Brain Pathol. 2018 Jan;28(1):14-27. doi: 10.1111/bpa.12467. Epub 2017 Mar 22.
Neurodegeneration and NLRP3 inflammasome expression in the anterior thalamus of SOD1(G93A) ALS mice.Nowadays, amyotrophic lateral sclerosis (ALS) is considered as a multisystem disorder, characterized by a primary degeneration of motor neurons as well as neuropathological changes in non-motor regions. Neurodegeneration in subcortical areas, such as the thalamus, are believed to contribute to cognitive and behavioral abnormalities in ALS patients. In the present study, we investigated neurodegenerative changes including neuronal loss and glia pathology in the anterodorsal thalamic nucleus (AD) of SOD1(G93A) mice, a widely used animal model for ALS. We detected massive dendrite swelling and neuronal loss in SOD1(G93A) animals, which was accompanied by a mild gliosis. Furthermore, misfolded SOD1 protein and autophagy markers were accumulating in the AD.
Since innate immunity and activation inflammasomes seem to play a crucial role in ALS, we examined protein expression of Nod-like receptor protein 3 (NLRP3), apoptosis-associated speck-like protein containing a caspase-1 recruitment domain (ASC) and the cytokine interleukin 1 beta (IL1β) in AD glial cells and neurons. NLRP3 and ASC were significantly up-regulated in the AD of SOD1(G93A) mice. Finally, co-localization studies revealed expression of NLRP3, ASC and IL1β in neurons. Our study yielded two main findings: (i) neurodegenerative changes already occur at an early symptomatic stage in the AD and (ii) increased inflammasome expression may contribute to neuronal cell death. In conclusion, neurodegeneration in the anterior thalamus may critically account for cognitive changes in ALS pathology.
(2)
Front Aging Neurosci. 2018 Mar 15;10:45. doi: 10.3389/fnagi.2018.00045. eCollection 2018.
Atrophy in the Thalamus But Not Cerebellum Is Specific for C9orf72 FTD and ALS Patients - An Atlas-Based Volumetric MRI Study. Schönecker S1, Neuhofer C1, Otto M2, Ludolph A2, Kassubek J2, Landwehrmeyer B2, Anderl-Straub S2, Semler E2, Diehl-Schmid J3, Prix C1, Vollmar C1, Fortea J4; Deutsches FTLD-Konsortium, Huppertz HJ5, Arzberger T6, Edbauer D7,8,9, Feddersen B10, Dieterich M1,7,9, Schroeter ML11,12, Volk AE13, Fließbach K14,15, Schneider A14,15, Kornhuber J16, Maler M16, Prudlo J17,18, Jahn H19,20, Boeckh-Behrens T21, Danek A1, Klopstock T7,9,22, Levin J1,7. Collaborators (4) Abstract
Background: The neuropathology of patients with frontotemporal dementia (FTD) or amyotrophic lateral sclerosis (ALS) due to a C9orf72
mutation is characterized by two distinct types of characteristic
protein depositions containing either TDP-43 or so-called dipeptide
repeat proteins that extend beyond frontal and temporal regions. Thalamus and cerebellum seem to be preferentially affected by the dipeptide repeat pathology unique to C9orf72 mutation carriers. Objective:
This study aimed to determine if mutation carriers showed an enhanced
degree of thalamic and cerebellar atrophy compared to sporadic patients
or healthy controls. Methods: Atlas-based volumetry was performed in 13 affected C9orf72 FTD, ALS and FTD/ALS patients, 45 sporadic FTD and FTD/ALS
patients and 19 healthy controls. Volumes and laterality indices
showing significant differences between mutation carriers and sporadic
patients were subjected to binary logistic regression to determine the
best predictor of mutation carrier status. Results: Compared to sporadic patients, mutation carriers showed a significant volume reduction of the thalamus, which was most striking in the occipital, temporal and prefrontal subregion of the thalamus.
Disease severity measured by mini mental status examination (MMSE) and
FTD modified Clinical Dementia Rating Scale Sum of Boxes (FTD-CDR-SOB)
significantly correlated with volume reduction in the aforementioned
thalamic subregions. No significant atrophy of cerebellar regions could
be detected. A logistic regression model using the volume of the
prefrontal and the laterality index of the occipital subregion of the thalamus
as predictor variables resulted in an area under the curve (AUC) of
0.88 while a model using overall thalamic volume still resulted in an
AUC of 0.82. Conclusion: Our data show that thalamic atrophy in C9orf72
mutation carriers goes beyond the expected atrophy in the prefrontal
and temporal subregion and is in good agreement with the cortical
atrophy pattern described in C9orf72 mutation carriers,
indicating a retrograde degeneration of functionally connected regions.
Clinical relevance of the detected thalamic atrophy is illustrated by a
correlation with disease severity. Furthermore, the findings suggest MRI
volumetry of the thalamus to be of high predictive value in differentiating C9orf72 mutation carriers from patients with sporadic FTD.
KEYWORDS:
C9orf72; amyotrophic lateral sclerosis; atlas based volumetric MRI analysis; cerebellum; frontotemporal dementia; salience network; thalamus- PMID:
- 29599716
- PMCID:
- PMC5863593
- DOI:
- 10.3389/fnagi.2018.00045
3)
Transl Psychiatry. 2019 Jan 31;9(1):54. doi: 10.1038/s41398-019-0381-1.
FDG-PET underscores the key role of the thalamus in frontotemporal lobar degeneration caused by C9ORF72 mutations.
Diehl-Schmid J1, Licata A2, Goldhardt O2, Förstl H2, Yakushew I3, Otto M4, Anderl-Straub S4, Beer A4, Ludolph AC4, Landwehrmeyer GB4, Levin J5,6, Danek A5, Fliessbach K7,8, Spottke A8,9, Fassbender K10, Lyros E10, Prudlo J11, Krause BJ12, Volk A13, Edbauer D6,14, Schroeter ML15,16, Drzezga A17,18, Kornhuber J19, Lauer M20; FTLDc Study Group, Grimmer T2.Collaborators (15)
Abstract
C9ORF72
mutations are the most common cause of familial frontotemporal lobar
degeneration (FTLD) and amyotrophic lateral sclerosis (ALS).
MRI studies have investigated structural changes in C9ORF72-associated
FTLD (C9FTLD) and provided first insights about a prominent involvement
of the thalamus and the cerebellum. Our multicenter, 18F-fluorodeoxyglucose
positron-emission tomography study of 22 mutation carriers with FTLD,
22 matched non-carriers with FTLD, and 23 cognitively healthy controls
provided valuable insights into functional changes in C9FTLD: compared
to non-carriers, mutation carriers showed a significant reduction of
glucose metabolism in both thalami, underscoring the key role of the thalamus
in C9FTLD. Thalamic metabolism did not correlate with disease severity,
duration of disease, or the presence of psychotic symptoms. Against our
expectations we could not demonstrate a cerebellar hypometabolism in
carriers or non-carriers. Future imaging and neuropathological studies
in large patient cohorts are required to further elucidate the central
role of the thalamus in C9FTLD.
- PMID:
- 30705258
- PMCID:
- PMC6355852
- DOI:
- 10.1038/s41398-019-0381-1
- [Indexed for MEDLINE]