Abstract
Alzheimer’s disease (AD) is characterized by a progressive dysfunction of central neurons. Recent experimental evidence indicates that in the cortex, in addition to the silencing of a fraction of neurons, other neurons are hyperactive in amyloid-β (Aβ) plaque-enriched regions. However, it has remained unknown what comes first, neuronal silencing or hyperactivity, and what mechanisms might underlie the primary neuronal dysfunction. Here we examine the activity patterns of hippocampal CA1 neurons in a mouse model of AD in vivo using two-photon Ca2+ imaging. We found that neuronal activity in the plaque-bearing CA1 region of older mice is profoundly altered. There was a marked increase in the fractions of both silent and hyperactive neurons, as previously also found in the cortex. Remarkably, in the hippocampus of young mice, we observed a selective increase in hyperactive neurons already before the formation of plaques, suggesting that soluble species of Aβ may underlie this impairment. Indeed, we found that acute treatment with the γ-secretase inhibitor LY-411575 reduces soluble Aβ levels and rescues the neuronal dysfunction. Furthermore, we demonstrate that direct application of soluble Aβ can induce neuronal hyperactivity in wild-type mice. Thus, our study identifies hippocampal hyperactivity as a very early functional impairment in AD transgenic mice and provides direct evidence that soluble Aβ is crucial for hippocampal hyperactivity.
Keywords: brain disease, in vivo imaging
Alzheimer’s disease (AD) is associated with multiple neuronal dysfunctions, including impairments underlying the storage and processing of information in the brain (1). One of the major functional defects in AD is a massive decrease in neuronal activity (2, 3). This generalized silencing of brain circuits generated the synaptic failure hypothesis (4). Interestingly, more recent studies revealed a more complex picture of the neuronal defects in AD, demonstrating a mix of both hypoactivity and hyperactivity in various brain regions. For example, in transgenic mice overexpressing both mutant human amyloid precursor protein (APP) and mutant human presenilin 1 (PS1), half of the neurons in layer 2/3 of the cortex were functionally impaired, with a decrease in neuronal activity in 29% of the neurons (termed “silent” neurons) and a profound increase in more than 20% of neurons (termed “hyperactive” neurons) (5). Interestingly, the increase in hyperactive neurons was most prominent in the vicinity of plaques. Such alterations of cortical activity were not observed in predepositing transgenic mice or in wild-type mice, indicating that the changes in neuronal activity were temporally correlated with the histological pathology. Consistently, resting Ca2+ levels in cortical dendrites of APP/PS1 transgenic mice were substantially increased in the area surrounding plaques (6). Furthermore, APP transgenic mice exhibited nonconvulsive seizure activity in cortex and hippocampus, which was associated with GABAergic sprouting, enhanced synaptic inhibition, and synaptic plasticity defects (7). Thus, synaptic depression and excess neuronal activity appear to coexist in an unknown manner in AD; however, it is entirely unclear what comes first, neuronal silencing or hyperactivity, and whether plaques are directly involved in the initiation of neuronal dysfunction.
The hippocampal CA1 pyramidal cell circuit represents a particularly good model system to address this question, because the hippocampus is known to be a very early target in AD. First, impaired learning and memory, which are believed to involve hippocampal dysfunction (8), are typically among the first symptoms of the disease both in animal models and humans (9, 10). Second, previous animal studies provided clear evidence that structural hippocampal abnormalities can occur at very early stages of the disease, well before the emergence of plaques (11–13). However, the implications of such findings for the function of hippocampal neuronal populations in vivo are unknown, mainly because the hippocampus has been inaccessible to cellular-level imaging. Inspired by the finding that the hippocampus can be exposed by suction removal of overlying cortex (14), recent reports have demonstrated that two-photon imaging of the hippocampus in vivo, allowing detailed studies with single-cell resolution, is feasible (15, 16). Here we introduce an optimized protocol for two-photon Ca2+ imaging of CA1 neuronal populations in AD transgenic mice in vivo and reveal the functional impairments of the hippocampal circuit in the presence and absence of plaques.
Results
For our study, we used transgenic mice overexpressing both mutated APPswe and mutated PS1G384A in neurons. These mutations are known to induce a rapid increase in soluble brain Aβ levels, followed by the formation of plaques beginning at an age of about 3 mo (5). To analyze plaque formation in the hippocampus in more detail, we stained sections from transgenic mice with thioflavin-S and 4G8 antibody against Aβ. No plaques were detected in mice 1–2 mo of age, whereas many plaques were found in mice 6–7 mo of age (Fig. S1), consistent with previous observations (5).
