Brain-penetrant complement inhibition mitigates neurodegeneration in an Alzheimer's disease mouse model

IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Brain Pub Date : 2024-08-29 DOI:10.1093/brain/awae278
Wioleta M Zelek, Ryan J Bevan, Jacqui Nimmo, Maarten Dewilde, Bart De Strooper, B Paul Morgan
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Abstract

Complement activation is implicated in driving brain inflammation, self-cell damage and progression of injury in Alzheimer's disease and other neurodegenerative diseases. Here, we investigate the impact of brain delivery of a complement-blocking antibody on neurodegeneration in an Alzheimer's mouse model. We engineered a brain-penetrant recombinant antibody targeting the pro-inflammatory membrane attack complex. Systemic administration of this antibody in APPNL-G-F mice reduced brain levels of complement activation products, demonstrating successful brain entry and target engagement. Prolonged treatment decreased synapse loss, amyloid burden and brain inflammatory cytokine levels, concomitant with cognitive improvement compared to controls. These results underscore the potential of brain-penetrant complement-inhibiting drugs as promising therapeutics, targeting downstream of amyloid plaques in Alzheimer's disease.
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脑补体素抑制可减轻阿尔茨海默病小鼠模型的神经退行性变
补体激活与阿尔茨海默病和其他神经退行性疾病的脑部炎症、自身细胞损伤和损伤进展有关。在这里,我们研究了补体阻断抗体脑传递对阿尔茨海默氏症小鼠模型神经退行性变的影响。我们设计了一种针对促炎膜攻击复合物的脑穿透重组抗体。在APPNL-G-F小鼠中全身给药该抗体可降低脑内补体激活产物的水平,表明成功进入脑内并与靶点接合。与对照组相比,长期治疗可减少突触丢失、淀粉样蛋白负荷和脑部炎症细胞因子水平,同时改善认知能力。这些结果凸显了脑穿透补体抑制药物作为有前景的治疗药物的潜力,它的目标是阿尔茨海默病淀粉样蛋白斑块的下游。
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来源期刊
Brain
Brain 医学-临床神经学
CiteScore
20.30
自引率
4.10%
发文量
458
审稿时长
3-6 weeks
期刊介绍: Brain, a journal focused on clinical neurology and translational neuroscience, has been publishing landmark papers since 1878. The journal aims to expand its scope by including studies that shed light on disease mechanisms and conducting innovative clinical trials for brain disorders. With a wide range of topics covered, the Editorial Board represents the international readership and diverse coverage of the journal. Accepted articles are promptly posted online, typically within a few weeks of acceptance. As of 2022, Brain holds an impressive impact factor of 14.5, according to the Journal Citation Reports.
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