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    Amyloid Phenotype Characterization ofTransgenic Mice Overexpressing both MutantAmyloid Precursor Protein and Mutant Presenilin 1

    Transgenes

    E. McGowan,* S. Sanders,* T. Iwatsubo, A. Takeuchi, T. Saido,

    C. Zehr,* X. Yu,* S. Uljon, R. Wang, D. Mann, D. Dickson,* andK. Duff,1

    *M ayo Clinic, Jacksonv ille, Florida 32224; Department of N europathology and N euroscience,

    University of Tokyo, Tokyo, Japan; Laboratory for Proteolyt ic S cience, R IKEN Brain Science

    Inst itu te, Japan; Laboratory for M ass Spectrometry, R ockefeller Univ ersity, N ew York, N ew

    York 10021; Department of Pathological Sciences, U niv ersity of M anchester, M 13 9PT, U nit ed

    Kingdom; and N eurotransgenics Lab, N athan Kline Inst itu te, O rangeburg, N ew York 10962

    Received November 6, 1998; revised March 4, 1999; accepted for publication March 11, 1999

    Doubly transgenic mice (PSAPP) overexpressing mutant APP and PS1 transgenes were examinedusing antibodies to A subtypes and glial fibrillary acidic protein (GFAP). Visible A deposition began

    primarily in the cingulate cortex of PSAPP mice at approximately 10 weeks of age. By 6 months, the

    mice had extensive amyloid deposition throughout the hippocampus and cortex as well as otherregions of the brain. Highly congophilic deposits consisting of N-terminal normal and modified forms

    of A were identified, reminiscent of those found in human AD brain. Both immunohistochemistry and

    mass spectrometry showed that A42 forms were underrepresented relative to A40, and A43 wasundetectable. Deposits were associated with prominent gliosis which increased with age, but in

    14-month-old PSAPP mice, GFAP immunoreactivity in the vicinity of amyloid deposits was substan-

    tially reduced compared to APP littermates. These mice have considerable utility in the study of theamyloid phenotype of AD. 1999 Academic Press

    INTRODUCTION

    Alzheimer s disease (AD) is characterized by the

    presence in the brain of neurofibrillary tangles and A

    containing plaqu es (dep osits) that contain mu ltiple A

    isoforms (Iwa tsubo et al., 1996). These isoforms in clud e

    A starting at N1 (L-asp) together with the racemizedand isomerized forms (D asp and L-iso-asp, respec-

    tively), A containing p yroglutam ate m odified resi-

    du es at positions N3 and N11, and A starting at N17,

    w hich is especially prevalent in diffuse d eposits (Gow -

    in g et al., 1994). A C terminal heterogeneity is also a

    feature of AD, as A isoforms terminating at residues

    39, 40, and 42 have been identified in p laques from

    patients with typical late-onset AD (Iwatsubo et al

    1996). Patients with PS1 mutations harbored a highe

    burden, or number, of A42 senile plaques compared

    with patients with sporadic AD (Mann et al., 1996

    most likely due to the effect of mutant PS1 on APP

    metabolism wh ich leads to specific elevation of thhighly fibrillogenic A42 peptide (Scheuner et al., 1996

    Jarrett et al., 1993). The identification of AD causing

    mutations in APP, PS1, and PS2 that affect A level

    suggests that A plays a critical role in AD pathogen

    esis. Transgenic mice that model the deposition pro

    cess have therefore been generated to study the pro

    cess of A accumulation and deposition.

    Transgenic mice that overexpress m utant and wild

    type PS1 cDNA s have been assayed for A levels (Duf

    et al., 1996). Mutant PS1 transgenic m ice h ad elevate

    1To w hom correspondence should be add ressed at Nathan Kline

    Institute, 140 Old Orangebu rg Road, Orangebu rg, N ew York 10962.

    Fax: 914 398 5422. E-mail: d uff@nk i.rfm h.or g.

    Neurobiology of Disease6, 231244 (1999)

    Article IDnbdi.1999.0243, available online at http://www.idealibrary.com on

    231

    0969-9961/99 $30.00

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    levels of endogenous A42, but not A40, whereas

    overexpression of wild-type PS1 led to marginally

    elevated A42 levels that did not reach significance

    compared with nontransgenic littermates (Duff et al.,

    1996). Although A42 levels are significantly elevated

    in the mutant PS1 mice, the mice do not form amyloid

    deposits upon aging, presumably because the levels of

    A do n ot reach the level required to start the aggrega-

    tion p rocess in mice. Transgenic m ice th at overexpress

    mu tant hu man APP at high levels show elevated levels

    of human A40 and/ or A42 depending on the APP

    mutation used. These animals d eposit am yloid be-

    tween 6 and 18 months depending on the transgenic

    line (Games et al., 1995; Hsiao et al., 1996; Stu rchler-

    Pierrat et al., 1997; Borch elt et al., 1997). The Tg2576 line

    that normally forms A deposits between 9 and 12

    months of age (Hsiao et al., 1996) showed greatly

    accelerated deposition of am yloid (Holcomb et al.,

    1998) wh en crossed w ith a mu tant PS1 line (Duffet al.,

    1996). The deposition event in the doubly transgenicmice (PSAPP) has now been characterized further as

    these m ice have great utility for the study of AD-

    related amyloidosis due to their fast and predictable

    pathology developm ent.

    METHODS

    Transgenic Mouse Generation

    Hem izygous transgenic mice that expresses mu tanthuman APPK670N,M671L (Hsiao et al., 1996) (line Tg2576)

    and hemizygous lines of PS1 mice (Duff et al., 1996)

    wh ich express either hu man mu tant PS1M146V (line 8.9)

    or PS1M146L (line 6.2) were crossed t o gener ate offspr ing

    with four possible genotypes: PSAPP, APP, PS1, and

    nontransgenic (non tg). Hem izygotes w ere used, as it

    has not been possible to generate homozygote lines of

    Tg2576. The singly transgenic mutant PS1 and APP

    offspring, together with non tg littermates, were used

    as controls for the d ouble m utan t PSAPP mice.

