Phenotypic Differences between the Alzheimer’s Disease-Related hAPP-J20 Model and Heterozygous Zbtb20 Knock-Out Mice

Abstract Diverse gene products contribute to the pathogenesis of Alzheimer’s disease (AD). Experimental models have helped elucidate their mechanisms and impact on brain functions. Human amyloid precursor protein (hAPP) transgenic mice from line J20 (hAPP-J20 mice) are widely used to simulate key aspects of AD. However, they also carry an insertional mutation in noncoding sequence of one Zbtb20 allele, a gene involved in neural development. We demonstrate that heterozygous hAPP-J20 mice have reduced Zbtb20 expression in some AD-relevant brain regions, but not others, and that Zbtb20 levels are higher in hAPP-J20 mice than heterozygous Zbtb20 knock-out (Zbtb20+/–) mice. Whereas hAPP-J20 mice have premature mortality, severe deficits in learning and memory, other behavioral alterations, and prominent nonconvulsive epileptiform activity, Zbtb20+/– mice do not. Thus, the insertional mutation in hAPP-J20 mice does not ablate the affected Zbtb20 allele and is unlikely to account for the AD-like phenotype of this model.


Introduction
Alzheimer's disease (AD) is the most common neurodegenerative disorder and the most frequent cause of dementia (Brunnström et al., 2009;GBD 2016;Dementia Collaborators, 2019). In addition to the hardship AD inflicts on patients and caretakers, the disability and need for long-term care associated with this illness generate an enormous economic burden (Wimo et al., 2017;El-Hayek et al., 2019). Because the prevalence of AD is increasing around the world (GBD 2016;Dementia Collaborators, 2019), effective treatments are needed urgently. However, many investigational therapies have failed (Cummings et al., 2020;VandeVrede et al., 2020), most likely because of an incomplete understanding of AD pathogenesis and inadequate differentiation between clinicopathologic associations and true causeand-effect relationships.
However, most experimental models have flaws and limitations, and the hAPP-J20 model is probably no exception. A potential weakness of this line is its transgene integration into intron 2 of one allele of the zinc finger and BTB domain containing 20 (Zbtb20) gene (also known as HOF, Znf288 and Zfp288), which caused an ;41-kbp deletion of noncoding sequence (Fig. 1A,B;Tosh et al., 2018;Goodwin et al., 2019). Because Zbtb20 is expressed in brain and the transcription regulator it encodes is involved in hippocampal development (Mitchelmore et al., 2002;Xie et al., 2010), it is conceivable that alterations in Zbtb20 expression could phenocopy AD-like functional alterations. We therefore studied the phenotype of heterozygous Zbtb20 knock-out (Zbtb20 1/-) mice ( Fig. 1C; Sutherland et al., 2009;Xie et al., 2010) in relation to key abnormalities of hAPP-J20 mice, and compared the expression of Zbtb20 mRNAs and proteins in these models. We rigorously tested and refuted two main hypotheses: (1) the insertional mutation of hAPP-J20 mice knocks out the affected Zbtb20 allele and lowers Zbtb20 levels in ADrelevant brain regions to those found in Zbtb20 1/mice, and (2) Zbtb20 1/mice develop prominent neural network and behavioral abnormalities similar to those observed in hAPP-J20 mice. Our findings support the conclusion that AD-like functional alterations in hAPP-J20 mice are not caused by Zbtb20 hypofunction and, instead, suggest that these alterations are mostly caused by the transgene products expressed in this model.

Mice
The generation of hAPP-J20 mice (Mucke et al., 2000) and Zbtb20 1/mice (Sutherland et al., 2009) was described previously. 5XFAD mice  and APP/PS1 mice (Jankowsky et al., 2004) were obtained from The Jackson Laboratory (008730 and 005864, respectively). All mice were maintained on a C57BL/6J background by breeding heterozygous transgenic or heterozygous knock-out mice with wild-type (WT) C57BL/6J mice from The Jackson Laboratory (000664). Controls that were WT for Zbtb20 and lacked the hAPP-J20 transgene were generated by breeding heterozygous male hAPP-J20 mice with WT female C57BL/6J mice, or by breeding male Zbtb20 1/mice with female Zbtb20 1/mice. Groups of genetically modified mice and WT controls were always generated by the breeding schemes described above, although not all genetically modified mice and WT controls compared in individual experiments were raised by the same dam at the same time (littermates). For each experiment and line, experimental and control groups included roughly comparable proportions of males and females, unless indicated otherwise in figure legends. Mice were fed a regular chow diet (PicoLab Rodent Diet 5053, TestDiet) and maintained on a 12/12 h light/dark cycle. Mice were weaned three to four weeks after birth and housed in cages containing up to five mice. The survival of mice was monitored from the time they reached one month of age until they were killed. All animal experiments were approved by the Institutional Animal Care and Use Committee of the University of California, San Francisco.

Tissue processing
Mice were anesthetized with 125-400 mg/kg 2,2,2-tribromoethanol (Avertin; Alfa Aeser, A18706) and perfused with 0.9% saline. Livers were snap frozen on dry ice and hemibrains were either snap frozen or drop-fixed in 4% paraformaldehyde (Electron Microscopy Sciences, 15714)/PBS for 48 h at 4°C. Fixed hemibrains were transferred to 30% sucrose/PBS for 1-2 d at 4°C and 30-mm sections were obtained with a freezing microtome (Leica, Figure 1. Simplified Zbtb20 gene structure in WT, hAPP-J20, and Zbtb20 -/mice. A-C, Diagrammatic structure of the Zbtb20 gene in WT mice (A), hAPP-J20 mice (B), and Zbtb20 -/mice (C). Note that exons and introns are not drawn to scale and that putative translational start codons are present in exons 9 and 11, but not in exons 1-8 or 10. Translatable protein-coding exons are colored. A, The WT Zbtb20 gene (https://www.ncbi.nlm.nih.gov/gene/56490) has been shown to give rise to multiple alternatively spliced transcripts and two major protein products (668 and 741 amino acids (aa) in length, respectively) in cell lines (Mitchelmore et al., 2002). Examples of two confirmed Zbtb20 mRNA variants and the proteins they encode are shown below. In principle, additional transcripts and protein isoforms might be derived from the Zbtb20 gene in brain tissues (https://www.ncbi.nlm.nih.gov/gene/56490 and Wang et al., 2019). Probes and primers used to quantitate potentially protein-coding Zbtb20 mRNAs by RT-qPCR were designed to detect sequences in exons 10 and 11 (Extended Data Fig. 1-1). B, In hAPP-J20 mice, alternatively spliced minigenes (stippled box) that encode human hAPP695, hAPP751, and hAPP770 and are directed by the PDGF b chain promoter integrated into intron 2 of one endogenous Zbtb20 allele. It is uncertain whether and how this insertional event affects the overall production of Zbtb20 mRNAs and proteins in heterozygous hAPP-J20 transgenic mice whose other Zbtb20 allele is intact. C, In Zbtb20 -/mice, exon 11 was deleted, resulting in removal of ; 72% of the protein coding sequence (Sutherland et al., 2009). SM2000R). Sections were stored in a cryoprotectant solution consisting of 30% ethylene glycol (Fisher Scientific, E178-4), 30% glycerol (Fisher Scientific, G33-4) and 40% PBS (Corning, 46-031-CM) at -20°C until further use. Frozen hemibrains were thawed for 1 h on ice before dissection of the hippocampus and cortex, which were used for Western blotting or RT-qPCR.

