Alzheimer's disease (AD) is the most common cause of dementia in the elderly. It is characterized clinically by progressive cognitive decline, eventually resulting in death, usually within 10 years of diagnosis. The neuropathological features of the disease include depositions of amyloid-? (A?), neurofibrillary tangles (tau), and neuronal loss in affected brain regions. Currently, the predominant theory of the etiology is delineated in the amyloid cascade hypothesis. According to this hypothesis, the accumulations of various forms of soluble and/or insoluble A? have a central role in the onset and progression of AD and lead to the formation of neurofibrillary tau tangles. However, recent clinical studies using biomarkers demonstrated that A? abnormalities precede the tau pathology and cognitive decline by 10 years or more, whereas accumulation of pathological tau correlates with the onset of clinical symptoms. Thus, there is a consensus in the field that A? - based immunotherapeutic(s) can be effective as a prophylactic measure in very early AD (prodromal) and/or in non-symptomatic subjects at risk for AD, while tau-based immunotherapeutic(s) can be used as a therapeutic measure in patients with mild-moderate AD. Accordingly, our team developed three recombinant protein- based epitope vaccines that target pathological A? (AV-1959R), tau (AV-1980R) or A? /tau (AV-1953R) simultaneously and tested the immunogenicity of these vaccines in wild-type mice. Of note, all these vaccines have been constructed on the proprietary universal MultiTEP platform (US patents submitted) that is highly immunogenic in mice, rabbits and monkeys. Based on these published results and preliminary data the goals of this competitive renewal project are to study the efficacy and safety of single and dual vaccines in 3xTg-AD mice that have both A? and tau pathologies. The following 3 aims will be pursued to achieve these goals:
In Aim 1 we will test the efficacy of prophylactic vaccination initiated in young 3xTg-AD mice before the onset of AD-like pathology. More specifically, we will study the efficacy of epitope vaccines targeting either A? (AV- 1959R) or tau (AV-1980R) or A? /tau simultaneously (AV-1953R). In addition, we will optimize the vaccination regimen in these experiments.
In Aim 2 we are planning to study the efficacy of a therapeutic/prophylactic vaccination regimen in 3xTg-AD mice with established A? -pathology but before the onset of tau pathology. The completion of these studies will allow us to evaluate the therapeutic efficacy of AV-1959R, the prophylactic efficacy of AV-1980R, and therapeutic/prophylactic efficacies of AV-1953R vaccines. Again, in this aim we will optimize the therapeutic/prophylactic vaccination regimen. Finally, in Aim 3 we will study the efficacy of the therapeutic vaccination regimen in 3xTg-AD mice with established AD-like pathology at the start of vaccination. We believe that the completion of all three Aims by our stellar multidisciplinary team including immunologists, vaccine researchers, neuroscientists/cognitive scientists, and molecular biologists can help us to identify the best immunotherapeutic strategy and translate it to the clinic.
|Davtyan, Hayk; Petrushina, Irina; Ghochikyan, Anahit (2014) Immunotherapy for Alzheimer's disease: DNA- and protein-based epitope vaccines. Methods Mol Biol 1143:259-81|
|Davtyan, Hayk; Ghochikyan, Anahit; Hovakimyan, Armine et al. (2014) Immunostimulant patches containing Escherichia coli LT enhance immune responses to DNA- and recombinant protein-based Alzheimer's disease vaccines. J Neuroimmunol 268:50-7|
|Davtyan, Hayk; Ghochikyan, Anahit; Petrushina, Irina et al. (2014) The MultiTEP platform-based Alzheimer's disease epitope vaccine activates a broad repertoire of T helper cells in nonhuman primates. Alzheimers Dement 10:271-83|
|Ghochikyan, Anahit; Petrushina, Irina; Davtyan, Hayk et al. (2014) Immunogenicity of epitope vaccines targeting different B cell antigenic determinants of human *-synuclein: feasibility study. Neurosci Lett 560:86-91|
|Davtyan, Hayk; Hovakimyan, Armine; Zagorski, Karen et al. (2014) BTX AgilePulse(TM) system is an effective electroporation device for intramuscular and intradermal delivery of DNA vaccine. Curr Gene Ther 14:190-9|
|Davtyan, Hayk; Ghochikyan, Anahit; Hovakimyan, Armine et al. (2014) A dual vaccine against influenza & Alzheimer's disease failed to enhance anti-?-amyloid antibody responses in mice with pre-existing virus specific memory. J Neuroimmunol 277:77-84|
|Davtyan, Hayk; Bacon, Andrew; Petrushina, Irina et al. (2014) Immunogenicity of DNA- and recombinant protein-based Alzheimer disease epitope vaccines. Hum Vaccin Immunother 10:1248-55|
|Ghochikyan, Anahit; Davtyan, Hayk; Petrushina, Irina et al. (2013) Refinement of a DNA based Alzheimer's disease epitope vaccine in rabbits. Hum Vaccin Immunother 9:1002-10|
|Davtyan, Hayk; Ghochikyan, Anahit; Petrushina, Irina et al. (2013) Immunogenicity, efficacy, safety, and mechanism of action of epitope vaccine (Lu AF20513) for Alzheimer's disease: prelude to a clinical trial. J Neurosci 33:4923-34|
|Passos, Giselle F; Medeiros, Rodrigo; Cheng, David et al. (2013) The bradykinin B1 receptor regulates A? deposition and neuroinflammation in Tg-SwDI mice. Am J Pathol 182:1740-9|
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