Early 7,8-Dihydroxyflavone Administration Ameliorates Synaptic and Behavioral Deficits in the Young FXS Animal Model by Acting on BDNF-TrkB Pathway

Fragile X syndrome (FXS) is the leading inherited form of intellectual disability and the most common cause of autism spectrum disorders. FXS patients exhibit severe syndromic features and behavioral alterations, including anxiety, hyperactivity, impulsivity, and aggression, in addition to cognitive impairment and seizures. At present, there are no effective treatments or cures for FXS. Previously, we have found the divergence of BDNF-TrkB signaling trajectories is associated with spine defects in early postnatal developmental stages of Fmr1 KO mice. Here, young fragile X mice were intraperitoneal injection with 7,8-Dihydroxyflavone (7,8-DHF), a high affinity tropomyosin receptor kinase B (TrkB) agonist. 7,8-DHF ameliorated morphological abnormities in dendritic spine and synaptic structure and rescued synaptic and hippocampus-dependent cognitive dysfunction. These observed improvements of 7,8-DHF involved decreased protein levels of BDNF, p-TrkBY816, p-PLCγ, and p-CaMKII in the hippocampus. In addition, 7,8-DHF intervention in primary hippocampal neurons increased p-TrkBY816 and activated the PLCγ1-CaMKII signaling pathway, leading to improvement of neuronal morphology. This study is the first to account for early life synaptic impairments, neuronal morphological, and cognitive delays in FXS in response to the abnormal BDNF-TrkB pathway. Present studies provide novel evidences about the effective early intervention in FXS mice at developmental stages and a strategy to produce powerful impacts on neural development, synaptic plasticity, and behaviors.


Introduction
Fragile X syndrome (FXS) is a prevalent, inherited neurodevelopmental disorder and is associated with learning disabilities, seizures, hyperactivity, and autistic behaviors [1]. In the vast majority of cases, FXS is caused by excessive expansions of a noncoding CGG repeat in the fragile X mental retardation 1 (Fmr1) gene, with transcriptional silencing of Fmr1 and a consequent reduction of Fmr1-encoded protein (FMRP) [2]. FMRP deficiency affects the translational regulation of multiple proteins involved in regulation of dendritic morphology, synaptic function, and behavioral phenotypes including cognitive deficits, anxiety, impaired social interactions, hyperactivity, and aggression [3,4]. In light of the genetic disorder of neurodevelopment, behavioral and neuronal abnormalities in FXS are often thought to be closely associated with biological and molecular mechanisms involving synaptic development. Especially, proteins altered in FXS are implicated in signaling pathways that regulate dendritic spine development [5][6][7][8], leading abnormally long and thin dendritic spines in the brains of individuals with FXS and the Fmr1 knockout (KO) mice [7,9]. However, mechanistic insights into the molecular components of these abnormalities remained unclear.
Yu-shan Chen and Si-ming Zhang contributed equally to this work.
Among various growth-promoting signals implicated in the regulation of neuronal morphogenesis and synapse formation, brain-derived neurotrophic factor (BDNF) is one of the strongest candidates to regulate the formation and maturation of dendritic spines in postnatal development [10,11]. BDNF signaling is required for normal brain function in both the developing and mature nervous systems [12,13]. Moreover, BDNF and its high-affinity receptor tropomyosinrelated kinase B (TrkB) are essential in various processes associated with functional and structural synaptic plasticity, learning, and memory [13][14][15]. Although the importance of BDNF-TrkB for neuronal morphogenesis and synaptic plasticity is well established, its putative implication in FXS pathologies is less clear. Several studies indicate that BDNF protein production is altered in the brain of Fmr1 KO mice and several FMRP functions are modulated by BDNF signaling [16][17][18]. Our previous study has shown that the changed expression profile of BDNF during early phases of neuronal development, and we found the correlation between BDNF-TrkB signaling and mature spines in young FXS mice [19]. In this sense, BDNF-TrkB pathway impairments during the pivotal developmental period may be the key mechanisms underlying abnormal dendritic spine morphogenesis and cognitive dysfunction in FXS.
Several previously published studies support that applying the intervention strategies in the early developmental stages is critical to ameliorate pathological phenotypes of neurodevelopmental disorders [20][21][22]. Early intervention strategies during critical developmental periods exhibit successful improvement in autism spectrum disorder (ASD) before major symptoms develop [20,[23][24][25]. For example, early inhibition of group1 mGlu signaling at development stage, but not in adulthood, could rescue dendritic spine abnormalities in Fmr1 KO mice [26]. Early postnatal lowdose valproic acid (VPA) treatment improves ASD-like behaviors associated with sustained rescue of repetitive behavior and social deficits in a shank3ab KO zebrafish model [25]. Administration with lovastatin during the early age of Fmr1 KO rats corrected associative learning deficits and also has lasting beneficial effects [23]. Moreover, clinical studies have demonstrated early intervention of problem behavior marked beneficial effects in children with FXS and ASD [20,[27][28][29][30]. Hence, understanding the mechanism underlying the effectiveness of early intervention for FXS is warranted further examination.
The present study examined the effect of early intervention psychopharmacological administration with TrkB agonist 7,8-DHF on FXS mouse model at the critical developmental stages. We measured the alterations of morphological, behavior, biochemical, molecular, and physiological by 7,8-DHF administration. The results showed that early treatments with 7,8-DHF can rescue spatial and fear memory impairments and alleviate immature dendritic spines, hippocampal synaptic structure, and plasticity impairment in Fmr1 KO mice. These effects were associated with augmented BDNF levels and TrkB-PLCγ1-CaMK II signals. In vitro experiments also showed that TrkB or PLCγ agonists promoted dendrite branching and lengthening in cultured hippocampus neurons. In all, this study supports the notion that early pharmacological interventions with 7,8-DHF ameliorated the behavioral and synaptic abnormalities of Fmr1 KO mice at pivotal developmental stages by acting on the BDNF-TrkB pathway.

