Cristiano Claudia, Volpicelli Floriana, Lippiello Pellegrino, Buono Benedetta, Raucci Federica, Piccolo Marialuisa, Iqbal Asif Jilani, Irace Carlo, Miniaci Maria Concetta, Perrone Capano Carla, Calignano Antonio, Mascolo Nicola, Maione Francesco
Department of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Institute of Genetics and Biophysics "Adriano Buzzati Traverso," Developmental Biology and Genetics division, CNR, Naples, Italy.
Br J Pharmacol. 2019 Sep;176(18):3544-3557. doi: 10.1111/bph.14586. Epub 2019 Mar 3.
Alzheimer's disease (AD) is a common neurodegenerative disease characterized by a neuroinflammatory state, and to date, there is no cure and its treatment represents a large unmet clinical need. The involvement of Th17 cells in the pathogenesis of AD-related neuroinflammation has been reported in several studies. However, the role of the cytokine, IL-17 has not been well addressed. Herein, we investigate the effects of IL-17 neutralizing antibody (IL-17Ab) injected by i.c.v. or intranasal (IN) routes on amyloid-β (Aβ)-induced neuroinflammation and memory impairment in mice.
Aβ was injected into cerebral ventricles of adult CD1 mice. These mice received IL-17Ab via i.c.v. either at 1 h prior to Aβ injection or IN 5 and 12 days after Aβ injection. After 7 and 14 days of Aβ administration, we evaluated olfactory, spatial and working memory and performed biochemical analyses on whole brain and specific brain areas.
Pretreatment with IL-17Ab, given, i.c.v., markedly reduced Aβ -induced neurodegeneration, improved memory function, and prevented the increase of pro-inflammatory mediators in a dose-dependent manner at 7 and 14 days. Similarly, the double IN administration of IL-17Ab after Aβ injection reduced neurodegeneration, memory decline, and the levels of proinflammatory mediators and cytokines.
These findings suggest that the IL-17Ab reduced neuroinflammation and behavioural symptoms induced by Aβ. The efficacy of IL-17Ab IN administration in reducing Aβ neurodegeneration points to a possible future therapeutic approach in patients with AD.
This article is part of a themed section on Therapeutics for Dementia and Alzheimer's Disease: New Directions for Precision Medicine. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v176.18/issuetoc.
阿尔茨海默病(AD)是一种常见的神经退行性疾病,其特征为神经炎症状态,迄今为止,尚无治愈方法,其治疗仍存在巨大的未满足临床需求。多项研究报道了Th17细胞参与AD相关神经炎症的发病机制。然而,细胞因子白细胞介素-17(IL-17)的作用尚未得到充分研究。在此,我们研究通过脑室内(i.c.v.)或鼻内(IN)途径注射IL-17中和抗体(IL-17Ab)对淀粉样β蛋白(Aβ)诱导的小鼠神经炎症和记忆障碍的影响。
将Aβ注射到成年CD1小鼠的脑室中。这些小鼠在Aβ注射前1小时通过i.c.v.途径接受IL-17Ab,或在Aβ注射后第5天和第12天通过鼻内途径接受IL-17Ab。在给予Aβ 7天和14天后,我们评估嗅觉、空间和工作记忆,并对全脑和特定脑区进行生化分析。
在第7天和第14天,通过i.c.v.途径给予IL-17Ab进行预处理,可显著减少Aβ诱导的神经退行性变,改善记忆功能,并以剂量依赖的方式阻止促炎介质的增加。同样,在Aβ注射后通过鼻内途径两次给予IL-17Ab可减少神经退行性变、记忆衰退以及促炎介质和细胞因子的水平。
这些发现表明,IL-17Ab可减轻Aβ诱导的神经炎症和行为症状。鼻内给予IL-17Ab在减轻Aβ神经退行性变方面的疗效为AD患者未来可能的治疗方法指明了方向。
本文是关于痴呆和阿尔茨海默病治疗:精准医学新方向主题系列的一部分。若要查看本系列的其他文章,请访问http://onlinelibrary.wiley.com/doi/10.1111/bph.v176.18/issuetoc。