Abstract
Trisomy 21, or Down's syndrome (DS), is the most common genetic cause of intellectual disability. Altered neurotransmission in the brains of DS patients leads to hippocampus-dependent learning and memory deficiency. Although genetic mouse models have provided important insights into the genes and mechanisms responsible for DS-specific changes, the molecular mechanisms leading to memory deficits are not clear. We investigated whether the segmental trisomy model of DS, Ts[Rb(12.1716)]2Cje (Ts2), exhibits hippocampal glutamatergic transmission abnormalities and whether these alterations cause behavioral deficits. Behavioral assays demonstrated that Ts2 mice display a deficit in nest building behavior, a measure of hippocampus-dependent nonlearned behavior, as well as dysfunctional hippocampus-dependent spatial memory tested in the object-placement and the Y-maze spontaneous alternation tasks. Magnetic resonance spectra measured in the hippocampi revealed a significantly lower glutamate concentration in Ts2 as compared with normal disomic (2N) littermates. The glutamate deficit accompanied hippocampal NMDA receptor1 (NMDA-R1) mRNA and protein expression level downregulation in Ts2 compared with 2N mice. In concert with these alterations, paired-pulse analyses suggested enhanced synaptic inhibition and/or lack of facilitation in the dentate gyrus of Ts2 compared with 2N mice. Ts2 mice also exhibited disrupted synaptic plasticity in slice recordings of the hippocampal CA1 region. Collectively, these findings imply that deficits in glutamate and NMDA-R1 may be responsible for impairments in synaptic plasticity in the hippocampus associated with behavioral dysfunctions in Ts2 mice. Thus, these findings suggest that glutamatergic deficits have a significant role in causing intellectual disabilities in DS.
Introduction
Down's syndrome (DS) is a genetic disease caused by trisomy of human chromosome 21 (HSA21), associated with developmental brain abnormalities (Wisniewski et al., 1984; Lott, 2012) and early intellectual disabilities (Lott and Dierssen, 2010). After the third decade of life, DS is associated with Alzheimer-type neuropathology and dementia (Wisniewski et al., 1985; Leverenz and Raskind, 1998; Sheehan et al., 2014). Alzheimer's disease (AD) pathology is associated with triplication of the amyloid-β precursor protein (APP) gene located on HSA21 (Kang et al., 1987). To date, the mechanism(s) underlying these intellectual disabilities and age-related cognitive decline in DS is unclear, although data suggest that a wide array of neurochemical changes may compromise cognitive performance in DS (Cataldo et al., 2000; Lott, 2012). Changes in several neurotransmitters and their cognate receptors have been demonstrated in DS individuals (Yates et al., 1986; Reynolds and Warner, 1988; Bar-Peled et al., 1991; Risser et al., 1997; Oka and Takashima, 1999; Whittle et al., 2007; Bhattacharyya et al., 2009). Specifically, decreased concentrations of glutamate, aspartate, GABA, serotonin, norepinephrine, and dopamine had been found in postmortem tissue samples from several brain regions of adult DS patients (Godridge et al., 1987; Reynolds and Warner, 1988; Risser et al., 1997; Rueda et al., 2012).
Trisomic mouse models of DS have provided important insights into the genes and mechanisms responsible for DS-specific changes (Das and Reeves, 2011). A mouse model of DS that has been extensively studied is the segmental trisomy model Ts65Dn (Davisson et al., 1990; Holtzman et al., 1996; Granholm et al., 2000). Abnormal hippocampal synaptic plasticity and behavioral deficits in Ts65Dn mice have been attributed to changes in glutamatergic and GABAergic neurotransmitter dysfunctions (Siarey et al., 2006; Best et al., 2012; Cramer and Galdzicki, 2012; Colas et al., 2013). Studies of the Ts65Dn mouse have unveiled learning and memory deficits putatively dependent on the excessive signaling via NMDA receptors (Costa et al., 2008; Boada et al., 2012; Cramer and Galdzicki, 2012). The NMDA antagonist memantine has shown behavioral and physiological efficacy in Ts65Dn mice (Lockrow et al., 2011; Scott-McKean and Costa, 2011), which have yet to be translated fully into human DS (Boada et al., 2012; Hanney et al., 2012).
