- Open Access
Tau pathology does not affect experience-driven single-neuron and network-wide Arc/Arg3.1 responses
Acta Neuropathologica Communications volume 2, Article number: 63 (2014)
Intraneuronal neurofibrillary tangles (NFTs) – a characteristic pathological feature of Alzheimer’s and several other neurodegenerative diseases – are considered a major target for drug development. Tangle load correlates well with the severity of cognitive symptoms and mouse models of tauopathy are behaviorally impaired. However, there is little evidence that NFTs directly impact physiological properties of host neurons. Here we used a transgenic mouse model of tauopathy to study how advanced tau pathology in different brain regions affects activity-driven expression of immediate-early gene Arc required for experience-dependent consolidation of long-term memories. We demonstrate in vivo that visual cortex neurons with tangles are as likely to express comparable amounts of Arc in response to structured visual stimulation as their neighbors without tangles. Probability of experience-dependent Arc response was not affected by tau tangles in both visual cortex and hippocampal pyramidal neurons as determined postmortem. Moreover, whole brain analysis showed that network-wide activity-driven Arc expression was not affected by tau pathology in any of the brain regions, including brain areas with the highest tangle load. Our findings suggest that intraneuronal NFTs do not affect signaling cascades leading to experience-dependent gene expression required for long-term synaptic plasticity.
Intraneuronal neurofibrillary tangles (NFT) composed of misfolded hyperphosphorylated tau proteins are one of two stereotypical types of lesions present in the Alzheimer’s brain (together with amyloid plaques) . The extent of neurofibrillary pathology correlates well with synaptic loss, neuronal loss, glial activation, and cognitive decline  and tangles have long been considered a primary therapeutic target in Alzheimer’s disease (AD). Moreover, mutations in tau have been linked to neurodegeneration in several tauopathies, including FTDP-17 , and cerebral tau aggregates are present in many disorders .
Despite the compelling proof for a role of misfolded tau in neurodegenerative disease, little data directly test the hypothesis that tangles, per se, impair neuronal function. In fact, there is no conclusive evidence for a mechanistic role of NFTs in dysregulation of nervous system, either on a single-neuron or neuronal network level. We hypothesized that the tangle pathology would disrupt integration of incoming information in individual neurons with NFTs and that the brain networks most affected by tangles would have impaired neuroplastic properties when responding to sensory inputs in vivo. As a proxy of experience-dependent network integration and plasticity we used the activity-dependent transcription of a memory-related immediate-early gene Arc. Activity-driven expression of Arc is crucial for synaptic tagging and remodeling in response to sensory and behavioral inputs (reviewed in [5–9]) and is often used as a reporter of expression of neuroplasticity in excitatory neurons.
We quantitatively assessed the impact of tangle pathology on the experience-driven Arc responses after a behaviorally relevant, well characterized visual stimulus paradigm [10–13] to determine whether there are cell-specific or network-wide plasticity deficits directly linked to NFTs. We crossed the rTg4510 mice which express P301L mutant form of human tau and develop advanced tangle pathology , with a previously characterized fluorescent reporter line of Arc transcription [10, 15]. Using intravital fluorescent brain microscopy we found that the presence of NFTs in visual cortex neurons did not affect the amplitude of Arc responses to the stimulation. Postmortem odds ratio analysis revealed that the probability of Arc response in individual neurons in both visual cortex and hippocampus is not affected by expression of mutant tau and/or presence of tau tangles. Quantitative analysis of all brain regions with detectable neuronal Arc expression after visual stimulation showed no differences in characteristics of network-wide Arc responses between control and mutant mice, even in the brain areas with the highest tangle load. Finally, reduction of brain-wide soluble human tau concentration by suppression of mutant tau expression in the rTg4510 mice did not affect Arc responses. These results indicate that behavioral and physiological deficits observed in mice expressing P301L mutant of human tau are not mediated by alterations of post-synaptic pathways involved in activity-dependent expression of immediate-early genes such as Arc.
