Intracellular accumulation of aggregated pyroglutamate amyloid beta: convergence of aging and Aβ pathology at the lysosome
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Abstract
Deposition of aggregated amyloid beta (Aβ) is a major hallmark of Alzheimer’s disease (AD)—a common age-related neurodegenerative disorder. Typically, Aβ is generated as a peptide of varying lengths. However, a major fraction of Aβ peptides in the brains of AD patients has undergone posttranslational modifications, which often radically change the properties of the peptides. Aβ3(pE)-42 is an N-truncated, pyroglutamate-modified variant that is abundantly present in AD brain and was suggested to play a role early in the pathogenesis. Here we show that intracellular accumulation of oligomeric aggregates of Aβ3(pE)-42 results in loss of lysosomal integrity. Using a novel antibody specific for aggregates of AβpE3, we show that in postmortem human brain tissue, aggregated AβpE3 is predominantly found in the lysosomes of both neurons and glial cells. Our data further demonstrate that AβpE3 is relatively resistant to lysosomal degradation, which may explain its accumulation in the lysosomes. The intracellular AβpE3 aggregates increase in an age-dependent manner. The results presented in this study support a model where Aβ pathology and aging converge, leading to accumulation of the degradation-resistant pE-modified Aβ in the lysosomes, lysosomal dysfunction, and neurodegeneration.
Keywords
Alzheimer’s disease Pyroglutamate amyloid beta Lysosomal pathologyAbbreviations
- AD
Alzheimer’s disease
- Aβ
Amyloid beta
- pE
Pyroglutamate
- QC
Glutaminyl cyclase
- LMP
Lysosomal membrane permeabilization
Introduction
Alzheimer’s disease (AD) is a common progressive neurodegenerative disorder of which the prevalence is steeply increasing in the aging society. Neuropathologically, AD is characterized by deposits of aggregated proteins: intracellular aggregates of hyperphosphorylated tau in neurofibrillary tangles and extracellular β-amyloid (Aβ) in plaques. According to the widely supported amyloid cascade hypothesis, increased levels and the formation of assemblies of Aβ is one of earliest events in AD pathogenesis (Hardy and Selkoe 2002). Indeed, Aβ is prone to self-aggregate and the formation of the resulting aggregates is strongly linked to the development of the disease. However, despite enormous research efforts, the exact site and mechanism of Aβ toxicity is still not entirely elucidated. A major obstacle in Aβ research is that Aβ is not a single entity but a peptide with great molecular heterogeneity (De Kimpe and Scheper 2010).
Aβ is generated as a peptide of varying lengths by combined action of β- and γ-secretase through proteolytic processing of the amyloid precursor protein (APP). Previously extracellular fibrillar Aβ as found in the plaques was considered to be the main toxic species. However, recently it has become apparent that soluble oligomeric Aβ aggregates and intracellular Aβ play important roles in the pathogenesis of AD (Haass and Selkoe 2007).
