Tau, a microtubule associated protein, is the major constituent of neurofibrillary tangles (NFT). These deposits are the most common neuronal inclusions in Alzheimer's disease (AD).
1- Spires-Jones T.L.
- Stoothoff W.H.
- de Calignon A.
- Jones P.B.
- Hyman B.T.
Tau pathophysiology in neurodegeneration: a tangled issue.
, 2- Gendron T.F.
- Petrucelli L.
The role of tau in neurodegeneration.
As a result of their correlation with synapse and neuronal loss and severity and duration of dementia in AD,
3- Arriagada P.V.
- Growdon J.H.
- Hedley-Whyte E.T.
- Hyman B.T.
Neurofibrillary tangles but not senile plaques parallel duration and severity of Alzheimer's disease.
, 4- Gomez-Isla T.
- Hollister R.
- West H.
- Mui S.
- Growdon J.H.
- Petersen R.C.
- Parisi J.E.
- Hyman B.T.
Neuronal loss correlates with but exceeds neurofibrillary tangles in Alzheimer's disease.
, 5- Giannakopoulos P.
- Herrmann F.R.
- Bussiere T.
- Bouras C.
- Kovari E.
- Perl D.P.
- Morrison J.H.
- Gold G.
- Hof P.R.
Tangle and neuron numbers, but not amyloid load, predict cognitive status in Alzheimer's disease.
, 6Frequency of stages of Alzheimer-related lesions in different age categories.
NFT have been thought to indicate neural dysfunction and impending neuronal death. Recent studies oppose this view and suggest that other pathological changes in tau, such as mislocalization to the somatodendritic compartment, hyperphosphorylation, and conformational changes, may be more detrimental to neurons than tangles. Animal models have demonstrated dissociations between NFT, neuronal dysfunction,
7- Rocher A.B.
- Crimins J.L.
- Amatrudo J.M.
- Kinson M.S.
- Todd-Brown M.A.
- Lewis J.
- Luebke J.I.
Structural and functional changes in tau mutant mice neurons are not linked to the presence of NFTs.
and neuronal loss.
8- Lasagna-Reeves C.A.
- Castillo-Carranza D.L.
- Guerrero-Muoz M.J.
- Jackson G.R.
- Kayed R.
Preparation and characterization of neurotoxic tau oligomers.
, 9- Santacruz K.
- Lewis J.
- Spires T.
- Paulson J.
- Kotilinek L.
- Ingelsson M.
- Guimaraes A.
- DeTure M.
- Ramsden M.
- McGowan E.
- Forster C.
- Yue M.
- Orne J.
- Janus C.
- Mariash A.
- Kuskowski M.
- Hyman B.
- Hutton M.
- Ashe K.H.
Tau suppression in a neurodegenerative mouse model improves memory function.
, 10- Spires T.L.
- Orne J.D.
- SantaCruz K.
- Pitstick R.
- Carlson G.A.
- Ashe K.H.
- Hyman B.T.
Region-specific dissociation of neuronal loss and neurofibrillary pathology in a mouse model of tauopathy.
, 11- Wittmann C.W.
- Wszolek M.F.
- Shulman J.M.
- Salvaterra P.M.
- Lewis J.
- Hutton M.
- Feany M.B.
Tauopathy in Drosophila: neurodegeneration without neurofibrillary tangles.
, 12- de Calignon A.
- Fox L.M.
- Pitstick R.
- Carlson G.A.
- Bacskai B.J.
- Spires-Jones T.L.
- Hyman B.T.
Caspase activation precedes and leads to tangles.
Meanwhile, tau overexpression, which results in abnormally high levels of soluble tau throughout the cell in the absence of aggregates, alters fast axonal transport, particularly in the anterograde or kinesin-dependent direction.
13- Berger Z.
- Roder H.
- Hanna A.
- Carlson A.
- Rangachari V.
- Yue M.
- Wszolek Z.
- Ashe K.
- Knight J.
- Dickson D.
- Andorfer C.
- Rosenberry T.L.
- Lewis J.
- Hutton M.
- Janus C.
Accumulation of pathological tau species and memory loss in a conditional model of tauopathy.
, 14- Dixit R.
- Ross J.L.
- Goldman Y.E.
- Holzbaur E.L.
Differential regulation of dynein and kinesin motor proteins by tau.
, 15- Dubey M.
- Chaudhury P.
- Kabiru H.
- Shea T.B.
Tau inhibits anterograde axonal transport and perturbs stability in growing axonal neurites in part by displacing kinesin cargo: neurofilaments attenuate tau-mediated neurite instability.
, 16- LaPointe N.E.
- Morfini G.
- Pigino G.
- Gaisina I.N.
- Kozikowski A.P.
- Binder L.I.
- Brady S.T.
The amino terminus of tau inhibits kinesin-dependent axonal transport: implications for filament toxicity.
, 17Missorting of tau in neurons causes degeneration of synapses that can be rescued by the kinase MARK2/Par-1.
, 18- Stoothoff W.
- Jones P.B.
- Spires-Jones T.L.
- Joyner D.
- Chhabra E.
- Bercury K.
- Fan Z.
- Xie H.
- Bacskai B.
- Edd J.
- Irimia D.
- Hyman B.T.
Differential effect of three-repeat and four-repeat tau on mitochondrial axonal transport.
This transport deficit is thought to lead to depletion of necessary materials, deterioration of the synapse, and a “dying back” of the neuron.
19- Eckert A.
- Schulz K.L.
- Rhein V.
- Gotz J.
Convergence of amyloid-beta and tau pathologies on mitochondria in vivo.
, 20- Morfini G.A.
- Burns M.
- Binder L.I.
- Kanaan N.M.
- LaPointe N.
- Bosco D.A.
- Brown Jr., R.H.
- Brown H.
- Tiwari A.
- Hayward L.
- Edgar J.
- Nave K.A.
- Garberrn J.
- Atagi Y.
- Song Y.
- Pigino G.
- Brady S.T.
Axonal transport defects in neurodegenerative diseases.
, 21Is abnormal axonal transport a cause, a contributing factor or a consequence of the neuronal pathology in Alzheimer's disease?.
We previously found in cultured neurons that alterations in axonal transport due to soluble tau over-expression resulted in perinuclear clumping of mitochondria.
18- Stoothoff W.
- Jones P.B.
- Spires-Jones T.L.
- Joyner D.
- Chhabra E.
- Bercury K.
- Fan Z.
- Xie H.
