Skip to main content
Erschienen in: Brain Structure and Function 1/2019

19.10.2018 | Original Article

Chronic fornix deep brain stimulation in a transgenic Alzheimer’s rat model reduces amyloid burden, inflammation, and neuronal loss

verfasst von: Aurelie Leplus, Inger Lauritzen, Christophe Melon, Lydia Kerkerian-Le Goff, Denys Fontaine, Frederic Checler

Erschienen in: Brain Structure and Function | Ausgabe 1/2019

Einloggen, um Zugang zu erhalten

Abstract

Recent studies have suggested deep brain stimulation (DBS) as a promising therapy in patients with Alzheimer’s disease (AD). Particularly, the stimulation of the forniceal area was found to slow down the cognitive decline of some AD patients, but the biochemical and anatomical modifications underlying these effects remain poorly understood. We evaluated the effects of chronic forniceal stimulation on amyloid burden, inflammation, and neuronal loss in a transgenic Alzheimer rat model TgF344-AD, as well as in age-matched control rats. 18-month-old rats were surgically implanted with electrodes in stereotactic conditions and connected to a portable microstimulator for chronic DBS in freely moving rats. The stimulation was continuous during 5 weeks and animals were immediately sacrificed for immunohistochemical analysis of pathological markers. Implanted, but non-stimulated rats were used as controls. We found that chronic forniceal DBS in the Tg-AD rat significantly reduces amyloid deposition in the hippocampus and cortex, decreases astrogliosis and microglial activation and lowers neuronal loss, as determined by NeuN staining. In control animals, the stimulation neither affects neuroinflammation nor neuronal count. In the Tg-F344-AD rat model, 5 weeks of forniceal DBS decreased amyloidosis, inflammatory responses, and neuronal loss in both cortex and hippocampus. These findings strongly suggest a neuroprotective effect of DBS and support the beneficial effects of targeting the fornix in Alzheimer’s disease patients.
Literatur
Zurück zum Zitat Benabid AL, Pollak P, Gervason C, Hoffmann D, Gao DM, Hommel M et al (1991) Long-term suppression of tremor by chronic stimulation of the ventral intermediate thalamic nucleus. Lancet Lond Engl 337:403–406CrossRef Benabid AL, Pollak P, Gervason C, Hoffmann D, Gao DM, Hommel M et al (1991) Long-term suppression of tremor by chronic stimulation of the ventral intermediate thalamic nucleus. Lancet Lond Engl 337:403–406CrossRef
Zurück zum Zitat Blennow K, de Leon MJ, Zetterberg H (2006) Alzheimer’s disease. Lancet Lond Engl 368:387–403CrossRef Blennow K, de Leon MJ, Zetterberg H (2006) Alzheimer’s disease. Lancet Lond Engl 368:387–403CrossRef
Zurück zum Zitat Browning PGF, Gaffan D, Croxson PL, Baxter MG (2009) Severe scene learning impairment, but intact recognition memory, after cholinergic depletion of inferotemporal cortex followed by fornix transection. Cereb Cortex N Y 20:282–293CrossRef Browning PGF, Gaffan D, Croxson PL, Baxter MG (2009) Severe scene learning impairment, but intact recognition memory, after cholinergic depletion of inferotemporal cortex followed by fornix transection. Cereb Cortex N Y 20:282–293CrossRef
Zurück zum Zitat Cohen RM, Rezai-Zadeh K, Weitz TM, Rentsendorj A, Gate D, Spivak I et al (2013) A transgenic Alzheimer rat with plaques, tau pathology, behavioral impairment, oligomeric aβ, and frank neuronal loss. J Neurosci 33:6245–6256CrossRefPubMedPubMedCentral Cohen RM, Rezai-Zadeh K, Weitz TM, Rentsendorj A, Gate D, Spivak I et al (2013) A transgenic Alzheimer rat with plaques, tau pathology, behavioral impairment, oligomeric aβ, and frank neuronal loss. J Neurosci 33:6245–6256CrossRefPubMedPubMedCentral
