U.S. patent application number 09/183636 was filed with the patent office on 2001-10-04 for diagnostic methods for alzheimer's disease by detection of multiple mrnas.
Invention is credited to EBERWINE, JAMES, GINSBERG, STEPHEN, LEE, VIRGINIA M.-Y., TROJANOWSKI, JOHN Q..
Application Number | 20010026916 09/183636 |
Document ID | / |
Family ID | 22673676 |
Filed Date | 2001-10-04 |
United States Patent
Application |
20010026916 |
Kind Code |
A1 |
GINSBERG, STEPHEN ; et
al. |
October 4, 2001 |
DIAGNOSTIC METHODS FOR ALZHEIMER'S DISEASE BY DETECTION OF MULTIPLE
MRNAS
Abstract
Methods of detecting RNA in brain tissue of patients with
Alzheimer's disease are provided. Methods of diagnosing Alzheimer's
disease by detection of these RNAs are also provided.
Inventors: |
GINSBERG, STEPHEN;
(PHILADELPHIA, PA) ; TROJANOWSKI, JOHN Q.;
(PHILADELPHIA, PA) ; LEE, VIRGINIA M.-Y.;
(PHILADELPHIA, PA) ; EBERWINE, JAMES;
(PHILADELPHIA, PA) |
Correspondence
Address: |
JANE MASSEY LICATA
LAW OFFICES OF JANE MASSEY LICATA
66 E MAIN STREET
MARLTON
NJ
08053
|
Family ID: |
22673676 |
Appl. No.: |
09/183636 |
Filed: |
October 30, 1998 |
Current U.S.
Class: |
435/6.16 ;
536/23.1 |
Current CPC
Class: |
C12Q 1/6883
20130101 |
Class at
Publication: |
435/6 ;
536/23.1 |
International
Class: |
C12Q 001/68; C07H
021/04; C07H 021/02 |
Claims
What is claimed is:
1. A method of identifying senile plaques, neurofibrillary tangles
and neuropil threads in brain tissue comprising: (a) contacting
brain tissue with a fluorescent dye capable of intercalating
selectively into nucleic acids; and (b) detecting any fluorescence
in the brain tissue indicative of senile plaques, neurofibrillary
tangles and neuropil threads in the brain tissue.
2. A method of identifying RNAs in senile plaques, neurofibrillary
tangles, and neuropil threads of brain tissue which encode proteins
involved in the pathogenesis of Alzheimer's disease comprising: (a)
isolating single senile plaques in brain tissue by
immunocytochemical techniques; (b) identifying the presence of RNA
by contacting said senile plaque with a fluorescent dye capable of
intercalating selectively into nucleic acids; (c) amplifying the
identified RNA; and (d) determining whether the amplified RNA
product hybridizes to any known cDNAs for proteins involved in the
pathogenesis of Alzheimer's disease.
3. A method of diagnosing Alzheimer's disease in a patient
suspected of having Alzheimer's disease comprising detecting the
presence of an RNA identified by the method of claim 2 in the brain
of the patient.
4. A method of detecting the presence of messenger RNA in senile
plaques, neurofibrillary tangles, and neuropil threads of brain
tissue wherein said messenger RNA encodes a protein involved in the
pathogenesis of Alzheimer's disease comprising: a) isolating single
senile plaques in brain tissue by immunocytochemical methods; b)
identifying the presence of RNA by contacting said senile plaque
with a fluorescent dye capable of intercalating selectively into
nucleic acids; c) amplifying said RNA; and d) hybridizing the
amplified RNA product to a known cDNA for a protein involved in the
pathogenesis of Alzheimer's disease.
Description
BACKGROUND
[0001] Alzheimer's disease (AD) is a debilitating illness that
affects millions of Americans. New strategies are beginning to
emerge for diagnosis of this condition, a condition that currently
can only be diagnosed with certainty at autopsy. If diagnostic
strategies can improve, treatment of the disease at an earlier
stage, before symptoms emerge, may be possible. In fact, the only
drug currently available to treat the symptoms of AD tends to be
most effective if given in early stages of disease. Clearly, early
and definitive diagnosis is essential.
[0002] AD is characterized clinically by cognitive decline and
memory loss and neuropathologically by the presence of
neurofibrillary tangles (NFTs), neuropil threads (NTs), senile
plaques (SPs), and regionally specific neuronal loss (Selkoe, D. J.
