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Innovative strategy to target blood proteins for treatment of Alzheimer’s disease — ScienceDaily

Innovative strategy to target blood proteins for treatment of Alzheimer’s disease — ScienceDaily

 


An international research team led by Professor Nancy IP, Morningside Professor of Life Sciences at The Hong Kong University of Science and Technology (HKUST) and Director of the Hong Kong Center for Neurodegenerative Diseases (HKCeND), has a key role in the pathogenesis of Alzheimer’s disease (AD) fulfill. Their findings reveal innovative strategies to reduce the risk of developing Alzheimer’s disease and improve the condition of people with Alzheimer’s disease.

Affected by more than 50 million people worldwide, AD is an irreversible condition for which there is currently no effective treatment. This is mainly because the disease mechanisms are complex and largely unknown, and there are few effective targets available for drug development. Researchers have previously observed that impaired clearance of toxic amyloid-beta (Aβ) peptides in the brains of AD patients by immune cells (microglia) causes cellular dysfunction, leading to memory loss and cognitive impairment. However, the reasons behind this disorder are still poorly understood.

Here, the team discovered a blood protein, soluble ST2 (sST2), that plays a key role in interfering with Aβ clearance by microglia. The team found that sST2 levels in the blood and brain increase with age, which disrupts the activity of the cytokine interleukin-33 (IL-33), reduces microglial clearance of Aβ, and increases Aβ deposition. shown to increase. Indeed, the team had previously discovered a beneficial activity of IL-33 on microglial clearance of her Aβ in the brain. Interestingly, they further found that lowering sST2 levels had a protective effect against the development of AD and improved AD-related pathology in diseased individuals.

The research team also found that sST2 levels are regulated by genetic factors. An individual with a genetic variant called ‘rs1921622’ has relatively low levels of her sST2 protein in blood and brain even with age and is less likely to develop AD. This is especially pronounced in a woman with her APOE4 gene, the strongest genetic risk factor for AD. Postmortem brain studies by the team revealed that carriers of this protective gene variant had AD characterized by reduced Aβ plaque deposition, reflecting enhanced Aβ clearance by microglia in the brain. The associated symptoms were greatly relieved.

Taken together, these important findings open up new possibilities for AD therapy primarily aimed at reducing sST2 levels. This innovative strategy only requires the manipulation of proteins in the blood, thus offering a simpler and safer approach compared to other therapeutic strategies that target the brain. It offers hope for a high-risk group, such as APOE4 carriers of AD, who are at higher risk of developing AD and tend to have more severe symptoms after onset, accounting for 25% to 50% of all AD patients.

“While this exciting study has furthered our understanding of Alzheimer’s disease and identified excellent drug targets for developing therapeutics, the importance of precision medicine in tackling this complex multifactorial disease was also revealed,” said Professor Ip. “The next step is to develop clinical interventions that target sST2 and determine their feasibility as effective AD prevention and treatment, especially for female APOE4 carriers who are at high risk of developing AD. .”

This work was carried out with support from the Hong Kong Special Administrative Region Government’s InnoHK scheme, in collaboration with researchers from University College London and Stanford University, and clinicians from Prince of Wales Hospital, University of Melbourne, and Edith Cowan University. rice field.The results were recently published in a journal natural aginghas also been featured and actively discussed on various academic exchange platforms focused on AD research, such as Alzforum.

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material provided by Hong Kong University of Science and Technology. Note: Content may be edited for style and length.

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