Department of Neurobiology, Weizmann Institute of Science, Rehovot, Israel.
Department of Immunology, Weizmann Institute of Science, Rehovot, Israel.
Nat Med. 2016 Feb;22(2):135-7. doi: 10.1038/nm.4022. Epub 2016 Jan 18.
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.
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。