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Degenerative and Immune-mediated Disease

Neuronal Loss and Decreased GLT-1 Expression Observed in the Spinal Cord of Pembroke Welsh Corgi Dogs With Canine Degenerative Myelopathy

Veterinary Pathology 2014, Vol. 51(3) 591-602 ª The Author(s) 2013 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/0300985813495899 vet.sagepub.com

M. Ogawa1, K. Uchida1, O. Yamato2, M. Inaba3, M. M. Uddin2, and H. Nakayama1

Abstract Canine degenerative myelopathy (DM) is a progressive neurodegenerative disease that is frequently found in Pembroke Welsh Corgi (PWC) dogs. Canine DM is potentially a spontaneous animal model for human amyotrophic lateral sclerosis (ALS) because of similar lesions and the involvement of superoxide dismutase 1 (SOD1) mutation. However, the ventral horn lesion in DM has not been characterized in detail. Glutamate excitotoxicity due to deficiency of the glutamine-glutamate cycle has been implicated in neuron death in ALS. Thus, we examined 5 PWC dogs with an SOD1 mutation that were affected by DM, 5 non-DM PWC dogs, and 5 Beagle dogs without neurologic signs to assess the neuronal changes and the expression levels of 2 glial excitatory amino acid transporters (glutamate transporter 1 [GLT-1] and glutamate/aspartate transporter [GLAST]). The number of neurons in the spinal ventral horns of the DM dogs was significantly decreased, whereas no change was found in the cell size. Chromatolysis, lipofuscin-laden neurons, and marked synapse loss were also observed. GLT-1 expression was strikingly decreased in DM dogs, whereas GLAST expression showed no significant change. The results indicate that excitotoxicity related to the reduced expression of GLT-1, but not GLAST, may be involved in neuron loss in DM, as in human ALS, whereas intraneuronal events may differ between the 2 diseases. Keywords amyotrophic lateral sclerosis, dog, excitatory amino acid transporter, excitotoxicity, immunohistochemistry, neurodegenerative disease, spinal cord Canine degenerative myelopathy (DM) is a progressive neurodegenerative disease that causes advancing ataxia and muscle atrophy.1 Affected dogs initially exhibit hindlimb weakness and paralysis, followed by forelimb ataxia and culminating in paralysis, dysuria, and dyschezia.7,19 Recently, a superoxide dismutase 1 (SOD1) mutation including c.118G>A was shown to be associated with canine DM in several breeds, including the Pembroke Welsh Corgi (PWC), Boxer, and German Shepherd,2 followed by a report of c.52A>T mutation in a Bernese Mountain Dog.40 PWC dogs have been reported to be a favorite breed for studying DM in recent years.7,19,23 In fact, all cases of canine DM diagnosed at the University of Tokyo between 2009 and 2011 occurred in this breed and were associated with an SOD1 mutation. Histiocytic sarcoma14 and inflammatory myopathy38 also commonly occur in PWC in Japan and produce similar clinical signs, which often complicates diagnosis until histopathology is performed. More than 100 SOD1 gene mutations are involved in human familial amyotrophic lateral sclerosis (ALS), and the pathologic lesions of ALS are similar to those of canine DM, making canine DM a potentially useful animal model of ALS. We

previously reported that the overproduction of nitric oxide through inducible nitric oxide synthase (iNOS) and/or the abnormal accumulation of denatured proteins might be involved in the pathogenesis of DM in PWC dogs,23 as in human ALS. Since lesions of the spinal gray matter are not necessarily required for the diagnosis of canine DM, they have not been examined in sufficient detail, even though loss of the ventral motor neurons is the major event of ALS pathology.

1 Department of Veterinary Pathology, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan 2 Laboratory of Clinical Pathology, Department of Veterinary Medicine, Joint Faculty of Veterinary Medicine, Kagoshima University, Kagoshima, Japan 3 Laboratory of Molecular Medicine, Department of Veterinary Clinical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Hokkaido, Japan

Corresponding Author: Kazuyuki Uchida, Department of Veterinary Pathology, Graduate School of Agricultural and Life Sciences, The University of Tokyo, 1-1-1 Yayoi, Bunkyo-ku, Tokyo 113-8657, Japan. Email: [email protected]

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Table 1. Dogs Examined in the Present Study. Sample Examined Dog No.

