The long non-coding RNA nuclear-enriched abundant transcript 1_2 induces paraspeckle formation in the motor neuron during the early phase of amyotrophic lateral sclerosis

Background A long non-coding RNA (lncRNA), nuclear-enriched abundant transcript 1_2 (NEAT1_2), constitutes nuclear bodies known as “paraspeckles”. Mutations of RNA binding proteins, including TAR DNA-binding protein-43 (TDP-43) and fused in sarcoma/translocated in liposarcoma (FUS/TLS), have been described in amyotrophic lateral sclerosis (ALS). ALS is a devastating motor neuron disease, which progresses rapidly to a total loss of upper and lower motor neurons, with consciousness sustained. The aim of this study was to clarify the interaction of paraspeckles with ALS-associated RNA-binding proteins, and to identify increased occurrence of paraspeckles in the nucleus of ALS spinal motor neurons. Results In situ hybridization (ISH) and ultraviolet cross-linking and immunoprecipitation were carried out to investigate interactions of NEAT1_2 lncRNA with ALS-associated RNA-binding proteins, and to test if paraspeckles form in ALS spinal motor neurons. As the results, TDP-43 and FUS/TLS were enriched in paraspeckles and bound to NEAT1_2 lncRNA directly. The paraspeckles were localized apart from the Cajal bodies, which were also known to be related to RNA metabolism. Analyses of 633 human spinal motor neurons in six ALS cases showed NEAT1_2 lncRNA was upregulated during the early stage of ALS pathogenesis. In addition, localization of NEAT1_2 lncRNA was identified in detail by electron microscopic analysis combined with ISH for NEAT1_2 lncRNA. The observation indicating specific assembly of NEAT1_2 lncRNA around the interchromatin granule-associated zone in the nucleus of ALS spinal motor neurons verified characteristic paraspeckle formation. Conclusions NEAT1_2 lncRNA may act as a scaffold of RNAs and RNA binding proteins in the nuclei of ALS motor neurons, thereby modulating the functions of ALS-associated RNA-binding proteins during the early phase of ALS. These findings provide the first evidence of a direct association between paraspeckle formation and a neurodegenerative disease, and may shed light on the development of novel therapeutic targets for the treatment of ALS.


