- Open Access
Age-related changes in brain phospholipids and bioactive lipids in the APP knock-in mouse model of Alzheimer’s disease
Acta Neuropathologica Communications volume 9, Article number: 116 (2021)
Sustained brain chronic inflammation in Alzheimer’s disease (AD) includes glial cell activation, an increase in cytokines and chemokines, and lipid mediators (LMs), concomitant with decreased pro-homeostatic mediators. The inflammatory response at the onset of pathology engages activation of pro-resolving, pro-homeostatic LMs followed by a gradual decrease. We used an APP knock-in (App KI) AD mouse that accumulates β-amyloid (Aβ) and presents cognitive deficits (at 2 and 6 months of age, respectively) to investigate LMs, their precursors, biosynthetic enzymes and receptors, glial activation, and inflammatory proteins in the cerebral cortex and hippocampus at 2-, 4-, 8- and 18-month-old in comparison with wild-type (WT) mice. We used LC-mass-spectrometry and MALDI molecular imaging to analyze LMs and phospholipids, and immunochemistry for proteins. Our results revealed an age-specific lipid and cytokine profile, and glial activation in the App KI mice. Despite an early onset of Aβ pathology, pro-inflammatory and pro-resolving LMs were prominently increased only in the oldest age group. Furthermore, the LM biosynthetic enzymes increased, and their receptor expression decreased in the aged App KI mice. Arachidonic acid (AA)-containing phospholipid molecular species were elevated, correlating with decreased cPLA2 activity. MALDI molecular imaging depicted differential distribution of phospholipids according to genotype in hippocampal layers. Brain histology disclosed increased microglia proliferation starting from young age in the App KI mice, while astrocyte numbers were enhanced in older ages. Our results demonstrate that the brain lipidome is modified preferentially during aging as compared to amyloid pathology in the model studied here. However, alterations in phospholipids signal early pathological changes in membrane composition.
Alzheimer’s disease (AD) is a progressive neurodegenerative disease and the most common form of dementia, accounting for 60–80% of dementia patients . The major risk factor for AD is age, although the exact cause of the disease and pathogenic mechanisms are still unknown. The neuropathological hallmarks of AD are an accumulation of extracellular β-amyloid (Aβ), hyperphosphorylation of tau filaments and neuroinflammation. Neuroinflammation, an early event of AD pathology [54,55,56], is triggered by several events including glial cells activated by Aβ plaques, that release pro-inflammatory factors causing neuronal damage. Neuroinflammation is a dynamic process that becomes more complex and damaging during disease progression. However, a rising level of neuroinflammation also takes place in healthy aging (See ). Therefore, defining molecular markers and signaling cascades that distinguish the pathological neuroinflammation in AD at early stages would be instructive to understand disease onset and to identify therapeutic targets. The inflammatory response sustains homeostasis by active resolution of inflammation that contributes to clearance of immune cells and cell debris as well as to tissue repair [51, 76]. These actions are in part governed by lipid mediator (LM) synthesis switching from pro-inflammatory to a pro-resolving profile  and failure of this switching is associated with chronic inflammation in AD [33, 49, 99, 107]. Resolution of inflammation is set in motion as an active process that counteracts polymorphonuclear neutrophil (PMN) infiltration and downregulates the production of pro-inflammatory cytokines. At the same time, anti-inflammatory cytokine expression is up-regulated and non-phlogistic phagocytosis modulated [77, 85]. Impaired resolution of inflammation has been documented in post mortem AD brains that display marked alterations in pro-resolving LMs and their receptors [49, 99, 109].
Cell membrane phospholipids store bioactive LM precursors and are thus key players in signal transduction, homeostasis and brain function. Aging modifies brain lipid composition  and is associated with functional decline. At early 20's, the brain begins to lose phospholipids, reaching 10–20% loss at the age of 80 to 90 for healthy individuals . Studies on AD brains showed alterations in lipid metabolism and pathways [21, 67]. Membrane structure and function are disturbed when phospholipid composition changes, resulting in synaptic loss and contributing to AD pathology . Brain phospholipids show decreased content of phosphatidylethanolamine (PE) and phosphatidylinositol (PI) [69, 102] in AD post mortem brains compared to controls, while phosphatidylcholine (PC) levels were decreased  or unchanged . Studies on fatty acid composition, however, demonstrated a progressive decline with age particularly of the omega-3 fatty acid docosahexaenoic acid (DHA) in AD brains [3, 16]. Decreased pro-resolving LMs and elevated pro-inflammatory LMs have been shown in both human CSF and post mortem brains of AD patients . Although there is evidence of lipid dysfunctions in AD, it is still unclear how the acyl chains of phospholipids, as precursors of bioactive LMs are affected at different stages of pathology in the AD brain and during normal aging. Increased levels of the LM receptors BLT1, ChemR23 and LXA4R [20, 99] have been demonstrated in human post-mortem AD brains. However, changes in their expression during normal aging or during the progression of AD are not known.
To address these questions, we used an App knock-in AD mouse model, AppNL−G−F/NL−G−F which carries the Swedish, Iberian, and Artic mutations to induce high expression of Aβ42. This model expresses amyloid precursor protein (APP) with endogenous levels and Aβ pathology beginning at 2 months of age with cognitive deficits observed at 6–8 months of age . The goal of this study was to assess phospholipid molecular species and inflammatory markers during aging and in the AppNL−G−F/NL−G−F mice of 2-, 4-, 8- and 18-months age. The data were analyzed by a uni- as well as a multivariate approach, the latter offering an overview of the factors discriminating between WT and AppNL−G−F/NL−G−F mice of different ages, as well as complementing the univariate comparisons with an analysis more suitable for a large number of factors.
This study aims to pinpoint at which stage in disease progression lipid metabolism and signaling of resolution of inflammation are changing, since they represent a promising therapeutic strategy for AD by stimulating phagocytic removal of Aβ42 and by decreasing inflammation [101, 109], and protecting neurons (.
Materials and methods
Antibodies and reagents
All primary and secondary antibodies and reagents used in this study are listed in Table 1.
All studies involving mice were performed according to the guidelines of Comparative Medicine (KM-B, Karolinska Institutet) and the Stockholm ethical committee for animal experiments (6-14, 1433-2018, 12370–2019). Young and aged male C57BL/6 J mice were purchased from The Jackson Laboratory (Bar Harbor, ME, USA). The AppNL−G−F/NL−G−F mice (referred here as App KI) were bred in the Karolinska Institutet animal facility. WT and App KI mice of 2, 4, 8 and 18 months of age were used in the studies. Aβ pathology was visualized by immunohistochemistry using antibodies raised against Aβ peptide (6E10) (Fig. 1). The mice were housed (5/cage) and maintained under pathogen-free conditions on a 12 h light/dark cycle with free access to water and food.
The mice were anaesthetized with isoflurane and intracardially perfused with 0.9% physiological saline prior to harvesting the brains. The right hemisphere was fixed with 4% paraformaldehyde (PFA) in 0.1 M phosphate buffer for 48 h, soaked in 30% sucrose in phosphate buffer, and subsequently embedded in paraffin for immunohistochemistry. Hippocampus and cerebral cortex were dissected from the left hemisphere, frozen in dry ice, and stored at − 80 °C for Western blot analysis, Meso Scale analysis and LC–MS/MS analysis. Twelve mice from each age (2, 4, 8 and 18 months) were used. Additional whole brains (n = 3/group) were frozen in dry ice and stored at − 80 °C for MALDI-IMS imaging.
