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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State: Public
Version: Final published version
State: Public
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
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 14:10
Last modification date
20/08/2019 15:28