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Robinson J, Chawla N, Patel S, Spey E, McNulty O, Kaur G. Neurodevelopmental Abnormalities in Down Syndrome: Assessing Structural and Functional Deficits. Cureus 2024; 16:e76156. [PMID: 39845250 PMCID: PMC11750628 DOI: 10.7759/cureus.76156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/21/2024] [Indexed: 01/24/2025] Open
Abstract
Down syndrome (DS) is a genetic intellectual disorder caused by trisomy of chromosome 21 (Hsa21) and presents with a variety of phenotypes. The correlation between the chromosomal abnormality and the resulting symptoms is unclear, partly due to the spectrum of impairments observed. However, it has been determined that trisomy 21 contributes to neurodegeneration and impaired neurodevelopment resulting from decreased neurotransmission, neurogenesis, and synaptic plasticity. DS is linked to synaptic abnormalities and hindered hippocampal neuron development as well. Altered synaptic plasticity in the hippocampus decreases long-term potentiation, leading to short- and long-term learning and memory deficits. Individuals with DS show reduced gray matter, which affects cerebral cortex structure and impairs coordination and thought. Neurotransmitter excess, such as increased gamma-aminobutyric acid (GABA) release, causes over-inhibition and contributes to cognitive deficits. This inhibition also affects hippocampal synaptic plasticity. Additionally, DS often involves neurodegeneration of cholinergic neurons in the basal forebrain, further impairing learning and memory. Reduced glutamate transmission and decreased amyloid precursor protein metabolism contribute to synaptic plasticity deficits and behavioral changes in DS. Decreased neurotransmission, diminished motor neurons, and impaired cerebellar and cerebral development are the main causes of motor deficits in DS. This review discusses the stark structural changes in DS and their functional consequences.
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Affiliation(s)
- Joelle Robinson
- Department of Physiology, Touro College of Osteopathic Medicine, Middletown, USA
| | - Nidhi Chawla
- Department of Physiology, Touro College of Osteopathic Medicine, Middletown, USA
| | - Shreya Patel
- Department of Physiology, Touro College of Osteopathic Medicine, Middletown, USA
| | - Eliana Spey
- Department of Physiology, Touro College of Osteopathic Medicine, Middletown, USA
| | - Olivia McNulty
- Department of Physiology, Touro College of Osteopathic Medicine, Middletown, USA
| | - Gurjinder Kaur
- Department of Physiology, Touro College of Osteopathic Medicine, Middletown, USA
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Rogerson-Wood L, Goldsbury CS, Sawatari A, Leamey CA. An early enriched experience drives targeted microglial engulfment of miswired neural circuitry during a restricted postnatal period. Glia 2024; 72:1217-1235. [PMID: 38511347 DOI: 10.1002/glia.24522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 02/17/2024] [Accepted: 02/27/2024] [Indexed: 03/22/2024]
Abstract
Brain function is critically dependent on correct circuit assembly. Microglia are well-known for their important roles in immunological defense and neural plasticity, but whether they can also mediate experience-induced correction of miswired circuitry is unclear. Ten-m3 knockout (KO) mice display a pronounced and stereotyped visuotopic mismapping of ipsilateral retinal inputs in their visual thalamus, providing a useful model to probe circuit correction mechanisms. Environmental enrichment (EE) commenced around birth, but not later in life, can drive a partial correction of the most mismapped retinal inputs in Ten-m3 KO mice. Here, we assess whether enrichment unlocks the capacity for microglia to selectively engulf and remove miswired circuitry, and the timing of this effect. Expression of the microglial-associated lysosomal protein CD68 showed a clear enrichment-driven, spatially restricted change which had not commenced at postnatal day (P)18, was evident at P21, more robust at P25, and had ceased by P30. This was observed specifically at the corrective pruning site and was absent at a control site. An engulfment assay at the corrective pruning site in P25 mice showed EE-driven microglial-uptake of the mismapped axon terminals. This was temporally and spatially specific, as no enrichment-driven microglial engulfment was seen in P18 KO mice, nor the control locus. The timecourse of the EE-driven corrective pruning as determined anatomically, aligned with this pattern of microglia reactivity and engulfment. Collectively, these findings show experience can drive targeted microglial engulfment of miswired neural circuitry during a restricted postnatal window. This may have important therapeutic implications for neurodevelopmental conditions involving aberrant neural connectivity.
