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Homework answers / question archive / Article Microtubules Deform the Nuclear Membrane and Disrupt Nucleocytoplasmic Transport in TauMediated Frontotemporal Dementia Graphical Abstract Authors Francesco Paonessa, Lewis D

Article Microtubules Deform the Nuclear Membrane and Disrupt Nucleocytoplasmic Transport in TauMediated Frontotemporal Dementia Graphical Abstract Authors Francesco Paonessa, Lewis D

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Article Microtubules Deform the Nuclear Membrane and Disrupt Nucleocytoplasmic Transport in TauMediated Frontotemporal Dementia Graphical Abstract Authors Francesco Paonessa, Lewis D. Evans, Ravi Solanki, ..., John Hardy, Stephen P. Jackson, Frederick J. Livesey Correspondence r.livesey@ucl.ac.uk In Brief Paonessa et al. show that mutations in the gene encoding the microtubuleassociated protein tau that cause frontotemporal dementia result in microtubule-mediated deformation of the neuronal nucleus and disrupted nucleocytoplasmic transport. These data indicate that perturbed nucleocytoplasmic transport is a pathogenic mechanism in multiple forms of neurodegenerative disease. Highlights d Tau mutations cause microtubule-mediated deformation of the nucleus in dementia d Nuclear deformation results in defective nucleocytoplasmic transport d Neuronal nuclei are deformed in the post-mortem frontotemporal dementia brain d Disrupted nucleocytoplasmic transport is shared in multiple dementias Paonessa et al., 2019, Cell Reports 26, 582–593 January 15, 2019 ª 2018 https://doi.org/10.1016/j.celrep.2018.12.085 Cell Reports Article Microtubules Deform the Nuclear Membrane and Disrupt Nucleocytoplasmic Transport in Tau-Mediated Frontotemporal Dementia Francesco Paonessa,1,2 Lewis D. Evans,1,2 Ravi Solanki,1,2 Delphine Larrieu,1,5 Selina Wray,3 John Hardy,3 Stephen P. Jackson,1 and Frederick J. Livesey1,2,4,6,* 1Gurdon Institute, University of Cambridge, Tennis Court Road, Cambridge, CB2 1QN, UK Research UK Stem Cell Research Centre, University of Cambridge, CB2 1QN, UK 3Department of Molecular Neuroscience, UCL Institute of Neurology, Queen Square, London, WC1N 3BG, UK 4UCL Great Ormond Street Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK 5Present address: Cambridge Institute for Medical Research, University of Cambridge, Hills Road, Cambridge, CB2 0XY, UK 6Lead Contact *Correspondence: r.livesey@ucl.ac.uk https://doi.org/10.1016/j.celrep.2018.12.085 2Alzheimer’s SUMMARY The neuronal microtubule-associated protein tau, MAPT, is central to the pathogenesis of many dementias. Autosomal-dominant mutations in MAPT cause inherited frontotemporal dementia (FTD), but the underlying pathogenic mechanisms are unclear. Using human stem cell models of FTD due to MAPT mutations, we find that tau becomes hyperphosphorylated and mislocalizes to cell bodies and dendrites in cortical neurons, recapitulating a key early event in FTD. Mislocalized tau in the cell body leads to abnormal microtubule movements in FTD-MAPT neurons that grossly deform the nuclear membrane. This results in defective nucleocytoplasmic transport, which is corrected by microtubule depolymerization. Neurons in the post-mortem human FTD-MAPT cortex have a high incidence of nuclear invaginations, indicating that tau-mediated nuclear membrane dysfunction is an important pathogenic process in FTD. Defects in nucleocytoplasmic transport in FTD point to important commonalities in the pathogenic mechanisms of tau-mediated dementias and ALSFTD due to TDP-43 and C9orf72 mutations. INTRODUCTION The microtubule-associated protein tau (MAPT; tau) is involved in the pathogenesis of several different forms of dementia, including Alzheimer’s disease (AD), progressive supranuclear palsy, Pick’s disease, corticobasal degeneration, and frontotemporal dementia (FTD) (Lee et al., 2001; Spillantini and Goedert, 2013). FTD is the third most common cause of dementia, after AD and vascular dementia (Rossor et al., 2010). Autosomaldominant missense and splicing mutations in MAPT are causes of inherited or familial FTD (FTD-MAPT) (D’Souza et al., 1999; Goedert et al., 2012; Hutton et al., 1998). However, although it is well established that these mutations lead to hyperphosphorylation and aggregation of tau protein in vivo (Ballatore et al., 2007; Goedert et al., 2012), the cell biology of neuronal dysfunction and progressive neurodegeneration in this condition are currently not fully understood. In healthy neurons, tau protein is almost exclusively localized to the axon, and several mechanisms have been suggested for its highly polarized cellular localization, including selective mRNA and protein transport, local translation, and local degradation (Wang and Mandelkow, 2016). Mislocalization and aggregation of tau in neuronal cell bodies are common features of tau-mediated dementias, including FTD and AD (Fu et al., 2016; Thies and Mandelkow, 2007; Zempel and Mandelkow, 2015). Protein aggregation is widely considered as inherently pathogenic in neurodegeneration (Fitzpatrick et al., 2017; Herna?ndez-Vega et al., 2017), altering many cellular functions, most notably autophagy and proteostasis (Bence et al., 2001; Caballero et al., 2018; Lim and Yue, 2015). However, how MAPT mutations lead to tau hyperphosphorylation and mislocalization, the effects of this mislocalization on neuronal cell biology, and how this contributes to neuronal dysfunction and neurodegeneration all remain poorly understood. As a typical microtubule-binding protein, tau has several roles in regulating microtubule function and intracellular transport (Wang and Mandelkow, 2016). Tau binds both alpha and beta tubulin subunits of microtubules and has been demonstrated to both stabilize and promote microtubule growth (Kadavath et al., 2015; Witman et al., 1976). The presence of tau on microtubules can alter directions and rates of axonal transport (Dixit et al., 2008; Trinczek et al., 1999). Tau is a natively disordered protein and has recently been found to undergo fluid phase transitions at higher concentrations, nucleating microtubules when it does so (Herna?ndez-Vega et al., 2017). Therefore, it is likely that the changes in tau levels, post-translational modifications, and cellular localization that occur in dementia lead to alterations in microtubule biology, particularly in the neuronal cell body. To address the question of how MAPT mutations lead to neuronal dysfunction and neurodegeneration, we investigated the effects of two different classes of MAPT mutations on the cell biology of human iPSC-derived cortical neurons. We find that both missense and splicing MAPT mutations cause mislocalization of tau to the cell bodies of neurons and marked changes 582 Cell Reports 26, 582–593, January 15, 2019 ª 2018 This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). in microtubule dynamics. Microtubules in the cell bodies of FTD-MAPT neurons actively deform the nuclear membrane, disrupting nucleocytoplasmic transport. Defects in nuclear envelope function, including nucleocytoplasmic transport, are an important pathological process in ALS-FTD because of repeat expansions in C9orf72 and TDP-43 mutations (Chou et al., 2018; Zhang et al., 2015, 2016, 2018). Our findings demonstrate that dysfunction of the nuclear membrane due to altered microtubule dynamics is a pathogenic process in dementias involving tau, expanding the group of neurodegenerative diseases that involve disrupted nucleocytoplasmic transport and suggesting common mechanisms of neuronal dysfunctional in these heterogeneous conditions. RESULTS Increased Phosphorylation and Altered Cellular Localization of Tau in FTD-MAPT Neurons To study the effects on neuronal cell biology of FTD-MAPT mutations, we generated excitatory cortical neurons (Shi et al., 2012b) from induced pluripotent stem cells (iPSCs) derived from individuals with different autosomal-dominant mutations in MAPT that are causal for early-onset FTD (Figures 1 and S1). We studied two different types of mutations: the MAPT IVS10+16 autosomal-dominant mutation, which increases inclusion of exon 10, encoding the second microtubule-binding repeat and thus altering the ratio of three (3R) and four (4R) tau isoforms (Hutton et al., 1998; Sposito et al., 2015), and the autosomal-dominant MAPT P301L missense mutation that produces an aggregation-prone form of tau (Wang and Mandelkow, 2016) (Figures 1 and S1). The cortical identity of the