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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Neurosci.</journal-id>
<journal-title>Frontiers in Cellular Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1662-5102</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fncel.2018.00037</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Hypothesis and Theory</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Reactive Neuroblastosis in Huntington&#x02019;s Disease: A Putative Therapeutic Target for Striatal Regeneration in the Adult Brain</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Kandasamy</surname> <given-names>Mahesh</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/162978/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Aigner</surname> <given-names>Ludwig</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/3598/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Laboratory of Stem Cells and Neuroregeneration, Department of Animal Science, School of Life Sciences, Bharathidasan University</institution>, <addr-line>Tiruchirappalli</addr-line>, <country>India</country></aff>
<aff id="aff2"><sup>2</sup><institution>Faculty Recharge Programme, University Grants Commission (UGC-FRP)</institution>, <addr-line>New Delhi</addr-line>, <country>India</country></aff>
<aff id="aff3"><sup>3</sup><institution>Institute of Molecular Regenerative Medicine, Paracelsus Medical University</institution>, <addr-line>Salzburg</addr-line>, <country>Austria</country></aff>
<aff id="aff4"><sup>4</sup><institution>Spinal Cord Injury and Tissue Regeneration Center, Paracelsus Medical University</institution>, <addr-line>Salzburg</addr-line>, <country>Austria</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Satoshi Goto, Tokushima University, Japan</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Nickolay Brustovetsky, School of Medicine, Indiana University Bloomington, United States; Henry J. Waldvogel, University of Auckland, New Zealand</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x0002A;Correspondence: Mahesh Kandasamy <email>pkmahesh5&#x00040;gmail.com</email> <email>mahesh.kandasamy&#x00040;bdu.ac.in</email> Ludwig Aigner <email>ludwig.aigner&#x00040;pmu.ac.at</email></p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>09</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="collection">
<year>2018</year>
</pub-date>
<volume>12</volume>
<elocation-id>37</elocation-id>
<history>
<date date-type="received">
<day>16</day>
<month>11</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>31</day>
<month>01</month>
<year>2018</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2018 Kandasamy and Aigner.</copyright-statement>
<copyright-year>2018</copyright-year>
<copyright-holder>Kandasamy and Aigner</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract><p>The cellular and molecular mechanisms underlying the reciprocal relationship between adult neurogenesis, cognitive and motor functions have been an important focus of investigation in the establishment of effective neural replacement therapies for neurodegenerative disorders. While neuronal loss, reactive gliosis and defects in the self-repair capacity have extensively been characterized in neurodegenerative disorders, the transient excess production of neuroblasts detected in the adult striatum of animal models of Huntington&#x02019;s disease (HD) and in post-mortem brain of HD patients, has only marginally been addressed. This abnormal cellular response in the striatum appears to originate from the selective proliferation and ectopic migration of neuroblasts derived from the subventricular zone (SVZ). Based on and in line with the term &#x0201C;reactive astrogliosis&#x0201D;, we propose to name the observed cellular event &#x0201C;reactive neuroblastosis&#x0201D;. Although, the functional relevance of reactive neuroblastosis is unknown, we speculate that this process may provide support for the tissue regeneration in compensating the structural and physiological functions of the striatum in lieu of aging or of the neurodegenerative process. Thus, in this review article, we comprehend different possibilities for the regulation of striatal neurogenesis, neuroblastosis and their functional relevance in the context of HD.</p></abstract>
<kwd-group>
<kwd>Huntington&#x02019;s disease</kwd>
<kwd>adult neurogenesis</kwd>
<kwd>striatum</kwd>
<kwd>reactive neuroblastosis</kwd>
<kwd>doublecortin</kwd>
</kwd-group>
<contract-num rid="cn001">SFB F44 (F4413-B23)</contract-num>
<contract-num rid="cn002">HEALTH-F2-2011-278850, HEALTH-F2-2011-279288</contract-num>
<contract-sponsor id="cn001">Austrian Science Fund<named-content content-type="fundref-id">10.13039/501100002428</named-content></contract-sponsor>
<contract-sponsor id="cn002">Seventh Framework Programme<named-content content-type="fundref-id">10.13039/100011102</named-content></contract-sponsor>
<counts>
<fig-count count="1"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="127"/>
<page-count count="10"/>
<word-count count="8780"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="introduction" id="s1">
<title>Introduction</title>
