Anxiety, impaired social and aggressive behaviour correlates with cognitive decline accompanied by molecular alterations in older SAMP8 males

Alzheimer’s disease (AD) is characterized by cognitive impairment and different noncognitive deficits called “Behavioural and psychological symptoms of dementia” (BPSD) related to neurotrophin alterations, which differ from those presented in normal aging. Mouse models, both transgenics and inbreed mice models of AD, are a useful tool in understanding the underlying mechanisms of the disease. The SAMP8 (senescence-accelerated mouse prone 8) mice line was generated from AKR/J strain by Professor Toshio Takeda at the University of Kyoto. This strain exhibited a particular early-onset and accelerated aging phenotype. The present study characterizes and provides information regarding the non-cognitive and cognitive states as well as molecular alterations and their relationship, demonstrating the AD-like symptoms presented in older SAMP8 males. The cognitive impairment presented was accompanied by a reduction in sociability and an increase in aggressive as well as anxiety behaviours. Furthermore, changes in three of the most important neurotrophins, such as NT3, BDNF, and NGF as well as their receptors TrkA and TrkB, were found. Thus, the present results reveal new insights in this useful inbred mouse model of neurodegeneration and AD, demonstrating the potential relationship between neurotrophin alterations, cognitive impairment and neuropsychiatric disorders (ND).


Introduction
Aging has been strongly associated with a progressive loss of brain physiological integrity, leading to impaired function and increased vulnerability to death [1]. This brain deterioration is a key aspect for developing age-related diseases [2] and is commonly accompanied by cognitive decline and behavioural alterations, which can be classified as "Behavioural and psychological symptoms of dementia" (BPSD) or as neuropsychiatric symptoms (NPS) [3].
Advanced age or living longer is the most substantial risk factor for the development of some type of dementia [4]. Thus, Alzheimer's disease (AD), the leading cause of dementia in the elderly, is a progressive age-dependent neurodegenerative disease mainly characterized by cognitive decline and accompanied by a wide variety of non-cognitive neuropsychiatric disturbances [5]. The BPSD represent one of the most distressing manifestations of dementia and are widely accepted as hallmarks of AD and age-related dementias [6]. In AD patients, the manifestation of BPSD is differently influenced by the progression of dementia and by cognitive dysfunction [7,8]. Among BPSD, depression and anxiety are the most frequent NPS in AD while aggressive and impulsive behaviours are of special significance with a direct influence on social functioning [9].
NPS and BPSD encompass a variety of symptoms such as hyperactivity, psychosis, affective disorder and apathy which represent a heterogeneous group of non-cognitive symptoms that do not always appear in the same pattern, but that tends to occur together in syndromes or clusters, which can be, clinically, as relevant as cognitive decline [10]. The clinical importance of BPSD lies in their intimate relationship with AD, since they can participate in its progression, and therefore by increasing our knowledge in these symptoms we could be closer to effectively understand AD and its progression.
Advances in the knowledge of the BPSD in the AD field are fundamental, given that the manifestation of BPSD has a direct impact on the patients' and their caregivers' quality of life [11]. In this context, animal models with such deficits are a useful tool to understand the pathology onset and development in gerontological research. Several AD rodent models have been generated to predict and correlate different factors of the pathology to determine the causal factor. However, even though a variety of transgenic models have been produced for the study of learning/memory deficits, gene engineering methodology cannot be applied to BPSD problem given their uniqueness in dementia patients [7].
Synaptic disruption is considered one of the most critical mechanisms of neuropsychiatric disorders and age-related cognitive decline [12,13,14]. Insight into the mechanism underlying this variety of symptoms may be obtained by evaluating the most prominent members of neurotrophin families; brain-derived neurotrophic factor (BDNF), neurotrophin-3 (NT3), and nerve growth factor (NGF). Indeed, it has been noted that AD patients characterized by BPSD, such as depression presented alterations of neurotrophic factors, such as lower levels of BDNF throughout the central nervous system (CNS) [15]. Moreover, it has been reported a slight reduction of NT3 in the cortex of AD patients [16] as well decreased levels of NGF in the hippocampus of several older rodent models, including AD models [17]. These effects are produced through binding and activation of neurotrophic receptor tyrosine kinase 1 (TrkA) or neurotrophic receptor tyrosine kinase 2 (TrkB), leading to changes in the neurons [18]. Therefore, neurotrophins play an essential role in the regulation of memory and cognition as well as experience-dependent behaviour, confirming their participation in the BPSD.
The senescence-accelerated mouse 8 (SAMP8) is an accelerated aging model that was established through phenotypic selection from AKR/J mice by Takeda in early 1979 [19]. Due to the presence of AD-like cognitive and non-cognitive symptoms together with biochemical alterations, the SAMP8 model has been suggested as a model of accelerated age-related cognitive decline [20,21]. This mouse shows histopathological signatures of AD, such as abnormal APP and amyloid-ß metabolism and oxidative damage and it exhibits cognitive and emotional disturbances from young ages [22]. It is widely used for the investigation of the mechanism of age-related learning and memory deficits and as a therapeutic intervention model for AD and other dementias [23,24]. Furthermore, the SAMP8 mice have been characterized by different learning and emotional tasks associated with circadian rhythms at different ages [25]. However, an extensive evaluation of the emotional abnormalities such as anxiety, social and aggressive behaviours with aging in older SAMP8 mice, and their implications in cognitive decline is still not well-described. While it has been described that the altered anxiety state of SAMP8 mice is related to learning impairments [26,27] and reduced social interaction [28], a comprehensive characterization of aggression in regard to cognitive and non-cognitive symptoms, has not been reported in SAMP8 strain. Specifically, this study examined different behavioural paradigms to detect the most important aspects of the non-cognitive phenotype in SAMP8 mice. We determined the emotional and cognitive states as well as some molecular parameters to establish the relationship among them. Thus, to our knowledge, although SAMP8 mice model is well-described AD rodent model, this is the first time that it was demonstrated that older SAMP8 mice exhibit a robust correlation of behavioural and emotional impairments with cognitive decline accompanied by molecular changes when compared to the senescence-accelerated resistant 1 (SAMR1) age-matched healthy control strain ( Figure 6).