The present investigation employs a trisomic mouse model of DS, the Ts2 mouse, which bears a partial trisomic chromosomal rearrangement translocated to mouse chromosome 12 (MMU12), containing approximately half of the genes of mouse chromosome 16 (MMU16), which are orthologous to HSA21 (Villar et al., 2005). This genetic configuration enables fertility in males and transmits the DS segmental trisomy through the female germline, granting the Ts2 mouse model an advantage over the Ts65Dn model (Villar et al., 2005; Levine et al., 2009).
We hypothesize that the hippocampus-dependent behavioral deficits in DS are in part the result of a dysfunctional glutamatergic system. To address this, we investigated whether the Ts2 mice exhibit hippocampal glutamatergic transmission and NMDA receptor alterations and whether these may contribute to anomalous synaptic plasticity in the hippocampus and further behavioral deficits.
Materials and Methods
Animals.
A breeding colony of Ts[Rb(12.1716)]2Cje (Ts2) mice was maintained on B6EiC3SnF1/J background. Trisomic mice and disomic controls were studied at 8 months of age. Both females and males were used for all analyses. All animal procedures were performed following the National Institutes of Health guidelines with approval from the Institutional Animal Care and Use Committee at the Nathan S. Kline Institute for Psychiatric Research.
Nesting behavior.
Mice were individually housed for at least 24 h in clean plastic cages with ∼1 cm of corn cob bedding lining the floor and identification cards coded to render the experimenter blind to the sex and genotype of each subject. Two hours before the onset of the dark phase of the lighting cycle, each cage was supplied a commercially available nestlet of pressed cotton square (Ancare; Lillico). The next morning (∼16 h later) cages were inspected for nest building. Pictures were taken before evaluation for documentation. Nest construction was scored using the established system of Deacon (Deacon, 2006) with a 5 point system: 1, nestlet not noticeably touched; 2, nestlet partially torn up (50–90% remaining intact); 3, mostly shredded nestlet but often no identifiable nest site; 4, an identifiable, but flat nest; 5, a (near) perfect nest with clear nest crater.
Object placement behavior.
A hippocampal-dependent object-placement task was adapted for mice from previously described procedures (Luine et al., 2003; Macbeth et al., 2008). Mice were acclimated to an open Plexiglas arena (20 cm × 40 cm × 20 cm) lined with fresh corn cob bedding twice a day for 5 min each with intertrial intervals of 5 min on day 1, and 4 h on day 2. On the third day mice were placed in the same arena with two identical objects (A and B; amber glass vials, 2 cm diameter, 5 cm tall) placed equidistant to adjacent corners of the arena. Investigation duration was quantified over a 5 min time period (trial 1) then mice were returned to their litter cage. Investigation was scored as time of nose pointing toward the objects within 2 cm. Objects and arena were wiped with 70% ethanol between each session. The alcohol odor was evaporated before each trial. Four hours after training, one object (B) was moved longitudinally to a position diagonal from the object retaining its original position. The side of the chamber with the displaced object (B) was alternated between animals to avoid any possibility of side preference, which may influence the results. Investigation time for each object was quantified as a percentage of total investigation time. Mice that did not investigate both objects within the training or test durations were removed from analysis, and the number of animals excluded did not vary between groups. Behavior on the training and testing days was videotaped for off-line analyses. An increased percentage of time spent exploring the displaced object (B) compared with the total time spent exploring both objects during testing was considered an index of enhanced performance in this task. Investigation times were compared within each condition between training and test trials using a Student's t test to confirm the behavioral task effectiveness in controls. One-way ANOVA comparison of moved object investigation times during the test trial (trial 2) were made between Ts2 and 2N mice to determine statistical significance of variance.
