{'fraction_non_alphanumeric': 0.028453622299461596, 'fraction_numerical': 0.015266135078034485, 'mean_word_length': 5.126722338204593, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Motor neuron degeneration in a mouse model of seipinopathy

Heterozygosity for missense mutations (N88S/S90L) in BSCL2 (Berardinelli–Seip congenital lipodystrophy type 2)/Seipin is associated with a broad spectrum of motoneuron diseases. To understand the underlying mechanisms how the mutations lead to motor neuropathy, we generated transgenic mice with neuron-specific expression of wild-type (tgWT) or N88S/S90L mutant (tgMT) human Seipin. Transgenes led to the broad expression of WT or mutant Seipin in the brain and spinal cord. TgMT, but not tgWT, mice exhibited late-onset altered locomotor activities and gait abnormalities that recapitulate symptoms of seipinopathy patients. We found loss of alpha motor neurons in tgMT spinal cord. Mild endoreticular stress was present in both tgMT and tgWT neurons; however, only tgMT mice exhibited protein aggregates and disrupted Golgi apparatus. Furthermore, autophagosomes were significantly increased, along with elevated light chain 3 (LC3)-II level in tgMT spinal cord, consistent with the activation of autophagy pathway in response to mutant Seipin expression and protein aggregation. These results suggest that induction of autophagy pathway is involved in the cellular response to mutant Seipin in seipinopathy and that motoneuron loss is a key pathogenic process underlying the development of locomotor abnormalities.


Subject Category: Experimental medicine
Seipin proteins, encoded by the Berardinelli-Seip congenital lipodystrophy type 2 (BSCL2) gene in human, are endoreticular (ER) membrane proteins consisting of 398 (short-form) or 462 (long-form) amino acids. [1][2][3] The long form is the predominant form in human. 4 Loss of Seipin functions due to null mutations or premature stop codon mutations is associated with a rare autosomal-recessive form of lipodystrophy, which is characterized by severe lipoatrophy, insulin resistance and hypertriglyceridemia. 5,6 Two defined missense mutations in the BSCL2 gene that disrupt the N-glycosylation motif (N-X-S/T), namely N88S and S90L, are associated with a number of motor neuron diseases, including distal hereditary motor neuropathy type V and Silver syndrome/spastic paraplegia 17. 1,7,8 Both upper and lower motor neurons, and peripheral motor axons are differentially affected in patients with these mutations. 9,10 The broad spectrum of Seipinrelated motor neuron diseases is collectively referred to as seipinopathy. 3,[9][10][11] There is no effective treatment option for seipinopathy due to incomplete understanding of the pathogenesis of the disease.
Previous studies reported that the N88S/S90L mutations resulted in the formation of cytoplasmic inclusions and enhanced ubiquitination, leading to unfolded protein accumulation in the ER and eventually ER-stress-associated cell death. 2,3,8,12 A recent report using a transgenic mouse model overexpressing N88S mutant Seipin suggested that ER stress, but not neuronal loss, was one of the key pathogenic processes. 13 As the proposed ER-stress model was based on either in vitro results or a mouse study that compared the mutant transgenic mouse line with non-transgenic wild-type (WT) mice as controls, instead of with a transgenic mouse line overexpressing WT Seipin, it was unclear whether ER stress was simply the result of protein overexpression of the transgene or specific to the mutant Seipin in the mutant transgenic line. Therefore, the underlying mechanism of how mutant Seipin leads to motor neuron dysfunction remains enigmatic.
