Affiliation:
1. UCL School of Pharmacy London UK
Abstract
AbstractBackgroundAlzheimer's disease (AD) is associated with gradual memory loss and anxiety which affects ~75% of AD patients. This study investigated whether AD‐associated anxiety correlated with modulation of extrasynaptic δ‐subunit‐containing GABAA receptors (δ‐GABAARs) in experimental mouse models of AD.Experimental approachWe combined behavioural experimental paradigms to measure cognition performance, and anxiety with neuroanatomy and molecular biology, using familial knock‐in (KI) mouse models of AD that harbour β‐amyloid (Aβ) precursor protein App (AppNL‐F) with or without humanized microtubule‐associated protein tau (MAPT), age‐matched to wild‐type control mice at three different age windows.ResultsAppNL‐F KI and AppNL‐F/MAPT AD models showed a similar magnitude of cognitive decline and elevated magnitude of anxiety correlated with neuroinflammatory hallmarks, including triggering receptor expressed on myeloid cells 2 (TREM2), reactive astrocytes and activated microglia consistent with accumulation of Aβ, tau and down‐regulation of Wnt/β‐catenin signalling compared to aged‐matched WT controls. In both the CA1 region of the hippocampus and dentate gyrus, there was an age‐dependent decline in the expression of δ‐GABAARs selectively expressed in parvalbumin (PV)‐expressing interneurons, encapsulated by perineuronal nets (PNNs) in the AD mouse models compared to WT mice.In vivo positive allosteric modulation of the δ‐GABAARs, using a δ‐selective‐compound DS2, decreased the level of anxiety in the AD mouse models, which was correlated with reduced hallmarks of neuroinflammation, and ‘normalisation’ of the expression of δ‐GABAARs.ConclusionsOur data show that the δ‐GABAARs could potentially be targeted for alleviating symptoms of anxiety, which would greatly improve the quality of life of AD individuals.