Y-maze spontaneous alternation test.
Spontaneous alternation in rats and mice refers to the natural tendency of rodents spontaneously to choose alternate arms in a Y- or T-maze. The Y-maze test is considered to be a test of hippocampal-based spatial working memory, devoid of fear, reward, or reinforcers (Hughes, 2004). The Y-maze equipment consists of a maze with its floors and walls constructed from dark opaque polyvinyl plastic. It has three equidistant arms (named A–C) with equal angles between all arms. Animals were initially placed within one arm, and the sequence and number of arm entries were recorded manually for each animal over an 8 min period. The percentage of entries in which all three arms was represented, e.g., ABC, CAB, or BCA but not BAB, was recorded as an alternation to estimate spatial working memory. Arms were cleaned between the tests to remove odors and residues. The alternation score (%) for each animal was defined as the ratio of the actual number of alternation to the possible number (defined as the total number of arm entries minus two) multiplied by 100. The number of arm entries was used as an indicator for the exploratory activity.
Magnetic resonance.
Male and female (25–35 g) Ts2 and disomic control mice were anesthetized using an isoflurane vaporizer set at the following: 3–4% for induction, 2% during piloting, and 1.5% during acquisition of spectra. After induction, mice were placed on the radiofrequency coil tray and restrained by the head using a bite bar and ear bars placed half way into the aural canal. Oxygen was used as the carrier gas and delivered at low flow rate (≤0.5 L/min) to a cone positioned before the bite bar where gases were mixed with air and passed over the mouse nose. A small animal instruments monitoring unit (model 1025) was used for observing respiration, heart rate, and rectal temperature. Respiration was measured with a pressure transducer placed under the abdomen just below the ribcage. An infrared pulse oximeter sensor, placed on the tail, or hind foot, enabled heart rate monitoring. Body temperature was maintained using forced warm air, controlled by a feedback circuit between the heater and thermistor. All animals where maintained at 37 ± 0.2°C verified by a thermosensor and respiration ranged between 50 and 70 breaths per minute with a median heart rate of 500 beats during scanning. The duration of a study for a single mouse did not exceed 2 h. In vivo 1H magnetic resonance spectroscopy (MRS) from the hippocampus was measured in these mice to investigate the metabolite concentrations in this specific brain region.
1H MRS.
All data were obtained on a 7.0 tesla Agilent 40 cm bore system. The gradient coil insert had an internal diameter of 12 cm with a maximum gradient strength of 600 mT/m and minimum rise time of 200 μs with customized second- and third-order shim coils. A Rapid volume transmit coil (72 mm ID) and a two-channel receive-only surface coil was used for radiofrequency (RF) transmission and reception. The shim settings for the selected voxel of interest were automatically adjusted using Fast, Automatic Shimming Technique by Mapping Along Projections (FASTMAP; Gruetter, 1993), a high-order shim method, which samples the magnetic field along a group of radial columns that focus on the center of a localized voxel. It is a method for optimizing the field homogeneity in a cubical local region.
The normal water signal used in MRS is 10,000 times stronger than the metabolite signals measured. To provide sufficient dynamic range to measure the metabolites of interest, the water signal must be first suppressed. This was achieved by using Variable Power RF pulses with optimized relaxation delays (VAPOR; Tkác et al., 1999). The spectral acquisition consisted of a short echo time Point Resolved Spectroscopy (PRESS) (Bottomley, 1987) sequence with the following parameters: repetition time = 4 s, echo time = 7.5 ms, number of averages = 512, number of points = 2048, and bandwidth of acquisition = 5 kHz, total acquisition time = 34 min. Outer volume suppression was also used to minimize signal contamination by extracranial muscle and lipids. The voxel of interest size was 5 μl (1 × 2 × 2.5 mm3) placed in the hippocampus. An anatomical T2-weighted pilot scan was used to position the voxel of interest (coronal). These scans were acquired with a fast spin echo sequence with the following parameters: field of view = 20 mm with 256 × 256 matrix size, slice thickness = 0.5 mm, number of slices = 8, repetition time = 4 s, echo train length = 8, echo spacing = 15 ms, effective echo time = 60 ms, total acquisition time = 272 s.
