A wealth of evidence has accumulated showing that presenilins play an important role in synaptic function in the adult cerebral cortex (). The first study to investigate this employed
Cre/loxP technology to generate
PS1 conditional knockout (cKO) mice. By crossing floxed
PS1 mice with transgenic mice that expresses the Cre recombinase under the control of the αCaMKII promoter, PS1 was selectively deleted in the excitatory neurons of the forebrain. In these
PS1 cKO mice, PS1 inactivation begins around postnatal day 18 [
25]. In contrast to the striking developmental defects in
PS1 germline knockout mice, the forebrain-specific
PS1 cKO mice are viable and exhibit normal evoked field excitatory postsynaptic potentials (EPSPs) recorded in the Schaeffer-collateral pathway using acute hippocampal slices () [
25]. Cultured cortical or hippocampal neurons derived from
PS1 germline knockout embryos showed increased frequency of spontaneous miniature excitatory postsynaptic currents (mEPSCs) [
26]. This result may be explained by higher numbers of synapses in
PS1 knockout cultured neurons, which may be compensatory changes due to developmental defects caused by the absence of PS1 (e.g., fewer neurons). This interpretation is consistent with the greater synaptic contacts revealed by presynaptic and postsynaptic markers in
PS1 knockout cultured cortical neurons.
| Table 1Role of presenilins in synaptic plasticity, learning and memory and neuronal survival in the adult cerebral cortex. |
PS1 cKO mice also exhibited mild cognitive deficits in long-term spatial memory that appear to be independent of the Notch signaling pathway [
25]. Interestingly, conditional inactivation of PS1 in APP transgenic mice effectively prevented the accumulation of Aβ peptides but failed to ameliorate the memory impairments in APP transgenic mice [
27,
28]. Furthermore, inhibition of γ-secretase activity by PS1 inactivation caused an age-dependent accumulation of γ-secretase substrates APP carboxyl-terminal fragments at presynaptic terminals, which are likely detrimental to neuronal function [
27].
Interestingly, several reports showed age-dependent effects of PS1 mutations on synaptic plasticity as well as learning and memory.
PS1 knockin mice expressing the Met146Val mutation exhibited age-dependent impairment on LTP induction; LTP was increased at 6 months, unchanged at 9 months and decreased at 12 months of age [
29]. These knockin mice also showed spatial memory deficits in the post-training probe trials in the Morris water maze at 3 and 9 months of age [
30]. In transgenic mice, overexpression of the PS1 Leu286Val mutant caused a transient increase in N-Methyl-D-aspartic acid receptor (NMDAR)-mediated responses and LTP at 4 months of age, but decreases by 13 months of age [
31].
Analysis of presenilin conditional double knockout mice (
PS cDKO) lacking both PS1 and PS2 in the postnatal forebrain revealed striking deficits in hippocampal learning and memory as well as synaptic plasticity impairments prior to elevated levels of tau hyperphosphorylation and neurodegeneration that resembles key neuropathological features of AD [
7]. As these mice aged, they developed progressive synaptic and neuronal loss () [
7,
32]. Curiously, following presenilins inactivation there is a significant delay (~4 weeks) in the detection of apoptosis, and apoptotic cell death occurs in only approximately 0.1% of cortical neurons, despite the fact that presenilins are inactivated in most, if not all, cortical neurons [
33]. The presence of human tau exacerbated the memory impairment and neurodegeneration observed in
PS cDKO mice [
34]. These results define essential roles of presenilins in synaptic plasticity, learning and memory, and neuronal survival in the adult cerebral cortex. Mild spatial and associative memory impairments, concomitant with alterations in both short-term and long-term synaptic plasticity in the hippocampal Schaeffer-collateral pathway, were seen as early as 2 months of age in
PS cDKO mice (). Specifically, pair-pulse facilitation, a measure of presynaptic short-term plasticity, was impaired in
PS cDKO mice, and LTP, a measure of experience-dependent synaptic strengthening was also significantly lower [
7]. However, another form of synaptic plasticity, the metabotropic glutamate receptor (mGluR)-dependent long-term depression (LTD) induced by paired pulse low frequency stimulations, was normal in
PS cDKO hippocampal slices, indicating the specificity of synaptic defects caused by loss of presenilins. LTP deficits in
PS cDKO mice were associated with a reduction in NMDAR-mediated responses, synaptic levels of NMDAR subunits (specifically NR1 and NR2A), and αCamKII (a downstream effector of NMDARs in LTP induction) [
7]. These results suggest impairment of synaptic NMDAR activity in
PS cDKO mice may be due to a defect in intracellular trafficking and synaptic delivery of NMDARs. Moreover, presenilin deficiency resulted in decreased levels of transcriptional coactivator CREB binding protein (CBP) and transcription of CREB/CBP target genes, most likely due to indirect regulation of presenilins in CREB-mediated transcription [
7,
35]. Loss of presenilins resulted in presynaptic deficits in short-term plasticity prior to postsynaptic NMDAR dysfunction, suggesting that presenilins regulate postsynaptic NMDAR function in part by trans-synaptic mechanisms [
36]. Consistent with these findings in mice, analysis of the neuromuscular junction in
presenilin-null flies also revealed impaired presynaptic plasticity and associative learning [
37].
