Skip to main content
Log in

Impaired synaptic plasticity in RASopathies: a mini-review

  • Psychiatry and Preclinical Psychiatric Studies - Review Article
  • Published:
Journal of Neural Transmission Aims and scope Submit manuscript

Abstract

Synaptic plasticity in the form of long-term potentiation (LTP) and long-term depression (LTD) is considered to be the neurophysiological correlate of learning and memory. Impairments are discussed to be one of the underlying pathophysiological mechanisms of developmental disorders. In so-called RASopathies [e.g., neurofibromatosis 1 (NF1)], neurocognitive impairments are frequent and are affected by components of the RAS pathway which lead to impairments in synaptic plasticity. Transcranial magnetic stimulation (TMS) provides a non-invasive method to investigate synaptic plasticity in humans. Here, we review studies using TMS to evaluate synaptic plasticity in patients with RASopathies. Patients with NF1 and Noonan syndrome (NS) showed reduced cortical LTP-like synaptic plasticity. In contrast, increased LTP-like synaptic plasticity has been shown in Costello syndrome. Notably, lovastatin normalized impaired LTP-like plasticity and increased intracortical inhibition in patients with NF1. TMS has been shown to be a safe and efficient method to investigate synaptic plasticity and intracortical inhibition in patients with RASopathies. Deeper insights in impairments of synaptic plasticity in RASopathies could help to develop new options for the therapy of learning deficits in these patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Adapted from (Tidyman and Rauen 2009)

Similar content being viewed by others

References

  • Acosta MT, Kardel PG, Walsh KS, Rosenbaum KN, Gioia GA, Packer RJ (2011) Lovastatin as treatment for neurocognitive deficits in neurofibromatosis type 1: phase I study. Pediatr Neurol 45(4):241–245

    Article  PubMed  Google Scholar 

  • Bagnato S, Agostino R, Modugno N, Quartarone A, Berardelli A (2006) Plasticity of the motor cortex in Parkinson’s disease patients on and off therapy. Mov Disord Off J Mov Disord Soc 21(5):639–645. doi:10.1002/mds.20778

    Article  Google Scholar 

  • Battaglia F, Wang HY, Ghilardi MF, Gashi E, Quartarone A, Friedman E, Nixon RA (2007) Cortical plasticity in Alzheimer’s disease in humans and rodents. Biol Psychiatry 62(12):1405–1412. doi:10.1016/j.biopsych.2007.02.027

    Article  CAS  PubMed  Google Scholar 

  • Belvisi D, Suppa A, Marsili L, Di Stasio F, Parvez AK, Agostino R, Fabbrini G, Berardelli A (2013) Abnormal experimentally- and behaviorally-induced LTP-like plasticity in focal hand dystonia. Exp Neurol 240:64–74. doi:10.1016/j.expneurol.2012.11.003

    Article  PubMed  Google Scholar 

  • Berardelli A, Rothwell JC, Hallett M, Thompson PD, Manfredi M, Marsden CD (1998) The pathophysiology of primary dystonia. Brain 121(Pt 7):1195–1212

    Article  PubMed  Google Scholar 

  • Bezniakow N, Gos M, Obersztyn E (2014) The RASopathies as an example of RAS/MAPK pathway disturbances—clinical presentation and molecular pathogenesis of selected syndromes. Dev Period Med 18(3):285–296

    PubMed  Google Scholar 

  • Citri A, Malenka RC (2008) Synaptic plasticity: multiple forms, functions, and mechanisms. Neuropsychopharmacology 33(1):18–41

    Article  PubMed  Google Scholar 

  • Classen J, Wolters A, Stefan K, Wycislo M, Sandbrink F, Schmidt A, Kunesch E (2004) Paired associative stimulation. Suppl Clin Neurophysiol 57:563–569

    Article  PubMed  Google Scholar 

  • Costa RM, Silva AJ (2002) Molecular and cellular mechanisms underlying the cognitive deficits associated with neurofibromatosis 1. J Child Neurol 17(8):622–626

