アルツハイマー病に関する新たな複合体の病理的役割を発見(How an Alzheimer’s peptide and a blood protein may combine to drive early disease pathology)

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2025-06-20 ロックフェラー大学

ロックフェラー大学の研究により、アルツハイマー病の初期病理において、脳内のβ-アミロイド(Aβ)オリゴマーと血中のフィブリノーゲンが結合し、神経毒性を高める複合体を形成することが判明した。Aβ単体よりも、フィブリノーゲンとの複合体のほうが低濃度でも強い神経障害を引き起こすことが示された。この相互作用は、従来のAβ単独モデルに新たな視点を加えるものであり、病気の進行を早める要因として注目される。この複合体を標的とすることで、アルツハイマー病の新たな診断法や治療法の開発が期待される。

<関連情報>

アルツハイマー病モデルにおけるシナプス毒性、神経炎症、血液脳関門障害に対するAβ/フィブリノーゲン複合体の相乗効果 Synergistic effects of the Aβ/fibrinogen complex on synaptotoxicity, neuroinflammation, and blood–brain barrier damage in Alzheimer’s disease models

Elisa Nicoloso Simões-Pires, Daniel Torrente, Pradeep Singh, Sidney Strickland, Erin H. Norris
Alzheimer’s & Dementia  Published: 08 May 2025
DOI:https://doi.org/10.1002/alz.70119

アルツハイマー病に関する新たな複合体の病理的役割を発見(How an Alzheimer’s peptide and a blood protein may combine to drive early disease pathology)

Abstract

INTRODUCTION

Alzheimer’s disease (AD) is characterized by amyloid-beta (Aβ), hyperphosphorylated tau, chronic neuroinflammation, blood–brain barrier (BBB) damage, and synaptic dysfunction, leading to neuronal loss and cognitive deficits. Vascular proteins, including fibrinogen, extravasate into the brain, further contributing to damage and inflammation. Fibrinogen’s interaction with Aβ is well-established, but how this interaction contributes to synaptic dysfunction in AD is unknown.

METHODS

Organotypic hippocampal cultures (OHC) were exposed to Aβ42 oligomers, fibrinogen, or Aβ42/fibrinogen complexes. Synaptotoxicity was analyzed by Western blot. Aβ42 oligomers, fibrinogen, or their complexes were intracerebroventricularly injected into mice. Histopathological AD markers, synaptotoxicity, neuroinflammation, and vascular markers were observed by Western blot and immunofluorescence.

RESULTS

Aβ42/fibrinogen complexes led to synaptic loss, tau181 phosphorylation, neuroinflammation, and BBB disruption, independent of Mac1/CD11b receptor signaling. Blocking Aβ42/fibrinogen complex formation prevented synaptotoxicity.

DISCUSSION

These findings indicate that the Aβ42/fibrinogen complex has a synergistic impact on hippocampal synaptotoxicity and neuroinflammation.

Highlights
  • Fibrinogen binds to the central region of Aβ, forming a plasmin-resistant complex.
  • The Aβ/fibrinogen complex induces synaptotoxicity, inflammation, and BBB disruption.
  • Synaptotoxicity induced by the complex is independent of Mac1 receptor signaling.
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