Transient inhibition of the ERK pathway prevents cerebellar developmental defects and improves long-term motor functions in murine models of neurofibromatosis type 1
Abstract
Individuals with neurofibromatosis type 1 (NF1) frequently exhibit cognitive and motor impairments and characteristics of autism. The cerebellum plays a critical role in motor control, cognition, and social interaction, suggesting that cerebellar defects likely contribute to NF1-associated neurodevelopmental disorders. Here we show that Nf1 inactivation during early, but not late stages of cerebellar development, disrupts neuronal lamination, which is partially caused by overproduction of glia and subsequent disruption of the Bergmann glia (BG) scaffold. Specific Nf1 inactivation in glutamatergic neuronal precursors causes premature differentiation of granule cell (GC) precursors and ectopic production of unipolar brush cells (UBCs), indirectly disrupting neuronal migration. Transient MEK inhibition during a neonatal window prevents cerebellar developmental defects and improves long-term motor performance of Nf1-deficient mice. This study reveals essential roles of Nf1 in GC/UBC migration by generating correct numbers of glia and controlling GC/UBC fate-specification/differentiation, identifying a therapeutic prevention strategy for multiple NF1-associcated developmental abnormalities.
https://doi.org/10.7554/eLife.05151.001eLife digest
Neurofibromatosis type 1 is a condition characterized by the growth of tumors along the nerves of the body. It is caused by mutations in a gene called NF1, which codes for a protein that normally works to inhibit the activity of another protein called Ras. In healthy cells, Ras is needed to stimulate the cells to grow and divide. However, if the Ras protein is not turned off at the right time or if it is activated at the wrong time, it can force cells to keep growing and dividing; this leads to the growth of tumors.
Along with being prone to developing cancer, individuals with neurofibromatosis type 1 also develop a range of neurodevelopmental disorders that alter their learning, motor skills and social interactions. Some also exhibit behaviors that are associated with autism. This led Kim, Wang et al. to investigate whether a region of the brain—called the cerebellum—that has recently been associated with autism is also affected in a mouse model of neurofibromatosis type 1.
The cerebellum is best known for its role in coordinating movement, although it also has functions in cognition, behavior and other processes. Ras is involved in the development of the cerebellum; and so Kim, Wang et al. asked whether the loss of the Nf1 gene from cells in the mouse cerebellum might cause the neurodevelopmental defects associated with neurofibromatosis type 1.
Loss of Nf1 during early (but not in late) development of the cerebellum disrupted the normal organization of the nerve cells (or neurons) into specific cell layers. These defects were caused, in part, by the over-growth of a type of supporting cell—called glia cells—at a specific developmental stage—that would normally form a scaffold to help neurons migrate to their correct position. Nf1 also controls the generation of the correct types of neurons in the right time and at right location during the early development of the cerebellum.
Next, Kim, Wang et al. treated newborn mice with a compound that inhibits Ras signaling via their mother's milk for 3 weeks. In mice with an inactive Nf1 gene, the treatment helped to prevent some defects in the cerebellum and the mice had improved motor coordination several months later. Whether this could form the basis of a preventative treatment for neurodevelopmental disorders associated with neurofibromatosis type 1 in humans remains a question for future work.
https://doi.org/10.7554/eLife.05151.002Introduction
Neurofibromatosis type 1 (NF1) is a genetically inherited disorder that afflicts 1 in 2700 newborns (Evans et al., 2010). NF1 is caused by loss-of-function mutations in the NF1 tumor suppressor gene, which encodes neurofibromin, a negative regulator of proto-oncogene RAS (Cichowski and Jacks, 2001; Upadhyaya and Cooper, 2012). RAS mediates multiple signaling pathways including extracellular signal-regulated kinase (ERK) subfamily of mitogen-activated protein kinases (MAPK), phosphatidylinositol 3-kinase (PI3K) and mammalian target of rapamycin complex 1 (mTORC1) (Schubbert et al., 2007; Mendoza et al., 2011). In addition to the development of tumors in the peripheral and central nervous system (CNS), neurodevelopmental deficits are highly prevalent among children with NF1, negatively impacting cognition, motor function, and social interaction (Hyman et al., 2005, 2006; Johnson et al., 2010; Krab et al., 2011; Lorenzo et al., 2011; Lehtonen et al., 2013; Walsh et al., 2013; Garg et al., 2013a, 2013b; Adviento et al., 2014; Champion et al., 2014; Plasschaert et al., 2014). While cognitive impairments associated with NF1 have been well documented, motor dysfunction, social and behavioral deficits including autism spectrum disorders (ASD) have only recently been established as common features of NF1 in childhood (Johnson et al., 2010; Krab et al., 2011; Lorenzo et al., 2011; Walsh et al., 2013; Garg et al., 2013a, 2013b; Champion et al., 2014). Approximately 50–80% of children with NF1 have impairments in fine and gross motor function, which can be identified as early as at the toddler stage (Johnson et al., 2010; Krab et al., 2011; Lorenzo et al., 2011). One recent study has shown that impairments of gross motor skills and cognitive functioning in NF1 are often co-morbidities, suggesting the potential existence of a common pathological mechanism underlying both motor and cognitive impairments (Champion et al., 2014).
The cerebellum is traditionally known as a motor organ, which controls both motor coordination and motor learning (Sillitoe and Joyner, 2007). However, it has been increasingly recognized that the cerebellum also plays a critical role in higher-order brain functions such as cognition, learning, affect and behavior (Schmahmann and Caplan, 2006; Strick et al., 2009; Basson and Wingate, 2013). About 80% of individuals with ASD exhibit anatomical abnormalities in the cerebellum, among which gliosis and Purkinje cell loss are most commonly identified (Bailey et al., 1998; Palmen et al., 2004; Vargas et al., 2005; Fatemi et al., 2012). Magnetic resonance imaging (MRI) studies on children with ASD discovered increased white matter and reduced gray matter volumes in the cerebellum (Courchesne et al., 2001; Bloss and Courchesne, 2007). In addition, T2-weighted hyperintensities in the cerebellum are one of the most consistent brain abnormalities observed in individuals with NF1 (Feldmann et al., 2010; Payne et al., 2014). These findings suggest that individuals with NF1, particularly those with co-morbidity of cognitive, motor and social deficits, might have developmental abnormalities of the cerebellum.
During development, major cerebellar cell populations are derived from two germinal zones. Radial glial (RG) stem cells in the ventricular zone of the fourth ventricle (IV–VZ) give rise to all the GABAergic neuronal lineages—Purkinje cells and GABAergic interneurons including small deep cerebellar nuclei (DCN), Golgi, basket, and stellate cells (Sillitoe and Joyner, 2007; Buffo and Rossi, 2013). Cerebellar astrocytes including Bergmann glia (BG) are also derived from RG cells in the IV-VZ. A secondary germinal zone in the anterior portion of the rhombic lip (RL) generates glutamatergic neuronal lineages, including large DCN, unipolar brush cells (UBCs), and granule cells (GCs) (Englund et al., 2006; Sillitoe and Joyner, 2007; Mugnaini et al., 2011; Buffo and Rossi, 2013). At the onset of mouse cerebellar neurogenesis, projection neurons (Purkinje cells and DCN) are first generated between embryonic day 10.5–11.5 (E10.5–11.5) (Hatten, 1999). At E12.5, Math1 (also known as Atoh1)-expressing proliferating precursors migrate out of the RL and spread across the surface of the cerebellum to form the external granule layer (EGL) (Hatten, 1999). Around postnatal day 4–5 (P4–5), GC precursors (GCPs) in the EGL start to exit cell cycle and form a pre-migratory zone along the edge of the EGL. Post-mitotic cells then migrate along the BG scaffold, across the molecular layer (ML), and form the internal granule layer (IGL), where they become mature GCs and form synapses with Purkinje cells through mossy fibers (Hatten, 1999; Sillitoe and Joyner, 2007). Besides GCs, RL-derived Math1+ precursors also generate the second type of glutamatergic excitatory interneurons, UBCs. UBCs exit the RL at perinatal stages and migrate through the white matter (WM) into the IGL of the cerebellum (Englund et al., 2005; Mugnaini et al., 2011). The molecular and cellular mechanisms regulating migration and lineage specification of GC/UBC precursors remain largely unknown.
