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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Dement.</journal-id>
<journal-title>Frontiers in Dementia</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Dement.</abbrev-journal-title>
<issn pub-type="epub">2813-3919</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/frdem.2022.941879</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Dementia</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>The effect of A&#x003B2; seeding is dependent on the presence of knock-in genes in the <italic>App</italic><sup><italic>NL</italic>&#x02212;<italic>G</italic>&#x02212;<italic>F</italic></sup> mice</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Lacoursiere</surname> <given-names>Sean G.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1807876/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Safar</surname> <given-names>Jiri</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/522067/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Westaway</surname> <given-names>David</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Mohajerani</surname> <given-names>Majid H.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/45336/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Sutherland</surname> <given-names>Robert J.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/965532/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Canadian Centre for Behavioural Neuroscience, University of Lethbridge</institution>, <addr-line>Lethbridge, AB</addr-line>, <country>Canada</country></aff>
<aff id="aff2"><sup>2</sup><institution>Departments of Pathology, Neurology, Psychiatry, and National Prion Disease Pathology Surveillance Center, School of Medicine, Case Western Reserve University</institution>, <addr-line>Cleveland, OH</addr-line>, <country>United States</country></aff>
<aff id="aff3"><sup>3</sup><institution>Centre for Prions and Protein Folding Diseases, University of Alberta</institution>, <addr-line>Edmonton, AB</addr-line>, <country>Canada</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Nathaniel G. N. Milton, Leeds Trinity University, United Kingdom</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Jacob Raber, Oregon Health and Science University, United States; Pascal Kienlen-Campard, Catholic University of Louvain, Belgium</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Robert J. Sutherland <email>robert.sutherland&#x00040;uleth.ca</email></corresp>
<fn fn-type="other" id="fn001"><p>This article was submitted to Cellular and Molecular Mechanisms of Dementia, a section of the journal Frontiers in Dementia</p></fn></author-notes>
<pub-date pub-type="epub">
<day>12</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>1</volume>
<elocation-id>941879</elocation-id>
<history>
<date date-type="received">
<day>11</day>
<month>05</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>08</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2022 Lacoursiere, Safar, Westaway, Mohajerani and Sutherland.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Lacoursiere, Safar, Westaway, Mohajerani and Sutherland</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license></permissions>
<abstract>
<p>Alzheimer&#x00027;s disease (AD) is characterized by the prion-like propagation of amyloid-&#x003B2; (A&#x003B2;). However, the role of A&#x003B2; in cognitive impairment is still unclear. To determine the causal role of A&#x003B2; in AD, we intracerebrally seeded the entorhinal cortex of a 2-month-old <italic>App</italic><sup><italic>NL</italic>&#x02212;<italic>G</italic>&#x02212;<italic>F</italic></sup> mouse model with an A&#x003B2; peptide derived from patients who died from rapidly progressing AD. When the mice were 3 months of age or 1 month following seeding, spatial learning and memory were tested using the Morris water task. Immunohistochemical labeling showed seeding with the A&#x003B2; was found accelerate A&#x003B2; plaque deposition and microgliosis in the <italic>App</italic><sup><italic>NL</italic>&#x02212;<italic>G</italic>&#x02212;<italic>F</italic></sup> mice, but this was dependent on the presence of the knocked-in genes. However, we found no correlation between pathology and spatial performance. The results of the present study show the seeding effects in the <italic>App</italic><sup><italic>NL</italic>&#x02212;<italic>G</italic>&#x02212;<italic>F</italic></sup> knock-in model, and how these are dependent on the presence of a humanized <italic>App</italic> gene. But these pathological changes were not initially causal in memory impairment.</p></abstract>
<kwd-group>
<kwd>seeding</kwd>
<kwd>Alzheimer&#x00027;s disease</kwd>
<kwd>microglia</kwd>
<kwd>mice</kwd>
<kwd>memory</kwd>
<kwd>amyloid-&#x003B2;</kwd>
</kwd-group>
<contract-sponsor id="cn001">Canadian Institutes of Health Research<named-content content-type="fundref-id">10.13039/501100000024</named-content></contract-sponsor>
<counts>
<fig-count count="3"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="74"/>
<page-count count="12"/>
<word-count count="8999"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>Introduction</title>
<p>Alzheimer&#x00027;s disease (AD) is the most common form of dementia, affects millions of people, and has a high social and monetary cost (Alzheimer&#x00027;s Association, <xref ref-type="bibr" rid="B2">2019</xref>). It is characterized by stereotypical pathological stages of amyloid-&#x003B2; (A&#x003B2;) aggregation and neurofibrillary tangle formation that are progressive (Braak and Braak, <xref ref-type="bibr" rid="B9">1991</xref>; Ettcheto et al., <xref ref-type="bibr" rid="B25">2018</xref>)&#x02014;this protein aggregation is assumed to be central to AD pathogenesis (Friesen and Meyer-Luehmann, <xref ref-type="bibr" rid="B28">2019</xref>; McAllister et al., <xref ref-type="bibr" rid="B47">2020</xref>). Progression of pathology is associated with memory loss, impaired thinking skills, and, eventually, impairments in all facets of life (Matteson et al., <xref ref-type="bibr" rid="B46">1996</xref>; Ferri et al., <xref ref-type="bibr" rid="B26">2004</xref>; de Vugt et al., <xref ref-type="bibr" rid="B17">2005</xref>). The cause of AD may be a prion-like spread of A&#x003B2;, resulting in neuroinflammation, plaque deposition, and hyperphosphorylation of tau, ultimately causing synapse loss and brain atrophy (Harper and Lansbury, <xref ref-type="bibr" rid="B32">1997</xref>; Bloom, <xref ref-type="bibr" rid="B7">2014</xref>; Walker et al., <xref ref-type="bibr" rid="B71">2018</xref>).</p>
<p>Intracerebral seeding has become an effective tool to understand the role of protein aggregation in neurodegenerative diseases as it allows the control over the spatial and temporal onset of amyloidosis (Friesen and Meyer-Luehmann, <xref ref-type="bibr" rid="B28">2019</xref>) as seeding A&#x003B2; accelerates the deposition of A&#x003B2; plaque <italic>in vivo</italic> in a prion-like manner (Walker et al., <xref ref-type="bibr" rid="B70">2016</xref>; Olsson et al., <xref ref-type="bibr" rid="B54">2018</xref>), in which native A&#x003B2; species are misfolded following the template and conformational properties of the seeded A&#x003B2; (Come et al., <xref ref-type="bibr" rid="B14">1993</xref>; Eisele, <xref ref-type="bibr" rid="B21">2013</xref>). The effects of seeding are also dependent on the genotype of the host: Mice without mutations in <italic>App</italic> or only possessing murine <italic>App</italic> do not show this effect, or, if they do, the required incubation time increases significantly before effects are seen (Meyer-Leuhmann et al., <xref ref-type="bibr" rid="B51">2006</xref>; Eisele et al., <xref ref-type="bibr" rid="B22">2009</xref>; Friesen and Meyer-Luehmann, <xref ref-type="bibr" rid="B28">2019</xref>).</p>
