neuroscience research ACanntcibero pdroyli-febraatisvee dsig tnoaolinlsg fHoandrb onok eurodegenerative disease research C ontents 1 Introduction 1-1 — 1-4 2 Common themes in neurodegenerative disease 2-1 — 2-13 3 Focus on Alzheimer’s disease 3-1 — 3-21 4 Other neurodegenerative diseases 4-1— 4-18 5 Summary 5-1 — 5-5 1 Overview of neurodegenerative diseases Introduction Neurodegeneration is a general term referring to neurons that develop a loss of cellular structure or function.1 The most common examples of neurodegenerative diseases include Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease, and amyotrophic lateral sclerosis (ALS). Neurodegenerative diseases (NDs) are debilitating, and the global numbers of affected individuals continue to rise sharply.2,3 Most current therapies target the specific neurons and transmitter systems that are destroyed during the early stages of disease. Some examples include acetylcholinesterase inhibitors, which increase acetylcholine levels in AD, and dopaminergic agents for PD. At best, current therapies may alleviate symptoms, but do not address the underlying pathology and do not significantly modify or delay the disease course. Therefore, there is a pressing need to develop new therapies that could lead to neuronal protection and regeneration. For example, cell replacement therapies, such as those based on human embryonic stem cells (ESCs) or induced pluripotent stem cells (iPSCs), have the potential to successfully treat various NDs. Additionally, strategies that modulate neuroinflammatory responses may provide new treatment options because neuroinflammation fundamentally contributes to the physiopathology of neurodegenerative disorders.3,4 The aims of this handbook are to provide an overview of NDs and to introduce information about new and emerging technologies and antibody-based tools that can enable and further neuroscience research. Contents Overview of neurodegenerative diseases 1-2 Antibodies: powerful tools for neurodegenerative disease research 1-3 References 1-4 For Research Use Only. Not for use in diagnostic procedures. © 2015 Thermo Fisher Scientific Inc. Find out more at thermofisher.com/antibodies 1 Overview of neurodegenerative diseases General statistics Risk factors Millions of people across the globe have some form of Genetic factors are attributable to early onset, familial, ND.5 Both AD and PD have the highest prevalence, with and sporadic forms of degenerative disorders that affect over five million cases and up to one million cases in the the nervous system. Inherited monogenic mutations may United States, respectively (Table 1.1). The number of be expressed in either a dominant or recessive fashion patients with some form of a neurodegenerative condition and are predictive of disease onset for familial forms of continues to rise. For example, the prevalence of AD in NDs, whereas other genetic mutations may predispose to people 65 years of age or older is expected to triple by the sporadic disease development. For example, mutations year 2050.6-16 in synuclein, alpha (non A4 component of amyloid precursor) (SNCA), the gene that encodes alpha-syncluclein Table 1.1. 2015 Prevalence of neurodegenerative diseases worldwide (α-synuclein) protein, are associated with PD, while various and within the US. disruptions in the amyloid beta (A4) precursor protein (APP) gene are linked with different forms of AD. Table 1.2 Disease Statistics provides representative examples of genes associated with Alzheimer’s disease 44 million people worldwide various NDs. Multiple different risk factors, both genetic 5.2 million people in the US and environmental, are associated with the onset of NDs Parkinson’s disease 7–10 million people worldwide (Figure 1.1). Additionally, advancing age is another risk factor Up to 1 million people in the US linked to the development of many NDs, possibly due to Huntington’s disease 10.6–13.7 people per 100,000 in Western the accumulation of exposure to environmental factors and populations 30,000 people in the US a decrease in the function of cellular repair mechanisms. Amyotrophic lateral 6 people per 100,000 total population Medical conditions, such as cardiovascular disease and sclerosis >20,000 people in the US injuries resulting in head trauma, may also increase the risk Multiple sclerosis 2.5 million people worldwide for developing AD, while smoking—and certain infectious 400,000 people in the US agents—may increase the risk for MS.17-20 Risk factors Inflammation Genetic Environment Aging Oxidative stress risk factors risk factors Growth factor loss Mood disturbance Protein aggregation Motor DNA damage disturbance Monogenic mutations Mitochondrial dysfunction Neurodegeneration Apoptosis Excitotoxicity Cognitive impairment Sensory disturbance Figure 1.1. Many neurodegenerative diseases share common risk factors and mechanisms that predispose patients to disease development. 