All data were processed using the LCModel software (Provencher, 1993). This software calculates the best fit to the acquired data of linear combination of model spectra acquired from in vitro solutions. The model spectra consist of all the metabolites of interests. The basis set used for the fitting was provided by S.W. Provencher for the field strength, sequences, and echo time used. An unsuppressed water signal was used for absolute concentration calculation. This has several advantages in that it is straightforward to implement, the water suppression option is simply turned off, and it also eliminates several sources of error such as voxel size and relaxation effects. The method assumes water concentrations for gray and white matter. The unsuppressed water signal was also used for eddy current compensation.
Western blot analysis.
Mice were killed, brains were dissected, and the cortices and hippocampi were flash frozen on dry ice. Tissues were homogenized in lysis buffer: 20 mm Tris-HCl, pH 7.4, 250 mm sucrose, 1 mm EDTA, and 1 mm EGTA with protease inhibitors (5 μg/ml leupeptin-antipain-pepstatin A mix and 1 mm PMSF). Protein concentration was determined by the BCA Protein Assay Kit (Pierce). Equal amounts (20 μg) of total proteins were boiled in sample buffer (1% SDS, 3% glycerol, 1.5% β-mercaptoethanol, and 20 mm Tris-HCl, pH 6.8) and separated by 15% Tris-glycine gel electrophoresis. The proteins were electrophoretically transferred onto a 0.2 μm polyvinylidene fluoride membrane (Bio-Rad) in 2.5 mm Tris/19.2 mm glycine/20% methanol transfer buffer. The membrane was blocked in 5% milk (Bio-Rad) or 5% bovine serum albumin in 10 mm Tris, 150 mm sodium chloride, pH 7.5, and 0.1% Tween 20, incubated with primary antibody overnight at 4°C, and with secondary antibody for 1–2 h at room temperature. The membranes were incubated in chemiluminescent fluid (Pierce) for 5 min, and chemiluminescence was visualized on Reflection Autoradiography film. β-Tubulin was blotted on the same, stripped membrane as an internal control for loading. The protein bands were scanned, optical density was calculated using the ImageJ software, and the ratio of protein intensity to β-tubulin in the same lane was calculated.
Antibodies used for Western blot analysis.
The primary antibodies used were goat anti-NMDA-R1 polyclonal antibody (specific for GRIN2A subunit of NMDA receptor; 1:1000; Millipore) and mouse anti-β-tubulin monoclonal antibody (1:10,000; Sigma). The secondary antibodies used were horseradish peroxidase-conjugated anti-goat and anti-mouse antibodies (GE Healthcare).
Real-time qPCR.
qPCR was performed in triplicate on RNA purified from CA1 or dentate gyrus (DG) microdissected samples from hippocampi of Ts2 or 2N hemibrains (n = 7 per genotype; Alldred et al., 2008; Ginsberg, 2008; Devi et al., 2010). TaqMan qPCR primers were used for mouse NMDA-R1 subunit (GRIN1; Mm00433800_m1; Life Technologies), α-amino-3-hydroxy-5-methyl-4-isoxazole propionate glutamate receptor 1 subunit (GRIA1; Mm01342712_m1), α-amino-3-hydroxy-5-methyl-4-isoxazole propionate glutamate receptor 2 subunit (GRIA2; Mm01220174_m1), discs large homolog 4 (DLG4, formerly PSD-95; Mm00492207_m1), and the housekeeping genes glyceraldehyde-3-phosphate dehydrogenase (GAPDH; Mm99999915_g1), succinate dehydrogenase complex, subunit A (SDHA; Mm01352360_m1), and hypoxanthine phosphoribosyltransferase 1 (Hprt1; Mm01318747_g1). Samples were assayed on a real-time qPCR cycler (7900HT; Applied Biosystems) in 96-well optical plates covered with optical adhesive film. Standard curves and cycle threshold were generated using standards obtained from total mouse brain RNA. The delta delta cycle threshold (ddCT) method was used to determine relative gene level differences between Ts2 and 2N mice with housekeeping gene qPCR products used as a control, and expression levels were presented as the percentage of vehicle controls (Alldred et al., 2012). Negative controls consisted of the reaction mixture without input RNA.