1994 Annu. Rev. Cell Biol. 10:373-403; Trojanowski, J. Q. et al.
1996 In: Current Neurology, Vol. XVI, Boston: Houghton Mifflin).
The gradual accumulation of paired helical filaments composed of
abnormal tau in NFTs and NTs (Lee, VM-Y et al. 1991 Science
251:675-678) as well as beta-amyloid-containing fibrils within SPs
(Selkoe, D. J. 1994 Annu. Rev. Cell Biol. 10:373-403) have been
implicated in the pathogenesis of AD. Similar neuropathological
findings also are observed in the brains of elderly Down's syndrome
(DS) patients who survive beyond the fourth decade of life.
[0003] Although the molecular mechanisms responsible for the
pathogenesis of NFTs, NTs, and SPs remain to be clarified,
immunohistochemical and Western blot analyses of AD brains have
allowed detailed characterization of the abnormal tau,
beta-amyloid-containing proteins in these lesions (Arai, H. et al.
1990 Proc. Natl. Acad. Sci. USA 87:2249-2253; Arai, H. et al. 1991.
Ann. Neurol. 30:686-693; Selkoe, D. J. et al. 1986. J. Neurochem.
46:1820-1834). Congo Red and analogs thereof have been used to
characterize amyloid plaques in Alzheimer's brains since this
fluorescent dye and analogs thereof bind to peptides that make up
the fibrils of these plaques (Ashburn et al. 1996 Chemistry and
Biology 3:351-358). Northern blot analyses of AD brains also have
identified changes in a variety of mRNAs, including those encoding
the amyloid precursor proteins (Kang, J. et al. 1987 Nature
325:733-736; Goldgaber, D. et al. 1987. Science 235:877-880;
Robakis, N. K. et al. 1987. Proc. Natl. Acad. Sci. USA
84:4190-4194; Tanzi, R. E. et al. 1987. Science 235:880-884; Golde,
T. E. et al. 1990. Neuron 4:253-267). Furthermore, in situ
hybridization histochemistry has localized abnormal tau and amyloid
precursor mRNAs to neurons and glia in the normal and AD brain
(Tanzi, R. E. et al. 1987. Science 235:880-884; Golde, T. E. et al.
1990. Neuron 4:253-267; Kosik, K. S. et al. 1989. Ann. Neurol.
26:353-361; Bahmanyar, S. et al. 1987. Science 237:77-88;
Schmechel, D. E. et al. 1988. Alzheim. Dis. Assoc. Disord.
2:96-111). Although other protein components in NFTs and SPs have
been identified (Schmidt, M. L. et al. 1994. Exp. Neurol.
130:311-322; Strittmatter, W. J. and A. D. Roses. 1995. Proc. Natl.
Acad. Sci. USA 92:4725-4727), no data are available which provide
information on whether RNAs exist in NFTs and SPs themselves. In
fact, little is known about the non-proteinaceous components of SPs
and NFTs.
[0004] The present invention provides a method for detecting the
presence of and identifying RNAs, specifically mRNAs, in NFTs, NTs,
and SPs of AD brain tissue. Using this method, it has now been
found that neuronal mRNAs predominate in SPs in Alzheimer's
disease.
SUMMARY OF THE INVENTION
[0005] An object of the present invention is to provide a method of
identifying senile plaques, neurofibrillary tangles and neuropil
threads in brain tissue which comprises contacting brain tissue
with a fluorescent dye capable of intercalating selectively into
nucleic acids and detecting any fluorescence in the brain tissue
indicative of senile plaques, neurofibrillary tangles and neuropil
threads in the brain tissue.
[0006] Another object of the present invention is to provide a
method of identifying RNAs in senile plaques, neurofibrillary
tangles, and neuropil threads of brain tissue which encode proteins
involved in the pathogenesis of Alzheimer's disease which comprises
isolating single senile plaques in brain tissue by
immunocytochemical techniques; identifying the presence of RNA by
contacting said senile plaque with a fluorescent dye capable of
intercalating selectively into nucleic acids; amplifying the
identified RNA; and determining whether the amplified RNA product
hybridizes to any known cDNAs for proteins involved in the
pathogenesis of Alzheimer's disease.
[0007] Yet another object of the present invention is a method of
diagnosing Alzheimer's disease comprising identifying the presence
of RNA encoding a protein known to be involved in the pathogenesis
of Alzheimer's disease.
DETAILED DESCRIPTION OF THE INVENTION
[0008] Acridine orange (AO) is a fluorescent dye that intercalates
selectively into nucleic acids (Schummelfeder, N. 1958. J.
Histochem. Cytochem. 6:392-393; von Bertalanffy, L. and I. Bickis.