Western blotting
Tissues were homogenized with a Storm 24 bullet blender tissue homogenizer (Next Advance) in Pierce RIPA buffer (Thermo Fisher Scientific, 89901) with protease inhibitor (Sigma, 11836153001) and phosphatase inhibitor cocktails 2 & 3 (Sigma-Aldrich, P5726, P0044) and sonicated with an EpiSonic multifunctional bioprocessor (EpGentek) for 10 min at an amplitude of 40 (;140 W). Lysates were centrifuged at 10,500 Â g for 10 min, supernatants collected, and protein concentrations measured by Bradford assay 5000006). A total of 20 mg of protein was diluted in 20 ml of NuPAGE sample buffer (Invitrogen, NP0007) containing NuPAGE sample reducing agent (Invitrogen, NP0009), heated to 70°C for 10 min, and loaded on NuPAGE 4-12% Bis-tris gels (Invitrogen, WG1403BX10). Samples were electrophoresed at 180 V for ;1 h in a XCell4 SureLock Midi-Cell gel electrophoresis system (Invitrogen, WR0100) filled with 1Â NuPAGE MOPS SDS running buffer (Invitrogen, NP0001-02). After electrophoresis, proteins were transferred to a nitrocellulose membrane (Bio-Rad, 1620112) at 4°C for ;12 h at 0.15 A using a Criterion Blotter (Bio-Rad, 1704070) or for 10 min at 25 V with an iBlot 2 (Thermo Fisher Scientific, IB21001). Membranes were blocked with 5% non-fat dry milk in tris-buffered saline (TBS) for 1 h at room temperature and incubated overnight at 4°C in 5% non-fat dry milk/TBS containing 0.1% Tween 20 and primary antibodies as indicated in Extended Data Figure 1-1. The next day, blots were washed 4Â, alternating between TBS and TBS with 0.1% Tween 20, and incubated at room temperature for 1 h in TBS containing 0.2% Tween 20, 50% Odyssey blocking buffer (LI-COR, 927-5000) and secondary antibodies as indicated in Extended Data Figure 1-1. After washing 4Â as before, blots were scanned with an Odyssey CLx Imager (LI-COR). Signal intensities were quantified with Image Studio version 5.2.5 software (LI-COR).

RT-qPCR
Total RNA was isolated from tissues with RNeasy kits (QIAGEN, 74 106) and reverse-transcribed with TaqMan Reverse Transcription Reagents (Thermo Fisher Scientific, N8080234). Quantitative real-time PCR was performed on an ABI Prism 7900HT Sequence Detection System (Thermo Fisher Scientific) using Power SYBR Green Nucleic Acid Detection kits (Thermo Fisher Scientific, 4367659) or TaqMan Gene Expression Master Mix (Thermo Fisher Scientific, 4368706) with RT-qPCR primers or TaqMan probes indicated in Extended Data Figure 1-1. Relative target mRNA levels were calculated with the 2 -DDC T method (Livak and Schmittgen, 2001) using Gapdh mRNA as the internal reference and graphed relative to mean values in the control group.
Reads from each sample were aligned to the mm10 mouse reference (version 2020-A from 10Â Genomics website) using Cell Ranger version 3.1.0. The resulting count matrices for all samples were aggregated without depth normalization. The aggregated matrix was analyzed with the Seurat package (version 3.1.3.9002) in R (Stuart et al., 2019). The Seurat object was created after removing features detected in fewer than three nuclei as well as nuclei with fewer than 200 detected features. After assessing the distribution of quality metrics, nuclei with .2000 features and .5% mitochondrial counts were removed. The remaining counts were normalized with the LogNormalize method using scale-factor 10,000, and 2000 highly variable features were selected with the "vst" method. The normalized counts were scaled and centered, and principal component analysis was performed for the selected features. Clustering was done using a shared nearest neighbor graph built with the top 20 principal components and the original Louvain algorithm for modularity optimization with resolution parameter set to 1.2. UMAP embedding was then generated using the top 20 principal components. If the median number of nuclei per mouse in a cluster was ,20, the cluster was not shown.

Immunohistochemistry
For immunofluorescence experiments, sections were rinsed 2Â in PBS to remove cryoprotectant, blocked at room temperature for 1 h with 5% normal goat serum (Jackson ImmunoResearch, 005-000-121) in PBS, and incubated overnight with gentle shaking at 4°C in PBS containing 3% normal goat serum and primary antibodies as indicated in Extended Data Figure 1-1. The next day, sections were washed 4Â, alternating between PBS and PBS with 0.25% Triton X-100, incubated for 1 h at room temperature in PBS containing 3% normal goat serum and secondary antibodies as indicated in Extended Data Figure 1-1, and washed 4Â as before. Sections were mounted on slides and coverslipped with Prolong Diamond mountant (Thermo Fisher Scientific, P36970). The above protocol was applied to all immunofluorescent antibodies except for anti-Iba1, which required an additional signal amplification step. For this antibody, we used a TSA Plus Cyanine 5 detection kit (Akoya Biosciences, NEL745001KT) following the manufacturer's protocol. Images were captured with an Olympus FV3000 Laser Scanning confocal microscope (Olympus), a BZ-X710 Allin-One Fluorescence microscope (Keyence), or an Aperio VERSA slide scanner (Leica Biosystems). Signal intensity was quantified with ImageJ software (https://imagej.net/ Fiji). Signal intensities were averaged from three sections per mouse.
Immunohistochemistry experiments with colorimetric readouts followed established protocols . Sections were rinsed 2Â in PBS to remove cryoprotectant, quenched with PBS containing 3% hydrogen peroxide and 10% methanol for 15 min at room temperature, and blocked for 1 h in PBS containing 1% non-fat dry milk, 0.2% gelatin, 0.5% Triton X-100, and 10% normal donkey serum. For c-Fos immunostaining, sections were incubated in citrate buffer (9.4 mM citric acid, 41 mM sodium citrate, pH 6) for 10 min at 100°C before the blocking step for antigen retrieval. All sections were incubated overnight at 4°C in PBS containing 0.2% gelatin, 0.5% Triton X-100, 3% normal donkey serum, and primary antibodies as indicated in Extended Data Figure 1-1. The next day, sections were washed 4Â, alternating between PBS and PBS with 0.25% Triton X-100, and incubated for 1 h at room temperature in PBS containing 0.2% gelatin, 0.5% Triton X-100, 3% normal donkey serum, and biotinylated anti-rabbit or anti-mouse secondary antibodies as indicated in Extended Data Figure 1-1. After washing 4Â as above, signal was enhanced and visualized with Elite ABC (Vector Laboratories, PK6100) and 3,39-diaminobenzidine (DAB) tetrahydrochloride kits (Vector Laboratories, SK4100). Bright-field images were captured on an Aperio VERSA slide scanner (Leica Biosystems) with a 10Â objective. c-Fos positive cells were counted by an investigator and optical density measurements of calbindin and neuropeptide Y (NPY) immunoreactivity in dentate gyrus were quantified using ImageJ software version 1.47 (http://imagej.nih.gov/ij).

