Abstract
The mRNA transcript of the human STMN2 gene, encoding for stathmin-2 protein (also called SCG10), is profoundly impacted by TAR DNA-binding protein 43 (TDP-43) loss of function. The latter is a hallmark of several neurodegenerative diseases, including amyotrophic lateral sclerosis (ALS). Using a combination of approaches, including transient antisense oligonucleotide-mediated suppression, sustained shRNA-induced depletion in aging mice, and germline deletion, we show that stathmin-2 has an important role in the establishment and maintenance of neurofilament-dependent axoplasmic organization that is critical for preserving the caliber and conduction velocity of myelinated large-diameter axons. Persistent stathmin-2 loss in adult mice results in pathologies found in ALS, including reduced interneurofilament spacing, axonal caliber collapse that drives tearing within outer myelin layers, diminished conduction velocity, progressive motor and sensory deficits, and muscle denervation. These findings reinforce restoration of stathmin-2 as an attractive therapeutic approach for ALS and other TDP-43-dependent neurodegenerative diseases.
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Data availability
All mouse strains are publicly available through the Jackson Laboratory. Other materials are available under the materials transfer agreement for noncommercial replication or extension of this work, upon request to corresponding authors. All other information is available in the manuscript or the Supplementary Materials. Figures 1a, 2a and 4a were created with BioRender.com.
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Acknowledgements
We are grateful to the Muscular Dystrophy Association for supporting J.L.-E. and Z.M. with MDA Development grants. We thank the UCSD Genetics Training Program and the National Institute for General Medical Sciences, T32 GM008666 for supporting M.W.B. and T32AG066596-01 for supporting M.S.B. A.R.A.A.Q is the recipient of a Postdoctoral Fellowship from the BrightFocus Foundation (grant A2022002F). This work was supported by grants from ALS Finding a Cure (to C.L.-T.) and NINDS/NIH (R01NS112503 to M.M., C.L.-T. and D.W.C., the Nomis Foundation to D.W.C., and RF1NS124203 to C.M.L., D.W.C. and C.L.-T.). The microscope core was supported by NINDS/NIH (P30NS047101). C.L.-T. is the recipient of the Araminta Broch-Healey Endowed Chair in ALS.
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J.L.-E., M.B.-H., M.P., M.W.B., Z.M., M.S.B., A.Z., C.F.B., P.J.-N., F.R., M.M., C.M.L., D.W.C and C.L.-T. conceptualized the study. J.L.-E., M.B.-H., M.P., M.W.B., Z.M., M.S.B., A.R.A.d.A.Q., O.A.-G., A.Z., K.L., O.P., E.N.-J., I.S.N., M.M.-D., L.C., J.W.A. and J. Ryan conducted the experiments. J.L.-E., M.B.-H., M.P., M.W.B., Z.M., M.S.B., A.R.A.d.A.Q., O.A.-G., A.Z., K.L., O.P., I.S.N., P.J.-N., M.M., C.M.L., D.W.C. and C.L.-T. analyzed the data. J.L.-E., M.B.-H, M.P., M.W.B., D.W.C and C.L.-T. wrote the manuscript. Key methodologies and resources were provided by M.B.-H., M.P., A.Z., K.L., A.H., J. Ravits, C.F.B., P.J.-N., F.R., M.M. and C.M.L.
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C.F.B., M.B.-H., K.L., P.J.-N. and F.R. are employees of Ionis Pharmaceuticals. D.W.C. is a consultant for Ionis Pharmaceuticals. Z.M. and D.W.C. have a relevant patent. C.L.-T. serves on the scientific advisory board of SOLA Biosciences, Libra Therapeutics, Arbor Biotechnologies and Dewpoint Therapeutics, and has received consultant fees from Mitsubishi Tanabe Pharma Holdings America and Applied Genetic Technologies Corporation. All other authors declare no competing interests.
