Rescue of Transgenic Alzheimer's Pathophysiology by Polymeric Cellular Prion Protein Antagonists

聚合细胞朊蛋白拮抗剂对转基因阿尔茨海默病病理生理的挽救作用

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作者:Erik C Gunther ,Levi M Smith ,Mikhail A Kostylev ,Timothy O Cox ,Adam C Kaufman ,Suho Lee ,Ewa Folta-Stogniew ,George D Maynard ,Ji Won Um ,Massimiliano Stagi ,Jacqueline K Heiss ,Austin Stoner ,Geoff P Noble ,Hideyuki Takahashi ,Laura T Haas ,John S Schneekloth ,Janie Merkel ,Christopher Teran ,Zahra K Naderi ,Surachai Supattapone ,Stephen M Strittmatter

Abstract

Cellular prion protein (PrPC) binds the scrapie conformation of PrP (PrPSc) and oligomeric β-amyloid peptide (Aβo) to mediate transmissible spongiform encephalopathy (TSE) and Alzheimer's disease (AD), respectively. We conducted cellular and biochemical screens for compounds blocking PrPC interaction with Aβo. A polymeric degradant of an antibiotic targets Aβo binding sites on PrPC with low nanomolar affinity and prevents Aβo-induced pathophysiology. We then identified a range of negatively charged polymers with specific PrPC affinity in the low to sub-nanomolar range, from both biological (melanin) and synthetic (poly [4-styrenesulfonic acid-co-maleic acid], PSCMA) origin. Association of PSCMA with PrPC prevents Aβo/PrPC-hydrogel formation, blocks Aβo binding to neurons, and abrogates PrPSc production by ScN2a cells. We show that oral PSCMA yields effective brain concentrations and rescues APPswe/PS1ΔE9 transgenic mice from AD-related synapse loss and memory deficits. Thus, an orally active PrPC-directed polymeric agent provides a potential therapeutic approach to address neurodegeneration in AD and TSE. Keywords: Alzheimer; Alzheimer’s disease; amyloid-beta; antagonist; hydrogel; memory; oligomer; prion; scrapie; synapse loss; β-amyloid.

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