Increased anxiety-like behaviour in older SAMP8 male mice
Emotional and anxiety-like behaviour parameters were evaluated by EPM and OFT. Our results revealed that SAMP8 group spent significantly more time in the closed arms ( Figure 1A) and less time in the center zone when compared to SAMR1 group ( Figure 1B). Interestingly, the percentage of time spent in open arms was also found increased in SAMP8 mice (Table S2). The vertical activity was also measured by counting the number of rearings done for each animal, and SAMP8 mice showed a significant decrease in this parameter compared to SAMR1 group ( Figure 1C). Moreover, OFT was performed to further evaluate the anxiety-like behaviour and locomotor activity in the SAM strains. SAMP8 presented a significant increase in the total distance travelled in the open field arena compared to the SAMR1 group ( Figure 1D). Accordingly, the vertical activity of the mice was evaluated, and it was found a significant increase in the number of rearings in SAMP8 group compared to the SAMR1 group ( Figure 1E). Finally, SAMP8 mice spent significantly more time in the border area of the open field arena when compared to SAMR1 mice ( Figure 1F) and tended to spend less time in the center zone (Table S3).

Reduction in cognition
Changes in anxiety and emotional behaviour  2.2. Impairment in social behaviour was present in aged SAMP8 male mice Sociable behaviour was assessed by TCT. No differences in the time spent in each chamber of the apparatus in the habituation phase was reported neither in the SAMP8 nor in the SAMR1 group, confirming the no-preference for any chamber ( Figure 2A). When an intruder animal was incorporated in one chamber (sociability phase), SAMR1 group significantly spent more time into the intruder's chamber, whereas SAMP8 mice did not show any preference between the empty and the intruder's chamber ( Figure 2B). In the same line, SAMP8 group spent significantly less time exploring the intruder mouse compared to SAMR1 mice ( Figure 2C) revealing a relevant difference between strains in terms of sociability. 2.3. Increased aggressive behaviour exhibited by older SAMP8 male mice SAMP8 male mice presented increased aggressive behaviour when compared to SAMR1 mice as evaluated by RI. The latency to the first attacks against the intruder was found significantly decreased in SAMP8 mice compared to the SAMR1 mice. The total number of aggressive encounters, including attacks and offensive uprights, was found again significantly increased for the SAMP8 mice ( Figures  3A-3C). Additionally, SAMP8 mice presented a tendency for the number of lateral threats to increase ( Figure 3D). Accordingly, we found a significant increase in the time percentage of the overall aggression in SAMP8 mice ( Figure 3E). Regarding the social interaction, the number of rearings was found reduced in the SAMP8 group in comparison with the SAMR1 group ( Figure 3F). 2.4. Impaired cognitive capabilities accompanied by molecular alterations in aged SAMP8 male mice NORT revealed robust cognitive deficits in SAMP8 mice when compared to age and sex mated SAMR1. The weakened performance of SAMP8 mice in recognition of the new object resulted in a significant decrease in the DI, obtained after the 2h short-memory test ( Figure 4A). Furthermore, we evaluated in hippocampal tissue some important neurotrophins such as NT3, BDNF, and NGF. Strikingly, we found a significant reduction in NT3, Bdnf and Ngf gene expression gene expression in older SAMP8 group in comparison with SAMR1 ( Figures 4B-D). Likewise, we evaluated the gene expression of their receptors, and we obtained that TrkA as well as TrkB were significant reduced in SAMP8 mice when compared to age-matched SAMR1 mice ( Figures 4E, 4F).

