PD-1 immune checkpoint blockade reduces pathology and improves memory in mouse models of Alzheimer's disease

K Baruch, A Deczkowska, N Rosenzweig… - Nature medicine, 2016 - nature.com
K Baruch, A Deczkowska, N Rosenzweig, A Tsitsou-Kampeli, AM Sharif, O Matcovitch-Natan…
Nature medicine, 2016nature.com
Systemic immune suppression may curtail the ability to mount the protective, cell-mediated
immune responses that are needed for brain repair. By using mouse models of Alzheimer's
disease (AD), we show that immune checkpoint blockade directed against the programmed
death-1 (PD-1) pathway evokes an interferon (IFN)-γ–dependent systemic immune
response, which is followed by the recruitment of monocyte-derived macrophages to the
brain. When induced in mice with established pathology, this immunological response leads …
Abstract
Systemic immune suppression may curtail the ability to mount the protective, cell-mediated immune responses that are needed for brain repair. By using mouse models of Alzheimer's disease (AD), we show that immune checkpoint blockade directed against the programmed death-1 (PD-1) pathway evokes an interferon (IFN)-γ–dependent systemic immune response, which is followed by the recruitment of monocyte-derived macrophages to the brain. When induced in mice with established pathology, this immunological response leads to clearance of cerebral amyloid-β (Aβ) plaques and improved cognitive performance. Repeated treatment sessions were required to maintain a long-lasting beneficial effect on disease pathology. These findings suggest that immune checkpoints may be targeted therapeutically in AD.
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