Zurück zum Zitat Deuschl G, Schade-Brittinger C, Krack P, Volkmann J, Schäfer H, Bötzel K et al (2006) A randomized trial of deep-brain stimulation for Parkinson’s disease. N Engl J Med 355:896–908CrossRef Deuschl G, Schade-Brittinger C, Krack P, Volkmann J, Schäfer H, Bötzel K et al (2006) A randomized trial of deep-brain stimulation for Parkinson’s disease. N Engl J Med 355:896–908CrossRef
Zurück zum Zitat Fontaine D, Deudon A, Lemaire JJ, Razzouk M, Viau P, Darcourt J et al (2013) Symptomatic treatment of memory decline in Alzheimer’s disease by deep brain stimulation: a feasibility study. J Alzheimers Dis 34:315–323CrossRefPubMed Fontaine D, Deudon A, Lemaire JJ, Razzouk M, Viau P, Darcourt J et al (2013) Symptomatic treatment of memory decline in Alzheimer’s disease by deep brain stimulation: a feasibility study. J Alzheimers Dis 34:315–323CrossRefPubMed
Zurück zum Zitat Forni C, Mainard O, Melon C, Goguenheim D, Kerkerian-Le Goff L, Salin P (2012) Portable microstimulator for chronic deep brain stimulation in freely moving rats. J Neurosci Methods 209:50–57CrossRefPubMed Forni C, Mainard O, Melon C, Goguenheim D, Kerkerian-Le Goff L, Salin P (2012) Portable microstimulator for chronic deep brain stimulation in freely moving rats. J Neurosci Methods 209:50–57CrossRefPubMed
Zurück zum Zitat Gondard E, Chau HN, Mann A, Tierney TS, Hamani C, Kalia SK et al (2015) Rapid modulation of protein expression in the rat hippocampus following deep brain stimulation of the fornix. Brain Stimul 8:1058–1064CrossRefPubMed Gondard E, Chau HN, Mann A, Tierney TS, Hamani C, Kalia SK et al (2015) Rapid modulation of protein expression in the rat hippocampus following deep brain stimulation of the fornix. Brain Stimul 8:1058–1064CrossRefPubMed
Zurück zum Zitat Hamani C, McAndrews MP, Cohn M, Oh M, Zumsteg D, Shapiro CM et al (2008) Memory enhancement induced by hypothalamic/fornix deep brain stimulation. Ann Neurol 63:119–123CrossRefPubMed Hamani C, McAndrews MP, Cohn M, Oh M, Zumsteg D, Shapiro CM et al (2008) Memory enhancement induced by hypothalamic/fornix deep brain stimulation. Ann Neurol 63:119–123CrossRefPubMed
Zurück zum Zitat Hao S, Tang B, Wu Z, Ure K, Sun Y, Tao H et al (2015) Forniceal deep brain stimulation rescues hippocampal memory in Rett syndrome mice. Nature 526:430–434CrossRefPubMedPubMedCentral Hao S, Tang B, Wu Z, Ure K, Sun Y, Tao H et al (2015) Forniceal deep brain stimulation rescues hippocampal memory in Rett syndrome mice. Nature 526:430–434CrossRefPubMedPubMedCentral
Zurück zum Zitat Hescham S, Lim LW, Jahanshahi A, Steinbusch HWM, Prickaerts J, Blokland A et al (2013) Deep brain stimulation of the forniceal area enhances memory functions in experimental dementia: the role of stimulation parameters. Brain Stimul 6:72–77CrossRefPubMed Hescham S, Lim LW, Jahanshahi A, Steinbusch HWM, Prickaerts J, Blokland A et al (2013) Deep brain stimulation of the forniceal area enhances memory functions in experimental dementia: the role of stimulation parameters. Brain Stimul 6:72–77CrossRefPubMed
Zurück zum Zitat Krack P, Batir A, Van Blercom N, Chabardes S, Fraix V, Ardouin C et al (2003) Five-year follow-up of bilateral stimulation of the subthalamic nucleus in advanced Parkinson’s disease. N Engl J Med 349:1925–1934CrossRef Krack P, Batir A, Van Blercom N, Chabardes S, Fraix V, Ardouin C et al (2003) Five-year follow-up of bilateral stimulation of the subthalamic nucleus in advanced Parkinson’s disease. N Engl J Med 349:1925–1934CrossRef
Zurück zum Zitat Laxton AW, Tang-Wai DF, McAndrews MP, Zumsteg D, Wennberg R, Keren R et al (2010) A phase I trial of deep brain stimulation of memory circuits in Alzheimer’s disease. Ann Neurol 68:521–534CrossRefPubMed Laxton AW, Tang-Wai DF, McAndrews MP, Zumsteg D, Wennberg R, Keren R et al (2010) A phase I trial of deep brain stimulation of memory circuits in Alzheimer’s disease. Ann Neurol 68:521–534CrossRefPubMed