Animals
All procedures were approved by the Wuhan University of Science and Technology (WUST, Wuhan, China) ethics committee with the number IACUC-2017032. Wild-type (WT) mice (FVB.129P2-Pde6b + Tyrc-ch/AntJ, stock#4828) and Fmr1 knockout (KO) mice (FVB.129P2-Pde6b + Tyrcch Fmr1tm1Cgr/J, stock# 4624) were purchased from Jackson Laboratory (Bar Harbor, USA). Fmr1 KO and WT mice were maintained on a 12 h dark/light cycle at 21-23 °C and 40-60% humidity facility with free access to food and water at the animal center of WUST. Animals were 2-week-old at the beginning of the experimental manipulation. Mice were allocated arbitrarily into different groups, and the number of each group is indicated in figure legends.

Drug Treatments
7,8-DHF powder was obtained from Sigma Aldrich (St Louis, MO). The powder was dissolved into 100 mg/ml stock solution with 17% DMSO and then dissolved to a concentration of 1 mg/ml with sterile saline (vehicle) for intraperitoneal delivery [5,31]. We used 50 μL dilution every 10 g of body weight per day. Fmr1 KO and WT control mice at P14 were administered 5 mg/kg 7,8-DHF [32] through intraperitoneal injections once daily for 16 consecutive days. To determine the appropriate dose, mice were weighted daily. Untreated groups received the same volume of vehicle with the same schedule. Animals were sacrificed and subjected to histological and biochemical analysis after the last administration. Behavioral tests were started at P60. Mice were subjected to a Morris water maze for 7 days and then fear condition test for 2 days. Behavioral testing was conducted during the light phase of the circadian cycle, between 9.30 a.m. and 6.30 p.m. For in vitro experiments, primary neurons were treated with 7,8-DHF (0.5 μM, 1 μM, or 5 μM) at DIV 4 for 3 days [32]. The TrkB inhibitor K252a (50 nM or 100 nM) at DIV 6 for 24 h [32,33] or PLCγ agonist m-3M3FBS (25 μM) at DIV 5 for 3 h were used [34]. After treatment, we analyzed neural complexity including dendritic length and branches using immunofluorescent confocal microscopy.