In addition to the full-length Aβ1-x peptides, various modified Aβ variants can be detected in the human brain (Saido et al. 1996). These variants are truncated at their N- or C-termini and/or harbor different posttranslational modifications resulting in the generation of Aβ peptides with different physical and chemical properties. An abundant Aβ variant in human brain is the pyroglutamate (pE)-modified AβpE3. This N-terminal pE modification of Aβ can be catalyzed by the enzyme glutaminyl cyclase (QC) (Schilling et al. 2004). AβpE3 peptides show a higher stability (Kuo et al. 1998), increased aggregation propensity (Schilling et al. 2006), and neurotoxicity (Russo et al. 2002; Youssef et al. 2008) compared to the full-length unmodified Aβ. A mouse model selectively expressing this variant shows that intraneuronal accumulation of Aβ3(pE)-42 is sufficient for triggering neuronal loss and behavioral deficits (Wirths et al. 2009). This indicates that Aβ3(pE)-42 is a pathogenic species relevant to the progression of the disease. Because of its aggregation ability, AβpE3 has been suggested to provide the “seed” for the Aβ aggregation in AD (Schilling et al. 2006). In support of this, prophylactic treatment with a QC inhibitor results in decreased Aβx-40/42 levels, reduced plaque burden, diminished gliosis, and improved spatial learning, as shown in two different APP transgenic mouse models (Schilling et al. 2008). Therefore, the pE-modified Aβ peptides are a potential target for the treatment of the disease. However, the precise role of pE-modified Aβ in the pathogenesis of the disease is still elusive. In this study, we focused on the pathogenic involvement of non-fibrillar aggregates of Aβ3(pE)-42. Previously, our group demonstrated that oligomeric Aβ1-42 is rapidly internalized by neuronal cells to ultimately accumulate in the lysosomal compartment. Inhibition of uptake of oligomeric Aβ1-42 decreases toxicity (Chafekar et al. 2008) suggesting that the lysosome is involved in Aβ toxicity. In addition, dysfunction of the endo-/lysosomal pathway is an early phenomenon in AD pathology. From previous studies, it is know that lysosomal damage plays a role in soluble Aβ1-42-mediated cell death (Ditaranto et al. 2001). Lysosomal dysfunction plays an important role in the disease (Nixon et al. 2008), but it is not known whether AβpE3 affects the lysosomes. It is of interest to investigate the mode of toxicity of this specifically modified Aβ form because its formation can potentially be prevented using a QC inhibitor. Therefore, in this study, we investigated the involvement of the lysosome in the pathomechanistic role of AβpE3 aggregates. Using cell models, in vitro lysosomal degradation assays and analysis of postmortem human brain material, we obtained data that support a model showing convergence of AβpE3 pathology and aging at the lysosome.
Results
Aβ3(pE)-42 oligomers cause lysosomal membrane permeabilization
Aβ3(pE)-42 oligomers cause LMP. a Western blot analysis showing the protein levels of CTD in the cytosolic and in the pellet fraction of untreated (minus sign) cells and after treatment with 1 μM Αβ1-42 or Αβ3(pE)-42 oligomers for 16 h. β-actin and calnexin are depicted as protein loading control. The experiment was performed three times and representative blots are shown. b Confocal pictures of differentiated SK-N-SH cells after immunofluorescent staining of CTD on untreated (minus sign), HCQ-, Αβ1-42-, and Aβ3(pE)-42-treated cells. c Mock-transfected- or Hsp70-transfected HeLa cells were incubated in the absence (minus sign) or presence (plus sign) of 2 μM Αβ1-42 or Αβ3(pE)-42 oligomers for 24 h. Cell viability was measured using an MTT assay and is depicted as a percentage of the untreated (minus sign) cells. The graph represents the mean ± SEM (n = 16) from four independent experiments. *p < 0.01 as calculated by an unpaired two-tailed Student's t test
Taken together these data demonstrate that Aβ3(pE)-42 oligomers are more potent inducers of LMP than Αβ1-42 oligomers. LMP is toxic for cells because it leads to impaired lysosomal function and aberrant exposure of cellular components to lysosomal enzymes. Since Hsp70 has been reported to stabilize lysosomes and thereby inhibit LMP (Kirkegaard et al. 2010), we investigated if increased levels of Hsp70 could inhibit Aβ3(pE)-42 oligomer toxicity. Therefore mock- or Hsp70-transfected HeLa cells were treated with 2 μM Aβ3(pE)-42 oligomers. Using the MTT cell viability assay, the effect of Hsp70 overexpression on Aβ toxicity was analyzed. Overexpression of Hsp70 completely inhibited Aβ3(pE)-42 oligomer toxicity (Fig. 1c). These data indicate that disruption of lysosomal function contributes to Aβ3(pE)-42 oligomer toxicity.
