In patients with AD, high gait variability has been identified as a new marker of cognitive and cortical dysfunction [52]. Indeed, a close relationship has been reported between the severity of gait changes, such as increased support phase, reduced stride length and decreased speed, and that of cognitive decline in human patients. These changes include a decrease in speed, a decrease in stride length, an increase in support phase and so on [53]. The analysis of gait is an effective and complementary method for detecting motor abnormalities associated with neuropsychiatric disorders [54, 55]. Finally, as part of the overall morphological profile of rodent models of mental diseases, gait performance must be monitored because it is a sensitive indicator of rodent health and longevity and its effect on behavior [56].
It is well known that aging is accompanied by a slowing of the gait, with many factors such as age-related changes in neurological, cognitive and physiological functions, being responsible for the process [57]. As such, differentiating between impaired gaits that result from diseases or ageing can be challenging. This issue was addressed in the current study through the recruitment of older mice controls while controlling for age within the comparative analysis. The aim of this study was to evaluate the gait alternation of 5xFAD mice when compared with age-matched WT ones by CatWalk XT at three different ages (3-, 6-, and 9-m), and to explore the mechanisms by how hippocampus impairment participates in the altered gait. In the field of Alzheimer's disease research, the 5xFAD model is among the most well-studied and commonly employed mouse models. There are thymus antigen-1 (Thy-1) promoter–driven transgenes for mutated presenilin-1 (PS1) and amyloid precursor protein (APP) [58]. These mice are well adapted for the research of movement impairment in Alzheimer's disease due to the fast onset of AD-related pathology and cognitive failure they exhibit. In addition, consistent with the findings of others, at 6 months of age, these mice start to show motor dysfunction which progresses rapidly to profound motor dysfunction by 9 months [59].
There is evidence that walk, trot, and bound are mediated by a distinct group of neurons that are recruited in a speed-dependent manner [60]. However, in a laboratory, 5xFAD mice were fed ad libitum and kept in small cages in a confined environment where, except for the experimenter and occasionally, their littermates, there were no predators. Within such a controlled setting, in addition to the severe motor function deficits of the mice [22, 23], the animals had no reason to adopt various locomotor gaits, thus explaining the study of current gaits in this research. To the best of the authors’ knowledge, the present study objectively and reliably attempt to quantify large numbers of gait parameters of male 5xFAD mice of different ages. A computer-aided gait analysis then demonstrated that the gait differences between 5xFAD mice and WT ones were increasingly apparent with age, especially in terms of decreased average, body and swing speed, increased temporal parameters and reduced spatial ones. The freely moving 9-month-old 5xFAD mice displayed significant changes in their gait signatures, which highlight the aspects of gait changes observed in AD patients, including changes in speed, cadence, gait variability, footfall pattern distribution, amongst others, compared with age-matched controls [61]. Notably, the decreased print areas of all paws in aged 5xFAD mice could be a sign of incomplete stance of paws during locomotion, which may result in reduced efficiency of the whole process [62, 63], suggesting a less efficient walking style compared to normal mice. The lower maximum intensity of all paws in aged 5xFAD mice compared with WT ones indicated their decreased propulsion [64], which also showed the feebleness of 5xFAD mice. Additionally, the decreased average, body and swing speeds of 5xFAD mice could possibly negatively impact coordination.
Interlimb coordination is important for locomotion, and therefore, factors related to coordination tend to be particularly important. For the support percentage of normal control mice, two diagonal paws (60%) were the most frequently used simultaneous paw pair during floor contact. However, except for the reduced frequency of diagonal support in aged 5xFAD mice, all other types of paw support increased in comparison with WT mice, indicating that 5xFAD mice were severely affected in terms of their stability [65, 66]. Additionally, the degree of synchrony between diagonal, horizontal, and lateral limb couplets in each group was also analyzed, a procedure also known as phase coupling, to evaluate the deterioration of locomotor coordination in 5xFAD mice. Inter-limb coupling was assessed by computing the interval between the onset times of each paw in a pair contacting the ground. As a measure of asynchrony, the absolute difference between the actual and expected coupling values was examined [67]. The expected interlimb coupling value is zero, for instance, if the diagonal limbs are moving in synchronism. It is well-known that when strolling, horizontal pairs of extremities change more frequently than diagonal pairs. There is a 50% inter-limb coupling value when the two extremities swap exactly [42, 68]. In the current study, compared with WT ones, increased deviation of 9-month-old 5xFAD mice from expected phase coupling values suggest worsening inter-paw coordination which is also commonly shown in AD patients [48].
Four common step-sequence patterns (AB, AA, CB, CA) have been described in rodents, and these are known to be different as a result of stress or motor diseases [69, 70]. This study revealed that the main step sequence pattern (AB) was the same for WT mice of all ages being investigated, and this was in accordance with a previous report whereby 80–95% of the time, intact rodents showed preference for that regular step pattern [71]. However, in this study, for 5xFAD mice of as early as three months, there was a decrease in the AB pattern, although a corresponding increase of 15 to 20 percent in the frequency of the radial pattern AA, known as the "giraffe walk" [72]. This gait pattern was found to be elevated in aged people [73] and mouse models with increased gait instability [74]. These results highlight the significant deficiency of 5xFAD mice in interlimb coordination which is consistent with AD patients [75, 76].
Due to the fact that locomotion speed affects four different movement metrics, the statistical analysis reveals both intra- and inter-individual variation [42, 47, 77], the reduced speed of 5xFAD mice can be a critical reason for the impairment of gait behavior at 9-month-old compared to WT ones. Indeed, approximately 75% of the 12 locomotor characteristics studied in 9-month-old 5xFAD mice were contingent on the movement pace of the mouse, as verified by a correlation analysis. The results of research conducted on male C57BL/6 mice indicated that a positive relationship existed between kinetic parameters like movement and body speed and certain correlations to the spatial and interlimb coordination groups, while a negative relationship existed between speed and time parameters [42]. In a different extensive study of 16 wild-type mice conducted to examine the relation between speed and 162 gait parameters reported by the CatWalk software, revealing that over 90% of these parameters were speed-dependent [78].
