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      Elimination of huntingtin in the adult mouse leads to progressive behavioral deficits, bilateral thalamic calcification, and altered brain iron homeostasis

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          Abstract

          Huntington’s Disease (HD) is an autosomal dominant progressive neurodegenerative disorder characterized by cognitive, behavioral and motor dysfunctions. HD is caused by a CAG repeat expansion in exon 1 of the HD gene that is translated into an expanded polyglutamine tract in the encoded protein, huntingtin (HTT). While the most significant neuropathology of HD occurs in the striatum, other brain regions are also affected and play an important role in HD pathology. To date there is no cure for HD, and recently strategies aiming at silencing HTT expression have been initiated as possible therapeutics for HD. However, the essential functions of HTT in the adult brain are currently unknown and hence the consequence of sustained suppression of HTT expression is unpredictable and can potentially be deleterious. Using the Cre-loxP system of recombination, we conditionally inactivated the mouse HD gene homologue at 3, 6 and 9 months of age. Here we show that elimination of Htt expression in the adult mouse results in behavioral deficits, progressive neuropathological changes including bilateral thalamic calcification, and altered brain iron homeostasis.

          Author summary

          Huntington’s Disease is a genetic disorder characterized by progressive cognitive, behavioral and motor dysfunctions. Usually the first symptoms appear around 40 years of age, and lead to death within 15–20 years after the onset of symptoms. To date there is no cure for Huntington’s Disease, and current therapeutic strategies are only palliative, and far from optimal. Gene silencing currently appears as the most attractive approach for the treatment of Huntington’s Disease. However, since normal and mutant huntingtin (the protein product of the Huntington’s disease gene) differ only on the polyglutamine length, unless allele-specific silencing is planned, normal huntingtin (that is neuroprotective) will also be inactivated with unknown implications. To address these questions, we investigated the consequences of elimination of normal huntingtin function in adulthood. In summary, our studies show that huntingtin plays a role in brain iron homeostasis, and that elimination of huntingtin in the adult mouse results in behavioral deficits and progressive neuropathological changes including bilateral thalamic calcification.

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          Most cited references60

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          Increased apoptosis and early embryonic lethality in mice nullizygous for the Huntington's disease gene homologue.

          The expansion of CAG triplet repeats in the translated region of the human HD gene, encoding a protein (huntingtin) of unknown function, is a dominant mutation leading to manifestation of Huntington's disease. Targeted disruption of the homologous mouse gene (Hdh), to examine the normal role of huntingtin, shows that this protein is functionally indispensable, since nullizygous embryos become developmentally retarded and disorganized, and die between days 8.5 and 10.5 of gestation. Based on the observation that the level of the regionalized apoptotic cell death in the embryonic ectoderm, a layer expressing the Hdh gene, is much higher than normal in the null mutants, we propose that huntingtin is involved in processes counterbalancing the operation of an apoptotic pathway.
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            Mutations in the gene encoding PDGF-B cause brain calcifications in humans and mice.

            Calcifications in the basal ganglia are a common incidental finding and are sometimes inherited as an autosomal dominant trait (idiopathic basal ganglia calcification (IBGC)). Recently, mutations in the PDGFRB gene coding for the platelet-derived growth factor receptor β (PDGF-Rβ) were linked to IBGC. Here we identify six families of different ancestry with nonsense and missense mutations in the gene encoding PDGF-B, the main ligand for PDGF-Rβ. We also show that mice carrying hypomorphic Pdgfb alleles develop brain calcifications that show age-related expansion. The occurrence of these calcium depositions depends on the loss of endothelial PDGF-B and correlates with the degree of pericyte and blood-brain barrier deficiency. Thus, our data present a clear link between Pdgfb mutations and brain calcifications in mice, as well as between PDGFB mutations and IBGC in humans.
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              What is and what is not 'Fahr's disease'.

