Amyloid-Beta1-42 -Induced Increase in GABAergic Tonic Conductance in Mouse Hippocampal CA1 Pyramidal Cells

Alzheimer’s disease (AD) is a complex and chronic neurodegenerative disorder that involves a progressive and severe decline in cognition and memory. During the last few decades a considerable amount of research has been done in order to better understand tau-pathology, inflammatory activity and neuronal synapse loss in AD, all of them contributing to cognitive decline. Early hippocampal network dysfunction is one of the main factors associated with cognitive decline in AD. Much has been published about amyloid-beta1-42 (Aβ1-42)-mediated excitotoxicity in AD. However, increasing evidence demonstrates that the remodeling of the inhibitory gamma-aminobutyric acid (GABAergic) system contributes to the excitatory/inhibitory (E/I) disruption in the AD hippocampus, but the underlying mechanisms are not well understood. In the present study, we show that hippocampal injection of Aβ1-42 is sufficient to induce cognitive deficits 7 days post-injection. We demonstrate using in vitro whole-cell patch-clamping an increased inhibitory GABAergic tonic conductance mediated by extrasynaptic type A GABA receptors (GABAARs), recorded in the CA1 region of the mouse hippocampus following Aβ1-42 micro injection. Such alterations in GABA neurotransmission and/or inhibitory GABAARs could have a significant impact on both hippocampal structure and function, causing E/I balance disruption and potentially contributing to cognitive deficits in AD.


Introduction
The role of the inhibitory gamma-aminobutyric acid (GABA) system in excitatory/inhibitory (E/I) balance disruption in the Alzheimer's disease (AD) brain has been described to occur before, and to possibly underlie, amyloid-beta (Aβ) mediated-excitotoxicity. Despite that GABAergic neurons seem to be relatively spared during AD progression, there is evidence that demonstrates that they are vulnerable to exposure to Aβ neurotoxic protein fragments [1]. For example, GABAergic parvalbumin (PV)-positive interneurons that are inhibitory and fast spiking, key regulators of E/I balance through the synchronization of excitatory neuronal network activity in the cortex and in the hippocampus [2], have been shown to be impaired by Aβ, ultimately causing the impairment of inhibitory function, disrupting of E/I balance and causing cognitive decline in AD [3].
Increases in ambient GABA levels may also be involved in learning and memory dysfunction in AD [4]. Deficits in mitochondrial ATP occurring with ageing promotes increased ambient GABA levels through release of GABA in the extrasynaptic space [5]. However, Aβ may also be indirectly involved in the release of ambient GABA by astrocytes to the extrasynaptic space [6,7]. In the hippocampus, ambient GABA levels activate extrasynaptic α5 subunit-containing type A GABA receptors (GABA A Rs), mostly expressed in the somatodendritic region of CA1 pyramidal layer of the hippocampus, where they mediate tonic inhibition [8,9]. Persistent and continuous activation of these receptors due to increased ambient GABA levels generates chronic hyperpolarizing conductance, ultimately affecting the excitability of neurons in the hippocampus [10], thus contributing to the alteration of the E/I balance.
Restoration of E/I balance could reverse neuronal dysfunction, contributing to the amelioration of cognitive decline in AD [11,12]. Given the potentially promising pharmacological advances in this direction [13][14][15], we aimed to assess Aβ 1-42 -induced changes in the functional activity of the GABA A Rs in CA1 pyramidal cells.

