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Knock-in models related to Alzheimer’s disease: synaptic transmission, plaques and the role of microglia



Microglia are active modulators of Alzheimer’s disease but their role in relation to amyloid plaques and synaptic changes due to rising amyloid beta is unclear. We add novel findings concerning these relationships and investigate which of our previously reported results from transgenic mice can be validated in knock-in mice, in which overexpression and other artefacts of transgenic technology are avoided.


AppNL-F and AppNL-G-F knock-in mice expressing humanised amyloid beta with mutations in App that cause familial Alzheimer’s disease were compared to wild type mice throughout life. In vitro approaches were used to understand microglial alterations at the genetic and protein levels and synaptic function and plasticity in CA1 hippocampal neurones, each in relationship to both age and stage of amyloid beta pathology. The contribution of microglia to neuronal function was further investigated by ablating microglia with CSF1R inhibitor PLX5622.


Both App knock-in lines showed increased glutamate release probability prior to detection of plaques. Consistent with results in transgenic mice, this persisted throughout life in AppNL-F mice but was not evident in AppNL-G-F with sparse plaques. Unlike transgenic mice, loss of spontaneous excitatory activity only occurred at the latest stages, while no change could be detected in spontaneous inhibitory synaptic transmission or magnitude of long-term potentiation. Also, in contrast to transgenic mice, the microglial response in both App knock-in lines was delayed until a moderate plaque load developed. Surviving PLX5266-depleted microglia tended to be CD68-positive. Partial microglial ablation led to aged but not young wild type animals mimicking the increased glutamate release probability in App knock-ins and exacerbated the App knock-in phenotype. Complete ablation was less effective in altering synaptic function, while neither treatment altered plaque load.


Increased glutamate release probability is similar across knock-in and transgenic mouse models of Alzheimer’s disease, likely reflecting acute physiological effects of soluble amyloid beta. Microglia respond later to increased amyloid beta levels by proliferating and upregulating Cd68 and Trem2. Partial depletion of microglia suggests that, in wild type mice, alteration of surviving phagocytic microglia, rather than microglial loss, drives age-dependent effects on glutamate release that become exacerbated in Alzheimer’s disease.


All research models present limitations and this is particularly true for Alzheimer’s disease, where there is an urgent need to understand disease progression. Until recently, most mouse models relied on transgenesis to express genes that cause inherited forms of the disease (reviewed in [1]). This has been a useful tool to initiate rising amyloid beta (Aβ) levels, a proposed trigger for sporadic Alzheimer’s disease; however, although these mice develop substantial plaque loads, they fail to develop tau tangles or extensive neurodegeneration. Furthermore, the overexpression of APP, inappropriate distribution and timing of expression due to ectopic promoters and disruption of off-target genes by random transgene insertion sites have raised questions over the relevance of reported findings [2]. In particular, overexpression of APP results in not only raised Aβ but also other APP metabolites, the levels of which may not be increased to any substantial degree in Alzheimer’s disease [3]. Such metabolites have physiological effects (for example [4] and reviewed in [5]) that may become evident in transgenic mice but be less relevant to Alzheimer’s disease.

Transgenic mice show early alterations in synaptic transmission and plasticity (for example [6, 7,8,9,10]), alongside proliferation and activation of microglia around plaques [10,11,12,13]. These microglial changes are of particular interest, as many genes with variants associated with Alzheimer’s disease are expressed by microglia [14] and, furthermore, are also altered in transgenic mice [15,16,17]. These studies have led to various hypotheses concerning the physiological versus pathological roles of microglia in disease progression (discussed in [18, 19, 20]).

Given the question of relevance to human disease of phenotypes obtained in transgenic mice, we employed App knock-in mouse models in which the Aβ sequence within App has been humanised [21]. In particular we use the AppNL-F line, harbouring Swedish and Iberian/Beyreuther mutations, resulting in raised total Aβ [22] and raised Αβ42:Aβ40 ratio [23], respectively. An increase in Aβ levels and a raised Αβ42:Aβ40 ratio are also features of sporadic AD, albeit not arising from mutations in APP [24]. We also compare AppNL-F to AppNL-G-F mice that additionally harbour the Arctic mutation, which changes the Aβ sequence, rendering it more susceptible to fibrillation [25]. It should be noted that, similar to transgenic mice, both models display tau hyperphosphorylation but fail to develop tangles or substantial neurodegeneration, even with humanised Mapt (encoding the protein tau; [26]).

Here we report phenotypes consistent with and contrasting to our previously published results obtained in transgenic mice [9, 10]; initial results published in [27]. Alterations in excitatory synaptic transmission and plasticity were examined in App knock-in mouse hippocampus at stages prior to plaque deposition through to old age. Furthermore, we investigated the microglial contribution to these using an inhibitor of the microglial survival factor CSF1R [28], resulting in little effect on plaque development but a complex synaptic phenotype in which partial depletion of microglia had more substantial effects than near-complete ablation.


See Additional file 1 for complete Methods.


Experiments were performed in accordance with the UK Animal (Scientific Procedures) Act 1986 and following local ethical review. Homozygous App knock-in mice and wild type counterparts were group housed (2–5 mice) with ad libitum supply of food and water.

Animals were decapitated, the brain rapidly extracted and bisected. One hemisphere was drop-fixed in 10% formalin for histology; the other was processed for electrophysiology or RNA extraction.


Genomic DNA was extracted and standard PCR reactions performed to identify the presence of the knock-in genes.


Brain sections (30 μm) transverse to the long axis of the hippocampus were prepared and processed as free-floating sections and nuclei counterstained with 4′,6-diamidino-2-phenylindole (DAPI).

Plaques were labelled with luminescent conjugated oligothiophenes (LCOs; [29]).

Immunohistochemical experiments employed standard techniques [10]. Sections were permeabilised, non-specific binding blocked, then incubated with primary antibodies (1:500 rabbit anti-IBA1; or 1:500 rat anti-CD68) overnight at 4 °C, followed by Alexa-conjugated secondary antibodies for 2 h at room temperature in the dark.

Imaging and data analysis

Epifluorescent photomicrographs of whole hippocampal regions within sections were obtained under a 20× objective by area-defined serial scanning with constant light, gain and exposure settings. Three sections per animal were assessed.

To determine cell densities, three non-overlapping areas of interest were defined and IBA1+ microglia counted only if the associated DAPI+ nucleus was evident.

To establish plaque size histograms, the hippocampal area within each section was defined and a colour intensity threshold set to differentiate LCOs signal from background and pixel coverage determined.

Acute brain slice preparation for electrophysiology

Following decapitation, the extracted brain hemisphere was placed in ice-cold dissection artificial CSF (aCSF; raised Mg++ and reduced Ca++ ion concentrations). Brain slices (400 μm) transverse to the long axis of the hippocampus were cut, then incrementally changed through a series of heated (35 °C) aCSF solutions to a physiological recording aCSF (containing 1 mM Mg2+ and 2 mM Ca2+) bubbled with 95% O2/5% CO2.

Patch-clamp recordings

Slices were allowed to recover at room temperature before a single slice was transferred to a submerged chamber and superfused with recording aCSF. Visualised CA1 pyramidal neurones were voltage-clamped in whole cell mode using glass electrodes (tip resistance 4–6 MΩ) filled with CsCl-based internal solution. Standard patch-clamp apparatus were used [9], with signal low-pass filtered sequentially at 10 kHz then 3 kHz and digitised at 10 kHz.

Initially, spontaneous currents were recorded in the absence of neurotransmitter receptor antagonists at a membrane holding potential of -70 mV. Around 90–95% of events under these conditions are inhibitory postsynaptic currents; the remainder being excitatory. Subsequently, excitatory postsynaptic currents were isolated by introducing gabazine. Spontaneous and miniature (with the addition of tetrodotoxin) currents were then recorded. Spontaneous and miniature currents were detected using an automated algorithm and inspected by eye for integrity.

