The amyloid peptides Aβ40 and Aβ42 of Alzheimer's disease are thought to contribute differentially to the disease process. Although Aβ42 seems more pathogenic than Aβ40, the reason for this is not well understood. We show here that small alterations in the Aβ42:Aβ40 ratio dramatically affect the biophysical and biological properties of the Aβ mixtures reflected in their aggregation kinetics, the morphology of the resulting amyloid fibrils and synaptic function tested in vitro and in vivo. A minor increase in the Aβ42:Aβ40 ratio stabilizes toxic oligomeric species with intermediate conformations. The initial toxic impact of these Aβ species is synaptic in nature, but this can spread into the cells leading to neuronal cell death. The fact that the relative ratio of Aβ peptides is more crucial than the absolute amounts of peptides for the induction of neurotoxic conformations has important implications for anti-amyloid therapy. Our work also suggests the dynamic nature of the equilibrium between toxic and non-toxic intermediates.
The major Aβ species recovered from serum, cerebrospinal fluid and cell culture supernatants is 40 amino acids long (Aβ40) (Haass and Selkoe, 1993; Scheuner et al, 1996). Interest in a second peptide, Aβ42, which is detected at about 10-fold lower levels, was strongly stimulated by the observation that familial AD causing mutations in the APP gene and/or in the gene encoding the γ-secretase complex component presenilin increased the relative production of Aβ42 relative to Aβ40 (Suzuki et al, 1994; Duff et al, 1996; Scheuner et al, 1996). We reported earlier (Bentahir et al, 2006) that clinical mutations in presenilin do not necessarily increase the production of Aβ, but that they mainly affect the spectrum of the Aβ peptides generated by γ-secretase. As patients with presenilin mutations present an early and aggressive form of the disease, it seems then logical to propose that the absolute quantity of Aβ peptides produced in the brain might be less important than the quality of the Aβ peptides (reflected in a changed Aβ42 to Aβ40 ratio) for the generation of elusive toxic Aβ species (De Strooper, 2007). The implications of such hypothesis for current efforts in drug development is important because lowering the absolute amounts of Aβ in patients would then be less crucial than the restoration of the correct ratios of Aβ peptides. Earlier studies have already provided evidence that Aβ40 and Aβ42 affect each other's aggregation rates and toxic effects (Snyder et al, 1994; Frost et al, 2003; Yoshiike et al, 2003; Wang et al, 2006; Kim et al, 2007; Yan and Wang, 2007; Jan et al, 2008). Generally, it is found that Aβ42 has fast aggregation kinetics, which can be inhibited by Aβ40 in a concentration-dependent manner. Interesting in vivo studies have further shown that increased levels of Aβ40 peptides in the brain actually might have a protective effect (Wang et al, 2006; Kim et al, 2007).
In the past, a lot of attention has gone to the accumulation of Aβ in plaques and the relationship between amyloid plaques and AD. However, little or no correlation was found between the total burden of Aβ peptide deposited into plaques in the brain and the degree of neurodegeneration in the patients (Terry et al, 1991; Price and Morris, 1999). More recently, this discrepancy has been confirmed with modern amyloid imaging techniques (Aizenstein et al, 2008; Reiman et al, 2009). Obviously, it is possible that these patients are in a preclinical phase of the disease, and follow-up studies are underway to investigate this. Nevertheless, these observations support the concept that the amyloid fibrils are biologically largely inert and that not all conformations of Aβ are equally toxic (Martins et al, 2008; Shankar et al, 2008). A series of intermediate soluble aggregates of Aβ peptides, such as ‘Aβ-derived diffusible ligands’ (ADDLs) (Lambert et al, 1998) or ‘natural toxic oligomers’ (Walsh et al, 2002), have been identified. The mechanism of their neurotoxic activity remains not only subject of intense investigation, but also the precise conformation(s) of the toxic species remains uncertain (Kayed et al, 2003; Hepler et al, 2006). Dimers were proposed to potently disrupt synaptic plasticity (Klyubin et al, 2008; Shankar et al, 2008), an Aβ species of 56 kDa has been found neurotoxic in Tg2576 mice (Lesne et al, 2006), lipid-induced oligomers from mature fibrils (Martins et al, 2008), ADDLs (Lambert et al, 1998; Gong et al, 2003; Lacor et al, 2007) and annular assemblies (Lashuel et al, 2002) were shown to exert neurotoxic effects, affect synapse function and even memory formation in mice. It should be noted that in many of the publications, the identified toxic species are presented as stable, defined structures, although it seems logical to assume that their assembly and disassembly is a dynamic and continuous process, at least in the initial stages, and the alternative possibility that toxicity is present over a series of conformers or sizes should not be disregarded (Hepler et al, 2006; Martins et al, 2008; Ono et al, 2009). Toxicity seems to be higher with tetramers than dimers for instance (Ono et al, 2009). The question is thus how biophysical parameters influence this process in vivo and affect the relative distribution of Aβ species over toxic and non-toxic conformations over time. Given the complexity of the biophysical environment in which Aβ aggregation occurs in vivo, such question is extremely difficult to address. Nevertheless, it is possible to analyse the dynamic features of this process in simplified and controlled conditions in vitro, and to evaluate the effect of the relative concentrations of Aβ40 and Aβ42 to the generation of neurotoxic species over time.