Breed

Sex Age

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Beagle Beagle Beagle Beagle Beagle Beagle PWC PWC PWC PWC PWC PWC PWC PWC PWC PWC

F F F F F F SF SF SF M CM M CM SF SF M

ND ND 14 y 6y 6y 8y 6 y, 11 mo 10 y, 4 mo 11 y, 2 mo 6–7 y 11 y, 3 mo 12 y, 6 mo 14 y, 6 mo 12 y, 2 mo 9 y, 6 mo 13 y

Onset to Death Clinical Signs of DM – – – – – – – – – – – 3y 2 y, 5 mo 2 y, 7 mo 2 y, 9 mo 4 mo

– – – – – – – – – – – HLW, FLW, DU TP, DU, RD TP, DU, RD TP, DU, RD HLW

C

T

L

Major Pathologic Diagnosis at Necropsy

SOD1 Mutation

þ þ þ þ þ þ þ þ þ þ – þ þ þ – þ

þ þ þ þ þ þ þ þ þ þ þ þ þ þ – þ

þ þ þ þ – þ þ þ þ þ – þ þ þ þ þ

None None ND None None Glomerulonephritis Inflammatory myopathy Inflammatory myopathy Histiocytic sarcoma (brain) None T-cell lymphoma DM DM DM DM DM, B-cell lymphoma (spleen)

None None None None None None Homozygous Homozygous Heterozygous Homozygous Heterozygous Homozygous Homozygous Homozygous Homozygous Homozygous

Abbreviations: C, cervical 5–7; CM, castrated male; DM, degenerative myelopathy; DU, dysurea; F, female; FLW, forelimb weakness; HLW, hindlimb weakness; L, lumbar 3–5; ND, no data; M, male; PWC, Pembroke Welsh Corgi; RD, respiratory dysfunction; SF, spayed female; T, thoracic 5; TP, tetraplegia.

Glutamate is the predominant excitatory amino acid in the central nervous system (CNS). Excitatory amino acid transporters (EAATs) on the cell membrane, which reuptake extracellular glutamate into the cell, modulate homeostasis of synaptic transmission. Of these transporters, astrocytic glutamate transporter 1 (GLT-1; EAAT2) and glutamate/aspartate transporter (GLAST; EAAT1) are responsible for most of the glutamate transport. Glutamine synthetase (GS), which catalyzes the production of glutamine from glutamate and ammonia, is found in astrocytes and oligodendrocytes8 and may be important for maintenance of the glutamate concentration. Excessive glutamate exposure is toxic to neurons through massive Ca2þ entry into the cell. It is known that motor neurons are vulnerable to excitotoxicity,5,39 and it is thought that excitotoxicity and oxidative stress play a major role in motor neuron loss in patients with ALS. It is also reported that the downregulation of GLT-1 is involved in the disease progression in patients with ALS and in some types of SOD1-transgenic ALS model mice.4,12,24,28,29 To our knowledge, no studies have examined the involvement of excitotoxicity in canine DM. The purpose of the present study is to elucidate the severity and morphologic features of neuronal loss and the involvement of GLT-1, GLAST, and GS in canine DM.

Materials and Methods Animals and Tissue Samples Spinal cords of 5 PWC dogs pathologically diagnosed with DM (age, 9–14 years; mean, 12.3 years), as well as those of 5 PWC dogs without significant lesion (age, 6–11 years; mean, 8.9 years) and 6 Beagle dogs as control dogs without neurologic

signs (age, 1–14 years; mean age unknown), were used. Information on the dogs is summarized in Table 1. Dog Nos. 12 and 13 were already described as DM cases in our previous report.6 Representative specimens from the cervical (C5–C7), thoracic (T5), and lumbar (L3–L5) cords were used. Only T13 to L3 were available in dog No. 15, T5 to T12 in dog No. 11, and C1 to T11 in dog No. 5. Examined regions are indicated in Table 1.

Genotyping for SOD1 c.118G>A Mutation Genomic DNA was extracted from paraffin-embedded tissue of each dog, using a commercial kit (DNA Isolator PS Kit; Wako Pure Chemical Industries, Osaka, Japan) according to the manufacturer’s instructions. The genotypes were determined using a real-time polymerase chain reaction (PCR) method reported previously.6

Histopathology, Immunohistochemistry, and Immunofluorescence Tissue samples from spinal cords were fixed in 10% formalin, processed routinely, and embedded in paraffin wax. Then, 4-mm-thick paraffin sections were subjected to hematoxylin and eosin (HE), Luxol fast blue (LFB)–HE, and KluverBarrera stains and used for immunohistochemical analysis. Immunohistochemical analysis was performed using the EnVision polymer method (Dako, Glostrup, Denmark). Table 2 lists the primary antibodies used. Deparaffinized sections were first autoclaved at 120 C for 10 minutes in 10 mM citrate buffer (pH 6.0 or 9.0) for antigen retrieval. Then, the tissue sections were treated with 3% hydrogen peroxide (H2O2)–methanol at room temperature for 5 minutes and incubated in 8% skimmed milk–Tris-buffered saline with 0.2% Tween 20

