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Reduced ultrasound vocalization in NL-4-KO mice. Ultrasonic vocalizations of individual male WT and NL-4-KO mice were measured upon contact of the male test mouse with an unfamiliar female mouse in estrous. ( A ) Frequency spectrogram of typical ultrasonic vocalizations of a male WT mouse. ( B ) Frequency spectrograms of ultrasonic vocalizations of a male WT ( Upper ) and a male NL-4-KO ( Lower ) mouse, indicating the reduced number of vocalizations in NL-4-KOs. ( C ) Quantitative analysis of the latency between the time the female mouse was put into the arena of the male test mouse and the first ultrasonic call of the male in WT ( n ϭ 20) and NL-4-KO ( n ϭ 16) mice. Data are presented as mean Ϯ SEM. The asterisk indicates a significant increase in latency in NL-4-KO mice ( P ϭ 0.03). ( D ) Quantitative analysis of the number of ultrasonic calls made by male WT ( n ϭ 20) and NL-4-KO ( n ϭ 16) mice during a 3-min session. Data are presented as mean Ϯ SEM. The asterisk indicates a significant reduction in the number of calls made by NL-4-KO mice ( P ϭ 0.02). 

Reduced ultrasound vocalization in NL-4-KO mice. Ultrasonic vocalizations of individual male WT and NL-4-KO mice were measured upon contact of the male test mouse with an unfamiliar female mouse in estrous. ( A ) Frequency spectrogram of typical ultrasonic vocalizations of a male WT mouse. ( B ) Frequency spectrograms of ultrasonic vocalizations of a male WT ( Upper ) and a male NL-4-KO ( Lower ) mouse, indicating the reduced number of vocalizations in NL-4-KOs. ( C ) Quantitative analysis of the latency between the time the female mouse was put into the arena of the male test mouse and the first ultrasonic call of the male in WT ( n ϭ 20) and NL-4-KO ( n ϭ 16) mice. Data are presented as mean Ϯ SEM. The asterisk indicates a significant increase in latency in NL-4-KO mice ( P ϭ 0.03). ( D ) Quantitative analysis of the number of ultrasonic calls made by male WT ( n ϭ 20) and NL-4-KO ( n ϭ 16) mice during a 3-min session. Data are presented as mean Ϯ SEM. The asterisk indicates a significant reduction in the number of calls made by NL-4-KO mice ( P ϭ 0.02). 

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Autism spectrum conditions (ASCs) are heritable conditions characterized by impaired reciprocal social interactions, deficits in language acquisition, and repetitive and restricted behaviors and interests. In addition to more complex genetic susceptibilities, even mutation of a single gene can lead to ASC. Several such monogenic heritable ASC forms...

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... acquisition and communication are key symptoms of ASCs. To test whether vocal behavior is impaired in NL-4-KO mice, we recorded ultrasonic vocalizations of individual male NL-4-KO and WT mice upon contact with a female mouse in estrous (14). In this setting, male mice produce bouts of frequency-modulated ultra- sound calls of different types (Fig. 3A). We found that the latency to start calling was 3.2 times longer in NL-4-KOs compared with WT controls (P 0.03; Fig. 3C), and the total number of calls per session was reduced by 48% in NL-4-KO mice compared with WT controls (P 0.02; Fig. 3 B and D). Given that the acoustic structure of the vocalizations did not differ between NL-4-KO ...
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... recorded ultrasonic vocalizations of individual male NL-4-KO and WT mice upon contact with a female mouse in estrous (14). In this setting, male mice produce bouts of frequency-modulated ultra- sound calls of different types (Fig. 3A). We found that the latency to start calling was 3.2 times longer in NL-4-KOs compared with WT controls (P 0.03; Fig. 3C), and the total number of calls per session was reduced by 48% in NL-4-KO mice compared with WT controls (P 0.02; Fig. 3 B and D). Given that the acoustic structure of the vocalizations did not differ between NL-4-KO and WT control mice (data not shown), that ventila- tion frequencies are normal in newborn and adult NL-4-KOs (data not ...
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... In this setting, male mice produce bouts of frequency-modulated ultra- sound calls of different types (Fig. 3A). We found that the latency to start calling was 3.2 times longer in NL-4-KOs compared with WT controls (P 0.03; Fig. 3C), and the total number of calls per session was reduced by 48% in NL-4-KO mice compared with WT controls (P 0.02; Fig. 3 B and D). Given that the acoustic structure of the vocalizations did not differ between NL-4-KO and WT control mice (data not shown), that ventila- tion frequencies are normal in newborn and adult NL-4-KOs (data not shown), and that sensory deficits could be ruled out (SI Figs. 8 and 10A), these results indicate that the NL-4-KOs are either ...
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... and mental retardation (9). The present study shows that an analogous loss-of-function mutation in the orthologous mouse Nlgn4 gene leads to a selective perturbation of social behavior and vocalization. Adult male NL-4-KO mice exhibit a reduced interest in conspecific mice (Fig. 2) and reduced ultrasonic vocalization upon contact with a female (Fig. 3), whereas sensory ability, locomotor and exploratory activity, anxiety behavior, and learning and memory are not detectably altered. Thus, NL-4-KOs specifically and selectively mimic two of the three cardinal symptoms of ASCs in humans, i.e., reduced or aberrant social interactions and impaired communication. In addition, we detected ...
