Lost in translation: Inconvenient truths on the utility of mouse models in Alzheimer’s disease research

  1. Alberto Granzotto  Is a corresponding author
  2. Bryce Vissel
  3. Stefano L Sensi
  1. Center for Advanced Studies and Technology – CAST, University G. d’Annunzio of Chieti-Pescara, Italy
  2. Department of Neuroscience, Imaging, and Clinical Sciences, University G. d’Annunzio of Chieti-Pescara, Italy
  3. St Vincent’s Hospital Centre for Applied Medical Research, St Vincent’s Hospital, Australia
  4. School of Clinical Medicine, UNSW Medicine & Health, St Vincent's Healthcare Clinical Campus, Faculty of Medicine and Health, UNSW Sydney, Australia
  5. Institute for Advanced Biomedical Technologies – ITAB, University G. d’Annunzio of Chieti-Pescara, Italy
  6. Institute of Neurology, SS Annunziata University Hospital, University G. d’Annunzio of Chieti-Pescara, Italy
2 figures and 1 table

Figures

Limitations of the preclinical mouse models of Alzheimer’s disease (AD).

The scheme reports the pillars of the amyloid cascade hypothesis (ACH) left; modified from Karran et al., 2011. For each step, we aimed at identifying key limitations in the preclinical modeling of the cascade. We envision that these pitfalls, along with discrepancies of the amyloid construct cascade itself, critically dampen the potential translational value of these models.

Inconsistencies in the trajectories of Alzheimer’s disease (AD) pathology between humans and preclinical models.

(A) The pictogram illustrates the dynamics of β-amyloid (Aβ) (red) and tau (blue) pathology as well as the trajectory of cognitive symptoms (green) in the sporadic forms of AD (modified from Frisoni et al., 2022). Please note that, in the case of familial form of AD (fAD) or APOEε4-related AD, the pathology follows a similar sequence of events but with early and steeper trajectories (Frisoni et al., 2022). (B) The pictogram estimates the dynamics of key AD features as observed in the most widely used AD mouse models. Unlike what is observed in humans, in these preclinical settings, cognitive deficits usually anticipate the appearance of Aβ pathology. Tau inclusions and signs of overt neurodegeneration are absent. (C) The pictogram estimates the dynamics of key AD features as observed in second-generation knock-in mouse models of AD. In this experimental setting, Aβ pathology anticipates the development of subtle cognitive decline (Sakakibara et al., 2018). Like first-generation overexpressing models, tau tangles and brain atrophy are absent. The trajectories in B and C have been estimated by employing data extracted from publications using the mouse models listed in Table 1 and normalized for each pathological feature. Time courses of the original reports were used whenever possible, alternatively, early studies investigating the time-dependent changes in the phenotype of these models were interrogated.

Tables

Table 1
Most common first- and second-generation transgenic models of Alzheimer’s disease (AD).
Mouse lineTransgene(s)Ref(s)
First-generation
APP transgenic mice
PDAPPAPP V717F (Indiana)Games et al., 1995; Rockenstein et al., 1995
Tg2576APP K670N, M671L (Swedish)Hsiao et al., 1996
APP23APP K670N, M671L (Swedish)Kelly et al., 2003; Van Dam et al., 2003
J20APP K670N, M671L (Swedish), V717F (Indiana)Mucke et al., 2000
TgCRND8APP K670N, M671L (Swedish), V717F (Indiana)Chishti et al., 2001
APP and PSEN transgenic miceAPPPS1APP K670N, M671L (Swedish);
PSEN1 L166P
Radde et al., 2006
5xFADAPP K670N, M671L (Swedish), I716V (Florida), and V717I (London);
PSEN1 M146L and L286V
Oakley et al., 2006; Tang et al., 2016
Second-generation knock-in APP transgenic miceApp knock-in (humanized Aβ)App G676R, F681Y, R684H (humanized Aβ)Serneels et al., 2020
APPNL-FHumanized Aβ+APP K670N, M671L (Swedish), I716F (Iberian)Saito et al., 2014
APPNL-G-FHumanized Aβ+APP K670N, M671L (Swedish), I716F (Iberian), E693G (Arctic)
APPSAAHumanized Aβ+APP K670N, M671L (Swedish), E693G (Arctic), T714I (Austrian)Xia et al., 2022

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  1. Alberto Granzotto
  2. Bryce Vissel
  3. Stefano L Sensi
(2024)
Lost in translation: Inconvenient truths on the utility of mouse models in Alzheimer’s disease research
eLife 13:e90633.
https://doi.org/10.7554/eLife.90633