Inhibition of IL-12/IL-23 signaling reduces Alzheimer's disease–like pathology and cognitive decline

Proinflammatory cytokine expression increases as a result of amyloid deposition in Alzheimer's disease. Frank L. Heppner and colleagues show that genetic and pharmacological inhibition of IL-12 and IL-23 signaling reduces plaque load and improves cognitive deficits in mouse models of Alzheimer&...

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Published inNature medicine Vol. 18; no. 12; pp. 1812 - 1819
Main Authors vom Berg, Johannes, Prokop, Stefan, Miller, Kelly R, Obst, Juliane, Kälin, Roland E, Lopategui-Cabezas, Ileana, Wegner, Anja, Mair, Florian, Schipke, Carola G, Peters, Oliver, Winter, York, Becher, Burkhard, Heppner, Frank L
Format Journal Article
LanguageEnglish
Published New York Nature Publishing Group US 01.12.2012
Nature Publishing Group
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Online AccessGet full text
ISSN1078-8956
1546-170X
1546-170X
DOI10.1038/nm.2965

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Abstract Proinflammatory cytokine expression increases as a result of amyloid deposition in Alzheimer's disease. Frank L. Heppner and colleagues show that genetic and pharmacological inhibition of IL-12 and IL-23 signaling reduces plaque load and improves cognitive deficits in mouse models of Alzheimer's disease. As the concentration of p40 is also increased in the cerebrospinal fluid of individuals with Alzheimer's disease, this suggests that this pathway may be targeted therapeutically in patients. The pathology of Alzheimer's disease has an inflammatory component that is characterized by upregulation of proinflammatory cytokines, particularly in response to amyloid-β (Aβ). Using the APPPS1 Alzheimer's disease mouse model, we found increased production of the common interleukin-12 (IL-12) and IL-23 subunit p40 by microglia. Genetic ablation of the IL-12/IL-23 signaling molecules p40, p35 or p19, in which deficiency of p40 or its receptor complex had the strongest effect, resulted in decreased cerebral amyloid load. Although deletion of IL-12/IL-23 signaling from the radiation-resistant glial compartment of the brain was most efficient in mitigating cerebral amyloidosis, peripheral administration of a neutralizing p40-specific antibody likewise resulted in a reduction of cerebral amyloid load in APPPS1 mice. Furthermore, intracerebroventricular delivery of antibodies to p40 significantly reduced the concentration of soluble Aβ species and reversed cognitive deficits in aged APPPS1 mice. The concentration of p40 was also increased in the cerebrospinal fluid of subjects with Alzheimer's disease, which suggests that inhibition of the IL-12/IL-23 pathway may attenuate Alzheimer's disease pathology and cognitive deficits.
AbstractList The pathology of Alzheimer's disease has an inflammatory component that is characterized by upregulation of proinflammatory cytokines, particularly in response to amyloid- beta (A beta ). Using the APPPS1 Alzheimer's disease mouse model, we found increased production of the common interleukin-12 (IL-12) and IL-23 subunit p40 by microglia. Genetic ablation of the IL-12/IL-23 signaling molecules p40, p35 or p19, in which deficiency of p40 or its receptor complex had the strongest effect, resulted in decreased cerebral amyloid load. Although deletion of IL-12/IL-23 signaling from the radiation-resistant glial compartment of the brain was most efficient in mitigating cerebral amyloidosis, peripheral administration of a neutralizing p40-specific antibody likewise resulted in a reduction of cerebral amyloid load in APPPS1 mice. Furthermore, intracerebroventricular delivery of antibodies to p40 significantly reduced the concentration of soluble A beta species and reversed cognitive deficits in aged APPPS1 mice. The concentration of p40 was also increased in the cerebrospinal fluid of subjects with Alzheimer's disease, which suggests that inhibition of the IL-12/IL-23 pathway may attenuate Alzheimer's disease pathology and cognitive deficits.
The pathology of Alzheimer's disease has an inflammatory component that is characterized by upregulation of proinflammatory cytokines, particularly in response to amyloid-β (Aβ). Using the APPPS1 Alzheimer's disease mouse model, we found increased production of the common interleukin-12 (IL-12) and IL-23 subunit p40 by microglia. Genetic ablation of the IL-12/IL-23 signaling molecules p40, p35 or p19, in which deficiency of p40 or its receptor complex had the strongest effect, resulted in decreased cerebral amyloid load. Although deletion of IL-12/IL-23 signaling from the radiation-resistant glial compartment of the brain was most efficient in mitigating cerebral amyloidosis, peripheral administration of a neutralizing p40-specific antibody likewise resulted in a reduction of cerebral amyloid load in APPPS1 mice. Furthermore, intracerebroventricular delivery of antibodies to p40 significantly reduced the concentration of soluble Aβ species and reversed cognitive deficits in aged APPPS1 mice. The concentration of p40 was also increased in the cerebrospinal fluid of subjects with Alzheimer's disease, which suggests that inhibition of the IL-12/IL-23 pathway may attenuate Alzheimer's disease pathology and cognitive deficits.
