Autism is a neurodevelopmental disorder characterized by social deficits and repetitive behaviors. Genetic screening has identified synaptic, transcriptional, and chromatin genes disrupted in autistic patients. Haploinsufficiency of Shank3, which encodes a scaffold protein at glutamatergic synapses, is causally linked to autism. Using a Shank3-deficient mouse model that exhibits prominent autism-like phenotypes, we have found that histone acetylation in the prefrontal cortex (PFC) is abnormally low, which can be reversed by MS-275 (also known as Entinostat, SNDX-275), a class I histone deacetylase (HDAC) inhibitor that is selectively potent in PFC. A brief (3-day) treatment with MS-275 (i.p.) led to the sustained (11 days) rescue of autistic social preference deficits in Shank3-deficient mice, without altering locomotion, motor coordination, anxiety, or the increased grooming. MS-275 treatment also rescued the diminished NMDAR surface expression and NMDAR function induced by Shank3 deficiency. Moreover, F-actin at synapses was restored and the transcription of actin regulators was elevated by MS-275 treatment of Shank3-deficient mice, which may contribute to the recovery of actin-based NMDAR synaptic delivery. Taken together, these results suggest that MS-275 treatment could normalize the aberrant epigenetic regulation of genes, leading to the amelioration of synaptic and social deficits associated with autism.
Autism is a devastating mental disorder that lacks effective treatment . Hundreds of genes have been identified as autism risk factors, many of which are histone-modifying enzymes and chromatin remodelers [2,3,4]. It raises the possibility that one strategy to reinstate the gene expression pattern and neuronal function in autism is to target epigenetic enzymes. One major epigenetic process essential for gene regulation is histone acetylation and deacetylation catalyzed by histone acetyltransferase (HAT) and histone deacetylase (HDAC) family proteins. HATs and HDACs exert their epigenetic activating or silencing of gene expression via relaxing or condensing the chromatin architecture, respectively. HDACs play a pivotal role in cognitive processes and neurodegenerative diseases [5,6,7]. Altered histone acetylation and transcriptional dysfunction have been implicated in psychiatric disorders [8,9,10] . However, the therapeutic potential of HDAC-targeting agents for autism is largely unknown.
Pre-clinical discoveries of therapeutic interventions for autism rely on mouse models that exhibit the prominent “core symptoms” of autism, including deficits in social interactions, communications, and repetitive, restrictive behaviors . Hemizygous deletion or loss-of-function mutation in the Shank3 gene, which encodes a scaffolding protein at glutamatergic synapses [12, 13], has been causally linked to human autism and intellectual disability [14,15,16,17]. Animal models with the loss of Shank3 exhibit certain autism-related behaviors to different extents [18,19,20,21,22,23,24,25]. Male heterozygous mice with C-terminal (exon 21) deleted Shank3 (Shank3+/ΔC), which exhibit the significant loss of full-length Shank3 expression, recapitulate pronounced autism-like social preference deficits and repetitive behaviors , thus making them an ideal model for the autism drug discovery studies.
The autistic behavioral deficits in Shank3+/ΔC mice are attributable to the loss of NMDAR function and synaptic trafficking due to actin dysregulation in pyramidal neurons of prefrontal cortex , a key brain region mediating social cognition [26, 27]. In this study, we sought to determine whether histone acetylation is aberrant in Shank3-deficient mice and whether the autism-like synaptic and behavioral deficits can be rescued by MS-275, a potent, long-lasting and frontal cortex-selective HDAC inhibitor .
Materials and methods
The mice expressing C-terminal (exon 21)-deleted Shank3 (Shank3+/ΔC, Jackson Labs, Bar Harbor, ME), which exhibited the significant loss of full-length Shank3 expression, were generated and maintained as previously described  . Heterozygous Shank3+/ΔC mice (6–8 weeks old, male) and age-matched wild-type mice (C57BL/6, male) were used in this study. Mice were group-housed with ad libitum food accessibility in the 12-h light–dark cycle (light: 6 a.m.–6 p.m.; dark: 6 p.m.–6 a.m.). Mice of different genotypes were randomly assigned to drug/saline groups. Experiments were carried out by investigators in a blind fashion (with no prior knowledge about the genotypes and treatments). All experiments were performed with the approval of the Institutional Animal Care and Use Committee of the State University of New York at Buffalo. MS-275 (Selleckchem) was prepared by dissolving in DMSO to make the stock solution and diluting with 0.9% saline before injections (DMSO concentration of the working solution: <0.2%). All the tests were performed at various days as indicated in the paper after the last injection of the compound.