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... learning and memory (hidden platform training in Morris water maze, SI Fig. 10 B and C ; cued and contextual fear conditioning; SI Fig. 10 E ), and cognitive flexibility (reversal training in Morris water maze; SI Fig. 10 D ). In all these assays, NL-4-KOs were indistinguishable from their WT littermates, indicating that the lack of NL-4 does not cause gross sensory deficits or generalized perturbations of behavior. In addition, NL-4-KOs did not exhibit an altered seizure propensity (SI Fig. 11). Because deficits in reciprocal social interactions are a key symptom of ASCs, we next studied NL-4-KO and WT mice in behavioral paradigms designed to specifically assess social behavior. First, direct contacts between pairs of genotypically identical NL-4-KO or WT mice were analyzed in an open arena. We found that NL-4-KOs spent 45% less time in direct contact with each other than WT controls ( P ϭ 0.0005; Fig. 2 A ). Second, mice were tested in a tripartite arena consisting of a central compartment connected to two lateral compartments on either side, one of which contained an unfamiliar mouse in a small wire cage, whereas the other contained an identical but empty wire cage. WT mice showed a clear preference for the compartment containing the unfamiliar mouse. They spent 62% more time in and made 27% more visits to the compartment with the unfa- miliar mouse compared with the compartment with the empty wire cage ( P ϭ 0.0001 and P ϭ 0.04, respectively; Fig. 2 B – D ). In contrast, no such preference was observed in NL-4-KO mice. They spent equal time in and made equally frequent visits to the compartment with the unfamiliar mouse as to that with the empty wire cage, resulting in significantly different ratios of time spent in the two compartments (preference index) compared with WT controls ( P ϭ 0.03; Fig. 2 B – D ). At the end of the first session, each mouse was tested in a second session to quantify social preference for a new stranger. A second, unfamiliar mouse was placed into the previously empty wire cage such that the test mouse had a choice between the first, already explored mouse and the novel unfamiliar mouse. In this setting, WT mice showed a clear preference for the compartment containing the novel unfamiliar mouse. They spent 28% more time in the compartment with the unfamiliar mouse compared with that with the familiar mouse ( P ϭ 0.002; Fig. 2 E and F ). Again, no such preference was detectable with NL-4-KOs, which spent roughly equal time in the two compartments, resulting in a significantly different ratio of times spent in the two compartments (preference index) compared with WT controls ( P ϭ 0.04; Fig. 2 E and F ). Third, we investigated the behavior of NL-4-KO and WT mice in the resident-intruder paradigm. This setting can be used to study aggression of the resident related to territorial behavior. We exposed individually housed resident NL-4-KO or WT mice to an unfamiliar intruder mouse and measured the time spent by the resident until it first attacks the intruder. We found that attack latencies were 28% longer for NL-4-KO residents compared with WT controls ( P ϭ 0.004; Fig. 2 G ) and the proportion of individual mice attacking at all during the test period was reduced by 63% ( P ϭ 0.02; Fig. 2 H ). Finally, in a modified version of the resident-intruder setting using an independent cohort of mice, we focused on the correlation between resident (WT or NL-4-KO) escape and intruder approach behavior in a neutral arena. We detected a significant positive correlation between the number of intruder approaches and the number of resident escapes for WT residents (Spearman correlation, Z ϭ 3.1, P ϭ 0.002), whereas no such correlation was observed if NL-4-KOs were used as residents (Spearman correlation, Z ϭ 0.6; P ϭ 0.6) (Fig. 2 I ), showing that NL-4-KOs respond atypically to the behavior of a conspecific. The above data show that NL-4-KOs have selective deficits in reciprocal social behavior reminiscent of the changes in social interactions typically seen in ASC patients. These changes are unlikely to be due to sensory, locomotor, or memory defects, because NL-4-KOs perform normally in tests of olfactory, visual, and auditory abilities (SI Figs. 8 and 10 A ), locomotor activity and coordination (SI Fig. 9 A , B , D , and E ), and memory (SI Fig. 10). Reduced Vocalization in NL-4-KOs. Deficits in language acquisition and communication are key symptoms of ASCs. To test whether vocal behavior is impaired in NL-4-KO mice, we recorded ultrasonic vocalizations of individual male NL-4-KO and WT mice upon contact with a female mouse in estrous (14). In this setting, male mice produce bouts of frequency-modulated ultrasound calls of different types (Fig. 3 A ). We found that the latency to start calling was 3.2 times longer in NL-4-KOs compared with WT controls ( P ϭ 0.03; Fig. 3 C ), and the total number of calls per session was reduced by 48% in NL-4-KO mice compared