摘要
尽管丙-球蛋白阿尔茨海默症合作(GAP)研究的最新结果不太理想,静脉注射免疫球蛋白( IVIG)良好的耐受性和其对患者亚群的潜在好处都强调认识IVIG作用机制的重要性。 IVIG含有淀粉样蛋白抗体表明有淀粉样蛋白清除机制,然而,淀粉样蛋白免疫疗法试验的次优结果表明有额外的机制。因此,我们测试了 IVIG 是否改变堆积在患AD的3xTg小鼠模型海马CA1区内的tau蛋白神经原纤维缠结( NFT )样的表达,对三个月大的老鼠每两个星期进行静脉注射IVIG ( 10 % , 400毫克/千克)或安慰剂( 10 %BSA /生理盐水),持续三个月或六个月。处死后,从血浆中分离得到基因表达图谱,脑组织用能识别NFTs中过度磷酸化的tau蛋白的AT-180抗体处理来进行免疫组化实验。治疗后三个月CA1区神经元的体视学分析揭示AT- 180+神经元数目无明显差异,但AT- 180突触光密度与IVIG比安慰剂组显著减少了15-20 %。相比之下, AT- 180 + CA1神经元的数目在IVIG治疗六个月后对比安慰剂组减少了25- 30%。表达谱图研究表明,IVIG治疗导致基因调节神经元细胞骨架的可塑性功能和钙介导的信号转导在血浆水平相比安慰剂显著增加40-50%。此外,几个编码蛋白磷酸酶亚基的转录本在IVIG治疗的小鼠均高出40%-50%。因此,IVIG在3xTg小鼠身上降低海马NFT的病理是通过一种可能涉及维护神经可塑性和tau蛋白磷酸化的动态平衡的机制。
关键词: 阿尔茨海默症,基因芯片,海马体,免疫球蛋白,神经元纤维缠结,神经可塑性,治疗
Current Alzheimer Research
Title:Intravenous Immunoglobulin Reduces Tau Pathology and Preserves Neuroplastic Gene Expression in the 3xTg Mouse Model of Alzheimer`s Disease
Volume: 11 Issue: 7
Author(s): Scott E. Counts, Sylvia E. Perez, Bin He and Elliott J. Mufson
Affiliation:
关键词: 阿尔茨海默症,基因芯片,海马体,免疫球蛋白,神经元纤维缠结,神经可塑性,治疗
摘要: Despite recent negative results of the Gammaglobulin Alzheimer's Partnership (GAP) trial, the good tolerability to intravenous immunoglobulin (IVIG) and its potential benefit for patient subpopulations have highlighted the importance of understanding IVIG’s mechanism of action. IVIG contains antibodies to amyloid suggesting an amyloid clearance mechanism. However, the suboptimal results of the amyloid immunotherapy trials suggest an additional mechanism. Therefore, we tested whether IVIG alters the expression of tau neurofibrillary tangle (NFT)-like deposits within hippocampal CA1 neurons of the 3xTg mouse model of AD. Three-month-old mice were treated intravenously with IVIG (10%, 400 mg/kg) or placebo (10% BSA/saline) every two weeks for either three or six months. At sacrifice, plasma was isolated for gene expression profiling and brains were processed for immunohistochemistry using the AT-180 antibody, which recognizes hyperphosphorylated tau in NFTs. Stereologic analysis of CA1 neurons following three months of treatment revealed no difference in AT-180+ neuron number but a significant 15-20% decrease in AT-180 intraneuronal optical density with IVIG compared to placebo. By contrast, the number of AT-180+ CA1 neurons was reduced by 25- 30% following six months of IVIG treatment compared to placebo. Expression profiling studies showed that IVIG treatment resulted in a significant 40-50% increase in plasma levels of genes regulating neuronal cytoskeletal plasticity function and calcium-mediated signaling compared to placebo. Moreover, several transcripts encoding protein phosphatase subunits were 40-50% higher in IVIG-treated mice. Hence, IVIG reduces hippocampal NFT pathology in the 3xTg mouse through a mechanism that may involve preservation of neuronal plasticity and tau phosphorylation homeostasis.
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Cite this article as:
Counts E. Scott, Perez E. Sylvia, He Bin and Mufson J. Elliott, Intravenous Immunoglobulin Reduces Tau Pathology and Preserves Neuroplastic Gene Expression in the 3xTg Mouse Model of Alzheimer`s Disease, Current Alzheimer Research 2014; 11 (7) . https://dx.doi.org/10.2174/1567205011666140812114037
DOI https://dx.doi.org/10.2174/1567205011666140812114037 |
Print ISSN 1567-2050 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-5828 |
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