Background
Amyotrophic lateral sclerosis (ALS) is a devastating neurodegenerative disorder characterized by loss of upper and lower motor neurons. The clinical symptoms of ALS typically develop at between 50 to 70 years of age, leading to skeletal muscle weakness including respiratory failure. The overall median tracheostomy free survival is 2.5 years [1]. Among the genes associated with familial ALS, mutations in TAR DNA-binding protein-43 (TDP- 43), fused in sarcoma/translocated in liposarcoma (FUS/ TLS), optineurin and SQSTM1, and hexanucleotide repeat expansion in C9ORF72 were also identified in sporadic ALS cases [2][3][4][5][6][7]. Wild-type (WT) TDP-43 and FUS/ TLS are predominantly observed in the nucleus by immunostaining [8,9]. Besides full-length WT TDP-43, 35-kDa and 18-26-kDa C-terminal fragments are produced via caspase-dependent and -independent pathways [8,10]. The 26-kDa C-terminal TDP-43 fragment aggregated insolubly in the cytoplasm of ALS motor neurons with ubiquitination and phosphorylation [11,12]. We previously demonstrated that the 35-kDa C-terminal fragment functions in the formation of stress granules in the cytoplasm, which induces mRNA stabilization and translational arrest against stresses [8]. Similarly, FUS/ TLS mutants linked with ALS, which lacked the nuclear import activity, demonstrated mislocalization to the cytoplasm and formed a stress granule-like structure [9]. TDP-43 and FUS/TLS play critical roles in RNA processing [13]; however, the association of these RNAbinding proteins with ALS pathogenesis remains mostly unknown.
As another specific finding to sporadic ALS, the A-to-I RNA editing efficiency of mRNA encoding the GluA2 subunit of the α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptor varied greatly, from 0% to 100% among the motor neurons of sporadic ALS cases. This observation was in marked contrast to control motor neurons, all of which demonstrated 100% editing efficiency [14].
Building upon these previous findings, we investigated the association of paraspeckles with TDP-43 and FUS/ TLS in the nucleus and the alteration in paraspeckle formation in spinal motor neurons of ALS patients.
The short form of NEAT1 ncRNA, NEAT1_1, is produced from the 5′-end of NEAT1. Although an in situ hybridization probe targeting NEAT 1_1 ncRNA, that is shown as NEAT1_1/1_2 probe in Additional file 1: Figure  S1D (upper), could not precisely distinguish NEAT1_1 foci from NEAT1_2 foci, most NEAT1_1 foci were also colocalized frequently with nuclear aggregates formed by WT TDP-43 and WT FUS/TLS (Additional file 1: Figure  S1D, lower).
Another nuclear body, the Cajal body, is related to RNA metabolism; however, NEAT1_2 foci demonstrated a complete different distribution from Cajal bodies labeled with the marker coilin (Figure 2A, upper). Consistent with a previous report that 40% of TDP-43 nuclear bodies overlapped with Cajal bodies [35], endogenous TDP-43 that did not overlap with NEAT1_2 foci overlapped with the Cajal bodies separately (Figure 2A, lower). In light of TDP-43 and FUS/TLS protein colocalization to NEAT1_2 lncRNA, we tested whether endogenous TDP-43 and FUS/TLS bound directly to NEAT1_2 lncRNA. The RNA-protein complex was immunoprecipitated from UV cross-linked HeLa cells using polyclonal anti-TDP-43 and anti-FUS/TLS antibodies with stringent washes in high-salt buffer to spoil protein-protein interactions. The immunoblotting assay verified specific precipitations by using monoclonal anti-TDP-43 and anti-FUS/TLS antibodies ( Figure 2B). After bound RNA was isolated, NEAT1_2 lncRNA levels were quantified by reverse transcription (RT) and polymerase chain reaction (PCR). NEAT1_2 lncRNA was enriched in anti-TDP-43 and anti-FUS/TLS immunoprecipitants compared with control IgG immunoprecipitants ( Figure 2C). Paraspeckle formation requires NEAT1_2 lncRNA and core paraspeckle proteins, which subsequently recruit other paraspeckle-associated factors and NEAT1_1 Figure 1 TDP-43 and FUS/TLS aggregate at nuclear NEAT1_2 foci. A. At 48 hours after transfection with wild-type (WT) and 35-kDa TDP-43 fragment and WT FUS/TLS with the V5 tag at the C terminus, HeLa cells were fixed with 4% paraformaldehyde, hybridized with fluorescein isothiocyanate (FITC)-labeled RNA probe against NEAT1_2 long non-coding RNA (lncRNA), and double-immunostained with polyclonal anti-FITC and monoclonal anti-V5 antibodies. Schematic diagram (right) represents the TDP-43 isoforms and FUS/TLS. NLS, Nuclear localization signal; RRM, RNA recognition motif; C-term, C-terminal domain; GR, glycine-rich motif; NES, nuclear export signal; RGG, arginine-glycine-glycine motif ; ZF, zincfinger motif. Dotted lines represent the outline of the nucleus. Scale bars, 10μm. B. The Y-axis shows what percent NEAT1_2 foci is overlapped by TDP-43 nuclear aggregates in (A). The 26-kDa TDP-43 fragment hardly accumulates in nuclei and lacks affinity for NEAT1_2 foci. Data represent mean ± s.d. (n = 50 for each transfection of TDP-43 isoforms). *P < 0.0001 (unpaired Student's t-test).
ncRNA [19,29]. Therefore, to determine whether TDP-43 and FUS/TLS formed paraspeckles in cultured cells, immunocytochemistry was performed to examine the intra-nuclear localization of the paraspeckle proteins, PSF and PSP1. Nuclear aggregates of TDP-43 and FUS/TLS colocalized with PSF and PSP1 ( Figure 2D). Taking these findings together, NEAT1_2 foci were considered to form paraspeckles with TDP-43 and FUS/TLS. have demonstrated that NEAT1_2 expression is abundant in restricted cells including the epithelial cells of the esophagus, forestomach, and surface epithelium of zymogenic region of the stomach in adult mice but not in embryonic stem cells [36]. No previous reports have described NEAT1_2 expression in the spinal cord, aged tissues, or any human tissues. To test the distribution of NEAT1_1 ncRNA and NEAT1_2 lncRNA in each tissue including the nervous system in mice, quantitative RT-PCR was performed using 8-week-old mouse tissue extracts. NEAT1 ncRNA was highly expressed in lung, heart, and kidney ( Figure 3A) and markedly dominated by NEAT1_1 expression, consistent with a previous report [36]. Notably, expression levels of NEAT1_1 ncRNA were modest, and NEAT1_2 lncRNA was hardly detectable in the central nervous system. Therefore, we further investigated NEAT1_2 distribution specifically in single spinal motor neurons. In situ hybridization followed by fluorescent immunohistochemistry (RNA-FISH) revealed no NEAT1_2 expression in the nuclei of spinal motor neurons from 8-week-old and 2-y-old mice ( Figure 3B). NEAT1_1 ncRNA was expressed in the spinal glial cells of both 8-week-old and 2-y-old mice, and was also expressed at low levels in the spinal motor neurons of both young and aged mice (Additional file 2: Figure S2). . Lipofuscin in the cytoplasm, which is easily formed in aged motor neurons and has autofluorescence, is denoted as an asterisk (d, f). A long-path filter was used to distinguish Hoechst from autofluorescence. Scale bars, 10 μm.

