A myriad of NDDs result from missing/mutated proteins of the postsynaptic density (PSD), including Shanks [26, 31], Homers [32, 33, 34], mGluRs [35], and SynGAP1. SynGAP1 is the major neuronal specific RasGAP that binds to the PSD-95, a major scaffolding protein of the PSD. SynGAP1 is localized to excitatory synapses and is one of the most highly abundant components of the PSD [1, 2]. The PSD is composed of densely organized proteins adjacent to the post-synaptic membrane comprised of anchoring cell surface proteins, scaffold proteins, neurotransmitter receptors, and cell-adhesion molecules. SynGAP1 is primarily expressed in the brain, thus it is not surprising that perturbations in SynGAP1 expression result in a pathological NDD [2, 3, 36].
We observed rigorous, robust behavioral alterations by hyperactivity in the open field arena, impairments in novel object recognition, and reduced anxiety-like behavior in Syngap1+/− mice compared to Syngap1+/+ littermate controls, using a unique F1 generation hybrid mouse as the background strain. Advantages of this F1 include the hybrid vigor as a background for deleterious mutations and elimination of the resistance to typical seizure induction methods, a documented phenotype of the classic congenic B6J background strain [23, 37, 38]. A comprehensive behavioral battery performed at the neurobehavioral phenotyping laboratory at the Jackson Laboratory found the 129S1-C57BL/6J F1 hybrid to be behaviorally indistinguishable from C57BL/6J. Identical observations regarding lethality when a synaptopathy is on a congenic C57BL/6J background yet excellent thrive ability on 129S1 were observed in Shank1 mutant mice [31, 39, 40]. Previous research using the F1 generation of hybrid mice allowed for comprehensive behavioral analysis of Shank1 model mice, as well as the Syngap1 mutant mice described herein. Hybrid mice often allow for the detection and expression of polygenic diseases by presenting a broader array of responses to various stresses, thus providing an approximate control for some genetically engineered strains. In our case, investigating the construct valid Syngap1 mutant mice on C57BL/6J or 129S1 background strains alone, would have prevented data with ample power for statistical conclusions and/or reduced the clarity of our conclusions.
Currently, only a single other study investigated the epileptogenic, and sleep biomarkers of SYNGAP1R-ID. In a 3-year-old child with SYNGAP1R-ID and the Syngap1 mutant mice on a C57BL/6J background, which is notorious for seizure resistance [23, 41], progressive changes in the sleep architecture over 24 hours were reported. Over 24-hours of nocturnal rhythms, WT mice at PND60 and PND120 had less awake time than Syngap1+/− mice at similar ages [42]. Our report extends this result and debuts the generalization of sleep alterations to a broader background strain, as well as the use of 4 sleep stages via EEG/EMG over the wake and NREM stages used in the Sullivan work, in a preclinical mouse model of SYNGAP1R-ID. Sleep disturbances are a significant translational phenotype in synaptopathies, such as Phelan McDermid Syndrome (Shank3) and SYNGAP1-ID [43]. A one-of-a-kind SynGAP1 rat model exists, generated via a collaborative effort between the Simon’s Foundation and the University of Edinburgh. These rats were generated on a Long Evans background and published under the Syngap+/Δ−GAP nomenclature. In the rat study, sleep was analyzed via video-EEG and an automated program for sleep spindles [44]. Sleep abnormalities were mostly uncorrelated to the electrophysiological signature of absence seizures, spikes, and spike wave discharges. Visual brain sleep state scoring blind to animal genotype was performed by assigning 5 s epochs to non-rapid eye movement sleep (NREM), rapid eye movement sleep (REM) or wake. Scoring criteria for visual classification was based on accelerometer and EEG characteristics like the methodology herein, however we also utilized an EMG signal. Using group sizes of 4 per genotype (without the mention of sex), the electro graphical correlate of absence seizures, spike, and wave discharges (SWDs), were identified visually and analysis was confirmed with an automated algorithm. Briefly, SWDs are characterized by periodic high- amplitude oscillations in the theta band between 5 and 10 Hz which correlates with a spontaneous stop in animal movement. Power spectral analysis was performed that identified harmonic peaks. Via this described methodology of sleep stages, it was reported that Syngap+/Δ−GAP rats spent an equivalent percentage of time in all states when compared with wild-type littermate controls. Tailored further examination showed that wake and NREM bouts, with REM bouts remaining unchanged coinciding with increased average bout duration during wake and NREM, as well as no difference in REM bout duration. Therefore, only during 6 h recordings, Syngap+/Δ−GAP rats display an abnormal sleep state distribution. All data were classified by individual 5 s recording epochs from those previous recordings as NREM sleep, REM sleep or wake. While direct comparison of our data to this earlier work is complicated given the vastly different methodologies, species, and EEG acquisition time, the consensus of these 3 studies is that sleep will be a powerful translational predictor in a future clinical trial for SYNGAP1R-ID44 as has been demonstrated in other rare genetic NDDs [45–47 48, 49].