In this study, we generated transgenic mouse models with neuron-specific overexpression of either WT (tgWT) or N88S/ S90L mutant (tgMT) human Seipin. Remarkably, similar to motor neuron diseases such as familial amyotrophic lateral sclerosis (fALS), tgMT mice developed late-onset progressive motor phenotypes related to both upper and lower motor neurons, reminiscent of seipinopathy. We found that mutant 1 Laboratory of Metabolic Medicine, Singapore Bioimaging Consortium, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore; 2 Department of Anatomy, National University of Singapore, Singapore, Singapore; 3  Seipin formed protein aggregates in the CNS neurons of tgMT mice and caused a specific loss of alpha motor neurons in the ventral horn of spinal cord. There was no obvious upregulation of ER-stress or inflammation markers in tgMT mice when compared with tgWT mice. Surprisingly, an increase of autophagosomes, along with an increase of LC3-II level, was detected in the spinal cord of tgMT mice, consistent with the activation of autophagy pathway. Taken together, these results suggest autophagy and motor neuron loss, but not ER stress, as key pathogenic processes underlying seipinopathy development.

Results
Generation of transgenic mice expressing WT or N88S/ S90L mutant human Seipin. Although both N88S and S90L mutations disrupt N-glycosylation of Seipin, patients carrying either N88S or S90L mutation exhibit different subtypes of motor neuropathy phenotypes. 14,15 To establish an animal model to study a wide range of seipinopathy, we generated a transgenic mouse line with neuron-specific expression of N88S/S90L double mutant human Seipin under the control of Thy1.2 promoter, along with a control mouse line expressing WT human Seipin under the same promoter ( Figure 1a). 16,17 Similar strategy to harness synergistic effects of mutations was adopted in mouse models of Parkinson disease 18 and Alzheimer disease. 19 The coding sequence for the Myc-human Seipin fusion protein was placed upstream of an IRES (internal ribosome entry site)-GFP cassette, followed by hGH poly-A and SV40 enhancer ( Figure 1a). We established transgenic mouse lines by backcrossing the founders to B6C3F1 hybrid mice, and selected the mouse line with highest expression levels of WT (tgWT) or N88S/S90L mutant (tgMT) Seipin in the central nervous system (CNS) (Figure 1b). The expression of exogenous Seipin (anti-myc) and endogenous Seipin (anti-Seipin) was similar in the cortex of transgenic animals (Figures 1c-e). The mutant Seipin formed cytoplasmic protein aggregates in tgMT CNS as reported previously ( Figure 1e). 2,3,8 N88S/S90L mutant Seipin transgenic mice develop locomotor deficits. We first measured the body weight of transgenic animals, and found that both tgWT and tgMT mice showed similar body weight as their non-transgenic littermates at all age points tested (Figure 2a). We next examined the metabolic indices of these animals by using a Comprehensive Lab Animal Monitoring System (CLAMS). Six pairs of tgMT or tgWT mice and their non-transgenic littermates between 8 and 9 months of age were measured over a 6-day period after 1 day of acclimatization. We found no deficits in metabolic parameters, including basal metabolic rate (BMR; measured by basal oxygen consumption), respiratory exchange rate (RER) or food intake in the transgenic mice (data not shown). Remarkably, tgMT mice showed significantly increased vertical activities at both day-and nighttime compared with their non-transgenic littermates, whereas no such difference was observed between tgWT mice and their control littermates (Figure 2b). These findings indicate that the change in locomotor activities of tgMT mice was not due to a nonspecific effect of protein overexpression, but a consequence of mutant Seipin expression.
