Work

Antibody Engineering for Optimized Immunotherapy in Alzheimer's Disease

Year: 2018
Type: review
Abstract: There are nearly 50 million people with Alzheimer's disease (AD) worldwide and currently no disease modifying treatment is available. AD is characterized by deposits of Amyloid-β (Aβ), neurofibrillary tangles, and neuroinflammation, and several drug discovery programmes studies have focussed on Aβ as therapeutic target. Active immunization and passive immunization against Aβ leads to the clearance of deposits in humans and transgenic mice expressing human Aβ but have failed to improve memory loss. This review will discuss the possible explanations for the lack of efficacy of Aβ immunotherapy, including the role of a pro-inflammatory response and subsequent vascular side effects, the binding site of therapeutic antibodies and the timing of the treatment. We further discuss how antibodies can be engineered for improved efficacy.
Language: English
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W2799675696
FWCI: 0.327
Cites: 109
Cited by: 24
Related to: 10