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The Journal of Neuroscience, February 21, 2007, 27(8):1981-1991; doi:10.1523/JNEUROSCI.4321-06.2007

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Neurobiology of Disease
Neuroprotective Effects of Regulators of the Glycogen Synthase Kinase-3ß Signaling Pathway in a Transgenic Model of Alzheimer's Disease Are Associated with Reduced Amyloid Precursor Protein Phosphorylation

Edward Rockenstein,1 Magdalena Torrance,1 Anthony Adame,1 Michael Mante,1 Pazit Bar-on,1 John B. Rose,1 Leslie Crews,2 and Eliezer Masliah1,2

Departments of 1 Neurosciences and 2Pathology, University of California, San Diego, La Jolla, California 92093


   Abstract
Top
 Abstract
Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The glycogen synthase kinase-3ß (GSK3ß) pathway plays an important role in mediating neuronal fate and synaptic plasticity. In Alzheimer's disease (AD), abnormal activation of this pathway might play an important role in neurodegeneration, and compounds such as lithium that modulate GSK3ß activity have been shown to reduce amyloid production and tau phosphorylation in amyloid precursor protein (APP) transgenic (tg) mice. However, it is unclear whether regulation of GSK3ß is neuroprotective in APP tg mice. In this context, the main objective of the present study was to determine whether pharmacological or genetic manipulations that block the GSK3ß pathway might ameliorate the neurodegenerative alterations in APP tg mice and to better understand the mechanisms involved. For this purpose, two sets of experiments were performed. First, tg mice expressing mutant human APP under the Thy1 promoter (hAPP tg) were treated with either lithium chloride or saline alone. Second, hAPP tg mice were crossed with GSK3ß tg mice, in which overexpression of this signaling molecule results in a dominant-negative (DN) effect with inhibition of activity. hAPP tg mice that were treated with lithium or that were crossed with DN–GSK3ß tg mice displayed improved performance in the water maze, preservation of the dendritic structure in the frontal cortex and hippocampus, and decreased tau phosphorylation. Moreover, reduced activation of GSK3ß was associated with decreased levels of APP phosphorylation that resulted in decreased amyloid-ß production. In conclusion, the present study showed that modulation of the GSK3ß signaling pathway might also have neuroprotective effects in tg mice by regulating APP maturation and processing and further supports the notion that GSK3ß might be a suitable target for the treatment of AD.

Key words: lithium; Alzheimer's disease; APP; amyloid; GSK3ß; phosphorylation


   Introduction
Top
 Abstract
 Introduction
Materials and Methods
 Results
 Discussion
 References
 
In recent years, considerable effort has been dedicated at developing new and more effective treatments for Alzheimer's disease (AD), a leading cause of dementia in the aging population. Alzheimer's disease is characterized by widespread neurodegeneration throughout the association cortex and limbic system (Hof and Morrison, 1994Go), deposition of amyloid-ß protein (Aß) in the neuropil (Jellinger and Bancher, 1998Go) and around blood vessels (Jellinger, 2002Go), and formation of intraneuronal neurofibrillary tangles (NFTs) (Trojanowski and Lee, 2000Go). The neurodegenerative process in AD consists of synaptic injury (DeKosky and Scheff, 1990Go; DeKosky et al., 1996Go; Masliah et al., 1997Go; Scheff and Price, 2003Go) and neuronal loss (Terry et al., 1981Go), followed by intense astrogliosis (Beach et al., 1989Go) and microglial cell proliferation (Rogers et al., 1988Go; Masliah et al., 1991Go).

Several lines of investigation support the notion that abnormal accumulation of products of the Aß precursor protein (APP) metabolism might play a central role in the pathogenesis of AD (Tanzi et al., 1993Go; Selkoe, 1994Go; Selkoe et al., 1996Go). Although the precise mechanisms through which APP products might result in neurodegeneration in AD are not completely clear, recent studies suggest that alterations in signaling pathways involved in neuronal survival and synaptic plasticity play an important role. Among them, the glycogen synthase kinase-3ß (GSK3ß) pathway might play an important role (Kaytor and Orr, 2002Go) because aberrant activation of this signaling molecule has been shown to modulate APP processing (Aplin et al., 1996Go; Ryder et al., 2003Go; Ryder et al., 2004Go) and tau phosphorylation (Mandelkow et al., 1992Go; Pei et al., 1999Go; Anderton et al., 2001Go). In the brains of AD patients and APP transgenic (tg) mice (Lucas et al., 2001Go; Ishizawa et al., 2003Go) altered localization of GSK3ß is associated with NFT formation (Baum et al., 1996Go; Pei et al., 1997Go, 1999). In early stages, GSK3 accumulates with tau in neuritic plaques (Shiurba et al., 1996Go) and in the cytoplasm of pretangle neurons (Pei et al., 1997Go), whereas in mature NFTs, the colocalization with GSK3 is reduced (Baum et al., 1996Go; Harr et al., 1996Go; Shiurba et al., 1996Go). In addition, overexpression of active GSK3ß results in an AD-like phenotype in tg mice (Brownlees et al., 1997Go), which can be reversed by turning off GSK3ß expression under the regulatory control of a conditional promoter (Lucas et al., 2001Go; Engel et al., 2006Go).

Therefore, devising strategies that might interfere with the abnormal activation of this pathway might provide a promising new therapeutic approach for AD. Interestingly, the mood-stabilizing agent lithium might protect against excitotoxicity by modulating the activity of GSK3ß (Chalecka-Franaszek and Chuang, 1999Go; Chen and Chuang, 1999Go; Manji et al., 1999Go) as well as other pathways involved in neuronal survival, such as Bcl-2 (B-cell lymphoma protein 2) expression (Wei et al., 2001Go; Ghribi et al., 2002Go), inositol metabolism (O'Donnell et al., 2000Go; Williams et al., 2002Go), and mitogen-activated protein kinase signaling (Yuan et al., 1999Go). Furthermore, recent in vivo studies have shown that lithium reduces the AD-like neuropathology. For example, lithium has been shown to reduce Aß production and amyloid plaque load in human (h)APP transgenic (tg) mice (Phiel et al., 2003Go; Su et al., 2004Go). Moreover, lithium and valproic acid have been shown to decrease tau phosphorylation in tau tg mice (Nakashima et al., 2005Go; Noble et al., 2005Go). However it is not known whether blocking GSK3ß signaling is neuroprotective and ameliorates the performance deficits in the water maze in APP tg mice. In addition, the mechanisms through which GSK3ß inhibitors are protective and reduce Aß products are not completely clear.