Primary Hippocampal Neuron Culture
Primary hippocampal neuronal cultures from neonatal mice (postnatal day 0-1) were prepared as previously described [35]. Briefly, euthanized the mouse and then gently removed the intact brain into dissection medium. The hippocampus was dissected and digested with D-Hanks (Gibco, USA) containing 0.25% trypsin (Gibco, USA) for 10 min and then dissociated by repeated trituration. Dissociated neurons were plated at a concentration of 15 × 10 4 cells/cm 2 on plates precoated with poly-L-lysine. After being incubated in a 37 °C incubator with 5% CO 2 for 4 h, neurons were covered by neurobasal medium with 2% B27 and 1% L-glutamine. Half of the old medium were replaced twice every week.

Immunocytochemistry and Confocal Imaging
Cells fixed with 4% paraformaldehyde were rinsed three times with 0.1 M PBS. Fixed cells were permeabilized and then blocked with 0.05% Triton X-100 containing 5% bovine serum albumin (BSA) at room temperature for 1 h. After being incubated with primary antibodies overnight, cells were washed with PBS for three times and then incubated with fluorescent secondary antibodies for 2 h. Slices were mounted and then covered with Mowiol and coverslips. Visual inspection and image acquisition were done using a FV1000 confocal-IX81 microscope (FluoView1000-IX81, Olympus, Tokyo, Japan). At least one entire neuron was presented on the field of vision. To quantify the total length of dendrite trees and number of dendrite branches, at least 50 neurons randomly selected from 5 independent cultures per condition were analyzed. Automated quantification of neurite length and branches was performed using ImageJ software. All measurements were performed in a blinded way.

Western Blotting
Hippocampal total extracts and cultured neurons from mice were lysed in RIPA lysis buffer (Thermo Fisher Scientific) to collect protein samples. Western blotting was performed as described previously [5]. Immunoblots were probed with the primary and secondary antibodies as shown in Table S1. The immunoreactive membranes were imaged using Western Blotting Luminol Reagent (Bio-Red,1,705,060) and quantified by ImageJ.

Golgi-Cox Staining and Dendritic Spine Analysis
The procedure for Golgi staining was adapted from Cheng et al. previously [36]. Neurons were stained with Golgi using the FD Rapid Golgi Staining Kit (FD Neurotechnology, Columbia, MD, USA). After the staining, we used an Olympus BX51WI Microscope to obtain bright-field images of pyramidal neurons in CA1 area of hippocampus and qualified the dendritic spines in 3-8 neurons/mice (5 segments/ neuron) by Neurolucida software 9.0 (MicroBright Field, Williston, USA). Spines were calculated in five segments per neuron, and more than 3-8 neurons per mouse were studied. Spine number and length were scored in 10 μm segments of secondary dendrite from each imaged neuron. Dendritic spines were classified based on morphology into four categories: mushroom (with a large bulbous head and a thin neck), stubby (short spines with a thick head and without a well-defined neck), thin (filopodia-like protrusions with small head), and branched spine (with more than one head) [19,37]. The percentage of spines in each classification of the total spines was calculated. All measures were performed by individuals blinded to the genotype.

Transmission Electron Microscopy (TEM)
TEM experiments were conducted as the previous studies [19,38]. Samples were immersed in 1% osmium tetraoxide for 2 h and then dehydrated in graded ethanol and embedded in epoxy resin. The 90-nm thickness ultrathin sections cutting by Leica ultracut ultramicrotome were counterstained using uranyl acetate and lead citrate. Electron micrographs were taken by an electron microscope (Tecnai G2 20 TWIN, FEI, USA). Synapse was detected by a vesicle-filled presynaptic structure and postsynaptic density (PSD) in the target area. We quantified the synaptic density, PSD thickness, width of the synaptic cleft, and length of the synaptic active zone for at least 60-80 electron microscopic images per group.

Slice Electrophysiology
Slice preparation and electrophysiological recordings were the same as previously described [39,40]. Vehicle or 7,8-DHF-treated mice were decapitated, and the brains were quickly removed and immersed in the ice-cold artificial cerebrospinal fluid (ACSF, in mM: 124 NaCl, 3 KCl, 1.25 KH 2 PO 4 , 26 NaHCO 3 , 2 CaCl 2 , 1 MgCl 2 , and 10 glucose, pH = 7.4 ± 0.5), which continuously bubbled with 95% O 2 and 5% CO 2 . Hippocampal slices (400 μm) were prepared by vibratome slicing and incubated in the recovery chamber (0.5 h at 34-36 °C and 1 h at room temperature). Then acute slices were transferred to a recording chamber that perfused with ACSF (34 °C) at 2 ml/min. Basal synaptic transmission (BST) was evaluated by increasing the stimulating intensity, and field excitatory postsynaptic potentials (fEPSPs) was measured using an input-output curve. On the basis of this curve, the stimulus was adjusted to elicit a fEPSP with approximately half the maximum slope. A 64-channel multielectrode (MED64) system (Alpha MED Science, Tokyo, Japan) was used to record fEPSPs [41]. Long-term depression (LTD) was induced by low-frequency stimulation consisting of 900 pulses at 1 Hz [42][43][44].

