期刊信息

  • 刊名: 河北师范大学学报(自然科学版)Journal of Hebei Normal University (Natural Science)
  • 主办: 河北师范大学
  • ISSN: 1000-5854
  • CN: 13-1061/N
  • 中国科技核心期刊
  • 中国期刊方阵入选期刊
  • 中国高校优秀科技期刊
  • 华北优秀期刊
  • 河北省优秀科技期刊

纳米抗体在阿尔茨海默病诊断与治疗中的研究进展及应用

  • (河北师范大学 生命科学学院,河北 石家庄 050024)
  • DOI: 10.13763/j.cnki.jhebnu.nse.202604012

Research progress and applications of nanobodies in the diagnosis and therapy of Alzheimer′s disease

摘要/Abstract

摘要:

阿尔茨海默病(Alzheimer′s disease,AD)是一种以进行性认知功能障碍和行为障碍为特征的神经退行性疾病,其病理特征包括β-淀粉样蛋白(amyloid-β protein,Aβ)斑块沉积、Tau蛋白过度磷酸化形成神经纤维缠结(neurofibrillary tangles,NFTs)以及神经炎症.科研人员已研发多种疫苗、单抗和小分子抑制剂等药物,但现有治疗药物仅能缓解症状,无法遏制疾病进展.传统单克隆抗体(monoclonal antibody,mAb)如Aducanumab、Lecanemab、Donanemab等虽进入临床,但存在血脑屏障(blood brain barrier,BBB)穿透效率低、免疫原性强、生产成本高及长期疗效不佳等局限,亟需开发新型诊断与治疗策略.纳米抗体(nanobodies,Nbs)因其体积小、穿透性强、稳定性高等特点,在AD诊断与治疗中展现出巨大潜力,近年来被广泛应用于AD的诊断和治疗研究中.本文综述了纳米抗体的结构特点以及纳米抗体在靶向Aβ、Tau蛋白和神经炎症中的应用研究进展,并探讨了其面临的挑战和未来发展方向.

Abstract:

Alzheimer′s disease(AD) is a neurodegenerative disorder characterized by progressive cognitive and behavioral impairments.Its pathological features include the deposition of amyloid-β(Aβ) plaques,hyperphosphorylation of Tau protein leading to neurofibrillary tangles(NFTs),and neuroinflammation.Researchers have developed various vaccines,monoclonal antibodies(mAbs),and small molecule inhibitors,but current treatments can only alleviate symptoms without halting disease progression.Traditional mAbs such as Aducanumab,Lecanemab,and Donanemab,although in clinical use,have limitations including low blood-brain barrier(BBB) penetration,strong immunogenicity,high production costs,and insufficient long-term efficacy.There is an urgent need to develop novel diagnostic and therapeutic strategies.Nanobodies(Nbs),due to their small size,strong penetration,and high stability,have shown great potential in AD diagnosis and treatment and have been widely applied in AD research in recent years.This article reviews the structural characteristics of nanobodies and the progress in their application in targeting Aβ,Tau protein,and neuroinflammation,and discusses the challenges and future development directions.