Behavioral testing Morris water maze
Mice were given four consecutive pretraining trials during which they swam down a rectangular track (15 Â 122 cm) and mounted a hidden platform (14 Â 14 cm) submerged 1.5 cm below the water surface. Mice that did not find the platform were guided to the platform and allowed to sit on it for 10 s. After pretraining, mice were trained for 5 d to locate a stationary hidden platform in a circular pool (122 cm in diameter) filled with water (21 6 1°C) that was opacified with a non-toxic white tempera paint. Distinct extra-maze cues surrounded the pool. Each day, mice were trained in two sessions comprising two trials. Sessions were separated by 3 h, and the intertrial interval was 15 min. Mice were placed in the pool at predetermined drop locations that varied among trials. Trials ended when mice mounted the hidden platform or 60 s had passed. Mice that did not find the platform were guided to it by the investigator. All mice were allowed to sit on the hidden platform for 10 s after each trial.
Probe trials were conducted 24 and 72 h after the final day of hidden platform training. For each probe trial, the hidden platform was removed and the mice were placed into the pool opposite the former platform location. After 60 s, the investigator retrieved the mice from where the hidden platform was located during the training phase. After the probe trials, mice were trained for 2 d to locate a visibly cued platform (15-cm striped pole on top of a platform) whose position was changed between sessions. Each day, mice were trained in three sessions comprising two trials. Sessions were separated by 3 h and the intertrial interval was 15 min. EthoVision XT video tracking (Noldus Information Technology) was used to analyze swim paths, escape latencies, and swim speeds.

Active place avoidance
The testing chamber consisted of a clear acrylic enclosure (40 cm in diameter) positioned in the center of a square rotating arena (81 Â 81 cm; Bio-Signal Group Corp.) with a grid floor and was surrounded by black-andwhite spatial cues. A 60°sector within the acrylic enclosure was fixed relative to the spatial cues and designated as the aversive zone. Training occurred over four consecutive days with one 10-min trial per day. During each trial, mice were placed in the enclosure, which rotated at 1 rpm, and their position was monitored by video using Tracker (Bio-Signal Group Corp.). The first training day was considered a habituation trial and no foot shock was administered if the mice entered the aversive zone. On days 2-4, if the mice entered the aversive zone, a 0.2-mA shock was delivered for 500 ms every 1.5 s until the mice left the aversive zone; 24 h after the final training day a 5min probe trial was conducted in which the current source was turned off. The chamber was cleaned with 70% ethanol between mice.

Elevated plus maze
Mice were transferred to the dimly-lit testing room and allowed to acclimate for 1 h. The maze (Kinder Scientific) was positioned 63 cm above the ground and consisted of four 38-cm-long arms that intersected at 90°. Two arms were open (without walls) and two arms were closed (with side walls). After acclimation, mice were placed at the intersection of the arms and allowed to explore the maze for 10 min. Distance traveled and time spent in open and closed arms were monitored with infrared photobeams.

Open field
Activity in a clear acrylic chamber (41 Â 41 Â 30 cm) was measured with an Open Field Photobeam Activity System (San Diego Instruments), which consisted of a 16 Â 16 photobeam array to automatically monitor movements. After allowing the mice to acclimate to the testing room, they were placed in the center of the chamber and allowed to explore for 15 min. Movements, including locomotion and rearing, were recorded automatically by the photobeam array.

EEG recording and analysis
EEG electrodes were produced in-house by soldering Teflon-coated silver wire electrodes (0.125 mm in diameter) to a four-channel electrical connector. After mice were anesthetized with isoflurane, EEG electrodes were surgically implanted beneath the skull over the parietal and frontal cortices. Stereotaxic coordinates relative to the bregma were -2 mm anteroposterior (AP) and 62 mm mediolateral (ML) and 11 mm AP and 61 mm ML, respectively. Before EEG recordings were made, mice were allowed to recover from the surgery in their home cages for at least two weeks. Electrical signals between the left parietal cortex and left frontal cortex (reference electrode) were amplified with a Differential Amplifier (Warner Instruments) and recorded with a PowerLab data acquisition system (AD Instruments), which also integrated video recordings of the mice. All signals were acquired at a sampling rate of 1000 Hz. EEG and video recorded for ;8 h in resting mice during the light cycle were analyzed for epileptiform spikes with a macro written in LabChart 8 Pro software (AD Instruments). EEG signals were filtered with a 5-to 50-Hz bandpass filter to eliminate any electrical noise. Spikes were identified by their sharpness and amplitude relative to baseline signal; the latter was defined as the average of the square-root of the signal within 20 s. If the square-root of a change in amplitude during 0.02 s was more than 64Â baseline and the absolute value of the second derivative of the slope was 610 4 , a potential epileptiform spike was indicated. An investigator reviewed videos and EEG signals to exclude spike-like deflections that likely resulted from movement-related artifacts. Spike frequency was calculated from the total number of verified spikes detected during the total time mice spent resting in the ;8-h recording period.

Liver function indicators
Mice were anesthetized with Avertin and ;500 ml of blood was taken from the right atrium of the heart, mixed in a BD Microtainer tube containing lithium heparin (BD,365958), and centrifuged at 500 Â g for 7 min. Serum was collected and stored at -70°C until further use. Serum chemistry profiles were determined by IDEXX BioAnalytics using an AU680 Chemistry System (Beckman Coulter).
Serum levels of alanine aminotransferase (ALT) activity, aspartate aminotransferase (AST) activity, total bilirubin, and albumin (ALB) were determined enzymatically using reagents designed for the AU680 Chemistry System and following the manufacturer's instructions.