In this context, the main objective of the present study was to determine whether pharmacological and genetic manipulations that block the GSK3ß pathway are capable of reducing the neurodegenerative alterations in an hAPP tg mouse model that mimics certain aspects of AD (Rockenstein et al., 2001Go) and to better understand the mechanisms involved. We found that the neuroprotective effects of blocking GSK3ß in vivo was associated with improved behavioral performance and a reduction of APP processing into amyloidogenic pathways by reducing APP phosphorylation.


   Materials and Methods
Top
 Abstract
 Introduction
 Materials and Methods
Results
 Discussion
 References
 
Generation of hAPP, dominant-negative–GSK3ß, and double tg mice. For these experiments, tg mice expressing high levels of hAPP and GSK3ß were used. The hAPP tg mice express mutated (London V717I and Swedish K670M/N671L) hAPP751 under the control of the murine (m)Thy-1 promoter (hAPP tg, line 41) (Rockenstein et al., 2001Go). This tg model was selected because mice produce high levels of Aß1–42 and exhibit performance deficits in the water maze, synaptic damage, and plaque formation at an early age (beginning at 3 months). Transgenic lines were maintained by crossing heterozygous tg mice with nontransgenic (nontg) C57BL/6 x DBA/2 F1 breeders. All mice were heterozygous with respect to the transgene.

For the generation of kinase inactive tg mice, wild-type GSK3ß was overexpressed under the regulatory control of a neuronal promoter (mThy1). This results in a feedback loop mechanism that activates Akt, which in turn inactivates the excess GSK3ß by phosphorylation at Ser9. For this reason, we denominate these mice dominant-negative (DN)–GSK3ß tg. Briefly, as described previously (Rockenstein et al., 2001Go, 2002bGo), for the generation of human DN–GSK3ß tg mice, cDNA encoding wild-type GSK3ß was produced by reverse transcriptase (RT)-PCR from human brain mRNA and inserted between exons 2 and 4 into the Thy1 expression cassette (kindly provided by Dr. H. van der Putten, Ciba-Geigy, Basel, Switzerland), purified, and microinjected into one-cell embryos (C57BL/6 x DBA/2 F1). The sequence of wild-type GSK3ß was confirmed by PCR and sequencing analysis, and all mice were heterozygous with respect to the transgene. The cDNA includes a Kozak consensus sequence (GCC ACC ATG) at the 5' end to enhance expression. The heterozygous DN–GSK3ß tg founder mice were identified by PCR analysis of genomic DNA extracted from tail biopsies and screened for RNA and protein levels of expression by ribonuclease protection assay (RPA) and Western blot, respectively. Because GSK3ß inactivation, and reduced kinase activity, is conferred by phosphorylation at Ser9, mice displaying the highest levels of inactivated GSK3ß (phosphorylated at Ser9) were selected for crosses with the hAPP tg mice as described previously (Rockenstein et al., 2002bGo). Single and double tg mice were maintained until 6 months of age, followed by testing in the water maze.

Treatment of hAPP tg mice with lithium chloride. To test the neuroprotective effects of lithium in a tg model of AD-like pathology, hAPP tg mice were treated with lithium chloride (n = 6) (20 mg/kg, i.p., daily; Sigma, St. Louis, MO) or saline alone (n = 6) starting at 3 months of age for 3 months and tested (at 6 months of age) in the water maze. This long-term treatment period was selected to maximize the effects on amyloid production and behavior, and, in this context, a lower dose than in previous studies (Phiel et al., 2003Go; Noble et al., 2005Go) was used to prevent adverse effects of lithium buildup. On the last day of the testing period, mice were deeply anesthetized, and blood was obtained from cardiac puncture and placed in EDTA-treated tubes for determination of lithium levels. Tissue was harvested immediately after behavioral testing. Control experiments for the behavioral and immunoblot studies were performed with an additional group of 12 nontg mice (6 months old) that were treated simultaneously with lithium (n = 6) or saline alone (n = 6).

Water maze testing. Briefly, as described previously (Rockenstein et al., 2003Go), to evaluate the functional effects of GSK3ß inactivation, groups of hAPP tg mice treated with lithium and crosses between hAPP and DN–GSK3ß tg mice were tested in the water maze, beginning with a training period that included 3 d exposure to the visible platform. Then mice were tested for learning and memory with the hidden platform for 4 d, followed by one "visible test" trial and 1 d probe testing. We have shown previously that the performance deficits of the hAPP tg animal models are most likely related to the neurodegenerative changes and are not the result of abnormalities such as motor defects, anxiety, or visual alterations (Rockenstein et al., 2003Go, 2005aGo). All experiments described were approved by the animal subjects committee at the University of California at San Diego and were performed according to National Institutes of Health (NIH) recommendations for animal use.

Tissue processing. In accordance with NIH guidelines for the humane treatment of animals, mice were killed by deep anesthesia with chloral hydrate. Brains were removed and divided sagittally. One hemibrain was postfixed in phosphate-buffered 4% paraformaldehyde, pH 7.4, at 4°C for 48 h and sectioned at 40 µm with a Vibratome 2000 (Leica, Nussloch, Germany), whereas the other hemibrain was snap frozen and stored at –70°C for RNA and protein analysis.

RNA analysis. Total RNA was extracted with TRI reagent (Molecular Research Center, Cincinnati, OH) from snap-frozen hemibrains or dissected brain regions (neocortex and hippocampus) and stored in formazol buffer (Molecular Research Center) at –20°C. RNA was analyzed by solution hybridization RPA, essentially as described previously (Rockenstein et al., 1995Go). Samples were separated on 5% acrylamide/8 M urea Tris/borate/EDTA gels, and dried gels were exposed to Kodak XAR film (Eastman Kodak, Rochester, NY). mRNA levels were quantified from PhosphorImager readings of probe-specific signals corrected for RNA content/loading errors by normalization to ß-actin signals (Rockenstein et al., 1995Go). The following 32 P-labeled antisense riboprobes were used to identify specific mRNAs [protected nucleotides (GenBank accession number)]: hAPP [780–1009 nt (NM_000484)], human GSK3ß [121–359 nt (NM_002093)], murine GSK3ß [197–393 nt (AF156099)], and murine ß-actin [480–565 nt (X03672)].