Neuronal Silencing and Hyperactivity in the Hippocampus of Plaque-Bearing Transgenic Mice.
The hippocampus is located beneath the cortex and cannot be directly visualized by two-photon microscopy. Therefore, we removed unilaterally a small (1–2 mm diameter) cortical region covering the dorsal hippocampus (14–16) and then used bulk loading (17, 18) of the fluorescent Ca2+ indicator Fluo-8 AM combined with two-photon microscopy to probe the spontaneous activity of neuronal populations in the CA1 pyramidal cell layer in vivo (Fig. 1 A and B). We first analyzed 6- to 7-mo-old transgenic mice that were depositing plaques and found that the pattern of hippocampal neuronal activity was significantly altered compared with age-matched wild-type mice (Fig. 1 C and D). According to a previous assessment of neurons in cortex (5), we classified all recorded neurons based on their individual activity rates as silent (0–0.2 transients/min), normal (0.2–20 transients/min), or hyperactive (≥20 transients/min). We found that the fraction of neurons that were silent was significantly larger in transgenic (11.72 ± 0.65%, n = 5 mice) compared with wild-type mice (4.76 ± 0.31%, n = 5 mice; P < 0.001, Student’s t test) (Fig. 1E). In addition, the fraction of hyperactive neurons was significantly larger in transgenic (9.51 ± 1.75%, n = 5 mice) compared with wild-type mice (2.86 ± 0.63%, n = 5 mice; P < 0.001, Student’s t test) (Fig. 1E). Also, we found that hyperactive neurons were located exclusively in the vicinity of plaques in transgenic mice, whereas both silent and normal neurons were distributed throughout the hippocampus (Fig. S2). These alterations of hippocampal activity were qualitatively identical to those previously observed in cortex (5).
Early Hyperactivity of Hippocampal Neurons in Predepositing Transgenic Mice.
We next studied spontaneous neuronal activity in the CA1 pyramidal cell layer of 1- to 2-mo-old transgenic mice, an age when no plaques were detectable (Fig. S1 A and C). Surprisingly, we found that the majority of CA1 neurons in transgenic mice exhibited markedly elevated rates of spontaneous Ca2+ transients, compared with age-matched wild-type mice (Fig. 2 A and B). Further analyses demonstrated that the frequency distribution of spontaneous Ca2+ transients was generally shifted toward higher values in transgenic mice compared with wild-type mice (Fig. 2C and Fig. S3), resulting in a strong increase in the median frequency of Ca2+ transients in transgenic (12.37 transients/min, n = 818 cells in seven mice) compared with wild-type mice (4.54 transients/min, n = 693 cells in six mice; P < 0.001, Kolmogorov–Smirnov test). As in 6- to 7-mo-old transgenic mice, we classified all recorded neurons based on their individual activity rates as silent (0–0.2 transients/min), normal (0.2–20 transients/min), or hyperactive (≥20 transients/min) (Fig. 2C). We found that the fraction of hyperactive neurons was significantly larger in transgenic (25.85 ± 3.59%, n = 7 mice) compared with wild-type mice (1.85 ± 0.86%, n = 6 mice; P < 0.001, Student’s t test) (Fig. 2C). Notably, there was a trend toward a smaller proportion of silent cells in transgenic (1.81 ± 0.57%, n = 7 mice) compared with wild-type mice (5.44 ± 1.47%, n = 6 mice; P = 0.057, Student’s t test) (Fig. 2C), suggesting an overall increase in excitatory drive in the predepositing transgenic mice. To compare hippocampus and cortex more directly at this age, we imaged both cortical and hippocampal neuronal activity in individual transgenic mice. We first recorded spontaneous neuronal activity in layer 2/3 of the cortex and found that it was indistinguishable from that in wild-type mice (Fig. S4 A and C), consistent with previous findings (5). We then removed a small portion of the cortex in the same mouse and recorded spontaneous activity of hippocampal neurons. We found an abnormal increase in hippocampal activity compared with wild-type mice (Fig. S4 B and D), confirming our previous observation that the function of hippocampal neurons is altered long before that of cortical neurons (Fig. 2). Together, the results indicate that the earliest functional deficits of neurons and circuits occur in the hippocampus, progressing with age to the cortex.