with WT controls ( P ϭ 0.02; Fig. 3 B and D ). Given that the acoustic structure of the vocalizations did not differ between NL-4-KO and WT control mice (data not shown), that ventila- tion frequencies are normal in newborn and adult NL-4-KOs (data not shown), and that sensory deficits could be ruled out (SI Figs. 8 and 10 A ), these results indicate that the NL-4-KOs are either less responsive to the social stimuli eliciting the calling or are otherwise inhibited in their propensity to communicate. Reduced Brain Volume in NL-4-KOs. A consistent finding in his- topathological and structural imaging studies on children with ASCs is an increase in brain volume. However, no such alterations are reliably detectable in adult ASC patients or in patients with NLGN4 mutations (8). In addition, analyses of individual brain regions of ASC patients provided suggestive evidence of neuronal loss in cerebellum, thickened frontal cortices, decreased corpus callosum volume, reduced brainstem size, and other less well characterized morphological alterations (15). To test whether related changes occur upon deletion of NL-4 in mice, we analyzed the volume of the whole brain and selected brain regions in NL-4-KO and WT mice by MRI volumetry (Fig. 4 A ). We observed small but significant reductions in the volume of the total brain (1.5% reduction, P ϭ 0.004), cerebellum (4.1% reduction, P ϭ 0.0005), and brainstem (3.8% reduction, P ϭ 0.01) in NL-4-KOs compared with WT controls, whereas ven- tricular volumes were similar in the two genotypes (Fig. 4 B – E ). These findings are compatible with a selective loss of gray matter in the altered brain regions of NL-4-KOs and congruent with data obtained in adult ASC patients. Loss-of-function mutations in the human NLGN4 gene can cause monogenic heritable autism or Asperger syndrome (8, 9) and mental retardation (9). The present study shows that an analogous loss-of-function mutation in the orthologous mouse Nlgn4 gene leads to a selective perturbation of social behavior and vocalization. Adult male NL-4-KO mice exhibit a reduced interest in conspecific mice (Fig. 2) and reduced ultrasonic vocalization upon contact with a female (Fig. 3), whereas sensory ability, locomotor and exploratory activity, anxiety behavior, and learning and memory are not detectably altered. Thus, NL-4-KOs specifically and selectively mimic two of the three cardinal symptoms of ASCs in humans, i.e., reduced or aberrant social interactions and impaired communication. In addition, we detected reductions in the brain size of adult NL-4-KOs (Fig. 4) that corroborate reports of reduced brain size in adult ASC patients (15). These observations establish the NL-4-KO as a genetic animal model of monogenic heritable ASC. We did not detect abnormal repetitive behavior patterns in NL-4-KO mice, which are typically observed in human ASC patients, indicating that NL-4-KOs do not model all characteristic ASC symptoms. This is not unexpected, because not all human ASC patients with NL-4 mutations exhibit repetitive behavior patterns (8), and many of the more nuanced aspects of ASCs are difficult or even impossible to assess in animal models. In the past, all reports on genetic mouse models of ASCs except one were related to syndromic human genetic diseases frequently associated with ASCs, including Rett syndrome, fragile X syndrome, tuberous sclerosis, and neurofibromatosis type 1. The corresponding mouse models with mutations in MeCP2, FMR1, TSC1/TSC2, or NF1 exhibit certain behavioral and morphological changes that are reminiscent of ASCs (16– 25). The same is true for mice in which a limited number of cortical and hippocampal neurons lack the lipid phosphatase PTEN (26), which is functionally linked to TSC2 and mutated in some individuals with ASC (27, 28). Animal models designed to mimic the contribution of environmental factors such as certain viral infections or drugs to ASCs are less well defined. This is mainly due to pleiotropic effects of the corresponding treat- ments, for example, in a valproic acid rat model of autism (29). The key disadvantage of the syndromic and environmental animal models of ASCs mentioned above is that ASC-related phenotypic changes are invariably associated with multiple ad- ditional neurological and behavioral changes not typically seen in ASCs. The same applies to the corresponding human conditions, which are not even always associated with ASC features. In contrast, patients lacking NL-4 have rather specific ASC symptoms without overt or complex comorbidity (8), and NL- 4-KOs exhibit highly selective ASC-like behavioral deficits (Figs. 2 and 3) and only very mild morphological changes in brain size congruent with respective changes seen in many adult ASC patients (Fig. 4), but otherwise no alterations in brain cytoar- chitecture (data not shown) or behavior (SI Figs. 8–11). Thus, in terms of ASC specificity, the NL-4-KO model is an ideal tool for further studies on the biological basis of ASCs. Our data on ...
