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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Mouse Genetic Models of Human Brain Disorders</title>
<author><name sortKey="Leung, Celeste" sort="Leung, Celeste" uniqKey="Leung C" first="Celeste" last="Leung">Celeste Leung</name>
<affiliation><nlm:aff id="aff1"><institution>The Hospital for Sick Children, Program in Neurosciences and Mental Health, Peter Gilgan Centre for Research and Learning, Toronto</institution>
<country>ON, Canada</country>
</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="aff2"><institution>Program in Physiology, University of Toronto, Toronto</institution>
<country>ON, Canada</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jia, Zhengping" sort="Jia, Zhengping" uniqKey="Jia Z" first="Zhengping" last="Jia">Zhengping Jia</name>
<affiliation><nlm:aff id="aff1"><institution>The Hospital for Sick Children, Program in Neurosciences and Mental Health, Peter Gilgan Centre for Research and Learning, Toronto</institution>
<country>ON, Canada</country>
</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="aff2"><institution>Program in Physiology, University of Toronto, Toronto</institution>
<country>ON, Canada</country>
</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">27047540</idno>
<idno type="pmc">4803727</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4803727</idno>
<idno type="RBID">PMC:4803727</idno>
<idno type="doi">10.3389/fgene.2016.00040</idno>
<date when="2016">2016</date>
<idno type="wicri:Area/Pmc/Corpus">000168</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000168</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Mouse Genetic Models of Human Brain Disorders</title>
<author><name sortKey="Leung, Celeste" sort="Leung, Celeste" uniqKey="Leung C" first="Celeste" last="Leung">Celeste Leung</name>
<affiliation><nlm:aff id="aff1"><institution>The Hospital for Sick Children, Program in Neurosciences and Mental Health, Peter Gilgan Centre for Research and Learning, Toronto</institution>
<country>ON, Canada</country>
</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="aff2"><institution>Program in Physiology, University of Toronto, Toronto</institution>
<country>ON, Canada</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jia, Zhengping" sort="Jia, Zhengping" uniqKey="Jia Z" first="Zhengping" last="Jia">Zhengping Jia</name>
<affiliation><nlm:aff id="aff1"><institution>The Hospital for Sick Children, Program in Neurosciences and Mental Health, Peter Gilgan Centre for Research and Learning, Toronto</institution>
<country>ON, Canada</country>
</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="aff2"><institution>Program in Physiology, University of Toronto, Toronto</institution>
<country>ON, Canada</country>
</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Frontiers in Genetics</title>
<idno type="eISSN">1664-8021</idno>
<imprint><date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p>Over the past three decades, genetic manipulations in mice have been used in neuroscience as a major approach to investigate the <italic>in vivo</italic>
function of genes and their alterations. In particular, gene targeting techniques using embryonic stem cells have revolutionized the field of mammalian genetics and have been at the forefront in the generation of numerous mouse models of human brain disorders. In this review, we will first examine childhood developmental disorders such as autism, intellectual disability, Fragile X syndrome, and Williams-Beuren syndrome. We will then explore psychiatric disorders such as schizophrenia and lastly, neurodegenerative disorders including Alzheimer’s disease and Parkinson’s disease. We will outline the creation of these mouse models that range from single gene deletions, subtle point mutations to multi-gene manipulations, and discuss the key behavioral phenotypes of these mice. Ultimately, the analysis of the models outlined in this review will enhance our understanding of the <italic>in vivo</italic>
role and underlying mechanisms of disease-related genes in both normal brain function and brain disorders, and provide potential therapeutic targets and strategies to prevent and treat these diseases.</p>
</div>
</front>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Front Genet</journal-id>
<journal-id journal-id-type="iso-abbrev">Front Genet</journal-id>
<journal-id journal-id-type="publisher-id">Front. Genet.</journal-id>
<journal-title-group><journal-title>Frontiers in Genetics</journal-title>
</journal-title-group>
<issn pub-type="epub">1664-8021</issn>
<publisher><publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27047540</article-id>
<article-id pub-id-type="pmc">4803727</article-id>
<article-id pub-id-type="doi">10.3389/fgene.2016.00040</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Genetics</subject>
<subj-group><subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Mouse Genetic Models of Human Brain Disorders</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Leung</surname>
<given-names>Celeste</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<uri xlink:type="simple" xlink:href="http://loop.frontiersin.org/people/304465/overview"></uri>
</contrib>
<contrib contrib-type="author"><name><surname>Jia</surname>
<given-names>Zhengping</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001"><sup>*</sup>
</xref>
<uri xlink:type="simple" xlink:href="http://loop.frontiersin.org/people/33631/overview"></uri>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup>
<institution>The Hospital for Sick Children, Program in Neurosciences and Mental Health, Peter Gilgan Centre for Research and Learning, Toronto</institution>
<country>ON, Canada</country>
</aff>
<aff id="aff2"><sup>2</sup>
<institution>Program in Physiology, University of Toronto, Toronto</institution>
<country>ON, Canada</country>
</aff>
<author-notes><fn fn-type="edited-by"><p>Edited by: <italic>Robert Gerlai, University of Toronto, Canada</italic>
</p>
</fn>
<fn fn-type="edited-by"><p>Reviewed by: <italic>Rafael Fernández-Chacón, The Neuroscience Institute at Seville, Spain; Sulev Kõks, University of Tartu, Estonia</italic>
</p>
</fn>
<corresp id="fn001">*Correspondence: <italic>Zhengping Jia, <email xlink:type="simple">zhengping.jia@sickkids.ca</email>
</italic>
</corresp>
<fn fn-type="other" id="fn002"><p>This article was submitted to Neurogenomics, a section of the journal Frontiers in Genetics</p>
</fn>
</author-notes>
<pub-date pub-type="epub"><day>23</day>
<month>3</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection"><year>2016</year>
</pub-date>
<volume>7</volume>
<elocation-id>40</elocation-id>
<history><date date-type="received"><day>08</day>
<month>1</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>08</day>
<month>3</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2016 Leung and Jia.</copyright-statement>
<copyright-year>2016</copyright-year>
<copyright-holder>Leung and Jia</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract><p>Over the past three decades, genetic manipulations in mice have been used in neuroscience as a major approach to investigate the <italic>in vivo</italic>
function of genes and their alterations. In particular, gene targeting techniques using embryonic stem cells have revolutionized the field of mammalian genetics and have been at the forefront in the generation of numerous mouse models of human brain disorders. In this review, we will first examine childhood developmental disorders such as autism, intellectual disability, Fragile X syndrome, and Williams-Beuren syndrome. We will then explore psychiatric disorders such as schizophrenia and lastly, neurodegenerative disorders including Alzheimer’s disease and Parkinson’s disease. We will outline the creation of these mouse models that range from single gene deletions, subtle point mutations to multi-gene manipulations, and discuss the key behavioral phenotypes of these mice. Ultimately, the analysis of the models outlined in this review will enhance our understanding of the <italic>in vivo</italic>
role and underlying mechanisms of disease-related genes in both normal brain function and brain disorders, and provide potential therapeutic targets and strategies to prevent and treat these diseases.</p>
</abstract>
<kwd-group><kwd>genetic models</kwd>
<kwd>transgenic mice</kwd>
<kwd>gene targeting</kwd>
<kwd>knockout</kwd>
<kwd>knock-in</kwd>
<kwd>inducible</kwd>
<kwd>brain disorders</kwd>
<kwd>behavior</kwd>
</kwd-group>
<funding-group><award-group><funding-source id="cn001">Canadian Institutes of Health Research<named-content content-type="fundref-id">10.13039/501100000024</named-content>
</funding-source>
<award-id rid="cn001">MOP119421, CCI117959</award-id>
</award-group>
<award-group><funding-source id="cn002">Canadian Network for Research and Innovation in Machining Technology, Natural Sciences and Engineering Research Council of Canada<named-content content-type="fundref-id">10.13039/501100002790</named-content>
</funding-source>
<award-id rid="cn002">RGPIN341498</award-id>
</award-group>
</funding-group>
<counts><fig-count count="0"></fig-count>
<table-count count="0"></table-count>
<equation-count count="0"></equation-count>
<ref-count count="251"></ref-count>
<page-count count="20"></page-count>
<word-count count="0"></word-count>
</counts>
</article-meta>
</front>
<body><sec><title>Autism Spectrum Disorders</title>
<p>Autism spectrum disorders (ASDs) are amongst the most prevalent childhood disorders, affecting 1 in every 68 children within North America (<xref rid="B24" ref-type="bibr">Bolivar, 2014</xref>
). ASD is a developmental disability that includes a broad spectrum of neurodevelopmental diseases including autism, Asperger’s disorder, Rett syndrome, childhood disintegrative disorder, and pervasive developmental disorder. Amongst these, autism remains the most common ASD. As characterized by DSM-V, children diagnosed with autism have severe social interaction impairments, accompanied by concrete social communication deficits, and stereotyped or repetitive behaviors. Therefore, as one of the leading socioeconomic healthcare problems, there has been ongoing effort to identify genetic biomarkers and to elucidate their mechanisms to treat the triad of impairments associated with this neurodevelopmental disorder. Through genetic screening and post-mortem studies, various candidate genes have been identified to be associated with autism. This section will primarily focus on four well-studied mouse models relevant to autism and the behavioral outcomes relevant to this complex disorder. These models are prime examples of how targeting autism-related genes in mice can be a useful tool to investigate the cellular and molecular processes underlying the behavioral consequences of this complex disorder.</p>
<sec><title>Neurexins</title>
<p>The neurexin family (NRXN1–3) of presynaptic plasma membrane proteins are <italic>trans</italic>
-synaptic cell adhesion molecules that connect functionally pre- and post-synaptic neurons at synapses (<xref rid="B230" ref-type="bibr">Sudhof, 2008</xref>
; <xref rid="B201" ref-type="bibr">Rabaneda et al., 2014</xref>
). The extracellular domain of NRXNs interacts with post-synaptic neuroligins (NLGN1–4) across the synaptic cleft and have an essential role in synaptic regulation (<xref rid="B230" ref-type="bibr">Sudhof, 2008</xref>
; <xref rid="B201" ref-type="bibr">Rabaneda et al., 2014</xref>
). Each NRXN gene in mammals is composed of differentially distributed long α- and short β-NRXN isoforms. Together, NRXNs and NLGNs are required for proper synapse maturation and <italic>trans-</italic>
synaptic neurotransmission (<xref rid="B241" ref-type="bibr">Varoqueaux et al., 2006</xref>
; <xref rid="B230" ref-type="bibr">Sudhof, 2008</xref>
). Current gene association studies reveal that hypofunction of NRXN isoforms, specifically rare single gene variations in NRXN1, are linked to autism. Since, 0.5% of all ASD cases appear to harbor NXRXN-1α gene deletions, <xref rid="B73" ref-type="bibr">Etherton et al. (2009)</xref>
generated NRXN1α knockout (KO) to uncover the behavioral and functional consequences of this gene deletion. NRXN1α KO mice were generated by deleting the promoter and large first exon of the murine α-NRXN genes (<xref rid="B233" ref-type="bibr">Tabuchi and Sudhof, 2002</xref>