Briefly, frozen tissues were homogenized in radioimmunoprecipitation assay (RIPA) buffer (1:10 w/v) containing protease and phosphatase inhibitor cocktails (Sigma Aldrich, Stockholm, Sweden, Thermo Fisher Scientific, Gothenburg, Sweden) using a homogenizer and sonicator. The homogenates were centrifuged at 12,000 × g for 20 min at 4 °C and total protein levels determined using a BCA kit (Thermo Fisher Scientific, Gothenburg, Sweden). Equal amounts of total protein (20 µg) were separated by sodium dodecyl sulphate polyacrylamide gel electrophoresis (SDS-PAGE) for 1 h at 160 V using Invitrogen precast NuPAGE 4–12% 15-well Bis–Tris gels (Thermo Fisher Scientific, Gothenburg, Sweden). Then proteins were transferred to nitrocellulose membranes using a Bio-Rad wet transfer cell (Bio-Rad, Solna, Sweden). After blocking in Li-COR Tris-buffered saline (TBS)-based blocking buffer (Li-COR Biosciences, Lincoln, USA) the membranes were incubated with primary antibodies over night at 4 °C. Following washing (3 × 10 min) in TBS-0.1% Tween-20 (TBS-T), the membranes were incubated with IRDye™ secondary antibodies (Li-COR Biosciences, Lincoln, USA). After washing (3 × 10 min) in TBS-T, the membranes were imaged in the Odyssey Infrared Imaging System (Li-COR Biosciences, Lincoln, USA), and quantification of signals was performed using Image Studio 5.2.
Paraffin-embedded tissue blocks were cut into 10 μm thick coronal sections, deparaffinized, and pre‐treated for antigen retrieval in citrate buffer (pH 6, 95 °C, 5 min). Then sections were blocked with 5% normal donkey or goat serum for 30 min at room temperature (RT), followed by overnight incubation at 4 °C with primary antibodies. After washing in 0.01 M phosphate‐buffered saline (PBS), pH 7.4, the immunoreactivity was detected indirectly using secondary antibodies conjugated with Alexa Fluor 488 or 594 for immunofluorescence, or with the Polyvalent HRP/DAB detection kit (Abcam, Cambridge, USA). After washing, sections were mounted and examined with a Leica epifluorescence microscope or a Nikon Eclipse E800 microscope (Bergman-Labora, Stockholm, Sweden).
Quantification of amyloid pathology, microglia and astrocytes
The amyloid pathology was analyzed in the cerebral cortex and hippocampus by semi‐quantitative densitometry of Aβ peptide (6E10 antibody) immunoreactivity in two sections/ animal for each age (N = 4–5/age group). The analysis was performed in images captured by a Nikon Eclipse E800 microscope with a 2X objective. The area occupied by Aβ-positive plaques was measured by applying threshold using NIH Image J 1.5 software program (NIH, USA). All images were collected under the same lighting conditions and settings.
Microglia and astrocytes were analyzed in the cerebral cortex and hippocampus areas by counting cells with positive immunoreactivity to ionized calcium-binding adapter molecule 1 (Iba1), glial fibrillary acidic protein (GFAP) and S100 calcium-binding protein β (S100β), respectively (2 sections/animal, n = 5–6 animals/group). Images of Iba1-stained sections were captured with a Nikon camera using a 10X objective, and images of GFAP and S100β stained sections were captured with a Nikon camera using a 20X objective. Cells were counted using NIH ImageJ (United States National Institutes of Health) with the cell counter plug-in. Iba1-positive cells were counted in the cerebral cortex, Cornu Ammunis 1 (CA1) and dentate gyrus (DG), each in 1 field/section. GFAP- and S100β-positive cells were counted in the cerebral cortex (2 fields/section), CA1 (2 fields/section) and DG (2 fields/section). To produce data reflecting the true number of cells in the tissue, the number of counted cells per field was normalized to the area of the field.
Analysis of inflammatory markers by multi-immunoassays
Cytokines and chemokines were analyzed in the supernatants after tissue homogenization (see Western blot above) using 96-well V-PLEX Mouse cytokine 19-plex kit (Proinflammatory Panel 1 and Cytokine Panel-1) (#K15255D; Meso Scale, Rockville, MD, USA) according to the manufacturer's instructions. Briefly, 50 μl of the supernatants were added per well and incubated for 2 h at RT followed by washing with 0.05% Tween‐20 in 1 M PBS. The plates were then incubated with detection antibodies for 2 h at RT. Subsequently, reading buffer was added to generate an electrochemiluminescence signal, and the levels of markers were read in the Meso Quickplex SQ 120 (Meso Scale, Rockville, MD, USA) with the Discovery Workbench 4.0 software. In the case of values below the lowest detectable level, the lower limit of detection (LLOD) was assigned. Detailed information on concentrations of cytokines/chemokines detected, LLOD, and the lower limit of quantification (LLOQ) are presented in Table 2. Heatmaps were generated using the Morpheus software (https://software.broadinstitute.org/morpheus).
LC–MS/MS analysis was performed on fresh frozen tissue specimens homogenized with CHCl3/MeOH (2:1). An internal standard mixture of deuterium-labelled lipids (AA-d8 (5 ng/μl), PGD2-d4 (1 ng/μl), EPA-d5 (1 ng/μl), 15-HETE-d8 (1 ng/μl), and LTB4-d4 (1 ng/μl)) was added to each sample before sonication for 30 min and storage at − 80 °C overnight. Subsequently, the samples were centrifuged at 4200 × g for 30 min and the supernatants collected. The pellets were washed with CHCl3/MeOH and centrifuged, and the supernatants from both centrifugations were combined. Two ml of distilled water, pH 3.5, were added to each supernatant, and after vortexing and centrifugation the pH of the upper phase was adjusted to 3.5–4.0 with 0.1 N HCl. The lower phase was dried down under N2 and then resuspended in 1 ml of MeOH. LC–MS/MS analysis was performed using a Xevo TQ UPLC (Waters, Milford, MA, USA).
Analysis of the phospholipids PC, PE, phosphatidylserine (PS) and sphingomyelin (SM) was performed in samples dried under N2 and resuspended in 20 μl of CH3CN/CHCl3/MeOH. Phospholipid molecular species were calculated as % of the total amount in each sample.
Analysis of fatty acids and their derivatives was performed in samples dried under N2 and resuspended in 1 ml MeOH. After mixing with 9 ml of H2O at pH 3.5, the samples were loaded onto C18 columns (Agilent, Santa Clara, CA, USA), and then eluted with methyl formate, dried under N2, resuspended in 50 μl MeOH/H2O (1:1), and injected into a column. Lipid standards (Cayman, Ann Arbor, MI, USA) were used for tuning and optimization, as well as to create calibration curves for each compound.