1956. J. Histochem. Cytochem. 1956. 4:481-493; Rigler, R. 1966.
Acta Physiol. Scand. 67 (Suppl.):7-122). AO histofluorescence has
been used to detect RNA and DNA in malignant tumor cells as well as
in cell and tissue homogenates separated by gel electrophoresis
(Dart, L. H. and T. R. Turner. 1959. Lab. Invest. 8:1513-1522;
McMaster, G. K. and G. G. Carmichael. 1977. Proc. Natl. Acad. Sci.
USA 74:4835-4838; Pinto, A. et al. 1990. Arch. Pathol. Lab. Med.
114 (6):585-588). Cytoplasmic and nuclear RNA species also have
been visualized in tissue sections of the developing and adult
brain by AO histochemistry (Schmued, L. C. et al. 1982. J.
Histochem. Cytochem. 30:123-128; Topaloglu, H. and H. B. Sarnat.
1989. Anat. Rec. 224:88-93; Mai, J. K. et al. 1984. J. Histochem.
Cytochem. 32:97-104). Although AO also binds to
mucopolysaccharides, they are not visualized in brain by AO
histochemistry due to their low abundance (Szabo, M. M. and E.
Roboz-Einstein. 1962. Arch. Biochem. Biophys. 98:406-412).
[0009] The affinity of AO for nucleic acids is dependent upon the
concentration of the dye in the staining buffer and the pH of the
solution. A low dye concentration (approximately 10-100 .mu.g/ml)
and a pH of 4.0 allows for the optimal intercalation of AO into RNA
and DNA, thereby allowing the in situ visualization of these
macromolecules (von Bertalanffy, L. and I. Bickis. 1956. J.
Histochem. Cytochem. 1956. 4:481-493; Dart, L. H. and T. R. Turner.
1959. Lab. Invest. 8:1513-1522; Mikel, U. V. and R. L. Becker.
1991. Analyt. Quant. Cytol. Histol. 13:253-260). Specifically, upon
excitation with ultraviolet/blue spectra (approximately 470-490 nm
wavelength), AO intercalated into RNA emits a bright orange-red
fluorescence, whereas AO intercalated into DNA emits a
yellowish-green fluorescence (von Bertalanffy, L. and I. Bickis.
1956. J. Histochem. Cytochem. 1956. 4:481-493; Rigler, R. 1966.
Acta Physiol. Scand. 67 (Suppl.): 7-122). In tissue sections,
AO-labeled RNA and DNA stand out against the pale green background
of the surrounding neuropil and white matter tracts that lack
abundant nucleic acids. AO histochemistry can be used on
paraffin-embedded brain sections (Topaloglu, H. and H. B. Sarnat.
1989. Anat. Rec. 224:88-93; Mai, J. K. et al. 1984. J. Histochem.
Cytochem. 32:97-104), and can be combined with other
histochemical/immunohistochemical techniques.
[0010] Using AO histochemistry, it has now been determined that
cytoplasmic RNA species, including either ribosomal, transfer, or
messenger (mRNA), are present in NFTs, NTs, and SPs of brains from
AD and DS patients. AO histofluorescence was used to screen the
brains of patients with AD and DS, as well as normal controls and
non-AD patients with other neurodegenerative disorders, to
determine whether cytoplasmic RNA species are detectable within
NFTs, NTs, and SPs. In these experiments, the hippocampal formation
and the entorhinal cortex were selected for analysis because NFTs,
NTs, and SPs are abundant in these regions in the AD and DS brain
(Hyman, B. T. et al. 1984. Science 225:1168-1170; Hyman, B. T. et
al. 1990. Neurology 40:1721-1730). In addition to AO
histochemistry, sections were double-labeled with AO and
thioflavine-S (TS); AO histochemistry also was combined with
immunocytochemistry for astrocytic and microglial markers to
characterize the cellular distribution of cytoplasmic RNAs in AD
brain.
[0011] Within the hippocampal formation and entorhinal cortex of
normal brains, somatodendritic AO labeling of neurons was observed.
AO-positive nuclei also were observed within neurons using the FITC
and double cube filters. Ethanol fixation provided the most
abundant and intense AO labeling in comparison to NBF and Bouin's
fixed sections. Thus, using this AO labeling method cytoplasmic RNA
species were identified in pyramidal cells and stellate cells
within the normal aged human brain for the first time.
[0012] Cytoplasmic neuronal AO labeling also was identified within
the hippocampal formation and entorhinal cortex of AD patients.
However, in contrast to the control tissue intense labeling with
the fluorescent dye was observed within NFTs and NTs. Specifically,
AO-labeled puncta were arrayed in a filamentous pattern in NFTs and
NTs throughout the hippocampal formation and entorhinal cortex.