<p>Much of the intracerebral seeding work has been done using first-generation mouse models using synthetic or murine A&#x003B2; (McAllister et al., <xref ref-type="bibr" rid="B47">2020</xref>); however, due to the presence of APP artifacts in the first-generation mouse models, the conclusions drawn about the correlation between A&#x003B2; pathology, the effects of seeding, and the behavioral outcomes are in question (Sasaguri et al., <xref ref-type="bibr" rid="B60">2017</xref>, <xref ref-type="bibr" rid="B59">2022</xref>). Recently, the single knock-in <italic>App</italic><sup><italic>NL</italic>&#x02212;<italic>G</italic>&#x02212;<italic>F</italic></sup> mouse model has been developed (Saito et al., <xref ref-type="bibr" rid="B58">2014</xref>). To develop this second-generation, knock-in model, the murine A&#x003B2; sequence was first humanized, and Swedish, Beyreuther/Iberian, and Arctic mutations were inserted. The Swedish (NL) mutation (KM670/671NL) increases the production of APP&#x003B2; and the C-terminal fragment containing the entire A&#x003B2; sequence in neuronal cells (Shin et al., <xref ref-type="bibr" rid="B64">2010</xref>). The Beyreuther/Iberian (F) mutation (I716F) increases the ratio of A&#x003B2;<sub>42</sub> to A&#x003B2;<sub>40</sub> and APP C-terminal fragments but also decreases the APP intracellular domain production; this is thought to be due to a reduction in APP proteolysis by &#x003B3;-secretase due to the mutation leading to a protein that is poorly processed by &#x003B3;-secretase (Guardia-Laguarta et al., <xref ref-type="bibr" rid="B31">2010</xref>). The Arctic mutation (G) alters binding properties of various antibodies to A&#x003B2; for immunohistochemistry (Saito et al., <xref ref-type="bibr" rid="B58">2014</xref>).</p>
<p>Several studies have characterized the development of pathology, functional connectivity, and behavioral phenotypes of these mice under multiple conditions (Jafari et al., <xref ref-type="bibr" rid="B33">2018</xref>; Latif-Hernandez et al., <xref ref-type="bibr" rid="B42">2019</xref>, <xref ref-type="bibr" rid="B41">2020</xref>; Mehla et al., <xref ref-type="bibr" rid="B49">2019</xref>; Upite et al., <xref ref-type="bibr" rid="B69">2020</xref>). Of the studies using this for A&#x003B2; seeding, both studies found seeding accelerated A&#x003B2; deposition, but neither tested behavior of the mice following the seeding (Purro et al., <xref ref-type="bibr" rid="B56">2018</xref>; Ruiz-Riquelme et al., <xref ref-type="bibr" rid="B57">2018</xref>). To address the paucity of behavioral testing immediately following seeding, we seeded human A&#x003B2; into the <italic>App</italic><sup><italic>NL</italic>&#x02212;<italic>G</italic>&#x02212;<italic>F</italic></sup> mouse model.</p>
<p>Here, we wanted to determine whether seeding A&#x003B2; would cause immediate impairment in spatial learning and memory in the single <italic>App</italic> knock-in mouse model and to further understand how the presence of mutations influenced the effects of seeding on A&#x003B2; deposition but also on the response of microglia. We used young mice to determine if the initial A&#x003B2; deposition caused cognitive impairment without any other endogenously generated pathology and cognitive impairment.</p>
<p>First, we predicted that the mice seeded with A&#x003B2; would show a reduction in spatial learning and memory; second, it is predicted that the presence and absence of the knocked-in mutations would determine the seeding effects and the level of cognitive impairment. Finally, we predicted that the A&#x003B2; seeding would increase activated microglia. Overall, we found that the effects of seeding human HPC tissue and A&#x003B2; containing tissue were dependent on the presence of the NL G F knock-in genes.</p>
</sec>
<sec sec-type="methods" id="s2">
<title>Methods</title>
<sec>
<title>Subjects</title>
<p>Fifty-three single knock-in <italic>App</italic> mice were seeded in this study. Similar number of male and female mice was used (31 men, 22 women) as no difference between sexes was found in previous characterization (Mehla et al., <xref ref-type="bibr" rid="B49">2019</xref>). The mice were caged in standard housing, 2&#x02013;5 mice per cage, and kept on a 12-h light/dark cycle. The mice were given <italic>ad libitum</italic> food and water. The mice were handled prior to behavioral testing, which was completed at approximately the same time during the light cycle by an experimenter blinded to the conditions.</p>
<p>The mice were created by crossing mice from the RIKEN institute and <italic>C57Bl/6J</italic> mice. The mice were grouped based on genotype and seed. The mice were either homozygous negative (<italic>App</italic><sup>&#x02212;/&#x02212;</sup>), carrying no mutations; heterozygous (<italic>App</italic><sup>&#x0002B;/&#x02212;</sup>), carrying only one copy of the Swedish, Beyreuther/Iberian, and Arctic mutations; and homozygous positive (<italic>App</italic><sup>&#x0002B;/&#x0002B;</sup>), carrying two copies of the knocked-in mutations. The mice were then randomly assigned to be seeded with the control or rpAD seed. See <xref ref-type="table" rid="T1">Table 1</xref> for final grouping.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Grouping of genotype and seed used for behavioral testing (and immunohistochemical analysis).</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Genotype</bold></th>
<th valign="top" align="center"><bold>Control</bold></th>
<th valign="top" align="center"><bold>rpAD</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><italic>App<sup>&#x02212;/&#x02212;</sup></italic></td>
<td valign="top" align="center">15 (3)</td>
<td valign="top" align="center">15 (3)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>App<sup>&#x0002B;/&#x02212;</sup></italic></td>
<td valign="top" align="center">7 (3)</td>
<td valign="top" align="center">3 (3)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>App<sup>&#x0002B;/&#x0002B;</sup></italic></td>
<td valign="top" align="center">4 (2)</td>
<td valign="top" align="center">9 (3)</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec>
<title>Genotyping</title>
<p>Punched mouse ear tissue was subjected to DNA extraction and PCR cycling using a Millipore-Sigma&#x00027;s RedExtract-N-Amp Tissue PCR kit (XNAT-100RXN). PCR cycler condition: 94&#x000B0;C for 3 min, 94&#x000B0;C for 30 s, 57&#x000B0;C for 45 s, 72&#x000B0;C for 1 min x 35 cycles. Stored at 4&#x000B0;C. Primer sequences were obtained from the Riken Institute: E16WT: 5&#x02032;-ATC TCggAAgTgAAgATg-3&#x02032;; E16MT: 5&#x02032;-ATCTCggAAgTgAAT CTA-3&#x02032;; WT: 5&#x02032;-TgTAgATgAgAA CTT AAC-3&#x02032;; loxP: 5&#x02032;-CgT ATA ATgTATgCT ATA CgA Ag-3&#x02032;. PCR products were loaded onto agarose gel electrophoresis for visualization, with a wild-type band at 700 bp and a mutant band at 400 bp.</p>
</sec>
<sec>
<title>A&#x003B2; seed</title>
