Pre-therapeutic microglia activation and sex determine therapy effects of chronic immunomodulation

Modulation of the innate immune system is emerging as a promising therapeutic strategy against Alzheimer's disease (AD). However, determinants of a beneficial therapeutic effect are ill-understood. Thus, we investigated the potential of 18 kDa translocator protein positron-emission-tomography (...

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Veröffentlicht in:Theranostics 2021-01, Vol.11 (18), p.8964-8976
Hauptverfasser: Biechele, Gloria, Blume, Tanja, Deussing, Maximilian, Zott, Benedikt, Shi, Yuan, Xiang, Xianyuan, Franzmeier, Nicolai, Kleinberger, Gernot, Peters, Finn, Ochs, Katharina, Focke, Carola, Sacher, Christian, Wind, Karin, Schmidt, Claudio, Lindner, Simon, Gildehaus, Franz-Josef, Eckenweber, Florian, Beyer, Leonie, von Ungern-Sternberg, Barbara, Bartenstein, Peter, Baumann, Karlheinz, Dorostkar, Mario M, Rominger, Axel, Cumming, Paul, Willem, Michael, Adelsberger, Helmuth, Herms, Jochen, Brendel, Matthias
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container_end_page 8976
container_issue 18
container_start_page 8964
container_title Theranostics
container_volume 11
creator Biechele, Gloria
Blume, Tanja
Deussing, Maximilian
Zott, Benedikt
Shi, Yuan
Xiang, Xianyuan
Franzmeier, Nicolai
Kleinberger, Gernot
Peters, Finn
Ochs, Katharina
Focke, Carola
Sacher, Christian
Wind, Karin
Schmidt, Claudio
Lindner, Simon
Gildehaus, Franz-Josef
Eckenweber, Florian
Beyer, Leonie
von Ungern-Sternberg, Barbara
Bartenstein, Peter
Baumann, Karlheinz
Dorostkar, Mario M
Rominger, Axel
Cumming, Paul
Willem, Michael
Adelsberger, Helmuth
Herms, Jochen
Brendel, Matthias
description Modulation of the innate immune system is emerging as a promising therapeutic strategy against Alzheimer's disease (AD). However, determinants of a beneficial therapeutic effect are ill-understood. Thus, we investigated the potential of 18 kDa translocator protein positron-emission-tomography (TSPO-PET) for assessment of microglial activation in mouse brain before and during chronic immunomodulation. Serial TSPO-PET was performed during five months of chronic microglia modulation by stimulation of the peroxisome proliferator-activated receptor (PPAR)-γ with pioglitazone in two different mouse models of AD (PS2APP, ). Using mixed statistical models on longitudinal TSPO-PET data, we tested for effects of therapy and sex on treatment response. We tested correlations of baseline with longitudinal measures of TSPO-PET, and correlations between PET results with spatial learning performance and β-amyloid accumulation of individual mice. Immunohistochemistry was used to determine the molecular source of the TSPO-PET signal. Pioglitazone-treated female PS2APP and mice showed attenuation of the longitudinal increases in TSPO-PET signal when compared to vehicle controls, whereas treated male mice showed the opposite effect. Baseline TSPO-PET strongly predicted changes in microglial activation in treated mice (R = -0.874, p < 0.0001) but not in vehicle controls (R = -0.356, p = 0.081). Reduced TSPO-PET signal upon pharmacological treatment was associated with better spatial learning despite higher fibrillar β-amyloid accumulation. Immunohistochemistry confirmed activated microglia to be the source of the TSPO-PET signal (R = 0.952, p < 0.0001). TSPO-PET represents a sensitive biomarker for monitoring of immunomodulation and closely reflects activated microglia. Sex and pre-therapeutic assessment of baseline microglial activation predict individual immunomodulation effects and may serve for responder stratification.
doi_str_mv 10.7150/thno.64022
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Pioglitazone-treated female PS2APP and mice showed attenuation of the longitudinal increases in TSPO-PET signal when compared to vehicle controls, whereas treated male mice showed the opposite effect. Baseline TSPO-PET strongly predicted changes in microglial activation in treated mice (R = -0.874, p &lt; 0.0001) but not in vehicle controls (R = -0.356, p = 0.081). Reduced TSPO-PET signal upon pharmacological treatment was associated with better spatial learning despite higher fibrillar β-amyloid accumulation. Immunohistochemistry confirmed activated microglia to be the source of the TSPO-PET signal (R = 0.952, p &lt; 0.0001). TSPO-PET represents a sensitive biomarker for monitoring of immunomodulation and closely reflects activated microglia. 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source MEDLINE; PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Age
Alzheimer Disease - metabolism
Alzheimer's disease
Amyloid beta-Peptides - metabolism
Amyloidosis
Animal memory
Animals
Brain
Brain - diagnostic imaging
Brain - metabolism
Disease Models, Animal
Experiments
Female
Hypotheses
Immunity, Innate - immunology
Immunomodulation - immunology
Immunomodulation - physiology
Ligands
Male
Mice
Mice, Inbred C57BL
Mice, Transgenic
Microglia - metabolism
Mutation
Pioglitazone - pharmacology
Positron-Emission Tomography - methods
PPAR gamma - drug effects
PPAR gamma - metabolism
Receptors, GABA - metabolism
Receptors, GABA - physiology
Research Paper
Rodents
Sex Factors
title Pre-therapeutic microglia activation and sex determine therapy effects of chronic immunomodulation
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