Trinity College Institute of Neuroscience, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin 2, Ireland.
J Immunol. 2013 Mar 1;190(5):2241-51. doi: 10.4049/jimmunol.1200947. Epub 2013 Jan 30.
Alzheimer's disease (AD) is characterized by the presence of amyloid-β (Aβ)-containing plaques, neurofibrillary tangles, and neuronal loss in the brain. Inflammatory changes, typified by activated microglia, particularly adjacent to Aβ plaques, are also a characteristic of the disease, but it is unclear whether these contribute to the pathogenesis of AD or are a consequence of the progressive neurodegenerative processes. Furthermore, the factors that drive the inflammation and neurodegeneration remain poorly understood. CNS-infiltrating T cells play a pivotal role in the pathogenesis of multiple sclerosis, but their role in the progression of AD is still unclear. In this study, we examined the role of Aβ-specific T cells on Aβ accumulation in transgenic mice that overexpress amyloid precursor protein and presenilin 1 (APP/PS1). We found significant infiltration of T cells in the brains of APP/PS1 mice, and a proportion of these cells secreted IFN-γ or IL-17. Aβ-specific CD4 T cells generated by immunization with Aβ and a TLR agonist and polarized in vitro to Th1-, Th2-, or IL-17-producing CD4(+) T cells, were adoptively transferred to APP/PS1 mice at 6 to 7 mo of age. Assessment of animals 5 wk later revealed that Th1 cells, but not Th2 or IL-17-producing CD4(+) T cells, increased microglial activation and Aβ deposition, and that these changes were associated with impaired cognitive function. The effects of Th1 cells were attenuated by treatment of the APP/PS1 mice with an anti-IFN-γ Ab. Our study suggests that release of IFN-γ from infiltrating Th1 cells significantly accelerates markers of diseases in an animal model of AD.
阿尔茨海默病(AD)的特征是大脑中存在含β淀粉样蛋白(Aβ)的斑块、神经原纤维缠结和神经元丢失。以活化的小胶质细胞为典型特征的炎症变化,尤其是在Aβ斑块附近,也是该疾病的一个特征,但尚不清楚这些炎症变化是AD发病机制的促成因素还是进行性神经退行性变过程的结果。此外,驱动炎症和神经退行性变的因素仍知之甚少。中枢神经系统浸润性T细胞在多发性硬化症的发病机制中起关键作用,但其在AD进展中的作用仍不清楚。在本研究中,我们检测了Aβ特异性T细胞在过表达淀粉样前体蛋白和早老素1(APP/PS1)的转基因小鼠中对Aβ积累的作用。我们发现APP/PS1小鼠大脑中有大量T细胞浸润,其中一部分细胞分泌干扰素-γ(IFN-γ)或白细胞介素-17(IL-17)。用Aβ和Toll样受体激动剂免疫并在体外极化产生Th1、Th2或产生IL-17的CD4(+)T细胞的Aβ特异性CD4 T细胞,在6至7月龄时被过继转移到APP/PS1小鼠体内。5周后对动物进行评估发现,Th1细胞而非Th2或产生IL-17的CD4(+)T细胞增加了小胶质细胞活化和Aβ沉积,并且这些变化与认知功能受损有关。用抗IFN-γ抗体治疗APP/PS1小鼠可减弱Th1细胞的作用。我们的研究表明,浸润的Th1细胞释放的IFN-γ在AD动物模型中显著加速疾病标志物的出现。