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... setting, WT mice showed a clear preference for the compartment containing the novel unfamiliar mouse. They spent 28% more time in the compartment with the unfamiliar mouse compared with that with the familiar mouse ( P ϭ 0.002; Fig. 2 E and F ). Again, no such preference was detectable with NL-4-KOs, which spent roughly equal time in the two compartments, resulting in a significantly different ratio of times spent in the two compartments (preference index) compared with WT controls ( P ϭ 0.04; Fig. 2 E and F ). Third, we investigated the behavior of NL-4-KO and WT mice in the resident-intruder paradigm. This setting can be used to study aggression of the resident related to territorial behavior. We exposed individually housed resident NL-4-KO or WT mice to an unfamiliar intruder mouse and measured the time spent by the resident until it first attacks the intruder. We found that attack latencies were 28% longer for NL-4-KO residents compared with WT controls ( P ϭ 0.004; Fig. 2 G ) and the proportion of individual mice attacking at all during the test period was reduced by 63% ( P ϭ 0.02; Fig. 2 H ). Finally, in a modified version of the resident-intruder setting using an independent cohort of mice, we focused on the correlation between resident (WT or NL-4-KO) escape and intruder approach behavior in a neutral arena. We detected a significant positive correlation between the number of intruder approaches and the number of resident escapes for WT residents (Spearman correlation, Z ϭ 3.1, P ϭ 0.002), whereas no such correlation was observed if NL-4-KOs were used as residents (Spearman correlation, Z ϭ 0.6; P ϭ 0.6) (Fig. 2 I ), showing that NL-4-KOs respond atypically to the behavior of a conspecific. The above data show that NL-4-KOs have selective deficits in reciprocal social behavior reminiscent of the changes in social interactions typically seen in ASC patients. These changes are unlikely to be due to sensory, locomotor, or memory defects, because NL-4-KOs perform normally in tests of olfactory, visual, and auditory abilities (SI Figs. 8 and 10 A ), locomotor activity and coordination (SI Fig. 9 A , B , D , and E ), and memory (SI Fig. 10). Reduced Vocalization in NL-4-KOs. Deficits in language acquisition and communication are key symptoms of ASCs. To test whether vocal behavior is impaired in NL-4-KO mice, we recorded ultrasonic vocalizations of individual male NL-4-KO and WT mice upon contact with a female mouse in estrous (14). In this setting, male mice produce bouts of frequency-modulated ultrasound calls of different types (Fig. 3 A ). We found that the latency to start calling was 3.2 times longer in NL-4-KOs compared with WT controls ( P ϭ 0.03; Fig. 3 C ), and the total number of calls per session was reduced by 48% in NL-4-KO mice compared with WT controls ( P ϭ 0.02; Fig. 3 B and D ). Given that the acoustic structure of the vocalizations did not differ between NL-4-KO and WT control mice (data not shown), that ventila- tion frequencies are normal in newborn and adult NL-4-KOs (data not shown), and that sensory deficits could be ruled out (SI Figs. 8 and 10 A ), these results indicate that the NL-4-KOs are either less responsive to the social stimuli eliciting the calling or are otherwise inhibited in their propensity to communicate. Reduced Brain Volume in NL-4-KOs. A consistent finding in his- topathological and structural imaging studies on children with ASCs is an increase in brain volume. However, no such alterations are reliably detectable in adult ASC patients or in patients with NLGN4 mutations (8). In addition, analyses of individual brain regions of ASC patients provided suggestive evidence of neuronal loss in cerebellum, thickened frontal cortices, decreased corpus callosum volume, reduced brainstem size, and other less well characterized morphological alterations (15). To test whether related changes occur upon deletion of NL-4 in mice, we analyzed the volume of the whole brain and selected brain regions in NL-4-KO and WT mice by MRI volumetry (Fig. 4 A ). We observed small but significant reductions in the volume of the total brain (1.5% reduction, P ϭ 0.004), cerebellum (4.1% reduction, P ϭ 0.0005), and brainstem (3.8% reduction, P ϭ 0.01) in NL-4-KOs compared with WT controls, whereas ven- tricular volumes were similar in the two genotypes (Fig. 4 B – E ). These findings are compatible with a selective loss of gray matter in the altered brain regions of NL-4-KOs and congruent with data obtained in adult ASC patients. Loss-of-function mutations in the human NLGN4 gene can cause monogenic heritable autism or Asperger syndrome (8, 9) and mental retardation (9). The present study shows that an analogous loss-of-function mutation in the orthologous mouse Nlgn4 gene leads to a selective perturbation of social behavior and vocalization. Adult male NL-4-KO mice exhibit a reduced interest in conspecific mice (Fig. 2) and reduced ultrasonic vocalization upon contact with a female (Fig. 3), whereas sensory ability, locomotor and exploratory activity, anxiety behavior, and learning and memory are not detectably altered. Thus, NL-4-KOs specifically and selectively mimic two of the three cardinal symptoms of ASCs in humans, i.e., reduced or aberrant social interactions and impaired communication. In addition, we detected reductions in the brain size of adult NL-4-KOs (Fig. 4) that corroborate reports of reduced brain size in adult ASC patients (15). These observations establish the NL-4-KO as a genetic animal model of monogenic heritable ASC. We did not detect abnormal repetitive behavior patterns in NL-4-KO mice, which are typically observed in human ASC patients, indicating that NL-4-KOs do not model all characteristic ASC symptoms. This is not unexpected, because not all human ASC patients with NL-4 mutations exhibit repetitive behavior patterns (8), and many of the more nuanced aspects of ASCs are difficult or even impossible to assess in animal models. In the past, all reports on genetic mouse models of ASCs except one were related to syndromic human genetic diseases frequently associated with ASCs, including Rett syndrome, fragile X syndrome, tuberous sclerosis, and neurofibromatosis type 1. The corresponding mouse models with mutations in MeCP2, FMR1, TSC1/TSC2, or NF1 exhibit certain behavioral and morphological changes that are reminiscent of ASCs (16– 25). The same is true for mice in which a limited number of cortical and hippocampal neurons lack the lipid phosphatase PTEN (26), which is functionally linked to TSC2 and mutated in some individuals with ASC (27, 28). Animal models designed