- Bacskai B.
- Edd J.
- Irimia D.
- Hyman B.T.
Differential effect of three-repeat and four-repeat tau on mitochondrial axonal transport.
Disruptions in mitochondrial distribution, morphology and function have been linked to several diseases and implicated as early pathogenic steps in neurodegenerative processes.
22Mitochondrial dysfunction and oxidative stress in neurodegenerative diseases.
, 23- Querfurth H.W.
- LaFerla F.M.
Alzheimer's disease.
, 24- Swerdlow R.H.
- Burns J.M.
- Khan S.M.
The Alzheimer's disease mitochondrial cascade hypothesis.
, 25The mechanism of Ca2+ -dependent regulation of kinesin-mediated mitochondrial motility.
, 26- Wang X.
- Su B.
- Lee H.G.
- Li X.
- Perry G.
- Smith M.A.
- Zhu X.
Impaired balance of mitochondrial fission and fusion in Alzheimer's disease.
, 27- Wang X.
- Su B.
- Zheng L.
- Perry G.
- Smith M.A.
- Zhu X.
The role of abnormal mitochondrial dynamics in the pathogenesis of Alzheimer's disease.
, 28Mitochondrial fusion and fission in cell life and death.
Studies of axonal transport and mitochondrial distribution have largely been limited to cell culture models, in which the effects of soluble tau species versus NFT have not been determined. In the current study, we tested the hypothesis that mitochondrial trafficking defects would occur
in vivo as a consequence of tau over-expression and/or its mislocalization and aggregation, and also asked whether defects in mitochondrial trafficking could be detected in human AD. Evidence of an imbalance of mitochondrial fission and fusion processes has been observed in Alzheimer's brain,
26- Wang X.
- Su B.
- Lee H.G.
- Li X.
- Perry G.
- Smith M.A.
- Zhu X.
Impaired balance of mitochondrial fission and fusion in Alzheimer's disease.
, 27- Wang X.
- Su B.
- Zheng L.
- Perry G.
- Smith M.A.
- Zhu X.
The role of abnormal mitochondrial dynamics in the pathogenesis of Alzheimer's disease.
, 28Mitochondrial fusion and fission in cell life and death.
, 29- Du H.
- Guo L.
- Yan S.
- Sosunov A.A.
- McKhann G.M.
- Yan S.S.
Early deficits in synaptic mitochondria in an Alzheimer's disease mouse model.
, 30- Li Z.
- Okamoto K.
- Hayashi Y.
- Sheng M.
The importance of dendritic mitochondria in the morphogenesis and plasticity of spines and synapses.
, 31- Verstreken P.
- Ly C.V.
- Venken K.J.
- Koh T.W.
- Zhou Y.
- Bellen H.J.
Synaptic mitochondria are critical for mobilization of reserve pool vesicles at Drosophila neuromuscular junctions.
which could contribute to mitochondrial dysfunction and changes in mitochondrial distribution. We investigated somatic and neuritic mitochondrial distribution and mitochondrial volumes in neurons and neuropil of rTg4510 mice, which over-express a human mutant form of tau (P301L) known to lead to dementia. The rTg4510 mice demonstrate age-related cognitive impairment, accumulation of NFT and neuronal loss but also harbor a doxycycline-regulatory domain that can be used as an “off-switch” for this mutant tau over-expression. Doxycycline treatment results in stabilization of neuronal number and recovery of cognitive function even in the face of continued accumulation of NFT.
9- Santacruz K.
- Lewis J.
- Spires T.
- Paulson J.
- Kotilinek L.
- Ingelsson M.
- Guimaraes A.
- DeTure M.
- Ramsden M.
- McGowan E.
- Forster C.
- Yue M.
- Orne J.
- Janus C.
- Mariash A.
- Kuskowski M.
- Hyman B.
- Hutton M.
- Ashe K.H.
Tau suppression in a neurodegenerative mouse model improves memory function.
, 10- Spires T.L.
- Orne J.D.
- SantaCruz K.
- Pitstick R.
- Carlson G.A.
- Ashe K.H.
- Hyman B.T.
Region-specific dissociation of neuronal loss and neurofibrillary pathology in a mouse model of tauopathy.
Since mitochondria are quite small, on the order of the limits of light microscopy, we used a recently developed high-resolution microscopy technique, array tomography, for precise localization of mitochondria as well as accompanying mitochondrial volume quantification.
32- Koffie R.M.
- Meyer-Luehmann M.
- Hashimoto T.
- Adams K.W.
- Mielke M.L.
- Garcia-Alloza M.
- Micheva K.D.
- Smith S.J.
- Kim M.L.
- Lee V.M.
- Hyman B.T.
- Spires-Jones T.L.
Oligomeric amyloid beta associates with postsynaptic densities and correlates with excitatory synapse loss near senile plaques.
, 33Array tomography: a new tool for imaging the molecular architecture and ultrastructure of neural circuits.
Array tomography overcomes the approximate 1 μm z-resolution limitation of conventional confocal, and multiphoton microscopy, which is larger than the width of a single mitochondrion, by ultrathin sectioning of samples into ribbons of 70 nm sections followed by immunofluorescence imaging and three-dimensional reconstructions of structures of interest. This allows precise quantification of the number, volume, and protein labeling of small structures including mitochondria in a high-throughput automated fashion with thousands of mitochondria imaged per case. Electron micrographs were used to confirm mitochondrial volume data derived from the array tomography method, which validates the use of this automated technique for volume measurements. We also applied array tomography to human brain tissue to observe mitochondrial distribution changes in AD, highlighting the efficacy of this technique for human pathological analyses.
Our data demonstrate that early in the course of disease, mitochondrial distribution is altered, particularly in those cells or neurites bearing aggregates of tau. These patterns persist and become more severe with age. Doxycycline treatment of a subset of rTg4510 (regulatable transgenic) mice remarkably restored mitochondrial distribution to near normal, even in the continued presence of aggregated misfolded tau. Interestingly, these distribution changes were not accompanied by alterations in mitochondrial volume in the neuropil. Mitochondrial distribution in human AD brain demonstrated patterns that mirrored those seen in rTg4510 mice. Taken together, our findings indicate that mitochondrial distribution changes occur in vivo as a consequence of tau over-expression, and may be predominantly due to soluble tau species.
Materials and Methods
Animals
For this study we used a well-characterized, regulatable mouse model of tauopathy that over-expresses human mutant (P301L) tau that can be suppressed with doxycycline (dox) treatment. Mice were generated as previously described.
