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The Journal of Neuroscience, November 15, 2002, 22(22):9794-9799
Disruption of Corticocortical Connections Ameliorates Amyloid
Burden in Terminal Fields in a Transgenic Model of A Amyloidosis
Jin G.
Sheng1,
Donald L.
Price1, 2, 3, and
Vassilis E.
Koliatsos1, 2, 3, 4
Departments of 1 Pathology (Division of
Neuropathology), 2 Neurology, 3 Neuroscience,
and 4 Psychiatry and Behavioral Sciences, The Johns Hopkins
University School of Medicine, Baltimore, Maryland 21205
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ABSTRACT |
We demonstrated previously that amyloid precursor protein (APP) is
anterogradely transported from the entorhinal cortex (ERC) to the
dentate gyrus via axons of the perforant pathway. In the terminal
fields of these inputs, APP undergoes proteolysis to generate
C-terminal fragments containing the entire amyloid peptide (A )
domain. The present study was designed to test the hypothesis that APP
derived from ERC neurons is the source of the A peptide deposited in
the hippocampal dentate gyrus in Alzheimer's disease (AD) and in
transgenic mice with A amyloidosis. We used mice harboring
two familial AD-linked genes (human APP Swedish and
presenilin1- E9), in which levels of A (especially
A 42) are elevated, leading to the formation of
amyloid plaques, and lesioned the ERC to interrupt the transport of APP
from ERC to hippocampus. Our results show that, on the side of ERC
lesion, numbers of APP-immunoreactive dystrophic neurites and A
burden were significantly reduced by ~40 and 45%, respectively, in
the dentate gyrus compared with the contralateral side. Reductions in
APP and A were more substantial in the molecular layer of the
dentate, i.e., a region that contains the ERC terminals, and were
associated with a parallel decrease in total APP and A measured by
Western blot and ProteinChip immunoassays. Silver and thioflavine staining confirmed the reduction of amyloid plaques on the side of
deafferentation. These results are consistent with the hypothesis that
ERC may be the primary source of amyloidogenic A in the dentate
gyrus, and they suggest an important role of corticocortical and
corticolimbic forward connections in determining patterns of amyloid
deposition in AD.
Key words:
Alzheimer's disease; A ; APP; axonal transport; entorhinal cortex; perforant pathway; senile plaques
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INTRODUCTION |
Senile plaques are a pathological
hallmark of Alzheimer's disease (AD), and their principal component is
amyloid- (A ), a unique 4 kDa peptide derived by proteolysis of
the amyloid precursor protein (APP). The origin of A has been the
subject of some debate, with some investigators suggesting sources in
the periphery or serum, whereas others favor a neural source (Buxbaum
et al., 1998 ). Synthesized in the cell bodies of neurons, APP is
anterogradely transported within axons to nerve terminals in both the
PNS and CNS (Koo et al., 1990 ; Morin et al., 1993 ; Sisodia et al.,
1993 ; Buxbaum et al., 1998 ), in which it appears to be processed to amyloidogenic fragments in the endocytic recycling pathway (Nordstedt et al., 1993 ; Koo and Squazzo, 1994 ; Ikin et al., 1996 ;
Marquez-Sterling et al., 1997 ). The localization of APP processing in
distal axons/synapses suggests that terminals are the source of A
present in senile plaques. This concept is supported by descriptive
studies of AD, in which there appears to be a predilection of plaques
for the terminal fields of corticocortical pathways (Rogers and
Morrison, 1985 ; Braak and Braak, 1990 ; Arnold et al., 1991 ; Beach and
McGeer, 1992 ; Hof and Morrison, 1994 ).
The allocortical hippocampus is especially burdened with lesions,
including senile plaques, in AD (Braak and Braak, 1990 ; Hof and
Morrison, 1994 ; Sheng et al., 1995 ; Su and Ni, 1998 ). A major
corticocortical input to the mammalian hippocampus is provided via the
perforant pathway, which contains axons originating in neurons of the
entorhinal cortex (ERC) and terminating in the outer two-thirds of the
molecular layer of the dentate gyrus (Scheff, 1989 ). We established
previously that, in the perforant pathway, APP is transported as part
of the fast anterograde component to terminals in the dentate gyrus; at
these sites, APP undergoes proteolysis to generate C-terminal fragments
containing the entire A domain, which may be the penultimate
precursors of synaptic A (Buxbaum et al., 1998 ).