Results and Discussion
Whole-cell voltage-clamp recordings were performed in naïve control (NC), artificial cerebrospinal fluid (ACSF) -injected and Aβ 1-42 -injected mice in the str. pyramidale of the CA1 hippocampal region ( Figure 1). Application of 100 µM of bicuculline methiodide (BMI), along with the inhibitory postsynaptic currents (IPSC) blockade, resulted in tonic inhibition in the CA1 pyramidal cells measured as a shift in the holding current [16]. Mice injected with Aβ 1-42 were found to exhibit a significant increase in tonic inhibition in comparison to NC (78.070 ± 19.950 pA versus 50.948 ± 9.263 pA, p = 0.0184) and artificial cerebrospinal fluid (ACSF)-injected (78.070 ± 19.950 pA versus 35.051 ± 5.340 pA, p = 0.0015) mice ( Figure 1 Similar to our observations, increased tonic conductance has also been observed previously in the dentate gyrus (DG) region of a Tg 5xFAD and APP/PS1 AD mouse model, in which it was associated with cognitive decline [6,7]. Overall, the findings from these AD mouse models imply that excessive amounts of GABA in the extracellular space is potentially released from reactive astrocytes, and reduction of tonic inhibition in these mice rescues long-term potentiation (LTP) impairment and memory decline [6,7]. It is important to point out that, other potential factors might also contribute to the altered extrasynaptic GABA levels, from changes in GABA uptake and clearance processes. Furthermore, remodeling of GABA A R subunit expression, along with alteration of the expression of GABA transporters (GATs) in the AD brain, may buffer changes in synaptic GABA levels, and ultimately, affect the total levels of extrasynaptic GABA [16][17][18][19][20]. We measured tonic inhibition in the CA1 region of Aβ 1-42 treated mice as the CA1 region has been reported to be one of the earliest hippocampal regions to exhibit functional changes in AD [21]. The hippocampus might have discrete functional domains along its regions and subregions that affect learning and memory processes, so region-specific differences could also be observed in the deterioration of the LTP during AD progression. Several studies have reported differences in LTP induction and amplitude within the dorsal and ventral parts of the CA1 region in rodents [22]. While some studies using Tg AD mouse models [6,7] have indicated the relevance of DG-related impaired LTP and memory deficits in the AD rodent brain, our data indicate that the CA1 region might be, at least, equally critical in the process of the memory decline in AD. Increased tonic inhibition after Aβ injection might be a consequence of increased extracellular GABA levels that lead to the overactivation of α5 subunit containing receptors in the CA1 pyramidal cells of the hippocampus. We have also considered the possibility of α5 subunit upregulation as a contributing factor to increased tonic inhibition. However, our results show no Aβ 1-42 induced alterations in α5 subunit expression (Figure 2A-K). Previous data suggest that the α5 subunit containing GABA A receptor plays a key role in cognition, and it potentially represents an important component of synaptic transmission in the CA1 region of the hippocampus, which might be impaired by the action of the Aβ protein fragment [23]. The enhanced performance of α5-deficient mice in learning tasks was linked to decreased GABA-mediated synaptic inhibition in the hippocampus, as shown by the reduced peak amplitudes and slower decay times of IPSCs [24]. Increased tonic GABAergic inhibition can alter E/I balance in the hippocampus, which potentially contributes to the cognitive decline observed in Aβ 1-42 -treated