; <xref rid="B175" ref-type="bibr">Missler et al., 2003</xref>
). These KO mice were found to have impaired excitatory synaptic strength, decreased prepulse inhibition, increased grooming behavior, and enhanced motor learning (<xref rid="B73" ref-type="bibr">Etherton et al., 2009</xref>
). The authors proposed that NRXN1α is responsible for regulating a proper excitatory to inhibitory balance in synaptic transmission and various behavioral phenotypes related to autism. In addition, recent studies demonstrate that the heterozygous deletion of NRXN1α also resulted in impaired social memory salient with behaviors relevant to autism (<xref rid="B57" ref-type="bibr">Dachtler et al., 2015</xref>
). In another study, <xref rid="B201" ref-type="bibr">Rabaneda et al. (2014)</xref>
generated a deletion mutant to target the NRXN1β isoform that lacks the cytoplasmic tail to uncouple NRXN1β <italic>trans-</italic>
synaptic function. Transgenic hemagglutinin (HA)- tagged βNRXN1 ΔC were expressed in an inducible manner under the control of a tetracycline-responsive promoter element (TRE). The TRE-HA βNRXN1 ΔC mice were crossed with a CaMKIIα-tTA promoter to restrict the expression of the mutant protein in mature glutamatergic neurons in the forebrain. As expected, the double transgenic CaMKIIα-tTA TRE-HA βNRXN1 ΔC mice expressed the mutant protein in forebrain neurons of the cortex and striatum (<xref rid="B201" ref-type="bibr">Rabaneda et al., 2014</xref>
). These mice displayed increased self-grooming and deficits in social interactions, consistent with the triad of autism-related symptoms (<xref rid="B201" ref-type="bibr">Rabaneda et al., 2014</xref>
). However, with the administration of the tetracycline analog, doxycycline (DOX), in the drinking water, the expression of HA- βNRXN1 ΔC was suppressed. The autistic-like phenotypes were reversed following DOX administration thereby suggesting that NRXNs regulate functional and behavioral activity in mature neurons. These results suggest that the presynaptic NRXN1 may cause autistic phenotypes via interacting with its post-synaptic partner NLGNs, altering excitatory synaptic function.</p>
</sec>
<sec><title>Contactin-Associated Protein 2</title>
<p>Contactin-associated protein 2 (CNTNAP2), a member of the NRXN super family, encodes a neuronal transmembrane protein (CASPR2) involved in the formation of tight axonal connections critical for the establishment and maintenance of neuronal circuits (<xref rid="B207" ref-type="bibr">Rodenas-Cuadrado et al., 2014</xref>
; <xref rid="B86" ref-type="bibr">Gdalyahu et al., 2015</xref>
). CASPR2 is localized in juxtaparanodes of myelinated axons and mediates interactions between neurons and glia during development (<xref rid="B199" ref-type="bibr">Poliak et al., 1999</xref>
). <italic>In vitro</italic>
studies have shown that RNAi-mediated knock-down of CASPR2 impairs the development and maturation of dendritic spines resulting in decreased synaptic transmission (<xref rid="B5" ref-type="bibr">Anderson et al., 2012</xref>
). Moreover, the loss of function of CASPR2 led to impaired synaptic connectivity and neural network assembly. Alterations in the CNTNAP2 gene are strongly linked to language deficits in complex neurological disorders including autism, specifically in patients with a single nucleotide polymorphism in intron 2 of the CNTNAP2 gene (rs7794735; <xref rid="B9" ref-type="bibr">Arking et al., 2008</xref>
). In mice, ablation of CNTNAP2 resulted in fewer GABAergic interneurons, neuronal migration abnormalities, and reduced cortical neuronal synchrony (<xref rid="B192" ref-type="bibr">Penagarikano et al., 2011</xref>
). In addition, it was found that the intermodal localization of Kv1 channels at the juxtaparanodal region depends on the presence of CNTNAP2 (<xref rid="B94" ref-type="bibr">Gordon et al., 2014</xref>
). Behaviorally, CASPR2 KO mice exhibited core autism-like symptoms including lower levels of sociability and decreased ultrasonic vocalizations with increased levels of grooming, hyperactivity, and deficits in reversibility on the Morris water maze test. In a recent study, CNTNAP2 KO mice were found to have reduced spine density due to increased spine elimination and impaired stabilization of new spines (<xref rid="B86" ref-type="bibr">Gdalyahu et al., 2015</xref>
). Therefore, these results together suggest the importance of CNTNAP2 in neuronal migration and formation of cortical neural networks that may underlie the behavioral responses. In particular, the decreased GABAergic interneuron activity may imply that neural asynchrony or an excitatory and inhibitory imbalance may be a pathophysiological mechanism to explain how information processing is impaired in autism.</p>
</sec>
<sec><title>Neuroligins</title>
<p>Neuroligins (NLGN1–3, 4X, 4Y) are a family of post-synaptic cell adhesion molecules that are ligands of their <italic>trans-</italic>
synaptic partner NRXN (<xref rid="B114" ref-type="bibr">Ichtchenko et al., 1995</xref>
; <xref rid="B14" ref-type="bibr">Autism Genome Project et al., 2007</xref>
; <xref rid="B133" ref-type="bibr">Kim et al., 2008</xref>
). Human genetic association studies have linked changes in the NLGN genes with autism (<xref rid="B230" ref-type="bibr">Sudhof, 2008</xref>
; <xref rid="B90" ref-type="bibr">Glessner et al., 2009</xref>
). Therefore, mouse models that target each of the different NLGN isoforms have been generated to better understand the <italic>in vivo</italic>
function of these genes and how their mutations contribute to autism-like behaviors. KO mice lacking individual NLGNs were created through the deletion of exon sequences spanning the translational start site and 380 bp of the 5′ coding sequence of the respective genes via homologous recombination in ES cells (<xref rid="B241" ref-type="bibr">Varoqueaux et al., 2006</xref>
). The deletion of the NLGN1 gene, whose expression is localized at excitatory synapses, resulted in decreased NRXN1 levels, reduced excitatory transmission, and selective deficits in social memory, spatial learning and memory tests, and increases in grooming (<xref rid="B21" ref-type="bibr">Blundell et al., 2010</xref>
). However, these authors did find a 30% increase in the expression of NLGN3, suggesting a functional compensation between members of the NLGN family (<xref rid="B21" ref-type="bibr">Blundell et al., 2010</xref>
). Moreover, these KO mice exhibited deficits in hippocampal long term potential (LTP), the most extensively studied form of long-lasting synaptic plasticity widely regarded as the cellular mechanism for learning and memory, which was accompanied by reduced NMDA/AMPA ratios (<xref rid="B21" ref-type="bibr">Blundell et al., 2010</xref>
; <xref rid="B124" ref-type="bibr">Jedlicka et al., 2013</xref>
). Together, these results suggest that NLGN1 is important in cognitive and repetitive behaviors characteristic of autism although the relationship between LTP, NMDA receptor-mediated synaptic transmission, and the observed behavioral deficits remains unclear. Other studies have examined the role of NLGN1 in a transgenic mouse model under a ubiquitous Thy1-promoter to drive neuron-specific overexpression throughout the brain (<xref rid="B105" ref-type="bibr">Hines et al., 2008</xref>
; <xref rid="B58" ref-type="bibr">Dahlhaus et al., 2010</xref>
). These transgenic mice exhibited deficits in LTP and impairments in memory acquisition on the Morris water maze test, which further corroborates the importance of NLGN1 in synaptic plasticity and cognitive processes (<xref rid="B105" ref-type="bibr">Hines et al., 2008</xref>
). Recent studies have shown that the conditional KO (CKO) of NLGN2 in the adult medial prefrontal cortex results in the gradual loss of inhibitory synapses (<xref rid="B154" ref-type="bibr">Liang et al., 2015</xref>
). The authors deleted NLGN2 locally via bilateral stereotactic injection of AAVs expressing GFP tagged Cre-recombinanse. The mice exhibited impairments in anxiety-like characteristics, fear memory, social interaction behaviors, and alterations in inhibitory synaptic properties (<xref rid="B70" ref-type="bibr">Durieux et al., 2015</xref>
; <xref rid="B154" ref-type="bibr">Liang et al., 2015</xref>
). The overexpression of NLGN2, which is exclusively expressed at inhibitory synapses, resulted in enlarged inhibitory synaptic contact size in the frontal cortex and an overall reduction in the ratio between excitatory and inhibitory synaptic activity (<xref rid="B105" ref-type="bibr">Hines et al., 2008</xref>
). Furthermore, these animals displayed hyperactivity, increased stereotypic jumping, elevated anxiety-like behavior, and impaired social interactions but normal sociability (<xref rid="B105" ref-type="bibr">Hines et al., 2008</xref>
). Together, these results confirm that NLGN2 plays an essential role at the inhibitory synapse and suggest that it may also contribute to ASD-like behaviors. Perhaps the best studied mouse model based on the NLGN genes that is relevant to autism are the NLGN3 knock-in (KI) mice harboring the R451C missense mutation (i.e., Arg451 is substituted with Cys451) because this mutation was shown to be linked to autistic patients. The NLGN3 R451C KI mice had a 90% decrease in NLGN3 protein levels in the forebrain based on immunoblotting analysis (<xref rid="B232" ref-type="bibr">Tabuchi et al., 2007</xref>
). In addition, there was a slight decrease in the level of the NLGN1 isoform. The NLGN3 R451C KI mice exhibited increases in inhibitory synaptic transmission and deficits in social interactions but enhanced spatial learning and memory. Thus, the R451C substitution of NLGN3 acts as a gain-of-function mutation consistent with patients with ASD (<xref rid="B117" ref-type="bibr">Jamain et al., 2008</xref>
). Other studies have demonstrated impaired tonic endocannabinoid signaling that is responsible for the altered inhibitory transmission (<xref rid="B78" ref-type="bibr">Foldy et al., 2013</xref>
). Consistent with NLGN3 R451C KI, NLGN3KO mice (<xref rid="B241" ref-type="bibr">Varoqueaux et al., 2006</xref>
) display behavioral phenotypes relevant to autism; including reduced ultrasonic vocalizations, a lack of social novelty preference, and a decrease in total brain volume (<xref rid="B202" ref-type="bibr">Radyushkin et al., 2009</xref>
). Recent studies indicate that in both NLGN3 R451C KI and KO mice, there appear to be changes in synaptic mechanisms within the striatum that facilitate repetitive behaviors associated with this disease (<xref rid="B209" ref-type="bibr">Rothwell et al., 2014</xref>
). NLGN4 KO mice were generated with a gene trap insertion 340 bp downstream of the first exon of NLGN4 (first coding sequence) by BayGenomics. Since a small segment of the essential esterase domain remains, NLGN4 is unable to bind to NRXNs and therefore non-functional (<xref rid="B117" ref-type="bibr">Jamain et al., 2008</xref>
). These KO mice had selective reductions in reciprocal social interaction and less ultrasonic vocalizations in males upon the presentation of anestrus female (<xref rid="B74" ref-type="bibr">Ey et al., 2012</xref>
). Recent studies have also reported pronounced perturbations of γ-oscillatory network activity that is implicated in cognition (<xref rid="B97" ref-type="bibr">Hammer et al., 2015</xref>
). To examine if there is a functional redundancy among the NLGN isoforms, <xref rid="B241" ref-type="bibr">Varoqueaux et al. (2006)</xref>
generated NLGN1–3 triple KO (TKO) mice lacking their respective signal sequences and extracellular esterase-like domain to abolish NLGN gene expression completely. They chose to focus on NLGN1–3 due to the high expression levels in the brains of newborn mice. It is interesting to note that while NLGN3 is present at both excitatory and inhibitory synapses, NLGN1 and NLGN2 appear to be exclusively expressed at excitatory and inhibitory synapses respectively. These homozygous TKO mice had apparent irregular breathing movements resulting in respiratory failure and death shortly after birth (<xref rid="B241" ref-type="bibr">Varoqueaux et al., 2006</xref>
). Furthermore, impaired glutamatergic and GABAergic synaptic transmission led to reduced excitatory drive and low spontaneous synaptic activity (<xref rid="B241" ref-type="bibr">Varoqueaux et al., 2006</xref>