<p>Huntington&#x02019;s disease (HD) is an adult onset, progressive neurodegenerative syndrome that has clinically been characterized by chorea, dementia and psychiatric illness (Walker, <xref ref-type="bibr" rid="B119">2007</xref>). Historically, symptoms of chorea had been observed by many physicians (Lanska, <xref ref-type="bibr" rid="B73">2010</xref>), while George Huntington portrayed the clinical symptoms and provided the evidence for the hereditary nature of HD in 1872 (Huntington, <xref ref-type="bibr" rid="B53">1872</xref>; Lanska, <xref ref-type="bibr" rid="B72">2000</xref>). Since then, an enormous scientific progress has been made in understanding the biochemical, molecular genetics and pathological basis of HD worldwide (Wexler et al., <xref ref-type="bibr" rid="B121">2004</xref>; Bates, <xref ref-type="bibr" rid="B6">2005</xref>; Moily et al., <xref ref-type="bibr" rid="B88">2014</xref>). In 1983, the HD Collaborative Research Group, under the direction of Nancy Wexler, successfully mapped the defective gene responsible for HD to chromosome 4p16.3 (Gusella et al., <xref ref-type="bibr" rid="B47">1983</xref>). In 1993, the disease pathogenic mutation has been recognized as a polymorphic CAG-repeat expansion in the exon 1 of the HD gene (The Huntington&#x02019;s Disease Collaborative Research Group, <xref ref-type="bibr" rid="B113">1993</xref>). The physiological role of the wild-type (WT) HD gene remains unclear. However, several lines of experimental evidence of gene knockout paradigms suggested that the expression of WT HD gene is indispensable for embryogenesis, vesicular trafficking, synaptic plasticity and neuroprotection (Duyao et al., <xref ref-type="bibr" rid="B33">1995</xref>; Dragatsis et al., <xref ref-type="bibr" rid="B31">2000</xref>; Reiner et al., <xref ref-type="bibr" rid="B100">2003</xref>). The unstable CAG repeat expansion of more than 35&#x02013;39 in the HD gene is translated into polyglutamine (polyQ) stretches in the huntingtin protein (Bates, <xref ref-type="bibr" rid="B5">2003</xref>; Cornett et al., <xref ref-type="bibr" rid="B20">2005</xref>; Moily et al., <xref ref-type="bibr" rid="B88">2014</xref>). The abnormal polyQ repeat sequence is known to cause misfolding and aggregation of the huntingtin protein (DiFiglia et al., <xref ref-type="bibr" rid="B27">1997</xref>; Bates, <xref ref-type="bibr" rid="B6">2005</xref>; Poirier et al., <xref ref-type="bibr" rid="B97">2005</xref>) leading to the selective degeneration of medium spiny neurons (MSNs) in the striatum and onset of the disease (Graveland et al., <xref ref-type="bibr" rid="B43">1985</xref>). Consequently, neurotransmitter dysfunction, oxidative stress, microglial activation, reactive astrogliosis have been characterized as second degree of pathological consequences in the striatum of HD subjects (Walker, <xref ref-type="bibr" rid="B119">2007</xref>; Velusamy et al., <xref ref-type="bibr" rid="B115">2017</xref>; McColgan and Tabrizi, <xref ref-type="bibr" rid="B85">2018</xref>). It has been predicted that recent advancements in CRISPR/Cas9 genome-editing tools and patient-specific generation of induced pluripotent stem cells (iPSCs) might significantly contribute to the development of future gene therapies for HD (Xu et al., <xref ref-type="bibr" rid="B123">2017</xref>). Nevertheless, refining mechanisms of the existing self-regenerative process of the adult brain, namely adult neurogenesis, holds great promise for the establishment of non-invasive clinical procedures to treat HD.</p>
</sec>
<sec id="s2">
<title>Migration of Neuroblasts in the Healthy Adult Forebrain</title>
<p>The subventricular zone (SVZ) is a prime neuropoietic niche of the brain responsible for the postnatal neurogenesis in the telencephalon (Doetsch et al., <xref ref-type="bibr" rid="B29">1997</xref>, <xref ref-type="bibr" rid="B28">1999</xref>). In the adulthood, the SVZ continues to harbor a heterogeneous population of neural stem cells (NSCs) that generates polarized neuroblast progenies, migrating through the rostral migratory stream (RMS) into the olfactory bulb (OB), where they terminally mature into functional interneurons (Doetsch et al., <xref ref-type="bibr" rid="B29">1997</xref>, <xref ref-type="bibr" rid="B28">1999</xref>; Gritti et al., <xref ref-type="bibr" rid="B46">2002</xref>; Ming and Song, <xref ref-type="bibr" rid="B86">2011</xref>). While neurogenesis in the human hippocampus has generally been recognized and accepted (Eriksson et al., <xref ref-type="bibr" rid="B36">1998</xref>), the incidence of olfactory neurogenesis in the human brain has been an ongoing subject of debate (Kirschenbaum et al., <xref ref-type="bibr" rid="B65">1999</xref>; Pagano et al., <xref ref-type="bibr" rid="B92">2000</xref>; Curtis et al., <xref ref-type="bibr" rid="B23">2007</xref>; Sanai et al., <xref ref-type="bibr" rid="B103">2011</xref>; Ernst et al., <xref ref-type="bibr" rid="B37">2014</xref>). A recent report by the Mechawar group provided evidence for the occurrence of doublecortin (DCX) positive neuroblasts in the SVZ-OB path in the post-mortem brains from suicide subjects (Maheu et al., <xref ref-type="bibr" rid="B82">2015</xref>). However, the evidence for the migration of neuroblasts and mechanisms underlying their migration towards the OB in the normal human brain are yet to be validated. In non-primate mammalian brains, the glial tube structure of the RMS provides a scaffold platform for the migrating neuroblasts towards the OB (Lois and Alvarez-Buylla, <xref ref-type="bibr" rid="B78">1994</xref>; Doetsch et al., <xref ref-type="bibr" rid="B28">1999</xref>; Ming and Song, <xref ref-type="bibr" rid="B86">2011</xref>). A reciprocal interaction between the neuroblasts and glial cells through the assistance of cell surface adhesion molecules, extracellular matrix, metalloproteases, transcription factors, neurotransmitters, neurotrophins and chemo-attractants have been suggested to mediate this distinct long-distance cell migratory process in the adult forebrain (Gritti et al., <xref ref-type="bibr" rid="B46">2002</xref>; Ghashghaei et al., <xref ref-type="bibr" rid="B41">2007</xref>; Ming and Song, <xref ref-type="bibr" rid="B86">2011</xref>). Besides the glial tube, directional flow of the cerebrospinal fluid (CSF) mediated by the ciliary movement of ependymal cells in the ventricle has been proposed to play a critical role in the migration of neuroblasts along the SVZ&#x02014;RMS-OB path (Sawamoto et al., <xref ref-type="bibr" rid="B105">2006</xref>). For yet unknown reasons, the RMS structure in the human brain seems to be restricted to the developmental stage and absent in the adulthood (Kam et al., <xref ref-type="bibr" rid="B57">2009</xref>; Sanai et al., <xref ref-type="bibr" rid="B103">2011</xref>; Wang et al., <xref ref-type="bibr" rid="B120">2011</xref>).</p>