In vivo hippocampal physiology.
Mice were anesthetized with urethane (1.25 g/kg) and head fixed to a stereotaxic apparatus for in vivo paired-pulse recording. The skin was removed to expose the skull and holes were drilled over the DG and perforant path using stereotaxic coordinates described previously (Paxinos and Franklin, 2000). For the paired-pulse protocol, a stimulating electrode was lowered into the perforant path and a tungsten microelectrode (1–5 MΩ) was used to record in the DG. Signals were acquired and analyzed with Spike2 (CED). Briefly, the current used for paired-pulse stimulation for each mouse was obtained by taking half of the current that provided the maximal evoked response in the DG for that animal. Then, five pairs of consecutive electrical pulses at each of four time intervals (20, 50, 100, and 300 ms) were given and the responses recorded (interpair interval was 10 s). The paired-pulse ratio was obtained by calculating the ratio of the average slope of the second (test) evoked response divided by the average slope of the first (conditioning) evoked response at each time interval.
Long-term potentiation.
Mice were killed by cervical dislocation followed by decapitation. Hippocampi were quickly removed. Transverse hippocampal slices (400 μm) were cut and recorded according to standard procedures (Basavarajappa and Subbanna, 2014). Following cutting, hippocampal slices were transferred to a recording chamber where they were maintained at 29°C and perfused with artificial CSF (ACSF) continuously bubbled with 95% O2 and 5% CO2. The ACSF composition was as follows (in mm): 124.0 NaCl, 4.4 KCl, 1.0 Na2HPO4, 25.0 NaHCO3, 2.0 CaCl2, 2.0 MgSO4, and 10.0 glucose, osmolarity 290–300. CA1 field EPSPs (fEPSPs) were recorded by placing both the stimulating and the recording electrodes in CA1 stratum radiatum. Basal synaptic transmission (BST) was determined by plotting the stimulus voltages against slopes of fEPSPs. For long-term potentiation (LTP) experiments, a 10 min baseline was recorded every minute at an intensity that evokes a response ∼35% of the maximum evoked response. LTP was induced using theta-burst stimulation (4 pulses at 100 Hz, with the bursts repeated at 5 Hz, and each tetani including 3 × 10 burst trains separated by 15 s). Responses were recorded for 2 h and measured as fEPSP slope expressed as percentage of baseline.
Statistical analyses.
Data are presented as mean ± SEM. One-way ANOVA followed by post hoc multiple-comparison Bonferroni's tests was used to evaluate the differences between genotypes. qPCR results were analyzed using one-way ANOVA and post hoc analysis (Neumann–Keuls test; level of statistical significance was set at p < 0.05).
Results
Nesting dysfunction in the Ts2 mouse model
To test nest building, which is a measure of hippocampus-dependent nonlearned innate behavior, the method of Deacon (Deacon, 2006) was followed (see Materials and Methods). Ts2 mice scaled poorly in nest formation as compared with their 2N disomic littermates (Fig. 1A). We did not find gender differences between both genotypes (Fig. 1B). To assess the existence of this behavior further, we extended the housing with nestlet material so that in the due course it might induce nest construction. Noticeably, nestlet material remained as untouched or poorly built as a nest for up to 3 d by the Ts2 mice (data not shown).