We hypothesized here that the early onset of AD by APP and/or presenilin mutations that increase the Aβ42:Aβ40 ratios can be explained by interactions between Aβ40 and Aβ42, which provide stability to intermediate, neurotoxic species. We used biophysical methods and a novel cellular assay to analyse the establishment of neurotoxicity over time in different Aβ mixtures. We found that very minor changes in the relative amount of Aβ42 versus Aβ40 (Aβ42:Aβ40) has dramatic effects on the dynamic behaviour of toxic Aβ species. Our findings provide an important biological addition to the original ‘Aβ42 seeding hypothesis’ (Jarrett and Lansbury, 1993), which focused on amyloid fibril formation. These dynamic oligomeric species exhibit initial synaptotoxicity and cause later neurotoxicity in primary hippocampal neurons and affect memory formation in mice, underlining their potential importance for the understanding of AD.
As the objective of this study was to investigate how Aβ40 and Aβ42 affect each others’ biophysical and biological properties, it was important to prepare a pre-aggregate-free Aβ solution and to validate the mixtures using mass spectrometry (Supplementary Figure) and anti-Aβ40- and anti-Aβ42-specific antibodies (Supplementary Figure 1E). We found that the sequential treatment of 1,1,1,3,3,3-hexafluor-2-propanol (HFIP)-Aβ films (rPeptide) with HFIP, dimethyl sulphoxide (DMSO) and then removal of DMSO using a desalting column provide excellent results with mixtures of primarily monomeric peptides in the appropriate relative amounts (Supplementary Figure 1, see also Materials and methods). Fourier transform infrared (FTIR) spectroscopy validated the complete removal of all HFIP and DMSO (not shown).
Aggregation rate of Aβ peptides is strongly influenced by the ratio Aβ42:Aβ40
Aβ peptide was incubated at a concentration of 50 μM in 50 mM Tris–HCl, 1 mM EDTA, pH 7.5 at 25°C. The aggregation process of a range of Aβ42:Aβ40 ratios (10:0 to 0:10) tested by Thioflavin T (ThT) fluorescence yielded a typical sigmoidal curve as generally observed for aggregating proteins and peptides (Figure 1A shows four examples) (Harper and Lansbury, 1997). The formation of an Aβ nucleus, which is not reactive with the fluorescent ThT probe during the so-called ‘lag phase’, is followed by rapid elongation of ThT-positive Aβ aggregates to form fibrils (the ‘elongation phase’). Both the length of the lag phase and the rate of aggregation were affected by the ratio of Aβ42:Aβ40 (Figure 1B and C). The lag phase for pure Aβ40 alone was ∼2.5 h (±0.3 h). Addition of 10% Aβ42 (Aβ42:Aβ40=1:9) resulted in a small, but reproducible increase in the lag phase (∼2.9±0.3 h) (Figure 1B). A further increase in the Aβ42:Aβ40 ratio decreased paradoxically the length of the lag phase to ∼0.5±0.01 h. From a ratio of 3:7 onwards, no difference was observed compared with Aβ42 alone. The elongation rate was fastest for pure Aβ40 and was slowed down by addition of Aβ42 (Figure 1C). Remarkably, judging from the lag phase of aggregation, the 1:9 and the 3:7 ratio showed two opposite ends of the spectrum (Figure 1B). These ratios, in addition to 10:0 and 0:10 were selected for our further studies. The choice for 3:7 can be also rationalized as it reflects roughly the ratio of Aβ42 and Aβ40 in patients with familial AD (Duff et al, 1996; Mann et al, 1996; Scheuner et al, 1996; Citron et al, 1997). Thus, both time and the Aβ42:Aβ40 ratios are two important parameters when considering the biophysical properties of Aβ, and we decided to investigate how these parameters determine Aβ-oligomer toxicity. We describe in the rest of the paper the different Aβ mixtures as an Aβ42:Aβ40 ratio, incubated for an indicated time at an Aβ concentration of 100 μM in 50 mM Tris–HCl, 1 mM EDTA, pH 7.5 at 25°C. Thus, (3:7, 2 h) means a ratio of three Aβ42 versus seven Aβ40 peptides incubated for 2 h under given buffer conditions before addition to the cell culture. Final concentration of Aβ in cell culture is in most experiments 1 μM apart from a few in which 10 μM was used as indicated. On the basis of our further experiments, it appeared that at any time point only a small fraction of the peptides is in a toxic active conformation.
