Lecanemab blocks the effects of the Aβ/fibrinogen complex on blood clots and synapse toxicity in organotypic culture

Proteinaceous brain inclusions, neuroinflammation, and vascular dysfunction are common pathologies in Alzheimer's disease (AD). Vascular deficits include a compromised blood-brain barrier, which can lead to extravasation of blood proteins like fibrinogen into the brain. Fibrinogen's interaction with the amyloid-beta (Aβ) peptide is known to worsen thrombotic and cerebrovascular pathways in AD. Lecanemab, an FDA-approved antibody therapy for AD, clears Aβ plaque from the brain and slows cognitive decline. Here, we show that lecanemab blocks fibrinogen's binding to Aβ protofibrils, preventing Aβ/fibrinogen-mediated delayed fibrinolysis and clot abnormalities in vitro and in human plasma. Additionally, we show that lecanemab dissociates the Aβ/fibrinogen complex and prevents fibrinogen from exacerbating Aβ-induced synaptotoxicity in mouse organotypic hippocampal cultures. These findings reveal a possible protective mechanism by which lecanemab may slow disease progression in AD.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:121

Enthalten in:

Proceedings of the National Academy of Sciences of the United States of America - 121(2024), 17 vom: 23. Apr., Seite e2314450121

Sprache:

Englisch

Beteiligte Personen:

Singh, Pradeep Kumar [VerfasserIn]
Simões-Pires, Elisa Nicoloso [VerfasserIn]
Chen, Zu-Lin [VerfasserIn]
Torrente, Daniel [VerfasserIn]
Calvano, Marissa [VerfasserIn]
Sharma, Anurag [VerfasserIn]
Strickland, Sidney [VerfasserIn]
Norris, Erin H [VerfasserIn]

Links:

Volltext

Themen:

12PYH0FTU9
9001-32-5
Alzheimer’s disease
Amyloid beta-Peptides
Amyloid-beta
Antibodies, Monoclonal, Humanized
Fibrinogen
Fibrinolysis
Journal Article
Lecanemab

Anmerkungen:

Date Completed 17.04.2024

Date Revised 28.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1073/pnas.2314450121

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM371102545