Social preference test
A three-chamber social interaction assay was performed to assess social deficits . Briefly, an apparatus (L: 101.6 cm, W: 50.8 cm, H: 50.8 cm) containing three chambers with retractable doorways allowing for access to side chambers was used. The test was composed of two phases with different stimulus in each of two side chambers. Each stimulus was placed inside a capsule (an inverted pencil cup, D: 10.2 cm, H: 10.5 cm). An upright plastic drinking cup was weighed down and placed on top of each capsule to prevent the subject mouse from climbing on top. The first phase contained two identical non-social stimuli (black-folded papers), the second phase contained a non-social (NS) stimulus (a wood block) and a social (Soc) stimulus (mouse of the same strain). Locations of the NS and Soc stimuli were counterbalanced. Animals were habituated in the apparatus for 2 days before testing. During the habituation, two empty capsules were placed at side chambers, and animals were allowed to explore the central chamber for 10 min, followed by an additional 10-min exploration with free access to all three chambers of the apparatus. During the sociability measurement, different stimuli were placed inside capsules at side chambers, and the test animal was placed in the center chamber, and was free to explore the apparatus for 10 min in each phase, while it was returned to home cage during the 5-min intervals between test phases. The chamber was cleaned with 75% ethanol after each phase. Interaction time was counted based on “investigating” behaviors of the test animal to each stimulus. In initial experiments, an experimentalist measured the time of the test animal spent on actively seeking and sniffing the stimulus. In later experiments, a computer running the any-maze behavior tracking software (Stoelting, Wood Dale, IL) measured the time of the test animal spent at the close proximity of the capsule (distance of animal head to cup edge: ≤3.5 cm). Data generated manually and automatically were consistent, so they were pooled together. Preference scores were calculated, where the time spent with one stimulus was subtracted from the time spent with the other stimulus and divided by the total time spent exploring both stimuli.
Animals were placed in a large cage (L: 42 cm, W: 20 cm, H: 20 cm) devoid of any bedding materials for 5 min and the number of times crossing a midline was counted.
To assess motor coordination and balance, an accelerating rotarod (SD instruments, San Diego CA) was used. Mice were placed on a cylinder, which slowly accelerated from 4 to 40 revolutions per minute over a 5-min test session. The task requires mice to walk forward in order to remain on top of the rotating cylinder rod. Trail 1 and Trail 2 were performed with 2-h interval.
Open field test
Animals were placed in a rectangular arena (60 cm × 80 cm); the amount of time the animal spent in the center (25 cm × 25 cm) was counted. Compared to less anxious counterparts, anxious animals spend less time in center and more time in the corner of the field.
Mice were scored for spontaneous grooming behaviors when placed individually in a clean cage. The cage was lined with a thin layer of bedding (~1 cm) in order to reduce neophobia, but prevent digging, a potentially competing behavior. Prior to the testing period, animals were allowed to habituate to the novel environment for 10 min. Each mouse was rated for 10 min on cumulative time spent grooming.
Quantitative real-time RT-PCR
To compare the mRNA levels, quantitative RT-PCR was used. Total RNA was isolated from mouse frontal cortical punches using Trizol reagent (Invitrogen) and treated with DNase I (Invitrogen) to remove genomic DNA. Then, SuperScript III first-strand synthesis system for RT-PCR (Invitrogen) was used to obtain cDNA from the tissue mRNA, followed by the treatment with RNase H (2 U/l) for 20 min at 37 °C. Quantitative real-time RT-PCR was carried out using the iCycler iQ™ Real-Time PCR Detection System and iQ™ Supermix (Bio-Rad) according to the manufacturer’s instructions. In brief, GAPDH was used as the housekeeping gene for quantitation of the expression of target genes in samples from WT vs. Shank3+/ΔC mice treated with MS-275 or saline control. Fold changes in the target genes were determined by: Fold change = 2−Δ(ΔCT), where ΔCT = CT(target) − CT(GAPDH), and Δ(ΔCT) = ΔCT(treated group) − CT(WT + saline). CT (threshold cycle) is defined as the fractional cycle number at which the fluorescence reaches 10× the standard deviation of the baseline. A total reaction mixture of 25 μl was amplified in a 96-well thin-wall PCR plate (Bio-Rad) using the following PCR cycling parameters: 95 °C for 5 min followed by 40 cycles of 95 °C for 30 s, 55 °C for 30 s, and 72 °C for 60 s. Primers for all the genes profiled in this study are included in Table 1.
