Retromer Stabilization Improves Cognitive Function and Synaptic Plasticity in a Mouse Model of Down Syndrome

INTRODUCTION

Down syndrome (DS) is a congenital condition caused by the presence of extra genetic material originating from an extra copy of the human chromosome 21 (HSA21) and occurs in about 1 in 800 births worldwide. Trisomy of chromone 21 is one of the most significant risk factors for the development of early onset Alzheimer’s disease (AD) [1], and people with DS develop the neuropathological hallmarks of AD and severe cognitive decline by age 40 [2]. However, the onset of clinical symptoms varies, suggesting that factors outside of HSA21 modulate the transition from preclinical stages of the disease to full AD-like dementia.

In recent years, genetic and functional studies have highlighted the endo-lysosomal network as a key biological pathway central to AD pathogenesis [3–5]. Within this network, the retromer complex is a multi-protein endosomal sorting system that regulates sorting of cargoes from early endosomes and, consequently, is an essential regulator of intracellular protein trafficking and homeostasis. The retromer cargo recognition core, composed of vacuolar protein sorting (VPS) 35, VPS26, and VPS29, is the central functional unit of the retromer complex system that directs cargoes via three distinct trafficking routes: to the plasma membrane for recycling, retrograde to the trans-Golgi, or to the lysosome for degradation. Regulated and balanced coordination of these three trafficking pathways is crucial for neuronal health and physiology. Conversely, dysregulation of this system leads to aberrant endosomal protein sorting and trafficking, and consequently, vulnerability to neurodegenerative processes.

Dysfunction of the retromer complex, secondary to decreases in VPS35 and VPS26 proteins, has been reported brains of human patients with AD [6], and enhancing retromer function has been shown to influence both amyloid and tau neuropathology in models of the disease [7, 8]. We previously showed that the retromer complex proteins are also reduced in postmortem brain tissues and induced pluripotent stem cell (iPSC) derived neurons from subjects with DS [9, 10]. Furthermore, we demonstrated that in vitro enhancement of retromer complex function significantly reduces classical AD-like pathology measures in DS iPSC-derived neurons [9]. To expand upon our previous findings, in the current study we utilize the Ts65dn mouse model of DS to examine the biological effects of chronic in vivo retromer stabilization on memory and synaptic function. Herein we report that stabilization of the retromer complex by a small pharmacological chaperone results in improved cognition and synaptic function in DS mice.

METHODS

RESULTS

Pharmacological retromer stabilization improves cognition in Ts65dn mice

The main goal of the current study was to examine whether pharmacological stabilization of the retromer complex via chronic in vivo administration of TPT-172 would improve cognitive function in a DS mouse model. Thus, Ts65dn mice were administered with TPT-172 or vehicle via oral-gavage 3 times weekly from approximately 4 to 9 months of age. No significant changes in general health, weight, or survival were detected between mice receiving vehicle or TPT-172 (Fig. 1A, B). During the last month of treatment (from about 8–9 months of age) mice were subjected to behavioral learning and memory paradigms. In the Y-maze test, mice did not differ in the overall number of arm entries, however, mice receiving TPT-172 had a significant increase in percent alternations (Fig. 1C). No significant differences were observed in the MWM test between the two groups, though there were trends toward improvement in both the training and probe phases in mice receiving TPT-172 (Fig. 1D). In the fear conditioning paradigm, there were no baseline differences in freezing response in the training phase, but there was a significant increase of the freezing response in the contextual recall test, and a trend toward improvement in the cued recall in mice administered TPT-172 (Fig. 1E). Thus, overall, chronic administration of TPT-172 improved cognitive impairments in Ts65dn mice.

Fig. 1

Chronic TPT-172 administration in Ts65dn mice improves performance in learning and memory behavioral paradigms. A) Average weight of Ts65dn mice receiving vehicle (CTR) or TPT-172 (TPT) throughout the study. B) Percent survival of Ts65dn mice receiving vehicle (CTR) or TPT-172 (TPT) throughout the study until the time of sacrifice (9 months of age). C) Number of entries and percent alternations in the Y-maze paradigm. D) Latency to reach the hidden platform over 4 consecutive days of training in the Morris water maze training phase, and latency to reach the platform zone and number of entries into the platform zone in the Morris water maze probe test. E) Percent freezing in the training, contextual, and cued phases of the fear conditioning paradigm. (n = 11 CTR, 13 TPT). Values represent mean±standard error of the mean, *p < 0.05.

TPT-172 improves synaptic plasticity

Given that we observed improved cognitive performance in the learning and memory behavioral paradigms following pharmacological stabilization of the retromer complex, we next wanted to investigate directly whether the drug influenced synaptic plasticity. To this end, we examined basal synaptic activity, STP, and LTP in the CA1 region of hippocampal slices from 9-month-old Ts65dn mice incubated with vehicle or TPT-172. To assess synaptic activity, we stimulated Schaffer collaterals and fEPSPs were recorded from the stratum radiatum in the CA1 region (Fig. 2). Basal synaptic activity did not differ between groups (Fig. 2A); however, the early-phase LTP response was trending toward improvement (Fig. 2C), and we saw a significant increase in paired-pulse facilitation (STP) at 25 and 100 ms inter-pulse intervals in hippocampal slices that were incubated with TPT-172 (Fig. 2B).