Experimental design and statistical analysis
Investigators were blinded to the genotype of mice. For Western blotting and RT-qPCR measurements, samples were distributed semi-randomly across lanes and wells, respectively, to avoid clustering samples of the same genotype. Group sizes for Zbtb20 mRNA measurements were determined based on a pilot experiment in which hippocampal and cortical Zbtb20 mRNA levels were compared in WT and hAPP-J20 mice (n = 7-11 per group) and found to be reduced by ;35% in the hippocampus and ;10% in the cortex of hAPP-J20 mice (data not shown). Based on these reductions and the variances observed, a power analysis using a significance level of 0.05 and a power of 0.8 indicated that using nine mice per group would provide the power to detect a 15% difference in Zbtb20 mRNA levels in either brain region. For measurements of doublecortin and liver function indicators, group sizes were based on available samples. Group sizes for behavioral assays, survival curves, EEG recordings, and molecular indicators of epileptiform activity were all based on findings previously reported for hAPP-J20 mice. Group sizes in the snRNA-seq experiment were suboptimal because of budget constraints.
Statistical tests were performed with Prism 8 or 9 (GraphPad Software) or the statistical programming language R (http://www.R-project.org/) and are indicated in the figure legends. Data distribution was assessed with the D'Agostino-Pearson test. Parametric tests were used on normally distributed data. If data were not normally distributed, normality was evaluated on log transformed data. If the transformation resulted in a normal distribution, parametric tests were used on the transformed data. If the transformed data were not normally distributed, non-parametric tests were used on the untransformed data. Variance among groups was assessed with Bartlett's test (normal distribution) or Brown-Forsythe test (non-normal distribution). Normally distributed data with equal variance was analyzed by paired or unpaired twotailed Student's t test, normally distributed data with unequal variance by unpaired two-tailed t test with Welch correction, and non-normally distributed data by twotailed permutation test. For group sizes ,10, parametric tests were used because we could not reliably assess data distribution. Data comprising repeated measures were assessed by Mantel-Cox log-rank test (survival curves) or linear mixed model analysis with Holm-Sidak correction for the comparison of specific groups. For snRNA-seq data, the significance of genotype effects on Zbtb20 expression was determined in clusters whose medians of Zbtb20 expression were .0 in !3 WT mice using the R package muscat (version 1.0.1; Crowell et al., 2020). For each cluster, raw read counts from all nuclei of any given mouse were combined to obtain pseudo-bulk RNAseq counts. Unadjusted p values for the differential expression of Zbtb20 between mice of different genotypes were extracted from the muscat results for each cluster and a Holm-Sidak correction was performed to correct for multiple comparisons, using individual mice as the number of biological samples (n).

Zbtb20 expression in mouse brain and liver
To assess the specificity of anti-Zbtb20 antibodies, we tested them on brain and liver tissues from Zbtb20 1/1 , Zbtb20 1/-, and Zbtb20 -/mice. Because a Zbtb20 antibody from BD Biosciences (catalog #565453) showed excellent specificity by immunostaining of tissue sections and Western blot analysis of tissue lysates (Fig. 2), this reagent was chosen for the detection and quantification of Zbtb20 in subsequent experiments. In contrast, several other antibodies raised against Zbtb20 lacked specificity (Fig. 3), including antibody #23787-AP from ProteinTech, which was previously used to compare hippocampal Zbtb20 levels in non-transgenic (NTG) and hAPP-J20 mice (Tosh et al., 2018).
Zbtb20 mRNA levels in WT mice were higher in hippocampus than cortex and liver (Fig. 2J). As expected, Zbtb20 mRNA levels were ;50% lower in Zbtb20 1/micethan in Zbtb20 1/1 controls and at background levels in Zbtb20 -/mice (Fig. 2J). Using the same antibody that yielded reliable Zbtb20 immunostaining of brain sections ( Fig. 2A-I), we detected multiple immunoreactive bands by Western blot analysis in lysates of cortex, hippocampus and liver from Zbtb20 1/1 and Zbtb20 1/mice, but not Zbtb20 -/mice. The most prominent bands in cortex and hippocampus were between 75 and 100 kDa (Fig. 2K). Additional Zbtb20 bands above 100 kDa and below 75 kDa (Fig. 2K) may represent different Zbtb20 isoforms, posttranslational modifications, or metabolites. Because all bands were gene dose-dependently reduced in Zbtb20 1/and Zbtb20 -/mice (Fig. 2K), they likely represent genuine Zbtb20 species rather than nonspecific cross reactivities. Since no Zbtb20-immunoreactive signals were detected in Zbtb20 -/mice (Fig. 2K), the small protein product that might be expressed from the modified Zbtb20 gene in Zbtb20 -/mice (Fig. 1C) is either not made or too unstable for detection.

Reduced hippocampal Zbtb20 expression in hAPP-J20 mice
Because the hAPP transgene that was used to generate hAPP-J20 mice integrated into intron 2 of one Zbtb20 allele ( Fig. 1B; Tosh et al., 2018;Goodwin et al., 2019), we assessed Zbtb20 expression levels in brains of hAPP-J20 mice. Between 1 and 28 d of age, Zbtb20 expression in the hippocampus and choroid plexus was lower in hAPP-J20 mice than NTG controls (Fig. 4A-C; data not shown). In contrast to Zbtb20 1/mice (Fig. 2J,K), cortical Zbtb20 mRNA and protein levels in hAPP-J20 mice were comparable to those of NTG controls at 15 and 28 d (Fig. 4D). For unclear reasons, cortical Zbtb20 mRNA and protein levels were actually higher in newborn hAPP-J20 than NTG mice (Fig. 4D), an alteration that was not observed in newborn Zbtb20 1/mice or in newborn 5XFAD mice (Fig.  5A,B), another transgenic mouse model overexpressing FAD-mutant hAPP .
Because Zbtb20 is strongly expressed in doublecortinpositive granule cells of WT mice (Fig. 2D), we quantified Zbtb20 and doublecortin levels in the granular layer of the dentate gyrus in three-to four-week-old hAPP-J20, Zbtb20 1/and WT mice. Although granule cells expressed less Zbtb20 in hAPP-J20 and Zbtb20 1/mice than in WT controls (Fig. 5C,D), the three groups of mice had comparable doublecortin levels (Fig. 5E,F). In a similar vein, neither the transient increase in cortical Zbtb20 expression in hAPP-J20 mice (Fig. 4D) nor the reduction in cortical Zbtb20 expression in Zbtb20 1/mice (Fig. 5A) altered cortical doublecortin (Dcx) mRNA levels in neonatal mice (Fig. 5G,H). Together, these results make it unlikely that Zbtb20 regulates neuronal doublecortin levels during early postnatal development.
At four to five months of age, Zbtb20 immunoreactivity levels in the granular layer of the dentate gyrus were still lower in hAPP-J20 mice than NTG controls (Fig. 6A,B). At six months, hippocampal levels of Zbtb20 mRNA and Zbtb20 protein were also lower in hAPP-J20 than NTG mice (Fig. 6C,D). In the cortex of six-month-old hAPP-J20 mice, Zbtb20 mRNA levels were only slightly reduced and a trend toward Zbtb20 protein reduction did not reach statistical significance (Fig. 6E,F). In six-to eight-monthold APP/PS1 mice, which also overexpress hAPP/Ab (Jankowsky et al., 2004) but do not have an insertional Zbtb20 mutation (Goodwin et al., 2019), Zbtb20 mRNA levels were slightly increased in the hippocampus and unchanged in the cortex, as compared with age-matched NTG controls (Fig. 6G,H). These findings suggest that the reduced hippocampal Zbtb20 expression in hAPP-J20 is caused by their insertional Zbtb20 mutation rather than by overexpression of FAD-mutant hAPP or accumulation of Ab .