neurons generated and the reproducibility of the culture compositions among genotypes was confirmed by assessing the expression of a set of classifier genes that define different neuronal cell types (Figure S1). Total tau content was similar in neurons of each genotype, collectively referred to here as FTD-MAPT neurons (Figure 1A). Notably, tau phosphorylation was increased in FTD-MAPT neurons compared with controls (Figure 1A), including at Ser404 and Ser202/Thr205 (AT8), epitopes typically hyperphosphorylated in tau-mediated dementias (Alonso et al., 2004; Wang et al., 2013). As both mutations are dependent on expression of exon 10 of MAPT, we confirmed translation of exon 10 in neurons generated from all iPSC lines by western blotting and mass spectrometry (Figures 1B, 1C, and S1). No significant difference in insoluble, aggregated tau was detected by sarkosyl extraction between neurons of each genotype (Figure S1). Mislocalization of tau from axons to neuronal cell bodies and dendrites is an early event in FTD in vivo (Go?tz et al., 1995; Hoover et al., 2010; Kowall and Kosik, 1987). As expected, control neurons showed a predominantly axonal distribution of tau, with tau largely absent from MAP2-positive neuronal cell bodies and dendrites (Figure 1D). In contrast, tau was commonly present in MAP2-positive cell bodies and dendrites in both MAPT IVS10+16 and P301L neurons (Figures 1D and 1E). Furthermore, tau within cell bodies and dendrites of FTD-MAPT neurons was hyperphosphorylated, as detected by AT8-immunoreactivity (phospho-S202/T205) (Figure 1D). Microtubules Invade the Nucleus in FTD-MAPT Neurons Given the mislocalization of tau to the cell bodies of FTDMAPT neurons, we studied neuronal microtubule dynamics in control and FTD-MAPT neurons (Figures 2 and S2). Actively extending microtubules were live-imaged in iPSC-derived neurons of each genotype by expression of GFP-tagged EB3 (Figure 2; Videos S1 and S2), the microtubule plus-end binding protein (+TIP) (Akhmanova and Steinmetz, 2008). Total microtubule movements were not different between non-demented control and FTD-MAPT neurons, with similar rates of extensions and retractions measured among the various genotypes (Table S1). However, microtubule dynamics were qualitatively different in the cell bodies of control neurons compared with FTDMAPT neurons. Non-demented control neurons typically had many actively growing microtubules within the cell body that extended around a smooth, oval nucleus (Figures 2A and 2B; Video S1). In contrast, many FTD-MAPT neurons had microtubules with plus ends projecting into the nucleus (15 of 26 FTD-MAPT neurons) (Figure 2B), an event that was infrequently detected in both groups of control neurons (2 of 19) (Figure 2B). Notably, those microtubules that abnormally projected into the nucleus in FTD-MAPT neurons frequently originated from a pronounced focus that resembled a microtubule organizing center (Figure 2A; Video S1). These pronounced foci were not detected in either of the control neuronal lines. We confirmed that the EB3+ microtubules that project into the neuronal nucleus are dynamically growing microtubules, as the mobility of EB3+ comets was greatly reduced following acute microtubule depolymerization (with nocodazole) (Figures S2Band S2C; Video S2). Microtubules Deform the Nuclear Envelope in FTD-MAPT Neurons Microtubules couple to the nuclear membrane through the LINC complex (Crisp et al., 2006). This physical association results in transmission of mechanical forces that influence nuclear shape and integrity (Chang et al., 2015), affecting the function of the nuclear envelope (Webster et al., 2009). Given the abnormal projection of microtubules into the nucleus in FTD-MAPT neurons, we studied the shape of the nuclear envelope in iPSC-derived neurons. Marked differences were present in nuclear shape between non-demented controls and FTD-MAPT neurons, as demonstrated by large folds, or invaginations, of the laminB1-positive inner nuclear lamina within the nucleus (Figure 3). The neuronal identity of invaginated cells was confirmed by the co-staining with the cortical deep layer transcription factor CTIP2 and the pan-neuronal protein b3-tubulin (Figure 3). Quantification of the proportions of neurons with deformation of the nuclear membrane, as defined by the presence of laminB1-positive regions within the nucleus, (Figures 3B and S3), demonstrated that deep nuclear invaginations were present in approximately 25% of MAPT P301L and 40% of MAPT IVS10+16 neurons, compared with fewer than 10% of control neurons (Figure 3B). To confirm that microtubules actively deformed the nucleus in FTD-MAPT neurons, we acutely depolymerized microtubule with the small molecule nocodazole. This Cell Reports 26, 582–593, January 15, 2019 583 Figure 1. Increased Phosphorylation and Altered Cellular Localization of Tau in FTD-MAPT Neurons (A) Phosphorylated tau (pS404; AT8 [pS202/pT205]) is increased as a fraction of total tau (epitope 243–441) in frontotemporal dementia (FTD)-MAPT neurons (MAPT IVS10+16-A/B and MAPT P301L) compared with non-demented and MAPT P301 isogenic control neurons (induced pluripotent stem cell [iPSC]-derived neurons at 120 days in vitro [DIV]; three biological replicates). b-actin and b3-tubulin were used as controls. Molecular weight (kDa) is indicated. (B) Tau isoforms with three (3R; red) or four (4R; inclusion of region 2; green) microtubule-binding regions were detected by western blot analysis of dephosphorylated protein extracts from iPSC-derived control and FTD-MAPT cortical neurons (120 DIV) and from post-mortem human cerebral cortex (non-demented individual). Tau isoforms were identified relative to a commercial tau ladder (Sigma). Molecular weight (kDa) is indicated. (C) Peptide sequences identified by tau immunoprecipitation (IP)/mass spectrometry from iPSC-derived cortical neurons, confirming the inclusion of repeat 2 (corresponding to exon 10) of 4R tau. In MAPT P301L neurons, both proline and leucine were identified at position 301 (highlighted red). See also Figure S1. (D) Tau protein is mislocalized to MAP2-positive cell bodies and dendrites in iPSC-derived FTD-MAPT neurons. Confocal images of iPSC-derived control and FTD-MAPT neurons (120 DIV; tau, green; MAP2, red; DAPI, blue). Hyperphosphorylated, AT8-positive tau (AT8; green) is found in cell bodies of FTD-MAPT neurons (arrows) but not in controls (b3-tubulin, red; DAPI, blue). Scale bars, 20 mm. (E) Increased co-localization of tau and MAP2 protein in FTD-MAPT neurons, compared with non-demented control neurons, analyzed by Pearson’s R correlation (control lines, gray bars; FTD-MAPT lines, black). Significance was determined for three-sample comparison of non-demented control and two MAPT IVS10+16 lines using one-way ANOVA followed by Tukey’s test (*p < 0.05 and ***p < 0.001). Pairwise comparison of the MAPT P301L line and its isogenic control was carried out using Student’s t test (*p < 0.05); error bar represents SEM; n = 3 independent experiments. See also Figure S1. significantly reduced the proportion of neurons with nuclear invaginations and restored round nuclear morphology (Figures 3C and 3D). We conclude that the pronounced deformations of the neuronal nuclear membrane in FTD-MAPT neurons are actively mediated by microtubules. 