Cited by 165Down syndrome and intellectual disability researchNeurogenesis and neuroplasticity mechanismsGenetics and Neurodevelopmental Disorders

Widespread Proliferation Impairment and Hypocellularity in the Cerebellum of Fetuses with Down Syndrome

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Guidi, Sandra, Ciani, Elisabetta, Bonasoni, Paola, Santini, Donatella, Bartesaghi, Renata·2011·Brain Pathology

Abstract

Evidence in mouse models for Down syndrome (DS) and human fetuses with DS clearly shows severe neurogenesis impairment in various telencephalic regions, suggesting that this defect may underlie the cognitive abnormalities of DS. As cerebellar hypotrophy and motor disturbances are part of the clinical features of DS, the goal of our study was to establish whether these defects may be related to neurogenesis impairment during cerebellar development. We found that in fetuses with DS (17–21 weeks of gestation) the cerebellum had an immature pattern, a reduced volume and notably fewer cells (−25%/−50%) in all cerebellar layers. Immunohistochemistry for Ki‐67, a marker of cycling cells, showed impaired proliferation (−17%/−50%) of precursors from both cerebellar neurogenic regions (external granular layer and ventricular zone). No differences in apoptotic cell death were found in DS vs. control fetuses. The current study provides novel evidence that in the cerebellum of DS fetuses there is a generalized hypocellularity and that this defect is due to proliferation impairment, rather than to an increased cell death. The reduced proliferation potency found in the DS fetal cerebellum, in conjunction with previous evidence, strengthens the idea that the trisomic brain is characterized by widespread neurogenesis disruption.

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Crossref · 10.1111/j.1750-3639.2010.00459.x

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  • Analyses of fetal brain tissue indicate that there are fewer proliferating cells, as measured by expression of the cell cycle marker Ki67 and of cyclin proteins, in the germinal zones of the hippocampus and cortex in Down syndrome.

    “Analyses of fetal brain tissue indicate that there are fewer proliferating cells, as measured by their expression of the cell cycle marker Ki67 and of cyclin proteins, in the germinal zones of the hippocampus and cortex in DS40,42–44,47,50,64.”

    From Consequences of trisomy 21 for brain development in Down syndrome (2024) · cites this paper as [43]

    The Results (page not supplied) report a previous finding of fewer proliferating cells in fetal Down syndrome hippocampal regions and the ventricular germinal matrix, and identify Ki-67 as a marker of proliferating cells. This paper studies the cerebellum and does not report cyclin-protein measurements in the hippocampus or cortex, so it supports only part of the attributed claim. (LLM, conf=0.86)

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  • The fetal cortex, cerebellum and hippocampus have all been shown to contain fewer neurons in individuals with Down syndrome than in controls, albeit based on small sample sizes.

    “The fetal cortex, cerebellum and hippocampus have all been shown to contain fewer neurons in individuals with DS than in controls40–48, albeit based on small sample sizes17.”
  • The presence of fewer cycling cells and the reduced number of progenitors both support the suggestion that neurogenesis is reduced during development in Down syndrome, although these data do not distinguish between slower progenitor proliferation or premature progenitor cell cycle exit.

    “Together, the presence of fewer cycling cells and the reduced number of progenitors both support the suggestion that neurogenesis is reduced during development in DS, although these data do not distinguish between slower progenitor proliferation or premature progenitor cell cycle exit.”
  • During 17-21 weeks gestation, fewer neurons were found in the hippocampus, cerebellum, and multiple thalamic nuclei in fetuses with Down syndrome.

    “During the same time period (17–21 weeks gestation) fewer neurons were found in the hippocampus (Guidi et al., 2008), cerebellum (Guidi et al., 2011), and multiple thalamic nuclei (Stagni et al., 2020).”

    From Neurodevelopment in Down syndrome: Concordance in humans and models (2022) · cites this paper as Guidi et al., 2011

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Research works printed but not linked: 51