Morris Water Maze Test
Morris water maze (MWM) is commonly used to assess spatial learning and memory [5]. A circular white tank (1.2 m diameter) was filled with 0.5 m water (22 ± 2 °C) and divided into four quadrants. A 10-cm diameter circular platform was placed in the middle of the third quadrant 2-4 cm beneath the water surface. Mice were trained for 5 consecutive days, and the probe trial was performed on day 6. During training, a mouse was randomly placed in one of the four quadrants and allowed for the mouse to find the hidden platform (60 s-cut-off). On day 6, the platform was removed and the probe trial was performed. Time spending in the target quadrant was measured. After the probe trial, swimming speed and latency to reach the visible platform were determined. All trials were recorded by the EthoVision automated tracking system (EthoVision, Noldus Information Technology, Netherlands).

Fear Conditioning Test
Fear conditioning paradigm was slightly modified and performed as previously described [5]. During the training phase, mice were allowed to adapt to the training chamber for 180 s and then were delivered with a tone [75 dB, 2500 Hz; conditioned stimulus (CS)] for 30 s and an immediate 2 s, 0.75 mA foot shock [unconditioned stimulus (US)]. Three training sessions were performed. Freezing behavior, defined as the complete absence of movement except for respiration, was measured, and the data were analyzed using the Freezeframe software (Actimetrics, IL, USA). On day two, mice were returned to the fear conditioning chamber for180 s with no tone or shock presented. Two hours later, cued fear memory was tested and mice were placed in the same chamber modified with decorations of various shapes and a novel floor. Freezing behavior 180 s before and after the presentation of the tone was measured.

Statistical Analysis
All data were expressed as the means ± standard error of measurement (SEM). Data of all experiments were analyzed using Prism software (GraphPad 9.2). For the comparison between two groups, differences were analyzed with an unpaired two-tailed Student's t-test. One-way ANOVA and two-way ANOVA followed by Bonferroni's post hoc tests were used for multiple comparisons. Two-sided for p values < 0.05 were considered statistically significant.

TrkB and PLCγ Agonists Improve Neuronal Morphology in Primary Neurons Obtained from Fmr1 KO Mice
Since the activation of TrkB and PLCγ is downregulated and may cause the aberrant dendritic spines in Fmr1 KO mice [19], we asked if TrkB and PLCγ agonists could improve hippocampal neuronal morphology in vitro. We therefore examined the dendritic length and branches in neurons treated with or without 7,8-DHF (TrkB agonist), m-3M3FBS (PLCγ agonist), or K252a (TrkB inhibitor). Firstly, we treated WT and KO primary neurons at 4 days in vitro (DIV 4) with 0.5, 1, or 5 μM 7,8-DHF for 3 days. Additionally, to ensure that TrkB is required for dendritic morphogenesis, we used the TrkB inhibitor K252a (50 nM or 100 nM) at DIV 6 for 24 h. We observed that branches and total dendritic length were significantly decreased in KO (Fig. 1G, H). As expected, K252a treatment decreased the BDNF/TrkB-PLCγ1-CaMK II signals (Fig. 1G, H). Two-way ANOVA of BDNF, p-TrkB, p-PLCγ,