参考文献 41

  • [1] Xia Z D,Ma R X,Wen J F,et al.Pathogenesis,animal models,and drug discovery of Alzheimer′s disease[J].Journal of Alzheimer′s Disease,2023,94(4):1265-1301.DOI:10.3233/jad-230326.
  • [2] Ji Q Q,Chen J Q,Li Y F,et al.Incidence and prevalence of Alzheimer′s disease in China:a systematic review and meta-analysis[J].European Journal of Epidemiology,2024,39(7):701-714.DOI:10.1007/s10654-024-01144-2.
  • [3] Hamers-Casterman C,Atarhouch T,Muyldermans S,et al.Naturally occurring antibodies devoid of light chains[J].Nature,1993,363(6428):446-448.DOI:10.1038/363446a0.
  • [4] Harmsen M M,De Haard H J.Properties,production,and applications of camelid single-domain antibody fragments[J].Applied Microbiology and Biotechnology,2007,77(1):13-22.DOI:10.1007/s00253-007-1142-2.
  • [5] Sundberg E J,Mariuzza R A.Molecular recognition in antibody-antigen complexes[M].Amsterdam:Elsevier,2002:119-160.DOI:10.1016/s0065-3233(02)61004-6.
  • [6] Kasturirangan S,Boddapati S,Sierks M R.Engineered proteolytic nanobodies reduce Aβ burden and ameliorate Aβ-induced cytotoxicity[J].Biochemistry,2010,49(21):4501-4508.
  • [7] Levites Y,Das P,Price R W,et al.Anti-Abeta42- and anti-Abeta40 -specific mAbs attenuate amyloid deposition in an Alzheimer disease mouse model[J].The Journal of Clinical Investigation,2006,116(1):193-201.DOI:10.1172/JCI25410.
  • [8] Pinheiro L,Faustino C.Therapeutic strategies targeting amyloid-β in Alzheimer′s disease[J].Current Alzheimer Research,2019,16(5):418-452.DOI:10.2174/1567205016666190321163438.
  • [9] Nabuurs R J A,Rutgers K S,Welling M M,et al.In vivo detection of amyloid-β deposits using heavy chain antibody fragments in a transgenic mouse model for Alzheimer′s disease[J].PLoS One,2012,7(6):e38284.DOI:10.1371/journal.pone.0038284.
  • [10] Li T F,Vandesquille M,Koukouli F,et al.Camelid single-domain antibodies:a versatile tool for in vivo imaging of extracellular and intracellular brain targets[J].Journal of Controlled Release,2016,243:1-10.DOI:10.1016/j.jconrel.2016.09.019.
  • [11] Haynes J R,Whitmore C A,Behof W J,et al.Targeting soluble amyloid-beta oligomers with a novel nanobody[J].Scientific Reports,2024,14:16086.DOI:10.1038/s41598-024-66970-6.
  • [12] Wouters Y,Jaspers T,Rué L,et al.VHHs as tools for therapeutic protein delivery to the central nervous system[J].Fluids and Barriers of the CNS,2022,19(1):79.DOI:10.1186/s12987-022-00374-4.
  • [13] Su S R,Esparza T J,Brody D L.Selection of single domain anti-transferrin receptor antibodies for blood-brain barrier transcytosis using a neurotensin based assay and histological assessment of target engagement in a mouse model of Alzheimer′s related amyloid-beta pathology[J].PLoS One,2022,17(10):e0276107.DOI:10.1371/journal.pone.0276107.
  • [14] Schupf N,Patel B,Silverman W,et al.Elevated plasma amyloid β-peptide 1-42 and onset of dementia in adults with Down syndrome[J].Neuroscience Letters,2001,301(3):199-203.DOI:10.1016/S0304-3940(01)01657-3.
  • [15] McLaurin J,Cecal R,Kierstead M E,et al.Therapeutically effective antibodies against amyloid-beta peptide target amyloid-beta residues 4-10 and inhibit cytotoxicity and fibrillogenesis[J].Nature Medicine,2002,8(11):1263-1269.DOI:10.1038/nm790.
  • [16] Lafaye P,Achour I,England P,et al.Single-domain antibodies recognize selectively small oligomeric forms of amyloid β,prevent Aβ-induced neurotoxicity and inhibit fibril formation[J].Molecular Immunology,2009,46(4):695-704.DOI:10.1016/j.molimm.2008.09.008.
  • [17] Paraschiv G,Vincke C,Czaplewska P,et al.Epitope structure and binding affinity of single chain llama anti-β-amyloid antibodies revealed by proteolytic excision affinity-mass spectrometry[J].Journal of Molecular Recognition,2013,26(1):1-9.DOI:10.1002/jmr.2210.
  • [18] Zameer A,Kasturirangan S,Emadi S,et al.Anti-oligomeric Aβ single-chain variable domain antibody blocks Aβ-induced toxicity against human neuroblastoma cells[J].Journal of Molecular Biology,2008,384(4):917-928.DOI:10.1016/j.jmb.2008.09.068.
  • [19] Kasturirangan S,Li L,Emadi S,et al.Nanobody specific for oligomeric beta-amyloid stabilizes nontoxic form[J].Neurobiology of Aging,2012,33(7):1320-1328.DOI:10.1016/j.neurobiolaging.2010.09.020.
  • [20] Cavaco M,Valle J,da Silva R,et al. DPepH3,an improved peptide shuttle for receptor-independent transport across the blood-brain barrier[J].Current Pharmaceutical Design,2020,26(13):1495-1506.DOI:10.2174/138161282666620021309 4556.
