Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450052, China.
Int J Biol Sci. 2021 Jan 1;17(2):390-401. doi: 10.7150/ijbs.53872. eCollection 2021.
Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease, characterized by phosphorylated TDP-43 (pTDP-43)-positive inclusions in neurons and glial cells. However, the pathogenic mechanism that underlies ALS remains largely unknown. To investigate the effects of autophagy deficiency in the formation and spreading of pathological TDP-43 along corticospinal tract axons, TDP-43 preformed fibrils (PFFs) were prepared and unilaterally injected into the fifth layer of the left primary motor cortex (M1) or the left anterior horn of the seventh cervical spinal cord segment (C7) of Atg5 mice. After the injection of TDP-43 PFFs, the elevated levels of pTDP-43 were present in several pyramidal tract-associated regions of Atg5 mice. Additionally, the occurrence of spontaneous potentials detected by electromyography demonstrates evidence of lower motor neuron dysfunction in M1-TDP-43 PFFs-injected Atg5 mice, and prolonged central motor conduction time detected by motor evoked potentials provides evidence of upper motor neuron dysfunction in C7-TDP-43 PFFs-injected Atg5 mice. These results show that injection of TDP-43 PFFs into the M1 or C7 of Atg5 mice induces the spreading of pathological TDP-43 along corticospinal tract axons in both an anterograde and retrograde manner. Importantly, TDP-43 PFFs-injected Atg5 mice also display ALS-like motor dysfunction. Taken together, our findings provide direct evidence that TDP-43 PFFs-injected Atg5 mice exhibited ALS-like neuropathology and motor phenotypes, suggesting that autophagy deficiency promotes the formation and spreading of pathological TDP-43 .
肌萎缩侧索硬化症(ALS)是一种进行性神经退行性疾病,其特征是神经元和神经胶质细胞中磷酸化的 TDP-43(pTDP-43)阳性包涵体。然而,ALS 背后的致病机制在很大程度上仍然未知。为了研究自噬缺陷对病理性 TDP-43 在皮质脊髓束轴突中形成和扩散的影响,制备了 TDP-43 预形成纤维(PFF),并将其单侧注射到左侧初级运动皮层(M1)的第五层或第七颈椎脊髓节段(C7)的左侧前角。在注射 TDP-43 PFF 后,Atg5 小鼠的几个与皮质脊髓束相关的区域中存在升高的 pTDP-43 水平。此外,肌电图检测到的自发电位的发生表明 M1-TDP-43 PFF 注射的 Atg5 小鼠中的下运动神经元功能障碍,而运动诱发电位检测到的中枢运动传导时间延长表明 C7-TDP-43 PFF 注射的 Atg5 小鼠中的上运动神经元功能障碍。这些结果表明,将 TDP-43 PFF 注射到 Atg5 小鼠的 M1 或 C7 中会以顺行和逆行的方式诱导病理性 TDP-43 沿着皮质脊髓束轴突扩散。重要的是,注射 TDP-43 PFF 的 Atg5 小鼠也表现出类似于 ALS 的运动功能障碍。总之,我们的发现提供了直接证据,表明注射 TDP-43 PFF 的 Atg5 小鼠表现出类似于 ALS 的神经病理学和运动表型,表明自噬缺陷促进了病理性 TDP-43 的形成和扩散。