miR‐132 loss de‐represses ITPKB and aggravates amyloid and TAU pathology in Alzheimer's brain

Abstract microRNA‐132 (miR‐132) is involved in prosurvival, anti‐inflammatory and memory‐promoting functions in the nervous system and has been found consistently downregulated in Alzheimer's disease (AD). Whether and how miR‐132 deficiency impacts AD pathology remains, however, unaddressed. We show here that miR‐132 loss exacerbates both amyloid and TAU pathology via inositol 1,4,5‐trisphosphate 3‐kinase B (ITPKB) upregulation in an AD mouse model. This leads to increased ERK1/2 and BACE1 activity and elevated TAU phosphorylation. We confirm downregulation of miR‐132 and upregulation of ITPKB in three distinct human AD patient cohorts, indicating the pathological relevance of this pathway in AD.


Introduction
The pathogenic process in Alzheimer's disease (AD) involves a long cellular phase during which intricate feedback and feed-forward cascades between distinct cell types affect the homeostasis of the brain. This progressively leads to the clinical stage of the disease (De Strooper & Karran, 2016). MicroRNAs (miRNAs) keep the expression of various genes in check and are typically part of molecular homeostasis mechanisms. While the expression of miRNAs is disturbed in AD brain (Hébert et al, 2008;Lau et al, 2013), it remains largely unknown how these aberrations are induced and whether they play a role in disease progression (Salta & De Strooper, 2012). Even if the disruption of miRNA expression is part of the general pathogenic process induced by accumulating toxic cues, it remains important to investigate whether loss or gain of function of particular miRNAs has also a specific functional impact on AD pathology. miRNAs that are systematically and early downregulated in the disease course are of particular interest in that regard.  is one of the few miRNAs that are consistently and robustly downregulated in AD brain (Cogswell et al, 2008;Hebert et al, 2013;Lau et al, 2013;Wong et al, 2013;Smith et al, 2015), suggesting a functional involvement in the pathogenic process. miR-132 has neuroprotective properties regulating the prosurvival PI3K-AKT pathway, which represses a death signaling cascade that involves FOXO3a, P300, and PTEN in primary hippocampal and cortical neurons (Wong et al, 2013). Moreover, miR-132 expression levels are negatively correlated to hyperphosphorylated TAU aggregates in the cortex of AD patients (Lau et al, 2013) and miR-132 knockout increases TAU phosphorylation and aggregation in a triple transgenic AD mouse model (Smith et al, 2015). Notably, miR-132 deficiency in AD brain might have additional neurotoxic effects as miR-132 is involved in neuronal plasticity and synaptic function (Edbauer et al, 2010;Bicker et al, 2014;Salta et al, 2014), it has been implicated in neuroinflammation and the regulation of acetylcholinesterase expression (Shaked et al, 2009), while activity-induced CREB-dependent miR-132 transcription also contributes to memory formation and cognition (Hansen et al, 2013). Overall these observations suggest that loss of miR-132 could play a pivotal role in several aspects of AD. However, to date, little hard data are available providing factual support to the hypothesis that miR-132 is part of the disease process.
In this study, we set out to characterize the functional impact of miR-132 deficiency on AD pathology in brain and to begin to dissect the molecular networks underlying these effects. We demonstrate here that downregulation of miR-132 aggravates both amyloid and TAU pathology in AD mice and that it regulates the expression of inositol 1,4,5-trisphosphate 3-kinase B (ITPKB), a regulator of BACE1 activity and TAU phosphorylation (Stygelbout et al, 2014). We suggest that loss of miR-132 is part of a feed forward loop enhancing the biochemical stress that drives the disease.