). Therefore, these results suggest that NLGN1–3 are critical for maintaining the excitatory and inhibitory balance for proper synaptic activity. In summary, the results from the mouse models based on altered NLGN genes are consistent with the notion that changes and mutations in the NLGN genes contribute to autistic phenotypes likely through altered synaptic properties, including abnormal excitatory/inhibitory balance, synaptic plasticity, and endocannabinoid signaling.</p>
</sec>
<sec><title>SH3 and Multiple Ankyrin Repeat Domains (Shanks)</title>
<p>The Shank family (Shank1–3) of genes code for post-synaptic scaffolding proteins with multiple protein-protein interaction domains (<xref rid="B180" ref-type="bibr">Naisbitt et al., 1999</xref>
). These domains include a Src homology 3 domain (SH3), ankyrin repeats domain (ANK), post-synaptic density 95 PSD-95/disks large/zone occludens-1 domain, a proline-rich region, a homer-binding region, a cortactin-binding region, and a sterile alpha motif (<xref rid="B180" ref-type="bibr">Naisbitt et al., 1999</xref>
). The Shank proteins are localized to the post-synaptic density and are important in coordinating the assembly of signaling complexes at glutamatergic synapses (<xref rid="B22" ref-type="bibr">Bockers et al., 2001</xref>
; <xref rid="B69" ref-type="bibr">Durand et al., 2007</xref>
). Mutations in Shank3 have been strongly implicated in ASD compared to the other two Shank family genes, and therefore, various lines of Shank3-mutant mice have been generated to investigate the functional role of each of the domains and its contribution to the neuropathology of ASD. One of the first studies used the Cre/loxP system to disrupt the exons coding for the ANK of Shank3 thereby allowing regional-specific targeting of the gene (<xref rid="B29" ref-type="bibr">Bozdagi et al., 2010</xref>
). Specifically, the loxP sites were inserted to flank the ANK and the floxed region was then excised by crossing it to CMV-Cre transgenic mice. The Shank3-deficient mice displayed reduced basal glutamatergic synaptic transmission and LTP along the Schaffer collateral pathway and impaired reciprocal social interactions including reduced social behavior reflected through conspecific sniffing and vocalizations (<xref rid="B29" ref-type="bibr">Bozdagi et al., 2010</xref>
). Recent studies demonstrate that the homozygous deletion of the ANK result in a significant reduction in NMDA/AMPA ratio at the excitatory synapses onto striatal medium spiny neurons and impairments in LTP (<xref rid="B121" ref-type="bibr">Jaramillo et al., 2015</xref>
). The haploinsufficiency of Shank3 or the loss of one functional copy of the Shank3 gene results in chromosome 22q13 deletion syndrome or Phelan-McDermid syndrome and autism (<xref rid="B195" ref-type="bibr">Phelan et al., 2001</xref>
; <xref rid="B238" ref-type="bibr">Uchino and Waga, 2013</xref>
). Studies have genetically targeted Shank3α, the longest Shank3 isoform that is responsible for encoding the ANK without affecting Shank3β and Shank3γ isoforms (<xref rid="B191" ref-type="bibr">Peca et al., 2011</xref>
). Shank3α KO mice were found to have modest ASD-like behavioral outcomes. <xref rid="B191" ref-type="bibr">Peca et al. (2011)</xref>
also created a second mouse line that targeted another isoform, Shank3β, through the deletion of the exons coding for the fragment containing the PSD-95/disks large/zonula occludens-1 or PDZ domain. It is important to note that in this study, the Shank3α-and β- isoforms were completely eliminated and the Shank3γ- isoform was only significantly reduced (<xref rid="B191" ref-type="bibr">Peca et al., 2011</xref>
). These Shank3αβ KO mice were found to have normal gross anatomy but displayed anxiety-like behaviors and compulsive repetitive grooming behavior that resulted in self-inflicted skin lesions (<xref rid="B191" ref-type="bibr">Peca et al., 2011</xref>
). However, individually, on tests of social interaction, Shank3β KO mice were less sociable, while Shank3α KO mice displayed mild impairments in social novelty recognition (<xref rid="B191" ref-type="bibr">Peca et al., 2011</xref>
). In a recent study, <xref rid="B222" ref-type="bibr">Speed et al. (2015)</xref>
knocked-in a single guanine nucleotide into exon 21 of the Shank3 gene, which mimics an autism associated insertion mutation and results in a frameshift causing a premature Shank3 protein. These mice displayed spatial learning deficits, impaired motor coordination, and altered novelty and sensory processing salient with the cardinal features of autism (<xref rid="B222" ref-type="bibr">Speed et al., 2015</xref>
). Therefore the results from the Shank3 mice are consistent with the idea that deletions/mutations at the Shank3 gene are contributing factors for ASD through regulating synaptic function at excitatory synapses.</p>
</sec>
</sec>
<sec><title>Intellectual Disability</title>
<p>Intellectual disability is one of the most devastating neuro-developmental disorders in children and young adults. ID involves impairments in general mental abilities that affect conceptual, social, and practical domains of everyday tasks. Children with ID often have IQ scores approximately two standard deviations below the population (<xref rid="B161" ref-type="bibr">Mandel and Chelly, 2004</xref>
). This pervasive disorder manifests itself beginning at early development and comorbid with other neurological conditions including ASD, depression, and attention-deficit/hyperactivity disorder. The prevalence of ID has been gradually increasing in the last decade and said to affect 3% of the population (<xref rid="B45" ref-type="bibr">Chelly and Mandel, 2001</xref>
). Due to the severity and the social/economic effect of the disease, numerous attempts have been made to better understand the development and behavior in these children. However, the complexity of other symptoms including comorbid features renders it difficult to interpret the genetic and environmental factors involved in the pathophysiology of ID. ID is classified into two primary categories based on the clinical presentation, syndromic and non-syndromic ID, which allows different candidate genes to be tested for genotype and phenotype comparisons. Syndromic ID includes all patients present with one or multiple clinical features or comorbidities, whereas non-syndromic ID describes patients with ID as the sole clinical feature. In this section, we will discuss selected mouse models for both syndromic and non-syndromic ID and illustrate how genetically altered mice are used to study the etiology of ID.</p>
<sec><title>p21-Activated Kinases</title>
<p>In the mammalian central nervous system, PAKs (p21-activated kinases) are a family of serine/threonine protein kinases that are activated by Rho-family small GTPases, such as RhoA, Rac, and Cdc42 (<xref rid="B77" ref-type="bibr">Field and Manser, 2012</xref>
). The PAK family is divided into group I and II kinases based on the presence of an autoinhibitory domain (AID). Since group II PAKs lack an AID, binding by upstream Rho-family GTPases does not always lead to consistent activation of the kinase (<xref rid="B162" ref-type="bibr">Manser et al., 1995</xref>
; <xref rid="B17" ref-type="bibr">Baskaran et al., 2012</xref>
). Group I PAKs are involved in multiple cellular processes particularly actin regulation, cell proliferation, apoptosis, and gene expression and alterations in PAK1–3 are associated with tumor formation, inflammation, and cognitive dysfunction (<xref rid="B143" ref-type="bibr">Kumar et al., 2006</xref>
; <xref rid="B250" ref-type="bibr">Zhao et al., 2006</xref>
). Recent studies have demonstrated that 25–35% of ID have genetic associations with nonsense or missense mutations on the X chromosome, some of which result from loss of function in the PAK3 gene (<xref rid="B131" ref-type="bibr">Kelly and Chernoff, 2012</xref>
). A number of mouse models have thus been generated based on the PAK genes to investigate the <italic>in vivo</italic>
role of these genes and how their mutations contribute to ID (<xref rid="B3" ref-type="bibr">Allen et al., 1998</xref>
; <xref rid="B23" ref-type="bibr">Boda et al., 2004</xref>
; <xref rid="B66" ref-type="bibr">Dubos et al., 2012</xref>
). <xref rid="B101" ref-type="bibr">Hayashi et al. (2004)</xref>
generated a transgenic mouse model to inhibit the catalytic activity of group 1 PAKs in the postnatal forebrain. The dominant-negative PAK (dn-PAK) transgene, which consisted of an α-CaMKII promoter, amino acids 74–146 encoding the AID of PAK3, and SV40 intron/polyA, was used to create the mouse model (<xref rid="B101" ref-type="bibr">Hayashi et al., 2004</xref>
). The dnPAK transgenic mice displayed decreased spine density and increased proportion of large synapses in cortical pyramidal neurons. Surprisingly, these mice showed enhanced AMPAR-and NMDAR-mediated synaptic transmission and LTP (<xref rid="B101" ref-type="bibr">Hayashi et al., 2004</xref>
). Behaviorally, the dnPAK mice exhibited specific impairments in the consolidation and retention of hippocampal-dependent memory in a fear conditioning paradigm. These data suggest that PAKs in general play a role in synaptic structure and plasticity and cognitive processes. PAK1 and PAK3 single KO mice were previously created by replacing a part of the coding and adjacent upstream/downstream intronic sequence by a pgk-neomycin resistant cassette to completely eliminate the entire kinase domain of PAK1 and 3 respectively (<xref rid="B166" ref-type="bibr">Meng et al., 2005</xref>
; <xref rid="B12" ref-type="bibr">Asrar et al., 2009</xref>
). PAK1 KO mice revealed normal brain anatomy but selective deficits in LTP at hippocampal CA1 synapses with changes in levels of actin binding protein, cofilin (<xref rid="B12" ref-type="bibr">Asrar et al., 2009</xref>
). PAK3 KO mice resulted in no deficits in either cofilin activity or the actin cytoskeleton with mild impairments in late-phase LTP and learned taste aversion (<xref rid="B166" ref-type="bibr">Meng et al., 2005</xref>
). In a recent study, <xref rid="B112" ref-type="bibr">Huang et al. (2011)</xref>
investigated the role of PAKs by analyzing double knockout (DKO) mice lacking both PAK1 and PAK3 to eliminate functional redundancy. The DKO mice were generated by crossing previously characterized single PAK1 and PAK3 KO mice (<xref rid="B166" ref-type="bibr">Meng et al., 2005</xref>
; <xref rid="B12" ref-type="bibr">Asrar et al., 2009</xref>
). The DKO mice exhibited impaired postnatal brain growth, deficits in dendritic arborization and spine morphology, with alterations in synaptic transmission and plasticity (<xref rid="B112" ref-type="bibr">Huang et al., 2011</xref>
). Furthermore, the DKO mice displayed a host of behavioral deficits consistent with ID-like symptoms including hyperactivity, increased anxiety, and learning and memory deficits. The alterations in spines were rescued by blocking cofilin activity suggesting cofilin-dependent actin regulation may mediate the effect of PAK1 and PAK3. Actin, the major cytoskeletal component in dendritic spines, is known to regulate a host of synaptic properties particularly post-synaptic receptor trafficking and spine morphology (<xref rid="B167" ref-type="bibr">Meng et al., 2004</xref>
). Since the genetic deletions of either PAK1 or PAK3 in mice have only produced modest effects, PAK1 and PAK3 appear to have at least some overlapping functions in synaptic and cognitive regulation (<xref rid="B166" ref-type="bibr">Meng et al., 2005</xref>
; <xref rid="B12" ref-type="bibr">Asrar et al., 2009</xref>
; <xref rid="B112" ref-type="bibr">Huang et al., 2011</xref>
). Further, analyses of these single and double KO mice will be needed to elucidate the <italic>in vivo</italic>
roles and detailed mechanisms of PAKs. In addition, mouse models with specific PAK gene mutations relevant to ID will be required to translate animal studies to human conditions. Ultimately, these studies will help to reveal cellular and molecular mechanisms involved in the pathogenesis of non-syndromic x-linked ID.</p>
</sec>
<sec><title>Fragile X Syndrome</title>
