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2015 ; 290
(35
): 21652-62
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Distinct Therapeutic Mechanisms of Tau Antibodies: Promoting Microglial Clearance
Versus Blocking Neuronal Uptake
#MMPMID26126828
Funk KE
; Mirbaha H
; Jiang H
; Holtzman DM
; Diamond MI
J Biol Chem
2015[Aug]; 290
(35
): 21652-62
PMID26126828
show ga
Tauopathies are neurodegenerative diseases characterized by accumulation of Tau
amyloids, and include Alzheimer disease and certain frontotemporal dementias.
Trans-neuronal propagation of amyloid mediated by extracellular Tau may underlie
disease progression. Consistent with this, active and passive vaccination studies
in mouse models reduce pathology, although by unknown mechanisms. We previously
reported that intracerebroventricular administration of three anti-Tau monoclonal
antibodies (HJ8.5, HJ9.3, and HJ9.4) reduces pathology in a model overexpressing
full-length mutant (P301S) human Tau. We now study effects of these three
antibodies and a negative control antibody (HJ3.4) on Tau aggregate uptake into
BV2 microglial-like cells and primary neurons. Antibody-independent Tau uptake
into BV2 cells was blocked by heparin, consistent with a previously described
role for heparan sulfate proteoglycans. Two therapeutic antibodies (HJ8.5 and
HJ9.4) promoted uptake of full-length Tau fibrils into microglia via Fc
receptors. Surprisingly, HJ9.3 promoted uptake of fibrils composed of the Tau
repeat domain or Alzheimer disease-derived Tau aggregates, but failed to
influence full-length recombinant Tau fibrils. Size fractionation of aggregates
showed that antibodies preferentially promote uptake of larger oligomers (n ? ?
20-mer) versus smaller oligomers (n ? 10-mer) or monomer. No antibody inhibited
uptake of full-length recombinant fibrils into primary neurons, but HJ9.3 blocked
neuronal uptake of Tau repeat domain fibrils and Alzheimer disease-derived Tau.
Antibodies thus have multiple potential mechanisms, including clearance via
microglia and blockade of neuronal uptake. However these effects are epitope- and
aggregate size-dependent. Establishing specific mechanisms of antibody activity
in vitro may help in design and optimization of agents that are more effective in
vivo.