Primary neuronal culture and transfection
Rat cortical cultures were prepared as described previously . Briefly, frontal cortex was dissected from embryonic day 18 rat embryos, and cells were dissociated using trypsin and trituration through a Pasteur pipette. Neurons were plated on coverslips coated with poly-l-lysine in DMEM with 10% fetal calf serum at a density of 1 × 105 cells/cm2. When neurons were attached to the coverslip within 24 h, the medium was changed to neurobasal with B27 supplement (Invitrogen). Cytosine arabinoside (AraC, 5 μM) was added at DIV3 to stop glial proliferation. Cultured neurons were transfected with EGFP plus various constructs or siRNA (33.3 nM) using the Lipofectamine 2000 method. Drugs were added 1 day after transfection and electrophysiological recordings were performed on GFP+ neurons at 2–3 days after transfection.
Whole-cell NMDA-elicited currents in cultured neurons were recorded using standard voltage-clamp techniques . The internal solution contained the following (in mM): 180 N-methyl-d-glucamine, 4 MgCl2, 40 HEPES, 0.5 BAPTA, 12 phosphocreatine, 3 Na2ATP, and 0.5 Na2GTP, pH 7.2–7.3, 265–270 mOsm. The external solution consisted of the following (in mM): 127 NaCl, 20 CsCl, 1 CaCl2, 5 BaCl2, 10 HEPES, 12 glucose, 0.02 glycine, and 0.001 tetrodotoxin, pH 7.4, and 300 mOsm. Recordings were obtained using Axopatch 200B patch-clamp amplifier (Molecular Devices), controlled with a computer running Clampex 10.2 with a DigiData 1440A series interface (Molecular Devices). A tight seal (>2 GΩ) was obtained using negative pressure with membrane disruption after additional suction. The cell membrane was held at −60 mV, and NMDAR-mediated current was elicited by bath application of NMDA (100 μM) for 2 s every 30 s.
Whole-cell voltage-clamp recording technique was used to measure synaptic currents in pyramidal neurons of prefrontal cortical slices as previously described . Mouse slices (300 μm) were positioned in a perfusion chamber attached to the fixed stage of an upright microscope (Olympus) and submerged in continuously flowing oxygenated ACSF (in mM: 130 NaCl, 26 NaHCO3, 1 CaCl2, 5 MgCl2, 3 KCl, 1.25 NaH2PO4, 10 glucose, pH 7.4, 300 mOsm). Bicuculline (20 μM) and CNQX (20 μM) were added in NMDAR-EPSC recordings. Bicuculline and D-APV (50 μM) were added in AMPAR-EPSC recordings. Patch electrodes contained internal solution (in mM): 130 Cs-methanesulfonate, 10 CsCl, 4 NaCl, 10 HEPES, 1 MgCl2, 5 EGTA, 2 QX-314, 12 phosphocreatine, 5 MgATP, 0.2 Na3GTP, 0.1 leupeptin, pH 7.2–7.3, 265–270 mOsm. Layer 5 medial prefrontal cortex pyramidal neurons were visualized with a ×40 water-immersion lens and recorded with the Multiclamp 700A amplifier (Molecular Devices, Sunnyvale, CA). Evoked EPSC were generated with a pulse from a stimulation isolation unit controlled by a S48 pulse generator (Grass Technologies, West Warwick, RI). A bipolar stimulating electrode (FHC, Bowdoinham, ME) was placed ~100 μm from the neuron under recording. For NMDAR-EPSC, the cell (clamped at −70 mV) was depolarized to +40 mV for 3 s before stimulation to fully relieve the voltage-dependent Mg2+ block. For input–output responses, EPSC was elicited by a series of pulses with different stimulation intensities (50–90 μA) delivered at 0.033 Hz. Data analyses were performed with Clampfit (Axon instruments, Molecular Devices, Sunnyvale, CA), Kaleidagraph (Albeck Software, Synergy Software, Reading, PA) and GraphPad Prism 6 (GraphPad Software, Inc., La Jolla, CA).
