Abstract

In mouse models of Alzheimer's disease (AD), normobaric intermittent hypoxia training (IHT) can preserve neurobehavioral function when applied before deficits develop, but IHT's effectiveness after onset of amyloid-β (Aβ) accumulation is unclear. This study tested the hypothesis that IHT improves learning-memory behavior, diminishes Aβ accumulation in cerebral cortex and hippocampus, and enhances cerebrocortical contents of the neuroprotective trophic factors erythropoietin and brain-derived neurotrophic factor (BDNF) in mice manifesting AD traits. Twelve-month-old female 3xTg-AD mice were assigned to untreated 3xTg-AD (n = 6), AD+IHT (n = 6), and AD+sham-IHT (n = 6) groups; 8 untreated wild-type (WT) mice also were studied. AD+IHT mice alternately breathed 10% O2 for 6 min and room air for 4 min, 10 cycles/day for 21 days; AD+sham-IHT mice breathed room air. Spatial learning-memory was assessed by Morris water maze. Cerebrocortical and hippocampal Aβ40 and Aβ42 contents were determined by ELISA, and cerebrocortical erythropoietin and BDNF were analyzed by immunoblotting and ELISA. The significance of time (12 vs. 12 months + 21 days) and treatment (IHT vs. sham-IHT) was evaluated by two-factor ANOVA. The change in swimming distance to find the water maze platform after 21 d IHT (−1.6 ± 1.8 m) differed from that after sham-IHT (+5.8 ± 2.6 m). Cerebrocortical and hippocampal Aβ42 contents were greater in 3xTg-AD than WT mice, but neither time nor treatment significantly affected Aβ40 or Aβ42 contents in the 3xTg-AD mice. Cerebrocortical erythropoietin and BDNF contents increased appreciably after IHT as compared to untreated 3xTg-AD and AD+sham-IHT mice. In conclusion, moderate, normobaric IHT prevented spatial learning-memory decline and restored cerebrocortical erythropoietin and BDNF contents despite ongoing Aβ accumulation in 3xTg-AD mice.

Highlights

  • Normobaric intermittent hypoxia (IH) exposures can harm or protect the central nervous system, depending on the cumulative dose, frequency, and intensity of the hypoxia (Navarrete-Opazo and Mitchell, 2014)

  • The overall swimming duration to find the submerged platform placed in the NW quadrant did not decline significantly in the Alzheimer’s disease (AD)+intermittent hypoxia training (IHT) (−7.95 ± 10.49 s) or AD+sham-IHT program (Sham)-IHT mice (−3.78 ± 9.82 s), and the changes in swimming duration did not differ between those two groups (Figure 2A)

  • The swimming distance to find the platform (Figure 2F) increased by 5.8 ± 2.6 m during the 21 d sham-IHT program (P = 0.077), and the change in swimming distance was greater (P < 0.05) than that of the IHT program (−1.6 ± 1.8 m)

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Summary

Introduction

Normobaric intermittent hypoxia (IH) exposures can harm or protect the central nervous system, depending on the cumulative dose, frequency, and intensity of the hypoxia (Navarrete-Opazo and Mitchell, 2014). Imposition of 10-min cycles alternating intense normobaric hypoxia (5% O2) and 21% O2 for 8 h/day over 4 weeks increased cerebrocortical amyloid-β (Aβ) accumulation in 6-month-old transgenic mice with Alzheimer’s disease (AD) traits (Shiota et al, 2013). In contrast to intense IH modeling sleep apnea, exposure of rats to 5–8 daily cycles alternating 5–10 min moderate, normobaric hypoxia (9.5–10% O2; ≤70 min hypoxia/session) and 4-min 21% O2 for ≤3 weeks protected brain from ethanol withdrawal excitotoxicity (Jung et al, 2008; Ryou et al, 2017). A 20-day IH training (IHT) regimen protected the brain from ethanol-withdrawal stress by dampening cerebrocortical presenilin-1 induction and Aβ accumulation (Ryou et al, 2017). The question remains whether normobaric IHT can preserve neurobehavioral function and attenuate Aβ accumulation in transgenic AD mice

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