An effector-reduced anti-β-amyloid (Aβ) antibody with unique aβ binding properties promotes neuroprotection and glial engulfment of Aβ.

Details

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Version: Final published version
Serval ID
serval:BIB_BAEF6B47B5E9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
An effector-reduced anti-β-amyloid (Aβ) antibody with unique aβ binding properties promotes neuroprotection and glial engulfment of Aβ.
Journal
Journal of Neuroscience
Author(s)
Adolfsson O., Pihlgren M., Toni N., Varisco Y., Buccarello A.L., Antoniello K., Lohmann S., Piorkowska K., Gafner V., Atwal J.K., Maloney J., Chen M., Gogineni A., Weimer R.M., Mortensen D.L., Friesenhahn M., Ho C., Paul R., Pfeifer A., Muhs A., Watts R.J.
ISSN
1529-2401 (Electronic)
ISSN-L
0270-6474
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Volume
32
Number
28
Pages
9677-9689
Language
english
Notes
Publication types: Clinical Trial, Phase I ; Journal Article ; Multicenter Study ; Randomized Controlled Trial
Abstract
Passive immunization against β-amyloid (Aβ) has become an increasingly desirable strategy as a therapeutic treatment for Alzheimer's disease (AD). However, traditional passive immunization approaches carry the risk of Fcγ receptor-mediated overactivation of microglial cells, which may contribute to an inappropriate proinflammatory response leading to vasogenic edema and cerebral microhemorrhage. Here, we describe the generation of a humanized anti-Aβ monoclonal antibody of an IgG4 isotype, known as MABT5102A (MABT). An IgG4 subclass was selected to reduce the risk of Fcγ receptor-mediated overactivation of microglia. MABT bound with high affinity to multiple forms of Aβ, protected against Aβ1-42 oligomer-induced cytotoxicity, and increased uptake of neurotoxic Aβ oligomers by microglia. Furthermore, MABT-mediated amyloid plaque removal was demonstrated using in vivo live imaging in hAPP((V717I))/PS1 transgenic mice. When compared with a human IgG1 wild-type subclass, containing the same antigen-binding variable domains and with equal binding to Aβ, MABT showed reduced activation of stress-activated p38MAPK (p38 mitogen-activated protein kinase) in microglia and induced less release of the proinflammatory cytokine TNFα. We propose that a humanized IgG4 anti-Aβ antibody that takes advantage of a unique Aβ binding profile, while also possessing reduced effector function, may provide a safer therapeutic alternative for passive immunotherapy for AD. Data from a phase I clinical trial testing MABT is consistent with this hypothesis, showing no signs of vasogenic edema, even in ApoE4 carriers.
Keywords
Aged, Aged, 80 and over, Alzheimer Disease/blood, Alzheimer Disease/immunology, Amyloid beta-Peptides/immunology, Amyloid beta-Peptides/metabolism, Amyloid beta-Protein Precursor/genetics, Animals, Animals, Newborn, Cells, Cultured, Cerebral Cortex/cytology, Disease Models, Animal, Dose-Response Relationship, Drug, Dose-Response Relationship, Immunologic, Double-Blind Method, Enzyme-Linked Immunosorbent Assay, Female, Gene Expression Regulation/drug effects, Gene Expression Regulation/genetics, Green Fluorescent Proteins/genetics, Hippocampus/cytology, Humans, Immunoglobulin G/metabolism, Immunoglobulin G/pharmacology, Male, Mice, Mice, Transgenic, Microglia/drug effects, Microglia/metabolism, Microscopy, Confocal, Middle Aged, Mutation/genetics, Neurons/drug effects, Neurons/metabolism, Neuroprotective Agents/metabolism, Neuroprotective Agents/pharmacology, Peptide Fragments/metabolism, Plaque, Amyloid/immunology, Plaque, Amyloid/metabolism, Presenilin-1/genetics, Protein Binding/drug effects, Rats, Rats, Sprague-Dawley, Receptors, Chemokine/genetics, Statistics, Nonparametric, Time Factors, Tumor Necrosis Factor-alpha/metabolism, p38 Mitogen-Activated Protein Kinases/metabolism
Pubmed
Web of science
Open Access
Yes
Create date
31/10/2012 15:10
Last modification date
20/08/2019 16:28
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