Detection of aggregated AβpE3 in postmortem human brain tissue
Detection of aggregated AβpE3 in postmortem human brain tissue. a Paraffin-embedded (1–3) or frozen (4) sequential sections from temporal cortex of an AD patient were stained with the O-AβpE3 antibody. For the paraffin-embedded sections (PF), different protocols were compared: without antigen retrieval (1) or with antigen retrieval: 10 min microwave heating in a citric acid buffer pH 6 (2) or 10-min formic acid (FA) pretreatment (3). Arrow depicts a neuron and arrowhead indicates a glial cell. Scale bar (1–4), 50 μm. b Paraffin-embedded heat-treated sections from temporal cortex of an AD patient stained with the O-AβpE3 antibody. Inset shows a higher magnification picture of a neuron. c Paraffin-embedded heat-treated sections from temporal cortex of an AD patient stained with the O-AβpE3 antibody. Inset shows a higher magnification picture of a glial cell. Scale bar, 200 μm
Intracellular AβpE3 aggregates are present in astrocytes in human brain. Epifluorescent microscopic images of double fluorescent immunohistochemistry stainings for AβpE3 oligomers and GFAP or CR3/43. Paraffin-embedded sections from temporal cortex of an AD patient were double stained with GFAP (red) as marker for astrocytes (a, b) or with CR3/43 (red) as a marker for microglia (c), and with the O-AβpE3 antibody (green). The arrow shows the typical star-like O-AβpE3 staining pattern associated with glial cell staining while CR3/43 staining is clearly absent. Scale bar, 25 μm
Aggregated AβpE3 is present in the lysosomes of postmortem human brain
Aggregated AβpE3 is present in the lysosomes of postmortem human brain. Confocal microscopic images of frozen sections from temporal cortex of an AD patient double stained with the O-AβpE3 antibody (green) and with a LAMP-1 antibody (red). Co-localization is depicted in yellow. Arrow depicts a neuron and arrowhead indicates a glial cell. Scale bar, 25 μm
pE modification confers resistance to lysosomal degradation of Aβ
pE modification confers resistance to lysosomal degradation of Aβ. Internally quenched fluorescent Αβ1-40 and Aβ3(pE)-40 peptides (pre-aggregated or not) were used in a degradation assay employing recombinant CTD. Degradation of the quenched Aβ peptides is indicated as the accumulated fluorescence over time. The graph represents the mean ± SEM from two independent experiments (n = 10). *p < 0.05 as calculated by an unpaired two-tailed Student's t test
Intracellular AβpE3 aggregates increase with age
Postmortem brain material used in this study
| Diagnosis | Gender | Age | PMD | Break stage | ApoE | Intraneuronal Aβ | Intraglial Aβ | |
|---|---|---|---|---|---|---|---|---|
| 1 | AD | F | 81 | 10:20 | VI | 33 | 4 | 4 |
| 2 | AD | F | 89 | 04:30 | VI | 43 | 4 | 3 |
| 3 | AD | M | 69 | 05:00 | VI | 43 | 3 | 4 |
| 4 | AD | M | 69 | 06:30 | VI | 33 | 2 | 2 |
| 5 | AD | F | 67 | 05:05 | VI | 32 | 2 | 3 |
| 6 | AD | F | 94 | 04:30 | V | 33 | 4 | 2 |
| 7 | AD | M | 93 | 04:30 | V | 43 | 4 | 4 |
| 8 | AD | F | 89 | 06:30 | V | 33 | 3 | 4 |
| 9 | AD | M | 67 | 10:00 | V | 33 | 2 | 3 |
| 10 | AD | F | 95 | 05:15 | IV | 33 | 3 | 4 |
| 11 | AD | F | 86 | 04:55 | IV | 43 | 3 | 3 |
| 12 | CON | F | 89 | 15:40 | III | 32 | 2 | 3 |
| 13 | CON | M | 86 | 05:35 | III | 43 | 3 | 4 |
| 14 | CON | M | 74 | 05:00 | III | 43 | 4 | 3 |
| 15 | CON | F | 93 | 07:05 | II | 33 | 4 | 4 |
| 16 | CON | F | 86 | 06:25 | II | 43 | 3 | 3 |
| 17 | CON | F | 85 | 04:40 | II | 43 | 2 | 2 |
| 18 | CON | M | 84 | 07:05 | I | 33 | 3 | 3 |
