Department of Molecular Biology and Biochemistry, University of California, Irvine, CA 92697-3900, USA.
J Neurochem. 2010 Apr;113(2):389-401. doi: 10.1111/j.1471-4159.2010.06595.x. Epub 2010 Feb 2.
Alzheimer's disease (AD), a progressive neurodegenerative disease characterized by the accumulation of amyloid-beta protein and neuronal loss, is the leading cause of age-related dementia in the world today. The disease is also associated with neuroinflammation, robust activation of astrocytes and microglia, and evidence of activation of the complement system, localized with both fibrillar amyloid-beta (fAbeta) plaques and tangles. The observations are consistent with a complement-dependent component of AD progression. We have previously shown that inhibition of the major complement receptor for C5a (CD88) with the antagonist PMX205 results in a significant reduction in pathology in two mouse models of AD. To further characterize the role of complement in AD-related neuroinflammation, we examined the age- and disease-associated expression of CD88 in brain of transgenic mouse models of AD and the influence of PMX205 on the presence of various complement activation products using flow cytometry, western blot, and immunohistochemistry. CD88 was found to be up-regulated in microglia, in the immediate vicinity of amyloid plaques. While thioflavine plaque load and glial recruitment is significantly reduced after treatment with PMX205, C1q remains co-localized with fAbeta plaques and C3 is still expressed by the recruited astrocytes. Thus, with PMX205, potentially beneficial activities of these early complement components may remain intact, while detrimental activities resulting from C5a-CD88 interaction are inhibited. This further supports the targeted inhibition of specific complement mediated activities as an approach for AD therapy.
阿尔茨海默病(AD)是一种进行性神经退行性疾病,其特征是淀粉样β蛋白的积累和神经元丧失,是当今世界导致与年龄相关的痴呆症的主要原因。该疾病还与神经炎症、星形胶质细胞和小胶质细胞的强烈激活以及补体系统的证据有关,该系统与纤维状淀粉样β(fAbeta)斑块和缠结局部化。这些观察结果与 AD 进展的补体依赖性成分一致。我们之前已经表明,用拮抗剂 PMX205 抑制 C5a 的主要补体受体(CD88)可导致两种 AD 小鼠模型中的病理学显著减少。为了进一步表征补体在 AD 相关神经炎症中的作用,我们使用流式细胞术、western blot 和免疫组织化学检查了 AD 转基因小鼠模型中大脑中 CD88 的年龄和疾病相关表达,以及 PMX205 对各种补体激活产物存在的影响。发现 CD88 在小胶质细胞中上调,在淀粉样斑块的附近。虽然在用 PMX205 治疗后,硫黄素斑块负荷和神经胶质募集明显减少,但 C1q 仍然与 fAbeta 斑块共定位,并且 C3 仍然由募集的星形胶质细胞表达。因此,用 PMX205,这些早期补体成分的潜在有益活性可能保持完整,而 C5a-CD88 相互作用产生的有害活性则被抑制。这进一步支持了针对特定补体介导的活性的靶向抑制作为 AD 治疗的一种方法。
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