An intranasally delivered peptide drug ameliorates cognitive decline in Alzheimer transgenic mice

EMBO Mol Med. 2017 May;9(5):703-715. doi: 10.15252/emmm.201606666.

Abstract

Alzheimer's disease (AD) is the most common neurodegenerative disease. Imbalance between the production and clearance of amyloid β (Aβ) peptides is considered to be the primary mechanism of AD pathogenesis. This amyloid hypothesis is supported by the recent success of the human anti-amyloid antibody aducanumab, in clearing plaque and slowing clinical impairment in prodromal or mild patients in a phase Ib trial. Here, a peptide combining polyarginines (polyR) (for charge repulsion) and a segment derived from the core region of Aβ amyloid (for sequence recognition) was designed. The efficacy of the designed peptide, R8-Aβ(25-35), on amyloid reduction and the improvement of cognitive functions were evaluated using APP/PS1 double transgenic mice. Daily intranasal administration of PEI-conjugated R8-Aβ(25-35) peptide significantly reduced Aβ amyloid accumulation and ameliorated the memory deficits of the transgenic mice. Intranasal administration is a feasible route for peptide delivery. The modular design combining polyR and aggregate-forming segments produced a desirable therapeutic effect and could be easily adopted to design therapeutic peptides for other proteinaceous aggregate-associated diseases.

Keywords: Alzheimer disease; Aβ; peptide therapy; polyarginine; polyethylenimine.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Intranasal
  • Alzheimer Disease / complications
  • Alzheimer Disease / drug therapy*
  • Alzheimer Disease / pathology
  • Amyloid / antagonists & inhibitors
  • Amyloid / ultrastructure
  • Amyloid beta-Peptides / administration & dosage
  • Amyloid beta-Peptides / antagonists & inhibitors
  • Amyloid beta-Peptides / chemistry
  • Amyloid beta-Peptides / therapeutic use*
  • Amyloid beta-Peptides / ultrastructure
  • Animals
  • Brain / drug effects*
  • Brain / pathology
  • Cell Line
  • Cognition / drug effects
  • Cognitive Dysfunction / complications
  • Cognitive Dysfunction / drug therapy*
  • Cognitive Dysfunction / pathology
  • Disease Models, Animal
  • Female
  • Memory Disorders / complications
  • Memory Disorders / drug therapy
  • Memory Disorders / pathology
  • Mice, Inbred C57BL
  • Peptide Fragments / administration & dosage
  • Peptide Fragments / antagonists & inhibitors
  • Peptide Fragments / chemistry
  • Peptide Fragments / therapeutic use*
  • Peptide Fragments / ultrastructure
  • Peptides / administration & dosage
  • Peptides / chemistry
  • Peptides / therapeutic use*

Substances

  • Amyloid
  • Amyloid beta-Peptides
  • Peptide Fragments
  • Peptides
  • amyloid beta-protein (1-40)
  • amyloid beta-protein (25-35)
  • polyarginine