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Soluble pre-fibrillar tau and β-amyloid species emerge in early human Alzheimer’s disease and track disease progression and cognitive decline

Koss, David J., Jones, Glynn, Cranston, Anna, Gardner, Heidi, Kanaan, Nicholas M., Platt, Bettina·2016·Acta Neuropathologica

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Figures

Fig. 1 Cognitive performance during disease progression. Assessment scores from ‘Mini Mental State Exam’ (MMSE, a) as well as global and memory scores from the ‘Clinical Dementia Rating’ (CDR, b) are correlated with disease progression based on Braak stage. Significances (p) and Spearman’s correlation index (r) are provided within each graph. Data are expressed as mean ± SEM, ****p < 0.0001
Fig. 1 Cognitive performance during disease progression. Assessment scores from ‘Mini Mental State Exam’ (MMSE, a) as well as global and memory scores from the ‘Clinical Dementia Rating’ (CDR, b) are correlated with disease progression based on Braak stage. Significances (p) and Spearman’s correlation index (r) are provided within each graph. Data are expressed as mean ± SEM, ****p < 0.0001CC BY · PubMed Central
Fig. 2 Phospho-tau pathology. Dot blots for a AT8, b PHF-1, c CP13 phospho-tau immunoreactivity. Cases within example dot blots are labelled for diagnosis [non-AD control cases (‘C’) and AD] and Braak stage (Br). Analyses stratified for ii) diagnosis, iii) severity (Low: Br 0–2, Intermediate (Inter): Br 3–4 and High: Br 5–6), and (iv) correlation with individual Braak stages are shown. Statistical outcomes are depicted as **p < 0.01, ***p < 0.001, ****p < 0.0001 and Spearman’s correlation (r). The earliest Braak stage at which immunoreactivity was significantly elevated from Braak 0 is also indicated ($)
Fig. 2 Phospho-tau pathology. Dot blots for a AT8, b PHF-1, c CP13 phospho-tau immunoreactivity. Cases within example dot blots are labelled for diagnosis [non-AD control cases (‘C’) and AD] and Braak stage (Br). Analyses stratified for ii) diagnosis, iii) severity (Low: Br 0–2, Intermediate (Inter): Br 3–4 and High: Br 5–6), and (iv) correlation with individual Braak stages are shown. Statistical outcomes are depicted as **p < 0.01, ***p < 0.001, ****p < 0.0001 and Spearman’s correlation (r). The earliest Braak stage at which immunoreactivity was significantly elevated from Braak 0 is also indicated ($)CC BY · PubMed Central
Fig. 3 Conformational and oligomeric tau pathology. a Alz-50 and b MC-1 conformational tau and c oligomeric tau (tau-oligomeric-complex 1; TOC1) dot blots. The inset (C) illustrates an example Western blot for TOC1 run under non-reducing, non-denaturing conditions, labels show diagnosis status (C = non-AD and AD). In A–C, quantifications of immunoreactivity is categorised according to diagnosis (ii), severity (iii, low: Br 0–2, intermediate (Inter): Br 3–4 and High: Br 5–6) and correlation with Braak stage (iv). Significances are indicated as follows: *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001 and Spearman’s correlation (r). The lowest Braak stage at which immunoreactivity was significantly elevated from Braak 0 is indicated by $
Fig. 3 Conformational and oligomeric tau pathology. a Alz-50 and b MC-1 conformational tau and c oligomeric tau (tau-oligomeric-complex 1; TOC1) dot blots. The inset (C) illustrates an example Western blot for TOC1 run under non-reducing, non-denaturing conditions, labels show diagnosis status (C = non-AD and AD). In A–C, quantifications of immunoreactivity is categorised according to diagnosis (ii), severity (iii, low: Br 0–2, intermediate (Inter): Br 3–4 and High: Br 5–6) and correlation with Braak stage (iv). Significances are indicated as follows: *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001 and Spearman’s correlation (r). The lowest Braak stage at which immunoreactivity was significantly elevated from Braak 0 is indicated by $CC BY · PubMed Central