    Article  PubMed  Google Scholar 

  • Costa RM, Federov NB, Kogan JH, Murphy GG, Stern J, Ohno M, Kucherlapati R, Jacks T, Silva AJ (2002) Mechanism for the learning deficits in a mouse model of neurofibromatosis type 1. Nature 415(6871):526–530

    Article  CAS  PubMed  Google Scholar 

  • Cui Y, Costa RM, Murphy GG, Elgersma Y, Zhu Y, Gutmann DH, Parada LF, Mody I, Silva AJ (2008) Neurofibromin regulation of ERK signaling modulates GABA release and learning. Cell 135(3):549–560

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Delvendahl I, Kuhnke NG, Jung NH, Mainberger F, Cronjaeger M, Unterrainer J, Hauschke D, Mall V (2011) The time course of motor cortex plasticity after spaced motor practice. Brain Stimul 4(3):156–164

    Article  PubMed  Google Scholar 

  • Dileone M, Profice P, Pilato F, Alfieri P, Cesarini L, Mercuri E, Leoni C, Tartaglia M, Di Iorio R, Zampino G, Di Lazzaro V (2010) Enhanced human brain associative plasticity in Costello syndrome. J Physiol 588(Pt 18):3445–3456. doi:10.1113/jphysiol.2010.191072

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dileone M, Zampino G, Profice P, Pilato F, Leoni C, Ranieri F, Capone F, Tartaglia M, Brown P, Di Lazzaro V (2012) Dystonia in Costello syndrome. Parkinsonism Relat Disord 18(6):798–800. doi:10.1016/j.parkreldis.2012.03.015

    Article  CAS  PubMed  Google Scholar 

  • Fierro B, Piazza A, Brighina F, La Bua V, Buffa D, Oliveri M (2001) Modulation of intracortical inhibition induced by low- and high-frequency repetitive transcranial magnetic stimulation. Exp Brain Res 138(4):452–457

    Article  CAS  PubMed  Google Scholar 

  • Flavell SW, Greenberg ME (2008) Signaling mechanisms linking neuronal activity to gene expression and plasticity of the nervous system. Annu Rev Neurosci 31:563–590

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Frantseva MV, Fitzgerald PB, Chen R, Moller B, Daigle M, Daskalakis ZJ (2008) Evidence for impaired long-term potentiation in schizophrenia and its relationship to motor skill learning. Cereb Cortex 18(5):990–996. doi:10.1093/cercor/bhm151

    Article  PubMed  Google Scholar 

  • Ghilardi MF, Carbon M, Silvestri G, Dhawan V, Tagliati M, Bressman S, Ghez C, Eidelberg D (2003) Impaired sequence learning in carriers of the DYT1 dystonia mutation. Ann Neurol 54(1):102–109

    Article  PubMed  Google Scholar 

  • Jung NH, Janzarik WG, Delvendahl I, Munchau A, Biscaldi M, Mainberger F, Baumer T, Rauh R, Mall V (2013) Impaired induction of long-term potentiation-like plasticity in patients with high-functioning autism and Asperger syndrome. Dev Med Child Neurol 55(1):83–89. doi:10.1111/dmcn.12012

    Article  PubMed  Google Scholar 

  • Krab LC, de Goede-Bolder A, Aarsen FK, Pluijm SM, Bouman MJ, van der Geest JN, Lequin M, Catsman CE, Arts WF, Kushner SA, Silva AJ, de Zeeuw CI, Moll HA, Elgersma Y (2008) Effect of simvastatin on cognitive functioning in children with neurofibromatosis type 1: a randomized controlled trial. JAMA 300(3):287–294

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kratz CP, Niemeyer CM, Zenker M (2007) An unexpected new role of mutant Ras: perturbation of human embryonic development. J Mol Med 85(3):227–235

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kujirai T, Caramia MD, Rothwell JC, Day BL, Thompson PD, Ferbert A, Wroe S, Asselman P, Marsden CD (1993) Corticocortical inhibition in human motor cortex. J Physiol 471:501–519