Zbtb20-expressing cell types
To ascertain which cell types had reduced Zbtb20 expression in hAPP-J20 mice, we isolated cell nuclei from . Zbtb20 mRNA and protein expression in Zbtb20 1/1 , Zbtb20 1/-, and Zbtb20 -/mice. A-C, Coronal brain sections from three-week-old mice of the indicated genotypes were stained with TO-PRO-3 to identify nuclei (top-left in each panel), labeled with an antibody (BD Biosciences, catalog #565453) against Zbtb20 (top-right and bottom row in each panel), and imaged by epifluorescence microscopy. Hemibrain sections (scale bar: 2 mm) are shown at the top and magnified views (scale bar: 200 mm) of the choroid plexus (CP; left), dentate gyrus (DG; center), and CA2/3 (right) at the bottom. D,E, Coronal brain sections from three-week-old (D) and seven-month-old (E) WT mice were co-immunostained for Zbtb20 and doublecortin (DCX) and imaged by confocal microscopy. The subgranular zone of the dentate gyrus is shown (scale bar: 50 mm). F-I, Coronal brain sections from three-week-old WT mice were immunostained for Zbtb20 and co-labeled with antibodies against cell type-specific markers for (F) neurons (NeuN), (G) astrocytes (GFAP), (H) oligodendrocytes (Oligo2), or (I) microglia/macrophages (Iba1), and imaged by confocal microscopy. The granular layer (F) and molecular layer (G-I) of the dentate gyrus are shown (scale bar: 50 mm). J,K, Zbtb20 mRNA (J) and Zbtb20 protein (K) levels in cortices, hippocampi and livers from three-week-old mice of the indicated genotypes were determined by RT-the hippocampus and cortex of hAPP-J20 and NTG mice and analyzed them by single-nucleus RNA sequencing (snRNA-seq). Clustering analysis of the hippocampal and cortical snRNA-seq data identified 26 and 22 distinct clusters, respectively, that, based on cell type-specific markers, likely represent dentate gyrus granule cells, pyramidal cells, interneurons, astrocytes, oligodendrocyte precursors, oligodendrocytes, and microglia (Fig. 7A,B). Figure 3. Several other antibodies raised against Zbtb20 lack specificity. A-C, Western blots depict representative immunoreactivity patterns detected with the anti-Zbtb20 antibodies listed above the respective blots in lysates of cortex (A-C), hippocampus (A), and liver (A) from three-week-old mice of the indicated genotypes. Note that genetic modulation of Zbtb20 expression did not alter the staining obtained with these antibodies.
continued qPCR and Western blotting, respectively. J, Relative Zbtb20 mRNA levels were quantified by the 2 -DDC T method (Livak and Schmittgen, 2001) using Gapdh mRNA as the internal reference. Mean Zbtb20/Gapdh mRNA ratios in WT cortical samples were defined as 1.0; n = 2-6 mice per group. K, Western blot depicting Zbtb20 signals across tissues and genotypes is shown on top. Samples from replicate groups of mice were loaded on the left and right part of the gel, respectively. Gapdh was used as a loading control. Quantitations of Western blot signals are shown below. Zbtb20 signals were normalized to Gapdh signals and mean Zbtb20/Gapdh ratios in the cortex of WT mice were defined as 1.0; *p , 0.05, **p , 0.01, ****p , 0.0001 versus WT mice or as indicated by brackets (linear mixed model analysis with Holm-Sidak correction). Dots represent individual mice and bars are means 6 SEM. D ****  RT-qPCR (left) and Western blot (right) analysis, respectively, using tissues from opposite hemibrains of the same mice. Relative Zbtb20 mRNA levels were determined as in Figure 2 except that Consistent with our immunohistochemical analysis ( Fig.  2F-I), Zbtb20 mRNA was readily detected in hippocampal neurons, astrocytes and oligodendrocytes, whereas Zbtb20 mRNA levels were much lower in microglial cells in NTG and hAPP-J20 mice (Fig. 7C). In both genotypes, Zbtb20 mRNA expression was much lower in some neuronal and oligodendroglial clusters than others (Fig. 7C), highlighting the heterogeneity of cell populations in the brain. Compared with NTG controls, hAPP-J20 mice had reduced Zbtb20 mRNA levels in some clusters of granule cells, pyramidal cells, interneurons, astrocytes, and oligodendrocytes (Fig. 7C). However, because the number of mice per genotype we were able to analyze with this methodology was small, these preliminary findings need to be validated in additional studies. As expected from our immunohistochemical (Figs. 2A, 4A), RT-qPCR (Fig.  2J), and Western blot (Fig. 2K) analyses, Zbtb20 mRNA levels in most cell types were lower in cortical than hippocampal nuclei (Fig. 7C,D), and this difference was independent of genotype. Thus, if the insertional Zbtb20 mutation were contributing to AD-relevant phenotypes in hAPP-J20 mice, it would likely manifest in hippocampusdependent processes, especially those dependent on pyramidal neurons or dentate granule cells.
Zbtb20 1/mice lack the severe behavioral abnormalities observed in hAPP-J20 mice Although the results described above clearly suggest that hAPP-J20 mice have lower Zbtb20 expression in hippocampal neurons and other cell types, it is unclear whether these changes contribute to the development of AD-like functional abnormalities in this model. We therefore examined whether the ;50% reduction of Zbtb20 levels in Zbtb20 1/mice reproduces any of the behavioral alterations observed in hAPP-J20 mice. In hAPP-J20 mice, deficits in learning and memory become detectable around three to four months of age and are prominent by Figure 5. Zbtb20 and doublecortin levels in the cortex and dentate gyrus of Zbtb20 1/mice, 5XFAD mice, hAPP-J20 mice, and controls. A,B, Cortical levels of Zbtb20 mRNA were measured in mice of the indicated genotypes on postnatal day 1 as described in Figure 3. C-F, Coronal brain sections from three-to four-week-old mice of the indicated genotypes were co-immunostained for Zbtb20 and doublecortin (DCX) and imaged by confocal microscopy. Relative Zbtb20 (C,D) and doublecortin (E,F) immunoreactivity (IR; signal intensity) in the granular layer of the dentate gyrus. Mean levels in NTG or WT controls were defined as 1.0. G,H, Cortical levels of doublecortin (Dcx) mRNA were measured in mice of the indicated genotypes on postnatal day 1. Dcx/Gapdh mRNA ratios in NTG or WT mice were defined as 1; n = 6-16 mice per group; ****p , 0.0001 by unpaired two-tailed Student's t test (A, C-H) or unpaired two-tailed t test with Welch correction (B). ns, not significant. Dots represent individual mice and bars are means 6 SEM.
continued mean Zbtb20/Gapdh mRNA ratios in matching brain regions of NTG mice were defined as 1.0. Relative Zbtb20 protein levels were normalized to b -tubulin levels and mean Zbtb20/b -tubulin ratios in matching brain regions of WT mice were defined as 1.0; n = 8-17 mice per group; *p , 0.05, **p , 0.01, ***p , 0.001, ****p , 0.0001 by two-tailed permutation test (C, postnatal day 1, protein), unpaired two-tailed t test with Welch correction (D, postnatal day 1, mRNA), or unpaired two-tailed Student's t test (C,D, all other graphs). ns, not significant. Dots represent individual mice and bars are means 6 SEM. five to seven months (Palop et al., 2003;Esposito et al., 2006;Cheng et al., 2007;Deipolyi et al., 2008). For example, in the Morris water maze paradigm, which measures hippocampus-dependent spatial learning and memory, hAPP-J20 mice take longer and travel a greater distance to find the hidden platform during training trials; and subsequently, they spend less time searching in the target quadrant after the target platform is removed from the pool (probe trial; Palop et al., 2003;Deipolyi et al., 2008;Verret et al., 2012;Johnson et al., 2020). In this test, fiveto seven-month-old Zbtb20 1/mice showed only subtle deficits in task acquisition as compared with agematched WT controls (Fig. 8A,B). In the probe trial, Zbtb20 1/mice showed a trend (p = 0.06) toward favoring the target quadrant slightly less than WT mice (Fig. 8C), but no significant differences were found between the groups during this component of the test in target preference index or mean proximity to the original platform location (Fig. 8D,E). Swim speeds were measured while mice were trained to locate a visually cued platform and were slightly higher in Zbtb20 1/mice than in WT controls (Fig. 8F), which is also in contrast to hAPP-J20 mice, whose swim speeds are similar to those of controls (Palop et al., 2003;Esposito et al., 2006;Johnson et al., 2020).