Fig. 4 Amyloid precursor protein cleavage. Exemplary Western blots for a full-length APP detected via 6E10 immunoreactivity, and b β-secretase (BACE1) are illustrated. Braak stage (Br) and diagnosis (non-AD (C) cf. AD) are stated above each sample. Positive (+ve) control: human APP overexpressing mouse and negative (−ve) control (in a: wild-type C57/BL6 mouse and in b: BACE1−/− mouse) are included. Total protein normalised immunoblot signals were analysed according to diagnosis (ii), severity (iii, low: Br 0–2, intermediate (Inter): Br 3–4 and high: Br 5–6) and Braak stage correlation (iv). Statistical results are presented as *p < 0.05, **p < 0.01 and Spearman’s correlation (r) are stated in the graphs. $ indicates the lowest Braak stage at which immunoreactivity differed significantly from Braak 0
Fig. 4 Amyloid precursor protein cleavage. Exemplary Western blots for a full-length APP detected via 6E10 immunoreactivity, and b β-secretase (BACE1) are illustrated. Braak stage (Br) and diagnosis (non-AD (C) cf. AD) are stated above each sample. Positive (+ve) control: human APP overexpressing mouse and negative (−ve) control (in a: wild-type C57/BL6 mouse and in b: BACE1−/− mouse) are included. Total protein normalised immunoblot signals were analysed according to diagnosis (ii), severity (iii, low: Br 0–2, intermediate (Inter): Br 3–4 and high: Br 5–6) and Braak stage correlation (iv). Statistical results are presented as *p < 0.05, **p < 0.01 and Spearman’s correlation (r) are stated in the graphs. $ indicates the lowest Braak stage at which immunoreactivity differed significantly from Braak 0CC BY · PubMed Central
Fig. 5 Monomeric β-amyloid (Aβ). Immunoblot for a monomeric Aβ (6E10 antibody). Diagnosis (Non-AD (C) cf. AD) and Braak stage is stated for each case. Positive (+ve) control: human APP overexpressing mouse and negative (−ve) control (wild-type mouse) samples are also shown. Size comparison was established via a Coomassie stained low molecular weight protein ladder (insert). Quantification was conducted either for all cases (b) or only for samples where a band was evident (c), the percentage (%) of cases in which monomeric Aβ was detected is stated below the graph. Total protein adjusted immunosignal stratified to i) diagnosis ii) severity (Low: Br 0–2, Intermediate (Inter): Br 3–4 and High: Br 5–6) and iii) correlation with individual Braak stage. Significances are illustrated as ***p < 0.001, ****p < 0.0001, Spearman’s correlation is also stated. $: indicates the earliest Braak stage at which immunoreactivity was higher than that observed at Braak stage 0
Fig. 5 Monomeric β-amyloid (Aβ). Immunoblot for a monomeric Aβ (6E10 antibody). Diagnosis (Non-AD (C) cf. AD) and Braak stage is stated for each case. Positive (+ve) control: human APP overexpressing mouse and negative (−ve) control (wild-type mouse) samples are also shown. Size comparison was established via a Coomassie stained low molecular weight protein ladder (insert). Quantification was conducted either for all cases (b) or only for samples where a band was evident (c), the percentage (%) of cases in which monomeric Aβ was detected is stated below the graph. Total protein adjusted immunosignal stratified to i) diagnosis ii) severity (Low: Br 0–2, Intermediate (Inter): Br 3–4 and High: Br 5–6) and iii) correlation with individual Braak stage. Significances are illustrated as ***p < 0.001, ****p < 0.0001, Spearman’s correlation is also stated. $: indicates the earliest Braak stage at which immunoreactivity was higher than that observed at Braak stage 0CC BY · PubMed Central
