Abstract
Autism susceptibility gene 2 (AUTS2) is a neurodevelopmental regulator associated with an autosomal dominant neurological syndrome with ASD-like (Autism Spectrum Disorder-like) features. The AUTS2 syndrome phenotype includes borderline to severe intellectual disability (ID), microcephaly and mild dysmorphic traits. Specific ASD-like features, including obsessive or ritualistic behaviours, are frequently displayed, although sociability is largely unaffected. Syndrome severity is worse when mutations are present in the 3’ region (exons 9-19) of the AUTS2 gene. AUTS2 is also associated with alcohol consumption, heroin dependence, schizophrenia and dyslexia, using GWAS studies. Our working hypothesis is that AUTS2 expression during mammalian evolution can be instrumental to predict phenotypes linked to the disease. For that, we studied brain In Situ Hybridization (ISH) data in mouse, marmoset, human embryo and fetuses and sequences data of Neanderthal, Denisovan and modern humans. Developmental mouse brain expression is found in neocortex, hippocampus, thalamus, tegmentum and cerebellum suggesting a link linked with cognition, stereotypies and perseverative behaviors. Expression in amygdala and claustrum found in marmoset extend these phenotypes to anxiety and higher-order cognitive processes. In human embryos (8 weeks) and fetuses (15- and 19-weeks), we found AUTS2 expression in similar regions but also in medial, lateral and caudal ganglionic eminence, that are involved in the diversity of interneurons found in neocortex, hippocampus and striatum. Sequence comparison of AUTS2 locus in Neanderthal, Denisova and modern human reveals novel sites in regulatory regions of AUTS2. Altogether, these results suggest that ISH distribution along mammals is a novel phenotype-related biomarker useful for translational research.
INTRODUCTION
The autism susceptibility candidate 2 (AUTS2) gene on chromosome 7q11.22 at 7q11.2 was first identified and found disrupted as a result of a balanced translocation event (t7;20) 1 in a pair of monozygotic twins with autism spectrum disorder (ASD). Identification of more than 60 novel cases suggest that clinical phenotypes of AUTS2 related patients are more closely associated with intellectual disability (ID) rather than directly linked to classical features associated with ASD. Human AUTS2 is a highly conserved gene that spans 1.2Mb. Human AUTS2 protein has two major isoforms, full-length (1259 aa) and C-terminal (711 aa). This short C-terminal protein is produced from an alternative transcription start site in exon. An AUTS2-Polycomb complex was shown to activate gene expression in the CNS 2.
Human AUTS2 display nucleotide variants that define the human-Neanderthal sweep 3 and three human accelerated regions (HARs) 4,5.
Phenotypic analysis of AUTS2 syndrome patients was recently performed 6. All patients have borderline to severe ID/developmental delay, 83–100% have microcephaly. Mild dysmorphology are present. Behaviour is marked by it is a friendly outgoing social interaction. Specific traits of autism (like obsessive behaviour) are seen frequently (83%), but classical autism was not diagnosed in any.
In most of the cases, one can find a small in-frame deletions which are often inherited and give a mild clinical phenotype is associated with, Deletions and other mutations causing haploinsufficiency of the full length AUTS2 transcript, that occur de novo, give a more severe phenotype and occur de novo. Previous studies have shown deletions within the C-terminus isoform spanning exons 9-19 are associated with a severe neurocognitive phenotype 7. AHDH was found in a patient was a partial duplication of 3’ part of AUTS2 locus 8. ASDs have been described for full deletions and duplications of the AUTS2 locus 9. Furthermore, diverse GWAS studies found that AUTS2 locus is associated to a variety of neurological conditions such as addiction disorders 10,11, epilepsy 12, schizophrenia 13,14 and dyslexia 15,16.
The diversity of the disease manifestations of AUTS2 variants within the brain underscore the importance of elucidating its role in neurodevelopment.
Our working hypothesis is that the analysis of the distribution of AUTS2 transcripts during mammalian evolution can be instrumental to predict behavioral phenotypes in the different animal models used in neurobiology, in particular mouse and marmoset.
Here, we analyzed the distribution of AUTS2 transcripts in mouse, marmoset and human, during brain development and the evolution of AUTS2 locus by comparing sequences from Neanderthal, Denisovan and modern human.