mice. At day 7 post-injection, Aβ 1−42 -injected mice showed significant spatial memory impairment compared with NC (p = 0.002 and p = 0.0481), ACSF-injected (p = 0.0003 and p = 0.0445) and scrambled Aβ 1-42 (scrAβ 1-42 )-injected (p = 0.0015 and p = 0.005) mice in the novel object recognition (NOR) and Water Morris Maze (MWM) tasks ( Figure 2L,M). The significantly lower discrimination ratio found in Aβ 1−42 -injected mice compared with ACSF-injected and NC mice, indicates that Aβ 1−42 -injected mice could not discriminate between familiar and novel objects ( Figure 2L). Aβ 1−42 -injected mice also show an increased escape latency to find the platform in the MWM ( Figure 2M).
Tonic inhibition is relevant not only for the control of pyramidal cell excitability in the hippocampus, but also for the control of oscillatory network activity mediated by interneurons. Interneurons from the CA1 region of the hippocampus exhibit tonic currents that reduce their excitability, thus limiting their inhibitory output to excitatory pyramidal cells [25]. Fast-spiking PV positive basket cell interneurons that create perisomatic synapses with excitatory pyramidal neurons mediate network oscillations in the hippocampus [26,27], and this is critical for learning and memory processes in the hippocampus. Interestingly, these interneurons display a dual function, which is modulated by extracellular GABA levels. At low extracellular GABA levels, extrasynaptic GABA A Rs induce depolarization in these interneurons, which facilitates the transmission of inhibitory signals to the excitatory pyramidal cells. However, under pathological conditions, such as with the accumulation of Aβ 1-42 , increased extracellular GABA levels would induce hyperpolarization in the interneurons [28]. Furthermore, the aforementioned tonic inhibition-dependent effects in the hippocampal circuitry would manifest as a loss of oscillatory and rhythmic hippocampal activity [16,29]. Thus, increased extrasynaptic tonic inhibition in the hippocampus would affect interneuron function by altering communication with other interneurons and with principal pyramidal cells. In turn, this would affect the modulation of hippocampal excitability and the maintenance of a normal neuronal network. Much research has effectively shown that neuronal loss, and the resulting brain atrophy, might be one of the leading factors associated with cognitive impairment in AD [30]. However, other neuropathological processes are likely to contribute to the dysfunctional E/I network balance in the hippocampus that leads to cognitive deterioration. Although cognitive decline in AD has been largely related to Aβ oligomers and the glutamatergic system through multiple interactions [31,32], there is growing evidence to suggest that cognitive decline in the AD brain is influenced and also partly precipitated by altered GABAergic function [19], and this has been linked to cognitive decline [33]. In the extrasynaptic space, Aβ 1-42 mediates increase in ambient GABA levels which chronically activates tonic inhibitory currents in the hippocampus, that are involved in the maintenance of the excitatory network and synchronization, and in turn might contribute to the cognitive deficits -but the exact mechanism requires further elucidation.
In summary, we demonstrated that tonic GABAergic current is increased in Aβ 1-42 -injected mice, suggesting that, along with the classic features of AD that contribute to the cognitive decline, such as neuronal loss, tau and vascular pathology and neuroinflammation, increased GABAergic tonic inhibitory currents may also play a key role in hippocampal deficits in AD.