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Affiliation(s)
- Lara Rogerson-Wood
- School of Medical Sciences (Neuroscience theme), Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia
| | - Claire S Goldsbury
- School of Medical Sciences (Neuroscience theme), Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia
| | - Atomu Sawatari
- School of Medical Sciences (Neuroscience theme), Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia
| | - Catherine A Leamey
- School of Medical Sciences (Neuroscience theme), Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia
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Barraza-Núñez N, Pérez-Núñez R, Gaete-Ramírez B, Barrios-Garrido A, Arriagada C, Poksay K, John V, Barnier JV, Cárdenas AM, Caviedes P. Pharmacological Inhibition of p-21 Activated Kinase (PAK) Restores Impaired Neurite Outgrowth and Remodeling in a Cellular Model of Down Syndrome. Neurotox Res 2023; 41:256-269. [PMID: 36867391 DOI: 10.1007/s12640-023-00638-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Revised: 12/27/2022] [Accepted: 02/10/2023] [Indexed: 03/04/2023]
Abstract
Down syndrome (DS) is characterized by the trisomy of chromosome 21 and by cognitive deficits that have been related to neuronal morphological alterations in humans, as well as in animal models. The gene encoding for amyloid precursor protein (APP) is present in autosome 21, and its overexpression in DS has been linked to neuronal dysfunction, cognitive deficit, and Alzheimer's disease-like dementia. In particular, the neuronal ability to extend processes and branching is affected. Current evidence suggests that APP could also regulate neurite growth through its role in the actin cytoskeleton, in part by influencing p21-activated kinase (PAK) activity. The latter effect is carried out by an increased abundance of the caspase cleavage-released carboxy-terminal C31 fragment. In this work, using a neuronal cell line named CTb, which derived from the cerebral cortex of a trisomy 16 mouse, an animal model of human DS, we observed an overexpression of APP, elevated caspase activity, augmented cleavage of the C-terminal fragment of APP, and increased PAK1 phosphorylation. Morphometric analyses showed that inhibition of PAK1 activity with FRAX486 increased the average length of the neurites, the number of crossings per Sholl ring, the formation of new processes, and stimulated the loss of processes. Considering our results, we propose that PAK hyperphosphorylation impairs neurite outgrowth and remodeling in the cellular model of DS, and therefore we suggest that PAK1 may be a potential pharmacological target.
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Affiliation(s)
- Natalia Barraza-Núñez
- Program of Molecular & Clinical Pharmacology, ICBM, Faculty of Medicine, University of Chile, Santiago, Chile
| | - Ramón Pérez-Núñez
- Program of Molecular & Clinical Pharmacology, ICBM, Faculty of Medicine, University of Chile, Santiago, Chile
| | - Belén Gaete-Ramírez
- Program of Molecular & Clinical Pharmacology, ICBM, Faculty of Medicine, University of Chile, Santiago, Chile
| | - Alejandra Barrios-Garrido
- Program of Molecular & Clinical Pharmacology, ICBM, Faculty of Medicine, University of Chile, Santiago, Chile
| | - Christian Arriagada
- Department of Anatomy & Forensic Medicine, Faculty of Medicine, University of Chile, Santiago, Chile
| | | | - Varghese John
- Department of Neurology, Easton Center for Alzheimer's Disease Research, University of California, Los Angeles, CA, USA
| | - Jean-Vianney Barnier
- Neuroscience Paris-Saclay Institute, UMR 9197, CNRS-Université Paris-Saclay, Gif-Sur-Yvette, France
| | | | - Pablo Caviedes
- Program of Molecular & Clinical Pharmacology, ICBM, Faculty of Medicine, University of Chile, Santiago, Chile.
