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Volume 17, Number 9,
Issue of May 1, 1997
pp. 3052-3063
Copyright ©1997 Society for Neuroscience
Heterogeneous Topographic and Cellular Distribution of Huntingtin
Expression in the Normal Human Neostriatum
Robert J. Ferrante1,
Claire-Anne Gutekunst2,
Francesca Persichetti3,
Sandra M. McNeil3,
Neil W. Kowall1,
James F. Gusella3,
Marcy E. MacDonald3,
M. Flint Beal4, and
Steven M. Hersch2
1 Geriatric Research Education Clinical Center, Bedford
VA Medical Center, Bedford, Massachusetts 01730, and Neurology
Department, Boston University School of Medicine, Boston, Massachusetts
02118, 2 Department of Neurology, Emory University School
of Medicine, Atlanta, Georgia 30322, 3 Molecular
Neurogenetics Unit, Massachusetts General Hospital, Charlestown,
Massachusetts 02129, and 4 Neurochemistry Laboratory,
Neurology Service, Massachusetts General Hospital and Harvard Medical
School, Boston, Massachusetts 02114
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
FOOTNOTES
REFERENCES
ABSTRACT
A striking heterogeneous distribution of topographic and cellular
huntingtin immunoreactivity was observed within the human neostriatum
using three distinct huntingtin antibodies. Patchy areas of low
huntingtin immunoreactivity were present in both the caudate nucleus
and putamen, surrounded by an intervening area of greater
immunoreactivity. Comparison of huntingtin immunoreactivity with
contiguous serial sections stained for enkephalin and calbindin D28k
immunoreactivities showed that the topographic heterogeneity of
huntingtin immunostaining corresponded to the patch (striosome) and
matrix compartments within the striatum. Huntingtin immunoreactivity was confined primarily to neurons and neuropil within the matrix compartment, whereas little or no neuronal or neuropil huntingtin immunostaining was observed within the patch compartment. There was
marked variability in the intensity of huntingtin immunolabel among
medium-sized striatal neurons, whereas a majority of large striatal
neurons were only faintly positive or without any immunoreactivity. Combined techniques for NADPH-diaphorase enzyme histochemistry and
huntingtin immunocytochemistry, as well as double immunofluorescence for either nitric oxide synthase or calbindin D28k in comparison with
huntingtin expression, revealed a striking correspondence between
calbindin D28k and huntingtin immunoreactivities, with little or no
colocalization between NADPH-diaphorase or nitric oxide synthase
neurons and huntingtin expression. These observations suggest that the
selective vulnerability of spiny striatal neurons and the matrix
compartment observed in Huntington's disease is associated with higher
levels of huntingtin expression, whereas the relative resistance of
large and medium-sized aspiny neurons and the patch compartments to
degeneration is associated with low levels of huntingtin
expression.
Key words:
Huntington's disease;
huntingtin;
neostriatum;
immunofluorescence;
NADPH-diaphorase;
nitric oxide synthase;
calbindin
D28k
INTRODUCTION
Huntington's disease (HD) is a progressive, fatal
neurological disorder characterized by prominent striatal degeneration, chorea, and dementia (Bruyn, 1968
; Young, 1994
). The HD gene defect is
an expanded, unstable DNA segment containing a polymorphic trinucleotide CAG repeat in the coding sequence of the IT15 gene on
chromosome 4, which encodes the highly conserved protein huntingtin (Huntington's Disease Collaborative Research Group, 1993
; Gusella and
MacDonald, 1995
). Although the normal function of huntingtin is
unknown, expression is observed throughout the nervous system as well
as in non-neural tissues.
Although both mRNA and immunohistochemical studies have yielded
generally consistent results, differences in both the cellular and
topographic distribution of huntingtin have been reported. An analysis
of the localization of huntingtin mRNA suggests that it is present in
all neurons (Li et al., 1993
; Strong et al., 1993
; Landwehrmeyer et
al., 1995
). Large neurons contain higher levels of message, but, when
corrected for size, there is no difference from other neurons
(Landwehrmeyer et al., 1995
). Although several different huntingtin
antibodies have been used in immunohistochemical studies, the
topographic distribution and cellular localization of huntingtin in the
brain have not yet been characterized fully. One of the first reports,
using an antipeptide polyclonal antibody, noted that huntingtin was
found in both the nucleus and cytoplasm of neurons and did not describe
any regional variations (Hoogeveen et al., 1993
). Subsequent studies
have not detected nuclear huntingtin and suggest that huntingtin is a
cytoplasmic protein widely distributed in neurons throughout the brain
(DiFiglia et al., 1995
; Gutekunst et al., 1995
; Persichetti et al.,
1995
; Sharp et al., 1995
; Trottier et al., 1995
; Bhide et al., 1996
).