Paraspeckle formation occurs in motor neurons in the spinal cords of human ALS patients
While NEAT1_2 lncRNA interacted with ALS-associated proteins in human cell lines ( Figure 1A and B, Figure 2C and Additional file 1: Figure S1A), no NEAT1_2 lncRNA was observed in spinal motor neurons in mice in vivo ( Figure 3B). According to these findings, we hypothesized that NEAT1_2 lncRNA has a particular role in motor neurons in sporadic ALS patients. To test this hypothesis, the fresh frozen spinal cords of six sporadic ALS cases (age: 73.2 ± 8.9 y) and six control cases (age: 83.2 ± 4.4 y) were prepared (Table 1). Contrary to the results in mice ( Figure 3B), RNA-FISH demonstrated that more than 80% of human spinal motor neurons in ALS cases displayed NEAT1_2 foci in the nuclei ( Figure 4A, 5C). Using sense probe as a negative control, the possibility that antisense probe against NEAT1_2 lncRNA recognized other non-specific intranuclear RNAs was excluded in the human spinal cord (Additional file 3 Figure S3). Parts of endogenous TDP-43 aggregates in the nucleus coincided with nearly all NEAT1_2 foci in motor neurons in ALS cases ( Figure 4A), consistent with findings in cultured cells ( Figure 1A and B, Figure 2C and Additional file 1 Figure S1A). Next, to test whether NEAT1_2 lncRNA in human motor neurons formed paraspeckle structure, the nuclear distribution pattern of PSP1 was examined with immunohistochemistry and visualized with DAB ( Figure 4C). PSP1 was often observed as an aggregated form in the nuclei of motor neurons as well as surrounding glial cells. In addition, RNA-FISH demonstrated that PSF, PSP1, and p54 nrb were colocalized with NEAT1_2 foci in the nuclei of ALS motor neurons ( Figure 4D and E, and Additional file 4: Figure S4). In control cases, more than 60% of motor neurons demonstrated no NEAT1_2 foci ( Figure 4B, 5C); however, the remaining motor neurons contained NEAT1_2 foci with paraspeckle proteins in the nuclei (Additional file 4: Figure S4). These results suggest that paraspeckle proteins have affinity for NEAT1_2 foci in motor neurons in both ALS and control cases.

Paraspeckles appear predominantly in spinal motor neurons in the early phase of the pathological process
To test whether paraspeckles in the motor neuron were formed significantly in sporadic ALS, occurrence rates of NEAT1_2 lncRNA in human motor neurons were quantified. All motor neurons were regarded as the subjects of the number count in the ventral horns of several spinal cord slices at a constant thickness of 14 μm. The motor neurons were definitively-distinguishable from surrounding glia cells according to the morphology, specific structures including lipofuscin, or the size that is more than approximately 35 μm. To evaluate occurrence rates of NEAT1_2 lncRNA at the same stage of TDP-43 distribution, we subdivided the pathological stages of ALS spinal motor neurons into four classes (Table 2, Figure 5A).  At Stage 0, TDP-43 is normally distributed within the nucleus. Since TDP-43 is seen in the cytoplasm or the nucleus of the motor neuron degrades, stage I, II and III indicate pathological stages in ALS. The nucleus degrades but is still recognized at stage I. In stage II, the nuclear TDP-43 was not recognized any more, however, the plasma membrane seems still retained. Stage III is the final stage, where the plasma membrane disappeared and TDP-43 skein-like inclusions are left behind. ALS cases demonstrated motor neurons at all pathological stages, in contrast to control cases in which all motor neurons were limited to stage 0 ( Figure 5B). In overall counting of the motor neurons in the ventral horn, there was no significant difference in the NEAT1_2 lncRNA appearance rate between in ALS and control cases (Additional file 5: Figure S5). Only at stage 0, however, the occurrence of NEAT1_2 expression in motor neurons was significantly increased in ALS cases compared to that in control cases (85.6 ± 11.0% and 35.1 ± 22.6%, respectively; Figure 5C). The positive rate of NEAT1_2 foci in motor neurons was higher at the early stage of ALS than at the advanced stage ( Figure 5D). This finding suggests that NEAT1_2 lncRNA appeared preferentially in spinal motor neurons at the earliest point of ALS.

