Abstract
The apolipoprotein E4 (ApoE4) is the strongest genetic risk factor for Alzheimer’s disease (AD). The AD brain was shown to be insulin resistant at end stage, but the interplay between insulin signaling, ApoE4 and Aβ across time and their involvement in memory decline is unclear. To investigate insulin response in the ageing mouse hippocampus, we crossed the human ApoE-targeted replacement mice with the mutant human amyloid precursor protein (APP) mice (ApoExAPP). While hippocampal Aβ levels were comparable between ApoE3xAPP and ApoE4xAPP mice at 26 weeks, insulin response was impaired in the ApoE4xAPP hippocampus. Insulin treatment was only able to stimulate insulin signaling and increased AMPA-GluR1 phosphorylation in forskolin pre-treated hippocampal slices from ApoE3xAPP mice. In ApoE4xAPP mice, insulin dysfunction was also associated with poorer spatial memory performance. Using dissociated hippocampal neuron in vitro, we showed that insulin response in ApoE3 and ApoE4 neurons increased AMPA receptor-mediated miniature excitatory postsynaptic current (mEPSC) amplitudes and GluR1-subunit insertion. Pre-treatment of ApoE3 neurons with Aβ42 did not affect insulin-mediated GluR1 subunit insertion. However, impaired insulin sensitivity observed only in the presence of ApoE4 and Aβ42, attenuated GluR1-subunit insertion. Taken together, our results suggest that ApoE4 enhances Aβ inhibition of insulin-stimulated AMPA receptor function, which accelerates memory impairment in ApoE4xAPP mice.
Similar content being viewed by others
Introduction
Alzheimer’s disease (AD) is a neurodegenerative disorder characterized by the gradual deterioration of memory and cognitive faculties, ultimately leading to dementia1. Pathologically, it is characterized by the accumulation of extracellular amyloid plaques and intracellular neurofibrillary tangles of hyperphosphorylated tau. While AD has multiple causes, inheriting the human apolipoprotein E4 (ApoE4) allele remains the strongest genetic risk factor2,3.
ApoE exists in three isoforms, namely ApoE2, ApoE3 and ApoE4 and differ from each other by having either a cysteine or arginine residue at position 112 and 1584. The ApoE3 genotype occurs in ~80% of the population; whilst ApoE4 and ApoE2 occurs in ~14% and <7% respectively in most populations. However, ApoE4 occurs in >50% of sporadic AD patients where its inheritance results in earlier onset of the disease2,3. Over the last two decades, several groups have reported the association of the apoE gene to memory and cognition2,5. ApoE4 expression was reported to impair synaptic plasticity and reduce neuronal surface expression of Apoer2, which binds to α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) and N-methyl-D-aspartate (NMDA) receptors6. Moreover, we have reported that ApoE4 expression can reduce the phosphorylation of NMDA and AMPA receptors7, possibly impairing LTP in the ageing mice8. In AD, the expression of ApoE4 is linked to earlier onset of memory decline9,10. At present, its mode of action is still unclear.
Memory impairment in AD is gradual and insidious, making the onset of the disease difficult to discern. Interestingly, aberrant insulin signaling was identified as an early risk factor for the disease11 and the human AD brain was demonstrated to be at an insulin resistant state12,13. Furthermore, insulin response was shown to be crucial for learning and memory14. In mice models, functional insulin signaling reversed Aβ42 induced LTP impairment15,16. In clinical studies, increasing insulin administration improved the overall performance of AD individuals in learning and memory tasks. However, when the study cohort was stratified into their ApoE groups, ApoE4 carriers did not benefit from insulin treatment14,17. Taken together, it seems that there is an interplay between ApoE isoforms, insulin signaling and Aβ42, which could be involved in the underlying mechanism of memory decline in AD.
To investigate this, we crossed the human ApoE-targeted replacement mice18,19 with mice carrying human amyloid precursor protein (APP), bearing the Swedish (K670N/M671L) and the Indiana (V717F) mutations20 and examined insulin response in the hippocampus of the ageing ApoExAPP mice.
Results
Aβ deposition in the hippocampus of aged ApoE4xAPP was significantly higher than ApoE3xAPP and APP mice
The hippocampus is the site of the brain where early Aβ deposition occurs in AD21, resulting in neuronal death and the impairment of cognitive faculties1,22. In light of this, we wanted to observe the extent of Aβ accumulation occurring in the hippocampus of the ageing ApoE3xAPP and ApoE4xAPP mice (Fig. 1).
Aβ deposition in the hippocampus of aged ApoE4xAPP mice were significantly higher than APP and ApoE3xAPP mice.
(A–C) Immunohistochemistry staining of APP, ApoE3xAPP (E3XAPP) and ApoE4xAPP (E4XAPP) hippocampus for amyloid plaques using 6E10 antibody at (A) 26, (B) 52 and (C)78 weeks. (D) Quantification of immunohistochemistry staining. At 26 weeks, no significant difference in Aβ load was detected (One-way ANOVA, F = 0.6860). At 52 and 78 weeks, higher hippocampal Aβ load was detected in ApoE4xAPP mice as compared to ApoE3xAPP and APP mice (One-way ANOVA, F = 17.64, F = 45.29, respectively). At 52 weeks, ApoE4xAPP mice have significantly more Aβ load than APP (**p < 0.01) and ApoE3xAPP (##p < 0.01) mice respectively (Tukey-Kramer). At 78 weeks, ApoE4xAPP mice also showed significantly more Aβ load than APP (**p < 0.01) and ApoE3xAPP (##p < 0.01) mice respectively (Tukey-Kramer). Each value represents the mean ± SEM for individual mouse brain sample (n = 3).
At 26 weeks old, we did not detect significant differences in hippocampal Aβ load between ApoE3xAPP and ApoE4xAPP mice (One-way ANOVA, F = 0.6860) (Fig. 1A). However, as the mice aged to 52 and 78 weeks, higher hippocampal Aβ load was detected in ApoE4xAPP mice as compared to ApoE3xAPP mice (One-way ANOVA, F = 17.64, 45.29, respectively) (Fig. 1B,C). At 52 weeks, plaque load in ApoE4xAPP mice was 36% and 33% higher compared to ApoE3xAPP (##p < 0.01, Tukey-Kramer) and APP mice respectively (**p < 0.01, Tukey-Kramer) (Fig. 1D). At 78 weeks, plaque load in ApoE4xAPP mice was ~38% higher compared to both ApoE3xAPP and APP mice (##p < 0.01, **p < 0.01, respectively, Tukey-Kramer) (Fig. 1D). These results suggested that changes in Aβ burden were human ApoE isoform-dependent.
ApoE4xAPP mice exhibited spatial memory impairment at 26 weeks
We next investigated if Aβ plaque load was correlated with spatial memory performance. Using an eight-arm Radial Maze, there were no significance differences in the number of errors made during the learning trials (1–16) among APP, ApoE3xAPP and ApoE4xAPP mice at 26 weeks old (One-way ANOVA, F = 0.07862, 0.5190, 0.8266, 0.2743, respectively). However during the short-term and long-term memory probe trials, ApoE4xAPP mice performed worse than the ApoE3xAPP mice (Fig. 2A) (One-way ANOVA, F = 3.368, 5.854, respectively. #p < 0.05, ##p < 0.01, Tukey-Kramer).
ApoE4xAPP mice exhibited spatial memory impairment at 26 weeks.