Biochemical measurement of total, surface, nuclear, and synaptic proteins
Nuclear extracts from mouse brains were prepared as we previously described . Briefly, ten frontal cortical punches (diameter: 2 mm) from fresh mouse slices (300 μm) per animal were collected, and then homogenized with 500 μl homogenization buffer (20 mM Tris-HCl, pH 7.4, 10 mM NaCl, 3 mM MgCl2, 0.5% NP-40, 1 mM PMSF, with cocktail protease inhibitor). The homogenate was incubated on ice for 15 min and followed by centrifugation at 3000 × g, 4 °C for 10 min. The nuclear pellet was resuspended in 50 μl nuclear extract buffer (100 mM Tris-HCl, pH 7.4, 100 mM NaCl, 1 mM EDTA, 1% Triton X-100, 0.1% SDS, 10% glycerol, 1 mM PMSF, with cocktail protease inhibitor) and incubated on ice for 30 min with vortex periodically to re-suspend the pellet. After centrifugation, the supernatant for nuclear fractions was collected, boiled in 2× SDS loading buffer for 5 min and then separated on 10% SDS-polyacrylamide gels. Western blotting experiments for nuclear proteins were performed with antibodies against acetylated H3K9 (1:1000, Cell Signaling, 9649), H3 (1:500, Cell Signaling Technology, 4499).
The surface NMDA receptors were detected as previously described . In brief, frontal cortical slices were incubated with ACSF containing 1 mg/ml sulfo-N-hydroxysuccinimide-LC-Biotin (Pierce Chemical Co., Rockford, IL) for 20 min on ice. The slices were then rinsed three times in Tris-buffered saline to quench the biotin reaction, followed by homogenization in modified radioimmunoprecipitation assay buffer. The homogenates were centrifuged at 14,000 × g for 15 min at 4 °C, incubated with 50% Neutravidin Agarose (Pierce Chemical Co.) for 2 h at 4 °C, and bound proteins were resuspended in SDS sample buffer and boiled. Quantitative western blots were performed on biotinylated (surface) proteins. Western blots were performed using antibodies against tubulin (1:5000, Sigma, T9026), NR1 (1:500, NeuroMab, 75‐272), NR2A (1:500, Millipore, 07‐632), and NR2B (1:500, Millipore, 06‐600).
Subcellular fractions were prepared as described previously . In brief, blocks of frontal cortex were cut out, weighed, and homogenized in ice‐cold lysis buffer (10 ml/g, 15 mM Tris, pH 7.6, 0.25 M sucrose, 1 mM PMSF, 2 mM EDTA, 1 mM EGTA, 10 mM Na3VO4, 25 mM NaF, 10 mM sodium pyrophosphate, and protease inhibitor tablet). After centrifugation at 800 × g for 5 min to remove nuclei and large debris, the remaining supernatant was subjected to 10,000 × g centrifugation for 10 min. The crude synaptosome fraction (pellet) was suspended in lysis buffer containing 1% Triton X‐100 and 300 mM NaCl, homogenized again, and centrifuged at 16,000 × g for 15 min. Triton-insoluble fraction which mainly includes membrane‐associated proteins from synaptosomes was dissolved in 1% SDS. Samples were boiled in 2× SDS loading buffer for 5 min, and separated on 7.5% SDS‐PAGE. Western blots were performed using antibodies against tubulin (1:5000, Sigma, T9026), PSD95 (1:1000, Cell Signaling, 36233S), and actin (1:1000, Santa Cruz, sc-1616).
Chromatin immunoprecipitation (ChIP)
Briefly, six PFC punches from mouse slices per animal were collected. Each sample was homogenized in 250 μl ice-cold douncing buffer (10 mM Tris-HCl, pH 7.5, 4 mM MgCl2, 1 mM CaCl2). The homogenized sample was incubated with 12.5 μl micrococcal nuclease (5 U/ml, Sigma, N5386) for 7 min and terminated by adding EDTA at a final concentration of 10 mM. Then, hypotonic lysis buffer (1 ml) was added and incubated on ice for 1 h. The supernatant was transferred to a new tube after centrifugation.