to mimic the contribution of environmental factors such as certain viral infections or drugs to ASCs are less well defined. This is mainly due to pleiotropic effects of the corresponding treat- ments, for example, in a valproic acid rat model of autism (29). The key disadvantage of the syndromic and environmental animal models of ASCs mentioned above is that ASC-related phenotypic changes are invariably associated with multiple ad- ditional neurological and behavioral changes not typically seen in ASCs. The same applies to the corresponding human conditions, which are not even always associated with ASC features. In contrast, patients lacking NL-4 have rather specific ASC symptoms without overt or complex comorbidity (8), and NL- 4-KOs exhibit highly selective ASC-like behavioral deficits (Figs. 2 and 3) and only very mild morphological changes in brain size congruent with respective changes seen in many adult ASC patients (Fig. 4), but otherwise no alterations in brain cytoar- chitecture (data not shown) or behavior (SI Figs. 8–11). Thus, in terms of ASC specificity, the NL-4-KO model is an ideal tool for further studies on the biological basis of ASCs. Our data on mutant mice show that the Nlgn4 mutation alone, without the contribution of confounding external factors, causes ASC- related symptoms in mice, and the same is likely to be the case in human ASC patients with NLGN4 mutations. Very recently, the phenotype of NL-3 mutant mice carrying a mutation implicated in monogenic heritable autism (R451C; ref. 8) was described (30). NL-3 R451C mice exhibit deficits in social interaction that are similar to but less selective than the behavioral phenotype of NL-4-KO described here (Fig. 2 A – F ), as NL-3 R451C mice also exhibit other behavioral changes such as enhanced spatial learning, which is not seen in NL-4-KOs and could indirectly affect social behavior. Aggressive behavior and vocalization, which are specifically perturbed in NL-4-KOs (Figs. 2 G – I and 3), were not tested in NL-3 R451C mutant mice. The behavioral changes in NL-3 R451C mutant mice are associated with a selective increase in inhibitory synaptic transmission, indicating that a perturbation of synaptic function may contribute to the behavioral deficits seen in these mice. Currently, no efficient therapies for ASCs are available. However, the fact that neurological symptoms in mutant mouse models of Rett and fragile X syndrome can be reversed (31, 32) indicates that ASC-related conditions might ultimately be cur- able. Whether the NL-4-KO model described here or the NL-3 model described earlier (30) are of general relevance for ASCs in humans and can thus be used systematically for the development of novel diagnostic and therapeutic strategies cannot yet be decided. Mutations in NLGN genes are rare among ASC patients (33–36) and, in several of the identified monogenic heritable ASC cases, the genes involved cannot be linked directly to NL function (5, 6). However, the fact that not only mutations of NLGN4 or NLGN3 but also mutations of NRXN1 or SHANK3 can cause monogenic heritable ASCs indicates that a protein network that regulates the maturation and function of synapses in the brain is at the core of a major ASC susceptibility pathway, which can be studied with unique specificity using the NL-4-KO described here. NLs ...
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... (rota-rod, SI Fig. 9 A ; open field, SI Fig. 9 D ), exploratory behavior (hole board; SI Fig. 9 B ), overall curiosity toward inanimate objects (object preference; SI Fig. 9 C ), anxiety (open field, SI Fig. 9 E ; elevated plus maze, SI Fig. 9 F ), learning and memory (hidden platform training in Morris water maze, SI Fig. 10 B and C ; cued and contextual fear conditioning; SI Fig. 10 E ), and cognitive flexibility (reversal training in Morris water maze; SI Fig. 10 D ). In all these assays, NL-4-KOs were indistinguishable from their WT littermates, indicating that the lack of NL-4 does not cause gross sensory deficits or generalized perturbations of behavior. In addition, NL-4-KOs did not exhibit an altered seizure propensity (SI Fig. 11). Because deficits in reciprocal social interactions are a key symptom of ASCs, we next studied NL-4-KO and WT mice in behavioral paradigms designed to specifically assess social behavior. First, direct contacts between pairs of genotypically identical NL-4-KO or WT mice were analyzed in an open arena. We found that NL-4-KOs spent 45% less time in direct contact with each other than WT controls ( P ϭ 0.0005; Fig. 2 A ). Second, mice were tested in a tripartite arena consisting of a central compartment connected to two lateral compartments on either side, one of which contained an unfamiliar mouse in a small wire cage, whereas the other contained an identical but empty wire cage. WT mice showed a clear preference for the compartment containing the unfamiliar mouse. They spent 62% more time in and made 27% more visits to the compartment with the unfa- miliar mouse compared with the compartment with the empty wire cage ( P ϭ 0.0001 and P ϭ 0.04, respectively; Fig. 2 B – D ). In contrast, no such preference was observed in NL-4-KO mice. They spent equal time in and made equally frequent visits to the compartment with the unfamiliar mouse as to that with the empty wire cage, resulting in significantly different ratios of time spent in the two compartments (preference index) compared with WT controls ( P ϭ 0.03; Fig. 2 B – D ). At the end of the first session, each mouse was tested in a second session to quantify social preference for a new stranger. A second, unfamiliar mouse was placed into the previously empty wire cage such that the test mouse had a choice between the first, already explored mouse and the novel unfamiliar mouse. In this setting, WT mice showed a clear preference for the compartment containing the novel unfamiliar mouse. They spent 28% more time in the compartment with the unfamiliar mouse compared with that with the familiar mouse ( P ϭ 0.002; Fig. 2 E and F ). Again, no such preference was detectable with NL-4-KOs, which spent roughly equal time in the two compartments, resulting in a significantly different ratio of times spent in the two compartments (preference index) compared with WT controls ( P ϭ 0.04; Fig. 2 E and F ). Third, we investigated the behavior of NL-4-KO and WT mice in the resident-intruder paradigm. This setting can be used to study aggression of the resident related to territorial behavior. We exposed individually housed resident NL-4-KO or WT mice to an unfamiliar intruder mouse and measured the time spent by the resident until it first attacks the intruder. We