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Publication : A plaque-specific antibody clears existing β-amyloid plaques in Alzheimer's disease mice.

First Author  Demattos RB Year  2012
Journal  Neuron Volume  76
Issue  5 Pages  908-20
PubMed ID  23217740 Mgi Jnum  J:197667
Mgi Id  MGI:5494238 Doi  10.1016/j.neuron.2012.10.029
Citation  Demattos RB, et al. (2012) A plaque-specific antibody clears existing beta-amyloid plaques in Alzheimer's disease mice. Neuron 76(5):908-20
abstractText  Abeta Immunotherapy is a promising therapeutic approach for Alzheimer's disease. Preclinical studies demonstrate that plaque prevention is possible; however, the more relevant therapeutic removal of existing plaque has proven elusive. Monoclonal antibodies in development target both soluble and insoluble Abeta peptide. We hypothesized that antibody specificity for deposited plaque was critical for plaque removal since soluble Abeta peptide would block recognition of deposited forms. We developed a plaque-specific antibody that targets a modified Abeta peptide (Abeta(p3-42)), which showed robust clearance of pre-existing plaque without causing microhemorrhage. Interestingly, a comparator N-terminal Abeta antibody 3D6, which binds both soluble and insoluble Abeta(1-42), lacked efficacy for lowering existing plaque but manifested a significant microhemorrhage liability. Mechanistic studies suggested that the lack of efficacy for 3D6 was attributed to poor target engagement in plaques. These studies have profound implications for the development of therapeutic Abeta antibodies for Alzheimer's disease.
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