人血液中针对α4 和α7 烟碱型乙酰胆碱受体的自身抗体的存在和来源:可能与阿尔茨海默病病理相关。
The presence and origin of autoantibodies against α4 and α7 nicotinic acetylcholine receptors in the human blood: possible relevance to Alzheimer's pathology.
机构信息
Palladin Institute of Biochemistry, Kyiv, Ukraine.
出版信息
J Alzheimers Dis. 2011;25(4):747-61. doi: 10.3233/JAD-2011-101845.
Alzheimer's disease (AD) is characterized by a loss of α4β2 and α7 nicotinic acetylcholine receptors (nAChRs) in the brain and severe memory impairments. Previously, we found that antibodies elicited against extracellular domain of α7 nAChR subunit decreased the number of α7 nAChRs in the brains of mice and impaired episodic memory. Here we show that antibodies capable to bind α7(1-208) are present in the blood of both healthy humans and AD patients. In healthy individuals, their capacity to compete with [(125)-I]-α-bungarotoxin for the binding to α7(1-208) increased with age. The level of such antibodies was significantly elevated in children with severe form of obstructive bronchitis and in mice injected with Lewis lung carcinoma cells expressing both α4β2 and α7 nAChRs. Elevated antibody levels were accompanied with decreased surface nAChRs on the blood lymphocytes of children and of mice immunized with α7(1-208). Among AD patients, the level of α7 nAChR-specific antibodies was significantly larger in people 62.5 ± 1.5 years old with moderate or severe AD stages (15.2 ± 1.3 MMSE scores) compared to those of 76 ± 1.5 years old with the mild (22.7 ± 0.1 MMSE scores) AD stage. We concluded that α7(1-208) nAChR-specific antibodies found in the human blood are formed as a result of common infections accompanied with the destruction of respiratory epithelium. Elevated blood plasma levels of α7(1-208) nAChR-specific antibodies are characteristic for the early-onset AD and, therefore, are suggested as one of the risk factors for the development of this form of the disease.
阿尔茨海默病(AD)的特征是大脑中α4β2 和 α7 烟碱型乙酰胆碱受体(nAChR)的丧失以及严重的记忆障碍。先前,我们发现针对α7 nAChR 亚基细胞外结构域的抗体可减少小鼠大脑中α7 nAChR 的数量并损害情景记忆。在这里,我们表明能够结合α7(1-208)的抗体存在于健康人和 AD 患者的血液中。在健康个体中,其与[(125)-I]-α-银环蛇毒素竞争结合α7(1-208)的能力随年龄增长而增加。在患有严重阻塞性支气管炎的儿童和注射表达α4β2 和 α7 nAChR 的Lewis 肺癌细胞的小鼠中,这种抗体的水平显着升高。抗体水平升高伴随着儿童和用α7(1-208)免疫的小鼠血液淋巴细胞表面 nAChR 的减少。在 AD 患者中,在具有中度或重度 AD 阶段(15.2 ± 1.3 MMSE 评分)的 62.5 ± 1.5 岁的人中和在具有轻度(22.7 ± 0.1 MMSE 评分)的 76 ± 1.5 岁的人相比,α7 nAChR 特异性抗体的水平显着更高。我们得出的结论是,在人类血液中发现的α7(1-208)nAChR 特异性抗体是由常见感染引起的,同时伴有呼吸上皮细胞的破坏。α7(1-208)nAChR 特异性抗体的血液血浆水平升高是早发性 AD 的特征,因此被认为是该疾病发生的危险因素之一。