<p>Fragile X syndrome is the most commonly inherited form of ID and the most common cause of autism (<xref rid="B186" ref-type="bibr">O’Donnell and Warren, 2002</xref>
; <xref rid="B102" ref-type="bibr">Hayashi et al., 2007</xref>
; <xref rid="B196" ref-type="bibr">Pietropaolo and Subashi, 2014</xref>
). FXS is a genetic diagnosis affecting 1 in 1250 males and 2500 females (<xref rid="B56" ref-type="bibr">Crawford et al., 2001</xref>
). More specifically, FXS is a multi-organ disease with widespread effects leading to ID, macroorchidism in males, and premature ovarian insufficiency in females (<xref rid="B34" ref-type="bibr">Brennan et al., 2006</xref>
; <xref rid="B11" ref-type="bibr">Ascano et al., 2012</xref>
). FXS patients exhibit an increased incidence of seizures, anxiety, depression, and subtle motor impairments (<xref rid="B20" ref-type="bibr">Berry-Kravis et al., 2007</xref>
; <xref rid="B18" ref-type="bibr">Basuta et al., 2011</xref>
; <xref rid="B48" ref-type="bibr">Chonchaiya et al., 2012</xref>
). This neurodevelopmental disorder is caused by the loss of the Fragile X mental retardation protein (FMRP) encoded by the Fragile X mental retardation 1 (FMR1) gene (<xref rid="B242" ref-type="bibr">Verkerk et al., 1991</xref>
). Clinical studies reveal that patients with FXS have increased expansion and hypermethylation of trinucleotide (CGG) repeats within the promoter of FMR1 (<xref rid="B82" ref-type="bibr">Fu et al., 1991</xref>
; <xref rid="B141" ref-type="bibr">Kremer et al., 1991a</xref>
,<xref rid="B142" ref-type="bibr">b</xref>
). FMRP is predominantly expressed within the cytoplasm of cells and have been implicated in translational processes including RNA interference and RNA subcellular localizations by facilitating nucleo-cytoplasmic shuttling (<xref rid="B63" ref-type="bibr">Devys et al., 1993</xref>
; <xref rid="B71" ref-type="bibr">Eberhard and Grummt, 1996</xref>
; <xref rid="B81" ref-type="bibr">Fridell et al., 1996</xref>
). Human studies have revealed that FXS patients have abnormal development and morphological changes such as increased abundance of long, thin, and immature dendritic spines (<xref rid="B106" ref-type="bibr">Hinton et al., 1991</xref>
; <xref rid="B116" ref-type="bibr">Irwin et al., 2001</xref>
). The molecular mechanisms governing the spine and behavioral anomalies observed in FXS are not clear but analyses of FRMP mouse models based on the FMR1 gene have provided significant progress, which will be discussed below.</p>
<sec><title>Fragile X Mental Retardation Protein</title>
<p>In order to examine the effects of the FMRP, the Dutch-Belgian Fragile-X Consortium engineered a mouse model in which the wild-type murine FMR1 gene was knocked out through introducing a neomycin cassette (<xref rid="B16" ref-type="bibr">Bakker et al., 1994</xref>
; <xref rid="B183" ref-type="bibr">No authors, 1994</xref>
). The FMR1KO mice displayed similar phenotypic characteristics seen in patients with FXS; including hyperactivity, increased anxiety and depressive-like states, cognitive deficits, and macroorchidism in male mice (<xref rid="B33" ref-type="bibr">Bregman et al., 1988</xref>
; <xref rid="B16" ref-type="bibr">Bakker et al., 1994</xref>
; <xref rid="B183" ref-type="bibr">No authors, 1994</xref>
; <xref rid="B140" ref-type="bibr">Kooy et al., 1996</xref>
; <xref rid="B248" ref-type="bibr">Yuhas et al., 2011</xref>
). In a recent study, FMR1KO mice further showed reduced social discrimination between a familiar and novel mouse (<xref rid="B221" ref-type="bibr">Sorensen et al., 2015</xref>
). However, FMR1KO mice lack FMRP expression in the entire animal. Thus to specifically investigate the spatial and temporal expression patterns of FMRP, the design of more novel and versatile KO models were needed. <xref rid="B173" ref-type="bibr">Mientjes et al. (2006)</xref>
used the Cre/loxP system to disrupt the exons coding for FMR1 to achieve Purkinje cell-specific expression. The floxed region was then excised by crossing it to pcp-2/L7-Cre expressing mice to generate conditional FMR1KO (CKO) mice (<xref rid="B173" ref-type="bibr">Mientjes et al., 2006</xref>
). These FMR1CKO mice revealed deficits in classical cerebellar-mediated delay eye-blink conditioning (<xref rid="B138" ref-type="bibr">Koekkoek et al., 2005</xref>
). <xref rid="B4" ref-type="bibr">Amiri et al. (2014)</xref>
used Nse-Cre (neuron-specific enolase promoter-driven Cre transgene) mice to drive loxP-specific deletion of FMR1 in subsets of neurons in the mouse cortex and hippocampus at 4 weeks of age. The FMR1CKO mice showed elongated spines and cell physiological abnormalities at the parallel fiber synapses that form on these spines (<xref rid="B4" ref-type="bibr">Amiri et al., 2014</xref>
). Due to the similar sequence homology and tissue distribution, FXR2P, a homolog of the FMRP, has been suggested to compensate in part for the function of FMRP which may explain the mild phenotypes observed in FMR1KO mice (<xref rid="B135" ref-type="bibr">Kirkpatrick et al., 2001</xref>
; <xref rid="B27" ref-type="bibr">Bontekoe et al., 2002</xref>
; <xref rid="B173" ref-type="bibr">Mientjes et al., 2006</xref>
). FXR2KO mice were created through inserting a neomycin resistant gene to study the function of FXR2P. Similar to FMR1KO mice, FXR2KO mice exhibited hyperactivity accompanied by mild disruptions on the rotarod test (<xref rid="B27" ref-type="bibr">Bontekoe et al., 2002</xref>
; <xref rid="B223" ref-type="bibr">Spencer et al., 2006</xref>
). However, FXR2KO mice exhibited less contextual conditioned fear, reduced prepulse inhibition, and learning deficits on the Morris water maze test, suggesting that FXR2 and FMR1 may play different roles in FXS phenotypes (<xref rid="B27" ref-type="bibr">Bontekoe et al., 2002</xref>
). To examine if FXR2 and FMR1 have overlapping functions, other studies have created the FMR1/FXR2 double KO (DKO) mice through crossing individual FMR1KO and FXR2KO mice (<xref rid="B27" ref-type="bibr">Bontekoe et al., 2002</xref>
). These DKO mice demonstrate increased anxiety, hyperactivity, reduced prepulse inhibition, and deficits in spatial and associative learning and memory suggesting a functional relationship between FXR2P and FMRP (<xref rid="B223" ref-type="bibr">Spencer et al., 2006</xref>
). Together, these different methods of targeting FMRP and FXR proteins outline how these interactions can contribute to FXS phenotypes. However, further analyses are needed to elucidate the detailed cellular and molecular mechanisms involved in the pathogenesis of FXS.</p>
</sec>
</sec>
<sec><title>Williams- Beuren Syndrome</title>
<p>Williams- Beuren syndrome (WS) is a neurodevelopmental disorder caused by the deletion of a 1.5-million-bp-segment on chromosome 7 (7q11.23; <xref rid="B198" ref-type="bibr">Pober, 2010</xref>
). This microdeletion is caused by misalignment of chromosome 7, a region spanning 28 genes flanked by highly homologous clusters of genes during meiosis that results in unequal homologous recombination and consequently deletion (<xref rid="B198" ref-type="bibr">Pober, 2010</xref>
). To date, WS is a rare disorder that affects approximately 1 in 7500 births (<xref rid="B228" ref-type="bibr">Stromme et al., 2002</xref>
; <xref rid="B211" ref-type="bibr">Sanders et al., 2011</xref>
). Patients with WS exhibit a broad range of cognitive and systemic deficits. These include congenital heart disease, an ID profile with an unusual pattern of abilities (IQ of approximately 64 but are concrete in vocabulary and verbal short-term memory), and weaknesses in visuospatial construction and long-term memory (<xref rid="B170" ref-type="bibr">Mervis and John, 2010</xref>
; <xref rid="B171" ref-type="bibr">Mervis and Velleman, 2011</xref>
). Genetic association studies have implicated a variety of genes to contribute to the cognitive and behavioral profile of WS. However, only a few of these targets that reside in the commonly deleted hemizygous region have exhibited consistent cognitive and behavioral deficits of WS when translated to a mouse model. These include LIMK1 (<xref rid="B80" ref-type="bibr">Frangiskakis et al., 1996</xref>
), CLIP2 (<xref rid="B109" ref-type="bibr">Hoogenraad et al., 2002</xref>
), GTF2I (<xref rid="B169" ref-type="bibr">Merla et al., 2010</xref>
), and GTF2IRD1 (<xref rid="B169" ref-type="bibr">Merla et al., 2010</xref>
). Although, several genetic models have been produced and characterized for these genes, we will focus on LIMK1 KO mice that partially recapitulate the behavioral and cognitive profile of WS.</p>
<sec><title>Lim Domain Containing Kinase</title>
<p>Lim domain containing kinase 1 (LIMK1) is a serine/threonine protein kinase and a potent regulator of actin dynamics via phosphorylating and thus inactivating the actin-depolymerization factor (ADF)/cofilin (<xref rid="B7" ref-type="bibr">Arber et al., 1998</xref>
; <xref rid="B246" ref-type="bibr">Yang et al., 1998</xref>
; <xref rid="B231" ref-type="bibr">Sumi et al., 1999</xref>
). <italic>In vitro</italic>
studies have indicated that the Rho family small GTPases, Rac1 and Cdc42, bind and activate PAKs and ROCK protein kinases, which phosphorylate and activate LIMK1 (<xref rid="B62" ref-type="bibr">DesMarais et al., 2005</xref>
; <xref rid="B125" ref-type="bibr">Jia et al., 2009</xref>
; <xref rid="B112" ref-type="bibr">Huang et al., 2011</xref>
). The activated LIMK1 can directly phosphorylate and inactivate cofilin, which promotes actin polymerization (<xref rid="B62" ref-type="bibr">DesMarais et al., 2005</xref>
; <xref rid="B125" ref-type="bibr">Jia et al., 2009</xref>
; <xref rid="B112" ref-type="bibr">Huang et al., 2011</xref>
). Human genetic studies reveal that WS patients with smallest microdeletions containing the LIMK1 gene (<xref rid="B234" ref-type="bibr">Tassabehji et al., 1996</xref>
) show some key WS phenotypes (i.e., visuospatial deficit), suggesting that LIMK1 may be a key factor in WS pathology. To test this hypothesis, LIMK1KO mice were generated replacing a part of the second LIM and PDZ domains with a pgk-neomycin resistant cassette, to completely eliminate the kinase domain (<xref rid="B168" ref-type="bibr">Meng et al., 2002</xref>
). These mice had normal expression of other proteins including LIMK2, PAKs, ROCK2, and cofilin, but reduced cofilin phosphorylation and altered actin networks and spine morphology. Behaviorally, the LIMK1KO mice displayed deficits in locomotion, fear responses, and visuospatial cognition (<xref rid="B168" ref-type="bibr">Meng et al., 2002</xref>
). Recent studies have also identified that LIMK1KO were particularly impaired in long-lasting LTP (specifically late-phase LTP) and the formation of long-term memory (<xref rid="B236" ref-type="bibr">Todorovski et al., 2015</xref>
). In addition, LIMK1KO mice were found to have a reduction in active (phosphorylated) CREB and increasing CREB activity rescued the long-term memory deficits in these mice suggesting that impaired CREB signaling may be responsible for late-LTP and long-term memory deficits. Taken together, these studies indicate that the deletion of LIMK1 is sufficient to cause synaptic dysfunction and impaired long-term memory that may be relevant to WS. Therefore, LIMK1 is likely a key factor in WS pathology. Furthermore, these studies also suggest that LIMK1 regulates synaptic plasticity and behavior via two distinct mechanisms; cofilin-mediated actin reorganization and CREB-mediated gene expression. Ultimately, these studies may provide insight into the neural circuitry and molecular targets for treating and preventing WS.</p>
</sec>
</sec>
</sec>
<sec><title>Schizophrenia</title>
<p>Schizophrenia is a chronic neuropsychiatric disorder characterized by positive and negative symptoms, including delusions, hallucinations, disorganized speech, catatonic behavior, diminished emotional expression, and impaired cognition (<xref rid="B1" ref-type="bibr">Abazyan and Pletnikov, 2014</xref>
). Given the severity and heterogeneity of these core symptoms, schizophrenia is deemed to be one of the most debilitating diseases by the World Health Organization, affecting approximately 1% of the entire population. The onset of schizophrenia is in post-adolescence (16–25 years), but the course of the illness and presentation of core symptoms can persist into adulthood (40–60 years). Although genetic and environmental factors contribute to the etiology of schizophrenia, no specific biomarkers have been identified for this multifactorial disorder. In a recent study <xref rid="B15" ref-type="bibr">Ayalew et al. (2012)</xref>