<p>The A&#x003B2; seeds were obtained from human hippocampal tissue (The National Prion Disease Pathology Surveillance Center at Case Western Reserve University Medical School), assessed for purity, and stereotaxically injected. The University Hospitals Institutional Review Board (IRB) approval is for all autopsied (&#x0201C;discarded&#x0201D;) human tissues, and all samples are anonymized (coded) and handled in compliance with the NIH policy to protect privacy. The type of seed was determined by the rate of AD progression. The biochemical analysis for the control tissue showed effectively zero A&#x003B2; (D/N) ratio A&#x003B2;<sub>40</sub> or A&#x003B2;<sub>42</sub>, but A&#x003B2;%, according to sedimentation velocity in a calibrated sucrose ingredient, showed between &#x0007E;8 and 12% A&#x003B2;<sub>40</sub> and A&#x003B2;<sub>42</sub> for the controls (Cohen et al., <xref ref-type="bibr" rid="B13">2015</xref>). Furthermore, the rpAD seed showed higher levels of A&#x003B2;<sub>42</sub> particles between 30 and 100 monomers with few particles &#x0003C;30 monomers; therefore, the rpAD seed particles are of higher molecular weight. It is these monomers that trigger the initial phase of A&#x003B2; seeding (Katzmarski et al., <xref ref-type="bibr" rid="B36">2019</xref>). All brain tissue homogenate was buffered with phosphate-buffered saline (PBS) at a pH of 7.4 and kept at &#x02212;80&#x000B0;C. The seed was 10% w/v. Prior to possession of the tissue, the tissue underwent several selection criteria steps.</p>
<list list-type="order">
<list-item><p>Referral to the National Prion Disease Pathology Surveillance Center to classify any prion disease.</p></list-item>
<list-item><p>Six or more MMSE points of decline per year.</p></list-item>
<list-item><p>Absence of autosomal dominant AD patterns.</p></list-item>
<list-item><p>Absence of mutations in human prion protein.</p></list-item>
<list-item><p>A&#x003B2; and tau proteins resembling sporadic Alzheimer&#x00027;s disease.</p></list-item>
<list-item><p>No other neuropathological comorbidity.</p></list-item>
<list-item><p>All results within 85% confidence interval.</p></list-item>
</list>
<p>Another five inclusion criteria for the classical Alzheimer&#x00027;s disease tissue were used, they are as follows:</p>
<list list-type="order">
<list-item><p>Clear clinical diagnosis of Alzheimer&#x00027;s disease.</p></list-item>
<list-item><p>No autosomal dominant patterns of dementia.</p></list-item>
<list-item><p>Alzheimer&#x00027;s disease based on tau and A&#x003B2; proteins.</p></list-item>
<list-item><p>No comorbidity with other neuropathological diseases.</p></list-item>
<list-item><p>Results within 95% confidence interval.</p></list-item>
</list>
</sec>
<sec>
<title>Stereotaxic intracerebral seeding surgery</title>
<p>The mice were subcutaneously injected with buprenorphine (Vetergesic; 0.05 mg/kg; concentration = 0.03 mg/ml) 30 min prior to anesthesia induction (isoflurane). The oxygen flow rate for induction was between 4 and 5 L/min, and isoflurane was increased in a stepwise manner to a maximum of 5 L/min. Oxygen and anesthesia flow rates were reduced to 0.9 and 1.5&#x02013;3 L/min, respectively, for the duration of the surgery. After the head was shaved, the scalp was cleaned with 4% stanhexidine (Omegalab), followed by 70% isopropyl alcohol. Lidocaine (0.1 ml of 0.2%; Rafter8) was subcutaneously injected under the scalp. Bregma was used to find the stereotaxic coordinates for the medial entorhinal cortex (Allen Institute for Brain Science, <xref ref-type="bibr" rid="B1">2016</xref>). The coordinates used for injection were AP: &#x02212;4.48, ML: 3.00, DV: 3.44 to target the medial entorhinal cortex. A 0.5-mm diameter hole was drilled through the skull to the brain at the coordinates.</p>
<p>The tissue homogenate was vortexed for 30 s before being loaded into the micropipette. Each mouse received 2 &#x003BC;L (1 &#x003BC;L/hemisphere) of the A&#x003B2; or control tissue homogenates. Seeding was performed with a Nanoject II (Drummond Scientific Company, PA) set to slowly inject 50.6 nL. Prior to seeding, a test injection was done to ensure proper flow, and the micropipette was cleaned with 70% isopropyl alcohol. The micropipette was inserted into the brain at the locations described and allowed to rest for 2 min before the first injection, with all following injections 20 s apart for a total of 20 injections. The micropipette stayed in place for 2 min after the final injection before being removed. A test injection was done again once the micropipette was removed, and the micropipette was cleaned with 70% isopropyl alcohol before the next hemisphere injection. The mice were kept on the same 12-h-light/dark cycle throughout recovery.</p>
</sec>
<sec>
<title>Perfusions and sectioning</title>
<p>Following the behavioral testing, the mice were overdosed with an intraperitoneal injection of sodium pentobarbital and transcardially perfused with 1X phosphate-buffered saline (PBS) and 4% paraformaldehyde (PFA). The brains were fixed for 24 h in 4% PFA before being transferred to a solution of 30% sucrose solution for at least 3 days. The brains were sectioned on a frozen-sliding microtome at 40 &#x003BC;m in a 1:6 series and stored in 1X PBS &#x0002B; 0.02% sodium azide solution until staining. Prior to staining, the brain sections were mounted on super frost positively charged slides, allowed to dry up right for 30 min, and stored overnight at 4&#x000B0;C.</p>
</sec>
<sec>
<title>A&#x003B2; deposition and microglia immunohistochemistry</title>
<p>The slides were rinsed in 4% PFA for 4 min, washed with 1X Tris Buffer Saline (TBS), and underwent a 70% Formic Acid wash. The slides were rinsed in 1X TBS, TBS-A (1X TBS &#x0002B; 0.1% Triton X), and TBS-B [TBS &#x0002B; 0.1% Triton X &#x0002B; 2% bovine serum albumin (BSA)]. The primaries used were: Anti-82E1 [an Anti-&#x003B2;-amyloid (N), IBL, 10323, mouse] 1:1,000 and Anti-Iba1 (Rabbit, 019-19741, Wako) &#x02212;20C 1:1,000, 1 ml/slide in TBS-B for 2 days at RT in a dark humid chamber, sealed in a plastic wrap on the rotator at 50RPM. Following primary incubation, TBS, TBS-A, and TBS-B washes were repeated. Secondaries used: Anti-mouse-alexa-488 [IgG (H &#x0002B; L) goat, Abcam, ab150113] 1:1,000 and anti-rabbit-alexa-594 [IgG (H &#x0002B; L) goat, Invitrogen, A11037] 1:1,000 (1 ml/slide) in TBS-B overnight in a dark humid chamber sealed in a plastic wrap on the rotator at 50RPM. Secondary was washed with 1X TBS and cover slipped with Vectashield &#x0002B; DAPI.</p>
</sec>
<sec>
<title>Imaging</title>
<p>Full-slide imaging was completed on a digital slide scanner (NanoZoomer 2.0-RS, HAMAMATSU, JAPAN) at 20X magnification. Slide images were exported using NDP.View 2. Quantification of A&#x003B2; plaques and microgliosis was done by pixel and object classification using iLastik (version 1.3.0-OSX) (Berg et al., <xref ref-type="bibr" rid="B5">2019</xref>) and ImageJ (version 1.51 s). ILastik was trained to segment both plaque and activated microglia separately. Threshold values were between 0.3 and 0.4, with a size filter minimum of 10 pixels. Sections were processed from &#x0007E;AP 1.7 to &#x02212;4.77, and the count for each section was averaged within groups.</p>
</sec>
<sec>
<title>Apparatus</title>