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Table 2. Primary Antibodies Used. Antibody

Immunogen

Type

Marker for

Antigen Retrieval

GFAP

GFAP isolated from cow spinal cord Intermediate filament cytoskeleton from cultured human glioma cells C-terminus of Iba1

Rabbit, p

Astrocyte

none

GFAP

Iba1

NF

Neurofilament purified from human brain bIII-tubulin Peptide corresponding to the C-terminus of bIIItubulin Synaptophysin Crude fractions of coated vesicles from bovine brain Olig2 Recombinant mouse Olig2 Ubiquitin EAAT1 (GLAST) EAAT2 (GLT-1) GS

1:1000

Source, Cat. No. DAKO, Glostrup, Denmark, Z0334 PROGEN Biotechnik, Heidelberg, Germany, 65011

Mouse, m Astrocyte (GF 12.24)

Citrate buffer, pH 6.0

Prediluted

Rabbit, p

Citrate buffer, pH 6.0

1:500

none

Prediluted

Citrate buffer, pH 6.0

1:2000

Promega, Madison, WI, G712A

1:30

DAKO, M0776

1:200

Millipore, Billerica, MA, AB9610 DAKO, Z0458

Microglia

Mouse, m Axon (NF-L) (2F11) Mouse, m Neuron (5G8)

Mouse, m Synaptic vesicle Target retrieval (SY38) solution, pH 9.0 Rabbit, p Oligodendrocyte Target retrieval solution, pH 9.0 Ubiquitin isolated from cow Rabbit, p — none erythrocytes Synthetic MAP of C-terminal Rabbit, p — Citrate buffer, pH 6.0 region of canine GLAST C-terminal amino acid resi- Rabbit, p — Citrate buffer, pH 6.0 due of rat GLT Sheep glutamine synthetase amino acids 1–373

Dilution

Mouse, m — (6/GS)

Citrate buffer, pH 6.0, or target retrieval solution, pH 9.0

1:200

Wako Pure Chemical Industries, Osaka, Japan, 019-19741 Dako, N1591

1:300 (IHC), Sato et al, 200033 1:75 (IF) Wako Pure Chemical 1:1000 Industries, 015-16421 (IHC), 1:300 (IF) 1:300 BD Biosciences, San Jose, CA, 610518

Abbreviations: GFAP, glial fibrillary acidic protein; Iba1, ionized calcium-binding adapter molecule 1; NF, neurofilament; Olig2, oligodendrocyte transcription factor 2; EAAT, excitatory amino acid transporter; GLAST, glutamate/aspartate transporter; GLT-1, glutamate transporter 1; GS, glutamine synthetase; m, monoclonal; p, polyclonal; IF, immunofluorescence; IHC, immunohistochemistry; MAP, mitogen-activated protein; — not the cell type marker.

(TBST) at 37 C for 1 hour to avoid nonspecific reactions. The sections were then incubated at 4 C overnight with one of the primary antibodies (Table 2). After being washed 3 times in TBST, the sections were incubated with Envision horseradish peroxidase (HRP)–labeled polymer anti–mouse or anti–rabbit immunoglobulin G (IgG) (DAKO, Glostrup, Denmark) at 37 C for 50 minutes. Then, the sections were washed with TBS and the reaction visualized with 0.05% 3,30 -diaminobenzidine and 0.03% H2O2 in TBS. Counterstaining was performed with Mayer’s hematoxylin. Ventral motor neurons were defined as bIII-tubulin–positive structures with morphologic features of a neuron, including a minor axis of more than 15 mm in the ventral horn, not including intermediolateral nuclei. Counts of neurons were performed using representative sections. For double immunofluorescence staining, sections were incubated with a primary antibody and then with another primary antibody (Table 2). The sections were incubated with a cocktail of fluorescein isothiocyanate (FITC)–conjugated anti–mouse IgG (1:100; Invitrogen Life Technologies, Paisley, UK) and Alexa 594–conjugated anti–rabbit IgG (1:100; Vector Laboratories, Burlingame, CA) at room temperature for 1 hour. After being mounted with mounting medium (Vector Laboratories), the specimens were observed and photographed using

a DMI3000B microscope (Leica Microsystems, Wetzlar, Germany).