  1. [1]1. Abraham H, Tornoczky T, Kosztolanyi G, Seress L (2001) Cell formation in the cortical layers of the developing human cerebellum. Int J Dev Neurosci 19:53–62. [DOI] [PubMed] [Google Scholar]
  2. [2]2. Aylward EH, Habbak R, Warren AC, Pulsifer MB, Barta PE, Jerram M, Pearlson GD (1997) Cerebellar volume in adults with Down syndrome. Arch Neurol 54:209–212. [DOI] [PubMed] [Google Scholar]
  3. [3]3. Aylward EH, Li Q, Honeycutt NA, Warren AC, Pulsifer MB, Barta PE et al (1999) MRI volumes of the hippocampus and amygdala in adults with Down's syndrome with and without dementia. Am J Psychiatry 156:564–568. [DOI] [PubMed] [Google Scholar]
  4. [4]4. Baxter LL, Moran TH, Richtsmeier JT, Troncoso J, Reeves RH (2000) Discovery and genetic localization of Down syndrome cerebellar phenotypes using the Ts65Dn mouse. Hum Mol Genet 9:195–202. [DOI] [PubMed] [Google Scholar]
  5. [5]5. Bianchi P, Ciani E, Contestabile A, Guidi S, Bartesaghi R (2010) Lithium restores neurogenesis in the subventricular zone of the Ts65Dn mouse, a model for Down syndrome. Brain Pathol 20:106–118. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. [6]6. Brazel CY, Romanko MJ, Rothstein RP, Levison SW (2003) Roles of the mammalian subventricular zone in brain development. Prog Neurobiol 69:49–69. [DOI] [PubMed] [Google Scholar]
  7. [7]7. Choi BH, Lapham LW (1980) Evolution of Bergmann glia in developing human fetal cerebellum: a Golgi, electron microscopic and immunofluorescent study. Brain Res 190:369–383. [DOI] [PubMed] [Google Scholar]
  8. [8]8. Clark S, Schwalbe J, Stasko MR, Yarowsky PJ, Costa AC (2006) Fluoxetine rescues deficient neurogenesis in hippocampus of the Ts65Dn mouse model for Down syndrome. Exp Neurol 200:256–261. [DOI] [PubMed] [Google Scholar]
  9. [9]9. Contestabile A, Fila T, Ceccarelli C, Bonasoni P, Bonapace L, Santini D et al (2007) Cell cycle alteration and decreased cell proliferation in the hippocampal dentate gyrus and in the neocortical germinal matrix of fetuses with Down syndrome and in Ts65Dn mice. Hippocampus 17:665–678. [DOI] [PubMed] [Google Scholar]
  10. [10]10. Contestabile A, Fila T, Bartesaghi R, Ciani E (2009) Cell cycle elongation impairs proliferation of cerebellar granule cell precursors in the Ts65Dn mouse, an animal model for Down syndrome. Brain Pathol 19:224–237. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. [11]11. Corrales JD, Blaess S, Mahoney EM, Joyner AL (2006) The level of sonic hedgehog signaling regulates the complexity of cerebellar foliation. Development 133:1811–1821. [DOI] [PubMed] [Google Scholar]
  12. [12]12. Dauphinot L, Lyle R, Rivals I, Dang MT, Moldrich RX, Golfier G et al (2005) The cerebellar transcriptome during postnatal development of the Ts1Cje mouse, a segmental trisomy model for Down syndrome. Hum Mol Genet 14:373–384. [DOI] [PubMed] [Google Scholar]
  13. [13]13. de la Monte SM, Hedley‐Whyte ET (1990) Small cerebral hemispheres in adults with Down's syndrome: contributions of developmental arrest and lesions of Alzheimer's disease. J Neuropathol Exp Neurol 49:509–520. [DOI] [PubMed] [Google Scholar]
  14. [14]14. Engidawork E, Balic N, Juranville JF, Fountoulakis M, Dierssen M, Lubec G (2001) Unaltered expression of Fas (CD95/APO‐1), caspase‐3, Bcl‐2 and annexins in brains of fetal Down syndrome: evidence against increased apoptosis. J Neural Transm Suppl 61: 149–162. [DOI] [PubMed] [Google Scholar]
  15. [15]15. Golden JA, Hyman BT (1994) Development of the superior temporal neocortex is anomalous in trisomy 21. J Neuropathol Exp Neurol 53:513–520. [DOI] [PubMed] [Google Scholar]
  16. [16]16. Guidi S, Bonasoni P, Ceccarelli C, Santini D, Gualtieri F, Ciani E, Bartesaghi R (2008) Neurogenesis impairment and increased cell death reduce total neuron number in the hippocampal region of fetuses with Down syndrome. Brain Pathol 18:180–197. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. [17]17. Guihard‐Costa AM, Khung S, Delbecque K, Menez F, Delezoide AL (2005) Biometry of face and brain in fetuses with trisomy 21. Pediatr Res 59:33–38. [DOI] [PubMed] [Google Scholar]
  18. [18]18. Gundersen H, Jensen E (1987) The efficiency of systematic sampling in stereology and its prediction. J Microsc 147:229–263. [DOI] [PubMed] [Google Scholar]
  19. [19]19. Haydar TF, Nowakowski RS, Yarowsky PJ, Krueger BK (2000) Role of founder cell deficit and delayed neuronogenesis in microencephaly of the trisomy 16 mouse. J Neurosci 20:4156–4164. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. [21]21. Hewitt CA, Ling KH, Merson TD, Simpson KM, Ritchie ME, King SL et al (2010) Gene network disruptions and neurogenesis defects in the adult Ts1Cje mouse model of Down syndrome. PLoS One 5:e11561. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. [22]22. Ieshima A, Kisa T, Yoshino K, Takashima S, Takeshita K (1984) A morphometric CT study of Down's syndrome showing small posterior fossa and calcification of basal ganglia. Neuroradiology 26:493–498. [DOI] [PubMed] [Google Scholar]
  22. [23]23. Jernigan TL, Bellugi U, Sowell E, Doherty S, Hesselink JR (1993) Cerebral morphologic distinctions between Williams and Down syndromes. Arch Neurol 50:186–191. [DOI] [PubMed] [Google Scholar]
  23. [24]24. Lorenzi HA, Reeves RH (2006) Hippocampal hypocellularity in the Ts65Dn mouse originates early in development. Brain Res 1104:153–159. [DOI] [PubMed] [Google Scholar]
  24. [25]25. Noble J (1998) Natural history of Down's syndrome: a brief review for those involved in antenatal screening. J Med Screen 5:172–177. [DOI] [PubMed] [Google Scholar]
  25. [27]27. Pixley S, de Vellis J (1984) Transition between immature radial glia and mature astrocytes studied with a monoclonal antibody to vimentin. Brain Res 317:201–209. [DOI] [PubMed] [Google Scholar]