9- Santacruz K.
- Lewis J.
- Spires T.
- Paulson J.
- Kotilinek L.
- Ingelsson M.
- Guimaraes A.
- DeTure M.
- Ramsden M.
- McGowan E.
- Forster C.
- Yue M.
- Orne J.
- Janus C.
- Mariash A.
- Kuskowski M.
- Hyman B.
- Hutton M.
- Ashe K.H.
Tau suppression in a neurodegenerative mouse model improves memory function.
, 10- Spires T.L.
- Orne J.D.
- SantaCruz K.
- Pitstick R.
- Carlson G.A.
- Ashe K.H.
- Hyman B.T.
Region-specific dissociation of neuronal loss and neurofibrillary pathology in a mouse model of tauopathy.
The responder transgene contains cDNA of human four-repeat tau with the P301L mutation downstream of a tetracycline-operon-responsive element (TRE). The activator transgene consists of a tet-off open reading frame downstream of Ca
2+ calmodulin kinase II promoter elements. This bigenic system results in over-expression of human mutant tau in forebrain structures when both promoter and activator are present. Littermate animals with only the activator transgene, which don't over-express tau were used as controls. Two age groups, 5.5 and 8.5 month old, of tau over-expressing (rTg4510) and control animals (nonTg) were used (
n = 4 per group). Doxycycline was administered at 200ppm in the food for 6 weeks between 7 and 8.5 months of age in a subset of rTg4510 and nonTg animals (
n = 4 per group), leading to suppression of tau as previously described.
9- Santacruz K.
- Lewis J.
- Spires T.
- Paulson J.
- Kotilinek L.
- Ingelsson M.
- Guimaraes A.
- DeTure M.
- Ramsden M.
- McGowan E.
- Forster C.
- Yue M.
- Orne J.
- Janus C.
- Mariash A.
- Kuskowski M.
- Hyman B.
- Hutton M.
- Ashe K.H.
Tau suppression in a neurodegenerative mouse model improves memory function.
Animals were housed and treated in accordance with institutional guidelines and those of the National Institutes of Health.
Human Brain Tissue
Tissue from the superior temporal gyrus of subjects with either an AD diagnosis or no cognitive impairment was obtained from the Alzheimer Disease Research Center at Massachusetts General Hospital. All human tissue was handled in agreement with local and national IRB guidelines. Ten AD cases (61–90 years of age) and four cognitively normal controls (62–75 years of age) were included in this study (
Table 1).
Table 1AD Diagnoses in 10 Patients
Braak staging defines pathological progression of AD in six stages (I-VI), with VI being the most severe.
AD, Alzheimer's disease; F, female; M, male.
Sample Preparation
Tissue was prepared for array tomography as previously described.
32- Koffie R.M.
- Meyer-Luehmann M.
- Hashimoto T.
- Adams K.W.
- Mielke M.L.
- Garcia-Alloza M.
- Micheva K.D.
- Smith S.J.
- Kim M.L.
- Lee V.M.
- Hyman B.T.
- Spires-Jones T.L.
Oligomeric amyloid beta associates with postsynaptic densities and correlates with excitatory synapse loss near senile plaques.
, 33Array tomography: a new tool for imaging the molecular architecture and ultrastructure of neural circuits.
, 34- Micheva K.D.
- Busse B.
- Weiler N.C.
- O'Rourke N.
- Smith S.J.
Single-synapse analysis of a diverse synapse population: proteomic imaging methods and markers.
Brains were removed from mice immediately after euthanasia by CO
2 inhalation. Human tissue samples were collected within 24 hours of autopsy. Small blocks (∼1 mm
3) of primary somatosensory cortex from mice or temporal cortex from human cases were fixed by immersion in 4% paraformaldehyde and 2.5% sucrose in phosphate-buffered saline solution (PBS) for 3 hours at room temperature. Tissue was then dehydrated through a graded series of ethanols, and into LRWhite resin (Electron Microscopy Sciences, Hatfield PA), embedded in gelatin capsules with LRWhite and polymerized at 53C for 24 hours. Blocks were then removed from gelatin capsules and cut into ribbons of 7 to 150 ultra-thin 70 nm sections with a Jumbo Histo Diamond Knife (Diatome, Hatfield PA) and mounted on gel-subbed coverslips (Fisher Scientific, Pittsburgh PA; 12-544-E; No. 1.5; 0.16- to 0.19-μm thick).
Immunohistochemistry and Microscopy
Immunostaining for analysis of mitochondrial localization was performed as follows for both mouse and human cases. Ribbons were washed in 50 mmol/L glycine in Tris-buffered saline (TBS) and blocked in 0.05% Tween and 0.1% BSA in TBS. Primary antibodies mouse IgM Alz50 (a generous gift of Peter Davies, Albert Einstein College of Medicine), mouse IgG anti-tubulin (Sigma, St. Louis MO), and rabbit anti-VDAC/porin (Abcam, Cambridge MA) were diluted 1:50 in block buffer and applied to ribbons for 2 hours then rinsed off with TBS. Fluorescent secondary antibodies, donkey anti-mouse IgM Cy3, donkey anti-mouse IgG Alexa-Fluor 488, and donkey anti-rabbit Cy5 (Jackson ImmunoResearch, Westgrove PA) were diluted 1:100 in block buffer and incubated on ribbons for 30 minutes. 1024 × 1024 pixel images of regions of interest (cell bodies or neurites) within a single 70 nm section were acquired with a Leica DMRE confocal microscope (Wetzlar, Germany) and a 63 × 1.4 numerical aperture Plan Apochromatic oil objective.
For analysis of mitochondrial volume, ribbons of at least 10 ultrathin sections were stained as described above with rabbit anti-VDAC/porin (Abcam) at 1:200 followed by fluorescent secondary donkey anti-rabbit Cy3 at 1:100. Areas of interest, containing cell bodies (used as fiduciary markers) were imaged on 10 to 12 serial sections. Images of 1024 × 1024 pixels were collected with a Zeiss Axioplan LSM510 confocal/multiphoton microscope (Ziess, Thornwood, NY) with a 63 × 1.2 numerical aperture Plan Apochromatic water objective.