1-2 Antibody-based tools for neurodegenerative disease research | Introduction 1 Antibodies: powerful tools for neurodegenerative disease research Antibodies are used for multiple applications, including immunofluorescence imaging, immunohistochemistry, western blotting, ELISA, flow cytometry, and other applications. Our antibodies are validated by many citations worldwide, helping you achieve superior experimental results. To access our antibody search tool and find the right antibody for your research, go to, thermofisher.com/neuroantibodies Table 1.2. Representative genes and gene products associated with NDs. Gene Disease Target Antibody Cat. No. Representative publications referencing our antibodies symbol AD APP Amyloid Amyloid Precursor Protein Brodney MA, Barreiro G, Ogilvie K, et al. (2012) Spirocyclic sulfamides as Precursor Monoclonal Antibody (mAβP2-1) β-secretase 1 (BACE-1) inhibitors for the treatment of Alzheimer’s disease: Protein (OMA103132) utilization of structure based drug design, WaterMap, and CNS penetration studies to identify centrally efficacious inhibitors. J Med Chem 55(21):9224– 9239. PS1 Presinilin 1 Presenilin 1 Monoclonal Antibody Shimada IS, LeComte MD, Granger JC, et al. (2012) Self-renewal and (APS 18) differentiation of reactive astrocyte-derived neural stem/progenitor (MA1-752) cells isolated from the cortical peri-infarct area after stroke. J Neurosci 32(23):7926–7940. PS2 Presinilin 2 Presenilin 2 Monoclonal Antibody Diehlmann A, Ida N, Weggen S, et al. (1999) Analysis of presenilin 1 and (APS 26) presenilin 2 expression and processing by newly developed monoclonal (MA1-754) antibodies J Neurosci Res 56(4):405–419. PD SNCA Alpha- Alpha Synuclein Antibody (14H2L1), Coelho-Cerqueira E, Carmo-Gonçalves P, Pinheiro AS, et al. (2013) synuclein ABfinity™ Rabbit Monoclonal α-Synuclein as an intrinsically disordered monomer--fact or artefact? FEBS J (701085) 280(19):4915–4927. SNCA Monoclonal Antibody Sánchez-Danés A, Richaud-Patin Y, Carballo-Carbajal I, et al. (2012) Disease- (2B2D1, 2B2A11) specific phenotypes in dopamine neurons from human iPS-based models of (MA5-15290) genetic and sporadic Parkinson’s disease. EMBO Mol Med 4(5):380–395. ALS SOD1 Superoxide Superoxide Dismutase 1 Polyclonal Chen X, Choi IY, Chang TS, et al. (2009) Pretreatment with interferon-gamma dismutase 1 Antibody protects microglia from oxidative stress via up-regulation of Mn-SOD. Free (LF-PA0013) Radic Biol Med 46(8):1204–1210. HD HD Huntingtin Huntingtin/Htt Neoepitope 552 Leyva MJ, Degiacomo F, Kaltenbach LS, et al. (2010) Identification and Polyclonal Antibody evaluation of small molecule pan-caspase inhibitors in Huntington’s disease (PA1-003) models. Chem Biol 17(11):1189–1200. Huntingtin/Htt Neoepitope 513 Hermel E, Gafni J, Propp SS, et al. (2004) Specific caspase interactions and Polyclonal Antibody amplification are involved in selective neuronal vulnerability in Huntington’s (PA1-002) disease. Cell Death Differ 11(4):424–438. Multiple different mutations in the Synuclein, alpha (non A4 component of amyloid precursor) or SNCA gene encode proteins that oligomerize, agregate, and form inclusions in the brain that are characteristically associated with PD. In addition to their role in PD, α-Synuclein oligomers are also linked to NDs such as dementia with Lewy bodies.21 Alpha-synuclein (14H2L1), Rabbit Monoclonal ABfinityTM Antibody. Immunohistochemistry analysis of paraffin-embedded human brain tissue with anti–alpha synuclein antibody (Cat. No. 701085) showing staining in the cytoplasm (right) compared to a negative control without primary antibody (left). To discover our full lline of antibodies, ELISAs, and LuminexTM assay kits visit thermofisher.com/antibodies Antibody-based tools for neurodegenerative disease research | Introduction 1-3 1 References 1. Przedborski S, Vila M, Jackson-Lewis V (2003) Neurodegeneration: what is it and where are we? J Clin Invest 111(1):3–10. 2. Davis M, Stroud C, eds (2013) Neurodegeneration: Exploring Commonalities Across Diseases: Workshop Summary USA: National Academy of Sciences. p4-15. http:// www.nap.edu/catalog.php?record_id=18341. Accessed September 2015. 3. Aoun S, McConigley R, Abernethy A Currow DC et al. (2010) Caregivers of people with neurodegenerative diseases: profile and unmet needs from a population-based survey in South Australia. J Palliat Med 13(6):653–661. 4. Amor S, Puentes F, Baker D et al. (2010) Inflammation in neurodegenerative diseases. Immunology 129(2):154–169. 