Cited by 129Alzheimer's disease research and treatmentsNeuroinflammation and Neurodegeneration MechanismsDementia and Cognitive Impairment Research

The DOI matches its Crossref record; 54 of the 55 references it cites were found in a registry or an index; 25 of the 48 sources its claims cite were checked for support.

Anti-ApoE Antibody Given after Plaque Onset Decreases Aβ Accumulation and Improves Brain Function in a Mouse Model of Aβ Amyloidosis

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Abstract

Apolipoprotein E (apoE) is the strongest known genetic risk factor for late onset Alzheimer's disease (AD). It influences amyloid-β (Aβ) clearance and aggregation, which likely contributes in large part to its role in AD pathogenesis. We recently found that HJ6.3, a monoclonal antibody against apoE, significantly reduced Aβ plaque load when given to APPswe/PS1ΔE9 (APP/PS1) mice starting before the onset of plaque deposition. To determine whether the anti-apoE antibody HJ6.3 affects Aβ plaques, neuronal network function, and behavior in APP/PS1 mice after plaque onset, we administered HJ6.3 (10 mg/kg/week) or PBS intraperitoneally to 7-month-old APP/PS1 mice for 21 weeks. HJ6.3 mildly improved spatial learning performance in the water maze, restored resting-state functional connectivity, and modestly reduced brain Aβ plaque load. There was no effect of HJ6.3 on total plasma cholesterol or cerebral amyloid angiopathy. To investigate the underlying mechanisms of anti-apoE immunotherapy, HJ6.3 was applied to the brain cortical surface and amyloid deposition was followed over 2 weeks using in vivo imaging. Acute exposure to HJ6.3 affected the course of amyloid deposition in that it prevented the formation of new amyloid deposits, limited their growth, and was associated with occasional clearance of plaques, a process likely associated with direct binding to amyloid aggregates. Topical application of HJ6.3 for only 14 d also decreased the density of amyloid plaques assessed postmortem. Collectively, these studies suggest that anti-apoE antibodies have therapeutic potential when given before or after the onset of Aβ pathology.

Overview

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Written from the paper’s full text.

TL;DR

In 7-month-old APP/PS1 mice with preexisting plaques, 21 weeks of anti-apoE antibody HJ6.3 modestly reduced brain Aβ plaque load, improved spatial learning, and restored resting-state functional connectivity without increasing plasma cholesterol, CAA, or CAA-associated microhemorrhage. In vivo imaging showed HJ6.3 bound plaques, prevented new plaque formation, limited growth, and occasionally cleared plaques.

Key findings

  • Chronic HJ6.3 (10 mg/kg/week for 21 weeks) reduced Aβ plaque load by ~20% in cortex and ~40% in thalamus, but not significantly in hippocampus; ThioS fibrillar plaque load was significantly reduced in cortex and by ~40% in thalamus, with no significant hippocampal change.
  • Brain apoE decreased in cortex, primarily in the 1% Triton X-100 fraction, while plasma apoE was unchanged; Aβx-40 was significantly reduced in the Triton X-100 and 5 M guanidine fractions, and plasma Aβx-40 increased by 40–60%. CD45 microglial staining load in cortex decreased by 40%.
  • HJ6.3-treated mice had shorter path lengths in place trials (treatment effect: F(1,35)=4.79, p=0.035; greatest difference at block 3, p=0.019) and showed a target-quadrant bias in the probe trial (p<0.014), whereas PBS-treated mice did not; HJ6.3-treated mice also swam more slowly in place trials (treatment effect: F(1,35)=13.51, p=0.0008). fcOIS showed improved bilateral visual cortex connectivity and increased node degree in motor, somatosensory, retrosplenial, and visual cortices.
  • Topical HJ6.3 over 14 days prevented new plaque formation, limited growth, and was associated with clearance of some plaques (contingency table p<0.0001); 91% of “absent” plaques were previously labeled with HJ6.3, and postmortem plaque number/mm² was 40% lower than anti-HA control, although plaque load and ThioS measures did not differ significantly. No effect was detected on total plasma cholesterol, CAA, or CAA-associated microhemorrhage.

Methods

  • Chronic treatment: 7-month-old female APP/PS1 mice on a B6C3 background received weekly intraperitoneal HJ6.3 (10 mg/kg) or PBS for 21 weeks; behavioral testing occurred during the last 4 weeks, followed by fcOIS, histology, and ELISA.
  • Acute imaging: HJ6.3 or anti-HA control antibody was topically applied to the cortical surface; in vivo two-photon microscopy tracked amyloid plaques at day 0 and day 14, followed by postmortem immunohistology and ThioS staining.
  • Analyses included two-tailed Student’s t tests, one-way/rmANOVA with Huynh-Feldt and Bonferroni corrections, Fisher Z transforms for fcOIS, chi-square contingency tests, Mann-Whitney tests, and mixed-effect models.