Spatial memory dysfunctions in the Ts2 mouse model
To investigate whether the trisomic mice have dysfunction in hippocampus-dependent spatial memory performance, mice were tested in the object-placement spatial memory task. All the mice tested for this task explored both objects during the training and testing. Figure 2A shows data from the training trial and testing trial for exploration of the displaced object location. While 2N mice spent more time exploring the displaced object than the nondisplaced one, Ts2 mice did not show increased exploration time for the displaced object when compared with the nondisplaced object. However, the trisomic mice showed significantly higher exploration time for both nondisplaced and displaced objects than their disomic controls (Fig. 2B). This suggests that Ts2 mice may need more experience with the object before a clear relationship between object exploration and subsequent object preference emerges.
Similar results were obtained in the Y-maze test, which is another hippocampal-dependent spatial memory task. Ts2 mice showed decreased spontaneous alternation (55.07 ± 1.78) as compared with 2N littermates (67.47 ± 4.33; Fig. 2C), suggesting a compromised spatial working memory function. Ts2 mice were significantly more active when compared with their 2N littermates, as determined by the total number of arm entries (Fig. 2D), suggesting hyperactivity. Similar to the nest-building behavior, we have not found a significant overall influence of sex on the behavior of mice in both the object-placement and the Y-maze tasks.
Reduced glutamate in the hippocampus of Ts2 mice measured by 1H MRS
The in vivo 1H MR spectra were obtained by precise voxel of interest (VOI) placement in the hippocampus (Fig. 3A), using specific landmarks. The FASTMAP method achieved a full-width at half-maximum (FWHM) shim of <15 Hz for all animals used in this study. The 1H MR spectra acquired were analyzed using LCModel and glutamate and GABA concentrations were quantified. Figure 3B shows typical spectra from a 2N mouse, with the major brain metabolites labeled. The glutamate-measured concentrations were quantified with Cramer Roa Lower Bound (CRLB) ≤ 5% from the processed spectra. Glutamate concentration was found to be decreased in the hippocampal region of Ts2 mice as compared with 2N mice (Fig. 3C). Hippocampal GABA levels in Ts2 mice did not differ significantly from 2N littermates.
Reduced mRNA and protein levels of NMDA-R1 in the hippocampus of Ts2 mice
Quantitative analysis showed that NMDA-R1 mRNA levels are downregulated in both CA1 and DG in Ts2 mice as compared with 2N mice (Fig. 4A). We observed a trend toward downregulation (p < 0.07) in DLG4 mRNA expression in DG of Ts2 mice as compared with 2N (data not shown) whereas there was no difference in mRNA expression levels of AMPA receptors GRIA1 and GRIA2 in CA1 and DG. A parallel significant downregulation of NMDA-R1 protein was found by Western blot analysis in hippocampal and hemibrain homogenates (Fig. 4B–D) in Ts2 mice when compared with 2N mice. No significant changes were found for other NMDA receptor subunits.
Ts2 mouse model of DS exhibits aberrant hippocampal glutamatergic transmission
Electrophysiological alterations
Paired-pulse analysis of perforant path-evoked responses recorded in the DG (Fig. 5A) was performed by calculating the average ratio of the slope of the second (test) evoked response to the initial slope of the first (conditioning) evoked response. Pulses were given five times each at 20, 50, 100, and 500 ms interstimulus intervals (ISI). 2N mice showed significant paired-pulse facilitation at short ISIs. Ts2 mice exhibited less paired-pulse facilitation compared with 2N at the 20, 50, and 100 ms pulse intervals and paired-pulse depression compared with 2N at the 300 ms pulse interval (Fig. 5B,C). The impaired facilitation is consistent with a decrease in the storage pool of glutamate, leaving limited reserve for facilitated release on the test pulse (Zucker and Regehr, 2002), though enhanced feedback inhibition cannot be entirely ruled out based on these data.