Major parts of the central nervous system, namely the cardiorespiratory system, joints, muscles and the peripheral nervous system, interact to produce a normal gait, and therefore this can be used as an indicator of cognitive function, as intact cognition and attention processes are necessary to ensure proper gait [79]. For older adults and aged mice, it is likely that multiple factors could be involved in the mechanisms underlying AD-related changes in gait function [2]. In some research, motor defect in 5xFAD mice had been attributed to AD-related pathology in the pyramidal and extrapyramidal motor systems of the brain and spinal cord [59]. An altered gait may result from pathological processes affecting central nervous system networks, including motor, sensory, and cognitive functions, which is a complex interplay [80]. The accumulation of neuroinflammation, neurofibrillary tangles, amyloid-β plaques and other AD-related pathologies can negatively impact the neuronal circuits that regulate gait, resulting in gait impairments in AD patients [81]. Furthermore, it has been reported that, in AD patients, cerebral microhemorrhages (CMHs) can progressively contribute to impaired gate, with this factor now considered to be of emerging importance [82, 83]. In addition, results of isometric tension recordings of the soleus muscle suggest that the ability of 5xFAD mice’s motor nerves to generate output are not impaired, and therefore, impaired motor performance of the animals may not be attributed to denervation or impaired signaling at the neuromuscular junction [22]. Consequently, further research is warranted to examine the contribution of AD-related pathology within different regions of the brain and spinal cord to the motor dysfunction observed in 5xFAD mice.
There is evidence of a close link between gait variability in AD patients and structural and functional differences of the hippocampus [76, 84, 85]. Hence, in addition to learning and memory, abnormal hippocampal function may also significantly affect the gait. One of the most prominent topics to study in relation to hippocampus dysfunction is theta oscillation, which shows intriguing correlations with different behaviors that include both aspects of movement and memory function [39]. Theta rhythm is related to different types of movement behaviors, including running on a treadmill [86], track [87], and running wheel [88]. Similarly, theta rhythm is also correlated with learning and memory functions [89]. Consequently, a reduction in theta rhythm could be linked to memory impairment, as it is the case for AD [50, 90]. Less studied than movement and memory correlates, theta rhythm has also been linked to arousal [91], attention [31], and sensorimotor integration [92]. Moreover, speed has been reported to be affected by the oscillatory activity recorded in the hippocampal field potential, where theta power appears to be correlated with locomotor activity [93–95]. Hence, it seems that hippocampal theta band oscillations are prominent during locomotion [96]and suggest that they differ from passive and active waking [97]. Shin proposed that these oscillations might encode motor behavior information [98]. Meanwhile, multiple studies have shown that the frequency and amplitude of theta rhythm in the field potential of hippocampal CA1 are positively correlated with locomotor speed [99–102]which can be observed across three simultaneous recording sites in CA1 [103], and optogenetically increasing the amplitude of theta oscillations in hippocampus CA1 resulted in locomotion speed enhancement [104], suggesting crucial roles for the hippocampal theta rhythm in coding of locomotion velocity. The adjacent structures of the hippocampal formation and the medial septum are likely to convey information about head direction and locomotion speed to the hippocampus [105, 106]. However, in animal models and humans, theta band activity appears to modulate episodic memory and to be associated with AD pathology. Researchers have in fact reported varying degrees of reduced theta power and synchrony in patients with AD over the past few decades [107, 108]. Additionally, it has been reported that hippocampal theta oscillation declines with age, with a strong correlation between it and an accumulation of hippocampal Aβ in APP/PS1 mice [109]. In fact, impaired theta oscillation in the hippocampal CA1 region was considered one of the causes of impaired hippocampal-dependent cognitive function in AD rats [110] and 5xFAD mice [111]. Here, based on the findings, theta oscillations in the hippocampus CA1 were significantly reduced in comparison with the WT controls during locomotor activity, thus explaining the slower speed seen in 5×FAD mice and the subsequently gait impairment.
Furthermore, it has been demonstrated that the spiking activity of the hippocampal neurons oscillates at theta frequency, which is modulated by the LFP theta phase [112, 113] Consequently, changes in the firing rate of CA1 speed cells could be correlated with changes in theta frequency with speed, such that a higher frequency of theta cycles would result in a higher number of spikes per unit of time, with such an effect known as the “oscillatory coding” [114]. At the same time, the findings suggest that, neurons in the hippocampal formation and entorhinal cortex directly code locomotor speed with changes in firing rate [114, 115]. There are a number of neurons that can code locomotor speed, including grid cells and head direction cells in hippocampus CA1 [116]. With increasing speed, these speed cells commonly increase their frequency [35, 117]. In this study, a population of speed cells was identified in the hippocampus CA1 which, in a similar way to studies here, have a linear spiking correlation with locomotor speed in both WT and 5xFAD groups. We additionally described a partially reduced proportion of speed cells over normal control group in hippocampus CA1 of 5xFAD mice, which might also contribute to the reduced speed.
In conclusion, through this study, age-related changes in the voluntarily walking gait performance of male 5xFAD mice was characterized. Meanwhile, at the age of 9 months, 5xFAD mice exhibited quantifiable, clinically relevant alterations in gait function compared with age-matched WT ones which highlight the findings in human AD patients. Furthermore, it is possible that the abnormal operation of the hippocampus CA1, including reduced theta oscillation power and decreased proportion of speed cells could have been responsible for all the impaired gaits.