Ectopic expression of acetylation-mimic TDP-43K145Q, an RNA-binding deficient mutant, shows accelerated formation of stress-induced nuclear TDP-43 foci

A Representative immunofluorescence images of TDP-43 in DIV14 mouse primary cortical neurons overexpressing TDP-43wt, TDP-43K145Q, or TDP-43K145R after vehicle or 200μM NaAsO2 treatment followed by labeling of TDP-43 (green), NeuN (magenta), and DAPI (blue). Arrows highlight nuclei with TDP-43+ foci. Scale bar = 20μm. B Quantification of percentage of neurons with TDP-43+ foci in vehicle-treated neurons. C Quantification of the average number of TDP-43+ foci per neuron. Data shown as Superplots89; solid color bordered symbols and error bars indicate mean value of each biological replicate ± SEM; semi-transparent data points represent the average value per neuron in a single field of view, 10-110 neurons per field, 48 fields across n=2-4 biological replicates. Statistical analysis completed using a linear mixed-effect model. Statistical significance is represented by asterisks *p<0.05, **p<0.01, ***p<0.001. DIV= Day in vitro

An endogenously encoded acetylation-mimic TDP-43K145Q mutation causes altered TDP-43 localization and functional splicing deficits in mouse primary cortical neurons

A Representative images of primary cortical neurons derived from TDP-43wt or TDP-43KQ/KQ mice that were treated with vehicle or 200μM NaAsO2 at DIV14 and immunolabeled for endogenous TDP-43 (green), NeuN (magenta), and DAPI (blue). B-C Quantification of the number of TDP-43+ foci (B) and the cytoplasmic:nuclear ratio of TDP-43 fluorescence intensity (C) in TDP-43KQ/KQ compared to TDP-43wt neurons. D-G RT-qPCR analysis of DIV14 and DIV28 untreated mouse primary cortical neurons using primers specific for mouse (D) Tardbp [F (1, 8) = 3.034, p=0.1197]; and Sort1 splice variants: (E) ratio Sort1+ex17b:Sort1-WT [F (1, 8) = 23.02, p=0.0014] and (F) total Sort1 mRNA [F (1, 8) = 5.086, p=0.0541]. B-C Data shown as Superplots89; solid color bordered symbols and error bars indicate mean value of each biological replicate ± SEM; semi-transparent data points represent the average value per neuron in a single field of view, 10-110 neurons per field, 72 fields across n=2-4 biological replicates; one color represents one biological replicate. Statistical analysis performed using a linear mixed-effect model. D-F Analysis by two-way ANOVA followed by Šídák’s multiple comparisons testing. F statistics represent main effect of genotype. Statistical significance is represented by asterisks, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001, ns = not significant.

RNA-binding deficient TDP-43K145Q in human iPSC-derived mature cortical neurons alters TDP-43 distribution and causes disease-relevant splicing dysregulation

(A) Representative confocal images of CRISPR-modified human iPSC-derived cortical neurons harboring homozygous TDP-43K145Q (clonal lines 12, 18) or TDP-43K145R (clonal lines 2, 12) knock-in mutations or an isogenic wild-type TDP-43wt control lacking TARDBP modifications. Differentiated cortical neurons were treated with vehicle or 200μM NaAsO2 and then immunolabeled for endogenous TDP-43 (green), Map2 (magenta), and DAPI (blue). Scale bars = 20μm. Arrows highlight nuclei with few, bright TDP-43+ foci. Arrowheads highlight nuclei with relative depletion of TDP-43 intensity. B-I RT-qPCR analysis of hiPSC-derived mature cortical neuron samples using primers specific for (B) human Tardbp [F=43.79, p<0.0001], (C) SORT1+ex17b, (D) SORT1-WT [F=2.975, p=0.0516], (E) total SORT1 mRNA [F=3.461, p=0.0321], (F) truncated STMN2 [F=79.06, p<0.0001], (G) STMN2 WT [F=63.93, p<0.0001], (H) UNC13A cryptic exon; and (I) UNC13A WT mRNA [F=2.116, p=0.1262]. RT-qPCR results compared via ordinary one-way ANOVA (F statistics and p-values shown in brackets above) followed by Tukey’s multiple comparisons testing. Statistical significance of multiple comparisons testing is represented by asterisks *p<0.05, ***p<0.001, ****p<0.0001. † Non-detectable levels of UNC13A cryptic exon- and SORT1-ex17b - containing transcripts in some or all control TDP-43wt and TDP-43K145R neurons prevented statistical comparisons among groups and therefore no statistical significance was reported and graphs are provided for visualization purposes only.