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Extended data
Extended Data Fig. 1 Intraventricular ASO delivery efficiently reduces stathmin-2 expression in mouse cortex and spinal cord.
(a-b) Stmn2 mRNA levels detected by FISH (a), and immunofluorescence confocal image immunolabeled for stathmin-2 protein (b), from 12-month-old WT mice spinal cord hemisections. Green arrows: α-motor neurons; blue arrows: γ-motor neurons; red arrows: interneurons. (c) Immunofluorescence confocal image of 12-month-old WT mice gastrocnemius muscle revealing stathmin-2 presence at the neuromuscular junction. (a-c) At least n=3 animals per condition were imaged with similar results. (d,e) Quantification of Stmn2 mRNA levels by qPCR (d) and immunoblots (e) showing stathmin-2 protein levels in mice cortex 2 weeks after the ICV injection of non-targeting (n=4 animals) or Stmn2 targeting ASOs (n=2 animals/per ASO). HSP-90 was used as a loading control in the immunoblotting. Statistics by two-sided, one-way ANOVA Dunnett’s multiple comparison test (P < 0.0001). (f) Immunoblots showing stathmin-2 protein levels in mouse spinal cord 2 weeks after the ICV injection of non-targeting or Stmn2 targeting ASOs. HSP-90 was used as a loading control. *Indicates non-specific band. (g) Quantification of Stmn2 mRNA levels by qPCR in mouse spinal cord 8 weeks after the ICV injection of non-targeting (n=4 animals) or Stmn2 targeting ASOs (n=4 animals/per ASO). Gapdh was used as an endogenous control gene. *** P = 0.0002 and **** P < 0.0001 (h,i) Quantification of Stmn2 mRNA levels by qPCR, (P < 0.0001) (h), and immunoblots (i) showing stathmin-2 protein levels in mice cortex 8 weeks after the ICV injection of non-targeting (n=4 animals) or Stmn2 targeting ASOs (n=4 animals/per ASO). HSP-90 was used as a loading control in the immunoblotting. Gapdh was used as an endogenous control gene. (j) Compound muscle action potential (CMAP) measurements in muscles of WT mice treated with non-targeting (n=4 animals) or Stmn2 targeting ASOs (n=4 animals/per ASO) for 8 weeks. (g,h,j) Statistics by two-sided, one-way ANOVA Dunnett’s multiple comparison test. All panels: Each data point represents an individual mouse. Error bars plotted as SEM. ****, P <0.0001; ***, P < 0.001; **, P < 0.01; *, P <0.05; ns, P >0.05.
Extended Data Fig. 2 Sustained stathmin-2 depletion induces axonal withdrawal from neuromuscular junctions without compromising motor neuron survival.
(a) Representative confocal image of gastrocnemius muscle stained for stathmin-2 (blue), muscle AChR clusters using α-bungarotoxin (red), direct imaging of clover in the 488-wavelength (green) representing viral expression, and neurofilament-H (white). At least n=3 animals were imaged with similar results. (b) Representative image of lumbar spinal cord of non-injected (left) and 2 months after subpial injection with AAV9 expressing green fluorescent protein (GFP) (right) with the respective high magnification images of the ventral spinal cord regions, below each panel. At least n=3 animals were imaged with similar results. (c) Measurement in lumbar spinal cord segments at 8-months post injection of control or Stmn2 targeting AAV9 of potential off-target genes by qRT-PCR. N=12 animals with AAV9-shControl and n=11 animals with AAV9-shStmn2. Gapdh was used as an endogenous control gene. Statistics by two-sided, unpaired t-tests. (d) Immunoblots to determine stathmin-2 protein level in mouse lumbar spinal cord 1-month after subpial injection of a Stmn2 reducing AAV9 or control shRNA. HSP-90 was used as a loading control. *Indicates non-specific band. (e) Mouse lumbar spinal cord immunofluorescence micrographs visualized with stathmin-2 antibody 8 months after subpial injection into the lumbar spinal cord of non-targeting control or Stmn2-reducing AAV9. (f) Bi-weekly measurements of mouse body weight after subpial injection of AAV9 encoding either non-targeting or Stmn2-targeting shRNA. Statistics by two-sided, two-way ANOVA and Sidak’s multiple comparison test. (g) Representative images of entire gastrocnemius muscles from mice 8 months after subpial delivery of AAV9 encoding either a non-targeting or an Stmn2-shRNA AAV9. (h-j) Representative immunofluorescence images of mouse lumbar spinal cord stained with the microglial and astrocytic markers IBA1 and GFAP (h) and quantification of microgliosis (i) and astrogliosis (j), 8 months after subpial delivery of a non-targeting control (n=4 animals) or Stmn2-targeting AAV9 shRNA (n=4 animals). Statistics by two-sided, unpaired t-tests. All panels: Each data point represents an individual mouse. Error bars plotted as SEM. ns, p>0.05.