The Aβ42:Aβ40 ratio is a driver of acute synaptic alterations
One problem with Aβ toxicity assays is the delay between the actual preparation of the oligomer samples used for the biophysical analysis and the moment when the biological read out becomes available to assess the neurotoxicity. We, therefore, sought to set up an assay that allows verifying biological effects of Aβ preparations within the time frame of the biophysical experiments. We plated mouse hippocampal neurons on microelectrode array (MEA)-based chips (Figure 2A) (Stett et al, 2003) and recorded spontaneous firing rates in the neuronal networks before and after treatment with Aβ mixtures at a final concentration of 1 μM. Representative traces of responses of cultures treated with different Aβ mixtures are displayed in Figure 2B. Interestingly, treatment with pure Aβ40 mixtures (0:10, 2 h) appeared to enhance synaptic activity measured as spontaneous firing rate, whereas (1:9, 2 h) mixtures had no effect on spontaneous synaptic activity (Figure 2B and C). In contrast, Aβ42 alone (10:0, 2 h) or with Aβ40 (3:7, 2 h) readily suppressed spontaneous neuronal activity within 40 min after addition of the peptides (Figure 2B and C). As a control of the oligomers species status during the course of the recording, we followed changes in fluorescent ThT emission over 40 min of Aβ mixtures at 1 μM in neuronal culture medium at 37°C, which mimics the conditions of the cell culture experiments (Figure 2D). The Aβ mixtures appeared stable over the time frame of the experiment at least as far as it concerns ThT incorporation. We next assayed how different Aβ42:Aβ40 ratios evolve over time with regard to synaptotoxic properties. Aβ42:Aβ40 ratio mixtures were incubated for 0, 1.5, 4, 6 and 20 h before addition to the cultures. Synaptic firing rates were recorded for 40 min as above using MEA. Figure 2E shows that synaptic effects were little after treatment of the cells with mixtures of Aβ shortly after dissolving them in buffer (t=0 h, Figure 2E). Toxicity was, however, already significantly high after 1.5 h of aggregation in the (3:7, 1.5 h) and the (10:0, 1.5 h) mixtures. The synaptotoxic potential in the (3:7) and (10:0) ratios remained stable up to 20 h (Figure 2E). Remarkably, 1:9 or 0:10 ratios did not result in major synaptic effects at any incubation point (Figure 2E). To validate the findings, we performed double immunostaining for the synaptic marker synaptophysin and Aβ oligomers using the A11 antibody (Kayed et al, 2003). Figure 2F shows that Aβ (3:7) and Aβ (10:0) mainly co-localized with the synaptic marker, whereas staining was not observed with the (1:9) and (0:10) ratio. Extensive washing of the neurons to remove Aβ species did not interfere with consecutive A11 staining, indicating the rather irreversible nature of the binding of these synaptic active species to the neurons (not shown).
To prove Aβ specificity of the observed effects, we pre-incubated cells with anti-oligomer A11 or anti-Aβ antibody 6E10 before treatment with Aβ (10:0, 2 h) ratio. The alterations in the synaptic activity by toxic intermediates are indeed Aβ specific, as cells pre-incubated with antibodies are no longer susceptible to the neurotoxic effects (Figure 2G). We also further explored the reversibility of these Aβ effects on synaptic function. Removal of Aβ (3:7, 2 h) and Aβ (10:0, 2 h) after 40 min of incubation on the neuronal cultures by extensive washes with medium did not restore synaptic activity over the next 6 h in line with the immunofluorescence data (Figure 2H). However, 18 h after the wash out of Aβ (3:7, 2 h) and Aβ (10:0, 2 h), we found partial synaptic activity recovery at some electrodes, although the profile of the action potentials (APs) displayed a slightly different character than the ones recorded before the treatment (Figure 2H). Given the long time needed for some recovery and the fact that the profiles after recovery were different from those before, it seems likely that this partial restoration of neuronal activity is due to the generation of novel synaptic contacts rather than recovery of existing synapses.
In an alternative paradigm to validate the MEA measurements and to evaluate the effect of Aβ on the postsynaptic response only, we performed patch-clamp experiments on 2-week-old neurons and recorded spontaneous electrical activity comprising APs and excitatory postsynaptic potentials (EPSPs) (Figure 3). The effects of Aβ addition were already observed after a few minutes (Hartley et al, 1999) and the changes in APs and EPSPs frequency were, therefore, assessed at 7 min and compared with the APs and EPSPs frequency measured during 1 min before Aβ was applied (time point ‘−1 min’). It is clear that the Aβ (3:7, 2 h) has a profound effect on the EPSP frequency, indicating a block of spontaneous postsynaptic depolarizations Neither APs nor EPSPs were affected by Aβ (1:9, 2 h), and significant increase in APs rate was observed in case of Aβ (0:10, 2 h), in line with the MEA data. As it can be seen, synaptotoxic signatures of Aβ42:40 ratios are similar regardless of extra- or intracellular mode of measurement.