The pathology of Alzheimer's disease has an inflammatory component that is characterized by upregulation of proinflammatory cytokines, particularly in response to amyloid-β (A13). Using the APPPS1 Alzheimer's disease mouse model, we found increased production of the common interleukin-12 (IL-12) and IL-23 subunit p40 by microglia. Genetic ablation of the IL-12/IL-23 signaling molecules p40, p35 or p19, in which deficiency of p40 or its receptor complex had the strongest effect, resulted in decreased cerebral amyloid load. Although deletion of IL-12/IL-23 signaling from the radiation-resistant glial compartment of the brain was most efficient in mitigating cerebral amyloidosis, peripheral administration of a neutralizing p40-specific antibody likewise resulted in a reduction of cerebral amyloid load in APPPS1 mice. Furthermore, intracerebroventricular delivery of antibodies to p40 significantly reduced the concentration of soluble A13 species and reversed cognitive deficits in aged APPPS1 mice. The concentration of p40 was also increased in the cerebrospinal fluid of subjects with Alzheimer's disease, which suggests that inhibition of the IL-12/IL-23 pathway may attenuate Alzheimer's disease pathology and cognitive deficits.
Proinflammatory cytokine expression increases as a result of amyloid deposition in Alzheimer's disease. Frank L. Heppner and colleagues show that genetic and pharmacological inhibition of IL-12 and IL-23 signaling reduces plaque load and improves cognitive deficits in mouse models of Alzheimer's disease. As the concentration of p40 is also increased in the cerebrospinal fluid of individuals with Alzheimer's disease, this suggests that this pathway may be targeted therapeutically in patients. The pathology of Alzheimer's disease has an inflammatory component that is characterized by upregulation of proinflammatory cytokines, particularly in response to amyloid-β (Aβ). Using the APPPS1 Alzheimer's disease mouse model, we found increased production of the common interleukin-12 (IL-12) and IL-23 subunit p40 by microglia. Genetic ablation of the IL-12/IL-23 signaling molecules p40, p35 or p19, in which deficiency of p40 or its receptor complex had the strongest effect, resulted in decreased cerebral amyloid load. Although deletion of IL-12/IL-23 signaling from the radiation-resistant glial compartment of the brain was most efficient in mitigating cerebral amyloidosis, peripheral administration of a neutralizing p40-specific antibody likewise resulted in a reduction of cerebral amyloid load in APPPS1 mice. Furthermore, intracerebroventricular delivery of antibodies to p40 significantly reduced the concentration of soluble Aβ species and reversed cognitive deficits in aged APPPS1 mice. The concentration of p40 was also increased in the cerebrospinal fluid of subjects with Alzheimer's disease, which suggests that inhibition of the IL-12/IL-23 pathway may attenuate Alzheimer's disease pathology and cognitive deficits.
The pathology of Alzheimer's disease has an inflammatory component that is characterized by upregulation of proinflammatory cytokines, particularly in response to amyloid-β (Aβ). Using the APPPS1 Alzheimer's disease mouse model, we found increased production of the common interleukin-12 (IL-12) and IL-23 subunit p40 by microglia. Genetic ablation of the IL-12/IL-23 signaling molecules p40, p35 or p19, in which deficiency of p40 or its receptor complex had the strongest effect, resulted in decreased cerebral amyloid load. Although deletion of IL-12/IL-23 signaling from the radiation-resistant glial compartment of the brain was most efficient in mitigating cerebral amyloidosis, peripheral administration of a neutralizing p40-specific antibody likewise resulted in a reduction of cerebral amyloid load in APPPS1 mice. Furthermore, intracerebroventricular delivery of antibodies to p40 significantly reduced the concentration of soluble Aβ species and reversed cognitive deficits in aged APPPS1 mice. The concentration of p40 was also increased in the cerebrospinal fluid of subjects with Alzheimer's disease, which suggests that inhibition of the IL-12/IL-23 pathway may attenuate Alzheimer's disease pathology and cognitive deficits.The pathology of Alzheimer's disease has an inflammatory component that is characterized by upregulation of proinflammatory cytokines, particularly in response to amyloid-β (Aβ). Using the APPPS1 Alzheimer's disease mouse model, we found increased production of the common interleukin-12 (IL-12) and IL-23 subunit p40 by microglia. Genetic ablation of the IL-12/IL-23 signaling molecules p40, p35 or p19, in which deficiency of p40 or its receptor complex had the strongest effect, resulted in decreased cerebral amyloid load. Although deletion of IL-12/IL-23 signaling from the radiation-resistant glial compartment of the brain was most efficient in mitigating cerebral amyloidosis, peripheral administration of a neutralizing p40-specific antibody likewise resulted in a reduction of cerebral amyloid load in APPPS1 mice. Furthermore, intracerebroventricular delivery of antibodies to p40 significantly reduced the concentration of soluble Aβ species and reversed cognitive deficits in aged APPPS1 mice. The concentration of p40 was also increased in the cerebrospinal fluid of subjects with Alzheimer's disease, which suggests that inhibition of the IL-12/IL-23 pathway may attenuate Alzheimer's disease pathology and cognitive deficits.