used a translational convergent functional genomics approach to identify and prioritize genes involved in schizophrenia. Through, gene-level integration of genome-wide association data combined with gene expression studies in humans and animal models, they identified top candidate genes including: DISC1, NRG1, RELN, and many others (<xref rid="B15" ref-type="bibr">Ayalew et al., 2012</xref>
). Their findings shed light on novel promising targets for future pharmacological treatments for patients with schizophrenia. In this section, we will discuss two well-characterized genetic mouse models of schizophrenia that have recreated structural and behavioral dysfunctions associated with the disease. In the end of this section, we will briefly discuss alternate models that have been used to examine the effects of dopamine and glutamate neurotransmission in schizophrenia.</p>
<sec><title>Disrupted-in-Schizophrenia 1</title>
<p>Disrupted-in-Schizophrenia 1 (DISC1) is a scaffolding protein with numerous binding partners that facilitate the formation of protein complexes (<xref rid="B178" ref-type="bibr">Morris et al., 2003</xref>
; <xref rid="B39" ref-type="bibr">Camargo et al., 2007</xref>
). In humans, DISC1 is 854 amino acids long consisting of a N-terminal globular head domain and a long helical C-terminal coiled tail domain (<xref rid="B49" ref-type="bibr">Chubb et al., 2008</xref>
; <xref rid="B220" ref-type="bibr">Soares et al., 2011</xref>
). DISC1 is expressed systemically in the heart, liver, kidney, and thymus, but highly enriched in the cerebral cortex, hippocampus, hypothalamus, amygdala, cerebellum, and olfactory bulbs in the brain (<xref rid="B160" ref-type="bibr">Ma et al., 2002</xref>
; <xref rid="B13" ref-type="bibr">Austin et al., 2004</xref>
; <xref rid="B32" ref-type="bibr">Brandon et al., 2009</xref>
). The DISC1 gene was first identified as a risk factor for mental disorders including schizophrenia, schizoaffective disorder, recurrent major depression, and adolescent conduct and emotional disorder, in a Scottish pedigree that displayed a translocation between chromosomes 1 and 11 (q42;q14.3; <xref rid="B226" ref-type="bibr">St Clair et al., 1990</xref>
). Since then, other studies have confirmed that the translocation t(1;11) disrupts the DISC1 gene in several populations, that are also susceptible to similar psychiatric illnesses (<xref rid="B210" ref-type="bibr">Sachs et al., 2005</xref>
; <xref rid="B49" ref-type="bibr">Chubb et al., 2008</xref>
). The first DISC1 mouse model was engineered based on a spontaneous 25-bp deletion in exon 6 of the DISC1 gene in a 129S6 strain that abolished the production of the full-length DISC1 protein (<xref rid="B139" ref-type="bibr">Koike et al., 2006</xref>
). The DISC1-deficient mice exhibited cognitive dysfunction specifically in spatial working memory (<xref rid="B139" ref-type="bibr">Koike et al., 2006</xref>
). In recent studies on the same DISC1-deficient mice, <xref rid="B144" ref-type="bibr">Kvajo et al. (2011)</xref>
, found widespread and cumulative cytoarchitectural alterations in the dentate gyrus during neonatal and adult neurogenesis. In particular, they noticed errors in axonal targeting and impaired dendritic growth that are accompanied by changes in short-term plasticity at mossy fiber/CA3 synapses (<xref rid="B144" ref-type="bibr">Kvajo et al., 2011</xref>
). Furthermore, <xref rid="B126" ref-type="bibr">Juan et al. (2014)</xref>
revealed subtle working memory impairments were mediated by decreased neuronal excitability and morphological alterations in layer II/III pyramidal neurons in the medial prefrontal cortex in the same DISC1-deficient mice. These studies suggest that the DISC1 gene from the 129S6/SvEv strain is important for neuronal connectivity, short-term synaptic dynamics and working memory. Other models have been established based on mutations in the mouse DISC1 gene via <italic>N</italic>
-nitroso-<italic>N</italic>
-ethylurea (ENU) mutagenesis, which induces point mutations at a high locus-specific rate (<xref rid="B52" ref-type="bibr">Coghill et al., 2002</xref>
). <xref rid="B50" ref-type="bibr">Clapcote et al. (2007)</xref>
, identified and analyzed two independently derived ENU-induced missense mutations in the 955-bp exon 2 of mouse DISC1, known as Q31L and L100P. They chose to focus on exon 2 due to the fact that it is the longest, present in all known splice isoforms, and encodes most of the head domain of the DISC1 protein (<xref rid="B174" ref-type="bibr">Millar et al., 2005</xref>
; <xref rid="B50" ref-type="bibr">Clapcote et al., 2007</xref>
). The Q31L mice displayed depressive-like behavior or learned helplessness in the forced swim test (FST), reduced sociability, and low sucrose consumption indicative of anhedonia (<xref rid="B50" ref-type="bibr">Clapcote et al., 2007</xref>
). The L100P mice exhibited schizophrenic-like behavior with profound deficits in prepulse inhibition and latent inhibition, common methods to quantify information-processing deficits. These L100P mice also had greater horizontal locomotion and decreased working memory performance on the T-maze task (<xref rid="B50" ref-type="bibr">Clapcote et al., 2007</xref>
). The deficits observed in L100P mice could be reversed by pharmacological or genetic inactivation of glycogen synthase kinase 3 (GSK-3α and GSK-3β; <xref rid="B50" ref-type="bibr">Clapcote et al., 2007</xref>
). Similarly, the Q31L deficits in prepulse inhibition and FST could be rescued following a GSK-3 blocker, TDZD-8, suggesting a role for GSK-3 in mediating the effects of DISC1 (<xref rid="B156" ref-type="bibr">Lipina et al., 2012</xref>
). Recent studies have shown that the Q31L mice have fewer proliferating cells, whereas the L100P mice have differences in the generation, placement, and maturation of newly generated neurons in the adult hippocampus (<xref rid="B44" ref-type="bibr">Chandran et al., 2014</xref>
). Despite these differences, both models share structural and functional brain abnormalities, particularly reductions in overall brain volume due to tissue contraction in the neocortex, thalamus, and cerebellum. Thus, both the Q31L and L100P mice exhibit impairments that are consistent with the positive, negative, and cognitive symptoms of schizophrenia. In recent studies, <xref rid="B145" ref-type="bibr">Lee et al. (2013)</xref>
discovered altered interneuron density and location in the L100P mice due to selective impairments in calbindin- and parvalbumin-expressing interneurons in the cortex and hippocampus, and consequently decreased GAD67/PV co-localization in the neocortex, suggesting a role of inhibitory transmission in schizophrenia. Lastly, there have also been other transgenic models that result in the expression of mutant DISC1 in a spatial-temporal manner. <xref rid="B104" ref-type="bibr">Hikida et al. (2007)</xref>
have exogenously expressed dominant-negative truncated DISC1 (DN-DISC1) under the regulation of an α-CaMKII promoter that is restricted in the olfactory bulb, frontal cortex, hippocampus, and basal ganglia. In this particular model, DN-DISC1 did not affect the expression level of the endogenous DISC1 gene (<xref rid="B104" ref-type="bibr">Hikida et al., 2007</xref>
). Similar to patients with schizophrenia, the DN-DISC1 mice displayed enlarged lateral ventricles contributing to asymmetrical brain anatomy, interneuron deficits resulting in cortical synchrony, and impairments in prepulse inhibition, FST, and spontaneous activity. Therefore, analysis of the DISC1 mouse models has contributed significantly to and will continue to provide new insights to our understanding of the <italic>in vivo</italic>
function of the DISC1 gene and how its alterations result in schizophrenia.</p>
</sec>
<sec><title>Neuregulin-1</title>
<p>The family of neuregulins, also known as NDF, heregulin, GCF, and ARIA (NRG1–4), are epidermal growth factors (EGFs) that activate ErbB receptor tyrosine kinases, and play diverse roles in normal developmental processes, plasticity, and oncogenesis (<xref rid="B36" ref-type="bibr">Burden and Yarden, 1997</xref>
; <xref rid="B99" ref-type="bibr">Harrison and Law, 2006</xref>
; <xref rid="B35" ref-type="bibr">Britsch, 2007</xref>
). Neuregulin-1 (NRG1), the best characterized amongst the four neuregulins, was discovered in 1992 and shown to have diverse functions in the heart, breast, and nervous system (<xref rid="B108" ref-type="bibr">Holmes et al., 1992</xref>
; <xref rid="B99" ref-type="bibr">Harrison and Law, 2006</xref>
). In the brain, NRG1 modulates neuronal migration, glial development and differentiation, and synaptic transmission and plasticity (<xref rid="B99" ref-type="bibr">Harrison and Law, 2006</xref>
). In 2002, NRG1 was identified as a candidate gene for schizophrenia in a genome-wide linkage scan conducted by <xref rid="B227" ref-type="bibr">Stefansson et al. (2002)</xref>
. In this study, the NRG1 gene was mapped to the chromosome 8p locus (8p11-p21), a region linked to schizophrenia. Therefore, numerous mouse models have been generated to examine the functional consequences of targeting NRG1 and its receptor, ErbB. To target the EGF-like domain, exon 6 of the NRG1 gene was fused to β-galactosidase (NRG1-LacZ), which resulted in the partial deletion of the EGF-like domain of all three isoforms of NRG1 (<xref rid="B172" ref-type="bibr">Meyer and Birchmeier, 1995</xref>
). Also, a second vector was used that targeted exons 7–9, which encode parts of the EGF domain (carboxy-terminus) of NGR1, was replaced by a neomycin resistance gene (<xref rid="B172" ref-type="bibr">Meyer and Birchmeier, 1995</xref>
). The matings between heterozygous mice carrying either mutation produced no homozygous mutant offspring, indicating that the complete deletion of NRG1 and its receptor, ErbB, are lethal during embryogenesis due to heart malformations and defects in Schwann cells and cranial glia development (<xref rid="B172" ref-type="bibr">Meyer and Birchmeier, 1995</xref>
). Therefore, NRG1 and its ErbB receptor are indispensable during development. In subsequent studies, the NRG1 heterozygous mice were therefore used and found to exhibit significant behavioral alterations such as hyperactivity in the open field test, improved rotorod performance, and enhanced spontaneous alternation ability in T or Y-maze tests (<xref rid="B87" ref-type="bibr">Gerlai et al., 2000</xref>
; <xref rid="B227" ref-type="bibr">Stefansson et al., 2002</xref>
; <xref rid="B187" ref-type="bibr">O’Tuathaigh et al., 2007</xref>
). Other studies have shown that hyperactivity and increased locomotion in NRG1 heterozygous mice can be reversed with clozapine (an antipsychotic to treat schizophrenia) and environmental enrichment (<xref rid="B127" ref-type="bibr">Karl et al., 2007</xref>
; <xref rid="B67" ref-type="bibr">Duffy et al., 2008</xref>
). Therefore, the targeted deletion of NRG1 provides novel insights into the role of NRG1 and supports that it may contribute to schizophrenia. Several studies have also examined the effects of increased NRG1 expression in transgenic mouse models. <xref rid="B128" ref-type="bibr">Kato et al. (2010)</xref>
constructed a transgenic vector that contained the promoter of a house keeping gene, elongation factor 1α (EF-1α) and GFP-tagged NRG1 cDNA that drives ubiquitous expression in the whole brain. They confirmed through Western blot and real-time quantitative reverse transcription that the overexpression of NRG1 was 4.3-fold higher than wild-type littermates (<xref rid="B128" ref-type="bibr">Kato et al., 2010</xref>
). Behaviorally, the transgenic mice had elevated locomotor activity, decreased context-dependent fear conditioning, and impaired social interaction in an isolation-induced resident-intruder test (<xref rid="B128" ref-type="bibr">Kato et al., 2010</xref>
). Moreover, the mice had an increased expression of GABAergic paravalbumin and myelination markers in the frontal cortex, suggesting a role for NRG1 in inhibitory transmission. Therefore, the mouse models based on NRG1 presented in this section help to identify the behavioral and mechanistic processes that may be relevant to the pathophysiology of schizophrenia.</p>
