LETTER doi:10.1038/nature10849 An epigenetic blockade of cognitive functions in the neurodegenerating brain Johannes Gräff1,2,3, Damien Rei1,2, Ji-Song Guan1,2,3, Wen-Yuan Wang1,2,3, Jinsoo Seo1,2, Krista M. Hennig3,4, Thomas J. F. Nieland3, Daniel M. Fass3,4, Patricia F. Kao5, Martin Kahn1, Susan C. Su1,2, Alireza Samiei1, Nadine Joseph1,2,3, Stephen J. Haggarty3,4, Ivana Delalle5 & Li-Huei Tsai1,2,3 Cognitive decline is a debilitating feature of most neurodegenerative diseases of the central nervous system, including Alzheimer’s disease1. The causes leading to such impairment are only poorly understood and effective treatments are slow to emerge2. Here we show that cognitive capacities in the neurodegenerating brain are constrained by an epigenetic blockade of gene transcription that is potentially reversible. This blockade is mediated by histone deacetylase 2, which is increased by Alzheimer’s-disease-related neurotoxic insults in vitro, in two mouse models of neurodegeneration and in patients with Alzheimer’s disease. Histone deacetylase 2 associates with and reduces the histone acetylation of genes important for learning and memory, which show a concomitant decrease in expression. Importantly, reversing the build-up of histone deacetylase 2 by short-hairpin-RNA-mediated knockdown unlocks the repression of these genes, reinstates structural and synaptic plasticity, and abolishes neurodegenerationassociated memory impairments. These findings advocate for the development of selective inhibitors of histone deacetylase 2 and suggest that cognitive capacities following neurodegeneration are not entirely lost, but merely impaired by this epigenetic blockade. Long-lasting forms of memories require stable gene expression changes3, which are in part orchestrated by chromatin-templated epigenetic processes4. Of the epigenetic modifications identified so far in the nervous system, histone acetylation has been unequivocally associated with facilitating learning and memory4. Acetylation diminishes the electrostatic affinity between neighbouring histones and the DNA and, consequently, can promote a more open chromatin structure that allows for memory-related gene transcription5. Over the past decade, several studies have reported sporadic cases of reduced histone acetylation in animal models of neurodegeneration that are characterized by cognitive decline, including models of Alzheimer’s disease4. Accordingly, pharmacological treatments aimed at increasing histone acetylation have shown promising results in reversing cognitive deficits in some of these models, predominantly by the use of nonselective histone deacetylase (HDAC) inhibitors6. However, the causative agent of such memory-impairing histone acetylation changes, and, hence, the best targets for pharmacological strategies, remain unknown. One likely candidate is HDAC2, a class I HDAC that negatively regulates memory and synaptic plasticity in the healthy mouse brain7,8. To investigate whether HDAC2 mediates cognitive deficits associated with neurodegeneration, we measured its abundance in CK-p25 mice9,10, which inducibly and forebrain-specifically overexpress p25, a truncated version of p35. p25 aberrantly activates cyclin-dependent kinase 5 (CDK5), and is implicated in various neurodegenerative diseases11, including Alzheimer’s disease12. After 6 weeks of p25 induction, CKp25 mice display Alzheimer’s-disease-related pathologies such as neuronal loss9, b-amyloid accumulation10, reactive astrogliosis9 and reduced synaptic density13, most prominently in the hippocampus and the cortex, two brain areas important for memory formation and storage, respectively14. Accordingly, 6-week-induced CK-p25 (hereafter referred to as CK-p25) mice also display spatial and associative memory deficits13. Using immunohistochemistry and western blot analysis, we found that HDAC2 was significantly increased in neuronal nuclei in hippocampal area CA1 in CK-p25 mice compared with control littermates (Fig. 1a, d, e; see Supplementary Fig. 2a for a specificity control for the HDAC2 signal). No changes in HDAC2 were observed in hippocampal area CA3 or the dentate gyrus (Supplementary Fig. 3a, b), explaining the overall marginal increase in the entire hippocampus. Interestingly, this effect appears to be non-cell-autonomous, as both p25-positive and p25-negative cells displayed elevated HDAC2 (Fig. 1a). In contrast, levels of the structurally highly related HDAC1, and of HDAC3, another class I HDAC involved in memory formation15, were not changed (Fig. 1b, c, e). Furthermore, HDAC2, but not HDAC1 or HDAC3, was also increased in the prefrontal cortex of CK-p25 mice (Supplementary Fig. 4), whereas in the amygdala, a brain area not affected by neurodegeneration in the CK-p25 mice, its levels remained unchanged (Supplementary Fig. 3c). This neurodegeneration-associated increase of HDAC2 was confirmed in another mouse model of Alzheimer’s-disease-related pathologies and cognitive decline, the 5XFAD mouse16,17 (Supplementary Fig. 5). Next, we aimed to determine the functional consequences of elevated HDAC2. Because HDAC2 has been shown to associate with the promoter region of genes involved in memory and synaptic plasticity7, we proposed that it is enriched at these genes following neurodegeneration. Of the known HDAC2 targets7, we focused on those that, in several independent studies, had been demonstrated to be downregulated in the human brain with Alzheimer’s disease (Supplementary Table 1). These include the immediate-early genes Arc, Bdnf exons I, II and IV, Egr1, Homer1, and Cdk5, implicated in learning and memory, and genes related to synaptic plasticity such as the glutamate receptor subunits GluR1, GluR2, NR2A and NR2B (also known as Gria1, Gria2, Grin2a and Grin2b), as well as Nfl (neurofilament light chain, also known as Nefl), Syp (synaptophysin) and Syt1 (synaptotagmin 1). Using chromatin immunoprecipitation (ChIP, for primers see Supplementary Table 2), we found that HDAC2 is significantly enriched at these genes in the CK-p25 hippocampus, the exception being the promoter regions of the activity-dependent Bdnf exons I and II18, and the housekeeping genes b-actin, b-globin and b-tubulin (Fig. 1f). In contrast, binding of HDAC1 and HDAC3 was unaltered (Supplementary Fig. 6a, b). Interestingly, in agreement with previous reports showing that HDAC2 can also bind to a gene’s coding region19, we also found HDAC2 more abundantly bound to the coding sequence of the same genes (see Supplementary Fig. 7 and Supplementary Table 3 for primer sequences). 1 Picower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA. 2Howard Hughes Medical Institute, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA. 3Stanley Center for Psychiatric Research, Broad Institute of Harvard University and Massachusetts Institute of Technology, Cambridge, Massachusetts 02142, USA. 4Center for Human Genetic Research, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA. 5Department of Pathology and Laboratory Medicine, Boston University School of Medicine, Boston, Massachusetts 02118, USA. 2 2 2 | N AT U R E | VO L 4 8 3 | 8 M A R C H 2 0 1 2 ©2012 Macmillan Publishers Limited. All rights reserved * * * * ** 0 HDAC 2 1 3 Housekeeping CON * CK-p25 * * * ** ** 0 1.5 1.0 H4K12 acetylation * * * * 0 ** ** * * ** * 1.0 * * * * * * 1 0 * SYP/ DAPI 0 h 1.5 mRNA expression 1.0 0 * f * * * * * * * * ** * * ** * * * * * βAc β- tin G lo β- bin Tu bu lin B Sy p Sy t1 N R2 fl A N R2 N R1 lu lu G R2 0 G mRNA (fold change CON) i 1 * * 2 * RNA Pol II binding Ar Bd c n Bd f I n Bd f II nf IV C dk 5 E H gr1 om er 1 RNA Pol II ChIP (fold change CON) h 1.5 3 2 ** Figure 1 | Elevated HDAC2 levels epigenetically block the expression of neuroplasticity genes during neurodegeneration. a–c, Representative immunohistochemical images depicting HDAC1–3 levels in area CA1 of CK-p25 mice and control littermates; scale bar, 20 mm. d, Quantitative assessment of a–c (n 5 3–6 slices from three or four mice each). e, Representative western blot images and quantification of HDAC1–3 in the CK-p25 and control hippocampus (n 5 6–9 mice each). f–h, Quantitative PCR results of (f) HDAC2-, (g) AcH4K12- and (h) RNA Pol II-immunoprecipitated chromatin at the promoter of neuroplasticity and housekeeping genes in the CK-p25 and control hippocampus. i, Quantitative RT–PCR results of the same genes (f–i, n 5 4–8 animals each). *P # 0.05; **P # 0.01; ***P # 0.001; values are mean 6 s.e.m. We next assessed the acetylation of several histone (H) residues in the promoter region of these genes, for which acetylation has been shown to be important for learning, memory, and synaptic plasticity, such as H2B lysine (K) 5, H3K14, H4K5 and H4K12 (ref. 4). ChIP analyses revealed a hypoacetylation for all residues at the neuroplasticity genes (Fig. 1g and Supplementary Fig. 6c–e), albeit to different extents. Importantly, the acetylation of housekeeping genes was not altered. The effects of elevated HDAC2 levels further appear to be restricted to histones, as we found no overall acetylation changes on other proteins regulated by this modification, such as tau (also known as MAPT), protein 53 (p53; also known as TP53) and tubulin, nor in overall nuclear or cytoplasmic protein acetylation (Supplementary Fig. 8). Next, to determine the functional consequences of promoter hypoacetylation, we assessed the binding of activated (that is, phosphorylated) RNA polymerase II (RNA Pol II), and found it to be markedly reduced (Fig. 1h). This prompted us to measure the messenger RNA (mRNA) expression of these genes by quantitative reverse-transcription PCR (RT–PCR) (primers in Supplementary Table 4). We found reduced expression for all genes with elevated HDAC2 binding and CON,scr CK-p25,scr CK-p25,shHDAC2 60 ** * 50 40 30 20 10 0 25 i * 1 2 3 4 Day 2 * 0 * 2 * * 1 5 ** 75 1 0 * 50 25 j CON,scr CK-p25,scr CK-p25,shHDAC2 70 60 50 40 30 20 10 0 CK-p25,scr CK-p25,shHDAC2 CON,scr CK-p25,scr CK-p25,shHDAC2 * ** 50 expression * e * 75 d mRNA 3 Escape latency (s) 2 c H4K12 acetylation Mean SYP optical density (a.u.) 4 100 0 0.5 Synaptic plasticity * * * * * ** * ** * ** ** GluR1 GluR2 Nfl NR2A NR2B Syp Syt1 Learning and memory HDAC2 binding 125 g CON, scr Merge CON, scr CK-p25, scr CK-p25, shHDAC2 MAP2/ DAPI CK-p25, CK-p25, shHDAC2 scr Merge b Merge HDAC2 (mean grey value) Merge HDAC2 HDAC1 HDAC3 β-Tubulin * 1.0 3 DAPI HDAC2 Arc Bdnf I Bdnf II Bdnf IV Cdk5 Egr1 Homer1 DAPI 1 GFP Stratum radiatum AcH4K12 ChIP (fold change CON) g 6 DAPI 0 HDAC 2 Freezing (% of time) HDAC2 ChIP (fold change CON) f DAPI 1.0 a 0 Time spent in quadrant (s) e CON CK-p25 *** mRNA (fold change CON,scr) HDAC3 2.0 GluR1 GluR2 Nfl NR2A NR2B Syp Syt1 HDAC1 HDAC2 d Arc Bdnf I Bdnf II Bdnf IV Cdk5 Egr1 Homer1 CK-p25 GFP CON, scr c CON CK-p25 GFP CK-p25, CK-p25, shHDAC2 scr b CON AcH4K12 ChIP (fold change CON,scr) CK-p25 GFP HDAC level CA1 (fold change CON) a CON HDAC level hippocampus (fold change CON) LETTER RESEARCH CON, scr O R L T CK-p25, scr O R L T CK-p25, shHDAC2 O R L T 30 *** 30 30 *** 20 20 20 10 10 10 0 T RO L 0 T RO L 0 T RO L Figure 2 | Reducing HDAC2 levels alleviates memory deficits. a, Representative immunohistochemical images depicting HDAC2 in hippocampal area CA1 of CK-p25, shHDAC2, CK-p25, scr and CON, scr animals; scale bar, 20 mm. b, Quantitative assessment of a, n 5 4 or 5 sections from four mice each. c, Quantitative PCR results of AcH4K12-immunoprecipitated chromatin in CK-p25, scr and CK-p25, shHDAC2 compared with CON, scr mice. d, Quantitative RT–PCR results of the same genes. (c, d, n 5 4–6 animals each.) e, g, Representative immunohistochemical images depicting (e) SYP and (g) MAP2 immunoreactivity in the hippocampus stratum radiatum; scale bars: e, 25 mm; g, 20 mm. f, Quantitative assessment of e, n 5 4 mice each; a.u., arbitrary units. h, Freezing responses of CON, scr (n 5 18), CK-p25, scr (n 5 16) and CKp25, shHDAC2 (n 5 16) mice 24 h after contextual fear conditioning. i, Escape latencies in a water maze task of CON, scr (n 5 19), CK-p25, scr (n 5 17) and CKp25, shHDAC2 (n 5 19) animals. Data points are averages of two trials per day. j, Representative swim traces and time spent per quadrant during the water maze test (T, target quadrant; R, right; O, opposite; L, left of target). *P # 0.05; **P # 0.01; ***P # 0.001; values are mean 6 s.e.m. a concomitant decrease in histone acetylation and RNA Pol II binding (Fig. 1i). Of note, HDAC2 probably acts with the transcriptional repressor complexes CoREST, NuRD and SIN3, as we found increased association of HDAC2 with these complexes in hippocampal CK-p25 extracts by co-immunoprecipitation (Supplementary Fig. 9). Taken together, these results indicate that HDAC2 mediates a local chromatin compaction of neuroplasticity genes, which decreases their expression and may contribute to cognitive decline during neurodegeneration. To examine causally such a possibility, we generated adeno-associated viral vectors carrying either short-hairpin RNAs (shRNAs) directed against HDAC2 or scrambled control shRNAs (Supplementary Fig. 8 M A R C H 2 0 1 2 | VO L 4 8 3 | N AT U R E | 2 2 3 ©2012 Macmillan Publishers Limited. All rights reserved RESEARCH LETTER and physiological changes in the surviving neurons. To this end, we measured synaptic density by SYP immunohistochemistry, labelling the presynaptic terminals of functional synapses, and dendritic abundance by microtubule-associated protein 2 (MAP2) immunoreactivity. We found that, whereas SYP and MAP2 levels were reduced in the stratum radiatum of CK-p25, scr animals (as previously described for CK-p25 mice13,20), their abundance was markedly increased in CK-p25, shHDAC2 animals, to levels comparable to CON, scr animals (Fig. 2e–g). Interestingly, however, the number of surviving neurons, as evidenced by NeuN immunohistochemistry, was not altered by HDAC2 reduction (Supplementary Fig. 12). Next, we measured synaptic plasticity by electrophysiological recordings and observed that long-term potentiation in CA1 neurons was undistinguishable between CK-p25, shHDAC2 and CON, scr animals, but significantly improved over CK-p25, scr animals. A similar effect was observed for basal synaptic plasticity (Supplementary Fig. 13). Together, these data indicate that, although HDAC2 normalization did not impact neuronal survival, it did reinstate morphological and synaptic plasticity in the surviving neurons. We suggested that the reduction of HDAC2 would also counteract the cognitive deficits associated with neurodegeneration. For this, we assessed associative and spatial memory on a fear-conditioning and water maze task, respectively, two types of hippocampus-dependent memory that are severely perturbed in CK-p25 animals13. We observed 2 * * 1 0 f Amyloid-β42–1 Amyloid-β1–42 Hdac2 mRNA (fold change CON) 2 H2O H2O2 1 0 0 H2O H2O2 1.5 *** 1.0 0.5 0 CON CK-p25 g GRE consensus sequence 2 GRE sequence in Hdac2 promoter ** 1 DAPI d +25 +42 h 2 ** 1 l Amyloid-β42–1 Amyloid-β1–42 1.5 ** 0.5 0 1.5 *** 1.0 0.5 0 CON CK-p25 j 90 CON 70 70 50 50 30 30 k 90 CK-p25 30 50 70 90 30 50 70 pGR1 (mean grey value) 90 1.5 5 0 luc 1.0 * 0.5 ** 0 Figure 3 | Neurotoxic insults increase HDAC2 through stress elements in its promoter. a, c, Representative pictures of HDAC2 and pGR1 labelling of primary hippocampal neurons treated with (a) H2O2 and (c) amyloid-boligomers (n 5 20–40 neurons per group); scale bar, 10 mm. b, d, Quantification of a and c. e, f, Quantitative RT–PCR results showing Hdac2 expression in (e) H2O2- and amyloid-b-treated primary hippocampal neurons, and (f) in the CK-p25 hippocampus (n 5 7–9 mice each). g, Alignment of the vertebrate GRE consensus sequence with the GRE in the proximal promoter of mouse Hdac2. h, Quantification and representative western blot images of hippocampal extracts of CK-p25 versus control mice (n 5 3 each). i, Representative images of immunohistochemical labelling of pGR1 and HDAC2 in the CK-p25 hippocampus (n 5 3–6 slices from three mice each); scale bar, 20 mm. j, Regression analysis of i showing a significant correlation between pGR1 and HDAC2 in CK-p25 (R2 5 0.686, P # 0.001), but * Cdk5 fl/fl Cdk5cKO CDK5 pGR1 GR1 HDAC2 β-Actin luc *** ** *** *** *** 5 4 3 2 1 0 H2O2 − Amyloid-β1–42 − pGR1/ CDK5 GR1 HDAC2 ** CON CK-p25 10 + − − + − − luc Luciferase activity (fold change CON) DAPI +300 15 m 0 Protein (f.c. CON) pGR1 HDAC2 CON CK-p25 HDAC2 TSS −1000 n i GRE 1.0 pGR1 GR1 β-Tubulin 0 Hdac2 promoter region pGR1 binding (fold change CON) 0.5 pGR1 HDAC2 level (fold change CON) 1.0 HDAC2 pGR1 level (fold change CON) H2O2 Hdac2 mRNA (fold change CON) e c *** 1.5 pGR1/GR1 (fold change CON) b DAPI Amyloid-β1–42 Amyloid-β42–1 pGR1 H2O HDAC2 pGR1 level HDAC2 level (fold change CON) (fold change CON) a Luciferase activity (fold change CON) 10a, b). The knockdown efficiency of the shRNAs in culture was about 25–30% (Supplementary Fig. 10c–f), ideally suited for the targeted normalization of the 20–50% increase of HDAC2 in the CK-p25 mice. We injected these vectors bilaterally into hippocampal area CA1 of 2-weekinduced CK-p25 and control mice, and assessed HDAC2 levels 4 weeks after viral injection (Supplementary Fig. 10g). CK-p25 animals injected with an shRNA against HDAC2 (CK-p25, shHDAC2) showed reduced HDAC2 levels compared with CK-p25 animals injected with control scrambled shRNA (CK-p25, scr), indistinguishable from control mice injected with scrambled shRNA (CON, scr) (Fig. 2a, b). Protein levels of HDAC1 and HDAC3 remained unchanged (Supplementary Fig. 11). We observed transduction efficiencies of 53–61% (mean 6 s.e.m. 57.4 6 2.5; n 5 3–4 mice per group analysed) and comparable infection rates in both control and CK-p25 hippocampi (Supplementary Fig. 10h). Next, we sought to determine whether reducing HDAC2 levels would alter the promoter histone acetylation and mRNA expression of neuroplasticity genes. We found that H4K12 acetylation was significantly enhanced on most of these genes, and they showed increased expression (Fig. 2c, d). Importantly, most of these genes showed comparable, or even higher, expression in CK-p25, shHDAC2 mice compared with CON, scr animals (black dotted lines). Based on these findings, we investigated whether such regained chromatin and transcriptional plasticity might translate into morphological *** 3 ** + − − + GR GRS221A *** *** 2 1 0 H2O2 − Amyloid-β1–42 − − − + − + − − + − + not control mice (R2 5 0.019, not significant). k, Quantification and representative western blot images of Cdk5cKO and control Cdk5fl/fl forebrain