Recent studies have shown that presenilins are essential for regulating neurotransmitter release during synaptic transmission. By genetically engineering mice with specific deletion of both presenilin genes in either presynaptic (CA3) or postsynaptic (CA1) neurons of the hippocampal Schaeffer-collateral pathway, it was shown that presynaptic, but not postsynaptic inactivation of presenilins, decreased LTP induced by theta burst stimulation [
8] (). Moreover, inactivation of presynaptic presenilins altered short-term plasticity and synaptic facilitation [
8]. LTP deficits were not due to changes in postsynaptic NMDA or AMPA (α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid) receptors but were instead attributed to a decreased probability of glutamate release, measured by the open channel blocker NMDAR antagonist MK-801 [
8]. Remarkably, depletion of ER calcium internal stores by thapsigargin or inhibition of calcium release from intracellular stores by ryanodine receptor (RyR) inhibitors mimicked and occluded the effect of presynaptic presenilin inactivation, suggesting that presenilins modulate calcium-induced calcium release through RyRs on the ER [
8]. Interestingly, there has been increasing evidence supporting a presynaptic role for intracellular calcium stores in regulating neurotransmitter release and modulating presynaptic plasticity [
38,
39]. For example, axonal localization of RyR2 enables use dependent calcium release from intracellular stores within the mossy fibers and thereby facilitates presynaptic plasticity at the mossy fiber-CA3 synapse [
38,
39]. Altogether, these studies demonstrate that loss of presenilin impairs LTP induction and glutamate neurotransmitter release by altering calcium release from intracellular stores and raised the possibility that impaired presynaptic mechanisms may play a role in AD pathophysiology.
Presenilins promote memory and neuronal survival in a γ-secretase-dependent mechanism, which is consistent with findings showing that conditional inactivation of nicastrin, another component of the γ-secretase complex, in the adult cerebral cortex, also resulted in progressive memory impairment and age-dependent neurodegeneration [
40]. These results provide important insight into γ-secretase activity in learning, memory, and neuronal survival. The challenge is to identify the molecular targets downstream of γ-secretase activity that are involved in synaptic function and neuronal survival in the aging brain. Many substrates of γ-secretase-mediated intramembrane proteolysis have been reported, but the physiological significance of this cleavage is often unclear; Notch and APP are the confirmed physiological substrates [
11]. Notch is clearly a key mediator of presenilin function during development [
23], but its role in the adult brain has not been established. Similar to Notch, the intracellular domain of APP generated by γ-secretase-mediated cleavage has also been reported to have transcriptional transactivation activities [
41,
42]; however, it is unclear whether presenilins promote memory and neuronal survival through the APP family. Recently, EphA4, an Ephrin receptor family member, was identified as a substrate of γ-secretase, and its proteolysis was enhanced by synaptic activity [
43]. Overexpression of the EphA4 intracellular domain increases the number of dendritic spines though activation of the Rac signaling pathway [
43]. This finding is consistent with the report showing that γ-secretase inhibitors reduce spine density
in vivo [
44]. Identification of the molecular targets of presenilin and γ-secretase, which are responsible for synaptic dysfunction and neurodegeneration caused by loss of presenilin, will provide novel therapeutic targets for AD treatment.