Determination of APP levels, APP products, and Aß-degrading enzymes. Levels of hAPP immunoreactivity were determined in brain homogenates by Western blot and in vibratome sections by immunocytochemistry, as described previously (Rockenstein et al., 2001Go, 2005aGo). For Western blot analysis, 15 µg/lane of cytosolic and particulate fractions, assayed by the Lowry method, were loaded into 10% SDS-PAGE gels and blotted onto nitrocellulose paper. Blots were incubated with antibodies against full-length (FL) APP (mouse monoclonal, clone 22C11, 1:20,000; Chemicon, Temecula, CA), Aß (mouse monoclonal, clone 6E10, 1:1000; Signet Laboratories, Dedham, MA), APP C-terminal fragments (CTFs) (rabbit polyclonal CT15, 1:2500; courtesy of Dr. E. Koo, University of California, San Diego, La Jolla, CA), phosphorylated APP (APP-p) (Thr668, 1:1200; Cell Signaling Technology, Beverly, MA), neprilysin (mouse monoclonal, clone CD10, 1:1000; Abcam, Cambridge, MA), or ß-secretase 1 (BACE1) (1:1000; ProSci, Poway, CA), followed by secondary antibodies tagged with horseradish peroxidase (HRP) (1:5000; Santa Cruz Biotechnology, Santa Cruz, CA) and were visualized by enhanced chemiluminescence and analyzed with a Versadoc XL imaging apparatus (Bio-Rad, Hercules, CA). Analysis of actin levels was used as a loading control.

Determination of Aß levels by ELISA. Brain samples from the mouse cortex were homogenized in ice-cold buffer (5 M guanidine-HCl and PBS, pH 8.0) with 1x protease inhibitor cocktail (Calbiochem, San Diego, CA). Homogenates were then mixed for 3–4 h at room temperature and centrifuged at 16,000 x g for 20 min at 4°C. The resulting supernatants were diluted 10-fold in Dulbecco's PBS, pH 7.4, containing 5% bovine serum albumin and 0.03% Tween 20. Quantification of the levels of Aß1–42 was performed with a commercially available sandwich-type ELISA (Biosource International, Camarillo, CA).

Immunoblot analysis and kinase activity assay for GSK3ß. Briefly, as described previously (Hashimoto et al., 2002Go), levels of total (t-GSK3ß) (mouse monoclonal, 1:1000; Santa Cruz Biotechnology) and phosphorylated (GSK3ß-p) (Ser9, mouse monoclonal, 1:1000; Cell Signaling Technology) forms of GSK3ß were determined by immunoblot. The antibody against GSK3ß-p identifies the inactivated kinase. In addition, to investigate the involvement of related pathways in GSK3ß inactivation, levels of the following targets were determined by immunoblot analysis: phosphorylated Akt (Akt-p) (rabbit polyclonal, 1:700; Cell Signaling Technology), total Akt (t-Akt) (rabbit polyclonal, 1:1000; Cell Signaling Technology), protein phosphatase 1 (PP1) (mouse monoclonal, 1:1000; generously provided by Dr. Peter Davies, Albert Einstein College of Medicine, Bronx, NY) and three antibodies against phosphorylated tau: AT8 (mouse monoclonal, 1:1000; Innogenetics, Alpharetta, GA), PHF-1 (mouse monoclonal, 1:1000; generously provided by Dr. Peter Davies), and CP13 (mouse monoclonal, 1:1000; generously provided by Dr. Peter Davies). After overnight incubation with primary antibodies, membranes were incubated with secondary antibodies tagged with HRP (1:5000; Santa Cruz Biotechnology) and visualized by enhanced chemiluminescence and analyzed with a Versadoc XL imaging apparatus (Bio-Rad). Analysis of actin levels was used as a loading control.

For determination of GSK3ß activity, briefly as described previously (Hashimoto et al., 2002Go), brain homogenate supernatants from DN–GSK3ß tg and nontg mice were preadsorbed with a protein G-Sepharose (Amersham Biosciences, Uppsala, Sweden) for 1 h, and the precleared lysates were immunoprecipitated (IP) with anti-GSK3ß monoclonal antibody (1:50; Santa Cruz Biotechnology) overnight at 4°C, followed by incubation with protein G-Sepharose for 2 h at 4°C. The immune complexes were then washed with lysis buffer and with kinase buffer. Finally, the immune complexes were incubated in kinase buffer containing phosphoglycogen synthase-2 peptides or the Ala21 mutant peptides (Upstate Biotechnology, Lake Placid NY) and 10 µCi of [{gamma}-32P] ATP (6000 Ci/mmol; PerkinElmer, Boston, MA). Reactions were terminated by the addition of 5 µl of 500 mM EDTA and 5 mM ATP. Samples were then spotted onto Whatman (Maidstone, UK) P81 phosphocellulose filter paper. The filters were washed with 180 mM phosphoric acid, dried with acetone, and analyzed by scintillation counting. To confirm that GSK3ß activity could be restored by dephosphorylation in the DN–GSK3ß tg mice, brain homogenates were immunoprecipitated as described above with an antibody against GSK3ß. The IP samples were then treated with 100 mU/ml PP1{gamma} (Calbiochem), which specifically dephosphorylates GSK3ß, for 30 min at 30°C essentially as described previously (McManus et al., 2005Go). The dephosphorylation reaction was terminated by the addition of 100 µM microcystin-LR (Calbiochem), an inhibitor of PP1{gamma}. Control experiments included immunoprecipitation with a non-immune IgG and treatment with vehicle alone or PP1{gamma} inactivated by preincubation with microcystin-LR for 30 min at 30°C. After these treatments, the samples were assayed for GSK3ß activity as described above or subjected to immunoblot analysis with an antibody against GSK3ß phosphorylated at Ser9.