To evaluate whether the transgenic mice recapitulate behavioral phenotypes of seipinopathy patients, we examined hand muscle strength by grip strength test and gait ataxia by footprint analysis in the transgenic mice and their respective non-transgenic littermate controls. Compared with their littermate control and tgWT mice, tgMT mice showed significantly decreased grip strength (Figure 2c), indicating the onset of hand muscle weakness due to lower motor neuron disturbance. For footprint analysis, we measured stride length and base width to detect ataxic gait, and the overlap between forepaw and hindpaw placement to assess the accuracy of foot placement and the uniformity of step alternations. 20 We recorded these parameters for a group of 11-to 12-month-old tgMT mice and their control littermates on a paper runway (Figure 2d), and measured the stride length, base width and overlap for each mouse (Figure 2e). Compared with control, tgMT mice exhibited abnormal gait, as evidenced by increased forelimb and hindlimb stride lengths (Figure 2f), suggesting abnormalities of upper motor neurons in tgMT mice. These results indicated that the onset of motor phenotypes was slowly progressive in tgMT mice as weakness in grip strength could be detected only after 8 months of age and gait abnormalities 11-12 months of age. In contrast, no significant gait abnormality was observed in tgWT mice (Supplementary Figure S1). These results demonstrate that the late-onset and progressive distal motor dysfunction in tgMT mice mimic those of human patients with seipinopathy. 21 Mutant Seipin forms aggregates in the CNS of tgMT mice. Motor behavioral dysfunction disease, such as fALS, is often associated with dysfunction and/or loss of motor neurons. [22][23][24] We examined the histology of the spinal cord by Nissl staining in tgMT mice, and compared with their nontransgenic littermates and tgWT mice. We noticed the appearance of cytoplasmic vacuolization and cellular swelling in the motor neurons of tgMT mice, but not in nontransgenic or tgWT mice (Figure 3a), indicating that the tgMT motor neurons might be undergoing degeneration. 25 We then performed immunofluorescence study using anti-Myc antibody to visualize the transgenic expression of mutant and WT Seipin. Similar to the findings in the cortical neurons of tgMT mice (Figure 1e), we observed protein aggregates widely present in the spinal cord motor neurons in B7-month-old tgMT mice (Figure 3b). Approximately 20% cortical and 40% spinal neurons of tgMT mice were found to contain Seipin aggregates, while none in non-transgenic control or tgWT mice (Figure 3c). To assess the onset of Seipin aggregates, we also examined the transgenic mice at B1 month of age. Cytoplasmic mutant Seipin aggregates were present in very few cortical neurons, but in many spinal cord motor neurons (data not shown), indicating that mutant Seipin aggregates form early in life.
we quantitated the numbers of motor neurons in Nisslstained transverse lumbar spinal cord cross-sections ( Figure 4a). We did not observe any apparent difference in the total number of motor neurons between tgMT mice and tgWT or control mice ( Figure 4c). As neuronal DNA-binding protein NeuN marks alpha but not gamma motor neurons, 26 we used anti-NeuN antibody to label specifically alpha motor neurons with large diameters and noticed that the number of alpha motor neurons was significantly reduced in the spinal cord of tgMT mice (Figures 4b and c). These results suggest that mutant Seipin specifically affects alpha motor neurons in the spinal cord of tgMT mice, which may lead to the development of locomotor dysfunctions.
Slight increase in ER-stress and inflammatory responses in both tgMT and tgWT mice. Previous in vitro studies suggested that mutations at the N-glycosylation site of Seipin caused accumulation of misfolded protein in the ER, leading to the induction of ER stress and unfolded protein response (UPR) and eventually cell death. 12,27 Therefore, we tested this hypothesis in the CNS of tgWT and tgMT mice. As UPR and inflammatory responses are intimately connected, 28,29 we analyzed the mRNA levels of well-established ER-stress markers BiP and CHOP, major inflammatory cytokines TNF-a and IL-6 and inflammatory mediators iNOS and COX2. Unexpectedly, most of these genes showed similar expression levels in the CNS of tgWT, tgMT and their control mice. In both tgWT and tgMT mice, BiP expression was increased in the spinal cord, but unaltered in the brain when compared with control mice (Figures 5a and b). We also performed immunoblots to determine the levels of UPR-responsive proteins BiP, activating transcription factor 4 (ATF4) and activating transcription factor 6 (ATF6). 30 Consistent with the qRT-PCR results, BiP was increased in the spinal cord of both transgenic mouse lines when compared with their respective controls (1.5 ± 0.2-and 1.5 ± 0.1-fold increase over control for tgWT and tgMT, respectively; N ¼ 4-5). No difference was observed between tgWT and tgMT in BiP, ATF4 or ATF6 expression levels (Figures 5c and d). We next examined glial fibrillary acidic protein (GFAP) expression in the lumbar spinal cord sections of transgenic mice by immunohistochemistry (IHC), but found no difference between tgWT and tgMT mice (Figures 5e and f). We also probed GFAP protein expression in the spinal cord by immunoblotting, and there was no difference between the two transgenic mouse lines ( Figure 5g). These results suggest that ER stress is similarly induced in tgWT and tgMT mice, which is likely the result of overexpression of the transgenic proteins. Although the upregulation in stress response may have a role in disease progression, it is unlikely that this is the major pathogenic factor responsible for the development of locomotor deficits in tgMT mice.