Results
In vivo manipulation of miR-132 levels in the hippocampus of APPPS1 mice We previously observed miR-132 downregulation at Braak stage III in AD brain (Lau et al, 2013), suggesting a relatively early role of this miRNA in the disease process. To assess this further, we downregulated miR-132 using intracerebroventricular (ICV) injections of locked nucleic acid (LNA)-modified, 3 0 cholesterol-conjugated antisense A Experimental scheme of antagomiR-132 and miR-132 mimic injections into the lateral ventricle of 2-month-old APPPS1 mice. B Semi-quantitative PCR of miR-132 and negative control miRNAs in the hippocampus of antagomiR-132-injected mice (ant-132) in comparison with control-injected animals (aCSF and scramble) at 6 months of age. Sample size, n = 9 per group. C FISH of miR-132 and negative control miR-124 in the hippocampus of ant-132-and scramble-injected mice. Scramble probes were used as FISH negative controls.
Scale bar, 500 lm. D Semi-quantitative PCR of miR-132 and miR-212 in the hippocampus of 3-month old miR-132 mimic-injected mice (miR-132) compared to animals injected with a negative control oligonucleotide (Ctr). Sample size, n = 6 per group.
Data information: Values were normalized to scramble-(B) or control-injected group (D) and presented as mean AE SEM. In (B), one-way ANOVA was used, while in (D), Student's t-test was applied.
We additionally performed overexpression experiments using doublestranded miR-132 mimic oligonucleotides. Four ICV injections of 150 pmol miR-132 mimic with one-week interval led to a 15-fold upregulation of miR-132 in hippocampus at 3 months of age, again without affecting the levels of the closely related miR-212 ( Fig 1D).

miR-132 regulates soluble and insoluble Ab
We assessed the levels of Ab after up-or downregulation of miR-132. Amyloid immunostaining in the ant-132-injected animals revealed a twofold and a 1.7-fold increase of plaque burden in hippocampus and cortex, respectively (Fig 2A and B). We next used ELISA to measure hippocampal Ab 40 and Ab 42 levels. Both peptides were significantly increased in the cytoplasmic and extracellular TBS-soluble and the A C D B Figure 2. Effect of miR-132 on Ab accumulation.
A Amyloid staining (6E10) combined with miR-132 FISH in ant-132-and scramble-injected mice at 6 months of age. Scale bar, 500 lm. B Quantification of amyloid burden in hippocampus and cortex of ant-132-injected and control animals (see Materials and Methods). Sample size, n = 4 per group. C, D ELISA of soluble (TBS) and insoluble (Formic acid) Ab 40 and Ab 42 levels in the hippocampus of ant-132-(C) and miR-132-injected (D) animals at 6 and 3 months of age, respectively. Sample size, n = 6 per group.  Fig 2C). In contrast, a significant decrease of soluble and insoluble Ab 40 and Ab 42 was observed upon miR-132 ectopic expression in hippocampus ( Fig 2D). These data indicate an inhibitory effect of miR-132 over soluble and aggregated Ab species formation.

miR-132 controls TAU phosphorylation
Among the most prominent kinases involved in TAU hyperphosphorylation in AD are ERK1/2, CDK5, and GSK3B (Mandelkow et al, 1995), and in silico analysis (Targetscan 7.0) predicts ERK1, ERK2, GSK3b, and TAU itself as putative miR-132 targets in human and mouse. Total TAU levels were, however, not affected following miR-132 down-or upregulation ( Fig 3A and B top panel) contrary to a previous report (Smith et al, 2015). TAU phosphorylation levels were, in contrast, significantly altered in antagomiR-132-or miR-132 mimic-injected mice as assessed by Western blot using antibody AT8 against phosphorylated Ser-202/Thr-205 and antibody AT270 against phosphorylated Thr-181 (Mandelkow & Mandelkow, 2012) (Fig 3A and B middle and bottom panels). These two epitopes can be phosphorylated by ERK1/2, CDK5, and GSK3b ( Fig EV1). However, no change in the expression levels of these kinases was observed upon miR-132 downregulation in APPPS1 hippocampus ( Fig EV2). We further assessed the phosphorylation of two additional sites in TAU, which are phosphorylated by CDK5 and GSK3B but not by ERK1/2, namely Thr-212/ Ser-214 (recognized by antibody AT100) and Thr-231 (recognized by antibody AT180) (Mandelkow & Mandelkow, 2012; Fig EV1). Interestingly, phosphorylation levels of these epitopes were unaffected by miR-132 ectopic expression, which, together with the positive AT8/ AT270 staining, suggested that ERK1/2 might be part of the kinases involved in the miR-132-mediated effect on TAU phosphorylation.