| 19 | CON | M | 79 | 06:30 | I | 33 | 2 | 3 |
| 20 | CON | M | 57 | 05:40 | I | 43 | 1 | 1 |
| 21 | CON | M | 50 | 05:30 | I | 33 | 1 | 2 |
| 22 | CON | M | 56 | 09:15 | 0 | 43 | 3 | 2 |
| 23 | CON | F | 41 | 10:30 | 0 | 43 | 3 | 2 |
| 24 | CON | F | 64 | 08:35 | 0 | 42 | 4 | 2 |
| 25 | CON | F | 52 | 06:50 | 0 | 33 | 4 | 2 |
| 26 | CON | F | 61 | 06:50 | 0 | 32 | 1 | 3 |
| 27 | CON | F | 46 | 10:25 | 0 | 33 | 1 | 2 |
Intracellular-aggregated AβpE3 increases with the progression of AD pathology and age. Shown are two different scatter plots demonstrating the relation between age and intraneuronal (a) or age and intraglial staining are shown (b). Each point represents an individual patient where closed circles are diagnosed as AD and open circles are diagnosed as a control (CON). The corresponding correlation coefficients are described in the text
Discussion
In the present study, we investigated the involvement of oligomeric aggregates of AβpE3 in the pathogenesis of AD. Previously, our group found that oligomeric Aβ1-42 is rapidly internalized by neuronal cells to ultimately accumulate in the lysosomal compartment. Inhibition of uptake of oligomeric Aβ1-42 decreases toxicity (Chafekar et al. 2008), suggesting that the lysosome is involved in Aβ toxicity. It was reported before that Aβ1-42 could cause LMP (Ditaranto et al. 2001). Using subcellular fractionation and immunofluorescence, we demonstrated that Aβ3(pE)-42 oligomers induce LMP more potently than Aβ1-42 oligomers. The relevance of Aβ3(pE)-42-induced LMP is indicated by our observation that inhibition of LMP by overexpression of Hsp70 provides protection against Aβ3(pE)-42 toxicity. We hypothesize that the observed increase in lysosomal damage after treatment with Aβ3(pE)-42 oligomers compared to oligomers of Aβ1-42 is facilitated by their increased resistance to lysosomal proteolysis, thereby allowing these aggregates to accumulate in the lysosomes. An in vitro lysosomal degradation assay showed that the pE modification as well as its consequent increased aggregation propensity hampers the degradation of Aβ3(pE)-40 by CTD at lysosomal pH (Fig. 5).
To further investigate the role of AβpE3 aggregates in the human brain, a novel antibody was generated against oligomeric Aβ3(pE)-42. The antibody is specific for aggregated 3pE-modified Aβ because it does not detect Aβ3(pE)-42 monomers or oligomeric Aβ3-42 or Aβ1-42. It is likely that the antibody detects 3pE-modified Aβ of different lengths, as the N-terminus appears as the major determinant of the structure of the aggregates. The addition of two N-terminal residues (Aβ1-42) or omission of the N-terminal pE modification (Aβ3-42) destroys the conformational epitope (Online resource Fig. S1). This makes it unlikely that aggregates of N-terminal variants like AβpE11 will be recognized by the antibody. In human postmortem brain tissue, intracellular-aggregated AβpE3 was detected in neurons as well as in glial cells. Interestingly, the O-AβpE3 does not recognize plaques, whereas it was previously shown that an Aβ1-42 oligomer-specific antibody did show plaque binding (Kayed et al. 2003). Recently, a different AβpE3 oligomer antibody was reported that also predominantly detects intracellular AβpE3 in human hippocampus and frontal cortex (Wirths et al. 2010). Analysis of co-aggregates of Aβ3(pE)-42 and Aβ1-42 (Online resource Fig. S2c) demonstrates that O-AβpE3 only detects (nearly) pure pE aggregates. The levels of these specific aggregates may be low compared to the massive Aβ deposits in the plaques