extracts (n 5 3 each). f.c., fold change. l, Quantitative PCR results of pGR1immunoprecipitated chromatin around the GRE in a 1.3-kb-wide Hdac2 promoter region (schematically shown above the graph; TSS, transcriptional start site) in the CK-p25 and control hippocampus (n 5 3–6 animals each); green lines represent fragments amplified by primer pairs. m, Luciferase activity of CAD cells transfected with the Hdac2 promoter with (orange) or without (blue) GRE (schematic of constructs shown above graph), and treated with H2O2 and amyloid-b1–42. n, Luciferase activity of CAD cells transfected with Hdac2-GRE in the presence of endogenous glucocorticoid receptor or of cotransfected GRS211A. In vitro results are from at least three independent experiments. *P # 0.05; **P # 0.01; ***P # 0.001; values are mean 6 s.e.m. 2 2 4 | N AT U R E | VO L 4 8 3 | 8 M A R C H 2 0 1 2 ©2012 Macmillan Publishers Limited. All rights reserved LETTER RESEARCH that the Hdac2-GRE also responds to neurotoxic stimuli. When CAD cells were treated with either H2O2 or amyloid-b1–42, luciferase activity was significantly increased, but only with the GRE present (Fig. 3m, orange bars). Furthermore, the capability of GR to activate Hdac2 critically depends upon its phosphorylation. When S211 was mutated to alanine (GRS211A), the glucocorticoid receptor was no longer capable of activating Hdac2 in vitro (Fig. 3n). This dependency on S211 phosphorylation also occurs in vivo, as Cdk5cKO forebrain extracts26 had reduced pGR1 and HDAC2 levels (Fig. 3k). Taken together, these results indicate that Alzheimer’s-disease-related neurotoxic stimuli lead to an increase in Hdac2 gene transcription by mechanisms involving glucocorticoid receptor activation and its interaction with the Hdac2-GRE. Lastly, to assess the relevance of these findings in humans, we compared HDAC2 abundance in post-mortem brain samples from patients with varying degrees of non-familial Alzheimer’s disease, the most common form of neurodegeneration-associated dementia worldwide27. The cases used here (Supplementary Table 5) are defined by the Braak and Braak stages28, which are characterized by the accumulation of hyperphosphorylated tau protein in the cortices (Supplementary Fig. 18), and by increasing neurodegeneration28 and cognitive impairment29. We found that, in all Alzheimer’s-diseaserelated Braak and Braak stages, HDAC2 levels were significantly elevated in hippocampal area CA1 (Fig. 4a, d) and the entorhinal cortex (Supplementary Fig. 19a, d), which are among the earliest and most affected brain areas in Alzheimer’s disease2 and crucial for memory formation and storage14. HDAC2 accumulation was visible beginning 2.0 c HDAC1 HDAC3 CON CON CON BB I–II BB I–II BB I–II BB III–IV BB III–IV BB III–IV BB V–VI BB V–VI BB V–VI ** 1.5 1.0 0.5 0 e 2.0 1.5 1.0 0.5 0 f HDAC3 protein level (fold change CON) d b HDAC2 HDAC1 protein level (fold change CON) a HDAC2 protein level (fold change CON) that associative memory of CK-p25, shHDAC2 animals returned to levels of CON, scr animals (Fig. 2h). Likewise, CK-p25, shHDAC2 animals showed significantly reduced escape latencies compared with CK-p25, scr animals during training in the water maze (Fig. 2i) and, 24 h later, they spent significantly more time in the target quadrant, indistinguishable from the performance of CON, scr mice (Fig. 2j). Overall, swimming behaviour was similar between the different groups (Supplementary Fig. 14a, b), and altering HDAC2 levels per se did not affect locomotor activity or anxiety as assessed by an open field test (Supplementary Fig. 14c–f). Together, these results indicate that elevated HDAC2 levels are causally involved in the cognitive decline associated with neurodegeneration in CK-p25 mice, but that the prevention of HDAC2 upregulation rescues memory capacities. To gain insight into the mechanisms underlying the increase in HDAC2, we exposed primary hippocampal neurons to neurotoxic stimuli characteristic of Alzheimer’s-disease-related neurodegeneration, hydrogen peroxide (H2O2) and amyloid-b oligomers21,22. As revealed by immunocytochemistry and western blot analysis, treatment with either H2O2 or amyloid-b1–42, but not control amyloidb42–1, oligomers was sufficient to increase HDAC2 (Fig. 3a–d, left panels, and Supplementary Fig. 15a–d). Importantly, both neurotoxic stimuli increased Hdac2 at the mRNA level (Fig. 3e), and increased Hdac2 transcription was also evident in the CK-p25 hippocampus (Fig. 3f), suggesting the involvement of transcriptional mechanisms. This prompted us to screen the Hdac2 promoter for potential binding sites of transcriptional regulators. Using transcription factor binding databases23, we found a well-conserved recognition element for the glucocorticoid receptor 1 (GR1, also known as NR3C1) in the proximal promoter region of Hdac2 (Fig. 3g). Glucocorticoid receptors are activated by phosphorylation following behavioural or cellular stress and, upon binding to the glucocorticoid responsive element (GRE) in a gene’s promoter region, they can act as transcriptional activators or repressors, depending, in part, on the residue phosphorylated24. Of its known phosphorylation sites, serine (S) 211 has been robustly associated with activated forms of GR1 (ref. 25). Based on this knowledge, we examined whether S211 phosphorylation on GR1 was increased after neurotoxic insults in vitro, and in the CK-p25 brain in vivo. Immunocytochemical labelling and western blot analysis of cultured hippocampal neurons following H2O2 and amyloid-b1–42 treatment revealed a significantly increased phosphorylation of GR1 (pGR1) on S211 compared with control conditions (Fig. 3a–d, middle panels, and Supplementary Fig. 15a–d; see Supplementary Fig. 2b for anti-pGR1S211 specificity). Furthermore, the CK-p25 hippocampus showed similarly increased pGR1 levels (Fig. 3h, i and Supplementary Fig. 16). Remarkably, we observed that the increase in pGR1 occurred concurrently with that of HDAC2 following neurotoxicity (Fig. 3a, c, i, j) and, using forebrain extracts of conditional Cdk5 knockout (Cdk5cKO) and control mice26, we identified CDK5 as a GR1 kinase in vivo (Fig. 3k). We then sought to determine whether GR1 phosphorylation increases Hdac2 transcription. We first examined the binding of pGR1 to the Hdac2 promoter by pGR1-ChIP and primer pairs (Supplementary Table 2) spanning a region from 21000 to 1300 base pairs around the Hdac2 transcriptional start site (Fig. 3l, top). We found that pGR1 binding to the Hdac2-GRE was significantly increased in the CKp25 hippocampus (Fig. 3l, bottom). Similar results were obtained after amyloid-b1–42 treatment of primary hippocampal cultures (Supplementary Fig. 15e). Second, to determine whether GR1 is directly capable of transcriptionally activating Hdac2, we cloned the Hdac2 promoter with and without the GRE into a luciferase construct and tested its activity in CAD cells, a primary neuron-like cell line. We found that the presence of the GRE alone increased the luciferase activity by approximately threefold but that, upon the addition of a constitutively active form of glucocorticoid receptor, GR526 (see Methods), this activity was further doubled. However, without the Hdac2-GRE, the addition of GR526 had no effect (Supplementary Fig. 17). Importantly, we found 2.0 1.5 CON BB I–II BB III–IV BB V–VI 1.0 0.5 0 Figure 4 | HDAC2 expression is increased in patients with Alzheimer’s disease. a–c, Representative immunohistochemical images depicting nuclear HDAC1–3 levels (white dotted circles) in neurons (arrow points to magnified neuron in inset) of hippocampal area CA1 from patients with Braak and Braak (BB) stages I–II (n 5 4), III–IV (n 5 7) and V–VI (n 5 8) compared with healthy BB0 control brains (CON, n 5 7); scale bar, 100 mm. d–f, Quantitative assessment of a–c. **P # 0.01; values are mean 6 s.e.m. 8 M A R C H 2 0 1 2 | VO L 4 8 3 | N AT U R E | 2 2 5 ©2012 Macmillan Publishers Limited. All rights reserved RESEARCH LETTER at Braak and Braak stage I/II, implicating it as an early event in the progression of Alzheimer’s disease. In contrast, levels of HDAC1 and HDAC3 were not altered (Fig. 4b, c, e, f and Supplementary Fig. 19b, c, e, f). Thus, elevated levels of HDAC2 may also accompany the cognitive decline of the human neurodegenerating brain. The findings presented in this study describe that epigenetic mechanisms substantially contribute to the cognitive decline associated with Alzheimer’s disease-related neurodegeneration. Although it is well documented that neuronal loss and amyloid-b- or tau-induced neurotoxicity acutely disable synaptic functions, in turn leading to cognitive deficits1,2,30, the HDAC2-mediated epigenetic blockade of neuroplasticity-related gene expression could delineate a process by which memory functions become permanently impaired in the Alzheimer’s disease brain (Supplementary Fig. 1a). This blockade appears to be induced by GR1; thus, glucocorticoid receptors may function as molecular mediators between neurodegeneration-associated neurotoxic stressors and cognitive impairment (Supplementary Fig. 1b). Intriguingly, our findings may also provide a potential explanation, at least in part, as to why, in some clinical trials, cognitive impairments in patients with Alzheimer’s disease persist despite successful amyloid-b clearance2: once the epigenetic blockade is in place, reducing amyloid-b generation and deposition alone may not be sufficient to rescue against cognitive dysfunction. A more efficacious strategy may therefore lie in the combination of amyloid-b reduction with the inhibition of HDAC2. By extension, these findings pinpoint HDAC2 as the probable target of non-selective HDAC inhibitors that counteract cognitive decline in mouse models of Alzheimer’s disease6 and, as a result, strongly advocate for the development of HDAC2-selective inhibitors. Finally, our finding that HDAC2 inhibition probably reinstates transcriptional, morphological and synaptic plasticity in the surviving neurons of the neurodegenerating brain raises hope that such plasticity is not irrevocably lost, but merely constrained by the epigenetic blockade. METHODS SUMMARY Please refer to Methods for more detail. Human material was used with informed consent from all donors, and all mouse work was approved by the Committee for Animal Care of the Division of Comparative Medicine at the Massachusetts Institute of Technology. Full Methods and any associated references are available in the online version of the paper at www.nature.com/nature. Received 25 July 2011; accepted 13 January 2012. Published online 29 February 2012. 