<p>The MWT pool was 1.55 m in diameter with water temperature maintained at 21 &#x000B1; 1&#x000B0;C with a white, 12.5-cm submerged target platform and unobstructed distal cues surrounding the edges. A camera was fixed to the ceiling connected to a laptop with HVS Image 2100, which was used to track the swim patterns of the mice.</p>
</sec>
<sec>
<title>Procedure</title>
<p>At 2 months of age, the mice were intracerebrally injected with a human tissue or the rpAD seed. One month following the seeding, the mice were tested using the MWT to determine if this seeding resulted in an impairment in spatial learning and memory. The mice were given four 30-s trials each day for 6 days. Starting position for each day was pseudo-randomized based on the cardinal starting locations, with each sequence of starting locations being different each day. On Day 7, the mice were tested using a no-platform probe. The temperature of the pool is kept at a cool 21&#x000B0;C to incentivize the mice to escape. Following the testing, tissue was collected to assess the extent of A&#x003B2; deposition and microgliosis.</p>
</sec>
<sec>
<title>Statistics</title>
<p>Four parameters were measured during MWT training: the proximity of the mouse to the hidden platform, the time to find the platform, the path length, and the swim speed. Following the training, the mice were tested on a no-platform probe trial, and the amount of time spent in the target quadrant was compared to the opposing quadrant, and to the average of the two adjacent quadrants. For the pathology analysis, the number and the size of A&#x003B2; plaque throughout the brain were measured along with the number of microglia cells.</p>
<p>A two-way repeated measures ANOVA with a Dunnett&#x00027;s multiple comparison test was used to determine whether the mice significantly reduced their swim parameters from the 1st to the last day of the training and to determine whether the time spent in the target quadrant was influenced by the seed and the genotype, using the time in the target quadrant as the dependent variable. Probe test performance was also compared to chance performance (25%) using a single-tailed-paired sample <italic>t</italic>-test as we only wanted to know if performance was better than chance.</p>
<p>As the effects of seeding the rpAD seed were unknown, it is difficult to specify the effect size of interest. Furthermore, we were testing whether the seeding would have an effect or not, and not necessarily the size of the effect. Therefore, the resource equation method was used to determine if the sample size was sufficient. The error degrees of freedom were determined to be 47: six treatment groups subtracted from the total number of experimental units, 53 putting the error degrees of freedom far above the necessary amount to detect a specified effect (Festing et al., <xref ref-type="bibr" rid="B27">2002</xref>).</p>
<p>All statistics were done using Prism 9 (mac OS).</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<p>Seeding either the control or rpAD seed into the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> mice resulted in significant increase of a plaque count [<italic>F</italic><sub>(2, 11)</sub> = 136.1, <italic>p</italic> &#x0003C; 0.0001], plaque size [<italic>F</italic><sub>(2,11)</sub> = 150.4, <italic>p</italic> &#x0003C; 0.0001] and activated microglia cells [<italic>F</italic><sub>(2, 11)</sub> = 18.19, <italic>p</italic> = 0.0003] compared to both the <italic>App</italic><sup>&#x02212;/&#x02212;</sup> and <italic>App</italic><sup>&#x0002B;/&#x02212;</sup>; both of which showed no A&#x003B2; plaque pathology or activated microglia (<xref ref-type="fig" rid="F1">Figure 1A</xref> and <xref ref-type="fig" rid="F1">B</xref>). The seed was found to have no significant effect on the plaque count [<italic>F</italic><sub>(1, 11)</sub> = 0.303, <italic>p</italic> = 0.593], plaque size [<italic>F</italic><sub>(1, 11)</sub> = 1.64, <italic>p</italic> = 0.227], or activated microglia [<italic>F</italic><sub>(1, 11)</sub> = 0.472, <italic>p</italic> = 0.507]. See <xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 1</xref> for pathology assessment 4 months following the seeding.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>A&#x003B2; and microglia pathology analysis 1 month following seeding. <bold>(A)</bold> Photomicrographs of representative immunohistochemical staining of A&#x003B2; plaque (82e1, green) and microglia (Iba1, red), following seeding of the control HPC tissue (blue) and rpAD seed (orange) <bold>(B)</bold>. Quantification of plaque and microglia showing (i) the plaque count (ii) the plaque size, and (iii) the microglia was significantly increased in the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> mice following seeding with the C and rpAD seed. Scale bar = 1 mm. &#x0002A;<italic>p</italic> &#x0003C; 0.05; &#x0002A;&#x0002A;<italic>p</italic> &#x0003C; 0.01, &#x0002A;&#x0002A;&#x0002A;<italic>p</italic> &#x0003C; 0.001; &#x0002A;&#x0002A;&#x0002A;&#x0002A;<italic>p</italic> &#x0003C; 0.0001.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="frdem-01-941879-g0001.tif"/>
</fig>
<p>While no difference in the plaque count or size was found between the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup>C and rpAD-seeded mice, the rpAD-seeded mice showed a significant correlation between the number of microglia and the number of plaques, whereas the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> C mice did not show a significant correlation (<xref ref-type="fig" rid="F2">Figure 2</xref>). A significant negative correlation was found for the number of activated microglia and the size of the plaque in the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> C mice, but this correlation was not found in the rpAD mice.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Correlation of the plaque and the microglia count 1 month following seeding in the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> mice seeded with the <bold>(A)</bold> control (<italic>n</italic> = 2 brains,) and <bold>(B)</bold> rpAD seed (<italic>n</italic> = 3). Correlation is between the mean plaque count (i) or the plaque size (ii) and the number of counted microglia on full brain sections sampled from 1:6 sectioning series. Circled data in (Bi) and (Bii) are shown in the inset.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="frdem-01-941879-g0002.tif"/>
</fig>
<p>From the data, it is clear that one App<sup>&#x0002B;/&#x0002B;</sup> rpAD mouse had a comparable A&#x003B2; plaque count and size but no more than 50 activated microglia counted. With removing the low-microglia data and analyzing them separately, the plaque count and microglia remain a significantly positive correlation; however, the plaque size and the microglia count become a significant positive correlation (<italic>p</italic> = 0.0047). The individual App<sup>&#x0002B;/&#x0002B;</sup> rpAD mouse with low microglia when analyzed separately shows a significantly positive correlation between the plaque count and microglia (<italic>p</italic> = 0.004), but the correlation between the plaque size and the microglia count is found to be a significantly negative correlation (<italic>p</italic> = 0.0238), where the plaque count and microglia count increased together, but, as microglia increased, there was a reduction in the plaque size.</p>