Tau pathology does not affect the amplitude of experience-driven Arc responses in the visual cortex
To study activity-induced Arc induction in vivo in the brain of rTg4510 mice, we used Arc::dVenus reporter and visual stimulation experimental paradigm similar to our previous set of experiments with Arc::dVenus × APP/PS1 strain . The well characterized Arc::dVenus reporter line expresses destabilized bright yellow fluorescent protein, dVenus, under the control of the Arc promoter and allows quantification of activity-driven transcriptional response of Arc gene in both living mice and postmortem brain tissue [10, 15]. Triple transgenic Arc::dVenus × CamKII::rtTA × tetO::Tau(P301L) (Arc::dVenus × rTg4510) mice of tangle-bearing age (11–12 months old) and littermate Arc::dVenus × CamKII::rtTA controls were housed in light-proof dark enclosures for 60 hours prior to being exposed for 1 hour to structured visual stimulation in a glass cylinder with alternating black and white stripes illuminated from the outside (Figure 1a). This type of visual stimulation induces robust expression of Arc::dVenus in, among other brain areas, the anteromedial aspect of extrastriate visual cortex reaching a maximum in roughly 6 hours (Figure 1b, also see ). After the stimulation, the mice were returned to their home cages and placed into the dark enclosures for 5 hours. At the end of the second light deprivation period mice were anesthetized, implanted with a cranial window over the right visual cortex and imaged with a 2-photon microscope (Figure 1a). First, the mice were imaged using 860 nm excitation laser to allow optimal simultaneous detection of dVenus signal (Figure 1b) and Texas Red-conjugated dextrans which were injected intravenously to create a reference fluorescent angiogram. Image segmentation and quantification of dVenus signal in individual neurons showed no difference in dVenus expression level distributions between rTg4510 mice and littermate controls (P = 0.27, Figure 1c) and the shape of the histograms was similar to the data from Arc::dVenus controls in . After dVenus imaging, the blood–brain barrier-permeable Congo Red derivative dye methoxy-X04  mixed with Texas Red dextrans was injected intravenously. Methoxy-X04 has previously been shown to efficiently label NFTs in post-mortem brain tissue from human AD subjects  and transgenic mice expressing mutant tau . After a short incubation to allow drug diffusion in the brain, the same visual cortex area was re-imaged with 800 nm excitation to visualize methoxy-X04-labeled NFTs and the angiogram (Figure 1d). Precise overlay of dVenus and methoxy-X04 images of the same cortical areas allowed us to determine whether individual dVenus-positive neurons had tangles or not. We found no significant difference in dVenus expression levels, representing the amplitude of Arc response, between tangle-free and tangle-bearing neurons (P = 0.083, Figure 1e).
NFTs do not change the probability of Arc response in the host neurons
Having found that tangles do not influence the amplitude of Arc responses in the active neurons, we next asked whether they might affect the overall probability of response. Following in vivo multiphoton imaging, mice were sacrificed and their brains were processed for postmortem immunohistochemical analyses. We produced coronal sections of the entire forebrain and first analyzed a subset of these sections spanning anteromedial extrastriate visual cortex (VISam) and CA1 field of the hippocampus (at the level of approx. -2.5 mm from Bregma along the rostro-caudal axis according to ). These regions were selected for in-depth analysis because the former was the principal visual area exhibiting Arc response to this type of stimulation  and was examined in vivo. The latter is known to upregulate Arc following exposure to a novel environment [19, 20] and was shown to have deficits in Arc mRNA expression in the rTg4510 mouse model . The sections were immunolabelled with anti-NeuN antibodies and treated with a red-spectrum fluorescent dye, thiazine red, which has high affinity for beta-pleated fibrillar structures and labels NFTs [22, 23]. dVenus fluorescence could be observed directly (Figure 2a,b). Using stereological quantification we found no difference in percentage of neurons with NFTs between all NeuN-labeled neurons, dVenus-positive and dVenus-negative neurons in either layer II/III of VISam (P = 0.96, Figure 2c) or pyramidal layer of CA1 (P = 0.84, Figure 2d). In accord with the lack of difference in stereological counts of dVenus positive responsive neurons with tangles, statistical analysis of odds ratio for NFTs affecting probability of Arc::dVenus expression in individual host neurons was not significantly different from 1 (VISam: P = 0.89, Figure 2e; CA1: P = 0.17, Figure 2f).