(A) At 26 weeks, there were no significance differences in the number of errors made during the learning trials (1–16) among APP, ApoE3xAPP and ApoE4xAPP mice (One-way ANOVA, F = 0.07862, 0.5190, 0.8266, 0.2743, respectively). ApoE4xAPP mice made more errors compared to ApoE3xAPP mice during the short term (#p < 0.05) and long term memory trials (##p < 0.01) (One-way ANOVA, F = 3.368, 5.854, respectively, Tukey-Kramer). (B) At 52 weeks, the ApoE4xAPP mice made significantly more errors than ApoE3xAPP mice during trials 13–16 (#p < 0.05) (One-way ANOVA, F = 3.398, Tukey-Kramer). During the short-term probe trial, ApoE4xAPP mice made significantly more errors than APP (**p < 0.01) and ApoE3xAPP (##p < 0.01) mice (One-way ANOVA, F = 15.21, Tukey-Kramer) During the long-term memory probe trial, ApoE4xAPP mice made significantly more errors than APP (**p < 0.01) and ApoE3xAPP (##p < 0.01) mice, while ApoE3xAPP mice made significantly less errors than APP mice (*p < 0.05) (One-way ANOVA, F = 14.23, Tukey-Kramer). (C) At 78 weeks, ApoE4xAPP mice made more mistakes than ApoE3xAPP mice during trials 5–8 (##p < 0.01) and 9–12 (##p < 0.01) (One-way ANOVA, F = 7.127, F = 8.425, respectively, Tukey-Kramer). During trials 13–16, ApoE4xAPP mice made more errors than APP (*p < 0.05) and ApoE3xAPP mice (##p < 0.01) (One-way ANOVA, F = 7.834, Tukey-Kramer). During the short-term memory and long-term memory probe trials, ApoE4xAPP mice made more errors than APP (*p < 0.05) and ApoE3xAPP mice (##p < 0.01). However, ApoE3xAPP mice made less errors than APP mice (**p < 0.01) (One-way ANOVA, F = 26.16, F = 68.56, respectively, Tukey-Kramer). Error bars represent ± SEM (n = 7–10).
At 52 weeks old (Fig. 2B), the ApoE4xAPP mice exhibited spatial memory deficits at the later stages (trials 13–16) of the acquisition trials and made more errors when compared to ApoE3xAPP mice (One-way ANOVA, F = 3.398, #p < 0.05, Tukey-Kramer). During the short-term probe trial, ApoE4xAPP mice made significantly more errors than APP (**p < 0.01) and ApoE3xAPP (##p < 0.01) mice (One-way ANOVA, F = 15.21, Tukey-Kramer). During the long-term memory probe trial, ApoE4xAPP mice made significantly more errors than APP (**p < 0.01) and ApoE3xAPP (##p < 0.01) mice, while ApoE3xAPP mice made significantly less errors than APP mice (*p < 0.05) (One-way ANOVA, F = 14.23, Tukey-Kramer).
When the mice were at 78 weeks old, the ApoE4xAPP mice showed learning deficits after the first day of memory acquisition (Fig. 2C). ApoE4xAPP mice made more mistakes than ApoE3xAPP mice from trials 5–8 (##p < 0.01) and 9–12 (##p < 0.01) (One-way ANOVA, F = 7.127, F = 8.425, respectively, Tukey-Kramer). During trials 13–16, ApoE4xAPP mice made more errors than APP (*p < 0.05) and ApoE3xAPP mice (##p < 0.01) (One-way ANOVA, F = 7.834, Tukey-Kramer). During the short-term and long-term memory probe trials, ApoE4xAPP mice made more errors than APP (*p < 0.05) and ApoE3xAPP mice (##p < 0.01). However, ApoE3xAPP mice made fewer errors than APP mice (**p < 0.01) (One-way ANOVA, F = 26.16, F = 68.56, respectively, Tukey-Kramer).
Insulin signaling was impaired in the ApoE4xAPP mice at 26 weeks
Insulin response in the hippocampus of AD post-mortem cases was shown to be significantly impaired13. However, the use of AD post-mortem tissues meant that the cellular changes that took place during disease development were not being observed. It was also unknown if insulin activity in the hippocampus was regulated by ApoE isoforms.
To observe the hippocampal response to insulin as the mice aged, we acutely treated hippocampal slices of the three mouse lines with 1 μM of insulin15 before probing for activated Akt expression. We chose not to probe for phosphorylated insulin receptor (IR) as an earlier study had shown that activating IR (via phosphorylation) did not translate to activated downstream insulin signaling in AD13. Hence, probing for downstream activation of the insulin receptor such as activated Akt was a more accurate indicator of activation of downstream insulin signaling15,23,24.
At 26 weeks, where Aβ plaque load in the hippocampus was low and comparable among APP, ApoE3xAPP and ApoE4xAPP mice (Fig. 1A), the hippocampal slices of ApoE4xAPP mice were not responsive to insulin stimulation (Fig. 3A). This coincided with the age where the ApoE4xAPP displayed spatial memory deficits (Fig. 2A). In contrast, insulin treatment resulted in >1.5-fold increase in Akt phosphorylation at S473 and T308 in ApoE3xAPP and APP mice (**p < 0.01, *p < 0.05, respectively).
Insulin signaling was impaired in the hippocampus of 26 weeks ApoE4xAPP mice.
(A–C) Immunoblots of hippocampal slices from APP, ApoE3xAPP (E3XAPP) and ApoE4xAPP (E4XAPP) mice were treated with or without 1 μM of insulin. Each blot is a representative of five independent experiments. Blot images were cropped for comparison and all relevant gels have been run under similar experimental conditions. Cropping area is indicated by black line surrounding the border of the blot figures. Densitometry analysis was performed using the NIH ImageJ software. Results were expressed as a fold change in protein expression as compared to the non-treated slices within the same mouse line. Error bars represent ± SEM (n = 5 slices). (A) At 26 weeks, the hippocampus of ApoE4xAPP mice was not sensitive to insulin stimulation. Insulin treatment resulted in a significant increase in P-Akt S473 (*p < 0.05, **p < 0.01) and P-Akt T308 (**p < 0.01) expression in ApoE3xAPP and APP mice. (B) At 52 weeks, both the hippocampus of ApoE4xAPP and APP mice were unresponsive to insulin stimulation. In ApoE3xAPP mice, insulin stimulation led to a marked increase in P-Akt S473 and P-Akt T308 expression (*p < 0.05, **p < 0.01). (C) At 78 weeks, insulin stimulation only increased P-Akt S473 and P-Akt T308 expression in ApoE3xAPP mice (*p < 0.05, **p < 0.01).
At 52 and 78 weeks, both APP and ApoE4xAPP mice were unresponsive to insulin stimulation (Fig. 3B,C). However in 52 weeks ApoE3xAPP mice, insulin treatment led to a 1.8- and 2.5-fold increase in P-Akt S473 and T308 expression (Fig. 3B) (*p < 0.05, **p < 0.01, respectively). When ApoE3xAPP mice were aged to 78 weeks, insulin stimulation led to ~20% increase in P-Akt S473 and T308 expression (*p < 0.05, **p < 0.01, respectively) (Fig. 3C).