  • [21] AHMAD A.Blood-based biomarkers for Alzheimer′s disease:an in vitro proof of concept[D].Portugal:Universidade NOVA de Lisboa,2019.
  • [22] Gallardo G,Holtzman D M.Amyloid-β and Tau at the Crossroads of Alzheimer′s disease[M].Tau biology.Singapore:Springer,2019:187-203.
  • [23] Congdon E E,Ji C Y,Tetlow A M,et al.Tau-targeting therapies for Alzheimer disease:current status and future directions[J].Nature Reviews Neurology,2023,19(12):715-736.DOI:10.1038/s41582-023-00883-2.
  • [24] Gerson J E,Castillo-Carranza D L,Kayed R.Advances in therapeutics for neurodegenerative tauopathies:moving toward the specific targeting of the most toxic Tau species[J].ACS Chemical Neuroscience,2014,5(9):752-769.
  • [25] Villegas S,Roda A,Serra-Mir G,et al.Amyloid-beta peptide and Tau protein crosstalk in Alzheimer′s disease[J].Neural Regeneration Research,2022,17(8):1666.DOI:10.4103/1673-5374.332127.
  • [26] Dupré E,Danis C,Arrial A,et al.Single domain antibody fragments as new tools for the detection of neuronal Tau protein in cells and in mice studies[J].ACS Chemical Neuroscience,2019,10(9):3997-4006.
  • [27] McArthur N,Kang B,Rivera Moctezuma F G,et al.Development of a pan-Tau multivalent nanobody that binds Tau aggregation motifs and recognizes pathological Tau aggregates[J].Biotechnology Progress,2024,40(5):e3463.DOI:10.1002/btpr.3463.
  • [28] McArthur N,Squire J D,Onyeachonam O J,et al.Generation of nanobodies with conformational specificity for Tau oligomers that recognize Tau aggregates from human Alzheimer′s disease samples[J].Biomaterials Science,2024,12(23):6033-6046.
  • [29] Danis C,Dupré E,Zejneli O,et al.Inhibition of Tau seeding by targeting Tau nucleation core within neurons with a single domain antibody fragment[J].Molecular Therapy,2022,30(4):1484-1499.DOI:10.1016/j.ymthe.2022.01.009.
  • [30] Danis C,Dupré E,Bouillet T,et al.Inhibition of Tau neuronal internalization using anti-Tau single domain antibodies[J].Nature Communications,2025,16:3162.DOI:10.1038/s41467-025-58383-4.
  • [31] Rauch J N,Luna G,Guzman E,et al.LRP1 is a master regulator of Tau uptake and spread[J].Nature,2020,580(7803):381-385.DOI:10.1038/s41586-020-2156-5.
  • [32] Benn J,Cheng S,Keeling S,et al.Aggregate-selective removal of pathological Tau by clustering-activated degraders[J].Science,2024,385(6712):1009-1016.DOI:10.1126/science.adp5186.
  • [33] Kiss L,James L C.The molecular mechanisms that drive intracellular neutralization by the antibody-receptor and RING E3 ligase TRIM21[J].Seminars in Cell & Developmental Biology,2022,126:99-107.DOI:10.1016/j.semcdb.2021.11.005.
  • [34] Abskharon R,Pan H,Sawaya M R,et al.Structure-based design of nanobodies that inhibit seeding of Alzheimer′s patient-extracted Tau fibrils[J].Proceedings of the National Academy of Sciences of the United States of America,2023,120(41):e2300258120.DOI:10.1073/pnas.2300258120.
  • [35] Zhang F J,Jiang L L.Neuroinflammation in Alzheimer′s disease[J].Neuropsychiatric Disease and Treatment,2015:243.DOI:10.2147/ndt.s75546.
  • [36] Alibhai J D,Diack A B,Manson J C.Unravelling the glial response in the pathogenesis of Alzheimer′s disease[J].The FASEB Journal,2018,32(11):5766-5777.DOI:10.1096/fj.201801360R.
  • [37] Ingelsson M,Fukumoto H,Newell K L,et al.Early Aβ accumulation and progressive synaptic loss,gliosis,and tangle formation in AD brain[J].Neurology,2004,62(6):925-931.DOI:10.1212/01.wnl.0000115115.98960.37.
  • [38] Li T F,Vandesquille M,Bay S,et al.Selection of similar single domain antibodies from two immune VHH libraries obtained from two alpacas by using different selection methods[J].Immunology Letters,2017,188:89-95.DOI:10.1016/j.imlet.2017.07.001.
  • [39] Meier S R,Sehlin D,Syvnen S.Passive and receptor mediated brain delivery of an anti-GFAP nanobody[J].Nuclear Medicine and Biology,2022,114:128-134.DOI:10.1016/j.nucmedbio.2022.04.002.
  • [40] Morito T,Harada R,Iwata R,et al.Synthesis and pharmacokinetic characterisation of a fluorine-18 labelled brain shuttle peptide fusion dimeric affibody[J].Scientific Reports,2021,11:2588.DOI:10.1038/s41598-021-82037-2.
  • [41] Morito T,Harada R,Iwata R,et al.Evaluation of 18F labeled glial fibrillary acidic protein binding nanobody and its brain shuttle peptide fusion proteins using a neuroinflammation rat model[J].PLoS One,2023,18(6):e0287047.DOI:10.1371/journal.pone.0287047.