Moreover, SPs were consistently observed to contain AO labeling,
both in the fibrillar corona and the core region. Upon further
examination, it was found that AO-labeled NFTs and SPs were
observed infrequently within the hippocampal and entorhinal cortex
of the normal aged controls.
[0013] To examine the nucleic acid specificity of the AO-labeling,
tissue sections were pretreated with RNase. This treatment
abolished the AO labeling of NFTs, NTs, and SPs, whereas
pretreatment with DNase had little or no effect upon cytoplasmic AO
labeling of these lesions. Pretreatment with proteinase K also had
no effect on the visualization of AO-labeled NFTs and SPs.
Accordingly, it is RNA species within NFTs, NTs, and SPs which are
AO-labeled.
[0014] NFTs, NTs, and SPs in DS patients also exhibited intense AO
histofluoresence in the hippocampal and entorhinal regions. The
distribution and density of NFTs and SPs was greater in the DS
cases as compared to AD patients, however, the AO staining
intensity was qualitatively similar. In contrast, AO labeling
within the hippocampal formation and entorhinal cortex of the
brains of patients with other neurodegenerative disease (e.g., ALS,
DLDH and S-D) was similar to the pattern seen in the normal
controls, with abundant cytoplasmic neuronal staining and
infrequent labeling of NFTs and SPs.
[0015] To confirm that the AO-labeled profiles were indeed NFTs,
NTs, and SPs, double-labeling with AO and TS was compared with
adjacent single-labeled AO and TS stained sections. Qualitative
observations showed that the majority of NFTs co-localized AO and
TS, whereas a subpopulation of SPs contained only AO labeling.
Quantitative analysis demonstrated that AO co-localized to
approximately 80% of the NFTs within the stratum pyramidale of CA1
and layers II/III of entorhinal cortex. AO-stained SPs comprised
approximately 55% of the entorhinal and CA1-subiculum plaques
quantified.
[0016] The specificity of this AO labeling technique for NFTs, NTs
and SPs thus provides a means for detecting these brain pathologies
characteristic of AD in brain tissue. Further, as will be obvious
to those of skill in the art upon this disclosure, while the
experiments described herein are specific to acridine orange, other
fluorescent dyes capable of intercalating selectively into nucleic
acids could also be used. Examples of other nucleic acid binding
dyes include, but are not limited to bis-benzimide, ethidium
bromide and ethidium homodimer. It is believed that these
fluorescent dyes, and in particular AO, labeled with a reporter
molecule in accordance with well known techniques, could be used in
vivo in the diagnosis of Alzheimer's disease in patients suspected
of suffering from this diseases by detecting dye bound to NFTs, NTs
and SPs in the brain of these patients.
[0017] The method of the present invention has been used to
identify RNAs within NFTs, NTs, and SPs of AD and DS patients,
which play a role in the pathogenesis of these hallmark AD lesions.
An amplification RNA (aRNA) technique (Eberwine, J. et al. 1992.
Proc. Natl. Acad. Sci. 89:3010-3014; Eberwine, J. et al. 1995. The
Neuroscient.1:200-211; VanGelder, R. et al. 1990. Proc. Natl. Acad.
Sci. USA 87:1663-1667) was used that allows identification and
quantitation of multiple mRNAs of variable abundance in single
immunocytochemically identified cells (Crino, P. B. and J.
Eberwine. 1996. Neuron 17:1173-1187; Crino, P. B. et al. 1996.
Proc. Natl. Acad. Sci. USA 93:14152-14157), as well as a method for
the analysis of multiple DNA sequences from single cells in fixed
tissue sections (Becker, I. et al. 1996. Lab. Invest. 75:801-807;
D'Amore, F. et al. 1997. Lab. Invest. 76:219-224; Emmert-Buck, M.
R. et al. 1996. Science 274:998-1001) and in situ hybridization.
The presence of RNA in SPs was verified by AO histofluoresence as
before, and mRNAs from individual, immunocytochemically identified
SPs were amplified. The amplified products were then hybridized to
known cDNAs on reverse Northern blots. By "known cDNAs" is meant
cDNAs encoding proteins which have been implicated in the
pathogenesis of plaques, tangles, or the degeneration of neurons in
AD. Examples include, but are not limited to, cDNAs corresponding
to the following classes of proteins: 1) plaque-associated proteins
(amyloid-beta protein precursor, presenilin 1, heparin sulfate
proteoglycan); 2) cytoskeletal proteins (tau, high, low and medium
molecular weight neurofilament subunits, beta-actin,
microtubule-associated proteins, nestin); 3) protein kinases and
phosphatases (PP1-alpha, PP1-gamma, PP2-alphac, cyclin-dependent
kinase, glycogen synthase kinase 3 beta); 4) neurotrophins and
neurotrophin receptors; 5) glial enriched proteins (glial
fibrillary acidic protein, apolipoprotein E, alpha
1-antichymotrypsin, interleukins); 6) transcriptional
activators/cell death mediators (cyclic AMP response element
binding protein, c-fos, c-jun, cyclin D1); 7) glutamate receptors
and calcium channels; and 8) others (superoxide dismutase 1,
dopamine-beta hydroxylase, glutamate decarboxylase, and
glyceraldehyde-3'-phosphate dehydrogenase).
