Focus Ultrasound‐Induced Blood‐Brain Barrier opening enhances anti‐pGlu3 Aβ mAb delivery and amyloid‐beta plaque clearance

Background Alzheimer’s Disease (AD) is a neurodegenerative disorder characterized by the accumulation of amyloid plaques and hyperphosphorylated tau in the brain. Currently, therapeutic agents targeting amyloid appear promising for AD, however, delivery to the CNS is limited due to the blood‐brain‐b...

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Veröffentlicht in:Alzheimer's & dementia 2021-12, Vol.17 (S2), p.e058725-n/a
Hauptverfasser: Bathini, Praveen, Sun, Tao, Shi, Qiaoqiao, Zhang, Yongzhi, Taudte, Nadine, Schenk, Mathias, Hettmann, Thore, Schilling, Stephan, McDannold, Nathan, Lemere, Cynthia A
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container_issue S2
container_start_page e058725
container_title Alzheimer's & dementia
container_volume 17
creator Bathini, Praveen
Sun, Tao
Shi, Qiaoqiao
Zhang, Yongzhi
Taudte, Nadine
Schenk, Mathias
Hettmann, Thore
Schilling, Stephan
McDannold, Nathan
Lemere, Cynthia A
description Background Alzheimer’s Disease (AD) is a neurodegenerative disorder characterized by the accumulation of amyloid plaques and hyperphosphorylated tau in the brain. Currently, therapeutic agents targeting amyloid appear promising for AD, however, delivery to the CNS is limited due to the blood‐brain‐barrier (BBB). Focused ultrasound (FUS) is a method to induce a temporary opening of the BBB to enhance delivery of therapeutic agents to CNS. Our lab has shown that an mAb (07/2a), targeting N‐terminally truncated and modified toxic Aβ species, reduced pGlu3 Aβ and general Aβ cerebral plaques in aged APP/PS1dE9 mice. Here, we asked whether FUS‐induced BBB opening enhances the delivery of 07/2a mAb and whether it has any additive effect on cognition or plaque clearance. Methods First, 24 mo‐old APP/PS1dE9 mice were i.v. infused with a single dose of 300 µg 07/2a with or without hippocampal FUS sonication (n=5/group) with i.v. infused Optison microbubbles and euthanized 4 or 72 h later; brain levels of antibodies were measured by ELISA. Next, 16 mo‐old APP/PS1dE9 mice were treated weekly for 3 weeks with PBS (n=9), 500 µg 07/2a alone (n=9), FUS alone (n=7) or 07/2a + FUS combination (n=6). Behavioral testing in the Water T Maze (WTM) was performed 1‐2 weeks later followed by euthanasia. Results FUS treatment increased 07/2a mAb levels in brain by 5.9‐fold 4 hr (41.7 pg/mg for mAb alone, vs. 244 pg/mg mAb+FUS; t=3.48, p
doi_str_mv 10.1002/alz.058725
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Currently, therapeutic agents targeting amyloid appear promising for AD, however, delivery to the CNS is limited due to the blood‐brain‐barrier (BBB). Focused ultrasound (FUS) is a method to induce a temporary opening of the BBB to enhance delivery of therapeutic agents to CNS. Our lab has shown that an mAb (07/2a), targeting N‐terminally truncated and modified toxic Aβ species, reduced pGlu3 Aβ and general Aβ cerebral plaques in aged APP/PS1dE9 mice. Here, we asked whether FUS‐induced BBB opening enhances the delivery of 07/2a mAb and whether it has any additive effect on cognition or plaque clearance. Methods First, 24 mo‐old APP/PS1dE9 mice were i.v. infused with a single dose of 300 µg 07/2a with or without hippocampal FUS sonication (n=5/group) with i.v. infused Optison