Although it had been shown that Ca2+ transients in cortical neurons are evoked exclusively through synaptically mediated action potential firing (19, 20), the mechanisms underlying Ca2+ signaling in hippocampal neurons have remained unclear. This issue is particularly important, because several lines of evidence suggest that the intracellular Ca2+ homeostasis may be disturbed in AD transgenic mice (6, 21, 22). To determine the relationship between Ca2+ transients and the electrical cellular activity in the hippocampus, we combined cell-attached recordings with Ca2+ imaging. Not surprisingly, we found that neuronal Ca2+ transients exclusively reported the firing of action potentials in wild-type mice (Fig. 3 A and B). We reliably detected 73% of all single-action potentials and 100% of all trains of two or more action potentials in the recorded cells (Fig. 3C). As mentioned above, the neuronal Ca2+ homeostasis may be altered in transgenic mice (6, 21, 22). Thus, Ca2+ release from intracellular stores could contribute to Ca2+ signals in transgenic mice and confound our interpretation of Ca2+ transients as an indirect measure of action potential firing. To determine the mechanisms underlying Ca2+ signaling in transgenic mice, we first applied the ionotropic glutamate receptor blockers 6-cyano-7-nitroquinoxaline-2,3-dione (CNQX) and d,l-2-amino-5-phosphonovaleric acid (APV). We found that spontaneous Ca2+ transients were completely abolished (n = 3 mice; Fig. 3D), indicating that Ca2+ transients were exclusively evoked by synaptic activity. We then combined cell-attached recordings with Ca2+ imaging in transgenic mice and demonstrated that Ca2+ transients were exclusively triggered by action potentials (Fig. 3 E and F).
Rescue of Neuronal Hyperactivity by Acute γ-Secretase Inhibition.
The observation that hyperactivity is present in the absence of plaques indicated an important role of soluble Aβ. To test this hypothesis more directly, we treated 1- to 2-mo-old transgenic mice with the γ-secretase inhibitor LY-411575, which has previously been shown to rapidly reduce soluble Aβ levels in vivo (23, 24). Indeed, we found that administration of a single oral dose of 10 mg/kg LY-411575 to transgenic mice significantly reduced hippocampal levels of aqueous-soluble [Tris-buffered saline (TBS), traditionally viewed as the soluble Aβ fraction] and detergent-soluble (SDS, traditionally viewed as aggregated and membrane-associated Aβ) Aβ-40 and Aβ-42 compared with vehicle (P < 0.001 for Aβ-40 and P < 0.05 for Aβ-42, Student’s t test; Fig. 4 A and B) (see also SI Materials and Methods, Quantification of Amyloid-β). We therefore examined the effect of γ-secretase inhibition on spontaneous activity in hippocampal neurons at 4–6 h after treatment, when soluble Aβ levels were lowest (23), and found that activity levels of CA1 neurons in LY-411575–treated transgenic mice were almost completely restored to the control levels recorded in wild-type mice (Fig. 4 C–E). Notably, the fraction of hyperactive neurons in LY-411575–treated transgenic mice (5.13 ± 1.47%, n = 5 mice) was similar to that in the control wild-type mice (1.85 ± 0.86%, n = 6 mice; P > 0.05, Student’s t test) (Fig. 4F and Fig. S5). The fractions of silent neurons were also similar in LY-411575–treated transgenic (5.29 ± 2.31%, n = 5 mice) and wild-type mice (5.44 ± 1.47%, n = 6 mice; P > 0.05, Student’s t test) (Fig. S5). It is important to note that LY-411575 treatment had no effect on hippocampal activity levels in wild-type mice (P > 0.05, Kolmogorov–Smirnov test; Fig. 4G). These results show that acute γ-secretase inhibition not only reduces soluble Aβ levels but also effectively restores neuronal dysfunction in the hippocampus of transgenic mice, suggesting that soluble Aβ is causally related to neuronal hyperactivity.
Soluble Aβ Induces Neuronal Hyperactivity in Wild-Type Mice.
