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Abeta immunotherapy: intracerebral sequestration of Abeta by an anti-Abeta monoclonal antibody 266 with high affinity to soluble Abeta.

Abstract
Amyloid beta (Abeta) immunotherapy is emerging as a promising disease-modifying therapy for Alzheimer's disease, although the precise mechanisms whereby anti-Abeta antibodies act against amyloid deposition and cognitive deficits remain elusive. To test the "peripheral sink" theory, which postulates that the effects of anti-Abeta antibodies in the systemic circulation are to promote the Abeta efflux from brain to blood, we studied the clearance of (125)I-Abeta(1-40) microinjected into mouse brains after intraperitoneal administration of an anti-Abeta monoclonal antibody 266. (125)I-Abeta(1-40) was rapidly eliminated from brains with a half-life of approximately 30 min in control mice, whereas 266 significantly retarded the elimination of Abeta, presumably due to formation of Abeta-antibody complex in brains. Administration of 266 to APP transgenic mice increased the levels of monomer Abeta species in an antibody-bound form, without affecting that of total Abeta. We propose a novel mechanism of Abeta immunotherapy by the class of anti-Abeta antibodies that preferentially bind soluble Abeta, i.e., intracerebral, rather than peripheral, sequestration of soluble, monomer form of Abeta, thereby preventing the accumulation of multimeric toxic Abeta species in brains.
AuthorsKaoru Yamada, Chiori Yabuki, Peter Seubert, Dale Schenk, Yukiko Hori, Sumio Ohtsuki, Tetsuya Terasaki, Tadafumi Hashimoto, Takeshi Iwatsubo
JournalThe Journal of neuroscience : the official journal of the Society for Neuroscience (J Neurosci) Vol. 29 Issue 36 Pg. 11393-8 (Sep 09 2009) ISSN: 1529-2401 [Electronic] United States
PMID19741145 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Amyloid beta-Peptides
  • Antibodies, Monoclonal
Topics
  • Alzheimer Disease (immunology, metabolism, therapy)
  • Amyloid beta-Peptides (administration & dosage, immunology, metabolism)
  • Animals
  • Antibodies, Monoclonal (administration & dosage, metabolism, therapeutic use)
  • Antibody Affinity
  • Brain (immunology, metabolism)
  • Humans
  • Immunotherapy, Active (methods)
  • Injections, Intraventricular
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Microinjections
  • Solubility

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