IgG-assisted age-dependent clearance of Alzheimer’s amyloid β peptide by the blood–brain barrier neonatal Fc receptor


BIBLIOGRAPHIC THERAPEUTIC AGENT ANIMAL MODEL EXPERIMENTAL DESIGN OUTCOMES

Bibliographic

Year of Publication:
2005
Contact PI Name:
Berislav V. Zlokovic
Contact PI Affiliation:
Frank P. Smith Laboratories for Neuroscience and Neurosurgical Research, Department of Neurosurgery and Division of Neurovascular Biology, Arthur Kornberg Medical Research Building, University of Rochester Medical Center, Rochester, New York, USA
Co-Authors:
Rashid Deane, Abhay Sagare, Katie Hamm, Margaret Parisi, Barbra LaRue, Huang Guo, Zhenhua Wu, David M. Holtzman
Primary Reference (PubMED ID):
Funding Source:
National Institute on Aging (NIA)
National Institute of Neurological Disorders and Stroke (NINDS)
Study Goal and Principal Findings:
The role of blood–brain barrier (BBB) transport in clearance of amyloid β-peptide (Aβ) by Aβ immunotherapy is not fully understood. To address this issue, we studied the effects of peripherally and centrally administered Aβ-specific IgG on BBB influx of circulating Aβ and efflux of brain-derived Aβ in APPsw+/- mice, a model that develops Alzheimer’s disease-like amyloid pathology, and wild-type mice. Our data show that anti-Aβ IgG blocks the BBB influx of circulating Aβ in APPsw+/- mice and penetrates into the brain to sequester brain Aβ. In young mice, Aβ–anti-Aβ complexes were cleared from brain to blood by transcytosis across the BBB via the neonatal Fc receptor (FcRn) and the low-density lipoprotein receptor-related protein (LRP), whereas in older mice, there was an age-dependent increase in FcRn-mediated IgG-assisted Aβ BBB efflux and a decrease in LRP-mediated clearance of Aβ-anti-Aβ complexes. Inhibition of the FcRn pathway in older APPsw+/- mice blocked clearance of endogenous Aβ40/42 by centrally administered Aβ immunotherapy. Moreover, deletion of the FcRn gene in wild-type mice inhibited clearance of endogenous mouse Aβ40/42 by systemically administered anti-Aβ. Our data suggest that the FcRn pathway at the BBB plays a crucial role in IgG-assisted Aβ removal from the aging brain.

Therapeutic Agent

Therapeutic Information:
Therapy Type:
Biologic - Immunotherapy(passive)
Therapeutic Agent:
4G8 (anti-Abeta Mab)
Therapeutic Target:
beta Amyloid Peptide

Animal Model

Model Information:
Species:
Mouse
Model Type:
APP
Strain/Genetic Background:
Not Reported
Animal Model Notes:
C57BL/6 mice are also used in this study, though it is not clear if this is the genetic background of the Tg2576 mice used in this study.

Experimental Design

Is the following information reported in the study?:
Power/Sample Size Calculation
Randomized into Groups
Blinded for Treatment
Blinded for Outcome Measures
Pharmacokinetic Measures
Pharmacodynamic Measures
Toxicology Measures
ADME Measures
Biomarkers
Dose
Formulation
Route of Delivery
Duration of Treatment
Frequency of Administration
Age of Animal at the Beginning of Treatment
Age of Animal at the End of Treatment
Sex as a Biological Variable
Study Balanced for Sex as a Biological Variable
Number of Premature Deaths
Number of Excluded Animals
Statistical Plan
Genetic Background
Inclusion/Exclusion Criteria Included
Conflict of Interest

Outcomes

Outcome Measured
Outcome Parameters
Histopathology
beta Amyloid Deposits
beta Amyloid Load
Biochemical
Brain-beta Amyloid Oligomers
Brain-Buffer Soluble beta Amyloid Peptide 40
Brain-Buffer Soluble beta Amyloid Peptide 42
Brain-Detergent Soluble beta Amyloid Peptide 40
Brain-Detergent Soluble beta Amyloid Peptide 42
Brain-Formic Acid Soluble beta Amyloid Peptide 40
Brain-Formic Acid Soluble beta Amyloid Peptide 42
Brain Clearance-beta Amyloid Peptide 40
Plasma Clearance-beta Amyloid Peptide 40
Glial Fibrillary Acidic Protein (GFAP)
Microglia
Neonatal Fc Receptor (FcRn)
CD31
Immunochemistry
Brain-beta Amyloid Deposits
CD31
Glial Fibrillary Acidic Protein (GFAP)
Microglia
Neonatal Fc Receptor (FcRn)
Imaging
[125-I]beta Amyloid Peptide 40 Autoradiography
Immunology
Anti-beta Amyloid Antibody Titers
Antibody Target Specificity
Biomarker
Plasma-beta Amyloid Peptide 40
Pharmacokinetics
Antibody Concentration-Brain
Antibody Concentration-Plasma
Blood Brain Barrier Penetration
Clearance (L/h/kg)
Pharmacodynamics
Target Engagement (Complex of Antibody with Amyloid-Brain)
Target Engagement (Complex of Antibody with beta Amyloid-CSF/Plasma)
Target Engagement (Clearance beta Amyloid Deposits)

Source URL: http://alzped.nia.nih.gov/igg-assisted-age-dependent