Cellular and Circuit Mechanisms of Upper Motor Neuron Degeneration in Amyotrophic Lateral Sclerosis (ALS)
Clinical Neurology; Neurosurgery and Neuroradiology
Final Report Abstract
Amyotrophic Lateral Sclerosis (ALS) is a devastating neurodegenerative disease characterized by the progressive loss of upper motor neurons (UMNs) in the motor cortex and lower motor neurons (LMNs) in spinal cord. While LMN degeneration has been extensively studied, the mechanisms underlying UMN vulnerability remain poorly understood. Emerging evidence suggests that UMN dysfunction may precede and drive LMN degeneration, with cortical hyperexcitability - a hallmark of ALS observed in patients and animal models - occurring before motor symptom onset and correlating with disease severity. This hyperexcitability implies that altered neuronal excitability or activity plays a critical role in disease pathogenesis. This research project investigated cellular and circuit mechanisms of UMN degeneration using advanced in vivo imaging, behavioral tracking, and molecular approaches in ALS mouse models (SOD1G93A and FUSdNLS). In vivo two-photon imaging revealed that UMNs in SOD1G93A mice exhibit fewer synapses even at presymptomatic stages, with remaining synapses showing enlarged spine heads (via chronic STED imaging) and reduced structural dynamics, suggesting increased glutamatergic input and impaired network flexibility. Concurrently, in vivo calcium imaging detected hyperresponsiveness to locomotion in neurons in cortical layers 2/3 and 5 during early symptomatic stages. Presymptomatically, hyperresponsiveness was restricted to layer 2/3 pyramidal neurons, which provide input to UMNs in layer 5. Chemogenetic silencing of layer 2/3 neurons delayed disease onset and improved late-stage motor function, supporting a feedforward translaminar excitation model where layer 2/3 hyperactivity drives UMN dysfunction. In a collaborative study we identified reduced noradrenergic innervation and release in ALS models and patients, implicating noradrenergic deficits in circuit dysfunction. Astrocytes, key regulators of synaptic health, also showed compromised calcium signaling in behaving mice, partly due to diminished noradrenaline. Molecular profiling revealed sex-specific changes, such as downregulation of TMEM259 (an ER stress regulator) in female SOD1G93A mice. Restoring TMEM259 via astrocyte-specific AAVs boosted EAAT2 expression and preserved LMNs in female mice. Similarly, genetically rescuing the FUSdNLS mutation in astrocytes normalized calcium signaling and locomotor hyperactivity in FUSdNLS mice. These findings underscore the interplay of synaptic instability, cortical hyperexcitability, astrocyte dysfunction, and noradrenergic deficits in ALS progression. Therapeutic strategies targeting layer 2/3 hyperactivity, noradrenergic pathways, or astrocyte-specific mechanisms show promise for modulating disease trajectories. Future studies must unravel the molecular drivers of these circuit alterations and refine cell-type-specific interventions tailored to disease stages.
Publications
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Exciting Complexity: The Role of Motor Circuit Elements in ALS Pathophysiology. Frontiers in Neuroscience, 14.
Gunes, Zeynep I.; Kan, Vanessa W. Y.; Ye, XiaoQian & Liebscher, Sabine
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Cortical circuit dysfunction in a mouse model of alpha-synucleinopathy in vivo. Brain Communications, 3(4).
Blumenstock, Sonja; Sun, Fanfan; Klaus, Carolin; Marinković, Petar; Sgobio, Carmelo; Paeger, Lars; Liebscher, Sabine & Herms, Jochen
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Cytoplasmic FUS triggers early behavioral alterations linked to cortical neuronal hyperactivity and inhibitory synaptic defects. Nature Communications, 12(1).
Scekic-Zahirovic, Jelena; Sanjuan-Ruiz, Inmaculada; Kan, Vanessa; Megat, Salim; De Rossi, Pierre; Dieterlé, Stéphane; Cassel, Raphaelle; Jamet, Marguerite; Kessler, Pascal; Wiesner, Diana; Tzeplaeff, Laura; Demais, Valérie; Sahadevan, Sonu; Hembach, Katharina M.; Muller, Hans-Peter; Picchiarelli, Gina; Mishra, Nibha; Antonucci, Stefano; Dirrig-Grosch, Sylvie ... & Dupuis, Luc
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Long-term dynamics of aberrant neuronal activity in awake Alzheimer’s disease transgenic mice. Communications Biology, 4(1).
Korzhova, V.; Marinković, P.; Njavro, J. Rudan; Goltstein, P. M.; Sun, F.; Tahirovic, S.; Herms, J. & Liebscher, S.
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Microglia contribute to the propagation of Aβ into unaffected brain tissue. Nature Neuroscience, 25(1), 20-25.
d.’Errico, Paolo; Ziegler-Waldkirch, Stephanie; Aires, Vanessa; Hoffmann, Philippe; Mezö, Charlotte; Erny, Daniel; Monasor, Laura Sebastian; Liebscher, Sabine; Ravi, Vidhya M.; Joseph, Kevin; Schnell, Oliver; Kierdorf, Katrin; Staszewski, Ori; Tahirovic, Sabina; Prinz, Marco & Meyer-Luehmann, Melanie
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Stable but not rigid: Chronic in vivo STED nanoscopy reveals extensive remodeling of spines, indicating multiple drivers of plasticity. Science Advances, 7(24).
