一种效应器降低的抗β-淀粉样蛋白(Aβ)抗体,具有独特的 Aβ 结合特性,可促进 Aβ 的神经保护和胶质细胞吞噬作用。
An effector-reduced anti-β-amyloid (Aβ) antibody with unique aβ binding properties promotes neuroprotection and glial engulfment of Aβ.
机构信息
AC Immune SA, 1015 Lausanne, Switzerland.
出版信息
J Neurosci. 2012 Jul 11;32(28):9677-89. doi: 10.1523/JNEUROSCI.4742-11.2012.
Passive immunization against β-amyloid (Aβ) has become an increasingly desirable strategy as a therapeutic treatment for Alzheimer's disease (AD). However, traditional passive immunization approaches carry the risk of Fcγ receptor-mediated overactivation of microglial cells, which may contribute to an inappropriate proinflammatory response leading to vasogenic edema and cerebral microhemorrhage. Here, we describe the generation of a humanized anti-Aβ monoclonal antibody of an IgG4 isotype, known as MABT5102A (MABT). An IgG4 subclass was selected to reduce the risk of Fcγ receptor-mediated overactivation of microglia. MABT bound with high affinity to multiple forms of Aβ, protected against Aβ1-42 oligomer-induced cytotoxicity, and increased uptake of neurotoxic Aβ oligomers by microglia. Furthermore, MABT-mediated amyloid plaque removal was demonstrated using in vivo live imaging in hAPP((V717I))/PS1 transgenic mice. When compared with a human IgG1 wild-type subclass, containing the same antigen-binding variable domains and with equal binding to Aβ, MABT showed reduced activation of stress-activated p38MAPK (p38 mitogen-activated protein kinase) in microglia and induced less release of the proinflammatory cytokine TNFα. We propose that a humanized IgG4 anti-Aβ antibody that takes advantage of a unique Aβ binding profile, while also possessing reduced effector function, may provide a safer therapeutic alternative for passive immunotherapy for AD. Data from a phase I clinical trial testing MABT is consistent with this hypothesis, showing no signs of vasogenic edema, even in ApoE4 carriers.
针对β-淀粉样蛋白(Aβ)的被动免疫已成为治疗阿尔茨海默病(AD)的一种极具吸引力的策略。然而,传统的被动免疫方法存在 Fcγ 受体介导的小胶质细胞过度激活的风险,这可能导致不适当的促炎反应,导致血管源性水肿和脑微出血。在这里,我们描述了一种 IgG4 同种型的人源化抗 Aβ 单克隆抗体的产生,称为 MABT5102A(MABT)。选择 IgG4 亚类是为了降低 Fcγ 受体介导的小胶质细胞过度激活的风险。MABT 与多种形式的 Aβ 具有高亲和力,可防止 Aβ1-42 寡聚体诱导的细胞毒性,并增加小胶质细胞对神经毒性 Aβ 寡聚体的摄取。此外,在 hAPP((V717I))/PS1 转基因小鼠中使用体内活体成像证明了 MABT 介导的淀粉样斑块清除。与含有相同抗原结合可变区且与 Aβ 结合相等的人 IgG1 野生型亚类相比,MABT 在小胶质细胞中显示出应激激活的 p38MAPK(p38 丝裂原激活蛋白激酶)的激活减少,并且诱导的促炎细胞因子 TNFα 的释放减少。我们提出,一种利用独特的 Aβ 结合谱同时具有降低的效应功能的人源化 IgG4 抗 Aβ 抗体可能为 AD 的被动免疫治疗提供更安全的治疗选择。一项测试 MABT 的 I 期临床试验的数据支持这一假设,即使在 ApoE4 携带者中也没有血管源性水肿的迹象。