通过靶向Foxp3(+)调节性T细胞打破免疫耐受可减轻阿尔茨海默病病理。

Breaking immune tolerance by targeting Foxp3(+) regulatory T cells mitigates Alzheimer's disease pathology.

作者信息

Baruch Kuti, Rosenzweig Neta, Kertser Alexander, Deczkowska Aleksandra, Sharif Alaa Mohammad, Spinrad Amit, Tsitsou-Kampeli Afroditi, Sarel Ayelet, Cahalon Liora, Schwartz Michal

机构信息

Department of Neurobiology, Weizmann Institute of Science, 234 Herzl Street, Rehovot 76100, Israel.

出版信息

Nat Commun. 2015 Aug 18;6:7967. doi: 10.1038/ncomms8967.

Abstract

Alzheimer's disease (AD) is a neurodegenerative disorder in which chronic neuroinflammation contributes to disease escalation. Nevertheless, while immunosuppressive drugs have repeatedly failed in treating this disease, recruitment of myeloid cells to the CNS was shown to play a reparative role in animal models. Here we show, using the 5XFAD AD mouse model, that transient depletion of Foxp3(+) regulatory T cells (Tregs), or pharmacological inhibition of their activity, is followed by amyloid-β plaque clearance, mitigation of the neuroinflammatory response and reversal of cognitive decline. We further show that transient Treg depletion affects the brain's choroid plexus, a selective gateway for immune cell trafficking to the CNS, and is associated with subsequent recruitment of immunoregulatory cells, including monocyte-derived macrophages and Tregs, to cerebral sites of plaque pathology. Our findings suggest targeting Treg-mediated systemic immunosuppression for treating AD.

摘要

阿尔茨海默病(AD)是一种神经退行性疾病,其中慢性神经炎症会促使疾病恶化。然而,尽管免疫抑制药物在治疗该疾病方面屡屡失败,但在动物模型中,骨髓细胞向中枢神经系统的募集显示出具有修复作用。在此,我们使用5XFAD AD小鼠模型表明,短暂清除Foxp3(+)调节性T细胞(Tregs)或对其活性进行药理学抑制后,会出现β淀粉样蛋白斑块清除、神经炎症反应减轻以及认知衰退逆转的情况。我们进一步表明,短暂的Treg清除会影响大脑的脉络丛,这是免疫细胞进入中枢神经系统的选择性通道,并且与随后免疫调节细胞(包括单核细胞衍生的巨噬细胞和Tregs)向斑块病理的脑部位募集有关。我们的研究结果表明,针对Treg介导的全身免疫抑制来治疗AD。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96a7/4557123/dfd1605b8c3d/ncomms8967-f1.jpg

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