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Introduction
ApoE
 Class of apolipoprotein, mediates cholesterol metabolism,
 In the brain, mainly produced by astrocytes, as the principal
cholesterol carrier to neuron via ApoE receptor.
 Three polymorphic APOE alleles in the human population (APOE2,
APOE3, and APOE4)
 APOE4 has a frequency of 14% in general, strong genetic risk
factor for Alzheimer’s disease
 Apo-E affects amyloid-β (Aβ) clearance, aggregation and
deposition in an isoform-dependent manner
 Human ApoE increased APP transcription and Aβ production
Introduction
 Correlation of ApoE protein with amyloid-β
Introduction
Tau protein
 A kind of microtubule-associated protein(MAP)
 6 isoform by alternative splicing
 Intrinsically disordered in normal condition
 Phosphorylated by many kinds of kinase such as Cdk5, PKA, MAPK, etc.
 Tau mutation (P301S, S305N, V337M, K369I, R406W...) is found in
frontotemporal dementia with parkinsonism linked to chromosome
17(FTDP-17) patients
 Insoluble-hyperphosphorylated tau forms neurofibrillary tangle(NFT) in
the developed pathological condition.
 Recently reported about neuro toxicity of soluble oligomeric tau
 NFT appeared in entorhinal cortex firstly, tau aggaregation distributed
other region.
Introduction
 6 isoforms of tau protein
Mutations found in FTDP-17
Introduction
 Revealed correlation of ApoE protein with
tau protein
Materials & Methods
 Animals
 Human ApoE2, ApoE3, and ApoE4 KI mice (C57BL/6),ApoE KO mice (C57BL/6) (The Jacksonlaboratory, 002052)
->E2, E3, E4 mouse
 P301ShE/hE: P301S tau transgenic mice (C57BL/6, The Jackson Laboratory, 008169) -expressing human P301S
1N4R tau- crossed to human ApoE KI mice for all three ApoE isoforms
->TE2, TE3, TE4 mouse
 P301ShE/− mice: P301ShE/hE crossed to ApoE KO mice
 P301S−/− for all three ApoE isoforms (P301ShE/− mice were crossed with hE/− mice)
->TEKO (combined all ApoE isoforms)
 Immunohistochemistry
P-tau, AT8
CD68, GFAP
 Volumetric analysis
Sudan black staining – lipid or lipoprotein
Every sixth coronal brain section (300um between sections)
volume = (sum of area) × 0.3 mm
started at bregma − 2.3 mm and ended at bregma − 3.9 mm
 ELISA
Human tau and ApoE, cytokines
 Western blot
GFAP, GAPDH, ApoE, α tubulin
 qRT-PCR
Materials & Methods
 Neuronal layer thickness measurement
Three sections (bregma − 1.4, − 1.7, and − 2.0 mm) from each mouse
Cresyl violet staining
The thicknesses of the CA1 pyramidal cell layer and dentate gyrus granular cell layer
 Brain extraction- sequential biochemical extraction
For separately detecting soluble tau and insoluble tau.
with RAB (aqueous buffer), RIPA (radio immunoprecipitation assay, detergent buffer),
and FA (70% formic acid)
 Recombinant ApoE treatment on primary cultured neuron
 Glia-neuron co-culture
 LPS stimulation on primary cultured microglia and cytokine measurement
 Study of neurodegeneration in human primary tauopathies
 Analysis of clinical disease progression in human Alzheimer disease patients
Fig. 1. Regulating tau-mediated neurodegeneration by ApoE
Extended Fig.1.
9-month-old TE mouse
3-month-old TE mouse
9-month-old non-tau transgenic mouse
 Brain volume measurement
 ApoE regulates tau-mediated
neurodegeneration getting severer.
 ApoE4 exacerbate neurodegeneration in
tauopathy progress.
Fig. 1. Regulating tau-mediated neurodegeneration by ApoE
 Neuronal layer thickness
Granule cell layer and dentate gyrus
CA1 region pyramidal layer
Extended Fig.2.
 ApoE regulates tau-mediated neurodegeneration
getting severer.
 ApoE4 exacerbate neurodegeneration in tauopathy
progress.
Fig. 2. ApoE genotypes differentially regulate tau pathology.
 Quantitative ELISA for tau detection after sequential biochemical brain extraction
Extended Fig.3.
Extended Fig.3.
