Department of Pharmacology and Physiology, Université de Montréal, Montréal, Québec, Canada.
Center for Advanced Research in Sleep Medicine, CIUSSS-NIM, Montréal, Québec, Canada.
Alzheimers Res Ther. 2023 Oct 13;15(1):174. doi: 10.1186/s13195-023-01316-4.
Soluble amyloid-beta oligomers (Aβo) begin to accumulate in the human brain one to two decades before a clinical diagnosis of Alzheimer's disease (AD). The literature supports that soluble Aβo are implicated in synapse and neuronal losses in the brain regions such as the hippocampus. This region importantly contributes to explicit memory, the first type of memory affected in AD. During AD preclinical and prodromal stages, people are also experiencing wake/sleep alterations such as insomnia (e.g., difficulty initiating sleep, decreased sleep duration), excessive daytime sleepiness, and sleep schedule modifications. In addition, changes in electroencephalographic (EEG) activity during wake and sleep have been reported in AD patients and animal models. However, the specific contribution of Aβo to wake/sleep alterations is poorly understood and was investigated in the present study.
Chronic hippocampal injections of soluble Aβo were conducted in male rats and combined with EEG recording to determine the progressive impact of Aβ pathology specifically on wake/sleep architecture and EEG activity. Bilateral injections were conducted for 6 consecutive days, and EEG acquisition was done before, during, and after Aβo injections. Immunohistochemistry was used to assess neuron numbers in the hippocampal dentate gyrus (DG).
Aβo injections did not affect the time spent in wakefulness, slow wave sleep (SWS), and paradoxical sleep but altered EEG activity during wake and SWS. More precisely, Aβo increased slow-wave activity (SWA; 0.5-5 Hz) and low-beta activity (16-20 Hz) during wake and decreased theta (5-9 Hz) and alpha (9-12 Hz) activities during SWS. Moreover, the theta activity/SWA ratio during wake and SWS was decreased by Aβo. These effects were significant only after 6 days of Aβo injections and were found with alterations in neuron counts in the DG.
We found multiple modifications of the wake and SWS EEG following Aβo delivery to the hippocampus. These findings expose a specific EEG signature of Aβ pathology and can serve the development of non-invasive and cost-effective markers for the early diagnosis of AD or other amyloid-related diseases.
可溶性淀粉样β寡聚体(Aβo)在阿尔茨海默病(AD)的临床诊断前一到二十年开始在人类大脑中积累。文献支持可溶性 Aβo 与大脑中海马等区域的突触和神经元丧失有关。该区域对明确的记忆(AD 首先受到影响的记忆类型)很重要。在 AD 临床前和前驱期,人们也经历着睡眠觉醒改变,如失眠(例如,入睡困难、睡眠时间减少)、白天过度嗜睡和睡眠时间表改变。此外,AD 患者和动物模型的脑电图(EEG)活动变化也有报道。然而,Aβo 对睡眠觉醒改变的具体贡献尚不清楚,本研究对此进行了探讨。
在雄性大鼠中进行慢性海马可溶性 Aβo 注射,并结合 EEG 记录,以确定 Aβ 病理对睡眠觉醒结构和 EEG 活动的渐进性影响。进行双侧注射 6 天,在 Aβo 注射前后进行 EEG 采集。免疫组织化学用于评估海马齿状回(DG)中的神经元数量。
Aβo 注射不影响清醒时间、慢波睡眠(SWS)和异相睡眠,但改变了清醒和 SWS 时的 EEG 活动。更确切地说,Aβo 在清醒时增加了慢波活动(SWA;0.5-5 Hz)和低β活动(16-20 Hz),而在 SWS 时降低了θ(5-9 Hz)和α(9-12 Hz)活动。此外,Aβo 降低了清醒和 SWS 时的θ活动/SWA 比值。这些影响仅在 Aβo 注射 6 天后才显著,并与 DG 中神经元计数的改变有关。
我们发现 Aβo 递送至海马后,清醒和 SWS 的 EEG 发生了多种改变。这些发现揭示了 Aβ 病理的特定 EEG 特征,可用于开发非侵入性和具有成本效益的 AD 或其他淀粉样相关疾病的早期诊断标志物。