miR-132 target identification
While the previous experiments demonstrate that miR-132 downregulation increases Ab generation and TAU phosphorylation, the targets mediating these effects remain unknown. In a first approach to make a choice among the 1,332 predicted miR-132 targets conserved among human and mouse (Targetscan 7.0), we made use of data previously obtained in six healthy (Braak stage 0-I) and six diseased human AD (Braak stage V-VI) prefrontal cortex (PFC) samples. We quantified the levels of miR-132 in the different brains using the next generation RNA sequencing dataset published in Lau et al (2013) and the levels of the different candidate mRNAs as deduced from the microarray transcriptome study performed on the same samples (Bossers et al, 2010) and correlated miR-132 expression and predicted miR-132 target levels ( Fig 4A) (see Materials and Methods). This approach yielded a list of 19 predicted miR-132 targets whose expression is significantly upregulated and anticorrelated with miR-132 levels in AD (Table 1). We then assessed with real-time PCR A B Figure 3. Regulatory effect of miR-132 on TAU expression and phosphorylation.
A, B Western blot analysis of total TAU and pTAU (AT8, AT270) levels upon miR-132 knockdown (A) or overexpression (B) at 6 and 3 months of age, respectively. Sample size, n = 9 per group (A) and n = 6 per group (B). Values were normalized to the respective control groups and presented as mean AE SEM. Student's t-test was used.
Source data are available online for this figure.
EMBO Molecular Medicine Vol 8 | No 9 | 2016 ª 2016 The Authors EMBO Molecular Medicine miR-132 ameliorates Ab and TAU pathology in AD Evgenia Salta et al which of these transcripts additionally became upregulated in the APPPS1 mice upon miR-132 downregulation ( Fig 4B). We set as threshold a 1.3-fold change above baseline levels (Selbach et al, 2008) and found five mRNAs that responded to that criterion: Taf4, Arid1A, Erbb2ip, ItpkB, and Kccn3. A search in PubMed using as keywords each transcript's name in combination with Alzheimer, amyloid, Abeta, or TAU yielded no results for Taf4, Arid1A, Erbb2ip, and Kcnn3. However, strikingly, one of these candidates, the inositol 1,4,5-trisphosphate 3-kinase B (ITPKB), was recently shown to induce both Ab aggregation and TAU phosphorylation in 5XFAD mice (APP K670N/M671L (Swedish) + I716V (Florida) + V717I (London), and PS1 M146L + L286V) (Stygelbout et al, 2014). Since such a target would theoretically explain the observed impact of miR-132 deficiency on Ab and pTAU in APPPS1 mice, we set out to further explore the possible regulatory interplay between miR-132 and ITPKB.
The miR-132 target ITPKB mediates miR-132 effects on Ab The 3 0 UTR of ITPKB contains one predicted miR-132 binding site conserved among human and mouse and an additional one which is unique to human ITPKB. We used a luciferase reporter construct containing the human ITPKB 3 0 UTR to co-transfect HEK293 cells along with a miR-132 mimic or a negative control oligonucleotide. Cotransfection with the miR-132 mimic led to an approximate luminescence repression of 70% compared to the negative controltransfected cells ( Fig 5A). Mutating the two predicted miR-132 binding sites in the 3 0 UTR of ITPKB completely abolished the effect on luciferase enzymatic activity (Fig 5A), indicating that ITPKB is a direct miR-132 target in vitro. Since ITPKB has been shown to affect Ab generation (Stygelbout et al, 2014), we assessed whether ITPKB is necessary and/or sufficient to induce the effect of miR-132 on Ab levels. Transfection of HEK293 cells overexpressing human APP Swe with a miR-132 antisense oligonucleotide led to a significant increase of both Ab 40 and Ab 42 confirming our in vivo findings ( Fig 5B). Interestingly, downregulation of ITPKB using an siRNA oligonucleotide resulted in a reduction of Ab levels pointing toward the pro-amyloidogenic role of ITPKB ( Fig 5B). Moreover, simultaneous downregulation of ITPKB rescued the miR-132 knock down effect on Ab levels ( Fig 5B). Knockdown efficiency of miR-132 and ITPKB is shown in Fig EV3. We then assessed whether altering ITPKB levels was sufficient to exert an effect on Ab levels in vivo. Indeed, downregulation of ITPKB using ICV injections of an ITPKB siRNA resulted in significantly decreased insoluble Ab levels in APPPS1 hippocampus ( Fig 5C and  D), a finding that mimics the effects observed upon miR-132 overexpression and indicates the possible functional involvement of ITPKB in the miR-132-dependent effect on Ab. Finally, to dissect the in vivo regulatory relationship between miR-132 and ITPKB, we assessed ITPKB expression in the hippocampus of antagomiR-132-and miR-132 mimic-injected APPPS1 mice. ITPKB was significantly upregulated following miR-132 downregulation (Fig 5E), while miR-132 overexpression significantly repressed ITPKB levels ( Fig 5F) indicating that, also in vivo, ITPKB is under the regulatory control of miR-132.

