Volume 6 Supplement 1

52nd Annual Meeting of the Society for Research into Hydrocephalus and Spina Bifida

Open Access

Evidence of TAU pathology in kaolin-induced hydrocephalus model of the aged rat

  • Petra M Klinge1Email author,
  • Anna Heile1,
  • Stephanie Slone2,
  • Conrad E Johanson2,
  • Miles Miller2,
  • John A DuncanIII2,
  • Thomas Brinker1 and
  • Gerald D Silverberg2
Cerebrospinal Fluid Research20096(Suppl 1):S37


Published: 3 February 2009


Accumulation of A-beta peptides and hyperphosphorylated Tau (hpTAU) has been observed in immunohistochemical (IHC) studies of kaolin-induced hydrocephalus in the aged rat. Defective clearance via CSF and altered transport via blood brain barrier receptor expressions was suggested to be causal [1]. The present study reports further evidence to the significance of A-beta and TAU pathology as disease mechanisms in hydrocephalus using quantitative A-beta and hpTAU ELISA in addition to IHC studies of the lipid oxygenase 12/15 enzyme (LOX12/15), a marker of the cytokine-induced inflammation in Alzheimer disease (AD).

Materials and methods

In nine 12 month-old Sprague-Dawley (SD) rats with kaolin-induced hydrocephalus, A-beta 40 and 42 and hpTau pT231 ELISA was performed at 2, 6 and 10 weeks post induction (3 age-matched controls) in cortical plus subcortical tissue homogenates. Specific LOX12/15 (1:1000, BIOZOL/CAYMAN) IHC was performed in another 20 animals (5 controls) at the same time points including double-label fluorescent IHC using CY2 and CY3 conjugated secondary antibodies for co-localizations of A-beta 42, LOX12/15, hpTau pT231 and hpTau AT100.


A-beta 42 and 40 ELISA shows a significant increase over the course of hydrocephalus at 6 and 10 weeks post-induction when compared to the controls, e.g., A-beta 40 (pg/mg): 9.7 ± 1.3 and 9.5 ± 0.5 (6,10 wk) vs. 3.2 ± 1.2 (controls); p < 0.01 (ANOVA). HpTAU pT231 ELISA increased at 10 wk post-induction to 56.4 ± 17.3 from 28.5 ± 17.2 pg/mg in controls (p < 0.01). In hydrocephalus, LOX12/15 positive staining appeared in both cortical and hippocampal neurons, in glial processes (near vessels) and in hippocampal microglia-type cells. Image analysis (CellF©, OLYMPUS) revealed an increased number of LOX12/15 positive particles in the cortex of the hydrocephalic animals compared to controls (p < 0.05, unpaired t-test). Extracellular AT100 was clearly co-localized with the A-beta 42 around hippocampal vessels, while hpTAU pT312 IHC showed intraneuronal co-localisation at areas with "condensed excess" Tau. Intraneuronal A-beta 42 as well as pT231 was further co-localized with LOX12/15 in some cortical regions.


The findings of a 3–4 fold increase in A-beta is consistent with the amyloid burden in patients with early AD (Braak I). The increase in the amount of hpTAU at 10 wk as well as the co-localization pattern of the hpTAU markers with the A-beta supports that A-beta accumulation induces TAU pathology. LOX12/15 findings add further evidence that the aged hydrocephalic rats might be a valid model for investigating the NPH/AD pathophysiological continuum.

Authors’ Affiliations

Department of Neurosurgery, International Neuroscience Institute
Department of Clinical Neuroscience, Brown Medical School


  1. Klinge PM, Samii A, Niescken S, Brinker T, Silverberg GD: Brain amyloid accumulates in aged rats with kaolin-induced hydrocephalus. Neuroreport. 2006, 17: 657-660. 10.1097/00001756-200604240-00020.View ArticlePubMedGoogle Scholar


© Klinge et al; licensee BioMed Central Ltd. 2009

This article is published under license to BioMed Central Ltd.