Beta-amyloid (Abeta)
peptide has been proposed to be a causal factor in
Alzheimer's disease (AD). Currently being investigated, active and passive Abeta-
immunotherapy significantly reduce Abeta plaque deposition, neuritic dystrophy, and
astrogliosis in the brains of APP transgenic (APP/Tg) mice. Immunization with Abeta42 formulated in the Th1-type adjuvant
QS21 was beneficial for AD patients with significant titers of anti-Abeta
antibodies, however, 6% of participants developed
meningoencephalitis, likely due to anti-Abeta-specific autoimmune Th1 cells. Thus, successful Abeta vaccination requires the development of strong antibody responses without Th1-type cellular immunity. In this study, we compared the induction of humoral immune responses with Th1-type (
Quil A) and Th2-type (
Alum) adjuvants singly and in combination, using our novel
epitope vaccine composed of self
B cell epitope Abeta(1-15) and foreign
T cell epitope PADRE (PADRE-Abeta(1-15)-MAP). Formulated in
Quil A, this
vaccine resulted in significantly higher anti-Abeta antibody responses in both BALB/c (H-2d) and C57BL/6 (H-2b) mice, compared with
Alum. Anti-Abeta
antibodies induced by
Alum were predominantly
IgG1 type accompanied by lower levels of
IgG2a and
IgG2b.
Quil A induced robust and almost equal titers of anti-Abeta
antibodies of
IgG1 and
IgG2a isotypes and slightly lower levels of
IgG2b. Switching adjuvants from
Alum to
Quil A induced higher concentrations of
antibodies than
injections with
Alum only, however slightly lower than
Quil A only. Switching both adjuvants did not change the profile of antibody responses generated by the initial adjuvant injected. These results suggest that switching from
Alum to
Quil A would be beneficial for AD patients because anti-Abeta antibody production was enhanced without changing the initially generated and likely beneficial Th2-type humoral response.