<p>When trained and tested on the MWT (<xref ref-type="fig" rid="F3">Figures 3A</xref>&#x02013;<xref ref-type="fig" rid="F3">F</xref>), the mice showed a significant reduction in proximity across training [<italic>F</italic><sub>(5, 235)</sub> = 14.41, <italic>p</italic> &#x0003C; 0.0001]. While no group differences were found [<italic>F</italic><sub>(5, 47)</sub> = 0.901, <italic>p</italic> = 0.489], a significant group &#x000D7; day interaction was found [<italic>F</italic><sub>(25, 235)</sub> = 1.690, <italic>p</italic> = 0.025]. The <italic>App</italic><sup>&#x02212;/&#x02212;</sup> C and <italic>App</italic><sup>&#x02212;/&#x02212;</sup> rpAD mice showed a significant reduction in proximity between the 1st and last days of the training (<italic>p</italic> &#x0003C; 0.01) and so did the <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> rpAD (<italic>p</italic> &#x0003C; 0.05) and <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> rpAD mice (<italic>p</italic> &#x0003C; 0.0001)&#x02014;the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> rpAD-seeded mice showed a significant reduction in proximity after 1 day of the training (<italic>p</italic> = 0.01). The <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> C mice did not show a significant reduction between the 1st and last days but did show a significant reduction by the 5th day; the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> C mice did not show any significant reduction (<xref ref-type="fig" rid="F3">Figure 3A</xref>i).</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>MWT performance following seeding. <bold>(A&#x02013;C)</bold> show the performance of App<sup>&#x02212;/&#x02212;</sup>, App<sup>&#x0002B;/&#x02212;</sup>, and App<sup>&#x0002B;/&#x0002B;</sup> mice, respectively. (i.) Proximity to target, (ii.), latency to escape, and (iii.) swim speed were measured across six days of training. D. Representative schematic of pool set up. E. Cumulative proximity to target during probe trial showed no significant difference between groups. F. Representative swim path with a breakdown of time in quadrant immediately below for (i.) App<sup>&#x02212;/&#x02212;</sup>, (ii.) App<sup>&#x0002B;/&#x02212;</sup>, and (iii.) App<sup>&#x0002B;/&#x0002B;</sup> mice.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="frdem-01-941879-g0003.tif"/>
</fig>
<p>The mice also showed a significant reduction in latency to escape across training [<italic>F</italic><sub>(5, 235)</sub> = 15.19, <italic>p</italic> &#x0003C; 0.0001], but no group differences [<italic>F</italic><sub>(5, 47)</sub> = 1.190, <italic>p</italic> = 0.329] or group x day interaction [<italic>F</italic><sub>(25, 235)</sub> = 0.969, <italic>p</italic> = 0.510] was found. All groups of the mice showed significant reduction in latency to escape. The <italic>App</italic><sup>&#x02212;/&#x02212;</sup>C, <italic>App</italic><sup>&#x02212;/&#x02212;</sup> rpAD, <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> C, <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> C, and <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> rpAD all showed significant reduction in latency to escape by the final day (<italic>p</italic> &#x0003C; 0.05), but the <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> rpAD only showed significant reduction by the 5th day (<xref ref-type="fig" rid="F3">Figure 3A</xref>ii).</p>
<p>The swim speed was found to increase significantly over the training [<italic>F</italic><sub>(5, 235)</sub> = 20.32, <italic>p</italic> &#x0003C; 0.0001], and significant differences between the groups were found [<italic>F</italic><sub>(5, 47)</sub> = 3.84, <italic>p</italic> = 0.005]; no group x day interaction was found [<italic>F</italic> (25, 235) = 1.23, <italic>p</italic> = 0.218]. All the groups, except for the App<sup>&#x0002B;/&#x02212;</sup> rpAD and <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> C significantly increased their swim from the 1st to last day1 of the training (<italic>p</italic> &#x0003C; 0.05). The <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> C and rpAD mice were both found to have an overall significantly faster swim speed than the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> rpAD mice (<italic>p</italic> &#x0003C; 0.05; <xref ref-type="fig" rid="F3">Figure 3A</xref>iii).</p>
<p>In the no-platform probe trial within the genotype, comparisons were used to determine if the mice spent significantly more time in the target quadrant compared to the average of the two adjacent quadrants and the opposing quadrant (the opposing quadrant was the starting quadrant). Both the <italic>App</italic><sup>&#x02212;/&#x02212;</sup> C and rpAD mice spent significantly more time in the target quadrant compared to the non-target quadrants [<italic>F</italic><sub>(2, 56)</sub> = 10.83, <italic>p</italic> = 0.0001], but the seed had no effect [<italic>F</italic><sub>(1, 28)</sub> = 0.0003, <italic>p</italic> = 0.985]. Neither the <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> C or rpAD mice spent significantly more time in the target quadrant [<italic>F</italic><sub>(2, 16)</sub> = 1.98 <italic>p</italic> = 0.170], but, again, the seed had no significant effect on performance [<italic>F</italic><sub>(1,8)</sub> = 0.556, <italic>p</italic> = 0.477]. Within the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> mice, a significant preference for the target was found [<italic>F</italic><sub>(2, 22)</sub> = 5.59, <italic>p</italic> = 0.012], with an overall preference for the target quadrant compared to the opposing (<italic>p</italic> = 0.0479) and adjacent (<italic>p</italic> = 0.0150) quadrants. The <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> rpAD mice showed significant preference to the target quadrant compared to the adjacent quadrants (<italic>p</italic> &#x0003C; 0.05), but not the opposing quadrant. The <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup>C mice showed no significant preference for the target quadrant (<xref ref-type="fig" rid="F3">Figure 3B</xref>i). Furthermore, no significant effect of seed [<italic>F</italic><sub>(1, 47)</sub> = 0.0283, <italic>p</italic> = 0.867] or genotype [<italic>F</italic><sub>(2, 47)</sub> = 0.892, <italic>p</italic> = 0.417] was found on the cumulative distance from the target location.</p>
<p>When comparing the time spent in the target quadrant to chance performance, the <italic>App</italic><sup>&#x02212;/&#x02212;</sup> C [<italic>t</italic><sub>(14)</sub> = 2.144, <italic>p</italic> = 0.025], <italic>App</italic><sup>&#x02212;/&#x02212;</sup> rpAD [<italic>t</italic><sub>(14)</sub> = 3.191, <italic>p</italic> = 0.003], <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> rpAD [<italic>t</italic><sub>(2)</sub> =2.925, <italic>p</italic> = 0.0498], <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> C [<italic>t</italic><sub>(3)</sub> = 2.769, <italic>p</italic> = 0.035], and <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> rpAD [<italic>t</italic><sub>(8)</sub> = 2.732, <italic>p</italic> = 0.0129]-seeded mice spent significantly more time in the target quadrant compared to what would be predicted by chance. The <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> C mice did not show performance above chance [<italic>t</italic><sub>(6)</sub> = 1.244, <italic>p</italic> = 0.130]. Furthermore, when looking at whether the mice crossed the platform location during the probe trial, 83% of the <italic>App</italic><sup>&#x02212;/&#x02212;</sup> C mice, 92% of the <italic>App</italic><sup>&#x02212;/&#x02212;</sup> rpAD, 83% of the <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> C, 100% of the <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> rpAD, 50% of the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> C, and 57% of the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> rpAD mice showed at least one platform crossing. The swim pattern also shows that the <italic>App</italic><sup>&#x02212;/&#x02212;</sup> and <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> paths were much more directed in the target quadrant, whereas the <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> mice showed a much more diffuse pattern of swimming, with the path following the edge of the pool.</p>
