19Background: Alzheimer's disease (AD) is the most common form of dementia in the elderly 20 population. Currently, no effective cure is available for AD. According to the amyloid 21 hypothesis, the accumulation and deposition of the amyloid-beta (Aβ) peptides plays a key 22 role in AD pathology. Soluble Aβ (sAβ) oligomers were shown to be synaptotoxic and involved 23 in pathological hypersynchronisation of brain resting-state networks in different transgenic 24 developmental-onset mouse models of amyloidosis. However, the impact of protein 25 overexpression during brain postnatal development may cause additional phenotypes 26 unrelated to AD. To address this concern, we investigated sAβ effects on functional resting-27 state networks in transgenic mature-onset amyloidosis Tet-Off APP (TG) mice.
28Methods: TG mice and control littermates were raised on doxycycline (DOX) diet from 3d up 29 to 3m of age to suppress transgenic Aβ production. Thereafter, longitudinal resting-state 30 functional MRI was performed on a 9.4T MR-system starting from week 0 (3m old mice) up to 31 28w post DOX treatment. Ex vivo immunohistochemistry and ELISA analysis (additional mice 32 cohort) was performed to address the development of amyloid pathology. 33 Results: Functional Connectivity (FC) analysis demonstrated early abnormal 34 hypersynchronisation in the TG mice compared to the controls at 8w post DOX treatment. This 35 effect was observed particularly across regions of the default mode-like network, known to be 36 affected in AD. Ex vivo analyses performed at this time point confirmed a 20-fold increase in 37total sAβ levels and the absence of Aβ plaques in the TG mice compared to the controls. On 38 the contrary at week 28, TG mice showed an overall hypoconnectivity, coinciding with a 39 widespread deposition of Aβ plaques in the brain. 40 Conclusions: By preventing developmental influence of APP and/or sAβ during brain 41 postnatal development, we demonstrated FC abnormalities driven by sAβ synaptotoxicity on 42 resting state neuronal networks in mature-induced TG mice. Thus, the Tet-Off APP mouse 43 model could be a powerful tool while used as a mature-onset model to shed light into 44 amyloidosis mechanisms in AD. Therefore, this inducible APP expression model used in 45 combination with early non-invasive in vivo rsfMRI readout for sAβ synaptotoxicity sets the 46 stage for future Aβ targeting preventative treatment studies.47 KEYWORDS 48 3 Alzheimer's disease, resting state fMRI, neuronal networks, Aβ, hypersynchronisation 49 BACKGROUND 50 Alzheimer's disease (AD) is a devastating progressive neurodegenerative disorder, 51 mainly characterized by the accumulation of amyloid-beta (Aβ) plaques and neurofibrillary 52 tangles (NFTs), which leads to dementia [1]. Most of AD patients develop the late-onset 53 sporadic form of AD (sAD), while the early-onset familial form of AD (fAD) is rare (<1% of AD 54 cases) [2-4]. Ageing has been identified as the greatest known risk factor of sAD, with the 55 prevalence doubling every 5 year...