- Center for Biotechnology & Bioengineering (CeBiB), Department of Chemical Engineering, Biotechnology & Materials, Faculty of Physical & Mathematical Sciences, University of Chile, Santiago, Chile.
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An Early Enriched Experience Drives an Activated Microglial Profile at Site of Corrective Neuroplasticity in Ten-m3 Knock-Out Mice. eNeuro 2023; 10:ENEURO.0162-22.2022. [PMID: 36635245 PMCID: PMC9831145 DOI: 10.1523/eneuro.0162-22.2022] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 09/29/2022] [Accepted: 10/09/2022] [Indexed: 12/15/2022] Open
Abstract
Environmental enrichment (EE) is beneficial for brain development and function, but our understanding of its capacity to drive circuit repair, the underlying mechanisms, and how this might vary with age remains limited. Ten-m3 knock-out (KO) mice exhibit a dramatic and stereotyped mistargeting of ipsilateral retinal inputs to the thalamus, resulting in visual deficits. We have recently shown a previously unexpected capacity for EE during early postnatal life (from birth for six weeks) to drive the partial elimination of miswired axonal projections, along with a recovery of visually mediated behavior, but the timeline of this repair was unclear. Here, we reveal that with just 3.5 weeks of EE from birth, Ten-m3 KOs exhibit a partial behavioral rescue, accompanied by pruning of the most profoundly miswired retinogeniculate terminals. Analysis suggests that the pruning is underway at this time point, providing an ideal opportunity to probe potential mechanisms. With the shorter EE-period, we found a localized increase in microglial density and activation profile within the identified geniculate region where corrective pruning was observed. No comparable response to EE was found in age-matched wild-type (WT) mice. These findings identify microglia as a potential mechanistic link through which EE drives the elimination of miswired neural circuits during early postnatal development. Activity driven, atypical recruitment of microglia to prune aberrant connectivity and restore function may have important therapeutic implications for neurodevelopmental disorders such as autistic spectrum disorder.
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Liu Y, Zhang X, Zhang L, Zhu H, Chen J, Lin Z, Zhou B, Liu S, Wang H, Sun H. Sex Differences in Protein Expression and Their Perturbations in Amniotic Fluid Cells of Down Syndrome Fetuses. ACS OMEGA 2022; 7:35981-35992. [PMID: 36249375 PMCID: PMC9558608 DOI: 10.1021/acsomega.2c05152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Accepted: 09/19/2022] [Indexed: 06/16/2023]
Abstract
Down syndrome (DS) is the most common chromosomal condition associated with intellectual disability and is characterized by a variety of additional clinical findings. The pathogenesis of DS and the differences between the sexes are not clear. In order to identify differentially expressed proteins that might be employed as potential biological markers and elucidate the difference in pathogenesis between different genders of T21 fetuses, providing clues for individualized detection and treatment is essential. Amniocyte samples of T21 males, T21 females, CN males, and CN females were collected by amniocentesis. The quantitative value of the peptide corresponding to each sample was determined through quantitative analysis by mass spectrometry. We identified many differentially expressed proteins between T21 fetuses and CN fetuses/T21 males and CN males/T21 females and CN females/and T21 males and T21 females. These differential proteins are associated with many important biological processes and affect the development of multiple systems, including the heart, hematopoietic, immune, reproductive, and nervous systems. Our results show sex-specific modulation of protein expression and biological processes and provide new insights into sex-specific differences in the pathogenesis of DS.
