Document Detail


Intranasal immunotherapy for the treatment of Alzheimer's disease: Escherichia coli LT and LT(R192G) as mucosal adjuvants.
MedLine Citation:
PMID:  12470794     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Alzheimer's disease (AD) is the most common form of dementia worldwide, yet there is currently no effective treatment or cure. Extracellular deposition of amyloid-beta protein (Abeta) in brain is a key neuropathological characteristic of AD. In 1999, Schenk et al. first reported that an injected Abeta vaccine given to PDAPP mice, an AD mouse model displaying Abeta deposition in brain, led to the lowering of Abeta levels in brain. In 2000, we demonstrated that intranasal (i.n.) immunization with human synthetic Abeta1-40 peptide for 7 months led to a 50-60% reduction in cerebral Abeta burden in PDAPP mice; serum Abeta antibody titers were low (approximately 26 microg/ml). More recently, we have optimized our i.n. Abeta immunization protocol in wild-type (WT) mice. When low doses Escherichia coli heat-labile enterotoxin (LT) were given as a mucosal adjuvant with Abeta i.n., there was a dramatic 12-fold increase in Abeta antibody titers in WT B6D2F1 mice treated two times per week for 8 weeks compared to those of mice receiving i.n. Abeta without adjuvant. A non-toxic form of LT, designated LT(R192G), showed even better adjuvanticity; anti-Abeta antibody titers were 16-fold higher than those seen in mice given i.n. Abeta without adjuvant. In both cases, the serum Abeta antibodies recognized epitopes within Abeta1-15 and were of the immunoglobulin (Ig) isotypes IgG2b, IgG1, IgG2a and low levels of IgA. This new and improved Abeta vaccine protocol is now being tested in AD mouse models with the expectation that higher Abeta antibody titers may be more effective in reducing cerebral Abeta levels.
Authors:
Cynthia A Lemere; Edward T Spooner; Jodi F Leverone; Chica Mori; John D Clements
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurobiology of aging     Volume:  23     ISSN:  0197-4580     ISO Abbreviation:  Neurobiol. Aging     Publication Date:    2002 Nov-Dec
Date Detail:
Created Date:  2002-12-09     Completed Date:  2003-03-20     Revised Date:  2008-08-20    
Medline Journal Info:
Nlm Unique ID:  8100437     Medline TA:  Neurobiol Aging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  991-1000     Citation Subset:  IM    
Affiliation:
Center for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. lemere@cnd.bwh.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Adjuvants, Immunologic / administration & dosage*
Administration, Intranasal
Alzheimer Disease / immunology,  prevention & control*
Alzheimer Vaccines / administration & dosage*
Amyloid beta-Protein / immunology*
Animals
Antibody Formation / drug effects
Bacterial Toxins / administration & dosage*,  immunology
Brain / drug effects,  immunology,  metabolism,  pathology
Cell Line
Enterotoxins / administration & dosage*,  immunology
Escherichia coli / immunology*
Escherichia coli Proteins*
Immunotherapy / methods
Male
Mice
Nasal Mucosa / immunology,  metabolism
Reference Values
Sensitivity and Specificity
Species Specificity
Chemical
Reg. No./Substance:
0/Adjuvants, Immunologic; 0/Alzheimer Vaccines; 0/Amyloid beta-Protein; 0/Bacterial Toxins; 0/Enterotoxins; 0/Escherichia coli Proteins; 0/heat-labile enterotoxin, E coli

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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