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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2017.6361</article-id>
<article-id pub-id-type="publisher-id">mmr-15-05-3301</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Chronological changes in the expression of phosphorylated tau and 5-AMP-activated protein kinase in the brain of senescence-accelerated P8 mice</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Kim</surname><given-names>Hak-Su</given-names></name>
<xref rid="af1-mmr-15-05-3301" ref-type="aff">1</xref>
<xref rid="af2-mmr-15-05-3301" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Moon</surname><given-names>Sohee</given-names></name>
<xref rid="af1-mmr-15-05-3301" ref-type="aff">1</xref>
<xref rid="af2-mmr-15-05-3301" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Kim</surname><given-names>Sujin</given-names></name>
<xref rid="af3-mmr-15-05-3301" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Lee</surname><given-names>Min-Jae</given-names></name>
<xref rid="af3-mmr-15-05-3301" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Suk</surname><given-names>Min Hwa</given-names></name>
<xref rid="af4-mmr-15-05-3301" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Park</surname><given-names>Dong-Ho</given-names></name>
<xref rid="af3-mmr-15-05-3301" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Shin</surname><given-names>Dong Wun</given-names></name>
<xref rid="af5-mmr-15-05-3301" ref-type="aff">5</xref></contrib>
<contrib contrib-type="author"><name><surname>Park</surname><given-names>Chang-Shin</given-names></name>
<xref rid="af1-mmr-15-05-3301" ref-type="aff">1</xref>
<xref rid="af2-mmr-15-05-3301" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Kang</surname><given-names>Ju-Hee</given-names></name>
<xref rid="af1-mmr-15-05-3301" ref-type="aff">1</xref>
<xref rid="af2-mmr-15-05-3301" ref-type="aff">2</xref>
<xref rid="c1-mmr-15-05-3301" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-15-05-3301"><label>1</label>Department of Pharmacology and Medicinal Toxicology Research Center, Inha University School of Medicine, Inha University, Incheon 22212, Republic of Korea</aff>
<aff id="af2-mmr-15-05-3301"><label>2</label>Hypoxia-Related Diseases Research Center, Inha University School of Medicine, Inha University, Incheon 22212, Republic of Korea</aff>
<aff id="af3-mmr-15-05-3301"><label>3</label>Department of Kinesiology, College of Arts and Sports, Inha University, Incheon 22212, Republic of Korea</aff>
<aff id="af4-mmr-15-05-3301"><label>4</label>Department of Physical Education, College of Education, Seoul National University, Seoul 08826, Republic of Korea</aff>
<aff id="af5-mmr-15-05-3301"><label>5</label>Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Goyang, Gyeonggi 10380, Republic of Korea</aff>
<author-notes>
<corresp id="c1-mmr-15-05-3301"><italic>Correspondence to</italic>: Dr Ju-Hee Kang, Department of Pharmacology and Medicinal Toxicology Research Center, Inha University School of Medicine, Inha University, 100 Inha-ro, Yonghyeon-dong, Nam-gu, Incheon 22212, Republic of Korea, E-mail: <email>johykang@inha.ac.kr</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>05</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>23</day><month>03</month><year>2017</year></pub-date>
<volume>15</volume>
<issue>5</issue>
<fpage>3301</fpage>
<lpage>3309</lpage>
<history>
<date date-type="received"><day>27</day><month>02</month><year>2016</year></date>
<date date-type="accepted"><day>10</day><month>02</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year>
</permissions>
<abstract>
<p>Senescence-accelerated mouse prone 8 (SAMP8), a non-transgenic animal model used for researching sporadic Alzheimer&#x0027;s disease (AD), presents AD pathologies and overall dysregulation in brain energy metabolism, which is one of the early pathogenic characteristics of AD. In the present study, the authors examined chronological changes in the expression patterns of phosphorylated tau and of proteins related to energy metabolism to evaluate the association of tau phosphorylation and metabolism, using young- (2-months-old), middle- (5-months-old) and old-aged (10-months-old) SAMP8. The levels of phosphorylated 5&#x2032;-AMP activated protein kinase at Thr172 (p-AMPK) and phosphorylated