The soluble fraction of Aβ includes monomers and oligomers that vary in size and shape from dimers to multimers and protofibrils (25). Converging evidence suggests that oligomers, rather than monomers, are the primary bioactive form of Aβ in AD and that dimers are not only the most abundant form of oligomer in the human brain but also the principal mediators of neurotoxicity in AD (26–30). Therefore, we used previously characterized cross-linked dimers (26, 31) to test whether they can directly mediate neuronal hyperactivity. We locally applied nanomolar concentrations of cross-linked dimers to CA1 neurons in wild-type mice while monitoring their ongoing spontaneous activity. Fig. 5A shows an experiment demonstrating an excitatory effect of dimers on CA1 neurons in vivo. The dimers immediately elevated the rate of Ca2+ transients in CA1 neurons (Fig. 5 A–D), indicating increased action potential firing. As a control, heat-denatured dimers (dimers were boiled for 15 min, cooled to room temperature, and then locally applied) did not alter neuronal activity (n = 158 cells in three mice; Fig. 5E). In addition, the local application of the peptide vehicle (0.001% DMSO in artificial cerebrospinal fluid) alone did not alter neuronal activity (n = 60 neurons in two mice). These results support and extend previous in vitro observations that soluble Aβ can acutely induce inward currents in hippocampal neurons, leading to increased action potential firing and intracellular Ca2+ elevations (32–35). They provide further evidence that soluble Aβ can directly induce neuronal hyperactivity, which underlies early hippocampal dysfunction in transgenic mice.
Discussion
In this study, we have used two-photon microscopy to monitor the activity of neuronal populations in the hippocampal CA1 region of AD transgenic mice in vivo. Our results demonstrate that hippocampal activity was significantly altered in transgenic mice that were depositing plaques compared with wild-type mice (Fig. S6). Specifically, the fractions of neurons that were silent and hyperactive increased significantly in transgenic mice, and hyperactive neurons were preferentially found near plaques, consistent with previous findings from cortex (5). Remarkably, our experiments reveal that there was a marked increase in hippocampal activity with an excess of hyperactive neurons already before transgenic mice began to deposit plaques. We provide experimental evidence that hyperactivity is causally related to the action of soluble Aβ. First, we demonstrate that a single dose of a γ-secretase inhibitor rapidly reduced soluble Aβ levels and completely reversed neuronal hyperactivity. Second, we show that local application of soluble Aβ directly induced hyperactivity in wild-type mice. Thus, our results indicate that hippocampal neurons are abnormally hyperactive very early in the disease process and that hyperactivity is directly promoted by soluble Aβ.
A key finding of our study is that hippocampal neurons become hyperactive very early in transgenic mice, independent of plaque deposition, and that the silencing of neurons emerges only later in the disease course. This was unexpected, because in cortex, hyperactivity is temporally correlated with the formation of plaques (5). Possible explanations for this discrepancy between cortex and hippocampus (see also Fig. S7) may involve different local concentrations of soluble Aβ, different vulnerabilities for cortical and hippocampal neurons, or a combination of these features. The downstream cellular targets that are involved in Aβ-induced neuronal hyperactivity are not entirely clear yet, but may involve elevated levels of synaptic glutamate due to reductions in synaptic glutamate uptake, as previously shown in hippocampal slices treated with Aβ dimers (30). In humans with AD, there is also evidence for early functional magnetic resonance (fMRI) hyperactivation of the hippocampus, which is followed by hypoactivity at later disease stages (36, 37). However, the underlying neural basis of early fMRI hyperactivation has remained unknown. Our data now suggest that increased fMRI signal levels might be related to excessive neuronal activity, which is due to a direct action of soluble Aβ.
An important question is how alterations of neuronal activity are linked to behavioral and cognitive symptoms in AD. In animal models of AD, there is evidence that learning and memory deficits can occur before the formation of plaques, the occurrence of structural abnormalities, and neurodegeneration (4), suggesting that behavioral deficits are primarily a reflection of functional alterations of neuronal populations. Several lines of evidence have converged to support the idea that soluble Aβ peptides disrupt memory function, but the underlying neural basis has remained unclear (26, 28, 38–42). Our finding that soluble Aβ can induce hyperactivity raises the intriguing possibility that hyperactivity may be directly related to learning and memory deficits. Further experimental support for this hypothesis comes from the finding that the therapeutic effect of γ-secretase inhibition on memory deficits is similarly rapid as that on neuronal hyperactivity in AD transgenic mice (43). In addition, cerebroventricular injections of soluble Aβ rapidly and transiently induce memory deficits in wild-type mice (44), perhaps by causing transient neuronal hyperactivity.
