Rosenmann Hanna, Grigoriadis Nikolaos, Karussis Dimitrios, Boimel Moran, Touloumi Olga, Ovadia Haim, Abramsky Oded
Department of Neurology, Agnes Ginges Center for Human Neurogenetics, Hadassah University Hospital, Jerusalem, Israel, AHEPA University Hospital, Thessaloniki, Greece.
Arch Neurol. 2006 Oct;63(10):1459-67. doi: 10.1001/archneur.63.10.1459.
A possible role of autoimmunity in Alzheimer disease pathogenesis has recently attracted increasing attention. Vaccination with amyloid-beta peptide was reported to cause marked reduction in amyloid deposition, but it also induced encephalitis. Not much is known regarding neurofibrillary tangle-related autoimmune effects.
To use the main component of tangles-microtubule-associated tau protein-to test the feasibility of active induction of a neuroautoimmune disorder in mice.
Prospective, randomized controlled animal study.
University medical center research laboratory. Subjects Female C57BL/6 mice.
Inoculation with recombinant human tau protein emulsified in complete Freund adjuvant and with pertussis toxin.
Clinical, immunologic, pathologic, and behavioral evaluations were performed.
Vaccination with tau protein induced histopathologic features of Alzheimer disease and tauopathies, indicated by the presence of neurofibrillary tangle-like structures, axonal damage, and gliosis. Also, mononuclear infiltrates without demyelination in the central nervous system, accompanied by neurologic deficits (such as a limp tail and limb paralysis), were observed. Anti-tau antibodies were detected in the serum of tau-immunized mice.
These results provide a link between tau autoimmunity and tauopathy-like abnormalities and indicate potential dangers of using tau for immunotherapy. This experimental autoimmune tauopathy-like model is due to a pathogenic immune response against an intraneuronal antigen and is not related to myelin antigens.
自身免疫在阿尔茨海默病发病机制中的潜在作用最近受到越来越多的关注。据报道,用β淀粉样肽进行疫苗接种可使淀粉样蛋白沉积显著减少,但也会诱发脑炎。关于神经原纤维缠结相关的自身免疫效应,目前了解不多。
使用缠结的主要成分——微管相关tau蛋白——来测试主动诱导小鼠发生神经自身免疫性疾病的可行性。
前瞻性、随机对照动物研究。
大学医学中心研究实验室。对象:雌性C57BL/6小鼠。
接种在完全弗氏佐剂中乳化的重组人tau蛋白以及百日咳毒素。
进行临床、免疫、病理和行为评估。
用tau蛋白进行疫苗接种诱发了阿尔茨海默病和tau蛋白病的组织病理学特征,表现为神经原纤维缠结样结构、轴突损伤和胶质细胞增生。此外,在中枢神经系统中观察到无脱髓鞘的单核浸润,并伴有神经功能缺损(如尾巴无力和肢体麻痹)。在接种tau蛋白的小鼠血清中检测到抗tau抗体。
这些结果在tau自身免疫和tau蛋白病样异常之间建立了联系,并表明使用tau进行免疫治疗存在潜在危险。这种实验性自身免疫性tau蛋白病样模型是由于针对神经元内抗原的致病性免疫反应引起的,与髓鞘抗原无关。