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Toll-like receptor 4 stimulation with the detoxified ligand monophosphoryl lipid A improves Alzheimer's disease-related pathology.


ABSTRACT: Alzheimer's disease (AD) is the most common cause of dementia worldwide. The pathogenesis of this neurodegenerative disease, currently without curative treatment, is associated with the accumulation of amyloid ? (A?) in brain parenchyma and cerebral vasculature. AD patients are unable to clear this toxic peptide, leading to A? accumulation in their brains and, presumably, the pathology associated with this devastating disease. Compounds that stimulate the immune system to clear A? may therefore have great therapeutic potential in AD patients. Monophosphoryl lipid A (MPL) is an LPS-derived Toll-like receptor 4 agonist that exhibits unique immunomodulatory properties at doses that are nonpyrogenic. We show here that repeated systemic injections of MPL, but not LPS, significantly improved AD-related pathology in APP(swe)/PS1 mice. MPL treatment led to a significant reduction in A? load in the brain of these mice, as well as enhanced cognitive function. MPL induced a potent phagocytic response by microglia while triggering a moderate inflammatory reaction. Our data suggest that the Toll-like receptor 4 agonist MPL may be a treatment for AD.

SUBMITTER: Michaud JP 

PROVIDER: S-EPMC3562771 | biostudies-literature | 2013 Jan

REPOSITORIES: biostudies-literature

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Toll-like receptor 4 stimulation with the detoxified ligand monophosphoryl lipid A improves Alzheimer's disease-related pathology.

Michaud Jean-Philippe JP   Hallé Maxime M   Lampron Antoine A   Thériault Peter P   Préfontaine Paul P   Filali Mohammed M   Tribout-Jover Pascale P   Lanteigne Anne-Marie AM   Jodoin Rachel R   Cluff Christopher C   Brichard Vincent V   Palmantier Rémi R   Pilorget Anthony A   Larocque Daniel D   Rivest Serge S  

Proceedings of the National Academy of Sciences of the United States of America 20130115 5


Alzheimer's disease (AD) is the most common cause of dementia worldwide. The pathogenesis of this neurodegenerative disease, currently without curative treatment, is associated with the accumulation of amyloid β (Aβ) in brain parenchyma and cerebral vasculature. AD patients are unable to clear this toxic peptide, leading to Aβ accumulation in their brains and, presumably, the pathology associated with this devastating disease. Compounds that stimulate the immune system to clear Aβ may therefore  ...[more]

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