Within the striatum it has been reported that neuropil labeling is
light, with little or no immunoreactivity within striatal neurons
(Sharp et al., 1995
; Trottier et al., 1995
). Other studies suggest
that, although most neurons are immunopositive for huntingtin
throughout the brain, there is some variability in neuronal expression
and that large striatal neurons have a greater signal than other
striatal neurons (Gutekunst et al., 1995
; Bhide et al., 1996
). Although
a patch/matrix pattern of huntingtin immunoreactivity has not been
observed in the mouse or nonhuman primate striatum (Gutekunst et al.,
1995
; Sharp et al., 1995
; Bhide et al., 1996
), a heterogeneous
patch-like staining was reported within the human striatum (Gutekunst
et al., 1995
).
These studies have been widely interpreted as demonstrating that
huntingtin is expressed ubiquitously within the brain and that neurons
are labeled without any regional qualitative differences in brain areas
susceptible to degeneration in HD, suggesting that some factor other
than the expression of the HD gene product underlies the selective
regional and neuronal vulnerability observed in HD. It is unclear,
however, whether this conclusion is correct, because there is no strong
consensus on the topographic distribution and cellular localization of
huntingtin within the brain. In the present study we used enzyme
histochemical, immunocytochemical, and immunofluorescent techniques to
characterize the heterogeneity of huntingtin expression within the
normal human striatum.
MATERIALS AND METHODS
Postmortem striatal tissue from 12 patients with no evidence of
neurological disease (mean age, 68.5 years; range, 58-79 years) was
dissected fresh and placed in cold (4°C) 2%
paraformaldehyde-lysine-periodate solution for 24-36 hr. The
postmortem intervals did not exceed 12 hr (mean time, 9.7 hr; range,
4-12 hr). Tissue blocks were rinsed in 0.1 M sodium
phosphate buffer and placed in cold cryoprotectant in increasing
concentrations of 10 and 20% glycerol/2% DMSO solution over 36 hr.
Frozen serial sections of the entire striatal tissue block were cut at
50 µm intervals in the coronal plane. The cut sections were stored in
0.1 M sodium phosphate buffer/0.08% sodium azide at 4°C
for subsequent immunocytochemistry, enzyme histochemistry, immunofluorescence, and a combination of these techniques.
It is important to note that increased postmortem interval,
temperature, fixation, and time interval after tissue sectioning all
play a role in the subsequent staining patterns of the topographic and
neuronal expression of each of the huntingtin antisera used in these
studies. Time course immunostaining studies were performed to detect
any differences between staining patterns at intervals directly after
tissue sectioning and at 2, 4, and 8 weeks after frozen-sectioning and
cold (4°C) storage.
Immunocytochemistry. Three well characterized antibodies
against distinct huntingtin epitopes were used in this study: a rabbit polyclonal anti-fusion antibody (HDp549) derived from a segment of
human huntingtin (amino acids 549-679; dilution, 3 µg/ml) (Gutekunst et al., 1995
), a rabbit polyclonal antiserum (HF1) directed against amino acids 1981-2580 expressed in Escherichia coli as a
fusion with glutathione S-transferase (GST; dilution, 1:250)
(Persichetti et al., 1995
), and a mouse anti-huntingtin monoclonal
antibody as a fusion protein from an amino acid huntingtin fragment,
181-810 (dilution, 1:20; Chemicon, Temecula, CA) (Trottier et al.,
1995
). Immunohistochemical localization of antibodies to choline
acetyltransferase (ChAT), a marker for large striatal neurons
(dilution, 1:500; polyclonal rabbit antisera, Chemicon);
calbindin-D28k, for selective identification of spiny striatal neurons
and the striatal matrix compartment (dilution, 1:3000; monoclonal mouse
antisera, Swiss Antibodies, Belinzona, Switzerland); met-enkephalin,
delineating the striatal patch/matrix compartments (dilution, 1:800;
polyclonal rabbit antisera, Incstar, Stillwater, MN); and brain nitric
oxide synthase (NOS), which colocalizes with striatal somatostatin, neuropeptide Y/NADPH-diaphorase neurons (dilution 1:500; polyclonal rabbit antisera, Accurate Chemicals, Westbury, NY) was performed with a
previously reported conjugated second antibody method (Ferrante et al.,
1993
). Tissue sections were preincubated in an absolute methanol-0.3%
hydrogen peroxide solution for 30 min, washed (3×) in PBS, pH 7.4, for
10 min each, placed in 10% normal goat serum (Life Technologies, Grand
Island, NY) for 1 hr, incubated free floating in primary antiserum at
room temperature for 12-18 hr (all dilutions of primary antisera above
included 0.3% Triton X-100 and 10% normal goat serum), washed (3×)
in PBS for 10 min each, placed in periodate-conjugated goat anti-rabbit
IgG (1:300 in PBS, Boehringer Mannheim, Indianapolis, IN) or goat
anti-mouse IgG (1:300 in PBS, Boehringer Mannheim), washed (3×) in PBS
10 min each, and reacted with 3,3
diaminobenzidine HCl (1 mg/ml) in Tris-HCl buffer with 0.005% hydrogen peroxide. So
that double immunocytochemical and enzyme histochemical methods could
be completed, selected striatal tissue sections immunoreacted with
huntingtin antisera were not preincubated in absolute methanol-0.3%
hydrogen peroxide solution. These huntingtin-labeled sections were
wet-mounted with 50% glycerol, coverslipped, photographed at different
focal planes of the tissue specimen to ensure that all
huntingtin-positive neurons were identified by the use of a Nikon
photomicroscope, stored at 4°C for subsequent combined
NADPH-diaphorase enzyme histochemistry, and rephotographed.