<p>Lastly, no effect of sex was found on time in the target quadrant [<italic>F</italic><sub>(1, 41)</sub> = 0.345, <italic>p</italic> = 0.560].</p>
<p>Despite not all the mice showing preference for the target quadrant compared to the non-target quadrants, no significant effect of seed [<italic>F</italic><sub>(1, 47)</sub> = 0.0141, <italic>p</italic> = 0.906] or genotype [<italic>F</italic><sub>(2, 47)</sub> = 0.692, <italic>p</italic> = 0.506] was found on the time in the target quadrant.</p>
<p>To summarize, no significant effect of genotype or seed or overall significant differences were found in MWT performance between groups of the mice despite not all the groups showing significant learning or memory of the target location. The <italic>App</italic><sup>&#x02212;/&#x02212;</sup> mice showed learning and memory, the <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> mice did not, and only the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> rpAD mice showed preference for the target quadrant despite the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> C mice showing some evidence of learning, although all the groups showed significantly greater performance compared to chance, except for the <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> C mice.</p>
<p>The results presented show that 1 month following seeding both human tissue and A&#x003B2; protein increased A&#x003B2; plaque pathology, and this was dependent on the presence of the NL G F mutations on the <italic>App</italic> gene. When tested on the MWT, the mice showed they were able to learn and remember the location of the hidden platform except for the <italic>App</italic><sup>&#x0002B;/&#x02212;</sup>C mice. Despite the most extensive pathology, the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> mice were able to successfully learn the task. However, the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> mice showed the smallest proportion of the mice, showing at least one platform crossing, whereas the <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> mice showed relatively high occurrences of the mice crossing the platform at least once.</p>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>Here, we show that the initial pathology of AD&#x02014;microglia activation and A&#x003B2; plaque deposition&#x02014;is dependent on the combination of knocked-in genes and the seed. Each combination resulted in unique phenotypic expression of behavior, A&#x003B2; deposition, and the microglia activation pattern in young <italic>App</italic><sup><italic>NL</italic>&#x02212;<italic>G</italic>&#x02212;<italic>F</italic></sup> mice. One month following intracerebral seeding, prior to when the natural endogenous development of A&#x003B2; plaque deposition and microgliosis occurred, we found that A&#x003B2; plaque deposition and microgliosis increased in the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> mice, but not in the <italic>App</italic><sup>&#x02212;/&#x02212;</sup> and <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> mice. It was not until 4 months following seeding did minimal A&#x003B2; plaque deposition occur in <italic>App</italic><sup>&#x0002B;/&#x02212;</sup>-seeded mice (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 1</xref>). But no A&#x003B2; plaque pathology or microgliosis was found in the <italic>App</italic><sup>&#x02212;/&#x02212;</sup> mice (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 1</xref>). The difference in A&#x003B2; deposition and microgliosis between the mice tested could be that the genes promote A&#x003B2; deposition or reduce the ability to slow A&#x003B2; deposition. Here we provide evidence suggesting the difference in pathology is due to a reduced ability of the App<sup>&#x0002B;/&#x0002B;</sup> mice to slow A&#x003B2; deposition; likely due to the prion - like properties of A&#x003B2; and the role microglia play in the development and growth of A&#x003B2; plaque.</p>
<p>In the test of spatial learning and memory used, both the <italic>App</italic><sup>&#x02212;/&#x02212;</sup> and <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> mice showed evidence of learning the location of the hidden target. Due to only using 30-s trials, the learning curves were not as strong as those seen using 60-s trials, but the performance of the mice by the 6th day of the training was similar to tasks using longer trials; however, the increased days of training do result in better probe test performance (Mehla et al., <xref ref-type="bibr" rid="B49">2019</xref>), suggesting that the task parameters resulted in similar patterns of learning compared to age matched, non-seeded controls, but, due to the reduced training volume before the testing, the no-platform probe trial becomes more difficult. However, no significant difference was found in the time spent in the target quadrant between the different groups in our study despite the <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> C mice, showing no preference for the target quadrant; this may be due to the small sample size, but the swim path suggests these mice did not learn the task. The impairment found in the <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> C mice is an effect that will have to be further investigated as well as an in-depth characterization of the <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> mice.</p>
<p>The <italic>App</italic> knock-in mice have humanized A&#x003B2;, but if one allele was producing murine A&#x003B2;, a disruption in the processing and function of A&#x003B2; during development may occur, specifically impairing the cerebrovascular system (Luna et al., <xref ref-type="bibr" rid="B45">2013</xref>). This may not be occurring when only murine A&#x003B2; is present (<italic>App</italic><sup>&#x02212;/&#x02212;</sup>) or when only human A&#x003B2; is present (<italic>App</italic><sup>&#x0002B;/&#x0002B;</sup>). Unfortunately, we did not assess cerebrovascular health in these mice, but other work has shown that cerebrovascular dysfunction is a risk-factor AD (Esiri et al., <xref ref-type="bibr" rid="B24">1999</xref>; Zhai et al., <xref ref-type="bibr" rid="B74">2016</xref>). But understanding how the cerebrovascular system changes in the brain during AD progression is important for understanding AD pathobiology.</p>