Toxic Aβ species are oligomeric and dynamic structures
We used transmission electron microscopy (TEM) to characterize the morphology of the species populated during fibril formation. At the starting point of incubation, no fibrils are detected with any of the different Aβ ratios (Figure 4A, column 0 h). With time, the pure Aβ42 (10:0) solution showed mature fibril formation consistent with the fast nucleation observed by ThT fluorescence. The fibrils have typical long, negatively stained amyloid fibril morphology as is frequently observed for other amyloid-forming proteins or peptides (Chamberlain et al, 2000). Upon longer incubation, these fibrils progressively transform into a dense network of clustered fibrils. Aβ42:Aβ40 (0:10) and (1:9) ratios developed fibrils after ∼6 h, which have similar characteristics to the fibrils observed in the (10:0) ratio, but display in addition a regular twist pattern, which is not observed in the Aβ42 fibrils (Figure 4A, most right column, arrows indicate twist pattern). The (3:7) ratio in contrast showed no fibrils at this time point, and the first aggregates appeared only after ∼9 h. These aggregates differed markedly in their morphologies as they interacted heavily with the uranyl acetate stain used to visualize the aggregates in TEM and also formed densely fibrous and fractured networks in which individual fibrils cannot be distinguished, which is similar to the later stages of Aβ42 aggregation (not shown). Interestingly, the fast nucleation and aggregation kinetics of the (3:7) ratio as observed using ThT fluorescence assays (Figure 1) did not coincide with the early appearance of mature aggregates using electron microscopy (Figure 4A). This suggested that the (3:7) ratio rapidly generates small ThT-positive oligomers, but that these do not propagate towards assemblies that are sufficiently large to allow visualization with EM. Although EM experiments confirmed clearly the dramatic differences in the aggregation properties of the different mixtures, they did not allow visualizing the postulated toxic species responsible for the synaptic effects observed in the MEA experiments with the (3:7) ratio. We hence set out to further identify the presence of smaller oligomeric Aβ using the complementary technique of tapping mode atomic force microscopy (AFM). The various Aβ ratios under investigation were screened at 1.5 h incubation, which is a time point that yields strong synaptotoxicity for ratios (3:7) and (10:0), but not for ratios (1:9) and (0:10) (Figure 2E). Interestingly, we observed oligomer formation for all four ratios of Aβ42:Aβ40 (Figure 4B), even for the two non-synaptotoxic ratios (1:9) and (0:10). This finding implies that oligomer formation per se is not directly linked to the toxic effects of Aβ. We infer that the internal organization of the oligomers might make them toxic to neuronal cells. Native PAGE showed that (10:0) and (3:7) already display a wide range of oligomers and fibrillar material that did not enter the gel after 4 h incubation. SDS–PAGE in contrast shows at the same time points only low-molecular weight oligomers (Supplementary Figure S2). It, therefore, seems that SDS–PAGE dissociates the larger native structures in the toxic mixtures. The smaller oligomeric SDS-resistant structures can only be considered ‘building blocks’ of larger toxic structures. As no clear differences were observed in oligomerization state between the four different ratios that could explain the variation in cytotoxicity, we used in situ FTIR spectroscopy to obtain information on the conformation of the Aβ peptides and aggregates in solution. We found that the initial spectra of the different Aβ mixtures at t=0, when peptides are mainly monomeric, are characterized by a broad peak at 1654 cm−1 indicative of random coil structure (Goormaghtigh et al, 1994). This spectrum gradually converts into a defined and sharper peak at 1627 cm−1 (Figure 5). The intensity at 1627 cm−1 is indicative for β-sheet-organized aggregates (Chirgadze and Nevskaya, 1976) and the concomitant increases of the FTIR signal at 1627 cm−1 with a decreased signal at 1654 cm−1 suggested a transition from disordered monomeric structures to β-sheet enriched-oligomeric structures in all mixtures (Figure 5, panels A–D). Conformational changes are rapidly evolving for the three Aβ ratios that contain Aβ42, but the rate of this change does not seem to predict toxicity: Aβ42 is toxic at 1.5 h, whereas ratio 1:9 is not. For Aβ40 alone (Figure 5A) and for Aβ (1:9) (Figure 5B), it appears that the loss of unordered structure (1654 cm−1) coincided with a prompt transition into amyloid fibrillar β-sheet structure (1627 cm−1), suggesting a two-state manner in the mixtures that develop at inverse rates. This is not observed for Aβ (3:7) and Aβ (10:0), suggesting that there is an intermediate, which seems to be correlated with toxicity.
Long-term cellular toxicity of Aβ mixtures
Although the changes in synaptic activity are clearly an early effect of the toxic conformations in the Aβ preparations, it remained unclear whether these initial hits on the synapse could also evolve to full cellular neurotoxicity. This is an important question with regard to AD as the disease is characterized in essence by neuronal cell loss. We investigated, therefore, the effects of the different Aβ42:Aβ40 ratios over two distinct concentrations (1 μM, which appeared sub-lethal and 10 μM, which appeared lethal) on the staining pattern of primary hippocampal neurons with the synaptic marker synaptophysin or with the early apoptotic markers cleaved caspase-3 and annexinV/propidium iodide (PI). Treatment of cells with 1 μM concentration of Aβ ratios (the same as used for the MEA experiments) for 12 h clearly decreased synaptophysin staining for the Aβ (3:7, 2 h) and Aβ (10:0, 2 h) ratios. At this concentration, no or little effect on appearance of apoptotic markers in the neuronal cells was observed (Figure 6A; quantified in Figure 6C), further indicating that the initial effect of the Aβ toxic intermediates is at the synapses. However, 10-fold higher concentration of Aβ (3:7, 2 h) and Aβ (10:0, 2 h) ratios resulted not only in the loss of synaptophysin staining, but was accompanied by a strong increase in the early apoptotic markers, annexin V/PI and cleaved caspase-3 staining (Figure 6B; quantified in Figure 6D). In contrast, synapses remained intact and no early apoptotic marker induction was caused by Aβ (0:10, 2 h) and Aβ (1:9, 2 h) ratios at both 1 and 10 μM concentrations after 12 h of treatment (Figure 6C and D). This finding indicates that synaptotoxic and cytotoxic effects of Aβ intermediates are both ratio and concentration dependent.