  26. [28]28. Rachidi M, Lopes C (2008) Mental retardation and associated neurological dysfunctions in Down syndrome: a consequence of dysregulation in critical chromosome 21 genes and associated molecular pathways. Eur J Paediatr Neurol 12:168–182. [DOI] [PubMed] [Google Scholar]
  27. [29]29. Rakic P (2003) Developmental and evolutionary adaptations of cortical radial glia. Cereb Cortex 13:541–549. [DOI] [PubMed] [Google Scholar]
  28. [30]30. Rakic P, Sidman RL (1970) Histogenesis of cortical layers in human cerebellum, particularly the lamina dissecans. J Comp Neurol 139:473–500. [DOI] [PubMed] [Google Scholar]
  29. [31]31. Roizen NJ, Patterson D (2003) Down's syndrome. Lancet 361:1281–1289. [DOI] [PubMed] [Google Scholar]
  30. [32]32. Roper RJ, Baxter LL, Saran NG, Klinedinst DK, Beachy PA, Reeves RH (2006) Defective cerebellar response to mitogenic Hedgehog signaling in Down [corrected] syndrome mice. Proc Natl Acad Sci U S A 103:1452–1456. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. [33]33. Roper RJ, St John HK, Philip J, Lawler A, Reeves RH (2006) Perinatal loss of TS65DN “Down Syndrome” mice. Genetics 172:437–443. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. [34]34. Roper RJ, VanHorn JF, Cain CC, Reeves RH (2009) A neural crest deficit in Down syndrome mice is associated with deficient mitotic response to Sonic hedgehog. Mech Dev 126:212–219. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. [35]35. Rose DS, Maddox PH, Brown DC (1994) Which proliferation markers for routine immunohistology? A comparison of five antibodies. J Clin Pathol 47:1010–1014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  34. [37]37. Rotmensch S, Goldstein I, Liberati M, Shalev J, Ben‐Rafael Z, Copel JA (1997) Fetal transcerebellar diameter in Down syndrome. Obstet Gynecol 89:534–537. [DOI] [PubMed] [Google Scholar]
  35. [38]38. Rueda N, Mostany R, Pazos A, Florez J, Martinez‐Cue C (2005) Cell proliferation is reduced in the dentate gyrus of aged but not young Ts65Dn mice, a model of Down syndrome. Neurosci Lett 380:197–201. [DOI] [PubMed] [Google Scholar]
  36. [39]39. Schmahmann JD (2004) Disorders of the cerebellum: ataxia, dysmetria of thought, and the cerebellar cognitive affective syndrome. J Neuropsychiatry Clin Neurosci 16:367–378. [DOI] [PubMed] [Google Scholar]
  37. [40]40. Schmidt‐Sidor B, Wisniewski KE, Shepard TH, Sersen EA (1990) Brain growth in Down syndrome subjects 15 to 22 weeks of gestational age and birth to 60 months. Clin Neuropathol 9:181–190. [PubMed] [Google Scholar]
  38. [41]41. Scholzen T, Gerdes J (2000) The Ki‐67 protein: from the known and the unknown. J Cell Physiol 182:311–322. [DOI] [PubMed] [Google Scholar]
  39. [42]42. Seidl R, Bidmon B, Bajo M, Yoo PC, Cairns N, LaCasse EC, Lubec G (2001) Evidence for apoptosis in the fetal Down syndrome brain. J Child Neurol 16:438–442. [DOI] [PubMed] [Google Scholar]
  40. [43]43. Sekiguchi M, Shimai K, Guo H, Nowakowski RS (1992) Cytoarchitectonic abnormalities in hippocampal formation and cerebellum of dreher mutant mouse. Brain Res Dev Brain Res 67:105–112. [DOI] [PubMed] [Google Scholar]
  41. [44]44. Seress L, Abraham H, Tornoczky T, Kosztolanyi G (2001) Cell formation in the human hippocampal formation from mid‐gestation to the late postnatal period. Neuroscience 105:831–843. [DOI] [PubMed] [Google Scholar]
  42. [45]45. Sillitoe RV, Joyner AL (2007) Morphology, molecular codes, and circuitry produce the three‐dimensional complexity of the cerebellum. Annu Rev Cell Dev Biol 23:549–577. [DOI] [PubMed] [Google Scholar]
  43. [46]46. Sudarov A, Joyner AL (2007) Cerebellum morphogenesis: the foliation pattern is orchestrated by multi‐cellular anchoring centers. Neural Dev 2:26. [DOI] [PMC free article] [PubMed] [Google Scholar]
  44. [47]47. Sylvester PE (1983) The hippocampus in Down's syndrome. J Ment Defic Res 27:227–236. [DOI] [PubMed] [Google Scholar]
  45. [48]48. Tavano A, Grasso R, Gagliardi C, Triulzi F, Bresolin N, Fabbro F, Borgatti R (2007) Disorders of cognitive and affective development in cerebellar malformations. Brain 130:2646–2660. [DOI] [PubMed] [Google Scholar]
  46. [49]49. Teipel SJ, Schapiro MB, Alexander GE, Krasuski JS, Horwitz B, Hoehne C et al (2003) Relation of corpus callosum and hippocampal size to age in nondemented adults with Down's syndrome. Am J Psychiatry 160:1870–1878. [DOI] [PubMed] [Google Scholar]
  47. [50]50. ten Donkelaar HJ, Lammens M, Wesseling P, Thijssen HO, Renier WO (2003) Development and developmental disorders of the human cerebellum. J Neurol 250:1025–1036. [DOI] [PubMed] [Google Scholar]
  48. [51]51. Weis S, Weber G, Neuhold A, Rett A (1991) Down syndrome: MR quantification of brain structures and comparison with normal control subjects. AJNR Am J Neuroradiol 12:1207–1211. [PMC free article] [PubMed] [Google Scholar]
  49. [52]52. Weisheit G, Gliem M, Endl E, Pfeffer PL, Busslinger M, Schilling K (2006) Postnatal development of the murine cerebellar cortex: formation and early dispersal of basket, stellate and Golgi neurons. Eur J Neurosci 24:466–478. [DOI] [PubMed] [Google Scholar]
  50. [54]54. Winter TC, Ostrovsky AA, Komarniski CA, Uhrich SB (2000) Cerebellar and frontal lobe hypoplasia in fetuses with trisomy 21: usefulness as combined US markers. Radiology 214:533–538. [DOI] [PubMed] [Google Scholar]
  51. [55]55. Wisniewski KE (1990) Down syndrome children often have brain with maturation delay, retardation of growth, and cortical dysgenesis. Am J Med Genet Suppl 7:274–281. [DOI] [PubMed] [Google Scholar] Articles from Brain Pathology are provided here courtesy of Wiley