    Tissue Processing (in Situ Hybridization)

    Transgenic m ice from both the PS1M146V line and the

    PS1M146L line together with non tg littermates were

    cervically dislocated and the brains were rapidly

    removed and snap frozen on dry ice. Sets of cryostat

    sections (15 m) were cut at approximately 300-m

    intervals in the coronal plane through the forebrain

    and cerebellum and thaw mounted onto Plus micro-

    scope slides (Fisher Scientific).

    Tissue Processing (Immunohistochemistry)

    Transgenic mice at various ages (8, 10, 12, 2832, and

    4359 weeks) were analyzed in this stud y. At leas

    three double mutant mice and two mice from each o

    the other genotypes (PS1, APP, and non tg) wer

    examined at each time point. Tissue was prepared in

    one of two ways:

    (1) Mice were anesthetized with sodium pentobarbital and perfused transcardially w ith ice-cold salin

    followed by 4% paraformaldehyde in 0.1 M phosphat

    buffer. Brains were removed and placed in the fixativ

    overnight at 4C. After fixation brains were cryopro

    tected in 30% sucrose/ 0.1 M phosphate-buffered salin

    (PBS) for at least 24 h. Serial coronal sections (30 m

    were cut through the forebrain and cerebellum using

    freezing sledge microtome (Leica) and stored at 4C in

    2 mM sod ium azide/ 0.1 M PBS solution.

    (2) Mice were cervically dislocated and the brain

    were removed and immersion fixed in 70% ethanol/150 m M Na Cl a n d e m be d d ed in p a ra ffin wa x a

    described previously (Iwatsubo et al., 1996). Seria

    sections (6 m ) were cut on a rotary m icrotome.

    Tissue Processing (Mass Spectrometry)

    Double transgenic PSAPP m ice at 6, 16, and 3

    weeks (n 2 at each age) were cervically dislocated

    and the brains were removed, hemisected, and snap

    frozen on dr y ice.

    In Situ Hybridization

    A synthetic oligomer designed to the 5-end of th

    hum an PS1 mRNA corresponding to bases 5 to 4

    (5-TgT gCA TTC Tgg AAg TAg gAC AAC ggT gCA

    ggT AAC TCT g-3) w a s 3-end labeled to a specifi

    activity greater than 1 108 dpm/ g. Slides wer

    quickly warmed to room temperature, fixed in neutral

    buffered p araformald ehyd e (Sigma) for 15 min, rinse

    in 0.1 M PBS, and sequentially dehyd rated through

    graded ethanol (70, 80, 90, 100%) and allowed to aidry. Hybridizations w ere standardized such that each

    slide (46 sections/ slide) was hybridized with 12 ng

    of the labeled oligonucleotide in 300 l of hybridiza

    tion buffer (50% (v/ v) deionized formamide, 4 SSC

    1 Denhardts solution, 10% (w/ v) dextran sulfate

    0.3% -mercapthoethanol, and 200 g/ ml sonicate

    denatured salmon-tested DNA). Sections were hybrid

    ized overnight in a moist chamber at 37C. Contro

    sections were hybridized in the presence of a 50-fold

    molar excess of the unlabeled oligonucleotide. Afte

    232 McGowan et a

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    hybridization, slides were stringently washed (3) in

    1 SSC plu s 0.001% -mercaptoethanol for 30 min,

    prior to dehyd ration in 70% ethanol containing 300

    mM ammonium chloride, followed by 100% ethanol.

    Air-dried slides w ere exposed to Hyperfilm -Max

    (Amersham ) at room temp erature for 12 weeks.

    Immunohistochemistry (Free-Floating Sections)

    Sets of serial 30-m sections at app roximately 300-m

    intervals through the forebrain and cerebellum were

    immunostained with an A1-12 antibody (1/ 100 mou se

    monoclonal, Grant et al., 1997). Briefly, end ogeno us

    peroxidase activity w as inhibited by incubating the

    tissue in 20% methanol/ 1.5% H 2O2 diluted in 0.1 M

    PBS for 30 min . Sections were r insed in 0.1 M PBS pr ior

    to permeabilization and blockade of nonspecific bind-

    ing by incubation in 0.2% Triton/ 100 mM lysine/ 5%

    normal serum diluted in 0.1 M PBS. Sections wereincubated in primary antiserum diluted in 5% normal

    serum/ 0.1 M PBS overnight at room temperature.

    Sections were extensively washed in 0.1 M PBS and

    incubated in anti-mouse biotinylated IgG (1/ 1000,

    Vector Labs) diluted in 5% normal serum/ 0.1 M PBS

    for 2 h at room temp erature, w ashed in 0.1 M PBS, and

    incubated in streptavidinhorseradish peroxidase (1/

    1000, Vector Labs) d iluted in 0.1 M PBS for 1 h at room

    temperature. The sections were washed repeatedly

    and the color reaction was developed using either a

    0.05% solution of 3,3-diaminobenzidine tetrahydro-chloride (DAB)/ 0.03% H 2O2 for 510 min or the a bove

    chromogen with the addition of 2.5% nickel ammo-

    nium sulfate. The free-floating sections were then

    washed extensively in 0.1 M PBS, mou nted on Plus

    slides (Fisher), dehydrated, cleared in xylene, and

    cover-slipp ed w ith E-Z mou nt (Shan don ).

    Fo r t h e A glial fibrillary acidic protein (GFAP)

    double labeling, the tissue was permeabilized as de-

    scribed previously, th en incubated in GFAP (1/ 1000

    mouse monoclonal, Boerhinger Mannh eim, Indianapo-

    lis, IN) d i lu t ed in 5% n or m al se ru m / 0.1 M P BSovernight at room temperature. Standard streptavidin

    biotin complex p rocedure was used to detect the

    primary antiserum, which was visualized with DAB,

    as described above. Sections were then washed exten-

    sively in 0.1 M PBS, incubated in methanol/ H 2O2 to

    inhibit residual peroxidase activity, and incubated in

    A1-12 ant isera (1/ 100 mou se mon oclonal, Grant et al.,

    1997) and detected using a standard streptavidin

    biotin complex procedure. Specific immunoreactivity

    was visualized using Vector SG (Vector Labs) or

    nickel-enhanced DA B as the chrom ogen. Sections w er

    then mounted on slides, air-dried, dehydrated i

    graded ethanols, cleared in xylene, and cover-slipped

    with E-Z mount (Shandon).