Fig. 2

Acute TPT-172 administration improves synaptic plasticity. A) The input-output curve of the fEPSP slope versus the injected current. B) Time dependence of paired-pulse facilitation of the fEPSP slope, presented as a ratio of the fEPSP slope at pulse 1 to the fEPSP slope at pulse 2, for different time-points. C) LTP induced with 3 consecutive 1-s high-frequency stimulation pulses of 100 Hz at a 20-s inter-pulse interval. The values of the fEPSP slope are presented as the percentage of response after induction of LTP to the averaged baseline response. Ts65dn hippocampal slices incubated for 2 h in vehicle [(n = 7 CTR), or TPT-172 (n = 7 TPT)]. Values represent mean±standard error of the mean, *p < 0.05.

DISCUSSION

Our study shows that pharmacological stabilization of the retromer complex system results in an amelioration of cognitive function and synaptic plasticity in a mouse model of DS. The retromer system is an endosomal sorting complex that regulates numerous aspects of normal inter- and intracellular trafficking by sorting endocytic cargoes into the retrograde, recycling, or degradation pathways [13]. Because of its actions on these three major routes, by targeting the retromer complex system in the current study we have implemented a whole cell biology approach to address the effect on cognitive deficits in a mouse model of DS. Through trafficking of the protease, cathepsin D, the retromer complex can regulate lysosomal degradation of pathogenic proteins, while also limiting amyloidogenic processing of AβPP in the early endosomes and by doing so it could also improve synaptic function and behavioral impairments. Furthermore, the retromer’s actions in the recycling pathway towards the cell membrane can facilitate synaptic plasticity by transporting glutamate receptors to the synapse [4, 14, 15].

As a follow up to our previous studies demonstrating the role of in vitro retromer stabilization in reducing AD-like pathology in DS iPSC-derived neurons, we now wanted to determine the biological and functional consequences of chronic modulation of the retromer function in an animal model of DS. To increase retromer function in Ts65dn mice, we utilized a small molecule pharmacological chaperone, TPT-172, which is known to stabilize the retromer complex protein [9]. Thus, this molecule enhances retromer complex function by increasing stability of the VPS35-VPS29 binding domain, the weakest link of the VPS35-VPS26-VPS29 heterotrimer, and consequently protecting the recognition core from denaturation [9,16]. To this end, we treated Ts65dn mice with TPT-172 for 5 months starting at 4 months of age; a time just prior to significant development of aging related cognitive and neuropathological changes in this model [17]. This chronic stabilization of the retromer complex resulted in improved performance in learning and memory tasks, showing that TPT-172 can indeed improve cognition. Although we do not have data showing that the pharmacological chaperone we used in our study has crossed the blood-brain barrier in our mice, we are confident that this is the case based on the similarity with other small pharmacological chaperones, most of which are predicted to have a good brain permeability [18, 19]. Additionally, the same drug was previously shown to be effective in reducing in vivo the classical AD-like neuropathology in mice. Thus, our current results agree with our previous studies in which TPT-172 was chronically administered to a mouse model of AD with amyloid plaques and tangles, the 3xTg mice [7, 8]. However, by contrast with that study in the current one we did not investigate a possible effect of the pharmacologic chaperone on the neuropathology of the mice. Based on the obtained results, future studies are planned to address this important biological question.

Considering that TPT-172 treatment was able to improve performance in learning and memory tasks, we next wanted to directly assess the effects of retromer stabilization on synaptic plasticity. To this end, we incubated hippocampal slices from 9-month-old Ts65dn mice in TPT-172 or vehicle prior to electrophysiological assessment. Acute TPT-172 treatment significantly enhanced short-term plasticity, aligning with the role of the retromer complex in regulating synaptic function through the recycling of synaptic proteins [20, 21]. Meanwhile acute hippocampal slice treatment with TPT-172 did not show any changes in basal synaptic activity and showed insignificant trends toward improvement in the early phase of LTP. It is likely that significant effects of acute treatment with TPT-172 on short-term plasticity along with insignificant changes in LTP may indicate on the importance of treatment duration with retromer complex stabilization, however additional studies are needed to address this hypothesis. Nevertheless, enhancing retromer stability via chronic administration TPT-172 improved cognition, suggesting that this approach facilitates synaptic plasticity in Ts65dn mice. Interestingly, our findings are supported by recent studies which have demonstrated the role of the retromer complex system in the regulation of pre-synaptic vesicle release [22, 23] and post-synaptic trafficking of AMPA receptors [23].

In conclusion, the results presented in the current study demonstrate that stabilization of the retromer complex in DS addresses aging-related cognitive deficits in the Ts65dn mouse model of DS. Our study provides further support for the role of pharmacological stabilization of the retromer complex as a viable therapeutic approach against cognitive decline in DS subjects.