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In the hippocampal formation of Alzheimer’s disease (AD) patients, both focal and diffuse deposits of Aβ peptides appear in a subregion- and layer-specific manner. Recently, pyroglutamate (pGlu or pE)-modified Aβ peptides were identified as a highly pathogenic and seeding Aβ peptide species. Since the pE modification is catalyzed by glutaminyl cyclase (QC) this enzyme emerged as a novel pharmacological target for AD therapy. Here, we reveal the role of QC in the formation of different types of hippocampal pE-Aβ aggregates. First, we demonstrate that both, focal and diffuse pE-Aβ deposits are present in defined layers of the AD hippocampus. While the focal type of pE-Aβ aggregates was found to be associated with the somata of QC-expressing interneurons, the diffuse type was not. To address this discrepancy, the hippocampus of amyloid precursor protein transgenic mice was analysed. Similar to observations made in AD, focal (i.e. core-containing) pE-Aβ deposits originating from QC-positive neurons and diffuse pE-Aβ deposits not associated with QC were detected in Tg2576 mouse hippocampus. The hippocampal layers harbouring diffuse pE-Aβ deposits receive multiple afferents from QC-rich neuronal populations of the entorhinal cortex and locus coeruleus. This might point towards a mechanism in which pE-Aβ and/or QC are being released from projection neurons at hippocampal synapses. Indeed, there are a number of reports demonstrating the reduction of diffuse, but not of focal, Aβ deposits in hippocampus after deafferentation experiments. Moreover, we demonstrate in neurons by live cell imaging and by enzymatic activity assays that QC is secreted in a constitutive and regulated manner. Thus, it is concluded that hippocampal pE-Aβ plaques may develop through at least two different mechanisms: intracellularly at sites of somatic QC activity as well as extracellularly through seeding at terminal fields of QC expressing projection neurons.
The online version of this article (doi:10.1007/s00401-011-0806-2) contains supplementary material, which is available to authorized users.
Alzheimer’s disease (AD) is the most prevalent neurodegenerative disorder characterized by the appearance of neurofibrillary tangles, loss of specific neuronal populations and formation of Aβ deposits in neocortical and hippocampal brain structures and in vulnerable subcortical nuclei (AD) [7, 8, 52]. Aβ peptides are generated by sequential proteolytic cleavage of the amyloid precursor protein (APP) by β- and γ-secretases . A substantial proportion of Aβ peptides undergoes N-terminal truncation by two or by ten amino acids and subsequent cyclization of N-terminal glutamate (E) into pyroglutamate (pE), resulting in pE3-Aβ and pE11-Aβ peptides [41, 44, 45]. Such pE-Aβ peptides have been shown by biochemical and histological methods to be major constituents of Aβ deposits in sporadic and familial AD [34, 38, 44]. Also in a recent study using mass spectrometry, pE-Aβ peptides were identified as a significant—although not predominant—Aβ peptide species in brains from sporadic and familial AD patients . Based on a number of independent biophysical, biochemical and histological observations, pE-Aβ peptides could play a prominent role in AD pathogenesis. For example, the cyclization of glutamic acid into a pE residue leads to a loss of N-terminal charge resulting in accelerated aggregation of pE-Aβ [26, 42] and co-aggregation of non-modified Aβ peptides [15, 31, 48, 51]. Furthermore, the pE-modification confers resistance to degradation by most aminopeptidases as well as Aβ-degrading endopeptidases . Finally, a particularly neurotoxic effect of pE-Aβ peptides on primary neurons, neuronal cell lines and neurons of APP transgenic animals in vivo has been described [1, 42, 59].
Recently, glutaminyl cyclase (QC) has been shown to be the enzyme catalyzing pE-Aβ peptide generation in cell-free assays , in cell culture [13, 14] and in experimental animals [49, 50]. Chronic inhibition of QC in transgenic mouse and Drosophila models of AD resulted in reduced pE-Aβ peptide generation and in diminished total Aβ peptide concentrations in brain . Thus, the enzymatic activity of QC appears to be a prerequisite for pE-Aβ peptide generation and QC expression may render neurons especially vulnerable.
