title: An amyloid-beta protofibril-selective antibody prevents amyloid formation in a mouse model of Alzheimer's disease.
abstract: Human genetics link Alzheimer's disease pathogenesis to excessive accumulation of amyloid-beta (Abeta) in brain, but the symptoms do not correlate with senile plaque burden. Since soluble Abeta aggregates can cause synaptic dysfunctions and memory deficits, these species could contribute to neuronal dysfunction and dementia. Here we explored selective targeting of large soluble aggregates, Abeta protofibrils, as a new immunotherapeutic strategy. The highly protofibril-selective monoclonal antibody mAb158 inhibited in vitro fibril formation and protected cells from Abeta protofibril-induced toxicity. When the mAb158 antibody was administered for 4 months to plaque-bearing transgenic mice with both the Arctic and Swedish mutations (tg-ArcSwe), Abeta protofibril levels were lowered while measures of insoluble Abeta were unaffected. In contrast, when treatment began before the appearance of senile plaques, amyloid deposition was prevented and Abeta protofibril levels diminished. Therapeutic intervention with mAb158 was however not proven functionally beneficial, since place learning depended neither on treatment nor transgenicity. Our findings suggest that Abeta protofibrils can be selectively cleared with immunotherapy in an animal model that display highly insoluble Abeta deposits, similar to those of Alzheimer's disease brain.
authors.affiliation: Department of Public Health and Caring Sciences/Molecular Geriatrics, Uppsala University, Rudbeck Laboratory, Dag Hammarskjölds väg 20, SE-751 85 Uppsala, Sweden.
authors.forename: Anna
authors.initials: A
authors.lastname: Lord
authors.forename: Astrid
authors.initials: A
authors.lastname: Gumucio
authors.forename: Hillevi
authors.initials: H
authors.lastname: Englund
authors.forename: Dag
authors.initials: D
authors.lastname: Sehlin
authors.forename: Valentina Screpanti
authors.initials: VS
authors.lastname: Sundquist
authors.forename: Linda
authors.initials: L
authors.lastname: Söderberg
authors.forename: Christer
authors.initials: C
authors.lastname: Möller
authors.forename: Pär
authors.initials: P
authors.lastname: Gellerfors
authors.forename: Lars
authors.initials: L
authors.lastname: Lannfelt
authors.forename: Frida Ekholm
authors.initials: FE
authors.lastname: Pettersson
authors.forename: Lars N G
authors.initials: LN
authors.lastname: Nilsson
mesh_terms: D000375:Aging; D000544:Alzheimer Disease / Q000378:metabolism / Q000473:pathology / Q000628:therapy*; D000682:Amyloid / Q000276:immunology* / Q000378:metabolism*; D016229:Amyloid beta-Peptides / Q000276:immunology* / Q000378:metabolism / Q000633:toxicity; D000818:Animals; D000911:Antibodies, Monoclonal / Q000008:administration & dosage / Q000276:immunology / Q000627:therapeutic use*; D001921:Brain / Q000276:immunology / Q000378:metabolism / Q000473:pathology; D004195:Disease Models, Animal; D006801:Humans; D007116:Immunization, Passive; D007700:Kinetics; D007858:Learning; D051379:Mice; D008822:Mice, Transgenic; D010446:Peptide Fragments / Q000276:immunology / Q000378:metabolism / Q000633:toxicity; D058225:Plaque, Amyloid / Q000276:immunology / Q000378:metabolism / Q000473:pathology; D055503:Protein Multimerization; D013028:Space Perception
chemical_list: D000682:Amyloid; D016229:Amyloid beta-Peptides; D000911:Antibodies, Monoclonal; D010446:Peptide Fragments; C075222:amyloid beta-protein (1-42)