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Authors
Guidi, S., Ciani, E., Bonasoni, P., Santini, D., & Bartesaghi, R.
Affiliations
  • University of Bologna (IT)
  • IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola (IT)
Venue
Brain Pathology
Publisher
Wiley
Published
2010-12-06
Volume
21
Issue
4
Pages
361-373
ISSN
  • 1015-6305 (ISSN-L)
  • 1750-3639
OpenAlex
W1820550045
Cited by
165
References
4
Citations by year
2026: 5 · 2025: 7 · 2024: 12 · 2023: 15 · 2022: 17 · 2021: 11 · 2020: 25 · 2019: 11 · 2018: 4 · 2017: 5 · 2016: 7 · 2015: 10 · 2014: 7 · 2013: 14 · 2012: 8
FWCI
9.23
Type
journal article
Language
en
Open access
Locations
  • Brain Pathology (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
  • Life Sciences › Neuroscience › Developmental Neuroscience › Neurogenesis and neuroplasticity mechanisms
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
Keywords
Down syndrome, cerebellum, fetal brain development, external granular layer, ventricular zone, Ki-67, apoptosis, cerebellar development
MeSH terms
Cerebellum, Down Syndrome, Female, Fetus, Humans, Immunohistochemistry, Male, Cell Proliferation, Neurogenesis

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