To confirm that astrocytic processes were not included in analyses, we performed two array immunostains of rTg4510 mouse tissue as described above but using the following antibodies. The first included mouse IgM Alz50 (1:100), mouse IgG anti-tubulin (1:300), rabbit anti-glial fibrillary acidic protein (1:300; Sigma), and secondaries goat anti-rabbit Cy3, goat anti-mouse IgG Alexa-Fluor 488, goat anti-mouse IgM Cy5 (1:100) and DAPI (Invitrogen, Eugene OR). The second included mouse IgM Alz50 (1:100), rat anti-tubulin (1:100; Abcam), mouse anti-glutamine synthetase (1:50; Millipore, Billerica MA) and secondaries goat anti-mouse IgG Alexa-Fluor 488 (1:50), goat anti-rat Cy3 and goat anti-mouse IgM Cy5 (1:100) and DAPI. Single section images of 1024 × 1024 pixels were collected with a Zeiss Axioplan LSM510 confocal/multiphoton microscope with a 63 × 1.4 numerical aperture Plan Apochromatic oil DIC objective.
For whole cell reconstruction by array tomography a ribbon of 150 80 nm sections was stained as described previously with rabbit anti-VDAC/porin (1:300), mouse IgG anti-tubulin (1:300), and mouse IgM Alz50 (1:100) followed by goat anti-rabbit Alexa Fluor 488 (1:100), chicken anti-mouse IgG Alexa-Fluor 647 (1:300), goat anti-mouse IgM Cy3 (1:100) and DAPI. A region of interest (1024 × 1024 pixels, zoom 3) containing the entirety of an Alz50+ and neighboring Alz50− cell was serially collected from each of 109 sections with a Zeiss Axioplan LSM510 confocal/multiphoton microscope and a 63 × 1.4 numerical aperture Plan Apochromatic oil DIC objective.
Electron Microscopy
Electron micrographs of two 8.5-month-old rTg4510 and one age-matched nonTg were acquired as previously described.
35- Ludvigson A.E.
- Luebke J.I.
- Lewis J.
- Peters A.
Structural abnormalities in the cortex of the rTg4510 mouse model of tauopathy: a light and electron microscopy study.
In short, mice were anesthetized with an intraperitoneal injection of sodium pentobarbital and transcardially perfused with fixative solution containing 1% paraformaldehyde and 1.25% glutaraldehyde in 0.1M cacodylate buffer (pH 7.2–7.4) at 37°C. Following perfusion, the heads of the mice, with calvaria removed, were submerged in a solution of 2% paraformaldehyde and 2.5% glutaraldehyde in 0.1M cacodylate buffer and kept at 4°C for 12 hours. One-millimeter thick coronal slices of the dorsal premotor cortex were obtained and divided into smaller pieces for embedding. Tissue was rinsed in 0.1M sodium cacodylate buffer, osmicated with 1% osmium tetroxide in cacodylate buffer, dehydrated through ascending ethyl alcohol concentrations, rinsed with propylene oxide and immersed in 1:1 propylene oxide and Araldite 502 plastic (Ernest F. Fullam, Inc, Redding CA) overnight. Cortical pieces were placed in pure Araldite, rotated for 6 hours, transferred to Beem capsules and hardened at 60°C. An RMC MT6000-XL ultramicrotome (Boeckeler, Tuscon AZ) was used to cut thin sections, which were mounted on copper grids then stained with uranyl acetate and lead citrate and photographed using a JEOL 100S electron microscope (JEOL, USA, Peabody MA). Negatives were scanned at 800 dpi with an Epson Perfection V700 photo scanner.
Image Analysis
Images were viewed and analyzed with Image J (National Institutes of Health open software;
http://rsbweb.nih.gov/ij). Analysis of mitochondrial localization was performed as previously described.
18- Stoothoff W.
- Jones P.B.
- Spires-Jones T.L.
- Joyner D.
- Chhabra E.
- Bercury K.
- Fan Z.
- Xie H.
- Bacskai B.
- Edd J.
- Irimia D.
- Hyman B.T.
Differential effect of three-repeat and four-repeat tau on mitochondrial axonal transport.
Approximately 50 cells and 40 neurites were imaged for each animal or human case. The mitochondrial channel of each image was opened and re-named for blinded thresholding. Once thresholds were determined, the tubulin channel was used to identify and circle the somatic or neuritic cytoplasm (excluding the nucleus). This region of interest (ROI) was then applied to the thresholded mitochondrial image and the ‘Analyze Particles’ feature of Image J applied to determine percentage of the ROI occupied by mitochondria. For each cell or neurite analyzed, presence or absence of Alz50 staining was also determined. This percent area occupied by mitochondria in the soma and neurites is referred to as mitochondrial distribution and is used as a readout for the ability of mitochondria to be trafficked to all parts of the cell body and neurites as in our previous study, which showed changes in mitochondrial distribution in the soma and axon were associated with reduced anterograde trafficking of mitochondria and fewer mitochondria reaching the periphery of the cell body (resulting in perinuclear clumping) and fewer reaching the axon.
18- Stoothoff W.
- Jones P.B.
- Spires-Jones T.L.
- Joyner D.
- Chhabra E.
- Bercury K.
- Fan Z.
- Xie H.
- Bacskai B.
- Edd J.
- Irimia D.
- Hyman B.T.
Differential effect of three-repeat and four-repeat tau on mitochondrial axonal transport.
In the whole cell reconstruction, the tubulin images were opened sequentially and converted to a stack. An ROI for an Alz50+ and an Alz50− cell was defined in each image. These ROIs were then applied to the corresponding, individually thresholded mitochondrial channel image and the ‘Analyze Particles’ feature of Image J applied to determine percentage of the ROI occupied by mitochondria. The area of each ROI was also measured. These outputs were used to calculate a percent volume fraction occupied by mitochondria in an Alz50+ and an Alz50− cell (sum of total area occupied by mitochondria in each section multiplied by 0.08 divided by the sum of total area of the ROIs multiplied by 0.08).
For analysis of mitochondrial volume,
32- Koffie R.M.
- Meyer-Luehmann M.
- Hashimoto T.
- Adams K.W.
- Mielke M.L.
- Garcia-Alloza M.
- Micheva K.D.
- Smith S.J.
- Kim M.L.
- Lee V.M.
- Hyman B.T.
- Spires-Jones T.L.
Oligomeric amyloid beta associates with postsynaptic densities and correlates with excitatory synapse loss near senile plaques.
images from each ribbon were opened sequentially, converted to a stack and aligned with the MultiStackReg and StackReg plugins (courtesy of B. Busse and
36- Thevenaz P.
- Ruttimann U.E.
- Unser M.
A pyramid approach to subpixel registration based on intensity.