584 Cell Reports 26, 582–593, January 15, 2019 Super-resolution Imaging Demonstrates Close Apposition of Tau and Tubulin within Nuclear Lamina Invaginations To further study the spatial relationships between tau, microtubules, and the nuclear envelope, we conducted a detailed Figure 2. Microtubules Invade the Nucleus in FTD-MAPT Neurons (A) Total microtubule trajectories (cumulative over a 200 s interval) overlaid on stills from GFP-EB3 live imaging (gray) demonstrate multiple microtubule extensions into the nuclei of FTD-MAPT neurons (MAPT IVS10+16-B and MAPT P301L; 120 DIV), compared with non-demented control neurons; white dotted line indicates the nuclear membrane. (B) GFP-EB3 growth tracks from representative neurons (cumulative over a 200 s interval) from FTD-MAPT neurons (MAPT IVS10+16-A/B and MAPT P301L) compared with non-demented and MAPT P301 isogenic control neurons (iPSC-derived neurons at 120 DIV; three biological replicates). Red arrows indicate examples of trajectories within the nucleus. Bars indicate the number of sampled neurons with (black), and without (white), nuclear EB3 growth tracks; n = number of imaged neurons. Scale bars, 10 mm. See also Video S1, Table S1, and Figure S2. analysis of the neuronal nucleus in iPSC-derived neurons using three-dimensional (3D) stimulated emission depletion (STED) super-resolution imaging. Three-dimensional STED imaging demonstrated that invaginations of the nuclear lamina present in FTD-MAPT neurons commonly extended deeply into the nucleus, in some cases traversing the entire length of the nucleus, forming pronounced folds (Figure 4A). In comparison, nuclei from non-demented controls had a regular, smooth morphology, with few examples of nuclear lamina invaginations (Figure 4A). As observed by confocal microscopy, tau protein was found to be abundant in the cell bodies of FTD-MAPT neurons by STED imaging and in those neurons was closely apposed to the outer nuclear membrane (Figure 4B). Both tau protein and neuronal tubulin were found within nuclear lamina invaginations in FTDMAPT neurons (Figure 4B). STED imaging demonstrated that tau within nuclear membrane invaginations is within hundreds of nanometers of the nuclear lamina (Figure 4C). Given that laminB1 filaments line the inner surface of the nuclear envelope, which is typically of the order of 15–60 nm in width (Burke and Stewart, 2013; Gerace and Huber, 2012), we conclude that tau is in close proximity to proteins in the outer membrane of the nuclear envelope in FTD-MAPT neurons. Tau-Containing Nuclear Lamina Invaginations in Neurons of the Post-mortem FTD-MAPT Cerebral Cortex Having identified nuclear lamina defects in iPSC-derived FTDMAPT neurons, we asked whether alterations of the nuclear lamina are also a feature of FTD-MAPT in vivo. To do so, we studied the incidence of invaginations of the nuclear lamina in the frontal and temporal cortex from two separate cohorts from independent brain banks, both containing individuals diagnosed with FTD due to MAPT IVS10+16 mutations and compared with age-matched non-demented controls. These cohorts were analyzed separately using different methods for detecting laminB1. We quantified the fraction of all nuclei with invaginations within each brain region (Figure 5). Similar results were obtained in both cohorts: the frequency of nuclear lamina invaginations was higher in the deep cortical layers in post-mortem cerebral cortices from individuals with FTD due to the MAPT Cell Reports 26, 582–593, January 15, 2019 585 Figure 3. Microtubules Deform the Nuclear Envelope in FTD-MAPT Neurons (A) Marked abnormalities of nuclear lamina shape in FTD-MAPT neurons. Confocal images of the nuclear lamina (laminB1, green) in FTD-MAPT neurons (MAPT IVS10+16-A/B and MAPT P301L; neuronal transcription factor CTIP2, red) compared with non-demented and MAPT P301 isogenic control neurons (120 DIV). White arrows indicate examples of nuclei with pronounced deformation of the nuclear lamina. (B) FTD-MAPT neurons have increased numbers of cells with deformed nuclear membranes, as defined by the shape of the inner nuclear lamina. Schematic of image analysis method used to quantify nuclear invaginations, as a measure of distortion of the nuclear membrane: nuclear area was established using DAPI (blue), and nuclear lamina (laminB1, green) was assigned as either nuclear boundary or invaginated (i.e., within the nucleus). The fraction of total laminB1 that was invaginated was used empirically to define a threshold for defining neurons as having nuclear membrane invaginations (see Figure S3 for details). Between 25% (MAPT P301L) and 40% (MAPT IVS10+16) of FTD-MAPT neurons have nuclear invaginations, compared with fewer than 10% of control neurons. Significance was determined for non-demented control and two MAPT IVS10+16 lines using one-way ANOVA followed by Tukey’s test (*p < 0.05); pairwise comparison of the MAPT P301L line and its isogenic control was carried out using Student’s t test (*p < 0.05); error bar represents SEM; n = 3 independent experiments. (C) Acute depolymerization of microtubules reverses nuclear lamina invaginations and restores rounded nuclear shapes. Confocal images of control and FTDMAPT neurons (using genotypes described in A; 120 DIV), treated with DMSO (vehicle) or 10 mM nocodazole for 3 h (laminB1, green; b3-tubulin, red; DAPI, blue). Scale bars, 10 mm. (D) The proportion of FTD-MAPT neurons with nuclear lamina invaginations is significantly reduced by nocodazole treatment. Quantification of neurons with abnormalities of the nuclear lamina was carried out as in B. n = 3 independent experiments; error bars represent SEM. Significance was determined using one-way ANOVA followed by Tukey’s test (*p < 0.05); error bar represents SEM; n = 3 independent experiments. See also Figure S3. IVS10+16 mutation, compared with non-demented control individuals (Figures 5 and S4). This was the case in both frontal and temporal cortex (Figures 5B, 5E, and 5F). Data from iPSC-derived FTD-MAPT neurons suggested that laminB1-positive nuclear invaginations would be associated with the presence of phosphorylated tau within the neuronal cell body. Consistent with this, we found that the nuclear lamina was grossly disrupted in neurons that had high levels of hyperphosphorylated (AT8+) tau and neurofibrillary tangles in the post-mortem FTD-MAPT IVS10+16 cerebral cortex (Figures 5C and S4B), and those neurons frequently contained pronounced nuclear lamina invaginations (Figures 5C and S4B). Furthermore, 586 Cell Reports 26, 582–593, January 15, 2019 nuclear lamina invaginations in such neurons also commonly contained AT8-positive hyperphosphorylated tau (Figure 5C). Disrupted Nucleocytoplasmic Transport in FTD-MAPT Neurons Abnormalities of the nuclear lamina are also found in aging diseases, such as Hutchinson-Gilford progeria syndrome (Broers et al., 2006). Nuclear membrane distortion in response to mechanical forces leads to deleterious effects on many aspects of nuclear function, disrupting nucleocytoplasmic transport (Kelley et al., 2011). We confirmed that the nuclear lamina/membrane invaginations present in iPSC-derived FTD-MAPT neurons also Figure 4. Super-resolution Imaging Demonstrates Close Apposition of Tau and Tubulin within Nuclear Lamina Invaginations (A) Three-dimensional reconstructions using STED imaging of the nuclear lamina (laminB1, green) in FTD-MAPT iPSC-derived neurons (MAPT IVS10+16 and MAPT P301L) reveal pronounced nuclear invaginations compared with non-demented and MAPT P301-isogenic control neurons (120 DIV). Scale bar, 10 mm. (B) Tau is in close proximity to the nuclear lamina within nuclear invaginations of FTD-MAPT neurons. STED imaging of control and FTD-MAPT iPSC-derived neurons (using genotypes described in A; 120 DIV; tau, green; b3-tubulin, red; DNA, Yo-Pro, blue). Detail from white boxes in upper panels, showing both merge of all channels, and single channel images of tau (green) or b3-tubulin (red). Dashed lines indicate the boundary between the nucleus (Nu) and cytoplasm (Cy). Arrows indicate invaginations into the nucleus. (C) Nuclear invaginations are lined with nuclear lamina and contain tau. STED imaging of MAPT IVS10+16-A neurons (120 DIV; tau, green; laminB1, red). Arrow indicates tau within a nuclear invagination, in close proximity to the laminB1-positive inner nuclear lamina. contained nuclear pores within these membrane folds, with nuclear pores (labeled by NUP98) co-localizing with laminB1positive invaginations (Figure S5A). To assess whether alterations in the nuclear membrane in FTDMAPT neurons result in defects in nucleocytoplasmic transport, we expressed NES:GFP and NLS:RFP from a single construct in iPSC-derived neurons (Mertens et al., 2015). This assay enables measurement of the integrity of both nuclear localization and accumulation and cytoplasmic retention and nuclear exclusion within individual neurons (Figures 6A and S5B). Control iPSCderived neurons had discrete cellular distributions of each protein, with prominent nuclear RFP and cytosolic GFP (Figure 6B). In contrast, localization of NLS:RFP was altered in FTD-MAPT neurons such that there was a marked decrease in the nuclear/ cytoplasmic RFP ratio (Figure 6C). Conversely, nuclear exclusion of NES:GFP was reduced in FTD-MAPT neurons, with an increase of GFP within the nucleus (Figure 6C). Together, these data demonstrate defects in the selective permeability of the nuclear envelope in FTD-MAPT neurons, indicating a general failure of nucleocytoplasmic transport within FTD-MAPT neurons. Defective nucleocytoplasmic transport may be a cumulative phenomenon