Fragmentation of the Golgi apparatus in the spinal cord motor neurons of tgMT mice. To further evaluate the pathology responsible for the loss of alpha motor neurons, we performed coimmunostaining of Seipin (using anti-Myc antibody) with various Golgi apparatus (GA) markers and an ER-Golgi transport vesicle marker COPII. In contrast to the defined structures observed in the normal motor neurons in tgWT and control mice, the motor neurons in tgMT mice showed discrete GA fragments and aggregated or dispersed distribution of COPII ( Figure 6). We also performed in vitro studies using Seipin-overexpressing NSC-34 cells, where GA fragmentation and dispersed COPII staining were found in cells expressing N88S/S90L mutant Seipin (data not shown). These results suggest that motor neurons from tgMT mice may be undergoing cell death.
Activation of autophagy pathway in tgMT mice. Motor neuron diseases have been linked with autophagy, which is critical for misfolded protein degradation, and overactivated autophagic response may result in progressive neurodegeneration. [31][32][33] To study whether autophagy was specifically altered in the CNS of tgMT mice, we examined microtubuleassociated protein 1 LC3, an established autophagy marker, by immunostaining and immunoblots. Compared with the moderate LC3 staining in control or tgWT mice, the majority of the spinal cord motor neurons of tgMT mice showed a significant increase in LC3 fluorescence, which was wellcolocalized with intracellular Seipin aggregates (Figure 7a). Furthermore, the protein levels of LC3-II in the spinal cord of tgMT mice were increased compared with age-matched tgWT mice (Figures 7b and c). In contrast, immunostaining of the brain sections showed no significant changes in the cortical neurons of tgMT mice compared with tgWT mice, implying a spinal motor neuron-specific increase of the LC3 levels (data not shown). To further confirm autophagosome was induced in the tgMT spinal cord, we performed electron microscopy (EM) analysis of spinal cord cross-sections of 8month-old tgWT and tgMT mice. Multilamellar, membranous structures were readily detectable in the dendritic neuropil of ventral horn motor neurons of tgMT mice, but not in tgWT mice (Figure 7d). These structures, containing concentric layers of membranes, and sometimes within a vacuole-like structure, were identified as a form of autophagosomes. 34,35 Compared with the spinal neurons, glial cells in tgMT mice showed few changes, indicating that the changes in tgMT mice were specific to neurons.

Discussion
This study was aimed to generate a mouse model of seipinopathy and to elucidate the cellular and molecular alternations in the CNS as a result of N88S/S90L mutant Seipin expression, with the view that this would lead to better understanding of the pathological changes in seipinopathy. Our findings demonstrate an association between the neuronspecific overexpression of N88S/S90L mutant human Seipin and progressive motor impairments in tgMT mice. The key pathological features are the formation of mutant protein aggregates and selective loss of alpha motor neurons with increased autophagosomes. As both upper and lower motor neurons are involved in human patients of Seipinopathies, these transgenic mice may serve as a valuable tool for understanding of disease pathology and development of future therapeutic strategies. Both tgWT and tgMT mice showed high levels of human Seipin overexpression under the control of a neuron-specific promoter in the brain and spinal cord. As expected, tgMT mice exhibited pathologic motor phenotypes, including weaker grip strength, gait ataxia and altered locomotor activities compared with their littermates. These phenotypes recapitulated clinical aspects of patients of Seipinopathies.