Evoked currents were recorded in the presence of gabazine. Stimuli were applied via a patch electrode filled with aCSF and positioned in stratum radiatum of CA1, ~ 150–300 μm from the recording electrode. To establish failure rates, unitary responses were evoked by minimal stimulation. For all other experiments, stimulus intensity was set at near-minimal stimulation, such that ~ 50–80% of stimuli evoked a response.

Field potential recordings in brain slices

Field potentials were recorded using standard protocols [10]. Slices were submerged in a heated (30 ± 1 °C) chamber, superfused with aCSF and allowed to recover for 1 h. Recording and stimulating electrodes (filled with aCSF, resistance ~ 2 MΩ) were both positioned in stratum radiatum of CA1, ~ 150–300 μm apart, to obtain dendritic excitatory postsynaptic field potentials (fEPSPs) in the absence of GABAA receptor antagonists. Field potentials were low-pass filtered serially at 10 kHz and 3 kHz and digitised at 10 kHz. Stimulation intensity was set to evoke fEPSPs subthreshold to a population spike. Pairs of stimuli (50 ms inter-stimulus interval) were applied at 0·1 Hz. Long-term potentiation (LTP) conditioning consisted of three tetanus trains, each of twenty stimuli at 100 Hz, 1·5 s inter-train interval, applied at test-pulse stimulus intensity. Responses in each 1-min period were averaged and the slope of the first fEPSP and the paired-pulse ratio of each pair calculated as percent of the respective average baseline.

Hippocampal homogenisation and RNA extraction

Whole hippocampus was extracted, snap-frozen, then homogenised in RNA lysis reagent. Chloroform was added to the lysate for phase separation. Following centrifugation, total RNA was extracted and DNA digested. Concentration and quality of RNA were assessed using a spectrophotometer and the A260/A280 ratios calculated. Total RNA solutions were stored at − 80 °C.

Reverse transcription

RNA samples were treated with RNaseOUT and amplification grade DNaseI and placed in a thermocycler followed by an enzymatic denaturation step. Reverse-transcription was then performed using a High Capacity cDNA Reverse Transcription kit. Following a thermocycle step, cDNA was diluted and stored at − 20 °C.

Real time-quantitative PCR

cDNA was tested in triplicate using SsoAdvanced Universal SYBR Green Supermix, both forward and reverse primers and cDNA diluted in nuclease-free water. Negative controls from the reverse-transcription protocol were included to test for the presence of genomic DNA or contamination. A blank control was included that replaced the cDNA solution with nuclease-free water. A melt curve was produced using a standard thermocycling protocol. All reactions were tested for the presence of a single PCR product.

Microglial ablation

Microglia were removed from the brain by feeding mice the CSF1R antagonist PLX5622. Cages of male mice were randomly assigned to either control or test groups. The standard grain-based diet mice are fed was changed to a refined diet supplemented with either vehicle or PLX5622.


All analyses were performed by experimenters blinded to genotype and experimental conditions. Where multiple samples/cells/slices/sections were obtained from a single animal, a mean value was calculated for that animal, avoiding false replication from non-independent samples. Age- and sex-matched wild types were interleaved with AppNL-F and AppNL-G-F mice and thus act as common controls for both genotypes.

Data availability

The data that support the findings of this study are available from the corresponding author, upon reasonable request.



Plaque development in the current App knock-in mice was quantified using a 0–5 rating scale of sections labelled with LCOs (Supplementary Fig. 1). In AppNL-F mice (Fig. 1a, c and Supplementary Fig. 2 for 7 months), the first sparse, small plaques were detected at 9-months-old but were not detected in all sections. By 14-months-old, plaques were reliably detected but were still small and sparse. At 18- and 24-months-old, plaques of a range of sizes were spread across the hippocampus. While pathology scores increased with age, there was no effect of sex at any given age (Kruskal-Wallis test comparing 8 groups p < 0·00001, followed by Dunn’s multiple comparisons between all groups, p > 0·5 between sexes at all ages).

Fig. 1

Plaques develop with age in AppNL-F and AppNL-G-F mice. a and b) Examples of plaques detected using LCOs (green) in AppNL-F (a) and AppNL-G-F (b) hippocampus at the ages indicated. DAPI nuclear counterstain (blue). c) Median and upper quartile range for Aβ pathology scores (0–5; Supplementary Fig.1). Sample sizes (animals) are indicated within the bars. Sections (30 μm thick) were labelled with LCOs and scored blind to experimental group. While there was a significant effect of age (p < 0·0001) and there were no significant differences between the sexes at any given age. (Genotype effects were not assessed by age, as the progression of plaques is known to be slower in AppNL-F than AppNL-G-F.) Note that, for each animal, the score is the average of three sections, giving one value per animal which may not be an integer

In 2-months-old AppNL-G-F mice (Fig. 1b, c), only a few small plaques were detected. In 4-month-old animals, the plaque load was already heavier than in the 24-month-old AppNL-F mice. By 9-month-old, a substantial plaque load was evident, with little further increase through to the oldest ages. While there was an increase in pathology score with age, there were no significant effect of sex at any given age (Kruskal-Wallis test comparing 10 groups p < 0·0001, followed by Dunn’s multiple comparisons between all groups (p > 0·5 between sexes at all ages).

Spontaneous and miniature excitatory postsynaptic currents

Synaptic transmission was examined in patch-clamp recordings of CA1 pyramidal neurones in voltage-clamp mode to record excitatory postsynaptic currents (EPSCs) in slices prepared from male mice (Fig. 2A). Recordings were made at different ages to facilitate comparisons of effects at a given stage of plaque development in the two genotypes or at the equivalent age.

Fig. 2

Frequency of spontaneous excitatory synaptic transmission is reduced in an age-dependent manner in AppNL-F and AppNL-G-F mice. A) Examples of continuous voltage-clamp recordings from CA1 pyramidal neurones in slices from 9- and 20-month-old wild type, AppNL-F and AppNL-G-F animals illustrating the reduction in frequency of spontaneous EPSCs observed at these ages. Confirmed EPSCs are indicated by the asterisks. B) Frequencies (i) and median amplitudes (ii) of spontaneous EPSCs in wild type and knock-in mice. C) Frequencies (i), median amplitudes (ii) and decay time constants (iii) of miniature EPSCs in wild type and App knock-in mice. Data in panels B and C plotted as mean ± SEM. Sample sizes (animals) are indicated by the numbers inside bars in subpanels i. Sequential Sidak corrected post-hoc comparisons to wild type are indicated by * p < 0·05; *** p < 0·001 (9-months-old: AppNL-G-F p = 0·025; 20-months-old: AppNL-F p = 0·018, AppNL-G-F p = 0·00028)

The frequency of spontaneous EPSCs in slices were compared using a generalised linear mixed model (GLMM) designed to assess the effect of genotype within a given age. The genotype within age term was significant (p = 0·00069) and thus simple post hoc comparisons with sequential Sidak corrections were made for genotype within each age; Fig. 2Bi). There were no significant differences across the youngest ages. At 9-months-old, the lower frequency in AppNL-G-F compared to wild type reached p = 0·025. By 20-months-old, spontaneous EPSCs occurred at lower frequencies than wild types in both AppNL-F (p = 0·018) and AppNL-G-F (p = 0·00028) mice. There were no significant effects for EPSC amplitude or time constant (Fig. 2Bii-iii) at any age.

When miniature EPSCs were isolated, no significant differences between genotypes or ages were identified in terms of frequency, amplitude or decay (GLMM; Fig. 2 Ci-iii).

