Abstract

Neutrophils are important components in the innate immune system. Neutrophil hyperactivation is regarded as a characteristic of Alzheimer's disease (AD). But in vivo imaging tools observing neutrophil activity in AD dynamically is lacking. This study aimed to identify neutrophil infiltration in AD transgenic mice. We used the AD triple-mutant transgenic mouse model and identified the genotype with RT-PCR. Behavioral experiments including an open-field test, a Morris water maze, and a Y-maze test were performed to evaluate the status of this AD model. 18F-AV45, 18F-PM-PBB3, 68Ga-PEG-cFLFLFK, and 18F-DPA714 were synthesized according to previous reports. We employed microPET to detect tracer uptake in the AD model and the control mice at different stages. Western blotting was used to observe the expression of functional proteins. We proved the successful establishment of AD models by RT-PCR, behavioral tests, and 18F-AV45 and 18F-PM-PBB3 PET imaging. We found an increased neutrophil accumulation in the brains of the AD mice through 68Ga-PEG-cFLFLFK PET imaging and Western blot assay. Our studies also demonstrated an elevated level of CAP37, which is produced by neutrophils, in the AD brain, and treatment with CAP37 promoted the expression of Iba1, iNOS, and COX-2 in BV2 cultures. Furthermore, our 18F-DPA714 PET imaging studies verified the raised activation of microglia in the brain of transgenic AD mice. Collectively, our findings indicate the increased activity of neutrophils in the brain and heart of AD model mice, 68Ga-PEG-cFLFLFK PET imaging represents a sensitive method to observe the status of neutrophils in AD, and infiltrated neutrophils can induce the activation of microglia by releasing CAP37 and blocking the activity of neutrophils may be beneficial for the control of AD progression.

Highlights

  • Alzheimer’s disease (AD) is a neurodegenerative condition characterized by the formation of amyloid-β plaques, aggregated, hyper, and abnormally phosphorylated tau protein, activated microglia and neuronal cell death, leading to progressive dementia

  • In order to investigate the significance of neutrophil infiltration in the brain, we focused on the cationic antimicrobial protein of 37 kDa (CAP37) protein and microglia

  • With 18F-AV45 positron emission tomography (PET) imaging, we found that radioactive uptake is relative higher in the brain of TG mice compared with the control group

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Summary

Introduction

Alzheimer’s disease (AD) is a neurodegenerative condition characterized by the formation of amyloid-β plaques, aggregated, hyper, and abnormally phosphorylated tau protein, activated microglia and neuronal cell death, leading to progressive dementia. Microglia is an innate immune cell in the brain, and brain-initiated inflammatory responses reflected in the periphery suggests that AD is to some extent a systemic inflammatory disease [5]. The activation status of peripheral innate immune cells may represent an early biomarker of the upcoming impact on the brain. Several previous reports have shown the presence of neutrophils in the brain of AD patients, including in brain parenchyma with Aβ deposits and cerebral blood vessels [8,9,10]. Neutrophils can damage an AD brain via NETosis that impairs the blood-brain barrier and neural cells in mouse AD models [10, 12]. A previous study investigated the expression of the cationic antimicrobial protein of 37 kDa (CAP37), a neutrophil granule protein, in AD, and demonstrated an upregulation of CAP37 in patients with AD [9, 14]

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