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PD-1 免疫检查点阻断可减少阿尔茨海默病小鼠模型的病理并改善记忆。

PD-1 immune checkpoint blockade reduces pathology and improves memory in mouse models of Alzheimer's disease.

机构信息

Department of Neurobiology, Weizmann Institute of Science, Rehovot, Israel.

Department of Immunology, Weizmann Institute of Science, Rehovot, Israel.

出版信息

Nat Med. 2016 Feb;22(2):135-7. doi: 10.1038/nm.4022. Epub 2016 Jan 18.

Abstract

Systemic immune suppression may curtail the ability to mount the protective, cell-mediated immune responses that are needed for brain repair. By using mouse models of Alzheimer's disease (AD), we show that immune checkpoint blockade directed against the programmed death-1 (PD-1) pathway evokes an interferon (IFN)-γ-dependent systemic immune response, which is followed by the recruitment of monocyte-derived macrophages to the brain. When induced in mice with established pathology, this immunological response leads to clearance of cerebral amyloid-β (Aβ) plaques and improved cognitive performance. Repeated treatment sessions were required to maintain a long-lasting beneficial effect on disease pathology. These findings suggest that immune checkpoints may be targeted therapeutically in AD.

摘要

系统性免疫抑制可能会削弱机体产生保护性、细胞介导免疫应答的能力,而这些应答对于大脑修复是必需的。通过使用阿尔茨海默病(AD)的小鼠模型,我们发现针对程序性死亡受体-1(PD-1)通路的免疫检查点阻断会引发干扰素(IFN)-γ依赖性的系统性免疫应答,随后单核细胞衍生的巨噬细胞被募集到大脑中。当在已经存在病理的小鼠中诱导这种免疫反应时,它会导致大脑中淀粉样β(Aβ)斑块的清除,并改善认知表现。需要重复治疗疗程才能维持对疾病病理的长期有益影响。这些发现表明,免疫检查点可能是 AD 的治疗靶点。

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