It has been shown that the components of RAS/ERK and PI3K signaling pathways play diverse and critical roles in different cell types and at distinct stages during cerebellar development (Yue et al., 2005; Fogarty et al., 2007; Lin et al., 2009; Yu et al., 2011; Müller Smith et al., 2012; Li et al., 2014; Meier et al., 2014). However, recent studies have shown that Nf1 heterozygous mice exhibit no defect in cerebellum-specific motor tests and that children with NF1 do not appear to have a general dysfunction of the cerebellum (Krab et al., 2011; van der Vaart et al., 2011). These observations suggest that mono-allelic NF1/Nf1 inactivation is not sufficient to cause developmental and functional deficits in the cerebellum. Thus, we hypothesize that bi-allelic Nf1 inactivation in neural stem and progenitor cells during development is required for producing cellular pathologies in the cerebellum. In this study, we utilize four genetically engineered mouse (GEM) models that target bi-allelic Nf1 inactivation into different cell lineages or in the same lineage(s) at different stages during cerebellar development. We identify a specific time window of susceptibility of glial and neuronal precursors to Nf1 mutation during early, but not late stages of cerebellar development. Accordingly, we develop a transient therapeutic strategy during a neonatal window, which prevents cerebellar developmental defects and provides long-term benefits on motor functions.
Results
Bi-allelic inactivation of Nf1 at early developmental stages disrupts neuronal lamination in the cerebellum
We first utilized a Cre transgenic strain controlled by human glial fibrillary acidic protein promoter (hGFAP-cre) to inactivate Nf1 in RG stem cells in the IV-VZ around E12.5 (Figure 1—figure supplement 1A,A′). RG cells targeted by hGFAP-cre in the E12.5 IV-VZ give rise to glutamatergic neuronal precursors populating the RL and astrocyte precursors producing astrocytes in cerebellar parenchyma (Zhu et al., 2005; Sillitoe and Joyner, 2007; Yang et al., 2008). Of note, the majority of oligodendrocytes in the cerebellum do not arise from RG cells in the IV-VZ, but from sources in the ventral-lateral mid/hindbrain (that was also targeted by hGFAP-cre) (Yang et al., 2008; Grimaldi et al., 2009; Mecklenburg et al., 2011). Glutamatergic neurons (including GCs) and glia, but not GABAergic Purkinje cells, were targeted by hGFAP-cre-mediated recombination, revealed by β-galactosidase (β-gal) expression of the Rosa26-LacZ reporter and PCR analysis (Figure 1—figure supplement 1A,B,B′) (Soriano, 1999). The hGFAP-cre driven Nf1 conditional knockout mice (hereafter referred to as Nf1hGFAPCKO) displayed severe defects in motor behaviors including abnormal hind limb crossing and vertical projection of tails. Most of the Nf1hGFAPCKO mice had ataxic hind limbs and some exhibited a unique ‘handstand’ behavior during postnatal stages (Figure 1—figure supplement 1C; Video 1). The motor dysfunction observed in neural-specific Nf1hGFAPCKO mice suggests possible defects in the cerebellum. As revealed by Hematoxylin & Eosin (H&E) staining, neuronal lamination in all folia of the Nf1hGFAPCKO cerebellum was disrupted with a varying degree of severity (Figure 1A). In the severely affected areas (e.g., folia V/VI), the patterning of Calbindin+ Purkinje cells was disrupted, and failed to form the single Purkinje cell layer (PCL) observed in controls (Figure 1B). Since hGFAP-cre was not targeted to Purkinje cells, the disorganized Purkinje cells still expressed neurofibromin (Figure 1C; Figure 1—figure supplement 1B) (Zhu et al., 2005; Yang et al., 2008). Thus, the disrupted patterning of Purkinje cells must be non-cell-autonomous, and secondary to Nf1 inactivation in other cerebellar neurons and/or glia. To further confirm the notion, we utilized L7-cre to inactivate Nf1 specifically in Purkinje cells (Figure 1—figure supplement 1D) (Tsai et al., 2012). No overt defect was identified in the Nf1L7CKO cerebellum, confirming that Nf1 is relatively dispensable in the development of Purkinje cells (Figure 1—figure supplement 1E,F).
In contrast to the normal cerebellum with three distinct laminar layers—ML, PCL and IGL, the boundary between these three layers in the Nf1hGFAPCKO cerebellum was less clearly defined, and the cell number in the ML was dramatically increased with a concomitant reduction of cells in the IGL (Figure 1A–A′′; Figure 1—figure supplement 1A′). Some of the abnormally accumulated cells in the Nf1hGFAPCKO ML were found on the pial surface of the cerebellum, corresponding to the EGL—a structure that transiently exists during development, but disappears after the completion of GC migration (arrows, Figure 1Ab′′). No significant difference was found in the total number of NeuN+ neurons in the ML and IGL (per surface area) between the control and Nf1hGFAPCKO cerebellum. Instead, the distribution of NeuN+ neurons was greatly altered between the control and Nf1hGFAPCKO cerebellar cortex—the number of NeuN+ neurons was increased over 20-fold in the mutant ML (Figure 1D,D′). While no cells in the control ML expressed GABA receptor alpha 6 subunit (GABARα6), a marker for mature GCs, 60% of abnormally accumulated neurons in the Nf1hGFAPCKO ML were positive for GABARα6 (Figure 1D,D′′). These observations are most consistent with a model wherein a subset of Nf1-deficient GCs fail to migrate inward from the EGL, across ML and PCL, to the IGL. The arrested migration of GCs leads to abnormal neuronal patterning and lamination of the Nf1hGFAPCKO cerebellum.
We next investigated the integrity of the BG scaffold—an essential glial structure for GC migration during development (Sillitoe and Joyner, 2007). In the control cerebellum, BG cells were located either immediately below or interspersed between Purkinje cell bodies, forming a Purkinje cell and BG (PC/BG) monolayer (arrows, Figure 1E,F) (Buffo and Rossi, 2013). In contrast, Nf1-deficient BG cells failed to form a PC/BG monolayer, which appeared to be caused by excess number and mispositioning of BG cells (arrows, Figure 1E,E′,F). A strong correlation was observed between the severity of neuronal patterning defects and the abnormalities in the number and position of BG cells and the integrity of the PC/BG monolayer (Figure 1F). Importantly, the capacity of Nf1-deficient BG cells to extend their processes to the pial surface was relatively uncompromised—this was even true for some of the BG cells that were located in the areas outside the PC/BG layer in the Nf1hGFAPCKO cerebellum (Figure 1G). Based on these results, we propose a model wherein inactivation of Nf1 during early embryonic stages overproduces BG cells, thus impairing the formation of the PC/BG monolayer, and consequently, the alignment of the BG scaffold. The defective BG scaffold non-cell-autonomously arrests GC migration and subsequently disrupts Purkinje cell patterning during cerebellar development.
Nf1 inactivation increases astrocyte proliferation at an intermediate precursor stage
We investigated the mechanism by which Nf1 inactivation during early cerebellar development overproduced BG cells in the Nf1hGFAPCKO cerebellum. No defect was observed in the overall structure and the distribution of RL-derived Math1+ neuronal precursors in the EGL, Purkinje cells or BLBP+ cells in the E17.5 Nf1hGFAPCKO cerebellum (Figure 2—figure supplement 1A). Furthermore, no difference was identified in the number of BLBP+ RG cells (including proliferating BLBP+Ki67+ population) in the IV-VZ (Figure 2—figure supplement 1B). However, an increased number of both total BLBP+ and proliferating BLBP+Ki67+ cells was observed in the prospective white matter (PWM) of the E17.5 Nf1hGFAPCKO cerebellum compared to controls (Figure 2A,A′). More importantly, mitotic index, determined by the ratio of proliferating BLBP+Ki67+ cells to the total BLBP+ cells, was significantly increased in the E17.5 Nf1hGFAPCKO PWM (Figure 2A,A′). These observations suggest that Nf1 specifically constrains the proliferation of astrocyte precursors in the PWM, but not multipotent RG cells of the IV-VZ in the E17.5 cerebellum. At P0.5, both Purkinje cells and BLBP+ BG cells (except for those populating future folia IX and X) were situated into a more defined Purkinje cell plate (or rudimentary PC/BG layer); BG cells, particularly those in the anterior cerebellum, underwent differentiation extending their GFAP+BLBP+ fibers to the pial surface (Figure 2—figure supplement 1C). Unexpectedly, the increased mitotic index was no longer detected in the more differentiated BLBP+ BG cells in the anterior folia, but only in the posterior folia (IX and X) of the Nf1hGFAPCKO cerebellum where BG cells had not formed a rudimentary PC/BG layer at P0.5 (Figure 2B,B′,2C,C′; Figure 2—figure supplement 1D). The differentiation of BG cells was accompanied by the transition of (1) the anatomical location from the PWM to rudimentary PC/BG layer and (2) the subcellular expression of BLBP from nuclei to cytoplasm. Specifically, BLBP staining in the anterior folia of the P0.5 control cerebellum became largely cytoplasmic, while a robust nuclear BLBP staining was typically found in less differentiated BLBP+ cells in both the E17.5 control and Nf1hGFAPCKO cerebellum (arrows, Figure 2A). Consistently, an increase of cells with strong nuclear BLBP staining in the P0.5 Nf1hGFAPCKO cerebellum was identified, suggesting a persistent increase of proliferating BG cells into postnatal stages (Figure 2D). Similarly, BLBP+ cells in the PWM, the precursors of WM astrocytes, still exhibited an increased mitotic index in the P0.5 Nf1hGFAPCKO cerebellum (Figure 2—figure supplement 1D–D′′). At P8 when BG cells had formed a rudimentary PC/BG layer throughout the cerebellum, the mitotic index of BLBP+ BG cells was no longer increased in the Nf1hGFAPCKO cerebellum, despite a significant increase of both total BLBP+ and proliferating BLBP+Ki67+ BG cells (Figure 2—figure supplement 1E,E′). Together, these results suggest that Nf1 constrains the proliferation of the BG/astrocyte lineage cells specifically at an intermediate precursor stage located in the PWM, but not at an earlier RG stem cell stage or a more differentiated BG stage, thereby identifying a window of susceptibility of astrocyte precursors to Nf1 mutation.