miR-132 regulates ERK1/2 and BACE1 enzymatic activity
It has been previously shown that ITPKB has a dual regulatory role in relation to AD pathology: It can affect BACE1 activity leading to more Ab generation, while at the same time, it promotes TAU phosphorylation via phosphorylation and activation of ERK1/2 (Stygelbout et al, 2014). No differences between antagomiR-132-and control-injected mice were observed with regard to total APP and BACE1 levels ( Fig EV4). Interestingly, APP CTFb and soluble APPb (sAPPb), the two products derived from the proteolytic processing of APP by BACE1, were indeed elevated upon miR-132 downregulation in the hippocampus of the APPPS1 mice, while a significant decline was observed upon miR-132 upregulation (Fig 6A and B), indicating that miR-132 negatively regulates BACE1 activity. Moreover, increased levels of phosphorylated ERK1/2 were observed in the antagomiR-132-injected mice, while reversely, phosphorylation of ERK1/2 decreased in the miR-132 mimic-injected A B Figure 4. miR-132 target screening and validation.
A Correlation analysis process: miRNA and mRNA profiling datasets were crosschecked for miR-132 predicted targets that are significantly anticorrelated to miR-132 expression and significantly upregulated at late stages of AD. B Positive hits were validated by semi-quantitative qPCR in ant-132-injected mouse hippocampus. Black line indicates mean of scramble control set to 1. APPPS1 hippocampus (Fig 6C), suggesting that miR-132 acts upstream of ITPKB in a cascade eventually regulating ERK1/2 phosphorylation.
ITPKB colocalizes with amyloid plaques and neurofibrillary tangles in human AD brain and exhibits a mutually exclusive expression pattern to miR-132 We further validated miR-132 levels in an independent set of human AD prefrontal cortex samples. miR-132 was approximately twofold downregulated in AD compared to non-demented control samples in agreement with previous work (Lau et al, 2013; Fig EV5). miR-124 was previously reported not to change in human AD prefrontal cortex (Lau et al, 2013) and was therefore used as negative control. Interestingly, ITPKB colocalized with amyloid plaques (Fig 7A). We then assessed the in situ expression patterns of miR-132 and ITPKB in neurons bearing NFTs in AD prefrontal cortex (Fig 7B and C). Low miR-132 expression was observed in cells displaying ITPKB and pTAU accumulation, while miR-132 signal was high in cells with lower ITPKB + -and pTAU + -immunolabeling. This was not observed for miR-124 expression. ITPKB levels were elevated in cells with strong pTAU immunoreactivity.
The miR-132/ITPKB pathway is disrupted in human AD brain We finally assessed the expression of the different molecular players in 39 late-stage AD and 15 control hippocampal samples. These brains were part of the patient cohorts in which we originally reported the downregulation of miR-132 (Lau et al, 2013). We confirmed miR-132 deficiency in these samples by real-time PCR (Fig 8). Interestingly, along elevated phosphorylated ERK1/2 and phosphorylated TAU levels, we also observed significantly increased ITPKB expression (Fig 8). Notably, ITPKB levels were significantly correlated to phosphorylated TAU (AT270) levels (Pearson's r = 0.7; P = 0.002). No changes in total ERK1/2 or TAU expression were observed.