<p>One facet of AD that is still not well-understood is the pathogenetic mechanisms leading to the difference in progression and phenotypic expression of AD (Schellenberg and Montine, <xref ref-type="bibr" rid="B62">2012</xref>; Cohen et al., <xref ref-type="bibr" rid="B13">2015</xref>). Our results and others&#x00027; suggest that two general factors influence the difference in phenotypic expression: the type of A&#x003B2; and the underlying genetics. The underlying mechanism leading to these phenotypic differences may be the activation pattern of microglia in the brain.</p>
<p>Here, we showed that the relationship of microglia to A&#x003B2; plaque pathology was influenced by the type of seed and the presence of the three knock-in genes described. For example, in the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> C mice, no significant correlation was found between the plaque count and the activated microglia, but, as the number of the microglia increased, there was a concomitant decrease in the average size of the plaque. In the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup>-rpAD mice, as the plaque count increased so did the microglia; however, the plaque size did not correlate with the number of activated microglia. Despite the differences in correlation between the size of the plaque and the number of microglia cells, the overall number of microglia was not found to be significantly different between the control and the rpAD-seeded <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> mice.</p>
<p>The <italic>App</italic><sup>&#x02212;/&#x02212;</sup> mice did not develop plaque or microgliosis up to 7 months following seeding&#x02014;or 9 months of age (not shown). The <italic>App</italic><sup>&#x0002B;/&#x02212;</sup> mice did develop plaque 4 months following seeding but to a significantly lesser degree than the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> mice at the same age (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 1</xref>).</p>
<p>Despite finding that microglia and the plaque size and the count were significantly related, we were not able to directly discern the direction of this relationship. But, from the work of others, the elimination of microglia results in a reduction of A&#x003B2; plaque production early in the disease, but not in the later portions of the disease (Spangenberg et al., <xref ref-type="bibr" rid="B66">2019</xref>; Saucken et al., <xref ref-type="bibr" rid="B61">2020</xref>). Microglia are thought to internalize neuronally derived A&#x003B2; and begin the initial aggregating phase of A&#x003B2; before being deposited into the extracellular space (Spangenberg et al., <xref ref-type="bibr" rid="B66">2019</xref>), suggesting that the activation of microglia may initially be causing the plaque deposition to protect the brain from the exogenously introduced agents, such as bacteria, viruses, such as the currently relevant SARS-COV2 virus, and exogenous A&#x003B2; (Eimer et al., <xref ref-type="bibr" rid="B20">2018</xref>; Dominy et al., <xref ref-type="bibr" rid="B19">2019</xref>; Montalvan et al., <xref ref-type="bibr" rid="B53">2020</xref>; Wu et al., <xref ref-type="bibr" rid="B73">2020</xref>); however, A&#x003B2; deposition could also occur due to an autoimmune response (Meier-Stephenson et al., <xref ref-type="bibr" rid="B50">2022</xref>). We show that this plaque/microglia response is dependent specifically on the brain environment and the genetics underlying this phenotype as we found no microglia activation in the control or the rpAD-seeded <italic>App</italic><sup>&#x02212;/&#x02212;</sup> mice.</p>
<p>Microglia are known as the resident immune cells of the CNS and are known to interact with plaque to create a barrier. These innate immune cells (Webers et al., <xref ref-type="bibr" rid="B72">2020</xref>) interact with plaque to control growth, development, and plaque morphology (Bolmont et al., <xref ref-type="bibr" rid="B8">2008</xref>; Baik et al., <xref ref-type="bibr" rid="B4">2016</xref>; Casali et al., <xref ref-type="bibr" rid="B10">2020</xref>) and to prevent the toxic effects of A&#x003B2;<sub>42</sub> (Condello et al., <xref ref-type="bibr" rid="B15">2015</xref>). However, excessive uptake of A&#x003B2; can result in microglial death, resulting in the release of accumulated A&#x003B2; into the extracellular space and contributing to plaque growth (Baik et al., <xref ref-type="bibr" rid="B4">2016</xref>). The activation of microglia cells with A&#x003B2; plaque pathology may explain why the <italic>App</italic><sup>&#x0002B;/&#x0002B;</sup> mice did not show impairment.</p>
<p>It is not uncommon for a peripheral inflammatory response to have effects on CNS function (Block, <xref ref-type="bibr" rid="B6">2019</xref>). A poor microbiome, which is associated with inflammation, is associated with lower cognitive scores (Fr&#x000F6;hlich et al., <xref ref-type="bibr" rid="B29">2016</xref>; Gareau, <xref ref-type="bibr" rid="B30">2016</xref>; Komanduri et al., <xref ref-type="bibr" rid="B37">2021</xref>) and can also lead to AD (Thaiss et al., <xref ref-type="bibr" rid="B68">2016</xref>; Shi et al., <xref ref-type="bibr" rid="B63">2017</xref>; Lin et al., <xref ref-type="bibr" rid="B43">2018</xref>). One potential mechanism that could explain why a poor microbiome is associated with lower cognitive could be due to disruption in tryptophan metabolism. Tryptophan metabolism is a key regulator of brain innate immunity (Meier-Stephenson et al., <xref ref-type="bibr" rid="B50">2022</xref>) and a poor microbiota can lead to impaired tryptophan metabolism and serotonin signaling (Jenkins et al., <xref ref-type="bibr" rid="B34">2016</xref>; Dinan and Cryan, <xref ref-type="bibr" rid="B18">2017</xref>).</p>
<p>Further evidence that the etiology may be an immune response arises from fecal microbiota transplant experiments. The microbiota of the 6-month-old <italic>App</italic><sup><italic>NL</italic>&#x02212;<italic>G</italic>&#x02212;<italic>F</italic></sup> mice when transplanted into wild-type controls resulted in a disease phenotype; this effect was also sex and genotype specific (Kundu et al., <xref ref-type="bibr" rid="B39">2022</xref>). The APP/PS1 mice transplanted with healthy fecal microbiota were found to have alleviated AD symptoms, such as a reduction in A&#x003B2; production and increased short chain fatty acid butyrate (Sun et al., <xref ref-type="bibr" rid="B67">2019</xref>). Aged microbiota when transplanted was found to accelerate age and drive a pathological phenotype in young mice (Parker et al., <xref ref-type="bibr" rid="B55">2022</xref>).</p>
<p>Lipid metabolism of microglia appears central to the functioning of microglia (Chausse et al., <xref ref-type="bibr" rid="B11">2021</xref>), suggesting that disruption of these processes may impair microglia function and, therefore, their influence on plaque morphology and the innate immune system. As described above, the microbiota influences the immune system, and this appears to be through the maturation, function, and lipid metabolism of microglia in the CNS (Erny et al., <xref ref-type="bibr" rid="B23">2015</xref>). Therefore, an impairment of the gut microbiome may be a central point in which AD begins. Its disruption leads to increased inflammation, disrupts microglia function and maturation, and, potentially, the metabolic processes of microglia, such as the processes related to managing A&#x003B2; plaque growth and toxicity (Bolmont et al., <xref ref-type="bibr" rid="B8">2008</xref>; Condello et al., <xref ref-type="bibr" rid="B15">2015</xref>; Baik et al., <xref ref-type="bibr" rid="B4">2016</xref>).</p>