After adding 10× incubation buffer (50 mM EDTA, 200 mM Tris-HCl, 500 mM NaCl), 10% of the supernatant was saved to serve as input control. To reduce nonspecific background, the supernatant was pre-cleared with 100 μl of salmon sperm DNA/protein A agarose-50% slurry (Millipore, 16–157) for 2 h at 4 °C with agitation. The pre-cleared supernatant was incubated with antibodies against pan-acetylated H3 (Millipore, 06–599, 7 μg per reaction) overnight at 4 °C under constant rotation, following by incubation with 20 μl of Salmon Sperm DNA/Protein A agarose-50% Slurry for 2 h at 4 °C. After washing for five times, bound complex was eluted twice from the beads by incubating with the elution buffer (100 μl) at room temperature. Proteins and RNA were removed by using proteinase K (Invitrogen) and RNase (Roche). Then, immunoprecipitated DNA and input DNA were purified by QIAquick PCR purification Kit (Qiagen). Quantification of ChIP signals was calculated as percent input. Purified DNA was subjected to qPCR reactions with primers against mouse βPIX promoter (Forward, −950 bp to −932 bp relative to TSS, 5′-AAACTGTCGAGGAGTGCCAG-3′; Reverse, −749 bp to −730 bp relative to TSS, 5′- TCAAGAGCACATCGCAACCT-3′).
All data were expressed as the mean ± SEM. No sample was excluded from the analysis. The sample size was based on power analyses and was similar to those reported in previous work [18, 30, 31]. The variance between groups being statistically compared was similar. Each set of the experiments was replicated for at least three times. Experiments with two groups were analyzed statistically using unpaired Student’s t tests. Experiments with more than two groups were subjected to one-way ANOVA, two-way ANOVA, or two-way repeated measure ANOVA (rmANOVA), followed by post hoc Bonferroni tests.
MS-275 treatment exerts the long-lasting rescue of autism-like social deficits in Shank3-deficient mice
To find out potential epigenetic aberrations in autism models, we examined the level of histone acetylation (H3K9Ac) in the prefrontal cortex (PFC) of Shank3+/ΔC mice, which exhibited prominent autism-like behavioral deficits . As shown in Fig. 1a, the level of H3K9Ac in the nuclear fraction of PFC slices from Shank3+/ΔC mice (saline-injected) was significantly lower than that from wild-type (WT) mice (saline-injected). Systemic administrations of MS-275 (Entinostat) (5 mg/kg, i.p., once daily for 3 days), a class I HDAC inhibitor  that is brain region-selective with the highest potency in PFC , significantly reinstated the level of H3K9Ac in Shank3+/ΔC mice (n = 6 each group, F2,15 = 14.4, p < 0.001, one-way ANOVA), indicating that the abnormally low level of histone acetylation in PFC of Shank3-deficient mice can be restored by MS-275 treatment.
Next, we tested the impact of MS-275 on autism-like social deficits in juvenile male Shank3+/ΔC mice using the three-chamber social preference test . As shown in Fig. 1b, during the presentation of both a social (Soc) and a non-social (NS) stimuli, saline-injected WT mice exhibited the strong preference for the social stimulus (Soc: 89.2 ± 7.5 s, NS: 21.3 ± 1.3 s, n = 11, p < 0.001), while saline-injected Shank3+/ΔC mice showed a significant loss of the social preference (Soc: 52.5 ± 3.8 s, NS: 34.2 ± 2.8 s, n = 15). MS-275 treatment of WT mice did not change the social preference (Soc: 99.4 ± 8.0 s, NS: 30.5 ± 3.6 s, n = 10, p < 0.001). MS-275-treated Shank3+/ΔC mice spent significantly more time exploring the social stimulus over the non-social object (Soc: 85.3 ± 5.7 s, NS: 23.9 ± 1.7 s, n = 15, p < 0.001, F3,94 (interaction) = 15.3, p < 0.0001, two-way ANOVA). The significantly elevated social preference index in Shank3+/ΔC mice after MS-275 treatment (Fig. 1c, d, WT: 60.5 ± 2.0%, n = 11; WT+MS-275: 53.7 ± 2.2%, n = 10; Shank3+/ΔC+saline: 20.5 ± 2.6%, n = 15; Shank3+/ΔC+MS-275: 55.8 ± 2.2%, n = 15; F1,47 (interaction) = 79.4, p < 0.0001, two-way ANOVA) suggests that MS-275 induces the dramatic rescue of autism-like social deficits in Shank3-deficient mice.
We further examined how long the rescuing effect of MS-275 treatment (5 mg/kg, i.p., 3×) can sustain. The social preference tests were performed in Shank3+/ΔC mice prior to and at various time points after drug treatment. As shown in Fig. 1e, the significantly increased social preference index in Shank3+/ΔC mice persisted for at least 11 days post injection of MS-275, while no improvement in social preference was found with repeated measurements of saline-injected Shank3+/ΔC mice (MS-275, pre-ip: 17.6 ± 4.2%, 1d–11d post-ip: 50.2–58.3%, 18d post-ip: 9.8 ± 7.1%, n = 9; saline, pre-ip: 21.3 ± 4.8%, 1d–11d post-ip: 16.5–22.6%, 18d post-ip: 18.3 ± 6.6%, n = 8; F1,15 (treatment) = 37.3, p < 0.001, F4,60 (time) = 11.2, p < 0.001; two-way rmANOVA).