Paired-pulse ratios

Pairs of stimuli were applied to Schaffer collaterals to evoke EPSCs (Fig. 3). Typical of CA3-CA1 synapses, paired-pulse facilitation (i.e. the second EPSC amplitude greater than the first, indicative of a low probability of glutamate release; see reference [30] for review) was observed in slices from wild type animals at all ages. As expected, facilitation decreased with longer inter-stimulus intervals.

Fig. 3

Paired-pulse ratios of evoked excitatory postsynaptic currents are altered in an age-dependent manner in AppNL-F and AppNL-G-F mice. a) Examples of evoked CA3-CA1 EPSCs in response to paired stimuli applied to Schaffer collaterals in slices from 20-month-old animals. b) Paired-pulse ratios of CA3-CA1 EPSCs at ages indicated. Sample sizes (animals) are indicated by the numbers to the right of the 50 ms data points. Holm-Sidak post hoc tests compared to wild type are indicated by * p < 0·05; ** p < 0·01; **** p < 0·0001 (2-month-old: p = 0·0174; 7-month-old: p = 0·019; 9-months-old AppNL-F 25 ms p = 3·4 × 10−8, AppNL-G-F 25 ms p = 1·1 × 10−7, AppNL-F 50 ms p = 0·0086, AppNL-G-F 50 ms p = 0·021; 20-month-old AppNL-F 25 ms p = 7.5 × 10−5, AppNL-G-F 25 ms p = 6·0 × 10−9, AppNL-G-F 50 ms p = 0·0034). c) Failure rates of unitary evoked EPSCs in 20-month-old wild type and App knock-in animals. Holm-Sidak post hoc tests compared to wild type are indicated by * p < 0·05; ** p < 0·01 (NL-F p = 0·013, NL-G-F p = 0·0069). Data in panels B and C plotted as mean ± SEM. Sample sizes (animals) are indicated by the numbers within bars

At 2-months-old, when only rare, small plaques were detected, AppNL-G-F mice showed a reduced paired-pulse facilitation compared to wild types (two-way ANOVA, genotype × inter-stimulus interval interaction p = 0·0074; Sidak multiple comparisons: 25 ms p = 0·017; 50 ms, p = 0·3), indicative of a higher probability of glutamate release in AppNL-G-F.

At 4-months-old, when moderate plaque deposition is seen, AppNL-G-F mice no longer showed reduced paired-pulse ratios compared to wild types. While a main effect of inter-stimulus interval remained (p = 0·0011), there was no effect of genotype (p = 0·3) nor an interaction (p > 0·5).

In AppNL-F mice, while there were no differences detected at 4-months-old, paired-pulse ratio was decreased at 7-months-old, before plaques were detected (main effects of genotype, p = 0·038 and inter-stimulus interval, p = 0·002; no interaction, p = 0·14).

Interestingly, at 9-months-old, when dense plaques were present in AppNL-G-F mice, the decreased paired-pulse ratio was again evident. AppNL-F mice also maintained the decreased paired-pulse ratio at this age. When the knock-in genotypes were compared to wild type mice, two-way ANOVA showed a significant effect of genotype (p = 0·0005) but no significant effect of inter-stimulus interval or an interaction. Hence, AppNL-F and AppNL-G-F mice had similarly lower paired-pulse ratios, despite the much greater plaque load in AppNL-G-F mice.

At 20-months-old, there was a significant genotype × inter-stimulus interval interaction (p = 0·0004). AppNL-F mice showed a similar decreased paired-pulse facilitation to that observed at 9-months-old (Sidak multiple comparisons versus wild type, 25 ms: p = 0·00007; 50 ms: p = 0·2). In AppNL-G-F mice, the effect increased further, with evoked EPSCs displaying paired-pulse depression rather than facilitation (Sidak multiple comparisons versus wild type, 25 ms p = 1 × 10−8; 50 ms p = 0·003).

Finally, to confirm that the lower paired-pulse ratio reflects a change in glutamate release probability, unitary responses were evoked in a subset of 20-month-old animals. The proportion of stimuli that failed to elicit a response was lower (one-way ANOVA, p = 0·008) in both AppNL-F (Holm-Sidak post-hoc test, p = 0·013) and AppNL-G-F (p = 0·007) mice compared to wild types (Fig. 3c), reflecting greater glutamate release probabilities.

Spontaneous inhibitory postsynaptic currents

To ascertain whether there were any network-level alterations in inhibitory synaptic transmission, spontaneous currents were recorded in the absence of neurotransmitter receptor antagonists (i.e., prior to the addition of gabazine to isolate EPSCs). (It should be noted that using CsCl as an internal solution and a membrane holding potential of –70 mV gives rise to inward currents for both IPSCs and EPSCs. Subtracting the frequency of pharmacologically isolated EPSCs from this mixed population suggests that > 90% of events are inhibitory; however, isolating EPSCs using GABAA receptor antagonists disinhibits the slice, increasing the frequency of EPSCs and thus IPSCs may reflect an even higher proportion in the mixed population.)

The frequency, amplitude and decay of spontaneous IPSCs (Supplementary Fig. 3a-c) were found to be not statistically different between the genotypes at any given age, suggesting that there is little net change in inhibitory synaptic transmission.

Long-term potentiation

Dendritic fEPSPs were recorded from CA3-CA1 synapses (Fig. 4). The magnitude of LTP, determined as the mean percent of baseline at 51–60 min after a moderate tetanic conditioning stimulus, was similar between genotypes across all ages (Fig. 4c).

Fig. 4

Altered locus of expression of long-term potentiation in AppNL-F and AppNL-G-F mice. a) Example CA3-CA1 fEPSPs recorded in stratum radiatum of slices from 9-month-old animals. b) Example time courses of field EPSP slope, expressed as percent of mean baseline and relative to induction tetanus. c) Summary of LTP magnitude across ages calculated as the mean of 51–60 min after conditioning. d) Paired-pulse ratio mean of 51–60 min after conditioning as a percentage of baseline. Data in panels C and D plotted as mean ± SEM. Sample sizes (animals) are indicated in the bars within panel C. NB, at 9 and 20 months, while the paired-pulse ratio was significantly different from baseline for both App knock-in lines and not for wild type, there was no significant difference between the groups (One sample t-tests versus 100%: * p < 0·05; ** p ≤ 0·01; 9-months-old AppNL-F p = 0·0080, AppNL-G-F p = 0·014; 20-months-old AppNL-F p = 0·049, AppNL-G-F p = 0·010)

Although the magnitude of LTP was not affected in either AppNL-F or AppNL-G-F mice, the older mice displayed a possible change in the locus of expression (i.e. presynaptic versus postsynaptic alterations underlying the expression of LTP; see [31] for review). In wild types, although paired-pulse facilitation tended to decrease after induction of LTP compared to baseline (Fig. 4d), this was not statistically significant (one sample t-test, 9-months-old p = 0·085; 20-months-old p = 0·16), suggesting a largely postsynaptic locus of expression. In contrast, paired-pulse facilitation in AppNL-F decreased compared to baseline following LTP induction (9-months-old p = 0·0080; 20-months-old p = 0·049) and the significance of this change following LTP induction was higher in AppNL-G-F (9-months-old p = 0·014; 20-months-old p = 0·010). This change in paired-pulse ratio within genotypes suggests a significant contribution of presynaptic mechanisms to LTP expression; however, there was no significant difference across genotypes at either age.

Microglial immunohistochemistry

To determine the microglial response in App knock-in mice, we performed immunohistochemistry for IBA1 (encoded by Aif1) and counted CA1 microglia (Fig. 5A). The data were analysed using a GLMM permitting assessment of age × genotype interactions within either male or female mice.