due to protracted nuclear membrane damage, or an acute process due to microtubule-mediated nuclear membrane deformation. To distinguish between these mechanisms, we acutely depolymerized microtubules with nocodazole in control and FTD-MAPT neurons and quantified nucleocytoplasmic transport using the NES:GFP/NLS:RFP assay. This treatment corrected the distribution of both NES:GFP and NLS:RFP in FTD-MAPT neurons, restoring the nucleocytoplasmic ratios to the level of healthy control neuron (Figure 6D). We conclude that defective nucleocytoplasmic transport in FTD-MAPT neurons is an ongoing process due to microtubule-mediated deformation of the nuclear membrane. DISCUSSION The cellular and molecular biology of the pathogenesis of FTD due to MAPT mutations is not well understood. Currently, it is thought that MAPT mutations all lead to tau protein aggregation and that protein aggregation is the primary driver Cell Reports 26, 582–593, January 15, 2019 587 Figure 5. Tau-Containing Nuclear Lamina Invaginations in Neurons of the Post-mortem FTD-MAPT Cerebral Cortex (A) Increased incidence of laminB1-positive nuclear invaginations in vivo, in post-mortem FTD-MAPT IVS10+16 cortex compared with age-matched controls (cohort 1). Immunohistochemistry of laminB1 in (top) frontal and (bottom) temporal cortex from individuals with FTD due to the MAPT IVS10+16 mutation or agematched controls (non-demented). Red arrows indicate nuclei exhibiting nuclear invaginations. (B) Percentage of invaginated nuclei in deep layers of frontal and temporal cortex of two control (green) and two MAPT IVS10+16 individuals (red), calculated from 20 individual imaging fields (cohort 1). Nuclei were scored by three observers, blinded to the identity of the post-mortem samples, and the averages of the three measurements are shown. Error represents SEM. (C) Hyperphosphorylated, AT8+ tau within nuclear lamina invaginations in neurons of the frontal (top) and temporal (bottom) cortex of an individual carrying MAPT IVS10+16 mutation. Representative neurons, showing an extensive nuclear invagination (laminB1, green; DAPI, gray) containing hyperphosphorylated tau (AT8, red). White arrows indicate nuclear invaginations. Scale bars, 10 mm. See also Figure S4. (D) Representative confocal images from post-mortem FTD-MAPT IVS10+16 cortex compared with age-matched controls (cohort 2) showing laminB1 (red) and DAPI (blue); white arrows indicate nuclear invaginations. Scale bar, 10 mm. (E and F) Left: percentage of invaginated nuclei in deep layers of frontal (E) and temporal (F) cortex from six aged-matched controls and six FTD-MAPT IVS10+16 individuals (cohort 2) quantified using the analysis method described in Figures 3 and S3. Points indicate quantifications from individual fields. Right: pairwise comparison of the control and FTD-MATP groups show increased percentage of invaginated nuclei in pathology (points indicate individuals; cohort 2) carried out using Student’s t test (***p < 0.001); error bar represents SEM. of neurodegeneration (Ballatore et al., 2007; Spillantini and Goedert, 2013). However, protein aggregation may represent only the late stage of the disease, and the processes preceding and leading to neurofibrillary tangle formation and cellular dysfunction remain to be elucidated. Here we report the use of human stem cell systems to study the effects of those mutations on 588 Cell Reports 26, 582–593, January 15, 2019 neuronal cell biology, finding that tau-mediated dementias are accompanied by defective neuronal nucleocytoplasmic transport. Focusing on two different types of MAPT mutations causal for FTD, we have found that both IVS10+16 and P301L mutations lead to marked defects in nucleocytoplasmic transport in human Figure 6. Disrupted Nucleocytoplasmic Transport in FTD-MAPT Neurons (A) Functional assay demonstrates disrupted nucleocytoplasmic transport in human iPSC-derived FTD-MAPT neurons. Schematic illustrates lentiviral vector for co-expression of NES:GFP (nuclear export signal fused to GFP) and NLS:RFP (nuclear localization signal fused to RFP) within human neurons and relative distributions of both proteins in healthy neurons and in cells with defective nucleocytoplasmic transport. (B) Representative confocal images of control and FTD-MAPT neurons (MAPT IVS10+16-A/B and MAPT P301L; all 120 DIV) expressing GFP:NES and RFP:NLS (GFP, green; RFP, red; b3-tubulin). Grayscale images of NES-GFP and NLS-RFP localization in representative cells of each genotype are shown: FTD-MAPT neurons show an increase of GFP within the nucleus and a reduction in nuclear localization of NLS-RFP. Scale bars, 20 mm. (C) Quantification of the nuclear/cytoplasmic ratio for both NES:GFP and NLS:RFP demonstrates altered nuclear transport in FTD-MAPT genotypes relative to controls: NES:GFP is increased in the nuclei of FTD-MAPT neurons, whereas NLS:RFP is decreased (points indicate quantifications from individual fields, different shapes indicate measurements from different experiments). Significance was determined for non-demented control and two MAPT IVS10+16 lines using one-way ANOVA followed by Dunnett’s test (*p < 0.05, **p < 0.01, and ***p < 0.001). Pairwise comparison of the MAPT P301L line and its isogenic control was performed using Student’s t test (*p < 0.05); error bar represents SEM; n = 4 independent experiments. (legend continued on next page) Cell Reports 26, 582–593, January 15, 2019 589 neurons. We find that both missense and splicing mutations in MAPT alter tau protein localization and phosphorylation within iPSC-derived neurons within 4 months in cell culture, recapitulating a well-described aspect of early FTD pathology in vivo (Go?tz et al., 1995; Hoover et al., 2010; Kowall and Kosik, 1987), without detectable tau aggregation. Mislocalization of tau in the cell bodies of FTD-MAPT neurons in culture leads to marked changes in microtubule dynamics, causing deformation of the nuclear membrane both in cell culture and in the human FTDMAPT cortex in vivo. Disruption of the nuclear lamina is commonly associated with dysfunction of the nuclear envelope, and we find marked disruption of nucleocytoplasmic transport in FTD-MAPT neurons. Disrupted nucleocytoplasmic transport is due to ongoing microtubule-mediated nuclear membrane deformation, as it is corrected by acute microtubule depolymerization. Together, these data indicate that perturbation of the function of the nuclear membrane and disruption of nucleocytoplasmic transport is an important pathological process in FTD due to MAPT mutations. An early event in FTD is the mislocalization of tau from axons to cell bodies and dendrites, and this key stage in disease progression is also an early event in iPSC-derived models of FTD-MAPT. In vivo, mislocalization of tau is typically associated with tau hyperphosphorylation (Go?tz et al., 1995; Spillantini and Goedert, 2013). We find this also occurs in iPSC-derived FTD-MAPT neurons, where we detected increased tau phosphorylation at serine 202/threonine 205 (the AT8 epitope) and also at serine 404. The sequence in which mislocalization and hyperphosphorylation take place in FTD in vivo, and in iPSC-derived FTD-MAPT neurons in culture, is not currently clear, nor are the mechanisms by which these processes occur. The appearance of tau within cell bodies and dendrites indicates a breakdown of the cellular polarity mechanisms that maintain the axonal enrichment of tau protein and its exclusion from the somatodendritic compartment, mechanisms that are poorly understood. The two heterozygous, dominant MAPT mutations studied here have different effects on tau protein in neurons. The MAPT P301L missense mutation, like many missense mutations in the microtubule-binding region domain of MAPT, increases the tendency of tau to aggregate in cell-free assays and in transgenic mouse models (von Bergen et al., 2005; Lewis et al., 2000; Shammas et al., 2015). In contrast, the IVS10+16 mutation is not a coding mutation but rather is an intronic single base change that favors the inclusion of exon 10 in the MAPT mRNA, increasing the amount of tau containing four microtubule-binding repeats (4R), relative to the three-repeat (3R) form (Hutton et al., 1998). However, despite these differences, the changes in the forms of tau in both MAPT P301L and IVS10+16 neurons both lead to mislocalization and increased phosphorylation of tau. This finding suggests that either the presence of a pool of P301L tau, or a shift in