Department of Neurology, Affiliated ZhongDa Hospital, Neuropsychiatric Institute, School of Medicine, Southeast University, Nanjing, China.
Department of Neurology and Geriatrics, Fujian Institute of Geriatrics, Fujian Medical University Union Hospital, Fuzhou, China.
CNS Neurosci Ther. 2018 May;24(5):381-393. doi: 10.1111/cns.12809. Epub 2018 Feb 9.
Multiple evidence has indicated that myelin injury is common in Alzheimer's disease (AD). However, whether myelin injury is an early event in AD and the relationship between it and cognitive function is still elusive.
Spatial memory of 5XFAD mice was determined by Morris water maze at 1 and 3 months old. Meanwhile, the deposition of Aβ, the expression of myelin basic protein (MBP), LINGO-1, NgR, and myelin ultrastructure in many memory-associated brain regions were detected in one-month-old and three-month-old mice (before and after LINGO-1 antibody administration) using immunostaining, Western blot (WB), and transmission electron microscopy (TEM), respectively.
No abnormal Aβ deposition was found in one-month-old 5XFAD mice. However, spatial memory deficits were proved in accordance with an obvious demyelination in memory-associated brain regions in one-month-old mice and both deteriorated with age. Administration of LINGO-1 antibody could obviously restore the myelin impairments in CA1 and DG region and partially ameliorate spatial memory deficits.
Our results demonstrated that myelin injury was an early event in 5XFAD mice even prior to emergence of deposition of Aβ. Intervention with the LINGO-1 antibody could attenuate impaired spatial memory deficits by remyelination, which suggested that myelin injury was involved in spatial memory deficits and remyelination may be a potential therapeutic strategy in early stage of AD or mild cognitive impairments.
多项证据表明,髓鞘损伤在阿尔茨海默病(AD)中很常见。然而,髓鞘损伤是否是 AD 的早期事件,以及它与认知功能的关系仍不清楚。
在 1 个月和 3 个月龄时,通过 Morris 水迷宫测定 5XFAD 小鼠的空间记忆。同时,通过免疫染色、Western blot(WB)和透射电镜(TEM)分别在 1 个月和 3 个月龄(LINGO-1 抗体给药前后)的小鼠中检测 Aβ沉积、髓鞘碱性蛋白(MBP)、LINGO-1、NgR 的表达以及许多与记忆相关的脑区的髓鞘超微结构。
1 月龄的 5XFAD 小鼠未见异常 Aβ沉积,但空间记忆缺陷与记忆相关脑区明显脱髓鞘一致,并随年龄增长而恶化。LINGO-1 抗体的给药可明显恢复 CA1 和 DG 区的髓鞘损伤,并部分改善空间记忆缺陷。
我们的研究结果表明,髓鞘损伤是 5XFAD 小鼠的早期事件,甚至在 Aβ沉积出现之前就已经发生。用 LINGO-1 抗体进行干预可以通过髓鞘再生来减轻受损的空间记忆缺陷,这表明髓鞘损伤参与了空间记忆缺陷,髓鞘再生可能是 AD 或轻度认知障碍早期的一种潜在治疗策略。