glycogen synthase kinase 3&#x03B2; (p-GSK3&#x03B2;<sub>S9</sub>) in the cortex of SAMP8 at 2 months were significantly higher than those in senescence-accelerated mouse resistant 1 (SAMR1). The differences were not detected at 5 and 10 months of age, which were concurrent with the changes in levels of phosphorylated tau at Ser396 (p-tau<sub>S396</sub>), but not with p-tau<sub>S262</sub>. The level of p-tau<sub>S262</sub> was considerably higher in the cortex of middle-aged SAMP8 when compared with that of SAMR1 and sustained in old-aged SAMP8, but not in the young cortex. The levels of cortical sirtuin1 (Sirt1) and insulin receptor substrate 1 (IRS-1) expression of young SAMP8 were significantly lower, when compared with those in SAMR1. However, in the hippocampus of SAMP8, the patterns of chronological changes and levels of p-tau, p-AMPK, Sirt1 and IRS-1 relative to SAMR1 were different from those in the cortex. Taken together, the results suggested that regulation of tau phosphorylation via the AMPK-GSK3&#x03B2; pathway concurrent with dysregulation of energy metabolism may precede the pathological tau hyperphosphorylation in the cortex of SAMP8, and that the regulation of AMPK-GSK3&#x03B2;-mediated tau phosphorylation may be dependent on phosphor-epitope in tau or the region of brain.</p>
</abstract>
<kwd-group>
<kwd>senescence-accelerated mice</kwd>
<kwd>Alzheimer&#x0027;s disease</kwd>
<kwd>tau</kwd>
<kwd>AMP-activated protein kinase</kwd>
<kwd>glycogen synthase kinase 3&#x03B2;</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Senescence-accelerated mice prone (SAMP) strains, which have been developed through the selective inbreeding of the AKR/J strain, present a senescence-related phenotype involving a short lifespan and rapid progression of senescence. Together with SAMP strains, senescence-accelerated mice resistant (SAMR) strains have been developed as their corresponding controls. Of the nine SAMP sub-strains, the mice of P8 strain (SAMP8) exhibit Alzheimer&#x0027;s disease (AD)-like pathologies, such as abundant expression of amyloid precursor protein (APP) and production of amyloid-beta, tau hyperphosphorylation and increased oxidative stress (<xref rid="b1-mmr-15-05-3301" ref-type="bibr">1</xref>&#x2013;<xref rid="b4-mmr-15-05-3301" ref-type="bibr">4</xref>). In addition, the neural network activity and number of neurons in the brain of SAMP8 spontaneously reduce; this relates to their cognitive dysfunction (<xref rid="b1-mmr-15-05-3301" ref-type="bibr">1</xref>,<xref rid="b2-mmr-15-05-3301" ref-type="bibr">2</xref>). To identify the mechanisms of AD and develop effective therapeutic strategies, appropriate animal models are essential. Although studies using SAMP8 are expanding, as SAMP8 mimics the non-familial form of AD compared to transgenic AD models, the relationship between tau phosphorylation and metabolic dysfunction in SAMP8 remains unclear.</p>
<p>Insulin and insulin-like growth factor-1 (IGF-1) signaling are associated with aging and control vital growth, survival, longevity and energy metabolism in the brain (<xref rid="b5-mmr-15-05-3301" ref-type="bibr">5</xref>&#x2013;<xref rid="b7-mmr-15-05-3301" ref-type="bibr">7</xref>). A defect of insulin/IGF-1 signaling is associated with neurofibrillary tangles (NFTs) and amyloid plaque in AD (<xref rid="b5-mmr-15-05-3301" ref-type="bibr">5</xref>,<xref rid="b8-mmr-15-05-3301" ref-type="bibr">8</xref>) and administration of insulin can improve memory and cognitive function in patients with AD (<xref rid="b9-mmr-15-05-3301" ref-type="bibr">9</xref>). Dysregulation of insulin/IGF-1 signaling may be mediated by insulin receptor substrate type 1 (IRS-1), which is a key mediator of the signaling pathway, and IRS-1 is dysregulated in the AD brain. In fact, reduced levels of IRS-1 have been detected in neurons in the medial temporal cortex of AD, and the inhibitory phosphorylation of IRS-1 at Ser312 and Ser616 is increased in neurons with NFTs (<xref rid="b10-mmr-15-05-3301" ref-type="bibr">10</xref>). The relationship between impaired insulin actions and AD pathogenesis is widely accepted (<xref rid="b11-mmr-15-05-3301" ref-type="bibr">11</xref>).</p>
