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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Aging Neurosci.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Aging Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Aging Neurosci.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="epub">1663-4365</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnagi.2026.1622135</article-id>
<article-version article-version-type="Version of Record" vocab="NISO-RP-8-2008"/>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Behavioral deficits and exacerbated neural and hemodynamic odor responses during lifespan of a mouse model of late onset Alzheimer&#x2019;s disease expressing humanized APOE&#x03B5;4 and Trem2&#x002A;R47H</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes"><name><surname>Izydorczak</surname> <given-names>Misha</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="author-notes" rid="fn0003"><sup>&#x2020;</sup></xref>
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<contrib contrib-type="author" equal-contrib="yes"><name><surname>Oumov</surname> <given-names>Maggie</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="author-notes" rid="fn0003"><sup>&#x2020;</sup></xref>
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<contrib contrib-type="author" equal-contrib="yes"><name><surname>Udhwani</surname> <given-names>Mansiben V.</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="author-notes" rid="fn0003"><sup>&#x2020;</sup></xref>
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<contrib contrib-type="author"><name><surname>Coronas-Samano</surname> <given-names>Guillermo</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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<contrib contrib-type="author"><name><surname>Sanganahalli</surname> <given-names>Basavaraju G.</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref><xref ref-type="aff" rid="aff4"><sup>4</sup></xref><xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
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<contrib contrib-type="author"><name><surname>Herman</surname> <given-names>Peter</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref><xref ref-type="aff" rid="aff4"><sup>4</sup></xref><xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
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<contrib contrib-type="author" corresp="yes"><name><surname>Verhagen</surname> <given-names>Justus V.</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff3"><sup>3</sup></xref><xref ref-type="aff" rid="aff5"><sup>5</sup></xref><xref ref-type="aff" rid="aff7"><sup>7</sup></xref><xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
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<aff id="aff1"><label>1</label><institution>The John B. Pierce Laboratory</institution>, <city>New Haven</city>, <state>CT</state>, <country country="us">United States</country></aff>
<aff id="aff2"><label>2</label><institution>Helen and Robert Appel Alzheimer's Disease Research Institute, Weill Cornell Medicine</institution>, <city>New York</city>, <state>NY</state>, <country country="us">United States</country></aff>
<aff id="aff3"><label>3</label><institution>Magnetic Resonance Research Center (MRRC), Yale School of Medicine</institution>, <city>New Haven</city>, <state>CT</state>, <country country="us">United States</country></aff>
<aff id="aff4"><label>4</label><institution>Quantitative Neuroscience with Magnetic Resonance (QNMR) Core Center, Yale School of Medicine</institution>, <city>New Haven</city>, <state>CT</state>, <country country="us">United States</country></aff>
<aff id="aff5"><label>5</label><institution>Department of Radiology and Biomedical Imaging, Yale School of Medicine</institution>, <city>New Haven</city>, <state>CT</state>, <country country="us">United States</country></aff>
<aff id="aff6"><label>6</label><institution>Department of Biomedical Engineering, Yale School of Medicine</institution>, <city>New Haven</city>, <state>CT</state>, <country country="us">United States</country></aff>
<aff id="aff7"><label>7</label><institution>Department of Neuroscience, Yale School of Medicine</institution>, <city>New Haven</city>, <state>CT</state>, <country country="us">United States</country></aff>
<author-notes>
<corresp id="c001"><label>&#x002A;</label>Correspondence: Justus V. Verhagen, <email xlink:href="mailto:justus.verhagen@yale.edu">justus.verhagen@yale.edu</email></corresp>
<fn fn-type="equal" id="fn0003">
<label>&#x2020;</label>
<p>These authors share first authorship</p>
</fn>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2026-02-16">
<day>16</day>
<month>02</month>
<year>2026</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2026</year>
</pub-date>
<volume>18</volume>
<elocation-id>1622135</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>05</month>
<year>2025</year>
</date>
<date date-type="rev-recd">
<day>16</day>
<month>01</month>
<year>2026</year>
</date>
<date date-type="accepted">
<day>23</day>
<month>01</month>
<year>2026</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2026 Izydorczak, Oumov, Udhwani, Fostok, Coronas-Samano, Sanganahalli, Herman, Hyder and Verhagen.</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>Izydorczak, Oumov, Udhwani, Fostok, Coronas-Samano, Sanganahalli, Herman, Hyder and Verhagen</copyright-holder>
<license>
<ali:license_ref start_date="2026-02-16">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract>
<p>Alzheimer&#x2019;s disease (AD) poses a significant global health challenge, being the most prominent cause of dementia with prevalence increasing as the population ages. While the majority of AD cases are late-onset (LOAD), current animal models predominantly represent the more aggressive, faster progressing early-onset AD (EOAD), limiting their ability in assessing early biomarkers and gaining deeper understanding of LOAD progression. This study explores a promising translatable model, the APOE4.TREM2 mouse, which combines the APOE4 allele and the Trem2 p.R47H mutation, both linked to increased AD risk in the human population. We performed behavioral phenotyping and measured hemodynamics and neurovascular coupling in dorsal olfactory bulbs (dOB) during odor stimulation of the APOE4.TREM2 mouse line. Experimental evidence of olfactory dysfunction prior to clinical symptoms suggests the opportunity of utilizing smell testing and fMRI as tools for screening of AD, both for preclinical and clinical studies. Here we assess and confirm the translatability of the APOE4.TREM2 mouse LOAD model, reporting exacerbated anxiety, deficits in odor-based foraging and spatial memory, and exacerbated odor-evoked dOB neural and intrinsic responses, but stable neurovascular coupling, in an age-dependent manner.</p>
</abstract>
<kwd-group>
<kwd>late onset Alzheimer&#x2019;s disease</kwd>
<kwd>APOE4</kwd>
<kwd>TREM2</kwd>
<kwd>GCaMP6</kwd>
<kwd>olfactory</kwd>
<kwd>neurovascular coupling</kwd>
<kwd>blood volume</kwd>
<kwd>memory</kwd>
</kwd-group>
<funding-group>
<funding-statement>The author(s) declared that financial support was received for this work and/or its publication. This project was supported by NSF BRAIN 1555880 to JV, NSF/CIHR/DFG/FRQ/UKRI-MRC Next Generation Networks for Neuroscience Program (Award #2014217) to JV, NIA R21AG085366 to PH, NIA 1R21AG091590 to BS, and NIA 5R01AG084681 to FH.</funding-statement>
</funding-group>
<counts>
<fig-count count="14"/>
<table-count count="5"/>
<equation-count count="0"/>
<ref-count count="77"/>
<page-count count="22"/>
<word-count count="15826"/>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Alzheimer's Disease and Related Dementias</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<title>Introduction</title>
<p>Alzheimer&#x2019;s Disease (AD) is an incurable neurodegenerative condition affecting millions of people worldwide and is known to be a leading cause of dementia in the aging population. Medical advancement over the years has substantially prolonged the human life span, however this has encouraged age-dependent diseases such as late onset AD, with prevalence rates increasing to 10% after the age of 65 and surpassing 40% by the age of 85 (<xref ref-type="bibr" rid="ref28">Kumar et al., 2023</xref>). AD is classified as either familial (fAD) or sporadic (sAD) and as early onset (EOAD) or late onset (LOAD). 90% of patients with AD present with etiologically undetermined LOAD (<xref ref-type="bibr" rid="ref8">Cacace et al., 2016</xref>), yet of the approximate 168 animal models in existence the majority are known to emulate EOAD, overexpressing human genes related to fAD involved in the production of amyloid plaques and neurofibrillary tangles (<xref ref-type="bibr" rid="ref72">Vitek et al., 2020</xref>). In contrast, genetic predisposition to LOAD has greater complexity, involving numerous genes linked to elevated risk of varying degrees (<xref ref-type="bibr" rid="ref45">Oblak et al., 2020</xref>). It is critical to further investigate animal models that focus on the risk factors of LOAD and show clear penetrance to find early translatable biomarkers of AD. More than 20 risk factors for LOAD have been identified through genetic investigations, highlighting the pleiotropic nature of sAD (<xref ref-type="bibr" rid="ref4">Bird, 2008</xref>).</p>
<p>The strongest genetic risk factors to developing LOAD are linked to polymorphisms of triggering receptor expressed on myeloid cells 2 (TREM2) and the apolipoprotein E 4 (APOE4) (<xref ref-type="bibr" rid="ref71">Verheijen and Sleegers, 2018</xref>). NIH recognizes the need for better animal models indicated by the large Model Organism Development and Evaluation for Late-onset Alzheimer&#x2019;s Disease (MODEL-AD) effort to generate and screen new mice (<xref ref-type="bibr" rid="ref27">Kotredes et al., 2021</xref>). A promising model in a B6 mouse line combined the APOE4 and the Trem2 p.R47H mutation, where each mutation confers about a threefold risk for AD in humans that are heterozygous for either allele. This model and its wild type control are available from Jackson Laboratory (#028709 and #000664, respectively). It is critical that this APOE4-Trem2 line is scrutinized phenotypically, as it is the foundational background for introducing additional sAD associated genes (<xref ref-type="bibr" rid="ref27">Kotredes et al., 2021</xref>).</p>
<p>APOE is a primary lipoprotein highly expressed in the brain that plays a significant role in the transport of cholesterol in the bloodstream affecting normal brain function and is associated with neurodegenerative diseases such as LOAD. The APOE gene exists in three major isoforms (&#x03B5;2, &#x03B5;3, &#x03B5;4), and the &#x03B5;4 variant has consistently been associated with an increased risk of AD. Unlike APOE2 and APOE3, APOE4 contributes to AD pathogenesis through various mechanisms that are not fully understood, but include amyloid beta (A&#x03B2;) aggregation, tau pathology, synaptic dysfunction, and brain atrophy. The APOE4 allele is the strongest genetic risk factor for Alzheimer&#x2019;s disease (<xref ref-type="bibr" rid="ref31">Lin et al., 2020</xref>).</p>
<p>Although APOE4 differs in only one amino acid (Arginine instead of Cystine) from APOE3, it has been recognized as an important genetic risk variable in neurological disorders, including LOAD (<xref ref-type="bibr" rid="ref12">Corder et al., 1993</xref>). APOE3 has a neutralizing effect such as preventing negative downstream molecular signaling and changes such as tau protein phosphorylation, promotes synaptic plasticity and A&#x03B2; clearance, and protects the brain against neurodegeneration (<xref ref-type="bibr" rid="ref66">Tai et al., 2015</xref>). By contrast, APOE4 inhibits neurite outgrowth, induces tau phosphorylation, disrupts neuronal cytoskeleton, and increases A&#x03B2; deposition (<xref ref-type="bibr" rid="ref5">Biundo et al., 2015</xref>).</p>
<p>TREM2 belongs to a family of transmembrane proteins encoded by genes on chromosome 6 (<xref ref-type="bibr" rid="ref77">Zheng et al., 2016</xref>). These immune receptors are expressed on the surfaces of microglia, macrophages, and dendritic cells (<xref ref-type="bibr" rid="ref65">Sudom et al., 2018</xref>). TREM2 is expressed exclusively by myeloid cells in the brain, and has been a target for extensive research in AD pathogenesis (<xref ref-type="bibr" rid="ref10">Cheng-Hathaway et al., 2018</xref>). Upon injury they proliferate and migrate to damaged sites, mounting an immune response. TREM2 regulates inflammatory responses by coupling with DAP12, expressed by myeloid (and NK) cells, to initiate signaling, and either amplifies or attenuates toll-like receptor (TLR) induced signals (<xref ref-type="bibr" rid="ref77">Zheng et al., 2016</xref>). Ongoing AD genetic studies have identified multiple AD-associated polymorphisms, with the R47H variant in a TREM2 missense mutation being associated with the greatest risk. The R47H variant demonstrated a deficiency in ligand binding and showed the greatest defect in TREM2 activation/expression ratio (<xref ref-type="bibr" rid="ref58">Song et al., 2017</xref>).</p>
<p>Neuroimaging studies in humans have shown that even cognitively normal APOE4 carriers develop vascular, metabolic, and structural deficits decades before the aggregation of A&#x03B2; and neurofibrillary tau tangles (<xref ref-type="bibr" rid="ref30">Lin et al., 2016</xref>). Interventions that can restore these deficits to normal could be critical to prevent the development of ADrelated neuropathology and cognitive impairment (<xref ref-type="bibr" rid="ref29">Lee et al., 2018</xref>). However, before interventions in humans can be done, more information about the development and molecular mechanisms underlying these deficits is needed. Animal models, especially transgenic mouse models, that develop LOADlike pathology and impairments, could provide flexible, rigorous, and systematic approaches for understanding LOAD development.</p>
<p>Clinical symptoms of AD involve progressive mental, behavioral, and functional impairments. Pathophysiological changes vary depending on the disease progression and on the continuum of disease severity. The entorhinal cortex and hippocampus are two brain regions intricately linked to memory and closely associated with the onset of AD-related cognitive impairments. Early signs of AD often include deficits in episodic and spatial memory, highlighting their significance as initial cognitive indicators of AD (<xref ref-type="bibr" rid="ref49">Pause et al., 2013</xref>). Additionally, there are numerous noncognitive behavioral symptoms associated with AD such as anxiety, depression, and sleep disturbances (<xref ref-type="bibr" rid="ref38">Mega et al., 1996</xref>; <xref ref-type="bibr" rid="ref44">Musiek et al., 2015</xref>). Depression symptoms may appear before the onset of AD (<xref ref-type="bibr" rid="ref18">Devanand et al., 1996</xref>) and people who have previously been diagnosed with depression are more likely to experience a reoccurrence over the course of AD (<xref ref-type="bibr" rid="ref64">Strauss and Ogrocki, 1996</xref>).</p>
<p>Similar to behavioral indicators, olfactory dysfunction is another early marker of dementia and has been used as an early indicator of neurodegenerative disorders such as AD with prevalence as high as 100% (<xref ref-type="bibr" rid="ref20">Doty, 2012</xref>). Early impairment of central olfactory regions like the entorhinal cortex and hippocampus link the olfactory system to AD&#x2019;s initial manifestation, serving as an early indicator of AD related dysfunction (<xref ref-type="bibr" rid="ref20">Doty, 2012</xref>). Olfactory deficits are known to be associated with a four to fivefold increased risk of developing AD for patients already presenting with mild cognitive impairment (MCI) (<xref ref-type="bibr" rid="ref75">Yoon et al., 2019</xref>). Therefore, odor-associated tasks and optical intrinsic imaging of the olfactory bulb during odor-evoked activation have great promise toward increasing our understanding of LOAD development and for identifying translatable early biomarkers.</p>
