Abstract
Patient and animal model data suggest a link between the cholinergic neuromodulatory system and the amyloid beta (Aβ) peptide in causing Alzheimer’s disease (AD). But how cholinergic dysfunctions contribute to AD pathology remains controversial. In a mouse model of local amyloid pathology, we show that in the early disease stages, the α7 nicotinic acetylcholine receptor (nAChR) is an important target of Aβ in the prefrontal cortex (PFC). Using in vivo two-photon calcium imaging and in vivo patch-clamp electrophysiology in the PFC of awake mice, we demonstrate that Aβ-mediated disruption of specifically the α7 nAChR subunit, expressed by distinct interneuron subtypes, results in substantial deficits in network activity. This is corroborated by electrophysiology experiments in slices. Combined with computational modeling, we propose that α7 nAChRs are occluded by Aβ early in the disease, whereas the heteropentameric α5 and β2 nAChRs are only partially inactivated and potentially provide novel therapeutic targets for intervention. Accordingly, we show that galantamine, an approved acetylcholine-esterase inhibitor (AChE-I), which acts as a positive allosteric modulator (PAM) of α5-containing nAChRs at low concentrations, reduces neuronal hyperactivity.
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Data availability
The data and analysis algorithms are available. The datasets generated and/or analysed during the current study are available from the corresponding author on reasonable request.
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Acknowledgements
We would like to thank Noémi Dominique for technical assistance, Matthias Groszer and Florent Haiss for comments on the manuscript, and Ines Ibanez-Tallon for providing the ChAT-Cre transgenic mice. This work was supported by the Fondation pour la Recherche Médicale (FRM Équipe 2019, grant number EQU201903007822), Fondation Vaincre Alzheimer, Fondation Alzheimer-INSERM, Institut Pasteur programme PasteurInnov, CNRS UMR3571, Programme prioritaire TABAC-INSERM, all to U.M., ERC Starting Grant NEWRON to C.S.-H., and the European Union’s Horizon 2020 Framework Programme for Research and Innovation under the Specific Grant Agreement No. 785907, Human Brain Project SGA2 and Specific Grant Agreement No. 720270, Human Brain Project SGA1 (to J.-P.C: CDP6, Modeling Drug Discovery). B.S.G. and I.L. acknowledge support from the Basic Science Fund NRU Higher School of Economics, and received partial support from LABEX ANR-10-LABX-0087 IEC and IDEX ANR-10-IDEX-0001-02 PSL*. The laboratory of U.M. is part of the RTRA Ecole des Neurosciences de Paris ENP network. U.M. is a member of the Laboratory of Excellence LABEX BIOPSY, funded by Agence Nationale de la Recherche. The authors acknowledge the team from the animal facility of BioMedTech Facilities INSERM US36|CNRS UAR2009 | Université Paris Cité. The team of F.K. acknowledges support from the Fondation pour la Recherche Médicale-FRM Amorçage de jeunes équipes 2022 (starting grant number AJE202212016251) and the ATIP-AVENIR starting grant 2023 (INSERM/ French National Institute of Health and Medical Research), all to F.K. Finally, the authors would like to thank Philippe Ascher for his participation in the initial electrophysiology recordings of this paper.
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FK and CZ carried out in vivo analysis, IL and MR carried out two-photon data analysis and modeling with BG, BLd’I and JP carried out slice electrophysiology, DGS and SP established experimental groups and carried out histological analysis, CT and IN contributed to histology, UM and FK conceived the study, UM, FK, CZ, CS-H, BLd’I and AB designed experiments, UM and FK wrote the paper with contributions from all authors, UM, CS-H and J-PC provided funding.
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Koukouli, F., Zhang, CL., Lazarevich, I. et al. The alpha7 nicotinic acetylcholine receptor mediates network dysfunction in a mouse model of local amyloid pathology. Mol Psychiatry (2025). https://doi.org/10.1038/s41380-025-03241-4
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DOI: https://doi.org/10.1038/s41380-025-03241-4


