Lahiri Debomoy K, Ray Balmiki
Indiana University School of Medicine, Department of Psychiatry, Department of Psychiatry, Neuroscience Research Center, 320 West 15th Street, NB 200C, Indianapolis IN 46202, USA.
Curr Alzheimer Res. 2014;11(7):645-54. doi: 10.2174/1567205011666140812113851.
Alzheimer's disease (AD) is characterized by deleterious accumulation of amyloid-β (Aβ) peptide into senile plaque, neurofibrillary tangles formed from hyperphosphorylated tau protein, and loss of cholinergic synapses in the cerebral cortex. The deposition of Aβ-loaded plaques results in microglial activation and subsequent production of reactive oxygen species (ROS), including free radicals. Neurons in aging and AD brains are particularly vulnerable to ROS and other toxic stimuli. Therefore, agents that decrease the vulnerability of neurons against ROS may provide therapeutic values for the treatment or prevention of AD. In the present study, our goal was to test whether intravenous immunoglobulin (IVIG) treatment could preserve as well as protect neurons from oxidative damage. We report that treatment with IVIG protects neuronal viability and synaptic proteins in primary rat hippocampal neurons. Further, we demonstrate the tolerability of IVIG treatment in the primary human fetal mixed brain cultures. Indeed, a high dose (20 mg/ml) of IVIG treatment was well-tolerated by primary human brain cultures that exhibit a normal neuronal phenotype. We also observed a potent neuropreservatory effect of IVIG against ROS-mediated oxidative insults in these human fetal brain cultures. These results indicate that IVIG treatment has great potential to preserve and protect primary human neuronal-enriched cultures and to potentially rescue dying neurons from oxidative insults. Therefore, our findings suggest that IVIG treatment may represent an important therapeutic agent for clinical trials designed to prevent and delay the onset of neurodegeneration as well as AD pathology.
阿尔茨海默病(AD)的特征是β淀粉样蛋白(Aβ)肽有害地聚积形成老年斑、由过度磷酸化的tau蛋白形成神经原纤维缠结,以及大脑皮质中胆碱能突触丧失。载有Aβ的斑块沉积导致小胶质细胞活化以及随后包括自由基在内的活性氧(ROS)的产生。衰老大脑和AD大脑中的神经元对ROS和其他毒性刺激特别敏感。因此,降低神经元对ROS易感性的药物可能为AD的治疗或预防提供治疗价值。在本研究中,我们的目标是测试静脉注射免疫球蛋白(IVIG)治疗是否能够保护神经元并使其免受氧化损伤。我们报告称,IVIG治疗可保护原代大鼠海马神经元的细胞活力和突触蛋白。此外,我们证明了IVIG治疗在原代人胎儿混合脑培养物中的耐受性。事实上,表现出正常神经元表型的原代人脑培养物对高剂量(20 mg/ml)的IVIG治疗耐受性良好。我们还在这些人胎儿脑培养物中观察到IVIG对ROS介导的氧化损伤具有强大的神经保护作用。这些结果表明,IVIG治疗在保护富含原代人神经元的培养物以及潜在地挽救濒死神经元免受氧化损伤方面具有巨大潜力。因此,我们的研究结果表明,IVIG治疗可能是旨在预防和延缓神经退行性变以及AD病理发生的临床试验中的一种重要治疗药物。