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TaggedAPTARAEnd248                                                                           C.S. Norevik et al.
         power of 0.75, VO 2peak hence being expressed as mL/kg 0.75 /min.  under anesthesia (5% induction and 2.5% maintenance
         For more details, see the Supplementary Materials.TaggedAPTARAEnd  isoflurane).TaggedAPTARAEnd

         TaggedAPTARAH22.6. Rat donor plasma collectionTaggedAPTARAEnd
                                                               TaggedAPTARAH22.10. EchocardiographyTaggedAPTARAEnd
            TaggedAPTARAPBased on the findings from cell culture experiments, blood
                                                                  TaggedAPTARAPEchocardiography was performed using the Vevo 3100
         collection for the exercise-trained rats was performed 3 h after
                                                               Imaging System (FUJIFILM VisualSonics, Toronto, ON,
         the last exercise session. Donor rats were deeply anesthetized
                                                               Canada). For more details, see the Supplementary Materials.TaggedAPTARAEnd
         (5% isoflurane) and their entire blood volumes were obtained
         by cardiac puncture of the left ventricle. The blood was
         collected in citrate tubes, which were centrifuged (2200 rela-  TaggedAPTARAH22.11. Brain tissue collection and sectioningTaggedAPTARAEnd
         tive centrifugal force (RCF) for 10 min at +4˚C) before plasma
                                                                  TaggedAPTARAPThe rats given intraperitoneal injections of BrdU were
         was pooled and stored at 80˚C until use. Approximately
                                                               transcardially perfused with Ringer’s solution (0.85% NaCl,
         6 mL of plasma were collected from each rat.TaggedAPTARAEnd
                                                               0.025% KCl, 0.02% NaHCO 3 ; pH 6.9) and 4% paraformalde-
                                                               hyde (Merck kGaA, Darmstadt, Germany) using a Unified
         TaggedAPTARAH22.7. Enzyme-linked immunosorbent assay in rat donor plasmaTaggedAPTARAEnd
                                                               Masterflex Drive peristaltic pump (Thermo Fisher). Brains
            TaggedAPTARAPPlasma from exercised and sedentary donors was  were post-fixated in 4% paraformaldehyde for 24 h at 4 ˚C and
         analyzed for brain-derived neurotrophic factor (BDNF)  then transferred to 2% dimethyl sulfoxide in 0.1 M phosphate
         using a BDNF Rat enzyme-linked immunosorbent assay Kit  buffer with 20% glycerol (Sigma-Aldrich) and stored at 4 ˚C
         (Invitrogen, Carlsbad, CA, USA) on a fully automated  until sectioning. The rats given intraperitoneal injections of
         enzyme-linked immunosorbent assay system (Dynex DS2;  saline were similarly anesthetized with 5% isoflurane in a
         Dynex Technologies, Chantilly, VA, USA) according to the  chamber and weighed before exsanguination and heart exci-
         manufacturers’ instructions. For more details, see the  sion for collecting and snap freezing the tissues.TaggedAPTARAEnd
                                                                  TaggedAPTARAPThe paraformaldehyde-fixed brains were sectioned serially
         Supplementary Materials.TaggedAPTARAEnd
                                                               at 40 mm in a coronal plane using a freezing microtome
                                                               (Microm HM430; Thermo Fisher Scientific). The brains were
         TaggedAPTARAH22.8. Cytokine assay in rat donor plasmaTaggedAPTARAEnd
                                                               cut in 6 equally spaced series, where 5 of the series were
            TaggedAPTARAPDuplicate samples of pooled plasma from exercised and
                                                               stored at 4 ˚C in tubes with 2% dimethyl sulfoxide in 0.1 mol/
         sedentary donors (3 pools from 16 donors each) were analyzed
                                                               L phosphate buffer with 20% glycerol, and 1 series was
         using a Bio-Plex Pro Rat Cytokine 23-Plex Assay (Bio-Rad
                                                               mounted on SuperFrost Plus Adhesion Slides (Thermo Fisher
         Laboratories, Hercules, CA, USA) according to the manufac-
                                                               Scientific) for histological orientation. For more details, see
         turer’s instructions. The plate was read using a Luminex 200
                                                               Supplementary Materials.TaggedAPTARAEnd
         System (Luminex Corp., Austin, TX, USA) and data was
         analyzed using the Bio-Plex Manager software (Version 6.1;
         Bio-Rad Laboratories). For more details, see the Supplemen-  TaggedAPTARAH22.12. Immunohistochemical staining and quantification for
         tary Materials.TaggedAPTARAEnd                        amyloid plaque analysisTaggedAPTARAEnd
                                                                  TaggedAPTARAPAmyloid plaques were visualized in untreated and
         TaggedAPTARAH22.9. Plasma injectionsTaggedAPTARAEnd
                                                               treated later-stage AD rats using the anti-Ab mouse mono-
            TaggedAPTARAPThe AD rats were treated with either saline, ExPlas, or  clonal antibody, McSA1 (Supplementary Table 3) specific
         SedPlas via intravenous tail vein injections over the course of  for aggregates of 39- to 43-amino-acid-long Ab peptides.
         6 weeks. The number of injections done in the study by Villeda  Sections were incubated with the primary antibody,
         et al. 17  was adapted to fit our longer treatment period. There  McSA1, overnight before incubation with the secondary
         were 14 injections in total, and they were administered in alter-  antibody, biotinylated goat anti-mouse. The sections were
         nating fashion between 2 and 3 times per week. The injection  finally incubated in the avidin-biotin complex (ABC;
         volume used was the maximal volume recommended for intra-  Vectastain ABC kit; Vector Laboratories, Newark, CA,
                                                       28
         venous injections for rats, which is 2 mL/kg body weight. TaggedAPTARAEnd  USA), mounted on SuperFrost Plus Adhesion Slides, and
            TaggedAPTARAPTo obtain a robust marker of cell proliferation, half of the  left to dry overnight on a heating plate. The mounted
         AD rats (ExPlas = 7, SedPlas = 8, saline = 7, all male) were  sections were then de-fatted in xylene and coverslipped
         given intraperitoneal injections of 5-bromo-2’-deoxyuridine  using Entellan mounting medium (Sigma-Aldrich).TaggedAPTARAEnd
         (BrdU; ab142567; Abcam, Cambridge, UK, diluted in 0.9%   TaggedAPTARAPGlass slides were digitalized using Slide Scanner Axio
         sterile saline and 0.02% dimethyl sulfoxide) calculated to give  Scan.Z1 and processed using the software Zen 2.6 (Carl
         a dose of 50 mg/kg. The other half of the AD rats (ExPlas = 7,  Zeiss Microscopy GmbH, Jena, Germany). A total of 7
         SedPlas = 6, saline = 9, all male) were given intraperitoneal  brain sections from 1 of the 6 series (intersection distance
         injections of a weight-adjusted volume of saline. The intrave-  240 mm), approximately within the bregma range from
         nous injection was immediately followed by the intraperito-  3.14 to 4.52, 29  were analyzed for plaque pathology in
         neal injection, and the last of the 14 treatments was  the hippocampal and cortical areas utilizing Fiji software
         administered 48 h before euthanasia. All injections were given  (Version 1.53j; National Institutes of Health, Bethesda,
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