and therefore not detected by regular Aβ staining protocols. In addition, it is possible that these aggregates are predominantly present intracellularly, or that the structural epitope is not present or accessible due to different structure of the AβpE3 in extracellular aggregates. Evidence from transgenic mouse models suggests that the intracellular accumulation of Aβ precedes plaque formation and may play an important role in neurodegeneration (Wirths et al. 2001). Because Aβ peptides are being produced in various cellular compartments of both neurons and glial cells (Hoozemans et al. 2006), it is not surprising that Aβ is found intracellularly. Moreover, in human primary neurons Aβ oligomers have been shown to be produced intracellularly as well, indicating that aggregation can occur inside the cell (Walsh et al. 2000). A second mechanism that may contribute to the intracellular accumulation is reuptake of Aβ peptides from the extracellular space (Chafekar et al. 2008; Nielsen et al. 2010; Nielsen et al. 2009). The uptake of Aβ by astrocytes can be attributed either to their phagocytic capacity (Watabe et al. 1989) or to a receptor-mediated process. Interestingly, receptor for advanced glycation end products (RAGE)-Aβ complexes has been shown to be internalized and co-localize with the lysosomal pathway in astrocytes in AD brain (Sasaki et al. 2001). The minority of the O-AβpE3-positive structures that is LAMP-1 negative may therefore represent aggregates in the endocytic compartment. It is striking that microglia, the major phagocytosing cells of the brain, do not stain clearly positive for AβpE3 aggregates. An explanation may be that pE-modified Aβ is efficiently degraded in microglia and hence does not accumulate in these cells.
Recently, treatment of transgenic mice with retinoid X receptor (RXR) agonists was shown to enhance clearance of Aβ in an ApoE-dependent manner. The data led the authors to conclude that this was mediated by microglial phagocytosis (Cramer et al. 2012). Whether RXR agonists could also be employed to facilitate clearance of AβpE3 Abeta aggregates by astrocytes and neurons will be interesting to find out. In our neuronal cell culture model, the RXR agonist trans-retinoic acid was present in all conditions, and we cannot exclude that this has affected overall uptake to some extent. The exciting study by Cramer et al. again illustrates the high potential of intervention in the uptake and clearance of Aβ as therapeutic strategy for AD. The semiquantitative analysis of the intracellular O-AβpE3 staining in temporal cortex of 16 controls and 11 AD patients showed an age-dependent increase in intracellular staining. Moreover for the intraneuronal O-AβpE3 staining, this age-dependent increase was associated with the disease. This observation underscores the relevance of the oligomeric AβpE peptides in the pathogenesis of the disease. The age-related increase in the intraglial O-AβpE3 staining intensity in control cells might be explained by the resistance of these aggregates against lysosomal degradation. Neuroinflammation is another process that is associated with AD pathogenesis as well as with aging (Giunta et al. 2008) and it will be interesting to investigate whether the inflammatory profile affects the accumulation/clearance of AβpE peptides. A correlation between intraneuronal Aβ1−x staining and ApoE genotype has been reported (Christensen et al. 2010); however, we did not observe any relation between intracellular oligomeric pE Aβ and ApoE genotype in our cohort.