<p>AMP-activated protein kinase (AMPK), a key regulator of cellular energy homeostasis, serves a critical role in neuronal survival (<xref rid="b12-mmr-15-05-3301" ref-type="bibr">12</xref>,<xref rid="b13-mmr-15-05-3301" ref-type="bibr">13</xref>). Previous studies have indicated that the pathogenesis of neurodegenerative diseases such as AD may involve the alteration of AMPK signaling. For example, the activation of AMPK by pharmacological activators increases A&#x03B2; production and tau hyper-phosphorylation (<xref rid="b14-mmr-15-05-3301" ref-type="bibr">14</xref>&#x2013;<xref rid="b16-mmr-15-05-3301" ref-type="bibr">16</xref>). Conversely, studies demonstrating that AMPK activation inhibits A&#x03B2; abundance and tau phosphorylation at several sites have been reported (<xref rid="b17-mmr-15-05-3301" ref-type="bibr">17</xref>&#x2013;<xref rid="b21-mmr-15-05-3301" ref-type="bibr">21</xref>). Moreover, AMPK activation may be beneficial to reduce the neurotoxicity of glucose deprivation, A&#x03B2; or &#x03B1;-synuclein (<xref rid="b22-mmr-15-05-3301" ref-type="bibr">22</xref>&#x2013;<xref rid="b24-mmr-15-05-3301" ref-type="bibr">24</xref>). Collectively, the role of AMPK in the pathogenesis of AD, such as tau phosphorylation and A&#x03B2;-mediated neurotoxicity, remains controversial.</p>
<p>Previous studies indicated that impaired glucose homeostasis is observed in the SAMP8 strain along with higher levels of glucose, insulin and free fatty acids in serum (<xref rid="b25-mmr-15-05-3301" ref-type="bibr">25</xref>,<xref rid="b26-mmr-15-05-3301" ref-type="bibr">26</xref>). Moreover, inhibited activity of AKT and expression of glucose transporter 4 in the skeletal muscle in the SAMP8 strain, when compared to the SAMR1 control strain, has been reported (<xref rid="b26-mmr-15-05-3301" ref-type="bibr">26</xref>). In a previous SAMP8 study of the authors, there was observation of AMPK activity upregulation in the cortex of young SAMP8 (pre-symptomatic age), when compared with SAMR1 mice; a change attributable to the inhibition of tau phosphorylation at Ser396 (<xref rid="b27-mmr-15-05-3301" ref-type="bibr">27</xref>). However, the chronological relationship between metabolic regulators and AD pathogenesis, particularly in tau hyper-phosphorylation in SAMP8, has not been fully elucidated. However, it has been reported that AD pathologies are developed in SAMP8 as early as 4&#x2013;5 months of age (<xref rid="b3-mmr-15-05-3301" ref-type="bibr">3</xref>).</p>
<p>The aim of the present study was to characterize the tau phosphorylation and the expression of proteins related to energy metabolism in order to understand tau-related pathogenesis and energy metabolism. In order to accomplish this, the authors evaluated chronological changes in the expression of phosphorylated tau and intracellular metabolic regulators, including AMPK, GSK3&#x03B2;, sirtuin1 (Sirt1) and IRS-1, in the brains of SAMP8 across different ages [young (2-month-old), middle (5-month-old) and old (10-month-old)] to examine both pre-symptomatic and symptomatic stages of AD.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Animal care</title>
<p>The care of animals was conducted according to the Guide for Care and Use of Laboratory Animals of the National Institutes of Health (NIH, Bethesda, MD, USA). All experiments were conducted in accordance with procedures and protocols approved by the Animal Care and Handling Committee of Inha University (Incheon, Korea). Male SAMR1 (n=30; body weight: 25&#x2013;29 g) and SAMP8 (n=30; body weight: 24&#x2013;29 g) (all six-weeks-old) were obtained from Central Laboratory Animal, Inc. (Seoul, Korea). Mice were housed individually in a temperature- (22&#x00B1;2&#x00B0;C) and humidity-controlled (45&#x2013;55&#x0025;) room under a 12 h light-dark cycle (7:00 a.m.-7:00 p.m.), with free access to a standard rodent diet and water. Mice (n=10, each strain) were sacrificed at 2, 5 and 10 months of age (n=20, at each time point).</p>
</sec>
<sec>
<title>Isolation of the hippocampus and cerebral cortex</title>