Specificity for the antisera used in this study was examined in each
immunochemical experiment to assist with interpretation of the results.
This was accomplished by preabsorption with excess target proteins
(e.g., homologous huntingtin fusion proteins) and by omission of the
primary antibody to determine the amount of background generated from
the detection assay. The HDp549 and HF1 huntingtin antibodies were
tested by preadsorption of dilute primary antisera with an excess of
appropriate fusion protein (10 µg/ml and 12 µg/ml,
respectively) for 6 hr at room temperature before incubation (Fig.
1). Both of these huntingtin antibodies were made as a
fusion with helminthic GST. Although the polyclonal antibodies are
purified over a GST column to remove GST antibodies, each purified
aliquot was tested for cross-reactivity to GST, and GST polyclonal
antibodies were used as controls to insure lack of cross-reactivity.
Fusion protein for preadsorption of the Chemicon huntingtin antisera
was unavailable.
Fig. 1.
Preadsorption studies of huntingtin antisera.
Shown are photomicrographs of cellular and neuropil huntingtin
immunoreactivity within the caudate nucleus, using HDp549
(A) and HF1 (C) huntingtin antibodies,
and their respective preadsorption (B and
D), using primary antisera with an excess of fusion
protein (see Materials and Methods).
[View Larger Version of this Image (111K GIF file)]
Enzyme histochemistry: nicotinamide adenine dinucleotide
phosphate dehydrogenase (NADPH-d) method. Free-floating sections were stained, using a modification of the direct method of Vincent and
Johansson (1983)
for demonstrating NADPH-d. Tissue sections were
incubated at 37°C and monitored intermittently for intensity for
0.5-3 hr in a solution of 10 ml of 0.1 M Tris-HCl buffer, pH 7.4, containing 4 mg of NADPH (Sigma, St. Louis, MO) and 10 mg of
nitro blue tetrazolium salt (NBT; Sigma). Increased intensity of
reaction product was achieved by the addition of 0.8% Triton X-100
(Sigma). Heat treatment of tissue sections at 60°C for 2 hr or
incubating sections with NBT alone served as controls for specificity
of enzyme activity.
Fluorescent immunocytochemistry. Immunofluorescence was
performed by a previously described method (Ferrante et al., 1987a
) by
incubating striatal tissue sections in the HDp549 polyclonal rabbit
huntingtin antisera (12 µl/ml) and in either a monoclonal mouse brain
nitric oxide synthase (bNOS) (dilution, 1:50; Accurate Chemicals) or a
monoclonal mouse calbindin-D 28k antisera (dilution, 1:300) in Tris-HCL
buffer containing 0.3% Triton X-100 for 24-72 hr at 4°C. Then
sections were rinsed in PBS (3 washes for 10 min each) and incubated in
the dark with goat anti-rabbit fluorescein isothiocyanate (FITC)
conjugate (1:15; Boehringer Mannheim) and with goat anti-mouse
tetramethylrhodamine isothiocyanate (TRITC) conjugate (1:10; Boehringer
Mannheim) for 2 hr at 20°C. Deletion of huntingtin antisera resulted
in an absence of green fluorescence, whereas deletion of either bNOS or
calbindin-D 28k antisera resulted in an absence of red fluorescence.
Sections were wet-mounted and coverslipped, using 50% glycerol on
completion of the technique. Identical microscopic fields were
photographed immediately with a Nikon fluorescent microscope,
delineating the location of huntingtin and bNOS or huntingtin and
calbindin-D 28k immunoreactivities within the same striatal
section.
The densities of huntingtin- and calbindin D28k-immunoreactive
neurons were determined within the medial portion of the caudate nucleus in 1 mm2 areas (n = 28 and 24, respectively) at the level of the head of the caudate nucleus. The
neuronal counts were made by using a ruled graticule eyepiece at 250×.
The maximum diameter of huntingtin-, calbindin D28k-, and ChAT-positive
neurons also was determined by using an eyepiece graticule at 400×.
Results were analyzed by one-way ANOVA, followed by Fisher Probability
of Least Significant Difference post hoc test to
compare group means. Data are expressed as the mean ± SEM.