We evaluated the time course of caspase-3 activation and its sub-cellular localization versus the synaptic marker synaptophysin in both sub-lethal (1 μM) and lethal (10 μM) concentrations of the (3:7, 2 h) ratio (Figure 6E). Cells treated with 1 μM (3:7, 2 h) showed that cleaved caspase-3 after 2 and 6 h was mostly observed in areas positive for synaptophysin staining. Further treatment up to 12 h resulted in loss of synapses as indicated by loss of staining for synaptophysin; however, the cleaved caspase-3 immunostaining did not propagate to the soma and nucleus. Treatment with 10 μM (3:7, 2 h) caused in contrast strong activation of caspase-3 at the synapses already after 2 h (Figure 6E). In addition, immunostaining for activated caspase-3 was clearly detectable after 6 h in the soma of the cells. At 12 h, this concentration resulted in loss of synaptic staining with synaptophysin antibodies and strong staining of activated caspase-3 in the soma and nucleus indicative of cell apoptosis (Figure 6E). A similar pattern was detected with (10:0, 2 h), but not for (0:10, 2 h) or (1:9, 2 h) (not shown). These data indicate that the Aβ toxicity observed at the level of the synapses can spread towards the cell body depending on the type of Aβ species and concentration of toxic intermediates. In addition, the observation suggests that synapse toxicity and cellular toxicity are related.
To further confirm that the different Aβ preparations exerted cellular toxicity, we used a Cell-Titer Blue viability assay on neurons 48 h after they had been exposed to 10 μM of different Aβ ratios, taken at the start of the aggregation process (0 h in Figure 6F) and during the propagation reaction (1, 2, 4 and 12 h in Figure 6F). In agreement with the previous studies, monomers (Figure 6F, 0 h) and mature fibril preparations (Figure 6, 12 h) are largely inert towards neurons (Aksenov et al, 1996; Martins et al, 2008). In contrast, the Aβ42:Aβ40 (3:7, 1 and 2 h) and (10:0, 1 and 2 h) exhibited clear neurotoxicity (Figure 6F). Both (1:9) and (0:10) did not exhibit neurotoxicity at any stage of the aggregation process (Figure 6F). Collectively, these data indicate that stabilized intermediates in the Aβ (10:0) and (3:7) ratios bind to synapses and inhibit synaptic activity, and affect neuronal viability at higher concentrations.
Aβ ratio affects behaviour and learning alteration in mice
We finally evaluated to what extent the different Aβ ratio mixtures affected memory formation in mice in vivo. We injected mice intraventricularly with 6 μl of 100 μM Aβ mixtures allowed to aggregate for 1.5 h before the injection. The effect of these Aβ preparations on memory formation was tested using passive avoidance and contextual/auditory-cue fear conditioning as described previously (Martins et al, 2008). In a light–dark step-through task (passive avoidance test), animals were trained to memorize an electrical shock that followed entrance to a dark compartment. When the test was repeated 24 h later, animals injected with (0:10, 1.5 h) or (1:9, 1.5 h) recalled the electroshock correctly and showed a latency to enter the dark room of 232±15 and 273±16 s, respectively, which was not significantly different from control mice injected with buffer (256±20 s)-control group not shown. Injection of (10:0, 1.5 h) or (3:7, 1.5 h) before the shock, however, inhibited strongly the formation of new memory. These animals showed significantly faster entrance latencies of 134±12 and 165±19 s, respectively (P<0.002) (Figure 7A). Contextual and auditory-cue fear conditioning experiments confirmed these results. Injection of (10:0) and (3:7) 90 min before conditioning disturbed the typical freezing behaviour observed 24 h after the training when the animals were exposed again to the contextual stimulus (∼50%, P<0.006) or the auditory-cue fear conditioning experiment (39%, P<0.004) (Figure 7B). These results show that also in the complex environment of a living animal clear differences can be observed between the different Aβ ratios similar to those observed in biophysical and cellular assays.
One of the most challenging issues in AD research is the unresolved nature of the Aβ-peptide conformation(s) that exert neurotoxicity. Our current work shows that Aβ-associated toxicity is a dynamic property and that a critical equilibrium between the two major Aβ species, Aβ40 and Aβ42, exists, which determines the rate of appearance of these toxic properties as assessed in neuronal cell culture and in brains of animals in vivo. Our study design has taken this dynamic behaviour into account by indicating the time of aggregation of the peptides used in each experiment. We found that relative high concentrations of Aβ are needed to induce fibrillization and toxic-oligomer conformation. Although this might seem an artificial situation, one should realize that by increasing the Aβ concentrations, processes which otherwise take decades become accelerated to the extent that they can be studied in laboratory conditions. Most importantly, such high concentrations of Aβ might actually be even quite relevant for what happens in vivo. A recent publication suggested indeed that intracellular compartments accumulate Aβ at high μM concentrations, which could create the conditions for the local formation of the elusive toxic conformations of Aβ peptides (Hu et al, 2009).