Model showing convergence of aging and Aβ toxicity at the lysosome. Due to an age-related decline in lysosomal activity, the degradation of Aβ is hampered resulting in the accumulation of the degradation-resistant pE variant in the lysosomes. During AD progression, Aβ and QPCT levels increase which leads to further accumulation. The presence of pE Aβ aggregates in the lysosomes causes lysosomal damage. Consequently, the lysosomal degradation capacity will decline even further, which may ultimately contribute to neuronal loss. Preventing Aβ-induced LMP or enhancing the lysosomal degradation capacity may represent promising therapeutic directions for AD
Materials and methods
Preparation of different amyloid-β species
Aβ1-42 and Aβ3-42 were purchased from Anaspec (San Jose, CA, USA) and Aβ3(pE)-42 was purchased from Bachem (Liestal, Switzerland). All Aβ used in this study is synthetic and therefore free of additional unwanted modifications and endotoxin contamination. Preparations were of the highest available grade of purity (>95 % HPLC pure). Aβ oligomers were produced as described before and are ultimately present in aqueous solution buffered at neutral pH (Chafekar et al. 2007). High-order aggregates were removed by centrifugation (10 min, 14,000 rpm) at 4 °C. The presence of oligomers was confirmed by electron microscopy and thioflavin T assay.
Aβ peptides containing fluorophore and quencher were synthesized by solid phase synthesis using an Fmoc strategy at the NKI peptide facility. Oregon green 488 (Molecular Probes, Eugene, OR, USA) was introduced at amino acid 22 by covalent coupling of Oregon green 488 iodoacetamide to the cysteine. Quenching of Oregon green fluorescence was achieved with a dabcyl group that had been introduced in the peptide at amino acid 12 by introduction of Fmoc-L-Lys(Dabcyl)-OH. Peptides were purified by RP-HPLC and evidenced the expected molecular mass as determined by mass spectrometry.
Generation of the O-AβpE3 antibody
To generate a polyclonal antibody, a chicken was immunized with oligomeric Aβ3(pE)-42. First, immunization was performed intradermally with 100 μg antigen in Freund's complete adjuvant. Subsequently three boosts were performed with 50 μg antigen in Freund's incomplete adjuvant. Eggs were collected and IgY was purified by precipitation with ammonium sulfate and dissolved in TBS with 0.02 % sodium azide.
Cell culture and treatment
SK-N-SH and HeLa cells were cultured in Dulbecco’s modified Eagle’s medium with GlutaMAX (Gibco BRL, Carlsbad, CA, USA) supplemented with 10 % fetal calf serum (FCS, Gibco BRL), 100 μg/ml streptomycin, and 100 U/ml penicillin. Cell lines are routinely checked for mycoplasma contamination using a specific 16S rRNA PCR-based assay; all cells used in this study were mycoplasma free. SK-N-SH cells were differentiated in culture medium supplemented with all trans-retinoic acid (Sigma, St. Louis, MO, USA) at a final concentration of 10 μM for 5 days. Differentiated SK-N-SH cells were treated with 30 μg/μl hydroxychloroquine (Sigma) for 16 h or with 1 μM Aβ1-42 or Aβ3(pE)-42 oligomers for 16 h.
For toxicity experiments, HeLa cells were plated (1 × 104 cells/well in a 96-well plate) and transfected with Hsp70_pcDNA3 (coding sequence of human Hsp70 subcloned into the HindIII and BamHI restriction sites of pcDNA3, kindly provided by Eric Reits, AMC, The Netherlands) using Lipofectamine 2000 (Invitrogen Life Technologies, Carlsbad, CA, USA) according to the manufacturer’s protocol. Twenty-four hours after transfection, HeLa cells were treated with 2 μM Aβ3(pE)-42 oligomers for another 24 h. Cell viability was estimated by MTT metabolism as previously described (Chafekar et al. 2007). Aβ treatments were performed in culture medium without phenol red.
