The 677C > T variant in methylenetetrahydrofolate reductase causes morphological and functional cerebrovascular

Alaina M Reagan1, Karen E Christensen2, Leah C Graham1

  • 1The Jackson Laboratory, Bar Harbor, ME, USA.

Insights

New mouse models reveal how MTHFR gene variants impair brain blood vessels, increasing risk for cognitive decline and dementia. This research helps understand cerebrovascular dysfunction in Alzheimer's disease and related dementias.

Area of Science:

  • Neuroscience
  • Genetics
  • Cardiovascular Science

Background:

  • Vascular contributions to cognitive impairment and dementia (VCID) are a growing concern, yet the underlying mechanisms of cerebrovascular decline remain unclear.
  • Genetic variants in methylenetetrahydrofolate reductase (MTHFR), particularly the 677C>T variant, are linked to dementia, but a suitable animal model was lacking to study these effects.

Purpose of the Study:

  • To create and characterize a novel knock-in mouse model (Mthfr KI) that mimics human MTHFR variants.
  • To investigate the impact of MTHFR variants on cerebrovascular morphology, function, and cellular changes in the brain.

Main Methods:

  • Generated a C57BL/6J knock-in mouse strain carrying the Mthfr variant.
  • Assessed MTHFR enzyme activity, plasma homocysteine levels, and tissue perfusion using PET/CT.
  • Quantified vascular density, pericyte number, and astrocyte activation (GFAP) in the frontal cortex.
  • Utilized electron microscopy to examine cerebrovascular ultrastructure.

Main Results:

  • Mthfr KI mice exhibited reduced MTHFR enzyme activity in the liver and brain, with elevated plasma homocysteine.
  • PET/CT revealed reduced perfusion in multiple brain regions.
  • Significant decreases in vascular density and pericyte numbers were observed, alongside increased GFAP-expressing astrocytes.
  • Electron microscopy showed endothelial and pericyte apoptosis, reduced vessel lumen size, and altered microglial and astrocyte presence.

Conclusions:

  • MTHFR gene variants perturb cerebrovascular health, leading to reduced perfusion and structural damage.
  • This Mthfr mouse model provides a valuable tool for studying the genetic susceptibility to cerebrovascular dysfunction in Alzheimer's disease and related dementias (ADRDs).

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