Highlights
- •DNA Aβ42 immunization via Jet injection into the skin induced high antibody responses in mice and rabbits.
- •DNA Aβ42 immunization via Jet injection into the skin did not lead to inflammatory cellular responses.
- •DNA Aβ42 immunization via Jet injection into the skin resulted in amyloid removal from brain in the 3xTg-AD mouse model.
- •DNA Aβ42 immunization via Jet injection into the skin improved nesting behavior in the 3xTg-AD mouse model.
Abstract
Alzheimer's disease (AD) is the most common form of dementia found in the elderly
and disease progression is associated with accumulation of Amyloid beta 1–42 (Aβ42)
in brain. An immune-mediated approach as a preventive intervention to reduce amyloid
plaques without causing brain inflammation is highly desirable for future clinical
use. Genetic immunization, in which the immunizing agent is DNA encoding Aβ42, has
great potential because the immune response to DNA delivered into the skin is generally
non-inflammatory, and thus differs quantitatively and qualitatively from immune responses
elicited by peptides, which are inflammatory with production of IFNγ and IL-17 cytokines
by activated T cells. DNA immunization has historically been proven difficult to apply
to larger mammals. A potential barrier to use DNA immunization in large mammals is
the method for delivery of the DNA antigen. We tested jet injection in mice and rabbits
and found good antibody production and safe immune responses (no inflammatory cytokines).
We found significant reduction of amyloid plaques and Aβ peptides in brains of the
DNA Aβ42 immunized 3xTg-AD mouse model. This study was designed to optimize DNA delivery
for possible testing of the DNA Aβ42 vaccine for AD prevention in a clinical trial.
Keywords
Abbreviations:
AD (Alzheimer's disease), ASC (antibody-secreting cells), amyloid precursor protein (APP), Amyloid beta peptide 1–42 (Aβ42), CBC (Complete Blood Counts), ELISA (Enzyme-linked immunosorbent assay), ELISPOT (Enzyme-Linked ImmunoSpot), HRP (horseradish peroxidase), ISC (Immunoglobulin secreting cells), IFNγ (Interferon gamma), IL-17 (Interleukin 17), moab (monoclonal antibody), PBS (Phosphate Buffered Saline)To read this article in full you will need to make a payment
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References
- Antigen-specific vaccines for cancer treatment.Hum Vaccin Immunother. 2014; 10: 3332-3346
- Immunotherapy: the path to win the war on cancer?.Cell. 2015; 161: 185-186
- Rapid development of a DNA vaccine for Zika virus.Science. 2016; 354: 237-240
- HIV vaccines: where are we now?.Lancet Infect. Dis. 2017; 17: 372-373
- VRC 320 study teams. Safety, tolerability, and immunogenicity of two Zika virus DNA vaccine candidates in healthy adults: randomised, open-label, phase 1 clinical trials.Lancet. 2018; 391: 552-562
- Immunological considerations for COVID-19 vaccine strategies.Nat Rev Immunol. 2020; 20: 615-632
- Immunogenicity of a DNA vaccine candidate for COVID-19.Nat. Commun. 2020; 11: 2601
- Developing mRNA-vaccine technologies.RNA Biol. 2012; 9: 1319-1330
- Mechanism of action of mRNA-based vaccines.Expert Rev Vaccines. 2017; 16: 871-881
- Modified mRNA vaccines protect against Zika virus infection.Cell. 2017; 169: 176
- Effects of immunomodulators on the response induced by vaccines against autoimmune diseases.Autoimmunity. 2017; 50: 393-402
- Abeta42 gene vaccination reduces brain amyloid plaque burden in transgenic mice.J. Neurol. Sci. 2006; 244: 151-158