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lee YS, Ehninger D, Zhou M, Oh JY, Kang M, Kwak C, Ryu HH, Butz D, Araki T, Cai Y, Balaji J, Sano Y, Nam CI, Kim HK, Kaang BK, Burger C, Neel BG, Silva AJ (2014) Mechanism and treatment for learning and memory deficits in mouse models of Noonan syndrome. Nat Neurosci 17(12):1736–1743. doi:10.1038/nn.3863

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Li W, Cui Y, Kushner SA, Brown RA, Jentsch JD, Frankland PW, Cannon TD, Silva AJ (2005) The HMG-CoA reductase inhibitor lovastatin reverses the learning and attention deficits in a mouse model of neurofibromatosis type 1. Curr Biol 15(21):1961–1967

    Article  CAS  PubMed  Google Scholar 

  • Lynch MA (2004) Long-term potentiation and memory. Physiol Rev 84(1):87–136

    Article  CAS  PubMed  Google Scholar 

  • Mainberger F, Jung NH, Zenker M, Wahllander U, Freudenberg L, Langer S, Berweck S, Winkler T, Straube A, Heinen F, Granstrom S, Mautner VF, Lidzba K, Mall V (2013a) Lovastatin improves impaired synaptic plasticity and phasic alertness in patients with neurofibromatosis type 1. BMC Neurol 13:131. doi:10.1186/1471-2377-13-131

    Article  PubMed  PubMed Central  Google Scholar 

  • Mainberger F, Zenker M, Jung NH, Delvendahl I, Brandt A, Freudenberg L, Heinen F, Mall V (2013b) Impaired motor cortex plasticity in patients with Noonan syndrome. Clin Neurophysiol Off J Int Fed Clin Neurophysiol 124(12):2439–2444. doi:10.1016/j.clinph.2013.04.343

    Article  Google Scholar 

  • Malenka RC, Bear MF (2004) LTP and LTD: an embarrassment of riches. Neuron 44(1):5–21. doi:10.1016/j.neuron.2004.09.012

    Article  CAS  PubMed  Google Scholar 

  • McDonnell MN, Orekhov Y, Ziemann U (2006) The role of GABAB receptors in intracortical inhibition in the human motor cortex. Exp Brain Res 173(1):86–93

    Article  CAS  PubMed  Google Scholar 

  • Oberman L, Ifert-Miller F, Najib U, Bashir S, Woollacott I, Gonzalez-Heydrich J, Picker J, Rotenberg A, Pascual-Leone A (2010) Transcranial magnetic stimulation provides means to assess cortical plasticity and excitability in humans with fragile × syndrome and autism spectrum disorder. Front Synaptic Neurosci 2:26. doi:10.3389/fnsyn.2010.00026

    PubMed  PubMed Central  Google Scholar 

  • Pascual-Leone A, Valls-Sole J, Wassermann EM, Hallett M (1994) Responses to rapid-rate transcranial magnetic stimulation of the human motor cortex. Brain 117(Pt 4):847–858

    Article  PubMed  Google Scholar 

  • Quartarone A (2013) Transcranial magnetic stimulation in dystonia. Handb Clin Neurol 116:543–553. doi:10.1016/B978-0-444-53497-2.00043-7

    Article  PubMed  Google Scholar 

  • Quartarone A, Pisani A (2011) Abnormal plasticity in dystonia: disruption of synaptic homeostasis. Neurobiol Dis 42(2):162–170. doi:10.1016/j.nbd.2010.12.011

    Article  PubMed  Google Scholar 

  • Quartarone A, Siebner HR, Rothwell JC (2006) Task-specific hand dystonia: can too much plasticity be bad for you? Trends Neurosci 29(4):192–199

    Article  CAS  PubMed  Google Scholar 

  • Quartarone A, Morgante F, Sant’angelo A, Rizzo V, Bagnato S, Terranova C, Siebner HR, Berardelli A, Girlanda P (2008) Abnormal plasticity of sensorimotor circuits extends beyond the affected body part in focal dystonia. J Neurol Neurosurg Psychiatry 79(9):985–990. doi:10.1136/jnnp.2007.121632

