Theunis Clara, Crespo-Biel Natalia, Gafner Valérie, Pihlgren Maria, López-Deber María Pilar, Reis Pedro, Hickman David T, Adolfsson Oskar, Chuard Nathalie, Ndao Dorin Mlaki, Borghgraef Peter, Devijver Herman, Van Leuven Fred, Pfeifer Andrea, Muhs Andreas
Experimental Genetics Group, Department Human Genetics, KU Leuven, Leuven, Belgium.
PLoS One. 2013 Aug 19;8(8):e72301. doi: 10.1371/journal.pone.0072301. eCollection 2013.
Progressive aggregation of protein Tau into oligomers and fibrils correlates with cognitive decline and synaptic dysfunction, leading to neurodegeneration in vulnerable brain regions in Alzheimer's disease. The unmet need of effective therapy for Alzheimer's disease, combined with problematic pharmacological approaches, led the field to explore immunotherapy, first against amyloid peptides and recently against protein Tau. Here we adapted the liposome-based amyloid vaccine that proved safe and efficacious, and incorporated a synthetic phosphorylated peptide to mimic the important phospho-epitope of protein Tau at residues pS396/pS404. We demonstrate that the liposome-based vaccine elicited, rapidly and robustly, specific antisera in wild-type mice and in Tau.P301L mice. Long-term vaccination proved to be safe, because it improved the clinical condition and reduced indices of tauopathy in the brain of the Tau.P301L mice, while no signs of neuro-inflammation or other adverse neurological effects were observed. The data corroborate the hypothesis that liposomes carrying phosphorylated peptides of protein Tau have considerable potential as safe and effective treatment against tauopathies, including Alzheimer's disease.
蛋白质Tau逐渐聚集成寡聚体和原纤维,这与认知能力下降和突触功能障碍相关,进而导致阿尔茨海默病易感脑区的神经退行性变。阿尔茨海默病有效治疗方法的需求未得到满足,再加上药理学方法存在问题,促使该领域探索免疫疗法,最初是针对淀粉样肽,最近则是针对蛋白质Tau。在此,我们对已证明安全有效的基于脂质体的淀粉样疫苗进行了改进,并掺入了一种合成磷酸化肽,以模拟蛋白质Tau在pS396/pS404残基处的重要磷酸化表位。我们证明,基于脂质体的疫苗能在野生型小鼠和Tau.P301L小鼠中迅速且强烈地引发特异性抗血清。长期接种疫苗被证明是安全的,因为它改善了Tau.P301L小鼠的临床状况,并降低了其大脑中tau病变的指标,同时未观察到神经炎症或其他不良神经效应的迹象。这些数据证实了以下假设:携带蛋白质Tau磷酸化肽的脂质体作为针对包括阿尔茨海默病在内的tau病变的安全有效治疗方法具有相当大的潜力。