Tau pathology does not affect brain-wide Arc responses
Arc can be expressed in excitatory neurons in various neuronal circuits in response to relevant sensory and behavioral inputs [24–26]. In order to assess the effects of tau pathology on Arc expression at the network-wide level we analyzed the sets of coronal sections spanning the entire forebrain (from 2 mm to −4.5 mm from Bregma along the rostro-caudal axis according to ) with 500 μm interval. Sections were labeled with thiazine red to visualize NFTs and DAPI, and imaged on a three-channel setup, including a yellow filter set to detect direct dVenus fluorescence. We identified 8 distinct areas that had a significant number of the Arc::dVenus-positive neurons in all examined mice, both transgenic and control littermates (Figure 3). Among these areas were visual (VISp VI, VISam II/III, auditory (AUD IV and II/III) and piriform (PIR II, III) cortices, pyramidal layer of CA1 field of the hippocampus and two frontal subcortical association areas: claustrum (CLA) and dorsal endopiriform nucleus (EPd). Certain regions, such as motor, somatosensory, anterior cingulate, entorhinal, posterior parietal cortices and dentate gyrus of hippocampus had Arc::dVenus-positive neurons in some, but not all, analyzed brains, without correlation to genotype (data not shown), indicating that the response in these areas was not specific to this type of behavioral stimulation. We found no areas with significant response in control littermates that had a complete absence of response in the same region in transgenic mice or vice versa. None of the eight above-mentioned areas had any significant differences in the levels of Arc::dVenus between transgenic mice and control littermates (Figure 3).
Previous studies have shown that the expression of soluble mutant tau is largely responsible for behavioral and physiological deficits and neurotoxicity in the rTg4510 model [14, 27]. We took advantage of the fact that the transgene expression in the rTg4510 mice can be suppressed by doxycyclin treatment [14, 21, 27] to determine whether removal of soluble mutant tau in aged mice affects brain-wide Arc responses. A cohort of 11–12 months old transgenic and control littermate mice received doxycycline-supplemented diet for 6 week, after which they underwent visual stimulation as described above and their brains were processed for the brain-wide Arc::dVenus expression analysis. We found no effect of doxycycline treatment on activity-driven Arc responses in either control or transgenic mice in none of brain regions with consistent detectable Arc expression (Figure 4).
As an additional measure of interaction between the NFT pathology and experience-driven Arc expression, we examined whether quantified tangle load in different brain regions correlated with differences in Arc expression levels between rTg4510 mice and control littermates. In fact, we found no significant correlation between NFT load expressed as percentage of brain area section occupied by tangles and experience-driven differential Arc expression expressed as mean log Arc expression difference between transgenic mice and control littermates (Figure 5).
This study aimed to elucidate the effects of tau pathology on experience-dependent neuroplasticity in individual neurons and local neuronal networks. We applied an experimental paradigm that we have recently developed to address a similar question in the context of Aβ pathology . Reporter mice expressing a fluorescent protein under the control of the plasticity-related immediate-early gene Arc promoter  were crossed to a model of tauopathy based on P301L mutation in the human tau protein . We studied experience-induced Arc reporter expression in the brains of these mice with a combination of in vivo longitudinal multiphoton imaging and postmortem immunohistochemical analysis. Using quantitative in vivo measurements of Arc transcription reporter followed by detection of NFTs in large volumes of the visual cortex of a living mouse brain, we showed that tangles did not affect the absolute Arc expression levels in the individual responses of neurons. At the same time, neurons with NFTs were as likely to have Arc responses as neurons without NFTs, as determined postmortem in the same brain area. Similar to visual cortex neurons, CA1 pyramidals with NFTs had the same likelihood of Arc responses as their neighbors without tangles. Taking into account the complex postsynaptic signaling and transcriptional machinery required for the activity-driven expression of the Arc gene [7, 8, 28–30], this demonstrates, for the first time, that despite being large cytoplasmic space-occupying inclusions, NFTs do not significantly disrupt the integration of synaptic inputs and the downstream execution of memory-related genetic programs. The data also do not demonstrate any changes in Arc responses to a sensory stimulus due to the soluble mutant tau ubiquitously expressed in the CamKII-positive neurons in this mouse model. There is a possibility that NFTs or tau indeed introduce changes to Arc responses small enough that they could not be detected with our imaging and analysis methods. However, in our previous study using this quantification technique with similar cohort sizes (and thousands of neurons examined)  we were able to resolve significant changes as small as 15% of median expression level postmortem and 25% in vivo. It is unlikely that if smaller undetected changes were induced by NFTs, they would have significant effect on neuronal circuit function, as these changes would be orders of magnitude lower than Arc responses to physiological stimuli [10, 11]. These conclusions are in accord with a recent study from our laboratory showing intact function of tangle-bearing and tangle-free neurons in the visual cortex of rTg4510 mice as demonstrated by in vivo multiphoton imaging of visual activity-evoked calcium transients .
