Background
Alzheimer's disease (AD) is characterized by progressive neurodegeneration of the central nervous system. While the precise aetiology of this disease still remains unknown, it is believed that the intracellular accumulation of hyperphosphorylated tau, which forms neurofibrillary tangles, and the deposition of extracellular filaments, comprised of an insoluble form of the β-amyloid protein (Aβ), induces neurodegeneration. From a molecular perspective, AD is a multifactorial disorder with associations of genetic and environmental factors [
1,
2]. The onset and progression of AD may be influenced by several risk factors such as hypertension, metabolic disorders like diabetes or hypercholesterolemia, and inflammatory status [
3‐
5].
Numerous studies on several amyloid mouse models of Alzheimer's disease have demonstrated the importance of genetic background for the expression of the transgenic phenotype. Significant influences on survival, behaviour, amyloid levels and plaque burden in brain have been observed [
6‐
10]. Several modifier loci related to these differences have been identified [
11‐
13]. Moreover, genetic background-dependent immunological parameters also modify the effects of amyloid immunization [
14,
15]. In contrast to investigated amyloid AD models, the role of genetic background in tau-induced neurodegeneration has stayed largely unexplored.
In order to identify the impact of genetic background on the tau neurodegenerative cascade, we generated a transgenic rat model expressing human truncated non-mutated tau protein in the spontaneously hypertensive rat (SHR) and Wistar-Kyoto (WKY) background. The SHR strain was chosen because of its propensity for developing several AD risk factors such as chronic hypertension [
16], metabolic syndrome with insulin resistance [
17] and immune alterations [
18]. Previously, we showed that transgenic SHR rats displayed pathological changes such as the AD-characteristic tau cascade consisting of tau hyperphosphorylation, formation of sarcosyl-insoluble tau complexes and neurofibrillary tangles (NFTs) [
19] accompanied with neuroinflammation [
20] that resulted in progressive neurobehavioral impairment [
21,
22]. The transgenic phenotype escalates in the terminal stage with pronounced neurological impairment, hunched posture, muscular weakness, bradykinesia and paraparesis [
21]. For this comparative study, we used the normotensive Wistar-Kyoto strain from which the SHR strain was derived. To maintain the same integration site and number of copies of the transgene, transgenic SHR rats were back-crossed to the WKY background.
In this study, we show that misfolded tau proteins induce neurofibrillary degeneration regardless of background strain. On the other hand, genetic background had a significant impact on the pattern of inflammatory response and the final load of neurofibrillary tangles.
Methods
Animals
SHR 72 transgenic rats (referred to as SHR TG) were generated to over-express truncated tau protein under the control of the mouse Thy-1 promoter, as described previously [
19]. The WKY 72 transgenic line (WKY TG) was developed by back-crossing the SHR 72 line to the WKY genetic background. This study was performed on the F5 generation.
Rats were born and bred in our animal facility, and housed in standard laboratory conditions in plastic cages (555 × 345 × 195 mm, 5 rats per cage) in a temperature and humidity-controlled environment with a 12/12 hour light/dark cycle and with food and water available ad libitum. Efforts were made to minimize the number of animals utilized. All experiments were performed in accordance to the Slovak and European Community Guidelines, with the approval of the Institute's Ethical Committee and State Veterinary and Food Administration of the Slovak Republic.
Blood pressure
Systolic blood pressure was measured using indirect tail-cuff method (LE 5002 Storage pressure meter, BIOSEB) on the tail arteries of 5 animals of each transgenic and non-transgenic group at 6 months of age.
Quantitative Western blot analysis
Four-month-old animals, SHR TG males (N = 4) and WKY TG males (N = 4) were used for quantitative western blot analysis. Frozen brain stems of the studied rats were homogenized in 10 volumes of ice-cold extraction buffer [in mm: Tris, 20, pH 7.4; NaCl, 150; ethylenediaminetetraacetic acid (EDTA), 1; dithiothreitol, 1; 0.5% Triton X-100; Na
3VO
4, 1; NaF, 20; supplemented with protease inhibitors Complete
® without EDTA (Roche Diagnostics GmbH, Mannheim, Germany) using an OMNI TH tissue homogenizer (OMNI International, Marietta, GA, USA)]. After incubation on ice for 5 min the homogenates were cleared by centrifugation at 20 000 g for 20 min at 4°C. The supernatants were collected and the total protein concentration was determined using the BioRad protein Assay (BioRad Laboratories GmbH, Munich, Germany). The supernatants were then mixed with equal volume of 2 × sodium dodecyl sulphate (SDS) sample loading buffer [
23] and heated at 95°C for 5 min. Ten micrograms of total protein was separated by electrophoresis in 12% SDS-polyacrylamide gels and then transferred to nitrocellulose membrane in 10 mm N-cyclohexyl-3-aminopropanesulphonic acid (CAPS; pH 12). After the transfer, the membranes were stained with Ponceau S to verify the uniform transfer of the proteins and then incubated with cell culture supernatant (1:5) of Hybridoma-producing pan-tau monoclonal antibody DC25 recognizing residues 347-354 (Axon Neuroscience, Vienna, Austria), followed by polyclonal goat anti-mouse IgG, horseradish peroxidase-conjugated (1:10 000; Dako, Glostrup, Denmark). The blots were developed using Super- Signal West Pico Chemiluminescent Substrate (Pierce Biotechnology, Rockford, IL, USA) and detected with LAS3000 imaging system (FUJI Photo Film Co., Ltd, Tokyo, Japan). The band intensities were quantified using aida (Advanced Image Data Analyser software; Raytest, Straubenhardt, Germany).