Discussion
We show here that loss of miR-132 in the context of an AD mouse model affects the two arms of the biochemical cascade that leads to the well-known AD pathology. miR-132 knockdown in APPPS1 mice increases soluble and insoluble Ab and amyloid burden, while it also enhances TAU phosphorylation in hippocampus. These effects are reversed upon miR-132 overexpression, suggesting a direct relation between miR-132 levels and these biochemical phenotypes. Thus, the strong miR-132 downregulation previously observed in AD brain is not only a consequence of the disease process but also contributes to the biochemical alterations that characterize the pathology. The dual effect on Ab and TAU is surprising and is apparently-partially-mediated by inositol 1,4,5-trisphosphate 3-kinase B or ITPKB. Interestingly, ITPKB mRNA and protein levels increase up to threefold in human AD frontal cortex ( (Wen et al, 2004;Maréchal et al, 2007) leading to increased TAU phosphorylation and at the same time enhanced BACE1 activity (and Ab accumulation) in another mouse model of AD (Stygelbout et al, 2014). Along these lines, we report that ITPKB deficiency in vivo results in a significant decrease in Ab levels in AD mouse hippocampus. The direct link between miR-132 and ITPKB was further confirmed in a genetic occlusion experiment in cell culture demonstrating that the effect of downregulation of miR-132 on Ab generation is neutralized by downregulating ITPKB at the same time (Fig 5B).
We and others previously suggested that miR-132 directly affects TAU expression as MAPT mRNA contains a miR-132 binding site (Lau et al, 2013;Smith et al, 2015). We could not demonstrate such an effect here, although Smith et al (2015) recently reported elevated mouse and human TAU expression in both wild-type and triple transgenic (APP Swe /PSEN M146V /TAU P301L , 3xTg-AD) mice following genetic deletion of the miR-132/212 cluster. Obviously, we induce here miR-132 knockdown in young adult mice, while the genetic knockout is already present at birth, which could explain this apparent discrepancy. It should be pointed out, however, that in the latter model, the human TAU transgene does not contain the MAPT 3 0 UTR, and therefore, it is not clear how the increased human TAU levels in the miR-132 knockout mice are A C E F D B Figure 5. miR-132 regulation over ITPKB.
A Luciferase reporter assay of wild-type (wt) and mutant (mut) ITPKB 3 0 UTR in HEK293 cells co-transfected with a synthetic miR-132 (miR-132) or a negative control (Neg Ctr) oligonucleotide. B ELISA of Ab 40 and Ab 42 levels in HEK293-APP swe cells transfected with a miR-132 antisense oligonucleotide (miR-132 inh), an siRNA against ITPKB (ITPKB siRNA) or both. C Western blot analysis of ITPKB knockdown in APPPS1 hippocampus using an siRNA oligonucleotide against ITPKB. Sample size, n = 6 per group. Values were normalized to control-injected group (Ctr) and presented as mean AE SEM. D ELISA of insoluble (formic acid soluble) Ab 40 and Ab 42 levels in the hippocampus of ITPKB siRNA-and control-injected animals at 3 months of age. Sample size, n = 6 per group. Values were normalized to control group and presented as mean AE SEM. E, F Western blot analysis of ITPKB levels upon