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β淀粉样蛋白发病机制自然模型中的免疫疗法:老年比格犬

Immunotherapy in a natural model of Abeta pathogenesis: the aging beagle.

作者信息

Vasilevko Vitaly, Head Elizabeth

机构信息

Institute for Brain Aging & Dementia, University of California, Irvine, CA 92697-4540, USA.

出版信息

CNS Neurol Disord Drug Targets. 2009 Apr;8(2):98-113. doi: 10.2174/187152709787847333.

Abstract

Alzheimer disease (AD) is the most common form of dementia in the elderly and the number of individuals developing the disease is rapidly rising. Interventions focused on reducing beta-amyloid (Abeta), a component of senile plaques within the AD brain offer a promising approach to prevent or slow disease progression. In this review, we describe the immune system and cognitive and neurobiological features of a natural model of human brain aging, the beagle. The immune system of dogs shares many features of the human immune system, including developmental and aging characteristics. Further, dogs naturally accumulate human sequence Abeta as they age, which coincides with declines in learning and memory. A longitudinal study (approximately 2 years) of the response of aged beagles to vaccination with fibrillar Abeta1-42 indicated that despite significant clearance of Abeta, there were limited benefits in cognitive function. However, there was evidence for maintenance of executive function over time. These results are strikingly similar to reports of human clinical immunotherapy trials. We propose that the canine model complements existing animal models and will be helpful in developing new vaccine approaches to slowing or preventing Abeta pathology that can be translated to human clinical trials.

摘要

阿尔茨海默病(AD)是老年人中最常见的痴呆形式,患病人数正在迅速增加。针对减少β-淀粉样蛋白(Aβ)(AD大脑中老年斑的一种成分)的干预措施为预防或减缓疾病进展提供了一种有前景的方法。在这篇综述中,我们描述了人类大脑衰老自然模型——比格犬的免疫系统、认知和神经生物学特征。犬类免疫系统具有人类免疫系统的许多特征,包括发育和衰老特征。此外,随着年龄增长,狗会自然积累人类序列的Aβ,这与学习和记忆能力下降相吻合。一项对老年比格犬接种纤维状Aβ1-42疫苗反应的纵向研究(约2年)表明,尽管Aβ有显著清除,但认知功能的改善有限。然而,有证据表明随着时间推移执行功能得以维持。这些结果与人类临床免疫治疗试验的报告惊人地相似。我们提出犬类模型可补充现有动物模型,并将有助于开发新的疫苗方法来减缓或预防Aβ病理变化,这些方法可转化为人类临床试验。

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