Targeting isoaspartate-modified Aβ rescues behavioral deficits in transgenic mice with Alzheimer’s disease-like pathology

Abstract Background Amyloid β (Aβ)-directed immunotherapy has shown promising results in preclinical and early clinical Alzheimer’s disease (AD) trials, but successful translation to late clinics has failed so far. Compelling evidence suggests that post-translationally modified Aβ peptides might pla...

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Main Authors: Kathrin Gnoth, Anke Piechotta, Martin Kleinschmidt, Sandra Konrath, Mathias Schenk, Nadine Taudte, Daniel Ramsbeck, Vera Rieckmann, Stefanie Geissler, Rico Eichentopf, Susan Barendrecht, Maike Hartlage-Rübsamen, Hans-Ulrich Demuth, Steffen Roßner, Holger Cynis, Jens-Ulrich Rahfeld, Stephan Schilling
Format: Article
Language:English
Published: BMC 2020-11-01
Series:Alzheimer’s Research & Therapy
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13195-020-00719-x
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author Kathrin Gnoth
Anke Piechotta
Martin Kleinschmidt
Sandra Konrath
Mathias Schenk
Nadine Taudte
Daniel Ramsbeck
Vera Rieckmann
Stefanie Geissler
Rico Eichentopf
Susan Barendrecht
Maike Hartlage-Rübsamen
Hans-Ulrich Demuth
Steffen Roßner
Holger Cynis
Jens-Ulrich Rahfeld
Stephan Schilling
author_facet Kathrin Gnoth
Anke Piechotta
Martin Kleinschmidt
Sandra Konrath
Mathias Schenk
Nadine Taudte
Daniel Ramsbeck
Vera Rieckmann
Stefanie Geissler
Rico Eichentopf
Susan Barendrecht
Maike Hartlage-Rübsamen
Hans-Ulrich Demuth
Steffen Roßner
Holger Cynis
Jens-Ulrich Rahfeld
Stephan Schilling
author_sort Kathrin Gnoth
collection DOAJ
description Abstract Background Amyloid β (Aβ)-directed immunotherapy has shown promising results in preclinical and early clinical Alzheimer’s disease (AD) trials, but successful translation to late clinics has failed so far. Compelling evidence suggests that post-translationally modified Aβ peptides might play a decisive role in onset and progression of AD and first clinical trials targeting such Aβ variants have been initiated. Modified Aβ represents a small fraction of deposited material in plaques compared to pan-Aβ epitopes, opening up pathways for tailored approaches of immunotherapy. Here, we generated the first monoclonal antibodies that recognize l-isoaspartate-modified Aβ (isoD7-Aβ) and tested a lead antibody molecule in 5xFAD mice. Methods This work comprises a combination of chemical and biochemical techniques as well as behavioral analyses. Aβ peptides, containing l-isoaspartate at position 7, were chemically synthesized and used for immunization of mice and antibody screening methods. Biochemical methods included anti-isoD7-Aβ monoclonal antibody characterization by surface plasmon resonance, immunohistochemical staining of human and transgenic mouse brain, and the development and application of isoD7-Aβ ELISA as well as different non-modified Aβ ELISA. For antibody treatment studies, 12 mg/kg anti-isoD7-Aβ antibody K11_IgG2a was applied intraperitoneally to 5xFAD mice for 38 weeks. Treatment controls implemented were IgG2a isotype as negative and 3D6_IgG2a, the parent molecule of bapineuzumab, as positive control antibodies. Behavioral studies included elevated plus maze, pole test, and Morris water maze. Results Our advanced antibody K11 showed a KD in the low nM range and > 400fold selectivity for isoD7-Aβ compared to other Aβ variants. By using this antibody, we demonstrated that formation of isoD7-Aβ may occur after formation of aggregates; hence, the presence of the isoD7-modification differentiates aged Aβ from newly formed peptides. Importantly, we also show that the Tottori mutation responsible for early-onset AD in a Japanese pedigree is characterized by massively accelerated formation of isoD7-Aβ in cell culture. The presence of isoD7-Aβ was verified by K11 in post mortem human cortex and 5xFAD mouse brain tissue. Passive immunization of 5xFAD mice resulted in a significant reduction of isoD7-Aβ and total Aβ in brain. Amelioration of cognitive impairment was demonstrated by Morris water maze, elevated plus maze, pole, and contextual fear conditioning tests. Interestingly, despite the lower abundance of the isoD7-Aβ epitope, the application of anti-isoD7-Aβ antibodies showed comparable treatment efficacy in terms of reduction of brain amyloid and spatial learning but did not result in an increase of plasma Aβ concentration as observed with 3D6 treatment. Conclusions The present study demonstrates, for the first time, that the antibody-mediated targeting of isoD7-modified Aβ peptides leads to attenuation of AD-like amyloid pathology. In conjunction with previously published data on antibodies directed against pGlu-modified Aβ, the results highlight the crucial role of modified Aβ peptides in AD pathophysiology. Hence, the results also underscore the therapeutic potential of targeting modified amyloid species for defining tailored approaches in AD therapy.