RESULTS
Topographic heterogeneity
Pronounced topographic differences in the intensity of huntingtin
immunoreactivity were observed throughout the rostral and caudal extent
of the normal human neostriatum (Fig. 2). When examined at higher power, the heterogeneity of striatal huntingtin
immunostaining was attributable to comparatively reduced
immunoreactivity in patchy striatal areas present within both the
caudate nucleus and putamen. These patches formed discrete ellipses and
circles that were elongate and more irregular basally. The intervening striatal regions had markedly greater cellular and neuropil
immunostaining. This heterogeneous expression of huntingtin
distribution was most prominent within the medial and ventral caudate
nucleus and the nucleus accumbens and was outlined distinctly within
the dorsal striatum. Patches of low huntingtin immunoreactivity were
less well defined in the putamen. This topographic disposition was present, using each of the three distinct huntingtin antisera, and
independently confirmed in the Bedford and Emory laboratories (Fig.
3). Although increasing concentrations of the Chemicon
antisera were used, striatal huntingtin immunoreactivity was not as
intense as with the HDp549 and HF1 antibodies.
Fig. 2.
Huntingtin (HDp549) immunostaining of the rostral
striatum at the head of the caudate nucleus, putamen, and nucleus
accumbens (A) and the caudal striatum at the level of
the globus pallidus and the body of the caudate nucleus
(B). There is a marked heterogeneity of huntingtin
immunostaining throughout the neostriatum, with lighter stained patches
interspersed on a darker stained background.
[View Larger Version of this Image (117K GIF file)]
Fig. 3.
Huntingtin-immunostained caudate nucleus with HF1
(A, C) and Chemicon (B,
D) immunosera. A and B are
at the interface of a lightly stained patch (p)
and darker-stained matrix (m), as shown in Figure 2. The
darker-stained matrix has greater cellular and neuropil huntingtin
immunoreactivity using both HF1 (C) and the Chemicon
antisera (D). The Chemicon antisera were characterized by a punctate appearance. Magnification bars: A,
B, 500 µm; C, D, 200 µm.
[View Larger Version of this Image (137K GIF file)]
This heterogeneous pattern of huntingtin immunoreactivity was
reminiscent of the patch (striosomal) and matrix compartmentalization found within the striatum. When compared with serially cut contiguous striatal tissue sections, the zones of low huntingtin immunoreactivity corresponded with low immunoreactive patches of calbindin D28k and
met-enkephalin, respectively (Fig. 4). There were very
few differences in matching compartmental areas in adjoining sections processed for these neurochemical substances, with remarkable conformity from case to case.
Fig. 4.
Photomicrographs of adjacent, serially cut 50 µm
frozen sections of the rostral striatum demonstrating the patch and
matrix compartments, using antisera against calbindin D28k
(A, D, H), huntingtin (HDp549) (B, E,
G), and enkephalin (C, F).
Areas of low huntingtin immunoreactivity (B,
E) correspond to those low immunoreactive areas
(patches) in contiguous sections immunostained for calbindin D28k
(A, D) and enkephalin (C,
F) (arrowheads). The heterogeneity
of huntingtin staining was the result of reduced neuronal and neuropil
immunoreactivity within the patches. There was markedly greater
neuronal and neuropil huntingtin immunoreactivity in the matrix zone
(m) in comparison to the patch area
(p), as shown in the same adjacent areas
immunostained for huntingtin (G) and calbindin D28k
(H) immunoreactivity. Magnification in D-H is the same.
[View Larger Version of this Image (163K GIF file)]
Terminal and neuronal huntingtin immunoreactivity were present within
both segments of the globus pallidus. Although we have not detected any
gross differences in huntingtin immunoreactivity between the internal
and external segment of the globus pallidus, a more detailed analysis
is underway.
Cellular heterogeneity
Huntingtin immunoreactivity in the striatum was present in
medium-sized neurons distributed throughout the caudate nucleus and
putamen (Figs. 3, 4, 5). These neurons were confined primarily to the
striatal matrix, whereas the patch compartments were devoid of intense
neuropil immunoreactivity and labeled cells. Only a few faintly
immunoreactive neurons were present within patches (Fig. 4).
Immunostaining was confined to the cytoplasm and primary and secondary
dendritic arbors of medium-sized striatal neurons within the matrix
compartment. Measurements of greatest somal diameters of
huntingtin-immunoreactive neurons ranged from 18 to 45 µm in diameter
with a mean of 29.7 ± 5.2 µm. Axon fibers and the punctate
labeling of axon terminals were not a distinctive characteristic within
the striatum.
Fig. 5.
Huntingtin (HDp549) immunoreactivity in the
dorsal (A) and ventral (B) striatal
matrix of the caudate nucleus. Huntingtin immunoreactivity is present
in medium-sized neurons and is confined to the cytoplasm. Marked
variability in neuronal immunoreactive intensity is observed. Neurons
are immunolabeled either darkly (arrowheads) or lightly
(arrows) for huntingtin (see Fig. 3C,D). The more darkly immunostained neurons are significantly greater in
diameter (see Results). Magnification bars in A,
B, 200 µm.
[View Larger Version of this Image (143K GIF file)]
The intensity of huntingtin immunoreactivity was markedly variable
among labeled neurons, with no obvious regional dorsoventral differences (Fig. 5). These neurons, however, could be
classified into two subgroups by the intensity of their immunolabel as
either lightly or darkly immunostained. The most intensely
immunostained neurons were significantly greater in diameter (range,
28-45 µm; mean, 34.8 ± 4.2 µm; p > 0.01) as
compared with the lightly immunostained neurons (range, 18-40 µm;
mean, 27.7 ± 4.8 µm).
