Developing treatments that slow, if not halt, the neuronal loss and cognitive decline of Alzheimer’s disease (AD) has proven to be a challenge. Among the scientists who have taken on that challenge are researchers at the University of Florida’s McKnight Brain Institute in Gainesville, using the fruit fly Drosophila melanogaster as a model.
The scientists are investigating passive immunotherapy, one of the most promising approaches to blocking the amyloid-?42 (A?42) peptide, the main component of the amyloid plaques that damage the brain cells of patients with AD.
Monoclonal antibodies, the cornerstone of immunotherapy, do not easily penetrate the tightly packed cells of the blood-brain barrier. As alternatives to full antibodies, the University of Florida scientists generated transgenic flies expressing two anti-A? single chain variable fragments (scFv), known as scFv9 and scFv42.2.
Drosophila flies genetically modified to express human A?42 also co-expressed either scFv9 or scFv42.2. Each treatment reduced the loss of photoreceptor neurons due to A?42 toxicity and improved the insects’ eye morphology. In addition, the flies’ mushroom bodies, the brain structures involved in olfactory learning and memory, were protected.
Administering both scFv9 and scFv42.2 to the flies produced a synergistic protective activity, which suggests that both scFvs can simultaneously target different A?42 epitopes, the scientists said. This is the first time that two antibodies targeting different regions of A?42 have shown synergistic activities, thanks to the experimental flexibility of Drosophila.
In addition to immunotherapy, the scientists investigated the protective effects of a laboratory engineered secreted Heat shock protein 70 (secHsp70) on flies whose brain cells were accumulating A?42 extracellularly. Hsp70 is a chaperone that prevents and reverts protein misfolding but is primarily located inside the cell. In flies treated with extracellular secHsp70, the eyes were perfectly organized, cell death was reduced, calyces in the mushroom bodies were preserved, and locomotor function was improved.
The researchers determined that secHsp70 interacted directly with A?42 without affecting A?42 accumulation and aggregation in the flies’ brains. Thus, the protective activity of secHsp70 may be mediated by stable binding to toxic A?42 species. This study is a new approach to broadly target amyloids outside the cell and block their ability to attack the surrounding neurons, the scientists said.