Insulin stimulation enhances GluR1 phosphorylation by forskolin
Since spatial memory impairment was associated with insulin unresponsiveness in the hippocampus of our mouse models, we investigated if insulin stimulation could induce long-term potentiation (LTP) in the hippocampus. An increase in GluR1-containing AMPA receptors is a marker of LTP25,26,27,28,29,30 and an increase in AMPA GluR1 subunits was also positively linked to the learning capacity of the mice in the radial maze31.
We chemically induced LTP using 50 μM of forskolin (FSK) in the mouse hippocampal slices and probed for AMPA GluR1 phosphorylation28. The FSK concentration used in our experiment contains 0.1% DMSO, which had been reported to have no effect on LTP25,32.
At 26 weeks (Fig. 4A), hippocampal slices from ApoE4xAPP mice were not responsive to FSK treatment and insulin stimulation did not potentiate further phosphorylation of GluR1 subunits. In contrast, FSK treatment alone led to a 2.8- and 7.5-fold increase in P-GluR1 S831 and S845 expression in ApoE3xAPP hippocampal slices (**p < 0.01). In APP hippocampal slice, FSK treatment alone led to a 2- and 3.8-fold increase in P-GluR1 S831 and S845 expression (**p < 0.01). When the ApoE3xAPP hippocampal slices were pre-treated with insulin before FSK stimulation, we observed a 6.5- and 10-fold increase in P-GluR1 S831 and S845 expression when compared to non-treated slices (**p < 0.01). Similarly, insulin pre-treatment in APP hippocampal slices led to a 3- and 7-fold increase in P-GluR1 S831 and S845 expression as compared to non-treated slices (**p < 0.01). In both APP and ApoE3xAPP mice, this insulin stimulated increase was significantly higher than FSK treatment alone (#p < 0.05, ##p < 0.01).
Insulin stimulation enhances GluR1 phosphorylation by forskolin.
(A–C) Immunoblots of hippocampal slices from APP, ApoE3xAPP (E3XAPP) and ApoE4xAPP (E4XAPP) mice were treated with 50 μM of forskolin (FSK) with or without pre-treatment with 1 μM of insulin. Each blot is a representative of six independent experiments. Blot images were cropped for comparison and all relevant gels have been run under similar experimental conditions. Cropping area is indicated by black line surrounding the border of the blot figures. Results were expressed as a fold change in protein expression as compared to the non-treated slices within the same mouse line. Error bars represent ± SEM (n = 6 slices). (A) At 26 weeks, FSK treatment significantly increased P-GluR1 S831 (**p < 0.01) and P-GluR1 S845 (**p < 0.01) expression in ApoE3xAPP and APP mice. Insulin pre-treatment further potentiated P-GluR1 S831 and P-GluR1 S845 expression in ApoE3xAPP and APP mice when compared to non-treated slices (**p < 0.01). This insulin stimulated increase was significantly higher than FSK treatment alone (#p < 0.05, ##p < 0.01). (B) At 52 weeks, only slices from ApoE3xAPP mice were responsive to FSK treatment. When compared to non-treated slices within the same mouse line, FSK treatment significantly increased P-GluR1 S831 and S845 expression (*p < 0.05). Insulin pre-treatment further potentiated P-GluR1 phosphorylation in ApoE3xAPP mice (**p < 0.01) as compared to non-treated slices. When compared against slices that were treated with only FSK, insulin stimulation led to a greater increase in P-GluR1 expression in ApoE3xAPP mice (#p < 0.05, ##p < 0.01). (C) At 78 weeks, FSK treatment significantly increased GluR1 phosphorylation at S831 and S845 in ApoE3xAPP mice (*p < 0.05). As compared to non-treated slices, insulin pre-treatment potentiated FSK-induced GluR1 phosphorylation in ApoE3xAPP mice (*p < 0.05, **p < 0.01). When compared against slices that were treated with FSK only, insulin stimulation only led to a greater increase in phosphorylated GluR1 S831 expression in ApoE3xAPP mice (#p < 0.05).
At 52 and 78 weeks (Fig. 4B,C), only slices from ApoE3xAPP mice were responsive to FSK stimulation. FSK treatment of 52 weeks ApoE3xAPP hippocampal slices (Fig. 4B) resulted in increased P-GluR1 S831 and P-GluR1 S845 expression as compared to non-treated slice (*p < 0.05). When the slices were pre-treated with insulin, it led to a 2.86 and 3.5-fold increase in P-GluR1 S831 and S845 expression when compared to non-treated slices (**p < 0.01). At 52 weeks, this insulin stimulated increase was also significantly higher than FSK treatment alone (#p < 0.05, ##p < 0.01).
When the ApoE3xAPP mice aged to 78 weeks (Fig. 4C), FSK treatment resulted in ~2-fold increase in P-GluR1 S831 and S845 expression in the hippocampal slices (*p < 0.05). Pre-treatment with insulin resulted in a 2.4-fold and 2.3-fold increase in P-GluR1 S831 and S845 expression, respectively, as compared to non-treated slices (*p < 0.05, **p < 0.01). However, when compared against slices that were treated with FSK only, insulin stimulation only led to a significant increase in phosphorylated GluR1 S831 expression in ApoE3xAPP mice (#p < 0.05). These data suggest that a functional insulin response could further potentiate LTP in the presence of Aβ.
Insulin response increased AMPA mEPSC amplitude in ApoE3 and ApoE4 neurons
Although the majority of ApoE is secreted by glial cells, ApoE can also be produced by neurons33. We had previously reported significant ApoE expression in hippocampal neurons from the ApoE3 and ApoE4 mice34.
Using endogenous glutamate released by the presynaptic terminals of the hippocampal neurons, we examined if insulin stimulation increased LTP at cellular level by recording the AMPA mEPSCs in hippocampal neurons and measured the changes to the amplitude and frequency of AMPA mEPSCs. MK801 was added into the external solution during recording to block out the NMDA mEPSCs. In addition, external solution containing DNQX was perfused into the recording chamber after mEPSC recording as proof-of-concept to ensure that the recorded currents were conducted by the AMPA receptor (Figure S4A,B).
When comparing among treatment groups, insulin treatment has no effect on mEPSC intervals while Aβ42 pre-treatment significantly increased mEPSC intervals in both ApoE3 and ApoE4 neurons (One-way ANOVA, F = 26.40,17.32 respectively). In both ApoE3 and ApoE4 neurons, Aβ42 (**p < 0.01) and Aβ42+Ins treated neurons (##p < 0.01) showed significant increases in mEPSC intervals when compared to other treatment groups (Tukey-Kramer).
Adding 2 nM13 insulin led to a 17.8% and 12.8% increase in mEPSC amplitude in ApoE3 (**p < 0.01) and ApoE4 neurons (*p < 0.05), respectively (One-way ANOVA, F = 11.17, 5.722, respectively, Tukey-Kramer) (Fig. 5B). The presence of scrambled Aβ42 as a control did not affect this observation. In neurons pre-treated with Aβ42, the mEPSC amplitudes were reduced by 11% and 17.9% in ApoE3 (*p < 0.05) and ApoE4 (*p < 0.05) neurons respectively. When the neurons pretreated with Aβ42 were subjected to insulin stimulation, insulin could not rescue Aβ42-induced reduction in mEPSC amplitudes in both ApoE3 and ApoE4 neurons (Fig. 5C).
Insulin stimulation increased mEPSC amplitudes but did not rescue Aβ42-induced down-regulation of AMPA mEPSC frequencies and amplitudes in both ApoE3 and ApoE4 neurons.