Our findings of unchanged Arc transcription in the visual cortex contrasted with a previous study from our laboratory showing decreased Arc expression in the CA1 pyramidal layer of the hippocampus in the rTg4510 model mice after exploration of a novel environment  and with the earlier mRNA profiling of the human AD brains which found lower amounts of the Arc mRNA in tangle-bearing CA1 neurons compared to tangle-free neurons . To gain a “brain-wide” perspective on the tau pathology effect on neuronal networks, we processed entire brains of rTg4510 mice crossed with Arc reporter strain to identify anatomical regions with detectable Arc expression following the exposure of the mice to the structured visual stimulation. We found no regions that lacked activation in one genotype and were active in the other and vice versa, which indicates that the widespread tau pathology does not fundamentally change brain wiring patterns. We also detected no overt differences in experience-dependent network-wide Arc expression levels between transgenic mice and control littermates in any of the examined brain regions. Even the brain areas with the highest tangle load (such as CA1 field of the hippocampus where more than 50% of the brain section was occupied by tangles) exhibited normal Arc responses to the visual stimulation.
We considered the differences in experimental paradigm between the initial study of hippocampal responses to exploration of a novel environment  and the current study, which focused on visual cortical responses to defined visual stimuli. Since the retina and lateral geniculate are disease free in this model, the latter stimulus was designed to specifically probe somatodendritic responses and integration of signals in which the axons carrying the primary input are intact, while the behavioral/memory aspects of the exploratory behavior task requires integration of widely dispersed information in the cortex and concurrent signaling to the hippocampus for further processing from areas that are markedly impacted by both NFT and neuronal loss. It may be that this latter form of integrative function is more dependent on the integrity of axonal processes and on the relative timing and intensity of feedforward and feedback signals, and so Arc reporting of signal in the hippocampus is inherently more sensitive to subtle effects compared to visual cortical responses. Nonetheless, the agreement between the studies that the presence of NFT does not impact the likelihood of an Arc response, despite the substantially different behavioral paradigms and the method of assessing Arc (in situ hybridization v.s. Arc promoter-driven fluorescent reporter) emphasizes that the type of defect in signal integration caused by a tangle, if any, is quite subtle.
Overall, our findings show that NFTs do not significantly alter postsynaptic function of the host neurons which is required for the experience-dependent Arc expression. Given the importance of meticulous Arc regulation for the proper functioning of synaptic machinery [33–36] and the role that activity-dependent Arc expression plays in memory-related physiology through AMPAR endocytosis , structural plasticity  and synaptic tagging , our data suggest that mechanisms not linked to experience-dependent immediate early genes are behind behavioral phenotypes in rTg4510 mice and cognitive impairment in AD. A number of studies have demonstrated electrophysiological, functional and morphological changes in neurons from rTg4510 mice at the advanced stage of tau pathology [28, 39–42], and, notably, increased intrinsic excitability in the cortical neurons, with evidence indicating that these changes could not be attributed to the presence or absence of NFTs in the affected neurons [40, 42]. Taken together with our data, NFTs appear not to cause major disruptions of synaptic integration of information.
Materials and methods
All animal experimentation was performed in conformance with institutional and US National Institutes of Health guidelines and approved by the Massachusetts General Hospital Institutional Animal Care and Use Committee. Arc::dVenus reporter mice expressing destabilized variant of a bright yellow fluorescent protein dVenus under 7.1 kb mouse Arc promoter  were crossed with suppressible CamKII::rtTA × tetO::Tau (P301L) (rTg4510) strain . Arc::dVenus × CamKII::rtTA non-carriers of Tau (P301L) transgene were used as littermate controls to account for potential effects of rtTA transactivator overexpression. Genotyping was performed using polymerase chain reaction (PCR) with three pairs of primers targeting dVenus, rtTA and Tau (P301L). For mutant tau suppression experiment, a cohort of mice (n = 5 control, n = 3 transgenic) was fed chow containing 200 mg/kg doxycycline (Harlan Teklad) for 6 weeks before visual stimulation. All mice used in this study were 11–13 months old.