Data Analysis Macroscopic images of the transverse section of spinal cords were captured using the Nikon COOLSCAN IV ED (Nikon Imaging, Tokyo, Japan). Microscopic images were captured using a Nikon DXM1200F digital camera and ACT-1 software (Nikon Instruments, Tokyo, Japan). Image analysis was conducted using the National Institutes of Health (NIH) Image J software (NIH, Bethesda, MD). Briefly, the color channel was split to RGB 8-bit images, and then the positive area was measured as a limited area with a threshold set 0 to 200. Immunopositive areas for synaptophysin or GLT-1 were measured on a macroscopic image and expressed as the ratio of positive area/ total gray matter area. For GLAST, the ratio of positive areas was measured in 6 randomly selected squares (3 in each side) from the ventral horn, dorsal horn, and lateral funiculus on a microscopic image. For GS, the number of positive cells in the random 6 squares from the ventral horn was counted. Then, the average of the 6 areas was calculated. Data are expressed as the mean + SEM. For statistical analyses of the data, 1-way analysis of variance (ANOVA)

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Figure 1. Spinal cord, T5; Beagle dog No. 4. Normal staining. Luxol fast blue and hematoxylin-eosin (LFB-HE). Figure 2. Spinal cord, dorsolateral funiculi, T5; Beagle dog No. 4. Normal neurofilament (NF) immunoreactivity. 3,30 -Diaminobenzidine (DAB) and hematoxylin. Figure 3. Spinal cord, dorsolateral funiculi, T5; Beagle dog No. 4. Glial fibrillary acidic protein (GFAP) immunoreactivity. DAB and hematoxylin. Figure 4. Spinal cord, boundary of the gray and white matter, T5; Beagle dog No. 2. Normal immunoreactivity for ionized calcium-binding adapter molecule 1 (Iba1). DAB and hematoxylin. Figure 5. Spinal cord, T5; Pembroke Welsh Corgi (PWC), non–degenerative myelopathy (DM) dog No. 10. Similar staining to that in the Beagle (Fig. 1). LFB-HE. Figure 6. Spinal cord, dorsolateral funiculi, T5; PWC, non-DM dog No. 10. NF immunoreactivity similar to that in the Beagle (Fig. 2). DAB and hematoxylin. Figure 7. Spinal cord, dorsolateral funiculi, T5; PWC, non-DM dog No. 8. GFAP immunoreactivity similar to that in the Beagle (Fig. 3). DAB and hematoxylin. Figure 8. Spinal cord, boundary of the gray and white matter, T5; PWC, non-DM dog No. 8. Iba1 immunoreactivity similar to that in the Beagle (Fig. 4). DAB and hematoxylin. Figure 9. Spinal cord, T5; PWC, DM dog No. 14. Marked loss of LFB staining was observed in the white matter compared with the Beagle (Fig. 1) and non-DM PWC (Fig. 5), especially in the dorsolateral funiculi. LFB-HE. Figure 10. Spinal cord, dorsolateral funiculi, T5; PWC, DM dog No. 14. Severe loss and degeneration (swelling) of NF-positive axons were observed. DAB and hematoxylin. Figure 11. Spinal cord, dorsolateral funiculi, T5; PWC, DM dog No. 15. Increased GFAP-positive area and appearance of GFAP-positive swollen cells. DAB and hematoxylin. Figure 12. Spinal cord, boundary of the gray and white matter, T5; PWC, DM dog No.15. Increased number of Iba1-positive cells was observed. DAB and hematoxylin.

followed by Scheffe´’s multiple comparison procedure was used. Differences between groups were considered statistically significant when P < .05.

Results Among the dogs assessed in the present study, all DM-affected dogs and 3 of 5 non-DM PWC dogs had a c.118G>A homozygous mutation in the SOD1 gene. The other PWC dogs (dog Nos. 9 and 11) had a heterozygous mutation. Beagle dogs did not have the mutation (Table 1). Histopathologic features of dog Nos. 12 and 13 were described in detail in our previous report.23 Axonal degeneration and/or loss, as well as demyelination of the white matter, were commonly observed in the spinal cord of dog Nos. 14 to 16 (Figs. 9

and 10), as well as dog Nos. 12 and 13. The lesions were most severe in the thoracic spinal cord of dog Nos. 12, 13, 14, and 16, especially in the dorsolateral funiculi. The severity of these lesions differed among the dogs; the severest were in dog Nos. 14 and 15, whereas it was mild in dog No. 16. The cervical cord of dog No. 16 was almost intact. Proliferation of glial fibrillary acidic protein (GFAP)–positive astrocytes was observed to be correlated with the severity of the axonal loss and demyelination (Fig. 11). Proliferation of calcium-binding adapter molecule 1 (Iba1)–positive microglia throughout the white and gray matter was observed in DM dogs, especially in dog Nos. 12 and 15 (Fig. 12). Myelin loss and axonal degeneration were significant in the spinal ventral roots of dog Nos. 14 and 15, whereas these changes were relatively mild in the other DM dogs.These lesions were not observed in other two groups of dogs (Figs. 1-8).