In mammalian brain, significant neuronal QC expression in the hypothalamus has been described decades ago, and has been shown to be involved in the maturation of peptide hormones such as orexin A, gastrin, gonadotropin- and thyrotropin-releasing hormones and neurotensin [6, 9, 20, 39]. Recently, we demonstrated pronounced QC immunoreactivity in a subpopulation of neocortical neurons and of GABAergic interneurons in the mouse hippocampus . Moreover, we observed robust QC expression in mouse and human brain in AD-vulnerable subcortical brain regions, such as nucleus basalis Meynert, locus coeruleus and Edinger–Westphal nucleus .
However, contrary to the thorough biochemical characterization of pE-Aβ formation by QC, a conclusive histological relation of QC expression and pE-Aβ pathology in vivo is still lacking. In order to address this issue, we first analysed the pE-Aβ immunoreactivity in post mortem hippocampal brain tissue of AD patients. The hippocampus was chosen as model system because of its well-described connectivity and laminated organization with segregated cell and fibre layers , early-onset pE-Aβ plaque generation and significant QC expression in mouse hippocampus . Here, we report for the first time an analysis of the spatial relation of distinct types of pE-Aβ deposits with QC immunoreactive neurons and target fields of QC-rich projection neurons in the human hippocampal formation. To get further insights from an animal model of AD, we also analysed the temporal and spatial occurrence of pE-Aβ plaques in APP transgenic Tg2576 mice and related it histologically to QC expression.
Case recruitment and autopsy were performed in accordance with guidelines effective at Banner Sun Health Research Institute Brain Donation Program of Sun City, Arizona . The required consent was obtained for all cases. The definite diagnosis of AD for all cases used in this study was based on the presence of neurofibrillary tangles and neuritic plaques in the hippocampal formation and neocortical areas and met the criteria of the National Institute on Aging (NIA) and the Consortium to establish a registry for AD (CERAD) . Hippocampal brain tissue from ten AD cases and from seven age-matched control subjects was evaluated for QC expression and for pE-Aβ deposition (Table 1). Anatomical subfields and layers of the human hippocampal formation at the level of 13, 23 and 31 mm were identified using Nissl-stained sections and the atlas of the human brain [18, 30].
Fifteen-millimeter-thick tissue blocks were prepared in the frontal plane according to the atlas of the human brain  and fixed in 4% paraformaldehyde in 0.1 M phosphate-buffered saline (PBS), pH 7.4 for 3–4 days. Areas containing the regions of interest were cryoprotected in 30% sucrose in 0.1 M PBS, pH 7.4. Series of 30-μm-thick sections were cut on a freezing microtome and collected in PBS containing 0.1% sodium azide.
In order to relate QC expression to pE-Aβ formation, female wild-type and APP transgenic Tg2576 mice at the postnatal age of 10, 12, 14, 16, 18 and 23 months were used for this study (N = 3–5 per age group). As control for the specificity of the QC immunohistochemical labelling, QC knock-out mice generated on the basis of classical homologous recombination approach were included [25, 36]. Cre-mediated excision of exons 5 and 6 was confirmed by PCR and RT-PCR. The constitutive deletion of these exons resulted in an additional frame shift and thus in a complete loss of the C-terminal part of the protein (not shown).
Mice were deeply anaesthetized with pentobarbital and perfused transcardially with 50 ml 0.9% saline containing 0.1% heparin followed by perfusion with 80 ml 4% paraformaldehyde in PBS (0.1 M; pH 7.4). The brains were removed from the skull and postfixed by immersion in the same fixative overnight at 4°C. After cryoprotection in 30% sucrose in 0.1 M PBS for 3 days, the brains were snap-frozen in n-hexane at −68°C and stored at −20°C. Coronal sections (30 μm) were cut on a sliding microtome and collected in 0.1 M PBS.
Immunohistochemistry to detect QC in human brain was performed using a commercially available mouse anti-human QC antiserum (A01; Abnova; 1:500). Additionally, the specificity of QC immunolabelling was validated by similar staining patterns obtained employing the rabbit anti-QC antiserum 1301 (1:500), which was raised against recombinant full-length mouse QC expressed in yeast. This antiserum has been characterized recently [25, 36] and was shown to detect mouse, rat and human QC in Western blot analysis and immunohistochemistry, which appears conceivable considering a 85% protein sequence identity. Moreover, the specificity of the QC antiserum was previously shown by the robust labelling of mouse hypothalamic neurons, a known source of QC and of peptide hormones modified by QC, and by the absence of this labelling in brains from QC knock-out mice [25, 36].
