Department of Neurology, Affiliated Nanjing Brain Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, 210029, PR China.
Brain Res. 2011 Jan 12;1368:239-47. doi: 10.1016/j.brainres.2010.10.053. Epub 2010 Oct 21.
Inflammation plays an important role in the pathogenesis of Alzheimer's disease (AD). Overexpression of tumor necrosis factor-α (TNF-α) occurs in the AD brain. Recent clinical studies have shown that the anti-TNF-α therapy improves cognition function of AD patients rapidly. However, the underlying mechanism remains elusive. The present study investigates the effects of intracerebroventricular injection of the monoclonal TNF-α antibody, Infliximab, on the pathological features of AD in the APP/PS1 double transgenic mice. We found that Infliximab administration reduced the levels of TNF-α, amyloid plaques, and tau phosphorylation as early as three days after daily injection of 150 μg Infliximab for three days. The number of CD11c-positive dendritic-like cells and the expression of CD11c were found to be increased concurrently after Infliximab injection. These data suggested that the CD11c-positive dendritic-like cells might contribute to the Infliximab-induced reduction of AD-like pathology. Furthermore, our results support the use of anti-TNF-α for the treatment of AD.
炎症在阿尔茨海默病(AD)的发病机制中起重要作用。肿瘤坏死因子-α(TNF-α)在 AD 大脑中过度表达。最近的临床研究表明,抗 TNF-α 治疗可迅速改善 AD 患者的认知功能。然而,其潜在机制仍不清楚。本研究探讨了鞘内注射单克隆 TNF-α 抗体英夫利昔单抗对 APP/PS1 双转基因小鼠 AD 病理特征的影响。我们发现,英夫利昔单抗给药可降低 TNF-α 水平、淀粉样斑块和 tau 磷酸化,在每日注射 150μg 英夫利昔单抗连续 3 天后,这些变化最早可在 3 天内观察到。注射英夫利昔单抗后还发现 CD11c 阳性树突状样细胞的数量和 CD11c 的表达增加。这些数据表明,CD11c 阳性树突状样细胞可能有助于英夫利昔单抗诱导的 AD 样病理学减轻。此外,我们的结果支持使用抗 TNF-α 治疗 AD。