). Crop boxes (10.01 μm
2) of neuropil were selected so as to exclude neuronal cell bodies or other obscuring features, realigned and re-cropped to exclude empty space created by realignment. Crops were thresholded and run through an automated, threshold based detection program that counts puncta appearing in more than one consecutive section and reports dimensions of each (WaterShed program provided by B. Busse, S. Smith, and K. Micheva, Stanford University). Two cortical blocks from the somatosensory cortex from each 8.5-month-old rTg4510 and control mouse (
n = 4 per group) were imaged, yielding 45 crop boxes.
To confirm the accuracy of the threshold based detection program, mitochondrial volumes were confirmed by electron microscopy. All mitochondria in two images for each of the three animals, accounting for greater than 600 mitochondria, were measured at their widest and longest points with the line-measuring tool of Image J after setting the scale (157.48 pix/μm for 5,000x magnification and 125.98 pix/μm for 4,000x magnification). Estimates of the ellipsoidal volume of the mitochondria were calculated with the following formula 4/3π x r1 × r2 × r3, with r1 and r2 each representing ½ the length and width, respectively, and r3 estimated as ½ the shorter of the two measurements.
Also in these electron micrographs, the cytoplasm of each cell was defined as an ROI and its area measured. The sum of the areas of each of the mitochondria measured within this ROI was used to calculate an approximation of the mitochondrial percent area fraction in NFT+ and NFT− cells in control and rTg4510 mice (n = 2 NFT+, 4 NFT−).
Statistics
For mitochondrial distribution analysis, area fraction of cytoplasm occupied by mitochondria was recorded for each soma or neurite and grouped by age, genotype, treatment and whether or not aggregated tau was present (Alz50+/−). Automated mitochondrial volume output were recorded and grouped by genotype. Mitochondrial volume distribution was then compared to the measurements acquired by electron microscopy. Normality of data was assessed with a Shapiro-Wilks test. Mann-Whitney U-tests were applied to non-normal data (mitochondrial distribution) and student's t-test to normally distributed data (mitochondrial volumes). Significance was determined as P < 0.05. Non-normally distributed data are presented as box plots, which display the median value (line inside the box), upper quartile (top of the box), lower quartile (bottom of the box), 90th percentile (top whisker), 10th percentile (bottom whisker), with all values below the 10th and above the 90th percentile (potential outliers) shown as dots. Normal data are shown as bar graphs of the mean with SD.
Discussion
Cell culture data in both neurons and non-neuronal cells link tau over-expression to mitochondrial trafficking deficits,
18- Stoothoff W.
- Jones P.B.
- Spires-Jones T.L.
- Joyner D.
- Chhabra E.
- Bercury K.
- Fan Z.
- Xie H.
- Bacskai B.
- Edd J.
- Irimia D.
- Hyman B.T.
Differential effect of three-repeat and four-repeat tau on mitochondrial axonal transport.
, 38- Ebneth A.
- Godemann R.
- Stamer K.
- Illenberger S.
- Trinczek B.
- Mandelkow E.
Overexpression of tau protein inhibits kinesin-dependent trafficking of vesicles, mitochondria, and endoplasmic reticulum: implications for Alzheimer's disease.
, 39- Stamer K.
- Vogel R.
- Thies E.
- Mandelkow E.
- Mandelkow E.M.
Tau blocks traffic of organelles, neurofilaments, and APP vesicles in neurons and enhances oxidative stress.
which have been associated with negative consequences to mitochondrial distribution and function. Regulation of mitochondrial distribution and function is essential in neurons, which have higher energy demands and extended processes, requiring regulated transport.
29- Du H.
- Guo L.
- Yan S.
- Sosunov A.A.
- McKhann G.M.
- Yan S.S.
Early deficits in synaptic mitochondria in an Alzheimer's disease mouse model.
, 40- Hollenbeck P.J.
- Saxton W.M.
The axonal transport of mitochondria.
Dysregulation of these processes has been shown to result in impaired synaptic function and synapse loss
30- Li Z.
- Okamoto K.
- Hayashi Y.
- Sheng M.
The importance of dendritic mitochondria in the morphogenesis and plasticity of spines and synapses.
and is thus proposed as an early pathogenic step in AD.
22Mitochondrial dysfunction and oxidative stress in neurodegenerative diseases.
, 24- Swerdlow R.H.
- Burns J.M.
- Khan S.M.
The Alzheimer's disease mitochondrial cascade hypothesis.
, 28Mitochondrial fusion and fission in cell life and death.
, 41- Moreira P.I.
- Carvalho C.
- Zhu X.
- Smith M.A.
- Perry G.
Mitochondrial dysfunction is a trigger of Alzheimer's disease pathophysiology.
Here, we tested the hypothesis that tau mislocalization to the somatodendritic compartment, and subsequent aggregation, in the intact brain of both a mouse model of tauopathy and human AD would affect mitochondrial distribution. Further, we tested the hypothesis that soluble, perhaps in addition to, fibrillar tau would be important for these changes. As a model of tauopathy, we used rTg4510 animals, which over-express a human mutant form of tau leading to neurofibrillary pathology and neuronal loss.
9- Santacruz K.
- Lewis J.
- Spires T.
- Paulson J.
- Kotilinek L.
- Ingelsson M.
- Guimaraes A.
- DeTure M.
- Ramsden M.
- McGowan E.
- Forster C.
- Yue M.
- Orne J.
- Janus C.
- Mariash A.
- Kuskowski M.
- Hyman B.
- Hutton M.
- Ashe K.H.
Tau suppression in a neurodegenerative mouse model improves memory function.
, 10- Spires T.L.
- Orne J.D.
- SantaCruz K.
- Pitstick R.
- Carlson G.A.
- Ashe K.H.
- Hyman B.T.
Region-specific dissociation of neuronal loss and neurofibrillary pathology in a mouse model of tauopathy.
Our results indicate that aberrant mitochondrial distribution is evident in neurites of rTg4510 mice, even at an early stage, regardless of whether or not aggregated tau is present in the form of neuropil threads. Meanwhile, the somatic distribution is less affected with only cells with coincident somatic accumulation of misfolded tau showing an indication of perinuclear mitochondrial clumping at 5.5 months. In the aged rTg4510 mice (8.5 months), a worsening of this mitochondrial distribution phenotype is observed with further decreased mitochondrial area fractions in both neurites and in cell bodies with Alz50+ tau accumulations. Mitochondrial distribution in somas of neurons in human AD brain closely reflects the findings in the mouse model, with dramatic depletion in mitochondrial cytoplasmic area fraction in Alz50+ cells.
