Background: Alzheimer’s disease (AD) is the most common form of neurodegenerative disease. It is an irreversible condition marked by irreversible cognitive loss, commonly attributed to the loss of hippocampal neurons due to the formation of senile plaques and neurofibrillary tangles. Although the sporadic form is the most prevalent, the presence of familial form (involving several genes such as APP, PSEN1 and PSEN2) of the disease is commonly used as a model for understanding the pathophysiology of the disease. The aim of this study is to investigate the effect of mutation on PSEN1 and PSEN2 genes on the BBB function using induced pluripotent stem cells (iPSCs).
Methods: iPSC lines from patients suffering from familial form of Alzheimer’s disease and harboring mutations in PSEN1 or PSEN2 were used in this study and compared to a control iPSC line. Cells were differentiated into brain microvascular endothelial cells (BMECs) following established differentiation protocols. Barrier function was assessed by measuring TEER and fluorescein permeability, drug transporters activity was assessed by uptake assay, glucose uptake and metabolism assessed by cell flux analyzer, mitochondrial potential by JC-1 and lysosomal acidification by acridine orange.
Results: iPSC derived BMECs from the FAD patient presenting a mutation in PSEN1 gene showed impaired barrier function compared to the FAD patient harboring a mutation in PSEN2 and to control group. Such impaired barrier function correlated with poor tight junction complexes and reduced drug efflux pump activity. In addition, both PSEN1 and PSEN2-BMECs displayed reduced bioenergetics, lysosomal acidification, autophagy, while showing an increase in radical oxygen species (ROS) production. Finally, PSEN1- and PSEN2-BMECs showed an elevated secretion of Ab1-40 peptides compared to control-BMECs.
Conclusion: Our study reports that iPSC-derived BMECs obtained from FAD patients showed impaired barrier properties and BMECs metabolism. In particular, PSEN1 mutation was associated with a more detrimental phenotype than the PSEN2 mutation, as noted by a reduced barrier function, reduced drug efflux pump activity and diminished glucose metabolism. Therefore, assessing the contribution of genetic mutations associated with Alzheimer’s disease will allow us to better understand the contribution of the BBB in dementia, but also other neurodegenerative diseases.

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This is a list of supplementary files associated with this preprint. Click to download.
Supplementary Figure 1: Phenotype of iPSC-derived neurons differentiated from the iPSC lines. Cells were differentiated into neurons following existing protocol (24, 42). Neurons were stained against nestin (red), III-tubulin. DAPI was used as nuclear counterstaining. Supplementary Figure 2: Effect of PSEN1 and PSEN2 mutations on astrocytes glucose uptake and cell metabolic activity. (A) Glucose uptake assay in iPSC-derived astrocytes. Note the similar decrease in glucose uptake as observed in BMECs. Note the efficacy of GTI as a pharmacological inhibitor for GLUTs, as all three cell lines showed a significant decrease in glucose uptake. (B) Cell metabolic activity in astrocytes and neurons using an MTS-assay. Note the higher cell metabolic activity reported in PSEN1-neurons compared to other groups, such higher metabolic rate being absent in astrocytes. (C) DCF levels in control BMECs following incubation with pyocyanin or N-acetyl-cystein (NAC).