Nf1 is not required for late stages of BG development
At P8, control BG cells labeled by nuclear Cre staining formed a rudimentary 2 to 3 cell-layer lining within the APC+ Purkinje cell layer (Figure 2E). In contrast, excess BG cells failed to form a similar PC/BG layer, but were aberrantly distributed throughout the Nf1hGFAPCKO cerebellar cortex (Figure 2E,F). Consequently, some Nf1-deficient BG cells extended their processes from ectopic locations of the cerebellum including the WM, ML and IGL, accompanied by misalignment of the BG scaffold (Figure 2E,F; Figure 2—figure supplement 1F). Similar to the Nf1hGFAPCKO cerebellum in adulthood, disrupted patterning of GCs and Purkinje cells often co-existed with the misalignment of BG cells at P8 (Figure 2F; Figure 2—figure supplement 1F). Indeed, all major defects observed in BG cells, GCs and Purkinje cells of the adult Nf1hGFAPCKO cerebellum were identified at P8, suggesting that these defects manifest during neonatal stages (Figure 2G–H′; Figure 2—figure supplement 1F–H′′). These results supports a model wherein overproduction of astrocyte precursors during embryonic stages is the primary defect causing both glial and neuronal abnormalities in the Nf1hGFAPCKO cerebellum. To rule out a role of Nf1 in late stages of glial development, we sought to more specifically inactivate Nf1 in glial cell lineages during late embryonic stages by employing an inducible system. This inducible system utilized a Nestin-creER (NCreER) transgene, which can be activated in Nestin-expressing neural stem and progenitor cells by tamoxifen (TM) treatment (Figure 3—figure supplement 1A) (Burns et al., 2007; Wang et al., 2012). Upon a single TM pulse at E17.5, NCreER-targeted cells analyzed at P21 were restricted to glial lineage cells in both the control and Nf1NCreERCKO cerebellum with only one exception in folium X, where a significant number of both glia and GCs in the IGL were targeted (Figure 3A,B; Figure 3—figure supplement 1B,C). Given the sequential differentiation from the anterior to posterior cerebellum, this targeting strategy would inactivate Nf1 in more differentiated glial cells in the anterior folia compared to those in the posterior folia. No alteration in the number of BLBP+ cells or the BG scaffold was observed in any of the anterior folia (I to V) between the control and Nf1NCreERCKO cerebellum (Figure 3A). Furthermore, neurons did not abnormally accumulate in the ML of the anterior Nf1NCreERCKO folia (Figure 3A,A′; Figure 3—figure supplement 1D,D′). In folium X, the number of Nf1-deficient BLBP+ cells (BLBP+β-gal+) was significantly increased, though this was subtle compared to the Nf1hGFAPCKO cerebellum (Figure 3B,C). Indeed, the other posterior folia (e.g., VI–IX) exhibited a slightly, but significantly increased number of Nf1-deficient BLBP+ cells (Figure 3—figure supplement 1C,C′). The overproduction of BLBP+β-gal+ BG cells in the posterior folia of the Nf1NCreERCKO cerebellum appeared to be caused by cell-autonomous Nf1 inactivation, as the number of non-NCreER-targeted BLBP+β-gal- cells in the same areas was not altered (Figure 3B,C). Importantly, the overproduction of BLBP+ BG cells was accompanied by focal misalignment of the BG scaffold and abnormal accumulation of both Nf1-deficient (NeuN+β-gal+) and Nf1-intact (NeuN+β-gal−) neurons in the ML of the Nf1NCreERCKO cerebellum (Figure 3B,D; Figure 3—figure supplement 1E). These results suggest that overproduction of this particular astrocytic lineage causes impaired formation of the PC/BG monolayer and BG scaffold, non-cell-autonomously arresting GC migration.
Cell-autonomous function of Nf1 in the glutamatergic interneuronal lineages
To determine whether Nf1 also plays a cell-autonomous role in the glutamatergic neuronal lineages, we utilized Math1-cre, which specifically targets Math1+ neuronal precursors in the developing RL that give rise to both GCs and UBCs (Englund et al., 2006; Schuller et al., 2008). Math1-cre-mediated recombination was almost exclusively restricted to the cells in the IGL of the adult cerebellum (Figure 4A). Double staining of β-gal and other lineage markers showed that β-gal+ cells were restricted to GCs in the IGL, but not Purkinje cells or glial cells, including BG cells (Figure 4B,B′). No defect in Purkinje cells or glial cells, particularly the BG scaffold, was observed in the adult Nf1Math1CKO cerebellum (Figure 4B,B′). Consequently, unlike the severely disrupted Nf1hGFAPCKO cerebellum, the Nf1Math1CKO cerebellum was relatively unimpaired (Figure 4—figure supplement 1A). However, the Nf1Math1CKO cerebellum did exhibit one major defect observed in the Nf1hGFAPCKO cerebellum—abnormal accumulation of cells in the ML including some on the pial surface (arrows, Figure 4A,B–B′′; Figure 4—figure supplement 1A,A′). The number of NeuN+β-gal+, but not NeuN+β-gal− neurons, was significantly increased, suggesting that the increased neuronal density in the ML of the Nf1Math1CKO cerebellum was caused by abnormal accumulation of Nf1-deficient NeuN+ neurons in a cell-autonomous manner (Figure 4A,B,B′′). Despite that no defect in the BG scaffold was observed, abnormal accumulation of neurons was evident in the ML of the P8 Nf1Math1CKO cerebellum, suggesting a developmental defect during neonatal stages (Figure 4—figure supplement 1B). To investigate the mechanism underlying the arrested migration of Nf1-deficient GCs, we performed BrdU pulse-chase experiments to determine the time course of the differentiation and migration of newly generated GCs during neonatal stages. We analyzed P8 control and Nf1Math1CKO cerebella 24, 32 and 48 hr after BrdU pulse by determining the location and differentiation status of BrdU-labeled cells. 24 hr after pulse, BrdU+ cells in both the control and Nf1Math1CKO cerebellum remained exclusively in the EGL and exhibited similar cell cycle profiles, suggesting that Nf1 is not required for proliferation and cell-cycle exit of GC precursors (GCPs) (Figure 4—figure supplement 1C–C′′). However, 32 hr after BrdU pulse, a subset of BrdU+ cells in the control cerebellum started departing from the EGL and entered the ML, not yet reaching the IGL (Figure 4C). While migrating GCs in the control ML did not express MAP2, a marker for mature GCs in the IGL, and had nuclei with a spindle-shaped migrating morphology, many BrdU+ cells in the Nf1Math1CKO ML already acquired MAP2 expression with rounded nuclei—typical neuronal differentiation features for mature GCs in the IGL (arrows, Figure 4C,C′). After 48-hr BrdU pulse, BrdU+MAP2+ cells in the Nf1Math1CKO cerebellum progressively accumulated in the ML and EGL whereas control BrdU+ cells did not express MAP2 until they reached the IGL (Figure 4D; Figure 4—figure supplement 1D,D′). Newly generated neurons were abnormally accumulated in the ML/EGL of the Nf1Math1CKO cerebellum, leading to an increased number of differentiated BrdU+Ki67− and p27+ cells in the ML/EGL with a concomitant reduction in the IGL (Figure 4—figure supplement 1E,E′,F,F′). These observations suggest that a subset of Nf1-deficient GCPs undergo accelerated and premature neuronal differentiation, thereby arresting their migration in the EGL and ML. This conclusion was further supported by in vitro studies. 2 days after being plated in culture, significantly more Nf1-deficient GCPs expressed MAP2 than control cells, confirming an accelerated neuronal differentiation rate in a cell-autonomous manner (Figure 4—figure supplement 1G,G′). Importantly, Nf1-deficient GCs could efficiently interact with wild-type glia in a co-culture system and migrated normally in a trans-well migration assay (Figure 4—figure supplement 1H,H′). Together, both in vivo and in vitro assays argue that instead of causing defects directly on migration, Nf1 inactivation promotes premature neuronal differentiation of a subset of GCPs, leading to abnormal accumulation of differentiated neurons in the ML and EGL.