 ApoE4 affect increasing soluble tau at the onset of the disease,
insoluble tau in developed tau pathology condition.
 ApoE4 affect autophagy-mediated tau clearance.
Fig. 2. ApoE genotypes differentially regulate tau pathology.
 Hyperphosphorylation of tau can be elevated by ApoE4.
 Pathological p-tau can be distributed from axon to cell
body in dentate gyrus granule cells in hippocampus.
 Type 4 p-tau pattern-correlated severe atrophy- is highly
detected in TE4 mouse.
Fig. 3. ApoE strongly modulates microglial activation
 ApoE4 has higher immune reactivity than other isoforms.
 Proinflammatory upregulated genes increased by ApoE4.
Fig. 3. ApoE strongly modulates microglial activation
CD68 signal upregulated in 9-month-old TE4
 ApoE4 induces high immune reactivity and
neuroinflammation.
Extended Fig.6.
Fig. 4. Astrocytic activation and increased neuronal death by ApoE4 in vitro
GFAP signal upregulated 9-month-old TE4
 ApoE4 activated A1-specific (activated in only inflammatory condition), not A2-specific gene.
 ApoE4 regulates tau inducing neuroinflammation.
Fig. 4. Astrocytic activation and increased neuronal death by ApoE4 in vitro
Acctivated astrocytes play an important role in inducing neuronal death.
ApoE itself was directly involved in inducing neurotoxicity in P301S tau-expressing susceptible neurons
Conclusion

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Apo e4 markedly exacerbates tau mediated neurodegeneration in a mouse model of tauopathy

  • 1.
  • 2. Introduction ApoE  Class of apolipoprotein, mediates cholesterol metabolism,  In the brain, mainly produced by astrocytes, as the principal cholesterol carrier to neuron via ApoE receptor.  Three polymorphic APOE alleles in the human population (APOE2, APOE3, and APOE4)  APOE4 has a frequency of 14% in general, strong genetic risk factor for Alzheimer’s disease  Apo-E affects amyloid-β (Aβ) clearance, aggregation and deposition in an isoform-dependent manner  Human ApoE increased APP transcription and Aβ production
  • 3. Introduction  Correlation of ApoE protein with amyloid-β
  • 4. Introduction Tau protein  A kind of microtubule-associated protein(MAP)  6 isoform by alternative splicing  Intrinsically disordered in normal condition  Phosphorylated by many kinds of kinase such as Cdk5, PKA, MAPK, etc.  Tau mutation (P301S, S305N, V337M, K369I, R406W...) is found in frontotemporal dementia with parkinsonism linked to chromosome 17(FTDP-17) patients  Insoluble-hyperphosphorylated tau forms neurofibrillary tangle(NFT) in the developed pathological condition.  Recently reported about neuro toxicity of soluble oligomeric tau  NFT appeared in entorhinal cortex firstly, tau aggaregation distributed other region.
  • 5. Introduction  6 isoforms of tau protein Mutations found in FTDP-17
  • 6. Introduction  Revealed correlation of ApoE protein with tau protein
  • 7. Materials & Methods  Animals  Human ApoE2, ApoE3, and ApoE4 KI mice (C57BL/6),ApoE KO mice (C57BL/6) (The Jacksonlaboratory, 002052) ->E2, E3, E4 mouse  P301ShE/hE: P301S tau transgenic mice (C57BL/6, The Jackson Laboratory, 008169) -expressing human P301S 1N4R tau- crossed to human ApoE KI mice for all three ApoE isoforms ->TE2, TE3, TE4 mouse  P301ShE/− mice: P301ShE/hE crossed to ApoE KO mice  P301S−/− for all three ApoE isoforms (P301ShE/− mice were crossed with hE/− mice) ->TEKO (combined all ApoE isoforms)  Immunohistochemistry P-tau, AT8 CD68, GFAP  Volumetric analysis Sudan black staining – lipid or lipoprotein Every sixth coronal brain section (300um between sections) volume = (sum of area) × 0.3 mm started at bregma − 2.3 mm and ended at bregma − 3.9 mm  ELISA Human tau and ApoE, cytokines  Western blot GFAP, GAPDH, ApoE, α tubulin  qRT-PCR
  • 8. Materials & Methods  Neuronal layer thickness measurement Three sections (bregma − 1.4, − 1.7, and − 2.0 mm) from each mouse Cresyl violet staining The thicknesses of the CA1 pyramidal cell layer and dentate gyrus granular cell layer  Brain extraction- sequential biochemical extraction For separately detecting soluble tau and insoluble tau. with RAB (aqueous buffer), RIPA (radio immunoprecipitation assay, detergent buffer), and FA (70% formic acid)  Recombinant ApoE treatment on primary cultured neuron  Glia-neuron co-culture  LPS stimulation on primary cultured microglia and cytokine measurement  Study of neurodegeneration in human primary tauopathies  Analysis of clinical disease progression in human Alzheimer disease patients
  • 9. Fig. 1. Regulating tau-mediated neurodegeneration by ApoE Extended Fig.1. 9-month-old TE mouse 3-month-old TE mouse 9-month-old non-tau transgenic mouse  Brain volume measurement  ApoE regulates tau-mediated neurodegeneration getting severer.  ApoE4 exacerbate neurodegeneration in tauopathy progress.