Extended Data Fig. 3 Decreased phosphorylation of NF-M and NF-H upon sustained Stmn2 suppression.
(a) Representative micrographs of motor roots and higher magnification images of ventral root motor axon morphology and diameters, 8 months after subpial injection of AAV9 encoding non-targeting or Stmn2 targeting shRNA. (b,c) Quantification of cross-sectional area (n=5 animals/condition) (b) and of the total number of axons per ventral root (n=5 animals/condition) (c). Statistical analysis by two-sided, Mann Whitney t-test, (P = 0.0079). (d,e) Levels of total neurofilament heavy (NF-H) and neurofilament light (NF-L) (f) and total neurofilament medium (NF-M) (g) analyzed by immunoblotting spinal cord extracts from WT mice 8 months after subpial injection of either AAV9 encoding a non-targeting (n=6 animals) or Stmn2 targeting shRNA (n=5 animals). β3-tubulin was used as loading control. AAV9-shRNA-mediated suppression of stathmin-2 protein levels was confirmed in all examined samples (e). (f-h) Quantification of the immunoblots in panels d,e. Statistics by two-sided, unpaired t-test. (i) Levels of phosphorylated neurofilament heavy (pNF-H) and medium (pNF-M) subunits analyzed by immunoblotting of spinal cord extracts from WT mice, 8 months after subpial AAV9 encoding a non-targeting or Stmn2 targeting shRNA. β3-tubulin was used as a loading control. (j,k) Quantification of the immunoblots from panel i. N=5 animals with AAV9-shControl and n=6 animals with AAV9-shStmn2 (j), and n=13 animals with AAV9-shControl and n=12 animals with AAV9-shStmn2, (P = 0.036) (k). Statistics by two-sided, unpaired t-test. All panels: Each data point represents an individual mouse. Error bars plotted as SEM. **, P < 0.01; *, P <0.05; ns, P >0.05.
Extended Data Fig. 4 Axonal shrinkage, collapse of neurofilament spacing, and tearing of myelin in sporadic ALS and C9-ALS.
Representative electron microscopy images of large caliber axon cross sections in the motor roots of postmortem human samples from healthy controls n = 2 (upper panel) and sporadic ALS (sALS, n=5) and C9orf72 ALS patients (C9 ALS, n=2) (lower panel). Increased magnification micrographs of the axoplasm showing altered spacing between neurofilament filaments is shown.
Extended Data Fig. 5 Reduced stathmin-2 levels by subpial injection alters sensory marker in lumbar spinal cord.