    Immunohistochemistry (Paraffin-Embedded

    Sections)

    After dep araffinization, serial sections were immu no

    stained overnight at room tem perature w ith a pan el o

    A antibodies raised against different portions of th

    A peptide (Saido et al., 1995, 1996) (see Table 1 fo

    antibody epitope d etails). This was followed by stan

    dard avidinbiotin complex procedure using Tris

    buffered saline (50 mm ol/ L Tris/ HCl, pH 7.6) fo

    dilution of the antibodies and washing the slides, an

    visualization w ith 3,3-diaminobenzidine in 150 or 50

    mM NaCl as the chromogen. Sections were stained

    with and without formic acid pretreatment (Iwatsubet al., 1996). Tissue sections were counterstained with

    hematoxylin.

    TABLE 1

    Relative Levels of Immunoreactivity for A , Thioflavin S,

    and GFAP in PSAPP Mice and Singly Transgenic APP and

    PS1 Littermates

    Genotyp e Age A Th io fla vin S G FA P

    P SAP P 23 m on th s

    36 mon ths

    6 months

    8 months

    12 months

    APP 6 m onths

    812 months / / /

    1218 months

    PS 014 m onths

    N ote. A n a rbit rary u n it syste m w a s u sed t o cl assi fy t h e A

    deposition and inflammatory response in double transgenic PSAP

    mice and their singly transgenic littermates. Animals w ith lownumbers (515) of A/ th iofl av in S p osit ive d ep osit s in th e cor te

    and hippocampus or a slight astrocytic response were assigned on

    ().An imals with intermed iate num bers (50100) of A/ th iofl av in

    deposits per section or marked astrocyte activation surroundin

    deposits were assigned (). Mice with extensive (100300) A

    thioflavin S positive deposits per section were given ( ). Intens

    GFAP immunoreactivity clustered around plaques and present i

    the neuropil between plaques was assigned (). () wer

    also assigned to mice which had both diffuse (thioflavin S negative

    amyloid and extensive compact thioflavin S positive deposits pe

    section. Mice with an astrocytic response which was no longe

    closely associated with the A deposits were given ()*.

    PSAPP Mouse Characterization 23

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    Mass Spectrometry

    Soluble A and deposited A in brain tissue was

    isolated by sequential extraction from each individual

    mouse brain. Hemispheres (approximately 0.2 g) were

    thaw ed and wa shed three times in ice-cold TBS. Brain

    tissues w ere homogen ized in 1.0 ml of homogen ization

    buffer consisting of 150 mM NaCl, 50 mM TrisHCl,

    pH 8.0, and protease inhibitors (EDTANa2, 2 m M ;leupeptin, 10 M; pepstatin, 1 M; PMSF, 1 mM;

    TLCK, 0.1 m M; TPCK, 0.2 mM). The homogenates

    w ere centrifuged at 100,000g RCF for 1.5 h and the

    supernatants (TBS extract) collected for the water-

    soluble A assay. For detection of deposited A, the

    brain tissue pellets were washed three times with

    ice-cold TBS and then extracted using 1.0 ml of

    hexafluoroisopropanol (HFIP) by sonication and vor-

    texing for 2 h at 4C. The HFIP extracts were centri-

    fuged at 100,000g RCF for 2 h and the HFIP layers

    carefully collected a nd speed -vacuu m d ried. The HFIPextracts were resuspended by TBS containing 1%

    CHAPS and protease inhibitors overnight. Both the

    TBS extracts and the HFIP extracts (0.5 ml) were

    imm un oprecipitated w ith 1.0 l of mon oclonal anti-A

    antibody, either 4G8 or 6E10 (Senetek, Maryland

    Heights, MO) and 3 l of p rotein G Plus/ protein

    Aagarose bead s (Oncogene Science, Inc., Cam bridge,

    MA) at 4C for 3 h. Immu noprecipitated A peptides

    w ere analyzed u sing a matrix-assisted laser desorption

    ionization time-of-flight mass spectrometer (Voyager-

    DE STR BioSpectrom etry Worksta tion, Per Sept ive Bio-

    system) as d escribed p reviously (Wang et al., 1996).

    RESULTS

    Regional Expression of Mutant PS1 Transgenes

    The gene expression pattern for the 8.9 (PS1M146V)

    and 6.2 (PS1M146L) lines was regionally similar, but in

    general the hybridization signal was greater in the 8.9

    line. The highest transgene expression was in the CA3

    region of the h ipp ocamp us (Fig. 1B). There w as little orno transgene expression in the other hippocampal

    subfields (CA1 and dentate gyrus). A robust laminar

    expression pattern was present in the cortex, with the

    highest cortical gene expression in the cingulate area

    (Figs. 1A and 1B). Lower transgene expression was

    observed in th e entorhinal and piriform cortices. A

    strong hybridization signal was detected in the major-

    ity of thalamic nuclei but was minimal in the hypotha-

    lamic region an d the striatum (Figs. 1A and 1B). Little

    or no transgene expression was detected in white

    matter suggesting predominant neuronal expression

    of the transgene.

    The 35S-labeled PS1 probe used was specific fo

    human PS1 mRNA and did not hybridize to endog

    enous mouse PS1 transcripts, therefore, no hybridization signal was observed in sections from nontrans

    genic animals. Similarly, no specific hybridization signa

    was detected on control sections from PSAPP m ic

    hybridized in the presence of an excess of unlabeled

    PS1 oligonucleotide.