Fig. 5

Microgliosis occurs at an earlier plaque pathology stage in AppNL-F than AppNL-G-F mice. A) Example of a ramified (left) and amoeboid (right) microglial cell in CA1 of 9-month-old AppNL-G-F mice. Scale bar for both images shown on right image. B) Densities of IBA1+ microglia in male (panel i) and female (panel ii). A generalised linear mixed model, with comparisons of Age × Genotype within Sex was followed by a sequential Sidak post hoc analysis. ** p < 0.01; *** p < 0.001; **** p < 0.0001 with respect to age- and sex-matched wild type (Males: 9-month-old p = 0·00048; 18-month-old p = 2·2 × 10−6; 24-month-old AppNL-F p = 0·016, AppNL-G-F F p = 1·4 × 10−5; Females; 9-month-old p = 0·00031; 24-month-old p = 0·0086). Data plotted as mean ± SEM. Sample sizes (animals) are indicated within the bars. C) Sigmoidal fit to microglial density plotted against corresponding pathology score for an individual animal. Genotype is indicated by colour (red: AppNL-G-F; blue: AppNL-F); both male and female data are included

Both age (p = 2·1 × 10−15) and genotype (p = 0·0010) had main effects on microglial density, while there was no significant effect of sex (p = 0·9). Moreover, there was a significant age × genotype interaction within sex (p = 0·000021). Sequential Sidak comparisons indicated that microglial density was greater in AppNL-F than age- and sex-matched 24-months-old wild types (Fig. 5B); and that microglial densities in AppNL-G-F were greater than age- and sex-matched wild types from 9- to 24-months-old.

To assess the effect of plaque load on microglial density, microglial density for each mouse was plotted against its corresponding pathology score (Fig. 5C). Fitting sigmoidal curves differentiated the AppNL-F and AppNL-G-F data (p = 0·0008). The sigmoidal fits (AppNL-F R2 = 0·52; AppNL-G-F R2 = 0·76) indicated that AppNL-F develop microgliosis with a lower plaque load than the AppNL-G-F.

Microglial gene expression

To complement the immunohistochemical analysis of microgliosis, we used RT-qPCR to determine Aif1 levels in whole ipsilateral hippocampus of the same mice used for immunohistochemistry. Similar to the immunohistochemical data, Aif1 gene expression increased with age (GLMM; p = 4·7 × 10−7). There was a main effect of genotype (p = 0·053) and sex (p = 0·0037). The age × genotype interaction within sex reached p = 0·05 and thus sequential Sidak comparisons were made. In both sexes, Aif1 expression tended to be higher in AppNL-G-F than wild types from 9-months-old. In females, this reached significance at 18- and 24-months-old, while in males significance was only obtained at 24-months-old (Fig. 6Ai).

Fig. 6

Microglial gene expression is upregulated at an earlier plaque pathology stage in AppNL-F than AppNL-G-F mice. Ai) Aif1 (the gene encoding IBA1) gene expression determined by RT-qPCR expressed relative to the housekeeping gene Actg1 for males (left) and females (right). Sequential Sidak post hoc analyses following GLMM are indicated by * p < 0·05; ** p < 0·01; *** p < 0·001; **** p < 0·0001; NS not significant (Males: 9-month-old p = 0·36, 24-month-old p = 0·026; Females: 18-months-old p = 0·0013, 24-month-old p = 0·033). Aii) Sigmoidal fit to Aif1 expression plotted against corresponding pathology score for an individual animal. Bi) Trem2 gene expression relative to the housekeeping gene Actg1, representing a global Trem2 expression in the hippocampus for males (left) and females (right). Sequential Sidak post hoc analyses following GLMM are indicated by *** p < 0·001; **** p < 0·0001 (Males: 9-months-old p = 0·00015, 18-months-old p = 4·0 × 10−7, 24-month-old p < 1 × 10−20; Females: 9-months-old p = 1·5 × 10−5, 18-months-old p = 8·2 × 10−8, 24-months-old p = 6·7 × 10−14). Bii) Sigmoidal fit to Trem2 expression relative to Actg1 plotted against corresponding pathology score for an individual animal. Ci) Trem2 gene expression relative to Aif1 gene expression, representing a per-microglia Trem2 expression for males (left) and females (right). Sequential Sidak post hoc analyses following GLMM are indicated by *p < 0.05; ** p < 0·01; **** p < 0·0001 (Males: 9-months-old p = 0·0020, 18-months-old p = 0·019, 24-months-old p = 1·1 × 10−5; Females: 9-months-old p = 0·026, 18-months-old p = 0·042, 24-months-old p = 0·0025). Cii) Sigmoidal fit to Trem2 expression relative to Aif1 plotted against corresponding pathology score for an individual animal. Sequential Sidak post hoc analyses following GLMM are indicated by * p < 0·05; ** p < 0·01; *** p < 0·001; **** p < 0·0001; NS not significant (p = 0·36). Data in subpanels i within A-C plotted as mean ± SEM. Sample sizes (animals) are indicated within the bars in panel A

Fitting sigmoidal curves to the within animal comparison of Aif1 expression to Aβ pathology score differentiated between AppNL-F and AppNL-G-F (Fig. 6Aii; p < 0.0001; AppNL-F: R2 = 0.2; AppNL-G-F: R2 = 0.4). Thus, Aif1 expression increases at earlier plaque stages in AppNL-F than in AppNL-G-F mice.

Increased expression of the microglial gene Trem2

For further characterisation of the microglial response, the gene expression levels of the Alzheimer’s disease-associated microglial gene Trem2 were examined (Fig. 6B). Initially, Trem2 levels were normalised to Actg1 (encoding gamma-actin), the same house keeping gene used for the Aif1 experiment above. These values reflect global hippocampal Trem2 expression. The GLMM described above was employed, revealing significant effects of age (p < 1 × 10−20) and genotype (p = 4·0 × 10−9) but not sex (p = 0·3). The age x genotype within sex interaction was also highly significant (p = 5·5 × 10−13). Sequential Sidak post hoc tests revealed that, for both sexes, there was a significant increase in Trem2 expression from 9-months-old in AppNL-G-F but not AppNL-F mice (Fig. 6Bi).

To confirm that the increase in Trem2 expression was not a simple reflection of microglial proliferation (Fig. 5), the expression of Trem2 was subsequently normalised to Aif1 levels to give an estimate of Trem2 expression independent of microglial numbers. The effects of age (GLMM; p = 5.8 × 10−10) and genotype (p = 0.0023) were maintained and an effect of sex became apparent (p = 0.012). The age × genotype within sex interaction term also remained significant (p = 0.021). Sequential Sidak comparisons indicated significant increases in Trem2 expression per microglial cell in AppNL-G-F mice from 9-months-old but no changes in AppNL-F mice (Fig. 6Ci).

Comparisons of Trem2 expression to Aβ pathology scores between AppNL-F and AppNL-G-F mice were made. When normalised to Actg1 (Fig. 6Bii), sigmoidal fits to the Trem2 expression relationship to Aβ pathology score were unable to distinguish between the AppNL-F and AppNL-G-F mice (p = 0·7) and thus a single curve was used to fit both the AppNL-F and AppNL-G-F data sets (R2 = 0·72). In contrast, when Trem2 expression was normalised to Aif1 expression (Fig. 6Cii), the relationship to Aβ pathology was fit by separate sigmoidal curves (p = 0·037; AppNL-F R2 = 0·1; AppNL-G-F R2 = 0·56). Thus, Trem2 expression per microglia increases at earlier Aβ plaque pathology stages in the AppNL-F mice than in the AppNL-G-F but the maximal level of expression observed in AppNL-F is less than that in the AppNL-G-F mice.