Characterization of nuclear paraspeckles by electron microscopy
The nuclear distribution pattern of NEAT1_2 lncRNA in the human nervous system has not been previously reported, and its function remains largely unknown. To observe NEAT1_2 localization in human spinal motor neurons in detail, electron microscopic analysis combined with in situ hybridization (EM-ISH) was performed. In the spinal cords of human ALS cases, NEAT1_2 lncRNA was localized to IGAZ in a halo-like fashion, suggesting that NEAT1_2 lncRNA formed the characteristic structure of paraspeckles in the nuclei of spinal motor neurons in ALS cases ( Figure 6B-a and -b, and Additional file 6: Figure S6C), consistent with previous articles [17,28,30]. By contrast, NEAT1_2-labeled gold particles around IGAZ were rare in control cases ( Figure 6B-c and -d). The IGAZ has been considered to be identical to a paraspeckle [17,[28][29][30], indicating that the formation of IGAZ depends on NEAT1_2 lncRNA. IGAZlike zone without NEAT1_2 granules in Figure 6B-d suggests that a human motor neuron has a moderately electron-dense intranuclear structure besides paraspeckles. Alternatively, independent of NEAT1_2 lncRNA, IGAZ may exist in the nucleus as a scaffold prior to the recruitment of NEAT1_2 lncRNA to form a complete paraspeckle. NEAT1_1/1_2 probe, detecting both NEAT1_1 ncRNA and NEAT1_2 lncRNA (Additional file 1: Figure  S1D, upper), was observed in the nuclei of spinal motor neurons in control cases as frequently as those in ALS cases (Additional file 6: Figure S6A-a, -b, -c and -d). Notably, halo-shaped aggregation patterns formed by NEAT1_1/1_2 ncRNAs were found throughout nuclei in ALS spinal motor neurons (Additional file 6: Figure S6A-b) but were observed rarely in control cases (Additional file 6: Figure S6A-c and -d). Even when diluted NEAT1_1/1_2 probe is used, both central (Additional file 6: Figure S6B-a) and halo-like (Additional file 6: Figure S6B-b) patterns of aggregation were observed in a HeLa cell. This suggests that NEAT1_1 ncRNA may show the central accumulation pattern independently of the IGAZ margin; however, it could demonstrate the halo-shaped pattern depending on NEAT1_2 lncRNA. Taken these findings together, NEAT1_2 lncRNA forms paraspeckles specifically around IGAZ in the nuclei of motor neurons in ALS cases, which may affect the distribution of NEAT1_1 ncRNA.

Discussion
In this study, we demonstrated that a lncRNA with GCrich sequence, NEAT1_2, is predominantly expressed in spinal motor neurons in an early phase of the ALS pathological process. To our knowledge, this report is the first to indicate a direct association of paraspeckle formation with a human neurodegenerative disease. The involvement of abnormalities in functional RNAs has been reported in the development of various neurodegenerative disorders. For example, (CAG)n triplet repeats encoding polyglutamine induce spinocerebellar ataxia type 2; however, when glutamine-coding sequences (CAA)s are inserted into the CAG repeats, this genotype becomes a risk factor for ALS [37]. Moreover, (GGGGCC) n hexanucleotide repeat expansion in ALS has been described in the intron of the C9ORF72 gene recently. Any ALS cases in the present study did not have (GGGGCC) hexanucleotide repeat expansion, but previous report showed that RNA consisting of GGGGCC-expanded repeats formed characteristic foci in the nuclei of human spinal motor neurons [3]. These findings suggest that alteration in RNA metabolism may be important for the ALS pathomechanism in specific nuclear foci including RNAs with the GC-rich sequence.
Full-length and 35-kDa TDP-43 were retained in NEAT1_2 foci ( Figure 1A, B, and Additional file 1: Figure  S1A), suggesting that the appearance of NEAT1_2 lncRNA may change functions of these TDP-43 proteins to process RNAs and to form stress granules. By contrast, NEAT1_2 foci did not retain the 26-kDa fragment of TDP-43 ( Figure 1A, B). Even when NEAT1_2 lncRNA appears in the nucleus, insoluble 26-kDa TDP-43 with phosphorylation is mislocalized to the cytoplasm, consistent with previous pathological findings [12].
The direct binding of TDP-43 or FUS/TLS to NEAT1_2 lncRNA was verified in Figure 2C. In a recent article, iCLIP data targeting TDP-43 suggested that NEAT1_2 lncRNA was one of the target RNAs bound predominantly by TDP-43 in human brain tissue with TDP-43 proteinopathy and cultured cells [23]. According to this report, 5% of TDP-43 iCLIPed cDNA was mapped to lncRNA regions, and TDP-43 demonstrated high binding affinities to UG-repeat clusters in positions 6,662-6,728 and 21,464-21,544 of NEAT1_2 lncRNA (Additional file 7: Figure S7). Additionally, another recent report presented proteomic evidence for TDP-43 co-aggregation with several paraspeckle proteins, suggesting that paraspeckle formation may have a strong influence on the localization and function of TDP-43 in the nucleus [38].
Similarly, previous reports indicated that NEAT1_2 lncRNA is one of the RNAs directly bound by FUS/TLS. Wang et al. demonstrated that FUS/TLS preferentially interacts with GGUG RNA oligonucleotides [24]. Another recent report using iCLIP methods in mouse brain also revealed that the GGU motif increases the affinity of FUS/TLS for RNA [25]. Using mouse and human brain, the latest CLIP-seq data showed enrichment of the GUGGU motif in FUS/TLS clusters [26]. These reports suggest that UG-rich sequences are the preferred binding sites of both TDP-43 and FUS/TLS; however, Rogelj et al. did not mention any overlap between the sequence specificity of TDP-43 and FUS/TLS [25]. By contrast, PAR-CLIP procedure revealed that the FUS/ TLS-binding sites frequently involve the SON cluster or AU-rich stem-loops, unlike the previous reports described above [27]. This procedure revealed NEAT1 ncRNA to be a target of both WT and mutant FUS/ TLS. Interestingly, one more binding site in NEAT1 (See figure on previous page.) Figure 5 Paraspeckle formation is frequently observed in an early phase of ALS. A. A scheme of TDP-43 aggregation patterns in ALS is presented. Observations detected at 647 nm are added to distinguish the TDP-43-positive signals from autofluorescence produced by lipofuscin granules in the cytoplasm (shown as an asterisk). Scale bars, 10 μm. B. Stages of motor neurons in sporadic ALS and control cases are shown according to the definitions in Table 2. The number on the bar graph represents the proportion of motor neurons at each stage in a case. C. NEAT1_2-positive rates in the spinal motor neurons at stage 0 are indicated (ALS vs. control). Each triangle or circle represents an individual ALS (Pt) or control (C) patient, respectively. The actual value of percentage in each case is shown in parenthesis. Bars represent the mean ± s.d.; that is, 85.6 ± 11.0% in ALS cases and 35.1 ± 22.6% in control cases (n = 6 per group). *P<0.001. D. NEAT1_2-positive rates in spinal motor neurons at each stage are plotted. Mean ± s.d. were 54.0 ± 28.6% at stage I, 15.1 ± 6.1% at stage II, and 0.0 ± 0.0% at stage III (n = 6 per group). *P<0.05, **P<0.01, ***P<0.001.