(a) Representative image of lumbar dorsal root ganglion 2 months after subpial injection into lumbar spinal cord and subsequent retrograde delivery of AAV9 expressing green fluorescent protein (GFP). (b-c) Size distribution of axonal diameter of sensory axons innervating the dorsal spinal cord (b), and axon numbers in the 4 μm to 8 μm diameter range in the L5 dorsal root (c). Statistical analysis by two-sided, two-way ANOVA and Sidak’s multiple comparison test. P values range from P = 0.0189 to P = 0.0028. N=4 animals with AAV9-shControl and n=3 animals with AAV9-shStmn2. (d-e) Quantification related to Fig. 4i,k of positive area for stathmin-2 (n=2 animals injected with AAV9-shControl and n=4 animals injected with AAV9-shStmn2, (P <0.0001) (d), and CGRP (e) in the dorsal spinal cord of age-matched non-injected naïve animals (n=5) or 8 months after subpial injection of AAV9 encoding either non-targeting sequence (n=4) or Stmn2 shRNA (n=4). P <0.0001. Statistical analysis by two-sided, Mann Whitney test (d) and Kruskal-Wallis nonparametric tests (e). All panels: Each data point represents an individual mouse. Error bars plotted as SEM. ****, P <0.0001; **, P < 0.01; *, P <0.05; ns, P >0.05.
Extended Data Fig. 6 Stathmin-2 related genes remain unchanged upon stathmin-2 loss.
(a) Diagram of genome editing design by CRISPR-Cas9-mediated excision of mouse Stmn2 exon 3 that leads to complete absence of stathmin-2 protein. (b) Ratios of mice expected, genotyped at birth (p0) and alive at weaning age (p21) from Stmn2+/- to Stmn2+/- crossing in C57/BL6J background. (c) Stathmin-2 protein quantification from the immunoblots in Fig. 5d normalized by GAPDH level. N=6 animals per Stmn2+/+ and Stmn2+/-; n=3 animals per Stmn2-/-. Statistical analysis by two-sided, one-way ANOVA post hoc Tukey’s multiple comparison test. * P = 0.0103; * P = 0.041; *** P = 0.0003. (d,e) Measurement of mouse Stmn-1, -3 and -4 mRNA levels extracted from 12-month-old cortex (d) and spinal cord (e) of Stmn2+/+, Stmn2+/- Stmn2-/- mice. Gapdh was used as an endogenous control gene. N=3 animals per genotype (d), and n= 3-5 per genotype (e). Statistical analysis by two-sided one-way ANOVA post hoc Tukey’s multiple comparisons test. (f) Stathmin-2 protein quantification from brain and spinal cord extract of Stmn2+/+, Stmn2+/+/huSTMN2 and Stmn2-/-/huSTMN2 (BAC line 9439) by immunoblotting. N=5 animals per genotype. (g) huSTMN2 transgene copy numbers measured in BAC transgenic lines 9439 and 9446. N=6 animals per genotype. (h) Stathmin-2 protein quantification from brain and spinal cord extract of Stmn2+/+, Stmn2+/+/huSTMN2 and in Stmn2-/-/huSTMN2 (BAC line 9446) by immunoblotting. N=6 animals per genotype. (f,h) Statistical analysis by two-sided, two-way ANOVA post hoc Tukey’s multiple comparisons test, (P <0.0001). All panels: Each data point represents an individual mouse. Bar graphs represent mean values. Error bars plotted as SEM. ****, P <0.0001; ***, P < 0.001; *, P <0.05; ns, P >0.05.
Extended Data Fig. 7 Absence of stathmin-2 results in motor deficits regardless of the genetic background.
