Cited by 250Alzheimer's disease research and treatmentsNeuroinflammation and Neurodegeneration MechanismsDementia and Cognitive Impairment Research

Active and passive immunotherapy for neurodegenerative disorders

Open access
Brody, David L., Holtzman, David M.·2008·Annual Review of Neuroscience

Abstract

Immunotherapeutic strategies to combat neurodegenerative disorders have galvanized the scientific community since the first dramatic successes in mouse models recreating aspects of Alzheimer disease (AD) were reported. However, initial human trials of active amyloid-beta (Abeta) vaccination were halted early because of a serious safety issue: meningoencephalitis in 6% of subjects. Nonetheless, some encouraging preliminary data were obtained, and rapid progress has been made toward developing alternative, possibly safer active and passive immunotherapeutic approaches for several neurodegenerative conditions. Many of these are currently in human trials for AD. Despite these advances, our understanding of the essential mechanisms underlying the effects seen in preclinical models and human subjects is still incomplete. Antibody-induced phagocytosis of pathological protein deposits, direct antibody-mediated disruption of aggregates, neutralization of toxic soluble proteins, a shift in equilibrium toward efflux of specific proteins from the brain, cell-mediated immune responses, and other mechanisms may all play roles depending on the specific immunotherapeutic scenario.

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Crossref · 10.1146/annurev.neuro.31.060407.125529

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88 of 88 references verified0 citation errors · 0 not checkable

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  • Certain types of active and passive immunization have resulted in significant side effects such as brain edema and hemorrhages.

    “Certain types of active and passive immunization have resulted in significant side effects such as brain edema and hemorrhages (Brody and Holtzman, 2008).”

    From Anti-ApoE Antibody Given after Plaque Onset Decreases Aβ Accumulation and Improves Brain Function in a Mouse Model of Aβ Amyloidosis (2014) · cites this paper as Brody and Holtzman, 2008

    The Introduction (page unavailable) reports increased microhemorrhages in mice given certain anti-Aβ antibodies and a similar hemorrhage in one actively vaccinated patient. It also reports serious meningoencephalitis after active vaccination, but the passages found do not report brain edema. The paper cautions that the clinical significance of the mostly small hemorrhages is uncertain. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • A variety of different anti-Aβ antibodies have been shown to inhibit Aβ accumulation in mouse models of Aβ amyloidosis, and they are considered promising disease-modifying therapies.

    “Previously, a variety of different anti-Aβ antibodies have been shown to inhibit Aβ accumulation in mouse models of Aβ amyloidosis, and they are considered promising disease-modifying therapies (Brody and Holtzman, 2008; Golde et al., 2009).”
  • Previous studies have demonstrated that anti-Aβ antibodies can effectively decrease amyloid accumulation when given preventatively, but they are less effective in a treatment mode.

    “Previous studies have demonstrated that anti-Aβ antibodies can effectively decrease amyloid accumulation when they are given preventatively, but they are less effective in a treatment mode (Brody and Holtzman, 2008; Golde et al., 2009).”

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1 retracted

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2 of the 90 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Brody DL, Mac Donald CL, Fujimoto S, Conte V, Parsadanian M, et al. Anti-Abeta antibody treatment attenuates cognitive impairment in a mouse model of experimental traumatic brain injury; Presented at Annu. Natl. Neurotrauma Soc. Symp., 23rd; Washington DC. 2005. [Google Scholar]

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Authors
Brody, D. L., & Holtzman, D. M.
Affiliations
Washington University in St. Louis (US)
Venue
Annual Review of Neuroscience
Published
2008-07-01
Volume
31
Issue
1
Pages
175-193
ISSN
  • 0147-006X (ISSN-L)
  • 1545-4126
OpenAlex
W2100298346
Cited by
250
References
90
Citations by year
2026: 6 · 2025: 10 · 2024: 5 · 2023: 7 · 2022: 8 · 2021: 6 · 2020: 9 · 2019: 7 · 2018: 6 · 2017: 6 · 2016: 10 · 2015: 13 · 2014: 17 · 2013: 19 · 2012: 22
FWCI
3.55
Type
journal article
Language
en
Open access
Locations
  • Annual Review of Neuroscience (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (5k08ns049237-05)
  • National Institute on Aging (AG20222, R01AG020222, R01AG013956, R37AG013956, AG13956)
  • National Institute of Neurological Disorders and Stroke (NS049237, K08-NS049237)
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords
neurodegenerative diseases, Alzheimer's disease, active immunotherapy, passive immunotherapy, meningoencephalitis, antibody-mediated phagocytosis, cell-mediated immunity, immunotherapy safety
MeSH terms
Animals, Antibodies, Humans, Immunity, Immunization, Passive, Nerve Tissue Proteins, Vaccination, Amyloid beta-Peptides, Immunotherapy, Active, Neurodegenerative Diseases

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