Qualitative observations suggested that the number of calbindin
D28k-positive neurons was much greater than huntingtin-labeled neurons
within the striatal matrix compartment. A quantitative analysis
comparing these neurochemical subsets of striatal neurons in contiguous
stained sections from the same topographic area revealed that the
density of calbindin D28k-positive neurons was significantly greater
than that of huntingtin-positive neurons (calbindin D28k, 678.3 ± 26.1/mm2; huntingtin, 288.5 ± 18.9/mm2;
p > 0.001) (Fig. 6). It is of interest
to note that the variability of the intensity of huntingtin label
described in these studies is also present within calbindin D28k
neurons (Fig. 6).
Fig. 6.
Comparison of neuronal densities and
colocalization of huntingtin (HDp549) (A, C, E) and
calbindin D28k (B, D, F) immunoreactivities within the medial caudate nucleus. A greater number of immunopositive calbindin D28k neurons (B, D) are present
in the caudate nucleus than huntingtin-positive neurons
(A, C). Variability of intensity in
calbindin D28k immunoreactivity is present in labeled neurons (D), although not so prominent as that observed in
huntingtin-positive neurons (C). Double
immunofluorescence for huntingtin (FITC) (E) reveals a
striking correspondence with calbindin D28k neurons (F). A moderate number of calbindin D28k neurons
have no correspondence with huntingtin neurons within the same tissue
section. The blood vessel in the top left corner of
E and F (white circles)
acts as a fiduciary mark. Arrowheads delineate some of
the corresponding pairs of neurons in E and
F. Magnification bars: in A,
B, 500 µm; in C-F, 200 µm.
[View Larger Version of this Image (164K GIF file)]
To further characterize any correlation between these neuronal
populations, we performed double immunofluorescence for huntingtin (FITC) and calbindin D28k (TRITC) immunoreactivities within the same
tissue section. Huntingtin and calbindin D28k were colocalized within
striatal neurons. Almost all huntingtin-positive neurons contained
calbindin D28k (Fig. 6). There were some instances, albeit few, in
which positive immunofluorescent huntingtin neurons did not coexist
with calbindin D28k TRITC immunofluorescence. This negative
correspondence, or single labeling, may be the result of the lack of
absolute coexistence between these two neurochemical substances. A
significant number of calbindin D28k-positive neurons, however, in
which the presence of huntingtin immunofluorescence could not be
detected, confirmed the variance between huntingtin and calbindin D28k
neuronal densities. It was not possible to determine whether darkly and
lightly immunostained neurons for huntingtin exactly corresponded to
similar calbindin D28k-positive neurons in our material.
NADPH-d neurons and huntingtin
Combined NADPH-d enzyme histochemistry and huntingtin
immunocytochemistry revealed that NADPH-d-positive aspiny striatal
neurons did not contain any demonstrable huntingtin immunoreactivity. Comparison of photomicrographs within the same striatal sections first
immunostained for huntingtin and subsequently reacted enzyme histochemically for NADPH-d strongly suggested that NADPH-d neurons contain little or no huntingtin expression (Fig. 7).
NADPH-d neurons were present in the tissue section that previously were
not detectable by huntingtin immunohistochemistry. In a small number of
neurons, however, the formazan end product of the NADPH-d enzyme method reacted with the diaminobenzidine marker, resulting in the deposition of a coarse and blackened precipitate. This was unlike the fine purple-blue punctate formazan reaction product observed in most other
neurons in the double-stained section or in sections stained alone for
NADPH-d. As a consequence, we were unable to determine whether such
neurons were reactive to both huntingtin and NADPH-d. Although we
performed serial color photomicrography of different focal planes
through the tissue specimens, we could not conclude absolutely whether
some weakly huntingtin-positive neurons went undetected and
subsequently stained for NADPH-d.
Fig. 7.
Comparison of huntingtin-positive neurons with
NADPH-diaphorase (NADPH-d)-positive and nitric oxide synthase
(NOS)-positive neurons in the normal caudate nucleus. Striatal NADPH-d
neurons (A) and NOS neurons (B) are
morphologically similar and are reported to colocalize (Hope et al.,
1991
). A striatal caudate section, first immunostained for huntingtin
immunoreactivity (C) and subsequently treated for
NADPH-d enzyme histochemistry (D), suggests that NADPH-d neurons do not contain huntingtin. Arrows in
C and D delineate the same
huntingtin-positive neurons within the section. There are no
corresponding huntingtin-positive neurons in C where
NADPH-d neurons are observed in D
(arrowheads). Combined immunofluorescence for huntingtin
(FITC) (E) and NOS (TRITC) (F)
immunoreactivities in the same section confirm the absence of
huntingtin and NADPH-d colocalization found in C and
D. NOS-positive neurons in F
(arrowheads) do not correspond with any huntingtin
neurons in E. The blood vessel in the top left
corner of E and F (white
circles) acts as a fiduciary mark. Magnification bars in
A-F, 100 µm.