Because the projections of ERC to the dentate gyrus are not directly
reciprocated, the ERC-dentate projection is an ideal site to study the
hypothesis of propagation of amyloid pathology via forward
corticocortical connections in AD (Hof and Morrison, 1994 ). If ERC is a
major source of APP and secretases interacting to form A in the
dentate gyrus, the removal of ERC and its connections with the
hippocampus would be predicted to reduce APP-immunoreactive dystrophic
neurites [APP(+) neurites] and amyloid burden in the dentate gyrus.
This hypothesis can now be tested experimentally in transgenic (Tg)
mice, which faithfully reproduce the amyloid pathology encountered in
AD. These animals are engineered to overexpress the human APP Swedish
(APPswe) mutation or combinations of APPswe with other familial
AD-linked mutations (Games et al., 1995 ; Borchelt et al., 1997 ; Price
and Sisodia, 1998 ; Price et al., 1998 ; Rockenstein et al., 2001 ).
In the present study, we use ERC lesions to remove the
neocortical inputs to hippocampus and demonstrate significant
decrements in amyloid pathology in the dentate gyrus of
APPswe/presenilin 1- E9 [APPswe/PS1- E9] mice with
established amyloid deposits. Our results are consistent
with the hypothesis that ERC afferents are the principal source of APP
processed to generate A deposits in the dentate gyrus and that
patterns of termination of corticocortical connections may determine
the distribution of senile plaques in cortex in AD.
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MATERIALS AND METHODS |
Animals and experimental design. Eighteen
APPswe/PS1- E9 Tg mice (aged 9.1 ± 0.2 months), generated as
described previously (Borchelt et al., 1997 ), were randomly assigned to
three groups: one group (lesion) received ERC lesions
(n = 11), a second group (sham) received craniotomy
with pial disruption (n = 4), and a third group was
left intact (n = 3). All experiments were performed according to protocols approved by the Animal Care and Use Committee of
the Johns Hopkins Medical Institutions.
Entorhinal lesions cause extensive reorganization of the neuropil in
the molecular layer of the dentate gyrus, including proliferation of
terminals from commissural projections of the contralateral hippocampus, crossed projections of the contralateral entorhinal cortex, and projections arising in the medial septum. These terminals fill in the void caused by the elimination of the ipsilateral entorhinal terminals in a process that is termed reactive
synaptogenesis and proceeds along a well characterized time course
(Deller and Frotscher, 1997 ). ERC terminals are probably completely
eliminated by 6 d after lesion (Steward et al., 1990 ). Sprouting
of commissural projections resulting in functional synapses starts at
9 d after lesion and is fully developed by 15 d (West et al.,
1975 ). Crossed entorhinal projections sprout after the first week after
lesion, and an intense proliferation of new synapses is seen in 8-12 d (Steward and Loesche, 1977 ). Thus, by 2 weeks after lesion, most of the
reactive synaptogenesis seems to have taken place. All of our
experimental subjects with entorhinal lesions or sham surgeries were
allowed to survive 1 month after surgery. In selecting this survival
time, we took into account the time it takes for the reactive
synaptogenesis to conclude and allowed an additional 2 weeks for the
reorganized afferent connectivity to be established.
Some genetic alterations that cause AD-like pathologies in Tg mice,
including PS1 mutations, appear to result in changes in the synaptic
reorganization of the dentate gyrus after ERC lesions (White et al.,
2001 ; Kadish et al., 2002 ). This effect raises concerns that wild-type
mice may not be appropriate controls in the present study, because they
have a different baseline response to ERC lesions. To address this
problem, we compared measures in the dentate gyrus ipsilateral to the
lesion with those contralateral to ERC lesion, such that each animal
served as its own control.
ERC lesions and preparation of tissues. Mice were
anesthetized and placed in a Kopf small animal stereotactic frame
(David Kopf Instruments, Tujunga, CA) equipped with a modified
mouse nasal device that allows for the use of gas anesthesia
(oxygen/nitrous oxide/enflurane, 33:66:1) and extra-auricular side bars
that prevent damage to the airways. The posterior ERC was aspirated
after direct visualization with a dorsal craniotomy at the
cerebello-hemispheric border (immediately rostral to the lambda suture)
using the anterior aspect of the petrosal crest as a bony landmark for
the caudal end of the hemisphere. Sham operations involved a craniotomy
and an incision of dura pia immediately rostral to the lambda suture. All animals were killed 1 month after surgery by intracardial perfusion-fixation (histochemistry and immunohistochemistry) or decapitation (Western blotting and ProteinChip analysis).
