Cited by 60Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchNeuroinflammation and Neurodegeneration Mechanisms

Increased Number of Plasma B Cells Producing Autoantibodies Against Aβ 42 Protofibrils in Alzheimer’s Disease

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Söllvander, Sofia, Ekholm-Pettersson, Frida, Brundin, Rose-Marie, Westman, Gabriel, Kilander, Lena, Paulie, Staffan, Lannfelt, Lars, Sehlin, Dag·2015·Journal of Alzheimer’s Disease

Abstract

The Alzheimer’s disease (AD)-related peptide amyloid-β (Aβ) has a propensity to aggregate into various assemblies including toxic soluble Aβ protofibrils. Several studies have reported the existence of anti-Aβ antibodies in humans. However, it is still debated whether levels of anti-Aβ antibodies are altered in AD patients compared to healthy individuals. Formation of immune complexes with plasma Aβ makes it difficult to reliably measure the concentration of circulating anti-Aβ antibodies with certain immunoassays, potentially leading to an underestimation. Here we have investigated anti-Aβ antibody production on a cellular level by measuring the amount of anti-Aβ antibody producing cells instead of the plasma level of anti-Aβ antibodies. To our knowledge, this is the first time the anti-Aβ antibody response in plasma has been compared in AD patients and age-matched healthy individuals using the enzyme-linked immunospot (ELISpot) technique. Both AD patients and healthy individuals had low levels of B cells producing antibodies binding Aβ 40 monomers, whereas the number of cells producing antibodies toward Aβ 42 protofibrils was higher overall and significantly higher in AD compared to healthy controls. This study shows, by an alternative and reliable method, that there is a specific immune response to the toxic Aβ protofibrils, which is significantly increased in AD patients.

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Crossref · 10.3233/jad-150236

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  • Recruitment of adaptive immune cells, particularly T and B lymphocytes, can exacerbate neurodegeneration through sustained cytokine production.

    “In parallel, recruitment of adaptive immune cells—particularly T and B lymphocytes—can further exacerbate neurodegeneration through sustained cytokine production despite their initial roles in aggregate clearance [37–41].”

    From Targeted Nanoparticles for Drug Delivery Across the Blood–Brain Barrier in Early and Late Stages of Alzheimer's Disease: A Review (2026) · cites this paper as [40]

    The Discussion (page unavailable) reports increased numbers of B cells producing Aβ42-protofibril antibodies in Alzheimer’s patients and suggests that dysregulated immune responses may play a role in the disease. It does not establish recruitment of T or B cells into the brain or show that sustained cytokine production by those cells exacerbates neurodegeneration. (LLM, conf=0.79)

    Experimental — accuracy not yet measured
  • Circulating plasmocytes producing anti-Aβ42 antibodies are elevated in AD patients compared to age-matched healthy individuals.

    “circulating plasmocytes producing anti-A β 42 antibodies are elevated in AD patients compared to agematched healthy individuals”

    From Is there a role for B cells in Alzheimer's disease? (2026) · cites this paper as [95]

    The Results report significantly more circulating plasma B cells secreting antibodies to Aβ42 protofibrils in AD patients than in age-matched healthy controls. The claim omits the protofibril qualifier; the study does not establish an increase in cells producing antibodies to Aβ42 in all forms. (LLM, conf=0.83)

    Experimental — accuracy not yet measured
  • B cells respond specifically to toxic Aβ peptides.

    “suggesting that B cells respond specif­ ically to toxic A β peptides [95,96].”

    From Is there a role for B cells in Alzheimer's disease? (2026) · cites this paper as [95]

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Authors
Söllvander, S., Ekholm-Pettersson, F., Brundin, R.-M., Westman, G., Kilander, L., Paulie, S., Lannfelt, L., & Sehlin, D.
Affiliations
  • Uppsala University (SE)
  • Department of Public Health & Caring Sciences/Molecular Geriatrics, Rudbeck Laboratory, Uppsala University, Uppsala, Sweden
  • Mabtech (Sweden) (SE)
Corresponding author
Sehlin, Dag
Venue
Journal of Alzheimer’s Disease
Published
2015-08-28
Volume
48
Issue
1
Pages
63-72
ISSN
  • 1387-2877 (ISSN-L)
  • 1875-8908
OpenAlex
W2206815046
Cited by
60
References
3
Citations by year
2026: 6 · 2025: 11 · 2024: 5 · 2023: 4 · 2022: 11 · 2021: 8 · 2020: 6 · 2019: 5 · 2018: 1 · 2017: 1 · 2016: 2
FWCI
0.98
Type
journal article
Language
en
Open access
Locations
  • Journal of Alzheimer s Disease (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Uppsala University Publications (Uppsala University) (submittedVersion, other-oa)
Funders
  • Vetenskapsrådet (#2012-2172)
  • Alzheimerfonden
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, amyloid-beta
MeSH terms
Aged, Aged, 80 and over, Alzheimer Disease, Autoantibodies, B-Lymphocytes, Enzyme-Linked Immunosorbent Assay, Female, Flow Cytometry, Humans, Male, Mental Status Schedule, Peptide Fragments, Case-Control Studies, Amyloid beta-Peptides, Biotinylation

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