(A) mEPSC interval histograms from ApoE3 and ApoE4 hippocampal neurons. Insulin treatment has no effect on mEPSC intervals while Aβ42 pre-treatment significantly increased mEPSC intervals in both ApoE3 and ApoE4 neurons (One-way ANOVA, F = 26.40,17.32 respectively). In both ApoE3 and ApoE4 neurons, Aβ42 (**p < 0.01) and Aβ42+Ins (##p < 0.01) treated neurons showed significant increases in mEPSC intervals when compared to other treatment groups (Tukey-Kramer). (B) mEPSC amplitude histograms from ApoE3 and ApoE4 hippocampal neurons. Insulin treatment increased mEPSC amplitudes in both ApoE3 and ApoE4 neurons (**p < 0.01, *p < 0.05) (One-way ANOVA, F = 11.17, 5.722, respectively, Tukey-Kramer). (C) Summary of post-hoc Tukey-Kramer analysis. Error bars represent ± SEM (n = 6). NT refers to no treatment.
The Aβ42 concentration used in our study is comparable to other studies used on primary neurons35. The Aβ42 oligomers were predominantly trimers (Figure S2) and an age-related increase of the Aβ trimers were also detected in the brain of our ApoExAPP mice (Figure S1).
Insulin response increased GluR1-containing AMPA receptor insertion and prevented Aβ42 downscaling of surface GluR1 subunits in ApoE3 neurons
Insulin can increase AMPA GluR1 subunit insertion36 and an increase in AMPA receptors is synonymous with increased synaptic strength37. Dynamic recycling of AMPARs in neurons can be regulated via phosphorylation38. As insulin stimulation increased AMPA mEPSC amplitude without increasing AMPA mEPSC frequency, we explored if the increase in mEPSC amplitude was a result of an increase in GluR1-containing AMPA receptors.
We differentially stained the ApoE3 (Fig. 6) and ApoE4 (Fig. 7) neuron surface for existing and newly inserted AMPA GluR1 subunits39. An increase in surface GluR1 expression by about 2.7 fold was observed following insulin treatment in ApoE3 (One-way ANOVA, F = 19.18, **p < 0.01, Tukey-Kramer) (Figs 6 and 8) and ApoE4 neurons (One-way ANOVA, F = 13.48 **p < 0.01) (Figs 7 and 8). As compared to non-treated (NT) neurons, pre-treatment of neurons with Aβ42 reduced new GluR1 expression in ApoE3 and ApoE4 neurons by about 2-fold (*p < 0.05) (Figs 6, 7, 8). Insulin stimulation increased surface GluR1-containing AMPA receptors in ApoE3 neurons pre-treated with Aβ42 by about 2.3 fold (**p < 0.01) (Figs 6 and 8). However, in Aβ42 pre-treated ApoE4 neurons, insulin stimulation could not rescue Aβ42 reduction in surface GluR1-containing AMPA receptor expression (Figs 7 and 8).
Insulin stimulation increased GluR1-containing AMPA receptor insertion and prevented Aβ42 downscaling of surface GluR1 subunits in ApoE3 neurons.
Representative confocal images of immunocytochemistry staining of ApoE3 hippocampal neurons with anti-GluR1.
Insulin stimulation increased GluR1-containing AMPA receptor insertion in ApoE4 neurons but could not rescue Aβ42 downscaling of surface GluR1 subunits.
Representative confocal images of immunocytochemistry staining of ApoE4 hippocampal neurons with anti-GluR1.
Quantification of surface GluR1-containing AMPA receptors in ApoE3 and ApoE4 neurons.
Results were expressed as a fold change against non-treated neurons of the same genotype. (A) An increase in surface GluR1 expression by about 2.7 fold was observed following insulin treatment in ApoE3 (One-way ANOVA, F = 19.18) and ApoE4 neurons (One-way ANOVA, F = 13.48). Pre-treatment of neurons with Aβ42 reduced new GluR1 expression in ApoE3 and ApoE4 neurons by about 2-fold (*p < 0.05). Insulin stimulation increased surface GluR1-containing AMPA receptors in ApoE3 neurons pre-treated with Aβ42 by about 2.3 fold (**p < 0.01). (B) Summary of post-hoc Tukey-Kramer analysis. Error bars represent ± SEM (n = 6).
Discussion
Insulin could affect cognition in an ApoE isoform dependent manner14,17 and insulin impairment was detected in postmortem AD brain samples12,13. While it was known that high Aβ levels could lead to insulin signaling impairment15, those experiments were not done in the presence of human ApoE. Hence, it was unclear if ApoE isoforms could have modulated insulin sensitivity and memory decline in AD. Here, we showed that Aβ-mediated memory decline in the hippocampus was associated with insulin sensitivity, which in turn was regulated by the ApoE isoform expressed.
Our data showed that insulin signaling was impaired in 26 weeks ApoE4xAPP hippocampus at comparable plaque load to the other 2 strains. This insulin signaling impairment was highly associated with spatial memory deficits in the ApoE4xAPP mouse and these defects could have originated from earlier abnormalities in the posteromedial cortex (PMC)10 and/or entorhinal cortex40, as seen in ApoE4 subjects. Insulin signaling impairment in ApoE4xAPP mice also prevented further enhancement of phosphorylated GluR1-containing AMPA receptors, where the phosphorylation of GluR1 residues S831 and S845 increased membrane trafficking and receptor opening and conductance25,28,30,38. Unlike the ApoE4xAPP mouse, the ApoE3xAPP hippocampal slices remained responsive to insulin as the mice aged. This was associated with better spatial memory performance and enhanced phosphorylation of GluR1-containing receptors. While the protection of memory by insulin seemed to decrease with age in ApoE3xAPP mice, it was expected given the age-related increase in plaque load.
A recent study had associated the impaired memory performance of ApoE4 expressing APP mice models to reduced synaptic protein expression8. However, receptor function is robust and dynamic and simply observing basal protein expression from brain lysates cannot capture the activated response of these receptors to stimulation.
We had previously reported that ApoE4 expression alone could not impair insulin signaling but the co-presence of ApoE4 and Aβ42 could attenuate downstream insulin response in hippocampal neurons34. Here, we further show that insulin response increased AMPA mEPSC amplitude in both ApoE3 and ApoE4 neurons. While insulin stimulation did not increase AMPA mEPSC amplitude in Aβ42 pre-treated neurons, this could be a reflection of reduced glutamate availability from the presynaptic terminal, as insulin stimulation could not rescue Aβ42-mediated attenuation of mEPSC frequencies.
A previous study had shown that insulin resulted in GluR1 removal from the cell surface41. However, the insulin concentration applied to the neuronal culture was not physiological13. At near physiological concentrations in cell cultures, insulin was shown to increase GluR1 insertion27.
Our results showed that this insulin-mediated GluR1 insertion was ApoE isoform-dependent. While insulin stimulation and Aβ42 pre-treatment led to comparable increases and reductions in GluR1 subunits in both ApoE3 and ApoE4 neurons, insulin stimulation could not increase new GluR1 subunit expression in ApoE4 neurons pre-treated with Aβ42. On the other hand, insulin stimulation led to insertion of GluR1-containing AMPA receptors in Aβ42 pre-treated ApoE3 neurons, suggesting that insulin action is postsynaptic and promoted GluR1-containing AMPA receptor insertion in an ApoE isoform dependent manner.