microbubbles and euthanized 4 or 72 h later; brain levels of antibodies were measured by ELISA. Next, 16 mo‐old APP/PS1dE9 mice were treated weekly for 3 weeks with PBS (n=9), 500 µg 07/2a alone (n=9), FUS alone (n=7) or 07/2a + FUS combination (n=6). Behavioral testing in the Water T Maze (WTM) was performed 1‐2 weeks later followed by euthanasia. Results FUS treatment increased 07/2a mAb levels in brain by 5.9‐fold 4 hr (41.7 pg/mg for mAb alone, vs. 244 pg/mg mAb+FUS; t=3.48, p&lt;0.005) and 5.5‐fold (mean=31.5 pg/mg for mAb alone, vs. 173 pg/mg for mAb+FUS; t=2.9, p&lt;0.05) 72 hr post‐treatment. Immunohistochemistry confirmed a significant increase in IgG2a mAb staining in the mAb+FUS treated mice at 4 hr (p=0.007) and a strong trend in the mAb+FUS treated mice at 72 hr after treatment compared to mAb alone. Three weekly treatments of 07/2a improved cognition however, when combined with FUS, this improvement occurred faster and in a higher percentage of mice and led to reduced hippocampal plaque load compared to PBS control mice. Conclusions Transient opening of the BBB by FUS increased 07/2a delivery to the brain, improved cognition, and enhanced Ab clearance in aged APP/PS1dE9 mice, suggesting that FUS increased efficacy of the 07/2a mAb.</description><identifier>ISSN: 1552-5260</identifier><identifier>EISSN: 1552-5279</identifier><identifier>DOI: 10.1002/alz.058725</identifier><identifier>PMID: 34971185</identifier><language>eng</language><publisher>United States</publisher><ispartof>Alzheimer's &amp; dementia, 2021-12, Vol.17 (S2), p.e058725-n/a</ispartof><rights>2021 the Alzheimer's Association</rights><rights>2021 the Alzheimer's Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Falz.058725$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Falz.058725$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34971185$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bathini, Praveen</creatorcontrib><creatorcontrib>Sun, Tao</creatorcontrib><creatorcontrib>Shi, Qiaoqiao</creatorcontrib><creatorcontrib>Zhang, Yongzhi</creatorcontrib><creatorcontrib>Taudte, Nadine</creatorcontrib><creatorcontrib>Schenk, Mathias</creatorcontrib><creatorcontrib>Hettmann, Thore</creatorcontrib><creatorcontrib>Schilling, Stephan</creatorcontrib><creatorcontrib>McDannold, Nathan</creatorcontrib><creatorcontrib>Lemere, Cynthia A</creatorcontrib><title>Focus Ultrasound‐Induced Blood‐Brain Barrier opening enhances anti‐pGlu3 Aβ mAb delivery and amyloid‐beta plaque clearance</title><title>Alzheimer's &amp; dementia</title><addtitle>Alzheimers Dement</addtitle><description>Background Alzheimer’s Disease (AD) is a neurodegenerative disorder characterized by the accumulation of amyloid plaques and hyperphosphorylated tau in the brain. Currently, therapeutic agents targeting amyloid appear promising for AD, however, delivery to the CNS is limited due to the blood‐brain‐barrier (BBB). Focused ultrasound (FUS) is a method to induce a temporary opening of the BBB to enhance delivery of therapeutic agents to CNS. Our lab has shown that an mAb (07/2a), targeting N‐terminally truncated and modified toxic Aβ species, reduced pGlu3 Aβ and general Aβ cerebral plaques in aged APP/PS1dE9 mice. Here, we asked whether FUS‐induced BBB opening enhances the delivery of 07/2a mAb and whether it has any additive effect on cognition or plaque clearance. Methods