              Bilateral almost symmetric calcification involving striatum, pallidum with or without deposits in dentate nucleus, thalamus and white matter is reported from asymptomatic individuals to a variety of neurological conditions including autosomal dominant inheritance to pseudo-pseudohypoparathyroidism. While bilateral striopallidodentate calcinosis is commonly referred to as 'Fahr's disease' (a misnomer), there are 35 additional names used in the literature for the same condition. Secondary bilateral calcification is also reported in a variety of genetic, developmental, metabolic, infectious and other conditions. In autosomal dominant or sporadic bilateral striopallidodentate calcinosis no known calcium metabolism abnormalities are known to date. Clinically, parkinsonism or other movement disorders appear to be the most common presentation, followed by cognitive impairment and ataxia. When presence of movement disorder, cognitive impairment and ataxia are present, a computed tomography scan of the head should be considered to rule-in or rule-out calcium deposits. Calcium and other mineral deposits cannot be linked to a single chromosomal locus. Further genetic studies to identify the chromosomal locus for the disease are in progress.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS Genet
                PLoS Genet
                plos
                plosgen
                PLoS Genetics
                Public Library of Science (San Francisco, CA USA )
                1553-7390
                1553-7404
                17 July 2017
                July 2017
                : 13
                : 7
                : e1006846
                Affiliations
                [001]Department of Physiology, The University of Tennessee, Health Science Center, Memphis, Tennessee, United States of America
                CHDI Foundation, UNITED STATES
                Author notes

                The authors have declared that no competing interests exist.

                • Conceptualization: PD ID.

                • Formal analysis: PD ID.

                • Funding acquisition: ID.

                • Investigation: PD IMJ SA.

                • Methodology: PD ID.

                • Supervision: ID.

                • Writing – original draft: PD ID.

                • Writing – review & editing: PD IMJ SA ID.

                [¤a]

                Current address: Department of Pediatrics, The University of Tennessee, Health Science Center, Memphis, Tennessee, United States of America

                [¤b]

                Current address: Department of Ophthalmology, The University of Tennessee, Health Science Center, Memphis, Tennessee, United States of America

                Author information
                http://orcid.org/0000-0003-4255-4477
                http://orcid.org/0000-0003-4087-4813
                Article
                PGENETICS-D-16-02128
                10.1371/journal.pgen.1006846
                5536499
                28715425
                13451073-a9f5-4484-bcd0-1386ecde970b
                © 2017 Dietrich et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 23 September 2016
                : 1 June 2017
                Page count
                Figures: 7, Tables: 1, Pages: 29
                Funding
                Funded by: funder-id http://dx.doi.org/10.13039/100005725, CHDI Foundation;
                Award Recipient :
                Funded by: CO-ED for a CURE
                Award Recipient :
                This work was supported by CHDI Foundation, Inc. ( http://chdifoundation.org/) grant numbers A-1589 and A-5423 to ID and with generous support from CO-ED for a CURE. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Biology and Life Sciences
                Anatomy
                Brain
                Neostriatum
                Medicine and Health Sciences
                Anatomy
                Brain
                Neostriatum
                Biology and Life Sciences
                Organisms
                Animals
                Vertebrates
                Amniotes
                Mammals
                Rodents
                Mice
                Biology and Life Sciences
                Physiology
                Physiological Processes
                Calcification
                Medicine and Health Sciences
                Physiology
                Physiological Processes
                Calcification
                Medicine and Health Sciences
                Clinical Genetics
                Genetic Diseases
                Autosomal Dominant Diseases
                Huntington Disease
                Medicine and Health Sciences
                Neurology
                Neurodegenerative Diseases
                Huntington Disease
                Biology and Life Sciences
                Physiology
                Physiological Parameters
                Body Weight
                Weight Gain
                Medicine and Health Sciences
                Physiology
                Physiological Parameters
                Body Weight
                Weight Gain
                Biology and Life Sciences
                Anatomy
                Brain
                Thalamus
                Medicine and Health Sciences
                Anatomy
                Brain
                Thalamus
                Biology and Life Sciences
                Molecular Biology
                Molecular Biology Techniques
                Artificial Gene Amplification and Extension
                Polymerase Chain Reaction
                Research and Analysis Methods
                Molecular Biology Techniques
                Artificial Gene Amplification and Extension
                Polymerase Chain Reaction
                Biology and Life Sciences
                Physiology
                Physiological Processes
                Homeostasis
                Medicine and Health Sciences
                Physiology
                Physiological Processes
                Homeostasis
                Custom metadata
                vor-update-to-uncorrected-proof
                2017-07-31
                All relevant data are within the paper and its Supporting Information files.

                Genetics
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