pE-Aβ peptides in brains of transgenic mice and of AD patients were detected using the mouse monoclonal antibody mab2-48 (Synaptic Systems, Göttingen, Germany), which has been thoroughly characterized by Wirths et al. . This antibody specifically detects the pE3-Aβ neo-epitope generated by QC activity and does not cross-react with endogenous mouse Aβ nor with human Aβ1-40/42, N-truncated human Aβ3-40/42 lacking the pE modification, or pE11-Aβ. When required for double-labelling procedures a rabbit anti-pE-Aβ antiserum (Synaptic Systems) was used. The rabbit anti-pE-Aβ and mouse anti-pE-Aβ antibodies showed an identical staining pattern in mouse and human brain tissue as revealed by double immunofluorescent labelling (not shown).
A detailed description of the single, double and triple immunohistochemical labellings performed in human and in Tg2576 mouse brain sections is given in the Supplementary Information 1. Briefly, specific primary antibodies raised in different species and standard immunochemical protocols were followed to reveal co-localization of pE-Aβ with QC and with total Aβ peptide pools. The presence of the respective antigens was visualized using chromogens (DAB, DAB-Ni) and fluorescent dyes (Cy2, Cy3, TOPRO-3) as described in [25, 36].
Laser scanning microscopy (LSM 510, Zeiss, Oberkochen, Germany) was performed to reveal co-localization of (1) QC with pE-Aβ and cellular nuclei or (2) pE-Aβ with total Aβ pools. For Cy2-labelled antigens (green fluorescence), an argon laser with 488 nm excitation was used and emission from Cy2 was recorded at 510 nm applying a low-range band pass (505–550 nm). For Cy3-labelled antigens (red fluorescence), a helium–neon laser with 543 nm excitation was used and emission from Cy3 at 570 nm was detected applying high-range band pass (560–615 nm). Nuclei labelled with TOPRO-3 were visualized by excitation at 633 nm and detection of TOPRO-3 emission above a long pass of 655 nm.
Receptor autoradiography to detect adrenergic receptor subtypes as a measure of noradrenergic hippocampal innervation in rodent brain was carried out as described previously . Briefly, 12-μm-thick brain slices cut in the coronal plane were mounted onto gelatin-coated slides and pre-incubated with 170 mM Tris–HCl (pH 7.4) at RT for 15 min to wash out endogenous ligand and to equilibrate the brain tissue. For the detection of the α1-adrenoceptor, brain sections were incubated in the same buffer containing 1 nM [3H]prazosine for 30 min at RT. The α2-adrenoceptor subtype was detected using [3H]rauwolscine (5 nM) as radioligand. As [3H]rauwolscine does not discriminate between α2-adrenoceptors and 5-HT1A receptors, 5-HT1A receptors were masked with unlabelled serotonin (0.3 μM) and the incubation was performed for 30 min at RT. The presence of the β1/2-adrenoceptor was determined using [3H]dihydroalprenolol (3 nM) as radioligand for 1 h at RT. After the respective incubation periods, sections were washed twice in ice-cold buffer for 5 min, followed by a short dipping into ice-cold distilled water. The labelled and dried tissue sections were then apposed to tritium-sensitive film (3H-Hyperfilm, Amersham) at 4°C for 3–5 weeks. The films were developed with Kodak D19 developer for 5 min, fixed, rinsed and dried. Optical density readings from the autoradiographs obtained were recorded across the hippocampus using the MCID image analysis program (Imaging Research Inc., St. Catharines, Ontario, Canada), corrected for background and displayed as thick profiles from dorsal to ventral.
Next, we employed cell culture experiments to elucidate whether QC protein accumulates intracellularly or whether it is constitutively released into the culture medium by QC expressing neurons. For this purpose, different neuronal cell types were used, i.e. the QC expressing mouse hypothalamic neuronal cell line GT1-7 , kindly provided by I. Vorberg/H. Schätzl; Institute of Virology at Technical University of Munich, and mouse primary neurons derived from wild type and from QC knock-out foetuses of gestation day 16. Three days after seeding neurons in DMEM containing 5% horse serum and 1× antibiotic mixture, the medium was replaced by serum-free cultivation medium and cultures were maintained for 1, 3 and 5 days in vitro without change of medium. At the end of the cultivation period, the conditioned medium was collected; the cells were harvested, washed in PBS, centrifuged at 800×g for 8 min and stored at −20°C pending QC activity measurements. In another set of experiments, veratridine (Sigma; 50 μM) and potassium chloride (Sigma; 50 mM) were used to pharmacologically stimulate vesicular release by neuronal depolarization in 15 min pulse experiments.