Frozen mouse brains were cut into 20 μm thick coronal sections on a cryostat and placed on coverslips to dry in a vacuum chamber over night at RT. Using thermally conductive tape, the coverslips were placed on a stainless-steel plate and covered with 2,5‐dihydroxybenzoic acid (DHB) (Fisher Scientific, Pittsburgh, PA) matrix in a sublimation chamber. MALDI-IMS was performed in a Synapt G2‐Si (Waters, Milford, MA) using a solid‐state laser (355 nm) at a firing rate of 2000 Hz for positive ion mode data collection. HD Imaging software (Waters, Milford, MA) was utilized to design the pattern of tissue scanning (15 μm spatial resolution for both horizontal and vertical movement) and for data analysis. Each image spot consisted of a collection of 1 s data acquisition. Ions created by the MALDI source were further separated by ion‐mobility‐separation with He gas in the TriWave region of the instrument, with an ion‐mobility‐separation wave velocity of 600 m/s and height of 40.0 V. The data processed with HD Imaging were converted with an in‐house program, and BioMap software (Novartis) was used to generate images. Individual MS spectra for each footprint are put together, providing a reconstructed image that shows localization of that particular phospholipid in the tissue scanned by the laser.
Data illustrated in scatter plots with bars were presented as mean ± standard error of the mean, and data shown in scatter plots were presented with median. P-values less than 0.05 were considered significant. All graphs and univariate data analysis using Mann–Whitney U test and Kruskal–Wallis test followed by Dunn’s multiple comparison post hoc test were completed in GraphPad Prism version 8 (GraphPad Prism Inc., USA). In addition, a multivariate (MVA) approach with orthogonal projections to latent structures (OPLS)—discriminant analysis (DA) was used to produce models to discern group differences. OPLS and OPLS-DA were performed in Simca v15 (Umetrics, Umeå, Sweden).
Amyloid plaque burden advances with age in App KI mice
In order to relate changes in lipid profiles, biosynthetic pathways and inflammatory cytokines to the development of amyloid pathology in the App KI mouse model, we analyzed the plaque load in mice of different ages (2-, 4-, 8- and 18-months) by measuring the area occupied by Aβ-positive plaques in the cerebral cortex and hippocampus after immunohistochemistry using an antibody to Aβ (6E10). As described previously for this mouse model , Aβ deposition was seen already at 2 months of age and showed a gradual increase with age (Fig. 1a, b), indicating progressive Aβ pathology.
Pro-inflammatory and pro-resolving lipid mediators are increased with age
Bioactive LMs were analyzed in the cerebral cortex and hippocampus from 2-, 4-, 8- and 18-month-old App KI and wild-type (WT) mice to investigate their relationship to amyloid pathology. The data revealed that the most prominent changes occurred at 18 months in both App KI and WT mice (Fig. 2). AA-derived LMs prostaglandin E2 (PGE2), D2 (PGD2) and F2α (PGF2α), 15-hydroxyeicosatetraenoic acid (15-HETE) and leukotriene B4 (LTB4) were higher in the cortex of 18-month-old App KI compared to age-matched WT mice (Fig. 2a). In the hippocampus, on the other hand, only PGF2α was increased (Fig. 2c). At 2 months of age, however, 12-HETE and 15-HETE were lower in App KI mice compared to WT mice. Interestingly, lipoxin A4 (LXA4), also a derivative of AA and a pro-resolving LM, was higher in the cortex of 18 months old App KI mice than in WT mice (Additional file 1: Fig. S1A).
Similarly, the DHA-derived intermediate LMs 14-, 17- and 20-hydroxy-docosahexaenoic acid (14-HDHA, 17-HDHA and 20-HDHA) were higher in the cortex, but not in the hippocampus, of 18-month-old App KI mice compared to age-matched WT mice (Fig. 2b and d). The pool size of maresin 1 (MaR1), derived from DHA, was also increased (p = 0.065, Additional file 1: Fig. S1B) in the cortex of 18-month-old App KI mice, whereas neuroprotectin D1 (NDP1), was unchanged (Fig. 2b and d). Finally, resolvin E1 (RvE1), a derivative of eicosapentaenoic acid (EPA), was higher in the cortex of 18-month-old App KI compared to WT mice (Fig. 2e).
Differential expression of enzymes and receptors for bioactive lipid mediators in brain regions and during aging
We investigated whether alterations in the levels of LM biosynthetic enzymes correlate with the abundance of the LMs (Fig. 2f and g). We observed that cyclooxygenase (COX)-1 and 15-lipoxygenase-1 (15-LOX-1) displayed an overall age-dependent increase in the cortex and hippocampus of both App KI and WT mice. In contrast, phosphorylated 5-lipoxygenase (p-5-LOX) decreased with age in both animal groups.
COX-1 levels were higher in the cortex of 8- and 18-month-old App KI mice, whereas in the hippocampus, the levels were higher at 4 and 18 months, compared to WT mice (Fig. 2g). The levels of 15-LOX-1 were higher in the cortex of App KI mice at 18 months compared to WT mice (Fig. 2g), in agreement with increased pool sizes of 15-HETE, 14- and 17-HDHA, NPD1 and MaR1 (Fig. 2a–d). Phosphorylation of Ser523 suppresses 5-LOX activity and reduces 5-LOX products . We found that the levels of p-5-LOX at 18 months in App KI mice were lower than in WT mice in cortex and hippocampus (Fig. 2g), correlating with the elevated levels of LTB4 and LXA4 in 18-month-old App KI mice (Fig. 2a).
We proceeded to assess the effects of aging and App KI pathology on multi-ligand receptors that mediate pro-resolving LM activities (Fig. 3). In the hippocampus (Fig. 3b), BLT1 (LTB4 receptor), targeted also by RvE1, increased with age in both App KI and WT mice, and similarly to leucine-rich repeat containing G protein-coupled receptor 6 (LGR6), that mediates MaR1 activities, there was a marked enhancement at 18 months. In the cortex (Fig. 3b), however, BLT1 decreased with age in the WT mice, but not in the App KI mice, where it remained similar through all ages. Also, the G-protein coupled receptor 18 (GPR18) showed the highest abundance at 2 months in the cortex, whereas formyl peptide receptor 2 (FPR2), that mediates LXA4 activities, exhibited the highest levels at 4 and 8 months in WT mice. The levels of chemokine-like receptor 1 (ChemR23) presented even levels across the age groups in both brain regions.
Therefore, the two mouse strains (Fig. 3b) revealed that the levels of BLT1 were lower in 2- and 4-month-old App KI compared to WT mice in the cortex but not in the hippocampus (Fig. 3b). On the other hand, ChemR23 levels were lower in the cortex of 4-month-old App KI compared to WT mice. In the hippocampus, however, ChemR23 was lower in 2- and 18-month-old App KI mice (Fig. 3b). LGR6 levels were higher in the cortex of 18-month-old App KI mice compared to WT mice, whereas in hippocampus the levels were higher at 2 and 4 months of age (Fig. 3b). GPR18 showed lower levels in the cortex of App KI mice at 2 months but higher levels at 8 months compared to WT mice, whereas in the hippocampus, increased levels were found only at 18 months of age. FPR2 was found in lower levels in the cortex of App KI mice at 8 and 18 months compared to WT mice. However, in the hippocampus, FPR2 levels were higher in App KI mice at 2 months and lower at 4 and 8 months of age compared to WT mice (Fig. 3b).
