Cited by 170Neuroscience and Neuropharmacology ResearchGenetics and Neurodevelopmental DisordersProtease and Inhibitor Mechanisms

The Perineuronal ‘Safety’ Net? Perineuronal Net Abnormalities in Neurological Disorders

Open access
Wen, Teresa H., Binder, Devin K., Ethell, Iryna M., Razak, Khaleel A.·2018·Frontiers in Molecular Neuroscience

Abstract

Perineuronal nets (PNN) are extracellular matrix (ECM) assemblies that preferentially ensheath parvalbumin (PV) expressing interneurons. Converging evidence indicates that PV cells and PNN are impaired in a variety of neurological disorders. PNN development and maintenance is necessary for a number of processes within the CNS, including regulation of GABAergic cell function, protection of neurons from oxidative stress, and closure of developmental critical period plasticity windows. Understanding PNN functions may be essential for characterizing the mechanisms of altered cortical excitability observed in neurodegenerative and neurodevelopmental disorders. Indeed, PNN abnormalities have been observed in post-mortem brain tissues of patients with schizophrenia and Alzheimer's disease. There is impaired development of PNNs and enhanced activity of its key regulator matrix metalloproteinase-9 (MMP-9) in Fragile X Syndrome, a common genetic cause of autism. MMP-9, a protease that cleaves ECM, is differentially regulated in a number of these disorders. Despite this, few studies have addressed the interactions between PNN expression, MMP-9 activity and neuronal excitability. In this review, we highlight the current evidence for PNN abnormalities in CNS disorders associated with altered network function and MMP-9 levels, emphasizing the need for future work targeting PNNs in pathophysiology and therapeutic treatment of neurological disorders.

AI snapshot

Written from the paper’s full text.

TL;DR

This review synthesizes evidence that perineuronal nets (PNNs) around parvalbumin (PV) interneurons are abnormal in multiple neurological disorders, often alongside dysregulated MMP-9. It proposes that MMP-9-mediated PNN cleavage contributes to impaired PV cell function and cortical hyperexcitability, highlighting PNN/MMP-9 pathways as potential therapeutic targets.

Key findings

  • PNNs preferentially ensheath PV interneurons and are implicated in regulating GABAergic cell function, protecting neurons from oxidative stress, and closing developmental critical period plasticity; PNN abnormalities are reported in schizophrenia, Alzheimer’s disease, epilepsy, CNS injury/stroke, hearing loss, and Fragile X syndrome (FXS).
  • In FXS, Fmr1 knockout mice show delayed PNN development and increased MMP-9 activity in developing auditory cortex, mostly between P14 and P21; genetic reduction of MMP-9 normalized PV/PNN development and reversed auditory cortical neuron hyperresponsiveness. FXS is reported to occur in 1 in 4000 males and 1 in 8000 females.
  • In schizophrenia, post-mortem brains show reduced WFA-labeled PNN cells and reduced CSPGs and PV expression in prefrontal cortex; elevated plasma MMP-9 has been reported, and minocycline trials are cited as showing overall improvement in negative symptoms and executive functioning.
  • In Alzheimer’s disease, post-mortem hippocampus shows reduced PNN expression; PNN-ensheathed cells were more resistant to Aβ1-42 and iron-induced oxidative stress. Table 1 reports that in adult sensory cortices a majority of PV cells express PNNs, e.g., visual cortex ∼70% at 3–5 months, somatosensory layer 4 young adult ∼80%, and auditory cortex CBA young adult 50%.

Methods

  • Narrative review; no new experimental data are presented. It synthesizes published human post-mortem, rodent model, in vitro, EEG/electrophysiology, and clinical trial evidence.
  • Includes Table 1 compiling studies of PV cells enwrapped by PNNs across visual, somatosensory, and auditory cortices, with mouse strain, staining methods, and percentages by age and layer where available.
  • Main analysis is qualitative integration around a working hypothesis linking MMP-9 activity, PNN cleavage/reorganization, PV cell dysfunction, and altered network excitability.

Limitations

  • Stated in the paper: the precise role of PNNs in network function and development is not known; future studies should compare intrinsic and synaptic properties of the same cell types with and without PNNs; chABC likely has broader effects, so genetic removal of specific PNN components is needed; PNNs are heterogeneous and composition may be brain-region- and age-specific; mechanisms of PNN loss and restructuring in disease remain unclear.
  • Evident from the text: as a narrative review, there is no systematic search strategy or quantitative meta-analysis; causal direction between MMP-9, PNN changes, and excitability is often inferred from correlational animal and human data; therapeutic suggestions such as minocycline or MMP-9 inhibitors are based largely on preliminary or indirect evidence.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3389/fnmol.2018.00270

Cites

209 of 209 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

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  • Findingcitation

    Studies of postmortem human tissues suggest developmental changes in lectican levels in human CNS.