[View Larger Version of this Image (131K GIF file)]
It recently has been shown that neuronal NADPH-d and NOS activity are
the same (Hope et al., 1991
). NOS is localized selectively to
medium-sized aspiny striatal interneurons that contain NADPH-d, somatostatin, and neuropeptide Y. To further clarify whether huntingtin and NADPH-d activity were present within the same striatal neurons, we
performed double immunofluorescence for huntingtin (FITC) and NOS
(TRITC) within the same striatal section. In all four cases examined,
FITC/TRITC colocalization of huntingtin with NOS was not observed
within striatal neurons. The immunofluorescence of each marker remained
distinctly separate, confirming the suggested lack of coexistence with
the use of the combined huntingtin immunoreactivity and NADPH-d enzyme
histochemistry (Fig. 7).
ChAT neurons and huntingtin
The largest striatal neurons were only lightly
immunopositive for huntingtin or did not express huntingtin at all
(Fig. 8). Large neurons, moderately immunostained for
huntingtin, rarely were observed. ChAT selectively labeled large aspiny
striatal neurons. In a comparison between huntingtin neurons and
ChAT-positive neurons from contiguous sections, those neurons that were
ChAT-positive were significantly larger than any of the
huntingtin-positive neurons. These large ChAT-positive neurons were
similar in size to weakly or negatively huntingtin-stained large
neurons (range, 50-90 µm; mean 68.5 ± 8.7; p > 0.01) (Fig. 8).
Fig. 8.
Comparison of huntingtin-positive
(A, C) and choline acetyltransferase
(ChAT)-positive neurons (B, D) in the
caudate nucleus. At lower power note the differences in neuronal
density and size of each neuronal type. A large neuron, lightly
immunostained for huntingtin in C
(arrowhead), is morphologically similar to the ChAT
neurons observed in D. Magnification bars: in
A, B, 500 µm; in
C, D, 200 µm.
[View Larger Version of this Image (144K GIF file)]
Postmortem interval and huntingtin
In all cases studied, there was a rapid loss of huntingtin
immunoreactivity associated with the number of postmortem hours and the
time course in weeks after tissue sectioning. Postmortem specimens
fixed after 12 hr from death resulted in relatively poor huntingtin
immunostaining within the neostriatum and were not used in these
studies. Between the second and fourth week after frozen-sectioning and
cold (4°C) storage, the heterogeneous regional and neuronal pattern
of huntingtin expression observed after immediate tissue immunostaining
was altered. The lightly immunoreactive neurons and huntingtin
expression within the neuropil were no longer observed, whereas the
more intensely stained medium-sized striatal matrix neurons were still
present (Fig. 9). Residual areas of neuronal and
neuropil immunostaining resembling patches often were found. These
patchy areas of huntingtin immunostaining, however, did not correspond
to striatal patch compartments in contiguous stained sections for both
calbindin D28k and enkephalin. They were present within the matrix
compartment. After 4-8 weeks, the topographic heterogeneity was absent
entirely, and most neurons were unstained. The rate of huntingtin
immunoreactivity loss was greater than any other neurochemical compound
used in these studies.
Fig. 9.
In comparison to tissue sections of the caudate
nucleus immunoreacted for Huntingtin (HDp549) directly after tissue
sectioning (A), the increased time interval between
tissue sectioning and cold storage (4°C) and the subsequent
immunostaining with huntingtin antisera resulted in a loss of
huntingtin immunoreactivity. Between 2 and 4 weeks (B),
there was a significant loss of both neuronal and neuropil immunolabel.
After 4 weeks (C), only a few faintly huntingtin-immunostained neurons can be identified. Magnification bars
in A-C, 300 µm.
[View Larger Version of this Image (76K GIF file)]
Results in a time course study of the postmortem stability for
huntingtin at 0, 24, and 48 hr using immunoblots from unfixed tissue of
human cerebral cortex obtained immediately from temporal lobectomy
surgery reflected our immunohistochemical findings. A full-length 320 kDa band, clearly visible at 0 hr, was almost undetectable at 24 hr and
entirely absent at 48 hr (data not shown). The present results, thus,
are dependent on rapid autopsy and immunohistochemistry directly after
sectioning of the tissue specimens.
DISCUSSION
Using three distinct anti-fusion huntingtin protein antibodies, we
have found a striking heterogeneous organization of huntingtin expression throughout the adult human neostriatum, which conforms to
the striatal patch (striosome) and matrix compartments. Huntingtin immunoreactivity was confined primarily to neurons and the neuropil within the matrix area, with low levels of expression in the patch compartments. There was marked variability in the intensity of huntingtin expression among medium-sized striatal neurons. Little or no
huntingtin immunoreactivity was present within large striatal neurons.
