An experimental model of Braak’s pretangle proposal for the origin of Alzheimer’s disease: the role of locus coeruleus in early symptom development

Abstract Background The earliest brain pathology related to Alzheimer’s disease (AD) is hyperphosphorylated soluble tau in the noradrenergic locus coeruleus (LC) neurons. Braak characterizes five pretangle tau stages preceding AD tangles. Pretangles begin in young humans and persist in the LC while...

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Main Authors: Abhinaba Ghosh, Sarah E. Torraville, Bandhan Mukherjee, Susan G. Walling, Gerard M. Martin, Carolyn W. Harley, Qi Yuan
Format: Article
Language:English
Published: BMC 2019-07-01
Series:Alzheimer’s Research & Therapy
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13195-019-0511-2
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author Abhinaba Ghosh
Sarah E. Torraville
Bandhan Mukherjee
Susan G. Walling
Gerard M. Martin
Carolyn W. Harley
Qi Yuan
author_facet Abhinaba Ghosh
Sarah E. Torraville
Bandhan Mukherjee
Susan G. Walling
Gerard M. Martin
Carolyn W. Harley
Qi Yuan
author_sort Abhinaba Ghosh
collection DOAJ
description Abstract Background The earliest brain pathology related to Alzheimer’s disease (AD) is hyperphosphorylated soluble tau in the noradrenergic locus coeruleus (LC) neurons. Braak characterizes five pretangle tau stages preceding AD tangles. Pretangles begin in young humans and persist in the LC while spreading from there to other neuromodulatory neurons and, later, to the cortex. While LC pretangles appear in all by age 40, they do not necessarily result in AD prior to death. However, with age and pretangle spread, more individuals progress to AD stages. LC neurons are lost late, at Braak stages III–IV, when memory deficits appear. It is not clear if LC hyperphosphorylated tau generates the pathology and cognitive changes associated with preclinical AD. We use a rat model expressing pseudohyperphosphorylated human tau in LC to investigate the hypothesis that LC pretangles generate preclinical Alzheimer pathology. Methods We infused an adeno-associated viral vector carrying a human tau gene pseudophosphorylated at 14 sites common in LC pretangles into 2–3- or 14–16-month TH-Cre rats. We used odor discrimination to probe LC dysfunction, and we evaluated LC cell and fiber loss. Results Abnormal human tau was expressed in LC and exhibited somatodendritic mislocalization. In rats infused at 2–3 months old, 4 months post-infusion abnormal LC tau had transferred to the serotonergic raphe neurons. After 7 months, difficult similar odor discrimination learning was impaired. Impairment was associated with reduced LC axonal density in the olfactory cortex and upregulated β1-adrenoceptors. LC infusions in 14–16-month-old rats resulted in more severe outcomes. By 5–6 months post-infusion, rats were impaired even in simple odor discrimination learning. LC neuron number was reduced. Human tau appeared in the microglia and cortical neurons. Conclusions Our animal model suggests, for the first time, that Braak’s hypothesis that human AD originates with pretangle stages is plausible. LC pretangle progression here generates both preclinical AD pathological changes and cognitive decline. The odor discrimination deficits are similar to human odor identification deficits seen with aging and preclinical AD. When initiated in aged rats, pretangle stages progress rapidly and cause LC cell loss. These age-related outcomes are associated with a severe learning impairment consistent with memory decline in Braak stages III–IV.