Age-dependent changes in AA- and DHA-containing phospholipids
We found alterations in fatty acyl chain composition of the phospholipids as a function of age in both App KI and WT mice, mainly at 18 months age. A most notable finding is that DHA-containing PCs (16:0/22:6 and 18:0/22:6) and PE (18:0/22:6) were lower in App KI compared to WT mice at 18 months in the cortex, whereas only PC (18:0/22:6) and PS (18:0/22:6) were decreased in the hippocampus (Fig. 4b, c). Remarkably, PC (44:12), which contains DHA for both sn-1 and sn-2, was higher in App KI compared to WT mice at 18 months (Fig. 4b). At earlier ages, PC (16:0/22:6) was lower in App KI at 2 months but higher at 4 months of age (Fig. 4b). The PCs (18:1/22:6 and 18:0/22:6) followed the same trend, showing increased levels in cortex at 4 months in App KI compared to WT mice, whereas in the hippocampus, only PC (18:1/22:6) showed a difference (Fig. 4b, c). In contrast, PS (18:0/22:6) levels were decreased at 2 and 4 months of age in the hippocampus of App KI mice (Fig. 4c).
Next, we observed that the AA-containing PC (18:1/20:4) and PE (18:1/20:4) were higher in the cortex of App KI compared to WT mice at 18 months, whereas PC (18:0/20:4) was lower in App KI mice (Fig. 4b). Similarly, PE (18:1/20:4), PS (18:1/20:4) and PS (18:0/20:4) were elevated in the hippocampus of App KI mice at 18 months of age, but there was no difference in AA-containing PCs (Fig. 4c). At 2 months, the AA-containing PE (18:1/20:4) was higher in both cortex and hippocampus of App KI mice (Fig. 4b, c). At 4 months, PS (18:1/20:4) was higher and PS (18:0/20:4) was lower in the hippocampus of App KI mice (Fig. 4c).
cPLA2 is one of the major PLAs in the brain that cleaves acyl chains from sn-2 of the glycerol backbone of phospholipids, exhibiting a preference for arachidonoyl acyl chains [14, 22]. We observed that the total cPLA2 levels were higher in the cortex of App KI mice at all ages. In the hippocampus, the cPLA2 levels were increased only at 18 months (Fig. 4d, e). We then evaluated total cPLA2 and phosphorylated cPLA2 (p-cPLA2) protein expression and found that the phosphorylated form of the enzyme was lower in the cortex of App KI mice at 2 and 18 months, while in the hippocampus p-cPLA2 levels were higher only at 2 months. Interestingly, the phosphorylation rate of cPLA2 (i.e. p-cPLA2/cPLA2 ratio) was decreased in both cortex and hippocampus at 18 months in the App KI mice. However, at 2 months, the p-cPLA2/cPLA2 levels were lower and at 4 months higher in the cortex of App KI mice (Fig. 4e).
cPLA2 is translocated to the perinuclear membrane upon binding of Ca2+ ions, followed by phosphorylation on serine residues by mitogen-activated protein kinases (MAPKs) . This signaling is engaged in inflammation, cell death, and cell survival . The phosphorylation rates of ERK1/2, p-38, and JNK were lower in the cortex of 18-month-old App KI compared to WT mice (Additional file 2: Fig. S2), which may explain the decrease in p-cPLA2 at 18 months. In the hippocampus, however, we found lower levels in App KI mice of p-ERK1/2 at 18 months, p-p38 at 4 months, and p-Akt at 8 months. The levels of p-JNK were decreased in the hippocampus of App KI mice at 8 months of age (Additional file 2: Fig. S2).
Alterations in DHA- and AA- containing phospholipids within the hippocampus in relation to amyloid pathology
To define differences in the lipidome of the WT and App KI mice within the hippocampus, brain sections of similar coronal level from the different ages of WT and App KI mice were imaged by MALDI-IMS. Although the images clearly show subregions of the hippocampus, due to the high spatial resolution (15 µm), the images show phospholipids from all cell types (neurons, glia, blood vessel endothelial cells) present in the analysed area. Total spectra from m/z 600 to m/z 1100 were collected from stratum radiatum within the CA1 region of the hippocampus (Fig. 5a) and a difference spectrum was constructed by subtracting the App KI profile from the WT profile (Fig. 5b–d). The resulting plots, while not quantitative, emphasized lipid abundance, with the prevalent lipids in WT (pointing up) and App KI (pointing down) mice.
Two lipids stand out particularly, PC (16:0/18:1) + Na+/ + K+ (m/z = 782 and 798, respectively) and PC (16:0/20:4) + K+ (m/z = 820) (Fig. 5e) and are therefore illustrative of the lipid changes in this region of the brain. Interestingly, the differential spectra of MALDI-IMS reveals that the App KI mice had a higher abundance of m/z = 798 in the earlier age compared to WT mice, and as the animals age, this lipid associated with K+ adduct accumulated more in the WT mice. In contrast, the same lipid associated with Na+ adduct (m/z = 782) accumulated more in the aging App KI animal as opposed to WT (Fig. 5e). A similar observation of lipid variation across the age and phenotype of the animal was made with m/z = 820; this AA-containing PC showed a higher accumulation with age in WT mice.
To evaluate DHA-containing PC, we have investigated the abundance of m/z = 844 PC (16:0/22:6) + K+ and found that at 2 months of age this lipid was more abundant in the App KI mice, but at 8 months it was detected in higher levels in the WT mice, while at the oldest age the level was only slightly higher in WT mice. Overall, this comparison suggests that the mechanism of the progression of the AD-pathology resides in molecular lipid variations early in the development, followed by an accumulation of these changes during aging, and that these variations could be further attributed to the ionic composition of the intracellular and extracellular environment of the neurons and glial cells.
Marked increase in brain pro- and anti-inflammatory cytokines/chemokines at 18 months of age
We next investigated whether cytokine and chemokine levels were altered in relation to age and pathology in a similar fashion as the bioactive lipids using multiplex analysis for 19 cytokines and chemokines (Fig. 6a). Pro-inflammatory chemokines (MIP-1α and MIP-2) and cytokines (IL-1β, TNF-α, IP-10) showed increases with age in both WT and App KI mice (Fig. 6a, Additional file 3: Fig. S3). Furthermore, most of the pro- and anti-inflammatory cytokines showed the highest levels in 18 months old App KI mice (Additional file 3: Fig. S3).
Heat maps of the data show that both pro- (IL-1β, TNF-α, IP-10, KC-GRO, IL-6, IL-2, IL-12p70, IFN-γ, MIP-2, MIP-1α, IL-15, IL-17A/F, MCP-1, and IL-33) and anti-inflammatory (IL-4, IL-5, and IL-27 p28/IL-30) factors were significantly increased in the cortex of 18-month-old App KI mice compared to WT mice (Fig. 6a). In the hippocampus, the pro-inflammatory factors (IL-1β, TNF-α, IP-10, KC-GRO, MIP-2, MIP-1α, IL-15, IL-17A/F, MCP-1, and IL-33) and IL-27 p28/IL-30, were significantly higher in 18-month-old App KI compared to WT mice (Fig. 6a). Surprisingly, the cytokine IL-33, shown to be decreased in human AD brains , was elevated in 18-month-old App KI mice, but a significant increase was also seen in 18 months old WT mice.