Combined immunofluorescent and enzyme histochemical techniques revealed
that huntingtin expression colocalized with calbindin D28k, with little
or no coexistence for NADPH-d and NOS activities.
The results of this study show that huntingtin immunoreactivity is
associated with striatal spiny neurons and the matrix compartment, both
of which have been widely reported to be severely affected in HD. There
was little or no localization of huntingtin immunoreactivity to neurons
and striatal regions (striosomes) that are relatively spared in this
disorder. These observations suggest that the selective neuronal
vulnerability to the degenerative process in HD may be dependent on the
levels of huntingtin found in affected neurons and provide an
explanation for the pattern of striatal neuron loss.
The neuropathological findings in HD have shown that there is a
selective pattern of neuronal degeneration within the striatum. Medium-sized spiny striatal neurons, and those neurochemical substances contained within them, are disproportionately affected early and most
severely in HD (Marshall et al., 1983
; Graveland et al., 1985
; Ferrante
et al., 1986
, 1991
; Seto-Oshima et al., 1988
; Goto et al., 1989
),
whereas large and medium-sized aspiny striatal neurons and their
chemical components are relatively spared (Dawbarn et al., 1985
;
Ferrante et al., 1985
, 1987a
,b
; Albin et al., 1990
).
Several studies in HD suggest that there is greater pathological
involvement within the striatal matrix zone than within the patch
compartments (Ferrante et al., 1986
, 1987a
; Kowall et al., 1987
;
Seto-Oshima et al., 1988
; Richardson, 1990
; Ferrante, 1991
; Faull et
al., 1993
). The total area of the matrix compartment, as defined by
calbindin and acetylcholinesterase activities, is decreased
significantly in HD, whereas the total area of the patch compartments
remains within normal limits (Ferrante et al., 1986
, 1987a
; Kowall et
al., 1987
; Seto-Oshima et al., 1988
). The range in diameter size of
striosomes is approximately the same in HD and controls (Ferrante et
al., 1987a
). Faull and colleagues have observed that patches of
GABA-benzodiazepine receptors are relatively spared in HD (Faull et
al., 1993
). In addition, the homogeneous distribution of glutamate
receptors within the normal striatum becomes patchy in HD and conforms
to areas of low acetylcholinesterase activity (striosomes) (Olsen et
al., 1986
). The present findings that huntingtin immunoreactivity is
associated primarily with the matrix compartment are consistent with
the relative sparing of the patch compartment in HD.
It is of interest that a recent study in HD reports that islands of
astrogliosis and neuronal loss corresponding to the patch compartments
are present before and during the progressive dorsoventral gradient of
striatal degeneration (Hedreen and Folstein, 1995
). Patchy gliosis and
islands of neuronal loss were not, however, observed in our systematic
neuropathological grading of 163 striata from clinically diagnosed HD
patients with low, moderate, and severe striatal pathology (Vonsattel
et al., 1985
). The topographic distribution and the number of neuronal,
astroglial, and oligodendroglial cells within the striatum were
analyzed carefully in these patients. In addition, patches or islets of
preserved neurons in juvenile HD have been reported (Vonsattel et al.,
1992
). The rapid course of neurodegeneration in juvenile HD may not,
however, reflect accurately the neuropathology in adult onset HD.
Another quantitative study did not show any significant differences
between patch and matrix neuronal loss in HD (Ferrante et al., 1989
).
The pathological severity may have been too great to detect any
differential neuronal degeneration in either striatal compartment.
Indirect evidence also suggests that the patch compartments are spared
in HD. Neurons in the striatal matrix compartment primarily project to
the substantia nigra reticulata (SNR), whereas patch neurons project to
the substantia nigra compacta (Gerfen et al., 1985
, 1987
). There is a
significant reduction in the number of neurons and neuropil area within
the SNR of HD patients, whereas the substantia nigra compacta is
relatively spared (Ferrante et al., 1989
; Richardson, 1990
; Ferrante,
1991
). The atrophy and neuronal loss within the SNR may reflect the
loss of striatal matrix afferents and transneuronal degeneration. This
is consistent with findings of SNR neuronal loss in experimental
striatal excitotoxic lesions (Saji and Reis, 1987
).
The variability of huntingtin expression in striatal spiny neurons may
play a role in the differential loss of projection neurons containing
enkephalin and substance P in HD. Enkephalinergic neuronal death is
reported to precede that of substance P in HD (Albin et al., 1991
;
Reiner et al., 1988
; Sapp et al., 1995
). It is possible that these two
neurochemically distinct populations of medium spiny neurons do not
express equal levels of huntingtin. If greater huntingtin expression
correlates with neurodegeneration, substance P neurons may contain less
huntingtin immunoreactivity than enkephalinergic neurons.