<p>Under intraperitoneal ketamine (80 mg/kg) and xylazine (8 mg/kg)-induced anesthesia, the skin was flipped over the eyes to free the skull, and an incision was made at the top of the skull, beginning at the caudal part through the anterior part of the skull, in order to expose the brain. The brain was quickly isolated and the cerebral hemispheres were separated by a sagittal midline incision following removal of the cerebellum. Using forceps, the diencephalon was carefully removed to expose the medial side of the hippocampus. From the remaining hemisphere containing the cortex and hippocampus, the C-shaped hippocampus was dissected out using fine scissors and a spatula. The whole cerebral cortex and dissected hippocampus were immediately frozen in liquid nitrogen, and stored at &#x2212;80&#x00B0;C until use.</p>
</sec>
<sec>
<title>Immunoblotting</title>
<p>To prepare tissue lysates, the collected hippocampi or cerebral cortices of SAMR1 and SAMP8 mice were ground in radioimmunoprecipitation assay buffer (Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) using a pellet pestle followed by homogenization under sonication. The debris of the homogenates was removed by centrifugation at 13,000 &#x00D7; g for 15 min at 4&#x00B0;C, and total protein content of the supernatant was quantified using a bicinchoninic acid assay protein assay kit (Pierce; Thermo Fisher Scientific, Inc., Waltham, MA, USA). Samples were prepared with dithiothreitol (Sigma-Aldrich; Merck KGaA) and denatured by heating at 95&#x00B0;C for 3 min. Proteins (10&#x2013;20 &#x00B5;g) were separated by 4&#x2013;20&#x0025; SDS-PAGE gels and transferred to polyvinylidene difluoride membranes in a transfer buffer containing 25 mM Tris-HCl, 192 mM glycine and 10&#x0025; methanol. Membranes were blocked with 5&#x0025; BSA or 5&#x0025; non-fat dry milk in TBS with 0.1&#x0025; Tween-20 (Sigma-Aldrich; Merck KGaA) and incubated with specific primary antibodies against AMPK (2532; 1:1,000; Cell Signaling Technology, Inc., Danvers, MA, USA), p-AMPK at Thr172 (p-AMPK; 2535; 1:1,000; Cell Signaling Technology, Inc.), phosphorylated Acetyl-CoA carboxylase at Ser79 (p-ACC; 3661; 1:1,000; Cell Signaling Technology, Inc.), insulin receptor substrate 1 (IRS-1; 06-248; 1:1,000; Upstate, Biotechnology, Inc., Lake Placid, NY, USA), tau (Tau5; SIG-39413; 1:1,000; Covance, Inc., Princeton, NJ, USA), phosphorylated tau at Ser262 (p-tau<sub>S262</sub>; sc-32828; 1:500; Santa Cruz Biotechnology, Inc., Dallas, TX, USA), phosphorylated tau at Ser396 (p-tau<sub>S396</sub>; sc-12414; 1:1,000; Santa Cruz Biotechnology, Inc.), sirtuin-1 (Sirt1; 9475; 1:1,000; Cell Signaling Technology, Inc.), &#x03B1;-synuclein (C-20; sc-7011; 1:1,000; Santa Cruz Biotechnology, Inc.), phosphorylated GSK3&#x03B2; at Ser9 (p-GSK3&#x03B2;<sub>S9</sub>; 9336, 1:1,000; Cell Signaling Technology, Inc.), GSK3&#x03B2; (sc-9166, 1:1,000; Santa Cruz Biotechnology, Inc.) at 4&#x00B0;C for overnight, or &#x03B2;-actin (a1978, 1:10,000, Sigma-Aldrich; Merck KGaA) at room temperature for 2 h, and then incubated with appropriate secondary antibodies at room temperature for 2 h (peroxidase conjugated anti-rabbit IgG; NCI1460KR; 1:5,000 and peroxidase conjugated anti-mouse IgG; NCI1430KR; 1:5,000; both from Thermo Fisher Scientific Inc.). Immunoreactive bands were visualized by an enhanced chemiluminescence detection system (15,159; Pierce; Thermo Fisher Scientific, Inc.) and quantified using the image analysis software Quantity One (version 4.6.6; Bio-Rad Laboratories, Inc., Hercules, CA, USA).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Results are expressed as the mean &#x00B1; the standard error of the mean, unless otherwise stated. P&#x003C;0.05 was deemed statistically significant using GraphPad Prism version 5.0 (GraphPad Software Inc., La Jolla, CA, USA). The Mann-Whitney nonparametric test was used to compare groups.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Characteristics of tau phosphorylation in the cerebral cortex of SAMP8</title>