    “Studies of postmortem human tissues also suggest developmental changes in lectican levels in human CNS.”
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  • Findingnone given

    The expression of versican beta isoform increased 2-3 fold from embryonic day 14 until birth and then decreased in adulthood.

    “In contrast, the expression of beta isoform increased 2–3 fold from embryonic day (E) 14 until birth and then decreased in adulthood.”
    Quote in the paperNot a substantial claim
  • Findingcitation

    A number of CNS diseases exhibit dysregulated expression of enzymes necessary for PNN cleavage and reorganization.

    “In parallel, a number of these CNS diseases exhibit dysregulated expression of enzymes necessary for PNN cleavage and reorganization (Backstrom et al., 1996; Lorenzl et al., 2003; Rybakowski et al., 2009; Kim et al., 2009; Zhang et al., 2011; Yamamori et al., 2013; Liu et al., 2014; Rankin-Gee et al., 2015; Lepeta et al., 2017).”
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  • Findingnone given

    There is enhanced activity of MMP-9 in Fragile X Syndrome.

    “There is impaired development of PNNs and enhanced activity of its key regulator matrix metalloproteinase-9 (MMP-9) in Fragile X Syndrome, a common genetic cause of autism.”
    Quote in the paperSubstantial claim
  • Findingcitation

    High levels of brevican mRNA expression were detected in postmortem human cortex during early development until 8 years of age, and expression levels were lower in the adult human brain.

    “For example, high levels of brevican mRNA expression were detected in postmortem human cortex during early development until 8 years of age, and the expression levels were lower in the adult human brain (Gary et al., 2000).”
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    Findingcitation

    By week 4, tenascin expression is reduced to adult levels.

    “By week 4, tenascin expression is reduced to adult levels (Brückner et al., 2000).”
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    Findingcitation

    In the mouse cortex, tenascin immunolabeling is first detected around E16 and tenascin levels increase after birth until the third postnatal week.

    “In the mouse cortex, tenascin immunolabeling is first detected around E16 (Sheppard et al., 1991) and tenascin levels increase after birth until the third postnatal week (Brückner et al., 2000).”
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    Findingcitation

    Similar to lecticans, tenascin and hyaluronan are also developmentally regulated.

    “Similar to lecticans, tenascin and hyaluronan are also developmentally regulated.”
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    Findingcitation

    Peak MMP-9 expression is observed during postnatal development and is reduced during adulthood.

    “Peak MMP-9 expression is observed during postnatal development and is reduced during adulthood (Bednarek et al., 2009; Reinhard et al., 2015; Wen et al., 2017).”
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    Findingnone given

    While lecticans, tenascins, and hyaluronan are expressed during embryonic development, the classic net-like structure of PNNs is not typically seen until later during postnatal development.

    “While lecticans, tenascins, and hyaluronan are expressed during embryonic development, the classic net-like structure of PNNs is not typically seen until later during postnatal development.”
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    Findingcitation

    Hyaluronan is expressed during postnatal development and adulthood but peaks during embryonic development.

    “Hyaluronan is expressed during postnatal development and adulthood but peaks during embryonic development (Bignami et al., 1993a).”
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    Findingnone given

    Developing auditory cortex appears to exhibit fewer PNN and PV expressing cells than visual or somatosensory cortex.

    “Interestingly, developing auditory cortex appears to exhibit fewer PNN and PV expressing cells than visual or somatosensory cortex, but in adult sensory cortices, a majority of PV cells express PNNs as seen with WFA staining.”
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    Findingcitation

    Auditory hypersensitivity is also evident in Fmr1 KO mice, which exhibit increased susceptibility to audiogenic seizures and abnormal auditory startle.

    “Auditory hypersensitivity is also evident in Fmr1 knockout (KO) mice, a mouse model of FXS, which exhibit increased susceptibility to audiogenic seizures (Musumeci et al., 2000) and abnormal auditory startle (Frankland et al., 2004).”
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    Findingcitation

    Hyaluronan expression precedes the detection of both tenascin and lecticans, and is first observed near the notochord in E11-12 rat embryos.

    “Hyaluronan expression precedes the detection of both tenascin and lecticans, and is first observed near the notochord in E11-12 rat embryos (Delpech and Delpech, 1984; Bignami et al., 1993a).”
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    Findingcitation

    In adult mice, monocular deprivation followed by light exposure was associated with reduced WFA-expressing PNNs, lower aggrecan levels, and increased MMP-9 activity, as well as reduced PV cell output, increased firing of regular-spiking cells, and reduced gamma power.

    “In this study, monocular deprivation followed by light exposure in adult mice was associated with reduced WFA-expressing PNNs, lower aggrecan levels, and increased MMP-9 activity, as well as reduced PV cell output, increased firing of regular-spiking cells, and reduced gamma power (Murase et al., 2017).”
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    Findingown data

    A large proportion of PNN-expressing PV cells is found within layer 4 of neocortex.