miR-132 down (E)-or upregulation (F) at six and three months of age, respectively. Sample size, n = 9 per group for miR-132 downregulation and n = 6 per group for miR-132 overexpression. Values were normalized to control groups and presented as mean AE SEM. Our data indicate that the endogenous TAU is not directly affected by miR-132 regulation, but that, indirectly, increased activity of ERK1/2, induced by ITPKB, could explain the increased TAU phosphorylation. The second AD-related effect of miR-132 downregulation, the increase in Ab generation, is also-at least partially-mediated by increased ITPKB levels. This effect has the signature of increased BACE1 activity as APP CTFb and sAPPb were increased, as well. A previous report had already indicated that ITPKB activates BACE1 (Stygelbout et al, 2014). Interestingly, ERK1/2 has previously been shown to affect membrane lipid composition and thereby promote BACE1 enzymatic activity via phosphorylation of sphingosine kinase in neurons (Takasugi et al, 2011). Further supporting the possible relevance of these observations in human brain, we found increased levels of phosphorylated sphingosine kinase in the AD hippocampi compared to the controls (Fig 8).
The real novelty of our work stems from the insight that miR-132 is upstream of ITPKB, which links our previous observation of miR-132 downregulation in AD to a pathologically relevant mechanism. The link between miR-132 and ITPKB, ERK1/2 activity, APP processing, Ab accumulation and TAU phosphorylation is strong as shown by the consistent effects upon in vivo up-and downregulation of miR-132 in the brain of an AD mouse model. We further employed three independent sets of AD patient samples to explore to which extent the proposed miR-132/ITPKB pathway may also occur in AD brain. Notably, ITPKB significantly increased in latestage AD hippocampal samples, in which miR-132 levels were found to be decreased by approximately 50%. Moreover, in the same set of samples, we were able to confirm enhanced levels of activated ERK1/2 (pERK1/2) and pTAU. ERK is required for TAU hyperphosphorylation in mice (Le Corre et al, 2006), while ERK1/2 activity, but not total protein levels, was previously found to be elevated in human AD brain (Ferrer et al, 2001) concomitantly with initial TAU deposition, reflecting one of the earliest events in disease pathogenesis (Stygelbout et al, 2014). This is remarkably congruent with the miR-132 downregulation at the early Braak stage III as previously reported (Lau et al, 2013).
We report here that the well-established miR-132 loss in AD brain has a presumably early, dual effect on key biochemical aspects of pathogenesis: It aggravates both amyloid and TAU pathology likely, and at least partially, via direct regulation of the kinase ITPKB. This mechanism amplifies both pathologies. Strategies to simultaneously tackle both amyloid and TAU pathways in AD would possibly represent a highly efficient approach to halt the pathogenic process. Therefore, and given the versatility and the increasing know-how in using miRNAs as therapeutics, it is attractive to speculate on the potential use of miR-132 mimics to A B C Figure 6. Effect of miR-132 regulation on BACE1 and ERK1/2 activity.