<p>In order to employ the SAMP8 strain as an appropriate experimental model for understanding the precise molecular mechanisms of AD, a profiling analysis through a time course study of proteins related to AD pathogenesis was necessary. To characterize AD-related tau phosphorylation, the authors initially investigated the expression levels of tau phosphorylation at the positions of both the KXGS motif (i.e., Ser262; p-tau<sub>S262</sub>) and the proline-directed motif (i.e., Ser396; p-tau<sub>S396</sub>) in the cerebral cortices and hippocampi obtained from SAMP8 or SAMR1 at young (2-months-old), middle (5-months-old) and old (10-months-old) ages. In the cerebral cortex of SAMP8, differential levels of p-tau<sub>S262</sub> and p-tau<sub>S396</sub> were observed, compared to those in SAMR1. The lower level of p-tau<sub>S396</sub> in the cortex of 2-month-old SAMP8 compared to SAMR1 controls increased in a time-dependent manner up to 10-months-old, at which point it reached levels comparable the SAMR1 controls (P&#x003C;0.05; <xref rid="f1-mmr-15-05-3301" ref-type="fig">Fig. 1A and B</xref>). Meanwhile, the level of p-tau<sub>S262</sub> in young SAMP8 was comparable to that in SAMR1; however, these levels significantly increased in the cortex of middle-aged SAMP8 and were sustained in old SAMP8, when compared to those of age-matched SAMR1 (P&#x003C;0.05; <xref rid="f1-mmr-15-05-3301" ref-type="fig">Fig. 1A and C</xref>). The chronological changes in the cortical level of p-tau<sub>S396</sub> were negatively correlated with the expression of phosphorylated GSK3&#x03B2; (P&#x003C;0.05; <xref rid="f1-mmr-15-05-3301" ref-type="fig">Fig. 1A and D</xref>). In addition, the pattern of changes in the level of active (phosphorylated at Thr172) AMPK, an upstream kinase of GSK3&#x03B2; and ACC, was similar to GSK3&#x03B2;<sub>S9</sub> and p-tau<sub>S396</sub> (<xref rid="f3-mmr-15-05-3301" ref-type="fig">Fig. 3A and E</xref>). There are several reports that tau pathology can be accelerated by overexpression of &#x03B1;-synuclein (<xref rid="b28-mmr-15-05-3301" ref-type="bibr">28</xref>,<xref rid="b29-mmr-15-05-3301" ref-type="bibr">29</xref>). However, the expression level of &#x03B1;-synuclein in the cortex of SAMP8 was not significantly different from that of SAMR1 (P&#x003E;0.05; <xref rid="f1-mmr-15-05-3301" ref-type="fig">Fig. 1A and E</xref>) at all ages.</p>
</sec>
<sec>
<title>Characteristics of hippocampal tau phosphorylation of SAMP8</title>
<p>In the hippocampus, p-tau<sub>S396</sub> and p-tau<sub>S262</sub> were observed to increase as SAMP8 increased in age (<xref rid="f2-mmr-15-05-3301" ref-type="fig">Fig. 2A-C</xref>). In young SAMP8, a significant difference was not observed between the expressions of p-tau at both sites (P&#x003E;0.05), however, the levels of hippocampal p-tau in aged SAMP8 were higher than age-matched SAMR1 (p-tau<sub>S262</sub>, P&#x003C;0.01; <xref rid="f2-mmr-15-05-3301" ref-type="fig">Fig. 2A and C</xref>). The level of hippocampal p-GSK3&#x03B2;<sub>S9</sub> expression in young SAMP8 was significantly higher than in SAMR1 (P&#x003C;0.01; <xref rid="f2-mmr-15-05-3301" ref-type="fig">Fig. 2D</xref>), but the pattern of changes in expression levels of p-tau<sub>S396</sub> and p-AMPK was not similar. Similar to the cortex, the expression levels of &#x03B1;-synuclein and total tau in the hippocampus of SAMP8 were not significantly different from that in the hippocampus of SAMR1 (P&#x003E;0.05; <xref rid="f2-mmr-15-05-3301" ref-type="fig">Fig. 2A and E</xref>).</p>
</sec>
<sec>
<title>Changes in the expression of proteins related to aging and cellular metabolism in the cortex of SAMP8</title>
<p>The authors demonstrated the chronological expression pattern of proteins related to senescence (Sirt1) and intracellular energy metabolism (AMPK and IRS-1) in the brains of SAMP8. In the cerebral cortex of SAMP8, the level of Sirt1 expression at 2-months-old was significantly lower than in SAMR1 controls (P&#x003C;0.001), which persisted until 5-months-old and disappeared in mice at 10-months-old (<xref rid="f3-mmr-15-05-3301" ref-type="fig">Fig. 3A and B</xref>). Interestingly, the level of IRS-1 expression in the cortex of young SAMP8 was significantly lower than in SAMR1, which persisted until 10-months-old (P&#x003C;0.05 at 2 months, P&#x003C;0.001 at 5 and 10 months; <xref rid="f3-mmr-15-05-3301" ref-type="fig">Fig. 3A and C</xref>). In addition, the levels of active p-AMPK and of inhibitory phosphorylation of ACC at Ser79, a well-known AMPK substrate, in the cerebral cortex of young SAMP8 were significantly higher than those in SAMR1 (both P&#x003C;0.05), with the increase disappearing in middle- and old-aged mice (<xref rid="f3-mmr-15-05-3301" ref-type="fig">Fig. 3A, D and E</xref>).</p>
</sec>
<sec>
<title>Changes in the expression of proteins related to aging and cellular metabolism in the SAMP8 hippocampus</title>