[0018] Due to its consistent high abundance in SPs, cyclic AMP
response element binding protein mRNA (CREB mRNA) was used to
normalize the hybridization signal to other mRNAs on each blot,
enabling quantitative comparisons of the relative mRNA levels in
individual SPs with the mRNA levels in the neurons and neuropil of
CA1 in elderly control brains. Empty vector was used as a negative
control. Following CREB mRNA normalization, SPs were shown to
harbor two distinct populations of mRNAs, high abundance and low
abundance mRNAs. There were 18 high abundance mRNAs identified
including amyloid-beta protein precursor (APP), tau, bcl-2, bax,
PP1-alpha, PP1-gamma, and six different AMPA/kainate glutamate
receptor mRNAs. There were 33 low abundance mRNAs identified that
included neurofilament subunit mRNAs and glial enriched mRNAs.
Comparison of mRNAs amplified from SPs as well as CA1 neurons and
neuropil revealed some distinct differences. For example, bax mRNA,
which encodes a protein that promotes apoptotic cell death by
interacting with the anti-apoptotic bcl-1 protein, was present in
SPs at significantly higher levels than in control CA1 neurons and
neuropil. It is known that bax expression is upregulated in the AD
brain (MacGibbon, G. A. et al. 1997. Brain Res. 750:223-234; Su, J.
H. et al. 1997. J. Neuropathol. Exp. neurol. 56:86-93). In
contrast, the mRNA levels of high affinity nerve growth factors,
trkB and trkC, were significantly lower in SPs compared to control
CA1 neurons, a finding that is paralleled by evidence that
neurotrophin signaling may be impaired in AD due to diminished
expression of neurotrophin receptors (Salehi, A. et al. 1996.
Neurosci. 75:373-387; Mufson, E. J. et al. 1997. Exp. Neurol.
146:91-103). Several mRNAs preferentially enriched in glia (alpha
1-act, APOE, GFAP, and IL-1) and a housekeeping gene (GAPDH) were
also consistently less abundant in SPs relative to control
neuropil.
[0019] In situ hybridization was then used to localize selected
mRNAs detected in SPs by the aRNA method to SPs in tissue sections.
The presence of CREB mRNA in SPs was confirmed using a digoxigenin
labeled CREB probe; and CREB mRNA was shown to be distributed
throughout the corona of hippocampal SPs double-labeled with TS.
Digoxigenin labeled CREB also was observed in neurons, but not in
vascular amyloid deposits. Because amyloid beta is the major
component of amyloid precursor plaques, and APP mRNAs have been
localized to TS stained SPs by in situ hybridization (Hyman, B. T.
et al. 1993. Mol. Brain Res. 18:253-258), detection of APP mRNA in
SPs, CA1 neurons, and neuropil was performed by PCR. The PCR
primers used differentially recognize the most abundant isoforms of
APP in brain (APP.sub.695, APP.sub.751, and APP.sub.770) .
APP.sub.695, the splice variant enriched within neurons, was the
predominant species of APP detected in single SPs, CA1 neurons, and
neuropil. To confirm the identity of the 87 base pair PCR product
obtained from single SPs and CA1 neurons, this PCR product was
sequenced and shown to be 100% identical to the corresponding
segment of wild type APP.sub.695. This confirms that the individual
mRNAs amplified from single SPs, neurons and the neuropil
correspond to the cDNAs used to detect and identify these same
mRNAs. Accordingly, using the method specific characterization of
mRNA species sequestration in AD SPs can be performed.
[0020] Further, multiple mRNA species have now been found in
individual, extracellular SPs of the AD hippocampus with this
method combined with aRNA expression profiling, PCR and in situ
hybridization methods. The expression profile of mRNAs amplified
from these SPs is predominantly neuronal. Thus, using this method
of the present invention, studies can be performed to explore the
role of these mRNAs in the pathogenesis of AD as well as to
identify brains with AD specific changes. Further, expression
profiling information derived from the method of the present
invention can be used in the design of probes specific to
identified mRNA encoding proteins involved in the pathogenesis of
AD. Such probes can be used in vivo to detect abnormal levels of
these mRNAs which may be an early indicator of AD. The existence of
a variety of specific mRNAs in AD brain is also a potential tool
for use in designing new therapeutics to be used in the treatment
of AD.
