Author: ["Frédérique Bard","Catherine Cannon","Robin Barbour","Rae-Lyn Burke","Dora Games","Henry Grajeda","Teresa Guido","Kang Hu","Jiping Huang","Kelly Johnson-Wood","Karen Khan","Dora Kholodenko","Mike Lee","Ivan Lieberburg","Ruth Motter","Minh Nguyen","Ferdie Soriano","Nicki Vasquez","Kim Weiss","Brent Welch","Peter Seubert","Dale Schenk","Ted Yednock"]
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Abstract
One hallmark of Alzheimer disease is the accumulation of amyloid β-peptide in the brain and its deposition as plaques. Mice transgenic for an amyloid β precursor protein (APP) mini-gene driven by a platelet-derived (PD) growth factor promoter (PDAPP mice), which overexpress one of the disease-linked mutant forms of the human amyloid precursor protein, show many of the pathological features of Alzheimer disease, including extensive deposition of extracellular amyloid plaques, astrocytosis and neuritic dystrophy1,2. Active immunization of PDAPP mice with human amyloid β-peptide reduces plaque burden and its associated pathologies3. Several hypotheses have been proposed regarding the mechanism of this response4,5. Here we report that peripheral administration of antibodies against amyloid β-peptide, was sufficient to reduce amyloid burden. Despite their relatively modest serum levels, the passively administered antibodies were able to enter the central nervous system, decorate plaques and induce clearance of preexisting amyloid. When examined in an ex vivo assay with sections of PDAPP or Alzheimer disease brain tissue, antibodies against amyloid β-peptide triggered microglial cells to clear plaques through Fc receptor-mediated phagocytosis and subsequent peptide degradation. These results indicate that antibodies can cross the blood–brain barrier to act directly in the central nervous system and should be considered as a therapeutic approach for the treatment of Alzheimer disease and other neurological disorders.Cite this article
Bard, F., Cannon, C., Barbour, R. et al. Peripherally administered antibodies against amyloid β-peptide enter the central nervous system and reduce pathology in a mouse model of Alzheimer disease. Nat Med 6, 916–919 (2000). https://doi.org/10.1038/78682 