Gene therapy for Alzheimer's disease targeting CD33 reduces amyloid beta accumulation and neuroinflammation

Ana Griciuc1, Anthony N Federico1, Jeyashree Natasan2

  • 1Genetics and Aging Research Unit, McCance Center for Brain Health, MassGeneral Institute for Neurodegenerative Disease, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA 02129, USA.

Human Molecular Genetics
|August 18, 2020
PubMed

Insights

Gene therapy using adeno-associated virus vector to reduce CD33 on microglia effectively lowered amyloid beta plaque accumulation in Alzheimer's disease mouse models. Early intervention proved most effective in reducing pathology and neuroinflammation.

Area of Science:

  • Neuroscience
  • Immunology
  • Genetics

Background:

  • Neuroinflammation is a critical factor in Alzheimer's disease (AD) pathology.
  • CD33, a receptor on microglial cells, is upregulated in AD brains and impairs amyloid beta (Aβ) clearance.
  • Reducing CD33 has shown promise in decreasing amyloid plaque burden in AD mouse models.

Purpose of the Study:

  • To investigate the efficacy of a gene therapy strategy using an adeno-associated virus (AAV) vector to reduce CD33 expression on microglia in AD mouse models.
  • To determine if targeting CD33 can decrease amyloid beta plaque load and associated neuroinflammation.

Main Methods:

  • APP/PS1 mice were treated with an AAV vector encoding an artificial microRNA targeting CD33 (miRCD33) via intracerebroventricular injection.
  • Intervention timing was varied (2 months vs. 8 months of age) to assess the impact of early versus late treatment.
  • Levels of CD33 mRNA, soluble Aβ, amyloid plaque burden, microglial receptor transcripts, and inflammatory markers were measured.

Main Results:

  • miRCD33 treatment significantly reduced CD33 mRNA and soluble Aβ40/Aβ42 levels in the brain.
  • Early intervention (at 2 months) was more effective in reducing amyloid plaque burden compared to later intervention (at 8 months).
  • Early treatment downregulated microglial receptors (e.g., CD11c, CD47, CD36) and inflammatory genes (e.g., Tlr4, Il1b), and reduced protein levels of Ccl2 and Tnfα.

Conclusions:

  • CD33 is a viable therapeutic target for Alzheimer's disease.
  • AAV-based gene therapy for CD33 knockdown is a promising strategy to reduce amyloid beta accumulation and neuroinflammation in AD.
  • Early therapeutic intervention is crucial for maximizing the benefits of CD33-targeted gene therapy.