Brain Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada.
PLoS One. 2010 May 11;5(5):e10549. doi: 10.1371/journal.pone.0010549.
Immunotherapy for Alzheimer's disease (AD) relies on antibodies directed against toxic amyloid-beta peptide (Abeta), which circulate in the bloodstream and remove Abeta from the brain. In mouse models of AD, the administration of anti-Abeta antibodies directly into the brain, in comparison to the bloodstream, was shown to be more efficient at reducing Abeta plaque pathology. Therefore, delivering anti-Abeta antibodies to the brain of AD patients may also improve treatment efficiency. Transcranial focused ultrasound (FUS) is known to transiently-enhance the permeability of the blood-brain barrier (BBB), allowing intravenously administered therapeutics to enter the brain. Our goal was to establish that anti-Abeta antibodies delivered to the brain using magnetic resonance imaging-guided FUS (MRIgFUS) can reduce plaque pathology. To test this, TgCRND8 mice received intravenous injections of MRI and FUS contrast agents, as well as anti-Abeta antibody, BAM-10. MRIgFUS was then applied transcranially. Within minutes, the MRI contrast agent entered the brain, and BAM-10 was later found bound to Abeta plaques in targeted cortical areas. Four days post-treatment, Abeta pathology was significantly reduced in TgCRND8 mice. In conclusion, this is the first report to demonstrate that MRIgFUS delivery of anti-Abeta antibodies provides the combined advantages of using a low dose of antibody and rapidly reducing plaque pathology.
阿尔茨海默病(AD)的免疫疗法依赖于针对毒性淀粉样β肽(Abeta)的抗体,该抗体在血液中循环,并将 Abeta 从大脑中清除。在 AD 的小鼠模型中,与血液相比,将抗 Abeta 抗体直接递送至大脑中,更有效地减少 Abeta 斑块病理。因此,向 AD 患者的大脑中递送抗 Abeta 抗体也可能提高治疗效率。已知经颅聚焦超声(FUS)可短暂增强血脑屏障(BBB)的通透性,使静脉内给予的治疗剂进入大脑。我们的目标是确定使用磁共振成像引导 FUS(MRIgFUS)递送至大脑的抗 Abeta 抗体可以减少斑块病理。为此,TgCRND8 小鼠接受了 MRI 和 FUS 造影剂以及抗 Abeta 抗体 BAM-10 的静脉注射。然后经颅应用 MRIgFUS。几分钟内,MRI 造影剂进入大脑,随后发现 BAM-10 结合在靶向皮质区域的 Abeta 斑块上。在治疗后 4 天,TgCRND8 小鼠的 Abeta 病理明显减少。总之,这是第一项证明 MRIgFUS 递送抗 Abeta 抗体提供了使用低剂量抗体和快速减少斑块病理的联合优势的报告。