Dose–response studies indicated that lower doses of MS-275 (0.05 mg/kg or 0.5 mg/kg, i.p., 3×) were ineffective in improving the social deficits (Fig. 1f, 0.05 mg/kg, pre-ip: 17.2 ± 2.7%, 1d post-ip: 14.2 ± 4.4%, n = 9; 0.5 mg/kg, pre-ip: 18.7 ± 4.1%, 1d post-ip: 24.5 ± 9.2%, n = 9, p > 0.05, paired t-test), probably because of the limited brain permeability and modest potency of MS-275. The effective dose of MS-275 in rescuing autism-like social deficits, 5 mg/kg (i.p.), is equivalent to the dose of MS-275 that increases the content of acetyl-H3 in the frontal cortex, 15 μmol/kg (s.c.) (5.6 mg/kg ), so this dose of MS-275 was used in the following studies.
A variety of other behaviors were also examined in MS-275-treated Shank3+/ΔC mice. Compared to wild-type mice or saline-injected Shank3+/ΔC mice, no differences were observed with MS-275 treatment in locomotion tests (Fig. 2a, n = 11–21 each group, F2,43 = 1.4, p > 0.05, one-way ANOVA) or rotarod tests (Fig. 2b, n = 12–14 each group, trial 1: F2,35 = 2.0, p > 0.05; trail 2: F2,35 = 2.5, p > 0.05, one-way ANOVA), suggesting the normal motor activity and coordination. MS-275- or saline-treated Shank3+/ΔC mice spent similar time in the center in open field tests, compared to WT mice (Fig. 2c, n = 11–14/each group, F2,36 = 0.4, p > 0.05, one-way ANOVA), suggesting the normal anxiety level. MS-275 failed to normalize the increased repetitive grooming in Shank3-deficient mice (Fig. 2d, WT: 27.1 ± 8.5, n = 17, Shank3+/ΔC +saline: 97.1 ± 14, n = 21, Shank3+/ΔC+MS-275: 111 ± 17.1, n = 11, F2,46 = 10.9, p < 0.001, one-way ANOVA).
MS-275 treatment restores NMDAR trafficking and function in Shank3-deficient mice
Next, we sought to find out potential mechanisms underlying the amelioration of autism-like behaviors by HDAC inhibition. Our previous studies have found that the synaptic delivery of NMDARs is significantly reduced in PFC of Shank3-deficient mice, leading to the loss of NMDAR-mediated synaptic responses . Thus, we examined the expression of glutamate receptors in PFC after MS-275 treatment. Compared to wild-type mice or saline-injected Shank3+/ΔC mice, quantitative PCR analyses showed that the mRNA level of NMDAR subunits (NR1, NR2A, and NR2B) and AMPAR subunits (GluR1 and GluR2) were not significantly changed in Shank3+/ΔC mice treated with MS-275 (5 mg/kg, i.p. 3×) (Fig. 3a, n = 6, p > 0.05, one-way ANOVA). Consistently, the total protein level of glutamate receptor subunits was also unchanged by Shank3 deficiency or MS-275 treatment (Fig. 3b, n = 6–8 each group, p > 0.05, one-way ANOVA). However, MS-275 significantly rescued the decreased level of NR1, NR2A, and NR2B subunits at the neuronal surface in Shank3+/ΔC mice (Fig. 3c, NR1: WT: 1 ± 0.14, n = 6, Shank3+/ΔC +saline: 0.52 ± 0.08, n = 6, Shank3+/ΔC+MS-275: 1.86 ± 0.22, n = 6, F2,15 = 51.0, p < 0.001, one-way ANOVA; NR2A: WT: 1 ± 0.08, n = 7, Shank3+/ΔC +saline: 0.52 ± 0.04, n = 7, Shank3+/ΔC+MS-275: 1.47 ± 0.16, n = 7, F2,18 = 41.5, p < 0.001, one-way ANOVA; NR2B: WT: 1 ± 0.1, n = 7, Shank3+/ΔC +saline: 0.47 ± 0.08, n = 7, Shank3+/ΔC+MS-275: 1.27 ± 0.18, n = 6, F2,18 = 19.6, p < 0.001, one-way ANOVA). It suggests that the disrupted NMDAR trafficking can be restored by MS-275 treatment.