In addition to NADPH-d/NOS neurons containing little or no huntingtin
expression, large ChAT-positive neurons also showed little or no
expression. Both of these neuronal populations are relatively spared in
HD (Ferrante et al., 1985
, 1987
; Albin et al., 1990
), again suggesting
that higher levels of huntingtin may play a role in increased
vulnerability. Previous studies reported greater huntingtin
immunoreactivity within large striatal neurons with moderate
immunostaining in medium-sized neurons (Gutekunst et al., 1995
; Bhide
et al., 1996
). The present observations suggest that the most intense
huntingtin-immunoreactive neurons do not coincide with the large
ChAT-positive striatal neurons. Species and methodological differences
may play roles in this apparent discordance.
In the present study delayed immunostaining resulted in the loss of
huntingtin immunoreactivity. Residual areas of patchy neuronal and
neuropil immunostaining were present but did not conform to striatal
patch compartments. We suggest that these residual circumscribed areas
of huntingtin-immunolabeled striatal neurons were attributable to the
variable loss of immunoreactivity within the stored tissue sections
over time and not representative of in vivo conditions.
These results may explain why huntingtin-positive neuronal staining was
not identified within the striatum in previous studies (Sharp et al.,
1995
; Trottier et al., 1995
).
In contrast to the present findings, the Emory investigators within our
group previously reported a patchy expression of huntingtin immunoreactivity within the normal human striatum (Gutekunst et al.,
1995
). We are uncertain exactly why this was found in their preliminary
work; however, there were differences in tissue preparation and
immunostaining. Tissue sections underwent extended storage before
staining, and a monoclonal huntingtin antibody was used that may have
different sensitivity characteristics than the polyclonal antibodies
used in the present study. It is possible that the previous patchy
results were attributable to an uneven loss of immunoreactivity, as
described in this work.
The mechanism by which the gene defect in huntingtin contributes to
neuronal degeneration in HD remains obscure. The targeted disruption of
both copies of the HD gene leads to fetal death, suggesting a
fundamental role in cellular survival (Duyao et al., 1995
; Zeitlin et
al., 1995
). The loss of one copy, however, has no HD phenotype
(Gottfried et al., 1981
). It therefore seems that the gene defect
causes a gain of function. A number of possible processes by which the
HD gene might act at the protein level have been proposed. Proteins
with expanded polyglutamine tracts could serve as substrates for
transglutaminases and become cross-linked to lysine donors, leading to
aggregation of the protein within the cell (Green, 1993
). The excessive
polyglutamine stretches found in HD may disrupt neuronal function via
interactions with other proteins (Albin and Tagle, 1995
), such as
huntingtin-associated protein 1 (Li et al., 1995
). Our results suggest
that greater levels of huntingtin correlate with increased
vulnerability.
Another hypothesis as to the pathogenesis of HD is that an impairment
of energy metabolism may play a critical role by rendering neurons
vulnerable to excitotoxicity (Albin and Greenamyre, 1992
; Beal, 1992
,
1994
, 1995
). There is increasing evidence to suggest that there may be
a relationship between the genetic abnormality and a defect in cellular
energetics in HD. Consistent with this possibility, it has been
reported recently that huntingtin and the dentatorubral-pallidoluysian
atrophy gene product (atrophin) both may bind to the glycolytic enzyme
glyceraldehyde-3-phosphate dehydrogenase (GAPDH) (Burke et al., 1996
;
Roses, 1996
). GADPH is a critical enzyme for glycolysis and the
production of acetyl-CoA in the Kreb's cycle. An alteration of GAPDH
activity resulting from an interaction with mutant huntingtin therefore
could contribute to energy impairment in HD. No matter what the
mechanism is by which huntingtin expression leads to neuronal death,
the present results suggest that differences in huntingtin expression
in striatal neurons may account for selective neuronal vulnerability in
HD.
FOOTNOTES
Received Nov. 25, 1996; revised Feb. 12, 1997; accepted Feb. 14, 1997.
This work was supported by the Huntington's Disease Society of America
(R.J.F.), the Department of Veterans Affairs (R.J.F., N.W.K.), the
Emory University Research Committee (S.M.H.), the Huntington's Disease
Foundation (C.A.G.), and National Institutes of Health Grants AG12922
(R.J.F., M.F.B., N.W.K.), 1P30AG13846 (R.J.F., N.W.K.), NS16367 and
NS10828 (M.F.B.), NS16367 (J.F.G., F.P., S.M.M., M.E.M.), NS01624
(S.M.H.), and NS35255 (S.M.H., C.A.G., R.J.F.). We thank Karen Smith
and Tom Kilgallen for their technical assistance.
Correspondence should be addressed to Dr. Robert J. Ferrante, Geriatric
Research Education Clinical Center, Unit 182B, Bedford VA Medical
Center, 200 Springs Road, Bedford, MA 01730.
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C.-A. Gutekunst, S.-H. Li, H. Yi, J. S. Mulroy, S. Kuemmerle, R. Jones, D. Rye, R. J. Ferrante, S. M. Hersch, and X.-J. Li
Nuclear and Neuropil Aggregates in Huntington's Disease: Relationship to Neuropathology
J. Neurosci.,
April 1, 1999;
19(7):
2522 - 2534.
[Abstract]
[Full Text]
[PDF]
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