<p>Our study characterizes the age-dependent changes associated with APOE4.Trem2 in the context of LOAD, employing a dual approach of behavioral and hemodynamic analysis to build on prior multipronged assessments by the MODEL-AD consortium. Mice expressing the humanized APOE4 allele showed decreased plasma lipoprotein levels and age-dependent decrease in glucose metabolism (<xref ref-type="bibr" rid="ref27">Kotredes et al., 2021</xref>). LOAD&#x2019;s progression is substantially less aggressive and has dependence on many more genetic risk factors, as well as on aging, inflammation and life style, compared to EOAD. Previous findings indicate the APOE4.TREM2 model does not produce severe, strong LOAD phenotypes, even late into life, important for a better understanding of aging in relation to AD onset and progression (<xref ref-type="bibr" rid="ref27">Kotredes et al., 2021</xref>). However, it has been reported (<xref ref-type="bibr" rid="ref48">Pandey et al., 2023</xref>) that introducing the R47H mutation, as used in this study, results in the generation of a distinctive murine splice site, causing a roughly 50% reduction in TREM2 protein and a 20% decrease in Trem2 transcription. Deciphering the effects on microglial response due to the mutation and decreased expression is challenging without accurate representation of amyloid plaques. Regardless, APOE4 has shown to consistently replicate the biology observed in other APOE mouse models, and, importantly, in humans (<xref ref-type="bibr" rid="ref26">Knouff et al., 1999</xref>).</p>
<p>This study assesses the translatability of the APOE4.TREM2 model through behavioral phenotyping, in addition to alterations in hemodynamic response, in order to establish early biomarkers for LOAD. Our evaluation of AD-related behaviors encompasses seven tests: the Morris Water Maze for spatial memory, the habituation/dishabituation task for olfactory memory and function, the hidden cookie test for odor navigation and foraging, the open field test for anxiety, the sucrose preference test as an anhedonia/depression assessment, the nestlet building test, and the sleep/wake cycle. Odor-evoked intrinsic optical imaging of the dorsal olfactory bulb (dOB) in freely breathing mice allowed for visualization and quantification of vascular activity throughout varying stages of disease. In a separate cohort of LOAD Thy1-GCaMP6f mice we assessed neural, hemodynamic and neurovascular coupling. Previous fMRI performed on patients with MCIs revealed compensatory hemodynamic responses while performing cognitive tasks. Vascular hyperactivity was found compared to healthy aged adults, specifically in the right pre-frontal cortex, and was especially evident in patients performing the Stroop test (<xref ref-type="bibr" rid="ref75">Yoon et al., 2019</xref>). Our study suggests that fMRI odor-response imaging may be an effective diagnostic method for early LOAD detection.</p>
</sec>
<sec id="sec2">
<title>Methods&#x2014;behavioral assays</title>
<sec id="sec3">
<title>Subjects</title>
<p>In this study we compared the behavior of aged B6(SJL)-<italic>Apoe<sup>tm1.1(APOE&#x002A;4)Adiuj</sup> Trem2<sup>em1Adiuj</sup></italic>/J (<italic>n</italic> =&#x202F;23), Strain #028709, with WT mice (<italic>n</italic> =&#x202F;27), Strain #000664 from the Jackson Laboratory.<xref ref-type="fn" rid="fn0001"><sup>1</sup></xref> The mice were divided into three age groups and run in 4 batches (<xref ref-type="table" rid="tab1">Table 1</xref>). <xref ref-type="table" rid="tab1">Table 1</xref> lists the number of APOE4.TREM2 and WT mice used in these behavioral studies by genotype, gender, and age. <xref ref-type="table" rid="tab2">Table 2</xref> shows the number of mice by sex, age and genotype for each behavioral test. Please note that batches of the same age were not tested in parallel due to the different times of availability of offspring of each group. To avoid potential confounding effects thereof, we used tightly defined SOPs and automated behavioral scoring to ensure testing was kept as constant as possible between batches. While we did not keep a strict order of the tests&#x2019; administration within each group, OFT and HaXha were mostly performed early on (on average the 2.2th, out of 7 tests across the 6 groups), and SPT, NB and MWM later (5.0th, 5.0<sup>th</sup> and 5.5th, resp., out of 7 tests). The test battery took 8&#x202F;weeks to complete per group. Mice had a rest period of at least 24&#x202F;h between the tests and were acclimated for at least 10&#x202F;min to the room prior to starting each test. The testing apparatus was cleaned with 70% ethanol after each subject was done.</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>The number of mice in each genotype, gender, and age used for the behavioral study.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Age group</th>
<th align="center" valign="top" colspan="6">APOE4.TREM2</th>
<th align="center" valign="top" colspan="6">WT</th>
</tr>
<tr>
<th align="center" valign="top">F</th>
<th align="center" valign="top">M</th>
<th align="center" valign="top">Total</th>
<th align="center" valign="top">Age</th>
<th align="center" valign="top">Batch</th>
<th align="center" valign="top">Exp date</th>
<th align="center" valign="top">F</th>
<th align="center" valign="top">M</th>
<th align="center" valign="top">Total</th>
<th align="center" valign="top">Age</th>
<th align="center" valign="top">Batch</th>
<th align="center" valign="top">Exp date</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">9</td>
<td align="center" valign="top">3&#x2013;5</td>
<td align="center" valign="top">1&#x2013;2</td>
<td align="center" valign="top">4&#x2013;7</td>
<td align="center" valign="top">10.1&#x202F;&#x00B1;&#x202F;0.4</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">3/22&#x2013;4/22</td>
<td align="center" valign="top">2&#x2013;3</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">7&#x2013;8</td>
<td align="center" valign="top">9.2&#x202F;&#x00B1;&#x202F;0.1</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">1/22&#x2013;3/22</td>
</tr>
<tr>
<td align="left" valign="top">13</td>
<td align="center" valign="top">2&#x2013;4</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">8&#x2013;10</td>
<td align="center" valign="top">13.4&#x202F;&#x00B1;&#x202F;0.5</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">1/22&#x2013;3/22</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">5&#x2013;6</td>
<td align="center" valign="top">10&#x2013;11</td>
<td align="center" valign="top">14.0&#x202F;&#x00B1;&#x202F;0.1</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">3/22&#x2013;4/22</td>
</tr>
<tr>
<td align="left" valign="top">16</td>
<td align="center" valign="top">5&#x2013;6</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">10&#x2013;11</td>
<td align="center" valign="top">15.7&#x202F;&#x00B1;&#x202F;0.8</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">11/21&#x2013;1/22</td>
<td align="center" valign="top">3&#x2013;4</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">7&#x2013;8</td>
<td align="center" valign="top">15.7&#x202F;&#x00B1;&#x202F;1.3</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">5/22&#x2013;6/22</td>
</tr>
<tr>
<td align="left" valign="top">Total</td>
<td align="center" valign="top">12&#x2013;15</td>
<td align="center" valign="top">12&#x2013;13</td>
<td align="center" valign="top">25&#x2013;28</td>
<td/>
<td/>
<td/>
<td align="center" valign="top">10&#x2013;12</td>
<td align="center" valign="top">14&#x2013;15</td>
<td align="center" valign="top">24&#x2013;27</td>
<td/>
<td/>
<td/>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>Their experimental batch number and date range of experiments are also indicated.</p>
</table-wrap-foot>
</table-wrap>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>The number of mice in each genotype, gender, and age of the APOE4.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Age group</th>
<th align="center" valign="top" rowspan="2">Batch</th>
<th align="left" valign="top" rowspan="2">Genotype</th>
<th align="center" valign="top" colspan="2">SW</th>
<th align="center" valign="top" colspan="2">SPT</th>
<th align="center" valign="top" colspan="2">NB</th>
<th align="center" valign="top" colspan="2">MWM</th>
<th align="center" valign="top" colspan="2">OFT</th>
<th align="center" valign="top" colspan="2">HC</th>
<th align="center" valign="top" colspan="2">HaxHa</th>
</tr>
<tr>
<th align="center" valign="top">F</th>
<th align="center" valign="top">M</th>
<th align="center" valign="top">F</th>
<th align="center" valign="top">M</th>
<th align="center" valign="top">F</th>
<th align="center" valign="top">M</th>
<th align="center" valign="top">F</th>
<th align="center" valign="top">M</th>
<th align="center" valign="top">F</th>
<th align="center" valign="top">M</th>
<th align="center" valign="top">F</th>
<th align="center" valign="top">M</th>
<th align="center" valign="top">F</th>
<th align="center" valign="top">M</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="bottom">9</td>
<td align="center" valign="bottom">2</td>
<td align="left" valign="bottom">WT</td>
<td align="center" valign="bottom">3</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">3</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">3</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom"><bold>2</bold></td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">3</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">3</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">3</td>
<td align="center" valign="bottom">5</td>
</tr>
<tr>
<td align="left" valign="bottom">9</td>
<td align="center" valign="bottom">3</td>
<td align="left" valign="bottom">APOE4.TREM2</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">2</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">2</td>
<td align="center" valign="bottom"><bold>3</bold></td>
<td align="center" valign="bottom"><bold>1</bold></td>
<td align="center" valign="bottom"><bold>4</bold></td>
<td align="center" valign="bottom">2</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">2</td>
<td align="center" valign="bottom"><bold>4</bold></td>
<td align="center" valign="bottom">2</td>
<td align="center" valign="bottom" style="background-color:#f2f2f2">5</td>
<td align="center" valign="bottom"><bold>1</bold></td>
</tr>
<tr>
<td align="left" valign="bottom">13</td>
<td align="center" valign="bottom">3</td>
<td align="left" valign="bottom">WT</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom"><bold>5</bold></td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom"><bold>5</bold></td>
</tr>
<tr>
<td align="left" valign="bottom">13</td>
<td align="center" valign="bottom">2</td>
<td align="left" valign="bottom">APOE4.TREM2</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom"><bold>2</bold></td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">6</td>
</tr>
<tr>
<td align="left" valign="bottom">16</td>
<td align="center" valign="bottom">4</td>
<td align="left" valign="bottom">WT</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom"><bold>3</bold></td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">4</td>
<td align="center" valign="bottom">4</td>
</tr>
<tr>
<td align="left" valign="bottom">16</td>
<td align="center" valign="bottom">1</td>
<td align="left" valign="bottom">APOE4.TREM2</td>
<td align="center" valign="bottom"><bold>5</bold></td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom"><bold>5</bold></td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">5</td>
</tr>
<tr>
<td align="left" valign="bottom">All 9&#x2013;16</td>
<td align="center" valign="bottom">1&#x2013;3</td>
<td align="left" valign="bottom">WT</td>
<td align="center" valign="bottom">12</td>
<td align="center" valign="bottom">15</td>
<td align="center" valign="bottom">12</td>
<td align="center" valign="bottom">15</td>
<td align="center" valign="bottom">12</td>
<td align="center" valign="bottom">15</td>
<td align="center" valign="bottom">10</td>
<td align="center" valign="bottom">14</td>
<td align="center" valign="bottom">12</td>
<td align="center" valign="bottom">15</td>
<td align="center" valign="bottom">12</td>
<td align="center" valign="bottom">15</td>
<td align="center" valign="bottom">12</td>
<td align="center" valign="bottom">14</td>
</tr>
<tr>
<td align="left" valign="bottom">All 9&#x2013;16</td>
<td align="center" valign="bottom">1&#x2013;3</td>
<td align="left" valign="bottom">APOE4.TREM2</td>
<td align="center" valign="bottom">14</td>
<td align="center" valign="bottom">13</td>
<td align="center" valign="bottom">14</td>
<td align="center" valign="bottom">13</td>
<td align="center" valign="bottom">13</td>
<td align="center" valign="bottom">12</td>
<td align="center" valign="bottom">12</td>
<td align="center" valign="bottom">13</td>
<td align="center" valign="bottom">15</td>
<td align="center" valign="bottom">13</td>
<td align="center" valign="bottom">14</td>
<td align="center" valign="bottom">13</td>
<td align="center" valign="bottom">15</td>
<td align="center" valign="bottom">12</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>TREM2 and WT control mice used for the behavioral study. Boldfaced numbers have missing data due to incomplete trials. SW, sleep/wake cycle activity; SPT, sucrose preference test; NB, nest building; MWM, Morris water maze; OFT, open field test; HC, hidden cookie test; HaxHa, odor habituation/dis-habituation test.</p>
</table-wrap-foot>
</table-wrap>
<p>Missed trials (boldfaced in <xref ref-type="table" rid="tab2">Table 2</xref>) were due to one of three reasons. Six mice were deemed unfit for the MWM upon their initial few trials based on observed distress (prolonged lack of swimming and being fully submerged for several seconds). These trials were performed near the end of the overall series of tests, but the affected mice were not excluded from the few subsequent tests. In several cases tests were skipped in error: for three mice NB was not assessed, and for one mouse SW and for one SPT were also not assessed. For one mouse HC was missed and for two HaxHa was missed, due to PC crashes with incomplete data.</p>
<p>A 12-h/12-h inverted light cycle with lights out at 9:00&#x202F;a.m. was used in the vivarium. The mice were fed ad libitum chow (Harlan 18% protein rodent diet) and were housed separately in polycarbonate cages (12 &#x00D7; 12 &#x00D7; 25&#x202F;cm) with controlled humidity (40%) and temperature (22&#x202F;&#x00B0;C). As we were unable to group house some of the (male) mice, we decided to isolate all of them for consistency. Guidelines established by the National Institute of Health were followed for the care of all animals (2011). The experimental protocols were approved by the Institutional Animal Care and the John B. Pierce Laboratory (JV1-21). The John B. Pierce Laboratory is AAALAC accredited.</p>
</sec>
<sec id="sec4">
<title>Statistical analysis</title>
<p>Statistical analyses were performed in Prism version 10.4.2 for Mac OS (GraphPad Software, Boston, Massachusetts USA).<xref ref-type="fn" rid="fn0002"><sup>2</sup></xref> Means are reported as means&#x00B1;SEM. For most behavioral assessments, where appropriate, 2-way ANOVA was performed with factors age and genotype and their interaction. Details are given in each tests section. Post-hoc tests were Bonferroni corrected for multiple comparisons. Alpha level was set at 0.05.</p>
</sec>
<sec id="sec5">
<title>Behavioral tracking with Noldus Ethovision</title>
<p>All behavioral tests tracking movement (Habituation/cross-habituation, Open Field Test, Hidden cookie test, Morris Water Maze) were assessed by Noldus Ethovision (EthoVision XT, version 10.1, Noldus Information Technology B. V., Wageningen, The Netherlands). A video camera (Basler Gen1cam, Resolution 1280&#x002A;1024) connected to a Noldus computer system was placed above the test arena. To optimize tracking contrast we used 2 lamps with 5 15&#x202F;W 5000&#x202F;K LED bulbs each, aimed at the white ceiling and providing diffuse setup illumination.</p>
</sec>
<sec id="sec6">
<title>Habituation/cross-habituation test (HaXha)</title>
<p>This olfactory-dependent behavioral task was performed in a sealed semi-transparent white acrylic box (26x38x16cm) in which a cotton-tipped wood applicator (8&#x202F;cm long, Dynarex MS-50330) was placed in the center of the box and presented to the mouse, while retained by a 54x54x4mm applicator holder. We added one of 3 odorants to the applicator: mineral oil (MO, control), amyl acetate (AA) (diluted 1% in MO), phenyl ethanol (PE) (1% in MO), and social odor (S, SO) (obtained by swabbing the cage of non-experimental CRE-OMP female mice). A total of 12 trials were done per mouse, where each odorant was presented three times in succession per session to yield the following order: MO1-3, AA1-3, PE1-3 and SO1-3. Each trial consisted of a 2&#x202F;min odorant exposure and an interval of 1&#x202F;min between stimuli. The time spent smelling the cotton tip was registered using a camera mounted at the ceiling of the box, and Ethovision identified the orientation and scored the behavior of the animal. Smelling was defined as being oriented toward the applicator tip while the nose is within 2&#x202F;cm of it, which was validated by us in <xref ref-type="bibr" rid="ref13">Coronas-Samano et al. (2016)</xref>. This test evaluates if mice can spontaneously recognize a novel odorant stimulus by spending more time smelling the applicator (cross-habituation phase, trial 3 vs. new odor 1), as opposed to the time that the mice spent on each stimulus (habituation phase, trial 1 vs. 3 of same odor).</p>