Normal basal synaptic transmission but impaired LTP in the Schaffer collateral pathway of the hippocampus in Ts2 mice
We first determined the input/output responses in the Schaffer collateral pathway of hippocampal slices (Fig. 6A) prepared from 2N and Ts2 mice. The robust input/output responses were evoked by increasing stimulus intensity in both genotypes. The input/output curve was not different in Ts2 mice compared with 2N littermates (Fig. 6B). Before tetanic stimulations, baseline fEPSP was recorded in 60 s intervals with stimulation at an intensity equivalent to ∼35% of the maximum evoked response. Tetanic stimulation evoked typical LTP (Fig. 6C) in slices from 2N mice. These responses were stable over 120 min. However, tetanic stimulation evoked a significantly reduced LTP magnitude in slices prepared from Ts2 compared with 2N mice. Results suggest that LTP was significantly impaired in Ts2 mice compared with 2N littermates (Fig. 6D). These results collectively suggest that Ts2 mice have normal basal neurotransmission but impaired CA1 hippocampal synaptic plasticity.
Discussion
DS patients have intellectual disabilities with individual variability in the severity of both physiological and behavioral phenotypes. At the core of the intellectual disabilities is the phenomenon of synaptic plasticity, a functional change in the strength at the points of communication between neurons (Cramer and Galdzicki, 2012). Our study focused on the hippocampal glutamatergic aberrations, NMDA receptor dysregulation, and resulting behavioral anomalies in the trisomic mouse model, Ts2. We used in vivo MRS for detecting glutamate concentrations in the hippocampus, which is a noninvasive method to retrieve neurotransmitter concentration in live animals. We found a significant reduction in glutamate concentration in the hippocampus in Ts2 mice as compared with 2N mice. Improvement for GABA detection could be made using a spectral editing approach, nonetheless the direct excitation method used did not detect a statistically significant decrease in GABA concentration.
Glutamate diminution and vulnerability of glutamatergic synapses have been reported in patients with DS and AD (Reynolds and Warner, 1988; Risser et al., 1997; Hynd et al., 2004; Proctor et al., 2010; Rueda et al., 2012; Canas et al., 2014) but a direct involvement of glutamate in cognitive decline have not been demonstrated in patients. Previous reports suggested that a deficit in hippocampal glutamate levels occurs in adult DS (Reynolds and Warner, 1988; Risser et al., 1997), correlating with the extent of cognitive disabilities of these patients (Risser et al., 1997). While hippocampal glutamate loss appears to be a distinctive pathological feature in DS (Reynolds and Warner, 1988; Risser et al., 1997), in AD the loss is greater in the frontal and temporal cortices (Sasaki et al., 1986). In the context of overall cognitive disabilities, hippocampal dysfunction was found in school-aged DS individuals (Pennington et al., 2003; Boada et al., 2012), long before the development of overt neuropathological hallmarks of AD. Ts2 mice do not develop extracellular amyloid-β pathology, and therefore, the glutamate decrease observed in 8-month-old Ts2 mice simulates early changes in the brain of DS patients, before the development of AD-like pathology.
Decreased mRNA expression levels of NMDA-R1 in the CA1 and DG of the hippocampus of Ts2 mice correlates with downregulated protein expression levels. These findings are consistent with decreased glutamate transporter expression level and uptake of glutamate that were previously found in AD (Scott et al., 2011; Scimemi et al., 2013). The lower levels of vesicular glutamate and excitatory amino acid transporters observed in prefrontal and parietal cortices of AD brains (Kirvell et al., 2006; Parsons et al., 2007; Kashani et al., 2008) may indicate reduced glutamate metabolism or altered turnover (Esposito et al., 2013).
