Isotope-labeled amyloid-β does not transmit to the brain in a prion-like manner after peripheral administration

Mirjam Brackhan1,2, Giulio Calza3, Kristiina Lundgren3

  • 1Department of Pathology, Section of Neuropathology, Translational Neurodegeneration Research and Neuropathology Lab, University of Oslo and Oslo University Hospital, Oslo, Norway.

EMBO Reports
|May 27, 2022
PubMed

Insights

Alzheimer's disease transmission is unlikely. This study found that injected amyloid-beta (Aβ) aggregates do not reach the brain from peripheral sites, refuting transmissibility concerns.

Area of Science:

  • Neuroscience
  • Biochemistry
  • Pathology

Background:

  • Early cerebral amyloid-beta (Aβ) deposition observed in animal models and human treatments raised concerns about Alzheimer's disease (AD) transmissibility.
  • The direct pathway of peripheral Aβ aggregates reaching the brain remained unproven, necessitating investigation into potential transmission routes.

Purpose of the Study:

  • To investigate whether peripherally administered amyloid-beta (Aβ) aggregates can reach the brain.
  • To determine if Alzheimer's disease (AD) is potentially transmissible between individuals via peripheral exposure to Aβ.

Main Methods:

  • Utilized a proteomic approach combining stable isotope labeling (13C-lysine) and targeted mass spectrometry.
  • Injected 13C-labeled brain extracts containing human amyloid-beta (Aβ) into amyloid precursor protein-transgenic mice.
  • Tracked the presence and incorporation of labeled Aβ in various tissues, including the brain, liver, and lymphoid organs.

Main Results:

  • Injected amyloid-beta (Aβ) was detected in the liver and lymphoid tissues for up to 100 days post-injection.
  • 13C-labeled Aβ was not detectable in the brain of recipient mice.
  • Recipient mice incorporated 13C-lysine from donor brain extracts into their endogenous Aβ, indicating metabolic processing but not direct Aβ transfer.

Conclusions:

  • Amyloid-beta (Aβ) does not appear to reach the brain from peripheral administration sites.
  • The study provides evidence against the transmissibility of Alzheimer's disease (AD) through peripheral exposure to Aβ aggregates.
  • Findings open new research avenues into the mechanisms of protein deposition in neurodegenerative diseases.