Gallyas silver staining
To demonstrate the mature neurofibrillary pathology in neurons, Gallyas silver iodide staining was performed [
24]. Sections were examined with an Olympus BX51 microscope and microphotographs were created with Olympus camera DP-50.
Frozen sections immunohistochemistry with postfixation
This method was used for the identification of the cell surface markers sensitive to paraformaldehyde fixation. Rats (5 animals per group, transgenic rats in the terminal stage of phenotype with age-matched non-transgenic controls) were deeply anaesthetised with ketamine-xylasine and perfused intracardially with phosphate-buffered saline (PBS) for 2 min using a peristaltic pump. After perfusion, the brainstem was removed and embedded without fixation in cryostat embedding medium (Leica) in aluminium foil vessel, and frozen above the surface of liquid nitrogen until the medium solidified. The sample was left for 1 hour on dry ice, and then stored at -70°C until used. 10-μm-thick sections were cut on a cryomicrotome (Leica CM 1850), affixed onto poly-L-lysine-coated slides, and left to dry at room temperature for 1 hour. Sections were fixed for 10 min in a 80% acetone:20% ethanol solution. Immunostaining was performed using the standard avidin-biotin-peroxidase method (Vectastain ABC kit, Vector Laboratories, USA). After 20 min in 1% H2O2 and 1 hour blocking in 5% bovine serum albumin (Sigma), sections were incubated with primary antibodies OX-42 (CD11b/CD18) and W3/25 (anti-CD4) (Serotec, UK) overnight at 4°C. After washing, the sections were incubated 1 hour in biotinylated secondary antibody (Vectastain ABC kit). The reaction product was visualized using avidin-biotin and Vector VIP as chromogen (Vector).
Frozen section immunohistochemistry with prefixation
This method was used to prepare material for immunohistochemistry of markers tolerant to paraformaldehyde fixation as ED-1 (anti-CD68, Serotec), DC11 or MN423 (Axon Neuroscience) and for stereological analysis. Rats were deeply anaesthetised with ketamine-xylasine and perfused intracardially using a peristaltic pump: for 1 min with phosphate-buffered saline (PBS) and for 7 min with 4% paraformaldehyde in PBS, pH 7.2 (4% PFA). The brain was post-fixed overnight in 4% PFA, cryoprotected with 15% and 25% sucrose solutions (subsequently overnight), frozen in 2-methylbutane (30 seconds at -42°C) and transferred to dry ice. Sagittal brainstem sections (40 μm thick) were cut on a Leica CM1850 cryomicrotome.
For stereological analysis, every 13th section was included in the series (section sampling fraction = 1/13, total 17-19 sections per animal). Tissue sections were incubated with primary antibodies AT8 (Pierce Endogen), OX-6 (anti-MHCII, Serotec), anti-Iba1 (WAKO, USA), anti-NeuN antibody (Chemicon, USA) or anti- GFAP (Dako, Belgium) overnight at 4°C. Sections were immunostained using the standard avidin-biotin-peroxidase method (Vectastain ABC kit) with VIP as chromogen and 5 minute counterstaining of cell nuclei by methyl green (Vector).
Stereological quantification
For stereological quantification, male rats of transgenic lines SHR TG (N = 5) and WKY TG (N = 5), in the terminal stage of transgenic phenotype development, were used along with their non-transgenic littermates as age-matched controls (SHR crl, N = 4 and WKY crl, N = 6). The numbers of Iba1-positive microglia, MHCII-positive microglia, neurofibrillary tangles, neurons and astrocytes were quantified by stereology in brainstem (pons and medulla oblongata). This region of interest was chosen because it is highly affected by the neurofibrillary pathology in the brain of these tau transgenic rats.