Audience Academic
Author vom Berg, Johannes
Mair, Florian
Becher, Burkhard
Heppner, Frank L
Peters, Oliver
Miller, Kelly R
Winter, York
Kälin, Roland E
Schipke, Carola G
Wegner, Anja
Obst, Juliane
Lopategui-Cabezas, Ileana
Prokop, Stefan
Author_xml – sequence: 1
  givenname: Johannes
  surname: vom Berg
  fullname: vom Berg, Johannes
  organization: Institute of Experimental Immunology, University of Zürich
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  givenname: Stefan
  surname: Prokop
  fullname: Prokop, Stefan
  organization: Department of Neuropathology, Charité–Universitätsmedizin Berlin
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  surname: Miller
  fullname: Miller, Kelly R
  organization: Department of Neuropathology, Charité–Universitätsmedizin Berlin
– sequence: 4
  givenname: Juliane
  surname: Obst
  fullname: Obst, Juliane
  organization: Department of Neuropathology, Charité–Universitätsmedizin Berlin
– sequence: 5
  givenname: Roland E
  surname: Kälin
  fullname: Kälin, Roland E
  organization: Department of Neuropathology, Charité–Universitätsmedizin Berlin
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  surname: Lopategui-Cabezas
  fullname: Lopategui-Cabezas, Ileana
  organization: Department of Neuropathology, Charité–Universitätsmedizin Berlin, Present address: Institute of Basic and Preclinical Sciences 'Victoria de Girón', Medical University of Havana, Havana, Cuba
– sequence: 7
  givenname: Anja
  surname: Wegner
  fullname: Wegner, Anja
  organization: Department of Neuropathology, Charité–Universitätsmedizin Berlin
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  surname: Mair
  fullname: Mair, Florian
  organization: Institute of Experimental Immunology, University of Zürich
– sequence: 9
  givenname: Carola G
  surname: Schipke
  fullname: Schipke, Carola G
  organization: Department of Neuropathology, Charité–Universitätsmedizin Berlin, Department of Psychiatry, Charité–Universitätsmedizin Berlin, Campus Benjamin Franklin
– sequence: 10
  givenname: Oliver
  surname: Peters
  fullname: Peters, Oliver
  organization: Department of Psychiatry, Charité–Universitätsmedizin Berlin, Campus Benjamin Franklin
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  organization: Institute of Experimental Immunology, University of Zürich
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  givenname: Frank L
  surname: Heppner
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  email: frank.heppner@charite.de
  organization: Department of Neuropathology, Charité–Universitätsmedizin Berlin
BackLink https://www.ncbi.nlm.nih.gov/pubmed/23178247$$D View this record in MEDLINE/PubMed
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Snippet Proinflammatory cytokine expression increases as a result of amyloid deposition in Alzheimer's disease. Frank L. Heppner and colleagues show that genetic and...
The pathology of Alzheimer's disease has an inflammatory component that is characterized by upregulation of proinflammatory cytokines, particularly in response...
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StartPage 1812
SubjectTerms 631/250/127/1213
631/250/516
692/699/375/365/1283
692/700/139/422
Alzheimer Disease - pathology
Alzheimer's disease
Amyloid beta-Peptides - metabolism
Analysis of Variance
Animals
Antibodies - administration & dosage
Antibodies - pharmacology
Biomedicine
Blotting, Western
Cancer Research
Care and treatment
Cognition & reasoning
Cognition - drug effects
Cognitive ability
Complications and side effects
Disease
DNA Primers - genetics
Enzyme-Linked Immunosorbent Assay
Flow Cytometry
Genetic aspects
Health aspects
Infectious Diseases
Injections, Intraperitoneal
Interleukin-12 - genetics
Interleukin-12 - immunology
Interleukin-12 - metabolism
Interleukin-12 Subunit p40 - cerebrospinal fluid
Interleukin-12 Subunit p40 - genetics
Interleukin-12 Subunit p40 - immunology
Interleukin-12 Subunit p40 - metabolism
Interleukins
Memory, Disorders of
Metabolic Diseases
Mice
Mice, Transgenic
Microglia - metabolism
Molecular Medicine
Neurosciences
Pathology
Real-Time Polymerase Chain Reaction
Risk factors
Signal Transduction - drug effects
Signaling
Statistics
Title Inhibition of IL-12/IL-23 signaling reduces Alzheimer's disease–like pathology and cognitive decline
URI https://link.springer.com/article/10.1038/nm.2965
https://www.ncbi.nlm.nih.gov/pubmed/23178247
https://www.proquest.com/docview/1284127472
https://www.proquest.com/docview/1237512012
https://www.proquest.com/docview/1439235382
Volume 18
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