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spelling doaj.art-2c961e761ce84b74a60f7925a37506992022-12-21T23:39:22ZengBMCAlzheimer’s Research & Therapy1758-91932020-11-0112112010.1186/s13195-020-00719-xTargeting isoaspartate-modified Aβ rescues behavioral deficits in transgenic mice with Alzheimer’s disease-like pathologyKathrin Gnoth0Anke Piechotta1Martin Kleinschmidt2Sandra Konrath3Mathias Schenk4Nadine Taudte5Daniel Ramsbeck6Vera Rieckmann7Stefanie Geissler8Rico Eichentopf9Susan Barendrecht10Maike Hartlage-Rübsamen11Hans-Ulrich Demuth12Steffen Roßner13Holger Cynis14Jens-Ulrich Rahfeld15Stephan Schilling16Department of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyDepartment of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyDepartment of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyDepartment of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyDepartment of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyDepartment of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyDepartment of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyDepartment of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyDepartment of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyDepartment of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyDepartment of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyPaul Flechsig Institute of Brain Research, Leipzig UniversityDepartment of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyPaul Flechsig Institute of Brain Research, Leipzig UniversityDepartment of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyDepartment of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyDepartment of Drug Design and Target Validation, Fraunhofer Institute for Cell Therapy and ImmunologyAbstract Background Amyloid β (Aβ)-directed immunotherapy has shown promising results in preclinical and early clinical Alzheimer’s disease (AD) trials, but successful translation to late clinics has failed so far. Compelling evidence suggests that post-translationally modified Aβ peptides might play a decisive role in onset and progression of AD and first clinical trials targeting such Aβ variants have been initiated. Modified Aβ represents a small fraction of deposited material in plaques compared to pan-Aβ epitopes, opening up pathways for tailored approaches of immunotherapy. Here, we generated the first monoclonal antibodies that recognize l-isoaspartate-modified Aβ (isoD7-Aβ) and tested a lead antibody molecule in 5xFAD mice. Methods This work comprises a combination of chemical and biochemical techniques as well as behavioral analyses. Aβ peptides, containing l-isoaspartate at position 7, were chemically synthesized and used for immunization of mice and antibody screening methods. Biochemical methods included anti-isoD7-Aβ monoclonal antibody characterization by surface plasmon resonance, immunohistochemical staining of human and transgenic mouse brain, and the development and application of isoD7-Aβ ELISA as well as different non-modified Aβ ELISA. For antibody treatment studies, 12 mg/kg anti-isoD7-Aβ antibody K11_IgG2a was applied intraperitoneally to 5xFAD mice for 38 weeks. Treatment controls implemented were IgG2a isotype as negative and 3D6_IgG2a, the parent molecule of bapineuzumab, as positive control antibodies. Behavioral studies included elevated plus maze, pole test, and Morris water maze. Results Our advanced antibody K11 showed a KD in the low nM range and > 400fold selectivity for isoD7-Aβ compared to other Aβ variants. By using this antibody, we demonstrated that formation of isoD7-Aβ may occur after formation of aggregates; hence, the presence of the isoD7-modification differentiates aged Aβ from newly formed peptides. Importantly, we also show that the Tottori mutation responsible for early-onset AD in a Japanese pedigree is characterized by massively accelerated formation of isoD7-Aβ in cell culture. The presence of isoD7-Aβ was verified by K11 in post mortem human cortex and 5xFAD mouse brain tissue. Passive immunization of 5xFAD mice resulted in a significant reduction of isoD7-Aβ and total Aβ in brain. Amelioration of cognitive impairment was demonstrated by Morris water maze, elevated plus maze, pole, and contextual fear conditioning tests. Interestingly, despite the lower abundance of the isoD7-Aβ epitope, the application of anti-isoD7-Aβ antibodies showed comparable treatment efficacy in terms of reduction of brain amyloid and spatial learning but did not result in an increase of plasma Aβ concentration as observed with 3D6 treatment. Conclusions The present study demonstrates, for the first time, that the antibody-mediated targeting of isoD7-modified Aβ peptides leads to attenuation of AD-like amyloid pathology. In conjunction with previously published data on antibodies directed against pGlu-modified Aβ, the results highlight the crucial role of modified Aβ peptides in AD pathophysiology. Hence, the results also underscore the therapeutic potential of targeting modified amyloid species for defining tailored approaches in AD therapy.http://link.springer.com/article/10.1186/s13195-020-00719-xPassive immunotherapyIsoaspartateAmyloid beta5xFAD mouse modelAlzheimer’s disease
spellingShingle Kathrin Gnoth
Anke Piechotta
Martin Kleinschmidt
Sandra Konrath
Mathias Schenk
Nadine Taudte
Daniel Ramsbeck
Vera Rieckmann
Stefanie Geissler
Rico Eichentopf
Susan Barendrecht
Maike Hartlage-Rübsamen
Hans-Ulrich Demuth
Steffen Roßner
Holger Cynis
Jens-Ulrich Rahfeld
Stephan Schilling
Targeting isoaspartate-modified Aβ rescues behavioral deficits in transgenic mice with Alzheimer’s disease-like pathology
Alzheimer’s Research & Therapy
Passive immunotherapy
Isoaspartate
Amyloid beta
5xFAD mouse model
Alzheimer’s disease
title Targeting isoaspartate-modified Aβ rescues behavioral deficits in transgenic mice with Alzheimer’s disease-like pathology
title_full Targeting isoaspartate-modified Aβ rescues behavioral deficits in transgenic mice with Alzheimer’s disease-like pathology
title_fullStr Targeting isoaspartate-modified Aβ rescues behavioral deficits in transgenic mice with Alzheimer’s disease-like pathology
title_full_unstemmed Targeting isoaspartate-modified Aβ rescues behavioral deficits in transgenic mice with Alzheimer’s disease-like pathology
title_short Targeting isoaspartate-modified Aβ rescues behavioral deficits in transgenic mice with Alzheimer’s disease-like pathology
title_sort targeting isoaspartate modified aβ rescues behavioral deficits in transgenic mice with alzheimer s disease like pathology
topic Passive immunotherapy
Isoaspartate
Amyloid beta
5xFAD mouse model
Alzheimer’s disease
url http://link.springer.com/article/10.1186/s13195-020-00719-x
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