- Abeta42 gene vaccine prevents Abeta42 deposition in brain of double transgenic mice.J. Neurol. Sci. 2007; 260: 204-213
- Subacute meningoencephalitis in a subset of patients with AD after Abeta42 immunization.Neurology. 2003; 61: 46-54
- Effects of Abeta immunization (AN1792) on MRI measures of cerebral volume in Alzheimer disease.Neurology. 2005; 64: 1563-1572
- Clinical effects of Abeta immunization (AN1792) in patients with AD in an interrupted trial.Neurology. 2005; 64: 1553-1562
- DNA beta-amyloid(1-42) trimer immunization for Alzheimer disease in a wild-type mouse model.Jama. 2009; 302: 1796-1802
- Anti-amyloid beta to tau - based immunization: developments in immunotherapy for Alzheimer disease.Immunotargets Ther. 2013; 2: 105-114
- Active full-length DNA Aβ42 immunization in 3xTg-AD mice reduces not only amyloid deposition but also tau pathology.Alzheimers Res. Ther. 2018; 10: 115
- DNA immunization against amyloid beta 42 has high potential as safe therapy for Alzheimer’s disease as it diminishes antigen-specific Th1 and Th17 cell proliferation.Cell. Mol. Neurobiol. 2011; 31: 867-874
- Electroporation delivery of DNA vaccines: prospects for success.Curr. Opin. Immunol. 2011; 23: 421-429
- Gene electrotransfer clinical trials.Adv. Genet. 2015; 89: 235-262
- Intradermal active full-length DNA Aβ42 immunization via electroporation leads to high anti-Aβ antibody levels in wild-type mice.J. Neuroimmunol. 2018; 322: 15-25
- Needle-free vaccine delivery.Adv. Drug Deliv. Rev. 2006; 58: 68-89
- HIV-DNA given with or without intradermal electroporation is safe and highly immunogenic in healthy Swedish HIV-1 DNA/MVA vaccinees: a phase I randomized trial.PLoS One. 2015; 10
- TaMoVac study group. Optimizing the immunogenicity of HIV prime-boost DNA-MVA-rgp140/GLA vaccines in a phase II randomized factorial trial design.PLoS One. 2018; 13
- The second-generation active Aβ immunotherapy CAD106 reduces amyloid accumulation in APP transgenic mice while minimizing potential side effects.J. Neurosci. 2011; 31 (9323–9231)
- Safety, tolerability, and antibody response of active Aβ immunotherapy with CAD106 in patients with Alzheimer’s disease: randomised, double-blind, placebo-controlled, first-in-human study.Lancet Neurol. 2012; 11: 597-604
- ACC-001 (QS-21) study team. Two phase 2 multiple ascending-dose studies of Vanutide Cridificar (ACC-001) and QS-21 adjuvant in mild-to-moderate Alzheimer’s disease.J. Alzheimers Dis. 2016; 51: 1131-1143
- Active Aβ immunotherapy CAD106 in Alzheimer’s disease: a phase 2b study.Alzheimers Dement (N Y). 2016; 3: 10-22
- Long-term extensions of randomized vaccination trials of ACC-001 and QS-21 in mild to moderate Alzheimer’s disease.Curr. Alzheimer Res. 2017; 14: 696-708
- UB-311, a novel UBITh® amyloid β peptide vaccine for mild Alzheimer’s disease.Alzheimers Dement (N Y). 2017; 3: 262-272
- Development of a new DNA vaccine for Alzheimer disease targeting a wide range of aβ species and amyloidogenic peptides.PLoS One. 2013; 8e75203
- Epitope-based DNA vaccine for Alzheimer’s disease: translational study in macaques.Alzheimers Dement. 2014; 10: 284-295
- Characterization and preclinical evaluation of the cGMP grade DNA based vaccine, AV-1959D to enter the first-in-human clinical trials.Neurobiol. Dis. 2020; 139104823
- Soluble Aβ oligomer production and toxicity.J. Neurochem. 2012; 120: 125-139