Perfusion-fixation was performed with a brief PBS flush, followed by
4% freshly depolymerized paraformaldehyde. Brains were postfixed in
the same fixative overnight, embedded in paraffin, and sectioned (10 µm) in the coronal plane. For protein/peptide studies, brains were
quickly removed from calvaria and sliced with a 1.5 mm brain slicer at
the coronal plane; hippocampi were dissected on wet ice under an
operating microscope.
Verification of ERC lesions. Sections through the ERC from
paraffin-embedded tissues (see below, Immunohistochemistry for amyloid
proteins and synaptophysin) were stained with cresyl violet to
assess the placement and extent of the ERC lesion. Only cases with
successful ablations of the posterior ERC were included in this study
(Fig.
1A,B).
The deafferentation of the dentate gyrus was confirmed with AChE
histochemistry using a silver intensification of the Tsuji reaction in
a preliminary group of animals that were perfused as the present series
and then processed for microtome sectioning. The signature pattern of
disconnection from the ERC is a drastic change from an even,
low-intensity AChE fiber staining in the molecular layer in normal mice
(Fig. 1C) to the formation of an intense band of staining in
the outer molecular layer in animals with ERC or perforant path lesions
(Scheff, 1989 ) (Fig. 1D).

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Figure 1.
Location and efficacy of ERC lesions implemented
in this study. A, B, Photomicrographs of
cresyl violet-stained sections through the ERC of Tg mice that
underwent sham surgeries (A) or ERC lesions
(B). Note the normal anatomy of ERC in
A and the extent and specificity of ERC ablation
(arrow) in a representative lesion case
(B). C, D,
AChE-stained sections through the dentate gyrus of Tg mice with sham
surgeries (C) or ERC lesions
(D). Note the typical change in the AChE staining
pattern after ERC lesions, i.e., the diminution of the intense AChE (+)
band in the supragranular region and the increased density (sprouting)
of AChE fibers toward the outer half of the molecular cell layer as a
result of synaptogenesis in septal cholinergic afferents.
G, Granule cell layer; M, molecular cell
layer. Scale bars: A, B, 400 µm;
C, D, 40 µm.
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Silver and thioflavine histochemistry. Silver staining was
performed on paraffin sections through the hippocampus according to the
method of Hirano (Nakano and Hirano, 1987 ). Thioflavine staining was
performed on adjacent sections (Guntern et al., 1992 ).
Immunohistochemistry for amyloid proteins and synaptophysin.
Mice were perfused with PBS, followed by 4% paraformaldehyde. Brains
were postfixed in 4% paraformaldehyde overnight, embedded in paraffin,
and sectioned (10 µm) in the coronal plane. Immunohistochemical staining was performed according to methods described in detail previously (Griffin et al., 1993 ). Briefly, paraffin sections were
deparaffinized in xylene, rehydrated in serial concentrations of
ethanol solutions, and then permeabilized in 0.5% Triton X-100 for 10 min, followed by 0.2 N HCl for 20 min. Endogenous peroxidase was
blocked with 3% H2O2 in
methanol for 30 min. Primary antibodies [mouse anti-human A 4G8
(Signet, Dedham, MA), mouse anti-human APP695 (Zymed, South San
Francisco, CA), and mouse anti-human synaptophysin (Dako, Carpinteria,
CA)] were diluted in Tris-buffered saline (TBS) containing 2% normal
goat serum (A 4G8, 1:300; APP695, 1:100; synaptophysin, 1:20) and
were used in overnight incubations at room temperature (RT). Linking
antibody (goat anti-mouse IgG; ICN Biomedicals, Costa Mesa, CA) was
diluted 1:50 in TBS with 2% normal goat serum and used in 30 min
incubations at RT. After a wash in PBS, sections were incubated with
mouse peroxidase anti-peroxidase (Sternberger Monoclonals,
Lutherville, MD) for 30 min at RT. Immunoreactive structures were
developed using a standard DAB chromogen reaction. Double-label
immunohistochemistry for APP (using the mouse anti-human APP695
antibody diluted 1:100) and A (using the A 4G8 antibody diluted
1:300) was performed on deparaffinized sections with the aid of
commercially available kits (K1359; Dako) essentially as described
previously (Sheng et al., 2001 ).