<p>In the hippocampus of SAMP8, the level of Sirt1 expression at young age was significantly lower, when compared with levels in SAMR1 (P&#x003C;0.05; <xref rid="f4-mmr-15-05-3301" ref-type="fig">Fig. 4A and B</xref>). However, the levels of Sirt1 expression in old SAMP8 and SAMR1 were not significantly different. Finally, the levels of other proteins (IRS-1, p-AMPK and p-ACC<sub>S79</sub>) in SAMP8 were not significantly different from those in SAMR1 (P&#x003E;0.05; <xref rid="f4-mmr-15-05-3301" ref-type="fig">Fig. 4A, C-E</xref>) across all ages, which was different from the pattern of changes of these proteins in the cortex.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Multiple mechanisms have been implicated in the development of AD, including accumulation of A&#x03B2;, oxidative stress, increased synaptic damage, hyperphosphorylation of tau, defective neurogenesis and alterations in the signal transduction pathways associated with neuronal survival (<xref rid="b1-mmr-15-05-3301" ref-type="bibr">1</xref>&#x2013;<xref rid="b4-mmr-15-05-3301" ref-type="bibr">4</xref>). Therefore, a number of studies have been conducted to augment the information of SAMP8 as a model of AD using the aforementioned targets (<xref rid="b2-mmr-15-05-3301" ref-type="bibr">2</xref>,<xref rid="b30-mmr-15-05-3301" ref-type="bibr">30</xref>). Apart from these mechanisms, the present study investigated whether the brains of SAMP8 that mimic the AD brain present dysregulation of molecules involved in both energy metabolism and tau phosphorylation (i.e., AMPK and GSK3&#x03B2;), and whether the alteration of AMPK-GSK3&#x03B2; activity is related to the hyperphosphorylation of tau.</p>
<p>In terms of energy metabolism, the brain largely relies on circulating glucose as a primary source of fuel because it stores only small sources of energy as glycogen; therefore, understanding glucose metabolism in the brain is important (<xref rid="b11-mmr-15-05-3301" ref-type="bibr">11</xref>,<xref rid="b13-mmr-15-05-3301" ref-type="bibr">13</xref>). Moreover, type 2 diabetes increases the risk of sporadic AD, and AD leads to insulin resistance, which is associated with dysfunction of IRS-1 and Sirt1 in the brain (<xref rid="b10-mmr-15-05-3301" ref-type="bibr">10</xref>,<xref rid="b31-mmr-15-05-3301" ref-type="bibr">31</xref>). Consistent with previous studies (<xref rid="b32-mmr-15-05-3301" ref-type="bibr">32</xref>), the current study observed an early and significant decrease in both IRS-1 and Sirt1 expression in the cortex of SAMP8. A double knockout of IRS-1 and &#x2212;2 in the skeletal muscle has demonstrated the activation of AMPK (<xref rid="b33-mmr-15-05-3301" ref-type="bibr">33</xref>), and Sirt1 and AMPK also serves roles in the energy-sensing network that controls energy expenditure and protects against metabolic imbalance in various cells including neurons (<xref rid="b34-mmr-15-05-3301" ref-type="bibr">34</xref>). The authors identified significantly reduced levels of IRS-1 and Sirt1 in the cortex of SAMP8 mice, which was accompanied by increased AMPK activity at young ages. Since the Sirt1 pathway is closely related to AMPK signaling as a sensor of energy availability (<xref rid="b35-mmr-15-05-3301" ref-type="bibr">35</xref>,<xref rid="b36-mmr-15-05-3301" ref-type="bibr">36</xref>), the authors speculated that the reduction of IRS-1 and Sirt1 expression may involve the compensatory activation of AMPK in the cortex of young SAMP8 mice. It is not clear why the association of IRS-1 and Sirt1 expression with AMPK disappeared in older SAMP8; it may be that the prolonged suppression of insulin signaling pathways disturbed the compensatory activation of AMPK (<xref rid="b35-mmr-15-05-3301" ref-type="bibr">35</xref>,<xref rid="b36-mmr-15-05-3301" ref-type="bibr">36</xref>).</p>