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spelling doaj.art-759ad5392df640e385cdb939b2d6f6582022-12-22T01:58:25ZengBMCAlzheimer’s Research & Therapy1758-91932019-07-0111111710.1186/s13195-019-0511-2An experimental model of Braak’s pretangle proposal for the origin of Alzheimer’s disease: the role of locus coeruleus in early symptom developmentAbhinaba Ghosh0Sarah E. Torraville1Bandhan Mukherjee2Susan G. Walling3Gerard M. Martin4Carolyn W. Harley5Qi Yuan6Division of Biomedical Sciences, Faculty of Medicine, Memorial University of NewfoundlandDivision of Biomedical Sciences, Faculty of Medicine, Memorial University of NewfoundlandDivision of Biomedical Sciences, Faculty of Medicine, Memorial University of NewfoundlandDepartment of Psychology, Faculty of Science, Memorial University of NewfoundlandDepartment of Psychology, Faculty of Science, Memorial University of NewfoundlandDepartment of Psychology, Faculty of Science, Memorial University of NewfoundlandDivision of Biomedical Sciences, Faculty of Medicine, Memorial University of NewfoundlandAbstract Background The earliest brain pathology related to Alzheimer’s disease (AD) is hyperphosphorylated soluble tau in the noradrenergic locus coeruleus (LC) neurons. Braak characterizes five pretangle tau stages preceding AD tangles. Pretangles begin in young humans and persist in the LC while spreading from there to other neuromodulatory neurons and, later, to the cortex. While LC pretangles appear in all by age 40, they do not necessarily result in AD prior to death. However, with age and pretangle spread, more individuals progress to AD stages. LC neurons are lost late, at Braak stages III–IV, when memory deficits appear. It is not clear if LC hyperphosphorylated tau generates the pathology and cognitive changes associated with preclinical AD. We use a rat model expressing pseudohyperphosphorylated human tau in LC to investigate the hypothesis that LC pretangles generate preclinical Alzheimer pathology. Methods We infused an adeno-associated viral vector carrying a human tau gene pseudophosphorylated at 14 sites common in LC pretangles into 2–3- or 14–16-month TH-Cre rats. We used odor discrimination to probe LC dysfunction, and we evaluated LC cell and fiber loss. Results Abnormal human tau was expressed in LC and exhibited somatodendritic mislocalization. In rats infused at 2–3 months old, 4 months post-infusion abnormal LC tau had transferred to the serotonergic raphe neurons. After 7 months, difficult similar odor discrimination learning was impaired. Impairment was associated with reduced LC axonal density in the olfactory cortex and upregulated β1-adrenoceptors. LC infusions in 14–16-month-old rats resulted in more severe outcomes. By 5–6 months post-infusion, rats were impaired even in simple odor discrimination learning. LC neuron number was reduced. Human tau appeared in the microglia and cortical neurons. Conclusions Our animal model suggests, for the first time, that Braak’s hypothesis that human AD originates with pretangle stages is plausible. LC pretangle progression here generates both preclinical AD pathological changes and cognitive decline. The odor discrimination deficits are similar to human odor identification deficits seen with aging and preclinical AD. When initiated in aged rats, pretangle stages progress rapidly and cause LC cell loss. These age-related outcomes are associated with a severe learning impairment consistent with memory decline in Braak stages III–IV.http://link.springer.com/article/10.1186/s13195-019-0511-2Locus coeruleusNorepinephrineHyperphosphorylated tauPretanglesOdor discriminationOdor identification deficit
spellingShingle Abhinaba Ghosh
Sarah E. Torraville
Bandhan Mukherjee
Susan G. Walling
Gerard M. Martin
Carolyn W. Harley
Qi Yuan
An experimental model of Braak’s pretangle proposal for the origin of Alzheimer’s disease: the role of locus coeruleus in early symptom development
Alzheimer’s Research & Therapy
Locus coeruleus
Norepinephrine
Hyperphosphorylated tau
Pretangles
Odor discrimination
Odor identification deficit
title An experimental model of Braak’s pretangle proposal for the origin of Alzheimer’s disease: the role of locus coeruleus in early symptom development
title_full An experimental model of Braak’s pretangle proposal for the origin of Alzheimer’s disease: the role of locus coeruleus in early symptom development
title_fullStr An experimental model of Braak’s pretangle proposal for the origin of Alzheimer’s disease: the role of locus coeruleus in early symptom development
title_full_unstemmed An experimental model of Braak’s pretangle proposal for the origin of Alzheimer’s disease: the role of locus coeruleus in early symptom development
title_short An experimental model of Braak’s pretangle proposal for the origin of Alzheimer’s disease: the role of locus coeruleus in early symptom development
title_sort experimental model of braak s pretangle proposal for the origin of alzheimer s disease the role of locus coeruleus in early symptom development
topic Locus coeruleus
Norepinephrine
Hyperphosphorylated tau
Pretangles
Odor discrimination
Odor identification deficit
url http://link.springer.com/article/10.1186/s13195-019-0511-2
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