Relationship between behaviour and cognitive parameters
There was a significant positive correlation between sociability expressed as time exploring the intruder mouse in TCT, and the DI evaluated in NORT [r2 = 0.4501, p = 0.0312], showing that decreased social interaction of SAMP8 is associated with cognitive decline ( Figure 5A). Likewise, we found a significant positive correlation between the attack latency of the mice in the RI test and the DI [r2 = 0.5553, p = 0.0049], suggesting that increased aggressive behaviour exhibited by aged SAMP8 mice is strongly related to the progression of cognitive impairment ( Figure 5B). Regarding the anxiety

Discussion
It has been reported that most AD patients present an association between cognitive dysfunction and BPSD. About 95% of AD patients have at least one NPS and syndromes, being the most frequent aggression (76.2%) and depression (68%) [29]. However, few studies evaluate these symptoms that are unique to human beings [30], due to the lack of suitable animal models that can be directly used for the study of BPSD and age-related emotional alterations. Additionally, to the best of our knowledge, there is still no animal model that replicates identically all the psychiatric symptoms associated with AD. Indeed, transgenic animals are considered as an excellent tool to study alterations and symptoms related to familial AD but they are not good enough to evaluate sporadic aspects of the disease. The SAMP8 mouse is a well-characterized valid model for studying brain aging and AD [24]. Here, we investigated older male SAMP8 mice using a complete battery task to go deeper into the behavioural and emotional phenotype of the strain, focusing on the relationship between anxiety, aggression, sociability, cognitive deficits and synaptic markers. Our results revealed significant correlations between emotional disturbances and cognitive performance which was accompanied by synaptic disruption in the SAMP8 mouse, resembling the clinical situation notably well.
Enhanced fear and anxiety-like behaviour is frequently associated with aging and AD in rodents [31,32]. Previous studies have reported ambiguous results regarding the anxiety-like behaviour of SAMP8 mice. Several lines of evidence show that SAMP8 mice present an age-associated emotional disorder characterized by reduced anxiety-like behaviour, while more recent studies have demonstrated that SAMP8 strain presents enhanced fear and anxiety linked to age-related cognitive decline in advanced age when compared to SAMR1 strain [28,33,34]. Accordingly, we obtained mixed results after the SAMP8 and SAMR1 groups were tested in OF and EPM. On the one hand, SAMP8 mice tended to spend less time in the center zone of the OFT and significantly more time in the border zone, results that corroborate the previously observed increased anxiety-like behaviour in the SAMP8 strain. On the other hand, SAMP8 spent significantly more time in the open arms of the EPM and less time in the center of the maze which could imply decreased anxiety levels in the SAMP8 mice in accordance with previous studies. However, data from the same behavioural test indicated that SAMP8 mice tended to spend more time in the closed arms of the maze as well when compared to the SAMR1 mice. These two latter observations could indicate that the parallel increases in the time spent in both open and closed maze's arms could be due to the increased locomotor activity that SAMP8 showed, letting unclear the interpretation of the EPM data as reduced anxiety levels for SAMP8 mice. Fear and anxiety-like behaviour has been linked to age-related cognitive deficits in SAMP8 mice [20,22,35]. Accordingly, in our study, we found significant correlations between the anxiety-related parameters and the cognitive performance confirmed the association of emotional alterations with memory impairment in aged SAMP8 males.
Social dysfunction observed in human AD patients has been observed in transgenic AD mice as well [32,36]. In our study, 12-month-old male SAMP8 mice exhibited social behaviour deficits by presenting no differences in the chambers preference and consequently interacting for less time with the intruder. Together these results are in line with previously published results which described decreased sociability in SAMP8 mice [28]. Jointly with social impairments, aggression is one of the most distressing consequences of dementia and of special significance given its direct influence on social functionality [37]. To our knowledge, the evaluation of the aggressive behaviour in old SAMP8 male mice has not been reported. Here, we demonstrated that 12-month-old SAMP8 males displayed increased aggressive behaviour by presenting decreased latency to attack and increased the total number of attacks. These results add to the diverse BPSD phenotype of aged SAMP8 mice, the presence of aggressive disturbances and corroborate the manifestation of aggression in advanced age and dementia in this mouse model. In addition, when the relationship between social or aggressive behaviour with cognitive performance was investigated, we found significant correlations. Social interaction positively correlated with cognitive performance, indicating that social behaviour impairment in SAMP8 may be implicated in cognitive impairment. Likewise, a significant negative correlation was determined between aggression and cognitive performance. As a consequence, our findings in SAMP8 mice support the consensus that aggression and social impairments in AD and age-related dementias are associated with the degree of cognitive impairment.
Ultimately, it has been described that BDNF, NT3, and NGF neurotrophins are involved in NPS such as anxiety, depression and aggressive behaviour [38]. In accordance with this, here, we demonstrated a consistent reduction in Bdnf, NT3, and Ngf gene expression in older SAMP8 male mice. In line with these results, cumulative studies with AD animal models demonstrated that decreased BDNF [39] and NGF [38] levels lead to neuronal and synaptic dysfunction and eventual cognitive impairment. In parallel, a reduction of Trk receptors was observed in aged SAMP8 male mice since a remarkable decrease in the gene expression of TrkA and TrkB neurotrophin receptors was determined, further supporting the deficits in the synaptic function of the SAMP8 strain.
To sum up, we demonstrated the presence of behavioural alterations in aged SAMP8 male mice including anxiety disorders, social impairment and aggressive behaviour, which correlated with the age-related cognitive deficits and neurotrophin alterations. These findings are in agreement with previous findings regarding the SAMP8 mouse model and give further support to this senescence model as a tool in gerontological research and shed new insight into the suitability of SAM strains for the study of non-cognitive alterations accompanied cognitive impairment and molecular changes in senescence.