Quantitative assessment of APP(+) dystrophic neurites, A
burden, and synapse density in dentate gyrus. To assess the burden of dentate gyrus with APP(+) neurites and amyloid deposits, sections at
coronal planes corresponding to ~2 mm posterior to bregma were used
for image analysis. APP(+) neurites and A deposits in plaques in the
dentate gyrus were captured with a CCD video camera attached to a Dell
(Round Rock, TX) computer and measured by NIH Image software (version
1.65). The burden of dentate gyrus with APP(+) neurites and A
deposits was expressed per animal and per brain side (ipsilateral and
contralateral to lesion) as proportional occupancy of the dentate gyrus
by APP- or A -immunoreactive structures in plaques (total
cross-sectional dentate area covered by immunoreactivity/entire cross-sectional dentate gyrus area, both expressed in square
micrometers). APP and A plaque burden were assessed
separately for the entire dentate gyrus and for the molecular and
polymorph layer/CA3. This distinction allowed for separate observations
on the following: impact of ERC lesions on the dentate gyrus as a
whole; direct influences on the primary field of denervation (i.e., on
the molecular layer, which contains the terminals from the lesioned
ERC); and the impact of denervation on polymorph layer/CA3 (i.e., an
area that contains the axons-collaterals-terminals of denervated
neurons and is thereby situated one synapse away from the degenerated perforant pathway terminals). To standardize among different animals with varying baseline intensities of APP and A immunoreactivities in
the various anteroposterior planes, burden of APP and A on the side
of the lesion were expressed as percentiles of APP and A burden in
the contralateral dentate gyrus (total dentate and molecular and
polymorph layers) on the same section. Group averages were generated
from the lesion, sham, and intact groups, and they were studied
statistically with ANOVA, followed by Fisher's ad hoc test
to detect specific differences between groups. Synaptic density in the
molecular and polymorph layer of the dentate gyrus was also measured,
in lesioned animals only, on the side ipsilateral and the side
contralateral to lesion. Density was expressed, as in the case of
amyloid markers, as the proportional occupancy of the molecular and
polymorph layers by normal-appearing synaptophysin (+) puncta.
Densities on the lesioned side, as well as the side contralateral to
lesion, from different animals were combined to generate averages,
which were then compared between the two groups, using a Student's
t test.
Western blotting. Dentate gyrus ipsilateral and
contralateral to lesion were dissected under an operating microscope
from coronal 1-mm-thick slices of fresh brain stained with nonalcoholic hematoxylin. Effort was made to avoid the Ammon's horn, although some
medial CA3 was included. Tissue samples were homogenized in
T-PER (Pierce, Rockford, IL) containing a protease inhibitor cocktail (Boehringer Mannheim, Mannheim, Germany), and total protein levels were measured with the Micro BCA protein assay reagent kit
(Pierce). Twenty micrograms of protein were loaded onto 4-12% NuPAGE
precast gels (Invitrogen, Carlsbad, CA) and electrophoresed along with
molecular weight markers (Amersham Biosciences, Arlington Heights, IL).
Protein was transferred to the nitrocellulose membrane BA-S 85 (Schleicher & Schuell, Keene, NH). Blot was blocked in 0.05 M TBS, pH 7.4, containing 5% nonfat powdered
milk and then incubated in antibodies APP695 or A 4G8, both diluted
1:500 in TBS containing 5% nonfat powdered milk, overnight at 4°C.
After washing in TBS, blots were incubated in HRP-linked donkey
anti-mouse IgG (Amersham Biosciences), diluted 1:2000 in TBS containing
5% nonfat powdered milk for 1 hr at room temperature. Blots were then
treated with the SuperSignal Chemiluminescent Substrate (Pierce) and
exposed to Kodak-XAR film (Eastman Kodak, Rochester, NY). Film was
digitized and analyzed by NIH Image software (version 1.65) for amount
of electrophoresed APP and A per sample. Differences in levels of
APP and A between the dentate gyrus ipsilateral and contralateral to
lesion were assessed with a Student's t test.