</sec>
<sec id="sec7">
<title>Sucrose preference test (SPT)</title>
<p>SPT was divided into Day 1 and 2 measuring the volume of water and sucrose solution consumption. Our sucrose preference test was based on <xref ref-type="bibr" rid="ref53">Romano et al. (2015)</xref>. The mice were placed in regular home cages (22.5 &#x00D7; 16.7 &#x00D7; 14&#x202F;cm) and had access to two drinking tubes, one filled with 20&#x202F;mL tap water, and the other with 20&#x202F;mL 10% sucrose (Sucrose, Lot 18,005,800, American bio) diluted in deionized water. The location of the tubes was randomized for two consecutive days to avoid spatial bias. During 6&#x202F;h the free consumption of water and 10% sucrose solution took place in the presence of <italic>ad libitum</italic> food during the dark phase. Sucrose preference was the percentage of the total amount of liquid drunk in 6&#x202F;h that was sucrose, reported per day.</p>
</sec>
<sec id="sec8">
<title>Open field test (OFT)</title>
<p>The Open Field was based on <xref ref-type="bibr" rid="ref69">Van Dam et al. (2003)</xref>, <xref ref-type="bibr" rid="ref9">Chen et al. (2013)</xref>, and <xref ref-type="bibr" rid="ref23">Galeano et al. (2014)</xref> to assess spontaneous exploratory activity and anxiety-related behaviors. Anxiety and exploratory activities were evaluated by allowing mice to freely explore an open field arena for 15&#x202F;min. The testing apparatus was a classic open field (i.e., a white PVC square arena, 50 &#x00D7; 50&#x202F;cm, with walls 40&#x202F;cm high). An Ethovision-connected video camera was placed above the box. Each mouse was placed individually in the center of the arena and the behavior was monitored by the video tracking system (Noldus Ethovision). The central area was arbitrarily defined as a square of 35 &#x00D7; 35&#x202F;cm (half the total area). The ethological measures included the frequency and duration spent at each area (center and periphery) and locomotor activity.</p>
</sec>
<sec id="sec9">
<title>Hidden cookie test (HCT)</title>
<p>This test assesses deficits in olfactory guided foraging skills by measuring the latency of the mice to find a buried cookie in one of the corners of their cage. Mice were familiarized with the chocolate cookie (Chips Ahoy!) for a week before the test. A quarter of chocolate cookie (~2.5&#x202F;g) was placed every 48&#x202F;h for three times in the home cage on the top of the bedding. Mice received food and water ad libitum. After a week of the familiarization phase, mice were deprived of the cookie for 3&#x202F;days before the test. On the first day of the test, mice were food restricted (no food present) for 6&#x202F;h and individually caged with 3&#x202F;cm of clean bedding. On the first day of the test, a piece of cookie was buried 2&#x202F;cm deep in one corner of a rat cage (45.6&#x202F;cm &#x00D7; 23.6&#x202F;cm) and the latency to finding the cookie was recorded. Then the moused was placed in the opposite corner, and the latency to finding the cookie was recorded using Noldus Ethovision and the mouse removed. An hour and a half later, this was repeated. At the end of the second trial, the mice were taken to the animal room. The next day, mice were placed in the experimental cages and the piece of cookie was buried in a corner different from the last day, and this was tested twice following the same protocol as the first experimental day. Maximum trial time was 15&#x202F;min.</p>
</sec>
<sec id="sec10">
<title>Morris water maze test (MWMT)</title>
<p>Spatial reference learning and memory were evaluated in a water maze adapted from that previously described by <xref ref-type="bibr" rid="ref40">Morris (1984)</xref> and was based on <xref ref-type="bibr" rid="ref69">Van Dam et al. (2003)</xref>, <xref ref-type="bibr" rid="ref9">Chen et al. (2013)</xref>, <xref ref-type="bibr" rid="ref23">Galeano et al. (2014)</xref>, and <xref ref-type="bibr" rid="ref25">Javed et al. (2011)</xref>. The test was performed in a circular stainless steel pool of 90&#x202F;cm in diameter and 40&#x202F;cm height, filled with 20&#x202F;cm of water tainted with a non-toxic white paint (acrylic paint, 20,503 white, Apple Barrel). As it is known that the standard Morris water maze can interfere with physiology, likely due to the stress of heat loss, we opted to refine this method to be less stressful by not maintaining it at room temperature (21&#x202F;&#x00B1;&#x202F;2&#x202F;&#x00B0;C), but instead between room and core body temperature (37&#x202F;&#x00B0;C), i.e., at 29&#x202F;&#x00B1;&#x202F;2&#x202F;&#x00B0;C. The pool was virtually divided into four equal quadrants, labeled north&#x2013;south&#x2013;east&#x2013;west. The Ethovision camera was mounted above the maze. Several visual cues were available in the small asymmetric room including two lamps, wall mounted shelves, a large safety cabinet, a white door and a blacked out window. Mice were not given a habituation session or visual acuity test.</p>
<p>During training, a platform (10&#x202F;cm in diameter and made of transparent acrylic plastic) was submerged 1&#x202F;cm below water surface and was placed at a fixed location in one of the quadrants. If the mice were not able to reach the platform within 120&#x202F;s, they were guided to the platform where they had to stay for 30&#x202F;s before being returned to their home cage for 30&#x202F;s on a dry towel. All mice were given four trials per day, being released into each quadrant once, for four consecutive days. The start position was randomized among four quadrants of the pool. During training trials, the latency to reach the escape platform and the path length were measured.</p>
<p>A probe trial was performed 24&#x202F;h after the last day of training. During the probe trial, mice were allowed to swim in the pool without the escape platform for 120&#x202F;s. The latency to reach the platform (s), swim distance (cm), and swim speed (cm/s) were recorded using Ethovision. During the probe trial, performance was expressed as the time spent in each quadrant of the MWM, and the number of crossings through the position where the platform used to be during acquisition (using 15&#x202F;cm diameter target area).</p>
</sec>
<sec id="sec11">
<title>Nestlet building task (NBT)</title>
<p>After at least a 24&#x202F;h rest period, mice were housed individually in their regular home cage in the vivarium under regular conditions and tested for nest building [adapted from <xref ref-type="bibr" rid="ref16">Deacon (2006)</xref> and <xref ref-type="bibr" rid="ref74">Wesson and Wilson (2011)</xref>]. Two hours prior to the onset of the dark phase of the light cycle, individual cages were supplied a nestlet made of pressed cotton square (Ancare, UK agent, Lillico). The next morning (&#x223C;24&#x202F;h later) cages were inspected for nest construction. Pictures were taken prior to evaluation for documentation. Nestlet nest construction was scored by 3 investigators blind to genotype using the system of Deacon [please see <xref ref-type="bibr" rid="ref16">Deacon (2006)</xref> for detailed scoring standard]. Briefly, in this 5-point scale, 1 indicates a&#x202F;&#x003E;&#x202F;90% intact nestlet, whereas a 5 indicates a nestlet torn &#x003E;90% and a clear nest crater.</p>
</sec>
<sec id="sec12">
<title>Sleep/awake task</title>
<p>Piezo foil (PVDF)-based circadian rhythm scoring of sleep/wake rhythm was used as established in <xref ref-type="bibr" rid="ref19">Donohue et al. (2008)</xref> and used in several AD studies (<xref ref-type="bibr" rid="ref21">Duncan et al., 2012</xref>; <xref ref-type="bibr" rid="ref37">Mang et al., 2014</xref>; <xref ref-type="bibr" rid="ref56">Sethi et al., 2015</xref>). Mice were individually housed for 48&#x202F;h in clean plastic cages (15x15cm, Signal Solutions LLC, <ext-link xlink:href="http://www.sigsoln.com" ext-link-type="uri">www.sigsoln.com</ext-link>, Lexington, KY) with approximately 5&#x202F;mm of corn cob bedding lining the floor on top of the PVDF foil and left with an inverted light cycle (as in the colony) in a separate dedicated room using a single 15&#x202F;W 500&#x202F;K LED lamp 2&#x202F;m from the cages aimed at the white ceiling for diffuse light. Regular chow and water was available ad lib. Activity was continuously recorded without disturbance for the 48&#x202F;h and was analyzed for the circadian rhythm of wakefulness and sleep using the Signal Solutions software.</p>
</sec>
</sec>
<sec id="sec13">
<title>Methods&#x2014;olfactory bulb optical imaging of blood volume responses</title>
<sec id="sec14">
<title>Subjects</title>
<p>This portion of the study uses the same strains as the behavioral study and were housed under the same conditions. Here we evaluate the difference in blood volume (BV) between aging B6(SJL)-Apoe<sup>tm1.1(Apoe&#x002A;4)Adiuj</sup> Trem2<sup>em1Adiuj</sup>/J (<italic>n</italic>&#x202F;=&#x202F;17) versus WT (<italic>n</italic>&#x202F;=&#x202F;21). <xref ref-type="table" rid="tab3">Table 3</xref> shows the number of mice used for this study by age, gender, and genotype. Guidelines established by the National Institute of Health were followed for the care of all the animals (2011). The experimental protocols were approved by the Institutional Animal Care and the John B Pierce Laboratory. The John B Pierce laboratory is AAALAC accredited.</p>
<table-wrap position="float" id="tab3">
<label>Table 3</label>
<caption>
<p>The number of mice in each genotype, gender, and age range of the APOE4.TREM2 and WT control mice used for the blood volume imaging study.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Age (months)</th>
<th align="center" valign="top" colspan="2">APOE.TREM4</th>
<th align="center" valign="top" colspan="2">WT</th>
<th align="center" valign="top" rowspan="2">Total</th>
</tr>
<tr>
<th align="center" valign="top">F</th>
<th align="center" valign="top">M</th>
<th align="center" valign="top">F</th>
<th align="center" valign="top">M</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">9</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">10</td>
</tr>
<tr>
<td align="left" valign="top">16</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">21</td>
</tr>
<tr>
<td align="left" valign="top">22</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">7</td>
</tr>
<tr>
<td align="left" valign="top">Total</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">9</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">13</td>
<td align="center" valign="top">38</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec15">
<title>Headplate fixation and olfactory bulb exposure</title>
<p>Mice were anesthetized with isoflurane (4% for induction, 1.5&#x2013;3% for maintenance) followed by injections of Atropine (0.04&#x202F;mg/kg, IP) and Ethiqa XR (3.25&#x202F;mg/kg, SC). Body temperature was maintained at 37&#x202F;&#x00B0;C. An incision was made down the midline of the skull between the eyes exposing the dorsal surface of the bulbs, followed by the administration of topical bupivacaine. Custom headplates were placed and secured with MetaBond.</p>
<p>Once the animal was placed in the stereotax a dental drill was used to thin the bone and expose the dorsal side of the olfactory bulbs (dOB). Sterile saline was repeatedly used to saturate the skull to assess the optical clarity. The skull over the bulbs, as well as additional exposed skull and skin edges, were sealed with Krazy Glue for transparency. Next, Carprofen (5&#x202F;mg/kg, SC) was injected. Mice are kept isolated in recovery cages while body temperature was supported until awake and then given 4&#x2013;8&#x202F;days to recover prior to imaging.</p>
</sec>
<sec id="sec16">
<title>Intrinsic imaging</title>
<p>Mice were anesthetized with isoflurane (4%) followed by injections of Dexdomitor (0.5&#x202F;mg/kg, IP), Ketamine (75&#x202F;mg/kg, IP), and Atropine (0.04&#x202F;mg/kg, IP) with body temperature maintained at 37&#x202F;&#x00B0;C. Mineral oil was put on the bulbar window to enhance optical clarity. Intrinsic optical signals from the dOB were recorded using a CCD camera (Redshirt Imaging LLC, Decatur, GA, USA) with 256&#x202F;&#x00D7;&#x202F;256 pixel resolution, at a frame rate of 7&#x202F;Hz. The epifluorescence macroscope used was a custom-made tandem-lens type (<xref ref-type="bibr" rid="ref50">Ratzlaff and Grinvald, 1991</xref>). Imaging lenses were prime Nikon F-mount (ccd lens: 135&#x202F;mm f/3.5, used at f/8; object lens: 135&#x202F;mm f/3.5, used at f/3.5 or 80&#x202F;mm at f/5.6). A high-power LED with 590&#x202F;nm spectral peak (M590L4, Thorlabs, Newark, NJ), chosen for its isosbestic wavelength of oxy- and deoxy-hemoglobin to specifically measure blood volume (BV), was aimed via an optical fiber at the dOB, driven by a T-Cube LED Driver (LEDD1B, Thorlabs, Newark, NJ).</p>
<p>The flow dilution olfactometer output was presented through Teflon tubes that converged to a mask positioned to isolate the nose of the mouse. Nine trials using ethyl butyrate (EB) at three increasing concentrations (0.3, 1.0, and 3.0% of saturated vapor pressure, respectively) were carried out after the initial three control trials with no odor presented. Odor was presented for 4&#x202F;s, 8&#x202F;s into the start of the trial. A 180&#x202F;s interval was used between each trial allowing OB activity to ensure return to baseline. Once the EB trials were completed, we used a 5-min time interval to clear out all remaining odor. The same process was repeated for additional controls and methyl valerate (MV) at the same dilutions. After all trials were completed, mice were administered Antisedan (1&#x202F;mg/kg, SC) and were allowed to recover while supporting body temperature.</p>
</sec>
<sec id="sec17">
<title>Regions of interest (ROI) selections</title>
<p>MATLAB (The Mathworks Inc., V 2023) was used for dOB arterial region selection, by selecting pixels based on the consistency of blood volume (BV) increase out of the six trials from each concentration. Three regions were evaluated, the first ROI selected pixels with BV increase one SD above baseline for 4/6 trials (<xref ref-type="fig" rid="fig1">Figure 1A</xref>), the second selected pixels with BV increase three SD above baseline for 3/6 trials (<xref ref-type="fig" rid="fig1">Figure 1B</xref>), and the third ROI being a rectangular selection with no thresholds or assumptions, thereby evaluating BV changes across a large section of each dOB (<xref ref-type="fig" rid="fig1">Figure 1C</xref>). For further validation of these regions, mice were imaged during an intravenous tail injection of Fluorescein isothiocyanate (FITC, 250&#x202F;mg/kg) using a high-power LED of 488&#x202F;nm (Thorlabs, Newark, NJ) aimed via optical fiber at the dOB, driven by a T-Cube LED Driver (LEDD1B, Thorlabs, Newark, NJ). Imaging was captured using the same imaging setup, at 25 frames/s.</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>ROIs and dOB. To ascertain robustness of our findings, we defined 3 types of ROI. <bold>(A)</bold> ROI 1 SD: dOB pixels with a blood volume (BV) change of 1 SD&#x202F;&#x003E;&#x202F;baseline, in 4/6 trials. <bold>(B)</bold> ROI 3 SD: 3 SD&#x202F;&#x003E;&#x202F;baseline in 3/6 trials. <bold>(C)</bold> ROI Rectangle: anatomically based ROI analyzing two rectangular areas (L dOB and R dOB) with no thresholds. <bold>(D)</bold> dOB under ambient light post-surgery. <bold>(E)</bold> dOB under 488&#x202F;nm LED with FITC injection, resembling the 3SD ROI. <bold>(F)</bold> dOB under 590&#x202F;nm LED (see Methods).</p>
</caption>