Animals
The animals were housed at the University of Auckland, Vernon Jensen Unit and the University of Otago, Hercus Taieri Resource Unit under 12 h reverse light-cycle conditions (lights on at 8 PM), with ad libitum access to food and water. All experiments were conducted in accordance with the National Animal Ethics Advisory Committee guidelines and the approval of the institutional animal ethics committee of the University of Auckland and University of Otago (Approval numbers: 60/13, 001586 and 001655). The animals were maintained under conditions of a 12 h light/dark cycle (lights on at 7:00 P.M.) with food and water available ad libitum. Experiments were performed on young 2 months old C57BL/6 wild-type male mice (whole-cell voltage-clamp recording, n = 4-5; behavioural testing and immunohistochemistry, n = 9).

Aβ 1-42 Preparation
Aβ 1-42 is routinely produced as a recombinant protein fused with maltose-binding protein (MBP), with a proteolytic cleavage site for Factor X protease between the two segments based on (Wilson C. MSc Thesis, University of Otago, 2007) [34,35]. This strategy utilizes the solubilizing character of the maltose-binding protein, a product of the MalE gene, to ensure expression of the soluble protein at a high concentration in Escherichia coli. After the expression of this recombinant fusion protein in bacteria, the product was purified on an amylose column to which the MBP segment of the protein binds. The affinity selected fusion protein was eluted from the resin with maltose and concentrated by ammonium sulphate precipitation. The carrier MBP was then cleaved off the fusion protein by Factor X protease, and the released Aβ 1-42 was isolated and further purified by hydrophobic chromatography in 0-50% v/v acetonitrile/0.1% v/v trifluoroacetic acid (TFA), using fast protein liquid chromatography (FPLC). The fractions containing pure Aβ 1-42 were detected immunologically with an antibody against residues 17-24 of Aβ 1-42 and lyophilized to remove the solvent. Mass spectrometry was used to confirm the expected molecular ion for the desired product. The concentration of the protein fragment has been determined by bicinchoninic acid assay (BCA) at 60 • C for 30 min. Incubating the BCA assay at higher temperatures is recommended as a way to increase assay sensitivity while minimizing the variances caused by unequal amino acid composition. Before intra-hippocampal injection of this product, we diluted the prepared monomer in ACSF (147 mM Na + , 3.5 mM K + , 2 mM Ca 2+ , 1 mM Mg 2+ [pH 7.3]) and 'aged' the solution at 37 • C for 48 h to facilitate the formation of soluble aggregates, which was confirmed by SDS/PAGE and by non-dissociating PAGE. For the non dissociating gel, the separating gel was a 12.5% (w/v) acrylamide gel (buffer 750 mM Tris-HCL pH 8.8), stacking gel 9% (w/v) acrylamide (buffer 125 mM Tris-HCL pH 6.8) with the running buffer 25 mM Tris and 19.2 mM glycine. Electrophoresis was at 200 V for 1.5 h.
The optimal incubation time required to produce the highly toxic oligomers is 48-120 h. Western blots of an ageing profile of Aβ 1-42 were analyzed both on non-dissociating gels, where the monomer decreases, and an oligomer appears by 48 h, and SDS gels where the dimer and trimer of Aβ 1-42 are seen as well as a higher molecular weight oligomer [35]. Only aggregates from misfolded Aβ 1-42 are deduced to be SDS insoluble [36], explaining why SDS gels show lower amounts with the less stably-aggregated species dissociated by the SDS [35]. Furthermore, it is very likely that the aged amyloid beta sample injected that included dimers, trimers and possible tetramers underwent further aggregation in the extracellular space following intracerebral injection. Importantly, there are several studies that provide evidence for the existence of toxic oligomeric Aβ species in the AD brain but there is controversy and unanswered questions regarding their precise structures, spread, amplification and how they induce neuronal dysfunction and death [37].
Before recording, hippocampal slices were pre-incubated in ACSF with 5 µM GABA to increase the ambient GABA levels, so as to facilitate the measurement of tonic conductance, as well as with 3 mM kynurenic acid to block ionotropic glutamate receptors. Tetrodotoxin (TTX) (1078, Tocris, Bristol, UK) at 5 µM and CdCl 2 (202908, Sigma Aldrich) at 50 µM were used to block voltage-gated Na + and Ca ++ channels, respectively. Finally, the GABA receptor antagonist BMI was used at 100 µM to measure tonic conductance. All recordings were low-pass filtered at 3 kHz and digitized at 10 Hz using an Axon Digidata 1550B plus HumSilencer apparatus (Axon Instruments, San Jose, CA, USA and SDR Scientific, Sydney, NSW, Australia).

Tonic Current Measurements in Hippocampal Slices
The tonic current was measured based on the shift in the holding current caused by the addition of the GABA A receptor antagonist BMI. Tonic current measurement was performed following the method described by [16]. Briefly, tonic current was defined by generating all-points histograms for the control and the BMI periods, and later, a Gaussian curve was fit to the data. Tonic inhibition was determined by subtracting the mean current value for the control period from the mean current value for the BMI period.

Behavioral Testing
Behavioral testing was performed to elucidate the effects of Aβ 1−42 on the cognitive performance of the mice using the NOR and MWM tasks. On day 6 and 7 after Aβ 1−42 injection the NOR test was started at 9 AM and on day 7 the MWM test at 11 AM. The behavioral analysis was performed using the tracking image analyzer system EthoVision XT 9 (Noldus; Wageningen, Netherlands).