[0021] The following non-limiting examples are presented to further
illustrate the present invention.
EXAMPLES
[0022] Example 1: Tissue Preparation
[0023] Postmortem samples containing the hippocampal formation and
entorhinal cortex were dissected from approximately 1 cm-thick
coronal brain slabs of 13 AD, 5 DS, 8 age-matched control and 7
non-AD patients with neurodegenerative disease and processed.
Tissue samples were immersion fixed in either 70% ethyl alcohol
containing 150 mM sodium chloride, 10% neutral buffered formalin,
or Bouins solution for 24 hours at 22.degree. C., embedded in
paraffin, and 6 .mu.m thick serial sections were cut.
[0024] Example 2: Acridine Orange Histochemistry
[0025] A protocol for AO histochemistry was developed using human
postmortem tissues embedded in paraffin based on the procedures of
von Bertalanffy and Bickis (1956; J. Histochem. Cytochem.
4:481-493) and Mikel and Becker (1991; Analyt. Quant. Cytol.
Histol. 13:253-260). Briefly, tissue sections were deparaffinized
in xylene, graded through a descending ethanol series, and placed
in distilled water for 5 minutes. The sections were placed in a 0.2
M dibasic sodium phosphate/0.1 M citric acid solution (pH 4.0) for
5 minutes prior to staining with AO (10 .mu.g/ml; Sigma Chemical
Co.) for 15 minutes. The sections were rinsed three times in
dibasic sodium phosphate/citric acid buffer, immersed in 50%
ethanol in phosphate-buffered saline (0.12 M, pH 7.4) for 2
minutes, cleared in xylene, and mounted with an anti-fading medium
(Vectashield, Vector Laboratories). To reduce the intense
autofluorescence of lipofuscin granules that are abundant in the
senescent human brain, selected tissue sections were pretreated
with 0.05% potassium permanganate in PBS for 20 minutes followed by
0.2% potassium metabisulfite/0.2% oxalic acid in PBS for 30 seconds
prior to AO histochemistry. Control experiments included no
staining or preincubation of the tissue sections for 60 minutes
with RNase (0.5 .mu.g/.mu.l, Boehringer Mannheim), DNase (10
U/.mu.l, Boehringer Mannheim), and proteinase K (1 .mu.g/.mu.l,
Sigma Chemical Co.) in dibasic sodium phosphate/citric acid buffer
at 36.degree. C. in a humidified chamber prior to AO
histochemistry.
[0026] Example 3: Double Label Histochemistry
[0027] To better delineate AO labeling within NFTs, NTs, and SPs,
selected sections were double-labeled with AO and TS. AO
histochemistry was performed as described above followed by
immersion in 0.0125% TS (Sigma Chemical Co.) in a 40% EtOH/60% PBS
solution in the dark for 2 minutes. The procedure also was
performed in reverse order to control for staining efficacy.
Adjacent sections were stained with AO or TS alone for comparison
with double label preparations.
[0028] To determine if AO labeling was localized to astrocytes or
microglia associated with SPs, another double label procedure was
employed. Briefly, deparaffinized tissue sections were quenched
with methanol and 5% hydrogen peroxide for 30 minutes and washed in
running water for 10 minutes. The sections were blocked in 2% horse
serum in Tris/HCl buffer (pH 7.6) for 1 hour and incubated with
monoclonal antibodies specific for the astrocyte marker glial
fibrillary acidic protein (GFAP; 2.2B10; 10 .mu.g/.mu.l; Lee, VM-Y
et al. 1984. J. Neurochem. 42:25-32) or the macrophage marker CD68
(10 .mu.g/.mu.l Dako Corporation) in Tris buffer overnight at
4.degree. C. in a humidified chamber. Sections were processed using
the peroxidase-antiperoxidase method and developed with 0.05%
diaminobenzidine, 0.03% hydrogen peroxide and 0.01 M imidazole in
Tris buffer for 10 minutes (Schmidt, M. L. et al. 1987. Lab.
Invest. 56:282-294). After three washes in Tris buffer, the tissue
sections were processed for AO histochemistry as described above.
Adjacent sections were also prepared for controls using single
label GFAP and CD68 immunocytochemistry.
[0029] Example 4: Quantitation of Staining/Binding
[0030] Tissue sections were visualized with a Nikon FXA
photomicroscope equipped with epifluorescence and brightfield
optics. For fluorescence observation, three interference filters
were used: Nikon G-2A rhodamine filter for AO (RNA) labeling, Nikon
B-2E fluorescein isothiocyanate (FITC) filter for TS labeling, and
a FITC/Texas Red double-cube filter (51006V3, Chroma Technology
Corporation) for simultaneous fluorescence labeling.