1. Walsh, D. M. & Selkoe, D. J. Deciphering the molecular basis of memory failure in Alzheimer’s disease. Neuron 44, 181–193 (2004). 2. Holtzman, D. M., Morris, J. C. & Goate, A. M. Alzheimer’s disease: the challenge of the second century. 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Supplementary Information is linked to the online version of the paper at www.nature.com/nature. Acknowledgements We thank A. Mungenast, S. Jemielity, R. Madabushi, F. Calderon de Anda and M. Horn for reading the manuscript, A.M. for manuscript editing, M. Eichler for mouse colony maintenance, K. Fitch for sectioning the human brain samples and M.H. for quantification of Fig. 2a. This work was partly supported by the Stanley Medical Research Institution (to S.J.H. and L.-H.T.), National Institutes of Health/National Institute on Drug Abuse (RO1DA028301, to S.J.H.) and National Institutes of Health/National Institute of Neurological Disorders and Stroke (RO1NS078839, to L.-H.T.). J.G. was supported by a Bard Richmond fellowship and by the Swiss National Science Foundation, W.Y.W. by the Simons Foundation and M.K. by the Theodor und Ida Herzog-Egli foundation. L.-H.T. is an investigator of the Howard Hughes Medical Institute. Author Contributions This study was designed by J.G. and L.-H.T., and directed and coordinated by L.-H.T. J.G. planned and performed the in vitro, CK-p25 and Cdk5cKO mouse and human in vivo biochemical characterization, and all behavioural experiments. D.R. planned and contributed to the in vitro and CK-p25 in vivo experiments, generated the GR526 and the shRNA constructs, and contributed to the stereotaxic injections. J.S.G. initiated and contributed to the CK-p25 biochemical characterization, and performed the 5XFAD and HDAC22/2 experiments. W.Y.W. generated the luciferase constructs. J.S. performed the electrophysiological experiments. K.M.H., T.J.F.N., D.F. and S.J.H. characterized the shRNA constructs. M.K. contributed to the quantitative RT–PCR experiments and performed the quantification of the human data. S.C.S. performed the site-directed mutagenesis. A.S. contributed to the immunohistochemistry and the quantitative reverse transcription/quantitative PCR experiments. N.J. contributed to the behavioural and quantitative reverse transcription/quantitative PCR experiments. P.F.K. and I.D. provided the human samples and contributed to the optimization of their staining. The manuscript was written by J.G. and L.-H.T. and commented on by all authors. Author Information Reprints and permissions information is available at www.nature.com/reprints. The authors declare no competing financial interests. Readers are welcome to comment on the online version of this article at www.nature.com/nature. Correspondence and requests for materials should be addressed to L.-H.T. ([email protected]). 2 2 6 | N AT U R E | VO L 4 8 3 | 8 M A R C H 2 0 1 2 ©2012 Macmillan Publishers Limited. All rights reserved LETTER RESEARCH METHODS Human material. Human material was obtained from the Massachusetts Alzheimer Disease Research Center at Massachusetts General Hospital (protocol number 2004P-001613/4) and from the Boston Medical Center (H-24454) with informed consent by all donors. The cases analysed in this study are strictly defined according to the Braak and Braak staging28, with control cases being brains completely devoid of tau pathologies (Braak and Braak stage 0)38. Hippocampal blocks (at the level of the lateral geniculate nucleus) were fixed in paraformaldehyde, paraffin-embedded and sectioned at 10 mm thickness. After antigen retrieval (Biogenex), brain slices were rehydrated using xylene/ethanol, blocked with 5% milk serum in TBS (pH 7.4) at room temperature and incubated at 4 uC overnight in TBS containing 5% milkserum in the following antibodies: amyloid-b, tau (Dako), HDAC1, HDAC2 (Abcam) or HDAC3 (Santa Cruz). Next, they were washed in PBS (pH 7.4), incubated in HRP-conjugated secondary antibodies (Biogenex) and visualized with DAB (Biogenex). Slides were counterstained with haematoxylin and dehydrated with ethanol/xylene. Images were quantified by an experimenter blind to Braak and Braak stages using ImageJ 1.42q. Animal models. All mouse work was approved by the Committee for Animal Care of the Division of Comparative Medicine at the Massachusetts Institute of Technology. Adult (3–6 months old) male double transgenic CK-p25 mice9,10,13, 6-month-old male transgenic 5XFAD mice16, and 3- to 4-month-old Cdk5cKO mice26 and their respective control littermates were used for the experiments unless otherwise noted; for CK-p25 mice, all behavioural experiments took place between 6 and 8 weeks of p25 induction, the time when cognitive deficits are first visible13. Behavioural experiments were conducted blindly and essentially as described13. Open field behaviour was monitored using the VersaMax system (Accuscan) for 20 min. For fear conditioning, mice were put in the conditioning chamber (TSE systems) for 3 min, after which they received a one-time 2 s footshock (0.8 mA). Animals were then left in the box for another 30 s. Twentyfour hours later, the mice were put into the same box and their freezing behaviour was scored during 3 min. For the water maze that took place in a round tank (1.2 m in diameter) filled with white opaque water, mice were first habituated to the task, with the platform being visible for two trials. During habitation and the acquisition phase, mice were allowed to swim for 60 s or until they reached the platform (monitored by HVS Image). Animals that did not reach the platform after 60 s were gently guided towards it; all animals were allowed to remain on the platform for 15 s. For testing, mice were put back into the water without the platform 24 h after that last training session, from a starting position different of the last starting position during the acquisition phase, and their time spent in each quadrant was recorded (HVS Image). Electrophysiology. To record field excitatory postsynaptic potentials, transverse hippocampal slices were prepared from CON, scr, CK-p25, scr and CK-p25, shHDAC2 mice. In brief, the brain was rapidly removed and transferred to icecold, oxygenated (95% O2 and 5% CO2) cutting solution containing 211 mM sucrose, 3.3 mM KCl, 1.3 mM NaH2PO4, 0.5 mM CaCl2, 10 mM MgCl2, 26 mM NaHCO3 and 11 mM glucose. Hippocampal slices were cut with a VT1000S vibratome (Leica) and transferred for recovery to a holding chamber containing oxygenated artificial cerebrospinal fluid consisting of 124 mM NaCl, 3.3 mM KCl, 1.3 mM NaH2PO4, 2.5 mM CaCl2, 1.5 mM MgCl2, 26 mM NaHCO3 and 11 mM glucose at 28–30 uC for at least 1 h before recording. CA1 field potentials evoked by Schaffer collateral stimulation were measured. After recording of a stable baseline (at least 20 min), long-term potentiation was induced by four episodes of theta burst stimulation (TBS) with 10 s intervals. TBS consisted of ten bursts (each with four pulses at 100 Hz) of stimuli delivered every 200 ms. Recordings were performed using an AM-1800 microelectrode amplifier (A-M systems) and a Digidata 1440A analogue to digital converter (Axon Instruments). All data were digitized and analysed by the use of pClamp10 software (Axon Instruments). Basal synaptic input/output relationship was obtained by plotting field excitatory postsynaptic potential slopes against stimulation intensities. All experiments were performed by an experimenter blind to treatment groups. In vitro studies. Primary mouse hippocampal neuronal cultures (days in vitro 14– 17) were treated with sense and antisense amyloid-b oligomers (1 mM, Bachem) for 24 h or H2O2 (50 mM, Mallinckrodt Chemicals, removed after 5 min, and assessed 8 h later) unless otherwise noted. For ChIP experiments, cortical cultures (days in vitro 10–14) were used. Dual luciferase assays were conducted on CAD cells31 (ATCC) that were transfected using lipofectamine (Invitrogen) with 0.5 mg of the proximal promoter region of Hdac2 containing the GRE consensus sequence (CAAGAAGAAAGTG GCTAC) or with the proximal promoter region without the GRE sequence subcloned into the pGL3 reporter vector (Promega) according to the manufacturer’s instructions. Cells were cotransfected with 0.05 mg of the constitutively active form of GR32, GR526 or GRS211A, and treated with 1 mM amyloid-b1–42 oligomers or with 50 mM H2O2. For site-directed mutagenesis, the complementary DNA for the full-length human glucocorticoid receptor (Addgene) was used and serine 211 was replaced by alanine using the QuikChange Lightning Kit (Agilent Technologies) as per the manufacturer’s instructions. All constructs were verified by sequencing (Genewiz). The following mutagenesis primers were used: 59-GTAAAGAGA CGAATGAGGCTCCTTGGAGATCAGACC-39 (forward); 59-GGTCTGATCT CCAAGGAGCCTCATTCGTCTCTTTAC-39 (reverse). Immunohistochemistry and immunocytochemistry. Immunocytochemistry and mouse immunohistochemistry were performed as described7. Immunocytochemistry and immunohistochemistry on different experimental conditions were performed with the same antibody solution at the same time to assure identical staining conditions. A negative (that is, no antibody) control was included simultaneously. In brief, for immunohistochemistry, mice were perfused with 10% paraformaldehyde under deep anaesthesia (ketamine, xylazine) and their brains sectioned at 0.35 mm thickness using a vibratome (Leica). For immunocytochemistry, cells were fixed using 4% paraformaldehyde. Slices/cells were permeabilized with 0.1% Triton X-100, blocked and incubated overnight with 0.1% Triton X-100/10% fetal bovine serum in PBS containing primary antibodies: HDAC1, HDAC2 (Abcam), HDAC3 (Santa Cruz), phospho-GR1 (S211) (Cell Signaling), GR (Abcam) or GFP (Aves Labs). Primary antibodies were visualized with Alexa-Fluor 488, Cy3 and Cy5 antibodies (Molecular Probes), neuronal nuclei with Hoechst 33342 (Invitrogen). Note that for staining of shRNA-injected animals, mCherry was visualized without staining, and only Cy2 and Cy5 secondary antibodies were used. Images were acquired using a confocal microscope (LSM 510, Zeiss) at identical settings at the highest intensity for each of the conditions. Images were quantified using ImageJ 1.42q by an experimenter blind to treatment groups, whenever possible. For each experimental condition, 20–40 representative cells per section were analysed, and the mean signal intensity was measured. To assess the specificity of the HDAC2 immunostaining, adult HDAC22/2 mice were used as previously described7. For a specificity control of the pGR1 antibody, calf intestine phosphatase (CIP) (New England Biolabs) treatment on immunocytochemistry slides was performed as described previously33. Calf intestine phosphatase or H2O were applied for 40 min in Buffer 3 (New England Biolabs). Molecular analyses. Western blots, co-immunoprecipitation, ChIP and gene expression analyses were performed as described elsewhere34 with the following modifications, and expressed as fold change of the respective control conditions. For western blots, proteins were extracted using 13 RIPA buffer containing proteinase (complete, Roche) and phosphatase inhibitors (1 mM b-glycerophosphate, 10 mM NaF, 0.1 mM Na3VO4), transferred onto PVDF membranes (Biorad) and stripped using stripping buffer (Thermo Scientific). The following primary antibodies were used: acetyl-K (Cell Signaling), a- and b-tubulin, b-actin (Sigma), Cdk5 (Santa Cruz), HDAC1, HDAC2 (Abcam), HDAC3, phospho-GR1 (S211) (Cell Signaling), GR1 (Abcam), p53 (Cell Signaling) or tau (Invitrogen). Secondary antibodies were horseradish peroxidase-linked (GE Healthcare). Signal intensities were quantified using ImageJ 1.42q and normalized to values of b-actin, a- or b-tubulin. Phospho-GR1 was first normalized to GR1. Three to eight animals were used per condition. Cytoplasmic and nuclear fractionation was performed as described elsewhere34. For co-immunoprecipitation, hippocampal lysates were incubated with HDAC2 (Abcam) or IgG (Sigma) and the immunoprecipitated extracts probed for SIN3A, MTA2 (Abcam), CoRest (Millipore), LSD1 (Cell Signaling) or HDAC2. Signal intensities were quantified using ImageJ 1.42q, and normalized to input. Three or four animals were used per condition. For ChIP, tissue samples were homogenized in cell lysis buffer containing proteinase (complete, Roche) and phosphatase inhibitors (1 mM b-glycerophosphate, 10 mM NaF, 0.1 mM Na3VO4) and chromatin was sonicated using a Branson Digital Sonifier with 10 rounds of 15 s at 25% power per sample on ice to 200– 400 base pairs in length. For ChIP of primary cortical cultures, approximately 1 3 106 cells were crosslinked in 37% formaldehyde (Sigma), quenched with 203 glycine (Sigma), washed with PBS and cell lysis buffer containing both phosphatase and proteinase inhibitors (Roche) and sonicated in nuclear lysis buffer using a Vibra Cell Sonifier with 3 3 3 pulses of 5 s at 35% power (50% duty) on ice. Sheared chromatin was immunoprecipitated with antibodies against HDAC1, HDAC2 (Abcam), HDAC3 (Santa Cruz), acetyl H2BK5, acetyl H3K14 (Abcam), acetyl H4K5, acetyl H4K12 (Millipore), phospho-GR1 (S211) (Cell Signaling) or phospho-RNA Pol II (Abcam). DNA was extracted by phenol/ chloroform/isoamyl alcohol (American Bioanalytical) and subjected to quantitative PCR (Bio-Rad Thermal Cycler) using primers specific to the promoter or coding regions of the genes assayed (see Supplementary Tables 2 and 3 for primer sequences). The fluorescent signal of the amplified DNA (SYBR green, Bio-Rad) was normalized to input. Four to eight samples were used per condition. For gene expression analysis, mRNA was extracted (Qiagen), reversetranscribed (Invitrogen) and quantitatively amplified on a thermal cycler ©2012 Macmillan Publishers Limited. All rights reserved RESEARCH LETTER (Bio-Rad) using SYBR green (Bio-Rad) and gene-specific primers (see Supplementary Table 4). The comparative Ct method35 was used to examine differences in gene expression. Values were normalized to expression levels of Gapdh. Four to eight samples were used per condition. Experimental manipulations. For validation of the knockdown efficacy of HDAC2 RNA interference in neurons, short hairpins targeting the open reading frame of mouse Hdac2 mRNA from the Broad Institute’s RNAi consortium shRNA library (www.broadinstitute.org/rnai/trc/lib) were packaged into lentiviral vectors36 and used to infect dissociated primary mouse embryonic (gestation day 18) cortical cultures, prepared as described7. Primary cultures were transduced after 4 days in vitro. Cells were collected ten days after transduction, and protein levels were measured by western blotting. The target sequences for the two effective shRNAs were CCCAATGAGTTGCCATATAAT (HDAC2 shRNA 2-1, TRCN0000039395) and CGAGCATCAGACAAACGGATA (HDAC2 shRNA 2-4, TRCN0000039397). After validation, scramble shRNA37 or HDAC2-shRNA constructs were subcloned under the CaMKII-U6 promoter into the plasmid AAV entry vector fused to mCherry, tested again in mouse primary hippocampal cultures (day in vitro 7), and high titre (1 3 1012 to 4 3 1012 viral particles) adeno-associated viruses (serotype 2.5) were produced at the University of North Carolina Vector Core facility. One microlitre of shRNA-containing adeno-associated viruses was stereotaxically injected into hippocampal area CA1 (anterior–posterior position 22.0 mm, medial– lateral position 61.6 mm, dorso-ventral 21.5 mm from Bregma) of both hemispheres at 0.1 ml min21. Injection needles were left in place 5 min after injection to assure even distribution of the virus. Injections were performed 4 weeks before behavioural testing. All infusion surgeries were performed under aseptic conditions and anaesthesia (ketamine/xylazine) in accordance with the Massachusetts Institute of Technology’s Division of Comparative Medicine guidelines. Statistics. Statistical analyses were performed using GraphPad Prism 5. One-way analyses of variance followed by Tukey post-hoc tests, or one-tailed Student’s t-tests were used unless otherwise indicated. All data are represented as mean 6 s.e.m. Statistical significance was set at P # 0.05. 31. Qi, Y., Wang, J. K., McMillian, M. & Chikaraishi, D. M. Characterization of a CNS cell line, CAD, in which morphological differentiation is initiated by serum deprivation. J. Neurosci. 17, 1217–1225 (1997). 32. Li, L. & Lindquist, S. Creating a protein-based element of inheritance. Science 287, 661–664 (2000). 33. Xie, Z., Sanada, K., Samuels, B. A., Shih, H. & Tsai, L. H. Serine 732 phosphorylation of FAK by Cdk5 is important for microtubule organization, nuclear movement, and neuronal migration. Cell 114, 469–482 (2003). 34. Koshibu, K. et al. Protein phosphatase 1 regulates the histone code for long-term memory. J. Neurosci. 29, 13079–13089 (2009). 35. Livak, K. J. & Schmittgen, T. D. Analysis of relative gene expression data using realtime quantitative PCR and the 22DDCT. Methods 25, 402–408 (2001). 36. Moffat, J. et al. A lentiviral RNAi library for human and mouse genes applied to an arrayed viral high-content screen. Cell 124, 1283–1298 (2006). 