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Beagle

Non-DM PWC

DM

25.0 + 1.5 76.5 +14.6

25.1 + 0.2 85.5 + 13.2

25.4 + 2.3 52.0 + 11.1

21.9 + 0.7 25.5 + 4.7

22.7 + 1.1 31.2 + 5.5

23.7 + 1.4 12.5 + 3.4a,b

27.0 + 0.8 83.2 + 18.8

25.0 + 0.7 99.5 + 10.8

25.6 + 1.7 32.1 + 8.3a,b

P < .05, DM vs anon-DM PWC or bBeagle.

Figure 13. Spinal cord, ventral horn, T5; Beagle dog No. 2. bIII-tubulin–positive neurons. 3,30 -Diaminobenzidine (DAB) and hematoxylin. Figure 14. Spinal cord, ventral horn, T5; Pembroke Welsh Corgi (PWC), non–degenerative myelopathy (DM) dog No. 9. bIII-tubulin– positive neurons. DAB and hematoxylin. Figure 15. Spinal cord, ventral horn, T5; PWC, DM dog No. 14. Fewer numbers of bIII-tubulin– positive neurons were observed compared with Beagle (Fig. 13) and non-DM PWC (Fig. 14). DAB and hematoxylin. Figure 16. The scatter plots of the shorter diameter (minor axis) of the bIII-tubulin–positive neuronal soma in the ventral horn of the cervical, thoracic, and lumbar cords of dog Nos. 1 to 6 (Beagle; light gray dots), 7 to 11 (non-DM PWC; gray dots), and 12 to 16 (DM; black dots). Horizontal line represents the average size. ND, no data.

A large amount of lipofuscin was observed frequently in the cytoplasm of neurons in all DM dogs and, to some degree, in aged non-DM PWC dog Nos. 8, 9, and 10 and Beagle dog No. 3. Chromatolysis of large motor neurons was observed in the ventral horn of the cervical, thoracic, and lumbar cords of DM-affected dogs, especially in dogs Nos. 12 and 14. No cytoplasmic inclusion bodies or apoptotic bodies were detected on HE sections in any dog in the present study. Ubiquitin-positive structures were not observed in the surviving neurons, but ubiquitin positivity was identified in degenerated neurons and/or in the neuropil. There were fewer bIII-tubulin–positive neurons in the ventral horn in DM-affected dogs than in dogs in the other 2 groups (Figs. 13–16, Table 3). The mean numbers of such neurons in the cervical, thoracic, and lumbar cords from DM, non-DM

PWC, and Beagle dogs are shown in Table 3. The decrease was statistically significant in thoracic and lumbar cords compared with both non-DM PWC and Beagle dogs. Both large neurons and small neurons survived in the DM sections (Fig. 16). No significant difference in the average size of neuronal soma between DM, non-DM PWC, and Beagle dogs was detected (Fig. 16, Table 3). The ratios of synaptophysin-positive area in the gray matter of DM-affected dogs were significantly decreased to approximately half of those in non-DM PWC dogs or Beagle dogs in the cervical, thoracic, and lumbar cords (Figs. 17–20). The reduction was most prominent in the ventral horn of all regions. Synaptophysin immunoreactivity could not be detected in dog Nos. 1, 2, 7, and 12, presumably because the sample tissues had not been freshly fixed. GLT-1 immunoreactivity was distributed throughout the gray matter of the spinal cord of non-DM PWC and Beagle dogs, with the highest expression in the substantia gelatinosa of the dorsal horn and around large ventral motor neurons (Figs. 21–24). Compared with both non-DM PWC and Beagle dogs, the GLT-1 expression in DM dogs was significantly decreased (Fig. 24) in all regions examined, especially in the thoracic and lumbar cords. Results of double immunofluorescence staining indicated that the GLT-1–positive area was mostly localized between the neuron and GFAP-positive process (Figs. 25, 28, 31), whereas no GLT-1–positive staining was observed on the surface of GFAP-positive cells with a large cytoplasm in the gray matter of the DM dogs (Fig. 25). The GLT-1–positive staining was localized especially around bIII-tubulin–positive large neurons (Figs. 26, 29, 32) and synaptophysin-positive synaptic vesicles (Figs. 27, 30, 33), whereas the expression levels were decreased in DM dogs (Figs. 32, 33). A nonsignificant change of the GLAST expression level in the ventral and dorsal horn was exhibited in DM dogs compared with that in non-DM PWC or Beagle dogs (Figs. 34–37). By double staining, GLAST expression was shown to be co-localized with GFAP in the gray and white matter of DM and the 2 other groups of dogs (data not shown). Astrocytes included in the gliosis lesions in the degenerated white