found that attack latencies were 28% longer for NL-4-KO residents compared with WT controls ( P ϭ 0.004; Fig. 2 G ) and the proportion of individual mice attacking at all during the test period was reduced by 63% ( P ϭ 0.02; Fig. 2 H ). Finally, in a modified version of the resident-intruder setting using an independent cohort of mice, we focused on the correlation between resident (WT or NL-4-KO) escape and intruder approach behavior in a neutral arena. We detected a significant positive correlation between the number of intruder approaches and the number of resident escapes for WT residents (Spearman correlation, Z ϭ 3.1, P ϭ 0.002), whereas no such correlation was observed if NL-4-KOs were used as residents (Spearman correlation, Z ϭ 0.6; P ϭ 0.6) (Fig. 2 I ), showing that NL-4-KOs respond atypically to the behavior of a conspecific. The above data show that NL-4-KOs have selective deficits in reciprocal social behavior reminiscent of the changes in social interactions typically seen in ASC patients. These changes are unlikely to be due to sensory, locomotor, or memory defects, because NL-4-KOs perform normally in tests of olfactory, visual, and auditory abilities (SI Figs. 8 and 10 A ), locomotor activity and coordination (SI Fig. 9 A , B , D , and E ), and memory (SI Fig. 10). Reduced Vocalization in NL-4-KOs. Deficits in language acquisition and communication are key symptoms of ASCs. To test whether vocal behavior is impaired in NL-4-KO mice, we recorded ultrasonic vocalizations of individual male NL-4-KO and WT mice upon contact with a female mouse in estrous (14). In this setting, male mice produce bouts of frequency-modulated ultrasound calls of different types (Fig. 3 A ). We found that the latency to start calling was 3.2 times longer in NL-4-KOs compared with WT controls ( P ϭ 0.03; Fig. 3 C ), and the total number of calls per session was reduced by 48% in NL-4-KO mice compared with WT controls ( P ϭ 0.02; Fig. 3 B and D ). Given that the acoustic structure of the vocalizations did not differ between NL-4-KO and WT control mice (data not shown), that ventila- tion frequencies are normal in newborn and adult NL-4-KOs (data not shown), and that sensory deficits could be ruled out (SI Figs. 8 and 10 A ), these results indicate that the NL-4-KOs are either less responsive to the social stimuli eliciting the calling or are otherwise inhibited in their propensity to communicate. Reduced Brain Volume in NL-4-KOs. A consistent finding in his- topathological and structural imaging studies on children with ASCs is an increase in brain volume. However, no such alterations are reliably detectable in adult ASC patients or in patients with NLGN4 mutations (8). In addition, analyses of individual brain regions of ASC patients provided suggestive evidence of neuronal loss in cerebellum, thickened frontal cortices, decreased corpus callosum volume, reduced brainstem size, and other less well characterized morphological alterations (15). To test whether related changes occur upon deletion of NL-4 in mice, we analyzed the volume of the whole brain and selected brain regions in NL-4-KO and WT mice by MRI volumetry (Fig. 4 A ). We observed small but significant reductions in the volume of the total brain (1.5% reduction, P ϭ 0.004), cerebellum (4.1% reduction, P ϭ 0.0005), and brainstem (3.8% reduction, P ϭ 0.01) in NL-4-KOs compared with WT controls, whereas ven- tricular volumes were similar in the two genotypes (Fig. 4 B – E ). These findings are compatible with a selective loss of gray matter in the altered brain regions of NL-4-KOs and congruent with data obtained in adult ASC patients. Loss-of-function mutations in the human NLGN4 gene can cause monogenic heritable autism or Asperger syndrome (8, 9) and mental retardation (9). The present study shows that an analogous loss-of-function mutation in the orthologous mouse Nlgn4 gene leads to a selective perturbation of social behavior and vocalization. Adult male NL-4-KO mice exhibit a reduced interest in conspecific mice (Fig. 2) and reduced ultrasonic vocalization upon contact with a female (Fig. 3), whereas sensory ability, locomotor and exploratory activity, anxiety behavior, and learning and memory are not detectably altered. Thus, NL-4-KOs specifically and selectively mimic two of the three cardinal symptoms of ASCs in humans, i.e., reduced or aberrant social interactions and impaired communication. In addition, we detected reductions in the brain size of adult NL-4-KOs (Fig. 4) that corroborate reports of reduced brain size in adult ASC patients (15). These observations establish the NL-4-KO as a genetic animal model of monogenic heritable ASC. We did not detect abnormal repetitive behavior patterns in NL-4-KO mice, which are typically observed in human ASC patients, indicating that NL-4-KOs do not model all characteristic ASC symptoms. This is not unexpected, because not all human ASC patients with NL-4 mutations exhibit repetitive behavior patterns (8), and many of the more nuanced aspects of ASCs are difficult or even impossible to assess in animal models. In the past, all reports on genetic mouse models of ASCs except one were related to syndromic human genetic diseases frequently associated with ASCs, including Rett syndrome, fragile X syndrome, tuberous sclerosis, and neurofibromatosis type 1. The corresponding mouse models with mutations in MeCP2, FMR1, TSC1/TSC2, or NF1 exhibit certain behavioral and morphological changes that are reminiscent of ASCs (16– 25). The same is true for mice in which a limited number of cortical and hippocampal neurons lack the lipid phosphatase PTEN (26), which is functionally linked to TSC2 and mutated in some individuals with ASC (27, 28). Animal models designed to mimic the contribution of environmental factors such as certain viral infections or drugs to ASCs are less well defined. This is mainly due to pleiotropic effects of the corresponding treat- ments, for example, in a valproic acid rat model of autism (29). The key disadvantage of the syndromic and environmental animal models of ASCs mentioned above is that ASC-related phenotypic changes are invariably associated with multiple ad- ditional neurological and behavioral changes not typically seen in ASCs. The same applies to the corresponding human conditions, which are not even always associated with ASC features. In contrast, patients lacking NL-4 have rather specific ASC symptoms without overt or complex comorbidity (8), and NL- 4-KOs exhibit highly selective ASC-like behavioral deficits (Figs. 2 and 3) and only very mild morphological changes in brain size congruent with respective changes seen in many adult ASC ...
