Systemic pharmacological suppression of neural activity reverses learning impairment in a mouse model of Fragile X syndrome

Reviewer #1 (Public Review):

Summary:
Shakhawat et al., investigated how enhancement of plasticity and impairment could result in the same behavioral phenotype. The authors tested the hypothesis that learning impairments result from saturation of plasticity mechanisms and had previously tested this hypothesis using mice lacking two class I major histocompatibility molecules. The current study extends this work by testing the saturation hypothesis in a Purkinje-cell (L7) specific Fmr1 knockout mouse mice, which have enhanced parallel fiber-Purkinje cell LTD. The authors found that L7-Fmr1 knockout mice are impaired on an oculomotor learning task and both pre-training, to reverse LTD, and diazepam, to suppress neural activity, eliminated the deficit when compared to controls.

Strengths:

This study tests the "saturation hypothesis" to understand plasticity in learning using a well-known behavior task, VOR, and an additional genetic mouse line with a cerebellar cell-specific target, L7-Fmr1 KO. This hypothesis is of interest to the community as it evokes a novel inquisition into LTD that has not been examined previously.

Utilizing a cell-specific mouse line that has been previously used as a genetic model to study Fragile X syndrome is a unique way to study the role of Purkinje cells and the Fmr1 gene. This increases the understanding in the field in regards to Fragile X syndrome and LTD.

The VOR task is a classic behavior task that is well understood, therefore using this metric is very reliable for testing new animal models and treatment strategies. The effects of pretraining are clearly robust and this analysis technique could be applied across different behavior data sets.

The rescue shown using diazepam is very interesting as this is a therapeutic that could be used in clinical populations as it is already approved.

There was a proper use of controls and all animal information was described. The statistical analysis and figures are clear and well describe the results.

Weaknesses:
While the proposed hypothesis is tested using genetic animal models and the VOR task, LTD itself is not measured. This study would have benefited from a direct analysis of LTD in the cerebellar cortex in the proposed circuits.

Diazepam was shown to rescue learning in L7-Fmr1 KO mice, but this drug is a benzodiazepine and can cause a physical dependence. While the concentrations used in this study were quite low and animals were dosed acutely, potential side-effects of the drug were not examined, including any possible withdrawal. This drug is not specific to Purkinje cells or cerebellar circuits, so the action of the drug on cerebellar circuitry is not well understood for the study presented.

It was not mentioned if L7-Fmr1 KO mice have behavior impairments that worsen with age or if Purkinje cells and the cerebellar microcircuit are intact throughout the lifespan. Connections between Purkinje cells and interneurons could also influence the behavior results found.

While males and females were both used for the current study, only 7 of each sex were analyzed, which could be underpowered. While it might be justified to combine sexes for this particular study, it would be worth understanding this model in more detail.

Training was only shown up to 30 minutes and learning did not seem to plateau in most cases. What would happen if training continued beyond the 30 minutes? Would L7-Fmr1 KO mice catch-up to WT littermates?

The pathway discussed as the main focus for VOR in this learning paradigm was connections between parallel fibers (PF) and Purkinje cells, but the possibility of other local or downstream circuitry being involved was not discussed. PF-Purkinje cell circuits were not directly analyzed, which makes this claim difficult to assess.

The authors mostly achieved their aim and the results support their conclusion and proposed hypothesis. This work will be impactful on the field as it uses a new Purkinje-cell specific mouse model to study a classic cerebellar task. The use of diazepam could be further analyzed in other genetic models of neurodevelopmental disorders to understand if effects on LTD can rescue other pathways and behavior outcomes.

Reviewer #2 (Public Review):

This manuscript explores the seemingly paradoxical observation that enhanced synaptic plasticity impairs (rather than enhances) certain forms of learning and memory. The central hypothesis is that such impairments arise due to saturation of synaptic plasticity, such that the synaptic plasticity required for learning can no longer be induced. A prior study provided evidence for this hypothesis using transgenic mice that lack major histocompatibility class 1 molecules and show enhanced long-term depression (LTD) at synapses between granule cells and Purkinje cells of the cerebellum. The study found that a form of LTD-dependent motor learning-increasing the gain of the vestibulo-ocular reflex (VOR)-is impaired in these mice and can be rescued by manipulations designed to "unsaturate" LTD. The present study extends this line of investigation to another transgenic mouse line with enhanced LTD, namely, mice with the Fragile X gene knocked out. The main findings are that VOR gain increased learning is selectively impaired in these mice but can be rescued by specific manipulations of visuomotor experience known to reverse cerebellar LTD. Additionally, the authors show that a transient global enhancement of neuronal inhibition also selectively rescues gain increases learning. This latter finding has potential clinical relevance since the drug used to boost inhibition, diazepam, is FDA-approved and commonly used in the clinic. The evidence provided for the saturation is somewhat indirect because directly measuring synaptic strength in vivo is technically difficult. Nevertheless, the experimental results are solid. In particular, the specificity of the effects to forms of plasticity previously shown to require LTD is remarkable. The authors should consider including a brief discussion of some of the important untested assumptions of the saturation hypothesis, including the requirement that cerebellar LTD depends not only on pre- and postsynaptic activity (as is typically assumed) but also on the prior history of synaptic activation.