Zurück zum Zitat Lövblad K-O, Schaller K, Vargas MI (2014) The fornix and limbic system. Semin Ultrasound CT MR 35:459–473CrossRefPubMed Lövblad K-O, Schaller K, Vargas MI (2014) The fornix and limbic system. Semin Ultrasound CT MR 35:459–473CrossRefPubMed
Zurück zum Zitat Lozano AM, Fosdick L, Chakravarty MM, Leoutsakos J-M, Munro C, Oh E et al (2016) A phase II study of fornix deep brain stimulation in mild Alzheimer’s disease. J Alzheimers Dis 54:777–787CrossRefPubMedPubMedCentral Lozano AM, Fosdick L, Chakravarty MM, Leoutsakos J-M, Munro C, Oh E et al (2016) A phase II study of fornix deep brain stimulation in mild Alzheimer’s disease. J Alzheimers Dis 54:777–787CrossRefPubMedPubMedCentral
Zurück zum Zitat Mallet L, Polosan M, Jaafari N, Baup N, Welter M-L, Fontaine D et al (2008) Subthalamic nucleus stimulation in severe obsessive–compulsive disorder. N Engl J Med 359:2121–2134CrossRefPubMed Mallet L, Polosan M, Jaafari N, Baup N, Welter M-L, Fontaine D et al (2008) Subthalamic nucleus stimulation in severe obsessive–compulsive disorder. N Engl J Med 359:2121–2134CrossRefPubMed
Zurück zum Zitat McGeer PL, Itagaki S, Tago H, McGeer EG (1988) Occurrence of HLA-DR reactive microglia in Alzheimer’s disease. Ann N Y Acad Sci 540:319–323CrossRefPubMed McGeer PL, Itagaki S, Tago H, McGeer EG (1988) Occurrence of HLA-DR reactive microglia in Alzheimer’s disease. Ann N Y Acad Sci 540:319–323CrossRefPubMed
Zurück zum Zitat McKhann GM, Knopman DS, Chertkow H, Hyman BT, Jack CR, Kawas CH et al (2011) The diagnosis of dementia due to Alzheimer’s disease: recommendations from the National Institute on Aging-Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease. Alzheimers Dement J Alzheimers Assoc 7:263–269CrossRef McKhann GM, Knopman DS, Chertkow H, Hyman BT, Jack CR, Kawas CH et al (2011) The diagnosis of dementia due to Alzheimer’s disease: recommendations from the National Institute on Aging-Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease. Alzheimers Dement J Alzheimers Assoc 7:263–269CrossRef
Zurück zum Zitat Palop JJ, Mucke L (2010) Amyloid-beta-induced neuronal dysfunction in Alzheimer’s disease: from synapses toward neural networks. Nat Neurosci 13:812–818CrossRefPubMedPubMedCentral Palop JJ, Mucke L (2010) Amyloid-beta-induced neuronal dysfunction in Alzheimer’s disease: from synapses toward neural networks. Nat Neurosci 13:812–818CrossRefPubMedPubMedCentral
Zurück zum Zitat Paxinos G, Watson C (2007) The rat brain in stereotaxic coordinates, 6. edn. Elsevier, Academic Press, Amsterdam Paxinos G, Watson C (2007) The rat brain in stereotaxic coordinates, 6. edn. Elsevier, Academic Press, Amsterdam
Zurück zum Zitat Ponce FA, Asaad WF, Foote KD, Anderson WS, Rees Cosgrove G, Baltuch GH et al (2016) Bilateral deep brain stimulation of the fornix for Alzheimer’s disease: surgical safety in the ADvance trial. J Neurosurg 125:75–84CrossRefPubMed Ponce FA, Asaad WF, Foote KD, Anderson WS, Rees Cosgrove G, Baltuch GH et al (2016) Bilateral deep brain stimulation of the fornix for Alzheimer’s disease: surgical safety in the ADvance trial. J Neurosurg 125:75–84CrossRefPubMed
Zurück zum Zitat Sankar T, Chakravarty MM, Bescos A, Lara M, Obuchi T, Laxton AW et al (2015) Deep brain stimulation influences brain structure in Alzheimer’s disease. Brain Stimul 8:645–654CrossRefPubMed Sankar T, Chakravarty MM, Bescos A, Lara M, Obuchi T, Laxton AW et al (2015) Deep brain stimulation influences brain structure in Alzheimer’s disease. Brain Stimul 8:645–654CrossRefPubMed