Subjects
A total of 26 males SAMP8 and SAMR1 mice aged 12-month-old were used to perform behavioural experiments. The animals were divided into two groups: SAMP8 (n=14) and SAMR1 (n=12). Animals had free access to food and water and were maintained under standard temperature conditions (22 ± 2°C) and 12h light-dark cycle (300 lux/0 lux) in plastic cages with wood shaving bedding.
All experimental procedures involving animals were followed the standard ethical guidelines of European Communities Council Directive 86/609/EEC and by the Institutional Animal Care and by Generalitat de Catalunya (10291, approved 1/28/2018). All efforts were made to minimize the number of mice used and their suffering.

Open Field Test
Emotional alterations were evaluated by the Open Field (OF) test and performed using a white plywood apparatus (50 × 50 × 25 cm), as previously described [40]. Apparatus' ground was divided into center and peripheral areas. Behaviour was evaluated with SMART ver. 3.0 software (Panlab, Cornellà, Barcelona, Spain), and each trial was recorded for later analysis, with the use of a camera fixed to the ceiling, above the apparatus. Mice were placed at the centre of the open field and allowed to explore the apparatus for 5 min. After the session, mice were returned to their home cages, and the open field was cleaned with 70% ethanol and allowed to dry between sessions. The parameters scored included Locomotor Activity calculated as the sum of total distance travelled in 5 min as well as the time spent in Centre and Periphery zone, and the number of rearings, defecations, and urinations.

Elevated Plus Maze
The anxiety-like behaviour was assessed by The Elevated Plus Maze (EPM) apparatus was performed in an apparatus which consisted of two open arms (30 x 5 x 15 cm) and two closed arms (30 x 5 x 15 cm) as described previously [40]. The arms radiated from a central platform (5 × 5 cm). Behaviour was scored with SMART ver. 3.0 software (Panlab, Cornellà, Barcelona, Spain), and each trial was recorded for later analysis, utilizing a camera fixed to the ceiling above the apparatus. To initiate the test session, the mice were placed on the central platform, facing an open arm, and allowed to explore the apparatus for 5 min. After the session, the mice were returned to their home cages, and the EPM apparatus was cleaned with 70% ethanol and allowed to dry between tests. Parameters recorded included total distance travelled during the 5-min test, time spent in open arms, closed arms and centre as well as the number of rearings.

