Francesca Mandino1,2, Ling Yun Yeow2, Chai Lean Teoh2, Chun-Yao Lee2, Renzhe Bi2, Hasan Mohammad2, Sejin Lee2, Han Gyu Bae2, Seung Hyun Baek2, Hanqing Jasinda Lee3, Kim Peng Mitchell Lai3, Sangyong Jung2, Fu Yu2, Malini Olivo2, John Gigg1, and Joanes Grandjean4
1Faculty of biology, medicine and health, University of Manchester, manchester, United Kingdom, 2Singapore Bioimaging Consortium, A*STAR, Singapore, Singapore, Singapore, 3Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore, 4Department of Radiology and Nuclear Medicine & Donders Institute for Brain, Cognition, and Behaviour, Donders Institute, Radboud University Medical Centre, Nijmegen, Netherlands
Synopsis
Alzheimer’s disease (AD) is characterised by progressive
memory loss, neurodegeneration and brain atrophy. Intra- and inter-regional
connectivity across the brain is affected in AD, probably due to the aberrant
accumulation of toxicity. The entorhinal cortex is a key region involved in the
early stages of AD. We report synaptic connectivity increase in the 3xTg mouse
model, by means of electrophysiological recordings in AD-susceptible brain
regions, following stimulation of the entorhinal cortex, in vivo. Further,
we demonstrate loss of functional connectivity with resting-state fMRI in
AD-vulnerable brain regions, which converts into increased response during optogenetics
photostimulation of the entorhinal cortex.
Introduction
Alzheimer’s
disease (AD) is a neurodegenerative disease, resulting in cognitive decline,
memory loss, emotional and behavioural changes. The progressive
neurodegeneration and brain atrophy may be caused by the synergistic
interaction of neuronal hyperexcitability and the toxic accumulation of insoluble
beta-amyloid plaques and neurofibrillary tangles of protein tau. This results
in early damage in major hubs for cognitive function within the medial temporal
lobe, particularly the lateral entorhinal cortex (ENTl), hippocampal formation
and basolateral amygdala (BLA). Recently, research has shifted the attention towards
investigating the early stages of pathology, where only precursor forms of
plaques and tangles might appear 1. Animal models, which
recapitulate aspects of AD continuum, have proven useful in exploring
underlying mechanisms associated with the disease, such as depicting synaptic
connectivity and whole-brain functional changes by means of electrophysiology
and ultra-high field fMRI, respectively. The 3xTg mouse model for AD 2
is an ideal candidate model to investigate early brain changes at the onset of
AD-like pathology, in that it is unique in developing both tangles and plaques
late in life yet providing an extended time window with memory deficits
occurring before tangles and plaques accumulation. 3xTgAD mice show precursor
forms of tau tangles in the BLA by 3 months of age (Figure 1a), extending
to the hippocampal areas by 6 months of age (Figure 1b), bringing
supporting evidence for a correlation of tauopathy with memory impairments 3. Methods
Synaptic connectivity changes were
assessed through electrophysiological recordings of field excitatory
postsynaptic potentials (fEPSP) following ENTl stimulation, in BLA and dentate
gyrus (DG). Furthermore, whole-brain resting-state functional connectivity (FC)
4 was assessed with fMRI, longitudinally at 3 and 6 months of age.
Finally, we used functional mapping of the brain-wide impact of activating ENTl
output by optogenetically exciting ENTl during simultaneous fMRI (ofMRI) 5,6. Paired-pulse (PPS; providing pairs
of stimuli at different intervals) and input/output (input/output curve, IOC;
stimulus with increasing current amplitude) stimulation protocols were provided
to the ENTl, in 3xTgAD and wildtype, at 3 and 6 months of age in vivo. Secondly,
nineteen 3xTgAD and ten wildtype mice underwent longitudinal resting-state fMRI
at 11.75 T using a cryogenic receiver surface coil (2x2
phased-array receiver only coil), at 3 and 6 months of age. Lastly, twelve
3xTgAD and ten controls were stereotactically
injected with Channelrhodopsin-2 (ChR2, AAV5-CamKIIa-hChR2-mCherry) in the
ENTl, whereas nine mice were injected with mCherry-alone as a negative control.
An optical implant was inserted and secured with dental cement. Injected mice underwent
fMRI scan using a 10 mm surface receiver coil. Gradient-echo echo-planar images for
resting-state fMRI were acquired with the following parameters: TR = 1000 ms,
TE = 15 ms, FA = 50°, matrix 90 x 60, FOV 17 x 9 mm2, slice
thickness 0.35 mm. The parameters varied for ofMRI experiments: TR = 1000 ms,
TE = 11.7 ms, FA = 50°, matrix 60 x 30, FOV 17 x 9 mm2, slice
thickness 0.45 mm. ChR2 was photostimulated with 10 s blocks of 473 nm blue
light, at 5, 10 and 20 Hz in random order, with 10 ms pulse width. All animals
were imaged under isoflurane 0.5%, medetomidine 0.1 mg/kg/h, and muscle
relaxation 7. In the resting-state experiments, regional homogeneity
(ReHo 8) analyses were used to investigate local functional
connectivity and network analysis was performed on the whole-brain level and in
relation to the ENTl. In stimulus-evoked condition, a general linear model
(GLM) analysis with gamma function was applied. Results
Electrophysiological recordings in
the BLA and DG show augmented synaptic excitability (DG is reported as an
example in Figure 2a). Slice electrophysiological recordings in DG
confirmed augmented spiking activity in 3xTgAD (Figure 2b). Brain-wide assessment of
FC revealed network and localised loss in regions highly involved in episodic
memory, emotional processing and reward, i.e. BLA, nucleus accumbens within the
ventral striatum, ENTl and hippocampal areas (Figure 3). The
optogenetic activation of ChR2 in entorhinal pyramidal neurons showed a
faithful optogenetically-locked BOLD response in both 3xTgAD and wildtype
cohorts (Figure 4d,e,f), whereas mCherry-alone mice did not show light-induced
BOLD response (Figure 4f). Interestingly, 3xTgAD responses were significantly
higher than controls, at both ages (Figure 5). We conclude that, by 3
months of age, 3xTgAD mice show decreased functional coupling in the entorhinal
cortex during spontaneous activity. This converts to increased activity in
major hubs for tauopathy upon strong experimental activation, thus suggesting an
increase in metabolic demand, possibly resulting from heightened synaptic
activity. Discussion & Conclusion
This dichotomy between rest and
induced activity might be resolved by considering a state where there is an overall decrease in inter-regional
axonal connectivity that occurs alongside an increase in synaptic strength for the remaining connections in the
3xTgAD model. During basal activity, deficits in connectivity could explain the
decreased resting-state activity, whilst the increased synaptic activity and
short-term plasticity produced by induced, synchronous activation could
potentially explain the apparently incongruous hyperexcitability seen during
electrical and optogenetic activation of the entorhinal cortex. Thus, here we
demonstrate a brain-wide reorganisation in young 3xTgAD mice, prior to plaques
and tangle deposition, in line with clinical evidence and in further support of
the co-occurrence of network and neuronal dysfunction with early stages of
tauopathy.Acknowledgements
This work was supported by the A*STAR Research Attachment Programme
(ARAP), which is co-funded through the University of Manchester, Faculty of Biology, Medicine
and Health Doctoral Academy, and Singapore Bioimaging Consortium (SBIC), A*STAR, Singapore. References
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