It turns out that a small relative increase of Aβ42, comparable with those observed in patients with familial cases of AD (Duff et al, 1996; Mann et al, 1996; Scheuner et al, 1996; Citron et al, 1997), dramatically influenced the final effects on spontaneous synaptic activity and viability of neuronal cells and on memory formation in animals. This correlated with remarkable changes in the biophysical behaviour of the Aβ peptides as assessed in a variety of approaches. Thus, we find that shifting the ratio of Aβ42:Aβ40 from (1:9) to (3:7) shortened nucleation time strongly, whereas fibril elongation time remained similar as measured by ThT incorporation. In EM, the (3:7) ratio revealed only visible fibrillar structures after prolonged incubation compared with the other three ratios investigated. Both experiments together suggested that intermediary assemblies of Aβ peptides became stabilized in the (3:7) ratio, which were too small to be observed in EM, but which, as evaluated in MEA, exerted strong effects on synaptic activity. In SDS–PAGE, these assemblies apparently fall apart in small multimeric Aβ oligomers as observed by others (Walsh et al, 2002; Shankar et al, 2008), but from non-denaturing PAGE analysis, we deduced that these ‘building blocks’ are part of larger structures present in the toxic mixtures on the neuronal cultures. Investigation by AFM further underlined that oligomeric Aβ was present in all Aβ ratio preparations, suggesting that the presence of oligomers per se are not directly linked with toxic effects. We suggest, therefore, that the toxic aggregates of Aβ in our assays were dynamic in nature and could assemble and disassemble when in solution in the culture medium of the cells. In addition, based on the results obtained by AFM, one can assume that not the size but the structure of the intermediate oligomers dictates their stability and synaptotoxic potential. Indeed, with FTIR spectroscopy, we found indications for particular conformational transitions in the peptides that are specific for this postulated toxic intermediate situation. Going from monomeric Aβ (disordered at 1654 cm−1) to fibrillar Aβ (parallel β-sheet at 1627 cm−1) (Chirgadze and Nevskaya, 1976; Goormaghtigh et al, 1994), we find in the Aβ40 (0:10) or Aβ42:Aβ40 (1:9) preparations that the unstructured state converted to the β-sheet conformation without intermediary structures. In contrast, the patterns of conversion in the Aβ42:Aβ40 (3:7) and the Aβ42 (10:0) ratios indicated the existence of an intermediate conformation (Figures 4D and 5C). The current work also suggests the prolonged time window of existence of such intermediate states in the (3:7) ratio.
Aβ42 drives apparently this reaction. As shown in Supplementary Figures 3 and 4, interactions of Aβ42 and Aβ40 occur random (Supplementary Figures 3 and 4). Previously, it has been shown that Aβ42 induces indeed the aggregation of Aβ40 (Jarrett and Lansbury, 1993; Snyder et al, 1994; Yoshiike et al, 2003; Yan and Wang, 2007; Jan et al, 2008). We show here that the relative amount of Aβ42 is most crucial in this regard as shown by the dramatic shift in properties from Aβ42:Aβ40 ratio (1:9) towards the FAD-like Aβ42:Aβ40 ratio (3:7). In fact, ratio (1:9) is nucleating very late (Figure 1), but once the nucleation occurs, this mixture rapidly forms mature and well-organized fibrils (Figure 4A), in which oligomer formation is observed by AFM (Figure 4B), but not by TEM. Collectively, the data suggest that the Aβ (1:9) and (0:10) ratios most probably bypassed the synaptotoxic stage and aggregated once nucleation had been induced quite rapidly into non-toxic mature fibrils (Figures 2E–F and 4A) and, therefore, did not bind and affect synapses. In contrary, Aβ (3:7) and Aβ (10:0) ratios were enriched with synaptotoxic intermediates that bind to synapses and inhibit spontaneous synaptic activity. It should be mentioned that it has been already suggested that neurotoxicity by Aβ is not exerted by a specific species, but that in contrast the polymerization reaction itself, which depends on monomer concentration and nucleation rate, drives toxicity (Wogulis et al, 2005). Our data seem indeed more compatible with a dynamic interpretation of Aβ toxicity, and argue against a simple receptor-ligand mechanism mediated by a precise Aβ species as has been proposed by several others (e.g. Lauren et al, 2009).