</sec>
<sec id="s3">
<title>Neurogenesis and Neuroblastosis in the Adult HD Striatum</title>
<p>Physical exercise and environmental enrichment paradigms have been shown to positively influence hippocampal neurogenesis in the healthy brain (Kempermann et al., <xref ref-type="bibr" rid="B62">1997</xref>; van Praag et al., <xref ref-type="bibr" rid="B114">1999</xref>). While the SVZ of the adult brain is highly refractory to external stimuli in the physiological state (Brown et al., <xref ref-type="bibr" rid="B12">2003</xref>), acute neurological deficits like, cerebral stroke (Kokaia et al., <xref ref-type="bibr" rid="B68">2006</xref>) and neurotoxic lesions (Winner et al., <xref ref-type="bibr" rid="B122">2006</xref>) have been shown to trigger the multiplication of a subset of NSC progenies in the SVZ and the migration of these cells towards the incapacitated brain regions. Thus, enormous attempts have been made to characterize the regulation of neurogenesis and migration of neuroblasts in the forebrain of adult subjects as it represents a possible self-regenerative mechanism of the neurodegenerative conditions including HD (Curtis et al., <xref ref-type="bibr" rid="B24">2003</xref>; Kokaia et al., <xref ref-type="bibr" rid="B68">2006</xref>; Kohl et al., <xref ref-type="bibr" rid="B66">2007</xref>; Kandasamy et al., <xref ref-type="bibr" rid="B58">2010</xref>; Ernst et al., <xref ref-type="bibr" rid="B37">2014</xref>). Here, several preclinical models of HD have been generated to investigate the roles of mutant HD gene in HD pathogenesis. The regulation of neurogenesis in NSC niches has been evaluated in R6/1 (Lazic et al., <xref ref-type="bibr" rid="B74">2006</xref>), R6/2 (Kohl et al., <xref ref-type="bibr" rid="B66">2007</xref>), N171-82Q (Duan et al., <xref ref-type="bibr" rid="B32">2008</xref>), YAC128 (Simpson et al., <xref ref-type="bibr" rid="B109">2011</xref>) and TgHD (Kandasamy et al., <xref ref-type="bibr" rid="B58">2010</xref>)&#x02014;genetic rodent models and in the quinolinic acid injection-induced acute rat model of HD (Tattersfield et al., <xref ref-type="bibr" rid="B112">2004</xref>). Besides, adult neurogenesis has also been characterized in post-mortem brains of human HD subjects (Curtis et al., <xref ref-type="bibr" rid="B24">2003</xref>; Low et al., <xref ref-type="bibr" rid="B79">2011</xref>; Ernst et al., <xref ref-type="bibr" rid="B37">2014</xref>). Notably, the proliferative potential of NSCs is reduced specifically in the hippocampus in most genetic models of HD (Lazic et al., <xref ref-type="bibr" rid="B74">2006</xref>; Kohl et al., <xref ref-type="bibr" rid="B66">2007</xref>; Kandasamy et al., <xref ref-type="bibr" rid="B58">2010</xref>; Simpson et al., <xref ref-type="bibr" rid="B109">2011</xref>), but no changes in the hippocampal NSC proliferation were observed in the post-mortem tissue of HD patients (Low et al., <xref ref-type="bibr" rid="B79">2011</xref>). While the NSC proliferation rate was reduced in the hippocampus, the overall cell proliferation was unaltered in the SVZ of R6/1(Lazic et al., <xref ref-type="bibr" rid="B74">2006</xref>), R6/2 (Kohl et al., <xref ref-type="bibr" rid="B66">2007</xref>), YAC-128 (Simpson et al., <xref ref-type="bibr" rid="B109">2011</xref>) mouse models and of early stage tgHD rats when compared to that of respective control animals (Kandasamy et al., <xref ref-type="bibr" rid="B58">2010</xref>). In contrast, cell proliferation was found to be reduced in the SVZ of late stage tgHD rats (Kandasamy et al., <xref ref-type="bibr" rid="B61">2015</xref>). Moreover, the reduced NSC proliferative capacity in the SVZ appeared to be compensated by the enhanced mitotic events of neuroblasts in late stage transgenic HD rats (Kandasamy et al., <xref ref-type="bibr" rid="B61">2015</xref>). This might be also the case in the SVZ of other genetic models of HD with different grades of behavioral and neuropathological symptoms (Kandasamy et al., <xref ref-type="bibr" rid="B60">2011</xref>; Velusamy et al., <xref ref-type="bibr" rid="B115">2017</xref>). As a result, a vigorous migratory pattern of neuroblasts, instigated towards the degenerated striatum was highly pronounced at the expense of olfactory neurogenesis in most genetic models, which in part, mimicked the reactive neurogenesis reported in the SVZ or SEL-striatal regions in the brains of the toxic QA-injected experimental rat model (Tattersfield et al., <xref ref-type="bibr" rid="B112">2004</xref>) and human HD brains (Curtis et al., <xref ref-type="bibr" rid="B23">2007</xref>; Ernst et al., <xref ref-type="bibr" rid="B37">2014</xref>), respectively. Taken together, reactive neurogenesis resulting from the striatal migratory event of neuroblasts seems to be a unique cellular trait, signifying the emergence of regenerative foci in the striatum of HD brains throughout the animal kingdom including humans. This abnormal proliferation of neuroblasts in the SVZ and their migration into the vulnerable striatum have recently been recognized as &#x0201C;reactive neuroblastosis&#x0201D; in