RESULTS
Phylogenetic data from mouse to modern humans
To understand what phenotypes in animal models can be related to human AUTS2 syndrome 6,7,17, we took advantages of recent public databases of large-scale In Situ Hybridation (ISH) performed in two mammalian neurobiology models, mouse and marmoset. GenePaint is a digital atlas of gene expression patterns in various tissues and species with strong focus on mouse embryos (https://gp3.mpg.de/). Expression patterns are determined by non-radioactive in situ hybridization on serial tissue sections. Allen Brain Atlas is an anatomically comprehensive digital atlas containing the expression patterns of ∼20,000 genes in the adult mouse brain (www.mouse.brain-map.org). Recently, the open Marmoset Gene Atlas (https://gene-atlas.brainminds.jp/) established a genome-wide, high-resolution atlas of the gene expression throughout the common marmoset (Callithrix jacchus) brain. It uses in situ hybridization (ISH) analysis to systematically analyze changes in gene expression over the course of postnatal brain development to adult stage 18,19.
We also generated quantitative radioactive ISH data from human embryos as in 20. AUTS2 was also shown to be implicated in human evolution, having several regions where its human sequence significantly changed when compared to Neanderthals and non-human primates. We used sequences from Neanderthal, Denisovan and modern human to analyze evolution of transcription factor binding sites in these regions.
Altogether, we cover the different branches, including mouse, marmoset, Neanderthal, Denisovan and modern human, that appeared from their ∼ 90 MY common ancestor (Fig.1).
Auts2 expression in developing and adult mouse brain
We took advantage of public databases to analyze developing mouse brain (Genepaint (https://gp3.mpg.de/)) and adult mouse brain (Allen Brain Atlas at www.mouse.brain-map.org).). Auts2 expression is observed in multiple areas of E14.5 mouse brain, including neocortex, hippocampus, dorsal thalamus, Septum, Striatum, Olfactory epithelium, Hypothalamus, Tegmentum, cerebellum and medulla oblongata (Fig. 2).
Interestingly, concerning the expression of Auts2 in the tegmentum, it was demonstrated that virtually all of the dopaminergic TH positive neurons, that are located in tegmentum, in particular in Subtantia Nigra (SN) and Ventral Tegmental area (VTA) express Auts2 21. Interestingly, SN and VTA are located at the posterior region of the tegmentum, at the junction between midbrain and pons (Fig. 2B).
By in situ hybridization, Auts2 expression is observed in multiple areas of the adult brain (C57BL/6J strain; 56 days of age; male) on a coronal section (Fig.3A). Higher expression is found in Dentate Gyrus (DG), Cornu Ammonis 3 (CA3), subiculum, lateral entorhinal cortex and temporal association areas. Visual area, Auditory Cortex and Cortical amygdalar area, posterior part medial zone express Auts2 (Fig. 3A). Furthermore, in adult mouse cerebellum (sagittal section), Auts2 transcripts localized in the layer of Purkinje cells (Fig. 3B). In the E14.5 mouse brain, Auts2 expression was homogeneous along the rostro-caudal axis. However, by E16, the Auts2 expression pattern was reported to change with changed with an expression limited to superficial layers 21.
These patterns of expression are in full agreement on previous report of Auts2 expression 21,22. From these patterns of expression, it is possible to correlate Auts2-expressing neuronal networks with phenotypes related to ASDs, IDs, alcohol consumption or dyslexia. Hippocampus, septum, hypothalamus and cerebellum are known to be involved on social communication 23.Prefrontal cortex and striatum are implicated in stereotypies and perseverative behaviors 24. Prefrontal cortex, DG, CA3, subiculum and lateral entorhinal cortex participate to memory and cognition 25. Prefrontal cortex, striatum, SN and VTA are part of the reward circuit linked to alcohol consumption 26. DG, CA3, subiculum and lateral entorhinal cortex are involved in recognition memory that is linked to dyslexia 27,28.
AUTS2 expression results in the developing and adult non-human primate brain: the marmoset
Recently, the open Marmoset Gene Atlas (https://gene-atlas.brainminds.jp/) has published AUTS2 expression results in the developing and adult non-human primate brain. In the marmoset neonatal brain, AUTS2 expression can be visualized in the Prefrontal cortex, in particular in Brodmann area 24 (A24; Anterior Cingulate Cortex), A6 and A8 (Fig. 4A-B) and in movement-control related areas (Caudate, Putamen,Thalamus) (Fig. 4A-B; Fig. 4C). Other regions with high AUTS2 expression are cortical regions receiving sensory afferences: Piriform cortex, Orbital Proisocortex (Opro) and Gustatory cortex (Fig. 4A). Interestingly, AUTS2 is also express in the claustrum (Fig. 4A).