First, 24 mo‐old APP/PS1dE9 mice were i.v. infused with a single dose of 300 µg 07/2a with or without hippocampal FUS sonication (n=5/group) with i.v. infused Optison microbubbles and euthanized 4 or 72 h later; brain levels of antibodies were measured by ELISA. Next, 16 mo‐old APP/PS1dE9 mice were treated weekly for 3 weeks with PBS (n=9), 500 µg 07/2a alone (n=9), FUS alone (n=7) or 07/2a + FUS combination (n=6). Behavioral testing in the Water T Maze (WTM) was performed 1‐2 weeks later followed by euthanasia. Results FUS treatment increased 07/2a mAb levels in brain by 5.9‐fold 4 hr (41.7 pg/mg for mAb alone, vs. 244 pg/mg mAb+FUS; t=3.48, p&lt;0.005) and 5.5‐fold (mean=31.5 pg/mg for mAb alone, vs. 173 pg/mg for mAb+FUS; t=2.9, p&lt;0.05) 72 hr post‐treatment. Immunohistochemistry confirmed a significant increase in IgG2a mAb staining in the mAb+FUS treated mice at 4 hr (p=0.007) and a strong trend in the mAb+FUS treated mice at 72 hr after treatment compared to mAb alone. Three weekly treatments of 07/2a improved cognition however, when combined with FUS, this improvement occurred faster and in a higher percentage of mice and led to reduced hippocampal plaque load compared to PBS control mice. Conclusions Transient opening of the BBB by FUS increased 07/2a delivery to the brain, improved cognition, and enhanced Ab clearance in aged APP/PS1dE9 mice, suggesting that FUS increased efficacy of the 07/2a mAb.</description><issn>1552-5260</issn><issn>1552-5279</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kDFOwzAUQC0EoqWwcADkGanFTuI4GdOKlkqVWOjCEv3YLgQ5TrAbUJiQuABn4SAcgpOQKKUjk7_1n570H0LnlEwoId4V6LcJYRH32AEaUsa8MfN4fLifQzJAJ849ERKQiLJjNPCDmFMasSH6mJeidnittxZcWRv58_65NLIWSuKpLsvuP7WQGzwFa3NlcVkpk5sHrMwjGKEcBrPNW6pa6NrHyfcXLpIMS6XzF2WbdisxFI0u806VqS3gSsNzrbDQCmynOEVHG9BOne3eEVrPr-9mN-PV7WI5S1ZjQTlh7SEgqcdJzDmRICGWikuW-ZQHEeWCExpSFgYcPCU3fpAJ4JSHJOB-W4DFzB-hy94rbOmcVZu0snkBtkkpSbuSaVsy7Uu28EUPV3VWKLlH_9K1AO2B11yr5h9Vmqzud9JfKxKC9g</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Bathini, Praveen</creator><creator>Sun, Tao</creator><creator>Shi, Qiaoqiao</creator><creator>Zhang, Yongzhi</creator><creator>Taudte, Nadine</creator><creator>Schenk, Mathias</creator><creator>Hettmann, Thore</creator><creator>Schilling, Stephan</creator><creator>McDannold, Nathan</creator><creator>Lemere, Cynthia A</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>202112</creationdate><title>Focus Ultrasound‐Induced Blood‐Brain Barrier opening enhances anti‐pGlu3 Aβ mAb delivery and amyloid‐beta plaque clearance</title><author>Bathini, Praveen ; Sun, Tao ; Shi, Qiaoqiao ; Zhang, Yongzhi ; Taudte, Nadine ; Schenk, Mathias ; Hettmann, Thore ; Schilling, Stephan ; McDannold, Nathan ; Lemere, Cynthia A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1705-52ad12709770dada9de7d5b3174817c701615647a2edf34bca717604732605953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bathini, Praveen</creatorcontrib><creatorcontrib>Sun, Tao</creatorcontrib><creatorcontrib>Shi, Qiaoqiao</creatorcontrib><creatorcontrib>Zhang, Yongzhi</creatorcontrib><creatorcontrib>Taudte, Nadine</creatorcontrib><creatorcontrib>Schenk, Mathias</creatorcontrib><creatorcontrib>Hettmann, Thore</creatorcontrib><creatorcontrib>Schilling, Stephan</creatorcontrib><creatorcontrib>McDannold, Nathan</creatorcontrib><creatorcontrib>Lemere, Cynthia