Evaluation of neurodegenerative alterations. To analyze the integrity of the dendritic arbor, briefly as described previously (Rockenstein et al., 2005bGo), blind-coded 40-µm-thick vibratome sections from mouse brains fixed in 4% paraformaldehyde were immunolabeled with the mouse monoclonal antibody against microtubule-associated protein-2 (MAP2) (dendritic marker, 1:40; Chemicon), as described previously (Mucke et al., 1995Go). After overnight incubation with the primary antibodies, sections were incubated with fluorescein isothiocyanate (FITC)-conjugated horse anti-mouse IgG secondary antibody (1:75; Vector Laboratories, Burlingame, CA), transferred to SuperFrost slides (Fisher Scientific, Tustin, CA), and mounted under glass coverslips with anti-fading media (Vector Laboratories). All sections were processed under the same standardized conditions. The immunolabeled blind-coded sections were imaged with the laser scanning confocal microscope (LSCM) (MRC1024; Bio-Rad) and analyzed with the NIH Image 1.43 program, as described previously (Toggas et al., 1994Go; Mucke et al., 1995Go). For each mouse, the frontal cortex and hippocampus were analyzed in a total of three sections, and, for each section, an average of 10 fields were examined.

Analysis of AD-like neuropathology. To evaluate the effects of GSK3ß inhibition on amyloid plaque load and tau phosphorylation, briefly as described previously (Rockenstein et al., 2002aGo), vibratome sections were incubated overnight at 4°C with the mouse monoclonal antibody 6E10 (1:1000; Signet Laboratories), which specifically recognizes Aß and the AT8 antibody that recognizes phosphorylated tau (tau-p) (Ser202; Pierce, Rockford, IL), followed by FITC-conjugated anti-mouse IgG (Vector Laboratories). The FITC-labeled sections were imaged with the LSCM as described previously (Mucke et al., 2000Go). Digitized images were analyzed with the NIH Image 1.43 program to determine the percentage area of the neuropil occupied by Aß-immunoreactive deposits in the frontal cortex and hippocampus and the levels of AT8 immunoreactivity (pixel intensity). Three immunolabeled sections (an average of 10 fields per sections) were analyzed per mouse, and the average of individual measurements was used to calculate group means.

Statistical analysis. Analyses were performed with the StatView 5.0 program (SAS Institute, Cary, NC). Differences among means were assessed by one-way ANOVA with post hoc Dunnett's test. Comparisons between two groups were done with the two-tailed unpaired Student's t test. Correlation studies were performed by simple regression analysis, and the null hypothesis was rejected at the 0.05 level.


   Results
Top
 Abstract
 Introduction
 Materials and Methods
 Results
Discussion
 References
 
Lithium chloride treatment reduces the performance deficits and neuropathological alterations in hAPP tg mice
To test the potential neuroprotective effects of lithium in a tg model of AD-like pathology, mice were treated with lithium chloride (n = 6) at a dose of 20 mg/kg intraperitoneally or saline alone (n = 6) starting at 3 months of age for 3 months and tested (at 6 months of age) in the water maze. By the end of the study, lithium chloride plasma levels were in the range of 0.1–0.2 mEq/L. Compared with saline-treated nontg control mice, saline-treated hAPP tg mice showed significant performance deficits in the water maze (Fig. 1A) (supplemental Fig. 1A,B, available at www.jneurosci.org as supplemental material). These alterations were not related to motor impairments but rather to spatial learning deficits, because, on the final day of testing, when the platform was made visible there was no difference in the swim distances between the groups (Fig. 1A). Compared with the saline-treated group, lithium treatment ameliorated the performance deficits in the hAPP tg mice during the testing period with the invisible platform (Fig. 1A). No significant differences were observed between the saline- and lithium-treated hAPP tg mice in the probe test (supplemental Fig. 1A,B, available at www.jneurosci.org as supplemental material). Control studies in a group of nontg mice showed no significant differences between saline and lithium treatment (supplemental Fig. 2A,B, available at www.jneurosci.org as supplemental material).


Figure 1
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  		Figure 1. Effects of lithium treatment on water maze performance and neuropathology of hAPP tg mice. A, During the hidden platform portion of the water maze test, saline-treated hAPP tg mice showed performance deficits compared with the nontg saline-treated mice that were ameliorated by the treatment with lithium. B, Laser scanning confocal microscopic image of MAP2 immunoreactivity in the frontal cortex of a nontg mouse. C, Decreased MAP2 immunoreactivity in the frontal cortex of a saline-treated hAPP tg mouse. D, Restored MAP2 immunoreactivity in the frontal cortex of a lithium-treated hAPP tg mouse. E, Laser scanning confocal low-power microscopic image of the frontal cortex of a nontg mouse immunostained with an antibody against Aß (6E10). F, Increased amyloid deposition and plaques (arrows) in the frontal cortex of a saline-treated hAPP tg mouse. Higher-power inset shows the morphology of an individual Aß-immunoreactive plaque. G, Reduced Aß immunoreactivity in the frontal cortex of a lithium-treated hAPP tg mouse immunostained with an antibody against Aß. PS, Pial surface; C, cortex; CP, caudoputamen. H, Laser scanning confocal microscopic image of tau-p immunoreactivity in the frontal cortex of a nontg mouse. I, Increased tau-p immunoreactivity in the frontal cortex of a saline-treated hAPP tg mouse. J, Reduced tau-p immunoreactivity in the frontal cortex of a lithium-treated hAPP tg mouse. K, Image analysis of the percentage area covered by MAP2 immunoreactivity in the frontal cortex and hippocampus of nontg and hAPP tg mice treated with either saline or lithium. *p < 0.05 compared with nontg controls by one-way ANOVA with post hoc Dunnett's test; n = 6 mice per group. L, Image analysis of the percentage area covered by Aß-immunoreactive plaques in the frontal cortex and hippocampus of nontg and hAPP tg mice treated with either saline or lithium. M, Image analysis of the levels of tau-p immunoreactivity in the frontal cortex and hippocampus of nontg and hAPP tg mice treated with either saline or lithium. *p < 0.05 compared with saline-treated hAPP tg mice by one-way ANOVA with post hoc Tukey–Kramer test; n = 6 mice per group. Scale bars: B–D, H–J, 20 µm; E–G, 100 µm.

