodecyl sulfate
- SHIRPA
SmithKline Beecham, Harwell, Imperial College, Royal London Hospital, phenotype assessment
- TAU
microtubule associated protein τ
- TLCK
Tosyl-l-lysine chloromethyl ketone hydrochloride
- vg
Viral genome
Appendix A. Supplementary data
The following are the Supplementary data to this article:
References
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Supplementary Materials
Data Availability Statement
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Nucleoredoxin-like 2 LTP https://doi.org/10.17632/2rprjfnvk4.1
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Behavior tests of the Nxnl2 knock-out mouse https://doi.org/10.17632/y6d6zsgfyv.1
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eBrain: DOI 10.25493/4975-NDG
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Metabolomics: DOI 10.17632/yjmhvpp7rf.1