<p>Although, we have discussed two well-characterized genetic models used for studying the pathophysiological mechanisms of schizophrenia, other studies exist that attribute the pathological mechanisms of schizophrenia to dopamine (DA) and glutamatergic neurotransmission dysfunction. The DA hypothesis of schizophrenia proposes that hyperactive DA transmission in the striatum contributes to positive symptoms of schizophrenia while cognitive functions and negative symptoms may result from hypoactive DA neurotransmission in the prefrontal cortex (<xref rid="B41" ref-type="bibr">Carlsson and Lindqvist, 1963</xref>
; <xref rid="B59" ref-type="bibr">Davis et al., 1991</xref>
; <xref rid="B110" ref-type="bibr">Howes and Kapur, 2009</xref>
). Animal models have thus been created to evaluate the roles of D2 receptors in neurotransmission via inducible overexpression in the striatum alone (<xref rid="B130" ref-type="bibr">Kellendonk et al., 2006</xref>
). The D2 transgenic mice exhibited selective cognitive impairments in working memory tasks that may be relevant to schizophrenia (<xref rid="B130" ref-type="bibr">Kellendonk et al., 2006</xref>
). In the second hypothesis, glutamate receptors specifically NMDA receptor hypofunction have been associated with the negative symptoms and cognitive dysfunction similar to schizophrenia (<xref rid="B123" ref-type="bibr">Javitt and Zukin, 1991</xref>
; <xref rid="B55" ref-type="bibr">Coyle, 2006</xref>
; <xref rid="B122" ref-type="bibr">Javitt, 2007</xref>
). Studies have found that hypomorphic NR1 mice with approximately 4% expression of NR1 (via inserting a neomycin resistance gene into intron 20) exhibit complex phenotypes including hyperactivity and decreased social interactions (<xref rid="B177" ref-type="bibr">Mohn et al., 1999</xref>
; <xref rid="B68" ref-type="bibr">Duncan et al., 2002</xref>
). Therefore, analysis of these models will be useful to determine the role and underlying mechanisms of DA and glutamate transmission in the pathogenic processes of schizophrenia.</p>
</sec>
</sec>
<sec><title>Alzheimer’s Disease</title>
<p>Alzheimer’s disease is a debilitating age-associated neuro-degenerative disorder, affecting more than 35 million people worldwide (<xref rid="B96" ref-type="bibr">Hall and Roberson, 2012</xref>
). This neurocognitive disorder results in a decline of intellectual function usually beginning with impaired language usage or communication and ultimately, interferes with one’s ability to function independently (<xref rid="B119" ref-type="bibr">Janus and Borchelt, 2014</xref>
). Therefore, as one of the most devastating neurodegenerative disorders, potential biomarkers have been developed via brain imaging such as MRI and PET scans, genetic, and biochemical studies. AD has a well-defined neuropathological profile including the presence of extracellular amyloid plaques, accretion of intracellular neurofibrillary tangles (NFTs), neuronal damage, and death in selected brain regions (<xref rid="B10" ref-type="bibr">Arnold et al., 1991</xref>
; <xref rid="B243" ref-type="bibr">Vigo-Pelfrey et al., 1993</xref>
; <xref rid="B30" ref-type="bibr">Braak and Braak, 1994</xref>
; <xref rid="B194" ref-type="bibr">Petersen et al., 1999</xref>
; <xref rid="B181" ref-type="bibr">Naslund et al., 2000</xref>
). Genetic linkage and positional cloning strategies have identified various genes associated with AD. These include: amyloid precursor protein, presenilin 1 and 2, α-2 macroglobulin, low-density lipoprotein receptor-related protein and others (<xref rid="B91" ref-type="bibr">Goate et al., 1991</xref>
; <xref rid="B148" ref-type="bibr">Levy-Lahad et al., 1995</xref>
; <xref rid="B217" ref-type="bibr">Sherrington et al., 1995</xref>
; <xref rid="B224" ref-type="bibr">Sperling et al., 2011</xref>
). In this section, we will discuss three genetic models targeting amyloid-β-precursor protein, presenilin 1 and 2, and tau that are involved in producing the AD phenotype.</p>
<sec><title>Amyloid-β-Precursor Protein</title>
<p>Amyloid- β-precursor protein (APP) is a type I (single-pass) transmembrane protein with a large amino-terminal extracellular domain (<xref rid="B184" ref-type="bibr">O’Brien and Wong, 2011</xref>
; <xref rid="B96" ref-type="bibr">Hall and Roberson, 2012</xref>
). Gene mutations in APP alter the production and deposition of the amyloid-beta peptide (Aβ), which hasten the production of extracellular amyloid plaques (<xref rid="B91" ref-type="bibr">Goate et al., 1991</xref>
). The Aβ peptides (36–43 amino acids long) are generated from APP by β- and γ-secretase (<xref rid="B149" ref-type="bibr">Lewis et al., 2001</xref>
). Alternative splicing of the APP transcript generates eight isoforms, but only one (695 amino acid form) is predominantly expressed in the CNS (<xref rid="B19" ref-type="bibr">Bayer et al., 1999</xref>
). The first genetic model to target APP used the PDGF-β promoter to drive expression of APP717 cDNA gene encoding a variant mutation where valine at residue 717 is substituted by phenylalanine (V717F) that leads to overexpressing 40 copies of the transgene (<xref rid="B83" ref-type="bibr">Games et al., 1995</xref>
). This missense mutation in APP is tightly linked to autosomal dominant forms of AD (<xref rid="B83" ref-type="bibr">Games et al., 1995</xref>
). These and other transgenic mice [i.e., the ones using similar Thy1-APP (V717F)] displayed a ten-fold elevation of APP protein and resulted in deficits in reference memory on the radial arm maze and spatial memory on the Morris water maze test, and an accumulation of amyloid in the brain between 6 and 7 months (<xref rid="B83" ref-type="bibr">Games et al., 1995</xref>
; <xref rid="B64" ref-type="bibr">Dodart et al., 1999</xref>
; <xref rid="B176" ref-type="bibr">Moechars et al., 1999</xref>
). Therefore, overexpression of this mutant APP is sufficient for the formation of amyloid plaques in mice. However, other anatomical anomalies and their mechanisms were not investigated including dystrophic neurites, the formation of NFTs, and reduced synaptic density and function. Perhaps one of the best characterized animal studies of AD is the Tg2576 transgenic mouse model, which overexpresses a mutant APP containing Swedish FAD (K670N/M67L) double mutations at the two β-secretase cleavage sites responsible for Aβ production (<xref rid="B111" ref-type="bibr">Hsiao, 1998</xref>
). Compared to the previous model, the Tg2576 mice have moderate levels of APP overexpression (5–6 fold of the endogenous level; <xref rid="B111" ref-type="bibr">Hsiao, 1998</xref>
). The mice had a slow accumulation of amyloid in the neocortex and hippocampus around 12 months (<xref rid="B229" ref-type="bibr">Sturchler-Pierrat et al., 1997</xref>
; <xref rid="B129" ref-type="bibr">Kawarabayashi et al., 2001</xref>
) and impaired spatial reference and contextual memory (<xref rid="B53" ref-type="bibr">Comery et al., 2005</xref>
). Others have engineered transgenic mice harboring the Swedish and London FAD mutations, revealing that these double mutants have a sevenfold overexpression of APP with typical Aβ plaques at the age of 6 months and 14–25% neuronal loss between 14 and 18 months (<xref rid="B38" ref-type="bibr">Calhoun et al., 1998</xref>
). Behaviorally, these mice showed a broad range of abnormalities that included changes in limb and stereotypic movements, deficits in learning and memory, and electrophysiological impairments in basal synaptic transmission (<xref rid="B208" ref-type="bibr">Roder et al., 2003</xref>
; <xref rid="B53" ref-type="bibr">Comery et al., 2005</xref>
). More recent studies have used a modified version of APP where the Aβ peptide-coding domain of the mouse cDNA was humanized (<xref rid="B28" ref-type="bibr">Borchelt et al., 1996</xref>
). In these mice, APP was expressed three-fold higher than the endogenous APP and were found to develop amyloid plaques at old ages (24–26 months) accompanied by various deficits in cognitive performance (<xref rid="B28" ref-type="bibr">Borchelt et al., 1996</xref>
; <xref rid="B214" ref-type="bibr">Savonenko et al., 2003</xref>
). Recent studies have shown that these mice with the overexpression of human APP demonstrate reductions in synapse-associated proteins including PSD95, AMPA and NMDA receptor subunits, and neuronal maker, MAP2, indicating signs of neurodegeneration in the hippocampus (<xref rid="B218" ref-type="bibr">Simon et al., 2009</xref>
). Therefore, studies of mutant APP transgenic mouse models have indicated that abnormal expression of APP plays a critical role in AD pathology.</p>
</sec>
<sec><title>Presenilin</title>
<p>More than 150 familial mutations in presenilin 1 and presenilin 2 (PS1 and PS2) have been identified in AD (<xref rid="B61" ref-type="bibr">De Strooper, 2007</xref>
). PSs encode the catalytic subunit of γ-secretase that cleaves APP to form Aβ of varying lengths (<xref rid="B61" ref-type="bibr">De Strooper, 2007</xref>
). AD-associated PS mutations have been shown to increase the two most common isoforms of Aβ, Aβ42 and Aβ40, both of which are known to be responsible for the rate of amyloid deposition (<xref rid="B28" ref-type="bibr">Borchelt et al., 1996</xref>
; <xref rid="B215" ref-type="bibr">Scheuner et al., 1996</xref>
). PSs are also known to be involved in cell adhesion, calcium homeostasis, transport, trafficking/localization, and apoptosis (<xref rid="B96" ref-type="bibr">Hall and Roberson, 2012</xref>
). To target PS1, several transgenic mice expressing different forms of the human mutated PS1 genes were created, to explore whether mutations in PSs cause cells to secrete a greater amount of amyloidogenic Aβ peptides (<xref rid="B72" ref-type="bibr">Elder et al., 2010</xref>
). The transgenic mice expressing mutant human PS1 [lines Tg(M146L)1, Tg(M146L)76, Tg(L286V)198] showed significant overproduction of Aβ42 and no cognitive deficits in the Morris water maze test at 6 and 9 months of age (<xref rid="B120" ref-type="bibr">Janus et al., 2000</xref>
). Only mutant PS1 co-expression with a mutant APP (Tg2576) showed early amyloid plaque deposition, neuron loss in the cerebral cortex, and cognitive dysfunction (<xref rid="B8" ref-type="bibr">Arendash et al., 2001</xref>
; <xref rid="B158" ref-type="bibr">Lok et al., 2013</xref>
). Taken together, these studies suggest that the full phenotypic expression of mutant PS1 alleles may require the co-expression of other AD-associated genes. PS1 conditional knockout (CKO) mice were generated by crossing floxed PS1 mice with transgenic mice expressing Cre recombinase under a αCaMKII promoter so that PS1 was selectively inactivated in excitatory neurons in the postnatal forebrain (<xref rid="B247" ref-type="bibr">Yu et al., 2001</xref>
). The CKO mice showed normal basal synaptic transmission and plasticity, but exhibited mild deficits in spatial learning and memory. Other studies have found that the conditional inactivation of PS1 in APP transgenic mice prevented the accumulation of Aβ peptides, the formation of amyloid plaques, and inflammatory responses but failed to ameliorate the contextual memory and synaptic deficits associated with APP transgenic mice (<xref rid="B213" ref-type="bibr">Saura et al., 2005</xref>
). Conditional PS1 and PS2 double knockout mice (PS CDKO) revealed cortical shrinkage, hippocampal atrophy, and elevated levels of tau hyperphosphorylation that was accompanied by behavioral deficits in hippocampal-dependent learning and memory (<xref rid="B76" ref-type="bibr">Feng et al., 2004</xref>
; <xref rid="B213" ref-type="bibr">Saura et al., 2005</xref>
). Therefore, these results define essential roles of PSs in synaptic plasticity, learning and memory, and neuronal survival in the adult cerebral cortex.</p>
</sec>
<sec><title>Tau</title>
<p>The genes discussed above focused on recapitulating the Aβ pathology in the formation of extracellular plaques in AD. However, AD also involves the development of intracellular NFTs mainly comprised of hyperphosphorylated forms of the microtubule-associated protein, tau (<xref rid="B146" ref-type="bibr">Lee et al., 2001</xref>