A previous study using mutant Seipin transgenic mice reported that the development of progressive motor deficits was associated with ER stress. 13 In that study, the authors examined expression levels of ER-stress markers BiP and protein disulfide isomerase in the cerebrum by western blots (WBs), and BiP (by using KDEL antibody) and ER-stress signaling molecule X-box binding protein 1 in the spinal cord by IHC, and showed that ER stress was induced in the cerebrum and spinal cord of mutant Seipin transgenic mice. However, comparisons were made between mutant Seipin transgenic mice and non-transgenic control littermates, instead of with WT Seipin transgenic mice. Without testing the WT Seipin transgenic mice, it is not possible to ascertain that the observed differences were the result of mutant Seipin overexpression, and not a nonspecific effect due to the overexpression of an exogenous protein.
In this study, we tested for the first time both WT and mutant Seipin transgenic mouse lines. We examined the expression levels of wellestablished ER-stress and inflammatory markers in tgWT and tgMT mice, but did not detect a significant increase in any of these markers for tgMT when compared with tgWT mice. The mild increase in BiP in the spinal cord for both tgWT and tgMT compared with their control littermates was likely the result of overexpression of human Seipin in these mice, and not specific to mutant Seipin. And as such, ER stress alone was unlikely the cause for the observed motor deficits in the tgMT mouse line carrying the N88S/S90L double mutations.
However, we could not rule out the possibility that some pathogenic consequences due to Seipin overexpression, such as ER stress, could still be present in our transgenic mouse lines, or that ER stress might still contribute to the development of motor neuropathy in tgMT mice.
To study the cellular mechanisms underlying the observed motor phenotypes in tgMT mice, we examined neurons in the CNS of tgMT mice. Consistent with previous in vitro studies showing that mutant Seipin forms protein inclusions, 2,3,12 we found that mutant Seipin aggregates were widely distributed in the CNS neurons of tgMT mice. We also detected early pathology during motor neuron disease progression and neurodegeneration, such as vacuole-like structures and GA fragmentation in the large spinal motor neurons of tgMT mice. 25,[36][37][38][39][40][41] Some of the cellular changes, such as Seipin aggregates, could lead to disrupted axonal transport along the neurites. Moreover, we observed selected loss of alpha motor neurons labeled by anti-NeuN antibodies 26 in the spinal cord of the tgMT mice. As all these pathological features were present before the onset of major motor phenotypes such as gait ataxia, they likely have roles in the pathogenic process of the motor deficits.
Besides these pathological changes, we identified increased autophagy in the spinal cord of tgMT mice. Autophagy and the ubiquitin-proteasome system are the two major systems for cytoplasmic protein degradation in eukaryotic cells, and alternations to these systems are implicated in neurodegenerative diseases such as Parkinson's disease, Alzheimer's disease, Huntington's disease and ALS. 31,42 In particular, increased number of autophagosomes has been detected in the spinal motor neurons of ALS and its mouse model. [43][44][45] Without compensatory upregulation of degradation systems to clear the autophagic vacuoles, autophagic stress may be developed, which could be detrimental and promote cell death. [46][47][48] In this study, we observed increased formation of autophagosome structures only in the spinal cord of tgMT, but not in tgWT mice. Notably, EM studies did not reveal significant signs of apoptosis in tgMT mouse spinal cord sections, supporting the insidious and slow-progressing nature of neuronal degeneration and death associated with the late onset of motor phenotypes in our tgMT mice. We suggest that such chronic pathogenic Taken together, the neuron-specific overexpression of N88S/S90L mutant Seipin leads to slowly progressive upper and lower motor neuron pathologies reminiscent of phenotypes in seipinopathy patients. Seipin aggregates result in a series of pathological changes in the neurons, including GA fragmentation. Such changes may eventually lead to the loss of alpha motor neurons in tgMT mice, and the ensuing motor phenotypes. Importantly, we show that activation of autophagic response instead of elevation of ER stress or inflammatory response is specifically involved in this process. The increased autophagic activity may be a compensatory response to accelerate the removal of mutant Seipin aggregates and to protect motor neurons from apoptosis, and thus delaying the progression of motor phenotypes. On the other hand, excess autophagy may also be detrimental to neurons. 48,49 Our novel mouse model of motor neuropathy will allow future studies to investigate pathogenic mechanism of Seipin mutations, and may be valuable for developing therapeutic strategies for seipinopathy and other motor neuron diseases.