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... inanimate objects (object preference; SI Fig. 9 C ), anxiety (open field, SI Fig. 9 E ; elevated plus maze, SI Fig. 9 F ), learning and memory (hidden platform training in Morris water maze, SI Fig. 10 B and C ; cued and contextual fear conditioning; SI Fig. 10 E ), and cognitive flexibility (reversal training in Morris water maze; SI Fig. 10 D ). In all these assays, NL-4-KOs were indistinguishable from their WT littermates, indicating that the lack of NL-4 does not cause gross sensory deficits or generalized perturbations of behavior. In addition, NL-4-KOs did not exhibit an altered seizure propensity (SI Fig. 11). Because deficits in reciprocal social interactions are a key symptom of ASCs, we next studied NL-4-KO and WT mice in behavioral paradigms designed to specifically assess social behavior. First, direct contacts between pairs of genotypically identical NL-4-KO or WT mice were analyzed in an open arena. We found that NL-4-KOs spent 45% less time in direct contact with each other than WT controls ( P ϭ 0.0005; Fig. 2 A ). Second, mice were tested in a tripartite arena consisting of a central compartment connected to two lateral compartments on either side, one of which contained an unfamiliar mouse in a small wire cage, whereas the other contained an identical but empty wire cage. WT mice showed a clear preference for the compartment containing the unfamiliar mouse. They spent 62% more time in and made 27% more visits to the compartment with the unfa- miliar mouse compared with the compartment with the empty wire cage ( P ϭ 0.0001 and P ϭ 0.04, respectively; Fig. 2 B – D ). In contrast, no such preference was observed in NL-4-KO mice. They spent equal time in and made equally frequent visits to the compartment with the unfamiliar mouse as to that with the empty wire cage, resulting in significantly different ratios of time spent in the two compartments (preference index) compared with WT controls ( P ϭ 0.03; Fig. 2 B – D ). At the end of the first session, each mouse was tested in a second session to quantify social preference for a new stranger. A second, unfamiliar mouse was placed into the previously empty wire cage such that the test mouse had a choice between the first, already explored mouse and the novel unfamiliar mouse. In this setting, WT mice showed a clear preference for the compartment containing the novel unfamiliar mouse. They spent 28% more time in the compartment with the unfamiliar mouse compared with that with the familiar mouse ( P ϭ 0.002; Fig. 2 E and F ). Again, no such preference was detectable with NL-4-KOs, which spent roughly equal time in the two compartments, resulting in a significantly different ratio of times spent in the two compartments (preference index) compared with WT controls ( P ϭ 0.04; Fig. 2 E and F ). Third, we investigated the behavior of NL-4-KO and WT mice in the resident-intruder paradigm. This setting can be used to study aggression of the resident related to territorial behavior. We exposed individually housed resident NL-4-KO or WT mice to an unfamiliar intruder mouse and measured the time spent by the resident until it first attacks the intruder. We found that attack latencies were 28% longer for NL-4-KO residents compared with WT controls ( P ϭ 0.004; Fig. 2 G ) and the proportion of individual mice attacking at all during the test period was reduced by 63% ( P ϭ 0.02; Fig. 2 H ). Finally, in a modified version of the resident-intruder setting using an independent cohort of mice, we focused on the correlation between resident (WT or NL-4-KO) escape and intruder approach behavior in a neutral arena. We detected a significant positive correlation between the number of intruder approaches and the number of resident escapes for WT residents (Spearman correlation, Z ϭ 3.1, P ϭ 0.002), whereas no such correlation was observed if NL-4-KOs were used as residents (Spearman correlation, Z ϭ 0.6; P ϭ 0.6) (Fig. 2 I ), showing that NL-4-KOs respond atypically to the behavior of a conspecific. The above data show that NL-4-KOs have selective deficits in reciprocal social behavior reminiscent of the changes in social interactions typically seen in ASC patients. These changes are unlikely to be due to sensory, locomotor, or memory defects, because NL-4-KOs perform normally in tests of olfactory, visual, and auditory abilities (SI Figs. 8 and 10 A ), locomotor activity and coordination (SI Fig. 9 A , B , D , and E ), and memory (SI Fig. 10). Reduced Vocalization in NL-4-KOs. Deficits in language acquisition and communication are key symptoms of ASCs. To test whether vocal behavior is impaired in NL-4-KO mice, we recorded ultrasonic vocalizations of individual male NL-4-KO and WT mice upon contact with a female mouse in estrous (14). In this setting, male mice produce bouts of frequency-modulated ultrasound calls of different types (Fig. 3 A ). We found that the latency to start calling was 3.2 times longer in NL-4-KOs compared with WT controls ( P ϭ 0.03; Fig. 