the tgHD rat model (Kandasamy et al., <xref ref-type="bibr" rid="B61">2015</xref>; Velusamy et al., <xref ref-type="bibr" rid="B115">2017</xref>). Apparently, in this context, the process of neurogenesis is prematurely terminated, i.e., the cell die before they mature and before they integrate into the striatal circuitry (Figure <xref ref-type="fig" rid="F1">1</xref>). In the human HD brain, the situation seems to be similar (Ernst et al., <xref ref-type="bibr" rid="B37">2014</xref>). Interestingly, the phenomenon of reactive neuroblastosis seems not to be restricted to HD pathology, but has recently been reported also in brains of ALS patients associated with dementia (Gal&#x000E1;n et al., <xref ref-type="bibr" rid="B39">2017</xref>). Taken together, the proposed reactive neuroblastosis event observed in the striatum of the adult brain requires a great scientific consideration as it provides a fresh perspective on neurobiology of aging and disease, epitomizing a potential therapeutic target for <italic>in vivo</italic> forebrain regeneration. Hence, the functional relevance of reactive neuroblastosis and its consequence should be carefully considered in progressive neurodegenerative disorders. Likewise, where appropriate, the reactive neuroblasotosis process needs to be investigated in acute neurological complications such as stroke, seizure, neuroinflommatory disorders and traumatic brain injuries.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Graphical illustration of cell populations of the CNS&#x02014;astrocyte (dark green), oligodendrocyte (pinkish red), neuroblasts (drab), interneuron (olive) and microglia (indigo) in the adult brain during normal aging process <bold>(A)</bold> and activated microglia, reactive astrocytes and reactive neuroblastosis and neurodegeneration in the degenerating striatum of Huntington&#x02019;s disease (HD; <bold>B</bold>). Concentric circles of yellow and white indicate a possible overlap between pSmad2 (Yellow) and wild-type (WT) huntingtin protein (white; <bold>A</bold>) or mutant huntingtin protein (Red; <bold>B</bold>). <bold>(A1&#x02013;A3)</bold> represent a gradual decline of neurogensis in the subventricular zone (SVZ)-striatal regions upon aging process. <bold>(B1&#x02013;B3)</bold> illustrate abnormal neurogenic events and neuro degeneration in the SVZ-striatal regions in early onset, mid and late stages of HD.</p></caption>
<graphic xlink:href="fncel-12-00037-g0001.tif"/>
</fig>
</sec>
<sec id="s4">
<title>TGF Beta Signaling and Huntingtin Protein as Potential Mediator of Cellular Events</title>
<p>As mentioned above, SVZ-striatal neurogenesis in HD is characeterized by reduced stem cell activity, reactive neruoblastosis and by premature death of the young neurons. An essential question is of course the physiological and molecular regulation of these events. We are postulating a framework that integrates physical activity, transforming growth factor-beta1 and mutant huntigtin protein as potential regulators. Physical exercise has been unequivocally shown to prevent cognitive decline by facilitating neurogenesis specifically in the hippocampus of healthy adult brains (van Praag et al., <xref ref-type="bibr" rid="B114">1999</xref>). However, physical exercise has failed to ameliorate impaired hippocampal neurogenesis in the R6/2 (Kohl et al., <xref ref-type="bibr" rid="B66">2007</xref>) and N171-82Q (Potter et al., <xref ref-type="bibr" rid="B98">2010</xref>) models of HD. Also, physical exercise failed to influence the SVZ derived OB neurogenesis in the healthy brain (Brown et al., <xref ref-type="bibr" rid="B12">2003</xref>). Therefore, hippocampal and SVZ/OB neurogenesis are differentially affected by regulatory signaling mechanisms, and physical activity is not counteracting the impaired hippocampal neurogenesis observed in HD animal models. Interestingly, a routine physical exercise practice has accelerated pathogenesis in a marathon runner who had been diagnosed with pre-symptomatic HD (Kosinski et al., <xref ref-type="bibr" rid="B69">2007</xref>). The reason for this is unclear, but signaling mediated by TGF-beta might be crucially involved. First, physical exercise has been shown to induce the expression of TGF-beta in the normal healthy brain and to suppress spontaneous motor activity (Inoue et al., <xref ref-type="bibr" rid="B55">1999</xref>). Second, physiological levels of TGF-beta and its downstream signaling pathway have been linked to the regulation of NSC&#x02019;s self-renewal, migration, integration and survival of neuroblasts in the normal adult brain (Kandasamy et al., <xref ref-type="bibr" rid="B59">2014</xref>), and experimentally elevated levels of TGF beta in the adult brains hindered the proliferative potential of NSCs and neurogenesis in the hippocampus (Buckwalter et al., <xref ref-type="bibr" rid="B13">2006</xref>; Wachs et al., <xref ref-type="bibr" rid="B118">2006</xref>; Aigner and Bogdahn, <xref ref-type="bibr" rid="B1">2008</xref>). Similarly, analysis of phosphorylation events of Smad2, a downstream component of TGF-beta signaling in the hippocampal stem cell niches of R6/2 mice and tgHD rats, revealed that elevated levels of TGF beta/Smad2 signaling play a crucial role in the induction of quiescence of NSCs leading to reduced hippocampal neurogenesis (Kandasamy et al., <xref ref-type="bibr" rid="B58">2010</xref>). Third, an increased Smad2 phosphorylation observed in the ectopically migrating neuroblasts from the SVZ towards the striatum of HD brain indicated a possible role of TGF-beta signaling in the migration/early differentiation of neuroblasts (Kandasamy et al., <xref ref-type="bibr" rid="B61">2015</xref>; Figure <xref ref-type="fig" rid="F1">1</xref>). In the healthy brain, this might well promote structural and functional differentiation and maturation of neurons, however, in the HD brain, this might be completely different: although very speculative, involuntary hyperkinetic movements (Chorea) might cause increased levels of TGF-beta in the HD brains. In consequence, as Bowles et al. (<xref ref-type="bibr" rid="B10">2017</xref>) had shown, this might lead to the upregulation of mutant huntingtin protein through the activation of Smad3, a binding partner of Smad2, and the increased mutant huntingtin protein levels might trigger the apoptotic events in SVZ derived neuroblasts or young immature neurons (de Luca et al., <xref ref-type="bibr" rid="B25">1996</xref>; Schuster and Krieglstein, <xref ref-type="bibr" rid="B106">2002</xref>). In summary, the elevated levels of TGF-beta in the HD brain might on one hand cause a lower level of NSC activity, and through elevation of mutant hintingtin expression cause a premature death of differentiating neuroblasts regardless of the origin of the neuroblasts. For example (Magnusson et al., <xref ref-type="bibr" rid="B81">2014</xref>) demonstrated that a subset of astrocytes have the capacity to produce new neurons in the striatum independent of the SVZ, while a striatal specific stem cell niche is yet to be recognized (Magnusson et al., <xref ref-type="bibr" rid="B81">2014</xref>). Also here, elevated TGF-beta levels might finally reduce the levels of neuronal production and the survival of the new neurons. Taken together, it can be proposed that therapeutic physical exercise and/or hyperkinetic movements in HD subjects might play a major role in impeding adult neurogenesis through elevated TGF-beta/Smad2 signaling, which might elevate the expression of mutant huntingtin protein in neuroblasts leading to premature death of these cells. In contrast, in the healthy brain, physical exercise induced TGF-beta/Smad signaling may act in synergy with huntingtin protein, and this in turn can lead to terminal differentiation of neuroblasts resulting in functional neurogenesis. The source of the elevated TGF-beta levels upon physical exercise in the healthy brain is not known, under pathological situations, activated microglia and reactive astrocytes are potential sources of TGF-beta (Lindholm et al., <xref ref-type="bibr" rid="B77">1992</xref>; Doyle et al., <xref ref-type="bibr" rid="B30">2010</xref>; Kandasamy et al., <xref ref-type="bibr" rid="B58">2010</xref>).</p>
</sec>
<sec id="s5">
<title>Immunological and Non-Neurogenic Roles of Reactive Neuroblastosis in the Adult Striatum</title>
<p>Reactive neuroblasts in the HD brains might be immunologically active and modulate microglia activities. Microglia have been strongly implicated in immune surveillance and synaptic pruning (Kettenmann et al., <xref ref-type="bibr" rid="B63">2013</xref>), and they are responsible for synaptic integration of new-born neurons, thereby supporting the neuroplasticity of adult neurogenesis (Ekdahl, <xref ref-type="bibr" rid="B35">2012</xref>). A substantial number of reports suggested that disruption of microglial functions along aging and neurodegenerative processes leads to synaptic disruptions, neuronal loss and, consequently, to cognitive impairments (Morris et al., <xref ref-type="bibr" rid="B89">2013</xref>). The activated microglia mediated prolonged neuroinflammatory responses have been well recognized in HD (Sapp et al., <xref ref-type="bibr" rid="B104">2001</xref>; Crotti et al., <xref ref-type="bibr" rid="B22">2014</xref>).</p>
<p>In an independent attempt to characterize microglial cells in the HD brain using ionized calcium binding adaptor molecule 1 (IBA 1) staining, the SVZ-region of early stage tgHD rats showed an indication for microglial activation compared to controls. In contrast, a drastic reduction in the number of microglial cells was observed in parallel with the invasion of neuroblasts in the striatum of late stage tgHD rats compared to the early stage and that of age matched controls (unpublished own data). One possible reason might be a non-cell autonomous mechanism, by which the glial specific expression of mutant huntingtin protein can induce prolonged reactive astrocytosis and activated microgliosis (Bradford et al., <xref ref-type="bibr" rid="B11">2010</xref>; Ehrlich, <xref ref-type="bibr" rid="B34">2012</xref>). Abnormal glial cell activity may result in depletion of microglia and astrocytes due to phagocytosis in the pathogenic HD brains. Thus, the observed reactive neuroblasts in the SVZ deviating towards the striatum may also be an immunological response in order to compensate for the reduction in glial cells, particularly the depletion of microglia in late stage of HD.</p>
<p>Previously, Kohl et al. (<xref ref-type="bibr" rid="B67">2010</xref>), demonstrated that the expression of the mutant huntingtin protein was specifically found in the dopamine- and cAMP-regulated neuronal phosphoprotein (DARPP)-32 positive cells of the inner striatum of R6-2 mice. However, the expression of the mutant huntingtin protein appears to be delayed in the proliferating precursor cells of the striatum adjacent to the SVZ in R6/2 animals (Kohl et al., <xref ref-type="bibr" rid="B67">2010</xref>). This observation closely overlaps and corresponds to the process of reactive neuroblastosis, in which, the absence of mutant huntingtin protein and pSmad2 in the neuroblasts has been proposed for the delayed terminal differentiation of new neurons in the adjacent striatum of HD subjects (Kandasamy et al., <xref ref-type="bibr" rid="B61">2015</xref>).</p>