In conclusion, our study reveals the functional impairments of neuronal populations in the hippocampus of AD transgenic mice in vivo and identifies a causal relationship between soluble Aβ and neuronal hyperactivity. Our findings not only have profound implications for the understanding of AD pathogenesis but may also provide a conceptual basis for novel pharmacological treatments directed at altered neuronal activity.
Materials and Methods
Animals and Surgery.
All experimental procedures were in compliance with institutional animal welfare guidelines and were approved by the state government of Bavaria, Germany. The previously described APP23xPS45 double transgenic mouse model was used in all experiments in this paper (5). Animal preparation procedures were similar to those previously described (5, 17, 18), except for the removal of cortical tissue to expose the hippocampal surface. A detailed description is found in SI Materials and Methods.
Imaging.
In vivo two-photon recordings were made using a custom-built two-photon microscope based on a Ti:sapphire excitation laser operating at 925 nm and a resonant galvo-mirror system (8 kHz; GSI) for x-y scanning (45). The laser intensity was modulated with a Pockel’s cell. The laser-scanning unit was mounted on an upright microscope equipped with a water-immersion objective (Nikon; 40×, 0.8 N.A.), and fluorescence was detected using a GaAsP photomultiplier tube (H7422-40; Hamamatsu). Full-frame images were acquired at 30 Hz using custom-written software based on LabVIEW (National Instruments). At each focal plane, spontaneous Ca2+ transients of CA1 neurons were recorded for at least 5 min. For simultaneous visualization of Fluo-8 AM–labeled neurons and thioflavin-S–labeled plaques, the emitted fluorescence was split at 515 nm.
Image Analysis.
Image analysis was performed off-line using ImageJ (National Institutes of Health) and Igor Pro (Wavemetrics). First, regions of interest (ROIs) were drawn around individual somata, and then relative fluorescence change (ΔF/F) versus time traces were generated for each ROI. Ca2+ transients were identified as changes in ΔF/F that were three times larger than the SD of the noise band. Astrocytes were excluded from the analysis based on their selective staining by sulforhodamine 101 (46) and their specific morphology.
Cell-Attached Recordings.
Somatic cell-attached recordings of Fluo-8 AM–labeled CA1 neurons were obtained using an EPC10 amplifier (USB Quadro Amplifier; HEKA Elektronik) by the “shadow-patching” procedure (47) under two-photon imaging guidance. The patch pipette solution contained artificial cerebrospinal fluid (ACSF) with 50 μM Alexa Fluor 594 (Invitrogen) for pipette visualization. The pipettes had resistances of 5–7 MΩ. Electrophysiological data were filtered at 10 kHz and sampled at 20 kHz using Patchmaster software (HEKA Elektronik).
Treatment with LY-411575.
The γ-secretase inhibitor LY-411575 (23, 24) was suspended in 0.5% methylcellulose at a concentration of 10 mg/kg. Mice received a single dose of inhibitor by oral gavage at 10 mg/kg. Control animals received a single dose of vehicle (0.5% methylcellulose in water) instead of γ-secretase inhibitor treatment.
Dimer Application.
Synthetic Aβ40S26C dimers (26, 27, 31) were purchased from Anaspec and dissolved in DMSO. This dimer preparation was diluted to 100 nM in ACSF, filled into a micropipette, and locally pressure-applied to the cells of interest (30 s, 0.15 bar).
Quantification of Aβ and Detection of Plaques.
A detailed description is in SI Materials and Methods.
Statistical Analysis.
Statistical analysis was performed using SPSS (SPSS). The statistical methods used were the Student’s t test and the Kolmogorov–Smirnov test. P < 0.05 was considered statistically significant.
Supplementary Material
Acknowledgments
We thank Jia Lou for excellent technical assistance. This work was supported by the Deutsche Forschungsgemeinschaft (IRTG 1373), the European Research Area-Net Program, and the Schiedel Foundation. A.K. is a Carl-von-Linde Senior Fellow of the Institute for Advanced Study of the Technische Universität München.
Footnotes
The authors declare no conflict of interest.
This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1206171109/-/DCSupplemental.
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