    Age-Dependent Increase in A Deposition

    Both lines of PSAPP mice have been examined

    primarily using an N-terminal A1-12 mon oclona

    FIG. 1. Expression of the hum an PS1M146V transgene in the 8

    transgenic mouse line. A shows the expression pattern of the PS

    transgene in mouse forebrain; B shows the midbrain from the sam

    animal. The strongest hybridization signal was detected in the CA

    region, followed by the cortex, particularly the cingulate cortica

    region, and thalamic nuclei. There was lower transgene expressio

    in the entorhinal and piriform cortices. Minimal transgene expres

    sio n w a s p resen t i n t h e C A1 reg io n , d e n ta te g yru s, stria t u m

    hypothalamus, and white matter. Scale bar 1.5 mm. C, cingulat

    cortex; CA3, CA3 region of Ammons horn; CPu, caudate putamen

    E, entorhinal cortex.

    234 McGowan et a

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    antibody (Grant et al., 1996) to investigate where and

    wh en amyloid deposits develop. Both lines of m ice

    were examined at 8, 10, and 12 weeks of age to assess

    when N-terminal A immu noreactivity could first be

    identified (Figs. 2A2C). Results were essentially iden-

    t ica l i n P SAP P m i ce o v er exp r e ss in g e it h er t h e

    6.2PS1M146L or the 8.9PS1M146V transgene. A deposits

    were not seen in 8-week-old doubly transgenic mice(Fig. 2A). A imm un oreactivity was first detected at 10

    weeks of age (Fig. 2B). By 12 weeks of age small

    numbers of deposits were consistently detected in

    PSAPP mice derived from either the 6.2PS1 or the

    8.9PS lines, in both the cingulate and the adjacent

    motor cortex, and also in the hippocampus (Figs. 2C

    and 2G). In the PSAPP d oubly transgenic mice, early

    deposition occurs most prominently in the cingulate

    cortex and adjacent motor cortex, in a pattern that

    correlates with the expression pattern of the PS1

    transgene. As the animals aged, A deposition becamemore widespread (Fig. 2D). Both the size and the

    number of the deposits increased, in the hippocampus,

    corpus callosum, and extensive areas of the cortex,

    with deposition spreading longitudinally to the ento-

    rhinal and piriform cortices in animals aged 2832

    weeks (Figs. 3A and 3B). A deposits were scattered

    throughout the polymorphic and molecular layers of

    the hippocamp us. Deposits congregated in the molecu-

    lar layer of the dentate gyrus and in areas adjacent to

    the hippocampal fissure, generally sparing the pyrami-

    dal and dentate granule cell layers of the h ippocam-pus.

    By 14 months of age, a great number of compact

    (thioflavin S positive) d eposits w ere p resent through-

    out the cortex and hippocampal regions (Figs. 2E and

    2H). Furthermore, diffuse (thioflavin S negative) A

    immu noreactivity was now abund ant also throughout

    the cingulate and motor cortex and hippocampus

    (Figs. 2E and 2H). In the somatosensory cortices, there

    was less diffuse A immunoreactivity present in la-

    mima III/ IV, correlating with the expression pattern of

    the PS1 transgene in the cortex. The pyramidal andgranule cell regions of the hippocampal formation in

    old mice were relatively devoid of A deposition,

    while the remainder of the hippocampal neuropil,

    including the stratum oriens, stratum radiatum, the

    polymorphic, and molecular layer of the dentate gyrus

    was filled with diffuse and compact A immunoreac-

    tivity (Fig. 2H).

    In animals aged 2832 weeks, A deposition was

    also d etected in the thalamus, striatum , septum, infe-

    rior colliculus, and med ial geniculate nucleus (Figs.

    3C3E). Microdep osits w ere detected, albeit rarely, i

    the cerebellum in older mice (Fig. 3F). In 59-week-old

    mice, d eposition was more prominent in the area

    described above and was also p resent at low levels i

    the hypothalamus; furthermore, some diffuse A im

    munostaining in the striatum and thalamus was pre

    sent also. Vascular amyloidosis was clearly visible in

    the PSAPP mice, especially those older th an 12 mon th

    of age and w as particularly of note in th e cerebellum .

    Deposits were not routinely detected in the singly

    t ra n sg en ic APP lit te rm a te s a t a ge s u p t o 1 y ea

    consistent with previous published reports. In th

    oldest mice examined (59 weeks), A deposition had

    been initiated and was prominent in the entorhina

    cortical areas with variable deposition in the cingulat

    and motor cortices and hipp ocampu s (Figs. 2F and 2I

    This pattern contrasts w ith that seen in the PSAP

    animals suggesting that early deposition in PSAP

    animals was influenced by the pattern of expression o

    the PS1 transgene and the concommittant regiona

    increases in the level of A42, or less likely PS1 protein

    within different parts of the cortex (see Fig. 1). No A

    immunostaining was detected in nontransgenic mic

    at a ny age examined . Similarly, no A immunoreactiv

    ity was observed in singly transgenic PS1 mice up to 1

    months of age.

    Multiple A Isoforms Are Present in the Deposits

    in the Double Mutant Mice

    Serial sections from the brains of PSAPP mice and

    singly transgenic littermates at 6 months of age wer

    examined using a panel of antibodies which recogniz

    different A isoform s (see Table 1 for antibod y sp ecific

    ties). These antibodies have been used previously t

    examine the comp osition of A aggregates in human

    brain tissue with senile (congophilic) and diffus

    plaques (Saido et al., 1995, 1996; Iwatsubo et al., 1996

    In cortical and hippocampal regions, the most exten

    sive immu nostaining w as detected w ith an N -termina

    antibody (9204) that recognizes the first L-aspartatresidue, AN 1 (L-Asp) (Fig. 4). Nu merou s d eposits o

    varying sizes w ere observed throughout the corte

    and the hipp ocamp al formation. A proportion of thes

    A aggregates were also immunoreactive for race

    mized (D-Asp) and isomerized (L-iso-Asp) forms o

    the N1 aspartate (see Fig. 4). Most deposits wer

    labeled with an antibody (Ban 50) that recognizes th

    first 16 amino acids of A (A1-16) (Fig. 4). Fewe

    deposits were immu noreactive for A starting at N1

    co m p ar ed t o A1-16, suggesting that most of th

    PSAPP Mouse Characterization 23

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    FIG. 2. A deposition becomes markedly more extensive with age in the double mutant mice. Coronal sections at the level of the striatum