QC activity was measured by a discontinuous HPLC-method using the substrate H-Gln-βNA as described previously . Briefly, QC containing cell lysate or cell culture supernatant was incubated with substrate H-Gln-βNA. Test samples were taken and reaction was stopped by boiling for 5 min. Analysis for pGlu-βNA formation was done using RP18 LiChroCART HPLC Cartridge and the HPLC-system D-7000 (Merck-Hitachi). QC activity was quantified from a standard curve of pGlu-βNA under assay conditions.
In order to demonstrate transport of QC in neuronal processes, live cell imaging was performed. Constructs encoding QC fused to enhanced green fluorescent protein (QC-EGFP) were generated as described elsewhere . The construct was confirmed by sequencing and isolated for cell culture purposes using EndoFree Plasmid Maxi Kit (Qiagen). Transfection of GT1-7 cells differentiated by serum deprivation for 72 h was performed by incubation with 10 μl lipofectamine 2000 (Invitrogen) and 4 μg plasmid DNA per well for 6 h. Twelve hours after transfection, QC-EGFP was detected using a Zeiss Cell Observer system equipped with an Axiocam MRC and a 63× objective lens. In control experiments, cells were transfected with EGFP constructs lacking the QC cDNA.
Quantitative data on QC enzymatic activity given in Fig. 6 are mean values of five independent experiments ± SEM. Data were analysed by one-way ANOVA, followed by post hoc analysis (Newman–Keuls test).
In this paper, we employ the terms “focal” and “diffuse” Aβ deposits to distinguish between dense plaque morphology containing a neuronal soma or remains thereof on the one hand and more loosely aggregated pE-Aβ without apparent association with a neuronal cell body on the other. In analogy to current classifications of Aβ plaque pathology (reviewed in ) the term focal deposit relates to dense-cored , neuritic , and classic and compact  plaques. Since we focused on the relationship between QC expression and pE-Aβ aggregation, the presence or absence of dystrophic neurites was not included in the plaque classification.
In the human hippocampal formation from AD subjects, pE-Aβ deposits were detected in a structured, laminated orientation as shown in Fig. 1a. In particular, pE-Aβ deposits were found lined-up in the dentate gyrus (DG) molecular layer. Additionally, pE-Aβ aggregates were detected in stratum lacunosum moleculare and stratum radiatum of the hippocampus proper but barely in granular and pyramidal cell layers. The pattern of pE-Aβ deposits described above was found at different levels of the AD hippocampal formation (Fig. 1b). In contrast, hippocampal brain sections from control subjects were almost devoid of pE-Aβ deposits (Fig. 1b) and of plaques composed of unmodified Aβ peptides (not shown). Interestingly, pE-Aβ deposits present in the AD hippocampus differed significantly with respect to their morphology and to their association with QC. Applying two different histological double-labelling procedures depending on (1) peroxidase as marker enzyme and (2) immunofluorescent labellings, a diffuse type of pE-Aβ aggregates not associated with QC immunoreactive neurons and a dense-core type of pE-Aβ deposits frequently associated with QC positive neurons were identified (Fig. 1c).
To substantiate observations made in AD brain in an animal model of AD, the temporal and spatial appearance of pE-Aβ was studied in brains of APP transgenic Tg2576 mice at the age of postnatal month (PM) 10, 12, 14, 16, 18 and 23. pE-Aβ immunoreactive deposits were already detectable at PM 10 in entorhinal cortex. At later stages, pE-Aβ deposits also appeared in cingulate cortex (PM 12), in the DG molecular layer (PM 14), in stratum lacunosum moleculare and striatum (PM 16), in parietal cortex (PM 18) and more hippocampal and neocortical subfields (PM 23) (Fig. 2). During the aging process, pE-Aβ load in all affected brain structures steadily increased.