Active place avoidance is another robust test of spatial learning and memory (Cimadevilla et al., 2001). In this paradigm, hAPP-J20 mice show prominent reductions in maximal avoidance time and more entries into the aversive zone than WT controls, both during training and in the probe trial when electrical shocks are no longer delivered in what was the aversive zone during training (Johnson et al., 2020). In contrast, five-to seven-monthold Zbtb20 1/mice had no difficulties learning this task (Fig. 8G,H). Zbtb20 1/mice also performed as well as WT controls in the probe trial (Fig. 8I,J).
In the elevated plus maze, which provides measures of anxiety and exploratory behaviors (Walf and Frye, 2007), hAPP-J20 mice avoid the open arms of the maze less than WT controls, possibly reflecting reduced anxiety, disinhibition, or deficits in avoidance learning (Chin et al., 2005;Esposito et al., 2006;Cheng et al., 2007;Roberson et al., 2007;Sanchez et al., 2012;Johnson et al., 2020). No significant differences were observed in this measure between five-to seven-month-old Zbtb20 1/mice and WT controls (Fig. 8K). In the open field, which measures exploration and locomotor activity, hAPP-J20 mice are hyperactive Sanchez et al., 2012;Johnson et al., 2020), whereas Zbtb20 1/mice are not (Fig. 8L).
Thus, 50% reduction of Zbtb20 expression in all brain regions and cell types does not reproduce the Figure 6. Hippocampal and cortical Zbtb20 expression in adult hAPP-J20 mice and NTG controls. A, Representative confocal photomicrographs of coronal dentate gyrus sections from fourto five-month-old NTG and hAPP-J20 mice immunostained for Zbtb20 (scale bar: 200 mm). B, Relative Zbtb20 immunoreactivity (IR; signal intensity) in the granular layer of the dentate gyrus in four-to five-month-old NTG and hAPP-J20 mice. Mean signals in NTG mice were defined as 1.0. C-F, Zbtb20 mRNA and protein levels in the hippocampus and cortex of six-month-old NTG and hAPP-J20 mice were determined by RT-qPCR and continued western blot analysis, respectively, as in Figure 3. G,H, Zbtb20 mRNA levels in the hippocampus and cortex of six-to sevenmonth-old NTG and APP/PS1 mice determined by RT-qPCR; n = 4-6 male and 5-8 female mice per group; *p , 0.05, ***p , 0.001, ****p , 0.0001 by unpaired two-tailed Student's t test. ns, not significant. Dots represent individual mice and bars are means 6 SEM. Figure 7. Zbtb20 mRNA expression in single nuclei isolated from hippocampus or cortex of hAPP-J20 mice and NTG controls. Cell nuclei were isolated from the hippocampus and cortex of eight-month-old NTG and hAPP-J20 mice and analyzed by single-nucleus RNA sequencing (snRNA-seq). A,B, Uniform manifold approximation and projection (UMAP) plot of hippocampal (A) and cortical (B) snRNA-seq data from both groups of mice. Clustering and marker gene analysis identified 17 neuronal and nine non-neuronal hippocampal clusters and 15 neuronal and seven non-neuronal cortical clusters. Individual dots correspond to nuclei and colors to clusters. The assignment of cell types to a cluster was based on 10-20 curated differentially expressed genes. C,D, Violin plots comparing the distribution of Zbtb20 expression in individual hippocampal (C) and cortical (D) nuclei from NTG and hAPP-J20 mice, grouped by cluster. Normalized expression levels were calculated by dividing Zbtb20 reads by total reads for any given nucleus, multiplying by 10,000, and taking the natural log of the product. Open circles represent the median Zbtb20 expression of all nuclei in a cluster from an individual mouse. Ac; astrocytes; GC, dentate gyrus granule cells; In, interneurons; Mg, microglia; Olig, oligodendrocytes; OligP, oligodendrocyte precursors; PN, pyramidal neurons; Ur, unresolved; n = 4 female mice per group. The significance of genotype effects on Zbtb20 expression was determined in clusters whose medians of Zbtb20 expression were .0 in !3 WT mice, using individual mice as the number of biological samples (n); *p , 0.05, **p , 0.01, ***p , 0.001, ****p , 0.0001 by pseudo-bulk analysis in muscat (Crowell et al., 2020) with Holm-Sidak correction. ns, not significant. prominent behavioral alterations observed in hAPP-J20 mice. In contrast, expression of hAPP or specific hAPP metabolites from other sites within the genome has been shown to cause similar behavioral alterations in other lines of transgenic and knock-in mice (Hsiao et al., 1996;Holcomb et al., 1999;Chishti et al., 2001;King and Arendash, 2002;Van Dam et al., 2003;Hartman et al., 2005;Ohno et al., 2006;Ittner et al., 2010;Roberson et al., 2011;Jawhar et al., 2012;Merlini et al., 2019;Johnson et al., 2020). Together, these results suggest that Zbtb20 hypofunction does not significantly contribute to the pathogenesis of cognitive deficits and behavioral abnormalities in hAPP-J20 mice. Figure 8. Behavioral performance of Zbtb20 1/mice and WT controls. A-L, Zbtb20 1/mice and WT (Zbtb20 1/1 ) controls were tested in the Morris water maze (MWM), active place avoidance (APA), elevated plus maze (EPM), and open field (OF) paradigms at five to seven months of age. A-F, Learning of the spatial component (platform hidden) of the MWM task as indicated by reductions in the escape latency (A) and path length (B) to reach a hidden platform. C-F, A probe trial (platform removed) was performed 24 h after the last training trial to measure the percent time mice spent in the target (solid) versus non-target (stippled) quadrants (C), calculate the target preference index (ratio of target/non-target percentages; D), and determine the average distance of mice from the original target position during the trial (E). No premature mortality or prominent epileptiform activity in Zbtb20 1/mice Between 20% and 40% of hAPP-J20 mice die prematurely between birth and six to eight months of age, most likely because of epileptic activity Roberson et al., 2007;Palop and Mucke, 2016;Johnson et al., 2020). Mice with complete genetic ablation of Zbtb20 die by four weeks of age, most likely as a result of metabolic abnormalities (Sutherland et al., 2009).To assess whether reductions in Zbtb20 expression might contribute to the premature mortality of hAPP-J20 mice, we monitored the survival of Zbtb20 1/mice and WT controls and compared the results to survival curves previously published for hAPP-J20 mice and NTG controls (Johnson et al., 2020). In contrast to hAPP-J20 mice, no premature mortality was observed in Zbtb20 1/mice between birth and eight months of age (Fig. 9A). We also did not notice an increased incidence of unexplained deaths among older Zbtb20 1/mice, as compared with age-matched WT controls (data not shown). Thus, partial reduction of Zbtb20 expression does not reproduce the premature mortality observed in hAPP-J20 mice. In contrast, overexpression of hAPP or specific hAPP metabolites from other sites within the genome has been shown to cause premature mortality in other lines of transgenic mice (Hsiao et al., 1995;Chishti et al., 2001;King and Arendash, 2002;Ittner et al., 2010;Leroy et al., 2012).
As expected based on previous findings Sanchez et al., 2012;Verret et al., 2012;Palop and Mucke, 2016;Johnson et al., 2020), hAPP-J20 mice had a much higher frequency of epileptiform spikes than NTG controls (Fig. 9B,C). In contrast, spike frequencies were only minimally increased in Zbtb20 1/mice, as compared with WT controls (Fig. 9B,D). Whereas ;70% of hAPP-J20 mice had at least 20 spikes per hour, none of the Zbtb20 1/mice came close to this level (Fig. 9C,D). Thus, it seems unlikely that Zbtb20 reductions are responsible for the epileptiform activity in hAPP-J20 mice, particularly since this type of network dysfunction has also been observed in many other mouse models that express hAPP or specific hAPP metabolites from other sites within the genome, including multiple lines of hAPP transgenic mice (Palop and Mucke, 2016) and App NL-G-F knock-in mice (Johnson et al., 2020).