Differential expression of microglial and astrocyte markers
We proceeded to investigate markers for an inflammatory phenotype expressed by microglia and astrocytes, i.e. triggering receptor expressed on myeloid cells-2 (TREM-2), galectin-3 (Gal-3), transmembrane protein 119 (TMEM119), chitinase-3-like protein 1 (YKL-40), and complement component 3 (C3). Apart from TM119, the microglial markers TREM-2, Gal-3 and C3 showed an increase with age in both cortex and hippocampus (Fig. 6b, c), and in the case of TREM-2 and Gal-3 this was seen only in the App KI mice, except for the hippocampus where there was also a marked increase in TREM-2 in 18 months old WT mice. At this age, the TREM-2 and Gal-3 levels were higher in App KI than in WT mice in both regions, and Gal-3 was also higher in the App KI mice at 8 months whereas TREM-2 only showed this difference at 8 months in the hippocampus. In the cortex, TREM-2 levels were lower in App KI mice compared to WT mice at 4 months, when both groups showed a decrease compared to 2 months.
The complement factor C3 showed a decrease in App KI mice compared to WT mice in the hippocampus at 18 months (Fig. 6c).
TMEM119, a marker for resident microglia , exhibited high levels in the cortex of both App KI and WT mice at 8 months age (Fig. 6c). An increase in App KI mice was observed in both cortex and hippocampus at 2 months, but a decrease was found in the cortex at 4 months and in the hippocampus at 18 months compared to WT mice.
YKL-40, expressed by astrocytes, unexpectedly displayed lower levels in App KI mice at 8 months in cortex and at 4 and 18 months in hippocampus (Fig. 6c).
Differential activation of microglia and astrocytes upon increased amyloid pathology in App KI mice
Reactive gliosis is a well-established pathological process shown to be involved in AD pathogenesis [1, 5]. To determine the extent of the microgliosis and astrogliosis in relation to increasing AD-like pathology, sections from 2-, 4-, 8-, and 18-month-old WT and App KI mouse brains were processed for immunohistochemistry with the markers S100β (Fig. 7), Iba1 and GFAP (Additional file 4: Fig. S4). App KI mice exhibited significantly increased numbers of Iba1-positive microglia within the cerebral cortex and the CA1 at 4, 8, and 18 months compared to WT mice. In the dentate gyrus (DG), the microglia count was higher in App KI mice only at 18 months of age (Additional file 4: Fig. S4B). From 4 to 18 months of age, Iba1-positive microglia displayed a clearly activated phenotype with increased Iba1-immunoreactivity, retracted processes, and amoeboid appearance in clusters of cells (Additional file 4: Fig. S4A).
We then analyzed sections incubated with the astrocyte markers GFAP and S100β. There was a significant increase in GFAP-positive astrocytes in all regions analyzed (cerebral cortex, DG, CA1) of 18-month-old App KI mice compared to WT (Additional file 4: Fig. S4D). Surprisingly, younger ages did not show any difference between WT and App KI mice, but at 8 months of age, the number of GFAP-positive cells was higher in the cortex of App KI mice (p = 0.051) (Additional file 4: Fig. S4D). We also observed that there were fewer GFAP-positive cells in the cortex than in the DG and CA1 in WT mice (Additional file 4: Fig. S4C). The S100β-positive cells, however, were more evenly distributed (Fig. 7a), and analysis of cell counts showed similar results as for GFAP. Thus, S100β-positive cells were significantly more numerous in the DG and CA1 of App KI mice compared to WT mice at 18 months of age (Fig. 7b). However, there was no difference between WT and App KI mice with regard to the number of S100β-positive cells in the cortex (Fig. 7b).
Effects of age on LMs and fatty acid acyl chain composition of phospholipids—relation to amyloid
Age-related changes in LMs and PUFA-containing phospholipids are visualized in heatmaps displaying the development of Aβ plaque load (Additional file 5: Fig. S5). Proportions of AA (38:5, 38:4)- and DHA (38:6, 40:7, 44:12)-containing PC, PE and PS were increased with age in both cortex and hippocampus of WT mice. In contrast, PS and PE 40:6 were at the highest levels at 2 and 4 months of age, respectively. A similar age-dependent pattern was observed in the hippocampus of App KI mice (Additional file 5: Fig. S5B). However, in the cortex of App KI mice, only PC 38:5, PC 40:7 and PC 44:14 showed a gradual increase. Other AA- and DHA-containing phospholipid classes demonstrated alterations at different time points (Additional file 5: Fig. S5A).
The bioactive LMs showed a similar age-dependent development in the hippocampus of WT and App KI mice, where most of the LMs (RvE1, MaR1, NPD1, LTB4, PGD2, PGF2a, 12-HETE, 15-HETE, 14-HDHA, 17HDHA, 20-HDHA) displayed a gradual increase from 2 months, the highest levels at 8 months, and then a drop at 18 months. In the cortex of the App KI mice, however, these LMs remained at high levels at 18 months (Additional file 5: Fig. S5).
Importance of phospholipids and inflammatory proteins to discriminate between App KI and WT mice is dependent on age—multivariate discriminant model
To further investigate how the levels of lipid and protein mediators, enzymes, receptors, and phospholipids differ between WT and App KI mice at different ages, a multivariate approach was employed (Fig. 8), providing a means of analyzing the relationship between many factors simultaneously by estimating how well their covariance can be mathematically explained by introducing a new dimension(s) upon which the variables are projected. We used orthogonal projections to latent structures (OPLS)—discriminant analysis (DA) to produce a model to elucidate which factors are important for discriminating between WT and App KI mice, as well as how the covariance can be explained by a component orthogonal to the discriminatory component, i.e. variability in the data not related to genotype.
First, separate OPLS-DA models of cortex and hippocampus including animals of all ages were produced (Fig. 8a). For both regions, there was a distinct separation of animals according to genotype on the discriminant (X) component. Cross-validation showed that the models were of reasonably good quality (R2(cum) = 0.499, Q2(cum) = 0.523 for cortex, and R2(cum) = 0.557, Q2(cum) = 0.311 for the hippocampus). However, the case scatter plots of the animals in Fig. 8a clearly show a separation along the orthogonal (Y) component according to age, supporting the results from univariate statistics showing that the age of the animals is an important determinant for the pattern of levels of proteins, lipids, and phospholipids. Therefore, to elucidate the discriminative influence of the factors on genotype more distinctly we produced age-specific OPLS-DA models.
The eight resulting models were of very good quality as shown by cross-validation, with R2(cum)values close to 1, and Q2(cum)-values around 0.7. The models seen in Fig. 8b, c suggest an age-related shift, where phospholipids are the most important class of factors for discrimination in the youngest animals (Fig. 8b) and inflammatory protein and peptide factors are most important in the oldest (18-month-old) animals (Fig. 8c). For example, in 2-month-old animals, the presence of high levels of PS (40:5) in the cortex and hippocampus was highly influential in discriminating (classifying) animals as App KI, while PE (36:3) and PS (40:6) drove classification as WT. In contrast, high levels of the inflammatory proteins MIP-1α, IL-1β and Gal-3 were important factors in both cortex and hippocampus for classification as App KI in 18-month-old animals.
The pattern influencing classification as WT was less clear and less consistent between the regions. In the cortex, high levels of the astrocytic markers C3 and YKL-40 drove the classification as WT, while in the hippocampus, a mix of phospholipids (SM (18:1) and PC (40:6)), LM receptors (FPR2 and GPR18), enzymes involved in lipid synthesis (cPLA2 and 5-LOX), and activation of inflammatory stress pathway proteins (p-p38/p38 and p-JNK/JNK) drove the classification as WT.