Novel Object Recognition Test (NORT)
Object novel recognition was performed in a 90-degree, two-arm, 25-cm-long, 20-cm-high maze as previously described [41]. The walls could be easily removed for cleaning. Briefly, mice were individually habituated to the apparatus for 10 min for 3 days. On day 4, they were submitted to a 10-min acquisition trial (familiarization phase), during which, they were placed in the maze and allowed to explore two identical novel objects (A+A or B+B) placed at the end of each arm. 10-min retention trials (test phase) occurred 2 h and 24h after the familiarization phase. During test phase, one of the two identical objects were replaced by a novel one and the time spent exploring the new object (TN) and the old one (TO) were evaluated manually. The discrimination index (DI) was calculated as (TN-TO/TN+TO). To avoid object preference biases, objects A and B were counterbalanced so that one half of the animals in each experimental group were first exposed to object A and then to object B, whereas the other one half first saw object B and then object A was presented. The maze, the surface, and the objects were cleaned with 70% ethanol between the animals' trials to eliminate olfactory cues.

Three Chamber Test (TCT)
The Three-Chamber test assesses cognition through sociability and interest in social novelty [42]. The TCT was performed using a box (15 x 15 x 20 cm) divided in three equally dimensioned rooms with openings among them. Testing had a duration of 20 minutes and occurred in two phases within the TCT apparatus. The animal was placed in the center of the box and allowed to explore the three chambers for 5 min (Habituation phase). The time spent in each room during the habituation phase was measured manually. Afterwards, an intruder (same sex and age) was added to one of the rooms in a metal cage and behaviour was recorded for 10 min. In this phase, both the time spent in each room and the time interacting with the intruder (e.g., sniffing, grooming) were measured. The TCT apparatus, the surface, and the metal cages were cleaned with 70% ethanol between the animals' trials to eliminate olfactory cues.

Resident-Intruder Test
The Resident-Intruder (RI) test was performed in order to evaluate the aggressive behaviour exhibited by the animals as described previously [43]. Briefly, the test subjects (residents) were isolated in separate cases for 7 days prior to the performance of the test. On the test day, an intruder animal (C57/BL6 male, 2-months-old) was introduced in the resident home cage. The entire 20-min session was video-recorded for later analysis. Aggressive behaviour of the residents was evaluated as latency for the first attack, offensive uprights, lateral threats, total number of attacks as well as the overall time (%) of aggression, which was measured manually. Social interaction during the 20-min session was evaluated as a number of rearings.

RNA extraction and gene expression determination
Total RNA isolation was carried out using TRIsure TM reagent following the manufacturer's instructions (Bioline Reagent, London, UK). RNA content in the samples was measured at 260 nm, and the purity of the samples was determined by the A260/280 and A260/230 ratio in a NanoDrop™ ND-1000 (Thermo Scientific). Reverse transcription-Polymerase chain reaction (RT-PCR) was performed as follows: 2 μg of messenger RNA (mRNA) was reverse-transcribed using the High Capacity cDNA Reverse Transcription kit (Applied Biosystems, Foster City, CA, USA). Real-time quantitative PCR (qPCR) was employed to quantify the mRNA expression of NT3, Bdnf, TrkA and TrkB. The primers were those listed in Table S1.
For SYBER Green, real-time PCR was performed in the Step One Plus Detection System (Applied Biosystems) employing the SYBR Green PCR Master Mix (Applied Biosystems). Each reaction mixture contained 6.75 μL of cDNA, whose concentration was 2 μg, 0.75 μL of each primer (whose concentration was 100 nM), and 6.75 μL of SYBR Green PCR Master Mix (2X).
Data were analyzed by using the comparative Cycle threshold (Ct) method (ΔΔCt), where the β -actin transcript level was used to normalize differences in sample loading and preparation. Each sample (n = 4-6) was analyzed in duplicate, and results represented the n-fold difference of transcript levels among different samples.

Statistical Analysis
Preprints (www.preprints.org) | NOT PEER-REVIEWED | Posted: 8 January 2021 doi:10.20944/preprints202101.0162.v1 Data are expressed as the mean ± Standard error of the mean (SEM). Statistical analyses were performed using unpaired Student's t test with GraphPad Prism ver. 8 for Mac. Correlations among different parameters were analyzed with Pearson's correlation. Statistical significance was considered when p-values were <0.05. Statistical outliers were discriminated using Grubbs' test and were removed from the analysis.

Conflicts of Interest:
The authors of this manuscript have no conflict of interests to declare.

AD
Alzheimer's disease ANOVA One-way analysis of variance BDNF BPSD Bran-derived neurotrophic factor Behavioural and psychological symptoms of dementia cDNA CNS  Ct  DI  EPM  GAPDH  mRNA  ND  NGF  NORT  NPS  NT3  OD  PCR  PVDF  RNA  qPCR  RI  SAMP8  SAMR1  SEM  SDS-PAGE  TBS  TBS-T  TCT  TN