    “A large proportion of PNN-expressing PV cells is found within layer 4 of neocortex (Table 1).”
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    Findingcitation

    Otx2 is localized to GABAergic cells, and is more likely found in PV cells that are enwrapped with PNNs, which contain a specific Otx2 binding site.

    “Studies of rodent visual cortex development indicate that Otx2 is localized to GABAergic cells, and is more likely found in PV cells that are enwrapped with PNNs, which contain a specific Otx2 binding site (Beurdeley et al., 2012).”
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    Findingown data

    These phenotypes were mostly observed between P14 and P21, suggesting a window of abnormal development that can be targeted for therapeutic applications.

    “These phenotypes were mostly observed between P14 and P21 suggesting a window of abnormal development that can be targeted for therapeutic applications.”
    Quote in the paperSubstantial claim
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    Findingcitation

    RNA sequencing analysis of PV cells containing Otx2 indicates that Otx2 may be necessary for mitochondrial function, cellular respiration, and redox regulation.

    “RNA sequencing analysis of PV cells containing Otx2 indicates that Otx2 may be necessary for mitochondrial function, cellular respiration, and redox regulation (Sakai et al., 2017).”
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    Findingcitation

    There is enhanced N1 amplitude and reduced gamma phase locking in auditory ERPs in Fmr1 KO mice.

    “There is also enhanced N1 amplitude and reduced gamma phase locking in auditory ERPs (Lovelace et al., 2018).”
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    Findingown data

    At P14, the responses of single neurons were similar across genotypes, while at P21, Fmr1 KO neurons show hyper-responsiveness.

    “At P14, the responses of single neurons were similar across genotypes, while at P21, Fmr1 KO neurons show hyper-responsiveness.”
    Quote in the paperSubstantial claim
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    Findingcitation

    Genetic reduction of MMP-9 levels in the Fmr1 KO mice normalized PV/PNN development and also reversed the hyperresponsiveness of auditory cortical neurons.

    “Genetic reduction of MMP-9 levels in the Fmr1 KO mice normalized PV/PNN development and also reversed the hyperresponsiveness of auditory cortical neurons.”
    Quote in the paperSubstantial claim
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    Findingcitation

    Redox dysregulation has been observed in schizophrenic patients, who have defective antioxidant systems and exhibit increased lipid peroxidation.

    “Redox dysregulation has been observed in schizophrenic patients, who have defective antioxidant systems and exhibit increased lipid peroxidation (Do et al., 2000; Yao et al., 2006; Flatow et al., 2013).”
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    Findingcitation

    Post-mortem brains from patients with schizophrenia exhibit reduced density of WFA-labeled cells and reduced levels of CSPGs and PV expression in prefrontal cortex.

    “Post-mortem brains from patients with schizophrenia exhibit reduced density of WFA-labeled cells (Mauney et al., 2013) and reduced levels of CSPGs and PV expression in prefrontal cortex (Enwright et al., 2016).”
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    Findingcitation

    Gamma-band activity driven by rapid presentation of auditory stimuli and synchrony or phase-locking of electrocortical activity to these stimuli are reduced in schizophrenic patients compared to healthy controls.

    “In contrast, gamma-band activity that is driven by rapid presentation of auditory stimuli and synchrony or phase-locking of electrocortical activity to these stimuli are reduced in schizophrenic patients compared to healthy controls (Kwon et al., 1999; Light et al., 2006).”
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    Findingcitation

    chABC-mediated removal of chondroitin sulfate side chains from PNNs reduced spiking of PV cells in adult rats and increased spiking variability.

    “While this mechanism has not been confirmed, chABC-mediated removal of chondroitin sulfate side chains from PNNs reduced spiking of PV cells in adult rats (Balmer, 2016; Lensjø et al., 2017) and increased spiking variability (Lensjø et al., 2017).”
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    Findingcitation

    Chondroitin sulfate promotes activation of protein kinase pathways including PKC and PI3K/Akt, and subsequent production of a neuronal antioxidant, heme oxygenase-1.

    “Analysis of molecular mechanisms indicates that chondroitin sulfate promotes activation of protein kinase pathways including PKC and PI3K/Akt, and subsequent production of a neuronal antioxidant, heme oxygenase-1 (Cañas et al., 2007).”
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    • cites Cañas et al., 2007

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    Findingcitation

    Drug-induced seizures led to increased expression of aggrecan cleavage products around PV cells and reduced expression of PNN components in rodent hippocampus, including Ctrl1 and hyaluronan synthase 3, both of which help to stabilize PNNs.