). Studies have revealed over 30 mutations in the microtubule-associated protein, tau, in AD patients; ranging from missense, deletion, and silent mutations in the coding region, and intronic mutations, influencing the alternative splicing of tau or its protein level (<xref rid="B51" ref-type="bibr">Clark et al., 1998</xref>
; <xref rid="B113" ref-type="bibr">Hutton et al., 1998</xref>
; <xref rid="B92" ref-type="bibr">Goedert, 2005</xref>
). The first tau KO mice were generated by replacing the signals for the start of translation of tau protein with a pgk-neomycin resistant cassette so that only short fragments incapable of binding to microtubule were produced (<xref rid="B98" ref-type="bibr">Harada et al., 1994</xref>
). In later studies, these tau KO mice exhibited motor deficits and muscle weakness (<xref rid="B115" ref-type="bibr">Ikegami et al., 2000</xref>
). <xref rid="B60" ref-type="bibr">Dawson et al. (2001)</xref>
have also generated tau KO mice, on a BL/6/129sv mixed strain, and showed similar locomotor deficits in balance beam tests, but in this latter model, tau KO mice expressed significant cognitive deficits at 12 months. Furthermore, the authors were able to show that primary hippocampal neurons from the tau-deficient mice had delayed maturation in their axonal and neuritic extensions (<xref rid="B60" ref-type="bibr">Dawson et al., 2001</xref>
). These results suggest that the genetic background of the tau-deficient mice may result in discrepancies on the deleterious effects of axonogenesis. Studies have shown that the ablation of tau ameliorates AD-related synaptic, network, and behavioral abnormalities in transgenic mice expressing human APP (<xref rid="B179" ref-type="bibr">Morris et al., 2015</xref>
). Transgenic mice expressing human tau containing the P301L mutation (JNPL3) linked to frontotemporal dementia and Parkinsonism have been produced under the mouse prion promoter (<xref rid="B150" ref-type="bibr">Lewis et al., 2000</xref>
). These mice were found to show moderate early behavioral deficits in escape extension during tail elevation and spontaneous back paw clenching (<xref rid="B150" ref-type="bibr">Lewis et al., 2000</xref>
). In addition, these mice developed a progressive motor abnormality due to the loss of lower motor neurons (<xref rid="B150" ref-type="bibr">Lewis et al., 2000</xref>
). In a later study, when the JNPL3 mice were crossed with the Tg2576 mice, there was an increase in the formation of filamentous tau inclusions and plaques in the forebrain regions compared to JNPL3 mice (<xref rid="B149" ref-type="bibr">Lewis et al., 2001</xref>
). Behaviorally, these double transgenic mice developed motor disturbances associated with spinal cord and neuromuscular pathology. More recent findings have proposed that post-translational modifications such as acetylation and ubiquitination of endogenous tau, that is not bound to microtubules and is free to interact with diverse molecules in different neuronal compartments, mediates Aβ-induced neuronal impairments (<xref rid="B179" ref-type="bibr">Morris et al., 2015</xref>
). To study the neuropathological correlates of AD, the interaction between Aβ and tau and their effect on synaptic function was examined in a triple transgenic mouse model (<xref rid="B185" ref-type="bibr">Oddo et al., 2003</xref>
). Rather than crossing three independent lines of mice, <xref rid="B185" ref-type="bibr">Oddo et al. (2003)</xref>
co-microinjected human tau (P301L) and Swedish FAD APP mutation (both under the control of a Thy1.2 neuron-specific regulatory element) into single-cell embryos from homozygous PS1(M146V) KI mice. They successfully found five of the six founder lines harbor all three mutations and in two lines the transgenes appeared to cointegrate at the same genetic locus (<xref rid="B185" ref-type="bibr">Oddo et al., 2003</xref>
). The tight linkage coupled to the PS1 knockin site allowed the mice to breed as a “single” transgenic line (<xref rid="B185" ref-type="bibr">Oddo et al., 2003</xref>
). The mice exhibited synaptic deficits (LTP) that were manifested in an age-dependent manner, followed by plaques at 3 months of age and NFTs by 12 months in the cerebral cortex, hippocampus, and amygdala (<xref rid="B185" ref-type="bibr">Oddo et al., 2003</xref>
). These results are consistent with the amyloid cascade hypothesis. Ultimately, this triple Tg-AD mouse along with other AD models described above will provide valuable tools to evaluate the interaction and pathogenic mechanisms of various AD genes. Other models such as those based on Apolipoprotein E (ApoE) gene are also important to assess the involvement of glial cells in AD pathology, but will not be discussed here.</p>
</sec>
</sec>
<sec><title>Parkinson’s Disease</title>
<p>Age-related neurodegenerative diseases also include PD, which is becoming increasingly prevalent in our society. It is estimated that 10 million people worldwide are affected by PD (<xref rid="B107" ref-type="bibr">Hirtz et al., 2007</xref>
). According to DSM-V, PD is a progressive neurodegenerative disorder clinically characterized by the cardinal symptoms of resting tremor, bradykinesia or the slowness of movement, cogwheel rigidity, and postural instability (<xref rid="B118" ref-type="bibr">Jankovic, 2008</xref>
). Non-motor symptoms such as the presence of Lewy bodies and neurites that consist of aggregated forms of the 140 amino acid protein α-synuclein were also found in post-mortem brain studies and therefore considered to be one of the histological hallmarks of PD (<xref rid="B75" ref-type="bibr">Fearnley and Lees, 1991</xref>
; <xref rid="B225" ref-type="bibr">Spillantini et al., 1998</xref>
; <xref rid="B31" ref-type="bibr">Braak et al., 2003</xref>
). As the second most common neurodegenerative disorder following AD, PD also attracts a great deal of clinical and basic research. PD is characterized by the loss of dopaminergic cells in the substantia nigra that project to the striatum leading to nigrostriatal degeneration and motor symptoms (<xref rid="B79" ref-type="bibr">Forno, 1996</xref>
), but the mechanisms underlying this cell loss remain unclear. Genetic models based on gene mutations linked to the monogenic form of familial PD have been essential tools for the mechanistic and treatment studies. In this section, we will discuss three different mouse PD models that have been used in the attempt to evaluate possible neuroprotective treatments and biomarkers for early diagnosis and disease-state identification. It is important to note that none of the current models have been able to precisely replicate all motor and non-motor symptoms, as well as Lewy body formation and nigrostriatal degeneration in an age-related progressive manner.</p>
<sec><title>α-Synuclein</title>
<p>Alterations in α-synuclein (encoded by the SNCA gene) cause a rare form of autosomal dominant PD. Mutations in α-synuclein is known to be the most common risk factor for idiopathic and familial PD (<xref rid="B188" ref-type="bibr">Pankratz et al., 2009</xref>
; <xref rid="B212" ref-type="bibr">Satake et al., 2009</xref>
). PD-related point mutations (such as A30P and A53T), rare triplications, and duplications in the SNCA gene have been identified in human familial PD (<xref rid="B200" ref-type="bibr">Polymeropoulos et al., 1997</xref>
; <xref rid="B2" ref-type="bibr">Ahn et al., 2008</xref>
; <xref rid="B85" ref-type="bibr">Gasser, 2009</xref>
). Therefore, various wild-type or mutant α -synuclein transgenic mice have been developed to examine the consequences of overexpression of the SNCA gene under different promoters. Specifically, mice overexpressing human wild-type α-synuclein under the platelet-derived growth factor-β (PDGF-β) promoter (Line D) exhibited intraneuronal α-synuclein aggregates in the neocortex, hippocampus, and olfactory bulb (<xref rid="B164" ref-type="bibr">Masliah et al., 2000</xref>
). Furthermore, these mice had lower striatal levels of tyrosine hydroxylase (required for the synthesis of dopamine) enzymatic activity associated with the degeneration of nigrostriatal dopaminergic neurons (<xref rid="B164" ref-type="bibr">Masliah et al., 2000</xref>
). Behaviorally, the mice displayed rotarod and spatial memory deficits. Thus, intraneuronal accumulation of α-synuclein appears to be required for dopaminergic and behavioral deficits to become detectable (<xref rid="B164" ref-type="bibr">Masliah et al., 2000</xref>
; <xref rid="B163" ref-type="bibr">Masliah and Hansen, 2012</xref>
). Another model was generated that overexpressed mutant α-synuclein under the Thy1 promoter, which had a more widespread expression of α-synuclein in neurons of the thalamus, basal ganglia, substantia nigra, and brainstem (<xref rid="B206" ref-type="bibr">Rockenstein et al., 2002</xref>
). In this model, the human A53T mutation in α-synuclein was introduced into the transgene (<xref rid="B240" ref-type="bibr">van der Putten et al., 2000</xref>
; <xref rid="B206" ref-type="bibr">Rockenstein et al., 2002</xref>
). These A53T transgenic mice showed late-onset pathological changes that include axonal degeneration in long white matter tracts of the spinal cord, the breakdown of myelin sheaths, and the degeneration of neuromuscular junctions with a loss of integrity of the presynaptic neurofilament network (<xref rid="B240" ref-type="bibr">van der Putten et al., 2000</xref>
; <xref rid="B205" ref-type="bibr">Rieker et al., 2011</xref>
). In an another study, <xref rid="B197" ref-type="bibr">Plaas et al. (2008)</xref>
, generated a mouse model with a subtle point mutation in α-synuclein that replaced alanine with proline at position 30 (A30P). The A30P mice exhibited an age-dependent decline in motor ability on the beam walk test and in mean stride length from all paws (<xref rid="B197" ref-type="bibr">Plaas et al., 2008</xref>
). Furthermore, the SNCA A30P mice had deficiencies in vmat2, a vesicular transporter that regulates dopamine availability, which indicates that the motor defects may be due to a decreased content of dopamine in the striatum. Double transgenic mice harboring the A30P/A53T mutations displayed progressive decline with age in locomotor activity and stereological counts of tyrosine hydroxylase-positive neurons (<xref rid="B235" ref-type="bibr">Thiruchelvam et al., 2004</xref>
). In addition to overexpression studies, others have also engineered α-synuclein KO mice. The KO mice were generated by using a floxed neomycin cassette to disrupt the SNCA gene and subsequently crossed with C57BL/6NTacGt(ROSA)26Sortm16(cre)Arte mice (<xref rid="B42" ref-type="bibr">Chandra et al., 2004</xref>
). These KO mice had normal ultrasynaptic structure and survival rates but displayed decreased striatal dopamine levels (20%), elevated lactate concentrations, and reduced rearing (<xref rid="B42" ref-type="bibr">Chandra et al., 2004</xref>
; <xref rid="B65" ref-type="bibr">Drolet et al., 2004</xref>
). These findings suggest that α-synuclein may play a role in the maintenance of presynaptic vesicular function. <xref rid="B43" ref-type="bibr">Chandra et al. (2005)</xref>
show that transgenic expression of α-synuclein ameliorates the lethality and rapidly progressive neurodegeneration caused by the deletion of cysteine-string protein-α (CSPα), a synaptic vesicle protein essential for neuronal survival, in mice. The expression of transgenic α-synuclein improved SNARE complex assembly, which suggests that α-synuclein acts in conjunction with CSPα to play an important role in protecting presynaptic terminals against neurodegeneration. Triple αβγ-synuclein KO mice that lack all murine synucleins (generated through breeding previously characterized αβ-synuclein KO mice with γ-synuclein KO mice) present age-dependent alterations in synaptic structure and transmission, neuronal dysfunction, diminished survival, and late-onset phenotypes including retinal dysfunction (<xref rid="B37" ref-type="bibr">Burre et al., 2010</xref>
; <xref rid="B95" ref-type="bibr">Greten-Harrison et al., 2010</xref>
). Therefore, mouse models of altered α-synuclein expression have increased our understanding of the role of α-synuclein in PD related processes.</p>
</sec>
<sec><title>Leucine-Rick Repeat Kinase 2</title>
<p>Missense mutations in the leucine-rich repeat kinase (LRRK2) gene have been identified as causes of autosomal dominant PD with characteristics similar to the sporadic disease forms (<xref rid="B219" ref-type="bibr">Singleton, 2005</xref>