<p>Despite the described role of microglia in the etiology of AD, the role of A&#x003B2; oligomers cannot be overlooked. It is known that A&#x003B2; oligomers instead of fibrils and plaques are the most pathogenic A&#x003B2; species (Ashe, <xref ref-type="bibr" rid="B3">2020</xref>). However, the toxicity of A&#x003B2; oligomers appears to be dependent on the temporal, spatial, and structural relationship to amyloid fibrils and dense core plaques (Liu et al., <xref ref-type="bibr" rid="B44">2015</xref>). Liu et al. (<xref ref-type="bibr" rid="B44">2015</xref>) describe two classes of A&#x003B2; oligomers: Type 1 and Type 2. Type 2, while more abundant than Type 1, appears confined to the vicinity of plaque and does not impair cognition at levels relevant to AD. The Type-1 oligomers, however, are unrelated to amyloid fibrils and may, therefore, have a greater potential for neural dysfunction throughout the brain. It was concluded that, due to the containment of Type-2 oligomers to the A&#x003B2; plaques, the Type-2 oligomers are rendered functionally innocuous. Therefore, due to the intracerebral seeding of A&#x003B2; accelerating the nucleation and deposition of A&#x003B2; in the brain, a large portion of the A&#x003B2; oligomers in the brain may have been sequestered to the plaque, reducing the toxic effects of these oligomers, and preserving cognitive function. Yet microglia may be playing a role to contain the Type-2 A&#x003B2; oligomers inside the plaque, and it is not until later in the disease progression does the Type-2 A&#x003B2; oligomers leak out and begin damaging neurons throughout the brain (Liu et al., <xref ref-type="bibr" rid="B44">2015</xref>). Unfortunately, we did not measure the levels of these two types of A&#x003B2; oligomers and, therefore, cannot determine if seeding altered the spatial or temporal characteristics of these oligomers. However, we do provide further evidence that A&#x003B2; monomers found in the seeds used can initiate A&#x003B2; aggregation in the <italic>App</italic><sup><italic>NL</italic>&#x02212;<italic>G</italic>&#x02212;<italic>F</italic></sup> mice.</p>
<p>We do acknowledge the limitations to this study. First, we focused only on spatial navigation learning and memory. In only testing spatial navigation, we were unable to make conclusions on the effects of seeding, or genotype in different cognitive domains. However, the MWT was originally designed to test the function of the HPC in memory, and one of the earliest impairments in AD is found in HPC memory. In future studies, additional behavioral tests should be included or a novel home cage-based assessment of rodent&#x00027;s behavior (Singh et al., <xref ref-type="bibr" rid="B65">2019</xref>; Contreras et al., <xref ref-type="bibr" rid="B16">2022</xref>) may offer insights into phenotypical expression of mouse genotypes and seeding and across time not found in traditional rodent behavioral testing. Furthermore, we did not measure soluble A&#x003B2; and, instead, focused on A&#x003B2; plaque load and characteristics throughout the brain and how this was associated with microglia. We, therefore, cannot make any conclusions on how seeding affected soluble A&#x003B2;. Lastly, while the control tissue had no rpAD A&#x003B2;, A&#x003B2; from the HPC where the tissue was collected could have induced the seeding response, which could explain the lack of difference in A&#x003B2; pathology 1 month following the seeding.</p>
<p>Given the recent failures of A&#x003B2;-targeted therapies to treat AD (Kurkinen, <xref ref-type="bibr" rid="B40">2021</xref>), it is clear that the etiology of AD is not understood. The role of the immune system in the etiology of AD has been gaining interest (Jevtic et al., <xref ref-type="bibr" rid="B35">2017</xref>). Recent hypotheses put forth have described that the initial A&#x003B2; plaque deposition that ultimately leads to AD occurs as a means to protect the brain from infection (Kumar et al., <xref ref-type="bibr" rid="B38">2016</xref>; Eimer et al., <xref ref-type="bibr" rid="B20">2018</xref>; Moir et al., <xref ref-type="bibr" rid="B52">2018</xref>). While still speculative, our results along with others&#x00027;, suggest that the underlying genetic factors that contribute to AD may be closely related to the innate immune response and, specifically, the role of microglia. This immune response is determined by genetic and potentially epigenetic predisposition to the development of A&#x003B2;<sub>42</sub> and the ratio of A&#x003B2;<sub>42</sub> and A&#x003B2;<sub>40</sub> but also the type of A&#x003B2; present in the brain, whether endogenous (Cohen et al., <xref ref-type="bibr" rid="B13">2015</xref>, <xref ref-type="bibr" rid="B12">2016</xref>) or exogenously introduced. It is well-known that both genetic and environmental factors influence the etiology of AD (McDonald et al., <xref ref-type="bibr" rid="B48">2010</xref>), but, specifically, factors involving the immune system may be a novel approach to treat AD and age-related cognitive decline. Future studies should focus on microglia metabolism in health and disease and how this is influenced by the microbiome and the immune system.</p>
</sec>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s10">Supplementary material</xref>, further inquiries can be directed to the corresponding author/s.</p>
</sec>
<sec id="s6">
<title>Ethics statement</title>
<p>The animal study was reviewed and approved by Animal Ethics Committee of the University of Lethbridge.</p>
</sec>
<sec id="s7">
<title>Author contributions</title>
<p>RS, MM, JS, DW, and SL: conceptualization. RS, SL, and DW: methodology. SL: software, validation, formal analysis, investigation, data curation, writing&#x02014;original draft preparation, and visualization. RS, MM, DW, and JS: resources. SL, RS, MM, and DW: writing&#x02014;review and editing and funding acquisition. RS and MM: supervision. SL and RS: project administration. All the authors have read and agreed to the published version of the manuscript.</p>
</sec>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>This research was funded by a CIHR grant awarded to RS (452424).</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x00027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack><p>We would like to thank T. Saito and T. C. Saido of the RIKEN Brain Science Institute for providing the original <italic>App</italic><sup><italic>NL</italic>&#x02212;<italic>G</italic>&#x02212;<italic>F</italic></sup> mice used to establish a colony at our institution, J. Safar and D. Westaway for supplying the A&#x003B2; homogenate, B. McAllister for statistical and data analysis assistance, Canadian Center for Behavioral Neuroscience Animal Care Staff, D. Shao and B. Mirza Agha for experimental help, V. Lapointe for immunohistochemistry assistance, and I. Q. Whishaw and J. Faraji for assistance with behavioral analysis.</p>
</ack><sec sec-type="supplementary-material" id="s10">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/frdem.2022.941879/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/frdem.2022.941879/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Image_1.pdf" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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