Dotblot
Primary antibodies and their sources and use
| Antibody | Species | Mono/polyclonal | Dilution | Company |
|---|---|---|---|---|
| Antibodies for dot blot and Western blot analysis | ||||
| 6E10 | Mouse | Monoclonal | 1:5,000 | Covance |
| O-AβpE3 | Chicken | Polyclonal | 1:200 | Hycult Biotech |
| 2-48 | Mouse | Monoclonal | 1:5,000 | Thomas Bayer |
| Aβ35-42 | Mouse | Monoclonal | 1:2,000 | Hycult Biotech |
| Aβ38-42 | Mouse | Monoclonal | 1:2,000 | Hycult Biotech |
| Cathepsin D | Goat | Polyclonal | 1:500 | R&D systems |
| Calnexin | Rabbit | Polyclonal | 1:1,000 | Cell signaling |
| Actin | Mouse | Monoclonal | 1:1,000 | Sigma |
| Antibodies for immunocytochemistry | ||||
| LAMP-1 | Mouse | Monoclonal | 1:200 | Santa Cruz |
| Cathepsin D | Goat | Polyclonal | 1:100 | R&D systems |
| Antibodies for immunohistochemistry | ||||
| GFAP | Mouse | Monoclonal | 1:10 | Momosan |
| O-AβpE3 | Chicken | Polyclonal | 1:3,200 | Hycult Biotech |
| CR3/43 | Mouse | Monoclonal | 1:200 | Dako |
| LAMP-1 | Mouse | Monoclonal | 1:100 | Santa Cruz |
Subcellular fractionation and Western blotting
After treatment, the cells were rinsed with ice cold phosphate-buffered saline (PBS) and subcellular fractionation was performed as described previously (Scheper et al. 2004). Equal amounts of proteins were loaded in 1× SDS sample buffer on 10 % polyacrylamide gels. Afterwards, the proteins were blotted on PVDF membranes (Millipore, Billerica, MA, USA) and further processed as previously described (Nijholt et al. 2011). The primary antibodies and their dilution factors that were used in this study are listed in Table 2.
Immunocytochemistry
Immunohistochemistry on differentiated SK-N-SH cells was performed as described previously (Nijholt et al. 2011). The primary antibodies and their dilution factors that were used in this study are listed in Table 2. Imaging was performed by confocal microscopy using a Leica TCS-SP2 mounted on an inverted microscope.
Degradation assay
Immediately prior to use, HFIP-treated peptide films of fluorescently labeled internally quenched Aβ were resuspended in DMSO and further diluted in PBS. Ten picomoles of Aβ (pre-aggregated or not) was added to 5 mU of recombinant CTD (Sigma) in 100 mM sodium acetate pH 5.0. Degradation of quenched peptides was followed by monitoring the increase in fluorescence (excitation, 485–12 nm; emission, 520 nm, Fluostar Omega) at 37 °C. Background fluorescence of peptide incubated in buffer without CTD controls was subtracted. The results were statistically analyzed by Student’s t test.
Immunohistochemistry
Human brain specimens of probable AD and non-demented control cases were obtained at autopsy with a short postmortem interval (The Netherlands Brain Bank, Amsterdam, The Netherlands). Informed consent is available for each patient. Clinical diagnosis, gender, age, PMD, Braak stage, and ApoE of all cases used in this study are listed in Table 1. For immunohistochemical staining, formalin-fixed paraffin-embedded tissue and frozen tissue from the mid-temporal cortex was used. Sections (5-μm thick) were mounted on Superfrost plus tissue slides (Menzel-Gläser, Braunschweig, Germany) and dried overnight at 37 °C. For all stainings on the paraffin-embedded tissue, sections were deparaffinized and subsequently immersed in 0.3 % H2O2 in methanol for 30 min to quench endogenous peroxidase activity. Either no further treatment was applied, or antigen retrieval was performed by boiling sections for 10 min in a microwave with 10 mM sodium citrate buffer pH 6.0 or by incubating sections for 15 min in formic acid. For the stainings on frozen tissue, the sections were treated for 10 min with acetone. Normal sera and antibodies were dissolved in PBS containing 1 % (w/v) bovine serum albumin (BSA, Boehringer, Mannheim, Germany). Primary antibodies and their sources are listed in Table 2. Negative controls for all single and double immunostainings were generated by omission of primary antibodies.