Table 2 Pathological staging of motor neurons in ALS according to TDP-43 distribution
Stage 0 TDP-43 is normally distributed within the well-marginated nucleus.
Stage I The nucleus degradated, and TDP-43 was also seen in the cytoplasm.
Stage II The nuclear TDP-43 was so cleared that it was not recognized.The plasma membrane was still retained.

Stage III
The plasma membrane disappeared. ncRNA was identified using mutant FUS/TLS than using WT FUS/TLS, suggesting the possibility that the affinity or binding pattern of mutant FUS/TLS may differ from that of WT FUS/TLS [27]. Here, we found that the NEAT1_2 sequence possessed at least three similar stem-loops to the SON cluster that was proposed as a FUS/TLS-binding site (Additional file 7: Figure S7). In particular, the most upstream cluster, which starts from the nucleotide at position 3,440, is highly AU-rich in content, suggesting that FUS/TLS binds most preferably to this site of NEAT1_2 lncRNA. Importantly, the frequency of paraspeckle formation increased significantly during the early phase of ALS pathological course ( Figure 5C, D). The possibility that aging simply induced an increase in the level of NEAT1_2 lncRNA was eliminated based on two observations. First, NEAT1_2 lncRNA did not appear in the spinal motor neurons of 2-y-old control mice ( Figure 3B), and second, human control cases in this study were older than ALS cases by an average of 10 y ( Table 1). The ventral spinal motor neurons include αand γmotor neurons besides interneurons. Here, we counted all spinal motor neurons on the slides. In the normal condition, α-motor neurons can be distinguished definitely from γ-motor neurons and interneurons by the size; that is, αfor more than 35 μm and γand interneurons for less than 35 μm. In this study, however, the α-motor neurons had degenerated to get smaller, looking like γmotor neurons or interneurons. To the best of our knowledge, any reliable molecular marker has never been verified to stain α-motor neurons specifically in the human tissue. Therefore, we could not investigate the difference of NEAT1_2 lncRNA occurrence according to the type of neurons in the spinal cord. Developing the specific human marker of the α-motor neuron, further investigations are required to determine this point.
This would be also among the first reports to show EM-ISH images focusing on the nuclei of human motor neurons. We confirmed that the NEAT1_2 foci in motor neurons demonstrated characteristics of paraspeckle formation, in which the NEAT1_2 probe revealed a halo-like appearance around IGAZs ( Figure 4C-E and Figure 6B). By contrast, the NEAT1_1/1_2 probe often demonstrated a central accumulation pattern, but occasionally formed the halo-like pattern in the presence of NEAT1_2 lncRNA (Additional file 6: Figure S6A, B). These results indicate that NEAT1_2 lncRNA may influence NEAT1_1 ncRNA localization and possibly function.
As reported previously, Lin28 mRNA transcript and cationic amino acid transporter 2 transcribed nuclear RNA with hyper-edited sites are retained in paraspeckles [15,16], suggesting that RNA editing alterations may dynamically change cell fate by retaining RNA in paraspeckles. Insufficient GluA2 mRNA (Q/R-)editing efficiencies in motor neurons were identified specifically in sporadic ALS cases [14]. Translation of a small amount of the edited GluA2 mRNA in ALS could potentially be suppressed through paraspeckle formation, while unedited GluA2 mRNA is perhaps predominantly released from nuclear paraspeckles into the cytoplasm, causing toxicity to motor neurons. Both TDP-43 and FUS/TLS are paraspeckle proteins, which are required for normal paraspeckle formation through the direct interactions with NEAT1_2 lncRNA. According to the previous report using cultured cells, the number and size of paraspeckles were decreased significantly by TDP-43 RNAi, and paraspeckle formation was completely disrupted under the FUS/TLS knockdown [33]. FUS/TLS also associates with RNA polymerase II, which is another paraspeckle protein [39,40]. RNA polymerase II is not only responsible for polyadenylation, but also for determination of the 3′-endpoint in pre-mRNA processing in cooperation with other paraspeckle proteins, PSF and p54 nrb [41,42]. Paraspeckle proteins could induce processing of target RNAs bound to FUS/TLS or TDP-43 in ALS spinal motor neurons [43]. The components of the paraspeckle, including RNA polymerase II, PSF and p54 nrb , may produce RNAs with their 3'UTRs truncated, which could be resistant to microRNAs. Screening of the target RNAs assembled in the paraspeckles will be highly informative. In particular, identification of 3′-end sites or alternative splicing patterns of target RNAs may be key for future investigations.
