Down syndrome gene dosage imbalance on cerebellum development
Introduction
Down syndrome (DS) results from trisomy of human chromosome 21 (Hsa21) and is the most frequent genetic cause of congenital mental retardation (OMIM 190685). The risk of DS at birth up to maternal age 30 is around 1 in 1000 and at maternal age 40 is around 1 in 200 (Hook et al., 1983). Worldwide, about 220,000 individuals are born with DS each year (Christianson et al., 2006).
One hundred years after the first description by Langdon Down, Jérôme Lejeune found that an extra small chromosome was present in individuals with DS (Lejeune et al., 1959a, Lejeune et al., 1959b). Trisomy for Hsa21 usually results from chromosomal non-disjunction during meiosis of the maturing egg. Most individuals with DS have full trisomy 21 whereby all Hsa21 genes (about 352, NCBI Genome database entry NC000021) are present in three copies. Around 1–2% of those with DS have segmental trisomy 21 where only a subset of Hsa21 genes are present in 3 copies, or are mosaic, containing both trisomic and euploid cells.
Individuals with DS may experience a wide range of medical conditions (Roizen and Patterson, 2003) including gastrointestinal problems, hearing loss, immune deficiencies, craniofacial dysmorphism, ophthalmic disorders and speech impairment. The most debilitating and frequent problems are congenital heart disease, early cognitive impairment and cognitive decline with aging due to an early onset of Alzheimer's disease-like symptoms.
Structural deficits in the DS brain have been described elsewhere (e.g. Aylward et al., 1997, Becker and Joost, 1999, Pinter et al., 2001). Of these, the cerebellar hypoplasia phenotype is mimicked in varying degrees in most murine models of DS, and thus permits a more exhaustive comparison between gene dosage effects and phenotype.
The human cerebellum develops over a long time, from early embryonic period until the first postnatal years. Consequently, the cerebellum is vulnerable to a broad spectrum of developmental disorders due to numerous genetic, epigenetic, metabolic and environmental effects. For example, hypoplasia of the cerebellar hemispheres and vermis is seen in Dandy–Walker syndrome (OMIM 220200) and is caused by disruption of a segment of Hsa3q2, wherein the genes ZIC1 and ZIC4 are found. Their heterozygous deletion in a mouse model mimics the Dandy-Walker cerebellar hypoplasia (Grinberg et al., 2004). Cerebellar hypoplasia has also been associated with X-linked mental retardation (OMIM 300486)—caused by mutation in the oligophrenin-1 gene (Philip et al., 2003).
While it has been postulated that the presence of an additional chromosome confers developmental instability resulting in the DS phenotype (Shapiro, 2001), another, testable hypothesis, foresees specific genes whose deregulated protein function/presence is the cause of the phenotype. Much of the recent research has been directed at identifying the genes responsible. Evidence for this latter approach will be reviewed here.
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DS mouse models
The DNA sequences which have emerged from human and mouse genome projects has assisted research into the expression and function of specific genes on Hsa21 that may play a role in the DS phenotype. Additionally, the question of the potential impact of this gene dosage imbalance on the transcription and function of thousands of two-copy genes and their proteins can also be addressed. A systematic study of gene expression in brain during development is only possible in animal models. The distal
Cerebellum phenotype in mouse models
Granule cells are glutamatergic neurons that regulate the output of the cerebellum by controlling the activity of Purkinje cells. Unlike all other neurons, postnatal granule cells are not generated in the ventricular zone but at the cerebellar surface, in the external germinal layer. For the first three weeks after birth, in mice, precursor cells from this layer proliferate extensively to generate a large number of granule cell precursors (GCPs). As these GCPs exit the cell cycle, their cell
Cerebellar transcriptome profiles of mouse models
In order to find molecular targets and define affected developmental pathways, gene expression profiles have been established in cerebellum of DS mouse models. In adult Ts65Dn and Ts1Cje mice cerebella, microarrays detect an elevated expression of Hsa21 orthologs with a mean trisomic/euploid (differential) expression ratio of around 1.5 (Dauphinot et al., 2005, Saran et al., 2003). This is considered the primary dosage effect and is an accurate reflection of the gene dosage-dependent increase
Genes at dosage imbalance involved in the DS cerebellum phenotype
From murine model studies described above, genes present on the chromosome segment Mrpl39 to Sod1 inclusive contribute to an exacerbated cerebellar phenotype only when they are over-expressed with other triploid genes (those found in the segment characterizing the Ts1Cje mouse). This is highlighted by the fact that mice trisomic uniquely for the Mrpl39-Sod1 segment (Ms1Cje/Ts65Dn) do not display a loss in Purkinje neurons yet their GC density resembles that of Ts1Cje mice containing the Sod1-
Molecular pathways important for GC proliferation involved in DS
The large number of studies on postnatal development of the cerebellum and medulloblastoma cerebellar tumors point to several molecular pathways involved in the control of granule cell proliferation (for review see Sotelo, 2004). Fig. 2 gives a summary of some of these main pathways.
Roper et al. (2006) recently demonstrated that poor proliferation was the cause of decreased GC density and not cell death by observing reduced mitotic cell counts in Ts65Dn cerebella, rather than increased TUNEL
Conclusion
The facts that the internal granule cell layer in individuals with DS comes to be significantly reduced in thickness and that this is associated with a reduction in density of granule cells have been known for some time. With respect to understanding the DS cerebellar phenotype as a result of gene dosage imbalance there have been two recent discoveries that have had a significant impact on how current research is approached. The first has been the discovery that a failure of granule cells to
Acknowledgements
The authors would like to thank Prof. R.H. Reeves for his invaluable contribution in the drafting of this review. Grants from the CEE (00816) and Fondation Jérôme Lejeune (France) made this work possible. RXM is a CJ Martin Fellow of the NHMRC (Australia).
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2012, Brain ResearchCitation Excerpt :It would be helpful to know if the electrical properties of cerebellar GCs are similarly altered in the Tc1 mouse model of DS, which carries much of human chromosome 21 and shows both impaired motor performance and a marked decrease in GC density (Galante et al., 2009; O'Doherty et al., 2005). Motor performance of the TsC1je mouse model of DS, which shows a smaller decrease in GC density and contains a smaller number of triplicated genes, has not been described (Moldrich et al., 2007). The cerebellum is also important for the production of fluent speech (Ackermann, 2008) and people with DS have difficulty in producing clear and ordered speech (Barnes et al., 2006) but this is one characteristic that cannot be assessed in mouse models of DS.