Blockade of adenosine A2A receptors recovers early deficits of memory and plasticity in the triple transgenic mouse model of Alzheimer's disease
Introduction
Alzheimer's disease (AD) is an evolving neurodegenerative disorder, which begins with a selective deterioration of cognitive capabilities (Mayeux, 2010). The etiology of AD is currently unknown and there are no available therapeutic options with sufficient efficacy to revert let alone attenuate the evolution of AD (Selkoe, 2013). The onset of memory deficits in AD is not due to neuronal loss, but is instead tightly associated with the loss of functional synapses (reviewed in Selkoe, 2002) in particular in the hippocampus (Scheff et al., 2006) with glutamatergic synapses displaying a particular susceptibility (Canas et al., 2014; Hardy et al., 1987; Kirvell et al., 2006). This has prompted the suggestion that synaptic modulators might be promising targets to interfere with memory dysfunction in early AD (Coleman et al., 2004).
Accordingly, several groups have shown that the manipulation of the synaptic modulation system operated by adenosine A2A receptors (A2AR) affords a robust neuroprotection (reviewed in Cunha, 2016) and prevents memory dysfunction in different animal models of AD (Canas et al., 2009a; Dall'Igna et al., 2007; Laurent et al., 2016; Orr et al., 2018; Viana da Silva et al., 2016). These A2AR are most abundantly located in synapses in the hippocampus (Rebola et al., 2005a, Rebola et al., 2005b, Rebola et al., 2005c) and selectively control synaptic plasticity processes (Costenla et al., 2011; Rebola et al., 2008). A2AR are up-regulated upon aging (Canas et al., 2009b; Costenla et al., 2011; Cunha et al., 1995) and upon AD-like conditions in patients (Albasanz et al., 2008) and animal models (Espinosa et al., 2013; Viana da Silva et al., 2016), mostly in glutamatergic synapses (Kaster et al., 2015; Machado et al., 2017), to critically disrupt synaptic plasticity (Viana da Silva et al., 2016). The key role of A2AR in proper memory performance is further heralded by the observation that the abnormal activation of hippocampal A2AR is sufficient to trigger memory dysfunction (Li et al., 2015; Pagnussat et al., 2015). This evidence is in notable agreement with the association of the intake of coffee and caffeine (an adenosine receptor antagonist) with a lower incidence of dementia (e.g. Eskelinen et al., 2009; Gelber et al., 2011; Liu et al., 2016; Santos et al., 2010; Sugiyama et al., 2016). Furthermore, it was recently identified an association between A2AR (ADORA2A) and hippocampal volume in mild cognitive impairment and AD in a gene-based association analysis in cognitively normal and impaired participants (Horgusluoglu-Moloch et al., 2017).
However, it is still not established if the pharmacological blockade of A2AR can actually recover memory deficits at the onset of AD. Thus, we now used a genetic mouse model of AD, with three cumulative mutations in TauP301L, APPSwe and γ-secretase (PS1M146V) – the triple transgenic model of AD (3xTg-AD) that mimics several features of AD (Oddo et al., 2003), to test if the pharmacological blockade of A2AR is sufficient to recover the early memory deficits.
Section snippets
Animals
We used male mice from the triple transgenic model of Alzheimer's disease (3xTgAD; Oddo et al., 2003) and from its background strain, wild-type (WT) non-transgenic mice (C57BL6/129sv) obtained from our colony (Guedes et al., 2014; Lopes et al., 2009) that was derived from LaFerla's group at the Institute for Brain Aging. Thus, 3xTg-AD and control mice were not littermates but rather bred in parallel. Mice were maintained in groups of 3 per cage with some environmental enrichment (tubes and
A2AR blockade recovers memory dysfunction
At circa 140 days of age, there was no difference in the spontaneous locomotion of male 3xTg-AD and WT mice, as assessed by the number of crossings in the open field arena (F1,32 = 0.5208; P = 0.4757) and there was no effect of the treatment with SCH58261 (F1,32 = 0.1547; P = 0.6967) or interaction between drug and genotype (F1,32 = 0.0306; P = 0.8622) (Fig. 1A). Rearing activity (vertical exploration), which is informative of sensorimotor coordination, was also unaffected by either genotype (F
Discussion
The present study shows that a daily treatment during three weeks with a selective A2AR antagonist (SCH58261, see Lopes et al., 2004) was sufficient to recover memory deficits, which were the first evident behavioral modifications found at four and a half months of age in a model of AD, the 3xTg-AD mice, harboring APPswe, PS1M146V and tauP301L mutations (Oddo et al., 2003); these memory deficits of 3xTg-AD mice were accompanied by a decreased density of synaptic markers and by deficits of
Conclusion
In summary, the present study documents a therapeutic-like ability of an A2AR antagonist to simultaneously recover memory dysfunction, the loss of synaptic proteins and the dysfunction of synaptic plasticity in an animal model of early AD. Strikingly, the treatment with an A2AR antagonist also normalized the up-regulated A2AR in hippocampal synapses, which further support a key role of A2AR over-functioning as a causative factor in the onset of AD.
Acknowledgments
This work was supported by Maratona da Saúde, GAI-FMUC and Banco Santander-Totta, Santa Casa da Misericórdia, Centro 2020 (projects CENTRO-01-0145-FEDER-000008:BrainHealth 2020 and CENTRO-01-0246-FEDER-000010), and through FCT (projects PTDC/NEU-NMC/4154/2014 and POCI-01-0145-FEDER-031274). AVP received a grant (PD/BD/106041/2015) from PhDOC PhD Programme.
Declaration of interests
R.A. Cunha is a scientific consultant of the Institute for Scientific Information on Coffee (ISIC). All other authors have no interests to declare.
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