Materials and Methods
Animal welfare. All experiments involving animals were reviewed and approved by Institutional Animal Care and Use Committee of Agency for Science, Technology and Research (A*STAR) in Singapore (IACUC nos. 080351 and 090428). All mice used in this study were bred and housed in the animal facility. They were maintained at 25 ± 1 1C on a 12 h/12 h light/dark cycle (0700-1900 h), and allowed free access to water and rodent chow (15% kcal from fat; Harland Tekland, Madison, WI, USA). Transgenic mice were bred with non-transgenic WT mice, and age-and gender-matched non-transgenic mice from such breeding were used as controls to the transgenic mice in all the experiments.

Construction of plasmids.
To generate Myc-tagged Seipin in an expression vector, full-length mouse WT Seipin (WT-Seipin) was cloned into pCMV5-Myc by inserting the PCR product using mouse Seipin cDNA (Addgene, Cambridge, MA, USA) as the template with the following primers: 5 0 -GCCAATTGGCATGATACATCAAAGAAGAG-3 0 and 5 0 -GGAGATCTTCAG-GAACTGGAGCAGGTC-3 0 . DNA sequence containing Myc-tagged WT-Seipin was cut out from the resulting vector and inserted into lentiviral expression vector L309. Site-directed mutagenesis to introduce N88S/S90L mutations to these WT-Seipin constructs was carried out by using a QuikChange II XL Site-Directed Mutagenesis Kit (Stratagene, La Jolla, CA, USA). All the DNA plasmids used in this study were verified by sequencing.
Generation of WT and N88S/S90L mutant transgenic mice. The Thy1-Myc-Seipin transgene, containing the human WT-Seipin or N88S/S90L mutant Seipin (Mut-Seipin) cDNA under the control of the mouse Thy1 promoter, was constructed by placing the 2.7-kb Myc-Seipin-IRES-GFP, hGH polyadenylation signal and SV40 enhancer cassette into XhoI site of the pThy1 transgenic vector by blunt ligation (Figure 1a). The purified linear transgenic vector was injected into fertilized oocytes using standard techniques. 50 Transgenic founders were identified by genotyping from tail DNA using the following primer pair: 5 0 -CCTTATTCCAAGCGGCTTC and 5 0 -GACTATGCGGAGTTGACTCC, and bred to B6C3F1 hybrid mice to establish independent transgenic lines. The transgenic lines with the highest expression levels of WT-Seipin (tgWT) or Mut-Seipin (tgMT) were selected for further studies. RNA isolation, reverse transcription and quantitative real-time PCR analysis. Gene expression was assessed by quantitative real-time PCR analysis as described previously. 51 Briefly, total RNA was extracted from tissues by TRIzol method (Invitrogen, Carlsbad, CA, USA). RNA samples were treated with DNase and reverse transcribed using random hexamer primers. The cDNAs were then used for qPCR analysis in triplicates. Primer sequences used for q-PCR were 5 0 -CCGTCTACAGAAAAGGTAGAC-3 0 and 5 0 -GCAGCAGCTGGTGGTTC CTC-3 0 for human Seipin, and 5 0 -TCCGACAAAGGGATAACTCACA-3 0 and 5 0 -G GTAGATTCCTGACCTGGCTGATG-3 0 for mouse Seipin.