A ProteinChip assay. These assays used the ProteinChip
-Amyloid Multipeptide kit (Ciphergen Biosystems, Fremont, CA), which included the preactivated ProteinChip array PS20. Monoclonal antibody A 6E10 or control bovine IgG was coupled to PS20 chip by adding 2 µl of a stock solution (0.5 mg/ml in PBS) to each spot and incubating overnight at 4°C in a humid chamber. Unreacted sites were blocked with 0.5 M ethanolamine, pH 8.0, for 30 min and
then washed for 30 min with PBS containing 0.5% Triton X-100 (T-PBS)
and then for 5 min with PBS. Protein prepared from tissue samples (20 µg) or an A peptide mixture (600 fmol) were spotted on the array with the aid of a bioprocessor. Chip was incubated at room temperature for 2 hr. Subsequently, chip was washed with T-PBS and then with PBS,
rinsed with water, and allowed to dry. A saturated solution of
-cyano-4-hydroxy-cinnamic acid (CHCA) was further diluted 1:50 in
50% acetonitrile and 0.5% trifluoroacetic acid; 0.5 µl of diluted
CHCA were added to the array spots, and chips were dried at room
temperature. Chips were read on surface-enhanced laser desorption
ionization-time of flight mass spectrometer (SELDI) (Ciphergen Biosystems).
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RESULTS |
ERC lesions decrease amyloid plaque burden in the dentate gyrus,
especially the molecular layer
All APPswe/PS1- E9 Tg mice showed numerous amyloid plaques in
hippocampus and neocortex, with a region-specific distribution. In the
hippocampus, there were a large number of plaques in the dentate gyrus
and Ammons's horn, including the molecular and polymorph dentate
layers (Figs.
2-4).
On double-labeled immunohistochemical preparations, all A deposits
were intimately associated with dystrophic neurites enriched in APP
(Fig. 3E,F).

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Figure 2.
Photomicrographs of ERC lesion effects on A
deposits in the dentate gyrus. A, B,
Sections through the hippocampus of a Tg mouse with sham surgery
(A) and a Tg mouse with ERC ablation
(B) stained with A 4G8. A1,
A2, B1, and B2 represent
magnifications of the demarcated areas in A and
B. There is strong A immunoreactivity in the form of
plaques in dentate gyrus and the CA3 field. Note the decreased A
load in the dentate gyrus (especially in the molecular layer of dentate
gyrus) on the side ipsilateral to lesion (B1) compared
with the side contralateral to lesion (B2) and sham
(A1, A2). MDG, Molecular
layer of dentate gyrus; PoDG, polymorph layer of dentate
gyrus. Scale bars: A, B, 800 µm;
A1, A2, B1,
B2, 100 µm.
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Figure 3.
Effects of ERC lesions on APP(+) dystrophic
neurites. Sections through the dentate gyrus of sham (A,
B) and lesioned (C, D) Tg
mice contralateral and ipsilateral (B, D)
to sham or ERC lesion were stained with APP695. APP(+) dystrophic
neurites in plaques are significantly decreased on the side of ERC
lesions, especially in the molecular layer of the dentate gyrus
(D). E and F show
that APP immunoreactivity (red) colocalizes with A
deposits (yellow) in slightly different
compartments of amyloid plaques in double-labeled immunohistochemical
preparations. MDG, Molecular layer of dentate gyrus;
PoDG, polymorph layer of dentate gyrus. Scale bars:
A-D, 100 µm; E, F, 50 µm.
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Figure 4.
Bar graphs representing A (A,
C) and APP(+) neurite (B,
D) load in the dentate gyrus of intact, sham, and
ERC-lesioned Tg mice. A and B represent
values from total dentate, and C and D
represent values from the polymorph and molecular layers separately in
ERC-lesioned Tg mice. Proportional occupancy (burden) of dentate by
A - and APP-immunoreactive structures in plaques on the lesioned
(sham, ERC lesions) or the right-sided dentate gyrus (intact) was
expressed as a percentage of A and APP burden on the contralateral
side (the latter set as 100%). *p < 0.05;
**p < 0.0001; by ANOVA. Significance is caused by
a difference between sham and lesion or intact and lesion but not sham
and intact.
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ERC lesions caused a significant decrease in numbers of A deposits
and APP(+) dystrophic neurites (Figs. 2, 3). In intact mutant mice,
A burden and APP(+) neurites were the same in the dentate gyrus of
the two hemispheres, as shown by an identical areal occupancy of A
and APP on the two sides; in sham-operated mice, A and APP burden
were also comparable in the two dentate gyri (Figs.
2A, 3A,B). In
contrast, A and APP burden in the dentate gyrus of ERC-lesioned mice
were significantly decreased on the lesioned side (Figs.