Interestingly, in the regulated mouse line the suppression of soluble tau expression, which does not remove the Alz50+ aggregates, allows full recovery of mitochondrial distribution, thereby supporting an important role for soluble tau in this process. These data also indicate that mitochondrial distribution deficits are not the result of exclusion by space occupying aggregates of tau, but that some other mechanism is involved. The presence of NFT within the neuronal cell body may represent the result of reaching a cellular threshold for soluble, mislocalized tau accumulation, which our data suggest more directly interferes with mitochondrial trafficking. Our data demonstrate an early-onset and pervasive mislocalization of mitochondria, which can be alleviated by removing soluble tau species. In addition, our findings in the rTg4510 mouse model are mirrored in human AD brain, and thereby implicate soluble tau, alongside aggregated forms, as detrimental to normal neuronal function in human tauopathies such as AD.
The mechanism by which tau over-expression influences mitochondrial distribution is yet to be precisely determined. However, our results from the intact rTg4510 mouse brain are consistent with findings from previous
in vitro studies implicating soluble tau over-expression as detrimental to axonal transport and mitochondrial distribution and function. The fact that alterations in mitochondrial distribution are evident at early stages, in the 5.5 month rTg4510, supports the notion that transport deficits and accompanying mitochondrial changes in distribution are early events in neurodegenerative cascades.
19- Eckert A.
- Schulz K.L.
- Rhein V.
- Gotz J.
Convergence of amyloid-beta and tau pathologies on mitochondria in vivo.
, 23- Querfurth H.W.
- LaFerla F.M.
Alzheimer's disease.
, 24- Swerdlow R.H.
- Burns J.M.
- Khan S.M.
The Alzheimer's disease mitochondrial cascade hypothesis.
, 42- Decker H.
- Lo K.Y.
- Unger S.M.
- Ferreira S.T.
- Silverman M.A.
Amyloid-beta peptide oligomers disrupt axonal transport through an NMDA receptor-dependent mechanism that is mediated by glycogen synthase kinase 3beta in primary cultured hippocampal neurons.
, 43- Quintanilla R.A.
- Matthews-Roberson T.A.
- Dolan P.J.
- Johnson G.V.
Caspase-cleaved tau expression induces mitochondrial dysfunction in immortalized cortical neurons: implications for the pathogenesis of Alzheimer disease.
Several potential mechanisms for tau overexpression contributing to transport deficits have previously been explored. (1) Studies of tau over-expression in cells and
in vitro assays have demonstrated negative consequences to anterograde cellular transport, by directly inhibiting progress of kinesin-1, by forming a “road block” on the microtubule where excessive tau is bound.
14- Dixit R.
- Ross J.L.
- Goldman Y.E.
- Holzbaur E.L.
Differential regulation of dynein and kinesin motor proteins by tau.
, 15- Dubey M.
- Chaudhury P.
- Kabiru H.
- Shea T.B.
Tau inhibits anterograde axonal transport and perturbs stability in growing axonal neurites in part by displacing kinesin cargo: neurofilaments attenuate tau-mediated neurite instability.
, 44Neuronal microtubules: when the MAP is the roadblock.
(2) Tau-induced trafficking impairments could also result from destabilization of microtubules due to hyperphosphorylated tau losing its affinity for the microtubule.
45- Ballatore C.
- Lee V.M.
- Trojanowski J.Q.
Tau-mediated neurodegeneration in Alzheimer's disease and related disorders.
, 46Tau aggregates: toxic, inert, or protective species.
Microtubule stabilizing compounds such as taxol have been shown to alleviate tau-induced mitochondrial depletion
in vitro.
47- Zempel H.
- Thies E.
- Mandelkow E.
- Mandelkow E.M.
Abeta oligomers cause localized Ca(2+) elevation, missorting of endogenous Tau into dendrites Tau phosphorylation, and destruction of microtubules and spines.
However, it should be noted that several studies have demonstrated that microtubule networks remain intact and stable even with a loss or complete knock-out of tau,
48- Morris M.
- Maeda S.
- Vossel K.
- Mucke L.
The many faces of tau.
suggesting that other mechanisms may be involved. (3) Other studies indicate that tau may interfere with signaling pathways, or molecules such as GSK3β, thereby exerting more indirect control over transport processes.
20- Morfini G.A.
- Burns M.
- Binder L.I.
- Kanaan N.M.
- LaPointe N.
- Bosco D.A.
- Brown Jr., R.H.
- Brown H.
- Tiwari A.
- Hayward L.
- Edgar J.
- Nave K.A.
- Garberrn J.
- Atagi Y.
- Song Y.
- Pigino G.
- Brady S.T.
Axonal transport defects in neurodegenerative diseases.
, 49Divergent pathways mediate spine alterations and cell death induced by amyloid-beta, wild-type tau, and R406W tau.
Our data support tau-induced anterograde transport deficits as the general mechanism by which mitochondria become improperly distributed. The re-distribution of mitochondria following doxycycline treatment in the rTg4510, even in the continued presence of neuropil threads or NFT, suggests that the presence of aggregates of tau may not, in fact, serve as roadblocks, but rather that soluble tau species interfere with mitochondrial trafficking by some other means. Another mechanism by which tau over-expression may influence mitochondrial distribution is by interfering with fission and fusion dynamics. Changes to this equilibrium can result in mitochondrial and neuronal dysfunction and synaptic loss or neuronal cell death.
26- Wang X.
- Su B.
- Lee H.G.
- Li X.
- Perry G.
- Smith M.A.
- Zhu X.
Impaired balance of mitochondrial fission and fusion in Alzheimer's disease.
, 27- Wang X.
- Su B.
- Zheng L.
- Perry G.
- Smith M.A.
- Zhu X.
The role of abnormal mitochondrial dynamics in the pathogenesis of Alzheimer's disease.
, 28Mitochondrial fusion and fission in cell life and death.
, 29- Du H.
- Guo L.
- Yan S.
- Sosunov A.A.
- McKhann G.M.
- Yan S.S.
Early deficits in synaptic mitochondria in an Alzheimer's disease mouse model.
Manipulation of the primary mammalian fission (fragmentation) GTPase, dynamin-related protein-1 (Drp-1) has been shown to result in mitochondrial distribution deficits with perinuclear clumping.
26- Wang X.
- Su B.
- Lee H.G.