the 3R/4R tau ratio, alter a common pathway that regulates tau distribution within neurons, tau phosphorylation, or both. In both MAPT IVS 10+16 and P301L mutant neurons, the appearance of tau in cell bodies is accompanied by marked qualitative changes in neuronal microtubule dynamics. Microtubules in FTD-MAPT neurons actively deform the nuclear envelope, which we find can be reversed by depolymerization of microtubules. Tau has multiple roles in stabilizing microtubules (Wang and Mandelkow, 2016), and microtubules are coupled to the nuclear membrane through the LINC complex (Chang et al., 2015; Crisp et al., 2006; Luo et al., 2016). Therefore, it is likely that the overall effect of the presence of tau in the cell body is to promote microtubule stability, leading to increased pushing forces on the nuclear membrane and the formation of invaginations in the nuclear membrane. As tau has recently also been found to promote microtubule nucleation when undergoing phase transitions at high concentration (Herna?ndez-Vega et al., 2017), accumulation of tau in the cell body may also lead to increased pushing forces on the nucleus by facilitating microtubule nucleation. Alterations in nuclear shape and nuclear membrane function are a common feature of cellular aging, including in the nervous system, and are associated with multiple deleterious changes in nuclear biology, including chromatin changes and disrupted nucleocytoplasmic transport (Frost, 2016; Oberdoerffer and Sinclair, 2007). Drosophila models of FTD, with neuronal expression of human MAPT R406W, have nuclear shape abnormalities and chromatin changes (Frost et al., 2016). Recently, nuclear membrane disruption has been reported in a MAPT P301L transgenic mouse model of FTD (Eftekharzadeh et al., 2018). Perturbations of the nuclear lamina have been described in the post-mortem AD brain (Frost et al., 2016), including the juxtaposition of neurofibrillary tangles of tau with the nuclear membrane (Sheffield et al., 2006). We also find here an increase in nuclear invaginations in neurons of the human post-mortem MAPT IVS10+16 cortex, and the presence of hyperphosphorylated tau within nuclear invaginations in tangle-bearing neurons. Together, these different studies are consistent with a pathological effect of tau within the neuronal cell body in FTD and AD, whereby the presence of tau alters microtubule biology, resulting in pronounced abnormalities of the neuronal nucleus and defective nucleocytoplasmic transport. Recent findings have shown a direct interaction of aggregated tau with the nuclear pore complex (Eftekharzadeh et al., 2018), suggesting that the microtubule disruption of nuclear pore function reported here may be mediated by tau protein at the nuclear membrane. Microtubule deformation of the nucleus is a phenotype also seen in classic laminopathies such as the accelerated aging disorder Hutchinson-Gilford progeria syndrome (HGPS), in which the primary defect is due to mutant lamin A/C protein (Capell (D) Effect of nocodazole (Noc) on the nuclear/cytoplasmic ratio for both NES:GFP and NLS:RFP. Nuclear/cytoplasmic ratio is restored in the presence of nocodazole (+) in FTD-MATP neurons compared with vehicle () treated neurons (points indicate quantifications from individual fields, different shapes indicate measurements from different experiments). Significance was determined using one-way ANOVA followed by Dunnett’s test (*p < 0.05, **p < 0.01, and ***p < 0.001); error bar represents SEM; n = 3 independent experiments. See also Figure S5. 590 Cell Reports 26, 582–593, January 15, 2019 and Collins, 2006). In that case, microtubules also contribute to nuclear deformations, leading to defects in nucleocytoplasmic transport (Kelley et al., 2011; Larrieu et al., 2014; Snow et al., 2013). Changes in nuclear envelope function in other neurodegenerative diseases, including ALS-FTD due to repeat expansions in C9orf72, Huntington’s disease, and AD, have recently ic been reported (Freibaum et al., 2015; Grima et al., 2017; Jovic et al., 2015; Zhang et al., 2015). Our finding here of disruption of the neuronal nuclear membrane as a consequence of MAPT mutations in FTD extends this pathogenic mechanism to dementias in which protein aggregation has been thought to be the primary driver of neurodegeneration. These data suggest that dysfunction of the nuclear membrane may be a common pathogenic process in diverse neurodegenerative diseases, which could be targeted therapeutically with agents that regulate microtubule functions, nucleocytoplasmic transport, and/or associated processes. STAR+METHODS Detailed methods are provided in the online version of this paper and include the following: d d d d d KEY RESOURCES TABLE CONTACT FOR REAGENT AND RESOURCE SHARING EXPERIMENTAL MODEL AND SUBJECT DETAILS B Human iPSC lines B Human post-mortem brain sections METHOD DETAILS B Generation of iPSC-derived cortical neurons and drug treatments B Protein extraction and western blot analysis B Sarkosyl extraction B Immunoprecipitation and mass spectrometric analysis of intracellular tau B RNA extraction and qRT-PCR analysis B Confocal microscopy and image analysis B Staining of human formalin-fixed paraffin embedded (FFPE) brain sections B Live imaging of microtubule dynamics B Nucleocytoplasmic transport assay QUANTIFICATION AND STATISTICAL ANALYSIS AUTHOR CONTRIBUTIONS F.P., L.D.E., D.L., and F.J.L. conceived and designed the experiments. F.P. and L.D.E. collected and analyzed the experimental data. F.P., L.D.E., R.S., and F.J.L. wrote the manuscript. J.H. and S.W. contributed cell lines. All authors edited and approved the final manuscript. DECLARATION OF INTERESTS The authors declare no competing interests. Received: May 17, 2018 Revised: October 12, 2018 Accepted: December 18, 2018 Published: January 15, 2019 REFERENCES Akhmanova, A., and Steinmetz, M.O. (2008). Tracking the ends: a dynamic protein network controls the fate of microtubule tips. Nat. Rev. Mol. Cell Biol. 9, 309–322. Alonso, Adel.C., Mederlyova, A., Novak, M., Grundke-Iqbal, I., and Iqbal, K. (2004). Promotion of hyperphosphorylation by frontotemporal dementia tau mutations. J. Biol. Chem. 279, 34873–34881. Applegate, K.T., Besson, S., Matov, A., Bagonis, M.H., Jaqaman, K., and Danuser, G. (2011). plusTipTracker: quantitative image analysis software for the measurement of microtubule dynamics. J. Struct. Biol. 176, 168–184. Ballatore, C., Lee, V.M.-Y., and Trojanowski, J.Q. (2007). Tau-mediated neurodegeneration in Alzheimer’s disease and related disorders. Nat. 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Cell Reports 26, 582–593, January 15, 2019 593 STAR+METHODS KEY RESOURCES TABLE REAGENT or RESOURCE SOURCE IDENTIFIER 4R-tau; rabbit Cosmo Bio Cat#CAC-TIP-4RT-P01; RRID:N/A Alexa Fluor 488 donkey anti-rabbit Thermo Fisher Scientific Cat#A21206; RRID:AB_2535792 Alexa Fluor 488 goat anti-chicken Thermo Fisher Scientific Cat#A11039; RRID:AB_142924 Alexa Fluor 594 donkey anti-mouse Thermo Fisher Scientific Cat#A21203; RRID:AB_141633 Alexa Fluor 647 donkey anti-rabbit Thermo Fisher Scientific Cat#A31573; RRID:AB_2536183 Alexa Fluor 647 goat anti-rat Thermo Fisher Scientific Cat#A21247; RRID:AB_141778 CTIP2; rat monoclonal Abcam Cat#ab18465; RRID:AB_10015215 GFP; chicken polyclonal Abcam Cat#ab13970; RRID:AB_300798 IRDye 680 RD donkey anti-mouse LI-COR bioscience Cat#925-68072; RRID:N/A IRDye 800 CW donkey anti-rabbit LI-COR bioscience Cat#926-32213; RRID:AB_621848 Antibodies LaminB1 [119D5-F1]; mouse monoclonal Abcam Cat#ab8982; RRID:AB_1640627 LaminB1; rabbit polyclonal Abcam Cat#ab16048; RRID:AB_443298 MAP2; chicken polyclonal Abcam Cat#ab5392; RRID:AB_2138153 NUP98; rat monoclonal Abcam Cat#ab50610; RRID:AB_881769 Phospho-tau pS202/T205 - AT8; mouse monoclonal Thermo Fisher Scientific Cat#MN1020; RRID:AB_223647 Phospho-tau S404; rabbit monoclonal Abcam Cat#ab92676; RRID:AB_10561457 tau RD3; mouse monoclonal Millipore Cat#05-803; RRID:AB_310013 Tbr1; rabbit polyclonal Abcam Cat#ab31940; RRID:AB_2200219 total tau HT7; mouse monoclonal Thermo Fisher Scientific Cat#MN1000; RRID:AB_2314654 total tau; rabbit polyclonal Dako Cytomation Cat#A0024; RRID:AB_10013724 b-actin; mouse monoclonal Sigma Cat#A2228; RRID:AB_476697 b3-tubulin; mouse monoclonal BioLegends Cat#MMS-435P; RRID:AB_2313773 Human brain FFPE sections from frontal and temporal cortex (cohort 1) Queen’s Square Brain Bank, Institute of Neurology, University College London Tissue request MTA ID 