    (AF) or hippocamp us (GI) immu nostained with an N-terminal A1-12 antibod y. A immu noreactivity was not d etected at 8 weeks of age (A

    Dark-stained cell bodies are n onspecific and d ue to nickel-DAB, which w as used as the chrom ogen. Similar artifacts were present in PS, non tg

    and APP mice. A small number of A aggregates were present in the cingulate cortex by 10 weeks of a ge (B). By 12 weeks, more extensive A

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    FIG. 3. In older PSAPP mice (sections depicted are from a mouse aged 32 weeks), A deposition was detected throughout the neocorte

    nclud ing the ectorhinal, entorhinal (A), and piriform cortices (A and B). Deposition w as not restricted to th e cortex and h ippocamp al formatio

    alone in the old er PSAPP mice but w as also present in the striatum (C), thalamu s (D), medial geniculate nu cleus (E), the inferior colliculus, an

    very rarely in the cerebellum (F). Scale bar for A 200 m, BE 100 m , F 50 m . aca, anterior commisure; AV, anteroventr al thalam

    nucleus; CPu, caud ate p utam en; Ect, ectorhinal cortex; gr, granule cell layer of the cerebellum; MGN, m edial geniculate nu cleus; mol, molecula

    cell layer of the cerebellum; Pir, piriform cortex; sm, stria medullaris.

    FIG. 2Continued immunostaining was seen in the cingulate and frontal cortex (C and G) and deposits were present in the hippocampa

    formation (G). At 32 weeks, A deposition was widespread and the deposits were more numerous and larger in size, and were also detected i

    wh ite matter (D). As the mice age deposition becomes increasingly widesp read throu ghout th e forebrain; at 59 weeks of age the cortex (E and H

    and hippocampus (H) were filled with both compact and diffuse A immunoreactivity. No A immunostaining was detected in singl

    ransgenic APP litterma tes at 30 weeks of age. At 59 weeks of age variable A dep osition wa s present in the cortex (F and I) and hippocamp us (

    of APP mice. Arrows indicate some of the A aggregates. Scale bar for AF 200 m and for GI 500 m.

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    deposits were derived from A cleaved at the

    secretase site.

    The majority of deposits was immunoreactive for

    AN3 (glutamate) and a similar number of deposits

    were immu nostained with AN3-pyroglutam ate. Occa-

    sional aggregates were labeled with an antibody ra ised

    against mouse AN3-pyroglutamate (Fig. 4). No AN11

    pyroglutamate immunoreactivity was detected. C-

    terminal antibodies show ed the p resence of A termi-

    nating at residues 39, 40, and 42. More deposits

    contained A40 (identified with antibodies BA27 and

    A36-40) than A42 (BC05 and A38-42) but aggre-

    gates did not ap pear to contain A fragments terminat-

    ing at A43, since no immunostaining was detected in

    any region of the brain (Fig. 4). Similar levels of

    immunostaining with all the antibodies w ere seen

    with or without formic acid pretreatment. Similarly,

    sections p rocessed in either 150 or 500 mM N aCl gave

    identical results. A immunoreactivity was not ob-

    served in singly transgenic PS1, APP, and nontrans-genic littermates at this age for any of the 15 A

    isoforms (data not shown).

    A Marked Astrogliotic Response Is Associatedwith A Deposition

    Double imm unostaining with GFAP (Fig. 5, brown

    reaction product) and an N-terminal A antibody

    (purple/ black reaction produ ct) showed the extent of

    astrocytosis in the double mutant mice. Some of the

    astrocytic processes appeared to show positive immu-noreactivity w ith the A antibody bu t this was thought

    to reflect incomplete quenching of peroxidase activity

    after the first immunolabeling rather than A accumu-

    lation in astrocytes as single labeling w ith A does not

    label glial processes.

    Gliosis is an invariant and early event associated

    w ith amyloid d eposition, as mice as young as 12 w eeks

    showed microdeposits associated with a few or single

    reactive astrocytes (Fig. 5A). Astrogliosis was more

    extensive in th e 28- to 32-week-old PSAPP m ice, w here

    most of the cortex and hippocampus had a markedastrocytic response to A and clusters of GFAP immu-

    noreactive astrocytes were seen closely associated with

    A aggregate deposition (see Fig. 5B, which depict

    the typical reactive astrocytic response in a 32-week

    old PSAPP mouse). A deposition was not observed in

    the APP mice at th is age and there was n o increase i

    GFAP immunoreactivity. By 59 weeks of age, th

    astrocytic profile had changed markedly in the PSAPP

    m ice (Fig. 5B). Exten sive, d iffu se A as w ell as compac

    amyloid was now present throughout the neocorte

    and hippocampus at this age, but little or no GFAP

    immunoreactivity surround ed the compact deposit

    (Fig. 5C). GFAP immunoreactivity was present in th

    neuropil between plaques but was not closely associ

    ated with compact aggregates in contrast to that seen

    in the 28- to 32-week-old anima ls (Fig. 5B). Althou gh

    the A deposition in APP mice aged 59 weeks wa

    variable, all deposits were associated with a heav

    reactive gliosis (Fig. 5D), which was very similar t

    that observed for the 28- to 32-week-old PSAPP mic

    (Fig. 5B). Rarely, an increase in gener al ast rogliosis w aseen in the cortex of PS, young APP, or nontransgeni

    littermates, but the reaction was never seen in foca

    clusters and was thought to represent a nonspecifi

    immune response. Table 1 summarizes the majo

    pathological findings in the PSAPP and their singl

    transgenic APP and PS littermates at all ages exam

    ined.