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On 03 Dec, 2020
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On 19 Nov, 2020
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Posted 04 Nov, 2020
On 11 Nov, 2020
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On 28 Oct, 2020
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On 28 Oct, 2020
Received 28 Oct, 2020
Received 27 Oct, 2020
Received 27 Oct, 2020
On 27 Oct, 2020
On 27 Oct, 2020
On 10 Jan, 2020
On 09 Jan, 2020
On 08 Jan, 2020
On 08 Jan, 2020
On 15 Dec, 2019
Received 05 Dec, 2019
Received 05 Dec, 2019
Received 05 Dec, 2019
Invitations sent on 02 Dec, 2019
On 02 Dec, 2019
On 02 Dec, 2019
On 02 Dec, 2019
On 02 Dec, 2019
On 01 Dec, 2019
On 30 Nov, 2019
On 30 Nov, 2019
On 29 Nov, 2019
On 03 Dec, 2020
On 03 Dec, 2020
On 03 Dec, 2020
On 03 Dec, 2020
Received 20 Nov, 2020
On 19 Nov, 2020
On 19 Nov, 2020
Received 19 Nov, 2020
Received 19 Nov, 2020
On 19 Nov, 2020
Invitations sent on 19 Nov, 2020
On 19 Nov, 2020
On 19 Nov, 2020
On 19 Nov, 2020
Posted 04 Nov, 2020
On 11 Nov, 2020
On 28 Oct, 2020
Invitations sent on 28 Oct, 2020
On 28 Oct, 2020
On 28 Oct, 2020
On 28 Oct, 2020
Received 28 Oct, 2020
Received 27 Oct, 2020
Received 27 Oct, 2020
On 27 Oct, 2020
On 27 Oct, 2020
On 10 Jan, 2020
On 09 Jan, 2020
On 08 Jan, 2020
On 08 Jan, 2020
On 15 Dec, 2019
Received 05 Dec, 2019
Received 05 Dec, 2019
Received 05 Dec, 2019
Invitations sent on 02 Dec, 2019
On 02 Dec, 2019
On 02 Dec, 2019
On 02 Dec, 2019
On 02 Dec, 2019
On 01 Dec, 2019
On 30 Nov, 2019
On 30 Nov, 2019
On 29 Nov, 2019
Background: Alzheimer’s disease (AD) is the most common form of neurodegenerative disease. It is an irreversible condition marked by irreversible cognitive loss, commonly attributed to the loss of hippocampal neurons due to the formation of senile plaques and neurofibrillary tangles. Although the sporadic form is the most prevalent, the presence of familial form (involving several genes such as APP, PSEN1 and PSEN2) of the disease is commonly used as a model for understanding the pathophysiology of the disease. The aim of this study is to investigate the effect of mutation on PSEN1 and PSEN2 genes on the BBB function using induced pluripotent stem cells (iPSCs).
Methods: iPSC lines from patients suffering from familial form of Alzheimer’s disease and harboring mutations in PSEN1 or PSEN2 were used in this study and compared to a control iPSC line. Cells were differentiated into brain microvascular endothelial cells (BMECs) following established differentiation protocols. Barrier function was assessed by measuring TEER and fluorescein permeability, drug transporters activity was assessed by uptake assay, glucose uptake and metabolism assessed by cell flux analyzer, mitochondrial potential by JC-1 and lysosomal acidification by acridine orange.
Results: iPSC derived BMECs from the FAD patient presenting a mutation in PSEN1 gene showed impaired barrier function compared to the FAD patient harboring a mutation in PSEN2 and to control group. Such impaired barrier function correlated with poor tight junction complexes and reduced drug efflux pump activity. In addition, both PSEN1 and PSEN2-BMECs displayed reduced bioenergetics, lysosomal acidification, autophagy, while showing an increase in radical oxygen species (ROS) production. Finally, PSEN1- and PSEN2-BMECs showed an elevated secretion of Ab1-40 peptides compared to control-BMECs.
Conclusion: Our study reports that iPSC-derived BMECs obtained from FAD patients showed impaired barrier properties and BMECs metabolism. In particular, PSEN1 mutation was associated with a more detrimental phenotype than the PSEN2 mutation, as noted by a reduced barrier function, reduced drug efflux pump activity and diminished glucose metabolism. Therefore, assessing the contribution of genetic mutations associated with Alzheimer’s disease will allow us to better understand the contribution of the BBB in dementia, but also other neurodegenerative diseases.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5
This is a list of supplementary files associated with this preprint. Click to download.
Supplementary Figure 1: Phenotype of iPSC-derived neurons differentiated from the iPSC lines. Cells were differentiated into neurons following existing protocol (24, 42). Neurons were stained against nestin (red), III-tubulin. DAPI was used as nuclear counterstaining. Supplementary Figure 2: Effect of PSEN1 and PSEN2 mutations on astrocytes glucose uptake and cell metabolic activity. (A) Glucose uptake assay in iPSC-derived astrocytes. Note the similar decrease in glucose uptake as observed in BMECs. Note the efficacy of GTI as a pharmacological inhibitor for GLUTs, as all three cell lines showed a significant decrease in glucose uptake. (B) Cell metabolic activity in astrocytes and neurons using an MTS-assay. Note the higher cell metabolic activity reported in PSEN1-neurons compared to other groups, such higher metabolic rate being absent in astrocytes. (C) DCF levels in control BMECs following incubation with pyocyanin or N-acetyl-cystein (NAC).
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