37. Sarbassov, D. D., Guertin, D. A., Ali, S. M. & Sabatini, D. M. Phosphorylation and regulation of Akt/PKB by the rictor-mTOR complex. Science 307, 1098–1101 (2005). 38. Price, J. L. et al. Neuropathology of nondemented aging: presumptive evidence for preclinical Alzheimer disease. Neurobiol. Aging 30, 1026–1036 (2009). ©2012 Macmillan Publishers Limited. All rights reserved SUPPLEMENTARY INFORMATION doi:10.1038/nature10849 a neurotoxic insults acute synaptic dysfunctions chronic cognitive deficits epigenetic blockade of gene transcription b e.g. Bdnf IV, synaptophysin neurotoxic insults Aβ H2O2 Cdk5/p25 P P GR1 GR GR1 GR GRE HDAC2 Hdac2 other Supplementary Figure 1. Model of the potential consequences and causes of elevated HDAC2 levels in the neurodegenerating brain. a, Neurotoxic insults are known to acutely constrain synaptic functions, which in turn, can lead to more chronic cognitive dysfunctions. Here, we propose that neurotoxic insults can directly lead to cognitive dysfunctions by epigenetically silencing neuroplasticity genes via the mechanisms described below. b, Upon neurotoxic insults such as extracellular Aβ-fibrils, H2O2, intracellular accumulation of p25 and/or other stimuli, GR1 becomes phosphorylated on S211, a mark for its activation. Phoshorylated GR1 binds to its responsive element (GR responsive element, GRE) in the proximal Hdac2 promoter region in the neurodegenerating mouse brain, and stimulates the expression of Hdac2. In the presence of Aβ-fibrils and H2O2, this stimulation is further potentiated, but abolished when S211 is mutated to A211 (not shown). Elevated HDAC2 protein levels bind to the promoter region of learning, memory and synaptic plasticity-related genes such as BdnfIV, synaptophysin and others. There, HDAC2 binding co-occurs with reduced histone acetylation, and thus more compacted chromatin, preventing RNA polymerase from binding (not shown), supposedly the driving force behind the reduced gene expression observed. Such decreased expression of neuroplasticity genes is correlated with reduced synaptic plasticity and poor memory performance in mice with neurodegeneration. W W W. N A T U R E . C O M / N A T U R E | 1 RESEARCH SUPPLEMENTARY INFORMATION a HDAC2 antibody specificity HDAC2 DAPI CON HDAC2 -/- b pGR1 antibody specificity pGR1 DAPI Mock CIP Supplementary Figure 2. Specificity of HDAC2 and pGR1 antibody signals. a, Immunohistochemical images showing HDAC2 detection in the hippocampus of wild-type mice, but not in HDAC2-/- mice. Scale bar upper panel, 80µm, lower panel, 100µm. b, Immunocytochemical images showing pGR1 immunoreactivity in mock-treated, but not in calf intestinal phosphatase (CIP)-treated primary hippocampal neurons (DIV14). Scale bar, 10µm. 2 | W W W. N A T U R E . C O M / N A T U R E SUPPLEMENTARY INFORMATION RESEARCH a b Dentate Gyrus HDAC2 DAPI CA3 HDAC2 DAPI CON CK-p25 c Amygdala HDAC2 DAPI CON CK-p25 Supplementary Figure 3. The elevation of HDAC2 is restricted to area CA1 of the hippocampus, and further not observed in the amygdala. a, b, Representative immunohistochemical images of HDAC2 levels in the (a) dentate gyrus and (b) hippocampal area CA3 of CK-p25 mice compared to control littermates. c, Representative immunohistochemical images of HDAC2 levels in the amygdala of CK-p25 mice compared to control littermates; scale bar, 100µm (a, b), 200µm (c). W W W. N A T U R E . C O M / N A T U R E | 3 RESEARCH SUPPLEMENTARY INFORMATION CON CK-p25 a HDAC2 DAPI b HDAC2 protein level (fold change of control) GFP CON CK-p25 2.0 1.5 ** 1.0 0.5 c GFP HDAC1 DAPI CON CK-p25 d 2.0 HDAC1 protein level (fold change of control) 0.0 1.5 1.0 0.5 0.0 GFP CON CK-p25 HDAC3 DAPI f HDAC3 protein level (fold change of control) e 2.0 1.5 1.0 0.5 0.0 Supplementary Figure 4. HDAC2, but not HDAC1 and HDAC3, is increased in the neurodegenerating cortex of CK-p25 mice. a, c, e, Representative immunohistochemical images depicting (a) HDAC2, (c) HDAC1, and (e) HDAC3 levels in the prefrontal cortex of CK-p25 mice and control littermates (n=3-6 sections from 3 mice each). b, d, f, Quantification of (a, c, e). Scale bar, 20µm. **p≤ 0.01; values are mean ± s.e.m. 4 | W W W. N A T U R E . C O M / N A T U R E SUPPLEMENTARY INFORMATION RESEARCH a HDAC2 DAPI MERGE b CON 5XFAD 2.0 HDAC2 protein level (fold change of control) CON 5XFAD * 1.5 1.0 0.5 0.0 c HDAC1 DAPI MERGE d 2.0 HDAC1 protein level (fold change of control) CON 5XFAD 1.5 1.0 0.5 0.0 e HDAC2 DAPI MERGE f 2.0 HDAC2 protein level (fold change of control) CON 5XFAD * 1.5 1.0 0.5 0.0 g HDAC1 DAPI MERGE h 5XFAD HDAC1 protein level (fold change of control) 2.0 CON 1.5 1.0 0.5 0.0 Supplementary Figure 5. HDAC2, but not HDAC1 levels are increased in the neurodegenerating forebrain of 5XFAD mice. a, c, Representative immunohistochemical images depicting (a) HDAC2 and (c) HDAC1 in the hippocampus of 6-month-old 5XFAD mice compared to control littermates (n=3-6 sections from 3-4 mice each). b, d, Quantitative assessment of (a) and (c). e, g, Representative immunohistochemical images depicting (e) HDAC2 and (g) HDAC1 in the prefrontal cortex of 6-month-old 5XFAD mice compared to control littermates (n=3-4 sections from 3 mice each). f, h, Quantitative assessment of (e) and (g). Scale bar, 50µm. *p≤0.05; values are mean ± s.e.m. W W W. N A T U R E . C O M / N A T U R E | 5 RESEARCH SUPPLEMENTARY INFORMATION a CON CK-p25 HDAC1 ChIP (fold change of control) HDAC1 binding HDAC3 ChIP (fold change of control) b c Learning and Memory 5.0 Synaptic Plasticity 5.0 Housekeeping 5.0 2.5 2.5 2.5 0.0 0.0 0.0 HDAC3 binding 5.0 5.0 2.5 2.5 0.0 0.0 * 5.0 2.5 * 0.0 AcH2BK5 ChIP (fold change of control) H2BK5 acetylation 2.5 2.5 2.5 2.0 2.0 2.0 1.5 1.5 1.5 1.0 0.0 AcH3K14 ChIP (fold change of control) d e * * ** * 0.5 * 1.0 0.0 * * ** * 0.5 1.0 ** 0.5 0.0 H3K14 acetylation 2.5 2.5 2.5 2.0 2.0 2.0 1.5 1.5 1.5 * 1.0 ** 0.5 1.0 * * 0.5 1.0 * * * 0.5 0.0 0.0 2.5 2.5 2.5 2.0 2.0 2.0 1.5 1.5 1.5 0.0 1.0 0.5 * ** * 0.5 ul in p 1 Sy t Sy 2A fl 2B R N R N N 1 R lu G R er 2 0.0 1 r1 om H Eg 5 dk IV nf C II Bd nf Bd Bd nf I 0.0 in 0.0 1.0 * lo b ** βTu b * βG * * Ac tin * β- * lu 0.5 G 1.0 Ar c AcH4K5 ChIP (fold change of control) H4K5 acetylation Supplementary Figure 6. HDAC1 and HDAC3 binding to neuroplasticity genes is overall not increased in the hippocampus of CK-p25 mice, but the reduction of histone acetylation in the promoter region of neuroplasticity genes is not restricted to H4K12. a, b, Quantitative PCR results of (a) HDAC1- and (b) HDAC3-immunoprecipitated chromatin in the hippocampus of CK-p25 mice versus control littermates (n=4-6 mice each). c-e, Quantitative PCR results of (c) AcH2BK5-, (d) AcH3K14- and (e) AcH4K5-immunoprecipitated chromatin of the hippocampus of CK-p25 mice versus control littermates (n=3-8 animals each). *p≤0.05; **p≤0.01; ***p≤0.001; values are mean ± s.e.m. 6 | W W W. N A T U R E . C O M / N A T U R E SUPPLEMENTARY INFORMATION RESEARCH 4.0 tin Ac β- p t1 Sy Sy N R 2B N fl N R 2A lu G lu G Eg C dk Ar R 2 0.0 R 1 0.0 r1 H om er 1 0.0 5 2.0 nf 2.0 c 2.0 in * * ul * n * * bi * * 4.0 βTu b * * CON CK-p25 6.0 lo 4.0 * 6.0 βG * 6.0 Bd HDAC2 ChIP (fold change of control) HDAC2 binding to coding sequences Supplementary Figure 7. HDAC2 binding to the coding region of neuroplasticity genes is increased in the hippocampus of CK-p25 mice. Quantitative PCR results of HDAC2immunoprecipitated chromatin in the coding sequence of neuroplasticity genes in the hippocampus of CK-p25 mice versus control littermates (n=4-5 animals each). *p≤0.05; values are mean ± s.e.m. W W W. N A T U R E . C O M / N A T U R E | 7 RESEARCH SUPPLEMENTARY INFORMATION a CON b CK-p25 CON CK-p25 Total Tau Ac-p53 Total p53 Ac-tubulin Protein level (fold change of control) Ac-Tau Total tubulin c CON CK-p25 2.0 2.0 1.5 1.5 1.5 1.0 1.0 1.0 0.5 0.5 0.5 0.0 0.0 0.0 Ac-Tau/Tau d Cytoplasm 2.0 Ac-p53/p53 Ac-tubulin/tubulin Nucleus CON CK-p25 Ac-K Ac-K β-Actin β-Actin Supplementary Figure 8. The elevation of HDAC2 does not induce general acetylation changes on proteins other than histones. a, Representative images of general acetyl western blot analysis of immunoprecipitated protein complexes with tau, p53 and tubulin (n=3-6 mice each); note that the increase in tau and p53 protein levels in the CK-p25 mice has been previously described by our lab, and that p53 was found to be hyperacetylated on lysine 382 (Kim et al., 2007). b, Quantification of (a). c, d, Representative images of western blot analysis of protein acetylation in cytoplasmic (c) and nuclear (d) hippocampal extracts of CK-p25 mice and control littermates (n=3 mice each); values are mean ± s.e.m. 8 | W W W. N A T U R E . C O M / N A T U R E b CoREST WB: LSD1 Protein level (fold change of control) WB: CoREST 1.5 * 1.0 0.5 0.0 LSD1 Protein level (fold change of control) AC 2 In pu t CON CK-p25 D H Ig G D H IP: Ig G a AC 2 In pu t SUPPLEMENTARY INFORMATION RESEARCH 4 *** 3 2 1 0 WB: SIN3A CON CK-p25 2.5 2.0 1.5 1.0 0.5 0.0 ** MTA2 Protein level (fold change of control) WB: HDAC2 Protein level (fold change of control) SIN3A WB: MTA2 4 * 3 2 1 0 Supplementary Figure 9. HDAC2 is more abundantly bound to co-repressor complexes in the hippocampus of CK-p25 mice. a, Representative images of western blot analysis of protein levels of CoREST and LSD1, members of the CoREST complex, of