    Mass Spectrometry: Confirmation ThatHeterogeneous Carboxy-Terminal A Peptides ArPresent in the Deposits in the Double Mutant Mice

    The peptide profile of both soluble and deposited

    A peptides in mou se brains w as analyzed by sequen

    tial extraction and immu noprecipitation/ mass spec

    trometry (see Fig. 6) as d escribed in Wang et al. (1996

    Soluble A peptides were extracted with TBS. A 1-4

    and A1-42 were detected as two major A species i

    the TBS extracts and they represent 48.9% (0.9%

    n 2) and 33.6% (2.5%, n 2) of total A peptide

    detected in the same measurement based on the pea

    intensity (Fig. 6A). Several other A peptides, A1-41A1-39, and A1-38, were also d etected in TBS extract

    FIG. 4. A isoform immunostaining in a 6-month-old PSAPP mouse brain. Serial sections were immunostained with a panel of antibodie

    raised against different A species. AN1 (L-asp (9204)) immunolabeled the greatest number of A deposits throughout the neocortex an

    hippocam pu s. The m ajority of these deposits were imm unoreactive for the racemized (D-Asp) and isomerized (L-iso-Asp) forms of AN1. Th

    aggregates were immunopositive also, to varying degrees, for A116 (116/ Ban 50); A1724 (1724); AN3 (N3), both human and mous

    AN3 pyroglutamate (N3p and N3p[m], respectively). There was little or no A N11 pyroglutamate (N11p) immunostaining. C-terminal A

    species, including A39, A40, and A42, were present in the deposits. A 40 immunoreactive aggregates were more numerous than A 4

    aggregates as detected by two d ifferent antibodies.A 43 imm unoreactivity was not observed in PSAPP mouse br ain. Scale bar 200 m .

    PSAPP Mouse Characterization 23

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    w ith m uch less abund ance (5, 6, and 6%, respectively).

    The composition of deposited A peptides was deter-

    mined by mass spectrometric analysis of A in HFIP

    e xt ra ct s in P SA PP m ice. A p ep t id e s A1-42

    (7.7 0.7%), A1-40 (61.5 1.3%), as well as A1-39

    (3.8 0.7%), A1-38 (17.6 0.8%), A1-37 (2.9 0.3%

    A1-34 (1.5 0.7%), an d A1-33 (0.2 0.2%), w er

    observed in the spectra (n 4) of 16-week-old PSAPP

    mice resulting from antibody (4G8 and 6E10) immu no

    precipitation (Figs. 6B and 6C). Furthermore, severa

    FIG. 5. Early A deposition is associated with a marked and progressive astrocytic response as shown by d ouble immunostaining for A

    (purp le/ black) and GFAP (brown) in the cortex of 12-week-old (A) and 32-week-old PSAPP mice (B). By 59 weeks of age GFAP im m un orea ctivity wamar kedly redu ced or absent aroun d the comp act deposits (C) although GFAP immu noreactivity was still visible in the neurop il between the A

    dep osits (as ind icated by arrows). In contrast, singly transgenic APP littermates at 59 weeks of age exhibited a similar h eavy astrogliotic respons

    o youn ger PSAPP mice, with focal clusters of GFAP imm unoreactivity being observed around A deposits (D). Scale bar in AD 200 m.

    240 McGowan et a

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    A N -terminal fragm ent p eptides (less than 5% of total

    A pep tides based on th e peak intensity, n 2) includ -

    ing A1-15, A1-17, A1-19, and A1-20 were d etected

    using monoclonal antibody, 6E10 (Fig. 6C). The domi-

    nant A isoform identified in the deposited fractions

    w a s t h e A1-40 peptide. Less A 1-42 peptide was

    detected in the deposited fractions and the p eptide

    concentration ratio between A1-42 and A1-40 p ep

    tides (A1-42/ A1-40) was estimated as approxi

    mat ely 25% by the relative peak intensity and stan dard

    qua ntitation curves (Wang et al., 1996). A1-43 pep tid

    was not detected in the HFIP-extract. We were als

    unable to detect AN3 (A3-40), AN3-pyro (Ap 3

    40), or A11-40 in the spectra of HFIP extracts, mos

    likely due to the low abundance of these isoforms. A

    compar ison between 6-week-old PSAPP animals w ith

    out visibly dep osited amy loid and 16-week-old PSAP

    animals showed that both the A1-40 and the 1-4

    levels were greatly elevated in the older animals

    Although A1-40 levels remained higher than A 1-4

    levels, the ratio of A1-42/ A1-40 was significantl

    elevated in the older animals (data not shown). Be

    cause nontr ansgenic, PS, and A PP mice have n o d etect

    able A deposition at 16 weeks of age, HFIP fraction

    w ere not examined by IP/ MS.

    DISCUSSION

    The current stud y d escribes the am yloid p henotyp

    of mice overexpressing a mutant human APP trans

    gene and one of tw o mutant presenilin transgenes

    ELISA data h ave show n tha t the m utan t PS1 mice used

    in the cross have an approximate twofold elevation i

    endogenous A42 levels (but not A40) compared t

    nontr ansgenic litterma tes (Duffet al., 1996), suggestin

    that mutant PS1 selectively influences the metabolism

    of APP to increase the levels ofA 1-42 (Duffet al., 1996Borchelt et al., 1996; Citron et al., 1997). The curren

    study shows that the doubly transgenic mu tant PSAP

    mice develop robust amyloidosis by 12 weeks of age

    which is app roximately four times faster than thei

    singly transgenic APP littermates. A deposits i

    PSAPP mice derived from either mutant PS1 lines 8.