TDP-43KQ/KQ mice develop age-dependent cognitive and behavioral defects.

A Body weight of TDP-43wt and TDP-43KQ/KQ mice in males [left panel; F(1,48)=17.52, p=0.0001] and females [right panel; F(1,36)=14.17, p=0.0006] at different ages. B Quantification of time in the center region of an open field in mice at 12 months [left panel; F(1,20)=6.118, p=0.0225] and 18 months [right panel; F(1,17)=9.622, p=0.0065]. C Quantification of time spent frozen (immobile) following context-dependent conditioned fear testing 18-months-old [right panel; F(1,17)=5.402, p=0.0328]. D Quantification of time spent frozen following cue-dependent conditioned fear testing at 12-months-old [left panel; F(1,20)=6.136, p=0.0223] and 18-months-old. Filled bars represent presence of auditory cue (tone) and period of statistical analysis. E-F Morris Water Maze (MWM) analysis displaying time to find a hidden platform (escape latency), quantified as daily trial means per animal (E) or average across all days (F). G-H Quantification of escape latencies during MWM reversal learning trials in daily trials (G) [F(1,16)=5.273, p=0.0355] and comparing averages per mouse across all days (H).

Bar and scatter plots shown as mean ± SD. Box and whiskers show line at median, ‘+’ at mean, and whiskers run min to max. a Two-way ANOVA followed by Šídák’s multiple comparisons test. B-D,E,G Two-way repeated measures ANOVA followed by Holm-Šídák’s multiple comparisons tests; F statistics and p-values in legend represent main effect of genotype. F, H Unpaired student’s t-test. Sample sizes as follows unless otherwise indicated: 12-month TDP-43wt n=15; 12-month TDP-43KQ/KQ n=7; 18-month TDP-43wt n=10; 18-month TDP-43KQ/KQ n=9; one 18-month TDP-43KQ/KQ extreme outlier removed for MWM analysis (E,F). Statistical significance is represented by asterisks *p<0.05, **p<0.01, ***p<0.001; ns=not significant. Further statistical information is located Figure 4 Source Data 1 file.

No evidence of neuronal loss in aged TDP-43KQ/KQ mice with retention of predominantly nuclear TDP-43.

A Representative confocal immunofluorescence images of NeuN+ neurons in the neocortex of 12- and 18-month TDP-43wt or TDP-43KQ/KQ mice. B Quantification of NeuN+ neurons per square millimeter (mm) in TDP-43wt and TDP-43KQ/KQ mice neocortex. C Quantification of the percent of neocortex area that is occupied by cells with NeuN immunoreactivity. D,G Representative confocal images of neocortex (D) and hippocampus (G) sections from 18-month-old TDP-43wt and TDP-43KQ/KQ mice immunolabeled with TDP-43 (green), NeuN (magenta), and DAPI (blue). F,H Quantification of TDP-43 fluorescence intensity within NeuN+ neurons in the neocortex (F) or hippocampal CA3 region (H). F,I Quantification of the nuclear:cytoplasmic ratio of TDP-43 fluorescence intensity within NeuN+ neurons in the neocortex (F) and hippocampus (I). Scale bars = 100 μm (A), 20 μm (D,G). SuperPlots89 show average value per animal in solid color bordered symbol (as mean ± SEM) over top of semi-transparent individual values from each animal. One color represents one animal. Individual datapoints in (B) and (C) represent density in a single field of view, with 10-16 fields across 4 brain sections per animal, n = 3-4 mice per genotype of 18-month-old animals and n=6 mice per genotype of 12-month-old animals. Individual datapoints in E-F and H-I represent values from a single neuron within one field of view, with 1000-5000 neurons per animal across 12-16 fields from 4 (neocortex) or 2 (hippocampus) brain sections of n = 3-4 mice per genotype of 18-month-old animals. Statistical analyses performed using linear mixed-effect models. Omission of asterisks indicates no statistical significance.