The study was accomplished using an optical fractionator approach on a modified light microscope (Olympus BX51) equipped with a computer-based stereological system (StereoInvestigator; MicroBrightField, Williston, VT, USA). The region of interest was selected at low magnification (objective 4 × UPlanFI), and counting was performed at high magnification using an objective with a high numerical aperture (60 × oil immersion objective, Olympus, UPlanFI, NA = 1.25) and oil condenser (Olympus, UAAC, PlanApo, NA = 1.40). Parameters of the stereological analysis (disector base, sampling grid) were chosen according to density of the particular structure (e.g. NFT, microglia) in the tissue - sparse NFTs required a denser grid than did frequent microglia to ensure precise analysis with appropriately low coefficient of error. Detailed parameters of the stereological analysis are described in Table
1.
Table 1
Parameters of the stereological analysis
Neurofibrillar tangles (AT8) | 60 × | 1/13 | 100 × 100 | 15 | 370 × 370 | 1.5 | 40 | 21.85 | 3296.70 | 394.80 | 0.060 |
Microglia (Iba1) | 60 × | 1/13 | 70 × 70 | 15 | 860 × 860 | 1.5 | 40 | 24.41 | 767.20 | 1115.40 | 0.030 |
Macrophage-like structures (Iba1) | 60 × | 1/13 | 70 × 70 | 15 | 860 × 860 | 1.5 | 40 | 24.41 | 767.20 | 96.00 | 0.260 |
MHCII-positive microglia - frequent (MHCII) | 60 × | 1/13 | 100 × 100 | 15 | 500 × 500 | 1.5 | 40 | 25.60 | 2645.40 | 1861.40 | 0.041 |
MHCII-positive microglia - sparse (MHCII) | 60 × | 1/13 | 100 × 100 | 15 | 370 × 370 | 1.5 | 40 | 26.54 | 4029.20 | 252.20 | 0.085 |
Astrocytes (GFAP) | 60 × | 1/13 | 70 × 70 | 15 | 860 × 860 | 1.5 | 40 | 24.66 | 680.19 | 1696.05 | 0.024 |
Neurons (NeuN) | 60 × | 1/13 | 70 × 70 | 15 | 650 × 650 | 1.5 | 40 | 20.70 | 1243.76 | 1655.81 | 0.047 |
Statistical analysis
All data sets are expressed as mean ± standard error of the mean (SEM). Results were examined using an unpaired Student's t-test (with Welch's correction in case of uneven variances) and two-way ANOVA using Prism GraphPad Software Version 4.03 (Graph Pad Software, Inc., USA). Differences were considered to be statistically significant if p < 0.05.
Discussion
Neurofibrillary degeneration [
25,
26] and neuroinflammation [
27‐
29] are prominent features of Alzheimer's disease (AD) and related neurodegenerative disorders. While neurodegeneration induced by misfolded tau correlates with disease progression [
30], inflammation is considered to be an important factor in the variability in resistance or susceptibility to AD [
5,
31]. Polymorphisms of genes connected to inflammatory pathways are often among the AD risk factor candidates [
32‐
34]. A recent transcriptomic study of centenarians has revealed that immune homeostasis determines cognitive health of the population aged over 90 years. Genes related to immune response pathways, particularly antigen presentation, IL4, natural killer cell signalling, complement pathway and acute phase signalling are upregulated in cognitively intact oldest-old (compared to younger adults), while downregulated in cognitively impaired elderly. Hence, genes related to immunity and regulation of their expression significantly influence the pathogenesis of neurodegeneration [
35].
In this study, we have shown that misfolded tau protein induces neurofibrillary degeneration regardless of genetic background. However, the immune response driven by neurodegeneration was significantly determined by genetic modifiers.
Two transgenic lines raised on different genetic backgrounds (SHR, Wistar-Kyoto) were utilized expressing the same amount of human truncated tau. Despite the fact that the tau expression profile was similar in both transgenic lines, the final load of neurofibrillary tangles was significantly different. Stereological quantification revealed lower final NFT load in the brainstem of transgenic WKY rats compared to transgenic SHR counterparts. Previously, we showed that the final NFT load in the terminal stage was independent of transgene expression levels [
36]. Altogether, these findings suggest that the final NFT load is independent of expression levels of misfolded tau protein, but remains strongly dependent on the interaction of the transgene and genetic environment.