In order to relate QC expression to pE-Aβ generation by individual neurons and to pE-Aβ plaque formation, we analysed the hippocampus of APP transgenic Tg2576 mice. As demonstrated in Fig. 3, most QC expressing interneurons in the hippocampal formation were detected along the stratum lacunosum moleculare of the hippocampus proper. QC immunoreactive neurons were also present in the polymorphic and at lower density in the molecular layer of DG, as well as in strata radiatum and oriens of cornu ammonis, but were largely absent from granular and pyramidal cell layers (Fig. 3). These principal cell layers did not show significant numbers of pE-Aβ deposits. pE-Aβ plaques were most abundantly formed in the DG molecular layer just below the hippocampal fissure, but to a lesser extent in strata lacunosum moleculare and oriens (Fig. 3). Thus, there is only a weak spatial correlation between highest numbers of QC immunoreactive neurons on the one hand and highest density of pE-Aβ deposits on the other in specific layers of the aged Tg2576 hippocampus.
Attempting to unveil the cause for this discrepancy, we performed double immunofluorescent labellings for QC and pE-Aβ and analysed the morphology of hippocampal pE-Aβ deposits with respect to local QC expression. Along the hippocampal stratum lacunosum moleculare, a layer with numerous QC immunoreactive interneurons, we frequently observed intraneuronal pE-Aβ accumulation as well as pE-Aβ aggregates displaying the size and shape of neurons (Fig. 4a). In many cases, QC immunoreactivity and nuclear staining were also detected in these aggregates suggesting that this type of pE-Aβ aggregate may have directly emanated from the somata of QC expressing interneurons.
In contrast, the DG molecular layer contained relatively few QC expressing interneurons, compared to an increasingly high pE-Aβ plaque load in aging transgenic animals. Interestingly, pE-Aβ deposits in the DG molecular layer frequently exhibited a different morphology compared to the dense type described above. These plaques appeared more diffuse, lacked the neuron-like shape and displayed neither QC immunoreactivity nor neuronal nuclei staining in their center (Fig. 4b). We thus considered the possibility of an alternative mechanism of QC-driven pE-Aβ plaque generation in the hippocampus in addition to pE-Aβ accumulation in the cell bodies of local QC synthesizing interneurons. There are a number of reports demonstrating that general Aβ plaque deposition in the DG molecular layer of APP transgenic mice is dependent on the intact perforant and alvear pathways arising from the entorhinal cortex [10, 28]. This is consistent with axonal transport of Aβ and its synaptic release . In analogy, we considered a mechanism in which QC and/or pE-Aβ could be released by afferents of projection neurons terminating in defined hippocampal subfields such as the DG molecular layer. The entorhinal cortex on its part expresses significant amounts of QC and is the first brain region affected by pE-Aβ pathology in Tg2576 mice (see Fig. 2).
Based on the unique aggregation velocity of pE-Aβ peptides compared to any other form of Aβ peptides, a function of pE-modified Aβ peptides as seed for aggregation and co-aggregation of unmodified Aβ has been postulated. If this hypothesis was true, pE-Aβ should be localized in the center of such aggregates, coated by unmodified Aβ. To address this issue, double immunofluorescent labellings of Aβ with pE-Aβ-specific and general Aβ antibodies (4G8) were performed. As shown for the Tg2576 hippocampus in Fig. 5, pE-Aβ was always detected in the center of morphologically different types of Aβ aggregates and covered by non-pE-Aβ peptides. Similar observations were made for human brain tissue (not shown). It is important to note that antibody 4G8, when applied at low dilution, also recognizes full-length APP and longer APP fragments harbouring the 4G8 epitope. However, at the high dilution used here (1:5,000), the antibody then detects only Aβ .
In order to obtain evidence for a contribution of QC expressed by distant projection neurons in the formation of diffuse hippocampal pE-Aβ plaques, three alternative approaches were employed. Firstly, we visualized noradrenergic receptors in the hippocampal formation by receptor autoradiography as a measure of noradrenergic innervation. Autoradiographs revealed significant and lamina-specific expression of α1, α2 and β1/2 noradrenergic receptor subtypes in particular in the DG molecular layer and the stratum lacunosum moleculare (Fig. 6a), indicating a substantial noradrenergic innervation of the layers harbouring diffuse pE-Aβ deposits. In contrast, pyramidal and granular cell layers, which do not exhibit diffuse pE-Aβ aggregates, displayed—if any—only a low density of these noradrenergic receptor subtypes. Secondly, we quantified intracellular versus secreted QC in mouse hypothalamic GT1-7 neurons and in primary neurons over defined cultivation periods. After 24 h of cultivation, QC activity in conditioned media was 10-times higher than intracellular QC activity (Fig. 6b). Moreover, we observed stable intracellular QC activity but a 2.5-fold increase in QC activity in the cultivation medium over a period of 5 days (Fig. 6b), consistent with QC being constitutively secreted from neuronal cells. Additionally, the secretion of enzymatically active QC was reduced in a gene dosage-dependent manner in primary neuronal cultures from QC knock-out mice (Fig. 6b). Finally, neuronal depolarization by application of a high extracellular K+ concentration (50 mM) or by veratridine treatment (50 μM) in 15 min pulse experiments resulted in a modest stimulation of QC secretion by 24 and 53%, respectively.
