Advance in tuberous sclerosis brain science

Neurons from the thalamus of control mice with healthy genes glow green (left), while those whose two Tsc1 alleles were deleted during embryonic development show a strong red glow (right), indicating disruption of the mTOR pathway that regulates growth. Credit: Zervas Lab/Brown University

Doctors often diagnose tuberous sclerosis complex (TSC) based on the abnormal growths the genetic disease causes in organs around the body. Those overt anatomical structures, however, belie the microscopic and mysterious neurological differences behind the disease's troublesome behavioral symptoms: autism, intellectual disabilities, and seizures. In a new study in mice, Brown University researchers highlight a role for a brain region called the thalamus and show that the timing of gene mutation during thalamus development makes a huge difference in the severity of the disease.

TSC can arise in humans and alike when both (the one from mom and the one from dad) of the TSC1 gene are deleted. One bad gene is often inherited and the other accumulates a mutation some time during . This happens to one in 6,000 people.

"We don't know when during development the mutations are occurring in the patients," said Elizabeth Normand, a Brown neuroscience graduate student and lead author of the paper in the journal Neuron. "That's why we chose to look at the timing. It can give us some insight into the role of genes during embryonic development."

Normand and adviser Mark Zervas, assistant professor of biology, not only wanted to assess the timing but also to probe the role the thalamus might have in contributing to the of the disease. To do both, their team genetically engineered a clever in which they could, with a dose of the drug tamoxifen, delete both alleles exclusively in thalamus neurons at the of their choosing.

Their interest in the thalamus comes from its role in forging strong but intricate links to the cortex, which is where most other TSC researchers have focused. As for timing, they tested the effect of controlling allele deletions on day 12 of gestation in some mice and day 18 (just before birth) in others. Still other mice were left healthy as experimental controls.

Significant symptoms

Overall, the researchers found they could indeed generate TSC-like behavioral symptoms in the mice, such as seizures, by deleting TSC1 alleles in developing cells of the thalamus. They also found that the timing of the deletion mattered tremendously to the extent of the disease in the brain, the degree of abnormality, and the severity of TSC-like symptoms.

The mice whose alleles were deleted on embryonic day 12 fared much worse behaviorally than the mice whose alleles were deleted on embryonic day 18.

At two months of age, the mice with the embryonic day 12 deletion exhibited excessive self-grooming to the point where they experienced lesions. Among those mice, 10 of 11 experienced seizures at an average rate of more than three per hour.

The mice with the embryonic day 18 deletion, on the other hand, fared better without any over-grooming. By eight months of age, however, four of 17 of the mice did exhibit rare seizures.

These behavioral differences traced to differences in the the way the mice's brains became wired. A comparison of brain tissue from adult mice—some of which had the early TSC1 deletions and some of which didn't—revealed differences in the connections between the thalamus and the cortex and in the electrical and physical properties of thalamus cells.

"We're building off the core idea of the thalamus playing an important role in brain function and showing that if you disrupt the way that the thalamic neurons develop that you can get some of these behavioral consequences such as overgrooming or seizures," said Zervas, who is affiliated with the Brown Institute for Brain Science.

The extent of mutant neurons was much more severe in the mice with the embryonic day 12 versus day 18 mutations. In embryonic day 12 deleted mice, for example, the deletion disrupted the growth-regulating "mTOR" pathway in 70 percent of neurons versus only 29 percent of neurons in the embryonic day 18 deleted mice. The disruptions occurred in more areas of the in embryonic day 12 than in day 18 mice as well. The overactivity of mTOR in TSC is what produces the unusual growths around the body, though these new findings indicate additional roles for the mTOR pathway in brain development and function, Zervas said.

In future work, the team plans to study the effects of deleting the TSC1 allele at other days during development as well as to understand whether there is a threshold of mutant neurons with mTOR disruption at which TSC-like symptoms begin to emerge.

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