<graphic xlink:href="fnagi-18-1622135-g001.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Six-panel image showing various representations of mouse brain. Panel A displays a binary silhouette, highlighting brain structures in white on a black background. Panel B presents segmented structures, appearing as white network-like formations. Panel C features a grayscale brain image with highlighted squares. Panel D shows a color image of a brain. Panel E depicts a grayscale image emphasizing vascular structures with bright lines. Panel F illustrates a negative image with darker brain structures on a lighter background.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec18">
<title>Calcium and intrinsic imaging of blood volume change (BV) in dorsal olfactory bulbs (dOB) of A4T2 x Thy1-GCaMP6f mice</title>
<sec id="sec19">
<title>Mice and imaging</title>
<p>A4T2 mice (JAX #028709) were crossed with mice reporting activity from OB output neurons (mitral/tufted cells, M/TC; Thy1-GCaMP6f). Their offspring were genotyped (Transnetyx) and those positive for A4T2 and Thy1-GCaMP6f genes were optically imaged for blood volume and calcium responses to odor stimulation of ethyl butyrate and methyl valerate at 0.3, 1, 3% vapor pressure at 10&#x2013;17mo (13.2&#x202F;&#x00B1;&#x202F;2.8; 5 males, 3 females; 9.7, 10.4, 11.1, 12.3, 14.0, 14.9, 16.7, and 16.7 months). Calcium responses were imaged at 25 fps after the BV responses (7 fps). Procedures were otherwise identical to what is described above for BV.</p>
</sec>
<sec id="sec20">
<title>Estimation of neurovascular transfer function</title>
<p>Responses were extracted from the data as described for BV, briefly for each hemisphere three types of ROIs were derived and temporal traces for each were extracted. BV data was upsampled to 25 fps to match Ca data (4&#x202F;s pre-odor, 15&#x202F;s post-odor), aligned to odor onset and extended with 100 zeros (up to 19&#x202F;s). To remove LED dimming and bleaching we subtracted an exponential fit to all temporal traces (except first 13&#x202F;s post odor onset). These Ca traces were deconvolved with the decay time of GCamP6f (250&#x202F;ms) as we have used before (<xref ref-type="bibr" rid="ref51">Rebello et al., 2014</xref>) to estimate the firing rate for each ROI.</p>
<p>The neurovascular coupling transfer functions (<xref ref-type="fig" rid="fig2">Figure 2B</xref>) were estimated as before (<xref ref-type="bibr" rid="ref54">Sanganahalli et al., 2009</xref>) using the modified gamma variate function (<xref ref-type="bibr" rid="ref36">Madsen, 2000</xref>) (<xref ref-type="fig" rid="fig2">Figure 2E</xref>). Briefly (<xref ref-type="fig" rid="fig2">Figure 2D</xref>), the four parameters of this function were adjusted until the functions&#x2019; convolution with the estimated neural activity closely matched the BV response (Matlab function &#x201C;lsqcurvefit&#x201D; with tolerance 1e<sup>&#x2212;10</sup>, 700 maximum iterations defined in &#x201C;optimset&#x201D;). The independent parameters are peak amplitude (y<sub>m</sub>), time to peak (t<sub>m</sub>), decay rate (<italic>&#x03B1;</italic>) and delay (y<sub>0</sub>; the start of increase of the function in seconds), with starting values 0.8, 4, 3 and 0.2 (<xref ref-type="fig" rid="fig2">Figure 2E</xref>). The full width half-max (FWHM) was estimated by an empirical equation as (2.454 &#x002A; &#x03B1;<sup>-0.5256</sup>)&#x002A;t<sub>m</sub>.</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Hemodynamic transfer functions increase with odor concentration. We estimated the hemodynamic transfer function <bold>(B)</bold> as gamma variant function (E), by iteratively increasing its fit to BV <bold>(C)</bold> after convolution with Ca-based firing rates <bold>(A)</bold>. The A4T2 LOAD mice showed concentration related increases in neurovascular coupling <bold>(B)</bold> to both EB (top) and MV (bottom). <bold>(D)</bold> describes this iterative procedure and <bold>(E)</bold> the gamma variate function. Copyright of all material published in JNeurosci remains with the authors.</p>
</caption>
<graphic xlink:href="fnagi-18-1622135-g002.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Five-panel scientific figure showing: (A, B, C; top row) three line charts comparing calcium responses, hemodynamic transfer functions, and blood volume responses for different experimental conditions, with firing rate or response amplitude plotted over time; (D) schematic illustrating the process of neural response modeling, showing labeled neural signals, predicted and measured signals, and residuals; (E) a gamma variate function equation used in modeling.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec id="sec21">
<title>Image analysis</title>
<p>Unless indicated, all optical imaging data analysis was done using custom-written <italic>MATLAB</italic> (The Mathworks Inc., V 2023).</p>
</sec>
</sec>
<sec sec-type="results" id="sec22">
<title>Results</title>
<sec id="sec23">
<title>Habituation-cross-habituation test reveals no odor memory deficits in APOE4.TREM2 mice</title>
<p>The Habituation-Cross-habituation test aimed to determine how APOE4.TREM2 mice might display olfactory dysfunction in comparison to WT animals throughout their lifetime (<xref ref-type="table" rid="tab1">Tables 1</xref>, <xref ref-type="table" rid="tab2">2</xref>; see Methods for full details). This assessment involved evaluating their capacity to distinguish between a sequentially presented set of odors. Mineral oil (MO) functioned as the odorless diluent used as the control stimulus to measure baseline exploration and habituation. Phenyl ethanol (PE) served as a non-trigeminal rose-like odorant, allowing for the selective probing of the olfactory system. Amyl acetate (AA) was selected as a commonly used banana-like food odorant. Lastly, social odor (SO, &#x201C;S&#x201D; in figures) was included, as previous research indicated that this stimulus elicited longer exploration times (<xref ref-type="bibr" rid="ref14">Crawley and Goodwin, 1980</xref>), thereby enhancing the sensitivity of the test. Post-hoc we performed seven Bonferroni-corrected comparisons between the first and third of each stimulus (habituation), and the third and following first presentation (cross-habituation, or &#x201C;dis-habituation&#x201D;).</p>
<p>At 9 months, the WT mice showed an overall effect of exploration time across the odors [<italic>F</italic><sub>(1.35, 9.42)</sub>&#x202F;=&#x202F;8.32, <italic>p</italic>&#x202F;=&#x202F;0.02; one-way RM ANOVA, <xref ref-type="fig" rid="fig3">Figure 3a</xref>]. Please note that in figures we refer to WT as C57BL6/J. WT mice displayed habituation (&#x2022;) between the repeated presentation of the same social odors; SO1 (&#x201C;S1,&#x201D; 28.7&#x202F;&#x00B1;&#x202F;6.9&#x202F;s) and SO3 (&#x201C;S3,&#x201D; 11.3&#x202F;&#x00B1;&#x202F;6.2&#x202F;s; &#x2022;&#x2022;<italic>p</italic>&#x202F;=&#x202F;0.003). They also showed cross-habituation (&#x2666;) between the presentation of PE3 (1.8&#x202F;&#x00B1;&#x202F;0.5) and SO1 (28.7&#x202F;&#x00B1;&#x202F;6.9&#x202F;s; &#x2666;<italic>p</italic>&#x202F;=&#x202F;0.04). Interestingly, the 9 months APOE4.TREM2 mice did not show an overall effect on exploration time across the odors [<italic>F</italic><sub>(2.88, 14.4)</sub>&#x202F;=&#x202F;2.67, <italic>p</italic>&#x202F;=&#x202F;0.09; one-way RM ANOVA, <xref ref-type="fig" rid="fig3">Figure 3a</xref>]. Therefore, habituation and cross-habituation were not significant. Planned post-hoc comparisons were also not significant. Additionally, we found statistical difference in the exploration time of SO1 between 9 months WT (28.7&#x202F;&#x00B1;&#x202F;6.9&#x202F;s) and the APOE4.TREM2 group (16.4&#x202F;&#x00B1;&#x202F;5.0&#x202F;s; &#x002A; <italic>p</italic>&#x202F;=&#x202F;0.03), however there was no overall difference between the groups [<italic>F</italic><sub>(1, 143)</sub>&#x202F;=&#x202F;0.84, <italic>p</italic>&#x202F;=&#x202F;0.36, two-way ANOVA, <xref ref-type="fig" rid="fig3">Figure 3a</xref>].</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Habituation-cross-habituation test. Data depicts mean &#x00B1; SEM for the time (sec) spent by WT (black) and APOE4.TREM2 (A4T2) mice (red), sniffing one of the following odors: mineral oil (MO), phenyl ethanol (PE), amyl acetate (AA), or a social odor (S, SO) to test APOE4.TREM2 and WT mice&#x2019;s ability to distinguish novel odors and habituate to three presentations of each (1&#x2013;3). <bold>(a)</bold> Graphical representation of 9 months. old WT (black) and APOE4.TREM2 (red). <bold>(b)</bold> Graph illustrating 13 months. old WT (black) and APOE4.TREM2 (red) mean &#x00B1; SEM odor exploration. <bold>(c)</bold> Graph representing 16 months. WT (black) and APOE4.TREM2 mice (red). &#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05 vs. WT, &#x002A;&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001 vs. WT. &#x2666;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x2666;&#x2666;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.01 cross-habituation. &#x2022;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x2022;&#x2022;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.01 habituation. See <xref ref-type="table" rid="tab2">Table 2</xref> for number of mice per group.</p>
</caption>
<graphic xlink:href="fnagi-18-1622135-g003.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Line graphs showing time spent on different odors at ages 9, 13, and 16 months for C57BL/6J and APOE4.TREM2 groups. At 9 months, both groups have a peak at odor S1. At 13 months, both groups maintain a peak at S1, with similar trends for other odors. At 16 months, the APOE4.TREM2 group shows a higher response at S1 compared to C57BL/6J. Error bars indicate variability, and stars denote significant differences.</alt-text>
</graphic>
</fig>
<p>The 13 months, WT mice showed an effect on exploration time across the odors [<italic>F</italic><sub>(3.77, 33.8)</sub>&#x202F;=&#x202F;13.9, <italic>p&#x202F;&#x003C;</italic> 0.0001; one-way ANOVA, <xref ref-type="fig" rid="fig3">Figure 3b</xref>, note smaller y-axis range used to improve resolution]. This group showed cross-habituation between PE3 (5.2&#x202F;&#x00B1;&#x202F;1.8) and SO1 (28.6&#x202F;&#x00B1;&#x202F;3.2, &#x2666;&#x2666;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.001) and habituation between SO1 and SO3 (10.5&#x202F;&#x00B1;&#x202F;2.9, &#x2022;<italic>p</italic>&#x202F;=&#x202F;0.02). Meanwhile, the APOE4.TREM2 group showed a stimulus effect on exploration duration (F<sub>2.52, 22.67</sub>&#x202F;=&#x202F;7.7, <italic>p</italic>&#x202F;=&#x202F;0.002, one-way ANOVA, <xref ref-type="fig" rid="fig3">Figure 3b</xref>) with cross-habituation between PE3 (5.1&#x202F;&#x00B1;&#x202F;1.6&#x202F;s) and SO1 (25.6&#x202F;&#x00B1;&#x202F;4.8&#x202F;s; &#x2666;&#x2666;<italic>p</italic>&#x202F;=&#x202F;0.007), and habitation between SO1 and SO3 (8.0&#x202F;&#x00B1;&#x202F;2.3&#x202F;s, &#x2022;<italic>p</italic>&#x202F;=&#x202F;0.04). There were no overall differences between the 13 months groups [<italic>F</italic><sub>(1, 216)</sub>&#x202F;=&#x202F;0.03, <italic>p</italic>&#x202F;=&#x202F;0.86], nor planned post-hoc differences.</p>
<p>At 16 months, WT mice showed no effect of stimulus on exploration time [<italic>F</italic><sub>(1.99, 13.9)</sub>&#x202F;=&#x202F;2.2, <italic>p</italic>&#x202F;=&#x202F;0.15; one-way ANOVA, <xref ref-type="fig" rid="fig3">Figure 3c</xref>]. No habituation or cross-habituation was observed. In contrast, the 16 months APOE4.TREM2 mice showed an effect on exploration time across the odors [<italic>F</italic><sub>(2.35, 23.50)</sub>&#x202F;=&#x202F;11.90, <italic>p</italic>&#x202F;=&#x202F;0.0002, one-way ANOVA, <xref ref-type="fig" rid="fig3">Figure 3c</xref>]. This group showed habituation between SO1 (40.0&#x202F;&#x00B1;&#x202F;6.9&#x202F;s) and SO3 (13.7&#x202F;&#x00B1;&#x202F;3.1&#x202F;s; &#x2022;&#x2022;<italic>p</italic>&#x202F;=&#x202F;0.004). The cross-habituation was significant between PE3 (6.3&#x202F;&#x00B1;&#x202F;2.0&#x202F;s) and SO1 (40.0&#x202F;&#x00B1;&#x202F;6.9&#x202F;s; &#x2666;&#x2666;<italic>p</italic>&#x202F;=&#x202F;0.009). Interestingly, there was a statistical difference for SO1 between the 16 months WT (13.3&#x202F;&#x00B1;&#x202F;4.8&#x202F;s) and the APOE4.TREM2 (40.0&#x202F;&#x00B1;&#x202F;6.9&#x202F;s; &#x002A;&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001) [<italic>F</italic><sub>(1, 204)</sub>&#x202F;=&#x202F;22.71, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001, two-way ANOVA, <xref ref-type="fig" rid="fig3">Figure 3c</xref>].</p>
<p>These results do not suggest age-related olfactory dysfunction in the APOE4.TREM2 mice, although they did exhibit an unexpected increased novel social odor exploration with age.</p>
</sec>
<sec id="sec24">
<title>Sucrose preference task: APOE4.TREM2 mice do not show anhedonia, but lower overall fluid intake</title>
<p>Consumption was measured over 2&#x202F;days in the sucrose preference task, testing the mice&#x2019;s reward sensitivity for indications of anhedonia. Six hours of free consumption of water and 10% sucrose solution took place in the presence of <italic>ad libitum</italic> food. Sucrose preference was calculated from the amount of sucrose solution consumed, expressed as a percentage of the total amount of liquid ingested in 6&#x202F;h. All groups on all days showed highly significant sucrose preference (1-tailed unpaired t-test, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001).</p>
<p>At 9 months both groups obtained high preference on the first day of the test, WT 87.5&#x202F;&#x00B1;&#x202F;2.5% and APOE4.TREM2 85.7&#x202F;&#x00B1;&#x202F;5.3% consumption. Preference was maintained on the second day, WT 92.5&#x202F;&#x00B1;&#x202F;2.5% and APOE4.TREM2 92.9&#x202F;&#x00B1;&#x202F;1.8%, with no statistical differences between groups [<italic>F</italic><sub>(1,26)</sub>&#x202F;=&#x202F;0.05, <italic>p</italic>&#x202F;=&#x202F;0.83; two-way ANOVA, <xref ref-type="fig" rid="fig4">Figure 4a</xref>].</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>Sucrose preference task. Data shows mean &#x00B1; SEM for the for WT and APOE4.TREM2 preference for sucrose when presented with both regular water and a 10% sucrose solution as a measurement for anhedonia. <bold>(a)</bold> Dot plot representing individual animal consumption of sucrose (10%) in water and bar chart illustrating the percentage of sucrose preference for both trials for WT (black) and APOE4.TREM2 (red) at 9 months, <bold>(b)</bold> for 13 months WT (black) APOE4.TREM2 (red), and <bold>(c)</bold> 16 months WT (black) APOE4.TREM2 (red). <bold>(d)</bold> Dot plot representing the individual animal total fluid consumption (mL) (sucrose in water and the water control), bar chart illustrating the average of consumption over two experimental days for the group at 9 months, <bold>(e)</bold> at 13 months, and <bold>(f)</bold> at 16 months. Significance determined by two-way ANOVA followed by Bonferroni&#x2019;s post-hoc, <italic><sup>&#x002A;</sup>p</italic>&#x202F;&#x003C;&#x202F;0.05, <sup>&#x002A;&#x002A;</sup><italic>p</italic>&#x202F;&#x003C;&#x202F;0.01, <sup>&#x002A;&#x002A;&#x002A;</sup><italic>p</italic>&#x202F;&#x003C;&#x202F;0.001, <sup>&#x002A;&#x002A;&#x002A;&#x002A;</sup><italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001. See <xref ref-type="table" rid="tab2">Table 2</xref> for number of mice per group.</p>
</caption>
<graphic xlink:href="fnagi-18-1622135-g004.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Six sets of graphs compare two groups, C57BL/6J and APOE4.TREM2, across different ages (9, 13, and 16 months). Subfigures a, b, and c display preference success, while d, e, and f show liquid consumption. Each subfigure includes scatter plots for two trial days and bar graphs summarizing results. Statistical significance is marked with asterisks.</alt-text>
</graphic>
</fig>
<p>Similarly, at 13 months, both groups showed high preference on the first day, WT 88.2&#x202F;&#x00B1;&#x202F;3.0% and APOE4.TREM2 85.0&#x202F;&#x00B1;&#x202F;2.7%. Preference was maintained on the second day for both groups WT 95.5&#x202F;&#x00B1;&#x202F;1.6% and APOE4.TREM2 93&#x202F;&#x00B1;&#x202F;2.6% with no statistical differences between groups [<italic>F</italic><sub>(1,38)</sub>&#x202F;=&#x202F;1.27, <italic>p</italic>&#x202F;=&#x202F;0.27; two-way ANOVA, <xref ref-type="fig" rid="fig4">Figure 4b</xref>].</p>
<p>At 16 months both groups again showed similar preference with no statistical difference with WT ingesting 90.0&#x202F;&#x00B1;&#x202F;1.9% and APOE4.TREM2 82.0&#x202F;&#x00B1;&#x202F;5.1% on the first day. Both groups maintained preference on the second day as WT consumed 95.0&#x202F;&#x00B1;&#x202F;1.9% and APOE4.TREM2 91.1&#x202F;&#x00B1;&#x202F;3.5% with no statistical difference [<italic>F</italic><sub>(1,31)</sub>&#x202F;=&#x202F;2.64, <italic>p</italic>&#x202F;=&#x202F;0.12; two-way ANOVA, <xref ref-type="fig" rid="fig4">Figure 4c</xref>].</p>