    “Drug-induced seizures led to increased expression of aggrecan cleavage products around PV cells and reduced expression of PNN components in rodent hippocampus, including Ctrl1 and hyaluronan synthase 3, both of which help to stabilize PNNs (McRae and Porter, 2012; Rankin-Gee et al., 2015).”
    Quote in the paperSubstantial claim
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    Premisecitation

    Tenascins are fibrous, matricellular proteins that bind to the C-terminal domain of lecticans.

    “Tenascins are fibrous, matricellular proteins, which bind to the C-terminal domain of lecticans (Aspberg et al., 1997; Day et al., 2004).”
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    Premisecitation

    PNNs are composed of chondroitin sulfate proteoglycans, tenascin, and link proteins, which facilitate binding to a hyaluronan backbone.

    “PNNs are composed of CSPGs, tenascin, and link proteins, which facilitate binding to a hyaluronan backbone (Yamaguchi, 1999) (Figure 2).”
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    Premisenone given

    Versican consists of two different alpha and beta isoforms, which are differentially expressed during development.

    “Versican consists of two different alpha and beta isoforms, which are differentially expressed during development.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Perineuronal nets are specialized assemblies of extracellular matrix proteins that ensheath neurons and proximal dendrites.

    “Perineuronal nets are specialized assemblies of ECM proteins which ensheath neurons and proximal dendrites (Celio et al., 1998).”
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    Premisenone given

    Chondroitin sulfate proteoglycans consist of a core protein and varying amounts of chondroitin sulfate chains covalently bound to a central region of the protein.

    “Chondroitin sulfate proteoglycans consist of a core protein and varying amounts of chondroitin sulfate chains covalently bound to a central region of the protein.”
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    Premisenone given

    PNNs have been implicated in neuroprotection.

    “Since then, PNNs have been implicated in a wide range of functions including neuroprotection, regulation of neural activity and experience-dependent plasticity.”
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    Premisenone given

    MMP-9 is a protease that cleaves extracellular matrix.

    “MMP-9, a protease that cleaves ECM, is differentially regulated in a number of these disorders.”
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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The lectican family includes aggrecan, neurocan, versican, and brevican, which vary in core protein size and number of GAG side chains.

    “These include aggrecan, neurocan, versican, and brevican, which vary in core protein size and the number of GAG side chains (Yamaguchi, 1999).”
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    Interpretationreasoning

    MMP-9 mediated cleavage and/or reorganization of PNN structures around PV-expressing cells contributes to abnormal PV cell development and cortical hyperexcitability.

    “we propose a novel working hypothesis in which MMP-9 mediated cleavage and/or reorganization of PNN structures around PV-expressing cells contributes to abnormal PV cell development and cortical hyperexcitability (Figure 1).”
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    Premisenone given

    PNNs have been implicated in experience-dependent plasticity.

    “Since then, PNNs have been implicated in a wide range of functions including neuroprotection, regulation of neural activity and experience-dependent plasticity.”
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    Premisenone given

    The functional impact of developmental changes in PNN lectican composition is unknown.

    “However, the functional impact of developmental changes in PNN lectican composition is unknown.”
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    Premisenone given

    Few studies have addressed the interactions between PNN expression, MMP-9 activity and neuronal excitability.

    “Despite this, few studies have addressed the interactions between PNN expression, MMP-9 activity and neuronal excitability.”
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    Premisecitation

    Hyaluronan is an unsulfated GAG that is synthesized at the cell surface by membrane-bound enzymes called HAS and protrudes through the plasma membrane into the extracellular space.

    “Hyaluronan is an unsulfated GAG that is synthesized at the cell surface by the membrane-bound enzymes called HAS and protrudes through the plasma membrane into the extracellular space (Fraser et al., 1997).”
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    Premisecitation

    Chondroitin sulfate side chains are a type of GAG polysaccharide consisting of disaccharide blocks of N-acetylgalactosamine and glucuronic acid.

    “These chondroitin sulfate side chains are a type of GAG polysaccharide consisting of disaccharide blocks of N-acetylgalactosamine and glucuronic acid (Sherman and Back, 2007).”
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    Premisecitation

    The role of PNNs in neural and network excitability is only beginning to be understood.

    “However, the role of PNNs in neural and network excitability is only beginning to be understood (Balmer, 2016; Murase et al., 2017; Wen et al., 2017).”
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    Premisenone given

    The function of lecticans in CNS development remains unclear.

    “Although lecticans are developmentally regulated, their function in CNS development remains unclear.”
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    Premisenone given

    The lectican family of CSPGs is most prominent in PNNs of the CNS.

    “Various CSPGs exist in the ECM throughout the body, but the lectican family of CSPGs is most prominent in PNNs of the CNS.”
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    Interpretationreasoning

    Systematic studies of the interplay between MMP-9, PNN and PV cells may be key to understanding mechanisms of multiple CNS disorders at the cellular and circuit levels.