2B, 3C,D); the areal occupancy
of A was 45 ± 7%, and the occupancy of APP(+) neurites was
39 ± 12% of the contralateral dentate gyrus (Fig.
4A,B). ERC lesions were also
associated with a significant decrease in silver- and
thioflavine-S-stained plaques in the dentate gyrus ipsilateral to ERC
lesions (Fig. 5).

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Figure 5.
Effects of ERC lesions on amyloid plaques
visualized with traditional histochemical methods such as silver
(A, B) and thioflavine
(C-F). Lesioned side is on the
right. There is a trend for a reductions of both silver-
and thioflavine-stained plaques in the molecular layer of the dentate
gyrus. There are no obvious differences in the polymorph cell layer.
MDG, Molecular layer of dentate gyrus;
PoDG, polymorph layer of dentate gyrus. Scale bars:
A-D, 100 µm; E, F, 50 µm.
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When APP(+) neurites and A burden were assessed separately in the
molecular and polymorph layers, APP(+) neurites and A deposits
appeared to be reduced in both layers; the A burden was
significantly reduced only in the molecular layer (40 ± 4% of
the contralateral side), whereas APP(+) neurite reduction was more
significant in the molecular than in the polymorph layer (23 ± 4 and 57 ± 8%, respectively, of the contralateral side) (Fig.
4C,D).
ERC lesions decrease levels of APP and A in the
dentate gyrus
On Western blots of the dentate gyrus, APP was detected as a
~105 kDa band, and A was detected antibody as a ~4 kDa band (Fig. 6A). Quantitative
analysis of the digitized film images showed a 74% reduction in APP
and an 84% reduction in total A after ERC lesions (Fig.
6B) (both p < 0.05). These
decrements of the two markers in the deafferented dentate gyrus were
not attributable to decreased numbers of synapses, because
synaptic density was similar at the primary site of denervation (the
molecular layer of the dentate gyrus) ipsilateral and contralateral to
lesion by counts of densities of synaptophysin (+) puncta (Fig.
6C). This observation is consistent with the idea that the
process of reactive synaptogenesis had been completed in the dentate
gyrus of our experimental subjects.

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Figure 6.
APP and A protein levels in dentate gyrus after
ERC lesions. A, B, Western blots showing
APP (top) and A (middle) levels in
homogenates of dentate gyrus ipsilateral (left lanes)
and contralateral (right lanes) to ERC lesions.
-Tubulin (bottom) was run as loading control.
B, Bar graphs of APP and total A protein levels in
ipsilateral and contralateral to ERC lesion by Western blot analysis.
*p < 0.05; **p < 0.005 (comparison between lesion and contralateral side). C,
Measurements of normal synapse density in the molecular and polymorph
layers of the dentate gyrus 1 month after ERC lesions show no
difference between lesioned and contralateral side. This is evidence
that APP and A proteins studied in A and
B originated approximately in the same number of
synapses in the two sides.
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On ProteinChip assays, A 1-40 (mass value of 4329) and A 1-42 (mass
value of 4513) were detected in supernatants of dentate gyrus
ipsilateral (Fig. 7A) and
contralateral (Fig. 7B) to the lesion. Based on SELDI
readings, there was a 30% reduction in A 1-40 and a 40% reduction
in A 1-42 in the dentate gyrus after ERC lesions. A 1-42 reduction
was statistically significant (p < 0.05) (Fig.
7C).

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Figure 7.
ProteinChip assays for A 1-40 and A 1-42 in
the dentate gyrus ipsilateral (A) and
contralateral (B) to an ERC lesion. A 1-40 peak
corresponds to a mass value of 4329; A 1-42 peak has a mass value of
4513. C, Bar graph of A 1-40 and A 1-42 protein
levels ipsilateral and contralateral to ERC lesion by ProteinChip
analysis. *p < 0.005 (comparison between lesion
and contralateral side).
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DISCUSSION |
Our experiments demonstrate that the interruption of a model
corticocortical pathway, i.e., the projection from ERC to the dentate
gyrus, results in amelioration of amyloid plaque burden in animals
genetically predisposed to AD-like amyloidosis. Our observations are
consistent with the idea that ERC is the major source of APP in the
molecular layer of the dentate gyrus (Buxbaum et al., 1998 ) and support
the notion that plaques have a preference for the terminal fields of
corticocortical pathways (Rogers and Morrison, 1985 ; Braak and Braak,
1990 ; Arnold et al., 1991 ; Beach and McGeer, 1992 ; Hof and Morrison,
1994 ; Koliatsos, 1996 ).