Hippocampus and related regions including lateral entorhinal cortex and Temporal cortex express AUTS2 (Fig. 4C; Fig 4E). High levels of AUTS2 are also found in amygdala (Fig. 4C-E) and in all layers of Lateral Geniculate Nucleus (LGN) (Fig. 4D; Fig. 4F).
Hippocampus and related regions can be involved in memory defects. Interestingly, CA2 that is known as a critical hub of sociocognitive memory processing 29,30, highly expressed AUTS2. Fronto-striatal pathways are involved in stereotypies and perseverative behaviors 24. Expression in Amygdala. suggests possible implication in anxiety and fear associative memory 26,31. The claustrum is a brain region that has been investigated for over 200 years but its precise function remains unknown 32. Sir Francis Crick with Christof Koch suggested that the claustrum can be critically linked to consciousness 33. Widespread extensive connectivity of single claustrum neurons with the entire cerebral cortex suggests a prominent role in higher order processes 34.
Expression in LGN can be related to the involvement of the visual magnocellular pathway in ASDs 35,36.
In adult marmosets, AUTS2 mRNA levels remain high only in the amygdala, and in hippocampal dentate gyrus.
AUTS2 expression analyzed in the developing human brain
We analyzed expression of AUTS2 at three stages of human brain development: 8, 15, 18 and 22 weeks respectively (Fig. 5; Fig.6). We used radioactive antisense riboprobes. AUTS2 expression was quantified by optical imaging of the spatial distribution of beta-particles emerging from brain sections 20,37.
In 8-week human embryo (Fig 5A), AUTS2 is expressed in rhombencephalon; rhombic lip and germinal eminence. Ganglionic eminences (GE) are subcortical structures of gray matter which appear during the 5th week post-fertilization on the floor of telencephalic vesicles 38.
In 15-week-old human embryos (Fig 5B; B1 anterior section and B2 posterior section), AUTS2 is expressed in frontal cortex, hippocampus, temporal cortex, insula and ganglionic eminence (GE). At this stage, both MGE and LGE ganglionic eminence express AUTS2 as visualized on an anterior coronal (frontal) section in Fig. 5B1. On a posterior coronal section (Fig. 5B2), AUST2 expression can be visualized in medial (MGE), lateral (LGE) and caudal (CGE)
The GE is anatomically subdivided into the MGE, the LGE and the CGE. These transient structures generate main neuronal networks. The MGE and LGE develop into the basal ganglia, striatum and pallidum respectively 39,40. The LGE generates projection neurons to the striatum, the medium spiny neurons that form 90% of the neuronal striatum population. The CGE gives rise to amygdala 39,40. Ganglionic eminences also generate a variety of interneurons. From the LGE, interneurons migrate to the olfactory bulb. The CGE produces interneurons migrating to the cerebral cortex 41,42. The MGE is a main source of interneurons throughout the cortex, hippocampus and striatum after tangential migration 43,44.
Quantification of AUTS2 expression both in cortex and hippocampus at 22-week-old human embryonic development with a significantly higher expression level in cortical regions than in hippocampus (p<0.05) (Fig. 5C).
We recently demonstrated that AUTS2 directly interacts with TTC3 a E3 ligase of AKT that regulates dendritic spine function via mTORC1-dependent local translation 45 (Fig. 6E). Brain structures that co-express AUTS2 and TTC3 are expected to display modified organization of their neurons or of their neuronal networks.
In 8-week-old human embryos hybridized with AUTS2 and TTC3 antisense radioactive riboprobes, we found the two transcripts in telencephalon, ganglionic eminence, hippocampus anlagen and cerebellum anlagen (Fig. 6A1-A2). In 15-week-old human brains, AUTS2 and TT3 are co-expressed in frontal cortex, temporal cortex, insular cortex and germinal zone but nor in nucleus caudate (nc), nucleus lenticular (nl) and internal capsule (ic) (Fig. B1-B2, Fig. C1-C2). In 19-week-old human brains AUTS2 and TT3 are co-expressed in frontal superior cortex, lateral frontal cortex, insular cortex, ganglionic eminence, internal capsule and nucleus caudate (Fig. D1-D2).
