PD-1 immune checkpoint blockade reduces pathology and improves memory in mouse models of Alzheimer’s disease (original) (raw)

Bibliographic

Year of Publication:

2016

Contact PI Name:

Michal Schwartz

Contact PI Affiliation:

Department of Neurobiology, Weizmann Institute of Science, Rehovot, Israel

Co-Authors:

Kuti Baruch, Aleksandra Deczkowska, Neta Rosenzweig, Afroditi Tsitsou-Kampeli, Alaa Mohammad Sharif, Orit Matcovitch-Natan, Alexander Kertser, Eyal David, Ido Amit

Primary Reference (PubMED ID):

Funding Source:

Advanced European Research Council

Weizmann-Tanz Collaboration for Research in Alzheimer’s Disease

Israel Science Foundation (ISF)

European Community’s Seventh Framework Programme for the Innovative Medicine Initiative

Study Goal and Principal Findings:

Systemic immune suppression may curtail the ability to mount the protective, cell-mediated immune responses that are needed for brain repair. By using mouse models of Alzheimer’s disease (AD), we show that immune checkpoint blockade directed against the programmed death-1 (PD-1) pathway evokes an interferon (IFN)-γ–dependent systemic immune response, which is followed by the recruitment of monocyte-derived macrophages to the brain. When induced in mice with established pathology, this immunological response leads to clearance of cerebral amyloid-β (Aβ) plaques and improved cognitive performance. Repeated treatment sessions were required to maintain a long-lasting beneficial effect on disease pathology. These findings suggest that immune checkpoints may be targeted therapeutically in AD.

Bibliographic Notes:

Kuti Baruch and Michal Schwartz (Department of Neurobiology, Weizmann Institute of Science, Rehovot, Israel) are corresponding authors on this paper.

Therapeutic Agent

Therapeutic Information:

Therapy Type:

Biologic - Immunotherapy(passive)

Therapeutic Agent:

anti-PD-1 Antibody

Therapeutic Target:

Programmed Cell Death Protein 1 (PD-1)

Therapeutic Notes:

Programmed Cell Death Protein 1 (PD-1) has been nominated as a potential target for AD. Nominated targets are obtained from several sources, including the National Institute on Aging's Accelerating Medicines Partnership in Alzheimer's Disease (AMP-AD) consortium. Targets have been identified using computational analyses of high-dimensional genomic, proteomic and/or metabolomic data derived from human samples. See Agora link for more information.

Animal Model

Model Information:

Strain/Genetic Background:

C57BL/6SJL

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

Experiment Notes

Sample sizes were chosen with adequate statistical power on the basis of the literature and past experience, and mice were allocated to experimental groups according to age, gender and genotype. Additionally, all inclusion and exclusion criteria were pre-established according to the IACUC, though these were not stated in the paper. Mice that displayed motor deficits in swimming performance were excluded from the beginning of the experiments from further analysis.

Outcomes

Histopathology

beta Amyloid Deposits

beta Amyloid Load

Activated Astrocytes

Biochemical

CD4

CD11b

CD45

Chemokine C-C Motif Ligand 2 (CCL2) mRNA

Inflammation-Inducible Protein Intercellular Adhesion Molecule 1 (ICAM1) mRNA

Interferon (IFN) gamma mRNA

Immunochemistry

Brain-beta Amyloid Deposits

Glial Fibrillary Acidic Protein (GFAP)

Myeloid Cells

Cell Biology

CNS Infiltrating Leukocytes

Flow Cytometry

Immunology

Interferon (IFN) gamma Production

Omics

Gene Expression Profile

Whole Transcriptome Analysis