Specifically, the association between APP(+) neurites and A deposits
in plaques in the dentate gyrus of APPswe/PS1- E9 mice and similar
reductions in both APP and A immunoreactivities after ERC lesions
support our previous suggestion that A in the dentate is derived
from APP synthesized in ERC neurons and processed in the terminal
fields to generate amyloidogenic C-terminal peptides (Buxbaum et al.,
1998 ). A is generated from APP through cleavage by a - or
-secretase activity (Price and Sisodia, 1998 ; Price et al., 1998 ;
Cai et al., 2001 ). The -site APP cleavage enzyme 1 is the neuronal
-secretase that is more active in the presence of the APPswe
mutation, whereas PS1 mutations selectively activate -secretase to
generate greater amounts of A 42 (Octave et al., 2000 ; Vassar and
Citron, 2000 ; Cai et al., 2001 ; Selkoe, 2001 ). The APPswe/PS1 Tg mice
used in the present study have higher levels of all A species
(attributable to APPswe) and a preferential increase in A 42
(attributable to PS1- E9) in the brain (Borchelt et al., 1996 ). ERC
lesions cause a significant decrease in both total A and A 42
levels in the dentate gyrus of these mice. Although we cannot rule out
that ERC lesions may have an effect on the activity of secretases, the
parallel reduction of APP after these lesions suggests strongly that a
primary mechanism for the amelioration of A synthesis/deposition is
the decreased availability of APP (perhaps along with transported
secretases) to terminal fields.
An important question is whether the apparent reduction in A in the
dentate gyrus after ERC lesions is the direct consequence of decreased
APP transported to the dentate or whether there is also a contribution
by more complex processes. Such processes may be related to reactive
synaptogenesis (West et al., 1975 ; Steward and Loesche, 1977 ; Scheff,
1989 ; Steward et al., 1990 ; Deller and Frotscher, 1997 ) or to the
reduced synaptic drive in the perforant pathway and a hypothetical
reduction in APP/A synthesized locally in the hippocampus. If ERC
lesions exert their effects primarily by depriving the dentate gyrus of
a major source of APP, these effects should be either restricted to the
primary field of denervation, i.e., the molecular layer, or maximal in the molecular layer, despite a wider distribution into the hippocampal trisynaptic circuit. This spread of the effect might include the polymorph layer, which is one synapse away from the deafferentation site. Our data show that ERC lesions cause a much greater decrease in
APP(+) neurites and amyloid deposits in the molecular than in the
polymorph layer and that the reduction in A deposits is only
significant in the molecular layer. This pattern supports the idea that
a reduction in APP present in ERC terminals plays a major role in the
decrease of A in the molecular layer. This conclusion is supported
by our Western blot findings showing that levels of APP continued to be
low in the dentate gyrus ipsilateral to ERC lesion 1 month after
surgery, despite the fact that total synaptic density [as assessed by
numbers of synaptophysin (+) puncta] had returned to normal. By 1 month after lesion, the process of reactive synaptogenesis is complete,
and a continued reduction in immunoreactive APP indicates a selective
role of associational, as distinguished from commissural and
subcortical, connections as a source of APP and A in corticocortical pathways.
In conclusion, this investigation demonstrates that the removal of a
corticocortical associational input in a model of A amyloidosis
reduces total APP and A and amyloid plaque burden in terminal
fields. Our findings also suggest that associational inputs may play
particularly significant roles in determining patterns of A
deposition in the cortex and limbic system of individuals with AD.
 |
FOOTNOTES |
Received June 5, 2002; revised Aug. 27, 2002; accepted Sept. 16, 2002.
This work was supported by National Institutes of Health Grant AGO5146
and National Institute on Aging Grants T32 and NS07435. Dr. David
Borchelt provided APPswe/PS1- E9 Tg mouse founders, and Susan Bora
offered expert technical assistance.
Correspondence should be addressed to Dr. V. E. Koliatsos, The
Johns Hopkins University School of Medicine, Neuropathology Division,
Ross Building, Room 558, 720 Rutland Avenue, Baltimore, MD 21205. E-mail: koliat{at}jhmi.edu.
 |
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