40 Hz Gamma frequency leads to the activation of microglia therefore ameliorates amyloid-β plaque, are there going to be adversely affect in terms of the neural activity. due to the GENUS can have

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Alzheimersdisease2.pptx

40 Hz Gamma frequency leads to the activation of microglia therefore ameliorates amyloid-β plaque (1)

Introduction

Alzheimer's disease

Degenerative brain disease and the most common form of dementia.

Amyloid plaque

There are many treatments that target different aspect of the diseases.

Alzheimer's disease is the most prevalent form of dementia

How does the amyloid plaque forms

Hydrolysis of Amyloid Precursor Protein

Microglia

A type of glia cell

Morphological shift

Activated by 40Hz brainwave.

Engulfing Amyloid-B protein

40Hz stimulation

Amyloid-B protein plaques in the

Mouse’s brain decreases compare with

non stimulated mouse.

Previous Morris Water Maze Result

Stimulated 5XFAD mouse took less time than the

other AD mouse.

Gamma Frequency

Non-invasive light flicker at 40 Hz

(Gamma ENtrainment Using Sensory stimulus, or GENUS)

In the experiment, Auditory stimulation (4)

20Hz

40Hz

80Hz

experiment -- activate microglia to ameliorate amyloid plaque

Relative soluble Aβ1–42 levels in AC and HPC in 6-month-old 5XFAD mice following 40 Hz, 8 Hz, 80 Hz, or random auditory stimulation for 1 hr/day for 7 days (1-week)

40 Hz

Random

No Stimulation

Result of the experiment

It is showing improvement

Behavior experiments

Objection recognition index

Location recognition index

Escape latency

Can it improve cognitive function in AD remains to be determined

Retinal Ganglion Cells (RGCs)

&

The dorsal lateral geniculate nucleus (dLGN)

A retinal ganglion cell (RGC) is a type of neuron located near the inner surface (the ganglion cell layer) of the retina of the eye

Dorsal lateral geniculate nucleus receives a major sensory input from the retina

2nd part-- Microglia and the developing synapses

Engulfment of RGC inputs is significantly increased during peak pruning in the dLGN (P5)

Engulfment in P5 dLGN occurs most significantly in synapse-enriched

Dynamic interactions between microglia and synaptic elements in the healthy brain.

microglia engulf presynaptic inputs during peak retinogeniculate pruning and that engulfment is dependent upon neural activity and the microglia-specific phagocytic signaling pathway, complement receptor 3(CR3)/C3. Furthermore, disrupting microglia-specific CR3/C3 signaling resulted in sustained deficits in synaptic connectivity.

Experiment -- Microglia engulfment

Tools

High resolution confocal imaging

dLGN with intraocular injection if anterograde tracer

Microglia were labeled using the CX3CR1+/GFP mouse line

microglia express EGFP under the control of fractalkine receptor, CX3CR1

To confirm that inputs are phagocytosed by microglia, RGC inputs from both eyes were labeled with CTB-594 and colocalization with CD68, a marker of lysosomes specific to microglia, was assessed in P5 dLGN.

Result

Microglia engulf and remodel developing synapses

Underlying mechanism is involved.

Questions

Is microglia going to engulfing developing synapses as well as the plaque?

Since we know microglia have the ability to engulfing Synapses

Contradicting effect ( plaque lost ---synapses lost )

The recorded time span of the data for the 5XFAD mice is only 7 days

But what if the experiment was done for more than 7 days?

Are there going to be disastrous effect after 7 days?

Due to the continuation of microglia activation that will engulf snapses?

The influence of microglia to the long term memory

Is the activation of microglia at 40 Hz dependent on the present of amyloid plaque

Can it distinguish plaque and synapses

Hypothesis

Microglia can have a increase of activity by 40 Hz without the present of Amyloid Plaque.

And it does not obtain the ability to distinguish the Amyloid Plaque from synapses.

Therefore long term effect due to the GENUS can have adversely affect in terms of the neural activity.

Experimental Approach

Increase the time span of the experiment from 7 days to multiple different time span

14 days

28 days

56 days

Same control groups and experimental group regarding GENUS

20 Hz

40 Hz

80 Hz

Method

Water maze

Object recognition index

Location recognition index

Control experiment

One with plaque (5XFAD)

No plaque (healthy)

Summary-Hypothesis, Significance, and Treatment Development

Hypothesis - Microglia, not having the ability to distinguish between Amyloid Plaque and synapses, can have an increase of activity by 40 Hz without the presence of Amyloid Plaque. Therefore long term effect due to the GENUS can have adversely affect in terms of the neural activity.