Hyperphosphorylated and mislocalized TDP-43 protein and autoregulated induction of the Tardbp transcript is found in the neocortex and hippocampus of aged TDP-43KQ/KQ mice

A-F Western blot images comparing soluble and insoluble protein fractions in neocortex (A) and hippocampus (D) from TDP-43wt and TDP-43KQ/KQ mice at 12- and 18-months of age. Quantification of soluble TDP-43 protein levels in neocortex and hippocampus tissue relative to total transferred protein (TTP) [neocortex (B) F (1, 14) = 97.67, p<0.0001; hippocampus (E) main effect of genotype F (1, 13) = 3.699, p=0.0766 and main effect of genotype*age interaction F (1,13) = 10.21, p=0.0070). Quantification of insoluble phosphorylated p(409/410)-TDP-43 levels in neocortex and hippocampus tissue [neocortex (C) F (1, 14) = 18.81, p=0.0007; hippocampus (F) F (1, 13) = 23.07, p=0.0003]. G-I Western blot images following isolation of soluble nuclear and cytoplasmic protein fractions from neocortex (G) and hippocampus (J) of TDP-43wt and TDP-43KQ/KQ mice at 12- and 18-months of age. J-L Quantification of cytoplasmic TDP-43 measured as percent of total TDP-43 in neocortex and hippocampus [neocortex (H) F (1, 8) = 69.38, p<0.0001; hippocampus (K) F (1, 8) = 22.40, p=0.0015] and relative cytoplasmic mislocalization of TDP-43 after normalizing to cytoplasmic/nuclear ratio of the nuclear Sp1 protein in neocortex and hippocampus [neocortex (I) F (1, 8) = 19.79, p=0.0021; hippocampus (L) F (1, 8) = 29.94, p=0.0006]. M-N Tardbp expression was analyzed by qPCR in the (M) hippocampus [F (1, 16) = 76.86; p<0.0001] and (N) neocortex [F (1, 23) = 80.74; p<0.0001] of TDP-43KQ/KQ and TDP-43wt mice at 12- and 18-months-old. Relative expression (RQ) values in each sample were determined using the Plaff method and B-actin and Pgk1 as housekeeping genes. A-F n=4 TDP-43wt and n=5 TDP-43KQ/KQ at all ages and regions except 18-month hippocampus n=4 TDP-43KQ/KQ. F-L n=4 all ages and regions. M Neocortex n=4 12-month TDP-43wt, n=5 12-month TDP-43KQ/KQ, n=10 18-month TDP-43wt, n=9 18-month TDP-43KQ/KQ. N Hippocampus n=4 12-month TDP-43wt, n=5 12-month TDP-43KQ/KQ, n=6 18-month TDP-43wt, n=6 18-month TDP-43KQ/KQ. Data are presented as mean ± SD. Two-way ANOVA followed by Šídák’s multiple comparisons test. F statistics represent the main effect of genotype unless otherwise stated. Statistical significance represented by asterisks, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001. Further statistical information is available in the Figure 6 Source Data 1 file. Figures showing uncropped western blot images are available in Figure 6 Source Data 2 files. Full images of western blots are available in Figure 6 Source Data 3 files.