SIN3A, a member of the Sin3 complex, and of MTA2, a member of the NuRD complex, following immunoprecipitation of hippocampal extracts with HDAC2 (n=3-4 animals each). b, Quantification of (a). Protein levels were normalized to input, *p≤0.05; **p≤0.01; ***p≤ 0.001; values are mean ± s.e.m. W W W. N A T U R E . C O M / N A T U R E | 9 RESEARCH SUPPLEMENTARY INFORMATION a CONTROL shRNA 2-1 shRNA 2-2 shRNA 2-3 shRNA 2-4 HDAC2 α-tubulin ITR c CaMKII mCherry U6 d shRNA shRNA CON 2-1 2-4 HDAC2 β-tubulin HDAC2 protein level (fold change of control) b e shRNA CON shRNA 2-1 shRNA 2-4 *** 1.5 1.0 0.5 0.0 f HDAC2 DAPI shRNA 2-4 untransfected shRNA 1.0 HDAC2 protein level (fold change of control) mCherry shRNA 2-1 *** 0.5 2-1 0.0 ** 1.0 0.5 2-4 0.0 g ITR p25 induction 0 h behavioral testing, sample collection stereotaxic injection 2 CON, scr 6 CK-p25, scr weeks CK-p25, shHDAC2 mCherry Supplementary Figure 10. Strategy to reduce HDAC2 expression by RNA interference. a, Validation of the target specificity of different HDAC2 shRNA clones as determined by lentiviral transduction in primary cortical neurons (DIV7) by western blot analysis. A significant downregulation was observed for constructs shRNA2-1 and shRNA2-4. These constructs and the scramble shRNA were then subcloned into the AAV vector under (b). b, Schematic of the construct used for AAV production; “shRNA” signifies either control scramble shRNA, or shRNA constructs targeting HDAC2. c, Representative images of western blot analysis of HDAC2 in primary hippocampal neurons (DIV14) following transfection with the AAV-shRNA constructs. d, Quantification of (c). e, Representative immunocytochemical images depicting HDAC2 levels in primary hippocampal neurons (DIV14) following transfection with the AAV-shRNA constructs; scale bar, 10µm. f, Quantification of (e). g, Schematic of the experimental timeline. Mice were 3-4 months of age when p25 was induced. Note that shRNA2-1 was used as shHDAC2 for all in vivo experiments. h, Representative pictures of mCherry showing comparable infection rates in hippocampal area CA1 of control mice injected with scrambled shRNA (CON, scr), CK-p25 mice injected with scrambled shRNA (CK-p25, scr) and CK-p25 mice injected with the shRNA against HDAC2 (CK-p25, shHDAC2); scale bar, 100µm. **p≤0.01; ***p≤0.001; values are mean ± s.e.m. 1 0 | W W W. N A T U R E . C O M / N A T U R E SUPPLEMENTARY INFORMATION RESEARCH a GFP HDAC1 DAPI MERGE b CON, scr CK-p25, scr CK-p25, shHDAC2 CON, scr HDAC1 level (mean grey value) 150 CK-p25, scr CK-p25, shHDAC2 100 50 0 c GFP HDAC3 DAPI MERGE d CON, scr CK-p25, scr CK-p25, shHDAC2 HDAC3 level (mean grey value) 150 100 50 0 Supplementary Figure 11. AAV-shRNA mediated reduction of HDAC2 does not alter levels of HDAC1 and HDAC3. a, c, Representative immunohistochemical images depicting hippocampal (a) HDAC1 and (c) HDAC3 levels in CON, scr, CK-p25, scr, and CK-p25, shHDAC2 animals (n=4-5 sections from 4 mice each). b, d, Quantitative assessment of (a, c); scale bar, 20µm; values are mean ± s.e.m. W W W. N A T U R E . C O M / N A T U R E | 1 1 RESEARCH SUPPLEMENTARY INFORMATION Neuron counts CON, scr NeuN DAPI CON, scr CK-p25, scr CK-p25, shHDAC2 b CK-p25, scr CK-p25, shHDAC2 Number of NeuN-positive cells a 2000 ** 1500 1000 500 0 Supplementary Figure 12. Reducing HDAC2 does not alter the course of neurodegeneration. a, Representative immunohistochemical images depicting NeuN staining in hippocampal area CA1 of CON, scr, CK-p25, scr, and CK-p25, shHDAC2 animals (n=4-5 sections from 3-4 mice each). b, Quantification of (a); scale bar, 80µm; **p≤0.01; values are mean ± s.e.m. 1 2 | W W W. N A T U R E . C O M / N A T U R E SUPPLEMENTARY INFORMATION RESEARCH CON, scr CK-p25, scr CK-p25, shHDAC2 a b LTP 250 c fEPSP slope (% baseline) fEPSP slope (% baseline) 400 300 200 100 4 TBS 0 -20 -10 0 10 20 30 40 50 60 * ** 200 150 100 50 0 Input-Output * * 1000 fEPSP slope (mV/s) ** * CON, scr vs CK-p25, scr * * CK-p25, shHDAC2 vs CK-p25, scr 800 600 400 200 0 0 0.3 0.6 0.9 1.2 1.5 1.8 Stimulation intensity Supplementary Figure 13. Synaptic plasticity is restored upon reducing HDAC2. a, Field excitatory postsynaptic potential (fEPSP) slopes in hippocampal area CA1 of CON, scr, CK-p25, scr and CK-p25, shHDAC2 animals (n=7-8 slices from 4 mice each). b, Average slopes of fEPSP during the last 10min of recording; sample traces above the bar chart represent fEPSPs at 1min before (gray) and 1h after (black) theta-burst stimulation (TBS). c, Input/output relationship of baseline synaptic transmission. *p≤0.05; **p≤0.01; values are mean ± s.e.m. W W W. N A T U R E . C O M / N A T U R E | 1 3 RESEARCH SUPPLEMENTARY INFORMATION CON, scr CK-p25, scr CK-p25, shHDAC2 Water Maze b 30 Swim speed (m/s) Distance travelled (m) a 20 10 0 Open Field ** 200 ** 600 400 200 0 0 400 300 200 100 0 Time spent in center (s) f e Time spent rearing (s) 0.1 d 600 400 0.2 0.0 Time spent moving (s) Distance travelled (cm) c 0.3 400 300 200 100 0 Supplementary Figure 14. Overall locomotion and anxiety behavior is not affected by HDAC2 reduction. a, b, Distance travelled (a) and swim speed (b) were comparable between CON, scr, CK-p25, scr and CK-p25, shHDAC2 in the water maze task. c, d, Distance travelled (c) and time spent moving (d) were comparable between CK-p25, scr and CK-p25, shHDAC2 in an open field test. Note that both groups of CK-p25 animals were hyperactive as compared to CON, scr animals. e, f, Time spent rearing (e) and time spent in center (f) were comparable between CON, scr, CK-p25, scr, and CK-p25, shHDAC2 mice during an open field test. **p≤0.01; values are mean ± s.e.m. 1 4 | W W W. N A T U R E . C O M / N A T U R E SUPPLEMENTARY INFORMATION RESEARCH H2O H2O2 pGR1 GR1 HDAC2 β-Actin c Protein level (fold change of Aβ42-1) 3.0 2.5 * b Aβ42-1 Aβ1-42 * 2.0 Aβ42-1 Aβ1-42 1.5 pGR1 1.0 GR1 HDAC2 0.5 β-Actin 0.0 HDAC2 pGR1/GR HDAC2 Aβ42-1 Aβ1-42 2.5 * 2.0 d * 2.5 * * 2.0 1.5 1.0 0.5 0.0 HDAC2 pGR1/GR Aβ1-42 0 6 12 24 48 h Aβ42-1 0 6 12 24 48 h pGR1 GR1 1.5 HDAC2 1.0 0.5 β-Actin 0 3.0 Protein level (fold change of Aβ42-1) Protein levels (fold change H2O) H2O H2O2 Protein levels (fold change Aβ42-1) a 10 20 pGR1 30 40 50 * * pGR1 2.5 2.0 Aβ42-1 Aβ1-42 1.5 1.0 GR1 HDAC2 β-Actin 0.5 0 e pGR1 binding (fold change of 0h) 8.0 10 20 30 40 pGR1 binding to Hdac2 promoter 6.0 * * 4.0 Aβ1-42 2.0 0.0 50 0 10 20 30 40 50 time (h) Supplementary Figure 15. Timecourse of pGR1 and HDAC2 induction following neurotoxic insults. a, b, Representative images (left) of western blot analyses of pGR1, GR1, and HDAC2 levels of primary hippocampal neurons (DIV14-17) (a) 8h after H2O2- or H2O-treatment and (b) 24h after exposure to Aβ1-42 or Aβ42-1 oligomers and quantification thereof (right); pGR1 levels were normalized to total GR1 levels. c, d, Quantification (c) and representative images (d) of western blot analysis of the development of pGR1 and HDAC2 induction in primary hippocampal neurons (DIV14-17) treated with A β1-42 or Aβ42-1 oligomers. pGR1 was normalized to GR1. e, Timecourse of pGR1 binding to the GRE in the Hdac2 promoter as revealed by ChIP analysis in primary cortical neurons (DIV10-14) treated with A β1-42. All results are from at least three independent experiments. *p≤0.05; values are mean ± s.e.m. W W W. N A T U R E . C O M / N A T U R E | 1 5 RESEARCH SUPPLEMENTARY INFORMATION HDAC2 pGR1 *** *** 90 80 pGR1 level (mean grey value) HDAC2 level (mean grey value) 90 70 60 50 40 30 20 10 80 70 60 50 40 30 20 10 0 0 CON CK-p25 CON CK-p25 Supplementary Figure 16. HDAC2 and pGR1 protein levels are concomitantly increased in CK-p25 mice. Scatter plot representation of HDAC2 and pGR1 immunohistochemical labeling of neurons in hippocampal area CA1 in CK-p25 versus control mice (n=50 neurons from comparable rostrocaudal positions from 3 mice each); ***p≤0.001. 1 6 | W W W. N A T U R E . C O M / N A T U R E SUPPLEMENTARY INFORMATION RESEARCH luc GRE luc *** ** Luciferase activity (fold change of control) 7 ** 6 5 4 3 2 1 0 GR526 - + - + Supplementary Figure 17. GR526 potentiates the transcriptional potential of the GRE in the Hdac2 promoter. Luciferase activity of CAD cells (≥3 independent experiments) transfected with the proximal promoter region of Hdac2 with (orange) or without (blue) GRE (schematic of constructs are shown above the graph) and co-transfected with a constitutively active form of GR, GR526 (see Methods). **p≤0.01; ***p≤0.001; values are mean ± s.e.m. W W W. N A T U R E . C O M / N A T U R E | 1 7 RESEARCH SUPPLEMENTARY INFORMATION a tau b Hippocampus Entorhinal Cortex c β-amyloid d Hippocampus Entorhinal Cortex CON CON CON CON BB I-II BB I-II BB I-II BB I-II BB III-IV BB III-IV BB III-IV BB III-IV BB V-VI BB V-VI BB V-VI BB V-VI Supplementary Figure 18. Tau tangles and β-amyloid accumulate in the hippocampus and the entorhinal cortex as Alzheimer’s disease progresses. a, b, Representative images of the cases analyzed in this study showing the accumulation of tau tangles (dark-brown spots) during the development of the Braak and Braak (BB) stages of Alzheimer’s disease in (a) hippocampal area CA1 and (b) the entorhinal cortex. c, d, Representative images of the cases analyzed in this study showing the accumulation of β-amyloid (dark-brown aggregations) during the development