<p>In addition to preference, the total amount of volume consumed was measured every day. Over the test days, at 9 months the groups showed a time effect [<italic>F</italic><sub>(1,26)</sub>&#x202F;=&#x202F;17.8, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001; two-way ANOVA, <xref ref-type="fig" rid="fig4">Figure 4d</xref>], and the WT mice at 9 months increased their consumption from the first day: 6.1&#x202F;&#x00B1;&#x202F;0.4&#x202F;mL to the second day at 9.8&#x202F;&#x00B1;&#x202F;0.6&#x202F;mL (<italic>p</italic>&#x202F;=&#x202F;0.012). Meanwhile, the APOE4.TREM2 consumed 6.4&#x202F;&#x00B1;&#x202F;0.7&#x202F;mL on the first day and 8.2&#x202F;&#x00B1;&#x202F;0.8&#x202F;mL on the second day with no statistical differences (<italic>p</italic>&#x202F;=&#x202F;0.39).</p>
<p>The WT at 13 months also showed an effect over days [<italic>F</italic><sub>(1, 38)</sub>&#x202F;=&#x202F;8.97, <italic>p</italic>&#x202F;=&#x202F;0.005; two-way ANOVA, <xref ref-type="fig" rid="fig4">Figure 4e</xref>], with an increase in consumption between the first day 6.4&#x202F;&#x00B1;&#x202F;0.7&#x202F;mL and the second day of test 9.7&#x202F;&#x00B1;&#x202F;1.0&#x202F;mL (<italic>p</italic>&#x202F;=&#x202F;0.031). APOE4.TREM2 mice did not show statistical differences between first day (7.3&#x202F;&#x00B1;&#x202F;0.8) and the second day (8.8&#x202F;&#x00B1;&#x202F;0.7).</p>
<p>Interestingly, at 16 months there was only a marginal effect across days [<italic>F</italic><sub>(1,31)</sub>&#x202F;=&#x202F;3.87, <italic>p</italic>&#x202F;=&#x202F;0.059], while there was a strong effect between groups [<italic>F</italic><sub>(1,31)</sub>&#x202F;=&#x202F;44.63, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001; two-way ANOVA, <xref ref-type="fig" rid="fig4">Figure 4f</xref>]. WT group consumed more on the first day (7.5&#x202F;&#x00B1;&#x202F;0.6&#x202F;mL) than the APOE4.TREM2 (3.9&#x202F;&#x00B1;&#x202F;0.6&#x202F;mL, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001). This behavior was observed on the second testing day as the WT consumed 9.1&#x202F;&#x00B1;&#x202F;0.5&#x202F;mL while the APOE4.TREM2 consumed 4.7&#x202F;&#x00B1;&#x202F;0.6&#x202F;mL (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001). Thus, APOE4.TREM2 mice at 16 months consumed significantly less compared to control. Overall, however, we did not find anhedonia in APOE4.TREM2 mice.</p>
</sec>
<sec id="sec25">
<title>Open field test: APOE4.TREM2 at 16&#x202F;months old showed increased anxiety</title>
<p>Anxiety and exploratory activities were evaluated by allowing mice to freely explore an open field arena for 15&#x202F;min in a classic open field-testing apparatus. The mice showed an aging effect [<italic>F</italic><sub>(2,50)</sub>&#x202F;=&#x202F;8.62, <italic>p</italic>&#x202F;=&#x202F;0.0006; two-way ANOVA, <xref ref-type="fig" rid="fig5">Figure 5a</xref>]. Specifically, time spent in the central 50% of the total area was lower in APOE4.TREM2 mice at 16 months (124.9&#x202F;&#x00B1;&#x202F;12.0&#x202F;s) compared to the 9 months WT (216.1&#x202F;&#x00B1;&#x202F;23.4&#x202F;s, <italic>p</italic>&#x202F;=&#x202F;0.0096), 9 months APOE4.TREM2 (213.5&#x202F;&#x00B1;&#x202F;16.7&#x202F;s, <italic>p</italic>&#x202F;=&#x202F;0.014), and 13 months WT (225.1&#x202F;&#x00B1;&#x202F;16.0&#x202F;s, <italic>p</italic>&#x202F;=&#x202F;0.001) (<xref ref-type="fig" rid="fig5">Figure 5a</xref>). Genotype was marginally significant [<italic>F</italic><sub>(2,50)</sub>&#x202F;=&#x202F;3.49, <italic>p</italic> = = 0.068].</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>Open field test. Bar charts with mean &#x00B1; SEM of time mice spent in central 50% of arena <bold>(a)</bold> and their distance traveled (mean &#x00B1; SEM) [cm; <bold>(b)</bold>]. Velocity averaged across age and genotype with mean &#x00B1; SEM [cm/s; <bold>(c)</bold>]. Bar chart showing fecal production <bold>(d)</bold> with mean &#x00B1; SEM for WT (black) and APOE4.TREM2 (red) mice. Significance determined by two-way ANOVA followed by Bonferroni&#x2019;s post-hoc, <sup>&#x002A;</sup><italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, <sup>&#x002A;&#x002A;</sup><italic>p</italic>&#x202F;&#x003C;&#x202F;0.01, <sup>&#x002A;&#x002A;&#x002A;</sup><italic>p</italic>&#x202F;&#x003C;&#x202F;0.001. See <xref ref-type="table" rid="tab2">Table 2</xref> for number of mice per group.</p>
</caption>
<graphic xlink:href="fnagi-18-1622135-g005.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Bar graphs compare C57BL/6J and APOE4.TREM2 mice in different age groups (9, 13, 16 months) across four metrics: time in the central area, distance traveled, velocity, and fecal boli. The graphs show statistically significant differences, marked by asterisks, between the groups and ages. C57BL/6J is in black, APOE4.TREM2 in red.</alt-text>
</graphic>
</fig>
<p>During these trials the total distance traveled (cm), and velocity (cm/s) were also measured (<xref ref-type="fig" rid="fig5">Figures 5b</xref>,<xref ref-type="fig" rid="fig5">c</xref>), with a significant effect of age [<italic>F</italic><sub>(2,50)</sub>&#x202F;=&#x202F;7.51, <italic>p</italic>&#x202F;=&#x202F;0.002] and an age:genotype interaction [<italic>F</italic><sub>(2,50)</sub>&#x202F;=&#x202F;5.84, <italic>p</italic>&#x202F;=&#x202F;0.006; two-way ANOVA; <xref ref-type="fig" rid="fig5">Figure 5b</xref>] for distance, and hence similarly for velocity [age (<italic>F</italic><sub>(2,50)</sub>&#x202F;=&#x202F;5.51, <italic>p</italic>&#x202F;=&#x202F;0.007] and age:genotype interaction [<italic>F</italic><sub>(2,50)</sub>&#x202F;=&#x202F;6.51, <italic>p</italic>&#x202F;=&#x202F;0.004; two-way ANOVA), <xref ref-type="fig" rid="fig5">Figure 5c</xref>]. The APOE4.TREM2 mice at 13 months traveled (4,138&#x202F;&#x00B1;&#x202F;454&#x202F;cm), less than the APOE4.TREM2 mice at 9 months (6,578&#x202F;&#x00B1;&#x202F;409&#x202F;cm; <italic>p</italic>&#x202F;=&#x202F;0.005) and to WT at 16 months (6,576&#x202F;&#x00B1;&#x202F;742&#x202F;cm; <italic>p</italic>&#x202F;=&#x202F;0.005). The 13 months APOE4.TREM2 showed lower velocity (4.8&#x202F;&#x00B1;&#x202F;0.5&#x202F;cm/s) compared to APOE. TREM2 at 9 months (7.4&#x202F;&#x00B1;&#x202F;0.5&#x202F;cm/s, <italic>p</italic>&#x202F;=&#x202F;0.006) and WT 16 months (7.3&#x202F;&#x00B1;&#x202F;0.8&#x202F;cm/s, <italic>p</italic>&#x202F;=&#x202F;0.008).</p>
<p>Additionally, the count of fecal boli was obtained at the end of the test and showed main effect of genotype [<italic>F</italic><sub>(2,50)</sub>&#x202F;=&#x202F;3.41, <italic>p</italic>&#x202F;=&#x202F;0.042] on the number of fecal boli and an age:genotype interaction [<italic>F</italic><sub>(2,50)</sub>&#x202F;=&#x202F;4.98, <italic>p</italic>&#x202F;=&#x202F;0.011; two-way ANOVA, <xref ref-type="fig" rid="fig5">Figure 5d</xref>]. At 13 months, APOE4.TREM2 mice had a higher count of fecal boli (4.0&#x202F;&#x00B1;&#x202F;0.7) compared to 9 months (0.9&#x202F;&#x00B1;&#x202F;0.4, <italic>p</italic>&#x202F;=&#x202F;0.018) and compared to 16 months (1.1&#x202F;&#x00B1;&#x202F;0.6, <italic>p</italic>&#x202F;=&#x202F;0.016). These findings demonstrate age dependent increase in anxiety in 16 months APOE4.TREM2 mice.</p>
</sec>
<sec id="sec26">
<title>Hidden cookie test: APOE4.TREM2 at 13 months showed deficits in the cookie test</title>
<p>On the first day of the test, a piece of cookie was buried in one corner and the latency to finding the cookie was recorded. An hour and a half later, another piece of cookie was buried in the same corner as the first trial. The next day, mice were placed in the experimental cages and the piece of cookie was buried in a corner different from the prior day. This was tested twice following the same protocol as the first experimental day. Maximum trial time was 15&#x202F;min.</p>
<p>Mice did not show statistical differences between genotypes [<italic>F</italic><sub>(1,48)</sub>&#x202F;=&#x202F;0.17, <italic>p</italic>&#x202F;=&#x202F;0.68; two-way ANOVA, <xref ref-type="fig" rid="fig6">Figure 6a</xref>] at 9 months or at 16 months [<italic>F</italic><sub>(1,64)</sub>&#x202F;=&#x202F;0.45, <italic>p</italic>&#x202F;=&#x202F;0.50; two-way ANOVA, <xref ref-type="fig" rid="fig6">Figure 6c</xref>]. Statistical significance was seen in 13 months APOE4.TREM2 mice, as they showed greater latency in finding the cookie compared to WT, specifically on the last trials of each day [<italic>F</italic><sub>(1,76)</sub>&#x202F;=&#x202F;21.92, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001; two-way ANOVA, <xref ref-type="fig" rid="fig6">Figure 6b</xref>, please note larger y-scale range].</p>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption>
<p>Hidden cookie test. Data depicts mean &#x00B1; SEM for latency to cookie detection for both days at <bold>(a)</bold> 9 months old WT (black) and APOE4.TREM2 (red), <bold>(b)</bold> 13 months old WT (black) and APOE4.TREM2 (red), and <bold>(c)</bold> 16 months old WT (black) APOE4.TREM2 (red). <bold>(d)</bold> Bar graph represents the mean &#x00B1; SEM for latency of trials on day 1 by age and genotype. <sup>#</sup><italic>p</italic>&#x202F;=&#x202F;0.07, <sup>&#x002A;</sup><italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, <sup>&#x002A;&#x002A;</sup><italic>p</italic>&#x202F;&#x003C;&#x202F;0.01.</p>
</caption>
<graphic xlink:href="fnagi-18-1622135-g006.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Graphs depict latency over trials in a hidden cookie test for C57BL/6J and APOE4.TREM2 mice at different ages. Panel a shows 9-month-old mice with similar latencies. Panel b displays differences at 13 months, with APOE4.TREM2 showing higher latency. Panel c indicates 16-month-old results, showing variability. Panel d summarizes age group comparisons, highlighting increased latency in older APOE4.TREM2 mice.</alt-text>
</graphic>
</fig>
<p><xref ref-type="fig" rid="fig6">Figure 6d</xref> compares the latencies averaged over the first experimental day, showing significant effect of age [<italic>F</italic><sub>(2,100)</sub>&#x202F;=&#x202F;4.02, <italic>p</italic>&#x202F;=&#x202F;0.011], genotype [<italic>F</italic><sub>(1,100)</sub>&#x202F;=&#x202F;5.52, <italic>p</italic>&#x202F;=&#x202F;0.021] and age:genotype interaction [<italic>F</italic><sub>(2, 100)</sub>&#x202F;=&#x202F;3.37, <italic>p</italic>&#x202F;=&#x202F;0.04; two-way ANOVA]. The APOE4.TREM2 at 13 months showed higher latency (717.5&#x202F;&#x00B1;&#x202F;55&#x202F;s) compared to 13 months WT (412.5&#x202F;&#x00B1;&#x202F;69&#x202F;s; <italic>p</italic>&#x202F;=&#x202F;0.023). Additionally, 13 months APOE4.TREM2 mice showed differences compared to WT at 9 months (373.6&#x202F;&#x00B1;&#x202F;69.7&#x202F;s, <italic>p</italic>&#x202F;=&#x202F;0.016), to 9 months APOE4.TREM2 (295.4&#x202F;&#x00B1;&#x202F;70.9&#x202F;s, <italic>p</italic>&#x202F;=&#x202F;0.004), and 16 months WT (359.5&#x202F;&#x00B1;&#x202F;95.8&#x202F;s, <italic>p</italic>&#x202F;=&#x202F;0.016). The increased latency in buried cookie detection, especially in 13 months APOE4.TREM2 mice, indicates genotype related dysfunction of olfactory guided foraging tasks.</p>
</sec>
<sec id="sec27">
<title>Morris water maze: APOE4.TREM2 show deficits in the MWM task</title>
<p>The MWM assesses spatial memory and learning deficits. Mice swam freely in a pool to allow them to learn the fixed location of the escape platform. On the test day, the platform was removed, and each mouse was allocated 120&#x202F;s to swim freely. During this time, the latency to the platform area, cumulative time at the platform area, and cumulative time in the quadrant of the platform area were measured.</p>
<p>Latency was only affected by genotype [<italic>F</italic><sub>(1,42)</sub>&#x202F;=&#x202F;7.16, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.011; two-way ANOVA; <xref ref-type="fig" rid="fig7">Figure 7a</xref>]. At 9 and 16 months there were no differences. Mice at 13 months showed a higher latency (49.4&#x202F;&#x00B1;&#x202F;17.6&#x202F;s) to find the platform area compared to WT mice (14.5&#x202F;&#x00B1;&#x202F;3.2&#x202F;s; <italic>p</italic>&#x202F;=&#x202F;0.011).</p>
<fig position="float" id="fig7">
<label>Figure 7</label>
<caption>
<p>Morris water maze. Data displays WT (black) and APOE4.TREM2 mice (red) by age. <bold>(a)</bold> Bar graph representation of mean &#x00B1; SEM latency to platform area. <bold>(b)</bold> Bar graph displays the mean &#x00B1; SEM cumulative time spent in platform area. <bold>(c)</bold> Bar graph of cumulative time spent in quadrant. There were no statistical differences for the cumulative time in the quadrant. Significance determined by two-way ANOVA followed by Bonferroni&#x2019;s post-hoc, <sup>&#x002A;</sup><italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, <sup>&#x002A;&#x002A;</sup><italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001.</p>
</caption>
<graphic xlink:href="fnagi-18-1622135-g007.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Bar graphs comparing two groups, C57BL/6J (black) and APOE4.TREM2 (red), across three age groups: nine, thirteen, and sixteen months. Graph a) shows latency to platform, with significant differences at thirteen months. Graph b) displays cumulative time at platform, indicating significant differences at thirteen months. Graph c) illustrates cumulative time in quadrant, with no significant differences. Time is measured in seconds.</alt-text>
</graphic>
</fig>
<p>Time at the platform was affected by both genotype [<italic>F</italic><sub>(1,44)</sub>&#x202F;=&#x202F;11.61, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.002] and age:genotype interaction [<italic>F</italic><sub>(2,44)</sub>&#x202F;=&#x202F;18.81, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001; two-way ANOVA; <xref ref-type="fig" rid="fig7">Figure 7b</xref>]. The 13 months APOE4.TREM2 mice spent significantly less time at the platform area (0.7&#x202F;&#x00B1;&#x202F;0.2&#x202F;s) compared to the WT (6.6&#x202F;&#x00B1;&#x202F;0.8&#x202F;s; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001).</p>
<p>There were no statistical differences for the cumulative time in the quadrant (<xref ref-type="fig" rid="fig7">Figure 7c</xref>). We can conclude from these results that the APOE4.TREM2 mice display genotype-dependent deficits in spatial memory and learning.</p>
</sec>
<sec id="sec28">
<title>Nestlet building: APOE4.TREM2 do not show deficits in nest building</title>
<p>The nestlet building test measures the capacity of mice to build a nest to evaluate innate behavior, motor deficits, as well as overall welfare. Mice are scored out of 5 points, 1 indicates a&#x202F;&#x003E;&#x202F;90% intact nestlet, whereas a 5 indicates a nestlet torn &#x003E;90% and a clear nest crater (<xref ref-type="bibr" rid="ref16">Deacon, 2006</xref>). Scores were averaged across three raters using anonymized nest pictures.</p>
<p>Two-way ANOVA showed only an interaction effect, of age and genotype [<italic>F</italic><sub>(2,46)</sub>&#x202F;=&#x202F;4.51, <italic>p</italic>&#x202F;=&#x202F;0.017; <xref ref-type="fig" rid="fig8">Figure 8</xref>]. At 9 months both WT and APOE4.TREM2 mice scored similarly (3.4&#x202F;&#x00B1;&#x202F;0.1 vs. 3.5&#x202F;&#x00B1;&#x202F;0.3) without statistical difference. At 13 months, the WT scored 4.3&#x202F;&#x00B1;&#x202F;0.3, higher than APOE4.TREM2 at 3.2&#x202F;&#x00B1;&#x202F;0.3 (<italic>p</italic>&#x202F;=&#x202F;0.005). At 16 months, the control group scored 3.1&#x202F;&#x00B1;&#x202F;0.4, similar to the APOE4.TREM2 3.5&#x202F;&#x00B1;&#x202F;0.1 (but note <italic>n</italic>&#x202F;=&#x202F;4 for those mice). WT mice scored higher at 13 months than 16 months (<italic>p</italic>&#x202F;=&#x202F;0.006). Overall, no impairment in nestlet building in APOE4.TREM2 mice is evident.</p>
<fig position="float" id="fig8">
<label>Figure 8</label>
<caption>
<p>Nestlet building. Dot plots with mean &#x00B1; SEM of nestlet building scores for WT (black) and APOE4.TREM2 (red) out of 5 points, 1 indicates a&#x202F;&#x003E;&#x202F;90% intact nestlet, whereas a 5 indicates a nestlet torn &#x003E;90% and a clear nest crater (<xref ref-type="bibr" rid="ref16">Deacon, 2006</xref>) at 9 months (left), 13 months (middle), and 16 months (right). <italic><sup>&#x002A;</sup>p</italic>&#x202F;&#x003C;&#x202F;0.01.</p>
</caption>