Fate-specification defects in Nf1-deficient glutamatergic neuronal lineages
Strikingly, many of the prematurely differentiated neurons in the ML of the P8 Nf1Math1CKO cerebellum expressed Tbr2, a marker specific for UBCs in the cerebellum (Figure 4E,E′). UBCs are the other known RL-derived glutamatergic interneurons that are enriched in folia responsible for vestibular motor function (folia IX and X) (Mugnaini et al., 2011). While GCs arise from GCPs in the EGL and migrate across ML to IGL between P4–P21, Tbr2+ UBCs exit the RL during late embryonic stages, and then migrate through the PWM into the IGL until P10 (Englund et al., 2006; Sillitoe and Joyner, 2007; Mugnaini et al., 2011). While Tbr2+ UBCs were rarely identified in the control ML (Englund et al., 2006), Tbr2+ cells including the newly generated Tbr2+BrdU+ cells were readily identified in the P8 Nf1Math1CKO EGL and ML (Figure 4E,E′,F,F′). Tbr2 expression was ectopically acquired in a subset of newly generated cells even before migrating out of the EGL, and over time these Tbr2+BrdU+ double-positive cells progressively accumulated from the EGL, ML to IGL (Figure 4F,F′,G,G′). These observations demonstrate that Nf1 inactivation ectopically generates Tbr2+ UBCs from GCPs in the EGL, which appear to migrate along the same pathway as GCs. More importantly, cells with the classic morphology of UBCs were identified in the ML of the P8 Nf1Math1CKO cerebellum, but not in the control cerebellum, indicating that these Tbr2+ cells not only acquire UBC-specific Tbr2 expression, but also undergo morphological differentiation of UBCs (Figure 4H) (Mugnaini and Floris, 1994). Consequently, approximately 30–40% of abnormally accumulated NeuN+ neurons in the ML of the adult Nf1Math1CKO cerebellum expressed Tbr2 (Figure 4I,I′). Together, these observations identify cell-autonomous Nf1 functions in suppressing GCPs to ectopically differentiate into UBCs (Figure 4J,J′).
Ectopic generation of Tbr2+NeuN+ UBCs is responsible for non-GC accumulation in the ML of the adult Nf1hGFAPCKO cerebellum
Ectopic generation of Tbr2+ UBCs from Nf1-deficient GCPs prompted us to investigate whether GABARα6-negative neurons abnormally accumulated in the ML of the Nf1hGFAPCKO cerebellum were UBCs (Figure 1D,D′′). Indeed, a dramatic increase of Tbr2+ cells was also observed in the ML throughout the adult Nf1hGFAPCKO cerebellum, which was most evident in folia V/VI (Figure 5A–A′′). The increase of Tbr2+ cells in the ML (98%) and IGL (94%) of the Nf1hGFAPCKO cerebellum was almost entirely contributed by UBCs that expressed a moderate level of Tbr2 as well as NeuN (Tbr2+NeuN+) (arrows, Figure 5B,B′). Almost all UBCs in the control folium V expressed high levels of Tbr2, but no NeuN (Tbr2highNeuN−) and were mainly distributed in the IGL (arrowheads, Figure 5B,B′). It should be noted that the number of Tbr2highNeuN− UBCs was not significantly different between the control and the Nf1hGFAPCKO cerebellum. The distinction between Tbr2+NeuN+ and Tbr2highNeuN− UBC populations was further supported by the different percentage of these two types of UBCs expressing a high level of Calretinin (CRhigh). CRhigh is a marker for a subset of UBCs due to its low expression in granule cells (Mugnaini et al., 2011). Tbr2+NeuN+ UBCs in the ML and IGL of the Nf1hGFAPCKO cerebellum expressed CRhigh at a significantly lower percentage (36% and 38%) than Tbr2highNeuN− UBCs (67%) typically observed in the IGL (Figure 5—figure supplement 1A,A′). Importantly, the absolute number of Tbr2+NeuN+ UBCs was similar in the ML of folium V between the Nf1Math1CKO and Nf1hGFAPCKO cerebellum, further supporting the notion that ectopic generation of these UBCs results from loss of cell-autonomous Nf1 function in the glutamatergic neuronal lineages (Figure 4I′). Similar to the Nf1Math1CKO cerebellum, ectopic Tbr2+NeuN+ UBCs were continuously generated in the ML and IGL of the Nf1hGFAPCKO cerebellum during postnatal stages (arrows, Figure 5—figure supplement 1B,B′,C,C′), well beyond the developmental window of the generation of control Tbr2highNeuN− UBCs (Figure 4J,J′). Together, these observations demonstrate that the Tbr2+ UBCs ectopically generated in both the Nf1Math1CKO and Nf1hGFAPCKO cerebellum are different from those previously described in the normal cerebellum in 6 critical aspects: (1) the marker expression, Tbr2+NeuN+ vs Tbr2highNeuN−, (2) the low vs high percentage expressing CRhigh, (3) the location, ML and IGL vs IGL, (4) the developmental origin, precursors in the EGL vs RL, (5) the timing of birth, neonatal vs embryonic stages, and (6) the migratory pathway, EGL-ML-IGL vs RL-PWM-IGL. Thus, we suggest the existence of two UBC sublineages. Importantly, the majority of GABARα6-negative neurons were Tbr2+NeuN+ cells, while no significant difference was observed in GABAergic neurons between the control and Nf1hGFAPCKO cerebellum (Figure 5—figure supplement 1D,E,E′). These observations suggest that Tbr2+NeuN+ UBCs are the major contributors to the non-GCs abnormally accumulated in the ML of the Nf1hGFAPCKO cerebellum (Figure 1D–D′′).
Glia-dependent migratory defect of Tbr2highNeuN− UBCs
As observed in the rest of mutant folia, the number of Tbr2+ cells was also significantly increased in the ML of the folium X of the Nf1hGFAPCKO cerebellum (Figure 5C,C′; Figure 5—figure supplement 1E). However, the number of Tbr2+ cells was unexpectedly reduced in the IGL of folium X of the Nf1hGFAPCKO cerebellum concomitant with ectopic presence of Tbr2+ cells in the surrounding WM (Figure 5C,C′; Figure 5—figure supplement 2A). As in Folium V, the Tbr2+NeuN+ UBC sublineage contributed to almost the entire UBC population in the ML of both the control (97%) and Nf1hGFAPCKO (99%) folium X (Figure 5D,D′). Similarly, Tbr2+NeuN+ UBCs were indeed increased in the IGL of Nf1hGFAPCKO folium X, and thus the reduction of Tbr2+ UBCs was exclusively attributed to a decreased number of Tbr2highNeuN− UBCs in the IGL (Figure 5D,D′). Consistently, UBCs in both the Nf1hGFAPCKO WM and IGL were the Tbr2highNeuN− sublineage, which was normally located in the IGL of the control cerebellum with a higher percentage expressing CRhigh (Figure 5—figure supplement 2B–B′′). More importantly, the total number of Tbr2highNeuN− UBCs was almost identical, when the number of the Tbr2highNeuN− UBCs in the WM and IGL of the Nf1hGFAPCKO cerebellum was combined to compare with the number of Tbr2highNeuN− UBCs in the IGL of the control cerebellum, suggesting arrested migration in the WM (Figure 5D–D′′). Consistently, no alteration in the number and distribution of Tbr2+ UBCs was observed at early stages of UBC development before they migrated out of the RL or entered the PWM during perinatal stages (Figure 5—figure supplement 2C,C′). Instead, abnormal accumulation of Tbr2highNeuN− UBCs in the Nf1hGFAPCKO WM was evident at P8, a time point when normal UBCs had already migrated through the PWM and entered the IGL (Figure 5—figure supplement 2D,D′). Together, these results suggest that the abnormal accumulation of Tbr2highNeuN− UBCs in the WM of the Nf1hGFAPCKO cerebellum was caused by arrested migration of UBCs in the PWM on the way from the RL to the IGL during neonatal development (Englund et al., 2006).