A</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Alzheimer's &amp; dementia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bathini, Praveen</au><au>Sun, Tao</au><au>Shi, Qiaoqiao</au><au>Zhang, Yongzhi</au><au>Taudte, Nadine</au><au>Schenk, Mathias</au><au>Hettmann, Thore</au><au>Schilling, Stephan</au><au>McDannold, Nathan</au><au>Lemere, Cynthia A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Focus Ultrasound‐Induced Blood‐Brain Barrier opening enhances anti‐pGlu3 Aβ mAb delivery and amyloid‐beta plaque clearance</atitle><jtitle>Alzheimer's &amp; dementia</jtitle><addtitle>Alzheimers Dement</addtitle><date>2021-12</date><risdate>2021</risdate><volume>17</volume><issue>S2</issue><spage>e058725</spage><epage>n/a</epage><pages>e058725-n/a</pages><issn>1552-5260</issn><eissn>1552-5279</eissn><abstract>Background Alzheimer’s Disease (AD) is a neurodegenerative disorder characterized by the accumulation of amyloid plaques and hyperphosphorylated tau in the brain. Currently, therapeutic agents targeting amyloid appear promising for AD, however, delivery to the CNS is limited due to the blood‐brain‐barrier (BBB). Focused ultrasound (FUS) is a method to induce a temporary opening of the BBB to enhance delivery of therapeutic agents to CNS. Our lab has shown that an mAb (07/2a), targeting N‐terminally truncated and modified toxic Aβ species, reduced pGlu3 Aβ and general Aβ cerebral plaques in aged APP/PS1dE9 mice. Here, we asked whether FUS‐induced BBB opening enhances the delivery of 07/2a mAb and whether it has any additive effect on cognition or plaque clearance. Methods First, 24 mo‐old APP/PS1dE9 mice were i.v. infused with a single dose of 300 µg 07/2a with or without hippocampal FUS sonication (n=5/group) with i.v. infused Optison microbubbles and euthanized 4 or 72 h later; brain levels of antibodies were measured by ELISA. Next, 16 mo‐old APP/PS1dE9 mice were treated weekly for 3 weeks with PBS (n=9), 500 µg 07/2a alone (n=9), FUS alone (n=7) or 07/2a + FUS combination (n=6). Behavioral testing in the Water T Maze (WTM) was performed 1‐2 weeks later followed by euthanasia. Results FUS treatment increased 07/2a mAb levels in brain by 5.9‐fold 4 hr (41.7 pg/mg for mAb alone, vs. 244 pg/mg mAb+FUS; t=3.48, p&lt;0.005) and 5.5‐fold (mean=31.5 pg/mg for mAb alone, vs. 173 pg/mg for mAb+FUS; t=2.9, p&lt;0.05) 72 hr post‐treatment. Immunohistochemistry confirmed a significant increase in IgG2a mAb staining in the mAb+FUS treated mice at 4 hr (p=0.007) and a strong trend in the mAb+FUS treated mice at 72 hr after treatment compared to mAb alone. Three weekly treatments of 07/2a improved cognition however, when combined with FUS, this improvement occurred faster and in a higher percentage of mice and led to reduced hippocampal plaque load compared to PBS control mice. Conclusions Transient opening of the BBB by FUS increased 07/2a delivery to the brain, improved cognition, and enhanced Ab clearance in aged APP/PS1dE9 mice, suggesting that FUS increased efficacy of the 07/2a mAb.</abstract><cop>United States</cop><pmid>34971185</pmid><doi>10.1002/alz.058725</doi><tpages>1</tpages></addata></record>
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title Focus Ultrasound‐Induced Blood‐Brain Barrier opening enhances anti‐pGlu3 Aβ mAb delivery and amyloid‐beta plaque clearance
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