<graphic xlink:href="fnagi-18-1622135-g008.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Dot plots display scores for two groups, C57BL/6J in black and APOE4.TREM2 in red, at three ages: 9 months, 13 months, and 16 months. At 13 months, APOE4.TREM2 scores are significantly lower. Error bars are included.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec29">
<title>Sleep/wake cycle: APOE4.TREM2 did not show disturbances in the sleep/wake cycle</title>
<p>The sleep/wake cycle was measured for 2&#x202F;days to know if the APOE4.TREM2 mice showed sleep alterations. At 9 months, both groups were active when they were in the dark phase of the experiment (<xref ref-type="fig" rid="fig9">Figure 9a</xref>, WT Day 1: 18.5&#x202F;&#x00B1;&#x202F;3.3% of dark time was slept and Day 2: 29.9&#x202F;&#x00B1;&#x202F;4.4%; APOE4.TREM2 Day1: 23.3&#x202F;&#x00B1;&#x202F;4.9% and Day 2: 32.4&#x202F;&#x00B1;&#x202F;2.7%). Meanwhile, the percentage of sleep was higher during the light phase than dark phase for both groups (<xref ref-type="fig" rid="fig9">Figure 9a</xref>, WT Day 1: 56.8&#x202F;&#x00B1;&#x202F;1.8% and Day 2: 54.1&#x202F;&#x00B1;&#x202F;1.4%; APOE4.TREM2 Day 1: 57.6&#x202F;&#x00B1;&#x202F;1.5% and Day 2: 54.6&#x202F;&#x00B1;&#x202F;1.0%; both post-hoc <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001) [phase effect <italic>F</italic><sub>(3,52)</sub>&#x202F;=&#x202F;70.70, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001; two-way ANOVA]. Differences were also not found between groups when both days were averaged (<xref ref-type="fig" rid="fig9">Figure 9d</xref>, dark phase WT 24.2&#x202F;&#x00B1;&#x202F;3.0% vs. APOE4.TREM2 27.9&#x202F;&#x00B1;&#x202F;3.0%; light phase WT 55.4&#x202F;&#x00B1;&#x202F;1.2% vs. APOE4.TREM2 56.1&#x202F;&#x00B1;&#x202F;1.0%) [<italic>F</italic><sub>(1,56)</sub>&#x202F;=&#x202F;0.90, <italic>p</italic>&#x202F;=&#x202F;0.35; two-way ANOVA].</p>
<fig position="float" id="fig9">
<label>Figure 9</label>
<caption>
<p>Sleep&#x2013;wake cycle. Data displays WT (black) and APOE4.TREM2 mice (red) by age. <bold>(a)</bold> Dot plot illustrating the percentage of sleep for individual animals at 9 months old during both dark and light phases for both days. <bold>(b)</bold> Dot plot illustrating the percentage of sleep for individual animals at 13 months old during both dark and light phases for both days. <bold>(c)</bold> Dot plot illustrating the percentage of sleep for individual animals at 16 months old during both dark and light phases for both days. Bar charts comparing average percent sleep over both days in light and dark phase for WT and APOE4.TREM2 at 9 months <bold>(d)</bold>, 13 months <bold>(e)</bold>, and 16 months <bold>(f)</bold>. <sup>&#x002A;&#x002A;&#x002A;&#x002A;</sup><italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001.</p>
</caption>
<graphic xlink:href="fnagi-18-1622135-g009.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Graphs display sleep percentage data comparing C57BL/6J and APOE4.TREM2 mice at ages nine, thirteen, and sixteen months. Panels a-c show individual scatter plots for day one and day two, highlighting significant differences (indicated by asterisks) and non-significant differences (ns). Panels d-f present corresponding bar charts with averages for dark and light phases. Black dots and bars represent C57BL/6J, while red squares and bars represent APOE4.TREM2. Significant differences are noted with asterisks.</alt-text>
</graphic>
</fig>
<p>At 13 months, the WT and APOE mice increased their sleep time in the dark phase of the experiment across days (<xref ref-type="fig" rid="fig9">Figure 9b</xref>, WT Day 1: 15.8&#x202F;&#x00B1;&#x202F;2.1% vs. Day 2: 34.6&#x202F;&#x00B1;&#x202F;1.6%; APOE4.TREM2 Day 1: 17.2&#x202F;&#x00B1;&#x202F;2.7% vs. Day 2: 36.2&#x202F;&#x00B1;&#x202F;1.8%, both post-hoc <italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001), but their higher (both <italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001) % sleep in the light phase did not differ across days (<xref ref-type="fig" rid="fig9">Figure 9b</xref>, WT Day 1: 58.4&#x202F;&#x00B1;&#x202F;2.3% vs. Day 2: 53.8&#x202F;&#x00B1;&#x202F;2.2%; APOE4.TREM2 Day 1: 63.2&#x202F;&#x00B1;&#x202F;3.4% vs. Day 2: 57.5&#x202F;&#x00B1;&#x202F;2.3%) [phase effect <italic>F</italic><sub>(3,76)</sub>&#x202F;=&#x202F;153.1, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001; two-way ANOVA]. Data did not show statistical difference for the total sleep between groups when both days were averaged (<xref ref-type="fig" rid="fig9">Figure 9e</xref>, dark phase WT 25.2&#x202F;&#x00B1;&#x202F;2.4% vs. APOE4.TREM2 26.7&#x202F;&#x00B1;&#x202F;2.7%; light phase WT 56.1&#x202F;&#x00B1;&#x202F;1.6% vs. APOE4.TREM2 60.4&#x202F;&#x00B1;&#x202F;2.1%) [<italic>F</italic><sub>(1,80)</sub>&#x202F;=&#x202F;0.1.69, <italic>p</italic>&#x202F;=&#x202F;0.20; two-way ANOVA].</p>
<p>At 16 months, both groups were also most active in the dark phase (<xref ref-type="fig" rid="fig9">Figure 9c</xref>, WT Day 1: 14.6&#x202F;&#x00B1;&#x202F;4.8% vs. Day 2: 25.8&#x202F;&#x00B1;&#x202F;3.5%; APOE4.TREM2 Day 1: 13.8&#x202F;&#x00B1;&#x202F;3.2% vs. Day 2: 23.0&#x202F;&#x00B1;&#x202F;2.3%). Both groups increased their sleep percentage in the light phase (<xref ref-type="fig" rid="fig9">Figure 9c</xref>, WT Day1: 65.8&#x202F;&#x00B1;&#x202F;2.1% and Day 2: 57.0&#x202F;&#x00B1;&#x202F;1.3%; APOE4.TREM2 Day1: 61.1&#x202F;&#x00B1;&#x202F;1.5% and Day 2: 56.3&#x202F;&#x00B1;&#x202F;1.9%; both <italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001) [phase effect <italic>F</italic><sub>(3,64)</sub>&#x202F;=&#x202F;155.1, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001; two-way ANOVA]. Again, no statistical difference between groups was observed for the total percentage of sleep in the two-day average of the dark/light cycle (<xref ref-type="fig" rid="fig9">Figure 9f</xref>, dark phase WT 20.2&#x202F;&#x00B1;&#x202F;3.2% vs. APOE4.TREM2 18.4&#x202F;&#x00B1;&#x202F;2.2%; light phase WT 61.4&#x202F;&#x00B1;&#x202F;1.6% vs. APOE4.TREM2 58.7&#x202F;&#x00B1;&#x202F;1.3%) [<italic>F</italic><sub>(1,68)</sub>&#x202F;=&#x202F;1.08, <italic>p</italic>&#x202F;=&#x202F;0.31; two-way ANOVA]. We conclude that we did not find age or genotype related differences in sleep time across the sleep/wake cycle.</p>
</sec>
<sec id="sec30">
<title>Odor-evoked intrinsic response signaling: vascular hyperresponsiveness shows genotype and age dependent effects in the APOE4.TREM2 model</title>
<p>Odor-evoked intrinsic signals were recorded and measured in anesthetized ~0.7 to ~2&#x202F;years old mice (<xref ref-type="table" rid="tab3">Table 3</xref>) to evaluate whether the APOE4.TREM2 (A4T2) genotype produces vascular hyperresponsiveness, particularly with increasing age. The responses were calculated for 3 types of region of interest (ROI): 1SD above baseline, 3SD above baseline and un-thresholded (<xref ref-type="fig" rid="fig1">Figures 1A</xref>&#x2013;<xref ref-type="fig" rid="fig1">C</xref> and Methods). The 3SD ROI type reflects dOB arteries, as verified by FITC injection (<xref ref-type="fig" rid="fig1">Figure 1E</xref>, Methods). Arteriolar vessels cannot be selected based on resting light image vessels alone (<xref ref-type="fig" rid="fig1">Figure 1D</xref>), which can include non-arterial vessels.</p>
<p>The dOB was imaged using a 590&#x202F;nm LED, the power spectrum of which matches hemoglobin&#x2019;s isosbestic point and therefore reports changes in blood volume (BV). An increase in BV increases absorption and hence decreases reflected signal. The average hemodynamic response function shown in <xref ref-type="fig" rid="fig10">Figure 10</xref> represents BV dOB responses to odor presentations (flow dilutions at 0, 0.3, 1, and 3% of saturated vapor pressure) of ethyl butyrate (EB) for 4&#x202F;s and was calculated based on the 3SD-based ROI across all mice (<italic>n</italic>&#x202F;=&#x202F;38, <xref ref-type="table" rid="tab3">Table 3</xref>) and trials (<italic>n</italic>&#x202F;=&#x202F;12/mouse for EB). These responses have a rapid (~1&#x202F;s) onset and a slow offset lasting over 10&#x202F;s and have larger amplitude with increasing odor concentrations. The data demonstrate that the APOE4.TREM2 (A4T2) mice show increased intrinsic BV responses (i.e., hyperresponsiveness) at each concentration of EB, being especially prominent at 1 and 3% EB, relative to WT (C57).</p>
<fig position="float" id="fig10">
<label>Figure 10</label>
<caption>
<p>Hemodynamic response function. Averaged odor-evoked intrinsic BV response comparison of the two genotypes at each concentration of 4&#x202F;s of EB (0% control, 0.3, 1.0, 3.0%). WT (C57, black) and APOE4.TREM2 (A4T2, red). Intrinsic hyperresponsiveness is seen in APOE4.TREM2 at each concentration. See <xref ref-type="table" rid="tab3">Table 3</xref> for number of mice per group.</p>
</caption>
<graphic xlink:href="fnagi-18-1622135-g010.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Line graph displaying the mean percentage change in fluorescence (dF/F) over time, with error bars. Different colored lines represent variations EB0 A4T2, EB03 A4T2, EB1 A4T2, EB3 A4T2, EB0 C57, EB03 C57, EB1 C57, and EB3 C57. A decrease occurs at zero to three time units, marked as "0-3% EB," followed by recovery.</alt-text>
</graphic>
</fig>
<p>We calculated the Area Under the Curve (AUC) to assess the overall integrated BV response magnitude over the first 10s post odor onset (sum of % dF/F across 70 frames, i.e., %dF/F &#x002A; t (10&#x202F;s) &#x002A; frame rate (7 frames per sec)). A more negative AUC value signifies greater BV response. Evaluating the AUC ignores the response dynamics to focus on the overall magnitude. When AUC is averaged across mice combining both odorants in each ROI, APOE4.TREM2 mice display vascular hyperresponsiveness to odor stimuli at each concentration. Statistically highly significant odor-induced BV hyperresponsiveness by APOE4.TREM2 mice is evident in the 1SD-based ROI responses (<xref ref-type="fig" rid="fig11">Figure 11A</xref>), artery-like 3SD ROI responses (<xref ref-type="fig" rid="fig11">Figure 11B</xref>) and even dOB-wide rectangular ROI responses (<xref ref-type="fig" rid="fig11">Figure 11C</xref>). <xref ref-type="table" rid="tab4">Tables 4</xref>, <xref ref-type="table" rid="tab5">5</xref> demonstrate, using 2-way (age, genotype) and 3-way (age, genotype, sex) ANOVA across all mice and all 24 trials per mouse, that age and genotype separately and in interaction significantly affect intrinsic responses. Sex was not a significant factor, although we note uneven distribution of males vs. females (<xref ref-type="table" rid="tab3">Table 3</xref>). These data demonstrate that the intrinsic odor responses are larger in the APOE4.TREM2 (A4T2) than WT (C57) mice, and more so with age.</p>
<fig position="float" id="fig11">
<label>Figure 11</label>
<caption>
<p>Averaged intrinsic responses comparing genotype at each concentration for all ROIs. Bar charts displaying averaged measurements of the area under the curve (AUC; dF/F(%)&#x002A;10&#x202F;s&#x002A;7fps) combining EB and MV with 3 repetitions per concentration, comparing WT (C57, black) and APOE4.TREM2 (A4T2, red). A more negative value in the curve signifies greater blood volume changes. <bold>(A)</bold> APOE4.TREM2 vs. WT BV comparison for 1SD threshold-based ROI for 0.3% (<italic>p</italic>&#x202F;=&#x202F;0.01), 1.0% (<italic>p</italic>&#x202F;=&#x202F;0.002), and 3% (<italic>p</italic>&#x202F;=&#x202F;0.006). <bold>(B)</bold> APOE4.TREM2 vs. WT BV comparison for 3SD threshold-based ROI for 0.3% (<italic>p</italic>&#x202F;=&#x202F;0.003), 1.0% (<italic>p</italic>&#x202F;=&#x202F;0.003), and 3% (<italic>p</italic>&#x202F;=&#x202F;0.006). <bold>(C)</bold> APOE4.TREM2 vs. WT BV comparison for the rectangular unthresholded ROI for 0.3% (<italic>p</italic>&#x202F;=&#x202F;0.03), 1.0% (<italic>p</italic>&#x202F;=&#x202F;0.004), and 3% (<italic>p</italic>&#x202F;=&#x202F;0.007). All tests are planned unpaired one-tailed Student&#x2019;s <italic>t</italic>-test. <sup>&#x002A;</sup><italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, <sup>&#x002A;&#x002A;</sup><italic>p</italic>&#x202F;&#x003C;&#x202F;0.01, <sup>&#x002A;&#x002A;&#x002A;</sup><italic>p</italic>&#x202F;&#x003C;&#x202F;0.005.</p>
</caption>
<graphic xlink:href="fnagi-18-1622135-g011.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Bar graphs labeled A, B, and C compare dF/F AUC values between A4T2 (red) and C57 (gray) across different ROIs: 1SD, 3SD, and RECT. Significant differences are indicated with asterisks: one for p&#x003C;0.05, two for p&#x003C;0.01, and three for p&#x003C;0.001. Graph A shows significant differences at 1SD, graph B at 3SD, and graph C at RECT.</alt-text>
</graphic>
</fig>
<table-wrap position="float" id="tab4">
<label>Table 4</label>
<caption>
<p>2-way ANOVA confirming genotype and age effects on blood volume hyperresponsiveness in each ROI (3% EB/MV).</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">(A) Source</th>
<th align="center" valign="top">Sum Sq.</th>
<th align="center" valign="top">d.f.</th>
<th align="center" valign="top">Mean Sq.</th>
<th align="center" valign="top">
<italic>F</italic>
</th>
<th align="center" valign="top">Prob&#x003E;F</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Age</td>
<td align="center" valign="top">8501.3</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">8501.3</td>
<td align="center" valign="top">8.1</td>
<td align="center" valign="top">0.005</td>
</tr>
<tr>
<td align="left" valign="top">Geno</td>
<td align="center" valign="top">21367.9</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">21367.9</td>
<td align="center" valign="top">20.36</td>
<td align="center" valign="top">0</td>
</tr>
<tr>
<td align="left" valign="top">Age:Geno</td>
<td align="center" valign="top">35935.4</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">35935.4</td>
<td align="center" valign="top">34.24</td>
<td align="center" valign="top">0</td>
</tr>
<tr>
<td align="left" valign="top">Error</td>
<td align="center" valign="top">165842.7</td>
<td align="center" valign="top">158</td>
<td align="center" valign="top">1049.6</td>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">Total</td>
<td align="center" valign="top">226553.4</td>
<td align="center" valign="top">161</td>
<td/>
<td/>
<td/>
</tr>
</tbody>
</table>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">(B) Source</th>
<th align="center" valign="top">Sum Sq.</th>
<th align="center" valign="top">d.f.</th>
<th align="center" valign="top">Mean Sq.</th>
<th align="center" valign="top">
<italic>F</italic>
</th>
<th align="center" valign="top">Prob&#x003E;F</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Age</td>
<td align="center" valign="top">9074.9</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">9074.9</td>
<td align="center" valign="top">4.12</td>
<td align="center" valign="top">0.044</td>
</tr>
<tr>
<td align="left" valign="top">Geno</td>
<td align="center" valign="top">22960.8</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">22960.8</td>
<td align="center" valign="top">10.43</td>
<td align="center" valign="top">0.0015</td>
</tr>
<tr>
<td align="left" valign="top">Age:Geno</td>
<td align="center" valign="top">44550.4</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">44550.4</td>
<td align="center" valign="top">20.23</td>
<td align="center" valign="top">0</td>
</tr>
<tr>
<td align="left" valign="top">Error</td>
<td align="center" valign="top">347989.4</td>
<td align="center" valign="top">158</td>
<td align="center" valign="top">2202.5</td>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">Total</td>
<td align="center" valign="top">436332.6</td>
<td align="center" valign="top">161</td>
<td/>
<td/>
<td/>
</tr>
</tbody>
</table>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">(C) Source</th>
<th align="center" valign="top">Sum Sq.</th>
<th align="center" valign="top">d.f.</th>
<th align="center" valign="top">Mean Sq.</th>
<th align="center" valign="top">
<italic>F</italic>
</th>
<th align="center" valign="top">Prob&#x003E;F</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Age</td>
<td align="center" valign="top">2888.7</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">2888.68</td>
<td align="center" valign="top">5.11</td>
<td align="center" valign="top">0.0251</td>
</tr>
<tr>
<td align="left" valign="top">Geno</td>
<td align="center" valign="top">3178.3</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">3178.31</td>
<td align="center" valign="top">5.62</td>