Thirdly, live cell imaging of QC-EGFP-transfected GT1-7 cells demonstrated fast transport of QC in neuronal processes (Fig. 6c). Together, these data demonstrate that QC is transported in neurites and is for the most part constitutively secreted from neuronal cells. In addition, QC was released in a regulated manner, after stimulation with KCl or veratridine. Therefore, it appears reasonable to conclude that the enzyme exerts its enzymatic activity in vivo in target areas distant from the somata of QC-expressing neurons.
The aim of this study was to reveal the spatial relation of QC-expressing neurons with pE-Aβ aggregates in brain. For a number of reasons, the hippocampus was used as a model system to address that question: (1) it is structured in defined layers that are (2) characterized by the presence of high versus low numbers of QC immunoreactive interneurons in mice, (3) it is affected by pE-Aβ pathology and (4) it receives afferents from projection neurons of the entorhinal cortex and locus coeruleus, which were shown to robustly express QC in mouse and human brain . Moreover, hippocampal neurons are involved in the realization of higher cognitive function such as spatial orientation, learning and memory formation as well as in the processing of emotion and stress (reviewed in [4, 19]) and are affected by both, tau and Aβ pathology, at early stages of AD . Thus, dysfunction or degeneration of hippocampal neurons has been shown to contribute to cognitive decline in AD patients [22, 46, 58]. Although the cellular and molecular mechanisms contributing to hippocampal pathology and neurodegeneration are not well established, there is recent solid evidence that the pE-modification of N-truncated Aβ peptides contributes to the formation of neurotoxic high molecular weight Aβ aggregates [1, 26, 42, 59]. This modification is catalyzed by QC at an acidic pH optimum present at intracellular sites of Aβ generation [14, 47]. However, thorough histopathological evidence for a role of QC in pE-Aβ generation has still been lacking and, therefore, was addressed in this study.
In the human hippocampal formation from AD patients we observed a strikingly laminated appearance of pE-Aβ deposits in the DG molecular layer and a marked pE-Aβ pathology in stratum lacunosum moleculare of CA1, CA2 and CA3 subfields as well as in the subiculum. We detected a similar pattern of Aβ deposition using antibodies against full-length Aβ peptides in our brain material. This is consistent with the previously demonstrated layer-specific Aβ deposition in AD hippocampus [7, 12]. Interestingly, two types of pE-Aβ deposits were identified: cored/focal pE-Aβ aggregates, frequently associated with QC-immunoreactive neurons or neuronal debris and more diffuse pE-Aβ deposits not associated with QC neurons. Both types of plaques were found to be composed of pE-Aβ and of their unmodified counterparts with pE-Aβ being present in the center and full-length Aβ in the periphery of the deposits. We did not observe pE-Aβ immunonegative plaques. In the present study six out of seven control subjects were devoid of hippocampal pE-Aβ plaque pathology. One non-demented control subject displayed moderate pE-Aβ plaque immunoreactivity in the hippocampus.
In order to further assess the role of QC in the formation of distinct types of pE-Aβ deposits, brains of APP transgenic mice were analysed. Similar to the pathology in the brains from AD patients, pE-Aβ aggregates in brains of Tg2576 mice were first detected in the entorhinal cortex, around PM 10. This indicates that all prerequisites for pE-Aβ generation such as transgenic human APP expression, as well as β- and γ-secretase activity, N-terminal Aβ truncation and QC activity are present and active in entorhinal cortex neurons. The density of pE-Aβ aggregates steadily increased in entorhinal cortex and additional neocortical structures were subsequently affected by pE-Aβ pathology during the aging process of Tg2576 mice.