Hence, the MVA OPLS-DA model strongly support the results from the univariate statistical analysis, highlighting the dominant influence of aging on the levels of factors, while also showing that factors important for discriminating between WT and App KI mice to a large extent overlap with factors that showed significant difference in univariate comparison.
The void in our current understanding of the factors that modulate neuronal survival signaling in the aging brain as well as during AD pathogenesis was tackled here in several ways. We defined phospholipid composition of cell membranes that form a proper milieu for the function of key proteins as well as being storage sites of LM precursors during aging and in an AD model. In addition, we found that pro-inflammatory and pro-resolving LMs do not change until advanced age in the WT mice and in the AD model, despite Aβ production. Furthermore, the LM biosynthetic enzymes were increased, and their receptors decreased in the oldest App KI mice. Because AA-containing phospholipid molecular species were elevated in the AD model, and spatial molecular imaging of phospholipids depicted differential distribution according to genotype in the hippocampal layers we suggest that this reflects decreased cPLA2 activity. Histology unveiled the early onset of microglia proliferation in the App KI mice, while astrocyte numbers were augmented in older ages. Interestingly, the proliferation and morphological signs of microglial activation were not accompanied by increases in inflammatory mediators until the oldest age. The multivariate analysis clearly demonstrated an age-related shift in the pattern of differences between WT and App KI, with increased inflammation in the cortex and hippocampus of App KI mice with age, while differences in phospholipid content became less prominent. Furthermore, the multivariate analysis showed that loadings on the discriminatory component corresponded with univariate analysis in many cases (Gal-3, TREM-2, C3, and PC (18:0/22:6)).
Age-related changes in brain lipids have given inconsistent results in human and animal studies [17, 96]. One of the main reasons for this has been that, unlike the present study, individual phospholipids and their molecular species were often not studied. In cortex and hippocampus of WT mice we found a gradual increase in AA- and DHA-containing PC, PE, and PS classes with age, indicating that phospholipid composition follows a similar pattern between two regions . In the App KI mice, the aging process had a different effect in the cortex and hippocampus on the proportions of PUFAs in phospholipid classes. This indicates that the alterations in PUFA composition of the AD brain are due to a slower or inadequate aging than in healthy brains . In the present study, hippocampus of the App KI mice showed a gradual elevation for AA- and DHA-containing phospholipids, where 18-month-old mice had the highest levels compared to younger ages. However, in the cortex of App KI mice, this pattern is not followed, which may indicate that the hippocampus of App KI mice is influenced by Aβ pathology and may have a higher resistance to oxidative stress than the cortex and is more similar to the WT mice [80, 95].
There are age-related changes in the biosynthesis of LMs for both WT and App KI mice with the largest alterations in LM abundance at 8 months of age for both groups of mice, and a gradual increase starting at 2 months. Intriguingly, the LMs drop at 18 months of age. However, the cortex of the aged App KI mice showed high levels of intermediate LMs, as well as some of the pro-resolving LMs indicating that the pathways are turned-on, however not yet fully active. This supports our hypothesis that the hippocampus may have a more effective oxidative defense, indicating the vulnerability of the cortex . Thus, in the App KI mice, the cortex and hippocampus are not equally affected during aging with pathology. Due to the advanced pathology, the cortex may be attempting to provide neuronal survival with the synthesis of LMs at old age, more than the hippocampus.
Pro-inflammatory LMs followed by pro-resolving LM production at the peak of inflammation counteract inflammatory damage [61, 78]. Deficiency in inflammation resolution fosters chronic inflammatory diseases, including AD and MS [18, 38, 49, 99], but alterations in LMs have not been studied from a perspective of aging and AD disease progression. Therefore, we have correlated our data with aging and the progression of AD pathology by defining levels of LMs (intermediate, pro-inflammatory and pro-resolving) and their biosynthetic enzymes and multi-ligand receptors in WT and App KI mice at different ages. We found that pro-inflammatory (PGD2, PGE2, PGF2α, and LTB4) as well as pro-resolving (RvE1, NPD1, and LXA4) LMs were higher in App KI mice than in WT mice at 18 months. PGE2, LTB4, and LXA4, derived from AA, are initiators of ‘class-switching’ of the biosynthetic production from AA to DHA and EPA , and their increase implies that inflammation resolution begins at 18 months in the App KI mice as an attempt to slow down damaging inflammation, as evidenced by the production of pro-resolving LMs (RvE1 and NPD1). Our observations on biosynthetic enzymes and receptors for LMs further support this concept. COX-1, involved in prostaglandin (PG) production , increases with age , as confirmed by our results for both WT and App KI mice. Furthermore, the levels of COX-1 in cerebral cortex and hippocampus were higher in 18-month-old App KI mice than in WT mice, correlating with the elevated levels of PGs. AD brains showed increased expression of 15-LOX-1 , and similarly, we found higher levels of this enzyme in the App KI mice at an age (18 months) when an increase in 15-HETE, 17-HDHA, and LXA4 levels, all of which are products of 15-LOX-1 enzyme activity, takes place [8, 29, 52]. Upon translocation to the nuclear envelope, 5-LOX mediates the production of pro-inflammatory LMs, but when phosphorylated at Ser523, this translocation is prevented , leading to decreased leukotriene production and a class-switch towards the production of pro-resolving LMs. Furthermore, our findings of increased LTB4 levels in the App KI mice at 18 months and decreased p-5-LOX levels in cortex and hippocampus are consistent with a pro-inflammatory phenotype in the brain of older App KI mice.
The differential expression of bioactive LM receptors discloses that FPR2, mediating the activities of LXA4 and RvD1, was decreased in the cortex of App KI mice at 8 and 18 months, suggesting a negative feedback response to the elevated LXA4 levels. Interestingly, Aβ is a ligand for this receptor , and the increased levels of Aβ may contribute to the negative feedback. Earlier studies have demonstrated a reduction in FPR2 levels in an AD mouse model and an in vitro model . BLT1 and ChemR23, receptors for RvE1, were also found to be reduced in the App KI mice, and the increased levels of RvE1 suggests a compensatory mechanism [20, 99]. It is noteworthy that our previous studies in human post mortem brains showed increased levels of these receptors in AD [20, 99]. However, the stage of AD pathology in 18-month-old App KI mice is conceivably less advanced compared to that seen in human post mortem brains, which may explain the discrepancy. Together with previous studies, our data using the AppNL−G−F knock-in mouse model suggest that at early stages in AD, resolution is initiated by increasing pro-resolving LM production and LM receptor expression. Due to Aβ accumulation and the ensuing chronic inflammation, resolution fails, pro-resolving LM levels drop, and the expression of their receptors increases as a response to under-stimulation. In contrast, the levels of LGR6, a receptor for MaR1 , were higher in App KI than in WT mice in all ages studied. LGR6 is expressed in phagocytes, and MaR1 induces phosphorylation of specific kinases in an LGR6-dependent manner . Higher levels of LGR6 may reflect a compensatory mechanism to promote resolution in response to insufficient MaR1 availability.