Zurück zum Zitat Stone SSD, Teixeira CM, Devito LM, Zaslavsky K, Josselyn SA, Lozano AM et al (2011) Stimulation of entorhinal cortex promotes adult neurogenesis and facilitates spatial memory. J Neurosci 31:13469–13484CrossRefPubMedPubMedCentral Stone SSD, Teixeira CM, Devito LM, Zaslavsky K, Josselyn SA, Lozano AM et al (2011) Stimulation of entorhinal cortex promotes adult neurogenesis and facilitates spatial memory. J Neurosci 31:13469–13484CrossRefPubMedPubMedCentral
Zurück zum Zitat Suthana N, Haneef Z, Stern J, Mukamel R, Behnke E, Knowlton B et al (2012) Memory enhancement and deep-brain stimulation of the entorhinal area. N Engl J Med 366:502–510CrossRefPubMedPubMedCentral Suthana N, Haneef Z, Stern J, Mukamel R, Behnke E, Knowlton B et al (2012) Memory enhancement and deep-brain stimulation of the entorhinal area. N Engl J Med 366:502–510CrossRefPubMedPubMedCentral
Zurück zum Zitat Tsivilis D, Vann SD, Denby C, Roberts N, Mayes AR, Montaldi D et al (2008) A disproportionate role for the fornix and mammillary bodies in recall versus recognition memory. Nat Neurosci 11:834–842CrossRefPubMed Tsivilis D, Vann SD, Denby C, Roberts N, Mayes AR, Montaldi D et al (2008) A disproportionate role for the fornix and mammillary bodies in recall versus recognition memory. Nat Neurosci 11:834–842CrossRefPubMed
Zurück zum Zitat Vann SD, Tsivilis D, Denby CE, Quamme JR, Yonelinas AP, Aggleton JP et al (2009) Impaired recollection but spared familiarity in patients with extended hippocampal system damage revealed by 3 convergent methods. Proc Natl Acad Sci USA 106:5442–5447CrossRefPubMed Vann SD, Tsivilis D, Denby CE, Quamme JR, Yonelinas AP, Aggleton JP et al (2009) Impaired recollection but spared familiarity in patients with extended hippocampal system damage revealed by 3 convergent methods. Proc Natl Acad Sci USA 106:5442–5447CrossRefPubMed
Zurück zum Zitat Vedam-Mai V, van Battum EY, Kamphuis W, Feenstra MGP, Denys D, Reynolds BA et al (2012) Deep brain stimulation and the role of astrocytes. Mol Psychiatry 17:124–131, 115CrossRefPubMed Vedam-Mai V, van Battum EY, Kamphuis W, Feenstra MGP, Denys D, Reynolds BA et al (2012) Deep brain stimulation and the role of astrocytes. Mol Psychiatry 17:124–131, 115CrossRefPubMed
Zurück zum Zitat Wilson CRE, Baxter MG, Easton A, Gaffan D (2008) Addition of fornix transection to frontal–temporal disconnection increases the impairment in object-in-place memory in macaque monkeys. Eur J Neurosci 27:1814–1822CrossRefPubMedPubMedCentral Wilson CRE, Baxter MG, Easton A, Gaffan D (2008) Addition of fornix transection to frontal–temporal disconnection increases the impairment in object-in-place memory in macaque monkeys. Eur J Neurosci 27:1814–1822CrossRefPubMedPubMedCentral
Zurück zum Zitat Xia F, Yiu A, Stone SSD, Oh S, Lozano AM, Josselyn SA et al (2017) Entorhinal cortical deep brain stimulation rescues memory deficits in both young and old mice genetically engineered to model Alzheimer’s disease. Neuropsychopharmacology 42:2493–2503CrossRefPubMedPubMedCentral Xia F, Yiu A, Stone SSD, Oh S, Lozano AM, Josselyn SA et al (2017) Entorhinal cortical deep brain stimulation rescues memory deficits in both young and old mice genetically engineered to model Alzheimer’s disease. Neuropsychopharmacology 42:2493–2503CrossRefPubMedPubMedCentral
Metadaten
Titel
Chronic fornix deep brain stimulation in a transgenic Alzheimer’s rat model reduces amyloid burden, inflammation, and neuronal loss
verfasst von
Aurelie Leplus
Inger Lauritzen
Christophe Melon
Lydia Kerkerian-Le Goff
Denys Fontaine
Frederic Checler
Publikationsdatum
19.10.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Brain Structure and Function / Ausgabe 1/2019
Print ISSN: 1863-2653
Elektronische ISSN: 1863-2661
DOI
https://doi.org/10.1007/s00429-018-1779-x