20170112_UCL Human brain FFPE sections from frontal and temporal cortex (cohort 2) London Neurodegenerative Diseases Brain Bank and Brains for Dementia Research Tissue request No 1827 2-Mercaptoethanol Thermo Fisher Scientific Cat#21985-023 Accutase Innovative Cell Technologies Cat#AT104 B-27 supplement Thermo Fisher Scientific Cat#17504-044 Biological Samples Chemicals, Peptides, and Recombinant Proteins Bovine Serum Albumin (BSA) Sigma Cat#A2153 cOmplete, Mini, EDTA-free Protease Inhibitor Cocktail Tablets Sigma Cat#04693159001 Colloidal Blue Staining Kit Thermo Fisher Scientific Cat#LC6025 DAB Peroxidase (HRP) Substrate Kit Vector Laboratories Cat#SK-4100 DAPI Sigma Cat#D9542 Dispase Thermo Fisher Scientific Cat#17105 DL-Dithiothreitol solution Sigma Cat#646563 DMEM/F-12, GlutaMAX Thermo Fisher Scientific Cat#31331-028 DNase I New England BioLabs Cat#M0303S (Continued on next page) e1 Cell Reports 26, 582–593.e1–e5, January 15, 2019 Continued REAGENT or RESOURCE SOURCE IDENTIFIER Dimethyl sulfoxide (DMSO) Sigma Cat#D2650 Donkey serum Abcam Cat#ab7475 Dorsomorphin dihydrochloride Tocris Cat#3093 Essential 8 medium Thermo Fisher Scientific Cat#A1517001 Fibroblast growth factor 2 (FGF2) PeproTech Cat#100-18B Halt Phosphatase Inhibitor Cocktail Thermo Fisher Scientific Cat#78420 High Capacity cDNA Reverse Transcription kit Thermo Fisher Scientific Cat#4368814 Insulin Sigma Cat#19278 L-Glutamine Thermo Fisher Scientific Cat#25030-024 Laminin Sigma Cat#L2020 N-2 supplement Thermo Fisher Scientific Cat#17502-048 N-Lauroylsarcosine sodium salt solution Sigma Cat#61747 Neurobasal Thermo Fisher Scientific Cat#12348-017 Nocodazole Tocris Cat#1228 Non-essential amino acid solution Thermo Fisher Scientific Cat#11140-050 NuPAGE LDS Sample Buffer Thermo Fisher Scientific Cat#NP0007 Paraformaldehyde (PFA) Sigma Cat#158127 PBS N/A N/A Penicillin-streptomycin Thermo Fisher Scientific Cat#15140-122 Phenylmethanesulfonyl fluoride (PMSF) solution Sigma Cat#93482 ProLong Gold Antifade Mountant Thermo Fisher Scientific Cat#P36930 RIPA Buffer Sigma Cat#R0278 SB431542 Tocris Bioscience Cat#1614 Sodium pyruvate Sigma Cat#S8636 Sudan Black B Sigma Cat# 199664 SYBR Green JumpStart Taq Ready Mix Sigma Cat#S4438 Triton X-100 Sigma Cat#T8787 TRIzol Thermo Fisher Scientific Cat#15596026 Tween 20 Sigma Cat#P9416 Trisodium citrate dihydrate Sigma Cat#S1804 Cytoskeleton, Inc. Cat# ADV02-A Human: non-demented control (NDC) iPSC line Israel et al., 2012 N/A Human: MAPT IVS10+16-A and MAPT IVS10+16-B iPSC lines Sposito et al., 2015 N/A Human: MAPT P301L and MAPT P301L-isogenic iPSC lines Janssen Pharmaceutica IMI STEMBANCC project agreement ICD 483960 4RMAPT For 50 – AAGATCGGCTCCACTGAGAA – 30 This paper N/A 4RMAPT Rev 50 – CACACTTGGACTGGACGTTG – 30 This paper N/A GAPDH For 50 – AATGAAGGGGTCATTGATGG – 30 This paper N/A GAPDH Rev 50 – AAGGTGAAGGTCGGAGTCAA – 30 This paper N/A RPS9 For 50 – CAGCTTCATCTTGCCCTCAT – 30 This paper N/A RPS9 Rev 50 – CTGCTGACGCTTGATGAGAA – 30 This paper N/A Critical Commercial Assays Precision Red Advanced Protein Assay Experimental Models: Cell Lines Oligonucleotides (Continued on next page) Cell Reports 26, 582–593.e1–e5, January 15, 2019 e2 Continued REAGENT or RESOURCE SOURCE IDENTIFIER dsEGFP-EB3-7 Michael Davidson Addgene plasmid # 56474; RRID: Addgene_56474 pLVX-EF1alpha-2xGFP:NES-IRES-2xRFP:NLS Mertens et al., 2015 Addgene plasmid #71396; RRID: Addgene_71396 Recombinant DNA Software and Algorithms ABI StepOnePlus software Thermo Fisher Scientific N/A; RRID:N/A Fiji Schindelin et al., 2012 RRID:SCR_002285 Image Studio Lite LI-COR RRID:SCR_013715 Mascot MATRIX Science RRID:SCR_014322 plusTipTracker Applegate et al., 2011 N/A; RRID:N/A Prism 6 GraphPad RRID:SCR_002798 CONTACT FOR REAGENT AND RESOURCE SHARING Further information and requests for resources and reagents should be directed to and will be fulfilled by the Lead Contact, Rick Livesey (r.livesey@ucl.ac.uk). EXPERIMENTAL MODEL AND SUBJECT DETAILS Human iPSC lines MAPT IVS10+16-A and MAPT IVS10+16-B mutant iPSCs were as reported in (Sposito et al., 2015). MAPT P301L was generated from Janssen Pharmaceutica by TALEN editing the line MAPT P301-isogenic, under the IMI STEMBANCC project agreement ICD 483960. The non-demented control line was previously reported (Israel et al., 2012). iPSC cells were growth and expanded in feeder-free conditions using Essential 8 Medium (Thermo Fisher Scientific), at 37 C with 5% CO2. Essential 8 Medium was replaced daily. Human post-mortem brain sections Human brain sections were obtained from the Queen’s Square Brain Bank, Institute of Neurology, University College London (cohort one) and from the London Neurodegenerative Diseases Brain Bank and Brains for Dementia Research (cohort two). For cohort one, control brains included one male (age 71) and one female (age 56). FTD-MAPT IVS10+16 brains were from two males (age 52 and 66). For cohort two, control brains were from five males (age 63-77) and one female (age 43). FTD-MAPT IVS10+16 brains were from four males (age 48-71) and two females (age 58 and 63). The use of human post-mortem tissues for this study has been approved with Research Ethics Committee reference ID 08/H0718/54+5 for cohort one and reference ID 08/MRE09/38+5 for cohort two. METHOD DETAILS Generation of iPSC-derived cortical neurons and drug treatments Differentiation of iPSCs to cortical neurons was carried out as described, with minor modifications (Shi et al., 2012b; 2012a). Briefly, dissociated iPSCs were plated on Geltrex (Thermo Fisher Scientific)-coated plates to reach full confluence. Neural induction was initiated the next day (Day 0) by changing the culture medium to a 1:1 mixture of DMEM/N-2 (DMEM/F-12 GlutaMAX; 1 3 N-2; 5 mg ml1 insulin; 1 mM L-glutamine; 100 mm non-essential amino acids; 100 mM b-mercaptoethanol; 50 U ml1 penicillin and 50 mg ml1 streptomycin) and Neurobasal/B-27 (Neurobasal; 1 3 B-27; 200 mM L-glutamine; 50 U ml1 penicillin and 50 mg ml1 streptomycin) media (hereafter referred as N2B27) supplemented with 1 mM dorsomorphin and 10 mM SB431542 to inhibit TGFb signaling and support neuronal differentiation and neurogenesis, media was replaced every 24 hours. At day 12 neuroepithelial sheet was harvested and dissociated using the enzyme Dispase and replated on laminin-coated plates. The day after, media was replaced with N2B27 containing 20 ng/mL FGF2. N2B27+FGF2 was added freshly daily for 4 days to promote the maturation of neural rosettes. After 4 days FGF2 was withdrawn and neural rosettes were maintained in N2B27 refreshing medium every other day. At day 30 neural rosettes were dissociated using Accutase and neural progenitor cells were plated on laminin-coated plates at 150,000 cells/mm2. Plated neurons were maintained for up to 120 days with a medium change every other day. To establish identity and quality of cortical neuronal inductions, gene expression profiling was performed on a custom gene expression panel. RNA was isolated from induced cortical neurons using TRIzol (Thermo Fisher Scientific), according to the manufacturer’s instructions. Expression levels of mRNAs enriched in deep and upper layer cortical neurons were assessed using a nanoString (nanoString Technologies) gene expression panel of approximately 250 genes. After subtracting the maximum negative control e3 Cell Reports 26, 582–593.e1–e5, January 15, 2019 probe counts, gene counts were normalized using the geometric mean of 6 positive control probes and of 7 housekeeping genes (CLTC, GAPDH, GUSB, PPIA, RPLP1, RPS15A, RPS9). For nocodazole (Tocris) treatment, neurons were grown for 120 days in vitro (DIV) and compound was added at 33 mM for 2 hours before imaging. DMSO was used as vehicle. Protein extraction and western blot analysis Total cell protein was extracted using RIPA buffer (Sigma) supplemented with protease inhibitors (Sigma) and Halt phosphatase inhibitors (Thermo Fisher Scientific). Protein quantification was performed using Precision Red Advanced Protein Assay buffer (Cytoskeleton, Inc.). For each sample, 30 mg of protein were mixed with 1X NuPAGE LDS Sample Buffer (Thermo Fisher Scientific) + 1 mM Dithiothreitol. Samples were heated at 100 C for 10 minutes and loaded on NuPAGE 4%–12% Bis-Tris gel (Thermo Fisher Scientific). Afterward, proteins were transferred on PVDF membrane (Millipore) for 1 h at 100 V. Membranes were blocked for another 60 min in 5% BSA in PBST (PBS containing 0.05% Tween 20). All primary antibodies were incubated overnight