To define the availability of precursors for the production of bioactive pro-resolving LMs in the brain, we analyzed phospholipids containing DHA and AA in the App KI mice, and showed that DHA-containing PCs, PEs, and PSs were reduced in the cortex and hippocampus of App KI mice, especially at 18 months, in agreement with data on human AD brain and other AD models [16, 65]. Conversely, AA-containing PCs, PEs and PSs were increased, also in line with previous studies . These results indicate an imbalance between DHA and AA availability at 18 months in the App KI model. Therefore, decreased DHA and increased AA levels may contribute to the increased production of inflammatory LMs and the reduced formation of pro-resolving LMs in advanced ages, thus driving chronic inflammation.
To validate the changes in DHA- and AA-containing phospholipids, we analyzed the levels of cPLA2, an enzyme that preferentially cleaves AA from brain phospholipids . Phosphorylation of cPLA2 at Ser505 by MAPK kinases enhances cPLA2 activity and the release of AA from phospholipids. Our analysis showed a decreased phosphorylation rate of cPLA2, consistent with the increased brain AA incorporation in App KI mice. Moreover, we observed increased levels of cPLA2 at all ages of the App KI mice, similar to observations in post mortem AD brains [40, 82]. cPLA2 is phosphorylated at Ser505 by either ERK1/2, p38, or JNK, the three main effectors of the MAPK cascade pathway, resulting in the increased specific activity of the enzyme [10, 19, 47]. The observed decrease in the phosphorylation rate of ERK1/2, p38, and JNK in App KI mice is in agreement with the reduced levels of p-cPLA2 and may reflect reduced levels of activation of the MAPK cascades or increased activity of phosphatases such as PP2A, able to dephosphorylate MAPKs or their upstream MAPKs [79, 87, 105].
Lipid profiling of tissue homogenates encompasses alterations within the entire cortex and hippocampus regions, and changes observed in phospholipids and LMs reflect neurons, glia and other cells. Moreover, lipid analysis using whole-brain tissue may mask cell-specific differences in lipid alterations in different regions of the CNS . MALDI imaging investigates the localization of the changes in phospholipids within the brain, and with the current level of resolution of the method (15 µm) the MALDI-IMS allowed us to observe regional differences in molecular species of phospholipids in the hippocampal CA1 region of WT and App KI animals. It would be of great interest to decipher changes in lipid composition in different cell types. However, the images obtained by this technique show phospholipids from all cell types present in the analysed area and the exact cellular localization and profile of phospholipids remains to be determined by further improvements of the technique, and other approaches . The results obtained showed that AA-containing PC, PC (16:0/20:4) + K+ accumulated with age in the WT mice, while the DHA-containing PC, PC (16:0/22:6) + K+ was widespread in the WT as the animal aged. MALDI-IMS data are not quantifiable and thus we only report the relative abundance of the most represented molecules. MALDI-IMS also highlighted variations in Na+/K+ relative abundance in the hippocampus of the animals. Previous MALDI studies have demonstrated a large abundance of protonated lipid species in healthy tissue, while an increase in lipids associated with Na+ and K+ adducts is correlated with the pathophysiology, where inflammation, gliosis, necrosis and apoptosis occur . These changes in intracellular and extracellular Na+/K+ balance could be attributed to the activation of microglial voltage-gated sodium channels , lipid peroxidation by modifying the function of Na+/K+ ATPase , or could be linked to the channel hypothesis proposing that Aβ peptides form ion channels permissive for Ca2+, Na+, K+, Cs+, Li+, and even Cl− entry .
Surprisingly, only a limited range of pro-inflammatory cytokines and chemokines was upregulated at an early age of the App KI mice, despite the production of Aβ already at 2 months. However, the early response pro-inflammatory cytokines [4, 59], TNF-α and IL-6, were increased at 2 months of age in the App KI mice, in agreement with early microglial activation, suggesting a response to Aβ peptide accumulation. Interestingly, anti-inflammatory cytokines (IL-4, IL-5, and IL-27 p28/IL-30) were also upregulated at 2 and 4 months of age indicating an attempt to resolve inflammation at an early stage of Aβ pathology. IL-4 suppresses TNF-α and IL-1β production , while IL-5 promotes survival and growth  and IL-27 p28/IL-30 induces production of the anti-inflammatory cytokine IL-10 . Remarkably, the most prominent changes in cytokines/chemokines occurred at 18 months in the App KI mice, and the levels of these factors were markedly higher at 18 months than in younger ages.
TREM-2 is a transmembrane receptor crucial for regulating microglial inflammatory responses and phagocytosis , and mutations of TREM-2 are associated with high-risk AD development . In line with previous reports , we showed upregulated TREM-2 levels in 8- and 18-month-old App KI mice, in support of a peak of inflammation at 18 months of age when microglia respond to advanced Aβ pathology in an attempt to increase phagocytic function. Additionally, increased levels of TREM-2 correlate with microglial proliferation, as indicated by decreased numbers of microglia after injury in TREM-2 and DAP12 (ligand for TREM-2) knock-out mouse models [37, 68].
Gal-3 is a newly identified ligand of TREM-2 , and our studies showed increased levels of Gal-3 in both the cortex and hippocampus of the App KI mice, in agreement with upregulation in mouse and human post mortem AD brains [92, 100]. TMEM119 is a marker for resident microglia , and our data showed an upregulation in both cortex and hippocampus in 2 months old App KI mice. This may indicate an increased number of resident microglia in response to the newly formed Aβ in the young App KI mice. The finding that TMEM119 levels were decreased in the older mice suggests that the microglia reach a phase of activation near phagocytic function, supporting previous studies .
Markers for astrocytes indicated a different pattern of activation. YKL-40, a glycoprotein expressed by astrocytes , is elevated in the brain and CSF of AD patients [20, 48] and is a potential diagnostic biomarker for neurodegenerative diseases [2, 15]. Increased expression of YKL-40 has been observed in cells with high cellular activity, and a role in tissue remodeling during inflammation has been suggested [42, 71, 72]. Unexpectedly, the YKL-40 levels were reduced in the App KI mice at 4, 8, and 18 months. A possible explanation may be that secretion of YKL-40 to the CSF and blood resulted in reduced levels in the brain. The reports of increased levels of YKL-40 in CSF and plasma were based on samples from early AD , and our results strongly indicate that the ages analyzed (2, 4, 8, and 18 months) represent the beginning of inflammation in the App KI. Studies showing increased levels of YKL-40 in post mortem AD brains are conceivably based on cases with advanced stages of AD.
C3 is an important complement factor for the crosstalk between microglia and astrocytes  and was found to be upregulated in AD . Aβ-induced activation of nuclear factor κB (NF-κB) in astrocytes resulted in the release of C3, which acts on the C3a receptor in microglia . Our studies showed decreased levels of C3 in the hippocampus of 18-months-old App KI mice. Complement activation leads to the production of functional fragments, with sequential cleavages from the conversion of C3, involved in phagocytosis via C3b opsonization and chemotaxis via C3a and C5a . Thus, the decrease in C3 levels may be due to cleavage into fragments since the antibody used was against intact component C3 (185 kDa) but not the fragments, suggesting complement activation at 18 months in the App KI mice .