Microglial ablation – plaques and microglial activation

To understand the effect of microglia on plaque formation and subsequently explore interactions with synaptic transmission we inhibited the microglial survival factor CSF1R using PLX5622 [28]. Male mice were fed starting from ages prior to plaque detection (1·5-months-old in AppNL-G-F and 7-months-old in AppNL-F, along with age-matched wild type controls) and continuing until plaques were reliably detected. Following 2 (AppNL-G-F; Fig. 7A&B) or 3 (AppNL-F; Fig. 7F&G) months of treatment, microglial density was partially (300 mg PLX5622/kg food) or almost completely (1200 mg/kg) ablated, irrespective of genotype and age. Two-way ANOVAs within each age group revealed main effects of drug (p < 0·0001) but no effects of genotype (p = 0·2) or an interaction (p = 0·3). Sidak corrected simple comparisons within drug revealed significance between all doses within each age group (Fig. 7F&G).

Fig. 7

Depletion of microglia using PLX5622 reduces the presence of small plaques but exacerbates the paired-pulse ratio effects of App knock-in mice. Red and blue timelines indicate the PLX5622 feeding regimen for App knock-in mice and age-matched wild types. The first age indicates the start of treatment, the second the age animals were killed for experimentation. A&F) Fluorescent micrographs of AppNL-G-F (A) and AppNL-F (F) CA1 region of the hippocampus following labelling of Aβ with LCOs and fluorescent immunohistological staining for IBA1 and CD68. Stratum oriens (SO), stratum pyramidale (SP), stratum radiatum (SR) and stratum lacunosum moleculare (SLM) are indicated in the no-drug AppNL-G-F condition (for further orientation, the stratum moleculare (SM), stratum granulosum (SG) and hilus (H) within the dentate gyrus are also shown). Scale bar in NL-G-F 1200 mg/kg PLX image is 200 μm. B&G) Densities determined as cells that were IBA1+ microglia. Two-way ANOVA revealed significant main effects of drug (AppNL-G-F p < 0·0001; AppNL-F p < 0·0001). C&H) Densities of IBA1+ microglia that were also CD68+ in the CA1 region of AppNL-G-F (C) or AppNL-F mice. Data are presented as total density (i) and proportion of IBA1+ microglia (ii). Sample sizes (animals) for panels B and C are indicated within the bars of panel B; and for panels G and H are indicated in panel G. In panels B,C,G&H, Sidak corrected simple comparisons within drug are indicated by * versus control (0 mg PLX5622/kg food) and † versus 300 mg/kg; † p < 0·05; ** p < 0·01; *** p < 0·001; ****/†††† p < 0·0001. D&I) Plaque size histograms. Dunnett’s post hoc test for within plaque size bin comparisons to 0 mg/kg PLX5622 are indicated by *** p < 0·001 and **** p < 0·0001. Sample sizes (animals) are indicated within the parentheses in the legends. E&J) Paired-pulse ratios from PLX5622-treated. In wild type (Ei and Ji) and AppNL-G-F (Eii) or AppNL-F (Jii) mice. Sample sizes are indicated in the legend. For simplicity in panels E&J, only Sequential Sidak comparisons within drug dose versus control at the 25 ms inter-stimulus interval are indicated * p < 0·05; **** p < 0·0001; see main text for further details. Data in panels B-E and G-J plotted as mean ± SEM

Irrespective of genotype, PLX5622 decreased densities of microglia that were CD68+, a marker for a phagocytic activation state (Fig. 7Ci&Hi). Two-way ANOVA revealed a significant main effect of drug (p < 0·0001 at both ages) but no effect of genotype (p > 0·5 at both ages) nor an interaction (p > 0·5 at both ages). Sidak corrected simple comparisons within drug indicated that all doses were significantly different from each other (Fig.7Ci&Hi) except for 300 mg/kg versus 0 mg/kg within the 3·5-month-old group (p = 0·3).

Notably, although the number of CD68+ microglia decreased, the proportion of the remaining microglia that were CD68+ increased with drug treatment (Fig. 7Cii&Hii; two-way ANOVA, p < 0.0001 for both age groups). There were no significant main effects of genotype for either age group (p = 0·11 and p = 0·078, respectively), nor were there drug × genotype interactions (p = 0·2 and p = 0.8, respectively). Sidak corrected simple comparisons within drug indicated that all doses were significantly different from each other (Fig. 7Cii&Hii) except for 1200 mg/kg versus 300 mg/kg within the 10-month-old group (p = 0·9).

Plaque development was assessed in these mice (Fig. 7A,D,F&I). While the percentage plaque coverage of the hippocampus was not significantly different between the doses (one-way ANOVA, AppNL-G-F: p = 0·3; AppNL-F: p = 0·6) nor was the density of plaques within the hippocampal region per section (AppNL-G-F: p = 0·6; AppNL-F: p = 0·5), there was a change in the density of small plaques in AppNL-G-F mice (Fig. 7D). In AppNL-G-F, there was a significant effect of plaque size (p < 0·0001; repeated measures two-way ANOVA), simply reflecting more small than large plaques. While there was no main effect of drug (p = 0·1), there was a significant size × drug interaction (p = 0·0040). Dunnett’s comparisons within plaque-size bins showed significant effects of both 300 mg/kg (p = 0·0002) and 1200 mg/kg (p < 0·0001) PLX5622 for plaques up to 200 μm2 but not for larger plaques. In AppNL-F mice, there was a significant main effect of size (p < 0.0001) but no effects of dose (p = 0·9) or interaction (p = 0·9; Fig. 7I).

Microglia ablation – synaptic transmission

The effects of PLX5622 on paired-pulse ratios in 3·5-month-old animals (Fig. 7E) were assessed using two-way ANOVAs within inter-stimulus interval. There was a significant main effect of drug (p = 0·018) at 25 ms but no effect of genotype (p = 0·3) or dose × genotype interaction (p = 0·3). Simple Sidak-corrected comparisons of drug dose indicated that 300 mg/kg (p = 0·026) but not 1200 mg/kg PLX5622 (p > 0·5) was significantly different from control; 300 mg/kg versus 1200 mg/kg PLX5622 reached p = 0·075. There were no significant differences at the 50 ms interval.

In 10-month-old mice, the low-dose PLX5622 markedly reduced paired-pulse ratios, preventing paired-pulse facilitation in wild type and exacerbating the reduced ratios in AppNL-F mice (Fig. 7J). The high-dose PLX5622 had little effect in either genotype. A two-way ANOVA within the 25 ms inter-stimulus interval revealed a significant main effect of dose (p < 0.0002) but not genotype (p = 0·4) and a significant dose × genotype interaction (p = 0·036). Simple Sidak-corrected comparisons within drug indicated that 300 mg/kg (p < 0·0001) but not 1200 mg/kg PLX5622 (p > 0·2) was significantly different from control; the significance of the difference between 300 mg/kg and 1200 mg/kg PLX5622 reached p = 0·02. At the 50 ms inter-stimulus interval, there was a significant main effect of dose (p = 0·024) but no effect of genotype (p = 0·2) or dose × genotype interaction (p = 0·7). Simple comparisons of PLX5622 dose with Sidak post hoc corrections indicated that the significance of the difference between control and low-dose PLX5622 reached p = 0·020. (Neither control versus high-dose, or low-dose versus high-dose were significant, p = 0·4.)

To test that changing our standard grain-based mouse diet to the refined diet in which PLX5622 was provided did not unexpectedly change paired-pulse ratios, we compared data presented in Fig. 3 to the control diet. The change of diet had no significant effect on paired-pulse ratios in either genotype (Supplementary Fig. 4). Thus, the lower paired-pulse ratio in 9-month-old AppNL-F mice was confirmed in an independent 10-month-old cohort fed the refined diet.