Zbtb20 reduction does not alter molecular indicators of epileptiform activity in the hippocampus
In models of epilepsy and in lines of mice expressing hAPP or specific hAPP metabolites, chronic epileptiform activity leads to molecular alterations in the hippocampus, including reduced expression of calbindin and c-Fos and increased expression of NPY in dentate granule cells (Palop et al., 2003You et al., 2017;Johnson et al., 2020). In hAPP-J20 mice, these markers of epilepsy correlate well with behavioral alterations (Palop et al., 2003;Deipolyi et al., 2008;Sanchez et al., 2012). To assess whether these molecular changes in hAPP-J20 mice might be caused by reductions in hippocampal Zbtb20 levels, we analyzed brain sections from five-to eightmonth-old hAPP-J20 mice, Zbtb20 1/mice, and controls by immunohistochemistry. As expected from previous studies (Palop et al., 2003Johnson et al., 2020), hAPP-J20 mice had reduced calbindin levels in the Zbtb20 +/-Zbtb20 +/+ NTG Figure 9. Survival and EEG activity in hAPP-J20 mice, Zbtb20 1/mice, and controls. A, Kaplan-Meier survival curves of the indicated genotypes. The hAPP-J20 and NTG data were described in a previous publication (Johnson et al., 2020). B-D, Intracranial EEG recordings were obtained from resting mice of the indicated genotypes at 9-11 months of age. B, Representative traces depicting multiple epileptiform spikes in an hAPP-J20 mouse (bottom-left), a single spike in a Zbtb20 1/mouse (bottom-right), and normal EEG activity in control mice (top). C,D, Spike frequencies measured in hAPP-J20 (C) and Zbtb20 1/-(D) mice and agematched controls from each of these lines (C,D) while they were resting. Note the different y-axis scales in these panels; n = 12-14 male mice per group; **p , 0.01, ***p , 0.001 by Mantel-Cox log-rank test (A) or unpaired two-tailed Student's t test (C,D). ns, not significant. Dots represent individual mice and bars are means 6 SEM. molecular layer of the dentate gyrus (Fig. 10A,B), increased NPY levels in mossy fibers (Fig. 10A,C), and fewer c-Fos-positive cells in the granular layer of the dentate gyrus (Fig. 10A,D), as compared with NTG controls. In contrast, Zbtb20 1/mice had no changes in calbindin (Fig. 10A,E), decreased NPY (Fig. 10A,F), and increased numbers of c-Fos-positive cells (Fig. 10A,G), demonstrating that reduced Zbtb20 expression per se causes distinct changes and indicating that the molecular hippocampal alterations of hAPP-J20 mice are caused by FAD-mutant hAPP or some of its metabolites, most likely through the induction of hypersynchronous network activity Palop and Mucke, 2016).
Normal liver function in hAPP-J20 and Zbtb20 1/mice Zbtb20 is strongly expressed not only in the hippocampus, but also in the liver, which degrades many toxic metabolites. Both acute and chronic liver failure can lead to hepatic encephalopathy, a condition characterized by impaired brain functions (Felipo, 2013). In the liver, Zbtb20 functions as a transcriptional repressor and a transcriptional activator and is required for de novo lipogenesis, a process that converts carbohydrates into triglycerides for energy storage (Xie et al., 2008;Liu et al., 2017). To determine whether reductions of liver Zbtb20 levels might contribute to behavioral alterations in hAPP-J20 mice, we assessed liver Zbtb20 mRNA levels in hAPP-J20 mice and NTG controls. Although liver Zbtb20 mRNA levels in hAPP-J20 mice were reduced at birth and one month of age, they were normal at six months ( Fig. 11A-C), when these mice show robust behavioral deficits (Palop et al., 2003;Esposito et al., 2006;Cheng et al., 2007;Roberson et al., 2007;Deipolyi et al., 2008;Sanchez et al., 2012;Verret et al., 2012;Johnson et al., 2020). In contrast, liver Zbtb20 mRNA levels were reduced by ; 50% in Zbtb20 1/mice around this age (Fig. 11D), providing further evidence that the insertional mutation of one Zbtb20 allele in hAPP-J20 mice does not result in a complete knock-out of this allele. Neither hAPP-J20 mice nor Zbtb20 1/mice had impairments in widely used indicators of liver function (Newsome et al., 2018) at five to seven months of age ( Fig.  11E-L), indicating that behavioral alterations in hAPP-J20 mice are not because of hepatic encephalopathy.