Decrease in hippocampal glutamate concentration and NMDA receptors could explain the aberrant paired-pulse facilitation and further synaptic dysfunctions recorded in the Ts2 mouse model of DS. We suggest that decreased paired-pulse facilitation in the hippocampus in Ts2 mice is an outcome of excitation/inhibition imbalance in hippocampal networks, probably initiated by an impaired glutamatergic system, with a decrease in the amount of presynaptic glutamate available for release the most likely candidate mechanism (Zucker and Regehr, 2002; Cramer and Galdzicki, 2012).
Reduced activation of NMDA receptors had been reported in the Ts65Dn mouse model and was thought to hinder LTP induction in these mice (Kleschevnikov et al., 2004; Rueda et al., 2012). Enhanced hippocampal LTD had also been reported in the Ts65Dn mouse (Siarey et al., 1999). Furthermore, it was demonstrated that selective GABA and NMDA receptor antagonists can reverse functional and neuromorphological deficits of Ts65Dn mice by facilitating brain plasticity, supporting the potential therapeutic use of these selective antagonists to treat cognitive dysfunction in DS (Boada et al., 2012; Danysz and Parsons, 2012; Kleschevnikov et al., 2012; Colas et al., 2013; Hanson et al., 2013; Martínez-Cué et al., 2013). Memantine, an uncompetitive NMDA receptor antagonist, has been shown in clinical trials to be beneficial in patients with moderate to severe AD (Reisberg et al., 2003, 2006; Porsteinsson et al., 2008; Wang et al., 2013). Memantine has also been found to rescue abnormal synaptic plasticity in Ts65Dn mice (Lockrow et al., 2011; Scott-McKean and Costa, 2011). However, the ameliorative effects of memantine have yet to be demonstrated in adult DS patients (Boada et al., 2012; Hanney et al., 2012).
Ts2 mice display a deficit in nest-building behavior, which is a measure of hippocampus-dependent nonlearned innate behavior (Deacon et al., 2002; Duszczyk et al., 2006). Overexpression of mutant APP (independent of amyloid-β) may initiate the cascade toward deficient nesting behaviors in APP transgenic mice (Filali and Lalonde, 2009; Wesson and Wilson, 2011; Cramer et al., 2012). Similarly, APP triplication in Ts2 mice may drive the nesting dysfunction observed in these mice. However, memantine administration in APP/PS1 mutant mice could recover the nesting dysfunction but did not quite reach significance (Filali et al., 2011). Moreover, testing in the object-placement task and the Y-maze spontaneous alternations task, which are hippocampus-dependent spatial memory tests, showed that Ts2 mice exhibit cognitive deficits as compared with 2N littermates. Our data suggest that impaired NMDA-R1 function may lead to functional disconnection within the hippocampal circuit that might cause LTP impairments in Ts2 mice. The behavioral and physiological characterizations of glutamatergic deficits in Ts2 mice presented here support a therapeutic approach using modulators of glutamatergic neurotransmission in DS patients.
In conclusion, our results indicate that hippocampal glutamate downregulation, NMDA-R1 receptor dysregulation, and both presynaptic and postsynaptic dysfunction at glutamatergic synapses may contribute to behavioral impairments in the Ts2 mouse model of DS. Significant glutamatergic deficits observed in DS subjects and experimental models indicate that these alterations may cause intellectual disabilities. This study defines glutamatergic aberrations as a distinctive early pathology and suggests that GABA-mediated synaptic inhibition as seen in other DS studies may associate with glutamatergic alterations to bring upon synaptic changes and cognitive deficits in DS models. Thus, glutamatergic dysfunction may play a key role in the hippocampal pathogenesis of AD and DS.
Footnotes
This work is supported by the National Institutes of Health (AG017617 to E.L. and S.D.G., AG037693 to D.A.W. and E.L., and AA019443 to B.S.B.).
The authors declare no competing financial interest.
- Correspondence should be addressed to Gurjinder Kaur, Nathan S. Kline Institute, 140 Old Orangeburg Road, Orangeburg, NY 10962. gkaur{at}nki.rfmh.org