In the Tg2576 hippocampal formation, pE-Aβ deposits were first detected around PM 14 in the DG molecular layer. Additionally, starting at PM 16, there was formation of pE-Aβ aggregates at sites of QC immunoreactive somata in the stratum lacunosum moleculare of the hippocampus proper. In many cases, these latter pE-Aβ aggregates displayed a neuron-like shape, were co-localized with QC and contained a cellular nucleus in the center. Thus, we conclude that pE-Aβ peptides in the stratum lacunosum moleculare might be generated intracellularly and accumulate in the somata of local QC-expressing interneurons. At later stages these intracellular aggregates may eventually become detrimental to the cell leading to the nuclear and somatic “crater-like” disintegration of QC/pE-Aβ-co-expressing neurons in this hippocampal subregion. In contrast, pE-Aβ deposits in the DG molecular layer, which only sparsely contains QC immunoreactive interneurons , frequently lacked this neuron-like shape, did not display a central nucleus and had a diffuse structure. These observations are consistent with those made in AD hippocampus raising the question about the role of QC and the cellular and molecular mechanisms contributing to diffuse pE-Aβ deposition in the DG molecular layer.
Interestingly, this hippocampal layer receives afferent input from QC-rich entorhinal cortex neurons that are affected early by pE-Aβ pathology, via the perforant and alvear pathways. In particular, layer II entorhinal cortex neurons innervate the DG molecular layer, and neurons of layer III project to the stratum lacunosum moleculare of cornu ammonis [57, 61], the very hippocampal layers along which pE-Aβ plaques are formed most consistently. This structural connectivity opens the possibility of an additional independent plaque-inducing mechanism, namely hippocampal pE-Aβ seeding via axonal transport processes and synaptic release from terminals of entorhinal cortex projection neurons. Indeed, axonal transport of APP and Aβ-containing fragments via the perforant path  and deposition of Aβ in terminal zones of the entorhinal-dentate projection in APP transgenic mice  have already been described. Compelling evidence for a causative role of perforant path afferents in the development of hippocampal Aβ plaque pathology, however, derives from a number of lesion studies. Both, ablation of the entorhinal cortex as well as transection of the perforant path result in significantly decreased amyloid burden in the hippocampus of APP transgenic mice [28, 53]. Importantly, entorhinal cortex lesions in APP/PS1-transgenic mice solely lead to a marked reduction in the number of diffuse but not of focal Aβ deposits in the deafferented dentate gyrus  also suggesting different plaque-inducing mechanisms. Additionally, selective overexpression of human mutant APP in mouse entorhinal cortex layer II/III neurons resulted in behavioural abnormalities characteristic for widespread neuronal APP overexpression, and in deficits in hippocampus-dependent spatial learning and memory .
The occurrence of two distinct types of neuron-related Aβ deposits, diffuse and focal plaques, is also a well-known feature of the human brain parenchyma affected by AD as reviewed by Duyckaerts et al. . Here, we demonstrate an analogous pattern of the formation of diffuse and dense core pE-Aβ containing plaques in mouse and human brain affected by Aβ pathology. We conclude that QC, the enzyme catalyzing the pE-modification of Aβ, may contribute to the formation of morphologically distinct types of pE-Aβ plaques via different mechanisms. These include local pE-Aβ generation at sites of QC-expressing hippocampal interneurons and QC and/or pE-Aβ transport from entorhinal cortex projection neurons and layer-specific synaptic release at hippocampal terminal zones. However, we would like to stress that diffuse pE-Aβ aggregates detected in this study may not be exclusively present in the extracellular space, but could also be localized within neurites of QC-rich neurons arising from entorhinal cortex or hippocampal subfields.
A similar mechanism contributing to laminar hippocampal pE-Aβ plaque pathology may apply to subcortical neuronal projections. Thorough anatomical investigations have demonstrated that the hippocampus receives widespread and layer-specific noradrenergic input from the locus coeruleus [5, 29]. This neuronal population has recently been shown to express high amounts of QC in mouse and human brain and to display significant pE-Aβ pathology in AD . Thus, diffuse pE-Aβ plaques observed in the Tg2576 stratum lacunosum moleculare of the hippocampus proper may also result from secretion of pE-Aβ generated by locus coeruleus neurons.