<p>AMPK has recently been proposed as a novel therapeutic target for regulating metabolism-related pathogenesis in AD, as well as a target in A&#x03B2;- and tau-related pathogenesis. AMPK inhibits the activity of GSK3&#x03B2; through increasing the inhibitory phosphorylation of GSK3&#x03B2; at Ser9 (<xref rid="b37-mmr-15-05-3301" ref-type="bibr">37</xref>). GSK3&#x03B2; is a well-known tau kinase that generates pathological phosphor-epitopes at proline-directed sites, such as p-tau<sub>S396</sub>, in tau, which has been described as a reliable marker of AD (<xref rid="b37-mmr-15-05-3301" ref-type="bibr">37</xref>&#x2013;<xref rid="b39-mmr-15-05-3301" ref-type="bibr">39</xref>). Accordingly, the authors hypothesized that AMPK activation may inhibit GSK3&#x03B2; activity, resulting in a reduction of p-tau<sub>S396</sub> in young SAMP8. This hypothesis was supported by evidence that the pattern of p-AMPK in the cortex of SAMP8 at 2, 5 and 10 months of age was correlated with the levels of p-GSK3&#x03B2;<sub>S9</sub> and negatively correlated with the levels of p-tau<sub>S396.</sub> Moreover, a previous study of the authors indicated that 5-aminoimidazole-4-carboxamide ribonucleotide-induced AMPK activation reduces GSK3&#x03B2; activity and levels of p-tau<sub>S396</sub> in differentiated SH-SY5Y cells (<xref rid="b27-mmr-15-05-3301" ref-type="bibr">27</xref>). Thus, these data suggested that the activity of AMPK in the cerebral cortex of young SAMP8 was associated with decreased levels of p-tau<sub>S396</sub> via a reduction of GSK3&#x03B2; activity. In addition, a significant increase to p-tau<sub>S262</sub> levels in the cortex of middle-aged SAMP8 mice was observed, when compared to those of age-matched SAMR1 mice. However, the pattern of changes in cortical levels of p-tau<sub>S262</sub> were not similar to the changes in activity of AMPK and GSK3&#x03B2;. Neither were the chronological changes in levels of p-tau<sub>S396</sub> and p-tau<sub>S262</sub> in the hippocampus similar to the changes in the activity of AMPK and GSK3&#x03B2;. Collectively, the role of GSK3&#x03B2; and AMPK in tau phosphorylation may be dependent on the phosphor-epitopes (e.g., p-tau<sub>S396</sub> and p-tau<sub>S262</sub>) in tau or the region (e.g., cortex and hippocampus) of SAMP8 brain. In neuronal cells, AMPK impairs dendritic growth and branching of primary hippocampal neurons (<xref rid="b40-mmr-15-05-3301" ref-type="bibr">40</xref>). Several studies have recently revealed that AMPK activation protects neuronal cells from cell death triggered by abnormalities in brain energy metabolism or accumulation of A&#x03B2; or &#x03B1;-synuclein (<xref rid="b23-mmr-15-05-3301" ref-type="bibr">23</xref>,<xref rid="b24-mmr-15-05-3301" ref-type="bibr">24</xref>,<xref rid="b41-mmr-15-05-3301" ref-type="bibr">41</xref>). Therefore, whether AMPK activation is beneficial or harmful at the preclinical stage of AD should be further evaluated in various <italic>in vivo</italic> models and in clinical studies.</p>
<p>Animal models are extremely useful to predict the outcome of drug candidates for prevention or therapy of AD, as well as to study mechanistic hypotheses for AD pathogenesis. However, no animal model recapitulates the entirety of AD pathophysiology in humans. Therefore, it is important to characterize the advantages and limitations of particular animal models. Among the animal models of AD, the sequence of pathologies and clinical characteristics of SAMP8 is similar to that observed in human patients with AD (<xref rid="b2-mmr-15-05-3301" ref-type="bibr">2</xref>). In the present study, the data provided basic information on SAMP8 that included the relationship between alterations in energy metabolism and AD-related tau hyper-phosphorylation in the brain. Based on these data, the authors have suggested that the SAMP8 strain of mice has pathologic similarities to AD, and is therefore an excellent model for advancing the knowledge for AD-related metabolic dysfunction through age-related neurodegenerative processes. However, it should be noted that selected sites of the phosphor-epitope in tau may be differentially regulated by the AMPK-GSK3&#x03B2;-mediated pathway, and particular regions of the brain may be a factor in studies targeting tau phosphorylation in the SAMP8 AD model.</p>
<p>In conclusion, the presented results demonstrated early deteriorations in energy metabolism and concurrent alterations of tau hyper-phosphorylation dependent on the region of the brain and phosphor-tau epitopes. In addition, these findings provided basic information on the chronological changes in the expression of metabolic proteins and AD-related tau phosphorylation in SAMP8, and this model may allow researchers to further investigate preventive and therapeutic targets for AD.</p>