<p>Besides an immunomodulatory role, a concomitant experimental evidence using transcriptome analysis of NSCs suggested that induced levels of TGF beta can suppress the expression of Myelin basic protein (MBP), a marker of oligodendrocytes (Kandasamy et al., <xref ref-type="bibr" rid="B59">2014</xref>). While conditional expression of the mutant huntingtin protein has been shown to induce apoptosis in oligodendrocytes, demylination can be expected in the striatum of HD subjects (Huang et al., <xref ref-type="bibr" rid="B52">2015</xref>). Thus, impaired myelination process in the striatum, in part, might be responsible for the failure in the synaptic plasticity of newly generated neurons (Alizadeh et al., <xref ref-type="bibr" rid="B4">2015</xref>; Bourbon-Teles et al., <xref ref-type="bibr" rid="B9">2017</xref>). Taken together, it can be postulated that the selective proliferation of neuroblasts responsible for reactive neuroblastosis may partly take over neuroinflammatory functions of glial cells in the absence or dysfunction of microglia or astrocytes in the HD striatum. Besides, depletion or dysregulation of neurotransmitter inputs have been shown to induce the migration of neuroblasts towards the striatum by compromising the cell proliferation in the SVZ (Winner et al., <xref ref-type="bibr" rid="B122">2006</xref>). Thus, the migrating neuroblasts might also provide an alternate source of neurotransmitters, trophic and growth factors involved in synaptic plasticity to support the function of the striatum. It certainly demands further experiments to investigate the additional roles of neuroblastosis with respects to immune defense, trophic support and synaptic pruning compared to glial cells in the adult brain. Thereby, the extra-neurogenic roles of normal and reactive neuroblasts can functionally be addressed for many acute forms of neurological diseases such as stroke and epileptic seizure.</p>
</sec>
<sec id="s6">
<title>The Functional Roles of Neurobasts in the Striatum of the Adult Brain</title>
<p>A significant scientific progress has been made in understanding the physiological roles and regulation of adult neurogenesis in aging and disease (Deng et al., <xref ref-type="bibr" rid="B26">2010</xref>; Couillard-Despres et al., <xref ref-type="bibr" rid="B21">2011</xref>; Marschallinger et al., <xref ref-type="bibr" rid="B83">2015</xref>). The generation and functional integration of the new born neurons in the adult brain enticed by physical activity (van Praag et al., <xref ref-type="bibr" rid="B114">1999</xref>; Vivar et al., <xref ref-type="bibr" rid="B117">2013</xref>) and environmental stimuli (Kempermann et al., <xref ref-type="bibr" rid="B62">1997</xref>; Zhao et al., <xref ref-type="bibr" rid="B125">2008</xref>; Ming and Song, <xref ref-type="bibr" rid="B86">2011</xref>) not only contribute to neural plasticity but also facilitate brain regeneration and functional recovery upon acute brain injuries and progressive neurodegenerative conditions (Nakaguchi et al., <xref ref-type="bibr" rid="B90">2011</xref>). The primary roles of hippocampal neurogenesis have been demonstrated to be linked with pattern separation, mood regulation, contextual learning and memory processes (Clelland et al., <xref ref-type="bibr" rid="B17">2009</xref>), whereas the SVZ derived neurogenesis in the OB has been implicated in odor discrimination and sexual desire (Sakamoto et al., <xref ref-type="bibr" rid="B102">2011</xref>; Feierstein, <xref ref-type="bibr" rid="B38">2012</xref>; Hill et al., <xref ref-type="bibr" rid="B49">2015</xref>). Interestingly, evidence for the occurrence of adult neurogenesis has also been established in amygdala (Jhaveri et al., <xref ref-type="bibr" rid="B56">2017</xref>), hypothalamus (Paul et al., <xref ref-type="bibr" rid="B93">2017</xref>) and cortex (Gould et al., <xref ref-type="bibr" rid="B42">1999</xref>) responsible for fear memory, HPA-axis and motor control, respectively. Thus, different brain regions sustain the regenerative potential to establish new neurons in the adult stage.</p>
<p>The striatum is a central part of the basal ganglia, responsible for the functionality of limbic system attributed to voluntary motor control, reward process, cognitive functions and behavior (Graybiel and Grafton, <xref ref-type="bibr" rid="B45">2015</xref>; Yager et al., <xref ref-type="bibr" rid="B124">2015</xref>). It integrates inputs from the cortex, thalamus, substantia nigra and brain stem and processes them to the relevant functional regions of the brain, including hippocampus and OB, to regulate diverse neurocognitive and motor functions (Martinez-Marcos et al., <xref ref-type="bibr" rid="B84">2005</xref>; Ross et al., <xref ref-type="bibr" rid="B101">2011</xref>; Calabresi et al., <xref ref-type="bibr" rid="B14">2014</xref>; Vicente et al., <xref ref-type="bibr" rid="B116">2016</xref>). While roles for the striatum in motor function have been well established (Lenz and Lobo, <xref ref-type="bibr" rid="B76">2013</xref>; Hutton et al., <xref ref-type="bibr" rid="B54">2017</xref>), its functional role on cognition including learning and memory synchronized together with hippocampus and OB remain unclear (Setlow et al., <xref ref-type="bibr" rid="B108">2003</xref>; Albouy et al., <xref ref-type="bibr" rid="B3">2013</xref>). The generation of neuroblasts in the striatum might be responsible for integrating and processing these external stimuli. For example, physical exercise (van Praag et al., <xref ref-type="bibr" rid="B114">1999</xref>) and sex pheromones (Hoffman et al., <xref ref-type="bibr" rid="B50">2015</xref>) have been shown to induce hippocampal neurogenesis under healthy condition. While defects in the OB