Fig. 6 Heat-dependent detection of Aβ oligomers. a Side by side comparison of 6E10 immunoreactivty following boiling and non-boiling of samples prior to SDS-PAGE separation. Monomeric, trimeric and *56 Aβ bands are indicated alongside individual diagnosis (C non-AD control and AD cases) and Braak stage (Br) classifications. Quantification of *56 oligomeric Aβ levels according to i) diagnosis, ii) severity (Low: Br 0–2, intermediate (Inter): Br 3–4 and High: Br 5–6) and iii) correlation to individual Braak stage for boiled (b) and non-boiled (c) samples
Fig. 6 Heat-dependent detection of Aβ oligomers. a Side by side comparison of 6E10 immunoreactivty following boiling and non-boiling of samples prior to SDS-PAGE separation. Monomeric, trimeric and *56 Aβ bands are indicated alongside individual diagnosis (C non-AD control and AD cases) and Braak stage (Br) classifications. Quantification of *56 oligomeric Aβ levels according to i) diagnosis, ii) severity (Low: Br 0–2, intermediate (Inter): Br 3–4 and High: Br 5–6) and iii) correlation to individual Braak stage for boiled (b) and non-boiled (c) samplesCC BY · PubMed Central
Fig. 7 Soluble Aβ detection. Example immunoblots for a i) MOAB-2 and b i) pyro-glu reactive Aβ; each case is labelled with corresponding diagnosis [Non-AD (C) cf. AD] and Braak stage. Quantified signals normalised to total protein are shown stratified to ii) diagnosis iii), severity (Low: Br 0–2, Intermediate (Inter): Br 3–4 and High: Br 5–6) and iv) correlation with Braak stage. *p < 0.05, ***p < 0.001, ****p < 0.0001 and Spearman’s correlation r is stated in iv. $ denotes lowest Braak stage at which immunoreactivity differed from Braak 0
Fig. 7 Soluble Aβ detection. Example immunoblots for a i) MOAB-2 and b i) pyro-glu reactive Aβ; each case is labelled with corresponding diagnosis [Non-AD (C) cf. AD] and Braak stage. Quantified signals normalised to total protein are shown stratified to ii) diagnosis iii), severity (Low: Br 0–2, Intermediate (Inter): Br 3–4 and High: Br 5–6) and iv) correlation with Braak stage. *p < 0.05, ***p < 0.001, ****p < 0.0001 and Spearman’s correlation r is stated in iv. $ denotes lowest Braak stage at which immunoreactivity differed from Braak 0CC BY · PubMed Central
Fig. 8 Heat sensitivity of soluble Aβ (MOAB-2 epitope). (i) Dot blots of either boiled or non-boiled samples probed with MOAB-2 for oligomeric Aβ. Diagnosis [non-AD (C) and AD] and Braak stage (Br) are shown for each sample. Matched samples for boiled vs non-boiled conditions were analysed according to diagnosis (ii) and severity (low: Br 0–2, intermediate (Inter): Br 3–4 and high: Br 5–6) (iii). Statistical outcome of a two-way ANOVA is reported in the corresponding graph. *p < 0.05 and ***p < 0.001
Fig. 8 Heat sensitivity of soluble Aβ (MOAB-2 epitope). (i) Dot blots of either boiled or non-boiled samples probed with MOAB-2 for oligomeric Aβ. Diagnosis [non-AD (C) and AD] and Braak stage (Br) are shown for each sample. Matched samples for boiled vs non-boiled conditions were analysed according to diagnosis (ii) and severity (low: Br 0–2, intermediate (Inter): Br 3–4 and high: Br 5–6) (iii). Statistical outcome of a two-way ANOVA is reported in the corresponding graph. *p < 0.05 and ***p < 0.001CC BY · PubMed Central

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Metadata

Authors
Koss, D. J., Jones, G., Cranston, A., Gardner, H., Kanaan, N. M., & Platt, B.
Venue
Acta Neuropathologica
Published
2016-10-21
Volume
132
Issue
6
Pages
875-895
ISSN
  • 0001-6322
  • 1432-0533
Cited by
136
References
21
Language
en
Licence
Funders
  • Alzheimer’s Research UK (ARUK-PPG2014A-21, ARUK-NSG2015-1)
  • National Institute on Aging (NIH/NINDS R01 NS082730, NIH/NINDS R01 AG044372)

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Koss, D. J., Jones, G., Cranston, A., Gardner, H., Kanaan, N. M., & Platt, B. (2016). Soluble pre-fibrillar tau and β-amyloid species emerge in early human Alzheimer’s disease and track disease progression and cognitive decline. Acta Neuropathologica. https://doi.org/10.1007/s00401-016-1632-3

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