Visual stimulation, surgery and in vivo multiphoton imaging
Structured visual stimulation was performed as described previously . Briefly, single-housed mice were placed in their home cages into the dark light-proof ventilated enclosures for 60 hours prior to beginning of stimulation to suppress visual experience-induced Arc::dVenus expression. After the end of light deprivation mice were transferred to an illuminated glass cylinder with alternating vertical black and white stripes for 1 hour. Following the end of the visual stimulation, mice were placed back into the home cages and put into light deprivation chambers for 5 hours before the anesthesia for cranial window implantation was induced with 4% isoflurane in balanced oxygen inside of the dark light-proof enclosure for 5 minutes and maintained at the level of 1.2–1.6% during the surgery and consequent imaging while keeping the body temperature at 37°C. Cranial windows were implanted over the right visual cortex as described previously [10, 43]. Immediately after cranial window implantation Texas Red-conjugated dextran (MW 70,000 Da, 12.5 mg/mL in sterile PBS, Molecular Probes) was injected IV to provide fluorescent angiogram used as landmark pattern for co-registration of two consecutive imaging sessions and as a reference fluorophore to monitor cranial window clarity and appearance of bleedings. Mice were imaged on multiphoton Olympus Fluoview 1000 MPE system equipped with mode-locked titanium/sapphire MaiTai laser (Spectra-Physics) and Olympus BX61WI upright microscope with XLPLN 25× water-immersion objective (NA = 1.05). Z-stacks in both imaging sessions were acquired with the resolution of 1 μm/pixel in X-Y dimension with the Z-step of 3 μm. For each mouse the imaged site consisted of 2×4 512×512×240 μm stacks acquired with 10% overlap in X–Y dimensions resulting in an imaged field in visual cortex spanning roughly 1×2×0.24 mm3 ((m–l) × (r–c) × (d–v)). For the first imaging session, excitation laser was tuned to 860 nm with the output power set to 76 mW before the objective. Emitted light was collected in three channels: 460–500 nm (autofluorescence), 530–560 nm (dVenus fluorescence) and 575–630 nm (Texas Red dextran angiogram). Then, methoxy-X04 (5 mg/kg)  diluted in Texas Red dextran solution (12.5 mg/mL in sterile PBS) was injected IV to label NFTs. 30 minutes after methoxy-X04 injection, a second imaging of the same site was performed with the excitation laser tuned to 800 nm for more efficient detection of metoxy-X04 fluorescence, with 100 mW output power before the objective. In this session, the 460–500 nm channel collected emitted light from methoxy-X04 bound to the tangles and other two channels contained the same dVenus and Texas Red dextran signals as in the first sessions and were used for consequent co-registration of the two image stacks. Imaging settings were kept constant between mice and the laser output power was calibrated before each imaging session using infrared photometer.
Processing and quantification of in vivo imaging data
Only image stacks acquired during the first imaging session (860 nm excitation, before methoxy-X04 injection) were used for quantification of Arc::dVenus expression levels to avoid potential spectral crosstalk with methoxy-X04. Arc::dVenus expression levels were processed using Fiji package of NIH ImageJ software (fiji.sc; rsbweb.nih.gov/ij) as described previously . Both stacks (before and after methoxy-X04 injection) were aligned side-by-side based on dVenus and Texas Red dextran patterns (as on Figure 1d) and each quantified dVenus-positive neuron was manually assigned a tangle-positive or tangle-negative status.