    “we bring together evidence from studies of schizophrenia, AD, and epilepsy to suggest that systematic studies of the interplay between MMP-9, PNN and PV cells may be key to understanding mechanisms of multiple CNS disorders at the cellular and circuit levels.”
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    Premisecitation

    FXS is a leading genetic cause of autism, occurring in 1 in 4000 males and 1 in 8000 females.

    “FXS is a leading genetic cause of autism, occurring in 1 in 4000 males and 1 in 8000 females (Murray et al., 1997).”
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    Premisenone given

    Parvalbumin cells are a major class of GABAergic, fast-spiking inhibitory interneurons in the neocortex.

    “Parvalbumin cells are a major class of GABAergic, fast-spiking inhibitory interneurons in the neocortex.”
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    Interpretationcitation

    Both neurons and glial cells are involved in the assembly of PNN around neurons.

    “It is unclear how these molecules are assembled to form PNN around neurons, but some studies suggest that both neurons and glial cells are involved in the process (Miyata et al., 2007; Pyka et al., 2011).”
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    Interpretationcitation

    Aggrecan-rich PNNs may be unstable in the presence of MMP-9, leading to abnormal development and neural excitability.

    “As aggrecan has been previously identified as an MMP-9 target (Mercuri et al., 2000; Madsen et al., 2010; Rankin-Gee et al., 2015), aggrecan-rich PNNs may be unstable in the presence of MMP-9, leading to abnormal development and neural excitability (Murase et al., 2017; Wen et al., 2017).”
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    Premisecitation

    This leads to loss of FMRP, which is necessary for regulation of protein synthesis.

    “This leads to loss of Fragile X Mental Retardation protein (FMRP), which is necessary for regulation of protein synthesis (Verkerk et al., 1991).”
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    Premisenone given

    The most common cause of FXS is an expansion of CGG trinucleotide repeats in the 5′ region of the Fmr1 gene that results in its hypermethylation and inactivation.

    “The most common cause of FXS is an expansion of CGG trinucleotide repeats in 5′ region of the Fragile X mental retardation 1 (Fmr1) gene that results in its hypermethylation and inactivation.”
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    Interpretationcitation

    There is a tetrapartite synaptic organization involving ECM, pre/post synaptic sites and astrocytes.

    “Astrocytes extend their processes into PNNs localized near the synapse (Brückner et al., 1993; Blümcke et al., 1995), suggesting a tetrapartite synaptic organization involving ECM, pre/post synaptic sites and astrocytes (Dityatev and Rusakov, 2011; Smith et al., 2015) whose synergistic functions remain unexplored.”
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    Premisecitation

    It is unclear how these molecules are assembled to form PNN around neurons.

    “It is unclear how these molecules are assembled to form PNN around neurons, but some studies suggest that both neurons and glial cells are involved in the process (Miyata et al., 2007; Pyka et al., 2011).”
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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Individuals with FXS suffer from social and communication deficits, sensory hypersensitivity, and anxiety disorders.

    “Individuals with this neurodevelopmental disorder suffer from social and communication deficits, sensory hypersensitivity, and anxiety disorders (Abbeduto and Hagerman, 1997; Rogers et al., 2001).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Abbeduto and Hagerman, 1997

      Not checked in the free run.

    • cites Rogers et al., 2001

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Like PNNs, PV expression is developmentally regulated and experience-dependent.

    “Like PNNs, PV expression is developmentally regulated and experience-dependent (Hensch, 2005).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Hensch, 2005 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    MMP-9 is a zinc-dependent endopeptidase expressed in various cells within the CNS which is capable of cleaving ECM proteins, including collagen and laminin.

    “MMP-9 is a zinc-dependent endopeptidase expressed in various cells within the CNS which is capable of cleaving ECM proteins, including collagen and laminin (reviewed in Reinhard et al., 2015).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Reinhard et al., 2015 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    One mechanism that has been proposed to explain some symptoms of schizophrenia is a reduction in GABAergic signaling in specific cortical regions.

    “One mechanism that has been proposed to explain some symptoms of schizophrenia is a reduction in GABAergic signaling in specific cortical regions.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationcitation

    Delayed PNN development and increased MMP-9 activity may lead to impaired PV cell development and reduced inhibition.

    “We found delayed PNN development and increased MMP-9 activity levels in the developing auditory cortex of Fmr1 KO mice (Wen et al., 2017), which may lead to impaired PV cell development and reduced inhibition.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationcitation

    During development, sensory stimuli can activate Narp expression which promotes PV interneuron excitation, leading to feed-forward inhibition.

    “This suggests that during development, sensory stimuli can activate Narp expression which promotes PV interneuron excitation, leading to feed-forward inhibition (O’Brien et al., 1999; Gu et al., 2013).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites O’Brien et al., 1999 source

      Not checked in the free run.