Limitations

  • Stated: the APP/PS1 mice had a relatively small amount of CAA; future studies are needed in another mouse model and in animals expressing human apoE isoforms. The study also does not rule out a role for anti-apoE antibody-mediated phagocytosis in clearing Aβ colocalized with apoE in plaques.
  • Evident: only female APP/PS1 mice were studied, and the chronic effect on established CNS amyloid was modest, with no significant hippocampal plaque reduction.
  • Evident: the acute mechanistic imaging used topical antibody application rather than the peripheral route used for chronic treatment, and HJ6.3-treated mice swam more slowly, which the authors addressed by using path length for place-trial analysis.

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Integrity signals

Registry

Crossref · 10.1523/jneurosci.0646-14.2014

Cites

54 of 54 references verified0 citation errors · 0 not checkable

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Nothing to recompute.

Verification

Claims the paper makes

59 Own result · 21 Own interpretation · 12 Partly supported · 7 No full text of the sources · 6 Own method · 5 Supported · 5 No basis given · 2 Supported so far · 1 Sources not found · 1 Not checked yet · accuracy not yet measured

Show all 77 claims

  • Probably not a substantial claim. 26
  • It may state two separate claims as one. 24
  • The quote only partly states this claim. 1
42 of 42
  • The paper relies on this without support.

    Aβ metabolism is regulated by Aβ-binding proteins.

    “Given that A␤ metabolism is regulated by A␤-binding proteins, immunization approaches targeted against proteins that regulate A␤ metabolism could also provide another treatment avenue, potentially with fewer side effects.”
  • The paper relies on this without support.

    Seven-month-old APP/PS1 mice have preexisting Aβ plaques.

    “Here, we treated 7-month-old APP/PS1 mice that had preexisting A␤ plaques with the anti-apoE monoclonal antibody HJ6.3 for 21 weeks.”
  • The paper relies on this without support.

    The APP/PS1 mouse model of Aβ amyloidosis is predictive of human Alzheimer's disease for evaluating anti-apoE antibody therapy.

    “Together, the data suggest that further development of anti-apoE antibodies may be warranted as a potential therapeutic strategy.”
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Metadata

Authors
Liao, F., Hori, Y., Hudry, E., Bauer, A. Q., Jiang, H., Mahan, T. E., Lefton, K. B., Zhang, T. J., Dearborn, J. T., Kim, J., Culver, J. P., Betensky, R., Wozniak, D. F., Hyman, B. T., & Holtzman, D. M.
Affiliations
  • Hope Center for Neurological Disorders (US)
  • Harvard University (US)
  • Washington University in St. Louis (US)
  • Mayo Clinic (US)
Venue
The Journal of Neuroscience
Published
2014-05-21
Volume
34
Issue
21
Pages
7281-7292
ISSN
  • 0270-6474 (ISSN-L)
  • 1529-2401
OpenAlex
W2000809016
Cited by
128
References
55
Citations by year
2026: 7 · 2025: 10 · 2024: 7 · 2023: 4 · 2022: 13 · 2021: 12 · 2020: 14 · 2019: 16 · 2018: 12 · 2017: 10 · 2016: 13 · 2015: 6 · 2014: 4
FWCI
6.41
Type
journal article
Language
en
Open access
Locations
  • Journal of Neuroscience (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • Digital Commons@Becker (Washington University School of Medicine) (submittedVersion)
  • Europe PMC (PubMed Central) (submittedVersion)
  • PubMed Central (submittedVersion)
Funders
  • Eli Lilly and Company
  • AstraZeneca
  • BrightFocus Foundation (A2013037F)
  • Cure Alzheimer's Fund
  • National Institutes of Health (4r01ns078223-05, AG13956, R37 AG13956)
  • Genentech
  • National Institute on Aging (P30-AG062421, R37AG13956, RF1 AG047644, P50 AG 005134, R37AG013956)
  • National Institute of Neurological Disorders and Stroke (R01-NS078223)
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › 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
apolipoprotein E, amyloid plaques, amyloid-beta deposition, Alzheimer's disease, APP/PS1 mice, immunotherapy, plaque clearance, resting-state functional connectivity, spatial learning, cerebral amyloid angiopathy, serum cholesterol
MeSH terms
Alzheimer Disease, Amyloidosis, Animals, Antibodies, Apolipoproteins E, Brain, Cholesterol, Disease Models, Animal, Female, Hemorrhage, Lameness, Animal, Mice, Transgenic, Mutation, Amyloid beta-Peptides, Amyloid beta-Protein Precursor, Maze Learning, Mice, Presenilin-1

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