RNA sequencing of aged TDP-43KQ/KQ mouse brain reveals dysregulation of neurodegeneration and FTLD-TDP-associated pathways

Genes differentially expressed between TDP-43KQ/KQ (TDP43-KQ) and TDP-43wt (TDP43-WT) cortex and hippocampus were compared and their intersections were defined as 6 gene groups, as represented by an UpSet plot (left). Normalized gene expression values, centered around the mean of TDP-43wt samples for each brain region, were then hierarchically clustered and plotted as a heatmap (center, red indicates expression higher than that of WT, blue indicates expression lower than WT). Genes that were significantly altered in human FTLD-TDP temporal and/or frontal cortex (Hasan et. al.92, “FTLD-TDP Cortex” bar), or striatal mouse brain TDP-43-knockdown (Polymenidou et al.97, “TDP-43 knockdown” bar) were demarcated with tick marks. Each gene group was assessed for over-enrichment of Gene Ontology terms and these results were summarized as word clouds (right). Neocortex n=5 TDP-43wt, n=6 TDP-43KQ/KQ; hippocampus n=4 TDP-43wt, n=5 TDP-43KQ/KQ.

Dysfunctional splicing regulation of the Sort1 transcript in TDP-43KQ/KQ mice

A Differential splicing analysis of TDP-43wt and TDP-43KQ/KQ neocortex (“Ctx”) and hippocampus (“Hpc”) using LeafCutter177 (visualized with LeafViz178) demonstrates reduction in exclusion of a 3′ exon within the Sort1 transcript. Diagram in (A) shows full-length Sort1 gene in upper panel and highlights the differentially spliced region in gray. Chromosomal location, intron start and end points, annotation status, and Δ percent spliced in (dPSI) of the intronic region is listed in the lower table. B-C qPCR analysis of additional WT and TDP-43KQ/KQ neocortex (B) and hippocampus (C) samples using primers specific for Sort1 splice variants to show the ratio of Sort1-ex17b:Sort1-WTmRNA levels and total Sort1 mRNA levels [B neocortex; Sort1-ex17b:Sort1-WT ratio, F (1, 22) = 51.85, p<0.0001; Sort1 total, F (1, 25) = 0.01856 p=0.8927; C hippocampus; Sort1-ex17b:Sort1-WT ratio, F (1, 14) = 39.54, p<0.0001, Sort1 total F (1, 16) = 2.086 p=0.1679]. D-G Images of western blots probed for Sort1 protein from neocortex (D) and hippocampus (E) lysates from 12- and 18-month-old mice. The Sort1 protein band intensity is plotted relative to total transferred protein (TTP) and quantified in F-G [neocortex, F(1,14) =9.308, p=0.0086; hippocampus, F(1,13) =6.117, p=0.0280]. A Neocortex n=5 TDP-43wt, n=6 TDP-43KQ/KQ; hippocampus n=4 TDP-43wt, n=5 TDP-43KQ/KQ. B Neocortex n=3 12-month TDP-43wt, n=5 12-month TDP-43KQ/KQ, n=9 18-month TDP-43wt, n=9 18-month TDP-43KQ/KQ. C Hippocampus n=3 12-month TDP-43wt, n=5 12-month TDP-43KQ/KQ, n=5 18-month TDP-43wt, 5=9 18-month TDP-43KQ/KQ. D-G n=4 12-month TDP-43wt, n=5 12-month TDP-43KQ/KQ, n=4 18-month TDP-43wt, n=4 (hippocampus) or n=5 (neocortex) 18-month TDP-43KQ/KQ. Data are presented as mean ± SD. Two-way ANOVA followed by Šídák’s multiple comparisons test. F statistics represent main effect of genotype, unless otherwise stated. Statistical significance is represented by asterisks, *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001. Further statistical information is located Figure 8 Source Data 1 file. Figures showing uncropped western blot images are available in Figure 8 Source Data 2 files. Full images of western blots are available in Figure 8 Source Data 3 files.