Abstract
BackgroundIt is well established that vaccination of humans and transgenic animals against fibrillar Aβ prevents amyloid accumulation in plaques and preserves cognitive function in transgenic mouse models. However, autoimmune side effects have halted the development of vaccines based on full length human Aβ. Further development of an effective vaccine depends on overcoming these side effects while maintaining an effective immune response.ResultsWe have previously reported that the immune response to amyloid oligomers is largely directed against generic epitopes that are common to amyloid oligomers of many different proteins and independent of a specific amino acid sequence. Here we have examined whether we can exploit this generic immune response to develop a vaccine that targets amyloid oligomers using a non-human random sequence amyloid oligomer. In order to study the effect of vaccination against generic oligomer epitopes, a random sequence oligomer (3A) was selected as it forms oligomers that react with the oligomer specific A11 antibody. Oligomer mimics from 3A peptide, Aβ, islet amyloid polypeptide (IAPP), and Aβ fibrils were used to vaccinate Tg2576 mice, which develop a progressive accumulation of plaques and cognitive impairment. Vaccination with the 3A random sequence antigen was just as effective as vaccination with the other antigens in improving cognitive function and reducing total plaque load (Aβ burden) in the Tg2576 mouse brains, but was associated with a much lower incidence of micro hemorrhage than Aβ antigens.ConclusionThese results shows that the amyloid Aβ sequence is not necessary to produce a protective immune response that specifically targets generic amyloid oligomers. Using a non-human, random sequence antigen may facilitate the development of a vaccine that avoids autoimmune side effects.
Highlights
It is well established that vaccination of humans and transgenic animals against fibrillar Aβ prevents amyloid accumulation in plaques and preserves cognitive function in transgenic mouse models
Like A11, which is raised against Aβ oligomer mimic antigen, serum from 3A vaccinated rabbits reacted with all prefibrillar oligomer samples, including Aβ, but not Aβ monomer or Aβ fibrils (Figure 1)
No immunoreactivity was observed for preimmune serum from the rabbit immunized with 3A oligomers. These results demonstrate that vaccination with a non-human random peptide sequence oligomer mimic give rise to an immune response that recognizes many different types of prefibrillar oligomers, including Aβ and are consistent with our previous observations that serum from rabbits vaccinated with islet amyloid polypeptide (IAPP) oligomer mimics is indistinguishable from A11 [13]
Summary
It is well established that vaccination of humans and transgenic animals against fibrillar Aβ prevents amyloid accumulation in plaques and preserves cognitive function in transgenic mouse models. Autoimmune side effects have halted the development of vaccines based on full length human Aβ. Further development of an effective vaccine depends on overcoming these side effects while maintaining an effective immune response. One of the first tests of the therapeutic value of preventing the accumulation of Aβ or facilitating its clearance came from studies by ELAN, who immunized transgenic mouse models of AD with Aβ42 fibrils (fAβ42) [10]. Overcoming the auto inflammatory side effects while maintaining an effective immune response is a hurdle that must be overcome for the development of a human vaccine for AD [11]
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