- Li X.
- Perry G.
- Smith M.A.
- Zhu X.
Impaired balance of mitochondrial fission and fusion in Alzheimer's disease.
, 28Mitochondrial fusion and fission in cell life and death.
, 30- Li Z.
- Okamoto K.
- Hayashi Y.
- Sheng M.
The importance of dendritic mitochondria in the morphogenesis and plasticity of spines and synapses.
, 31- Verstreken P.
- Ly C.V.
- Venken K.J.
- Koh T.W.
- Zhou Y.
- Bellen H.J.
Synaptic mitochondria are critical for mobilization of reserve pool vesicles at Drosophila neuromuscular junctions.
, 37- Reddy P.H.
- Reddy T.P.
- Manczak M.
- Calkins M.J.
- Shirendeb U.
- Mao P.
Dynamin-related protein 1 and mitochondrial fragmentation in neurodegenerative diseases.
It has been posited that abnormal proteins present in neurodegenerative diseases, such as tau, may interact directly with mitochondria and/or Drp-1 and initiate the cascade of mitochondrial morphological and functional changes and eventual cellular dysfunction and death.
28Mitochondrial fusion and fission in cell life and death.
, 37- Reddy P.H.
- Reddy T.P.
- Manczak M.
- Calkins M.J.
- Shirendeb U.
- Mao P.
Dynamin-related protein 1 and mitochondrial fragmentation in neurodegenerative diseases.
Interestingly, it has been demonstrated recently that tau does directly interact with mitochondria and in this way may influence their distribution and function.
50- Amadoro G.
- Corsetti V.
- Stringaro A.
- Colone M.
- D'Aguanno S.
- Meli G.
- Ciotti M.
- Sancesario G.
- Cattaneo A.
- Bussani R.
- Mercanti D.
- Calissano P.
A NH2 tau fragment targets neuronal mitochondria at AD synapses: possible implications for neurodegeneration.
, 51- Bobba A.
- Petragallo V.A.
- Marra E.
- Atlante A.
Alzheimer's proteins, oxidative stress, and mitochondrial dysfunction interplay in a neuronal model of Alzheimer's disease.
Furthermore, tau over-expression
in vitro has been shown to result in increased mitochondrial fragmentation, alterations in mitochondrial membrane potential, impaired calcium buffering and oxidative stress responses, and diminished respiratory chain function.
19- Eckert A.
- Schulz K.L.
- Rhein V.
- Gotz J.
Convergence of amyloid-beta and tau pathologies on mitochondria in vivo.
, 43- Quintanilla R.A.
- Matthews-Roberson T.A.
- Dolan P.J.
- Johnson G.V.
Caspase-cleaved tau expression induces mitochondrial dysfunction in immortalized cortical neurons: implications for the pathogenesis of Alzheimer disease.
, 52- David D.C.
- Hauptmann S.
- Scherping I.
- Schuessel K.
- Keil U.
- Rizzu P.
- Ravid R.
- Drose S.
- Brandt U.
- Muller W.E.
- Eckert A.
- Gotz J.
Proteomic and functional analyses reveal a mitochondrial dysfunction in P301L tau transgenic mice.
For these reasons, we assessed mitochondrial volumes in the 8.5 month-old rTg4510 and nonTg mice to determine whether concomitant disequilibrium in fission and fusion dynamics is evident alongside mitochondrial distribution deficits. We did not find significant differences in mitochondrial size in the neuropil, which is consistent with a proteomic study of P301L mutant tau over-expressing mice.
52- David D.C.
- Hauptmann S.
- Scherping I.
- Schuessel K.
- Keil U.
- Rizzu P.
- Ravid R.
- Drose S.
- Brandt U.
- Muller W.E.
- Eckert A.
- Gotz J.
Proteomic and functional analyses reveal a mitochondrial dysfunction in P301L tau transgenic mice.
In addition, we confirmed that the mitochondrial volumes generated by the array tomography automated analysis program were similar to those estimated from electron microscopy measurements, for both rTg4510 and nonTg mice. These findings suggest that mitochondrial mislocalization is indicative of tau-induced anterograde transport deficits rather than interference with mitochondrial fission and fusion dynamics.
Though our data suggest little change, if any, in mitochondrial fission and fusion machinery, the mitochondrial mislocalization that is evident likely has significant and deleterious effects on mitochondrial and neuronal function and survival. Failure to properly distribute mitochondria throughout the cell leaves synapses deprived of their energy requirements, susceptible to reactive oxygen species, and with inefficient calcium handling and can result in synaptic dysfunction and subsequent dying back of the neuron.
15- Dubey M.
- Chaudhury P.
- Kabiru H.
- Shea T.B.
Tau inhibits anterograde axonal transport and perturbs stability in growing axonal neurites in part by displacing kinesin cargo: neurofilaments attenuate tau-mediated neurite instability.
, 19- Eckert A.
- Schulz K.L.
- Rhein V.
- Gotz J.
Convergence of amyloid-beta and tau pathologies on mitochondria in vivo.
, 20- Morfini G.A.
- Burns M.
- Binder L.I.
- Kanaan N.M.
- LaPointe N.
- Bosco D.A.
- Brown Jr., R.H.
- Brown H.
- Tiwari A.
- Hayward L.
- Edgar J.
- Nave K.A.
- Garberrn J.
- Atagi Y.
- Song Y.
- Pigino G.
- Brady S.T.
Axonal transport defects in neurodegenerative diseases.
, 53- Darios F.
- Muriel M.P.
- Khondiker M.E.
- Brice A.
- Ruberg M.
Neurotoxic calcium transfer from endoplasmic reticulum to mitochondria is regulated by cyclin-dependent kinase 5-dependent phosphorylation of tau.
When improperly distributed, mitochondria are thought to have impaired function
25The mechanism of Ca2+ -dependent regulation of kinesin-mediated mitochondrial motility.
, 54Mitochondrial dynamics–fusion, fission, movement, and mitophagy–in neurodegenerative diseases.
and this can lead to increased neuronal susceptibility to excitotoxicity or neurodegenerative stressors such as amyloid-β.
2- Gendron T.F.
- Petrucelli L.
The role of tau in neurodegeneration.
Changes to mitochondrial distribution have been linked to failure to maintain mitochondrial membrane potential, resulting in release and activation of pro-apoptotic molecules such as caspase. Tau is a caspase-3 substrate and its cleavage is thought to potentiate oligomerization and enhance tau-induced mitochondrial alterations and other negative consequences to the neuron.