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Figure 17. Spinal cord, T5; Beagle dog No. 2. (a) Normal synaptophysin immunoreactivity. (b) Higher magnification of (a), ventral horn. 3,30 Diaminobenzidine (DAB) and hematoxylin. Figure 18. Spinal cord, T5; Pembroke Welsh Corgi (PWC), non–degenerative myelopathy (DM) dog No. 8. (a) Synaptophysin immunoreactivity similar to that in the Beagle (Fig. 17a). (b) Higher magnification of (a), ventral horn. DAB and hematoxylin. Figure 19. Spinal cord segment T5; PWC, degenerative myelopathy dog No. 14. (a) Synaptophysin immunoreactivity is notably reduced compared with the Beagle (Fig. 17a). (b) Higher magnification of (a), ventral horn. DAB and hematoxylin. Figure 20. The ratio of synaptophysin-positive area to the gray matter area in the Beagle (light gray bars), non-DM PWC (gray bars), and DM (black bars) dogs. Synaptophysin immunoreactivity was significantly decreased in DM dogs. *P < .05.

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Figure 21. Spinal cord, T5; Beagle dog No. 5. (a) Normal glutamate transporter 1 (GLT-1) immunoreactivity. (b) Higher magnification of (a), ventral horn. 3,30 -Diaminobenzidine (DAB) and hematoxylin. Figure 22. Spinal cord, T5; Pembroke Welsh Corgi (PWC), non–degenerative myelopathy (DM) dog No. 8. (a) GLT-1 immunoreactivity similar to that in the Beagle (Fig. 21a). (b) Higher magnification of (a), ventral horn. DAB and hematoxylin. Figure 23. Spinal cord segment T5; PWC, DM dog No. 12. (a) GLT-1 immunoreactivity is remarkably reduced compared with the Beagle (Fig. 21a) and non-DM PWC (Fig. 22a). (b) Higher magnification of (a), ventral horn. DAB and hematoxylin. Figure 24. The ratio of GLT-1–positive area to the gray matter area in Beagle (light gray bars), non-DM PWC (gray bars), and DM (black bars) dogs. GLT-1 immunoreactivity was significantly decreased in DM dogs. *P < .05.

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Figure 25. Spinal cord, ventral horn; Beagle dog No. 6. Glutamate transporter 1 (GLT-1) immunoreactivity is mostly localized between large neurons (*) and glial fibrillary acidic protein (GFAP)–positive processes (arrowhead). Double immunofluorescence for GLT-1 (red, Alexa 594) and GFAP (green, fluorescein isothiocyanate [FITC]). Figure 26. Spinal cord, ventral horn; Beagle dog No. 6. GLT-1 immunoreactivity surrounds the bIII-tubulin–positive large ventral neurons. Double immunofluorescence for GLT-1 (red, Alexa 594) and bIII-tubulin (green, FITC). Figure 27. Spinal cord, ventral horn; Beagle dog No. 6. GLT-1 immunoreactivity surrounds the synaptophysin-positive structure around the large ventral neuronal soma (*). Double immunofluorescence for GLT-1 (red, Alexa 594) and synaptophysin (green, FITC). Figure 28. Spinal cord, ventral horn; Pembroke Welsh Corgi (PWC), non–degenerative myelopathy (DM) dog No. 9. GLT-1 immunoreactivity localization is similar to that in the Beagle dog (Fig. 25, arrowhead). Asterisks (*) indicate neuronal soma. Double immunofluorescence for GLT-1 (red, Alexa 594) and GFAP (green, FITC). Figure 29. Spinal cord, ventral horn; PWC, non-DM dog No. 9. GLT-1 immunoreactivity localization is similar to that in the Beagle dog (Fig. 26). Double immunofluorescence for GLT-1 (red, Alexa 594) and bIII-tubulin (green, FITC). Figure 30. Spinal cord, ventral horn; PWC, non-DM dog No. 9. GLT-1 immunoreactivity localization is similar to that in the Beagle dog (Fig. 27). Double immunofluorescence for GLT-1 (red, Alexa 594) and synaptophysin (green, FITC). Figure 31. Spinal cord, ventral horn; PWC, DM dog No. 14. GLT-1 immunoreactivity is mostly localized between large neurons (*) and GFAP-positive processes (arrowhead). No GLT-1 immunoreactivity is observed on the surface of GFAP-positive cells with a large cytoplasm (arrows). Double immunofluorescence for GLT-1 (red, Alexa 594) and