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Affiliation(s)
- Yanyan Liu
- Prenatal
Diagnosis Center, Department of Obstetrics & Gynecologic, Key
Laboratory of Birth Defects and Related Diseases of Women and Children
(Sichuan University), Ministry of Education, West China Second University
Hospital, Sichuan University, Chengdu 610041, People’s Republic of China
| | - Xuan Zhang
- Prenatal
Diagnosis Center, Department of Obstetrics & Gynecologic, Key
Laboratory of Birth Defects and Related Diseases of Women and Children
(Sichuan University), Ministry of Education, West China Second University
Hospital, Sichuan University, Chengdu 610041, People’s Republic of China
| | - Lili Zhang
- Prenatal
Diagnosis Center, Department of Obstetrics & Gynecologic, Key
Laboratory of Birth Defects and Related Diseases of Women and Children
(Sichuan University), Ministry of Education, West China Second University
Hospital, Sichuan University, Chengdu 610041, People’s Republic of China
| | - Hongmei Zhu
- Prenatal
Diagnosis Center, Department of Obstetrics & Gynecologic, Key
Laboratory of Birth Defects and Related Diseases of Women and Children
(Sichuan University), Ministry of Education, West China Second University
Hospital, Sichuan University, Chengdu 610041, People’s Republic of China
| | - Jiurong Chen
- Prenatal
Diagnosis Center, Department of Obstetrics & Gynecologic, Key
Laboratory of Birth Defects and Related Diseases of Women and Children
(Sichuan University), Ministry of Education, West China Second University
Hospital, Sichuan University, Chengdu 610041, People’s Republic of China
| | - Ziyuan Lin
- SCU-CUHK
Joint Laboratory for Reproductive Medicine, Key Laboratory of Birth
Defects and Related Diseases of Women and Children (Sichuan University),
Ministry of Education, Department of Pediatrics, West China Second
University Hospital, Sichuan University, Chengdu 610041, People’s Republic of China
| | - Bin Zhou
- Laboratory
of Molecular Translational Medicine, Center for Translational Medicine,
Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects
and Related Diseases of Women and Children (Sichuan University), Ministry
of Education, West China Second University Hospital, Sichuan University, Chengdu 610041, People’s Republic
of China
| | - Shanling Liu
- Prenatal
Diagnosis Center, Department of Obstetrics & Gynecologic, Key
Laboratory of Birth Defects and Related Diseases of Women and Children
(Sichuan University), Ministry of Education, West China Second University
Hospital, Sichuan University, Chengdu 610041, People’s Republic of China
| | - He Wang
- Prenatal
Diagnosis Center, Department of Obstetrics & Gynecologic, Key
Laboratory of Birth Defects and Related Diseases of Women and Children
(Sichuan University), Ministry of Education, West China Second University
Hospital, Sichuan University, Chengdu 610041, People’s Republic of China
| | - Huaqin Sun
- SCU-CUHK
Joint Laboratory for Reproductive Medicine, Key Laboratory of Birth
Defects and Related Diseases of Women and Children (Sichuan University),
Ministry of Education, Department of Pediatrics, West China Second
University Hospital, Sichuan University, Chengdu 610041, People’s Republic of China
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Kleschevnikov AM. Enhanced GIRK2 channel signaling in Down syndrome: A feasible role in the development of abnormal nascent neural circuits. Front Genet 2022; 13:1006068. [PMID: 36171878 PMCID: PMC9510977 DOI: 10.3389/fgene.2022.1006068] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 08/24/2022] [Indexed: 11/24/2022] Open
Abstract
The most distinctive feature of Down syndrome (DS) is moderate to severe cognitive impairment. Genetic, molecular, and neuronal mechanisms of this complex DS phenotype are currently under intensive investigation. It is becoming increasingly clear that the abnormalities arise from a combination of initial changes caused by triplication of genes on human chromosome 21 (HSA21) and later compensatory adaptations affecting multiple brain systems. Consequently, relatively mild initial cognitive deficits become pronounced with age. This pattern of changes suggests that one approach to improving cognitive function in DS is to target the earliest critical changes, the prevention of which can change the ‘trajectory’ of the brain development and reduce the destructive effects of the secondary alterations. Here, we review the experimental data on the role of KCNJ6 in DS-specific brain abnormalities, focusing on a putative role of this gene in the development of abnormal neural circuits in the hippocampus of genetic mouse models of DS. It is suggested that the prevention of these early abnormalities with pharmacological or genetic means can ameliorate cognitive impairment in DS.
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