A wide range of evidences indicate that Aβ oligomers and protofibrillar intermediates, regardless of their origin or preparation, attack synapses, block LTP and disrupt cognitive functions (Walsh et al, 2002; Gong et al, 2003; Cleary et al, 2005; Calabrese et al, 2007; Lacor et al, 2007; Martins et al, 2008; Tew et al, 2008). One of the questions in these assays is whether the species that exerts the toxicity as measured in the biological assay is the same as the one that is analysed in the biophysical assays. We developed, therefore, an acute cellular assay to measure synaptic effects very early after addition of the Aβ preparations. We observed changes in the spontaneous firing rate of neurons in culture already within 20 min incubation with Aβ ratio mixtures (Figure 2D and E). We confirmed that the ThT tinctorial properties of the different Aβ preparations used were minimally changed over the time frame of 40 min. This assay was performed in neuronal culture medium and at the same dilution and temperature used in the cellular assays, further strengthening our assumption that the toxicity measured in the MEA cellular assay was indeed associated with the Aβ aggregation state characterized in the biophysical assays. This acute toxicity was further confirmed by measuring EPSP of neurons in culture: as early as 7 min after addition of the Aβ mixtures toxicity, measured as decreased rate of EPSP, was detected.
We addressed the question of synaptotoxic versus cytotoxic effects of Aβ intermediates. We show that intermediates from the Aβ (3:7) ratio specifically bind synapses (Figure 2F) without major cytotoxicity as assessed by caspase-3 and annexin staining (Figure 6). Our data also provide some preliminary evidence that the initial synaptotoxicity is accompanied by some local synaptic activation of caspase-3 (Figure 6) occurring in parallel to the functional inactivation of synapses (Figure 2), which needs further exploration. Interestingly, higher concentrations of the Aβ(3:7) ratio caused caspase-3 activation in the soma as well (Figure 6).
The findings in the current manuscript impact on our understanding of the function of the different Aβ species and their relative contribution to synapse toxicity and neuronal cell death in the brain of AD patients. The paradox of loss of function of several presenilin mutations causing AD (reviewed in De Strooper, 2007) indicates that at least in these FAD cases, a lower generation of Aβ peptide can still be associated with disease and progressive amyloid accumulation. In vivo experiments are in line with this conclusion: more amyloid pathology was observed in transgenic mice expressing a PS1 mutant allele over a PS1 null allele than over a PS1 wild-type allele (Wang et al, 2006). Our work explains that it is indeed possible to come to very different, pathologically relevant, situations with the same quantitative Aβ load, but with a qualitatively different Aβ mix. This could potentially explain the early and aggressive neurodegeneration in the brain of presenilin FAD patients, even with a loss of function of γ-secretase (Bentahir et al, 2006). If indeed the specific mix of the different Aβ peptides with specific conformation in the brain dictates the synapse and neuronal toxicity potential of the Aβ load in FAD and, by extrapolation, in sporadic AD brain, these observations have obviously important implications for the development of anti-amyloid medication.
Materials and methods
Preparation of Alzheimer's β-peptide ratios
Aβ peptide was dissolved at a concentration of 1 mg ml–1 in HFIP (99+%, Aldrich Cat. # 10,522-8). Aβ42 and Aβ40 were then mixed in molar ratios of (0:10), (1:9), (3:7) and (10:0). HFIP was evaporated using a gentle stream of argon gas and the peptide film was resolved using DMSO, (Sigma Cat. # D4540) at a final concentration of 1 mg ml–1. The peptide was separated from DMSO with a 5-ml HiTrapTM desalting column (GE Healthcare, Sweden). Complete removal of DMSO was confirmed by FTIR: DMSO provides spectral maxima at 1011 and 951 cm−1. The peptide was eluted into a 50-mM Tris, 1 mM EDTA buffer, pH 7.5 and the peptide concentration was measured using Bradford assay. The samples were kept on ice until experiments started, with a maximum lag time of 20 min.
Aβ protein concentrations were normalized to 50 μM by further dilution using 50 mM Tris, 1 mM EDTA containing buffer and a final concentration of 12 μM ThT was added in a Greiner 96-well plate. The fibrillation kinetics were followed in situ using a Fluostar OPTIMA fluorescence plate reader at an excitation wavelength of 440 nm and an emission wavelength of 480 nm. Readings were recorded in triplicate every 10 min for a period of 6 h.
Transmission electron microscopy
Aliquots (5 μl) of the Aβ preparation were adsorbed to carbon-coated FormVar film on 400-mesh copper grids (Plano GmbH, Germany) for 1 min. The grids were blotted, washed twice in droplets of Milli-Q water and stained with 1% (wt/vol) uranyl acetate. Samples were studied with a JEOL JEM-2100 microscope at 200 kV.
Fourier transform infrared spectroscopy
Aβ solutions were applied to the FTIR sample holder and incubated for 8 h at 25°C. InfraRed spectra were recorded on a Bruker Tensor 27 infrared spectrophotometer (Bruker Optik GmbH, Ettlingen, Germany) equipped with a Bio-ATR II accessory. The spectrophotometer was continuously purged with dried air. Spectra were recorded at a spectral resolution of 4 cm−1 and 120 accumulations were performed per measurement. FTIR spectra were recorded every 5 min in situ at a wavelength range from 900 to 3500 cm−1. The obtained spectra were baseline subtracted and rescaled in the amide I area, which spans from ∼1600 to ∼1700 cm−1.