    or 6.2 crossed with Tg2576 are first v isible at 101

    weeks of age and they have been an invariant featur

    in m o re t ha n 15 a n im a ls e xa m in ed in t he 10- t

    12-week age group. At all ages examines, the path olog

    cal features were essentially identical in PSAPP micderived from either the 8.9 PS1M146V or the 6.2PS1M146lines. Once deposition is initiated, the nu mber a nd siz

    of the deposits in PSAPP mice increases steadily with

    age. Deposition is first d etected in the cingu late cortex

    but in general, d eposits are seen in the neocortex

    hippocampus, and corpus callosum and extensiv

    pathology develops throughout these regions of th

    brain by 6 mon ths of age (see Fig. 2). There is ver y littl

    detectable pathology in the singly transgenic APP mic

    until at least 9 months of age and A deposition wa

    FIG. 6. Mass spectra of soluble and deposited A peptide profiles

    of 16-week-old PSAPP mouse brain. Soluble A peptides were

    detected following immunoprecipitation with 4G8 (A) whereas

    deposited A peptid es in the HFIP extract were imm unop recipitated

    with 4G8 (B) and 6E10 (C). Peaks correspond ing to A peptides are

    abeled with the A sequence nu mber. Peaks labeled as 1402, Ins.,

    and 1228 (std) represent doubly protonated A140 peptide ions,

    doubly p rotonated insulin m olecular ions (added for mass calibra-

    ion), and A12-28 (added as internal standard) ions, respectively.

    Several unidentified peaks are tagged with an asterisk.

    PSAPP Mouse Characterization 24

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    variable even at 14 mon ths of age (see Fig. 2). To d ate,

    no d eposition has been observed in m utant PS1 trans-

    genic mice at 14 months of age, the oldest age exam-

    ined. See Table 1 for a summary of the pathological

    findings in the PSAPP mice compared to their singly

    transgenic APP and PS litterm ates.

    PSAPP m ice not only show accelerated pathology

    development, but the distribution of deposits differs

    between PSAPP m ice and their APP counterparts.

    Singly transgenic APP (Tg2576) mice (and hum ans

    with AD) dep osit preferentially in the entorhinal an d

    piriform cortices whereas initial, visible deposition in

    the PSAPP mice always begins in the cingulate and

    adjacent motor cortices, with entorhinal and piriform

    involvement becoming evident later. In situ analysis

    shows that in most respects, the initial d istribution of

    deposits follows the pattern of PS1 transgene mRNA

    expression, which is high in the cingulate cortex and

    relatively low in the entorhinal cortex (see Fig. 1).

    Furthermore, in the older double m utants, a lower

    amyloid burden was observed in layers III/ IV of the

    somatosensory cortex, which is a region of low PS1

    transgene expression (see Fig. 1). These data all sug-

    gest that the mutant PS1 transgene contributes to

    accelerated A accum ulation, with regions of high PS1

    expression showing the earliest deposition. This is

    most likely due to the local elevation of A42 in

    response to mutant PS1, but the possible contribution

    of mutant PS1 protein levels to deposition cannot be

    discounted from this observation. One obvious excep-

    tion to the correlation between PS1 levels and initialdeposition is in the CA3 pyramidal cell layer of the

    hippocampu s. Expression of transgene-derived mu -

    tant PS1 and APP is thought to colocalize in this region,

    yet A immu noreactivity is rarely seen, even wh en

    amyloidosis is extensive in other regions of the brain.

    This is similar to the human AD brain where senile

    plaques are underrepresented in the CA3 pyramidal

    region and are usually only associated with very

    severe hippocampal pathology (D. Mann, unpublished

    data).

    Immunohistochemistry has shown that, in general,the composition of deposits seen in humans with AD

    (Iwatsubo et al., 1996) and the PSAPP tran sgenic mice

    are very similar. A peptides deposited in the brains of

    transgenic mice and humans are largely composed of

    A species beginning at N1 (Asp) and include both

    racemized and isomerized forms of the amino acid.

    The deposits also contain A species beginning with

    pyroglutamate at N3, and in addition to modification

    o f t h e h u m a n A molecule, murine pyroglutamate-

    modified A peptide is also sequestered into deposits

    in the mou se. In contrast to hum an AD brain wh ere th

    pyroglutamate N3 residue is highly represented rela

    tive to other A peptides, in the mouse this species i

    less well represented. Also, pyroglutamate N11 wa

    not p resent in the m ouse plaques. A small proportio

    of the deposits in the mou se contain A starting at Leu

    N17, su g ge st in g t ha t m o st o f t h e a m ylo id is n o

    generated by cleavage at the secretase cleavage sit

    at N16 (Sisodia, 1992). This is most likely due to th

    inclusion of pathogenic mutations at residues 670 and

    671 of the APP transgene which have been shown t

    enhance cleavage at the putative secretase site (a

    position N-1) at the expense of secretase cleavag

    (Cai et al., 1993; Citro n et al., 1992).

    A g re at er n u m b er o f d e p osit s in t h e b ra in s o

    6-month-old mice w ere imm unoreactive for A(1-40

    compared to A(1-42). ELISA (Holcomb et al., 1998

    and mass spectrometry (data not show n) have demon

    strated that although young PSAPP mice initially hav

    elevated levels of A1-42 relative to APP littermates

    A40 levels w ere still twofold h igher than A42 level

    and both A forms increase in the brain once deposi

    tion begins. The correlation amon g imm un ohistochem

    istry, ELISA, and mass spectrometry suggests that th

    observed predom inance of d eposited A (1-40) versu

    A(1-42) in the immu nohistochemistry stud y is no

    due to an antibody artifact such as differences i

    antibody sensitivity or epitope masking. In addition

    two different sets of antibodies were used (A(36-40

    a n d Ba n 27 fo r A (1-40); A(38-42) and BCO5 fo

    A(1-42)) which show the same trend and thesantibodies are known to recognize A(1-40) and A(1

    42) to a similar extent in human brain studies (Iwat

    subo et al., 1996). It is u nlikely th at th e sensitivity of th

    A(1-42) specific antibodies is reduced due to epitop

    masking as there w as little d ifference in the intensity o

    the immunostaining when the sections were pre

    treated with formic acid which destabilizes aggregate

    to make the peptide more accessible to the antibody

    One possibility, however, is that the A (1-42) isofor m

    could be more sensitive to degradation d uring samp l

    preparation, leading to red uced signal. Overall, therwas good correlation between immunohistochemistr

    and mass spectrometry with the exception that d epos

    its were immunoreactive for both AN3 a n d AN3pyr

    b u t n o AN3-40 or AN3pyro-40 species were de

    tected by mass spectrometry. As mass spectrometr

    relies on the competitive binding of immunoprecipi

    tated peptides from a complex mixture and the level

    of AN3 peptides were low even as judged by immu

    nohistochemistry, it is likely that these isoforms fel

    below detection of the mass spectrometry assay. I

    242 McGowan et a

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    general, however, the immunohistochemical data cor-

    relate w ith the mass spectrometry analysis of deposit

    composition, i.e., there is greater A 40 dep osition th an

    A42, most species of A were represented, and

    neither m ethod detected A species terminating at

    residu e 43 in th e aggregates.