Knocking out ApoE in mutant APP mice can significantly reduce amyloid deposition42,43,44. Hence, introducing human ApoE to mouse ApoE knockout-APP mice will preclude timely analyses of ApoE isoform specific on the onset and progression Aβ pathology45,46. This major drawback can be addressed by crossing with APP mice (5xFAD) with rapid-onset of Aβ pathology47. While most mutant APP mice develop plaques around 6–8 months, the 5xFAD mice develop plaques by 2 months9.
Unlike other studies45,46,48, we decided to keep the endogenous mouse ApoE while introducing the human ApoE in the ApoE3xAPP and ApoE4xAPP mice. This approach did not delay Aβ deposition in our ApoExAPP mice34.
Our results also show that amyloid deposition and memory decline in the control APP mice are intermediate between the ApoE3xAPP mice and ApoE4xAPP mice. This is unlikely due to the endogenous mouse ApoE since the APP mice express twice the amount of mouse ApoE as compared to ApoE3xAPP and ApoE4xAPP (Figure S3).
Similar to other studies47,48, our ApoE4 expressing APP mice have higher amyloid deposition than ApoE3xAPP mice34. The changes in hippocampal Aβ content shown in this study may due to reduced ApoE4 expression in the aged mice34,49,50 since increasing ApoE4 expression can reduce amyloid pathology51,52.
However, this study has several limitations. Firstly, we have only examined ApoE3 and ApoE4 but not ApoE2. Although ApoE2 is uncommon4,53, this allele is reported to have a protective effect. Hence, it will be interesting to investigate and compare how ApoE2 regulates the role of Aβ on insulin-stimulated AMPA receptor function. Secondly, we have only examined female mice. This is because female ApoE4 mice display greater cognitive impairment than male ApoE4 mice54,55,56. Moreover, mutant APP female mice bear heavier amyloid burden and display greater behavioral deficits57,58. In humans, ApoE4 was also reported to confer greater risk in women developing AD59. Therefore, it was important to determine the gender effect of ApoE on brain insulin signaling and AMPA receptor function.
Taken together, we propose an isoform-specific ApoE effect on insulin response in the presence of Aβ42 as a mechanism underlying earlier cognitive impairment observed in ApoE4 subjects. This regulation enabled ApoE3 but not ApoE4 expression, to attenuate Aβ42 inhibition of AMPA receptor function and to delay memory decline. Our work underscores the importance of connecting ApoE genotype and insulin sensitivity as an early marker for AD-related cognitive decline.
Materials and Methods
Animals
All experiments involving the use of live animals were conducted in accordance with the guidelines of the Institutional Animal Care and Use Committees (IACUC) and the protocols R13-4468 and BR13-4458 were approved by IACUC at the National University of Singapore.
The generation of the ApoE3xAPP and ApoE4xAPP mice were described34 by crossing the human ApoE3 and ApoE4 targeted replacement mice18,19 with the APP J20 transgenic mice20. The APP J20 mice carry a mutant human APP gene bearing the Swedish (K670N/M671L) and Indiana (V717F) mutations. All mouse lines are on C57/B6 background.
Both ApoE3xAPP and ApoE4xAPP mice are heterozygotes for the human ApoE and mouse ApoE3. The APP mice express twice the amount of mouse ApoE as compared to ApoE3xAPP and ApoE4xAPP (Figure S3). In this study, the APP J20 mice were used as controls to examine the background influence of mouse ApoE.
All mice in the study were housed conventionally, under ambient conditions (12 hrs dark, 12 hrs light). They were kept on 2018 Teklad Global 18% Protein Rodent Diet (Harland Laboratories). All experiments were performed on female APP, ApoE3xAPP and ApoE4xAPP mice at 26, 52 and 78 weeks of age.
Radial Maze
The mice used in the Radial Maze60 were followed longitudinally from 26 to 78 weeks. Mice were first put through two days of habituation trial, where they were allowed to roam around the maze for 10 minutes. Novel food (Kellogg’s Fruit Loops) were scattered throughout the maze on the first day. On the second day of habituation, the novel food was restricted to the concave food bowls. Before each day of the acquisition trials, mice were fasted the night before, with water ad libitum.
After habituation, mice were put through a total of 16 acquisition trials, which took place over a span of four days. During the acquisition trials, 4 arms were baited with food (a small piece of a fruit loop and placed in the concave food plate) and the other 4 arms were not baited. Throughout the entire project, the baited and non-baited arms remained the same. The mice were given 5 minutes for each trial to locate the food. After each trial, the maze was cleaned thoroughly with ethanol, uneaten food was left intact and eaten food was not replaced.
After the 16th trial, the mice were rested for 96 hours and subjected to the short-term memory probe trial. The mice were given only one attempt during the short-term memory probe trial for 5 minutes. After the short-term memory probe trial, mice were rested for one week before being put through the long-term memory probe trial. The long-term memory probe-trial was similar to the short-term memory probe trial, where mice were only given one attempt for 5 minutes. During all the trials, the number of entries into a non-baited arm was noted as a memory error. The mice were considered to have entered an arm if all four limbs were inside the arm.
Antibodies
The primary antibodies used in this study were anti-human ApoE (Calbiochem, Cat#178479), anti-human ApoE (Santa Cruz, Cat#SC98573), anti-mouse ApoE (Santa Cruz, Cat#SC6384) anti-P-Akt (S473) (Cell Signal Tech, Cat#4060), anti-P-Akt (T308) (Cell Signal Tech, Cat#2965), anti-Akt (Cell Signal Tech, Cat#4691), anti-Actin (Sigma, Cat#A2066), anti-Aβ (1–17) (6E10) (Covance, Cat#SIG-39300), anti-GluR1 (Cell Signal Tech, Cat#8850), anti-P-GluR1 (S845) (Cell Signal Tech, Cat#8084) and anti-P-GluR1 (S831) (Santa Cruz Biotech, Cat#SC-16313-R).
Immunohistochemistry (IHC)
Sagittal sections of perfused brains were first treated with 5 M guanidine hydrochloride, pH 8, for 30 minutes and permeabilized with 0.1% Triton X for 30 minutes. The sections were blocked with 10% fetal bovine serum (FBS) (Life Technologies) for one hour and incubated with primary antibody for overnight at 4 °C. The sections were then washed and stained with secondary antibody for one hour at room temperature and the nuclei were stained with DAPI. The sections were visualized using an Olympus fluorescence microscope and images were captured at 10X.
Western Blot and Densitometry Analysis
Mouse brain homogenates were prepared as described in our earlier study7, with ice-cold 1x RIPA lysis buffer (Cell Signaling Technology) containing detergents (1% Nonidet P40 and 1% sodium deoxycholate) with the protease inhibitor cocktail tablet (Roche). Tissue lysates were collected for protein quantification using BCA analysis (ThermoFischer).
The brain lysates were run using a 10% Tris-glycine polyacrylamide gel or NuPAGE® Bis-Tris gels (Life Technologies) and transferred onto nitrocellulose membrane before probing with specific primary and secondary antibodies. The protein bands were visualized by chemiluminescence on the Image Station 4000R (Carestream Health Inc).
Densitometry analysis of the bands was performed by measuring the optical densities of the targeted protein bands relative to the β-actin level from the same brain sample. For protein phosphorylation, the optical densities of the phosphorylated protein bands were measured relative to the targeted total protein level from the same brain sample. The analysis was performed using the NIH Image J software.