Importantly, no ectopic Tbr2+ UBCs were observed in the WM of the Nf1Math1CKO cerebellum, suggesting a non-cell-autonomous mechanism (Figure 5F). Consistently, abnormally increased numbers of GFAP+BLBP− astrocytes were observed in the enlarged WM of the adult Nf1hGFAPCKO cerebellum, raising the possibility that excess astrocytes in the WM could impede the migration of UBCs from the WM to the IGL (Figure 5E,E′). In the TM-induced Nf1NCreERCKO cerebellum where the number of glial cells was increased specifically in the posterior folia, a subpopulation of Tbr2high UBCs, all of which were wild-type for Nf1 (not labeled by β-gal expression), ectopically accumulated in the WM of folium X (arrowheads, Figure 5G,G′). Of note, excess Tbr2+ UBCs in the ML of the TM-induced Nf1NCreERCKO cerebellum appears to result from overproduction of Nf1-deficient Tbr2+β-gal+ UBCs—a cell-autonomous mechanism as described in the Nf1Math1CKO cerebellum (Figure 5G,G′′). These results suggest that overproduction of astrocytes in the WM of the Nf1hGFAPCKO and Nf1NCreERCKO cerebella produces a physical barrier that exerts non-cell-autonomous effect, arresting migration of Tbr2highNeuN− UBCs in the WM.
MEK inhibition rescues neuronal defects in the developing Nf1Math1CKO cerebellum
To develop a therapeutic strategy to rescue cerebellar defects caused by Nf1 inactivation, we analyzed three major downstream effectors of Ras-mediated signaling pathways: Erk/MAPK, PI3K/Akt and mTORC1. Although Western blot analysis showed a significant reduction of neurofibromin expression, Erk/MAPK was the only downstream signaling pathway that was consistently hyperactivated in Nf1Math1CKO cerebella (Figure 6A). Consistent with the specificity of Math1-cre transgene, cell cultures with enriched P6 GCPs showed almost a complete loss of neurofibromin expression with a robust increase of Erk activation (Figure 6A′). A high level of phosphorylated Erk (p-Erk) expression was observed in a subset of IGL cells, while a low level in the ML and a complete absence of p-Erk in the EGL was found in the control cerebellum at P8 (Figure 6B). The pattern of p-Erk expression is consistent with a possible role of a high level of Erk signaling in neuronal differentiation. A robust increase of p-Erk expression was observed in the P8 Nf1Math1CKO cerebellum including the inner edge of the EGL (pre-migratory zone), the ML, and IGL (Figure 6B). Importantly, the NeuN+ neurons abnormally accumulated in the ML of the P8 Nf1Math1CKO cerebellum expressed a high level of p-Erk (arrows, Figure 6B). These results demonstrate that Nf1 is a major regulator that suppresses Erk signaling in migrating GCs in the pre-migratory EGL and migratory zone (ML) of the developing cerebellum. To test whether hyperactive Erk signaling is responsible for Nf1-deficient GCPs to undergo premature differentiation and ectopically adopt a UBC fate, we treated newborn control and Nf1Math1CKO pups with a MEK inhibitor (PD0325901) or vehicle from P0.5 to P21 for 3 weeks (Sebolt-Leopold and Herrera, 2004; Wang et al., 2012). This 3-week treatment protocol exhibited no adverse effect on normal cerebellar development, but reduced p-Erk expression in both MEKi-treated control and Nf1Math1CKO cerebella (data not shown). Strikingly, MEK inhibition completely eliminated ectopic Tbr2 expression in the ML of MEKi-treated Nf1Math1CKO cerebella (Figure 6C). MEK inhibition consistently reduced over 60% of abnormally accumulated neurons in the ML of the Nf1Math1CKO cerebellum (Figure 6C,C′). Since an increase of p-S6 staining was also identified in purified GCPs from the P6 Nf1Math1CKO cerebellum compared to controls (Figure 6A′), we treated control and Nf1Math1CKO mice with rapamycin, an mTORC1 inhibitor (Guertin and Sabatini, 2009). Rapamycin treatment had no benefit on neuronal defects in the Nf1Math1CKO cerebellum, but caused adverse effects on neuronal migration in both the control and mutant cerebellum (Figure 6—figure supplement 1). Together, these results demonstrate that Nf1-mediated MEK/Erk inhibition is the major mechanism underlying the suppression of a subset of GCPs that otherwise would undergo premature differentiation and ectopically adopt a UBC fate in the developing cerebellum.
Short- and long-term benefits of MEKi treatment on cerebellar and motor defects of Nf1hGFAPCKO mice
Based on the success of MEK inhibition on the developing Nf1Math1CKO cerebellum, we sought to investigate whether MEK inhibition could also rescue the more severely affected Nf1hGFAPCKO cerebellum. The MEKi-treated Nf1hGFAPCKO mice displayed a varying degree of therapeutic responses in glial and neuronal defects in the developing cerebellum as well as their general behaviors (Video 1). Of 14 MEKi-treated Nf1hGFAPCKO cerebella analyzed, 9 mice (good-responders or G-responders) exhibited a significant rescue in the number of neurons abnormally accumulated in the ML of the developing cerebellum at a level similar to what was achieved in the MEKi-treated Nf1Math1CKO mice (green color, Figure 7A–A′′). However, the remaining 5 of the MEKi-treated Nf1hGFAPCKO mice (poor-responders or P-responders) only exhibited marginal improvement in the neuronal defect (yellow color, Figure 7A–A′′). Importantly, G- and P-responders could be readily distinguished by the presence or absence of rescues (to the control levels) in the number of BG cells, alignment of the BG scaffold, the number of mispositioned Purkinje cells and arrested UBCs in the WM (Figure 7A,B,B′,C,C′). It should be noted that both G-responders and P-responders exhibited a complete rescue of ectopic Tbr2 expression in the ML of the MEKi-treated Nf1hGFAPCKO mice (Figure 7D,D′). Therefore, the fundamental difference in the cerebella of G- and P-responders lies in the presence or absence of rescue in glia-dependent cerebellar defects, which could result from inconsistent inhibition of much higher levels of hyperactive Erk signaling in Nf1-deficient glial lineage cells than that in Nf1-deficient immature neurons in the ML (Figure 7E; Figure 7—figure supplement 1A,B). Consistently, when we increased the dose of MEKi from 5 mg/kg to 20 mg/kg to lactating females, more consistent rescues were observed in the cerebella of MEKi-treated Nf1hGFAPCKO pups (Figure 7F; Figure 7—figure supplement 2).
We next sought to determine whether the transient P0.5–P21 treatment protocol could exert a long-term and sustained therapeutic benefit. When analyzed at P45–P60—1 month after MEKi treatment was terminated, MEKi-treated Nf1hGFAPCKO G-responders exhibited the rescue effects on both glial and neuronal defects, while P-responders continued to have defects similar to those observed after acute treatment at P21 (Figure 8A,A′). To investigate whether the rescue of the cerebellar cellular and structural defects could improve motor functions, we performed a Rotarod test on control and Nf1hGFAPCKO mice for 4 consecutive days immediately after 3-week MEKi treatment. The MEKi-treated Nf1hGFAPCKO mice stayed significantly longer on the Rotarod compared to vehicle-treated mutant mice (Figure 8B). Moreover, while vehicle-treated Nf1hGFAPCKO mice did not improve motor performance over the 4-day training course, the MEKi-treated mutant mice exhibited a significant improvement similar to controls, suggesting MEKi treatment also enhanced motor learning (Figure 8B). Importantly, the improved motor performance was maintained at least 1 month after MEKi treatment was terminated, though the rescue in motor learning was lost (Figure 8B′; Video 2). G-responders stayed significantly longer on Rotarod than P-responders, providing a nice correlation between recues in cerebellar developmental defects and motor functions of MEKi-treated Nf1hGFAPCKO mice (Figure 8C). Together, these results demonstrate that transient MEKi treatment during neonatal stages prevents cerebellar developmental defects and provides long-term benefits on motor functions of Nf1hGFAPCKO mice.
Discussion
By utilizing four GEM models, we have identified essential roles of Nf1 tumor suppressor gene during early, but not late stages of cerebellar development. Mechanistically, Nf1 is required for the formation of the BG monolayer and scaffold by controlling astrocyte precursor proliferation at a specific precursor stage, but dispensable for BG cells during late stages of cerebellar development and adulthood. Similarly, Nf1 indirectly regulates glutamatergic neuronal migration by controlling the timely differentiation and suppressing ectopic UBC differentiation of GCPs during postnatal cerebellar development. The timely requirement of Nf1 during cerebellar development allows us to develop a therapeutic prevention strategy for treating these developmental disorders with long-term behavioral benefits.