[0031] A quantitative scheme was designed (see Ginsberg, S. D. et
al. 1995. Neuroscience 65:563-575) to assess the percentage of NFTs
and SPs that contained AO labeling relative to TS-labeled profiles.
Briefly, fluorescent microscope images were digitized to a computer
workstation where actual quantification was performed using a
morphometric software package (Northern Exposure, Phase III Imaging
Systems) . Six non-overlapping fields (500 .mu.m.times.500 .mu.m)
were analyzed at 40.times. (1.3 numerical aperture) within the
stratum pyramidale of CA1 and layers II/III of entorhinal cortex in
three tissue sections from each of four AD patients, for a total of
144 fields. In these studies, the TS-labeled image was digitized
and quantified first, followed by the AO-labeled image within the
same x and y axes as the TS-labeled image. The number of AO-labeled
profiles was reported as a proportion of TS-labeled profiles.
Results showed that RNA was specifically sequestered within Sps,
NFTs, and NTs in AD brain.
[0032] Example 5: Quantification of Multiple mRNAs
[0033] Single immunocytochemically identified cells were used.
Tissue was from 6 .mu.m-thick fixed (70% EtOH plus 150 mM NaCl)
paraffin-embedded tissue sections of the hippocampus (postmortem
samples). AD tissues were immunostained with antibodies directed
against amyloid beta (R2332) or hyperphosphorylated tau (PHF1), and
control sections were immunostained with an antibody directed
against phosphorylated NF proteins (RmdO20; NF-H+/NF-M+).
[0034] The presence of RNA was verified by AO histofluoresence as
described above, and mRNAs from individual SPs were amplified. For
amplification, an oligonucleotide primer consisting of 24 TTPs
coupled to a T7 RNA polymerase promoter sequence
(oligo-(24)T7;AAACGACGGCCAGTGAATTGT- AATACGACTCACTATAGCG
CTTTTTTTTTTTTTTTTTTTTTTTT) (SEQ ID NO.1), was hybridized to
cellular poly (A.sup.+) mRNA directly on hippocampal sections (in
situ transcription) containing immunolabeled SPs and/or CA1 neurons
for 18 hours in 50% formamide (Eberwine, J. et al. 1992. Proc.
Natl. Acad. Sci. USA 89:3010-3014; Eberwine, J. et al. 1995. The
Neurosci. 1:200-211; van Gelder, R. et al. 1990. Proc. Natl. Acad.
Sci. USA 87:1663-1667; Crino, P. B. and J. Eberwine. 1996. Neuron
17:1173-1187; Crino, P. B. et al. 1996. Proc. Natl. Acad. Sci. USA
93:14152-14157). cDNA was synthesized directly on the section with
avian myeloblastosis virus reverse transcriptase (AMVRT, 0.5
U/.mu.l, Seikagaku America, USA) in Tris-HCl buffer (pH 8.3) with
MgCl.sub.2 (6 mM), KCl (120 mM), dithiothreitol (7 mM), dNTPs
[dATP, dCTP, dGTP, TTP (250 .mu.M)], and 0.12 U/.mu.l RNAsin.
Individual SPs and CA1 neurons were dissected from surrounding
neuropil via a micromanipulator and collected in 1.5 mm OD glass
micropipettes backfilled with electrode buffer (to assure cDNA
synthesis; 10 mM HEPES buffer (pH 7.4) with dNTPs (250 .mu.M),
oligo-dT(24)T7 primer, and AMVRT. cDNA synthesis was performed in
1.5 mm microfuge tubes for 90 minutes at 42.degree. C. (Eberwine,
J. et al. 1992. Proc. Natl. Acad. Sci. USA 89:3010-3014; Eberwine,
J. et al. 1995. Neurosci. 1:200-211; van Gelder, R. et al. 1990.
Proc. Natl. Acad. Sci. USA 87:1663-1667; Crino, P. B. and J.
Eberwine. 1996. Neuron 17:1173-1187; Crino, P. B. et al. 1996.
Proc. Natl. Acad. Sci. USA 93:14152-14157). mRNA was amplified
(aRNA) from double stranded cDNA template with T7 RNA polymerase
(Epicentre Technologies, USA). Two rounds of amplification (final
amplification approximately 1.times.106 fold from the original
message) were performed by the aRNA method, and the second round of
amplification incorporated .sup.32P CTP into the amplified
products.