The summarized scheme at an early phase of ALS is shown in Figure 7. Certain stresses may cause NEAT1_2 lncRNA-induced paraspeckle formation in the nucleus, however, it still remains unknown what mechanism is involved in the upregulation of NEAT1_2 lncRNA during early phase of ALS.
The recent reports have described lncRNA could be subject to epigenetic regulation, especially histone methylation, depending on cell types; thus, investigation of the distribution and levels of H3K4 and H3K27 methylation is required to understand regulation mechanism of NEAT1_2 lncRNA in the future [44]. The paraspeckle retains functional RNA-binding proteins including TDP-43, FUS/TLS, and the other paraspeckle proteins, culminating in an ectopic structure that may serve as a platform for RNA metabolism associated with ALS. Hyper-edited RNAs and/or RNAs preferably bound to paraspeckle component proteins may be captured in paraspeckles and processed aberrantly prior to export to the cytoplasm. There is another possibility that paraspeckles with the NEAT1_2 lncRNAs appear under certain stressful condition during early phase of ALS and alleviate the toxicity by regulating the specific RNA splicing events and/or the 3'UTR determinations. As the pathological stage progresses, neuronal degeneration might occur with the decrease of paraspeckles. Screening of the target RNAs assembled in the paraspeckles with RNA-binding proteins will also be highly informative. In particular, identification of 3′-end position or alternative splicing patterns of target RNAs and regulation in microRNA biogenesis may be key for future investigations as described above. Success in this screening largely depends on technological innovation in the field of CLIP and RNA sequencing [27,45,46].
For the next step, another investigation into changes of phenotype after crossing ALS model mice with NEAT1_2 knockout mice is required to verify, at least in part, whether the increase in NEAT1_2 lncRNA has a protective or damaging role in the ALS pathological pathway. Additionally, NEAT1_2 knock-in mice and human induced pluripotent stem cells-derived motor neurons under exogenous NEAT1_2 expression should be characterized.
In conclusion, this study identified the 'paraspeckle' formation containing a nuclear lncRNA, NEAT1_2, in the early phase of ALS, shedding light on novel therapeutics for motor neuron degeneration.

Cell culture and reagents
HeLa human carcinoma cells were maintained in Dulbecco's modified Eagle's medium (Gibco, Grand Island, NY) supplemented with 10% fetal bovine serum as described previously [8,47]. Transfection was performed using GeneJuice Transfection Reagent (Novagen, Madison, WI) according to the manufacturer's instructions. To transfect HeLa cells, cells were grown to 60-80% confluence on 0.001% poly-L-lysine (PLL)-coated coverslips or 8-chamber slides (Chamber slide II, Iwaki Glass, Tokyo, Japan). Forty-eight hours after transfection, cells were fixed in 4% paraformaldehyde (PFA) overnight at 4°C for in situ hybridization or for 10 min at room temperature for immunofluorescence staining. Cells were washed with phosphate-buffered saline (PBS), and total RNA was extracted using TRIzol reagent (Invitrogen, Carlsbad, CA) for quantitative RT-PCR.

Human tissue frozen samples and animal tissue samples
Human spinal cords were stored at -80°C immediately after removal from the body. Informed consent was given by the legal guardians of the patients and all experimental procedures in this study were carried out in accordance with the Declaration of Helsinki principles and with the approval of the Ethics Committees of School of Medicine, Keio University (no. 20100268), Tokyo Metropolitan Geriatric Hospital (no. 73), RIKEN Advanced Science Institute (no. , and Institute of Brain and Blood Vessels, Mihara Memorial Hospital (no. 049-01). To quantify RNA expression levels, 8-week-old C57BL/6 mice were anesthetized with pentobarbital and perfused with PBS, and then each tissue was eluted in TRIzol followed by RNA extraction and quantitative RT-PCR. For staining, perfusion was performed with 4% PFA in PBS. All animal experiments were conducted in accordance with an animal protocol approved by the Laboratory Animal Care and Use Committee of Keio University. Tissues were then resected for cryoprotection with 20% sucrose in PBS and embedded in Tissue-Tek (Sakura Finetek, Torrance, CA). Sections of human or mouse dissected tissues (14 μm thick) on PLL-coated glass slides (Matsunami Glass, Osaka, Japan) were dried and refixed in 4% PFA overnight at 4°C, followed by immunofluorescence staining, in situ hybridization, or immunohistochemistry as described below.