Nf1 regulates astrocyte proliferation at a specific precursor stage
Astrocytes, the most abundant cells in the brain, play diverse roles in both the developing and mature brain (Barres, 2008; Molofsky et al., 2012; Freeman and Rowitch, 2013). Compared to the other two major CNS cell types, neurons and oligodendrocytes, the identity of astrocyte precursors remains poorly understood. This is largely due to a lack of known markers that can reliably define astrocytes at distinct developmental stages (Molofsky et al., 2012; Freeman and Rowitch, 2013). BG cells have a unique and well-defined migratory pathway coupled with differentiation that allows us to define the role of Nf1 in this particular astrocyte lineage at different developmental stages (Buffo and Rossi, 2013). Before becoming terminally differentiated in the PC/BG monolayer, BG precursors proliferate at three distinct stages of differentiation that can be distinguished by different anatomical locations during development (Figure 8D). These three stages include: Stage I, RG/early-precursor stage in the IV-VZ; Stage II, BG intermediate-precursor stage in the PWM; Stage III, BG late-precursor stage in the rudimentary PC/BG layer. In the Nf1hGFAPCKO cerebellum, increased proliferation was not observed in E17.5 IV-VZ RG cells (Stage I), or in BG late-precursors following migration into the rudimentary PC/BG layer in P0.5 anterior folia, or throughout P8 folia (Stage III). In contrast, a significant increase of proliferation index was specifically identified in Nf1-deficient BG intermediate-precursors in the E17.5 PWM and P0.5 posterior folia (Stage II), leading to an increased number of both total BLBP+ and proliferating BLBP+Ki67+ cells. These observations suggest that Nf1 plays a robust role in constraining BG proliferation specifically at an intermediate precursor stage (Stage II), but not during earlier or later stages (Stage I or Stage III). This conclusion is further confirmed by acute inactivation of Nf1 in the E17.5 developing cerebellum using an inducible Nf1NCreERCKO model. Thus, the temporal and regional phenotypic differences upon Nf1 loss observed in the BG lineage can be strictly attributed to differences in the differentiation status of this particular astrocyte lineage. Moreover, Nf1-deficient astrocytes in the developing WM also exhibited increased proliferation. Since gliogenesis occurs at different time points in different regions of the developing brain, this ‘differentiation-based’ model might provide an explanation for conflicting results on the role of Nf1 in neural stem and progenitor cells among previously published studies (Dasgupta and Gutmann, 2005; Zhu et al., 2005; Hegedus et al., 2007; Becher and Holland, 2010; Lee da et al., 2010; Lee da et al., 2012; Wang et al., 2012). It should be noted that region-specific mechanisms underlying glial pathologies induced by Nf1 loss do exist within the dorsal brain. While increased proliferation in Nf1-deficient astrocyte precursors appears to be responsible for the increase of glial cells in the dorsal hindbrain (e.g., cerebellum), altered fate-specification of Nf1-deficient neural stem and progenitor cells in the subventricular zone (SVZ) of the lateral ventricle causes the increase of glial cells in the corpus callosum by promoting gliogenesis at the expense of neurogenesis in the olfactory bulb (Wang et al., 2012).
It is not entirely clear why Nf1 plays a critical role in suppressing astrocyte proliferation at a specific precursor stage. Loss of function studies in mice have shown that receptor tyrosine kinase (RTK) signaling, particularly fibroblast growth factor receptor (FGFR) signaling, is essential for the transition from RG to BG cells (Lin et al., 2009; Muller Smith et al., 2012; Meier et al., 2014). Most strikingly, loss of Shp2, also known as Ptpn11 (Protein tyrosine phosphatase non-receptor type 11), completely blocks the transition from RG to BG cells, which can be rescued by constitutively active MEK (Li et al., 2014). These studies suggest that activation of Shp2-dependent FGF/MEK/Erk signaling is essential for the transition from RG to BG cells during cerebellar development (from Stage I to II). Accordingly, our study suggests that Erk signaling must be constrained by pathway inhibitors such as Nf1 to ensure the generation of the correct number of BG cells. Consistently, the most robust Erk/MAPK activation upon Nf1 loss was observed in astrocyte precursors at Stage II and early Stage III (Figure 8E).
Glia-dependent and –independent Nf1 functions in glutamatergic interneurons
Our study provides several lines of evidence supporting the notion that the correct number of astrocytes is essential for the formation of the PC/BG monolayer and the BG scaffold, and subsequently glutamatergic interneuronal migration. First, in the Nf1hGFAPCKO cerebellum, the severity of glial and neuronal defects is not uniform, but highly correlated with the excess number of BG cells in the affected areas. Indeed, the capacity of Nf1-deficient BG cells to extend their radial fibers appeared relatively uncompromised even for those projected from the areas outside of the PC/BG layer. Second, considering the time required for TM induced, Cre-mediated Nf1 deletion at E17.5 and the half-life of neurofibromin protein, we expect that a complete loss of Nf1 would be fully achieved in targeted cells around P0.5 when BG cells in the anterior folia (I–V) are at Stage III, while BG cells in the posterior folia (IX and X) are still proliferating in the PWM at Stage II. Consistently, a significant increase of Nf1-deficient BG cells was observed in the posterior folia (IX, X), but not in the anterior folia of the same Nf1NCreERCKO cerebellum. Moreover, failed formation of the PC/BG monolayer, misalignment of the BG scaffold, and abnormal accumulation of both Nf1-intact and Nf1-deficient neurons in the ML were only observed in the posterior folia of the E17.5 TM-induced Nf1NCreERCKO cerebellum. It should be noted that glial and neuronal defects in the posterior folia of the E17.5 TM-induced Nf1NCreERCKO cerebellum are significantly less severe than those observed in the Nf1hGFAPCKO cerebellum. This is likely due to a relatively greater window for the expansion of Nf1-deficient glial precursors in the Nf1hGFAPCKO cerebellum (from E12.5 on) than E17.5 TM-induced Nf1NCreERCKO cerebellum. Third, transient treatment of MEKi exhibited a robust long-term rescue of glial and neuronal defects in the cerebella of G-responders in which neurons and glia were still deficient for Nf1 after the treatment. Taken together, these results suggest that as long as the excess number of glia is therapeutically fixed during a specific window of cerebellar development, a long-term rescue could be achieved, as Nf1 is relatively dispensable for glial cell proliferation during late stages of development and adulthood.
Our study also shows that the correct number of astrocytes in the developing WM of the cerebellum is essential for the migration of UBCs from the PWM to the IGL. This neuronal migratory defect appears to result from loss of a non-cell-autonomous Nf1 function in glial cells. This conclusion is based on the observations that (1) neuron-specific Nf1Math1CKO cerebellum exhibited no such defect in the WM, and (2) Nf1-intact UBCs were arrested in the WM of the E17.5 TM-induced Nf1NCreERCKO cerebellum where excess astrocytes were present. Furthermore, the migratory defect of UBCs was completely rescued in the transiently MEKi-treated cerebella of G-responders, which contained a relatively normal number of glial cells. Together, our study demonstrates that Nf1 not only plays a critical role in suppressing neoplastic transformation of glial cells, but also is essential for controlling the generation of the correct number of normal astrocytes—which is required for the migration of both types of glutamatergic interneurons (GCs and UBCs) during cerebellar development.
Analysis of the neuron-specific Nf1Math1CKO cerebellum supports the existence of two UBC sublineages. One UBC sublineage characterized by Tbr2highNeuN− is relatively well studied, which exit cell cycles during perinatal stages and migrate from the RL via the PWM to the IGL (Englund et al., 2006; Mugnaini et al., 2011). Although Nf1-regulated glial number is essential for the migration of this UBC sublineage through the PWM, Nf1 is not required for the generation and migration of the Tbr2highNeuN− UBC sublineage. In contrast, the other rare Tbr2+NeuN+ UBC sublineage appears to be suppressed by Nf1-regulated Erk signaling in GCPs in a cell-autonomous mechanism. Thus, our study demonstrates that Nf1 is indirectly required for GC migration by suppressing GCPs to undergo premature terminal differentiation and ectopic differentiation to Tbr2+NeuN+ UBCs in the EGL and ML. It is still possible that Nf1 loss causes abnormal migration of the Tbr2highNeuN− sublineage from the RL to the EGL, and then switches them to the Tbr2+NeuN+ UBC sublineage in the EGL. However, no Tbr2+ cells were found in the EGL of the mutant cerebellum at E17.5 or P0.5, when Tbr2highNeuN− UBCs migrate out of the RL into the PWM (Figure 5—figure supplement 2C,C′). This observation argues against the possibility of abnormal migration of Tbr2highNeuN− UBCs into the EGL. Indeed, Nf1 loss has little or no impact on the generation, migration and total number of Tbr2highNeuN− UBCs in the mutant cerebellum. Furthermore, in contrast to the precursors of Tbr2highNeuN− UBCs that exit cell cycles during perinatal stages, Nf1-deficient precursors of Tbr2+NeuN+ UBCs continue proliferating in the EGL at least until P8 at the peak of GCP proliferation. Together, these observations suggest that Nf1 plays a specific role in the Tbr2+NeuN+ UBC sublineage by controlling the fate-specification of GCPs in differentiating into GCs vs Tbr2+NeuN+ UBCs. The involvement of UBCs in cerebellar vestibular functions raises the possibility that the UBC defects in these Nf1 GEM models could contribute to the impairments of motor and balance observed in individuals with NF1 (Mugnaini et al., 2011; Champion et al., 2014).