Animal procedures
All animal experiments were approved by the ethical committees of KU Leuven and UZ Leuven (LA1210596). Eight-week-old males were used in all stereotaxy protocols. Sample size was estimated in pilot studies prior to each experimental approach.
Source data are available online for this figure.
EMBO Molecular Medicine Vol 8 | No 9 | 2016 ª 2016 The Authors antagomiR-132-injected animals was performed at 6 months of age. For miR-132 overexpression, mice received either a miR-132 mimic or a negative control oligonucleotide (Dharmacon, GE Healthcare, Belgium) in a mix with lipofectamine 2000 (at a 1:1 volume ratio) (Thermo Fischer Scientific, Belgium). Injections of 150 pmol oligo each were performed once a week for 1 month in total. Analysis of miR-132 mimic-injected animals was carried out at 3 months of age. For in vivo ITPKB downregulation, 11-week-old mice received either an siRNA against ITPKB (Accell mouse SMARTpool ITPKB siRNA, Dharmacon, GE Healthcare, Belgium) or a control oligonucleotide (2 injections of 1 lg each with 4 days interval at a 1:1 volume ratio in lipofectamine) and sacrificed at 3 months of age. Randomization of injectates was employed for all injection sessions, and animals were randomly allocated to each treatment.

RNA isolation, reverse transcription, and real-time PCR
For RNA analysis, hippocampi were processed using the miRVana Paris Kit (Life Technologies, Belgium) according to the manufacturer's instructions. Briefly, tissue was homogenized (or cells were lysed) in 300 ll cell disruption buffer supplemented with protease and phosphatase inhibitors. Following denaturation, addition of acid phenol:chloroform, incubation, and centrifugation, 1.25 volumes of ethanol 100% were added to the aqueous phase. The samples were then loaded on miRVana spin columns and processed according to the manufacturer's instructions. Reverse transcription of 200 ng (mRNA) or 100 ng (miRNA) RNA was performed using the Superscript II reverse transcriptase (Invitrogen, Life Technologies Europe, Belgium) for protein-coding transcripts and the Universal cDNA synthesis kit (Exiqon, Denmark) for miRNAs. Real-time semi-quantitative PCR was performed using the LightCycler 480 Sybr Green (Roche Diagnostics, Belgium) for coding transcripts and the Sybr Green mastermix and LNA PCR primers (Exiqon, Denmark) for miRNAs. The primer sequences can be found in Appendix Table S1. Primers. Cp (crossing points) were determined by using the second derivative method. Fold changes were calculated with the DDCt method (Livak & Schmittgen, 2001).

Western blotting
For protein analysis, tissue was homogenized (or cells were lysed) in 300 ll cell disruption buffer as described above. Following centrifugation, the supernatants were diluted in 1× SDS-PAGE loading buffer containing 5% b-mercaptoethanol, boiled for 5 min at 96°C and centrifuged briefly. About 15 lg (mouse), 15 lg (cells), or 30 lg (human) of protein were finally electrophoresed on NuPAGE 10% Bis-Tris gels (Invitrogen, Life Technologies, Belgium). Following electrotransfer, the nitrocellulose membranes were blocked in blocking solution (5% milk powder in TBS-Tween 0.1%) and then incubated with primary antibodies in blocking solution overnight. Blots were incubated with the appropriate secondary antibody in blocking solution for 1 h at room temperature and then developed using chemiluminescence (Perkin Elmer, USA).

Image acquisition and quantification
Images (z-stacks) were acquired using a Nikon A1R Eclipse Ti confocal microscope. The FIJI software was employed for image processing and quantification. In all quantifications, four sections per sample were used with 100 lm distance between each two sections and average values for each sample were calculated. For amyloid burden, a region of interest was manually drawn around each plaque and the total area occupied by plaques in hippocampus or cortex was calculated per sample. The mean of the total area in scramble-injected mice was set to 100, and all values were normalized to 100%. For miR-132 and miR-124 total signal quantification in human prefrontal cortex, integrated density of miR staining in grey matter was calculated. The mean of the integrated density in ND samples was set to 100, and all values were normalized to 100%. For single-cell colocalization analysis of miR-132, ITPKB, and pTAU, the mean integrated density for each of the three signals (miR-132, ITPKB, and AT8) across all the cells analyzed (435 cells) was set to 100. The integrated intensity of each of the three signals for each cell was then normalized against the appropriate mean to 100%. Eventually cells were grouped together into two separate groups based on the miR-132 normalized intensity (high or low). The cell populations analyzed spread equally across the three AD PFC samples. All image quantifications were performed in a singleblind manner.

Cell culture and transfections
For miR-132 downregulation, a miR-132 antisense hairpin inhibitor was used (GE Healthcare, Belgium) to transfect HEK293-APP swe using lipofectamine. Control transfections were performed using a negative hairpin oligonucleotide (GE Healthcare, Belgium). For ITPKB knockdown, a 27-mer siRNA duplex against human ITPKB or a scrambled negative control were used (Origene, USA) to transfect HEK293-APP swe using lipofectamine. Briefly, cells were seeded on 12-well plates at a cell density of 250,000 cells per well. Twenty-four hours after seeding, cells were transfected and finally harvested 72 h thereafter.