in 5% milk in PBST at 4 C. Next day, membranes were incubated for at least 1 h in secondary antibody and washed gently in PBST buffer for further 30-60 min. Immunoblots were detected using LI-COR Odyssey CLx Infrared Imaging System and processed with the Image Studio Software (LI-COR). Sarkosyl extraction iPSC-derived neurons (120 DIV) were homogenized in Tris-NaCl buffer (25 mM TrisHCl, 150 mM NaCl, 1 mM EDTA, 1 mM EGTA, 5 mM Na4P2O7, pH 7.6) supplemented with 1 mM PMSF, protease inhibitors (Sigma) and Halt phosphatase inhibitors (Thermo Fisher Scientific). Homogenate was subjected to ultracentrifugation at 150,000 g for 30 min at 4 C. The pellet was re-suspended in an equal volume of 10 mM TrisHCl, 0.8 M NaCl, 10% sucrose, pH 7.6 supplemented with 1 mM PMSF, protease inhibitors and Halt phosphatase inhibitors. The re-suspended pellet was centrifuged at 20,000 g for 30 min at 4 C, the supernatant was incubated with 1% sarkosyl (N-lauroylsarkosine sodium salt; Sigma) for 1 hour at room temperature and ultracentrifuged at 150,000 g for 30 min at 4 C. The resulting pellet (sarkosyl insoluble fraction) was resuspended in 1X NuPAGE LDS Sample Buffer (Thermo Fisher Scientific) + 1 mM Dithiothreitol. Samples were heated at 100 C for 10 minutes and loaded on NuPAGE 4%–12% Bis-Tris gel (Thermo Fisher Scientific). Immunoprecipitation and mass spectrometric analysis of intracellular tau Tau was immunoprecipitated from 1 mg of total protein extracted from iPSC-derived neurons (120 DIV) using a polyclonal anti-tau antibody (Dako Cytomation). Immunoprecipitated samples were analyzed by western blot using a monoclonal tau antibody (MN1000; Thermo Fisher Scientific) or stained with colloidal blue (Thermo Fisher Scientific). Bands that corresponded to tau by western blot analysis were excised from the colloidal blue SDS-PAGE. Peptide masses of digested protein samples were determined using a Bruker ultrafleXtreme Maldi mass spectrometer in reflectron mode and ms/ms fragmentation performed in LIFT mode. Data analysis was with FlexAnalysis, BioTools and ProteinScape software (Bruker). Database searches of the combined mass fingerprint-ms/ms data were performed using Mascot (http://www.matrixscience.com). RNA extraction and qRT-PCR analysis Total RNA was extracted using TRIzol according to manufacturer protocol (Invitrogen). 1 mg of RNA was treated with DNase I (New England BioLabs) and 500 ng were retrotranscribed using the High Capacity cDNA Reverse Transcription kit (Applied Biosystems). qRT-PCR were performed in a StepOnePlus instrument (Applied Biosystems) using the SYBR Green JumpStart Taq Ready Mix (Sigma) in a final volume of 15 ml, using the following protocol: 95 C for 2 min, 40 cycles at 94 C for 15 s, 60 C for 30 s. MAPT mRNA expression was assessed relative to GAPDH and RPS9 housekeeping genes using the specific primers reported in the Key Resource Table. Results were analyzed using the ABI StepOnePlus software (Thermo Fisher Scientific). Confocal microscopy and image analysis For immunofluorescent labeling and imaging, cells were washed 3 times in PBS and then fixed using 4% paraformaldehyde (v/v) in PBS for 15 minutes at RT. After 3 washes in PBS, cells were permeabilised in PBS+0.3% Triton X-100 (Sigma; Tx) for 15 minutes at room temperature (RT). After 3 washes in PBS, cells were blocked using 5% donkey serum in PBS+0.3% Triton X-100 (PBS-Tx+5% DS) for 1 hr at RT. For AT8-tau immunostaining (ThermoFisher; MN1020), 5% BSA (Sigma) (w/v) in PBS+0.3% Triton X-100 (PBSTx+5% BSA) was used as a blocking agent. Primary antibodies were diluted in PBS-Tx+5% DS or PBS-Tx+5% BSA as indicated below and incubated overnight at 4 C. Cells were washed 3 times in PBS and incubated 1 hr in the dark at RT with secondary antibodies diluted 1:1000 in PBS-Tx+5% DS or PBS-Tx+5% BSA. After 3 washes in PBS, samples were incubated for 5 minutes at RT with DAPI diluted 1:5000 in PBS and then washed 3 additional times with PBS. Samples were mounted using ProLong Gold antifade (Thermo Fisher Scientific). Standard confocal images were acquired with an Olympus Inverted FV1000 confocal microscope and processed using Fiji software (Schindelin et al., 2012). STED imaging was performed on a custom built, dual color, beam scanning system with gated detection optically identical to the instrument described in (Bottanelli et al., 2016). For image analysis of colocalization of tau and MAP2, Pearson’s R correlation was calculated using the Coloc2 plugin for Fiji (https://imagej.net/Coloc2). To quantify nuclear invaginations neurons were co-stained for LaminB1 and DAPI. Nuclear lamina signal was assigned as either nuclear boundary or invaginated (i.e., within the DAPI stained area defining the nucleus) using a custom plugin Cell Reports 26, 582–593.e1–e5, January 15, 2019 e4 for the Fiji bioimage analysis software. Nuclei with a proportion of invaginated laminB1 that exceeded 0.3 were considered as invagination positive (see Figure 3B and S3 for details). At least 5 imaging fields from three independent experiments for genotype were analyzed. Staining of human formalin-fixed paraffin embedded (FFPE) brain sections FFPE slides were deparaffinised and rehydrated, then boiled for 20 minutes in 10 mM Tri-sodium citrate buffer, pH6 + 0.05% Tween 20, for antigen retrieval. Slides were cooled to RT before staining. 3,30 -Diaminobenzidine (DAB) staining was performed using the DAB Peroxidase (HRP) Substrate Kit (Vector Laboratories) according to manufacturer’s instructions. After DAB staining, whole sections were imaged using an Axio Scan.Z1 microscope (Zeiss). For immunofluorescence, after antigen retrieval slides were blocked using 5% BSA in PBS+0.3% Triton X-100 (PBS-Tx+5% BSA) for 20 minutes at RT. Primary antibodies were diluted in PBS-Tx+5% BSA as indicated below and incubated O/N at 4 C in humidified chamber. Slides were washed 3 times in PBS and incubated for 30 minutes in the dark at RT with secondary antibodies diluted 1:1000 in PBS-Tx+5% BSA. After 3 washes in PBS, samples were incubated 5 minutes with DAPI diluted 1:5000 in PBS. After 3 washes in PBS, slides were incubated for 20 minutes with 0.01% Sudan Black B (Sigma) in 70% ethanol. Samples were mounted using ProLong Gold antifade (Thermo Fisher Scientific). Images were acquired through Olympus Inverted FV1000 confocal microscope and processed using the Fiji software. For cohort one, nuclear lamina invaginations were quantified after 3,30 -Diaminobenzidine (DAB) staining of LaminB1. Nuclei were scored from 20 randomly acquired imaging fields from each individual. Nuclei were considered positive (folded) if invaginations extended into the nuclear interior for at least 3 mm. The percentage of folded respect to total nuclei was calculated for each imaging field. For cohort two, neurons were co-stained for LaminB1 and DAPI. Nuclear lamina signal was assigned as either nuclear boundary or invaginated (i.e., within the DAPI stained area defining the nucleus) using custom plugin for the Fiji bioimage analysis software. Nuclei with a proportion of invaginated laminB1 that exceeded 0.3 were considered as invagination positive (see Figure 3B and S3 for details). Live imaging of microtubule dynamics Neurons were grown to 100 DIV in individual m-Dish 35 mm dishes (Ibidi) and transfected with a plasmid encoding for GFP-EB3 (gift from Michael Davidson; Addgene plasmid # 56474). 