; <xref rid="B54" ref-type="bibr">Cookson and van der Brug, 2008</xref>
). LRKK2 is a 2527- amino acid protein consisting of several functional domains, including a leucine-rich repeat domain, a Ras-like small GTPases domain, and a kinase domain with sequence homology to MAP kinase (<xref rid="B237" ref-type="bibr">Tong and Shen, 2009</xref>
). KO models have been generated for LRRK2 by flanking the first loxP site at intron 1 followed by, a neomycin expression cassette, and the second loxP at intron 2 of the LRRK2 gene (<xref rid="B189" ref-type="bibr">Parisiadou et al., 2009</xref>
). These KO mice, resulting from crossing the floxed mice with EIIa-Cre-transgenic mice, were viable to adulthood and did not show any major abnormalities, suggesting that LRRK2 may not play a major role in the development and survival of dopaminergic neurons (<xref rid="B6" ref-type="bibr">Andres-Mateos et al., 2009</xref>
; <xref rid="B189" ref-type="bibr">Parisiadou et al., 2009</xref>
; <xref rid="B151" ref-type="bibr">Li et al., 2011</xref>
). Recent studies have shown that the LRRK2 KO mice show increased protein kinase A- mediated phosphorylation of cofilin and glutamate receptor 1 (GluA1) and impaired synaptic transmission in the striatum (<xref rid="B190" ref-type="bibr">Parisiadou et al., 2014</xref>
). Associations of LRRK2 have been found with microtubule dynamics, in particular the increased levels of soluble β-tubulin in LRRK2 KO mice (<xref rid="B89" ref-type="bibr">Gillardon, 2009</xref>
). To date, there is no genetic support for the causal involvement of LRRK1, the closest paralog of LRRK2, in PD. Although, LRRK1 and LRRK2 share a high sequence homology in the brain, they function independently through interactions with different cellular proteins (<xref rid="B203" ref-type="bibr">Reyniers et al., 2014</xref>
). LRRK1/LRRK2 double KO mice are available through Jackson Laboratories, but have not been characterized. Initial linkage studies have identified various LRRK2 missense mutations including G2019S and R1441G in patients with PD (<xref rid="B46" ref-type="bibr">Chen et al., 2012</xref>
; <xref rid="B103" ref-type="bibr">Herzig et al., 2012</xref>
). LRRK2 overexpression mouse models were created that bear the inducible G2019S mutation at the conserved Mg<sup>2+</sup>
binding motif within the kinase domain and resulted in consistently enhanced LRRK2 acitivty (<xref rid="B88" ref-type="bibr">Gilks et al., 2005</xref>
; <xref rid="B182" ref-type="bibr">Nichols et al., 2005</xref>
; <xref rid="B244" ref-type="bibr">West et al., 2005</xref>
; <xref rid="B155" ref-type="bibr">Lin et al., 2009</xref>
). This familial PD-related mutation caused impairments in dopaminergic neurotransmission that was linked to modified localization and phosphorylation of the microtubule-binding protein tau and consequences in motor function (<xref rid="B152" ref-type="bibr">Li et al., 2010</xref>
; <xref rid="B165" ref-type="bibr">Melrose et al., 2010</xref>
; <xref rid="B245" ref-type="bibr">Winner et al., 2011</xref>
). Mice harboring the R1441G mutation demonstrate a strong behavioral phenotype and altered dopamine release recapitulating the cardinal features of PD (<xref rid="B153" ref-type="bibr">Li et al., 2009</xref>
). In particular these mice showed reduced rearing by 12 months that could be rescued by <sc>L</sc>
-DOPA suggesting that the behaviors are dependent on dopamine. In a more recent study, R1441G KI mice showed perturbed dopamine homeostasis resulting in presynaptic dysfunction and locomotor deficits (<xref rid="B157" ref-type="bibr">Liu et al., 2014</xref>
). Thus, LRRK2 mouse models have been shown to be a useful tool to understand the role of dopaminergic dysfunction in PD.</p>
</sec>
<sec><title>Parkin, Phosphatase and Tensin Homolog (PTEN)-Induced Putative Kinase-1 and DJ-1</title>
<p>Other studies indicate that autosomal recessive forms of familial PD are due to gene mutations in parkin, PTEN-induced putative kinase 1 (PINK1), and DJ-1 (<xref rid="B26" ref-type="bibr">Bonifati et al., 2003b</xref>
). Parkin is an ubiquitin E3 ligase that is important in adenosine triphosphate-dependent protein degradation (<xref rid="B249" ref-type="bibr">Zhang et al., 2010</xref>
). Parkin KO mice, with exon 2 replaced with the neomycin-resistant gene, show mild, progressive motor deficits but normal emotionality, learning and memory (<xref rid="B193" ref-type="bibr">Perez and Palmiter, 2005</xref>
; <xref rid="B100" ref-type="bibr">Harvey et al., 2008</xref>
). Other parkin KO models have showed that the deletion of exon 3 resulted in reduced synaptic excitability in the nigrostriatal pathway and severe motor impairments in the beam traversal and rotarod tasks (<xref rid="B93" ref-type="bibr">Goldberg et al., 2003</xref>
). Recent studies indicated that mice with the parkin gene deletion on exon 3 have normal olfaction, anxiety, and depressive-like behaviors, but short-term spatial memory deficits (<xref rid="B204" ref-type="bibr">Rial et al., 2014</xref>
). However, in all of these KO models, the progressive loss of nigrostriatal dopaminergic neurons or enhanced vulnerability to dopaminergic neurotoxins were not observed (<xref rid="B204" ref-type="bibr">Rial et al., 2014</xref>
). This suggests that these KO models may be only useful in studying the early-onset stages of PD. Other studies have created transgenic mice expressing a truncated human mutant parkin (Q311 X) driven by a Slc6a3 dopamine transporter promoter (<xref rid="B159" ref-type="bibr">Lu et al., 2009</xref>
). The parkin-Q311X mice developed age-dependent dopaminergic neuron degeneration in the substantia nigra and showed late-onset and progressive motor deficits (<xref rid="B159" ref-type="bibr">Lu et al., 2009</xref>
). This study provides evidence for dominant-negative modulatory effects of a parkin mutant on dopaminergic neuron degeneration and hypokinetic motor deficits in PD. Parkin selectively binds to PINK1 and upregulates PINK1 levels, which affects the stability, solubility, and formation of Lewy bodies (<xref rid="B239" ref-type="bibr">Um et al., 2009</xref>
). PINK1 is a mitochondrial serine/threonine kinase, implicated in apoptosis, mitochondrial dysfunction, and impaired dopamine release (<xref rid="B84" ref-type="bibr">Gandhi et al., 2006</xref>
). One of the first studies to generate conditional PINK1-silenced transgenic mice used the Cre/loxP inducible system to regulate the expression of PINK1 shRNA by crossing it to CMV-Cre transgenic mice (<xref rid="B251" ref-type="bibr">Zhou et al., 2007</xref>
). However, these mice showed no striatal dopaminergic neurodegeneration or changes in nigral dopaminergic neuron numbers, and no impairments in motor activity (<xref rid="B251" ref-type="bibr">Zhou et al., 2007</xref>
) suggesting that the silencing of PINK1 by conditional RNA interference is insufficient to cause dopaminergic neuron death salient with PD. In another study, PINK1 KO mice were created by deleting the kinase domain through introducing a nonsense mutation (<xref rid="B136" ref-type="bibr">Kitada et al., 2007</xref>
). These KO mice had a normal number of nigral dopaminergic neurons but impairments in corticostriatal LTP and LTD that could be rescued with dopamine receptor agonists (<xref rid="B136" ref-type="bibr">Kitada et al., 2007</xref>
). Thus, the full rescue of the synaptic deficits indicates that post-synaptic D1 and D2 receptor function is intact and suggest specific presynaptic dopaminergic defects and loss of dopaminergic terminals (<xref rid="B132" ref-type="bibr">Kessler et al., 2005</xref>
). The precise function of DJ-1 is unknown, however, it has been found to be important in protecting mitochondria against oxidative stress, cellular transformation, transcriptional regulation, and androgen-receptor signaling (<xref rid="B147" ref-type="bibr">Lev et al., 2007</xref>
). The DJ-1 gene encodes a ubiquitous, highly conserved protein predominantly expressed in neurons and glia cells (<xref rid="B40" ref-type="bibr">Canet-Aviles et al., 2004</xref>
). Human studies have shown that deletion of the first five exons of the DJ-1 promoter result in progressive neurodegeneration (<xref rid="B25" ref-type="bibr">Bonifati et al., 2003a</xref>
,<xref rid="B26" ref-type="bibr">b</xref>
). Thus DJ-1 null mice were generated, lacking the first five exons and part of the promoter region of DJ-1, to mimic the human deletion (<xref rid="B47" ref-type="bibr">Chen et al., 2005</xref>
). These mice showed age-dependent progression of motor deficits and significantly increased levels of striatal dopamine (<xref rid="B47" ref-type="bibr">Chen et al., 2005</xref>
). Other studies have examined DJ-1 KO mice through disrupting exon 2, the first coding exon of DJ-1 (<xref rid="B134" ref-type="bibr">Kim et al., 2005</xref>
). These mice had no changes in nigrostriatal dopamine levels but decreased motor functions (<xref rid="B134" ref-type="bibr">Kim et al., 2005</xref>
). Together these studies suggest that the loss of parkin, PINK1, or DJ-1 induces motor impairments consistent with the PD phenotype, though their effect on striatal dopaminergic degeneration is inconclusive. Therefore, recent studies have examined the synergistic effects of inactivating all three recessive PD genes that are believed to be essential for the survival of nigral neurons. These triple parkin, PINK1, and DJ-1 KO mice (TKO) were generated by first crossing parkin KO with DJ-1 KO mice, which were then interbred to obtain double parkin/DJ-1 KO mice (<xref rid="B137" ref-type="bibr">Kitada et al., 2009</xref>
). PINK heterozygous mice were then crossed with parkin KO/DJ-1 heterozygous mice to obtain TKOs. The TKO mice were viable and fertile with no overt brain anatomical abnormalities (<xref rid="B137" ref-type="bibr">Kitada et al., 2009</xref>
). Surprisingly, these TKO mice showed normal morphology and did not result in a loss of dopaminergic neurons in the substantia nigra and locus coeruleus at ages ranging from 3, 16, 24 months (<xref rid="B137" ref-type="bibr">Kitada et al., 2009</xref>
). This suggests that all three recessive genes are not required for the survival of dopaminergic neurons but may be protective against age-dependent disruptions in PD.</p>
</sec>
</sec>
<sec><title>Conclusion</title>
<p>In this review, we have briefly discussed selected mouse models of a number of brain disorders that are generated using genetic manipulation techniques, including transgenic mice and knockout/knock-in plus conditional Cre/loxP and inducible systems. The brain diseases that we have focused on include childhood developmental disorders such as autism, ID, FXS, and Williams-Beuren syndrome, neuropsychiatric disorders such as schizophrenia, and neurodegenerative disorders such as AD and PD. It is clear that availability of these mouse models has enabled systematic investigations of the <italic>in vivo</italic>
function of many disease-related genes at various levels from gene to behavior, and thus contributed significantly to our understanding of the neurobiological basis of the diseases. It is expected that further analysis of these existing mice, plus additional models with more precise spatial and temporal specificity, will continue to reveal new findings that will enhance our understanding and treatment of various brain diseases.</p>
</sec>
<sec><title>Author Contributions</title>
<p>All authors listed, have made substantial, direct and intellectual contribution to the work, and approved it for publication.</p>
</sec>
<sec><title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
<p>The handling Editor declared a shared affiliation, though no other collaboration, with the authors and states that the process nevertheless met the standards of a fair and objective review.</p>
</sec>
</body>
<back><ack><p>This work has been supported by Canadian Institutes of Health Research (CIHR, MOP119421, ZPJ), Canadian Natural Science and Engineering Research Council (NSERC, RGPIN341498, ZPJ), China-Canada CIHR Joint Health Research Initiative Program (CCI117959, ZPJ) and the Hospital for Sick Children Foundation.</p>
</ack>
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