<td align="center" valign="top">0.0189</td>
</tr>
<tr>
<td align="left" valign="top">Age:Geno</td>
<td align="center" valign="top">7629.1</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">7629.08</td>
<td align="center" valign="top">13.5</td>
<td align="center" valign="top">0.0003</td>
</tr>
<tr>
<td align="left" valign="top">Error</td>
<td align="center" valign="top">89297.4</td>
<td align="center" valign="top">158</td>
<td align="center" valign="top">565.17</td>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">Total</td>
<td align="center" valign="top">110209.9</td>
<td align="center" valign="top">161</td>
<td/>
<td/>
<td/>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>Statistical differences in the data support odor-evoked intrinsic responses are age and genotype dependent. Three different ROIs were selected (see <xref ref-type="fig" rid="fig1">Figures 1A</xref>&#x2013;<xref ref-type="fig" rid="fig1">C</xref>) and separately evaluated by ANOVA: (A) 1 SD ROI type age effect, genotype effect, and age:genotype interaction effect, (B) 3 SD ROI type age effect, genotype effect, and age:genotype effect, and (C) Rectangular ROI type age effect, genotype effect, and age:genotype effect.</p>
</table-wrap-foot>
</table-wrap>
<table-wrap position="float" id="tab5">
<label>Table 5</label>
<caption>
<p>3-way ANOVA assessing genotype, age, and sex effects on intrinsic responses for 3% EB/MV in each ROI.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">(A) Source</th>
<th align="center" valign="top">Sum Sq.</th>
<th align="center" valign="top">d.f.</th>
<th align="center" valign="top">Mean Sq.</th>
<th align="center" valign="top">
<italic>F</italic>
</th>
<th align="center" valign="top">Prob&#x003E;F</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Age</td>
<td align="center" valign="top">6,047</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">6,047</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">0.0154</td>
</tr>
<tr>
<td align="left" valign="top">Geno</td>
<td align="center" valign="top">10857.5</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">10857.5</td>
<td align="center" valign="top">10.78</td>
<td align="center" valign="top">0.0013</td>
</tr>
<tr>
<td align="left" valign="top">Sex</td>
<td align="center" valign="top">2874.3</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">2874.3</td>
<td align="center" valign="top">2.85</td>
<td align="center" valign="top">0.0932</td>
</tr>
<tr>
<td align="left" valign="top">Age:Geno</td>
<td align="center" valign="top">17881.7</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">17881.7</td>
<td align="center" valign="top">17.75</td>
<td align="center" valign="top">0</td>
</tr>
<tr>
<td align="left" valign="top">Age:Sex</td>
<td align="center" valign="top">2915.7</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">2915.7</td>
<td align="center" valign="top">2.89</td>
<td align="center" valign="top">0.0909</td>
</tr>
<tr>
<td align="left" valign="top">Geno:Sex</td>
<td align="center" valign="top">408.5</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">408.5</td>
<td align="center" valign="top">0.41</td>
<td align="center" valign="top">0.5252</td>
</tr>
<tr>
<td align="left" valign="top">Age:Geno:Sex</td>
<td align="center" valign="top">847.6</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">847.6</td>
<td align="center" valign="top">0.84</td>
<td align="center" valign="top">0.3605</td>
</tr>
<tr>
<td align="left" valign="top">Error</td>
<td align="center" valign="top">155159.2</td>
<td align="center" valign="top">154</td>
<td align="center" valign="top">1007.5</td>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">Total</td>
<td align="center" valign="top">226553.4</td>
<td align="center" valign="top">161</td>
<td/>
<td/>
<td/>
</tr>
</tbody>
</table>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">(B) Source</th>
<th align="center" valign="top">Sum Sq.</th>
<th align="center" valign="top">d.f.</th>
<th align="center" valign="top">Mean Sq.</th>
<th align="center" valign="top">
<italic>F</italic>
</th>
<th align="center" valign="top">Prob&#x003E;F</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Age</td>
<td align="center" valign="top">648.98</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">648.98</td>
<td align="center" valign="top">0.31</td>
<td align="center" valign="top">0.57852</td>
</tr>
<tr>
<td align="left" valign="top">Geno</td>
<td align="center" valign="top">1808.66</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">1808.66</td>
<td align="center" valign="top">0.86</td>
<td align="center" valign="top">0.35413</td>
</tr>
<tr>
<td align="left" valign="top">Sex</td>
<td align="center" valign="top">99.03</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">99.03</td>
<td align="center" valign="top">0.05</td>
<td align="center" valign="top">0.82813</td>
</tr>
<tr>
<td align="left" valign="top">Age:Geno</td>
<td align="center" valign="top">6463.55</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">6463.55</td>
<td align="center" valign="top">3.09</td>
<td align="center" valign="top">0.08091</td>
</tr>
<tr>
<td align="left" valign="top">Age:Sex</td>
<td align="center" valign="top">677.65</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">677.65</td>
<td align="center" valign="top">0.32</td>
<td align="center" valign="top">0.57026</td>
</tr>
<tr>
<td align="left" valign="top">Geno:Sex</td>
<td align="center" valign="top">9797.26</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">9797.26</td>
<td align="center" valign="top">4.68</td>
<td align="center" valign="top">0.032074</td>
</tr>
<tr>
<td align="left" valign="top">Age:Geno:Sex</td>
<td align="center" valign="top">11130.13</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">11130.13</td>
<td align="center" valign="top">5.32</td>
<td align="center" valign="top">0.022469</td>
</tr>
<tr>
<td align="left" valign="top">Error</td>
<td align="center" valign="top">322449.38</td>
<td align="center" valign="top">154</td>
<td align="center" valign="top">2093.83</td>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">Total</td>
<td align="center" valign="top">436332.60</td>
<td align="center" valign="top">161</td>
<td/>
<td/>
<td/>
</tr>
</tbody>
</table>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">(C) Source</th>
<th align="center" valign="top">Sum Sq.</th>
<th align="center" valign="top">d.f.</th>
<th align="center" valign="top">Mean Sq.</th>
<th align="center" valign="top">
<italic>F</italic>
</th>
<th align="center" valign="top">Prob&#x003E;F</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Age</td>
<td align="center" valign="top">1884.2</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">1884.21</td>
<td align="center" valign="top">3.57</td>
<td align="center" valign="top">0.0608</td>
</tr>
<tr>
<td align="left" valign="top">Geno</td>
<td align="center" valign="top">1703.3</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">1703.35</td>
<td align="center" valign="top">3.22</td>
<td align="center" valign="top">0.0745</td>
</tr>
<tr>
<td align="left" valign="top">Sex</td>
<td align="center" valign="top">1561.1</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">1561.11</td>
<td align="center" valign="top">2.95</td>
<td align="center" valign="top">0.876</td>
</tr>
<tr>
<td align="left" valign="top">Age:Geno</td>
<td align="center" valign="top">3493.7</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">3493.66</td>
<td align="center" valign="top">6.61</td>
<td align="center" valign="top">0.0111</td>
</tr>
<tr>
<td align="left" valign="top">Age:Sex</td>
<td align="center" valign="top">1796.4</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">1796.37</td>
<td align="center" valign="top">3.4</td>
<td align="center" valign="top">0.671</td>
</tr>
<tr>
<td align="left" valign="top">Geno:Sex</td>
<td align="center" valign="top">700.4</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">700.36</td>
<td align="center" valign="top">1.33</td>
<td align="center" valign="top">0.2514</td>
</tr>
<tr>
<td align="left" valign="top">Age:Geno:Sex</td>
<td align="center" valign="top">1102.8</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">1102.78</td>
<td align="center" valign="top">2.09</td>
<td align="center" valign="top">0.1506</td>
</tr>
<tr>
<td align="left" valign="top">Error</td>
<td align="center" valign="top">81367.9</td>
<td align="center" valign="top">154</td>
<td align="center" valign="top">528.36</td>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">Total</td>
<td align="center" valign="top">110209.9</td>
<td align="center" valign="top">161</td>
<td/>
<td/>
<td/>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>Three different ROIs were selected (see <xref ref-type="fig" rid="fig1">Figures 1A</xref>&#x2013;<xref ref-type="fig" rid="fig1">C</xref>) and separately evaluated by ANOVA (A). 1 SD ROI type responses show significant effect of age, genotype and their interaction, but no indication of sex related deficits (B). 3 SD ROI type responses show no significant effect of age, genotype, or sex on vascular hyperresponsiveness individually, but show significant interactions (C). Rectangular ROI type data show no significant effect of age, genotype, or sex on vascular hyperresponsiveness individually, but do show a significant genotype: age interaction.</p>
</table-wrap-foot>
</table-wrap>
<p>As LOAD is strongly dependent on age, we further assessed if the odor-evoked intrinsic responses revealed an aging effect. APOE4.TREM2 mice show an increasing trend of vascular hyperresponsiveness to odor stimuli with age, while the WT mice show no significant BV changes with increasing age in the 1SD-based ROI responses (<xref ref-type="fig" rid="fig12">Figure 12A</xref>, APOE4.TREM2: &#x2212;5.5%<sub>AUC</sub>/months, with an r<sup>2</sup>&#x202F;=&#x202F;0.29; WT: +2.3%<sub>AUC</sub>/months, and r<sup>2</sup>&#x202F;=&#x202F;0.09). This is also evident in the artery-like 3SD ROI responses (<xref ref-type="fig" rid="fig12">Figure 12B</xref>) and the dOB-wide rectangular ROI responses (<xref ref-type="fig" rid="fig12">Figure 12C</xref>). These data emphasize not only the vascular dysfunction seen in the APOE4.TREM2 mice, but further demonstrate that the dysfunction is age dependent. These data validate this model&#x2019;s translatability in studying the progression of LOAD.</p>
<fig position="float" id="fig12">
<label>Figure 12</label>
<caption>
<p>Blood volume responses in the olfactory bulb increase with age only in APOE4.TREM2 model mice. Scatter plots of individual mice representing intrinsic responses (AUC) for averaged 3% EB and averaged 3% MV of WT (C57, black) and APOE4.TREM2 (A4T2, red) mice by age. <bold>(A)</bold> Comparison for 1SD threshold ROI. <bold>(B)</bold> Comparison for 3SD threshold ROI. <bold>(C)</bold> Comparison for rectangular dOB-wide ROI.</p>
</caption>
<graphic xlink:href="fnagi-18-1622135-g012.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Three scatter plots labeled A, B, and C analyze dF/F AUC against age in months. Plot A shows "AUC 1SD ROI," Plot B "AUC 3SD ROI," and Plot C "AUC RECT ROI." Each plot compares red circles for A4T2 and black triangles for C57. Linear trend lines and equations for both data sets are present, with varying slopes and R-squared values, indicating different correlation strengths.</alt-text>
</graphic>
</fig>
<p>Here we report the neurovascular coupling in the OB of aged A4T2 mice. We hypothesized that in early stages of LOAD, neurovascular hyper-responsiveness will be detected due to compensatory efforts sustaining the degenerating tissues. We hence expected in increase in the ratio of BV to Ca responses.</p>
<p>We confirm findings from our A4T2 cohort in that BV AUC (<xref ref-type="fig" rid="fig13">Figure 13C</xref>) in the A4T2 x Thy1-GCamP6f mice also increased with age for 0.3% (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.002) and 1% (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.04) odor, though not for 3%. However, neural responses (AUC of estimated firing rate, <xref ref-type="fig" rid="fig13">Figure 13A</xref>) increased with age at all odor concentrations (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.003). The neurovascular coupling, defined as ratio of BV and Ca, did not depend on age at any concentration (<xref ref-type="fig" rid="fig13">Figure 13B</xref>).</p>
<fig position="float" id="fig13">
<label>Figure 13</label>
<caption>
<p>Both neural and blood volume responses increase with age in LOAD mice, but not their coupling. In this new cohort of A4T2 x Thy1-GCaMP6f mice we measured both the time-integrated responses (AUC) of calcium <bold>(A)</bold> and BV <bold>(C)</bold> as function of MV and EB odor concentration. We confirmed that BV responses increase with age. We found that neural odor responses of mitral/tufted cells also increase with age. However, the neuro-vascular coupling strength (BV/Ca) <bold>(B)</bold> does not depend on age. Note BV increases with increasing dF/F (inverted from <xref ref-type="fig" rid="fig6">Figure 6</xref>).</p>
</caption>
<graphic xlink:href="fnagi-18-1622135-g013.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Nine scatter plots with linear regression lines show dF/F AUC values versus age in months across three conditions (Ca, BV/Ca, and BV) and three concentrations (0.3%, 1%, 3%) with reported slopes and P values, organized in panels A, B, and C.</alt-text>
</graphic>
</fig>
<p>We explored this further by estimating the temporal hemodynamic transfer function at each concentration of each odor for each mouse. We estimated the odor evoked firing rate (<xref ref-type="fig" rid="fig2">Figure 2A</xref>) by deconvolving the GCaMP6f off response time constant. We then derived the modified gamma function (<xref ref-type="fig" rid="fig2">Figure 2E</xref>) best fitting the BV response (<xref ref-type="fig" rid="fig2">Figure 2C</xref>) after convolution with the neural response (<xref ref-type="fig" rid="fig2">Figure 2D</xref>). Goodness of fit (maximum of the cross correlation) between BV and the calculated BV (based on convolving the transfer function with neural activity response) was 0.74&#x202F;&#x00B1;&#x202F;0.28, 0.94&#x202F;&#x00B1;&#x202F;0.06 and 0.99&#x202F;&#x00B1;&#x202F;0.01 (mean&#x202F;&#x00B1;&#x202F;sd, across all 8 mice and 6 trials per mouse per concentration) for 0.3, 1 and 3% of the odorants, respectively, with a consistent lag of 1 frame. We found no effect of age on the hemodynamic transfer function amplitude (<xref ref-type="fig" rid="fig14">Figure 14A</xref>), nor on FWHM (<xref ref-type="fig" rid="fig14">Figure 14B</xref>) or time to peak (<xref ref-type="fig" rid="fig14">Figure 14C</xref>).</p>
<fig position="float" id="fig14">
<label>Figure 14</label>
<caption>
<p>No age-related trends were observed in three key parameters of the hemodynamic transfer gamma variant function: amplitude <bold>(A)</bold>, full width at half maximum (FWHM) <bold>(B)</bold> and time to peak <bold>(C)</bold>.</p>
</caption>
<graphic xlink:href="fnagi-18-1622135-g014.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Nine-panel scientific figure displaying scatter plots with regression lines examining the relationship between age in months and three variables: amplitude (panel A), FWHM (panel B), and time to peak (panel C) for different conditions (0.3%, 1%, and 3%) and preparations (EB, MV). Each plot provides slope and p-value statistics, with no clear significant trends, as slopes are close to zero and p-values are generally high.</alt-text>
</graphic>
</fig>
<p>Additionally, we found that the neurovascular coupling increased as function of odor concentration in these LOAD mice, being evident from the increasing amplitude for both odors (<xref ref-type="fig" rid="fig14">Figure 14B</xref>). Regression slopes of amplitude (AU) versus concentration were consistently positive (0.0034&#x202F;&#x00B1;&#x202F;0.0023 and 0.0055&#x202F;&#x00B1;&#x202F;0.0045 for EB and MV, respectively) and higher than 0 (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.002 and <italic>p</italic>&#x202F;&#x003C;&#x202F;0.006, 1-sided t-test, respectively). Amplitudes increased 1.76&#x202F;&#x00B1;&#x202F;0.48 and 2.22&#x202F;&#x00B1;&#x202F;0.75 times with a 10-fold (0.3 to 3%) concentration increase for EB and MV, respectively (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.006 and <italic>p</italic>&#x202F;&#x003C;&#x202F;0.005, 1-sided <italic>t</italic>-test, respectively).</p>
</sec>
</sec>