Thus, partial removal of microglia, more so than total ablation, renders paired-pulse ratios in older wild types similar to those of App knock-ins and, furthermore, exacerbates the App knock-in phenotype without altering the plaque load of the mice.


App knock-in mice avoid many problems associated with transgenic models, particularly overexpression and inappropriate expression driven by non-endogenous promoters. Importantly, when these confounding factors are removed, the key phenotypes observed in TASTPM (APPSwe/PSEN1M146V) transgenic mice from our previous studies are maintained [9, 10]; see also [27]. However, the timing and magnitude of these phenotypes are different, both across transgenic and knock-in models and between the two knock-in models (summarised in Fig. 8). Also of note is that we find little evidence for differential effects between sexes in either microglial proliferation or expression of microglial genes.

Fig. 8

Summary timelines of phenotypes in APP knock-in and transgenic mice. Timelines for indicated phenotypes in AppNL-F (left), AppNL-G-F (centre) and TASTPM transgenic mice (right). AppNL-F and AppNL-G-F data are all included in the current publication. TASTPM data were published in Matarin et al., 2014; Cummings et al., 2015; and Medawar et al., 2019 (a preliminary comparison was presented in Joel et al., 2018). Note the phenotypic development in relation to plaque deposition within each mouse model and across the three models. Magnitudes of change across different phenotypes are not necessarily proportional; however, within any given phenotype, magnitudes of change across genotypes are proportional. Microgliosis refers to densities of IBA1+ microglia. Probability of glutamate release is based on paired-pulse ratio data. Spontaneous and miniature EPSCs reflect changes in frequency

Increased probability of release is consistent across mouse models

The simplest interpretation of the decreased paired-pulse ratio is an increased probability of glutamate release [30]. Indeed, at TASTPM CA3-CA1 synapses, we reported a reduction in failures to release neurotransmitter [9] and here we confirm this in the oldest group of App knock-in mice. Modulating probability of release appears to be a physiological role of Aβ [32, 33], which is released in an activity-dependent manner at or near the synapse following endocytosis and processing of APP [34]. In support of the role of synaptic modulation, conditional knockout of App indeed reduced probability of glutamate release as mouse CA3-CA1 synapses, likely reflecting the role of Aβ, although other APP metabolites could also mediate the effect [35]. Extensive reviews of the controversial hypotheses surrounding the regulation of neurotransmitter release in Alzheimer’s disease are provided in references [36, 37].

Two mechanisms by which Aβ may increase the probability of glutamate release are pertinent: Increased synapsin 1 phosphorylation following enhanced Ca++ influx and calcium/calmodulin kinase IV activity, which results in greater synaptic vesicle availability [38, 39]; and disruption of the interaction of synaptophysin 1 with VAMP2, thus increasing the availability of VAMP2 to participate in the SNARE complex and mediate neurotransmitter release [40]. Interestingly, gene expression of other SNARE proteins are altered in mouse models of Alzheimer’s disease, including in our previous data published on For example, Snap25 is reduced in TASTPM mice. A halving of SNAP25 using siRNA in immature primary hippocampal neurones, rather than impairing neurotransmitter release, unexpectedly results in a shift from paired-pulse facilitation to paired-pulse depression [41]. Thus, while SNAP25 is critical for neurotransmitter release, partial reduction can result in an increase in probability of release. Other presynaptic markers, including Syt1 and Syp (encoding synaptotagmin-1 and synaptophysin, respectively), show reductions in expression in TASTPM transgenic mice ( and also in patients [42, 43]. While a reduction in any one of these proteins may be predicted to impair vesicle release, the complex phenotype associated with variable reductions in these and the SNARE proteins is harder to predict. Indeed, multiple knock-out of similar genes results in an increased release probability [44], similar to that observed here.

Thus, increased release probability is common to transgenic and knock-in models and starts before plaque deposition (Fig. 8), presumably in response to rising soluble Aβ levels. The loss of this effect in AppNL-G-F mice with a moderate plaque load and the later observation that AppNL-F and AppNL-G-F mice show similar magnitude effects despite a heavier plaque load in AppNL-G-F mice, likely reflect the strong equilibrium shift towards Aβ deposition caused by the Arctic mutation [25]. Indeed AppNL-G-F mice have lower soluble Aβ levels than AppNL-F mice, despite heavier plaque loads [21]. As soluble Aβ is the more likely mediator of synaptic modulation, it is less surprising that removing soluble Aβ from the neuropil (caused by the Arctic mutation sequestering it into plaques) results in an alleviation of the phenotype. Presumably, there is always some soluble Aβ in the immediate vicinity of the plaque, even in AppNL-G-F mice, resulting in a return of the phenotype when the plaque load across the whole neuropil is heavy enough for most synapses to be within this close range.

Temporal differences in loss of spontaneous action potentials between models

The loss of spontaneous action potentials (i.e. spontaneous EPSCs), identified before plaque deposition in transgenic mice, is much later in App knock-in mice. In AppNL-G-F mice, this only occurs from 9-months-old, when the plaque load is very heavy and coinciding with the re-emergence of altered paired-pulse ratios. In AppNL-F mice, this loss is even later, at 20-months-old and much later than changes in release probability. While the plaque load is quite heavy at this stage, it is substantially less than in the 9-months-old AppNL-G-F mice. This is also consistent with an effect of soluble Aβ affecting synapses more distal from plaques in the AppNL-F than occurs in AppNL-G-F mice. The loss of spontaneous synaptic activity prior to plaque deposition in transgenic mice likely reflects the much higher levels of soluble Aβ in these APP overexpressing mice. Avoiding overexpression has resulted in a temporal separation of the increased release probability (occurring prior to plaque deposition) and loss of spontaneous action potentials (only occurring once a substantial plaque load is evident) in the knock-in mice, which were concomitant in the transgenic animals and preceded plaque deposition. Thus, it may be that the loss of spontaneous action potentials is a homeostatic response to the increased glutamate release; it certainly is not the reverse (see [45] for review). Importantly, this consistency of phenotypes between models suggests that increased release probability is likely the earliest effect of rising Aβ levels.

We do not see the increase in probability of release, indicated by the decreased paired-pulse ratio and reduced failure rate, reflected as an increase in frequency of miniature (or spontaneous) EPSCs. This may reflect that the increase in probability of release is counteredbalanced by a reduction in the number of synapses, supported by a reduction in synaptophysin and PSD95 immunoreactivity in AppNL-F mice from 9 months of age [21]. Alternatively, it would be pertinent to investigate differences in vesicle pools that underlie the various forms of synaptic transmission. The immediately releasable pool underlies synchronous release of neurotransmitter, i.e. glutamate release in response to an action potential, and typically consists of a single vesicle at hippocampal synapses and thus results in quantal (i.e. single vesicle) release [46]. In contrast, asynchronous release, i.e. glutamate release underlying the stochastic miniature currents, arises from a pool of vesicles that are very close to but not fully primed for release, referred to as the readily releasable pool [46]. Thus, our data indicate that regulation of the immediately releasable pool may be altered, while the readily releasable pool may be unaffected.