  • 10. Fig. 1. Regulating tau-mediated neurodegeneration by ApoE  Neuronal layer thickness Granule cell layer and dentate gyrus CA1 region pyramidal layer Extended Fig.2.  ApoE regulates tau-mediated neurodegeneration getting severer.  ApoE4 exacerbate neurodegeneration in tauopathy progress.
  • 11. Fig. 2. ApoE genotypes differentially regulate tau pathology.  Quantitative ELISA for tau detection after sequential biochemical brain extraction Extended Fig.3. Extended Fig.3.  ApoE4 affect increasing soluble tau at the onset of the disease, insoluble tau in developed tau pathology condition.  ApoE4 affect autophagy-mediated tau clearance.
  • 12. Fig. 2. ApoE genotypes differentially regulate tau pathology.  Hyperphosphorylation of tau can be elevated by ApoE4.  Pathological p-tau can be distributed from axon to cell body in dentate gyrus granule cells in hippocampus.  Type 4 p-tau pattern-correlated severe atrophy- is highly detected in TE4 mouse.
  • 13. Fig. 3. ApoE strongly modulates microglial activation  ApoE4 has higher immune reactivity than other isoforms.  Proinflammatory upregulated genes increased by ApoE4.
  • 14. Fig. 3. ApoE strongly modulates microglial activation CD68 signal upregulated in 9-month-old TE4  ApoE4 induces high immune reactivity and neuroinflammation. Extended Fig.6.
  • 15. Fig. 4. Astrocytic activation and increased neuronal death by ApoE4 in vitro GFAP signal upregulated 9-month-old TE4  ApoE4 activated A1-specific (activated in only inflammatory condition), not A2-specific gene.  ApoE4 regulates tau inducing neuroinflammation.
  • 16. Fig. 4. Astrocytic activation and increased neuronal death by ApoE4 in vitro Acctivated astrocytes play an important role in inducing neuronal death. ApoE itself was directly involved in inducing neurotoxicity in P301S tau-expressing susceptible neurons

Editor's Notes

  1. ApoE protein is known as for tau neucleopathy. ApoE 4 has many function like loss of synaptic function, loss of glucose metabolism, tangle formation, decrease the AB clearance.
  2. In pathological condition the phosphorylated tau are found heavily.
  3. Firstly, they measured brain volume for each transgenic mouse. In fig.1. a. Tau/ApoE transgenic mouse shows significantly decreased brain volume in cortex, hippocampuse. They compare 9-month-old WT, TE2, TE3, TE4 and TEKO mouse model after tauopathy processed. All TE mouse shows atrophy, TE4 mouse brain deceased more than other TE mouse in cortex and hippocampus. And in case of the lateral ventricle , all TE mouse has increased ventricle size, TE4 mouse shows significantly increased ventricle even comparing to other TE mouse. To enhance their conclusion, they compare this result to 3-month-old TE mouse or 9-month-old non-tau transgenic mouse. For these two groups, The brain volume of transgenic mouse was not different with WT or KO mouse. So
  4. Next, they measured neuronal layer thickness in hippocampus. Similar to brain volume change, the neuronal layer in TE mouse is thinner than KO mouse. And in TE4 mouse brain, neuronal layer is thinner than other TE mouse in both DG and CA1 region. And the brain volume and the neuronal layer thickness has high correlation. Now we can make same conclusion with previous figure. ApoE has a role for regulating tauopathy inducing neuronal death comparing to the ApoE ablation condition, and ApoE4 makes the disease severer that other isoforms.