5. Neurodegenerative Diseases. National Institute of Environmental Health Sciences. https://www.niehs.nih.gov/research/supported/diseases/neurodegenerative/index. cfm. Accessed July 2015. 6. Alzheimers.net 2015 Alzheimer’s Statistics. http://www.alzheimers.net/resources/ alzheimers-statistics/. Accessed July 2015. 7. Statistics on Parkinson’s. Parkinson’s Diseae Foundation http://www.pdf.org/en/ parkinson_statistics Accessed July 2015. 8. Bates GP, Dorsey R, Gusella J, et al. (2015) Huntington Disease. Nat Rev Dis Primers 1:1–21. 9. Kinsley L, Siddique (2001) T Amyotrophic Lateral Sclerosis Overview. [Updated 2015 Feb 12]. In: GeneReviews™ [Internet]. Pagon RA, Adam MP, Ardinger HH et al., editors. Seattle (WA): University of Washington, Seattle; 1993–2015. 10. Epidemiology of ALS and Suspected Clusters. ALS Association. http://www.alsa. org/als-care/resources/publications-videos/factsheets/epidemiology.html. Accessed July 2015. 11. Epidemiology of MS. MS International Federation. http://www.msif.org/research/ epidemiology-of-ms/. Accessed July 2015. 12. Tullman MJ (2013) Overview of the epidemiology, diagnosis, and disease progression associated with multiple sclerosis. Am J Manag Care 2013;19(2 Suppl):S15–S20. 13. Facts You Should Know. ALS Association. http://www.alsa.org/about-als/facts-you- should-know.html. Accessed July 2015. 14. What is ALS/MND? International Alliance of ALS/MND Associations. http://www. alsmndalliance.org/what-is-alsmnd/. Accessed July 2015. 15. Huntington’s Disease. Remedy’s Health Communities.com. http://www. healthcommunities.com/huntingtons-disease/overview-of-huntingtons.shtml. Accessed July 2015. 16. 2015 Alzheimer’s Disease Facts and Figures. Alzheimer’s Association. https://www. alz.org/facts/downloads/facts_figures_2015.pdf. Accessed July 2015. 17. Hindle JV (2010) Ageing, neurodegeneration and Parkinson’s disease. Age Ageing 39(2):156–161. 18. Risk Factors. Alz.org http://www.alz.org/alzheimers_disease_causes_risk_factors. asp. Accessed July 2015. 19. Simon KC, Schmidt H, Loud S (2015) Risk factors for multiple sclerosis, neuromyelitis optica and transverse myelitis. Mult Scler 21(6):703–709. 20. Van Deerlin VM (2012) The genetics and neuropathology of neurodegenerative disorders: perspectives and implications for research and clinical practice. Acta Neuropathol 124(3):297–303. 21. Klein C, Westenberger (2010) A Genetics of Parkinson’s disease. Cold Spring Harb Perspect Med 2(1):a008888. Find out more at thermofisher.com/antibodies All rights reserved. All trademarks are the property of Thermo Fisher Scientific and its subsidiaries unless otherwise specified. CO016173 1015 1-4 Antibody-based tools for neurodegenerative disease research | Introduction 2 Common themes in neurodegenerative disease Introduction Traditionally, neurodegenerative diseases (NDs) have been researched as separate entities with differing etiologies and pathologies. Recently, however, it has become clear that certain molecular, cellular, and genetic mechanisms likely span a variety of NDs. These findings suggest that investigation into commonalities may not only provide insight into basic processes, but also into shared diagnostic biomarkers and therapeutic targets.1 In addition to similar features of neuronal dysfunction across various brain regions, NDs may share specific pathophysiological processes. For example, many of these conditions involve the production, accumulation, and decreased removal of misfolded proteins that culminate in the appearance of insoluble plaques. Furthermore, common mechanisms of neuronal malfunction and destruction occur in multiple diseases and manifest through inflammation, oxidative stress, mitochondrial dysfunction, and enhanced excitotoxicity. (Table 2.1).2-12 Many decades of research have yielded current therapies that, in many cases, target the specific neurons and transmitter systems that are destroyed during the course of these diseases. These therapies include acetylcholinesterase inhibitors to increase levels of acetylcholine in Alzheimer’s disease (AD), and dopaminergic agents for Parkinson’s disease (PD). At best, current therapies alleviate or delay symptoms, but do not address the underlying pathology and do not modify or delay the disease course. Moreover, current therapies do not preserve or restore neuronal function. In contrast, emerging therapies in development are designed to target specific pathological processes involved in neuronal destruction, and provide neuronal protection and regeneration. For example, stem cell–based therapies, such as those using mesenchymal stem cells or cells derived from induced pluripotent stem cells (iPSCs), and