From these patterns of co-expression, one expect to have phenotype changes in cognition (frontal cortex and cortical interneurons from MGE), in learning & memory (Hippocampus anlagen and hippocampal interneurons from GE), in social brain (Frontal cortex, insula and cerebellum) and stereotypies and perseverative behaviors (caudate, striatum interneurons from GE).
A human-accelerated evolution of AUTS2 locus
Human AUTS2 and its mouse homolog encodes highly conserved protein with 85% of conservation in 1259 and 1261 amino acid sequences, respectively.
AUTS2 region 2 (377,373bp) was identified as displaying a signature of positive selection in the human compared to Neanderthal lineage 14 (Figure 7A-B). The number of mutations (9,207 in region 2) is statistically different (p=0.02) compared to region 1+3 (20,981 in 835,211bp). We analyzed the putative transcription factor sites that can be statistically different between the Human and Neanderthal AUTS2 locus. We found that 10 and 8 putative sites that are statistically significant (Zscores ≥3 or ≤3) for Human and Neanderthal AUTS2 loci. Human-associated TF sites are disproportionately associated with neuronal expression using Entrez Gene neuronal annotations (p=2.51x10 -4; Fisher’s exact test) (Figure 7C). These results suggest that Human AUTS2 gene displays a neuronal regulation of its expression contrasted in comparison to Neanderthal AUTS2 locus.
These results suggest that Human AUTS2 gene may display a more complex spatial and temporal pattern neuronal regulation of its expression when compared to the Neanderthal AUTS2 locus. Moreover the observed differences in transcription factor sites at the AUTS2 locus may signify a novel expression pattern of the human as compared to Neanderthal AUTS2 locus, raising the possibility that these changes may have contributed to the brain evolution during the ∼400,000 years separating Neanderthal and Human lineages.
DISCUSSION
Recent identification of risk genes for psychiatric disorders have set the stage for functional interrogation of disease related-circuits and underlying mechanisms of pathophysiology 46. Here, we propose that AUTS2 expression within mammalian lineage can be a predictor of neural networks involved in Autism Spectrum Disorders. Our working hypothesis is that the distribution of AUTS2 transcripts in different mammalian models can be instrumental to predict behavioral phenotypes.
Behavioral studies have been conducted using several different types of Auts2 mutant mice. 2,22,45,47–49.
In the first study, across early development, KO mice were deficient in ultrasonic vocalizations emitted 2. In the study of Hori et al., 2015, Auts2 heterozygotic mutant mice displayed behavioral abnormalities in anxiety-related emotions (elevated plus maze; cued fear associative memory but no changes in contextual fear associative memory) and recognition memory abnormalities.
Three studies were based on conditional knockout models leading to knockout of Auts2 in excitatory neurons of the forebrain 48, in the cerebellum 22 or in developing forebrain 49. Selective deletion of Auts2 in excitatory neurons in the adult forebrain 48 induces a phenotype different from the constitutive knockout 47. In this conditional knockout, KO mice display social deficits and altered vocal communication. Interestingly, the number of ultrasonic vocalizations (USVs) but also the complexity of USV syllables emitted from male mice during courtship behaviors are reduced 48. Selective deletion of Auts2 in the cerebellum induces behavioral impairments in motor learning and vocal communications 22. Selective deletion of Auts2 in developing forebrain led to hypoplasia of Dentate Gyrus with social deficits and stereotypies (excessive grooming and digging behaviors) 49.
The third type of Auts2 mouse model developed by our group 45 is based on either deletion or duplication of the ∼1.2 Mb Auts2 locus. We evidenced repetitive and restricted behaviors (rearing) in Del/+ mice.
Auts2 gene expression was found increased by repeated cocaine administration specifically in D2-type medium spiny neurons in the nucleus accumbens 50.
Altogether, these results indicate that Auts2 is involved in cognition and recognition memory, social memory, stereotypies and perseverative behaviors, anxiety and addiction.
Cognition is related with Auts2 expression in frontal cortex and hippocampus. Defects in Auts2 in these regions can be linked to intellectual disability (ID) found in patients.