Significance - If the hypothesis is been proved, it prove that the only using the strategy of GENUS and 40Hz oscillations can’t heal patients’ Alzheimer disease, so it can’t directly develop into a treatment. It will also bring up future questions and directions of investigations on the topic of microglia and how can it be used to cure Alzheimer disease based on the result of this experiment.

Treatment Development - If our hypothesis is proved wrong, that microglia can distinguish between synapse and Amyloid Plaques, do not engulf synapse at the same time when it engulf Amyloid Plaques, and will not cause decrease the memory of patients in long term, then microglia may be employed to clean up the Amyloid Plaques in patients’ brain and use as part of the future treatment.

Summary-Analysis of possible results

If it is proved that after treated by GENUS, the memorizing ability of the 5XFAD rats gets better, then it indicate that GENUS have positive long term effect on neural activity and imply that microglia do not engulf synapse or engulf less synapse when it is engulfing Amyloid Plaques. This will be disagreeing with the thesis on the part that “long term effect due to the GENUS can have adversely affect in terms of the neural activity” and “microglia does not obtain the ability to distinguish the Amyloid Plaque from synapses”.

If it is proved that after treated by GENUS, the memorizing ability of the 5XFAD rats is unchanged or get worse, then it indicate that GENUS have negative long term effect on neural activity and imply that microglia do engulf synapse at the same time when engulfing Amyloid Plaques. This will be agreeing with the hypothesis on the part that “long term effect due to the GENUS can have adversely affect in terms of the neural activity” and “microglia does not obtain the ability to distinguish the Amyloid Plaque from synapses”.

Summary-Analysis of possible results

If we perceived an increase of microglia activity in healthy rats’ brain after giving them 40 Hz oscillations, then it will prove the hypothesis of “Microglia can have an increase of activity by 40 Hz without the presence of Amyloid Plaque”.

If we perceived an unchanged or merely changed microglia activity in healthy rats’ brain after giving them 40 Hz oscillations, then it will disprove the hypothesis of “Microglia can have an increase of activity by 40 Hz without the presence of Amyloid Plaque”.

Summary-Future Questions to Investigate

1. Will there be other side effects of activating and using microglia?

2. Can microglia be activated by other factors?

3. Why can microglia be activated by 40 Hz oscillations?

4. Why do microglia engulf Amyloid Plaques? Are there other things that can do the same thing or have similar function? In other words, can microglia be replaced by other substance?

5. If microglia do engulf synapse at the same time when engulfing Amyloid Plaques, can this problem be solved, or what can we do to modify its activity to allow it to distinguish between synapse and amyloid plaques and only engulf Amyloid Plaques?

Reference page

Iaccarino, H., Singer, A., Martorell, A. et al. Gamma frequency entrainment attenuates amyloid load and modifies microglia. Nature 540, 230–235 (2016). https://doi.org/10.1038/nature20587

Martorell AJ, Paulson AL, Suk HJ, et al. Multi-sensory Gamma Stimulation Ameliorates Alzheimer's-Associated Pathology and Improves Cognition. Cell. 2019;177(2):256-271.e22. doi:10.1016/j.cell.2019.02.014

Oakley H, Cole SL, Logan S, Maus E, Shao P, Craft J, Guillozet-Bongaarts A, Ohno M, Disterhoft J, Van Eldik L, Berry R, Vassar R. Intraneuronal beta-amyloid aggregates, neurodegeneration, and neuron loss in transgenic mice with five familial Alzheimer's disease mutations: potential factors in amyloid plaque formation. J Neurosci. 2006 Oct 4;26(40):10129-40. PubMed.

“A Deep Dive Into Brainwaves: Brainwave Frequencies Explained.” Muse, 8 Nov. 2020, choosemuse.com/blog/a-deep-dive-into-brainwaves-brainwave-frequencies-explained-2/.

Schafer DP, Lehrman EK, Kautzman AG, et al. Microglia sculpt postnatal neural circuits in an activity and complement-dependent manner. Neuron. 2012;74(4):691-705. doi:10.1016/j.neuron.2012.03.026