Novel Object Recognition Test
To evaluate long-term spatial memory, the NOR test was performed in a square arena with non-transparent plexiglass walls (25 cm × 29 cm × 25 cm). Each mouse was placed in the arena individually and given 10 min to habituate to the environment. Next, two identical objects were introduced in the arena at designated locations, and the mice were given 5 min to interact with and explore the objects. The following day (24 h later), the animals were presented with a similar set of objects but one object was novel to them; they were allowed to freely explore the objects again for a 5 min period. The amount of time spent to explore the new object is considered as an index of recognition memory. The discrimination ratio for a novel over a familiar object was calculated as follows: time near a new object minus the time near the old object, divided by time near the new object plus the time near the old object [34,35].

Morris Water Maze Test
The MWM task was used to assess short-term spatial memory. The MWM apparatus comprises a circular black tank (diameter, 130 cm; height, 130 cm) filled with tap water. A constant temperature of 20 • C was maintained during every test. A circular escape platform of 10 cm diameter and several navigation cues were used to provide spatial orientation for the mice. A video camera suspended from the ceiling was used to record every test. The starting position of every mouse was assigned randomly. The location of the hidden platform was kept constant. If the mouse did not find the hidden platform within 90 s, the animal was placed on the platform for 10 s before being returned to the cage. Spatial learning was tested across four repeat trials on day 7 after Aβ 1−42 injection. Between trials, mice were dried with a towel, placed in their cages and kept over a heating blanket for 10 min. The latency period before the mouse reached the platform was measured.

Tissue Processing and Immunohistochemistry
Following behavioral testing, for immunohistochemistry experiments mice were deeply anesthetized with 75 mg/kg ketamine and 1 mg/kg domitor (Pfizer; New York, NY, USA) and perfused transcardially with 20 mL of ice-cold 4% paraformaldehyde in phosphate buffer, pH 7.6. Brains were removed and post-fixed in paraformaldehyde solution for 2 h at 21 • C and then incubated in 30% sucrose in Tris-phosphate saline (TBS; pH 7.6, 0.05 M Tris, 0.15 M NaCl) solution overnight at 4 • C. Four serial sets of 30 µm-thick coronal brain sections were cut using a freezing microtome [34,35,39].
Free-floating single-label fluorescence immunohistochemistry was performed to detect the GABA A R α5 subunit within the mouse hippocampus [34]. Two hippocampal brain sections from each animal were first incubated in blocking solution containing 0.25% bovine serum albumin, 0.3% Triton X-100, and 1% donkey serum in TBS for 1 h at 21 • C followed by incubation with the primary antibody (1:1000, Thermo Fisher Scientific, PA5-31163, Waltham, MA, USA) for 48 h at 4 • C. The sections were then incubated in donkey anti-rabbit Alexa 647 (1:500; ThermoFisher Scientific) for 2 h at 21 • C. Nuclei were counterstained with Hoechst 33,342 (1:10,000; Invitrogen, Carlsbad, CA, USA). Sections were then mounted on slides, air dried overnight, and coverslipped with Mowiol mounting medium. Omission of primary antibodies resulted in a complete absence of immunoreactivity. The experimenter was blinded to avoid any potential bias during image acquisition and analysis. Imaging was conducted using a Zeiss 710 confocal laser-scanning microscope (Carl Zeiss; Oberkochen, Germany) as described in [39]. Integrated density measurements were undertaken using ImageJ, with the size of the measured areas as follows: 21,352 µm 2 for the CA1 region, 4761 µm 2 for the CA3 region, and 12,295 µm 2 for the DG in each layer. Intensity measurements were taken in the regions of the stratum (str.) pyramidale, str. radiatum, and str. moleculare of the CA1 region.

Statistical Analysis
All data are expressed as mean ± SD. One-way ANOVA followed by Tukey post-hoc test was used to examine differences between the different groups in all experiments. All statistical analyses were conducted using Prism (version 8, GraphPad), and a p < 0.05 was considered to indicate statistical significance.