Correlation analysis
To correlate the expression of hsa-miR-132-3p to the expression of its predicted targets in the human prefrontal cortex, the normalized miRNA deep sequencing data were obtained from Lau et al (2013) and the normalized mRNA microarray data from Bossers et al (2010), both of which were performed on the prefrontal cortex of the same patient cohort from the Netherlands Brain Bank (Amsterdam, Netherlands). The data for the six Braak 0-I and six Braak V-VI patients were derived from the full normalized mRNA microarray dataset. Pearson's correlation coefficient and accompanying P-values and Benjamini-Hochberg-corrected P-values were calculated for the expression of hsa-miR-132-3p versus all detected mRNAs. A total of 960 transcripts were mapped to the mRNA profiling dataset out of a total of 1332 initially predicted (Targetscan 7.0) miR-132 targets.

Luciferase assay
The 3 0 UTRs were obtained by Gen9, Inc., USA. Subcloning into the psiCHECK plasmid, transfection into wild-type HEK293 cells, and luciferase assay were performed as previously described (Salta et al, 2014).

Ab extraction and ELISA
For Ab isolation and quantification in hippocampi, the three-step Ab extraction protocol was adapted from Shankar et al (2011). Briefly, TBS extracts were prepared by mechanical homogenization of tissue in TBS supplemented with protease and phosphatase inhibitors and subsequent centrifugation at 88,000 g in a TLA 100.4 rotor on a Beckman for 1 h at 4°C. TBS-Triton X-100 extracts were obtained by rehomogenizing the pellets from the previous step in TBS with 1% Triton X-100, followed by ultracentrifugation as before. Finally, rehomogenization of the previous pellet in 88% formic acid, sonication, overnight incubation at 4°C, and neutralization in non-buffered Tris 1 M yielded the formic acid extract. For Ab quantification in vitro, HEK293-APP swe (kind gift from Christian Haass) were grown on poly-l-lysine plates in DMEM/F12 with 10% FBS for 48 h following transfection. Medium was replaced with DMEM/F12 with 1% FBS, and cells (for protein and RNA isolation) and medium (for Ab quantification) were collected 24 h thereafter. Ab ELISA measurements were performed as previously described . Values were normalized to extract protein concentration (for TBS extracts) or cell protein concentration (for HEK293-APP swe ).

Human samples
Hippocampal tissue samples were obtained from the London Neurodegenerative Diseases Brain Bank. These samples were pathologically confirmed but not further categorized according to Braak stage . Prefrontal cortex tissue blocks were obtained from the Banner Sun Health Research institute (Arizona, USA). All brain samples were collected according to legislation and ethical boards of the respective brain banks. The human study was evaluated and approved by the ethical committees of Leuven University and UZ Leuven . Protein extracts were prepared in 2% SDS supplemented with protease and phosphatase inhibitors.
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Problem
Several microRNAs are deregulated in AD brain, suggesting their functional interrelationship to AD pathology. More specifically, microRNA-132 (miR-132), a potent neuroprotective molecule, is robustly downregulated early on in AD patients. We address here the functional implications of miR-132 loss in AD brain and investigate the potential of using miR-132 in the clinic in the future.

Results
We show that miR-132 is a potent early regulator of both Ab and TAU pathology via its target ITPKB, which further activates ERK1/2 leading to increased BACE1 activity and TAU phosphorylation. Lowering miR-132 in the brain of an AD mouse model aggravates both arms of the pathology, while boosting miR-132 levels ameliorates both amyloidosis and TAU hyperphosphorylation. Similar changes are observed in human AD brain, where we observed decreasing miR-132, increasing ITPKB and phospho-ERK1/2, enhanced BACE1 processing of APP, and TAU hyperphosphorylation. The data provide functional evidence for the importance of the previously reported downregulation of miR-132 in AD brain.

Impact
Identifying novel mechanisms that contribute to the preclinical phases of AD pathology is of critical importance for early intervention. Restoring miR-132 levels in human diseased brain might represent a novel therapeutic target in AD.