(a) Compound muscle action potential (CMAP) measurements in gastrocnemius muscle of mice. Statistics by two-sided, one-way ANOVA post hoc Tukey’s multiple comparisons test. P = 0.0131; P = 0.0252 at 3 months; P = 0.0045. (b-c) Neurofilament light (NF-L) levels in serum at different time-points in Stmn2+/+, Stmn2+/- and Stmn2-/- mice in the C57/BL6J (b) and FVB (c) backgrounds. (d-e) Phosphorylated neurofilament heavy (pNF-H) levels in serum at different time-points in Stmn2+/+, Stmn2+/- and Stmn2-/- mice in the C57/BL6J (d) and FVB (e) backgrounds. (b-e) Statistics by two-sided, two-way ANOVA post hoc Tukey’s multiple comparison test. (f) Hindlimb clasping test of Stmn2+/+/Sarm1+/+, Stmn2+/+/Sarm1-/- and Stmn2-/-/Sarm1-/- mice in C57/BL6J background for 20 weeks. Statistics by two-sided, two-way ANOVA post hoc Tukey’s multiple comparison test. **P = 0.0018; **** P <0.0001 when comparing to Stmn2+/+/Sarm1+/+. ## P = 0.0069 when comparing between Stmn2+/+/Sarm1-/- and Stmn2-/-/Sarm1-/-. (g-h) Von Frey analysis for the sensory response in hindlimbs of Stmn2+/+, Stmn2+/- and Stmn2-/- mice in C57/BL6J background at 9 and 12 month of age, (P <0.0001) (g), and in FVB background at 6, 9 and 12 month of age. P value range from P = 0.0037 to P <0.0001 (h). Statistics by two-sided, one-way ANOVA Kruskal-Wallis with Dunn’s multiple comparison test. Number of animals used were n=28 for Stmn2+/+; n=30 for Stmn2+/- and n=32 for Stmn2-/- at 9 months, and n=29 for Stmn2+/+; n=30 for Stmn2+/- and n=13 for Stmn2-/- at 12 months (g). Number of animals used were n=24 for Stmn2+/+; n=23 for Stmn2+/- and n=20 for Stmn2-/- at 6 months and 9 months; n=23 for Stmn2+/+; n=23 for Stmn2+/- and n=14 for Stmn2-/- at 12 months (h). (i) Lumbar spinal cord dorsal section of Stmn2+/+, Stmn2+/- and Stmn2-/- mice immunostained for stathmin-2 (green), CGRP (magenta) and isolectin B4 (IB4) in blue. N=3 animals/genotype were imaged. (a,g,h) Each data point represents an individual mouse. All panels: Error bars plotted as SEM. ****, P <0.0001; ***, P < 0.001; **, P < 0.01; *, P <0.05; ns, P >0.05.
Extended Data Fig. 8 Absence of stathmin-2 alters neurofilament composition over time in mice spinal cords.
(a) Immunoblotting for phosphorylated neurofilament heavy (pNF-H), phosphorylated neurofilament medium (pNF-M), and neurofilament light (NF-L) analyzed on 3 and 12 months old Stmn2+/+, Stmn2+/- and Stmn2-/- mice lumbar spinal cord protein extracts. (b) Immunoblotting for neurofilaments medium (NF-M) and stathmin-2 from Stmn2+/+, Stmn2+/- and Stmn2-/- mice lumbar spinal cord protein extracts at 3 and compared to 12 months old. β3-tubulin was used as an endogenous protein loading control. Stathmin-2 levels of Stmn2+/+, Stmn2+/- and Stmn2-/- at ~21 kDa are also shown. (c-f) Quantifications from immunoblots for pNF-H (c), pNF-M (d), NF-L (e) and NF-M (f) are shown. N=3 animals per genotype were used for 3 months, and n=6 animals for Stmn2+/+ and Stmn2+/- and n=3 animals for Stmn2-/- were used for 12 months. β3-tubulin remained unchanged confirming amount of protein loading control. Statistical analysis by two-sided, unpaired t-test. Each data point represents an individual mouse. Error bars plotted as SEM. P = 0.0381 (c); P = 0.0486 (d); P = 0.0039 (f). *, P <0.05.
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López-Erauskin, J., Bravo-Hernandez, M., Presa, M. et al. Stathmin-2 loss leads to neurofilament-dependent axonal collapse driving motor and sensory denervation. Nat Neurosci 27, 34–47 (2024). https://doi.org/10.1038/s41593-023-01496-0
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DOI: https://doi.org/10.1038/s41593-023-01496-0
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