Spontaneous synaptic activity recording by MEA
Neurons were plated at 1000 cells mm–2 on an MEA substrate (Multichannel Systems GmbH, Germany) and grown for 8–10 days. The spontaneous firing rate of the neuronal network was recorded simultaneously from at least 10 successful electrodes (out of 60 available) (Pine, 1980; Potter and DeMarse, 2001). During the recording experiment, a temperature controller from Multichannel Systems was used to maintain the MEA platform temperature at 37°C. The basal firing rate was recorded during 5 min. Upon treatment with Aβ, the spontaneous synaptic activity was continuously recorded during 40 min. Raw signals from MEA electrodes were amplified by MEA1060 amplifier (gain 1200) from Multichannel Systems and digitized by the A/D MC_Card at a sampling rate of 25 kHz; MC_Rack 3.5.10 software (Multichannel Systems) was used for data recording and processing. The raw data stream was high-pass filtered at 200 Hz, and the threshold for spike detection was set to 5 s.d. of the average noise amplitude computed during the first 1000 ms of recording. A number of spikes detected by every electrode per time bin of 60 s was normalized to baseline (firing rate in the absence of treatment). After data analysis, the firing rates at 10, 20 and 40 min of treatment were extracted and presented as percentage of initial rate.
Two-week-old neurons from at least five independent hippocampal cultures were patch clamped, and spontaneous electrical activity comprising APs and EPSPs was recorded. Quartz glass pipettes with an inner diameter of 1 mm were pulled using a P-2000 Laser Puller (Sutter) to obtain pipettes with series resistance of 2–4 MΩ. The pipette solution consisted of 140 mM KCl, 5 mM EGTA, 5 mM NaCl, 5 mM Na2ATP, 10 mM HEPES, 1 mM MgCl2, pH 7.2. After the formation of a gigaseal, the cell membrane was ruptured using ZAP pulses to obtain the whole-cell configuration. Then, APs and EPSPs were recorded in current clamp mode using a Multiclamp 700B amplifier connected to a Digidata 1440 acquisition card and Clampex 10.2 software (Molecular Devices). Neurons were kept in neurobasal cell medium supplemented with 10% HEPES. Different ratios of Aβ were added to the measurement chamber by manual pipetting. The number of EPSPs before and after the treatment were analysed in 1 min segments by means of the Clampfit software (Molecular Devices).
Learning and memory tests
Passive avoidance learning was tested in a step-through box. During training, dark-adapted mice were placed in the small illuminated compartment of the box. After 5 s, a sliding door to the larger dark compartment was opened, and entry latency was recorded. The door was closed as soon as all four feet were on the grid floor, and a slight foot shock (0.3 mA, 2 s) was delivered using a constant current shocker (Med Associates). Retention was tested 24 h later using the same procedure, and entry was recorded up to 300 s cutoff. The results are expressed as latency to enter the dark compartment before and after the foot shock.
In cue- and context-dependent fear conditioning the unconditioned stimulus (US) (an electric shock) is paired with a CS (the tone) to elicit a freezing response, a reliable measure of fear in rodents. On the first day, the animals were placed in the testing chamber (22.5 × 32.5 × 33.3 cm; Plexiglas cage with a grid floor) and were allowed to acclimatize for 5 min. On day 2, they were first allowed to explore the testing chamber for 2 min (pre-US score). A 30-s tone (conditioned stimulus (CS)) was delivered (frequency, 2150±200 Hz; Star Micronics, Piscataway, NJ), which coterminated with a 2 s, 0.35 mA foot shock (the US). Two minutes later, a second pairing of the CS and US was presented, followed by another 30 s exploration (post-US score). Twenty-four hours later, the animals were returned to the testing chamber for 5 min exploration in the same context as the previous day (context score). Ninety minutes later, the animals were returned to the test chamber, but now the grid floor was hidden with a Plexiglas plate and odourized sawdust to alter the context of the testing chamber. The animals were observed for 6 min. During the first 3 min, no stimulus was delivered (pre-CS score). During the next 3 min phase, the auditory cue was delivered (CS score). Freezings were automatically recorded. A freezing score was expressed as the percentage of freezing, when the threshold was defined equally through all experiments in each of the five trial blocks.
Differences between groups were examined using unpaired two-tailed t-tests, and one-way or two-way repeated measurements ANOVA procedures with Fisher's method. Significance levels for each experiment are indicated in the figure legends. Significance in Cell-Titer Blue viability assay, MEA assay, ThT assays and immunofluorescence intensity assay was established using two-tailed t-tests.
We thank Adrian Lo, Leen Van Aerschot for technical assistance in animal behaviour studies, Elke Maes, Mieke Vanbrabant, Karen Van Keer and Olga Krylychkina for technical assistance in culturing neurons and Sebastian Munck for confocal microscopy and help with data analysis. This work was supported by the Fund for Scientific Research, Flanders; the Artificial SynApse (IWT ASAP), Federal Office for Scientific Affairs, Belgium IUAP P6/43, a Methusalem grant of the KULeuven and the Flemish Government, an MEMOSAD (F2-2007-200611) of the European Union, an FWO Odysseus grant and the Alzheimer Research Trust (ART) UK.
Conflict of Interest
The authors declare that they have no conflict of interest.