3 C ), and the total number of calls per session was reduced by 48% in NL-4-KO mice compared with WT controls ( P ϭ 0.02; Fig. 3 B and D ). Given that the acoustic structure of the vocalizations did not differ between NL-4-KO and WT control mice (data not shown), that ventila- tion frequencies are normal in newborn and adult NL-4-KOs (data not shown), and that sensory deficits could be ruled out (SI Figs. 8 and 10 A ), these results indicate that the NL-4-KOs are either less responsive to the social stimuli eliciting the calling or are otherwise inhibited in their propensity to communicate. Reduced Brain Volume in NL-4-KOs. A consistent finding in his- topathological and structural imaging studies on children with ASCs is an increase in brain volume. However, no such alterations are reliably detectable in adult ASC patients or in patients with NLGN4 mutations (8). In addition, analyses of individual brain regions of ASC patients provided suggestive evidence of neuronal loss in cerebellum, thickened frontal cortices, decreased corpus callosum volume, reduced brainstem size, and other less well characterized morphological alterations (15). To test whether related changes occur upon deletion of NL-4 in mice, we analyzed the volume of the whole brain and selected brain regions in NL-4-KO and WT mice by MRI volumetry (Fig. 4 A ). We observed small but significant reductions in the volume of the total brain (1.5% reduction, P ϭ 0.004), cerebellum (4.1% reduction, P ϭ 0.0005), and brainstem (3.8% reduction, P ϭ 0.01) in NL-4-KOs compared with WT controls, whereas ven- tricular volumes were similar in the two genotypes (Fig. 4 B – E ). These findings are compatible with a selective loss of gray matter in the altered brain regions of NL-4-KOs and congruent with data obtained in adult ASC patients. Loss-of-function mutations in the human NLGN4 gene can cause monogenic heritable autism or Asperger syndrome (8, 9) and mental retardation (9). The present study shows that an analogous loss-of-function mutation in the orthologous mouse Nlgn4 gene leads to a selective perturbation of social behavior and vocalization. Adult male NL-4-KO mice exhibit a reduced interest in conspecific mice (Fig. 2) and reduced ultrasonic vocalization upon contact with a female (Fig. 3), whereas sensory ability, locomotor and exploratory activity, anxiety behavior, and learning and memory are not detectably altered. Thus, NL-4-KOs specifically and selectively mimic two of the three cardinal symptoms of ASCs in humans, i.e., reduced or aberrant social interactions and impaired communication. In addition, we detected reductions in the brain size of adult NL-4-KOs (Fig. 4) that corroborate reports of reduced brain size in adult ASC patients (15). These observations establish the NL-4-KO as a genetic animal model of monogenic heritable ASC. We did not detect abnormal repetitive behavior patterns in NL-4-KO mice, which are typically observed in human ASC patients, indicating that NL-4-KOs do not model all characteristic ASC symptoms. This is not unexpected, because not all human ASC patients with NL-4 mutations exhibit repetitive behavior patterns (8), and many of the more nuanced aspects of ASCs are difficult or even impossible to assess in animal models. In the past, all reports on genetic mouse models of ASCs except one were related to syndromic human genetic diseases frequently associated with ASCs, including Rett syndrome, fragile X syndrome, tuberous sclerosis, and neurofibromatosis type 1. The corresponding mouse models with mutations in MeCP2, FMR1, TSC1/TSC2, or NF1 exhibit certain behavioral and morphological changes that are reminiscent of ASCs (16– 25). The same is true for mice in which a limited number of cortical and hippocampal neurons lack the lipid phosphatase PTEN (26), which is functionally linked to TSC2 and mutated in some individuals with ASC (27, 28). Animal models designed to mimic the contribution of environmental factors such as certain viral infections or drugs to ASCs are less well defined. This is mainly due to pleiotropic effects of the corresponding treat- ments, for example, in a valproic acid rat model of autism (29). The key disadvantage of the syndromic and environmental animal models of ASCs mentioned above is that ASC-related phenotypic changes are invariably associated with multiple ad- ditional neurological and behavioral changes not typically seen in ASCs. The same applies to the corresponding human conditions, which are not even always associated with ASC features. In contrast, patients lacking NL-4 have rather specific ASC symptoms without overt or complex comorbidity (8), and NL- 4-KOs exhibit highly selective ASC-like behavioral deficits (Figs. 2 and 3) and only very mild morphological changes in brain size congruent with respective changes seen in many adult ASC patients (Fig. 4), but otherwise no alterations in brain cytoar- chitecture (data not shown) or behavior (SI Figs. 8–11). Thus, in ...

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