neurogenesis and olfactory dysfunctions have been reported in the HD (Nordin et al., <xref ref-type="bibr" rid="B91">1995</xref>; Moberg and Doty, <xref ref-type="bibr" rid="B87">1997</xref>; Hamilton et al., <xref ref-type="bibr" rid="B48">1999</xref>), the regulation of hippocampal neurogenesis mediated by pheromones through the olfactory route may not be possible. Moreover, physical exercise is also not beneficial in promoting the hippocampal plasticity under HD condition (Kohl et al., <xref ref-type="bibr" rid="B66">2007</xref>) thereby suggesting a possible disconnection of the hippocampus and OB from the sensorimotor processes of the striatum in HD. Likewise, the presence of neuroblasts in the striatum has been characterized in the normal human brain, but the striatum of human HD brain has been found to be devoid of neuroblasts (Ernst et al., <xref ref-type="bibr" rid="B37">2014</xref>). While the DCX positive cells have been shown to possess electrophysiological properties and secrete trophic factors (Liu et al., <xref ref-type="bibr" rid="B500">2009</xref>; Couillard-Despres et al., <xref ref-type="bibr" rid="B21">2011</xref>; Klempin et al., <xref ref-type="bibr" rid="B501">2011</xref>), striatal neuroblasts that are positive for DCX may play a major role in transmitting the physical exercise and pheromone-mediated sensorimotor signals to the hippocampus of the normal adult brain. Thereby, the striatum might act as a cellular hinge or tissue juncture of many peripheral and environmental inputs and process it to other brain region via neuroblasts. It has been well established that the hippocampus is functionally connected to the striatum (Albouy et al., <xref ref-type="bibr" rid="B3">2013</xref>). With respect to the physical activity mediated external stimuli, the regulation of hippocampal neurogenesis might be facilitated by striatal neuroblasts through a possible limbic-motor interface. Thus, gradual decline in physical activities and deficits in environmental stimuli along with the reduced cerebral metabolic rate and aging systemic milieu may partially explain a possible reason for failure in survival of neuroblasts in the striatum of normal aging human brains. The other newly identified adult neurogenic regions such as cortex, amygdala and hypothalamus have classically been known for their connections with the striatum (Macpherson et al., <xref ref-type="bibr" rid="B80">2014</xref>). Thus, the striatal neurogenesis may also be collectively associated with motor memory, fear memory, olfactory memory, contextual memory, hormonal regulation of memory. Taken together, the neuroblasts in the striatum may represent a central axis for a sensorimotor pathway to regulate various neurolplastic functions of the brain including cognition.</p>
</sec>
<sec id="s7">
<title>Possible Limiting Factors of the Analysis of Neuroblasts in the Adult Brain</title>
<p>Obviously, there are still limitations in the techniques that are used to detect and to analyze neurogenesis. Recently, Jonas Fris&#x000E9;n and colleagues have implemented the radioactive carbon dating procedure to estimate the persistence of neurogenic process in the striatum and RMS-OB path along the aging process and in HD human brains (Bergmann et al., <xref ref-type="bibr" rid="B7">2012</xref>; Ernst et al., <xref ref-type="bibr" rid="B37">2014</xref>). Though there was no traceable amount of neuroblasts observed in the RMS, turnover of a interneuronal population in the striatum was evident in adult human brains (Ernst et al., <xref ref-type="bibr" rid="B37">2014</xref>). The striatal turnover of neuroblasts is likely to be originated in the SVZ, but the survival of neuroblasts was found to be diminished in the striatum of both the healthy and HD human subjects (Ernst et al., <xref ref-type="bibr" rid="B37">2014</xref>). Eventually, the disoriented neuroblasts originated from the SVZ failed to differentiate, integrate and survive in the human striatum (Ernst et al., <xref ref-type="bibr" rid="B37">2014</xref>), confirming the previous reports on R6/2 mouse (Kohl et al., <xref ref-type="bibr" rid="B67">2010</xref>) and tgHD rat -models of HD (Kandasamy et al., <xref ref-type="bibr" rid="B61">2015</xref>). Interestingly, validation of neurogenesis in the RMS-OB path using radioactive <sup>14</sup>C dating enforced the view that the human OB is devoid of ongoing neurogenesis in the adulthood (Wang et al., <xref ref-type="bibr" rid="B120">2011</xref>; Bergmann et al., <xref ref-type="bibr" rid="B7">2012</xref>). This is somewhat contradictory to a previous report in which (Curtis et al., <xref ref-type="bibr" rid="B23">2007</xref>) using BrdU labeling method demonstrated that the migration of neuroblasts through the RMS contributes to neurogenesis in the OB of the human brain. Both paradigms for tracing newly divided cells in the human brain, either using nucleotide analogs or radioactive <sup>14</sup>C, have their own merits and limitations. For example, it has generally been believed that intake of food represents the primary source of carbon in the human body. However, the olfactory epithelium of the nasal mucosa is connected with the OB through the filia olfactoria, in which a fraction of atmospheric air and volatile pheromones are able to reach the OB during respiration (Coates, <xref ref-type="bibr" rid="B18">2001</xref>; Lahiri and Forster, <xref ref-type="bibr" rid="B70">2003</xref>; Sun et al., <xref ref-type="bibr" rid="B111">2009</xref>; Gao et al., <xref ref-type="bibr" rid="B40">2010</xref>). As reported earlier, the OB can sense the atmospheric CO<sub>2</sub> (Hu et al., <xref ref-type="bibr" rid="B51">2007</xref>; Gao et al., <xref