Next-generation active immunization approach for synucleinopathies: implications for Parkinson's disease clinical trials

Acta Neuropathol. 2014;127(6):861-79. doi: 10.1007/s00401-014-1256-4. Epub 2014 Feb 14.

Abstract

Immunotherapeutic approaches are currently in the spotlight for their potential as disease-modifying treatments for neurodegenerative disorders. The discovery that α-synuclein (α-syn) can transmit from cell to cell in a prion-like fashion suggests that immunization might be a viable option for the treatment of synucleinopathies. This possibility has been bolstered by the development of next-generation active vaccination technology with short peptides-AFFITOPEs(®) (AFF)- that do not elicit an α-syn-specific T cell response. This approach allows for the production of long term, sustained, more specific, non-cross reacting antibodies suitable for the treatment of synucleinopathies, such as Parkinson's disease (PD). In this context, we screened a large library of peptides that mimic the C-terminus region of α-syn and discovered a novel set of AFF that identified α-syn oligomers. Next, the peptide that elicited the most specific response against α-syn (AFF 1) was selected for immunizing two different transgenic (tg) mouse models of PD and Dementia with Lewy bodies, the PDGF- and the mThy1-α-syn tg mice. Vaccination with AFF 1 resulted in high antibody titers in CSF and plasma, which crossed into the CNS and recognized α-syn aggregates. Active vaccination with AFF 1 resulted in decreased accumulation of α-syn oligomers in axons and synapses, accompanied by reduced degeneration of TH fibers in the caudo-putamen nucleus and by improvements in motor and memory deficits in both in vivo models. Clearance of α-syn involved activation of microglia and increased anti-inflammatory cytokine expression, further supporting the efficacy of this novel active vaccination approach for synucleinopathies.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies / blood
  • Antibodies / cerebrospinal fluid
  • Axons / pathology
  • Axons / physiology
  • Caudate Nucleus / pathology
  • Caudate Nucleus / physiopathology
  • Clinical Trials as Topic
  • Disease Models, Animal
  • Humans
  • Lewy Body Disease / pathology
  • Lewy Body Disease / physiopathology
  • Lewy Body Disease / therapy*
  • Memory Disorders / pathology
  • Memory Disorders / physiopathology
  • Memory Disorders / therapy
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Microglia / pathology
  • Microglia / physiology
  • Motor Activity / physiology
  • Nerve Degeneration / pathology
  • Nerve Degeneration / physiopathology
  • Nerve Degeneration / therapy
  • Parkinson Disease / pathology
  • Parkinson Disease / physiopathology
  • Parkinson Disease / therapy*
  • Putamen / pathology
  • Putamen / physiopathology
  • Synapses / pathology
  • Synapses / physiology
  • T-Lymphocytes / pathology
  • T-Lymphocytes / physiology
  • Vaccination / methods*
  • alpha-Synuclein / genetics
  • alpha-Synuclein / metabolism

Substances

  • Antibodies
  • SNCA protein, human
  • Snca protein, mouse
  • alpha-Synuclein