The increase in release probability due to soluble Aβ, even before plaque deposition is consistent with observations in vivo in transgenic mice of increased activity in many neurones in the network (reviewed in [47]). Moreover, this effect is shown to persist in these in vivo studies especially in the vicinity of plaques where soluble Aβ would be expected to be highest. Although we do not see an increase in spontaneous (including miniature) glutamatergic activity in the present study, nor in our previous study in transgenic mice, this is likely a difference between in vivo recordings at physiological temperatures with the full neuronal network intact versus in vitro acute brain slice recordings at room temperature, in which much of the recurrent activity is likely to be truncated. Moreover, the present recordings were in the presence of a GABAergic antagonist, which greatly decreased the effects reported in vivo. It should, however, be noted that we do not see alterations in spontaneous GABAergic IPSCs, either here in App knock-in mice, or previously in transgenic mice [10], which is consistent with the observation that palvalbumin-positive interneurones, despite showing some neuritic dystrophy, are otherwise normal in AppNL-F mice [48]. Thus, we would not suggest that we could assess the overall physiological network effects of Aβ in the present study but can be confident about the changes seen in individual synapses. It would be interesting to undertake equivalent in vivo studies in the knock-in mice to address the question of whether these network changes are dependent on overexpression or other artefacts of transgenic technology.

Synaptic plasticity is intact

Data from transgenic mice suggest that Aβ has a role in the induction and consolidation of LTP, with several labs reporting either its absence or even induction of long-term depression rather than LTP (reviewed in [37]). We have reported a biphasic effect on magnitude of LTP in transgenic mice [10], with an increase in LTP when Aβ levels initially increase but a subsequent reduction in LTP following plaque deposition. Recently it was reported that both early (1–2 h) and late (4 h) LTP is impaired in AppNL-G-F mice at 6–8 months [49]. However, we do not replicate this phenotype in the knock-in models, even at advanced ages. This discrepancy could be an effect of employing different LTP induction paradigms or Latif-Hernandez and colleagues’ choice of the AppNL knock-in mouse as control, which presents with raised soluble and insoluble Aβ above wild type levels [21] and > 10-fold higher soluble Aβ40 than AppNL-G-F [49]. Given soluble Aβ40 monomer and dimers increase release probability [33], this complicates the interpretation. While we find no deficits in LTP induction compared to wild type mice, a more complex phenotype is observed, whereby there is a loss of postsynaptic mechanisms of expression counterbalanced by enhanced presynaptic mechanisms as AppNL-F and AppNL-G-F mice age. As wild type mice age, a similar but non-significant trend is seen, suggesting the increase in plaque load exacerbates the effect of normal ageing. Notably, all the functional synaptic changes seen in App knock-in mice are presynaptic, suggesting that much of the postsynaptic change reported in transgenic mice may be artefacts of transgenic mice.

Microglia and plaques

Microglial phenotypes have been long-established as part of Alzheimer’s disease pathology. Indeed, Alois Alzheimer noted a glial phenotype alongside plaques and neurofibrillary tangles [50]. More recently, genome-wide association studies highlight that microglial genes are the main groups of risk-genes for Alzheimer’s disease [for example see [51].

In the Alzheimer’s diseased brain, microglia cluster around plaques, which has led to the notion that microglia clear plaques. However, it appears that they are largely ineffective at directly phagocytosing Αβ, both in vitro or in vivo [for example, see [52]. Here we confirm previous reports suggesting that removal of microglia does not increase plaque load [53, 54]; but see the recent article [55]. Indeed, if anything, in our hands there are fewer of the smallest, presumably most recently deposited plaques, when the microglia are removed with a CSF1R inhibitor. This is consistent with microglia moderating the initial development of plaques [28] but, as we report the same density and coverage of plaques at early stages, microglia probably do not mediate seeding of plaques. We recently proposed that it is more likely that synaptic toxicity imparted by Aβ induces microglia to phagocytose damaged synapses rather than Aβ, limiting the spread of damage [18]. Supporting the suggestion that microglia phagocytose synapses, a recent prepublication shows adult human microglia containing synaptic proteins and that synapses derived from Alzheimer’s disease brain are phagocytosed more readily [56]. Alternative roles for microglia in Aβ handling have been proposed, including compacting Aβ via TREM2-dependent mechanisms [57, 58] or clearing Αβ via non-phagocytic mechanisms [summarised in 52].

Interestingly, when microglial numbers were depleted, irrespective of the presence of plaques, the remaining microglia were predominantly CD68+. It is not clear whether CD68+ microglia are more resistant to CSF1R inhibitors or that the remaining microglia shift towards a phagocytic phenotype. Certainly, in the AppNL-G-F mice, the density of CD68+ microglia was unchanged by the low-dose of PLX5622 compared to untreated mice, despite a halving of the total microglia.

Ablation of microglia exacerbated the decrease in paired-pulse ratio in App knock-in mice. This surprising phenotype was more pronounced in response to partial removal of microglia than near-complete ablation, suggesting that the remaining CSF1R-inhibited and mostly CD68+ microglia have an active effect, rather than the loss of microglia being the cause of the change. Given that removal of microglia exacerbated synaptic phenotypes in both lines of App knock-in mice, microglia are likely protective in mouse models and human disease. It should be noted that 10-month-old wild type mice also responded with a reduced paired-pulse ratio. So, while loss of microglial function may be damaging in Alzheimer’s disease, this is not a disease-specific phenomenon but a change in the same direction, exacerbated in disease. Intriguingly, Trem2 haploinsufficient mice have a greater microglial response to neuronal injury than wild type mice or those with complete knock-out of the gene. Moreover, Trem2 haploinsufficiency increases tau pathology, proinflammatory markers and atrophy in transgenic mutant human tau mice. Conversely, complete Trem2 deficiency is protective in the tau mice [59].

If reactive microglia do indeed mediate some of the phenotypes mediated here, there are several routes by which they may exert effects. One is a direct interaction of microglia and neurones, which the shift towards a CD68+ profile suggests as being increased phagocytosis. As already discussed, we suggest that this is phagocytosis of damaged synapses surrounding plaques, rather than of plaques per se [18] and that this limits the spread of damage but may later become detrimental as the number of synapses (or, indeed, neurites) excised damage overall network activity. In parallel to this, it has been proposed that the profiles of microglia change during disease progress, in particular there is shift in the gene profiles towards more proinflammatory markers [60]. This shift is reflected in the App knock-in mice [61] (which is also true for transgenic mice, e.g. [13, 15, 62]). In addition, the neuronally-released cytokine IL33, has been shown to regulate microglia such that they promote structural synaptic plasticity by remodelling the extracellular matrix and promotes fear conditioned learning [63]. Extending that role into a transgenic mouse model of Alzheimer’s disease, IL33 shifted the activation state of microglia from a proinflammatory profile towards a profile expressing anti-inflammatory genes with improved phagocytosis and again improved fear-conditioned learning [64]. Thus, it appears that microglia can directly modulate synaptic structure, function and, ultimately, behaviour of the animal, particularly during disease states.

Contrasting phenotypes in the App knock-in mice is likely due to the Arctic mutation

The lack of electrophysiological and microglial phenotypes in the AppNL-G-F mice when plaques first appear is in contrast to the clear effects in both transgenic mice [9, 10] and AppNL-F mice at an equivalent stage of Aβ pathology. This cannot be an effect specific to 4-month-old animals because the transgenic mice maintain microgliosis and altered release probability at this age (Fig. 8). Again, lower soluble Aβ levels due to the higher propensity for Aβ fibrillation imparted by the Arctic mutation may be the cause. So, while the AppNL-G-F model is attractive as it presents with rapid plaque formation, its usefulness as a model for Alzheimer’s disease is in understanding how folding of Aβ and proximity to plaques affect phenotypes. In contrast, the mutations in AppNL-F mice are restricted to the β- and γ-secretase cleavage sites flanking the Aβ sequence and are thus used as a tool to trigger the raise in Aβ levels observed in sporadic Alzheimer’s disease. Importantly, despite the more rapid plaque deposition in AppNL-G-F, phenotypes are more pronounced and at earlier Aβ pathology stages in the AppNL-F mice.