ref-type="bibr" rid="B40">2010</xref>; Carlson et al., <xref ref-type="bibr" rid="B15">2013</xref>) where it can diffuse into bio-available metabolites in the brain through a CO<sub>2</sub> fixation process (Berl et al., <xref ref-type="bibr" rid="B8">1962</xref>; Pincus, <xref ref-type="bibr" rid="B95">1969</xref>; Lahiri and Forster, <xref ref-type="bibr" rid="B70">2003</xref>; Scott, <xref ref-type="bibr" rid="B107">2011</xref>). Thus, a considerable amount of radioactive <sup>14</sup>C depletion can be expected specifically in the genome of mitotically active cells in the human OB due to the well-known &#x0201C;Suess effect&#x0201D; (Stenstr&#x000F6;m et al., <xref ref-type="bibr" rid="B110">2010</xref>; Graven, <xref ref-type="bibr" rid="B44">2015</xref>; L&#x000E5;ng et al., <xref ref-type="bibr" rid="B71">2016</xref>), through which radioactive <sup>14</sup>C can be exchanged by normal <sup>12</sup>C from the atmospheric CO<sub>2</sub> and some organic volatile compounds such as pheromones (Pinto, <xref ref-type="bibr" rid="B96">2011</xref>; Cazakoff et al., <xref ref-type="bibr" rid="B16">2014</xref>; Ajmani et al., <xref ref-type="bibr" rid="B2">2016</xref>). Moreover, the radioactive <sup>14</sup>C decay has been considered a spontaneous and highly random process, as different <sup>14</sup>C atoms can radically be reverted into <sup>14</sup>N atoms at different degrees due to a subatomic transmutation process. The safety guideline and dosimetry of radioactive elements suggest that <sup>14</sup>C is a low energy beta emitter and therefore a short-term external exposure may be harmless (Pauling, <xref ref-type="bibr" rid="B94">1958</xref>; Kim et al., <xref ref-type="bibr" rid="B64">2010</xref>). However, according to Pauling, it would also be expected that a prolonged cell intrinsic emission of <sup>14</sup>C radiation and accumulation of <sup>14</sup>C incorporated cells in close proximity might intensify the dose of radiation (Pauling, <xref ref-type="bibr" rid="B94">1958</xref>). In turn, a magnitude of radiation discharged from a large quantity of <sup>14</sup>C atoms has been suggested to induce irreversible mutational events in genome, leading to carcinogenesis or apoptosis in humans (Pauling, <xref ref-type="bibr" rid="B94">1958</xref>). Hence, radioactive <sup>14</sup>C based tracing of neurogenesis in the human brain may require further validation to exclude, if present, any false negative results or artifacts. Similarly, the incorporation of halogenated thymidine analogs by apoptotic cells (Cooper-Kuhn and Kuhn, <xref ref-type="bibr" rid="B19">2002</xref>), their toxic effects on cell viability (Lehner et al., <xref ref-type="bibr" rid="B75">2011</xref>), DNA instability or repair mechanisms and phagocytosis events rendered by microglia also require a careful consideration (Rakic, <xref ref-type="bibr" rid="B99">2002</xref>). Nevertheless, it has widely been accepted that neurogenesis occurs in adult brain as it provides a foundation for neural plasticity across the animal kingdom (Ming and Song, <xref ref-type="bibr" rid="B86">2011</xref>; Velusamy et al., <xref ref-type="bibr" rid="B115">2017</xref>). While multiple intrinsic and extrinsic stimuli have been shown to regulate adult neurogenesis in the hippocampus and the SVZ-OB, its regulation in the striatum has become an important topic of elucidation.</p>
</sec>
<sec sec-type="conclusion" id="s8">
<title>Conclusion</title>
<p>The naturally occurring stem cell mediated neuroregenerative processes in the adult brain under physiological condition provides a clue in ascertaining a potential therapeutic target for many neurodegenerative disorders including HD. The occurrence of SVZ derived neuroblasts as a part of neurogenic event in the striatum of both animal and human brains, signifies an impetuous self-restorative attempt of the adult brain. A growing body of evidence supports the idea that the SVZ derived neuroblasts in the striatum may provide structural and neurophysiological alternative for trophic support and neuronal loss and thereby it may contribute in restoring the motor and cognitive functions that are lost in HD. Therefore, investigation into the molecular mechanism involved in reactive neuroblastosis at the levels of cell proliferation, migration, integration and survival in the damaged area may provide a clue for therapeutic intervention not only for treating HD but also for a variety of neurological deficits such as stroke, Parkinson&#x02019;s disease and Alzheimer&#x02019;s disease.</p>
</sec>
<sec id="s9">
<title>Author Contributions</title>
<p>MK: manuscript preparation and writing, preparation of figure. LA: manuscript preparation and writing.</p>
</sec>
<sec id="s10">
<title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
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<ack>
<p>This work was supported by the Austrian Science Fund FWF Special Research Program (SFB) F44 (F4413-B23) &#x0201C;Cell Signaling in Chronic CNS Disorders&#x0201D;, by funding from the European Union&#x02019;s Seventh Framework Program (FP7/2007-2013) under grant agreements n&#x000B0; HEALTH-F2-2011-278850 (INMiND) and n&#x000B0; HEALTH-F2-2011-279288 (IDEA). MK has been supported by the Faculty Recharge Programme, University Grants Commission (UGC-FRP), New Delhi, India. The author (MK) would like to thank and acknowledge a start-up grant from the UGC-FRP and financial support from a research grant (EEQ/2016/000639), DST-SERB, New Delhi, India. The author also acknowledges the UGC-SAP and DST-FIST for the infrastructure of the Department of Animal Science, Bharathidasan University.</p>
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