<sec sec-type="discussion" id="sec31">
<title>Discussion</title>
<p>Resolution for the lack of efficient early diagnostic methods for LOAD first requires the validation of an effective animal model. Apoe4 and Trem2 p.R47H have been identified as two powerful genetic risk factors in the human population for LOAD, making these two strong candidates in the development of preclinical animal models. Our results suggest that the APOE4.TREM2 LOAD mouse line by the MODEL-AD consortium shows age-dependent behavioral deficits in hydration (lower fluid intake), odor-based navigation-foraging (cookie test), anxiety (open field test), and spatial memory (Morris Water Maze). In addition, we report age-dependent increases in odor induced hemodynamic responses compared to WT.</p>
<p>One study compared APOE4 to APOE3 in brain cells from sAD induced pluripotent stem cells (iPSCs) and revealed AD-related pathologies, such as APOE4 neurons exhibiting elevated A&#x03B2;<sub>42</sub> secretions, APOE4 astrocytes having impaired A&#x03B2; uptake, and APOE4 microglia-like cells with reduced A&#x03B2; phagocytosis, relative to isogenic APOE3 cells (<xref ref-type="bibr" rid="ref66">Tai et al., 2015</xref>).</p>
<p>Trem2 p.R47H has been linked to increased brain concentrations of Tumor Necrosis Factor alpha (TNF-<italic>&#x03B1;</italic>), heightened glutamatergic transmission, and suppressed Long-Term Potentiation (LTP) in rats. Neutralizing TNF-&#x03B1; with anti-TNF-&#x03B1; antibodies mitigated these effects on glutamatergic transmission and LTP, highlighting a role for Trem2 p.R47H in LOAD neuronal dysfunction. Interestingly, A&#x03B2; levels remained within normal range despite these alterations, suggesting evidence of early, detectable AD pathogenesis independent of the traditional A&#x03B2; pathway associated with later stages of disease (<xref ref-type="bibr" rid="ref52">Ren et al., 2020</xref>).</p>
<p>While the APOE4.TREM2 mice show clear evidence of the LOAD phenotype, this current model has limitations concerning the introduction of R47H, thereby inadvertently reducing Trem2 expression and transcription. Trem2 functional loss was modeled comparing decreased expression by siRNA and RNAi-induced knockdown to the R47H variant in mice. Each displayed similar phenotypes involving decreased expression of Trem2 in microglia, decreased density of microglia in the hippocampus, and impaired downstream functionality of Trem2 mediated anti-inflammatory signaling (<xref ref-type="bibr" rid="ref32">Liu et al., 2020</xref>). Nonetheless, this APOE4.TREM2 model has provided useful insights into AD pathology and has served as a foundation to developing MODEL-AD (<xref ref-type="bibr" rid="ref27">Kotredes et al., 2021</xref>). Current models have corrected the cryptic splicing, attaining more accurate Trem2 expression for biologically relevant plaque observations (<xref ref-type="bibr" rid="ref68">Tran et al., 2023</xref>).</p>
<p>Our data complements prior extensive results of the MODEL-AD group (<xref ref-type="bibr" rid="ref27">Kotredes et al., 2021</xref>) by finding a more robust AD phenotype, likely by having chosen a complementary LOAD-targeted set of tests. Whereas <xref ref-type="bibr" rid="ref27">Kotredes et al. (2021)</xref> reported only small behavioral deficits and brain-associated metabolic changes, here we demonstrate that APOE4.TREM2 mice show both robust behavioral deficits in several tasks and exacerbated intrinsic responses to odorants in the olfactory bulb.</p>
<p>Our sucrose preference task showed no statistical indicators of genotype-dependent anhedonia, and no impairments were found in nestlet building or the sleep/wake cycle. Genotype-dependent increased anxiety was observed in APOE4.TREM2 mice in the open field test. Using PET and autoradiography, <xref ref-type="bibr" rid="ref27">Kotredes et al. (2021)</xref> revealed significant modifications in glycolysis and brain perfusion within regions linked to sensory integration, cognition, vision, and motor function in both B6. APOE4 and B6. APOE4.Trem2&#x002A;R47H mice, compared to control mice. Female mice exhibited altered glycolysis at 4, 8, and 12 months, while male mice showed a transient hypo-glycolytic phenotype at 8 months, that was virtually mitigated by 12 months. However, brain perfusion was significantly lower in both sexes by 12 months. This aligns with prior studies claiming greater risk in females expressing APOE4 and diminished microglial plaque regulation (<xref ref-type="bibr" rid="ref61">Stephen et al., 2019</xref>). Our intrinsic analysis identified robust evidence of age and genotype dependent vascular hyperresponsiveness in the dOB. All odor concentrations and ROIs revealed vascular hyperresponsiveness to both odor stimuli as a direct effect of genotype and age. Although we did intend to explore sex effects in both studies, our breeding program unfortunately did not yield sufficiently high numbers of each sex for robust exploration of sex effects, especially after taking experimentally unsuccessful trials into account (<xref ref-type="table" rid="tab1">Tables 1</xref>&#x2013;<xref ref-type="table" rid="tab3">3</xref>, <xref ref-type="table" rid="tab5">5</xref>).</p>
<p>While OB odor hyperemic responses increased with increasing age in the LOAD mice, so did the Ca responses in the OB output mitral/tufted neurons. As a result, neurovascular coupling did not increase with age in A4T2 LOAD mice. Indeed, the hemodynamic response function was remarkably stable in aging A4T2 LOAD mice with no age-related trends in peak amplitude, FWHM or time to peak amplitude.</p>
<p>On the other hand, both neural Ca and vascular BV responses (except at the highest odor concentration) did increase with age, the latter validated in 2 separate cohorts (A4T2 and A4T2 x Thy1-GCaMP6f). While we did not explore the cause for this, we speculate that with age LOAD mice show increased excitatory to inhibitory balance. Whether primary olfactory sensory neurons in LOAD mice also show this age dependency remains to be seen.</p>
<p>We also observed that neurovascular coupling increased with odor concentration in these LOAD mice, which may reflect inhibitory activity that increases with increasing glomerular activity. This can be both due to feed-forward (periglomerular interneuronal) inhibitory activity driven by primary olfactory sensory neurons, and/or to either short-range interglomerular (granule cell mediated) or long-range (short axon mediated) lateral inhibitory neural activity driven by proximal or distal secondary mitral/tufted cells (<xref ref-type="bibr" rid="ref2">Banerjee et al., 2015</xref>; <xref ref-type="bibr" rid="ref62">Storace and Cohen, 2017</xref>; <xref ref-type="bibr" rid="ref63">Storace et al., 2019</xref>; <xref ref-type="bibr" rid="ref11">Cleland and Sethupathy, 2006</xref>). Given that such inhibitory mechanisms can act as gain control, thereby normalizing the concentration response functions of the output neurons, it is expected that the BV responses more closely follow neural activity of the primary sensory neurons than of the secondary neurons. This can also be expected due to the orders of magnitude larger number of presynaptic synapses in glomeruli, based on which we argued previously that OB BOLD signals are also dominated by OSN activity (<xref ref-type="bibr" rid="ref55">Sanganahalli et al., 2016</xref>).</p>
<p>The APOE4.TREM2 mouse can be considered a useful model for human LOAD, developing several LOAD-related early neuro-behavioral deficits associated with the two most prevalent LOAD genetic risks. Functional MRI (fMRI) has become a valuable tool in studying how APOE-&#x03B5;4 may influence brain function before clinical symptoms of AD manifest. fMRI allows researchers to examine blood flow changes in the brain that occur due to neural activity, which can provide insights into the functional connectivity (FC) of various brain regions in individuals who are genetically predisposed to AD. With the intrinsic contrast of blood oxygenation in fMRI, spatiotemporal characteristics of brain oxygenation changes are mapped in non-invasively. Both task-based (T-fMRI) and resting-state fMRI (R-fMRI) studies identified physiological changes with healthy human aging (<xref ref-type="bibr" rid="ref6">Buckner et al., 2008</xref>; <xref ref-type="bibr" rid="ref17">D'Esposito et al., 1999</xref>). FC measurements using R-fMRI technique is employed in early AD detection showing FC reductions in specific brain areas (i.e., the default mode network or DMN) (<xref ref-type="bibr" rid="ref15">Damoiseaux et al., 2012</xref>; <xref ref-type="bibr" rid="ref24">Greicius et al., 2004</xref>; <xref ref-type="bibr" rid="ref35">Lu et al., 2019b</xref>; <xref ref-type="bibr" rid="ref43">Mousa et al., 2022</xref>). Disruptions in DMN connectivity measured by R-fMRI indicate early AD confirmed by amyloid plaque accumulation in asymptomatic or minimally symptomatic subjects (<xref ref-type="bibr" rid="ref46">Pacyna et al., 2022</xref>; <xref ref-type="bibr" rid="ref59">Sperling et al., 2009</xref>). Although amyloid plaque accumulation is among the early events of AD pathology, it is not directly associated with cognitive impairment (<xref ref-type="bibr" rid="ref1">Aizenstein et al., 2008</xref>; <xref ref-type="bibr" rid="ref7">Buckner et al., 2005</xref>; <xref ref-type="bibr" rid="ref39">Mormino and Papp, 2018</xref>; <xref ref-type="bibr" rid="ref41">Morris et al., 2014</xref>; <xref ref-type="bibr" rid="ref47">Palmqvist et al., 2017</xref>). The complexity of the relationship between the apoE genotype and FC changes highlighted by <xref ref-type="bibr" rid="ref70">Verghese et al. (2011)</xref> underscores the challenges in dissecting the mechanisms that underlie these associations. This uncertainty primarily revolves around whether the observed FC changes in APOE4 carriers are directly attributable to neural network alterations or if they are secondary effects resulting from other pathological processes, such as impaired neurovascular coupling.</p>
<p>Impairments of the FC in the olfactory network have been shown in early-stage AD patients and are also present in patients with MCI (<xref ref-type="bibr" rid="ref35">Lu et al., 2019b</xref>; <xref ref-type="bibr" rid="ref34">Lu et al., 2019a</xref>). Odor-induced fMRI activation in normal aging and AD subjects (<xref ref-type="bibr" rid="ref22">Feng et al., 2021</xref>; <xref ref-type="bibr" rid="ref60">Steffener et al., 2021</xref>; <xref ref-type="bibr" rid="ref76">Zhang et al., 2019</xref>) concluded that olfactory detection tasks may serve as an early LOAD discovery tool with potential for early interventions in LOAD risk subjects (<xref ref-type="bibr" rid="ref60">Steffener et al., 2021</xref>; <xref ref-type="bibr" rid="ref3">Bell et al., 2021</xref>; <xref ref-type="bibr" rid="ref42">Motter et al., 2021</xref>).</p>
<p>fMRI-BOLD has been instrumental in advancing our understanding of brain activity in real time, particularly in the context of LOAD. One intriguing observation in LOAD research is the phenomenon of BOLD hyperresponsiveness, where certain brain regions exhibit increased activation compared to normal aging controls during cognitive tasks (<xref ref-type="bibr" rid="ref33">Lockwood and Duffy, 2020</xref>). This hyperactivation is particularly notable during the early stages of AD and in individuals at high risk for developing LOAD (<xref ref-type="bibr" rid="ref67">Targa Dias Anastacio et al., 2022</xref>). Increased fMRI response in specific brain areas might serve as an early biomarker for LOAD, particularly in asymptomatic individuals or those who carry genetic risk factors like APOE4. Dysregulation in neurovascular coupling the relationship between local neural activity and subsequent blood flow changes might explain the observed hyperresponsiveness. In the early stages of AD there might still be sufficient vascular response to support increased metabolic demands during heightened neural activity (<xref ref-type="bibr" rid="ref57">Shabir et al., 2018</xref>).</p>
<p>Our robust evidence of age and genotype dependent vascular hyperresponsiveness, together with other studies reporting fMRI BOLD hyperresponsiveness during LOAD development, likely as compensatory mechanism to increasing brain dysfunction, hold promise for the use of fMRI BOLD response imaging as a tool for early diagnosis of LOAD. One study reported significant correlation in subjects&#x2019; BOLD signals within the primary olfactory cortex (POC) with their University of Pennsylvania Smell Identification Test (UPSIT), Mini-Mental State Examination (MMSE), the Mattis Dementia Rating Scale-2 (DRS-2), and Clinical Dementia Rating Scale (CDR) scores at the lowest odorant concentrations. Here BOLD signal intensity and activation volume increased significantly as a function of odorant concentration only in the AD group (<xref ref-type="bibr" rid="ref73">Wang et al., 2010</xref>). Overall, the current results validate the usefulness of the APOE4.TREM2 mouse model to preclinical LOAD, as well as the potential for olfactory-stimulated fMRI as an effective method in preclinical LOAD diagnostics.</p>
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<back>
<sec sec-type="data-availability" id="sec32">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec sec-type="ethics-statement" id="sec33">
<title>Ethics statement</title>
<p>The animal study was approved by IACUC of the John B. Pierce Laboratory. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="sec34">
<title>Author contributions</title>
<p>MI: Methodology, Writing &#x2013; original draft, Investigation, Formal analysis, Writing &#x2013; review &#x0026; editing. MO: Writing &#x2013; review &#x0026; editing, Methodology, Formal analysis, Investigation, Writing &#x2013; original draft. MU: Investigation, Writing &#x2013; review &#x0026; editing, Methodology, Formal analysis, Writing &#x2013; original draft. FF: Writing &#x2013; original draft, Formal analysis, Writing &#x2013; review &#x0026; editing, Investigation, Methodology. GC-S: Writing &#x2013; original draft, Formal analysis, Writing &#x2013; review &#x0026; editing, Visualization, Methodology, Investigation. BS: Conceptualization, Funding acquisition, Resources, Writing &#x2013; review &#x0026; editing, Writing &#x2013; original draft. PH: Resources, Writing &#x2013; review &#x0026; editing, Funding acquisition, Writing &#x2013; original draft, Conceptualization. FH: Conceptualization, Resources, Writing &#x2013; review &#x0026; editing, Writing &#x2013; original draft, Funding acquisition. JV: Investigation, Writing &#x2013; original draft, Funding acquisition, Visualization, Resources, Software, Formal analysis, Conceptualization, Validation, Project administration, Supervision, Data curation, Writing &#x2013; review &#x0026; editing, Methodology.</p>
</sec>
<sec sec-type="COI-statement" id="sec35">
<title>Conflict of interest</title>
<p>FH is the founder of InnovaCyclics, a biotech startup developing NextGen MRI contrast agents.</p>
<p>The remaining author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
<p>The authors PH, JV, FH and BS declared that they were an editorial board member of Frontiers at the time of submission. This had no impact on the peer review process and the final decision.</p>
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<title>Generative AI statement</title>
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<fn-group>
<fn fn-type="custom" custom-type="edited-by" id="fn0004">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/166245/overview">Enzo Emanuele</ext-link>, 2E Science, Italy</p>
</fn>
<fn fn-type="custom" custom-type="reviewed-by" id="fn0005">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/448870/overview">Helioswilton Sales-Campos</ext-link>, Universidade Federal de Goi&#x00E1;s, Brazil</p>
<p><ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/536579/overview">Boon-Seng Wong</ext-link>, Singapore Institute of Technology, Singapore</p>
<p><ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1242707/overview">Lianne Strachan</ext-link>, University of Aberdeen, United Kingdom</p>
</fn>
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<fn-group>
<fn id="fn0001">
<label>1</label>
<p>
<ext-link xlink:href="http://www.jax.org" ext-link-type="uri">www.jax.org</ext-link>
</p>
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<label>2</label>
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</fn>
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