Weitere Artikel der Ausgabe 1/2019

Brain Structure and Function 1/2019 Zur Ausgabe

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Sozialer Aufstieg verringert Demenzgefahr

24.05.2024 Demenz Nachrichten

Ein hohes soziales Niveau ist mit die beste Versicherung gegen eine Demenz. Noch geringer ist das Demenzrisiko für Menschen, die sozial aufsteigen: Sie gewinnen fast zwei demenzfreie Lebensjahre. Umgekehrt steigt die Demenzgefahr beim sozialen Abstieg.

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Was nützt die Kraniektomie bei schwerer tiefer Hirnblutung?

17.05.2024 Hirnblutung Nachrichten

Eine Studie zum Nutzen der druckentlastenden Kraniektomie nach schwerer tiefer supratentorieller Hirnblutung deutet einen Nutzen der Operation an. Für überlebende Patienten ist das dennoch nur eine bedingt gute Nachricht.

Thrombektomie auch bei großen Infarkten von Vorteil

16.05.2024 Ischämischer Schlaganfall Nachrichten

Auch ein sehr ausgedehnter ischämischer Schlaganfall scheint an sich kein Grund zu sein, von einer mechanischen Thrombektomie abzusehen. Dafür spricht die LASTE-Studie, an der Patienten und Patientinnen mit einem ASPECTS von maximal 5 beteiligt waren.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.