Oxymax/CLAMS. Oxymax/CLAMS (Columbus Instruments, Columbus, OH, USA) was used to measure individual mouse on their oxygen consumption (VO 2 ), carbon dioxide production (VCO 2 ), activities and food intake essentially as described previously. 52 Six pairs of tgMT and control littermates were used for measurements at 5 months of age and later at 8-9 months of age, and six pairs of tgWT mice and control mice were examined at 8-9 months of age. Mice were individually housed at 24 ± 1 1C, and given free access to chow and water. All the measurements were taken every 15 min for 6 days after the mice were acclimatized for 1 day. BMR was determined by averaging lowest plateau region of oxygen consumption curve corresponding to resting periods. The RER was calculated as the ratio between VCO 2 and VO 2 . X total, X ambulatory and Z total movements were a tally of the number of times the motion sensors detected for horizontal, ambulating and vertical movement, respectively. All data collected were averaged from 6 days' monitoring.
Grip strength. Grip strength of the forelimbs of transgenic mice was measured as described previously. 53 Briefly, 8-month-old tgWT or tgMT mice with their non-transgenic littermates, respectively, were brought to the testing room and allowed to acclimatize for 10 min before the test began. A grip strength meter (Columbus Instruments) was used to measure the forelimb grip strength of each mouse. Mice were held by the tail and allowed to place their forelimbs on the smooth metal pull bar connected to the force sensor, and then slowly pulled away until they released the bar. Untrained mice were tested three times without rest and the maximal force reached by each animal (in grams) was recorded. Footprint analysis. To assess the locomotion of transgenic mice, we performed footprint analysis using an adapted open-top runway system. 7,54 Briefly, tgMT mice and their non-transgenic littermates of 11-12 months old were analyzed once per week for three consecutive weeks. Mice were allowed to habituate the 10 Â 50 cm 2 walkway with a dark enclosed goal box at the end and then trained to walk steadily through the walkway. Each paw of a mouse was then dipped into nontoxic inkpads for labeling with a different color and footprints were then collected on paper spread on the floor of the walkway. Stride length, base length and overlap length were measured in 3-5 consecutive footprints of each animal.
Immunoblot analysis. Mouse tissue samples were resolved by SDS-PAGE and transferred to nitrocellulose membrane (Invitrogen), followed by specific primary antibodies and HRP-conjugated secondary antibodies. The proteins of interest were detected by ECL Western Blotting Detection Reagents (GE Healthcare, Buckinghamshire, UK) according to the manufacturer's instructions.
Histological studies. Mice used for IHC studies were B7 month old, unless specified otherwise. Freshly harvested mouse brain and spinal cords were fixed with 4% paraformaldehyde overnight, and then transferred to 30% sucrose in 0.1 M PBS for at least 24 h before OCT embedding. The 10-mm-thick cryosections were prepared for immunostaining. After permeabilization by 0.5% Triton X-100 in PBS for 10 min, sections were blocked with blocking buffer containing 2% BSA in PBS for 30 min, incubated with primary antibodies in blocking buffer for 1 h at room temperature, followed by fluorescein-conjugated secondary antibodies for another 1 h. Cryosections were then mounted using Vectasheild HardSet Mounting Medium with DAPI (Vector Labs, Burlingame, CA, USA) and images were collected by using a Nikon 90i or A1R Spectral Confocal microscope (Tokyo, Japan). For Nissl staining, motor neurons were counted in every 10th section of the lumbar spinal cord (L1-L6) from at least six pairs of tgWT or tgMT mice and their respective non-transgenic littermates. Neurons were stained with cresyl violet, and the number of total motor neurons and NeuN staining positive alpha motor neurons in the anterior horns were determined according to the previously described morphological criteria, where alpha motor neurons in the gray matter at the ventral horn were identified by their large size (nuclear diameter 49-10 mm; cell body diameter 420 mm). 55