Clinical implications
Our previous study showed that MEKi could be delivered to neonatal pups through milk from MEKi-treated lactating females (Wang et al., 2012). This ‘MEKi in milk’ treatment protocol allows a low dose of MEKi to get into pups without introducing any physical distress. When lactating females received MEKi at 5 mg/kg (body weight), a mild 30–40% of Erk inhibition was observed in the brains of Nf1hGFAPCKO pups (MB, EJ and YZ, unpublished observations). Strikingly, this mild Erk inhibition robustly and consistently rescued developmental defects in the cerebella of 100% of MEKi-treated Nf1Math1CKO mice, as well as over 60% of the MEKi-treated Nf1hGFAPCKO mice (G-responders). It should be noted that the remaining P-responders are not ‘non-responders’, as these MEKi-treated Nf1hGFAPCKO mice still exhibited a complete rescue of ectopic Tbr2 expression in their cerebella, and consistent rescues in the defects in the corpus callosum and SVZ, as described previously (Wang et al., 2012). The inconsistent rescue in the glia-dependent defects observed in the cerebella of MEKi-treated Nf1hGFAPCKO mice is likely due to the extremely high levels of Erk activation in Nf1-deficient glial cells in the developing cerebellum compared to other cells. Indeed, when the dose of MEKi was increased to 20 mg/kg, a more consistent rescue in cerebellar defects was observed in the cerebella of the MEKi-treated Nf1hGFAPCKO mice (Figure 7F). More importantly, this ‘MEKi in milk’ treatment protocol provides robust long-term rescues on cerebellar developmental defects and motor performance. It should be emphasized that this transient MEKi treatment protocol also rescued structural defects in the other regions of the Nf1hGFAPCKO brain including the enlarged corpus callosum, a brain structural defect associated with severe cognitive impairments in a subset of NF1 patients (Wang et al., 2012). Thus, motor performance improvement by this protocol is a collective reflection of rescues of multiple NF1-associated brain structural defects including those in the cerebellum and corpus callosum. Given that cognitive and motor impairments are often co-morbidities in children with NF1 (Champion et al., 2014), our findings suggest that this transient ‘MEKi in milk’ protocol can serve as a common prevention strategy for multiple NF1-associated neurodevelopmental disorders.
Materials and methods
Control and mutant mice
Request a detailed protocolThree independent Cre transgenic strains under the control of hGFAP, Math1 and L7 promoters were utilized to target an Nf1 mutation into different cell lineages during cerebellar development. The control mice for Nf1hGFAPCKO mice are a pool of phenotypically indistinguishable mice: hGFAP-cre-;Nf1flox/flox, hGFAP-cre−;Nf1flox/+ and hGFAP-cre+;Nf1flox/+. The control mice with similar genetic configurations were used for Nf1Math1CKO and Nf1L7CKO mice. All the CKO mice have genotypes of Cre+;Nf1flox/flox. Nf1hGFAPCKO, Nf1Math1CKO, Nf1L7CKO and control mice were maintained in the mixed backgrounds of C57Bl6, 129Svj and FVB, which improved overall health and lifespan of Nf1hGFAPCKO mice. Age- and littermate-matched control and mutant mice were used for analysis. Tamoxifen inducible strain Nf1NcreERCKO is described in later sections along with the tamoxifen administration protocol. All mice in this study were cared for according to the guidelines that were approved by the Animal Care and Use Committees of the University of Michigan at Ann Arbor, MI and the Children's National Medical Center in Washington, DC.
MEK inhibitor treatment
Request a detailed protocolMEK inhibitor (MEKi, PD0325901, Sigma-Aldrich, St. Louis, MO) was dissolved in DMSO at a concentration of 25 mg/ml and resuspended in vehicle (0.5% hydroxypropyl methyl-cellulose with 0.2% Tween80, Sigma-Aldrich) at a concentration of 1 mg/ml. The solution was administered by oral gavage at the dosage of 5 mg/kg or 20 mg/kg (body weight) daily to lactating females for the treatment of P0.5–P21 mice. MEKi-treated mice were collected and compared to littermate control mice and vehicle-treated Nf1hGFAPCKO and Nf1Math1CKO mice.
Tissue preparation and histological analysis
Request a detailed protocolBoth paraffin and frozen sections were utilized for histological analysis. Control and mutant littermates at various time points were perfused with Phosphate buffered saline (PBS) followed by 4% paraformaldehyde (PFA) (Sigma-Aldrich). Brains were divided into two hemispheres along the midline and each hemisphere was processed for either frozen blocks (for in situ hybridization and X-gal staining, see below) or paraffin-embedded blocks. For paraffin sections, brains were dissected and post-fixed in 4% PFA overnight at 4°C. Fixed brains were sagittally sectioned at 5 μm thickness. Slides from histologically comparable positions were stained by hematoxylin and eosin (H&E) and imaged with a light microscope (Olympus BX51, Olympus America Inc., Center Valley, PA).
Immunohistochemistry and immunofluorescence
Request a detailed protocolImmunohistochemistry was performed on paraffin sections as previously described (Wang et al., 2009). The visualization of primary antibodies was performed with the avidin-biotin horseradish peroxidase system (Vectastain ABC kit, Vector Labs, Burlingame, CA). The dilutions of primary antibodies used on paraffin sections in this study were: BLBP (1:2000, rabbit, a kind gift from Dr. Todd Anthony), Calbindin (1:1000, mouse, Sigma-Aldrich), GFAP (1:2000, rabbit, DAKO, Carpinteria, CA) and BrdU (1:1000, rat, Abcam, Cambridge, MA). Immunofluorescence was performed on both paraffin and frozen sections. Primary antibodies were visualized by Cy2 (or Alexa 488), Cy3 (or Alexa 555) and Cy5 (or Alexa 647)-conjugated secondary antibodies (1:200, Cy2/Cy3/Cy5, Jackson Immunoresearch, West Grove, PA; 1:400, Alexa 488/555/647, Invitrogen, Grand Island, NY). The dilutions of primary antibodies used in this study were as follows: GFAP (1:2000, mouse, BD Pharmingen, San Jose, CA), GFAP (1:2000, rabbit, DAKO), NeuN (1:400, mouse, Millipore, Billerica, MA), BLBP (1:500, rabbit, a gift from Nathaniel Heintz), Calbindin (1:1000, mouse, Sigma-Aldrich), GABARα6 (1:500, rabbit, Millipore), BrdU (1:1000, rat, Abcam), Ki-67 (1:500, mouse, BD Pharmingen), Tbr2 (1:1000, rabbit, Abcam), Calretinin (1:1000, mouse, Millipore), MAP2 (1:1000, mouse, Sigma-Aldrich), P27 (1:250, rabbit, Santa Cruz Biotechnology, Dallas, TX), β-gal (1:1000, rabbit, 5 prime-3 prime, Gaithersburg, MD), β-gal (1:3000, chicken, Abcam), p-Erk (1:200, rabbit, Cell Signaling, Beverly, MA), p-S6 (1:1000, rabbit, Cell Signaling). Sections were examined under a light/fluorescence microscope (Olympus BX51).
In situ hybridization
Request a detailed protocolBrains were removed immediately after decapitation, frozen in a bed of crushed dry ice, sectioned in a sagittal plane at 14 µm with a cryostat, mounted on RNase-free slides, and treated with 4% paraformaldehyde, and incubated in 0.1 M triethanolamine with acetic anhydrate. Radioactive riboprobes were synthesized from template DNA and labeled by S35-UTP. For hybridization, an 800 bp Math1 antisense probe was made from a plasmid pLA1-HindIII containing 600 bp of the Math1-coding region and approximately 200 bp of the 5′-flanking sequence (Helms and Johnson, 1998). The Zic1 antisense probe was a 690-bp XhoI–SalI segment from the mouse Zic1 cDNA (Aruga et al., 1994). After hybridization, slides were dipped in photographic emulsion, counterstained, dehydrated and cover-slipped. Tissue were visualized and photographed with darkfield using an Olympus BX51 microscope. Detailed protocol was described previously (Martin-Zanca et al., 1990).