    • cites Gu et al., 2013

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    Otx2 may play a role in PV cell maturation and refinement of cortical inhibition.

    “An orthodenticle homeoprotein, Otx2, may play a role in PV cell maturation and refinement of cortical inhibition.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    These results indicate that there is altered E/I balance in auditory cortex, which may underlie auditory hypersensitivity phenotypes.

    “These results indicate that there is altered E/I balance in auditory cortex, which may underlie auditory hypersensitivity phenotypes.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    In FXS, delayed development of PNNs may contribute to abnormal Narp expression, impairing the ability of PV cells to scale cortical networks, resulting in cortical hyperexcitability.

    “In FXS, delayed development of PNNs may contribute to abnormal Narp expression, impairing the ability of PV cells to scale cortical networks, resulting in cortical hyperexcitability.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationcitation

    Perineuronal net dysfunction in schizophrenia may drive changes in GABAergic cell function leading to network dysfunction, as normal PNN expression regulates excitability of PV cells.

    “Perineuronal net dysfunction in schizophrenia may also drive changes in GABAergic cell function leading to network dysfunction, as normal PNN expression regulates excitability of PV cells (Liu et al., 2013; Balmer, 2016).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Liu et al., 2013 source

      Not checked in the free run.

    • cites Balmer, 2016 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    PNNs may protect PV cells from oxidative stress, and thus serve as a 'safety net' to support the rapid firing properties of PV cells.

    “Recent studies show that PNNs may protect PV cells from oxidative stress (Cabungcal et al., 2013; Morishita et al., 2015), and thus serve as a ‘safety net’ to support the rapid firing properties of PV cells.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Cabungcal et al., 2013 source

      Not checked in the free run.

    • cites Morishita et al., 2015 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Scn1a is a gene that encodes Nav1.1, a sodium channel necessary for PV cell firing.

    “Scn1a is a gene that encodes Nav1.1, a sodium channel necessary for PV cell firing (Ogiwara et al., 2007; Hedrich et al., 2014).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Ogiwara et al., 2007 source

      Not checked in the free run.

    • cites Hedrich et al., 2014 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    Minocycline can reduce plasma levels of MMP-9 and inhibit MMP-9 activity, suggesting a possible role of MMP-9 inhibition in the beneficial effects of minocycline in schizophrenia.

    “Beside its antibiotic activity, minocycline can reduce plasma levels of MMP-9 (Dziembowska et al., 2013) and inhibit MMP-9 activity (Lee et al., 2006), suggesting a possible role of MMP-9 inhibition in the beneficial effects of minocycline in schizophrenia.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Dziembowska et al., 2013 source

      Not checked in the free run.

    • cites Lee et al., 2006 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Failure of transplanted sensory axons to penetrate original lesion sites led to denervation of upstream pathways and inactivation of parts of somatosensory cortex.

    “which lead to denervation of upstream pathways and inactivation of parts of somatosensory cortex (Davies et al., 1999; Kaas et al., 2008).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Davies et al., 1999 source

      Not checked in the free run.

    • cites Kaas et al., 2008 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Metal ions can react with free radicals generated by cellular metabolism to generate even more free radicals, resulting in lipid peroxidation, oxidative stress, and cell death.

    “The molecules can react with free radicals generated by cellular metabolism to generate even more free radicals, resulting in lipid peroxidation, oxidative stress, and cell death (Stohs and Bagchi, 1995).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Stohs and Bagchi, 1995 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In cortical areas surrounding the infarct and outside of the glial scar, CSPG immunoreactivity is down regulated although it remains detectable up to 14 days post-injury.

    “CSPG immunoreactivity is down regulated although they remain detectable up to 14 days post-injury (Hobohm et al., 2005).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Hobohm et al., 2005 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Reduced PV-immunoreactivity and PV cell function have been observed following stroke.

    “reduced PV-immunoreactivity and PV cell function have also been observed following stroke”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Hobohm et al., 2005 source

      Not checked in the free run.

    • cites Xie et al., 2014 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    Alzheimer's disease may lead to hippocampal and cortical hyperexcitability as well as increased seizure susceptibility in both AD humans and rodent models.

    “This may lead to hippocampal and cortical hyperexcitability as well as increased seizure susceptibility in both AD humans and rodent models (Palop et al., 2007; Roberson et al., 2011).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Palop et al., 2007 source

      Not checked in the free run.

    • cites Roberson et al., 2011

      Not checked in the free run.

  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationcitation

    As PNNs regulate PV cell activity and protect PV cells from oxidative stress, PNNs can be potentially targeted to control seizures.