RNA-FISH
Fixed cells or tissues on PLL-coated glass slides were treated with 0.2 N HCl for 20 min, followed by 3 μg/ml proteinase K (PCR grade; Roche, Indianapolis, IN) at 37°C for 3 min (in the case of cell samples) or 7 min (in the case of tissue samples). After acetylation in a solution consisting of 1.5% triethanolamine, 0.25% acetic anhydride, and 0.25% HCl, the hybridization reaction was carried out with DIG-or FITC-labeled probes (1 μg/ml) for 16 h at 55°C in hybridization buffer (50% formamide, 2× SSC, 1× Denhardt's solution, 5% dextran sulfate, 10 mM ethylenediaminetetraacetic acid (EDTA), and 0.01% Tween 20). Samples were washed twice at 55°C for 30 min with a solution consisting of 50% formamide, 2× SSC, and 0.01% Tween 20, and then 10 μg/ml RNase A was added at 37°C for 1 h in buffer (0.5 M NaCl, 10 mM Tris (pH 8.0), 1 mM EDTA, and 0.01% Tween 20). They were washed in 2× SSC wash buffer with 0.01% Tween 20 at 55°C for 30 min, followed by washing in 0.2× SSC wash buffer with 0.01% Tween 20 at 55°C for 30 min. After additional washing in Tris-buffered saline (TBS, pH 7.6) and blocking in a buffer consisting of blocking reagent (Roche 11096176001), 0.1 M maleate, 0.15 M NaCl, and 0.01% Tween 20 in TBS, DIG-or FITC-labeled probes were detected by standard immunohisto-/immunocytochemical procedures using antibodies against DIG, FITC, and other proteins.
In preparation for DIG-or FITC-labeled RNA probes, cDNA fragments were amplified using M13 forward (FW) and reverse (RV) primers with the AV089414 EST clone as a template for the mouse NEAT1_1/1_2 probe. cDNA fragments were subcloned into pCRII (Invitrogen) for the mouse NEAT1_2 probe after amplification using mNEAT1_2 FW/RV primers with the BAC clone RP23-209P9 as a template [36]. For the human NEAT1_1/1_2 probe and NEAT1_2 probe, cDNA fragments were obtained using hNEAT1 FW/RV primers and hNEAT1_2 FW/RV primers, respectively, using a cDNA library derived from HeLa cells as a template and were subcloned into pCRII-TOPO (Invitrogen) and pGEM-T Easy vectors (Promega, Madison, WI). Each primer is shown in Additional file 8: Table S1. Both antisense and negative control sense RNA probes were prepared using a DIG/ FITC RNA labeling mix (1277073/1685619, Roche), RNasin Plus RNase Inhibitor (N2611, Promega), and T3, T7 or SP6 RNA polymerase (P2083/ P2075/P1085, respectively, Promega) according to the manufacturer's instructions. The usability of each probe was finally characterized by Northern blot.

Immunofluorescence
Fixed cells or tissues were permeabilized in 0.2% Triton X-100 for 10 min. After blocking for nonspecific binding in TNB blocking buffer (NEL702, Perkin Elmer, Norwalk, CT), samples were incubated with primary antibodies, washed three times in PBS with 0.1% Tween-20, and incubated with secondary antibodies described above. Immunofluorescent images were obtained using a confocal microscope LSM700 (Carl Zeiss, Oberkochen, Germany).

Immunohistochemistry
Paraffin-embedded tissue sections were deparaffinized, pretreated with 0.3% H 2 O 2 for 30 min, boiled in citrate solution (pH 6.0), and reacted with TNB blocking buffer, anti-PSP1 primary antibody, and biotin-conjugated donkey anti-rabbit IgG secondary antibody (711-066-152, Jackson Immunoresearch, West Grove, PA). Signals were enhanced with the Vectastain ABC kit (Vector Laboratories, Burlingame, CA). Visualization was performed with DAB (Wako, Osaka, Japan) and 1:20,000 dilution of saturated H 2 O 2 to observe PSP1 immunopositivity in the nucleus of the motor neuron. The figures were examined using AxioVision imaging software (Carl Zeiss).