    Article  CAS  PubMed  Google Scholar 

  • Rauen KA (2013) The RASopathies. Annu Rev Genom Hum Genet 14:355–369. doi:10.1146/annurev-genom-091212-153523

    Article  CAS  Google Scholar 

  • Rossi S, Hallett M, Rossini PM, Pascual-Leone A, Safety of TMSCG (2009) Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clin Neurophysiol Off J Int Fed Clin Neurophysiol 120(12):2008–2039. doi:10.1016/j.clinph.2009.08.016

    Article  Google Scholar 

  • Rothwell JC, Day BL, Thompson PD, Kujirai T (2009) Short latency intracortical inhibition: one of the most popular tools in human motor neurophysiology. J Physiol 587(Pt 1):11–12. doi:10.1113/jphysiol.2008.162461

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Shilyansky C, Karlsgodt KH, Cummings DM, Sidiropoulou K, Hardt M, James AS, Ehninger D, Bearden CE, Poirazi P, Jentsch JD, Cannon TD, Levine MS, Silva AJ (2010) Neurofibromin regulates corticostriatal inhibitory networks during working memory performance. Proc Natl Acad Sci USA 107(29):13141–13146

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Silva AJ, Frankland PW, Marowitz Z, Friedman E, Laszlo GS, Cioffi D, Jacks T, Bourtchuladze R (1997) A mouse model for the learning and memory deficits associated with neurofibromatosis type I. Nat Genet 15(3):281–284

    Article  CAS  PubMed  Google Scholar 

  • Stefan K, Kunesch E, Cohen LG, Benecke R, Classen J (2000) Induction of plasticity in the human motor cortex by paired associative stimulation. Brain 123(Pt 3):572–584

    Article  PubMed  Google Scholar 

  • Stefan K, Kunesch E, Benecke R, Cohen LG, Classen J (2002) Mechanisms of enhancement of human motor cortex excitability induced by interventional paired associative stimulation. J Physiol 543(Pt 2):699–708

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Thomas GM, Huganir RL (2004) MAPK cascade signalling and synaptic plasticity. Nat Rev Neurosci 5(3):173–183

    Article  CAS  PubMed  Google Scholar 

  • Tidyman WE, Rauen KA (2009) The RASopathies: developmental syndromes of Ras/MAPK pathway dysregulation. Curr Opin Genet Dev 19(3):230–236. doi:10.1016/j.gde.2009.04.001

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • van der Vaart T, Plasschaert E, Rietman AB, Renard M, Oostenbrink R, Vogels A, de Wit MC, Descheemaeker MJ, Vergouwe Y, Catsman-Berrevoets CE, Legius E, Elgersma Y, Moll HA (2013) Simvastatin for cognitive deficits and behavioural problems in patients with neurofibromatosis type 1 (NF1-SIMCODA): a randomised, placebo-controlled trial. Lancet Neurol 12(11):1076–1083. doi:10.1016/S1474-4422(13)70227-8

    Article  PubMed  Google Scholar 

  • Weise D, Schramm A, Beck M, Reiners K, Classen J (2011) Loss of topographic specificity of LTD-like plasticity is a trait marker in focal dystonia. Neurobiol Dis 42(2):171–176. doi:10.1016/j.nbd.2010.11.009

    Article  PubMed  Google Scholar 

  • Ziemann U, Ilic TV, Pauli C, Meintzschel F, Ruge D (2004) Learning modifies subsequent induction of long-term potentiation-like and long-term depression-like plasticity in human motor cortex. J Neurosci 24(7):1666–1672

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nikolai H. Jung.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mainberger, F., Langer, S., Mall, V. et al. Impaired synaptic plasticity in RASopathies: a mini-review. J Neural Transm 123, 1133–1138 (2016). https://doi.org/10.1007/s00702-016-1609-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00702-016-1609-3

Keywords

Navigation