For detection of O-AβpE3, sections were preincubated for 10 min with normal goat serum (1:10 dilution; DAKO). O-AβpE3 (see Table 2) was incubated overnight at 4 °C. After washing with PBS, sections were incubated for 30 min with biotin-conjugated goat anti-chicken (1:200 dilution, Vector Laboratories, Burlingame, CA, USA). Subsequently, sections were incubated with Vectastain ABC reagent (1:100, Vector Laboratories) for 60 min. Color was developed using 3,3′-diaminobenzidine (EnVision Detection system/HRP, 1:50 dilution, 10 min; DAKO) as chromogen. Sections were counterstained with hematoxylin and mounted using Depex (BDH Laboratories Supplies, East Grinstead, UK).
Due to the different intracellular O-AβpE3 staining patterns in neurons and glial cells, it was decided to score them separately. Scoring was done on the paraffin-embedded tissues heated in sodium citrate buffer before staining by two independent observers blinded to patient data. For each case, the complete gray matter of the section (± 1 cm2) was analyzed. The discrimination between neurons and glial cells was based on morphological criteria, e.g., the size of the nucleus and the presence of a clear nucleolus in the nucleus of the neurons. Moreover, as described in the “Results” section, both cell types display a different staining pattern with the O-AβpE3 antibody. For the quantification of the intraneuronal staining, the number of positive cells and the staining intensity was taken into account. Level 1 was assigned to cases showing no O-AβpE3 staining, level 2 was assigned to cases showing one to five cells with low intensity staining per field using a × 40 objective (0.16 mm2), level 3 was assigned to cases showing one to five cells with high intensity staining as well as to cases showing >5 cells with low intensity staining per field, and level 4 was assigned to cases showing >5 cells with high intensity staining per field. The intraglial staining did not show great variation in staining intensity so only the number of positive cells was taken into account. Level 1 was assigned to cases showing no O-AβpE3 staining, level 2 was assigned to cases with <5 positive cells per field, level 3 was assigned to cases with 5–10 positive cells per field, and level 4 was assigned to cases showing >10 positive cells per field. Nonparametric correlation analysis (bivariate and partial) on the intracellular staining of O-AβpE3 antibody was done using the SPSS software.
Double fluorescent immunohistochemistry
To determine co-localization of O-AβpE3 with GFAP, CR3/43, or with LAMP-1 (see Table 2), sections were preincubated for 10 min with normal goat serum (1:10 dilution, DAKO). Subsequently sections were incubated overnight at 4 °C with a mixture of primary antibodies. After washing with PBS, sections were incubated for 60 min with a mixture of biotin-conjugated goat anti-chicken (1:200 dilution, Vector Laboratories) and ALEXA594-conjugated goat anti-mouse (1:400 dilution, Molecular Probes). To visualize the sections stained with LAMP-1, a Cy3-conjugated donkey anti-mouse (1:200 dilution, Jackson Immuno Research, Westgrove, PA, USA) was used. After washing with PBS, sections were incubated for 60 min with streptavidin-ALEXA488 (1:750 dilution, Molecular Probes). Autofluorescence was quenched using the lipid dye Sudan Black B. Sections were mounted with Aqua Poly/Mount (Polysciences). Imaging was performed by confocal microscopy using a Leica TCS-SP2 mounted on an inverted microscope.
Notes
Acknowledgments
Human brain tissue was obtained from the Netherlands Brain Bank. We thank Frank Baas for critical reading of the manuscript, Jan van Marle and Ron Hoebe for assistance with the CLSM, Jan Ruijter for assistance with the statistical analysis, Huib Oova and Dris el Atmioui for technical assistance in peptide synthesis, Eric Reits for advice and stimulating discussions about peptide degradation, Pieter Jelle Visser for establishing the EDAR consortium, and Thomas Bayer for providing the 2-48 antibody. This study was supported by the European Commission as part of the sixth Framework Program (EDAR, contract # 37670) and the seventh Framework program (NAD, grant agreement # 212043), Internationale Stichting Alzheimer Onderzoek Nederland (ISAO #07506), and the Netherlands Organisation for Scientific Research (NWO; Meervoud Grant #836.05.060).
Open Access
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Supplementary material
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