    “As PNNs regulate PV cell activity (Balmer, 2016; Lensjø et al., 2017) and protect PV cells from oxidative stress (Cabungcal et al., 2013), PNNs can be potentially targeted to control seizures.”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Balmer, 2016 source

      Not checked in the free run.

    • cites Lensjø et al., 2017 source

      Not checked in the free run.

    • cites Cabungcal et al., 2013 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    The number of PNN expressing cells is reduced in aging mouse auditory cortex with a particular impact on PV/PNN co-localized cells.

    “The number of PNN expressing cells is reduced in aging mouse auditory cortex with a particular impact on PV/PNN co-localized cells (Brewton et al., 2016).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Brewton et al., 2016 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Overexposure to loud sounds can cause hair cell damage.

    “Overexposure to loud sounds can cause hair cell damage (Puel et al., 1998)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Puel et al., 1998 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Minocycline administration may reverse both schizophrenia and FXS phenotypes, perhaps due to its ability to lower MMP-9 levels or activity.

    “Recent studies indicate that minocycline administration may reverse both schizophrenia and FXS phenotypes, perhaps due to its ability to lower MMP-9 levels or activity (Dziembowska et al., 2013).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Dziembowska et al., 2013 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    GABAergic signaling is involved in shaping frequency selectivity, spontaneous activity levels and spectrotemporal selectivity, with fast-spiking PV cells shaping both spectral and temporal selectivity.

    “GABAergic signaling is involved in shaping these properties, with fast-spiking PV cells shaping both spectral and temporal selectivity (Moore and Wehr, 2012).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Moore and Wehr, 2012 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationreasoning

    Activity-dependent synaptogenesis and the development of stable neuronal networks may be a result of normal PNN interactions with inhibitory interneurons, in particular fast spiking PV cells.

    “activity-dependent synaptogenesis and the development of stable neuronal networks may be a result of normal PNN interactions with inhibitory interneurons, in particular fast spiking PV cells.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    PNNs are implicated in experience-dependent plasticity during development.

    “PNNs are also implicated in experience-dependent plasticity during development.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Age-related hearing loss (presbycusis) is associated with difficulty interpreting speech and slower auditory processing.

    “Age-related hearing loss, also known as presbycusis, is associated with difficulty interpreting speech and slower auditory processing (Gates and Mills, 2005)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Gates and Mills, 2005

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    Altered PNN formation may contribute to abnormal GABAergic signaling and impaired temporal processing with age, leading to deficits in speech comprehension.

    “Altered PNN formation may contribute to abnormal GABAergic signaling and impaired temporal processing with age, leading to deficits in speech comprehension.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    The use of chABC likely has broader effects beyond addressing PNN function.

    “While the use of chABC has been useful in addressing PNN function, this enzyme likely has broader effects.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Overexposure to loud sounds can cause hearing loss and reduced afferent input in the auditory system.

    “hearing loss and reduced afferent input in the auditory system (Syka, 2002).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Syka, 2002 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In the rodent hippocampus, aggrecan-expressing PNNs overlap with WFA labeling in stratum oriens, but stratum pyramidale exhibits aggrecan-rich PNNs, which are not WFA-positive.

    “in the rodent hippocampus, aggrecan-expressing PNNs overlap with WFA labeling in stratum oriens, but stratum pyramidale exhibits aggrecan-rich PNNs, which are not WFA-positive (Yamada and Jinno, 2017).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Yamada and Jinno, 2017

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Iron-induced oxidative stress resulted in apoptotic cell death in cells without PNNs, while neurons with PNNs were more likely to survive.

    “While iron-induced oxidative stress resulted in apoptotic cell death in cells without PNNs, neurons with PNNs were more likely to survive (Suttkus et al., 2012, 2014).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Suttkus et al., 2012, 2014

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    Elevated MMP-9 levels may contribute to both PNN degradation and altered levels of Aβ in AD.

    “elevated MMP-9 levels may contribute to both PNN degradation and altered levels of Aβ in AD.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: MMP-9 is involved in PNN maintenance.
  • May combine two claims.

    Premisecitation

    Tenascin-R expressing PNNs are not observed in rodent PFC, but are prominent in other cortical areas.

    “Tenascin-R expressing PNNs are not observed in rodent PFC, but are prominent in other cortical areas (Ueno et al., 2017a).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Ueno et al., 2017a

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    TIMP levels may be indicators for risk of stroke mortality.

    “and may be indicators for risk of stroke mortality (Hansson et al., 2011).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Hansson et al., 2011 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    TIMP levels are increased in postmortem brains of AD patients.

    “TIMP levels are increased in postmortem brains of AD patients (Peress et al., 1995)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Peress et al., 1995 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationnone given

    The ADAMTs family of aggrecanases may also cause PNN cleavage and reorganization.