Discussion
These findings suggest that the insertional mutation of one Zbtb20 allele in heterozygous hAPP-J20 mice alters Zbtb20 expression in some brain regions, but not others, and that it does not reduce Zbtb20 expression to the same extent as ablating most of the coding sequence from one Zbtb20 allele in Zbtb20 1/mice. Although the insertional mutation in hAPP-J20 mice does not seem to ablate expression of the affected Zbtb20 allele, we identified subtle effects on the complex expression of this gene in some brain regions and cell types. It is conceivable that Zbtb20 expression in distinct brain regions is regulated differently and impacted differentially by the insertional mutation. Alternatively, the lower baseline levels of Zbtb20 expression in the cortex may make it easier for the intact Zbtb20 allele to compensate for the hypofunction of the mutant allele. The increased hippocampal Zbtb20 mRNA levels we found in APP/PS1 mice raise the possibility that FAD-mutant hAPP also promotes Zbtb20 expression in hAPP-J20 mice, an effect that could diminish the impact of the insertional mutation.
Most importantly from an AD modeling perspective, our results make it very unlikely that the profound deficits in learning and memory, behavioral abnormalities, neural network dysfunction, and related molecular alterations in hippocampal neurons of hAPP-J20 mice are caused by reduced Zbtb20 levels rather than by the expression of FAD-mutant hAPP, providing novel mechanistic insights into the pathogenesis of this model's phenotype. Indeed, although Zbtb20 levels were more markedly reduced in Zbtb20 1/mice than hAPP-J20 mice, Zbtb20 1/mice had fewer and much milder behavioral alterations and distinctly less neural network dysfunction than hAPP-J20 mice, as compared with WT controls.
However, the identification of any such abnormalities in Zbtb20 1/mice raises the possibility that even smaller extents of Zbtb20 reduction might somehow sensitize the brain to pathogenic effects of FAD-mutant hAPP and, thereby, indirectly promote the development of functional abnormalities in hAPP-J20 mice. It is worth noting in this context that mutations in Zbtb20 cause Primrose syndrome in humans, which can be associated with intellectual impairments and seizures (Cordeddu et al., 2014;Melis et al., 2020). Excluding the possibility that reductions in Zbtb20 make minor contributions to functional alterations in hAPP-J20 mice would require complete normalization of Zbtb20 levels in hAPP-J20 mice without causing inadvertent overexpression of Zbtb20, which is difficult to achieve. Notwithstanding this caveat, we consider it likely that most alterations identified in hAPP-J20 mice result from, and provide insights into, the pathobiological activities of FAD-mutant hAPP, particularly since similar alterations have been observed in independent mouse models expressing hAPP or some of its metabolites from other sites within the genome (Hsiao et al., 1995;Hsiao et al., 1996;Holcomb et al., 1999;Chishti et al., 2001;King and Arendash, 2002;Van Dam et al., 2003;Hartman et al., 2005;Ohno et al., 2006;Ittner et al., 2010;Roberson et al., 2011;Jawhar et al., 2012;Leroy et al., 2012;Merlini et al., 2019), including in FAD-mutant App knock-in mice that do not overexpress hAPP (Saito et al., 2014;Orr et al., 2018;Johnson et al., 2020).
Studies to carefully differentiate between insertional effects and AD-relevant phenotypes have also been conducted in a tau transgenic model in which transgene insertions resulted in the deletion of several genes, including genes expressed in the brain (Gamache et al., 2019). It is worth noting that insertional mutations have been excluded in several (Goodwin et al., 2019) but not all of the transgenic models that are widely used in AD research. The experiments described in the current study highlight the importance of exploring inadvertent consequences of genetic modifications. Notably, it is unlikely that such consequences are restricted to transgenic models; the generation of knock-out and knock-in models could also result in unexpected genomic changes, for example, through alterations of enhancer elements acting on distant genes or of noncoding RNAs.
After the exclusion of such possible confounds, which of the available models is "best" depends on the specific question one wants to answer. Models with individual genetic modifications that were designed to study a specific factor in isolation can provide useful insights into the relative pathogenic impact of that factor, the underlying mechanisms, and potential ways to block them. However, these models may not be able to reliably predict the efficacy of therapeutic interventions in the human condition, in which multiple pathogenic factors act in concert. Negative preclinical drug trials that fail to reduce brain dysfunctions in such AD-relevant models should be taken seriously, however, because drugs that fail in a reductionist system would seem unlikely to succeed in a highly heterogeneous AD population, particularly since many neurotropic drugs with well-established efficacy in other human disorders back-translate rather well into related mouse models (Howe et al., 2018). Notably, even early treatment of hAPP-J20 mice with a BACE1 inhibitor did not prevent their network dysfunction or cognitive decline, Figure 10. Molecular indicators of epileptiform activity. A-G, Coronal brain sections from five-to eight-month-old mice of the indicated genotypes were immunostained for calbindin (A,B,E), NPY (A,C,F), or c-Fos (A,D,G). A, Representative images depicting the levels and distributions of calbindin, NPY, and c-Fos immunoreactivities in the dentate gyrus and hippocampus. As is typical for this model, the hAPP-J20 mouse showed reduced calbindin staining in the molecular layer of the dentate gyrus (top, arrow), increased NPY in mossy fibers (middle, arrowhead), and fewer c-Fos-positive (1) cells in the granular layer (bottom, small arrow). Scale bars: 500 mm (inset, 200mm). B-G, Quantifications of these indicators of epileptiform activity. Mean levels in WT or NTG controls were defined as 1.0; n = 10-12 female mice per group; *p , 0.05, ***p , 0.001, ****p , 0.0001 by unpaired two-tailed Student's t test (B,E,G), unpaired two-tailed t test with Welch correction (C,D), or two-tailed permutation test (F). ns, not significant. Dots represent individual mice and bars are means 6 SEM. although this intervention prevented the formation of amyloid plaques, as well as plaque associated microgliosis, and markedly reduced Ab oligomer levels in brain tissues (Johnson et al., 2020). The current study strongly supports the conclusion that this outcome did not result from Zbtb20 deficiency causing the functional deficits of hAPP-J20 mice, an alternative mechanism that would not be expected to respond to BACE1 inhibition. In further support of this interpretation, BACE1 inhibitor treatments also failed to prevent cognitive decline in humans with AD (Egan et al., 2019;Cummings et al., 2020).
Taken together, our results suggest that Zbtb20 deficiency is not the primary driver of brain dysfunctions in hAPP-J20 mice. Because we cannot exclude the possibility that even modest degrees of Zbtb20 deficiency in some cell types sensitize mice to alterations caused by FAD-mutant hAPP or Ab , it is advisable to validate discoveries made in the hAPP-J20 line in independent experimental models, human AD or both, as done in several previous studies (Mucke et al., 2000;Palop et al., 2003;Chin et al., 2005;Cheng et al., 2007;Roberson et al., 2011;Verret et al., 2012;Orr et al., 2015Orr et al., , 2018Vossel et al., 2016;Merlini et al., 2019;Johnson et al., 2020). Validating results across independent models is prudent in general, as this strategy enhances scientific rigor as well as the likelihood that experimental findings are relevant to the human condition under study.