Department of Life Science, Fu-Jen Catholic University, New Taipei City, Taiwan.
National Health Research Institutes, Center for Neuropsychiatric Research, Zhunan, Taiwan.
PLoS One. 2023 Sep 21;18(9):e0291927. doi: 10.1371/journal.pone.0291927. eCollection 2023.
Abnormal accumulation of alpha-synuclein (αSyn) in the remaining nigra dopaminergic neurons is a common neuropathological feature found in patients with Parkinson's disease (PD). Antibody-based immunotherapy has been considered a potential approach for PD treatment. This study aims to investigate the effectiveness of active immunization against αSyn in a mouse model of PD. Adult mice were immunized with or without a synthetic peptide containing the C-terminal residues of human αSyn and activation epitopes, followed by an intranigral injection of adeno-associated virus vectors for overexpressing human αSyn. Upon the peptide injection, αSyn-specific antibodies were raised, accompanied by degeneration of dopaminergic neurons and motor deficits. Furthermore, the induction of neuroinflammation was postulated by the elevation of astroglial and microglial markers in the immunized mice. Instead of lessening αSyn toxicity, this peptide vaccine caused an increase in the pathogenic species of αSyn. Our data demonstrated the potential adverse effects of active immunization to raise antibodies against the C-terminal fragment of αSyn. This drawback highlights the need for further investigation to weigh the pros and cons of immunotherapy in PD. Applying the αSyn C-terminal peptide vaccine for PD treatment should be cautiously exercised. This study provides valuable insights into the intricate interplay among immune intervention, αSyn accumulation, and neurodegeneration.
α-突触核蛋白(αSyn)在剩余的黑质多巴胺能神经元中的异常积累是帕金森病(PD)患者常见的神经病理学特征。基于抗体的免疫疗法被认为是 PD 治疗的一种潜在方法。本研究旨在探讨针对 PD 模型中αSyn 的主动免疫的有效性。成年小鼠接受或不接受含有人类αSyn 的 C 末端残基和激活表位的合成肽免疫,并随后接受过表达人αSyn 的腺相关病毒载体的黑质内注射。在肽注射后,会产生针对αSyn 的特异性抗体,同时伴随着多巴胺能神经元的变性和运动功能障碍。此外,免疫小鼠中星形胶质细胞和小胶质细胞标志物的升高提示了神经炎症的诱导。这种肽疫苗并没有减轻αSyn 的毒性,反而导致了致病性αSyn 物种的增加。我们的数据表明,针对αSyn C 末端片段产生抗体的主动免疫具有潜在的不良反应。这一缺点突出表明需要进一步研究,权衡免疫疗法在 PD 中的利弊。谨慎应用αSyn C 末端肽疫苗治疗 PD。本研究为免疫干预、αSyn 积累和神经退行性变之间的复杂相互作用提供了有价值的见解。