The App KI model presents microgliosis and astrogliosis that increase with age in the cortex and hippocampus . Our data showed a higher cell count for Iba1-positive cells in the App KI mice, starting from 4 months and showing the most significant difference from WT mice at 8 and 18 months of age. Iba1 is widely used to show all forms of microglia, and there is ample evidence for an upregulation of Iba1 immunoreactivity during inflammation . We observed abundant Iba1-positive microglia in the cortex and CA1, and clusters of microglia are seen in the vicinity of Aβ plaques  at 4, 8 and 18 months. The increase in the number of Iba1-positive microglia with age in App KI mice supports our finding of elevated TREM-2, a protein known to be involved in microglial proliferation .
Astrocytes undergo functional and morphological changes during aging, and recent reports address this heterogeneity within different brain regions . Isolation of cells from specific brain regions for proteomics  and RNA profiling  revealed differences in gene expression and morphological features of astrocytes within individual brain regions . GFAP is a marker for astrocyte activation  and cell count. However, histological analysis indicated that S100β as a cytosolic marker is more suitable for the analysis of overall distribution and cell count within the entire brain, while GFAP is mainly found to be expressed by astrocytes within the hippocampus . Therefore, our analysis of astrocytes was performed using both of these markers, showing the estimated number of astrocytes labelled with S100β and the number of reactive astrocytes labelled with GFAP. Both markers showed an increase in astrocyte count in the hippocampus of 18-months-old App KI mice, in line with findings for C3. However, in the cortex, there was no difference in S100β-positive astrocytes between App KI and WT mice, whereas GFAP-labelling showed an increase in 18 months old App KI mice. These findings indicate that the advanced Aβ plaque-pathology in the cortex results in upregulation of GFAP expression by astrocytes due to their activation.
In conclusion, we uncover lipidomic profiles, including biosynthetic pathways and inflammatory factors in relation to increasing age and pathology of the App KI model in comparison with age-matched WT mice. Importantly, our data showed that both pro-inflammatory and pro-resolving LMs were elevated in 18 months old App KI mice, indicating a peak of inflammation and a class-switching mechanism. This also indicates that the production of Aβ at earlier ages did not induce a potent inflammatory response until the Aβ plaque pathology was excessive since the most pronounced alterations were observed at 18 months of age. Furthermore, the highest levels of cytokines and chemokines were observed in 18 months old App KI mice, similar to the findings on LMs and emphasizing the necessity of further investigation in even more advanced ages to see if pro-resolving LMs drop and inflammatory LMs continue to increase, as hypothesized based on human post mortem brain studies. The findings of this study open avenues to explore aging and disease mechanisms and the potential use of pro-resolving LMs to blunt inflammation onset at an early disease stage before inflammation becomes chronic.
Availability of data and materials
The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.
Amyloid precursor protein
Cornu Ammonis 1
Chemokine-like receptor 1
Complement component 3
Formyl peptide receptor 2
G-protein-coupled receptor 18
Liquid chromatography-tandem mass spectrometry
Leucine-rich repeat containing G protein-coupled receptor 6
- LTB4 :
- LXA4 :
Matrix-assisted laser desorption/ionization-imaging mass spectrometry
Mitogen-activated protein kinase
Orthogonal projections to latent structures
Radio immunoprecipitation assay
Transmembrane protein 119
Triggering receptor expressed on myeloid cells-2
Chitinase-3-like protein 1
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The authors would like to thank Dr. H-E. Claesson, Karolinska Insitutet, for the generous gift of antibodies against 15-LOX-1. We thank Drs Takaomi Saido and Takashi Saito at RIKEN Center for Brain Science for providing AppNL-G-F/NL-G-F mice.
Open access funding provided by Karolinska Institute. Financial support for this study was provided from The Swedish Research Council (22743, 22744), The Swedish Alzheimer Foundation, Karolinska Institutet research funds, Åhlén-Stiftelsen, Stiftelsen för Gamla Tjänarinnor, Gun och Bertil Stohnes Stiftelse, Hållstens forskningsstiftelse, Torsten Söderbergs Stiftelse and the EENT Foundation of New Orleans.
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All animal work was approved by the Stockholm Ethical Committee for animal experiments (permits 6-2014 with addition 1433-2018, and 12370-2019).
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. Analysis of LXA4 and MaR1 in cerebral cortex and hippocampus of App KI and WT mice. (A) Lipoxin A4 (LXA4) and maresin 1 (MaR1) were analyzed in the cerebral cortex and hippocampus of 2, 4, 8 and 18 months-old WT (n = 4-6) and App KI mice (n = 6-7) using LC-MS/MS. Horizontal bars indicate median. Groups below the limit of detection were not shown. Kruskal-Wallis with Dunn’s post hoc test was used for multiple comparisons (*P < 0.05, **P < 0.01).
. Western blot analysis of ERK1/2, p38, Akt and JNK phosphorylation in cortex and hippocampus of WT and App KI mice at 2, 4, 8 and 18 months-age. Densitometric quantification of bands after normalization with total protein and internal control are shown. Data are expressed as mean ± SEM, 6 mice in each group, and statistical significance analysed by Mann-Whitney U test (#P < 0.05, ##P < 0.01, ###P < 0.001) and Kruskal-Wallis one-way analysis of variance test with Dunn’s multiple comparison post hoc test (*P < 0.05, **P < 0.01, ***P < 0.001). ERK1/2 = extracellular signal regulated protein kinases 1 and 2, Akt = protein kinase B, JNK = c-Jun N-terminal kinase.
. Age comparison of cytokines and chemokines in 2, 4, 8 and 18 months-old mice for WT and App KI in the brain. Cytokines and chemokines were analyzed in homogenates of cerebral cortex and hippocampus by Meso scale v-plex assay. Data are expressed as mean ± SEM, 5-6 mice in each group and statistical analysis was performed with Kruskal-Wallis one-way analysis of variance test with Dunn’s multiple comparisons post hoc test, *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.001.
. (A, B) Sections stained for Iba1 show significantly higher number of Iba1-positive cells in App KI mice compared to WT mice starting at 4 months of age in cortex, DG and CA1. Cells were counted in three fields per section and two sections for each animal at 10x magnification. (C, D) Sections stained for GFAP show increased numbers of GFAP-positive cells in the cerebral cortex, DG and CA1 of 18 months old App KI mice compared to WT mice. Cells were counted in six fields per section and two sections per animal at 20x magnification. Cell numbers were normalized to area (mean ± SEM) (n = 5-6/group). Kruskal-Wallis one-way analysis of variance test with Dunn’s multiple comparison post hoc test *P < 0.05, **P < 0.01, ***P < 0.001; Mann-Whitney U test #P < 0.05, ##P < 0.01, ###P < 0.001). Scale bars = 30 and 300 μm. Iba1 = ionized calcium-binding adapter molecule 1, GFAP = glial fibrillary acidic protein, DG = dentate gyrus, CA1 = Cornu Ammonis 1.
. Heat map analysis of bioactive LMs, AA- and DHA-containing phospholipids and amyloid levels in 2, 4, 8 and 18 months-old WT (n = 4-6) and App KI mice (n = 6-7). Rows represent the median values and columns represent different ages of WT and App KI mice. Grey colour represents undetected value.
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Emre, C., Do, K.V., Jun, B. et al. Age-related changes in brain phospholipids and bioactive lipids in the APP knock-in mouse model of Alzheimer’s disease. acta neuropathol commun 9, 116 (2021). https://doi.org/10.1186/s40478-021-01216-4
- Lipid mediators