Quantitative RT-PCR
Total RNA was extracted from TRIzol reagent-treated samples using an RNAspin Mini RNA Isolation kit (74106, Qiagen, Germantown, MD) after chloroform/ phenol extraction [14]. After treatment with DNase I, RT was carried out using Ready-To-Go You-Prime First-Strand Beads (27-9264-01, GE Healthcare) according to the manufacturer's instructions. The resultant cDNA was measured by quantitative PCR with SYBR Premix Ex Taq (Perfect Real Time) (RR041A, Takara) in the Mx3000p system (Stratagene) using Rox as a reference and the following primers: qmNEAT1 FW/RV for mouse NEAT1_1/1_2 cDNA, qmNEAT1_2 FW/RV for mouse NEAT1_2 cDNA, and qmActin FW/RV for mouse β-actin cDNA. All primer sequences are listed in Additional file 8: Table S1. Primers for PCR to detect NEAT1_1 cDNA alone could not be designed; thus, the amount of NEAT1_1 expression was calculated by subtracting the copy number of NEAT 1_2 cDNA from that of total NEAT1 cDNA. The reaction was performed at 95°C for 10 min, followed by 50 cycles at 95°C for 30 s, 60°C for 1 min, and 72°C for 30 s after serial dilutions ranging from 10 10 , 10 8 , 10 6 , 10 4 , 10 2 , to 10 1 copies per 1 μl of DNA solution were prepared as standard samples by subcloning each PCR product into the Zero Blunt TOPO PCR Cloning Kit (K2800, Invitrogen).

EM-ISH
For transmission electron microscopic analysis, frozen sections of the human spinal cord and HeLa cells were used. As mentioned above, in situ hybridization with DIGlabeled RNA probes targeting NEAT1_2 or NEAT1_1/1_2 was performed, which included proteinase K digestion at 37°C for 5 min for human tissue sections and 50 s for HeLa cells. Samples were incubated for 72 h at 4°C with mouse anti-DIG (1:250) and rabbit anti-PSP1 (1:250) primary antibodies. Following washes in 0.005% saponin containing 0.1 M phosphate buffer (PB) for 2 h, samples were incubated for 24 h at 4°C with fluorescence-and Nanogold-conjugated anti-mouse secondary antibodies (1:100, Life Technologies) along with fluorescenceconjugated anti-rabbit secondary antibodies (1:800, Life Technologies). After another wash with PB, samples were observed with LSM700. Samples were fixed with 2.5% glutaraldehyde for 10 min at 4°C, followed by 10 min of enhancement with the HQ-Silver kit (Nanoprobes, Stony Brook, NY) in a dark room. After 90 min of additional fixation with 1.0% osmium tetroxide, samples were dehydrated through ethanol, acetone and QY1, and embedded in epon. Ultrathin sections of HeLa cells and motor neurons in the human spinal cord were prepared at a thickness of 70 nm and stained with uranyl acetate and lead citrate for 10 min each. The sections were observed using a JEOL 1230 transmission electron microscope (JEOL, Tokyo, Japan) and photographed with Digital Micrograph 3.3 (Gatan Inc., Warrendale, PA). Sections of 0.5 μm thickness including the spinal ventral horn were simultaneously stained with 0.3% toluidine blue to identify the resected area for observation. Images of toluidine blue staining were examined using AxioVision software (Carl Zeiss).

Statistical analyses
Statistical significance was determined using unpaired Student's t-test. P < 0.05 was considered statistically significant. Error bars represent the standard deviation of the mean.

Additional files
Additional file 1: Figure S1. Colocalization of endogenous and mutant forms of TDP-43 and FUS/TLS with NEAT1_2 lncRNA. A. HeLa cells were double-immunostained with polyclonal antibody against endogenous TDP-43 or FUS/TLS and monoclonal anti-DIG antibody after in situ hybridization using DIG-labeled NEAT1_2 probe. Endogenous TDP-43 and FUS/TLS colocalize with NEAT1_2 foci. B, C. At 48 hours after transfection with amyotrophic lateral sclerosis (ALS)-linked mutant TDP-43 and FUS/TLS with the V5 tag at the C-terminus, HeLa cells were hybridized with FITC-labeled probe against NEAT1_2 lncRNA, and immunolabeled with monoclonal anti-V5 and polyclonal anti-FITC antibodies. Aggregates formed by mutant TDP-43 and mutant FUS/TLS in the nucleus also overlap with NEAT1_2 foci. The overlapping rate among NEAT1_2 foci with aggregates formed by mutant TDP-43 or mutant FUS/TLS did not differ from that with aggregates formed by wild-type (WT) TDP-43 or FUS/TLS. Data represent mean ± s.d. The frequency was quantitatively evaluated in 50 cells for each transfection. Dotted lines represent the outline of the nucleus. D. Characterization of NEAT1_1 foci. Scheme of human NEAT1_1 and NEAT1_2 ncRNAs is shown at the top. Blue bars indicate probe target sites (positions 3,512-5,074 in NEAT1_2 lncRNA sequence for NEAT1_1/1_2 probe and position 14,865-15,472 for NEAT1_2 probe). At 48 hours after transfection with WT TDP-43 and WT FUS/TLS with the V5 tag at the C terminus, fixed HeLa cells were hybridized with FITC-labeled NEAT1_1/1_2 probe and double-labeled with