Recognition memory involves hippocampus and related structures such as Lateral Entorhinal Cortex that express AUTS2 in developing marmoset brain. Recognition memory circuitry is linked to dyslexia 27,28. AUTS2 locus was recently found associated with dyslexia 16. Social brain involves frontal cortex, temporal cortex and amygdala 51 but also hippocampus and hypothalamus 23. Deregulation of Aust2 expression in these regions can induces abnormal social interactions and altered vocal communication as found in the Auts2 mouse models. Stereotypes and perseverative behaviors (excessive grooming and digging behaviors; rearing) are linked to frontal cortex-striatum-thalamus loops that express Auts2 in mouse and marmoset. Anxiety changes were evidenced in different models suggesting an expression of Auts2 in amygdala. This expression is well documented in neonate marmoset.
AUTS2 expression is found in claustrum, in neonate marmoset. This region is linked to high-level cognition 32. Interestingly, each single claustrum neuron in mouse brain displays widespread extensive connectivity with the entire cerebral cortex 34.
Further work is needed to demonstrate if Aust2 is expressed in claustrum neurons in mouse. We also found AUTS2 expression in ganglionic eminence (GE) in human fetal brain. EMINENCE Subcortical structures such as striatum, pallidum and amygdala are derived from progenitors that originate in GE 40,52. GE generate interneurons whose number and diversity increase in primates compared to rodents 53,54. It would be important to identify if mouse GE and/or interneurons derived from GE express Auts2 and to manipulate their level of Auts2 expression.
Our data can permit to design future studies in selecting ether mouse or marmoset transgenic models to study Auts2 expression impacts in subset of interneurons.
Altogether, these results suggest that ISH distribution along mammals is a novel phenotype-related biomarker useful for translational research.
MATERIAL & METHODS
Human sample preparation
Tissues were obtained from spontaneously or voluntarily terminated pregnancies following the informed consent of the parents and according to the French Ethical Committee recommendations. We studied embryos of 8 weeks and fetuses of 15 and 19 weeks. Tissues were fixed in 4% paraformaldehyde, embedded in paraffin and sectioned (5 μm).
Probe synthesis and in situ hybridization
We used human cDNA clones from the RZPD Library (ID DKFZp547C245Q2; ID IRALp962D1923Q2). We synthesized 35S-labeled riboprobes for Nogo (700 bp riboprobe) and NgR (1200 bp), using the P1460 riboprobe in vitro transcription system (Promega). Hybridization was carried out as previously described (Lepagnol et al., 2008). Hybridizations were performed with both antisense and sense riboprobes. No signal was obtained with sense riboprobes. Expression was quantified with a Biospace Micro Imager and Betavision analysis software (Biospace Instruments) (Charpak et al., 1989). Additional adjacent sections were stained with hematoxylin/eosin/safranin (HES) for histological examination.
Transcription factor sites analysis
Neanderthal sequences were downloaded from “UCSC Neanderthal portal”. We used Neanderthal contigs (mixed of 6 specimens sequenced). We selected fragments aligned on hg18 reference and analyzed only human sequences which had Neanderthal homologues. The analysis was conducted on sequences having exactly the same number of human and Neanderthal nucleotides. We obtained 12,437 pairs containing 1,212,584 nt for each species. We excluded from the analysis pairs which were identical between human and Neanderthal. This procedure reduced the dataset to 7,193 sequence pairs containing 797,226 nt (r1 254,125 nt, r2 241,463 nt, r3 301,638 nt) AUTS2 locus was analyzed with the genomatix matinspector program for transcription factor sites discovery with stringent conditions (core sim = 0.95 and opt +0.1) for both species. We counted only site predictions which were present in one lineage on sequence pair. For comparison, we randomly selected aligned regions (200,000 pair containing 18,890,929 nt, with elimination of identical pairs it was reduced to 115,069 pairs containing 12,312,338 nt) across whole genome and did the same analysis. We used boostrap approach to infer significance of matrix family hits on AUTS2 locus. We randomly chose fragment pairs to obtain, at least, the number of nucleotides of the region in the randomly selected regions, counted the number of matrix family hits and did this analysis 10,000 times. We could estimate the number of matrix family hits for region of approximately the same length of the region of interest and calculated z-score for each matrix family and by region.
ACKNOWLEDGMENTS
This work was founded by an European Grant ERA-Net Cofund Action on Nanomedicine under Horizon 2020 Euronanomed 3 (project MoDiaNo) to M.S.