 


Figure 2
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  		Figure 2. Immunoblot analysis of the effects of lithium on GSK3ß, APP maturation, and tau phosphorylation in hAPP tg mice. A, Representative Western blots demonstrating the patterns of immunoreactivity of total t-GSK3ß, GSK3ß-p, mature (mat) and immature (imm) forms of FL APP, CTFs (C99 and C89) of APP, FL APP-p, CTF APP-p, and tau-p in homogenates from the frontal cortex of 6-month-old nontg or hAPP tg mice treated with either saline or lithium. B, Image analysis of the levels of GSK3ß-p, the ratio of mature/immature FL APP, and levels of APP CTFs (mean of C99 and C89) in the frontal cortex of nontg and hAPP tg mice treated with saline or lithium. C, Image analysis of the levels of FL APP-p, CTF APP-p (mean of C99 and C89), and tau-p in the frontal cortex of nontg and hAPP tg mice treated with saline or lithium. *p < 0.05 compared with saline-treated hAPP tg mice by unpaired two-tailed Student's t test; n = 6 mice per group.

 
Consistent with the water maze findings (Fig. 1A), compared with nontg controls (Fig. 1B), in the saline-treated hAPP tg group there was a significant reduction in the density of MAP2-immunoreactive dendrites in the frontal cortex (Fig. 1C,K), and hippocampus (Fig. 1K). In contrast, in the lithium-treated hAPP tg group (Fig. 1D,K), the percentage area of the neuropil occupied by MAP2-immunoreactive dendrites was comparable with the nontg age-matched control group. Because inactivation of GSK3ß by lithium has been proposed as one of the mechanisms by which lithium protects the CNS from injury (Li et al., 2002Go), homogenates from the brains of mice treated with lithium or saline were prepared, and levels of GSK3ß-p (Ser9) were determined. Western blot analysis showed that, although levels of t-GSK3ß were unchanged among groups, in the brains of the mice receiving lithium, there was an increase in the GSK3ß-p signal compared with the saline-treated control group (Fig. 2A,B). Consistent with these findings, the immunoprecipitation assay showed that levels of GSK3ß activity were decreased in the lithium-treated hAPP tg mice compared with saline-treated controls (Fig. 3A).


Figure 3
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  		Figure 3. Effects of lithium on GSK3ß activity and APP metabolism in hAPP tg mice. A, Levels of GSK3ß activity, expressed as counts per minute (CPM) per microgram of protein, in homogenates from the frontal cortex of nontg and hAPP tg mice treated with saline or lithium. B, Aß1–42 levels in homogenates from the frontal cortex of nontg and hAPP tg mice treated with saline or lithium. C, Immunoreactivity levels of the Aß-cleaving enzyme neprilysin in homogenates from the frontal cortex of nontg and hAPP tg mice treated with saline or lithium. D, Levels of BACE1 immunoreactivity in homogenates from the frontal cortex of nontg and hAPP tg mice treated with saline or lithium. *p < 0.05 compared with saline-treated hAPP tg mice by one-way ANOVA with post hoc Tukey–Kramer test; n = 6 mice per group.

 
To further investigate the mechanisms through which GSK3ß inactivation might be neuroprotective in hAPP tg mice, the levels of APP and its metabolites were analyzed. By ELISA, Aß1–42 levels were significantly reduced in the lithium-treated hAPP tg mice compared with saline control group (Fig. 3B). Consistent with this, the neuropathological analysis with an antibody against Aß (Fig. 1E–G,L) showed that, compared with the saline-treated group (Fig. 1F,L), lithium treatment reduced the percentage area of the neuropil covered by Aß-immunoreactive plaques in the hAPP tg mice (Fig. 1G,L). Immunoblot analysis showed that the ratio of mature to immature FL-APP was altered in the lithium-treated mice compared with the saline-treated group (Fig. 2A,B) rather than the levels of total FL-APP. In addition, lithium treatment was associated with a decrease in levels of CTFs of APP (Fig. 2A,B). To confirm the effects of lithium on GSK3ß by an independent and previously validated approach (Phiel et al., 2003Go; Noble et al., 2005Go), levels of tau-p (a GSK3ß target) were analyzed (Fig. 1H–J,M). Immunocytochemical studies showed that, compared with the nontg control (Fig. 1H), saline-treated hAPP tg mice displayed increased neuronal levels of tau-p immunoreactivity (Fig. 1I) that were reduced by lithium treatment (Fig. 1J,M). This effect of lithium on hAPP tg mice was confirmed by immunoblot (Fig. 2A,C). These results suggest that either lithium decreases Aß levels by reducing APP maturation or by increasing Aß degradation. Because APP maturation, subcellular distribution, and transport to the axonal terminal in which proteolysis and generation of Aß occurs is phosphorylation dependent (Koo et al., 1990Go; Ando et al., 1999Go; Iijima et al., 2000Go; da Cruz e Silva and da Cruz e Silva, 2003Go; Lee et al., 2003Go) and GSK3ß [as well as stress-activated protein kinase (SAPK) and cyclin-dependent kinase-5 (CDK5)] plays a role in this process (Aplin et al., 1996Go; Iijima et al., 2000Go; Ryder et al., 2003Go), immunoblot analysis was performed with an antibody against APP-p (Thr668). This study showed that, in hAPP tg mice treated with lithium, there was a reduction in the phosphorylation of FL and CTFs of APP compared with the saline-treated hAPP tg animals (Fig. 2A,C). In nontg mice, levels of total endogenous FL-APP were not affected by lithium treatment, but levels of APP-p were decreased, supporting the notion that the effects of lithium on APP are mediated by GSK3ß and APP maturation rather than through a specific effect of GSK3ß on the Thy1 promoter (supplemental Fig. 2C,D, available at www.jneurosci.org as supplemental material). Levels of the Aß-degrading enzyme neprilysin and BACE1 were not different between the saline- and lithium-treated hAPP tg mice (Fig. 3C,D). Together, these results suggest that lithium treatment contributes to the decreased Aß production by reducing phosphorylation-dependent maturation of APP.