TrkB Phosphorylation and Downstream PLCγ-CaMKII Signaling Pathway Are Normalized by TrkB Agonist 7,8-DHF in Fmr1 KO Mice
Our previous study has suggested that BDNF/TrkB-PLCγ1-CaMKII signaling is downregulated at the early stages of postnatal development in Fmr1 KO mice [19]. To investigate whether aberrant TrkB and the downstream signaling pathways would be rescued by TrkB agonist 7,8-DHF, we first studied the activation status of p-TrkB, p-PLCγ, and p-CaMKII after treating P14 mice with 5 mg/kg 7,8-DHF daily for continuous 16 days (Fig. 2A). Quantitative analysis revealed higher protein levels of p-TrkBY 816 in 7,8-DHF-treated Fmr1 KO mice than in vehicle-treated KO mice, whereas p-TrkBY 515 levels kept unchanged ( Fig. 2A, B). Two-way ANOVA of p-TrkBY 816 levels showed a genotype × treat-

Synaptic Loss and Synaptic Plasticity in Fmr1 KO Mice Were Restored by TrkB Agonist 7,8-DHF
To test whether TrkB agonist 7,8-DHF also restores synaptic structure and function in Fmr1 KO mice since it rescued deficient hippocampal TrkB-PLCγ-CaMKII signaling, we first examined spine density of pyramidal neurons in hippocampal CA1 using Golgi staining. Dendritic spines are the major sites for excitatory synaptic input and associated with synaptic development, maintenance, and plasticity [45]. Dendritic spines were classified into the following categories: mushroom, stubby, thin, and branched [37,46]. Immature spines are long and thin, and mature spines become mushroom-like morphology. The morphology and turnover of spines are proxies for their maturity [47]. Neuropathological studies of FXS patients and in vivo imaging studies have both revealed the overabundance of immature dendritic spines in cortical pyramidal neurons, which contributes to the synaptic abnormality [47,48]. In our study, vehicle-KO mice exhibited markedly increased thin, filopodialike spines, and decreased mushroom spines compared with vehicle-WT mice, which was noticeably rescued by 7,8-DHF  (Fig. 3A, B). Two-way ANOVA of thin and mushroom percentage showed a genotype × treatment interaction  vehicle-KO mice compared to vehicle-WT mice but was remedied by 7,8-DHF treatment (Fig. 3A, C). Two-way ANOVA of spine length showed a genotype × treatment interaction [ F(1, 16)  We then utilized transmission electron microscopy (TEM) to compare the synaptic density and structure between groups in hippocampal CA1 of FXS mice (Fig. 3D). We found that Vehicle-KO hippocampus have less synapse, thinner PSD, and shorter synaptic active zone (Fig. 3D, E, G, H) but wider synaptic cleft than vehicle-WT group (Fig. 3D and  3F). Notably, 7,8-DHF treatment was sufficient to revert the decrease of synaptic density, PSD thickness, and length of the synaptic active zone and also revert the increase of synaptic cleft width (Fig. 3D-H). Two-way ANOVA of synaptic density, PSD thickness, length of the synaptic active zone, and synaptic cleft width showed a genotype × treatment interaction Given its effect on synaptic structure, we next examined whether 7,8-DHF restored synaptic plasticity in Fmr1 KO mice. We tested low-frequency stimulation (LFS)-induced long-term depression (LTD) in each mice group and observed significantly larger LTD in vehicle-KO than in vehicle-WT mice (87.24 ± 3.66% of baseline vs 62.07 ± 1.59% of baseline, df = 8, t = 6.308, p < 0.001 , Fig. 4A, B). 7,8-DHF reduced LTD magnitude in KO mice (52.04 ± 6.63% of baseline, df = 8, t = 4.649, p = 0.002 , compared to the vehicle group, Fig. 4, B) but did not affect LTD in WT mice (55.12 ± 6.56% of baseline, df = 8, t = 1.030, p = 0.333 ). Thus, 7,8-DHF appeared to rescue the enhanced LTD in Fmr1 KO mice with no significant impact on WT mice. No significant difference in hippocampal LTP was observed in WT and Fmr1 KO mice (data not shown). Taken together, synaptic structure and synaptic plasticity in Fmr1 KO mice were restored by BDNF mimic and TrkB agonist, 7,8-DHF, suggesting BDNF-TrkB dysregulation in Fmr1 KO mice is the underlying mechanism of synaptic development.   (Fig. 5A, B), Fmr1 KO mice showed significantly longer escape latencies, which suggested impaired spatial memory acquisition. 7,8-DHF-KO mice located the hidden platform more quickly than vehicle-KO mice. In fact, 7, 8-DHF restored the performance of KO mice to the level of vehicle-WT mice (Fig. 5B). After 5 days of training sessions, the probe test was used to evaluate spatial memory by measuring the time spent in the correct quadrant after the removal of the hidden platform. Two-way ANOVA of time spending and platform crossings in the target quadrant showed a main effect of genotype Vehicle-KO mice showed no preference for the correct quadrant and less platform crossings, whereas 7, 8-DHF-KO mice spent more time in the correct quadrant and crossed the previous location of the hidden platform as frequently as vehicle-WT mice did (Fig. 5C, D). In the visible-platform test, comparable motor and visual functions were observed among the four groups (Fig. 5E,  F). Two-way ANOVA of escape latency and swimming speed showed no effect of genotype [ F(1, 44) = 0.0003 , not significant Freezing time in vehicle-KO mice was significantly lower compared to that in vehicle-WT mice during the second and third tone-shock pairs (Fig. 6A). During inter-trial intervals, vehicle-KO mice showed significantly less freezing time (Fig. 6B). Vehicle-KO mice also exhibited less freezing time when tested 24 h later for contextual fear and 48 h later for cued fear (Fig. 6C, D). In 7,8-DHF-KO mice, freezing time was  (Fig. 6B), the contextual fear test (Fig. 6C), and the cued fear test (Fig. 6D).