immunotherapeutic strategies may lead the next generation of modalities for treating a variety of NDs. Contents Overview of neurodegenerative diseases 2-2 Oxidative stress and neurodegeneration 2-9 Common themes in neurodegeneration 2-3 Emerging areas of neurodegenerative disease research 2-11 Protein misfolding and neurodegeneration 2-4 References 2-13 Find out more at thermofisher.com/antibodies For Research Use Only. Not for use in diagnostic procedures. © 2015 Thermo Fisher Scientific Inc. 2 Overview of neurodegenerative diseases Overview of neurodegenerative disease Various defining features are associated with different NDs. For example distinct regions of the brain may be involved and unique cell types may play a role in the pathogenesis of different NDs. For example, AD affects cholinergic neurons, PD is associated by the degradation of dopaminergic neurons, and MS impacts oligodendrocytes that form the myelin sheath surrounding neurons of the CNS. Despite these disease-specific characteristics, NDs share many common pathologies, such as protein misfolding, chronic inflammation, and high levels of oxidative stress that induces cell death. Table 2.1 provides an overview of features associated with several neurodegenerative disorders.13–20 PSD95 Mouse Monoclonal Antibody (6G6-1C9). Immunofluorescent analysis of U251 glioma cells with anti-PSD95 antibody (Cat. No. MA1-045). Nuclei were stained with DAPI (blue). Table 2.1. Features associated with several neurodegenerative disorders. Neurodegenerative Affected brain Cell types Protein components/ Defect Pathology disease regions involved biomarkers Alzheimer’s disease Progressive Hippocampus; cerebral Cholinergic Senile plaques, Aβ amyloid, tau, vimentin, dementia cortex neurons; neurofibrillary actin, α-synuclein, TDP-43, astrocytes; tangles, Lewy ubiquitin, and MAP2 microglial cells bodies, neuronal inclusions Parkinson’s disease Movement Substantia nigra; Dopamine Lewy bodies Cytoplasmic aggregates of disorder hypothalamus producing neurons α-synuclein; may include other proteins: Parkin (PARK2), DJ-1 gene product (PARK7), LRRK2 (PARK8; Dardarin) Huntington’s disease Dementia, Striatum; cerebral GABAergic Neural inclusions Nuclear aggregation of motor and cortex; thalamus neurons huntingtin (HTT); huntingtin- psychiatric interacting protein (HIP) problems Amyotrophic lateral Movement Motor neurons of the Neurons; glial cells Neural inclusions Ubiquitin-positive, Tardbp- sclerosis disorder cortex, brainstem, positive, intra-cytoplasmic spinal cord; non- inclusions; FUS/TLS, SOD1 motor neurons may be affected in later disease Multiple sclerosis Sensory, Sensorimotor neurons Neurons; Axonal MBP, PLP, MOG, lesions/ motor, of the central nervous microglial cells, demyelinating proinflammatory cytokines and visual system oligodendrocytes; lesions/plaques (i.e., IL-17) disturbances lymphocytes; of immune cells antigen-presenting cells 2-2 Antibody-based tools for neurodegenerative disease research | Common themes in neurodegenerative disease 2 Common themes in neurodegeneration Select methods for evaluating biomarkers Obtaining human samples from the CNS to directly and proteins visualize pathology presents major limitations; however, Biomarker discovery is essential for developing strategies postmortem tissue assessment using histological and that may lead to earlier detection of NDs and to novel immunohistological analysis of proteins associated with therapies for treating these debilitating conditions. In AD and other NDs is commonly used to aid diagnoses, addition, determining the localization and distribution and in vitro cellular experiments with primary neuronal patterns of proteins within cells provides insight about cells and cell lines also lend well to experiments that mechanisms that promote pathogenesis. A number of implement antibody-based tools.22 These tools are often approaches are employed for evaluating biomarkers used for examination of surrogate compartments such as that correlate with specific NDs and for elucidating the the CNS and for neural tissue analysis frequently included cellular localization of proteins. Physical biomarkers may as experimental endpoints for characterizing models of be categorized under brain imaging methodologies. neurodegeneration developed with a wide-range of different Examples of techniques for identifying and quantitating species, including non-human primates and rodents. One proteins present in blood and cerebrospinal fluid (CSF) major challenge with preclinical models is that they do not include ELISA and various proteomics platforms such as fully recapitulate the complexities associated with human Luminex.21 An example of a method