1- Spires-Jones T.L.
- Stoothoff W.H.
- de Calignon A.
- Jones P.B.
- Hyman B.T.
Tau pathophysiology in neurodegeneration: a tangled issue.
, 43- Quintanilla R.A.
- Matthews-Roberson T.A.
- Dolan P.J.
- Johnson G.V.
Caspase-cleaved tau expression induces mitochondrial dysfunction in immortalized cortical neurons: implications for the pathogenesis of Alzheimer disease.
, 52- David D.C.
- Hauptmann S.
- Scherping I.
- Schuessel K.
- Keil U.
- Rizzu P.
- Ravid R.
- Drose S.
- Brandt U.
- Muller W.E.
- Eckert A.
- Gotz J.
Proteomic and functional analyses reveal a mitochondrial dysfunction in P301L tau transgenic mice.
Our data also demonstrate several methodological advances for the field of pathological analyses of mitochondria. First, we confirmed that single section analysis of cytoplasmic mitochondrial area fraction is comparable to volume fractions from whole cell reconstructions. This allows for much faster, yet still accurate data collection with single slice array tomography. We also confirmed that the automated volume calculations from the immunofluorescent labeled mitochondria in array tomograms are valid by comparing them to volumes estimated from measuring mitochondrial profiles on electron micrographs. This is important since array tomography generates data from thousands of mitochondria per case, allowing analysis of a large sample size, which is prohibitively time consuming by serial reconstructions in electron microscopy. Lastly, we applied array tomography to human brain tissue collected at autopsy and fixed according to the array tomography protocols. This technique was developed for synapse analysis in mice
32- Koffie R.M.
- Meyer-Luehmann M.
- Hashimoto T.
- Adams K.W.
- Mielke M.L.
- Garcia-Alloza M.
- Micheva K.D.
- Smith S.J.
- Kim M.L.
- Lee V.M.
- Hyman B.T.
- Spires-Jones T.L.
Oligomeric amyloid beta associates with postsynaptic densities and correlates with excitatory synapse loss near senile plaques.
, 33Array tomography: a new tool for imaging the molecular architecture and ultrastructure of neural circuits.
, 34- Micheva K.D.
- Busse B.
- Weiler N.C.
- O'Rourke N.
- Smith S.J.
Single-synapse analysis of a diverse synapse population: proteomic imaging methods and markers.
and has subsequently been adapted for use in zebrafish,
55- Robles E.
- Smith S.J.
- Baier H.
Characterization of genetically targeted neuron types in the zebrafish optic tectum.
songbirds,
56- Oberti D.
- Kirschmann M.A.
- Hahnloser R.H.
Correlative microscopy of densely labeled projection neurons using neural tracers.
and on one case of collagen imaging in a human optic nerve.
57- Winkler M.
- Jester B.
- Nien-Shy C.
- Massei S.
- Minckler D.S.
- Jester J.V.
- Brown D.J.
High resolution three-dimensional reconstruction of the collagenous matrix of the human optic nerve head.
We demonstrate that in human brain, array tomography can be used for analysis of mitochondria and other structures at or near the limit of z-resolution of conventional microscopy, adding an important tool in the arsenal of neuropathological analyses.
Taken together, our data support the hypothesis that tau mislocalization to the somatodendritic compartment and subsequent aggregation is associated with mitochondrial distribution deficits. Furthermore, by suppressing soluble tau species recovery of mitochondrial distribution to near control levels occurs, suggesting that soluble tau species play a more significant role in mitochondrial distribution than aggregated forms. These findings are in agreement with several studies that propose that oligomeric species are more toxic than aggregates.
1- Spires-Jones T.L.
- Stoothoff W.H.
- de Calignon A.
- Jones P.B.
- Hyman B.T.
Tau pathophysiology in neurodegeneration: a tangled issue.
, 2- Gendron T.F.
- Petrucelli L.
The role of tau in neurodegeneration.
, 8- Lasagna-Reeves C.A.
- Castillo-Carranza D.L.
- Guerrero-Muoz M.J.
- Jackson G.R.
- Kayed R.
Preparation and characterization of neurotoxic tau oligomers.
, 13- Berger Z.
- Roder H.
- Hanna A.
- Carlson A.
- Rangachari V.
- Yue M.
- Wszolek Z.
- Ashe K.
- Knight J.
- Dickson D.
- Andorfer C.
- Rosenberry T.L.
- Lewis J.
- Hutton M.
- Janus C.
Accumulation of pathological tau species and memory loss in a conditional model of tauopathy.
, 58- Hoover B.R.
- Reed M.N.
- Su J.
- Penrod R.D.
- Kotilinek L.A.
- Grant M.K.
- Pitstick R.
- Carlson G.A.
- Lanier L.M.
- Yuan L.L.
- Ashe K.H.
- Liao D.
Tau mislocalization to dendritic spines mediates synaptic dysfunction independently of neurodegeneration.
, 59- Kimura T.
- Fukuda T.
- Sahara N.
- Yamashita S.
- Murayama M.
- Mizoroki T.
- Yoshiike Y.
- Lee B.
- Sotiropoulos I.
- Maeda S.
- Takashima A.
Aggregation of detergent-insoluble tau is involved in neuronal loss but not in synaptic loss.
, 60- Lasagna-Reeves C.A.
- Castillo-Carranza D.L.
- Sengupta U.
- Clos A.L.
- Jackson G.R.
- Kayed R.
Tau Oligomers Impair Memory and Induce Synaptic and Mitochondrial Dysfunction in Wild-type Mice.
Meanwhile, tau-induced deficiencies in mitochondrial distribution are likely a consequence of axonal transport deficits, and may result in disrupted mitochondrial and neuronal function and subsequent synaptic failure and/or cell death. The resemblance of mitochondrial distribution patterns in neurons in human AD brain to those in rTg4510 suggests that soluble tau species play a role in mitochondrial localization in human neurodegenerative disease and may serve as a useful therapeutic target.
Article info
Publication history
Published online: August 19, 2011
Accepted:
July 1,
2011
Footnotes
Supported by National Institute of Health Grants AG08487, T32AG000277, AG026249, K99AG33670, P50AG05134 and the Alzheimer's Association Zenith Award.
Supplemental material for this article can be found at http://ajp.amjpathol.org or at doi: 10.1016/j.ajpath.2011.07.004.
Copyright
© 2011 American Society for Investigative Pathology. Published by Elsevier Inc.