Overexpression of DN–GSK3ß in tg mice reduces the performance deficits and neuropathological alterations in hAPP tg mice
To verify by an independent approach that blocking the GSK3ß pathway prevents the behavioral and pathological alterations in the hAPP tg mice, a DN–GSK3ß tg was generated and crossed with the hAPP tg mice. In this model, overexpression of GSK3ß results in Akt activation, which in turn phosphorylates (and inactivates) GSK3ß. Although these mice overexpress tGSK3ß, the net effect was a decrease in activity. Two lines of the DN–GSK3ß were obtained. Analysis of mRNA (Fig. 4A,B) and GSK3ß (Fig. 4C–E) immunoreactivity showed that line 22 was the highest expresser. Therefore, line 22 was selected for additional studies and crosses with the hAPP tg mice. Immunoblot analysis showed that levels of t-GSK3ß in the DN–GSK3ß tg mice and hAPP/DN–GSK3ß double tg mice were higher compared with single hAPP tg mice and nontg controls (Fig. 5A,B), but most of the GSK3ß in the tg mice was phosphorylated at Ser9 (Fig. 5A,B), rendering both the endogenous as well as the transgenic GSK3ß inactive. Consistent with the GSK3ß-p immunoblot analysis showing increased levels of inactive phosphorylated GSK3ß, kinase activity assay by immunoprecipitation showed that, compared with nontg and hAPP tg mice, in the DN–GSK3ß tg and hAPP/DN-GSK3ß double tg mice, GSK3ß activity was significantly decreased (Fig. 6A). This reduction resulted from the increased phosphorylation of GSK3ß because kinase activity was restored in immunoprecipitates from DN–GSK3ß tg mice after treatment with PP1{gamma} (Fig. 6B). Consistent with the kinase activity assay, immunoblot analysis showed that treatment with PP1{gamma} resulted in decreased GSK3ß phosphorylation at Ser9 (Fig. 6C). To begin to understand how overexpression of GSK3ß in this system results in decreased GSK3ß activity levels, an upstream and a downstream regulator and GSK3ß phosphorylation were analyzed. Immunoblot analysis showed that Akt phosphorylation was increased, whereas levels of PP1 were unchanged (Fig. 5A,B). This suggests that the dominant-negative effects in these tg mice are mediated by a feedback loop in which Akt is activated and this, in turn, inactivates GSK3ß.


Figure 4
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  		Figure 4. Generation and characterization of DN–GSK3ß tg mice. Analysis of mRNA levels in nontg and DN–GSK3ß tg mice. Samples were analyzed using RPA. A, Representative autoradiograph showing mRNA levels of human (h)GSK3ß, murine (m)GSK3ß, and murine actin, with each lane containing replicates from each of the different tg mouse clonal lines (lines 22 and 39). U, Undigested riboprobe. B, Relative mRNA levels were expressed as hGSK3ß or mGSK3ß/actin ratios to correct for loading errors. C–E, Levels of GSK3ß immunoreactivity in the frontal cortex of a nontg (C), DN–GSK3ß tg (line 22; D), and DN–GSK3ß tg (line 39; E). Scale bar, 90 µm.

 


Figure 5
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  		Figure 5. Analysis of GSK3ß levels and APP metabolism in hAPP/DN–GSK3ß double tg mice. A, Representative Western blots demonstrating the patterns of immunoreactivity of t-GSK3ß, GSK3ß-p, t-Akt, Akt-p, and PP1 in homogenates from the frontal cortex of 6-month-old nontg, hAPP tg, DN–GSK3ß tg, or hAPP/DN–GSK3ß double tg mice. B, Image analysis of the levels of GSK3ß-p, Akt-p, and PP1 in the frontal cortex of nontg, hAPP tg, DN–GSK3ß tg, and hAPP/DN–GSK3ß double tg mice. C, Representative Western blots demonstrating the patterns of immunoreactivity of mature (mat) and immature (imm) forms of FL APP, FL APP-p, CTF APP-p, tau-p AT8, CP13, and PHF-1 in homogenates from the frontal cortex of 6-month-old nontg, hAPP tg, DN–GSK3ß tg, or hAPP/DN–GSK3ß double tg mice. D, Image analysis of the ratio of mature/immature FL APP and the levels of CTF APP, FL APP-p, and CTF APP-p (mean of C99 and C89) in the frontal cortex of nontg, hAPP tg, DN–GSK3ß tg, and hAPP/DN–GSK3ß tg mice. E, Image analysis of the levels of tau-p AT8, CP13, and PHF-1 in the frontal cortex of nontg, hAPP tg, DN–GSK3ß tg, and hAPP/DN–GSK3ß double tg mice. *p < 0.05 compared with hAPP tg mice by unpaired two-tailed Student's t test; n = 6 mice per group. **p < 0.05 compared with nontg mice by unpaired two-tailed Student's t test; n = 6 mice per group.

 


Figure 6
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  		Figure 6. GSK3ß activity and APP metabolism in hAPP/DN–GSK3ß double tg mice. A, Levels of GSK3ß activity in immunoprecipitated samples from the frontal cortex of nontg, hAPP tg, DN–GSK3ß tg, and hAPP/DN–GSK3ß double tg mice. B, Levels of GSK3ß activity in PP1{gamma}-treated immunoprecipitated samples from the frontal cortex of nontg and DN–GSK3ß tg mice. C, Semiquantitative immunoblot analysis of levels of GSK3ß-p in immunoprecipitated samples from the frontal cortex of nontg and DN–GSK3ß tg mice. D, Aß1–42 levels in homogenates from the frontal cortex of nontg, hAPP tg, DN–GSK3ß tg, and hAPP/DN–GSK3ß tg mice. E, Immunoreactivity levels of the Aß-cleaving enzyme neprilysin in homogenates from the frontal cortex of nontg, hAPP tg, DN–GSK3ß tg, and hAPP/DN–GSK3ß tg mice. F, Levels of BACE1 immunoreactivity in homogenates from the frontal cortex of nontg, hAPP tg, DN–GSK3ß tg, and hAPP/DN–GSK3ß tg mice. *p < 0.05 compared with hAPP tg mice by unpaired two-tailed Student's t test; n = 6 mice per group. **p < 0.05 compared with samples that were not treated with PP1{gamma} by unpaired two-tailed Student's t test; n = 6 mice per group.