of the Braak and Braak (BB) stages of the disease in (c) hippocampal area CA1 and (d) the entorhinal cortex; scale bar, 100µm. 1 8 | W W W. N A T U R E . C O M / N A T U R E SUPPLEMENTARY INFORMATION RESEARCH a b HDAC2 c HDAC1 CON HDAC3 CON CON ➚ ➚ ➚ BB I-II BB I-II BB I-II ➚ ➚ ➚ ➚ BB III-IV BB III-IV BB III-IV ➚ ➚ BB V-VI BB V-VI BB V-VI ➚➚ ➚ ➚ 1.5 1.0 0.5 0.0 ** e 2.0 1.5 1.0 0.5 0.0 f HDAC3 protein level (fold change of control) 2.0 HDAC1 protein level (fold change of control) HDAC2 protein level (fold change of control) d 2.0 CON BBI-II BBIII-IV BBV-VI 1.5 1.0 0.5 0.0 Supplementary Figure 19. HDAC2, but not HDAC1 or HDAC3 levels are increased in the entorhinal cortex during the progression of Alzheimer’s disease. a-c, Representative immunohistochemical images depicting (a) HDAC2, (b) HDAC1, and (c) HDAC3 levels in neuronal nuclei in the entorhinal cortex of patients with Braak and Braak (BB) stages I/II (n=4), III/IV (n=7) and V/VI (n=7) compared to BB0 healthy control brains (CON, n=7); insets show magnification of one neuron (indicated by an arrow, nucleus surrounded by white dotted circles); scale bar, 100µm. d-f, Quantitative assessment of a-c, **p≤0.01; values are mean ± s.e.m. W W W. N A T U R E . C O M / N A T U R E | 1 9 RESEARCH SUPPLEMENTARY INFORMATION Supplementary Table 1 Evidence for reduced expression of Alzheimer’s disease-related HDAC2 target genes Gene Evidence Sample type Reference Arc mRNA Bdnf mRNA Human post-mortem AD brain Amyloid-containing post-mortem human brain regions -amyloid treated primary cortical neurons Human post-mortem AD brain Cdk5 mRNA Human post-mortem AD brain Egr1 mRNA -amyloid treated human brain pericytes Amyloid-containing post-mortem human brain regions Amyloid-containing post-mortem human brain regions -amyloid treated primary cortical neurons Human post-mortem AD brain Human post-mortem AD brain protein Homer1 mRNA protein GluR1 mRNA protein GluR2 mRNA mRNA/protein Nfl mRNA Human post-mortem AD brain Galanin-negative neurons in human post-mortem AD brain Human post-mortem AD brain NR2A mRNA Human post-mortem AD brain NR2B mRNA Human post-mortem AD brain Syp mRNA Human post-mortem AD brain Syt1 mRNA Human post-mortem AD brain Ginsberg et al., 2002 Dickey et al., 2005 Wang et al., 2005 Philips et al., 1991; Murray et al., 1994; Colangelo et al., 2002; Tan et al., 2010 Ginsberg et al., 2002; Liang et al., 2008; Tan et al., 2010 Rensink et al., 2002/4 Dickey et al., 2005 Dickey et al., 2005 Roselli et al., 2009 Ginsberg et al., 2002 Wakabayashi et al., 1999 Ginsberg et al., 2002 Counts et al., 2009; Tan et al., 2010 McLachlan et al., 1988; Clark et al., 1989; Kittur et al., 1994; Colangelo et al., 2002; Ginsberg et al., 2002 Ginsberg et al., 2002; Bi and Sze 2002; Tan et al., 2010 Ginsberg et al., 2002; Bi and Sze 2002 Heffernan et al., 1998; Callahan et al., 1999; Colangelo et al., 2002; Ginsberg et al., 2002; Mufson et al., 2002 Ginsberg et al., 2002; Mufson et al., 2002; Tan et al., 2010 Arc, activity-regulated cytoskeleton-associated protein; Bdnf, brain-derived neurotrophic factor; Cdk5, cyclin-dependent kinase 5; Egr1, early growth response protein 1; GluR, glutamate receptor; Nfl, neurofilamin; NR2, N-methyl D-aspartate receptor subtype 2; Syp, synaptophysin; Syt1, synaptotagmin. 2 0 | W W W. N A T U R E . C O M / N A T U R E SUPPLEMENTARY INFORMATION RESEARCH Supplementary Table 2 Primer sequences used for promoter amplification Promoter Forward (5’-3’) Reverse (5’-3’) Arc CAGCATAAATAGCCGCTGGT GAGTGTGGCAGGCTCGTC Bdnf 1 TGATCATCACTCACGACCACG CAGCCTCTCTGAGCCAGTTACG Bdnf 2 TGAGGATAGTGGTGGAGTTG TAACCTTTTCCTCCTCC Bdnf 4 GCGCGGAATTCTGATTCTGGTAAT GAGAGGGCTCCACGCTGCCTTGACG Cdk5 CGCAGCCTGTTGGACTTTGT GCGTTGCAGAGGAGGTGGTA Egr1 GTGCCCACCACTCTTGGAT CGAATCGGCCTGTATTTCAA Homer1 CTGCCTGAGTGTCGTGGAAG ATGATTTCACTCGCGCTGAC GluR1 GGAGGAGAGCAGAGGGAGAG TTCCTGCAATTCCTTGCTTG GluR2 GCGGTGCTAAAATCGAATGC ACAGAGAGGGGCAGGCAG Nfl GCCAGACGAAAGTCAGGAAG TTTTCACCAGCAGTTTGCAG NR2A TCGGCTTGGACTGATACGTG AGGATAGACTGCCCCTGCAC NR2B CCTTAGGAAGGGGACGCTTT GGCAATTAAGGGTTGGGTTC Syp CTAGCCTCCCGAATGGAATG CAGCAGCAGCATCAGCAATG Syt1 CTGAACAGGTTGAGGGCATT CCTGAGGAGAGGGGTTTAGG -Actin CCCATCGCCAAAACTCTTCA GGCCACTCGAGCCATAAAAG -Globin TGACCAATAGTCTCGGAGTCCTG AGGCTGAAGGCCTGTCCTTT -Tubulin TCCAGGGATGAAGAATGAGG TGAGCACTGGTAGGGAGCTT Segment 1 TCTGGCTAGAAGCACATCCA TAGGTGTGGGCAAAAGAAGG Segment 2 CCTTCTTTTGCCCACACCTA TGGCAGACTCCTTGTATCTCC Segment 3 CCGAGTCCTGGAAATGCTTA ACCTGGTGGTCCGATATTCC Segment 4 ATATCGGACCACCAGGTAGC TTTAGCCCCTTGCTCAGAGA Segment 5 TAAGACCGAGGGGTGAACCT CCAGGGCGACAGTAGTGTTT Segment 6 CCCGTAGAAACACTACTGTCG GTAGGGCACAGAGCGGGATA Segment 7 TATCCCGCTCTGTGCCCTAC CGCCTCCTTGACTGTACGC Segment 8 CATGGCGTACAGTCAAGGAG TCTATGAGGCTTCATGGGATG Segment 9 TATTATGGCCAGGGTCATCC GACGTTAAATCTCTGCATCTGCT Hdac2 Arc, activity-regulated cytoskeleton-associated protein; Bdnf 1, brain-derived neurotrophic factor, promoter region of exon I; Cdk5, cyclin-dependent kinase 5; Egr1, early growth response protein 1; GluR1, glutamate receptor 1; Nfl, neurofilamin; NR2, N-methyl D-aspartate receptor subtype 2; Syp, synaptophysin; Syt1, synaptotagmin; Hdac2, histone deacetylase 2; segment 1, first segment amplified in the 1300bp-long Hdac2 promoter region (see Fig. 3l). W W W. N A T U R E . C O M / N A T U R E | 2 1 RESEARCH SUPPLEMENTARY INFORMATION Supplementary Table 3 Primer sequences used for coding sequence amplification Coding Forward (5’-3’) Reverse (5’-3’) region Arc GAAGTGGTGGGAGTTCAAGC CTCCTCAGCGTCCACATACA Amplicon position (bp from TSS) 753 Bdnf CATTCAGCACCTTGGACAGA CAGCCTACACCGCTAGGAAG 707 Cdk5 GGCTAAAAACCGGGAAACTC CCCAATACCAGCCCAGTCTA 622 Egr1 GGGAGGGTTTGTTTTGATGA TTTCAACAGCTGACGCAAAC 553 Homer1 CATAGCCAAAAGCCGGTCTA ATCATTGCCAACCTTGTTCC 645 GluR1 CACATGTAGCCGGAGTGATG CACTCAAGAGGATGGGGAAA 622 GluR2 ATTTCGGGTAGGGATGGTTC ACCATCCTTCACTGGCATTC 640 Nfl GACAGCCTGATGGACGAGAT GGCTCTTGAACCACTCTTCG 640 NR2A TGAGAATTGCTCGGTGTCTG ACCTGGCACTGTAGGAATGG 564 NR2B GGCTACGGCTACACATGGAT CCTCTTCTCGTGGGTGTTGT 582 Syp CTCCTCGGCTGAATTCTTTG CATTGGCCCTTTGTTGTTCT 306 Syt1 CGATGCTGAAACTGGACTGA GGCAGCAGGAAGACTTTGAC 363 -Actin TGTTACCAACTGGGACGACA ACCTGGGTCATCTTTTCACG 312 -Globin CCTTTTTAGGCTGCTGGTTG AGAATAGCCAGGGGAAGGAA 200 -Tubulin GCCAAGTCACAATGGAGGTT ACAGCTTTCAACAGCCCAGT 745 Arc, activity-regulated cytoskeleton-associated protein; Bdnf, brain-derived neurotrophic factor; bp, base pairs; Cdk5, cyclin-dependent kinase 5; Egr1, early growth response protein 1; GluR1, glutamate receptor 1; Nfl, neurofilamin; NR2, N-methyl D-aspartate receptor subtype 2; Syp, synaptophysin; Syt1, synaptotagmin; TSS, transcriptional start site. 2 2 | W W W. N A T U R E . C O M / N A T U R E SUPPLEMENTARY INFORMATION RESEARCH Supplementary Table 4 Primer sequences used for exon amplification Gene Forward (5’-3’) Reverse (5’-3’) Arc GTTGACCGAAGTGTCCAAGC CGTAGCCGTCCAAGTTGTTC Bdnf I CTCAAAGGGAAACGTGTCTCT TCACGTGCTCAAAAGTGTCAG Bdnf II CTAGCCACCGGGGTGGTGTAA TCACGTGCTCAAAAGTGTCAG Bdnf IV TGCGAGTATTACCTCCGCCAT TCACGTGCTCAAAAGTGTCAG Cdk5 CTCATGAGATTGTGGCTCTG GACGTGGAGTACAGCTTGGC Egr1 AGCGAACAACCCTATGAGCA TCGTTTGGCTGGGATAACTC Gapdh AGAGAGGGAGGAGGGGAAATG AACAGGGAGGAGCAGAGAGCAC GluR1 GTGGTGGTGGACTGTGAATC TTGGCGAGGATGTAGTGGTA GluR2 TGTGTTTGTGAGGACTACGGCA GGATTCTTTGCCACCTTCATTC Hdac2 GGGACAGGCTTGGTTGTTTC GAGCATCAGCAATGGCAAGT Homer1 AGCAGAAGGAAGGCTTGACT CACGGTACGGCCAATAACTA Nfl AGCTGGGTGATGCTTACGAC AGCTGCACTTGAGCCTTCTC NR2A TGCAAGTTACACAGCCAACC ATCGGAAAGGCGGAGAATAG NR2B CCCAGATCCTCGATTTCATT GCCAAACTGGAAGAACATGG Syp GCCACGGACCCAGAGAACAT GGAAGCCAAACACCACTGAG Syt1 CATCGACCAGATCCACTTGT TCGTTTCCTACTTGGCACAC -Actin GGGAAATCGTGCGTGACATT CGGATGTCAACGTCACACTT -Globin AGCTGCATGTGGATCCTGAGA GATAGGCAGCCTGCACTGGT -Tubulin TAGTGGAGAACACAGACGAGA CTGCTGTTCTTACTCTGGATG Arc, activity-regulated cytoskeleton-associated protein; Bdnf I, brain-derived neurotrophic factor exon I; Cdk5, cyclin-dependent kinase 5; Egr1, early growth response protein 1; GAPDH, glyceraldehyde-3phosphate dehydrogenase; GluR, glutamate receptor; Hdac2, histone deacetylase 2; Nfl, neurofilamin; NR2, N-methyl D-aspartate receptor subtype 2; Syp, synaptophysin, Syt1, synaptotagmin. W W W. N A T U R E . C O M / N A T U R E | 2 3 RESEARCH SUPPLEMENTARY INFORMATION Supplementary Table 5 Case details Sample ID Diagnosis BM1 BM9 BM11 BM16 BM17 MADRC912 MADRC1301 MADRC1314 MADRC1315 MADRC1323 MADRC1325 MADRC1360 MADRC1368 MADRC1377 MADRC1401 MADRC1424 MADRC1433 MADRC1434 MADRC1454 MADRC1476 MADRC1477 MADRC1483 MADRC1492 MADRC1510 MADRC1522 MADRC1531 MADRC1564 MADRC1576 BB0 BB0 BB0 BB0 BB0 BBIII/IV BBI/II BB0 BBV/VI BBIII/IV BBV/VI BBV/VI BBIII/IV BBV/VI BBIII/IV BBV/VI BBIII/IV BBV/VI BBI/II BBV/VI BBI/II BBV/VI BB0 BBIII/IV BBI/II BBIII/IV BBV/VI BBI/II Sex Age (years) Postmortem Interval (hours) m f f f f f m m f m f f f m m m m f m f f f f m f f m m 19 23 13 26 47 5 24 36 9 24 30 31 24 24 24 25 48 6 9 14 12 30 4 22 23 12 12 n.d. 58 72 73 73 77 103 85 56 64 94 80 88 95 78 90 89 87 89 85 86 92 90 87 73 68 85 90 88 BB, Braak and Braak stage; BB0, cases with no neurofibrillary tangles and thus considered healthy controls; BM, Boston Medical Center; MADRC, Massachusetts Alzheimer Disease Research Center at Massachusetts General Hospital; n.d., not defined. 2 4 | W W W. N A T U R E . C O M / N A T U R E
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