Steffens, Heinz; Mott, Alexander C.; Li, Siyuan; Wegner, Waja; Švehla, Pavel; Kan, Vanessa W. Y.; Wolf, Fred; Liebscher, Sabine & Willig, Katrin I.
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Cortical Hyperexcitability in the Driver’s Seat in ALS. Clinical and Translational Neuroscience, 6(1), 5.
Gunes, Zeynep I.; Kan, Vanessa W. Y.; Jiang, Shenyi; Logunov, Evgeny; Ye, XiaoQian & Liebscher, Sabine
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Selective plasticity of callosal neurons in the adult contralesional cortex following murine traumatic brain injury. Nature Communications, 13(1).
Empl, Laura; Chovsepian, Alexandra; Chahin, Maryam; Kan, Wing Yin Vanessa; Fourneau, Julie; Van Steenbergen, Valérie; Weidinger, Sanofer; Marcantoni, Maite; Ghanem, Alexander; Bradley, Peter; Conzelmann, Karl Klaus; Cai, Ruiyao; Ghasemigharagoz, Alireza; Ertürk, Ali; Wagner, Ingrid; Kreutzfeldt, Mario; Merkler, Doron; Liebscher, Sabine & Bareyre, Florence M.
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TDP-43 condensates and lipid droplets regulate the reactivity of microglia and regeneration after traumatic brain injury. Nature Neuroscience, 25(12), 1608-1625.
Zambusi, Alessandro; Novoselc, Klara Tereza; Hutten, Saskia; Kalpazidou, Sofia; Koupourtidou, Christina; Schieweck, Rico; Aschenbroich, Sven; Silva, Lara; Yazgili, Ayse Seda; van Bebber, Frauke; Schmid, Bettina; Möller, Gabriel; Tritscher, Clara; Stigloher, Christian; Delbridge, Claire; Sirko, Swetlana; Günes, Zeynep Irem; Liebscher, Sabine; Schlegel, Jürgen ... & Ninkovic, Jovica
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Distinct molecular profiles of skull bone marrow in health and neurological disorders. Cell, 186(17), 3706-3725.e29.
Kolabas, Zeynep Ilgin; Kuemmerle, Louis B.; Perneczky, Robert; Förstera, Benjamin; Ulukaya, Selin; Ali, Mayar; Kapoor, Saketh; Bartos, Laura M.; Büttner, Maren; Caliskan, Ozum Sehnaz; Rong, Zhouyi; Mai, Hongcheng; Höher, Luciano; Jeridi, Denise; Molbay, Muge; Khalin, Igor; Deligiannis, Ioannis K.; Negwer, Moritz; Roberts, Kenny ... & Erturk, Ali
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Early molecular layer interneuron hyperactivity triggers Purkinje neuron degeneration in SCA1. Neuron, 111(16), 2523-2543.e10.
Pilotto, Federica; Douthwaite, Christopher; Diab, Rim; Ye, XiaoQian; Al qassab, Zahraa; Tietje, Christoph; Mounassir, Meriem; Odriozola, Adolfo; Thapa, Aishwarya; Buijsen, Ronald A.M.; Lagache, Sophie; Uldry, Anne-Christine; Heller, Manfred; Müller, Stefan; van Roon-Mom, Willeke M.C.; Zuber, Benoît; Liebscher, Sabine & Saxena, Smita
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Cortical hyperexcitability in mouse models and patients with amyotrophic lateral sclerosis is linked to noradrenaline deficiency. Science Translational Medicine, 16(738).
Scekic-Zahirovic, Jelena; Benetton, Cristina; Brunet, Aurore; Ye, XiaoQian; Logunov, Evgeny; Douchamps, Vincent; Megat, Salim; Andry, Virginie; Kan, Vanessa Wing Yin; Stuart-Lopez, Geoffrey; Gilet, Johan; Guillot, Simon J.; Dirrig-Grosch, Sylvie; Gorin, Charlotte; Trombini, Margaux; Dieterle, Stéphane; Sinniger, Jérôme; Fischer, Mathieu; René, Frédérique ... & Rouaux, Caroline
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Impact of fixation duration on messenger RNA detectability in human formalin-fixed paraffin-embedded brain tissue. Brain Communications, 6(6).
Hurler, Charlene-Annett; Liebscher, Sabine; Arzberger, Thomas & Jäkel, Sarah
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Probing cerebellar circuit dysfunction in rodent models of spinocerebellar ataxia by means of in vivo two-photon calcium imaging. STAR Protocols, 5(1), 102911.
Douthwaite, Christopher; Tietje, Christoph; Ye, XiaoQian & Liebscher, Sabine
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Boosting the X factor: Increasing XBP1s-mediated ER stress signaling protects motor neurons in ALS/FTD. Molecular Therapy, 33(3), 844-846.
Saxena, Smita & Liebscher, Sabine