EEG recordings in neurodevelopmental disorders show potential to identify clinically translatable biomarkers to both diagnose and track the progress of novel therapeutic strategies, as well as providing insight into underlying pathological mechanisms. When spontaneous recurring seizures were observed by visual scoring of a 24 h video EEG, few seizures were observed in the Syngap1+/− mice until PND120 (4 months of age) a time at which EEG seizures greatly increased [42]. Our data corroborate work using the indices of spiking and spike trains, analyzed using the same methods as Baylor Neurology [50, 51]. We also utilized the oscillatory power to obtain power spectral densities of each frequency wave, discovering greater overall power in Syngap1+/− mice, and elevated delta and theta power. Elevated delta power is being used as a biomarker in clinical trials for other NDDs, such as Angelman Syndrome clinical trials [25, 51–55]. Increased spike trains during in vivo EEG show similar patterns of activity to the increased numbers of bursts and shorter latency bursts using micro-electrode arrays (MEA) on Syngap1+/− primary neurons. This report debuts this innovative technology in this genetic mouse model as we have discovered a functional physiology outcome that bridges our in vitro studies to our in vivo results. Moreover, this technology can be used with other cell types and record from neural stem cells generated from human iPSCs which could serve as another translational bridging study [28]. Using human cells, high density MEAs, such as those described herein, have produced rigorous, reliable, reproducible findings of genetically generated disease states and by observing expected firing changes with pharmacological tools [27]. Continuous and long-term recordings of the circuit dynamics was not possible due to phototoxicity and the large number of challenges in maintaining seals for classical patch clamping techniques [29]. Here, we utilize a high-density microelectrode array containing 26,400 electrodes and can simultaneously record 1024 discrete electrodes for label-free, comprehensive, and detailed electrophysiological live neuronal cell recording of over 3–4 weeks in culture [27, 28].
As a negative regulator of excitatory neurotransmission, overexpression of Syngap1 results in a dramatic loss of synaptic efficacy as well as enhanced synaptic transmission following SynGAP1 disruption by RNA interference [4]. This work is vital, proving that SynGAP1 levels are modifiable and SynGAP1-deficient synapses are not immutable. Added hope comes from recent work that illustrates that Syngap1 is a downstream target of MAPK interacting protein kinases 1 and 2 (Mnk1/2) [56], which regulate a plethora of functions, presumably via phosphorylation of substrates, including eukaryotic translation initiation factor 4E (eIF4E). Reducing Syngap1 levels reversed behavioral learning and memory deficits in a Mnk ½ double knockout mouse model, leading to the novel suggestion that the Mnks–Syngap1 axis regulates memory formation and functional outcomes [56].
Key questions that remain for all NDDs include age of restoration, and “critical windows”. Many have described that rescues are possible as adults in Fragile X [57, 58], Rett [59, 60], Phelan-McDermid [61], and Angelman Syndromes [18, 20, 62]. However, others have argued that only intervention in early life reverses behavioral phenotypes in some NDDs [63]. In fact, prenatal intervention theories are being explored [64]. Earlier work with SynGAP1 illustrated hardwiring of neural circuitry that manifest as lifelong impairments [65, 66]. Nonetheless, crucial to this work, re-expression of Syngap1 by genetic reversal exhibits a complete alleviation of electrophysiological and cognitive behavioral phenotypes in a genetic inducible mouse model [67], suggesting nearly full expression of a second allele of Syngap1 is required for alleviation of regulatory issues, regarding potency, target engagement, and PK/PD for transability. Our laboratory is currently assessing nuanced SynGAP1 alterations using an ELISA assay over semi-quantitated Western blots or RNA levels only, which can lack predictability. Genetic reversal was illustrated only when re-expression was localized to glutamatergic neurons, which contribute significantly but not in isolation to the phenotypes reported herein. It is currently not known if other neuronal subtypes are also sufficient to drive the reported abnormalities in these mice, however our current targeted therapeutics under investigation in this construct valid model are addressing that exact question.