Tamoxifen administration in Nestin-creER inducible mice
Request a detailed protocolTamoxifen (Sigma-Aldrich) was dissolved in corn oil (Sigma-Aldrich) at a concentration of 20 mg/ml and stored at −20°C. Pregnant female mice were intra-peritoneal (IP) injected once with tamoxifen at a dosage of 100 μg/g body weight at E17.5. Their offspring carrying Nestin-creER transgene were collected at P21 for analysis. Nestin-creER+; Nf1flox/+; R26LacZR mice were used as controls and Nestin-creER+; Nf1flox/flox; R26LacZR mice were used as mutants (Nf1NcreERCKO).
X-gal staining
Request a detailed protocolThe R26LacZR allele was introduced to the control, Nf1hGFAPCKO, Nf1Math1CKO, Nf1L7CKO and Nf1NcreERCKO mice as a reporter to monitor Cre-mediated recombination. Dissected brains were prepared for frozen sections and sliced at 12 μm and subjected to X-gal staining for 1 hr to overnight, according to the signal intensity. X-gal staining was performed as described previously (Zhu et al., 1998, 2001). Co-localization of β-gal expressing cells with other lineage markers was obtained by double immunofluorescence labeling with anti-β-gal antibody.
Golgi staining
Request a detailed protocolBrains from P8 mice were dissected and subjected to Golgi staining for 10 days using a previously published protocol (Glaser and Van der Loos, 1981). Brains were then sagittally sectioned at 50 μm on a vibrotome and mounted on slides (Leica, Germany). Sections were then developed in the darkroom (20 min 20% Ammonium hydroxide, Sigma-Aldrich + 10 min 20% Kodak fixer, Kodak, Rochester, NY) and dehydrated in ethanol and xylene.
BrdU assay
Request a detailed protocolNeonatal mice received a single injection of 50 μg/g (gram, body weight) BrdU (Sigma-Aldrich). For proliferation assay, mice were perfused with 4% PFA 2 hr after the last pulse. For cell cycle and differentiation assay, neonatal mice were injected with BrdU 24, 32 and 48 hr prior to analysis at P8. For P8–P18 BrdU differentiation assay, mice were sacrificed 10 days after the initial pulse. In both assays, brains were dissected and processed for paraffin-embedded sections. BrdU immunofluorescence was performed as described previously (Wang et al., 2009).
Neuron/glia co-culture, granule cell trans-well migration assay, and in vitro granule cell differentiation assay
Request a detailed protocolCerebella from P6 control and Nf1Math1CKO were dissected and dissociated into single-cell suspension using a previously published protocol (Lee et al., 2009). Granule cells and glia were separated and cultured differently. For neuron/glia co-cultures, cultured glial cells were released by trypsination. Following trypsin inhibition, glial cells were counted, spun down, re-suspended in culture medium, and added to 1-day-old cultures of purified cerebellar neurons at a ratio of 2:1. Trans-well migration assay was performed as described previously (Watkins and Sontheimer, 2011) with the following modifications. Millicell cell culture inserts (Millipore) were placed into 24-well culture plate (Corning Inc., Corning, NY) and granule cells (5.0 × 103) were added in each upper inserts. The bottom wells contained 10 μg/ml fibronectin as chemo-attractant. They were then incubated for 4 hr in a 37°C humidified CO2 incubator. At the end of the experiment, remaining cells in the well (top) were stripped with Q-tips. Cells on the opposite side (bottom) of the insert membrane were fixed with 4% PFA for 30 min and stained with DAPI. The number of cells migrated through the membrane was counted based on high-power images of membranes and the average cell number of 5 areas (up, down left, right, center) and was subjected to statistical analysis. For in vitro differentiation assay, dissociated cerebellar granule cell progenitors were plated on Poly-D-Lysine-coated cell culture plates in growth media without EGF and FGF. Cells were fixed after 72 hr and stained for MAP2 and DAPI. Both trans-well migration assay and in vitro differentiation assay were repeated with cells obtained from at least three mice.
Western blot analysis
Request a detailed protocolSnap-frozen tissues were homogenized in lysis buffer for 20 min on ice and subjected to centrifugation at 14,000 rpm for 10 min at 4°C. Equal amounts of protein samples were mixed with 1X SDS loading buffer [50 mM Tris-HCL (pH6.8), 2% SDS, 0.05% bromophenol blue, 10% glycerol, 100 mM β-mercaptoethanol] (Biorad, Hercules, CA). Samples were separated on SDS-PAGE gel and transferred onto NC membranes (Millipore). The blots were then blocked in 5% non-fat milk in TBST, followed by incubation of primary antibodies at 4°C overnight. After washing, the blots were incubated in horseradish peroxidase (HRP)-conjugated secondary antibodies at room temperature for 1 hr. Signals were detected using ECL or ECL plus (GE healthcare, UK) followed by film development. The primary antibodies used were as follows: p-Erk, Erk, p-S6, S6, p-Akt, Akt (1:1000, rabbit, Cell Signaling) and Nf1 (1:1000, rabbit, Upstate, Lake Placid, NY).
Rapamycin treatment
Request a detailed protocolRapamycin (Millipore) was dissolved in 100% sterile-filtered ethanol at a concentration of 10 mg/ml and resuspended in vehicle (5.2% PEG400 with 5.2% Tween80, Sigma-Aldrich) at a final concentration of 0.4 mg/ml. The solution was administered by intraperitoneal injection at the dosage of 4 mg/kg (body weight) every other day from P0.5–P21. Rapamycin-treated mice were collected and compared to littermate control and Nf1hGFAPCKO mice treated with vehicle.
Rotarod test
Request a detailed protocolMotor function and motor learning were evaluated by rotarod apparatus. 1 hr before the rotarod test, mice were transferred from the holding room to the experimental room. Mice were tested for 4 consecutive days at P21–P24 and P45–P49. The speed of the rotarod was constantly accelerated from 4 to 34 rpm over a 5-min period. The latency to fall from the rod was recorded. The test was stopped at 12 min.
Quantification and statistical analysis
Request a detailed protocolAnatomically comparable sections from control and mutant brains were visualized under an Olympus BX51 microscope. Images were captured and subjected to analysis. Lengths, areas and the number of cells were quantified using the ImageJ software package. Statistical analysis was carried out using unpaired two-tailed Student's t-test. Comparisons across more than two groups were based on Anova test. At least three animals from each group were used for quantification. Data were presented as mean ± Standard Error Mean (SEM). p < 0.05 was considered to be statistically significant.
When quantifying cells in specific folia, we used the following criteria to define the areas to quantify. ‘Folia V/IV’ refers to the junction between folia V and IV at 20× magnification (i.e., Figure 1A middle panels) and the quantification covered this entire area. Similarly, ‘Folia IX/X’ refers to the junction between folia IX and X at 20× magnification (i.e., Figure 5—figure supplement 2A). ‘Folium V’ or ‘Folium X’ refers to 40× images in these folia close to the center of the cerebellum that were imaged at comparable positions in controls and mutants.
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Article and author information
Author details
Funding
U.S. Department of Defense (W81XWH-11-1-0251)
- Yuan Zhu
National Institutes of Health (1R01 NS053900, 1R01 NS073762)
- Yuan Zhu
National Cancer Institute (1U54 CA168512-01)
- Yuan Zhu
The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.
Acknowledgements
We thank Dr L Parada for support during the early phase of the study; G Tomasek for technical assistance; members of the Zhu lab for support; Drs A Messing for providing hGFAP-cre mice, D Rowitch for Math1-cre mice, L Chang for Nestin-creER mice, N Heintz for BLBP antibody, B Novitch for Olig2 antibody; Drs R Packer, C Wang, and J Guan for critically reading the manuscript. This work is supported by grants from the DOD (W81XWH-11-1-0251), NIH/NINDS (1R01 NS053900 and 1R01 NS073762) and NIH/NCI (1U54 CA168512-01) (YZ).
Ethics
Animal experimentation: All mice in this study were cared for according to the guidelines that were approved by the Animal Care and Use Committees of the University of Michigan at Ann Arbor, MI and the Children's National Medical Center in Washington, DC. The approved protocol number at the University of Michigan is PRO00004481. The project (ID# 30001543) was approved by the IACUC (Protocol#: 309-13-09) of the Children's National Medical Center at Washington.
Copyright
© 2014, Kim et al.
This article is distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use and redistribution provided that the original author and source are credited.
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