[0035] This amplification was followed by hybridization of the
amplified products to known cDNAs on reverse Northern blots.
Briefly, Radiolabeled aRNA from single SPs, CA1 neurons, and
neuropil was used as a probe to linearized plasmid cDNAs adherent
to nylon membranes (Hybond, Amersham, USA) for reverse Northern
(slot) blots (48 cDNA clones per blot). Prehybridization (12 hours)
and hybridization (48 hours) consisted of 6.times. SSPE, 5.times.
Denhardt's solution, 50% formamide, 0.1% sodium dodecyl sulfate,
and denatured salmon sperm DNA (200 .mu.g/ml) at 42.degree. C.
(Eberwine, J. et al. 1992. Proc. Natl. Acad. Sci. USA 89:3010-3014;
Eberwine, J. et al. 1995. The Neurosci. 1:200-211; van Gelder, R.
et al. 1990. Proc. Natl. Acad. Sci. USA 87:1663-1667; Crino, P. B.
and J. Eberwine. 1996. Neuron 17:1173-1187; Crino, P. B. et al.
1996. Proc. Natl. Acad. Sci. USA 93:14152-14157). Blots were washed
in 2.times., 1.times., and 0.5.times. SSC and apposed to
phosphoscreens for 48 hours. Hybridization intensity was quantified
with densitometic software (ImageQuant, Molecular Dynamics, USA).
cDNAs were selected for analysis based on the implication of the
corresponding proteins in some part of the AD pathogenic
process.
[0036] SPs were shown to contain two distinct populations of mRNAs,
high abundance mRNAs and low abundance mRNAs. To confirm these
findings, in situ hybridization was used to localize the selected
mRNAs detected in SPs. Tissue sections pretreated with proteinase K
(10 .mu.g/ml) prior to acetylation with 0.2% acetic anhydride were
hybridized with DIG-UTP-labeled cRNA antisense probes to CREB in
hybridization buffer (50% formamide, 10% dextran sulfate, 4.times.
SSC, 1.times. Denhardt's solution, 500 .mu.g/ml denatured salmon
sperm DNA, and 250 mg/ml yeast tRNA) for 16 hours at 50.degree. C.
CREB mRNA was visualized with anti-DIG antibodies (Boehringer
Mannheim, USA) with NBT/BCIP (Boehringer) substrate solution as per
manufacturer's specifications. Control (cold competition)
experiments included the addition of 50-fold excess of unlabeled
CREB cRNA to sections in hybridization buffer for 12 hours prior to
the addition of DIG-labeled CREB cRNA probe and development as
above. Sections were subsequently stained with TS (Sigma, USA;
0.0125% in 60% phosphate-buffered saline/40% ethanol) and
coverslipped with antifade medium. The results confirmed that mRNA
was present in SPs and was distributed throughout the corona of
hippocampal SPs.
[0037] Because amyloid-beta is the major component of SPs, and
amyloid protein precursor protein (APP) mRNAs were found to be
localized to Sps, PCR techniques were used to detect APP mRNAs in
Sps. PCR was performed (sense primer, 5'-CACCACAGAGTCTGTGGAAG-3',
(SEQ ID NO. 2), corresponding to bp 958-977 of the APP.sub.751 gene
and antisense primer, 5'-AGGTGTCTCGAGATACTTGT-3', (SEQ ID NO. 3),
corresponding to bp 1194-1213 of APP.sub.751) using aRNA template
double stranded DNA from SPs, CA1 neurons and neuropil. PCR
conditions were 35 or 28 cycles [denaturation (4 minutes at
90.degree. C.); annealing (1 minute at 55.degree. C.); elongation
(2 minutes at 72.degree. C.); MgCl.sub.2 (4 mM)] and PCR products
were visualized on 1.5% agarose gels stained with ethidium bromide.
The 312, 255, and 87 bp fragments correspond to APP.sub.770,
APP.sub.751, and APP.sub.695, respectively. The 87 bp fragment was
ligated into p-GemT vector (Promega, USA), transfected into
DH5.alpha. cells, and sequenced. Results showed that APP695 was the
predominant species of APP detected in single SPs, CA1 neurons, and
neuropil.
Sequence CWU 1
1
3 1 66 DNA Artificial Sequence Description of Artificial Sequence
Synthetic 1 aaacgacggc cagtgaattg taatacgact cactataggc gctttttttt
tttttttttt 60 tttttt 66 2 20 DNA Artificial Sequence Description of
Artificial Sequence Synthetic 2 caccacagag tctgtggaag 20 3 20 DNA
Artificial Sequence Description of Artificial Sequence Synthetic 3
aggtgtctcg agatacttgt 20
* * * * *