Post-mortem tissue analysis
After the end of in vivo imaging still anesthetized mice were transcardially perfused with ice-cold phosphate-buffered saline (PBS) followed by 4% paraformaldehyde in PBS. Brains were incubated in fixative at 4°C for 48 hours and 50 μm free-floating sections were cut on a Microm HM400 microtome. Coronal sections were consecutively collected into 10 tubes, so each tube contained a set of sections covering the full forebrain with 500 μm interval. For the cell counting, appropriate sections were first incubated in thiazine red (MP Biomedicals, 0.01% in PBS) for 20 min to label NTFs and washed 3 times with PBS, followed by immunolabeling with mouse anti-NeuN antibody (1:500, Cat. No MAB377, Millipore) and secondary goat-anti-mouse AlexaFluor 350 (1:500, Cat. No A11045, Molecular Probes). Stereological counting of Arc::dVenus- and NeuN-positive neurons was performed on Olympus CAST system in neuronal layer II/III of medial extrastriate visual cortex and pyramidal layer of CA1 field of the hippocampus. Images for Figure 2 were acquired on Zeiss Axio Observer. Z1 fluorescent microscope equipped with 40× objective. For the full-brain analysis, an entire set of sections spaced at 500 μm from each mouse was labeled with thiazine red mixed with DAPI (0.2 μg/ml), washed for 1 hour in 1% Triton-X100 in PBS and 3 times in PBS. Full-section tile scan was performed on Zeiss Axio Observer. Z1 microscope with 5× objective run by MetaMorph (Molecular Devices) using following three filter sets: Ex/Em 365/445 nm (DAPI), 500/545 nm (direct dVenus fluorescence) and 545/620 (thiazine red). Stitched multichannel images were manually aligned to Allen Mouse Brain Reference atlas (brain-map.org). All image processing was performed in Fiji package of ImageJ. To quantify Arc::dVenus in individual cells, regions of interest with Arc::dVenus-positive neurons in the dVenus channel were cropped to save computation time, background subtracted, images thresholded and segmented with “Analyze particles” plug-in to identify cell bodies. The cell body masks were then applied to the pre-thresholded images to measure mean fluorescence intensity in each identified cell body. To quantify NFT load, brain regions of interest were outlined based on reference atlas alignment and DAPI labeling. Crop masks were applied to the thiazine red channel, images thresholded and percentage of area occupied by tangles calculated.
The normality of all datasets was tested using Kolmogorov-Smirnov method. Non-normal datasets of Arc::dVenus expression levels in individual neurons with variable sample sizes (Figure 1 and 3) were compared using Wilcoxon rank-sum test with correction for clustering of values within individual mice . Comparison of normal data with identical sample sizes (Figure 2c,d) was performed using one-way ANOVA with Bonferroni post-test. The associations between tangles and Arc responses and corresponding odds ratios (Figure 2) were analyzed using 2-way contingency table analysis with Fisher’s exact test (GraphPad Prism 5); this assumes independence across neurons. To assess the effects of doxycycline treatment (Figure 4) we used a mixed effects model to adjust for treatment and genotype and their interaction, with adjustment for correlation within mouse. Each region was modeled separately. We corrected for multiple testing across the eight brain regions using a Bonferroni correction. Calculation of Spearman R and correlation P-value for normal tangle load data with identical sample sizes (Figure 5) was performed on average values across mice.
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We thank G.A. Carlson and R. Pitstick (McLaughlin Research Institute, Montana) for providing rTg4510 mice; S. Yamaguchi and M. Eguchi (Gifu University, Japan) for providing the Arc::dVenus reporter line; A. Serrano-Pozo (MGH) for help with statistical analysis; M. Albers (MGH) for helpful discussions. This research is supported by the grants from the US National Institutes of Health (R00AG33670 to T.L.S-J.), AG026249, AG005134 (to B.T.H.), Fidelity Biosciences (to B.T.H.), Alzheimer’s Research UK (to T.L.S-J) and Harvard NeuroDiscovery Center (to R.A.B. and A.M.). N.R. is supported by the fellowships from the Swiss National Science Foundation and the Swiss Foundation for Grants in Biology and Medicine, S.W. is supported by the German Research Foundation (DFG).
Dr Hyman serves on the SAB of Neurophage and receives research support from GSK, Ipierian, BMS, Fidelity Biosciences, and Prothena Biosciences. Dr Spires-Jones collaborates with Cognition Therapeutics and receives research support from Prothena Biosciences. NR is an employee of Novartis. We have no financial conflict of interest with the data presented in this manuscript.
NR, SW, KK, TLS-J and BTH designed experiments. NR and JMH performed the experiments and analyzed data. NR and BTH wrote the paper. AM and RAB contributed with statistical analyses of the data. All authors read and approve the final manuscript.
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Rudinskiy, N., Hawkes, J.M., Wegmann, S. et al. Tau pathology does not affect experience-driven single-neuron and network-wide Arc/Arg3.1 responses. acta neuropathol commun 2, 63 (2014) doi:10.1186/2051-5960-2-63
- Alzheimer’s disease
- Neurofibrillary tangles
- Neuronal activity
- Activity-dependent expression