    “the ADAMTs family of aggrecanases may also cause PNN cleavage and reorganization.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    Absence of PNNs may allow for axonal outgrowth and synaptogenesis, particularly in surviving cortical areas, which exhibit reduced CSPG and PNN expression and are therefore growth permissive.

    “this may allow for axonal outgrowth and synaptogenesis, particularly in surviving cortical areas, which exhibit reduced CSPG and PNN expression and are therefore growth permissive (2014).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    TIMPs form 1:1 complexes with MMPs in order to inhibit MMP activity.

    “tissue inhibitors of MMPs, known as TIMPs, which form 1:1 complexes with MMPs in order to inhibit MMP activity (Gomis-Rüth et al., 1997; Brew and Nagase, 2010).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Gomis-Rüth et al., 1997 source

      Not checked in the free run.

    • cites Brew and Nagase, 2010

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Interpretationcitation

    Neuro-inflammation may be crucial in understanding MMP-9 dysregulation in CNS disorders.

    “these may be crucial in understanding MMP-9 dysregulation in CNS disorders”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Papa et al., 2014 source

      Not checked in the free run.

88 of 88
  • The paper relies on this without support.

    Re-establishing neuronal plasticity is key for re-innervation and recovery after CNS injury and stroke.

    “In CNS injury and stroke, re-establishing neuronal plasticity appears to be key for re-innervation and recovery.”
  • The paper relies on this without support.

    MMP-9 is involved in PNN maintenance.

    “As MMP-9 is also involved in PNN maintenance”
  • The paper relies on this without support.

    Neurotrophins are necessary for neuronal growth and plasticity.

    “Neurotrophins are necessary for neuronal growth and plasticity”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Perineuronal nets (PNN) regulate synaptic plasticity and rewiring of the network of interneurons.

    “Importantly, PNN regulate the synaptic plasticity (Kochlamazashvili et al., 2010) and rewiring the network (Pollock et al., 2014) of the interneurons (Wen et al., 2018).”

    From Disrupted structural connectivity in ArcAβ mouse model of Aβ amyloidosis (2020) · cites this paper as Wen et al., 2018

  • Microglia release matrix metalloproteinases or other ECM-degrading proteases that act on perineuronal net components in acute injuries such as stroke.

    “microglia undergo activation and subsequently release matrix metalloproteinases (e.g. MMP9) or other ECM-degrading proteases that act on PNN components [33].”

Cites

Flagged first, then by citations

Research works printed but not linked: 5

  1. Berardi, 2004, Extracellular matrix and visual cortical plasticity: freeing the synapse., Neuron, 44, 905, 10.1016/j.neuron.2004.12.008 · DOI
  2. Golgi, 1893, Intorno all’origine del quarto nervo cerebrale e una questione istofisiologica che a questo argomento si collega., Rend. R Accademia Lincei, 2, 378
  3. Mercuri, 2000, Mutations in the interglobular domain of aggrecan alter matrix metalloproteinase and aggrecanase cleavage patterns. Evidence that matrix metalloproteinase cleavage interferes with aggrecanase activity., J. Biol. Chem., 275, 33038, 10.1074/jbc.275.42.33038 · DOI · Paper page
  4. Ramón, 1897, Las células de cilindro-eje corto de la capa molecular del cerebro., Rev. Trim Micrográf., 2, 105
  5. Volk, 2000, Decreased GAD67 mRNA expression in a subset of prefrontal cortical GABA neurons in subjects with schizophrenia., Arch. Gen. Psychiatry, 57, 237, 10.1001/archpsyc.57.3.237 · DOI · Paper page

Cited by

Sorted by citations

Authors
Wen, T. H., Binder, D. K., Ethell, I. M., & Razak, K. A.
Affiliations
University of California, Riverside (US)
Corresponding author
  • Ethell, Iryna M.
  • Razak, Khaleel A.
Venue
Frontiers in Molecular Neuroscience
Published
2018-08-03
Volume
11
Pages
270-270
ISSN
1662-5099 (ISSN-L)
OpenAlex
W2886787141
Cited by
170
References
209
Citations by year
2026: 15 · 2025: 21 · 2024: 16 · 2023: 26 · 2022: 27 · 2021: 27 · 2020: 24 · 2019: 12 · 2018: 2
FWCI
2.10
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Molecular Neuroscience (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • eScholarship (California Digital Library) (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion, cc-by)
Funders
National Institutes of Health (U54 HD082008)
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Protease and Inhibitor Mechanisms
Keywords
perineuronal nets, extracellular matrix, parvalbumin interneurons, MMP-9, fragile X syndrome, autism spectrum disorder, schizophrenia, Alzheimer's disease, cortical excitability, critical period plasticity, GABAergic inhibition, oxidative stress, neurodevelopmental disorders, neurodegenerative diseases

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-06.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-06.

Statistics and arithmetic are recomputed, not judged.

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