- Co-stimulation with TNF receptor superfamily 4/25 antibodies enhances in-vivo expansion of CD4+CD25+Foxp3+ T cells (Tregs) in a mouse study for active DNA Abeta42 immunotherapy.J. Neuroimmunol. 2015; 278: 90-99
- Analysis of three plasmid systems for use in DNA A beta 42 immunization as therapy for Alzheimer’s disease.Vaccine. 2010; 28: 5280-5287
- Improving bioscience research reporting: the ARRIVE guidelines for reporting animal research.PLoS Biol. 2010; 8 (e1000412.0)
- Evaluation of a DNA Aβ42 vaccine in aged NZW rabbits: antibody kinetics and immune profile after intradermal immunization with full-length DNA Aβ42 trimer.J. Alzheimers Dis. 2017; 57: 97-112
- Evaluation of a DNA Abeta42 vaccine in adult rhesus monkeys (Macaca mulatta): antibody kinetics and immune profile after intradermal immunization with full-length DNA Abeta42 trimer.Alzheimers Res. Ther. 2017; 9: 30
- DNA Aβ42 immunization generates a multivalent vaccine: Antibodies in plasma of active full-length DNA Aβ42 immunized mice show polyclonal Aβ42 peptide binding.Alzheimer’s & Dementia. 2015; 11 (Supplement, P842 (Abstract))
- Brain to plasma amyloid-beta efflux: a measure of brain amyloid burden in a mouse model of Alzheimer’s disease.Science. 2002; 295: 2264-2267
- Antigen-antibody dissociation in Alzheimer disease: a novel approach to diagnosis.J. Neurochem. 2008; 106: 1350-1356
- Antigen-bound and free β-amyloid autoantibodies in serum of healthy adults.PLoS One. 2012; 7e44516
- Increased levels of antigen-bound β-amyloid autoantibodies in serum and cerebrospinal fluid of Alzheimer’s disease patients.PLoS One. 2013; 8e68996
- High levels of Aβ bound antibody in plasma of DNA Aβ42 trimer immunized 3xTg-AD mice.Alzheimer’s & Dementia. 2019; 15 (Supplement, P1595 (Abstract))
- Impairment of nesting behaviour in 3xTg-AD mice.Behav. Brain Res. 2013; 247: 153-157
- Increased 4R-tau induces pathological changes in a human-tau mouse model.Neuron. 2016; 90: 941-947
- Factors other than hTau overexpression that contribute to tauopathy-like phenotype in rTg4510 mice.Nat. Commun. 2019; 10: 2479
- Changes in the brain transcriptome after DNA Aβ42 trimer immunization in a 3xTg-AD mouse model.Neurobiol. Dis. 2021; 148105221
- Needle-free injectors for mass administration of fractional dose inactivated poliovirus vaccine in Karachi, Pakistan: a survey of caregiver and vaccinator acceptability.Vaccine. 2020; 38: 1893-1898
- A first-in-human phase I study of INVAC-1, an optimized human telomerase DNA vaccine in patients with advanced solid tumors.Clin. Cancer Res. 2020; 26: 588-597
- Needle free injection technology: a complete insight.Int J Pharm Investig. 2015; 5: 192-199
- Immunization with amyloid-beta attenuates Alzheimer-disease-like pathology in the PDAPP mouse.Nature. 1999; 400: 173-177
- Overcoming antigen masking of anti-amyloid beta antibodies reveals breaking of B cell tolerance by virus-like particles in amyloid beta immunized amyloid precursor protein transgenic mice.BMC Neurosci. 2004; 5: 21
- Improvement of a low pH antigen-antibody dissociation procedure for ELISA measurement of circulating anti-Abeta antibodies.BMC Neurosci. 2007; 20: 22
- Active immunotherapy to prevent Alzheimer disease - a DNA amyloid β 1-42 trimer vaccine.JAMA Neurol. 2020; 77: 289-290
Article info
Publication history
Published online: January 21, 2023
Accepted:
January 19,
2023
Received in revised form:
January 11,
2023
Received:
May 13,
2022
Identification
Copyright
Published by Elsevier B.V.