Alternatively, QC itself may be anterogradly transported and released in target regions of projection neurons, and then modify extracellularly deposited N-truncated Aβ peptides. Indeed, there is solid cell physiological evidence to support this notion. For example, QC was found to be localized along the secretory pathway; i.e. endoplasmic reticulum, trans-Golgi network and secretory granules in mouse brain neurons . Moreover, the QC live imaging and enzymatic activity data presented here indicate a constitutive secretion of QC from neurons under basal physiological conditions. Thus, the high QC levels of entorhinal cortex and noradrenergic locus coeruleus neurons, their substantial projections to the DG molecular layer and stratum lacunosum moleculare of the hippocampus proper and the secretion of QC from cultured neurons are supportive for a role of secreted pE-Aβ and/or QC in the generation of diffuse pE-Aβ deposits. Such a “seeding from the distance” of Aβ plaques by brainstem locus coeruleus neurons has already been discussed to contribute to the development of AD pathology . Furthermore, in an APP transgenic mouse model, the seeding of Aβ deposits in brain structures lacking transgene expression has been shown via synaptic Aβ release from projection neurons . These data are also consistent with an animal experimental study in which embryonic foetal cells were grafted into the brains of APP23 mice. The authors observed diffusion of soluble Aβ in the extracellular space and concluded that this process is involved in the spread of Aβ pathology and in neurodegeneration . Also, the thorough analysis of brains from AD patients and from non-demented controls suggests defined phases of Aβ formation and the expansion of the pathology from neocortical to allocortical brain regions, followed by diencephalic, brainstem and cerebellar Aβ deposition .
Considering the sublayer-specific plaque formation in Tg2576 mouse hippocampus it has to be noted, however, that the DG polymorphic layer barely develops pE-Aβ pathology. While the absence of diffuse pE-Aβ deposits is consistent with the lack of entorhinal projection terminals and noradrenergic receptors, the absence of dense core pE-Aβ plaque pathology in spite of the presence of QC-expressing interneurons in this area was unexpected. However, pE-Aβ formation in Tg2576 mice does not only require QC activity, but also human APP expression, its processing by β- and γ-secretases and, finally, N-terminal truncation to generate the QC substrate. Therefore, the absence of one or more factors indispensable for pE-Aβ formation may explain this phenomenon.
Our observations on the central localization of pE-Aβ peptides within Aβ plaques match biochemical data suggesting that pE-Aβ peptides act as seed for aggregation and co-aggregation of non-modified Aβ peptides [15, 31, 51]. In all morphologically distinct types of Aβ aggregates investigated here, pE-Aβ was always detected in the core of the deposited material. Taken together, we describe two morphologically distinct types of pE-Aβ aggregates in the hippocampus of AD patients and of Tg2576 mice, which can be spatially related to local QC-expressing interneurons and to target fields of QC-rich projection neurons arising in entorhinal cortex and/or locus coeruleus, respectively. These data provide histopathological evidence for QC being a prerequisite for pE-Aβ pathology in vivo and further underline the therapeutic potential of QC inhibition in AD.
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We are grateful to the Banner Sun Health Research Institute Brain Donation Program of Sun City, Arizona, for the provision of human brain tissue. The Brain Donation Program is supported by the National Institute on Aging (P30 AG19610 Arizona Alzheimer’s Disease Core Center), the Arizona Department of Health Services (contract 211002, Arizona Alzheimer’s Research Center), the Arizona Biomedical Research Commission (contracts 4001, 0011, 05-901 and 1001 to the Arizona Parkinson’s Disease Consortium) and the Michael J. Fox Foundation for Parkinson’s Research. GT1-7 cells were a generous gift from I. Vorberg/H. Schätzl; Institute of Virology at Technical University of Munich. We thank R. Jendrek (Paul Flechsig Institute for Brain Research), K. Schulz and E. Scheel (Probiodrug) for technical assistance. This work was supported by the German Federal Department of Education, Science and Technology, BMBF [grant #3013185 to H.U.D.] and by the 7th Framework Programm Health of the European Commission [Neuropro, Grant Agreement #223077 to S.R.]. M.M. is member of the Graduiertenkolleg GRK 1097 funded by the German Research Foundation and of the MD/PhD program at the Universität Leipzig.
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M. Hartlage-Rübsamen and M. Morawski contributed equally.
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