The upregulation of surface NMDARs by MS-275 treatment could ameliorate NMDAR hypofunction induced by Shank3 deficiency. To test this, we first performed in vitro experiments in primary cortical cultures transfected with Shank3 siRNA . As shown in Fig. 4a, b, the NMDA-elicited current density (pA/pF) was significantly decreased by Shank3 knockdown (control siRNA: 27.1 ± 1.7, n = 6; Shank3 siRNA: 13.7 ± 0.9, n = 6, p < 0.001, t-test), consistent with our previous results . The loss of NMDAR current density was rescued by treatment with MS-275 (control siRNA+MS-275: 23.7 ± 0.9, n = 12; Shank3 siRNA+MS-275: 23.0 ± 1.6, n = 11, p > 0.05, t-test) or another HDAC inhibitor MGCD0103 (control siRNA+MGCD: 25.7 ± 1.7, n = 12; Shank3 siRNA+MGCD0103: 26.2 ± 1.1, n = 12, p > 0.05, t-test).
We further performed electrophysiological experiments to record NMDAR-mediated excitatory synaptic currents (EPSC) in layer 5 PFC pyramidal neurons, which exhibit the clearest deficits in autistic children . As shown in Fig. 4c, the amplitudes of NMDAR-EPSC induced by a series of stimulus intensities were markedly reduced in saline-injected Shank3+/ΔC mice, consistent with our previous findings . A robust recovery of the input/output curves of NMDAR-EPSC was observed in Shank3+/ΔC mice with MS-275 treatment (n = 8–11 each group, F2,125 (treatment) = 39.8, p < 0.001, two-way ANOVA). The MS-275-induced restoration of NMDAR function in PFC may underlie its rescuing effect on autism-like social deficits in Shank3-deficient mice.
MS-275 treatment restores F-actin at synaptic membrane and elevates the transcription of actin regulators in Shank3-deficient mice
The loss of NMDAR-mediated synaptic responses in PFC of Shank3-deficient mice is due to the significantly reduced synaptic F-actin and the disruption of actin-based NMDAR delivery to synapses , so we examined the impact of MS-275 on actin filaments at synapses. The level of triton-soluble monomeric actin (G-actin) and triton-insoluble filamentous polymerized actin (F-actin) in the synaptic fraction of frontal cortex from WT vs. Shank3+/ΔC mice treated with saline or MS-275 were compared. As shown in Fig. 5a,b, the level of synaptic F-actin (insoluble) in PFC of Shank3+/ΔC mice was significantly lower than WT counterparts, which was restored by MS-275 treatment (WT: 1 ± 0.1, Shank3+/ΔC+saline: 0.69 ± 0.08, Shank3+/ΔC+MS-275: 1.06 ± 0.11, n = 6 each group, F2,15 (treatment) = 4.5, p < 0.05, one-way ANOVA). The level of total actin or actin at the synaptic cytosol (soluble) was largely unchanged. It suggests that MS-275 treatment can restore actin filaments at synapses, which may contribute to the recovery of NMDAR trafficking and function in Shank3-deficient mice.
To find out the potential reason for the restoration of F-actin at synapses by MS-275, we examined various actin regulators that could regulate actin dynamics and NMDAR trafficking. It has been found that the Rac1-LIMK-PAK-cofilin signaling is disrupted in Shank3-deficient mice, leading to F-actin dysregulation , so we first examined the mRNA level of these genes. As shown in Fig. 5c, the mRNA level of Rac1, LIMK1, and PAK3 was unchanged in PFC of Shank3+/ΔC mice (n = 4–6 pairs, p > 0.05, t-test), however, βPIX, the guanine nucleotide exchange factor (GEF) for Rac1, which interacts with Shank at excitatory synaptic sites , was significantly lost in Shank3+/ΔC mice, and MS-275 treatment rescued βPIX gene transcription (Fig. 5d, WT: n = 9, Shank3+/ΔC+saline: n = 8, Shank3+/ΔC+MS-275: n = 4, p < 0.05, ANOVA). The mRNA level of several other Shank3-interacting actin regulators that have been identified as ASD risk factors  were also examined. CTTNBP2, which interacts with Cortactin (an F-actin and Shank3-binding protein), was upregulated in Shank3+/ΔC mice treated with MS-275 (Fig. 5d). SYNGAP or Ankyrin2 mRNA was not significantly altered by Shank3 deficiency or MS-275 treatment (Fig. 5c,d). The MS-275-induced restoration or elevation of the transcription of these actin regulators may contribute to the recovery of actin filaments at synapses in Shank3-deficient mice.