Hippocampal Slice preparation and treatment
Hippocampus from the right hemisphere was isolated and 400 μm thick transverse slices were prepared as described elsewhere61. The slices were allowed to recover for 2 hours in artificial cerebrospinal fluid (aCSF) bath maintained at 32 °C and continuously bubbled with 95% oxygen and 5% carbon dioxide (Carbogen). The aCSF comprised of a modified Krebs-Ringer solution containing: 124 mM NaCl, 4.9 mM KCl, 1.2 mM KH2PO4, 2 mM MgSO4.7 H2O, 2 mM CaCl2.2 H2O, 24.6 mM NaHCO3 and 10 mM D-glucose. The pH of aCSF was between 7.3–7.4 when bubbled with carbogen32. For insulin treated samples, after the recovery period the slices were acutely treated with 1 μM of insulin (Sigma Aldrich, Cat#I9278) for 30 minutes and collected. In forskolin (FSK) treated experiments, FSK (Tocris, Cat#1099) was dissolved in DMSO and subsequently diluted to 50 μM in the aCSF. Final concentration of DMSO in the aCSF was kept at 0.1%, which had been reported to not affect the basal synaptic responses62. The slices were incubated with FSK for 20 minutes. After the respective treatments, the slices were immediately snap frozen in liquid nitrogen and stored at −80 °C for further use.
Aβ42 preparation
Lyophilized Aβ42 and scrambled Aβ42 (1st Base) were purchased and stored at −80 °C. Aβ42 and scrambled Aβ42 used in the experiments were dissolved in DMSO to yield a concentration of 500 μM and immediately diluted to 500 nM in culture medium for use in the hippocampal neurons.
Primary Hippocampal Neuron Culture
Hippocampal neurons were obtained from dissection of P0 pups of either ApoE3 or ApoE4 mice and digested as previously described63 using the Papain Dissociation System (Worthington Cat# LK003150). These hApoE mice are created on mouse ApoE knock-out (KO) background18,19 and do not express mouse ApoE. The hippocampus was dissected and titurated 10 times in papain solution and incubated at 37 °C for 40 minutes. The hippocampi were then spun at 1000 rpm, 4 °C for 10 minutes. After removing the supernatant, the pellet was added to the STOP solution (DNase, papain inhibitor and Earles’s Balanced Salt Solution, EBSS). The hippocampi were then titurated and left at room temperature for 10 minutes. The mixture was layered on top of the 10/10 solution (Bovine Serum Albumin, BSA and trypsin inhibitor in EBSS) and then spun at 1000 rpm, 4 °C for 10 minutes. The hippocampal cultures were plated in culture plate wells previously coated with poly-L-lysine (Sigma Aldrich) and maintained in Neurobasal media (Life Technologies) supplemented with B27, L-glutamine and Penicillin-Streptomycin (Life Technologies). Ara-C (Sigma Aldrich) was added to the culture after 3 days in vitro (DIV).
Insulin starvation of hippocampal neurons
ApoE3 or ApoE4 hippocampal neurons were incubated with either 500 nM of Aβ42 or scrambled Aβ42 24 h prior to starvation. The Aβ42 concentration used in this study is comparable to other studies using primary neurons35. On the day of the experiment, the Neurobasal media (Life Technologies) was removed from the wells and the neurons were starved in Earle’s Balanced Salt Solution (EBSS) (Sigma Aldrich) for 2 hours.
Electrophysiology
Whole-cell patch clamp recordings were done on DIV11-12 hippocampal neurons. Each neuron was recorded for at least 20 minutes with no electronic compensation. The neurons were continuously perfused with extracellular mEPSC solution using a multi-barrel perfusion system. The extracellular mEPSC solution contained 140 mM NaCl, 4 mM CaCl2, 5 mM KCl, 25 mM HEPES, 0.01 mM Glycine, 0.0005 mM TTX, 0.001 mM Strychnine, 0.02 mM bicuculline methiodide, 0.005 mM MK801, pH 7.2–7.5 and osmolarity of 320–330 mosmol−1 64. The intracellular solution contained 140 mM CsCl2, 2.5 mM EGTA, 2 mM MgCl2, 10 mM HEPES, 2 mM TEA, 4 mM Mg2ATP, pH 7.2–7.4 and osmolarity of 290–300 mosmol−1. MK801 was added into the mEPSC solution just before perfusion into the recording chamber. For insulin stimulated recordings, neurons were serum starved for 2 hours in EBSS and acutely treated with insulin for 30 minutes in mEPSC solution without MK801. Insulin was also added to the mEPSC solution in another barrel and perfused into the recording chamber and maintained throughout recording. DNQX (0.005 mM) was also added into the mEPSC solution in another barrel and applied when required.
Surface staining of AMPA receptors
DIV11-12 hippocampal neurons plated on coverslips were stained for surface AMPA receptors39. Neurons were incubated with either 500 nM of Aβ42 or scrambled Aβ42 24 hours prior to starvation. On the day of experiment, existing GluR1 receptors were first labeled using anti-GluR1. After one hour, the antibody was washed away and labeled with Alexa Fluor 488 (Life Technologies). The neurons were then serum starved in EBSS for 2 hours and acutely treated with insulin for 30 minutes in mEPSC solution without MK801. The cells were washed and fixed with 4% Formaldehyde and blocked with 10% FCS. Excess, unlabeled antibody was blocked with anti-Rabbit IgG. The neurons were labeled with anti-GluR1 under non-permeabilizing conditions and labeled with Alexa Fluor 568 (Life Technologies). Coverslips were mounted onto a microscope slide and fluorescent images were captured using a Zeiss LSM-510 laser-scanning confocal microscope at 63X.
Statistical analysis
Statistical significance was calculated using two-tailed Student’s T-test or One-way ANOVA with post-hoc Tukey-Kramer analysis (Chan et al.34).
Additional Information
How to cite this article: Chan, E. S. et al. ApoE4 expression accelerates hippocampus-dependent cognitive deficits by enhancing Aβ impairment of insulin signaling in an Alzheimer’s disease mouse model. Sci. Rep. 6, 26119; doi: 10.1038/srep26119 (2016).
References
Selkoe, D. J. Preventing Alzheimer’s disease. Science 337, 1488–1492 (2012).
Corder, E. H. et al. Gene dose of apolipoprotein E type 4 allele and the risk of Alzheimer’s disease in late onset families. Science 261, 921–923 (1993).
Yu, J. T., Tan, L. & Hardy, J. Apolipoprotein e in Alzheimer’s disease: an update. Annu Rev Neurosci 37, 79–100 (2014).
Mahley, R. W. & Rall, S. C., Jr. Apolipoprotein E: far more than a lipid transport protein. Annual review of genomics and human genetics 1, 507–537 (2000).
Cosentino, S. et al. APOE epsilon 4 allele predicts faster cognitive decline in mild Alzheimer disease. Neurology 70, 1842–1849 (2008).
Chen, Y., Durakoglugil, M. S., Xian, X. & Herz, J. ApoE4 reduces glutamate receptor function and synaptic plasticity by selectively impairing ApoE receptor recycling. Proc Natl Acad Sci USA 107, 12011–12016 (2010).
Yong, S. M., Lim, M. L., Low, C. M. & Wong, B. S. Reduced neuronal signaling in the ageing apolipoprotein-E4 targeted replacement female mice. Scientific reports 4, 6580 (2014).
Liu, D.-s. et al. APOE4 enhances age-dependent decline in cognitive function by down-regulating an NMDA receptor pathway in EFAD-Tg mice. Mol Neurodegener 10, 7 (2015).