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Figure 34. Spinal cord, ventral horn, T5; Beagle dog No. 4. Normal glutamate/aspartate transporter (GLAST) immunoreactivity. 3,30 -Diaminobenzidine (DAB) and hematoxylin. Figure 35. Spinal cord, ventral horn, T5; Pembroke Welsh Corgi (PWC), non–degenerative myelopathy (DM) dog No. 7. GLAST immunoreactivity similar to that in the Beagle (Fig. 34). DAB and hematoxylin. Figure 36. Spinal cord, ventral horn, T5; PWC, DM dog No. 13. GLAST immunoreactivity similar to those in the Beagle (Fig. 34) and non-DM PWC (Fig. 35). Asterisks (*) indicate neuronal soma. DAB and hematoxylin. Figure 37. The ratio of GLAST-positive area in the dorsal horn (dh), ventral horn (vh), and lateral funiculus (lf). GLAST immunoreactivity was not significantly changed in Beagle (light gray bars), non-DM PWC (gray bars), and DM (black bars) dogs.

matter or reactive astrocytes in the gray matter showed no significant GLAST immunoreactivity. GS-positive cells were observed throughout the gray matter, and a few were found in the white matter, mostly in the boundary area with the gray matter (Figs. 38–41). By double immunofluorescence, GS immunoreactivity was detected in mostly GFAP-negative and olig2-positive cells with scant cytoplasm (oligodendrocytes) and partly GFAP-positive astrocytes (data not shown). Compared with non-DM PWC or beagle dogs, the average number of GS-positive cells was slightly decreased in DM dogs, but this difference was not statistically significant (Fig. 41).

Discussion Considering the fact that a high percentage of PWC dogs examined in the present study had an SOD1 mutation, an inherited predisposition to DM might be frequently present in the breed

in Japan, irrespective of whether loss or gain of function of the molecule is directly involved in the etiology. Histopathologic lesions observed in the spinal cords of dog Nos. 12 to 16 affected by DM are consistent with those outlined in previous reports describing canine DM,7,19,21 and the distribution of the spinal lesions was almost identical to that of previous reports on DM in PWC.7,19 The severity of the pathologic lesions was closely associated with the severity of the clinical signs (Table 1). Whereas no sufficient examination was done on the tissues other than CNS in this study, the ventral root lesions are consistent with the recent reports on peripheral lesions of DM.34 The pathologic changes in the ventral neurons in DM dogs included chromatolysis, particularly in dog Nos. 12 and 14, and deposition of lipofuscin, which was observed in all DM dogs. Loss of the ventral neurons was more severe in dog Nos. 13 and 15. Chromatolytic or lipofuscin-bearing neurons have been

GFAP (green, FITC). Figure 32. Spinal cord, ventral Figure 32 (continued). horn; PWC, DM dog No. 14. The GLT-1 expression is decreased, whereas the distribution is similar to that in the Beagle (Fig. 26) and non-DM PWC dogs (Fig. 29). Double immunofluorescence for GLT-1 (red, Alexa 594) and bIII-tubulin (green, FITC). Figure 33. Spinal cord, ventral horn; PWC, DM dog No. 14. The GLT-1 expression is decreased, whereas the distribution is similar to that in the Beagle (Fig. 27) and non-DM PWC (Fig. 30). Red lumps with intrinsic fluorescence are erythrocytes. Double immunofluorescence for GLT-1 (red, Alexa 594) and synaptophysin (green, FITC).