Neuroinflammation represents one of the key differences between SHR and Wistar strains. Spontaneously hypertensive rats (SHR) exhibit chronic neuroinflammation [
37,
38]. RT-PCR analysis demonstrates significantly increased expression of TNFα, ICAM-1, iNOS and the inflammation-related nuclear transcription factor PPARγ in brain in SHR compared to that in WKY rats [
39]. In addition, the brain endothelium of SHR is more sensitive to cytokines; under inflammatory conditions it is more adhesive to blood monocytes in comparison with WKY endothelium [
40,
41]. On the other hand, the chronic inflammation in SHR rats probably causes an altered reaction to acute immune challenges. These rats show an attenuated response to endotoxin shock or polymicrobial infection, and survive these challenges better than do WKY rats [
42,
43]. In order to identify the impact of neuroinflammation on tau neurodegenerative cascade, we analyzed the pattern of microglial activation in both transgenic lines (SHR TG and WKY TG). We discovered that both transgenic rat models demonstrated the same distribution and immunophenotypic profile of activated microglia. Despite profound similarities between both transgenic lines, several features of neuroinflammation revealed striking differences that were driven by their genetic background (Table
2.). Transgenic SHR rats displayed increased number of microglia and significantly more Iba1-positive cells with phagocytic morphology than WKY transgenic rats. In human AD brain, Aβ-phagocytosing cells operate efficiently in healthy brain, but are inefficient in AD patients. These Aβ-phagocytosing cells appear to be mainly blood-borne macrophages [
44,
45]. Similarly, we have shown that at least some of the cells with phagocytic morphology in our model comprise macrophages infiltrating from the blood [
20], suggesting that macrophages may play important role in the immune response in the transgenic rats expressing truncated tau.
Table 2
Pattern of the tissue response
WKY TG | ++ | ++(+) | ++ | +++ | ++ |
SHR TG | +++ | +++ | +++ | + | ++ |
The most profound difference was found in the number of MHC class II positive microglial cells. In WKY transgenic rats, 23.2% of Iba1-positive microglia were MHCII-positive, while in transgenic SHR rats, only 1.6% of microglia expressed MHCII. Microglial expression of MHCII is considered to be a response to phagocytosis of tissue debris, involved in activating antigen cleavage machinery [
46]. However, in our model, SHR transgenic rats showed a higher number of cells with phagocytic morphology but only a sparse MHCII signal. A similar discrepancy between MHCII expression and markers of phagocytosis has been described for a model of spinal cord injury. These authors demonstrated that Lewis rats exhibit more antigens related to complement and phagocytosis, while Sprague Dawley rats express more MHCII antigens [
47]. We suppose that the tendency to increased microglial numbers and significantly more phagocytic morphology in SHR microglia may be a compensatory reaction for the inability to amplify MHCII expression.
The functional impact of microglial MHCII expression on neurodegeneration is not yet fully understood. Models of CNS injury reveal that extensive MHCII expression correlates with tissue damage. In a ventral root avulsion model [
48], MHCII expression accompanies increased motoneuron loss. Furthermore, rat strains with higher MHCII expression are also more susceptible to experimental autoimmune encephalomyelitis. Similarly, Kigerl et al. [
49] reported impaired recovery and more extensive lesion volume in mouse strain with the highest levels of MHCII in a model of spinal cord injury. In our study, WKY TG rats, displaying increased numbers of MHCII positive microglia, showed higher vulnerability to tau-induced neurodegeneration compared to SHR TG rats: lower burdens of neurofibrillary pathology sufficed for WKY TG rats to reach the terminal stage of transgenic phenotype. These results suggest that microglia expressing MHCII can considerably modify the progression of neurodegeneration. This hypothesis should be validated by further experiments including assessment of functional behavioural changes and morality.
Besides microglial activation, we also observed increased numbers of activated hypertrophic astrocytes in both transgenic rat lines. Astrogliosis - astrocytic activation associated with inflammatory signaling and decrease in trophic support of neurons - is a common feature of neurodegenerative conditions, including human AD and transgenic models with amyloid or tau pathology [
50‐
58]. Surprisingly, in our experimental conditions, the increase in number of GFAP-positive astrocytes was not influenced by genetic background. However, we cannot exclude that the genetic environment could modify the functional properties of activated astrocytes.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
ZS contributed by designing the stereological study, blood pressure measurements, tissue preparation, histological and immunohistochemical staining, stereological quantification of Iba1, MHCII and GFAP-stained slides; statistical analysis and writing of the manuscript. NZ conceptualized and implemented the idea of back-crossing the SHR TG line to the WKY background, and helped with data interpretation for, critical reading of, and key suggestions for the manuscript. PN carried out the stereological quantification of AT8 and NeuN-stained slides. BK accomplished proteomical part of the study. OB set up the stereological system and prepared tissue samples for immunohistochemical staining. MN was the leading, coordinating, and decisive mind of the project, and shaped the final form of the manuscript. All authors read and approved the final manuscript.