Immunotherapy for Alzheimer’s disease: Key Symposium: Immunotherapy for Alzheimer’s disease
Open accessAbstract
In the year 1999, a vaccine approach was found to reduce amyloid deposits in transgenic mice overproducing the amyloid precursor protein. This was followed closely by demonstrations that vaccines or passive immunotherapy could rescue memory deficits in these mice. Initial human clinical trials revealed apparent autoimmune reactions in a subset of patients, but also some cases of cognitive benefit and amyloid clearance. Further work with passive immunotherapy in mouse models confirmed exceptional clearing abilities of anti-amyloid antibodies even in older mice. However, in parallel with parenchymal amyloid clearance was the appearance of microhaemorrhages and increased vascular amyloid deposition. Additional clinical trials with passive immunotherapy confirmed occasional appearance of microhaemorrhage and occurrence of vasogenic oedema in some patients, particularly those with the apolipoprotein E4 genotype. Recent data with positron emission tomography demonstrates trial participants passively immunized with anti-Aß antibodies have reduced signals with amyloid binding ligands after 18 months of therapy. Several anti-Aß immunotherapies have reached phase 3 testing, and immunotherapy is likely to be the first test of the amyloid hypothesis of Alzheimer's disease. Identifying antibody variants that retain amyloid clearance with fewer adverse reactions remains a major focus of translational research in this area.
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Many Aβ monoclonal antibodies have led to side effects such as microhemorrages and brain edema, attributed to microglia-induced damage to cerebral vasculature as they respond to antibodies coating cerebral amyloid angiopathy.
“many of the Aβ monoclonal antibodies have led to side effects, such as microhemorrages and brain edema, which are attributed to microglia-induced damaged to cerebral vasculature as they respond to antibodies coating cerebral amyloid angiopathy [180].”
From Glial contributions to neurodegeneration in tauopathies (2017) · cites this paper as [180]
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Behavioral phenotyping strategies for mutant mice
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- Authors
- Morgan, D.
- Affiliations
- University of South Florida (US)
- Corresponding author
- Morgan, D.
- ORCID
- Morgan, D.
- Venue
- Journal of Internal Medicine
- Publisher
- Wiley
- Published
- 2010-12-16
- Volume
- 269
- Issue
- 1
- Pages
- 54-63
- ISSN
- 0954-6820 (ISSN-L)
- PMC
- PMC3074967
- OpenAlex
- W1608225731
- Cited by
- 225
- References
- 88
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 10 · 2022: 9 · 2021: 7 · 2020: 9 · 2019: 7 · 2018: 6 · 2017: 9 · 2016: 6 · 2015: 21 · 2014: 21 · 2013: 30 · 2012: 40
- FWCI
- 3.02
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (R01AG018478, AG 15490, AG04418, P01AG004418, R01AG025509, R01AG015490, AG18478)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- Alzheimer's disease, immunotherapy, anti-amyloid antibodies, passive immunotherapy, amyloid hypothesis, amyloid clearance, microhemorrhages, vasogenic edema, APOE ε4, amyloid PET, autoimmunity, transgenic mouse model
- MeSH terms
- Alzheimer Disease, Animals, Brain, Disease Models, Animal, Humans, Immunization, Passive, Immunotherapy, Mice, Transgenic, Amyloid beta-Peptides, Alzheimer Vaccines, Mice
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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