Another consideration in comparing models is the choice of control. Until now the wild type mouse has been the best available control but this has its limitations. The difference in sequence between human and mouse APP alters the affinity for β-secretase. Humanising App increases levels of Aβ compared to wild type mice [65], suggesting that even with knock-in mice, some of the changes may be exaggerated when compared to wild types. The humanised App mouse will be an improved control in future studies.

Given that Aβ is a physiological protein, its basal effects are likely beneficial. Indeed, the proposed overall physiological function of Aβ is to improve memory [66]. We propose that increased neurotransmitter release mediated by Aβ is a protective response to events such as head trauma, ischaemia or other synaptic insults. If these insults are short-lived, Aβ levels return to normal, restoring neuronal activity. However, in individuals with either impaired Aβ clearance, deficient immune function or in which the cause of the Aβ elevation persists, for example in chronic conditions such as high-blood pressure and type II diabetes (both risk factors for Alzheimer’s disease), Aβ levels will remain raised. Extended periods of high Aβ levels will maintain altered synaptic function and potential to homeostatic responses and lead to plaque deposition, tau hyperphosphorylation and dystrophic neurites. In mice, this is the extent of pathology; however, humans progress to neurofibrillary tangles and neurodegeneration. The AppNL-F mice provide a background of rising Aβ which likely mimics early stages of disease without the artefacts of transgenic mice and provides a good base model for the addition of further risk-factors that may lead to improvements in the available models and understanding of the disease.


Increased probability of glutamate release precedes plaque deposition, is consistent across transgenic and knock-in mouse models of Alzheimer’s disease and likely reflects the acute physiological effect of Aβ. Inappropriately prolonged increases in glutamate release maintains aberrant synaptic transmission and thus may result in homeostatic changes, such as the decrease in action potential firing observed here. Given the positive regulation of glutamate release by activity-dependent release of Aβ [32], a positive feed-back may be triggered by dysregulated Aβ release or clearance. Ever increasing levels of amyloid beta would lead to deposition and subsequent damage around plaques [67]. However, the effects of plaques may well depend on their structure, as indicated by the differential time course of AppNL-G-F compared to AppNL-F at similar plaque loads, which likely reflects, in this instance, the Acrtic mutation pushing the Aβ equilibrium from soluble towards insoluble forms, creating more dense plaques. However, differences in structure may also exist within sporadic forms of the disease and thus variations in the halo of oligomeric forms of Aβ surrounding plaques [68] may influence their effects on synaptic function or toxicity.

Microglia also respond to increased Aβ levels by proliferating and upregulating CD68 and Trem2. Partial depletion of microglia indicated that the surviving phagocytic microglia, rather than their absence, likely drive the age-dependent effect on glutamate release that becomes exacerbated in Alzheimer’s disease.

We also shed light on which of the previous reports from transgenic mice can be validated in knock-in mice. This is the first detailed characterisation and comparison of the relationship between plaques, synaptic transmission and microglial activity throughout life in the two App knock-in mouse lines AppNL-F and AppNL-G-F, in which overexpression and other artefacts associated with transgenic technology are avoided.

Availability of data and materials

The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.



amyloid beta


artificial cerebrospinal fluid


excitatory postsynaptic current


field excitatory postsynaptic potential


grain-based diet


generalised linear mixed model


luminescent conjugated oligothiophenes


not significant


long-term potentiation


refined diet


real time quantitative PCR


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The authors would like to thank Jonathan Brenton, Charlotte Carver, Megan Watts, Chris Sit and Eugenia Wong for constructive discussion in the preparation of this manuscript.


This work was funded by a Cure Alzheimer’s Fund grant to FAE and J Hardy; Alzheimer’s Research UK (ARUK) grant TVPG 72499 to FAE; and the UK Dementia Research Institute (DRI), which receives its funding from DRI Ltd., funded by the UK Medical Research Council, Alzheimer’s Society and ARUK. Also, ‘Pump Priming’ funds from UCL ARUK Network to DMC & FAE contributed to initial studies.

DAS was supported by ARUK grant SRF2013–7 to DAS. DAS and DMC were supported by the DRI at UCL. DMC and JW were supported by ARUK grant PG2019B-018 to FAE and DMC. DMC also supported by ARUK grant NSG 2016–4 to FAE. DB received an international studentship from Censejo Nacional de Ciencia Tecnilogia, Mexico. DJ received a Wellcome Trust Summer Vacation Studentship. KS is funded by grants AF-732101 and AF-842771 from Alzheimerfonden, Sweden to J Hanrieder. KV received a PhD studentship from the UK Medical Research Council (MR/N013867/1). TT was funded by Cure Alzheimer’s Fund to FAE and J Hardy; additional funding from a grant from the Dolby Family Fund to J Hardy.

Author information




DB collected the data and performed initial analyses of the microglial depletion (PLX5622) data set. SJ, JW and RW collected data and performed initial analyses from PCRs and histology. CH collected electrophysiological data comparing 4-month-old App knock-in models and pilot data examining microglial densities. CP collected electrophysiological data comparing 4-month-old App knock-in models and pilot data examining microglial densities. KS and KV collected histological data from 300 μm sections labelled with LCOs. NW collected and quantified electrophysiological data related to the PLX5622 data set. VS collected pilot data examining microglial densities and activation states. DJ collected field potential data comparing 2-month-old App knock-in models. TS and TCS developed the App knock-in mouse models. J Hardy contributed to the development of hypotheses, experimental design, interpretation of results and obtained funding, particularly with respect to the genetic aspects. J Hanrieder contributed to experimental design (LCOs) and obtained funding. BDS contributed to development of hypotheses and obtained funding. DAS contributed to development of hypotheses, experimental design, data interpretation and supervision of students, particularly with respect to genetic and molecular analyses. TT collected and analysed qRT-PCR and histological data and supervised and trained students performing these experiments. FAE was involved in the development of hypotheses, experimental design, data analyses and interpretation, supervision of all students, obtained funding and edited the draft of the manuscript. DMC was involved in the development of hypotheses, experimental design, collection of all electrophysiological data (with exceptions listed above), analysis and interpretation of all data, curation and visualisation of data, supervised electrophysiological and histological experiments, obtained funding, wrote the first draft and oversaw all further edits and finalisation of the manuscript. All authors read the penultimate draft of the manuscript, contributed both intellectual and typographical edits and approved the manuscript in its final form.

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Corresponding authors

Correspondence to Frances A. Edwards or Damian M. Cummings.

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All experiments using animals were performed in accordance with the UK Animals (Scientific Procedures) Act 1986 and following review by the UCL Animal Welfare and Ethical Review Board.

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Supplementary Information

Additional file 1.

Expanded Methods.

Additional file 2.

Supplementary figure 1. Plaque visual grading reference images.

Additional file 3.

Supplementary figure 2. Plaque development increases with age in AppNL-F and AppNL-G-F mice (300 μm sections).

Additional file 4.

Supplementary figure 3. Spontaneous inhibitory postsynaptic currents are unaltered.

Additional file 5.

Supplementary figure 4. Field EPSP input-output relationships are normal.

Additional file 6.

Supplementary figure 5. Changing diet from grain-based to refined formulations has no effect on paired-pulse ratios.

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Benitez, D.P., Jiang, S., Wood, J. et al. Knock-in models related to Alzheimer’s disease: synaptic transmission, plaques and the role of microglia. Mol Neurodegeneration 16, 47 (2021).

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  • Synaptic transmission
  • Synaptic plasticity
  • Microglia
  • Alzheimer’s disease
  • Gene expression
  • Neurodegeneration
  • TREM2
  • Ageing
  • Amyloid beta
  • Plaques