 
At 6 months of age, mice were tested in the water maze. Consistent with previous studies (Rockenstein et al., 2003Go), at this age, hAPP tg mice displayed performance deficits in the spatial learning part of the test (Fig. 7A). In contrast, DN–GSK3ß tg mice as well as hAPP/DN–GSK3ß double tg mice performed similarly to nontg littermates (Fig. 7A). No significant effects were observed in the probe component of the trial (supplemental Fig. 1C,D, available at www.jneurosci.org as supplemental material). Neuropathological analysis showed that, compared with hAPP tg mice, the DN–GSK3ß tg mice and the hAPP/DN–GSK3ß double tg mice displayed preservation of the dendritic structure and increased levels of MAP2 immunoreactivity mice (Fig. 7B–E,N). Additional studies of AD-like neuropathology included immunocytochemical analysis of amyloid plaque load using the 6E10 antibody. Computer-aided analysis showed that, whereas the hAPP tg mice displayed high levels of amyloid load, in the hAPP/DN–GSK3ß double tg mice, only a few amyloid deposits were identified and the amyloid levels were reduced (Fig. 7F–I,O). Moreover, the reduced activity of GSK3ß was associated with decreased levels of neuronal tau-p immunoreactivity (Fig. 7J–M,P). Immunoblot analysis with PHF-1, CP13, and AT8 confirmed that the DN–GSK3ß resulted in decreased levels of tau-p (Fig. 5C,E). Consistent with the immunocytochemical analysis, ELISA showed that levels of Aß were lower in the hAPP/DN–GSK3ß double tg mice compared with the hAPP tg mice (Fig. 6D). Western blot analysis showed that, compared with the hAPP tg mice, the ratio of mature to immature FL-APP (Fig. 5C,D) and levels of phosphorylated (Thr668) FL and CTFs C99 and C89 of APP (Fig. 5C,D) were reduced in the hAPP/DN–GSK3ß double tg mice. In contrast, levels of neprilysin and BACE1 were unchanged between hAPP/DN–GSK3ß double tg mice compared with the hAPP tg (Fig. 6E,F). Together, these results support the possibility that inactivation of the GSK3ß pathway might also reduce Aß levels by regulating APP phosphorylation rather than expression or degradation.


Figure 7
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  		Figure 7. Behavioral performance in the water maze and neuropathological analysis of dendritic structure and amyloid deposition in hAPP/DN–GSK3ß double tg mice. A, During the hidden platform portion of the water maze test, hAPP tg mice showed performance deficits compared with nontg and DN–GSK3ß tg mice that were ameliorated in the hAPP/DN–GSK3ß tg mice. B, Laser scanning confocal microscopic image of MAP2 immunoreactivity in the frontal cortex of a nontg mouse. C, Decreased MAP2 immunoreactivity in the frontal cortex of an hAPP tg mouse. D, MAP2 immunoreactivity in the frontal cortex of a DN–GSK3ß tg mouse. E, Restored MAP2 immunoreactivity in the frontal cortex of an hAPP/DN–GSK3ß tg mouse. F, Low-power laser scanning confocal microscopic image of the frontal cortex of a nontg mouse immunostained with an antibody against Aß (6E10). G, Increased amyloid deposition and plaques (arrows) in the frontal cortex of an hAPP tg mouse. Higher-power inset shows the morphology of an individual Aß-immunoreactive plaque. H, Background levels of Aß immunoreactivity in the frontal cortex of a DN–GSK3ß tg mouse. I, Reduced Aß immunoreactivity in the frontal cortex of an hAPP/DN–GSK3ß tg mouse immunostained with an antibody against Aß. PS, Pial surface; C, cortex; CP, caudoputamen. J, Laser scanning confocal microscopic image of tau-p (AT8) immunoreactivity in the frontal cortex of a nontg mouse. K, Increased tau-p immunoreactivity in the frontal cortex of an hAPP tg mouse. L, tau-p immunoreactivity in the frontal cortex of a DN–GSK3ß tg mouse. M, Reduced tau-p immunoreactivity in the frontal cortex of an hAPP/DN–GSK3ß tg mouse. N, Image analysis of the percentage area covered by MAP2 immunoreactivity in the frontal cortex and hippocampus of nontg, hAPP tg, DN–GSK3ß tg, and hAPP/DN–GSK3ß tg mice. O, Image analysis of the percentage area covered by Aß-immunoreactive plaques in the frontal cortex and hippocampus of nontg, hAPP tg, DN–GSK3ß tg, and hAPP/DN–GSK3ß tg mice. P, Image analysis of the percentage area covered by tau-p immunoreactivity in the frontal cortex and hippocampus of nontg, hAPP tg, DN–GSK3ß tg, and hAPP/DN–GSK3ß tg mice. *p < 0.05 compared with hAPP tg mice by one-way ANOVA with post hoc Tukey–Kramer; n = 6 mice per group. Scale bars: B–E, J–M, 20 µm; F–I, 100 µm.

 

   Discussion
Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
References
 
Previous studies have shown that short-term lithium treatment decreases amyloid production and tau phosphorylation in tg mice (Perez et al., 2003Go; Phiel et al., 2003Go; Noble et al., 2005Go). In the present study, we treated hAPP tg mice for a longer term with lithium or expressed a DN–GSK3ß and demonstrate the following new findings: (1) that GSK3ß inactivation results in neuroprotection and improved behavioral performance in the water maze, and (2) that reduced activity of this kinase might also ameliorate AD-like neuropathology because of the decreased phosphorylation of APP. Consistent with these findings, previous in vivo studies have shown that lithium protects the CNS against excitotoxicity (Nonaka et al., 1998Go; Elyaman et al., 2002Go), ischemia (Nonaka and Chuang, 1998Go; Bhat et al., 2000Go), dennervation (Manji et al., 1999Go), quinolinic acid (Wei et al., 2001Go), aluminum (Ghribi et al., 2002Go), and human immunodeficiency virus–gp120 (Everall et al., 2002Go).