Discussion
The present study was designed to test the effect of early therapeutic intervention on morphological and behavioral phenotypes in young FXS mice and to explore the underlying neural molecular mechanisms. Our results showed that early treatment of 7,8-DHF, a TrkB agonist, was capable of ameliorating neuronal morphology and function in Fmr1 KO mice and successfully improved their memory performance (Fig. 7). The activating of BDNF-TrkB-PLCγ/CaMK II signaling pathway, as evidenced by the dramatic increases in phosphorylated TrkB (Tyr816), PLCγ, and CaMK II in hippocampus and primary cultured neurons, contributed to this pharmaceutical effect. These findings suggest that pharmaceutical treatment with TrkB agonist 7,8-DHF is an effective strategy for FXS and further provide the optimal window, the early developmental stages, for therapeutic intervention.
Evidence tends to support the view that early intervention for ASD must be implemented during developmentally critical period preferably before major symptoms such as social communication disorders develop [20,49]. Research findings have also demonstrated that early psychopharmacological and environmental intervention improve cognitive impairment in young FXS individuals [28]. Early developmental stage is the key period for highly reorganized brain structure and function, formation of newborn neural circuits, and synaptic connections [24]. The treatment that miss this window may have limited effects. For example, early pharmacological intervention with mavoglurant exhibited more effective behavior improvement in the 0-3 days postfertilization in the zebrafish model of FXS; however, missing the optimal  [50]. Early treatment with lovastatin exhibited lasting correct alteration of associative learning deficits for at least 14 weeks in a FXS rat model, indicating the prevention of cognitive deficits and long-lasting benefits on cognition after early and transient therapeutic intervention [23]. In our study, FXS mice treated with 7,8-DHF starting at P14 showed long lasting improvements in the cognitive performances and synaptic function as still observed at about 4 weeks after treatment, indicating the therapeutic intervention at early postnatal ages is essential and effective. However, 7,8-DHF has different effects on different animal models. A recent study showed that a brief neonatal 7,8-DHF treatment is insufficient to produce long-lasting effects on behavior in the Ts65Dn mouse model of Down syndrome, indicating the timing of therapy with 7,8-DHF is a critical issue for attainment of positive effects on the brain [51].
Recently, treatments with 7,8-DHF rescued object location memory and normalized LTP in adult (3-to 5-monthold) Fmr1 KO mice [52]. Our previous study also reported that activation of TrkB through chronic oral administration of 7,8-DHF is able to rescue dendritic spine phenotypes and attenuate behavioral abnormalities in Fmr1 KO mice [5]. The present study further examined BDNF-TrkB signaling's role in early developmental period of Fmr1 KO mice, i.e., P14-P30. In order to avoid the inestimable oral dose for unweaned mice at postnatal developmental stages, the mice received repeated intraperitoneal injections of 7,8-DHF for 16 consecutive days. Consistently, we found that TrkB activation by intraperitoneal injection of 7,8-DHF had beneficial effects on Fmr1 KO mice but no effect on the WT mice, which suggests that at the appropriate dose of 7,8-DHF can treat FXS-specific pathological conditions. Intriguingly, in vitro application of 7,8-DHF in cultured hippocampal neurons also promoted neuronal dendritic development, suggesting the supporting role of 7,8-DHF on in vitro neuron development.