Finally, to test the role of histone acetylation in transcriptional regulation by MS-275, we performed ChIP assays to examine the enrichment of histone acetylation at βPIX promoter in PFC neurons. H3 acetylation was identified at βPIX promoter region (~800 bp from TSS, Fig. 5e). MS-275 treatment of Shank3+/ΔC mice significantly increased the binding of acetylated H3 to βPIX promoter (Fig. 5f, WT: 1 ± 0.07, n = 6, Shank3+/ΔC+saline: 1.13 ± 0.14, n = 6, Shank3+/ΔC+MS-275: 1.63 ± 0.07, n = 8, F2,17 = 13.6, p < 0.001, one-way ANOVA). It suggests that transcriptional increase of βPIX by MS-275 could be due to the increased histone acetylation.
Genome-wide exome sequencing has revealed extensive overlap in risk genes for autism and for cancer, many of which are chromatin remodeling factors important for transcriptional regulation , raising the possibility of repurposing anti-cancer drugs as targeted treatments for autism . Our present study has provided evidence demonstrating that a single-round (3-day) treatment with MS-275, an anti-cancer agent in clinical trials and a potent, long-lasting and frontal cortex-selective HDAC inhibitor , leads to dramatic rescue of autism-like social deficits. The therapeutic effect of MS-275 lasts for more than 10 days during the juvenile to late adolescent period, a critical developmental stage for social and communication skills, making it highly promising for clinical usage. This long-lasting action of MS-275 agrees with pharmacodynamic studies in animals , suggesting that this compound may have a slow rate of disappearance from the brain . Furthermore, the lack of behavioral abnormalities after MS-275 treatment indicates the general safety of this compound .
To better understand the therapeutic effects of MS-275 on autism-like social deficits, it is important to uncover the molecular mechanism underlying the behavioral normalization. Aberrant synaptic functions are thought to be the main pathological basis of autism [1, 3, 4, 36, 37]. Alterations of glutamatergic synapses have been found in Shank3-deficient mice, which are correlated with autism-like behaviors [18, 20,21,22,23, 25]. Particularly, aberrations in NMDA receptor, a Shank3-associated key PSD protein [13, 38], are strongly linked to autistic social deficits [18, 39,40,41]. In this study, we have found that MS-275 treatment of Shank3-deficient mice leads to the restoration of NMDAR-mediated synaptic response in PFC, which may underlie the rescue of social behaviors.
The lack of changes in NMDAR subunits by MS-275 treatment suggests that the direct targets of MS-275 are probably NMDAR regulators controlling their synaptic delivery. In vivo Shank3 interactome analysis reveals that many of the Shank3-binding proteins are actin regulators . Enriched mutations in genes regulating actin filament network at glutamatergic synapses have been identified in autism [3, 43]. Our previous studies demonstrate that the Shank3 deficiency-induced NMDAR hypofunction is due to the loss of actin-based synaptic delivery of NMDARs because of the reduced Rac1-PAK-cofilin signaling [18, 29]. Here we have found that the actin filaments in the synaptic membrane of PFC from Shank3-deficient mice are restored by MS-275 treatment. It provides a potential mechanism for the MS-275-induced restoration of NMDAR function and social behaviors. Future studies will identify the actin regulators restored by MS-275 treatment that lead to the normalization of F-actin at synapses. Along with the antidepressant-like and ancillary antipsychotic effects of HDAC inhibitors [44,45,46,47,48], our results have added a new domain for the potential utility of HDAC-targeting agents to treat brain disorders.
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We thank Xiaoqing Chen for her excellent technical support.
This work was supported by Nancy Lurie Marks Family Foundation and National Institutes of Health (R41-MH112237, R01-MH108842 and R01-DA037618) to ZY.
The authors declare no competing interests. Z.Y. is the founder of ASDDR LLC.
Publisher's note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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Ma, K., Qin, L., Matas, E. et al. Histone deacetylase inhibitor MS-275 restores social and synaptic function in a Shank3-deficient mouse model of autism. Neuropsychopharmacol 43, 1779–1788 (2018). https://doi.org/10.1038/s41386-018-0073-1
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