  5. In fig. 2. they detected tau protein from brain tissues of TE mouse taupathy model by sequential biochemical brain extraction method modified by their group. RAB-fraction contain soluble tau, RIPA-fraction contains insoluble tau, FA-fraction contains highly insoluble tau. According to fig.2. a. , 3-month-old the onset of tau pathology, TE4 mouse model show highly tau level in RAB. And 9-month-old mouse, it may be largely tau pathology developed condition, TE4 mouse shows higher tau level in RIPA fraction. The difference is not due to the amount of tau synthesis by Extended fig.3.a. Additiolally, they found the autophagy related gene expression –beclin, ATG12- was changed in TE4 mouse. So they concluded autophagy mediated tau-clearance was impaired by ApoE4.
  6. Fig. 2.b. for detecting hyperphosphorylated tau, p-tau was stained by AT8 antibody. And the AT8 stained area was measured in hippocampus region. 3-month-old AT8 area is higher in TE4 group than other isoform or TEKO mouse. And 9-month-old condition, AT8 area is increased in all TE mouse, but in TE4 shows highest change compare to TEKO. The p-tau is firstly found in mossy fiber, the axon of the dentate gyrus granule cells and disease get severer the tau can be detected in dentate gyrus granule cell body. This indicates pathological p-tau is distributed from axon to cell body. They designated the p-tau as type 1-4 by this staining pattern. The types are related brain atrophy in fig.c. Type 1 is expressed in most preserved brain and type 4 is in most severe condition. And they measured all types of p-tau in TE mouse. Tau protein Type4 is higher in TE4 mouse than the other TE mouse and TEKO.
  7. They considered the pathological tau affect neurodegeneration directly, so they hypothesized tau induce neuroinflammation. To see the immune reactivity of each ApoE isoforms. Lps was treated in microglia culture from TE mouse. With the proinflammatory protein level in fig.3.a. ApoE4 has higher immune reactivity than ApoE2 and ApoE3. And then, they assessed the microglia gene expression from 0-month-old TE mouse the genes classified several 3 clusters. Cluster 1 is upregulated proinflammatory genes. Cluster 2 is downregrlated genes related normal cell function. They compare TE mouse and ApoE KI and KO without mutated tau. In fig. c. the all genes expression in cluster1 and 2 were compared by TE3 and 4 and TEKO. All cluster 1 gene is upregulated in TE4 significantly while the all genes in cluster 2 is down regulated in TE4 significantly. Fig. d.
  8. For detecting activated microglia, CD68 was stained in each TE mouse. TE4 mouse shows highest CD68 signal. They measured the CD68 stained area in hippocampus. In hippocampus and cortex, CD68 area was significantly higher in TE4 mouse than the other TE mouse or TEKO. Extended fig.6. shows cluster 1 gene expresses higher in type 4 staining condition. So we can think p-tau patterns to induce neuroinflammation.
  9. We already know the activated astrocytes can be divided A1 type- induced by LPS treatment and A2 type- induced by ischemia. In fig.4. a. we can show strong activation of A1 –specific genes in 9-month-old TE4 mouse. Additionally, GFAP staining was performed the easiest way to measure astrocytes reactiveness. As we can expect well, TE4 mouse shows highest GFAP level in hippocampus. The GFAP signal area was measured, GFAP area is biggest in TE4 mouse. And the GFAP signal has correlation with brain volume. Severe condition, brain volume is decreased. Western bolt result show us same result. GFAP protein level is highest in TE4.
  10. Next, they co-culture P301S containing neurons with astrocytes from ApoE Transgenic mouse. With astrocyte from E4 shows drastic neuronal death. They measure neuronal viability by mearuing MAP2 area and neuron number. E4 condition, neuronal viability was lowest. And the TNF-a proinflammatory gene was detected by qRT-PCR from the media. In E4 condition, TNF-a shows significantly highest level. In fig. I and j, recombinant ApoE was treated in P301s containing cultured neurons. The result was similar to f and g, neuronal viability was lowest in E4 condition.
  11. ApoE4 increased tau level, neuronal damages, finally mediates brain atrophy. Tau immunoreactivity patterns classified 4 type, type4 for shows highest atrophy ApoE induced tau-mediated neuroinflammation, the neuroinflammation has correlation with brain atrophy. Final conclusion is ApoE4 enhances tau mediated neuroinflammation, which cause neuronal death result in brain atrophy.