Previous studies have reported age-dependent alterations of BDNF protein levels that decreased in the hippocampus of Fmr1 KO mice [53]. The levels of BDNF protein were reduced in the motor cortex and increased in the hippocampus of the adult Fmr1 KO mice compared to WT mice [17]. However, no significant difference of BDNF expression was observed in the prefrontal cortex between Fmr1 KO mice and WT control [17]. TrkB expression was significantly increased in an intermediate zone but reduced in the cortical plate of the embryonic neocortex in Fmr1 KO mice, and no significant changes were found in the hippocampus, globus pallidus, and thalamic nuclei [17]. These data indicated differential expression profile of BDNF and region-specific spatial differences in BDNF and TrkB expression, which contributes to regional differences of synaptic plasticity in Fmr1 KO mice. The absence of FMRP has been reported to result in an accumulation of BDNF mRNA [17]. The previous study investigated the effects of BDNF on expression of Fmr1 mRNA and the effects of FMRP deficiency on BDNF and TrkB mRNA expression [18]. It was reported that BDNF treatment decreased Fmr1 mRNA expression in cultured hippocampal neurons with increased TrkB protein expression and receptor phosphorylation [18]. This study also showed that TrkB downregulated Fmr1 mRNA and protein levels. Moreover, TrkB, TrkC, and sortilin mRNAs are targets of FMRP [54,55]. These studies suggest an interplay between BDNF/TrkB signaling and FMRP. However, the precise mechanism is currently unclear and requires further investigation in future study.
As known, BDNF-specific receptor TrkB is activated by autophosphorylation of its tyrosine residues, causing multiple intracellular signaling activation [14]. We therefore identified the specific signal pathway of 7,8-DHF acting by both in vivo and in vitro. We found that TrkB Y816 phosphorylation but not TrkB Y515 phosphorylation increased along with the induction of p-PLCγ and p-CaMKII after 7,8-DHF treatment, indicating that the TrkB-PLCγ-CaMKII pathway was responsible for the rescue by 7,8-DHF in Fmr1 KO mice. These results are consistent with our previous report on the reduced activation of TrkB Y816 phosphorylation and PLCγ-CaMKII signaling and unchanged ERK pathway in Fmr1 KO mice after treatment with 7,8-DHF or enriched environment [5,19]. With TrkB Y515 phosphorylation, two main pathways occurred: the PI3K-AKT pathway and MAPK/ ERK pathway, which activate antiapoptotic effects and protein translation respectively [56]. With TrkB Y816 phosphorylation, the PLCγ pathway is engaged, causing diacylglycerol production, increase in intracellular calcium, and the PKC and CAMK activation [57]. Seese et al. showed that 7,8-DHF increases synaptic TrkB phosphorylated at its Y515 site for activation of the ERK1/2 signaling pathway, in turn, may have effectors related to actin dynamics and learning [52]. Previous studies have demonstrated that systemic administration of 7,8-DHF significantly enhanced the activation of phosphorylated TrkB at the Y515 and Y816 sites as well as p-Erk1/2, p-CREB and p-CaMKII in 25-month-old SD rats and a rat model of schizophrenia, indicating that 7,8-DHF activates TrkB-ERK-CREB and TrkB-CaMKII-CREB signaling pathway in aging and schizophrenia models [58,59]. Whereas in this study, TrkB Y816 phosphorylation was increased, through the activation of TrkB-PLCγ-CaMKII signaling pathway by 7,8-DHF treatment, we observed modulating changes in the spine dysmorphogenesis and abnormal synaptic function in Fmr1 KO mice, and subsequently, an improvement in hippocampus-dependent learning and spatial and fear memory, as determined by MWM and conditional fear test.
In summary, we have been able to demonstrate that early intervention by TrkB stimulation with 7,8-DHF helps to establish and maintain the neural development and restore normal cognitive development in FXS. Further in-depth investigation of the understanding effective mechanisms for early intervention is warranted and will help develop future targeted treatments for FXS individuals.