    The majority of deposits in very young mice stained

    positively with thioflavin S (Holcomb et al., 1998, and

    data not shown) suggesting that even at this early

    stage, the d eposits consist of fibrillar a myloid. They d o

    not ap pear to p ass through a d etectable diffuse stage

    on their way to becoming compact, senile plaques,

    which correlates with data from other high-level-

    expressing APP transgenic mice (Sturchler-Pierrat et

    al., 1997). Diffuse plaques in humans are rich in A

    starting at residue 17 (Gowing et al., 1994) an d the

    observation of very little A17-x in the transgenic mice

    confirms our observations that most of the dep osits are

    compact. As the an imals age, however, diffuse (thiofla-

    vin S negative) A imm un oreactivity begins to overlay

    the compact deposits. The source of this diffuse A

    and the reason w hy it does not form compact deposits

    are unknown.

    Double immu nostaining against A and GFAP indi-

    cate that reactive gliosis is closely associated with A

    pathology progression, as single reactive astrocytes

    w ere observed in close proximity to dep osits in PSAPP

    mice as young as 12 weeks of age (see Fig. 4). Further

    work is required to d etermine whether amyloid depo-

    sition or gliosis initiates the process. By 6 months, there

    is an extensive astrocytic respon se aroun d A deposits(see Fig. 4 and Holcomb et al., 1998) which is not seen

    in nondepositing controls suggesting that the reaction

    is in direct response to the presence of the A aggre-

    gates. Interestingly, old PSAPP mice show a different

    pattern of GFAP immunoreactivity. At 14 months, the

    PSAPP animals have extensive amyloidosis which

    includes both compact and diffuse forms of A . GFAP

    immunoreactive astrocytes are no longer closely asso-

    ciated with the compact deposits, but it is unclear at

    this stage whether they have stopped expressing GFAP,

    migrated away from the deposits, or died. The situa-tion is, however, reminiscent of the transient gliosis

    seen in certain injury paradigms such as excitotoxic

    injury (Bjorklund et al., 1986) or deafferentat ion (And ers

    & Johnson, 1990), but even in these situations, the

    response of the astrocyte is not fully u nd erstood. There

    are no reports of transitory gliosis in late-stage human

    AD brain but humans have an overall lower amyloid

    burden than mice at this stage. Mouse age does not

    app ear to be a factor as focal clusters of GFAP imm un o-

    reactivity were still concentrated around A deposits

    (Fig. 4) in singly transgenic 14-month-old APP litter

    mates in a similar manner to that seen in the 28- to

    32-week-old double transgenic mice. The amyloi

    burden in th e 14-month APP m ice is, however, lowe

    than that of age-matched PSAPP mice and the APP

    mice have had detectable deposited amyloid for a fa

    shorter time. In addition, the diffuse amyloid tha

    accumulates in the oldest PSAPP mice is not seen in

    APP litterma tes or youn ger PSAPP anima ls.

    A similar acceleration of A pathology and inflam

    matory markers has been described by Borchelt et a

    (1997) where HuPS1-A246E mutant mice were crossed

    with mice expressing the APP Swedish mutatio

    (K670N, M671L). A deposition was detected at

    month s in their PSAPP mutants compared to 18 month

    for singly transgenic APP mutant mice. The acceler

    ated pathology described in this study is more aggres

    sive and far earlier but is essentially similar in charac

    ter, especially as both PSAPP mice have more A 4

    immunoreactive profiles than A42 (Borchelt et al1997, and Fig. 4). Although patients with presenilin-

    mu tations have m ore A42-containing dep osits (Iw at

    subo et al., 1996), the inclusion of APP K670N, M671

    mutations in the APP transgene in both sets of mice i

    thought to account for the preponderance of A4

    dep osits relative to those composed of A42.

    In conclusion, because of their highly predictable

    early, and robust amyloid phenotype, the PSAPP mic

    are an excellent model in which to study amyloidosis

    Given the central link between AD-causing mutation

    in different genes and A accumu lation, it woulappear that A is central to the disease and that th

    study of these types of model is justified. Unfortu

    nately, mice do not always replicate the human condi

    tion exactly, and the A depositing mice are n

    exception. Despite the accumulation of large amount

    of A in several d ifferent tran sgenic mou se m odel

    (Games et al., 1995; Hsiao et al., 1996; Borchelt et al

    1997; Holcomb et al., 1998), the mice do not show

    uniform response that mimics the hallmark features o

    hu man ADnamely amyloid deposition, tangle forma

    tion, extensive cell loss, and cognitive impairment. Ifhow ever, as the genetic da ta suggest, A accumulation

    is central to the d isease, then the PSAPP m ice w ill b

    useful resources for the testing of therapeutic agent

    against this feature, even if they are incomp lete mod el

    ofAD.

    ACKNOWLEDGMENTS

    The au thors are grateful to Dr C. Cuello, McGill Universit

    Canada, for the gift of the A1-12 antibody and to Dr. Karen Hsiao

    PSAPP Mouse Characterization 24

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    University of Minnesota, for the gift of the Tg2576 line. This work

    was supported by an Alzheimers Association/ The Stasia Borsuk

    Memorial Fund grant (RG1-96-070) to R.W. and an NIH program

    grant (AG-146133) to K.D.

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