that is increasingly used NDs; however use of experimental models has aided efforts for identifying neuronal populations is immuno-electron to identify biomarkers, test agents, and cell-based therapies microscopy (immuno-EM), which enables detection of designed to treat neurodegenerative conditions, and have amino acids, peptides, and proteins. This technique involves provided insight into the cellular and molecular mechanism a specialized tissue preparation protocol and coupling involved in ND-pathogenesis and progression.23 antibodies to electron-dense markers such as colloidal gold particles (Table 2.2 and Figure 2.1). Table 2.2. Select methods for evaluating neurodegenerative proteinopathies. Detection methods Magnetic resonance imaging (MRI) Positron emission tomography (PET) scan Western blot Histology Immunohistochemistry Immunofluorescence imaging Immuno–electron microscopy (immuno-EM) Enzyme-linked immunosorbent assay (ELISA) Figure 2.1. Immuno-EM may be employed to identify Multiplex protein assays antigen-specific localization and distribution of antigens in tissue. Post-embedding immuno-gold detection of vesicular Mass spectrometry glutamate transporter 1 (VGLUT1) in rat spinal cord section. Note synaptic bouton with gold particles over synaptic vesicles, presence of mitochondria, apposition with dendrite, and synaptic active zone. Antibody-based tools for neurodegenerative disease research | Common themes in neurodegenerative disease 2-3 2 Protein misfolding and neurodegeneration Mechanisms of protein misfolding Transmembrane stress sensors and downstream Protein misfolding is a hallmark feature of many transcription factors comprise the UPR.26 Examples neurodegenerative diseases, including AD, PD, HD, and of ER membrane proteins acting as associated stress amyotrophic lateral sclerosis (ALS). Misfolded proteins sensors include: inositol-requiring transmembrane generate signals to initiate a set of endoplasmic reticulum kinase/endoribonuclease 1 (IRE1), protein kinase–like (ER) stress responses, collectively termed the unfolded eukaryotic initiation factor 2α kinase (PERK), and activating protein response (UPR), which act to protect cells from the transcription factor-6 (ATF6).25 Once activated, these detrimental buildup of proteins.12 Although many wild type proteins regulate multiple processes, including the rate of proteins are capable of misfolding or forming aggregates, protein production, the expression of proteins that aid in genetic mutation can result in the generation of a protein protein folding, the prevention of protein aggregation, and with an altered amino acid sequence that enhances the the promotion of retrotranslocation and the degradation of tendency of the protein to fold and aggregate. proteins produced in the ER (Table 2.3).12 For example, in AD, multiple different APP mutations Table 2.3. Representative ER membrane stress sensors. drive production of defective Aβ peptides that oligomerize and contribute to fibril formation (Figure 2.2). Enhanced Antibody Target Function Cat. No. aggregation may also result from overproduction of a protein product, or increased metabolic, oxidative, and IRE1 Transcription of X-box-binding IRE1 alpha inflammatory stress events. protein; promoter for genes Polyclonal regulating ER retrotranslocation Antibody and degradation of misfolded (PA1-16928) An elegant mechanism of quality control for protein proteins processing, folding, and trafficking exists within the PERK Phosphorylates eIF2α to prevent PERK Polyclonal endoplasmic reticulum (ER) to prevent the buildup of ER influx of pre-modified proteins Antibody misfolded proteins. Foldases and molecular chaperones (PA5-15305) play an intimate role in this process. Misfolded proteins ATF6 Transcription factor mediates ATF6 Polyclonal may be retained within the ER, or may be broken down by upregulation of chaperone Antibody autophagy or the proteasome-dependent ER-associated proteins (PA5-20215) protein pathway.24,25 XPB1 Transcription factor for ER XPP-1 Monoclonal stress-related proteins regulates Antibody (9B7E5) ER retrotranslocation and (MA5-15768) degradation of misfolded proteins Alzheimerʼs Amyloid-β disease Native monomer Parkinsonʼs α-synuclein disease Misfolding Abnormal protein Huntingtonʼs disease Huntingtin misfolding and (HD SCAs) ataxins aggregation β-sheet Amyotrophic lateral TDP-43 oligomers sclerosis SOD1 Neurodegeneration Frontotemporal Amyloid fibrillar Tau lobar degeneration aggregates Figure 2.2. Protein misfolding and neurodegeneration. 2-4 Antibody-based tools for neurodegenerative disease research | Common themes in neurodegenerative disease
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