Tai, L. M., Youmans, K. L., Jungbauer, L., Yu, C. & LaDu, M. J. Introducing Human APOE into Aβ Transgenic Mouse Models. International journal of Alzheimer’s disease 2011, 9 (2011).
Shine, J. P., Hodgetts, C. J., Postans, M., Lawrence, A. D. & Graham, K. S. APOE-ε4 selectively modulates posteromedial cortex activity during scene perception and short-term memory in young healthy adults. Sci Rep 5, 16322 (2015).
Craft, S. & Watson, G. S. Insulin and neurodegenerative disease: shared and specific mechanisms. The Lancet. Neurology 3, 169–178 (2004).
Frolich, L. et al. Brain insulin and insulin receptors in aging and sporadic Alzheimer’s disease. Journal of neural transmission (Vienna, Austria: 1996) 105, 423–438 (1998).
Talbot, K. et al. Demonstrated brain insulin resistance in Alzheimer’s disease patients is associated with IGF-1 resistance, IRS-1 dysregulation and cognitive decline. The Journal of clinical investigation 122, 1316–1338 (2012).
Craft, S. et al. Insulin dose-response effects on memory and plasma amyloid precursor protein in Alzheimer’s disease: interactions with apolipoprotein E genotype. Psychoneuroendocrinology 28, 809–822 (2003).
Townsend, M., Mehta, T. & Selkoe, D. J. Soluble Abeta inhibits specific signal transduction cascades common to the insulin receptor pathway. The Journal of biological chemistry 282, 33305–33312 (2007).
Lee, C. C., Kuo, Y. M., Huang, C. C. & Hsu, K. S. Insulin rescues amyloid beta-induced impairment of hippocampal long-term potentiation. Neurobiol Aging 30, 377–387 (2009).
Reger, M. A. et al. Effects of intranasal insulin on cognition in memory-impaired older adults: modulation by APOE genotype. Neurobiol Aging 27, 451–458 (2006).
Sullivan, P. M. et al. Targeted replacement of the mouse apolipoprotein E gene with the common human APOE3 allele enhances diet-induced hypercholesterolemia and atherosclerosis. The Journal of biological chemistry 272, 17972–17980 (1997).
Knouff, C. et al. Apo E structure determines VLDL clearance and atherosclerosis risk in mice. The Journal of clinical investigation 103, 1579–1586 (1999).
Games, D. et al. Alzheimer-type neuropathology in transgenic mice overexpressing V717F beta-amyloid precursor protein. Nature 373, 523–527 (1995).
Serrano-Pozo, A., Frosch, M. P., Masliah, E. & Hyman, B. T. Neuropathological alterations in Alzheimer disease. Cold Spring Harbor perspectives in medicine 1, a006189 (2011).
Palop, J. J. & Mucke, L. Amyloid-beta-induced neuronal dysfunction in Alzheimer’s disease: from synapses toward neural networks. Nat Neurosci 13, 812–818 (2010).
Hemmings, B. A. & Restuccia, D. F. PI3K-PKB/Akt pathway. Cold Spring Harbor perspectives in biology 4, a011189 (2012).
Manning, B. D. & Cantley, L. C. AKT/PKB signaling: navigating downstream. Cell 129, 1261–1274 (2007).
Boehm, J. et al. Synaptic incorporation of AMPA receptors during LTP is controlled by a PKC phosphorylation site on GluR1. Neuron 51, 213–225 (2006).
Hayashi, Y. et al. Driving AMPA receptors into synapses by LTP and CaMKII: requirement for GluR1 and PDZ domain interaction. Science (New York, NY) 287, 2262–2267 (2000).
Passafaro, M., Piech, V. & Sheng, M. Subunit-specific temporal and spatial patterns of AMPA receptor exocytosis in hippocampal neurons. Nature neuroscience 4, 917–926 (2001).
Malinow, R. & Malenka, R. C. AMPA receptor trafficking and synaptic plasticity. Annual review of neuroscience 25, 103–126 (2002).
Lee, H. K. et al. Phosphorylation of the AMPA receptor GluR1 subunit is required for synaptic plasticity and retention of spatial memory. Cell 112, 631–643 (2003).
Lee, H. K., Takamiya, K., He, K., Song, L. & Huganir, R. L. Specific roles of AMPA receptor subunit GluR1 (GluA1) phosphorylation sites in regulating synaptic plasticity in the CA1 region of hippocampus. J Neurophysiol 103, 479–489 (2010).
Zilles, K., Wu, J., Crusio, W. E. & Schwegler, H. Water maze and radial maze learning and the density of binding sites of glutamate, GABA and serotonin receptors in the hippocampus of inbred mouse strains. Hippocampus 10, 213–225 (2000).
Navakkode, S., Sajikumar, S. & Frey, J. U. Mitogen-activated protein kinase-mediated reinforcement of hippocampal early long-term depression by the type IV-specific phosphodiesterase inhibitor rolipram and its effect on synaptic tagging. The Journal of neuroscience the official journal of the Society for Neuroscience 25, 10664–10670 (2005).
Xu, Q. et al. Profile and regulation of apolipoprotein E (ApoE) expression in the CNS in mice with targeting of green fluorescent protein gene to the ApoE locus. J Neurosci 26, 4985–4994 (2006).
Chan, E. S., Chan, C., Cole, G. M. & Wong, B. S. Differential interaction of Apolipoprotein-E isoforms with insulin receptors modulates brain insulin signaling in mutant human amyloid precursor protein transgenic mice. Sci Rep 5, 13842 (2015).
Zhao, W. Q. et al. Amyloid beta oligomers induce impairment of neuronal insulin receptors. FASEB journal: official publication of the Federation of American Societies for Experimental Biology 22, 246–260 (2008).
Adzovic, L. & Domenici, L. Insulin induces phosphorylation of the AMPA receptor subunit GluR1, reversed by ZIP and over-expression of Protein Kinase M zeta, reversed by amyloid beta. J Neurochem 131, 582–587 (2014).
Huganir, R. L. & Nicoll, R. A. AMPARs and synaptic plasticity: the last 25 years. Neuron 80, 704–717 (2013).
Hussain, N. K., Thomas, G. M., Luo, J. & Huganir, R. L. Regulation of AMPA receptor subunit GluA1 surface expression by PAK3 phosphorylation. Proc Natl Acad Sci USA 112, E5883–E5890 (2015).
Carrodus, N. L., Teng, K. S., Munro, K. M., Kennedy, M. J. & Gunnersen, J. M. Differential labeling of cell-surface and internalized proteins after antibody feeding of live cultured neurons. J Vis Exp 84, e51139 (2014).
Kunz, L. et al. Reduced grid-cell–like representations in adults at genetic risk for Alzheimer’s disease. Science 350, 430–433 (2015).
Lin, J. W. et al. Distinct molecular mechanisms and divergent endocytotic pathways of AMPA receptor internalization. Nature neuroscience 3, 1282–1290 (2000).
Bales, K. R. et al. Lack of apolipoprotein E dramatically reduces amyloid beta-peptide deposition. Nat Genet 17, 263–264 (1997).
Dodart, J.-C. et al. Gene delivery of human apolipoprotein E alters brain Aβ burden in a mouse model of Alzheimer’s disease. Proc Natl Acad Sci USA 102, 1211–1216 (2005).