48h after transfection, neurons were subjected to live imaging using a Leica SP5 microscope equipped with a controlled environment chamber (37 C; 5% CO2). Images were acquired at resonant scanning with a 63x objective (1frame/sec). Resulting movies were analyzed using the plusTipTracker software (Applegate et al., 2011). Nucleocytoplasmic transport assay Nucleocytoplasmic trafficking was analyzed by infection of 120 DIV human iPSC-derived neurons with the pLVX-EF1alpha2xGFP:NES-IRES-2xRFP:NLS construct (Addgene plasmid #71396; Mertens et al., 2015). After 6 days, neurons were fixed and immunostained for b3-tubulin and GFP. Only cells positive for neuron-specific b3-tubulin were considered. The nuclear to cytoplasmic ratios of both GFP and RFP (nucRFP:cytRFP and nucGFP:cytGFP) were calculated separately using the integrated density of ROIs drawn within and outside the nucleus (see Fig.S5 for details). QUANTIFICATION AND STATISTICAL ANALYSIS Unless otherwise specified, data are presented as mean values of the number of independently conducted experiments indicated in the legend of each figure. Error bars represent the standard error of mean (SEM). Statistical analysis was performed using the Prism6 analytical software (GraphPad). Unpaired Student’s t test was used to compare differences between two groups, assuming the data were normally distributed. One-way ANOVA followed by Tukey’s or Dunnett’s correction for multiple testing (as indicated in figure legends) was used to analyze the differences between more than two groups. *** p < 0.01, **p < 0.01, *p < 0.05. e5 Cell Reports 26, 582–593.e1–e5, January 15, 2019 Cell Reports, Volume 26 Supplemental Information Microtubules Deform the Nuclear Membrane and Disrupt Nucleocytoplasmic Transport in Tau-Mediated Frontotemporal Dementia Francesco Paonessa, Lewis D. Evans, Ravi Solanki, Delphine Larrieu, Selina Wray, John Hardy, Stephen P. Jackson, and Frederick J. Livesey Related to Figure 1; Figure S1. Generation and characterization of human iPSC-derived neurons from familial FTD-MAPT. (A) Heat map showing the relative expression of 38 genes (clustered by cell type) from FTD-MAPT neurons (MAPT IVS10+16-A/B and MAPT P301L) and non-demented and MAPT P301 isogenic control neurons (iPSC-derived neurons at 120 DIV; three biological replicates). (B) Immunofluorescences of iPSC-derived cerebral cortex excitatory neurons generated from control (nondemented control and MAPT P301-isogenic) and familial FTD-MAPT (MAPT IVS10+16-A/B and MAPT P301L), expressing the cortical layer 6 transcription factor Tbr1 (green) and β3-tubulin (red). DNA counterstain (DAPI, blue) is also shown. Scale bar = 20 ?m. (C) qRT-PCR showing the relative abundance of MAPT mRNA containing the exon 10 (encoding for the additional microtubule binding repeat). FDT-MAPT (red) neurons are shown with respect to their respective controls (green). GAPDH and RPS9 were used as housekeeping genes (one-way ANOVA followed by Tukey’s test, *** = P0.25 invaginated laminB1, this was assigned as invagination positive. Related to Figure 5; Figure S4. Phosphorylated disease associated tau is present in post-mortem sections from frontal and temporal lobe of FTDMAPT. (A) 3,3′-Diaminobenzidine (DAB) staining for phosphorylated tau AT8 (brown) in frontal and temporal lobe of subjects carrying MAPT IVS10+16 mutation or non-demented controls (age matched), hematoxylin (blue) was used as nuclear counterstain. Lower panels, detail from white boxes in upper panels. Asterisk indicates white matter position. Scale bars; upper panel = 400 µm, lower panel = 4 µm. (B) Confocal images of representative post-mortem neurons from frontal and temporal lobe of subjects carrying MAPT IVS10+16 mutation showing nuclear lamina (green) invaginations (white arrows) in phosphorylated tau (AT8; pS202/pT205; red) containing neurons. Scale bar = 20 µm. Related to Figure 6; Figure S5. Analysis of functional assay demonstrating disruption of nucleocytoplasmic transport in human iPSC-derived FTD-MAPT neurons. (A) Nuclear pores are clustered within nuclear membrane invaginations in FTD-MAPT neurons. Nuclear pore subunit NUP98 (green) remains colocalised with laminB1 (red) within nuclear invaginations in MAPT P301isogenic neurons and MAPT P301L, (120 DIV). Arrows indicate nuclear membrane invaginations. Scale bars = 5 µm. (B) Left panels, immunofluorescence of iPSC-derived neurons (MAPT P301-isogenic; 120DIV), showing β3-tubulin (grey), NLS:RFP (nuclear localisation signal fused to red fluorescent protein; red) and NES:GFP (nuclear export signal fused to green fluorescent protein; green), individual panels show combinations of signals described above from the same field. Scale bar = 10 µm. To establish the efficiency of nucleocytoplasmic transport in FTD-MAPT neurons, we calculated the ratios of NLS:RFP and NES:GFP inside nucleus and within the cytoplasm. Background (Blue), Nuclear (Nuc; yellow) and cytosolic (as determined by β3-tubulin signal; Cyt; orange) boxed areas were randomly selected and intensity of signal quantified. After background subtraction, intensity values for the nucleus and cytosol were averaged and a ratio established. Four different experiments were performed on each genotype (MAPT IVS10+16-A/B, MAPT P301L, non-demented control and MAPT P301-isogenic control) with at least six neurons per genotype. Instructor: Carmen Teodorof-Diedrich BICD110 SP21 Cell Biology Assignment 2 (15% towards the final score) Article to read: “Microtubules Deform the Nuclear Membrane and Disrupt Nucleocytoplasmic Transport in Tau-Mediated Frontotemporal Dementia”. Cell Reports (2019), Paonessa L and al. Assignment (group work of 5 students) to be submitted online by May 27 @ 3:30 PM, in PDF format. Use the research findings by Paonessa et al. (Cell Reports, 2019). Their research shows that specific mutations in the Tau gene (MAPT mutation) - reported in several forms of dementia as Alzheimer’s or Pick’s diseases and frontotemporal dementia (FTD) – cause microtubule-mediated deformation of the nucleus and result in defective nucleocytoplasmic transport. Article to be discuss during Discussion Sections-week 10 Teamwork group number-name/Student name (up to 5): Please write: A. group number/group name B. student name and his role in the development of this assignment Ex: search the literature, wrote/developed/proofread answer no./ analyzed/interpreted data/ organized/planned/lead etc… Goals: 1. To use active learning and problem based learning strategy to increase your analytical skills and to be able to think like a scientist. 2. To create a scientific graphical model with a legend included summarizing the role of MTs (microtubules) in dementia. Example of graphical model: This is a random example of a graphical model. Each arrow indicates a dependency. In this example: D depends on A, B, and C; and C depends on B and D; whereas A and B are each independent. Student names (up to 5) : Answer and explain the following questions: 1. What do you think is a public misconception about dementia and what could be the consequences (implications)? 2 points answer: answers may vary 2. From the Figure 2 A (and video) what difference do you observe in the microtubule extensions when comparing non-demented control neurons with demented cases (FTD-MAPT)? Is microtubule dynamics different in the control vs. FTD-MAPT neurons? 2 points Correct answer: 3. What could be the scientific causes of this phenomena? 2 points answer: 4. What could be the consequences of this phenomena? 2 points answer: 5. In Figure 4A, scientists used Lamin B to stain nuclear lamina - a fibrillary network inside of the nucleus. What differences do you notice in the nuclear lamina when comparing non-demented control neurons with demented neurons? 2 points answer: 6. At this point, what conclusion could you elaborate? Begin to draw a graphic model illustrating the disease-like phenotype you have identified. Your model should compare the normal (non-mutated) vs the MAPT (mutated) neurons. 2 points answer: 7. Using immunofluorescence and confocal microscopy, scientists investigated the expression and localization of the Tau protein in non-demented neurons and demented neurons (FTD-MAPT). They used MAP2 staining as a neuronal somatodendritic marker, beta 3-Tubulin to identify microtubules in the neuronal cells and DAPI to visualize the nucleus. From Figure 1 D, E and Figure 4 B, identify the role of Tau protein in the nuclear invagination induced by the MT polymerization into the nucleus. What do you observe about the Tau neuronal localization in nondemented control neurons vs. demented neurons (FTD-MAPT)? 2 points answer: 8. Proteins that shuttle in and out of the nuclei have NLS (nuclear localization signals) and/or NES (nuclear export signals). In the experiment presented in Figure 6 A, C, scientists have tagged these signals with fluorescent tags such as RFP (red color) and GFP (green color). By measuring the fluorescent intensity (confocal microscopy) of RFP and GFP signal they can localize the proteins exported from or imported to the nuclei. From Figure 6C, analyze the graph bar representing the ratio NLS/NES. Elaborate a conclusion. 4 points answer: 9. Complete your graphic model including the conclusions/information obtained from Figure 1, 4 and 6. Write a legend associated to your graphical model. 2 points answer: 10. How disruption of the microtubule polymerization and nucleocytoplasmic transports could affect the overall neuronal function? 2 points answer:

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