Early and Longitudinal Microglial Activation but Not Amyloid Accumulation Predicts Cognitive Outcome in PS2APP Mice

Carola Focke1, Tanja Blume1,2, Benedikt Zott3

  • 1Department of Nuclear Medicine, University Hospital of Munich, LMU Munich, Munich, Germany.

Insights

Continuing microglial activation, measured by TSPO PET, is linked to better cognitive function in Alzheimer's disease (AD) mouse models. This suggests neuroinflammation plays a protective role in preserving cognition during AD progression.

Area of Science:

  • Neuroscience
  • Medical Imaging
  • Alzheimer's Disease Research

Background:

  • Neuroinflammation's role in Alzheimer's Disease (AD) is complex, with potential beneficial or detrimental impacts on cognition.
  • Positron Emission Tomography (PET) imaging of 18-kDa translocator protein (TSPO) allows in vivo monitoring of microglial activation.

Purpose of the Study:

  • To investigate the longitudinal relationship between neuroinflammation (TSPO PET), amyloid burden, and cognitive outcomes in an AD mouse model.
  • To correlate in vivo PET findings with ex vivo immunohistochemical markers of neuroinflammation and synaptic integrity.

Main Methods:

  • Serial PET scans measuring TSPO and amyloid were performed on PS2APP mice from 8 to 13 months of age.
  • Cognitive function was assessed using the water maze test.
  • Immunohistochemistry was used to analyze microglia, amyloid deposition, and synaptic density post-mortem.

Main Results:

  • Higher TSPO expression at 8 months predicted better cognitive performance and higher synaptic density at 13 months.
  • The progression of TSPO activation over time showed a moderate association with preserved cognition.
  • Amyloidosis levels did not correlate with cognitive outcomes at any time point.

Conclusions:

  • Early and sustained microglial activation, as indicated by TSPO PET, appears to be neuroprotective in this AD mouse model.
  • This study highlights the potential of longitudinal TSPO PET imaging to track neuroinflammatory responses relevant to cognitive function in AD.

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