Although previous GSK3ß tg animal models have been designed to overexpress the constitutively active kinase, which results in neurodegeneration, tau hyperphosphorylation (Brownlees et al., 1997Go; Spittaels et al., 1999Go; Lucas et al., 2001Go), and behavioral deficits (Hernandez et al., 2002Go), in our model the overexpressed GSK3ß resulted in a dominant-negative effect in which most of this kinase was phosphorylated at Ser9 by Akt, therefore rendering GSK3ß inactive. This overall reduction in the activity of GSK3ß was associated with an amelioration of the AD-like neuropathology and behavioral deficits in the water maze of hAPP tg mice. Furthermore, and in agreement with previous studies (Phiel et al., 2003Go; Su et al., 2004Go; Noble et al., 2005Go), we found that blocking the GSK3ß pathway in hAPP tg mice resulted in reduced Aß production and amyloid plaque load, suggesting that the neuroprotective effects might be associated with decreased Aß levels. The neuroprotective effects of decreasing GSK3ß activity in the hAPP tg mice were associated with improved performance in the water maze. This is consistent with recent studies that have shown that turning off GSK3ß overexpression under the regulatory control of a conditional promoter reverses the spatial learning deficits (Hernandez et al., 2002Go; Engel et al., 2006Go). Because neurodegeneration and behavioral deficits in the hAPP tg model precede the phase of accelerated amyloid plaque deposition (Rockenstein et al., 2001Go), it is most likely that the protective effects were related to reduced levels of soluble Aß and formation of toxic oligomers rather than to the decreased plaque load. The mechanisms through which blocking GSK3ß might result in reduced Aß production are a subject of investigation. For example, previous studies have shown that GSK3ß interacts with presenilin and that inactivating GSK3ß might result in decreased {gamma}-secretase activity (Takashima et al., 1998Go; Baki et al., 2004Go; Su et al., 2004Go). Other mechanisms might also be involved; in this regard, the present study showed that blocking GSK3ß resulted in decreased APP phosphorylation and maturation, a process necessary for Aß generation (da Cruz e Silva and da Cruz e Silva, 2003Go; Lee et al., 2003Go; Rockenstein et al., 2005aGo). These results support the notion that, via regulation of phosphorylation, blockage of GSK3ß might retain APP in the early secretory pathway, depleting mature APP-p before it is transported to the axon terminals, in which a large proportion of Aß generation by the {gamma}-secretase complex takes place (Lee et al., 2005Go). This alteration of the subcellular distribution of APP might localize it to a compartment in which it might be less prone to be cleaved via the ß-secretory pathway. In this context, the reduction of APP phosphorylation by inactivating GSK3ß might result in a depletion of mature APP-p in the trans-Golgi compartment and a lesser amount of APP targeted to the distal axon, which would preclude Aß generation at synaptic sites.

The neuroprotective effects of lithium in the hAPP tg mice might not be exclusively related to the effects of this compound on the GSK3ß signaling cascade but might involve the regulation of other kinases involved in neurodegeneration such as CDK5 and SAPK (Iijima et al., 2000Go; Ryder et al., 2003Go). Moreover, lithium has been shown to regulate the expression of oncogenes such as BclII, p53, and Bax (Bcl-2-associated X protein) (Chen and Chuang, 1999Go) to inhibit protein phosphatase A2 (Mora et al., 2002Go), to regulate the c-Jun NH2-terminal kinase pathway (Yuan et al., 1999Go), and to regulate the expression and function of transcription factors that bind to the activator protein-1 and cAMP response element sites, which play an important role in regulating cell survival (Ozaki and Chuang, 1997Go; Yuan et al., 1999Go). Furthermore, at therapeutically relevant doses, lithium regulates inositol metabolism (O'Donnell et al., 2000Go; Williams et al., 2002Go) and activates the phosphoinositol-3 kinase (PI3K)–Akt signaling pathway (Chalecka-Franaszek and Chuang, 1999Go; Mora et al., 1999Go) that is known to inhibit GSK3ß, thereby promoting cell survival (Cross et al., 1995Go; Shaw and Cohen, 1999Go; Hashimoto et al., 2002Go). Supporting a role of GSK3ß inactivation in lithium-mediated neuroprotection, lithium directly inhibits GSK3ß by competition for magnesium (Ryves and Harwood, 2001Go), and it directly binds GSK3ß in staurosporine-treated cells, thereby protecting through inhibition of GSK3ß (Bijur et al., 2000Go). The role of lithium in GSK3ß signaling is particularly important for understanding its neurotrophic activity because GSK3ß is key in regulating CNS development (Joutel and Tournier-Lasserve, 1998Go; Dierick and Bejsovec, 1999Go) and cell fate (Pap and Cooper, 1998Go; Torres et al., 1999Go). This observation is also consistent with previous studies showing that trophic factors such as fibroblast growth factor-1 promote GSK3ß inactivation via Akt-mediated phosphorylation at Ser9 (Sutherland et al., 1993Go; Hashimoto et al., 2002Go), thereby facilitating ß-catenin nuclear localization (Bienz, 1999Go) and cell survival (Hashimoto et al., 2002Go). Inactivation of GSK3ß correlates with cell survival, whereas activation of GSK3ß can result in cell death (Pap and Cooper, 1998Go). The mechanisms through which lithium regulates GSK3ß activity are not completely clear, but recent studies support the possibility that lithium regulates the PI3K–Akt pathway (Klein and Melton, 1996Go; Chalecka-Franaszek and Chuang, 1999Go; Mora et al., 1999Go; Takahashi et al., 1999Go; Bhat et al., 2000Go; Elyaman et al., 2002Go; Mai et al., 2002Go), which is directly upstream of GSK3ß (Cross et al., 1995Go).

Alternatively, it is possible that blocking GSK3ß might be protective in hAPP tg mice by regulating or decreasing the phosphorylation of other substrates. Among them, considerable attention has been dedicated to the role of GSK3ß on tau phosphorylation and the formation of tangles (Mandelkow et al., 1992Go; Baum et al., 1996Go; Pei et al., 1999Go; Ishizawa et al., 2003Go). Interestingly, recent studies have shown that lithium treatment reduces tau hyperphosphorylation and formation of tangle-like lesions in tau tg mice (Perez et al., 2003Go; Phiel et al., 2003Go; Nakashima et al., 2005Go; Noble et al., 2005Go).

In conclusion, the present study showed that inhibition of the GSK3ß pathway with lithium or by genetic manipulation not only reduces Aß production, but it also results in neuroprotection and improved water maze performance in the hAPP tg mice. These effects were associated with reduced phosphorylation of APP and generation of neurotoxic metabolites of APP. Our study further supports the therapeutic rationale of using GSK3ß blockers in the treatment of AD.


   Footnotes
 
Received Jan. 26, 2006; accepted Oct. 27, 2006.

This work was supported by National Institutes of Health Grants MH62962, AG10435, AG022074, AG18440, AG11385, and AG05131.

Correspondence should be addressed to Dr. Eliezer Masliah, Department of Neurosciences, University of California, San Diego, La Jolla, CA 92093-0624. Email: emasliah{at}ucsd.edu

Copyright © 2007 Society for Neuroscience 0270-6474/07/271981-11$15.00/0


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