Holtzman, D. M. et al. Apolipoprotein E isoform-dependent amyloid deposition and neuritic degeneration in a mouse model of Alzheimer’s disease. Proc Natl Acad Sci USA 97, 2892–2897 (2000).
Bales, K. R. et al. Human APOE isoform-dependent effects on brain beta-amyloid levels in PDAPP transgenic mice. The Journal of neuroscience: the official journal of the Society for Neuroscience 29, 6771–6779 (2009).
Fryer, J. D. et al. Human apolipoprotein E4 alters the amyloid-beta 40:42 ratio and promotes the formation of cerebral amyloid angiopathy in an amyloid precursor protein transgenic model. J Neurosci 25, 2803–2810 (2005).
Youmans, K. L. et al. APOE4-specific changes in Abeta accumulation in a new transgenic model of Alzheimer’s Disease. J Biol Chem 287, 41774–41786 (2012).
Bien-Ly, N. et al. C-terminal-truncated apolipoprotein (apo) E4 inefficiently clears amyloid-beta (Abeta) and acts in concert with Abeta to elicit neuronal and behavioral deficits in mice. Proceedings of the National Academy of Sciences of the United States of America 108, 4236–4241 (2011).
Riddell, D. R. et al. Impact of apolipoprotein E (ApoE) polymorphism on brain ApoE levels. J Neurosci 28, 11445–11453 (2008).
Sullivan, P. M. et al. Reduced levels of human apoE4 protein in an animal model of cognitive impairment. Neurobiol Aging 32, 791–801 (2011).
Bien-Ly, N., Gillespie, A. K., Walker, D., Yoon, S. Y. & Huang, Y. Reducing human apolipoprotein E levels attenuates age-dependent Abeta accumulation in mutant human amyloid precursor protein transgenic mice. The Journal of neuroscience: the official journal of the Society for Neuroscience 32, 4803–4811 (2012).
Hu, J. et al. Opposing effects of viral mediated brain expression of apolipoprotein E2 (apoE2) and apoE4 on apoE lipidation and Abeta metabolism in apoE4-targeted replacement mice. Mol Neurodegener 10, 6 (2015).
Holtzman, D. M., Herz, J. & Bu, G. Apolipoprotein E and apolipoprotein E receptors: normal biology and roles in Alzheimer disease. Cold Spring Harbor perspectives in medicine 2, a006312 (2012).
Grootendorst, J. et al. Human apoE targeted replacement mouse lines: h-apoE4 and h-apoE3 mice differ on spatial memory performance and avoidance behavior. Behav Brain Res 159, 1–14 (2005).
Leung, L. et al. Apolipoprotein E4 causes age- and sex-dependent impairments of hilar GABAergic interneurons and learning and memory deficits in mice. Plos one 7, e53569 (2012).
Raber, J. et al. Isoform-specific effects of human apolipoprotein E on brain function revealed in ApoE knockout mice: increased susceptibility of females. Proc Natl Acad Sci USA 95, 10914–10919 (1998).
Callahan, M. J. et al. Augmented senile plaque load in aged female beta-amyloid precursor protein-transgenic mice. Am J Pathol 158, 1173–1177 (2001).
Wang, J., Tanila, H., Puolivali, J., Kadish, I. & van Groen, T. Gender differences in the amount and deposition of amyloidbeta in APPswe and PS1 double transgenic mice. Neurobiol Dis 14, 318–327 (2003).
Altmann, A., Tian, L., Henderson, V. W. & Greicius, M. D. & Alzheimer’s Disease Neuroimaging Initiative, I. Sex modifies the APOE-related risk of developing Alzheimer disease. Ann Neurol 75, 563–573 (2014).
Alamed, J., Wilcock, D. M., Diamond, D. M., Gordon, M. N. & Morgan, D. Two-day radial-arm water maze learning and memory task; robust resolution of amyloid-related memory deficits in transgenic mice. Nat Protoc 1, 1671–1679 (2006).
Sajikumar, S., Navakkode, S. & Frey, J. U. Identification of compartment- and process-specific molecules required for “synaptic tagging” during long-term potentiation and long-term depression in hippocampal CA1. The Journal of neuroscience: the official journal of the Society for Neuroscience 27, 5068–5080 (2007).
Navakkode, S., Sajikumar, S. & Frey, J. U. The type IV-specific phosphodiesterase inhibitor rolipram and its effect on hippocampal long-term potentiation and synaptic tagging. The Journal of neuroscience: the official journal of the Society for Neuroscience 24, 7740–7744 (2004).
Sundaram, J. R. et al. Cdk5/p25-induced cytosolic PLA2-mediated lysophosphatidylcholine production regulates neuroinflammation and triggers neurodegeneration. The Journal of neuroscience: the official journal of the Society for Neuroscience 32, 1020–1034 (2012).
Lu, W. et al. Activation of synaptic NMDA receptors induces membrane insertion of new AMPA receptors and LTP in cultured hippocampal neurons. Neuron 29, 243–254 (2001).
Acknowledgements
We thank Dr. Ong Qi-Rui, Ms Lim Mei Li, Ms Shiau Chen H’ng and Ms Goh Ket Yin for help in maintaining and genotyping the transgenic mice. We also like to thank Ms Yu Dejie, Dr. Huang Hua, Dr. Wang Jue Jin, Dr. Lin Qingshu and Mr Lim Wee Meng for sharing their expertise and knowledge on electrophysiology and helping out tremendously with the optimization and result analysis. We thank Miss Joanne Huifen Koh for helping to read the manuscript. This work was supported by grants to BSW from the National University Health System (NUHSRO/2011/005/STB/B2B-01) and the National Medical Research Council (NMRC/CBRG/0090/2015). ESC and MSS were supported by graduate scholarships from Singapore Ministry of Education. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Author information
Authors and Affiliations
Contributions
E.S.C. performed the experiments. E.S.C. and B.-S.W. conceived and designed the experiments and analyzed the data. M.S.S., S.S. and T.W.S. provided reagents and technical assistance. E.S.C., M.S.S., S.S., C.C., T.W.S. and B.-S.W. wrote the paper.
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Electronic supplementary material
Rights and permissions
This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
About this article
Cite this article
Chan, E., Shetty, M., Sajikumar, S. et al. ApoE4 expression accelerates hippocampus-dependent cognitive deficits by enhancing Aβ impairment of insulin signaling in an Alzheimer’s disease mouse model. Sci Rep 6, 26119 (2016). https://doi.org/10.1038/srep26119
Received:
Accepted:
Published:
DOI: https://doi.org/10.1038/srep26119
This article is cited by
-
Targeting Common Signaling Pathways for the Treatment of Stroke and Alzheimer’s: a Comprehensive Review
Neurotoxicity Research (2021)
-
Emerging Therapeutic Promise of Ketogenic Diet to Attenuate Neuropathological Alterations in Alzheimer’s Disease
Molecular Neurobiology (2020)
-
Differential Binding of Human ApoE Isoforms to Insulin Receptor is Associated with Aberrant Insulin Signaling in AD Brain Samples
NeuroMolecular Medicine (2018)
-
Adherence to Mediterranean diet and risk of developing cognitive disorders: An updated systematic review and meta-analysis of prospective cohort studies
Scientific Reports (2017)
Comments
By submitting a comment you agree to abide by our Terms and Community Guidelines. If you find something abusive or that does not comply with our terms or guidelines please flag it as inappropriate.