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Figure 38. Spinal cord, ventral horn, T5; Beagle dog No. 4. Normal glutamine synthetase (GS) immunoreactivity. 3,30 -Diaminobenzidine (DAB) and hematoxylin. Figure 39. Spinal cord, ventral horn, T5; Pembroke Welsh Corgi (PWC), non–degenerative myelopathy (DM) dog No. 9. GS immunoreactivity similar to that in the beagle (Fig. 38). DAB and hematoxylin. Figure 40. Spinal cord, ventral horn, T5; PWC, DM dog No. 13. GS immunoreactivity is slightly decreased compared with those in the Beagle (Fig. 38) and non-DM PWC (Fig. 39). DAB and hematoxylin. Figure 41. The number of GS-positive cells per unit area in the ventral horns of the Beagle (light gray bars), non-DM PWC (gray bars), and DM (black bars) dogs. GS expression in the DM dogs was slightly lower than those of the 2 other groups of dogs but not significant.

generally observed in motor neurons of patients with ALS.18,30 Lipofuscin deposition was also observed in aged non-DM PWC dogs, presumably because of normal aging. Because of the difference of ages of the Beagle, non-DM PWC, and DM dogs in this study, the results do not necessarily indicate that the lipofuscin deposition is a consequence of the DM itself. The loss of synaptophysin immunoreactivity in the present cases of DM indicates that a synaptic loss occurs in DM during

the process of neuronal degeneration, which is similar to what occurs in ALS.15,16,31,32,44 Similar to our previous report23 and unlike in ALS, inclusion bodies mimicking Bunina bodies, Lewy body–like inclusions, and/or aggregated ubiquitinpositive skein-like inclusions/structures were absent in the surviving neurons of DM-affected dogs.11 Formation of such aggregations or inclusion bodies indicates the dysfunction of 2 major intracellular degradative pathways (ubiquitin-

Ogawa et al proteasome system and autophagy system); abnormalities of these systems are thought to be involved in neurodegeneration and ALS.17,41 Considering the absence of these features, the mechanisms of neuronal death in canine DM are not likely to be the same as in ALS. The result of size measurement indicates ventral neurons larger than 30 or even 50 mm were still surviving in DM cases. In addition, there was no difference in the average size of neurons between DM dogs and non-DM PWC or Beagle dogs. These facts indicate nonselective (not only large neuron) degeneration of the ventral horn. These findings also suggest that the ventral neuronal loss in the DM-affected spinal cord may not occur through apoptosis, since apoptotic cells usually undergo shrinkage. Moreover, no apoptotic body was observed in the DM dogs in the present study. Although the role of apoptosis in neuronal death in ALS is still controversial,20,36,42,43 the results of this study suggest that apoptosis is unlikely to be the mechanism of neuronal death in canine DM. The distribution pattern of GLT-1 in the spinal cords of the present non-DM PWC or Beagle dogs is consistent with that previously outlined in rat, mouse, and human spinal cords.10,22,26 GLT-1 downregulation is reported in patients with ALS and ALS model mice after disease onset.4,12,29 The decreased GLT-1 expression level in DM dogs suggests that the deficiency of glial reuptake of excitatory amino acids may play a similar role in DM pathogenesis as it does in patients with ALS and ALS mouse models.27 Absence of a significant difference between non-DM PWC dogs with the SOD1 mutation and Beagle dogs without the mutation also indicates that the decrease of GLT-1 expression is a secondary event to the disease onset and may be involved in disease progression rather than disease onset, as both a consequence and an exacerbating factor of the disease. In addition, the fact that there was no significant change of the GLAST expression level in any region of the DM dogs in the present study may also support the hypothesis that GLT-1 is responsible for excitotoxicity of the spinal motor neurons in canine DM. There are reports13,25 indicating that astrocytic nitric oxide production through iNOS is associated with glutamate uptake activity of GLT-1 or glutamate-induced excitotoxicity. Considering our previous finding that reactive astrocytes express iNOS in the gray matter of DM dogs,23 it is likely that an interaction between NO production and glutamate uptake occurs in DM. GS localization in astrocytes and oligodendrocytes in canine spinal cords examined in this study coincides with previous reports on cats and rats.8,37 Although the number of GSpositive cells was slightly decreased in DM dogs compared with those in the 2 other groups, no statistically significant difference among the 3 groups was detected. Alterations in GS levels have been documented in other neurodegenerative disorders,35 but reports of GS expression in patients with ALS are very limited.3 In a type of SOD1 transgenic mice, GS expression and/or activity appears to be unchanged in the spinal cord.9 The role of GS expression in both ALS and canine DM remains undefined, and further studies using a larger number of samples are needed to clarify this issue.

601 In conclusion, excitotoxicity via the deficiency of the glutamine/glutamate cycle due to reduced expression of astrocytic GLT-1, but not GLAST, may contribute to the striking neuron loss in the ventral horn of DM dogs during disease progression, as in ALS. On the other hand, intraneuronal events such as degradative dysfunction during disease progression seem to differ between DM and ALS. Acknowledgements We are grateful to the owners of the examined dogs who participated in this research.

Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Funding The author(s) received no financial support for the research, authorship, and/or publication of this article.

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