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<title>Acknowledgements</title>
<p>This study was financially supported by Mid-career Researcher Program (grant no. 2013R1A2A2A01008223) and Medical Research Center (grant no. 2014009392) through the National Research Foundation of Korea (NRF).</p>
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<fig id="f1-mmr-15-05-3301" position="float">
<label>Figure 1.</label>
<caption><p>Expression levels of phosphorylated tau (p-tau<sub>S396</sub> and p-tau<sub>S262</sub>), p-GSK3&#x03B2;<sub>S9</sub> and &#x03B1;-syn in the cerebral cortex of SAMP8 or SAMR1 at different ages using immunoblotting. (A) Representative blots of proteins from the cerebral cortex are presented. The mean expression levels of (B) p-tau<sub>S396</sub>, (C) p-tau<sub>S262</sub> and (D) p-GSK3&#x03B2;<sub>S9</sub>, normalized using their total form of proteins, are depicted as being compared with age-matched SAMR1 controls. (E) The mean relative expression levels of &#x03B1;-syn, compared between the two mouse strains (n=10 each). &#x002A;P&#x003C;0.05 vs. age-matched SAMR1 controls using the Mann-Whitney U test. &#x03B1;-syn, &#x03B1;-synuclein; GSK3&#x03B2;, glycogen synthase kinase 3&#x03B2;; SAMP8, senescence-accelerated mouse prone 8 (P8); SAMR1, senescence-accelerated mouse resistant 1 (R1).</p></caption>
<graphic xlink:href="MMR-15-05-3301-g00.tif"/>
</fig>
<fig id="f2-mmr-15-05-3301" position="float">
<label>Figure 2.</label>
<caption><p>Expression levels of phosphorylated tau (p-tau<sub>S396</sub> and p-tau<sub>S262</sub>), p-GSK3&#x03B2;<sub>S9</sub> and &#x03B1;-syn in the hippocampus of SAMP8 or SAMR1 across different ages. (A) Representative blots for proteins from the hippocampus are presented. The mean expression levels of (B) p-tau<sub>S396</sub>, (C) p-tau<sub>S262</sub> and (D) p-GSK3&#x03B2;<sub>S9</sub>, normalized by their total form of proteins, are depicted as being compared with age-matched SAMR1 controls. (E) The mean relative expression levels of &#x03B1;-syn, compared between the two mouse strains (n=10 each). &#x002A;&#x002A;P&#x003C;0.01 vs. age-matched SAMR1 controls using the Mann-Whitney U test. GSK3&#x03B2;, glycogen synthase kinase 3&#x03B2;; &#x03B1;-syn, &#x03B1;-synuclein; SAMP8, senescence-accelerated mouse prone 8 (P8); SAMR1, senescence-accelerated mouse resistant 1 (R1).</p></caption>
<graphic xlink:href="MMR-15-05-3301-g01.tif"/>
</fig>
<fig id="f3-mmr-15-05-3301" position="float">
<label>Figure 3.</label>
<caption><p>Expression levels of Sirt1, IRS-1 and p-ACC and p-AMPK in the cerebral cortex of young-, middle- and old-aged SAMP8 or SAMR1. (A) Representative immunoblots of proteins from the cerebral cortex are presented. The mean expression levels of (B) Sirt1, (C) IRS-1 and (D) p-ACC of SAMP8 were compared with those in age-matched SAMR1 controls. (E) The activity of AMPK (relative expression levels of p-AMPK to total AMPK) compared across ages (n=10 each). &#x002A;P&#x003C;0.05; &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. age-matched SAMR1 controls using the Mann-Whitney U test. Sirt1, sirtuin1; IRS-1, insulin receptor substrate 1; ACC, acetyl-CoA carboxylase; AMPK, AMP-activated protein kinase; SAMP8, senescence-accelerated mouse prone 8 (P8); SAMR1, senescence-accelerated mouse resistant 1 (R1).</p></caption>
<graphic xlink:href="MMR-15-05-3301-g02.tif"/>
</fig>
<fig id="f4-mmr-15-05-3301" position="float">
<label>Figure 4.</label>
<caption><p>Expression levels of Sirt1, IRS-1 and p-ACC and p-AMPK in the hippocampus of young-, middle- and old-aged SAMP8 or SAMR1. (A) Representative immunoblots of proteins from the cerebral cortex are presented. The mean expression levels of (B) Sirt1, (C) IRS-1 and (D) p-ACC of SAMP8 were compared with those in age-matched SAMR1 controls. (E) The activity of AMPK (relative expression levels of p-AMPK to total form of AMPK) compared across ages (n=10 each). &#x002A;P&#x003C;0.05 vs. age-matched SAMR1 controls using the Mann-Whitney U test. Sirt1, sirtuin1; IRS-1, insulin receptor substrate 1; ACC, acetyl-CoA carboxylase; AMPK, AMP-activated protein kinase; SAMP8, senescence-accelerated mouse prone 8 (P8); SAMR1, senescence-accelerated mouse resistant 1 (R1).</p></caption>
<graphic xlink:href="MMR-15-05-3301-g03.tif"/>
</fig>
</floats-group>
</article>
