Progress in Inflammation Research Series Editor Prof. Dr. Michael J. Parnham PLiVA Research Institute Prilaz baruna Filipovica25 10000Zagreb Croatia Forthcomingtitles: Disease-modifying Therapy in Vasculitides, C.G.M. Kallenberg, JW. Cohen Tervaert (Editors), 2001 MechanismsandMediators ofNeuropathicPain, A.B. Malmberg, S.R. ChapIan (Editors), 2001 Inflammation andStroke, G. Feuerstein (Editor), 2001 NMDA AntagonistsasPotential AnalgesicDrugs, R.G. Hill, D.J.S. Sirinathsinghji (Editors), 2001 The Hereditary BasisofAllergicDisorders, J.Holioway, S. Holgate (Editors), 2001 Migraine: ANeuroinflammatoryDisease?, E.L.H. Spierings, M. Sanchezdel Rio (Editors), 2002 (Already published titles see lastpage) Neuroinflammatory Mechanisms in Alzheimer's Disease Basic and Clinical Research Joseph Rogers Editor Springer Basel AG Editor Dr. Joseph Rogers Sun Health Research Institute 10 515 West Santa Fe Drive Sun City, AZ 85372 USA A CIP catalogue record for this book is available from the Library of Congress, Washington D.C., USA Deutsche 8ibliothek Cataloging-in-Publication Data Neuroinflammatory mechanisms in Alzheimer's disease : basic and clinical research / Joseph Rogers ed .. -Basel ; Boston; Berlin: Birkhauser, 2001 (Progress in inflammation research) ISBN 978-3-0348-9529-3 ISBN 978-3-0348-8350-4 (eBook) DOI 10.1007/978-3-0348-8350-4 The publisher and editor can give no guarantee for the information on drug dosage and administration contained in this publication. The respective user must check its accuracy by consulting other sources of reference in each individual case. The use of registered names, trademarks etc. in this publication, even if not identified as such, does not imply that they are exempt from the relevant protective laws and regulations or free for general use. This work is subject to copyright. AII rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, re-use of iIIustrations, recitation, broadcasting, reproduction on micro films or in other ways, and storage in data banks. For any kind of use, permission of the copyright owner must be obtained. © 2001 Springer Basel AG Originally published by Birkhauser Verlag in 2001 Softcover reprint of the hardcover 1s t edition 2001 Printed on acid-free paper produced from chlorine-free pulp. TCF = Cover design: Markus Etterich, Basel Cover illustration: Accumulation of astrocytes in neuritic plaques in an AD brain (p. 95ff). ISBN 978-3-0348-9529-3 987654321 Contents List of contributors . vii Preface........................................................................... xi Basic Research Overview Harry E. Peery, Ron W StrohmeyerandJoseph Rogers Cellular and molecular mechanisms of Alzheimer's disease inflammation 3 Clinical Research Overview Patrick L. McGeer, Michael Schulzerand Edith G. McGeer Anti-inflammatory agents as possible protective factors for Alzheimer's disease: Analysis of relevant epidemiological studies . 53 Topics ofSpecial Interest Robert Veerhuis, Freek L. Van Muiswinkel, C. Erik Hack and Piet Eikelenboom Role and regulation of early complement activation products in Alzheimer's disease.. ............... . . .......... 67 Bonnie M. Bradt, Stephen A. O'Barr, Jack X. Yu and Neil R. Cooper Complement mediator systems in Alzheimer's disease. 89 ScottD. Webster Amyloid ~ peptide interactions with the classical pathway ofcomplement .... 105 Harald Hampel, Michael Scheloske and Andreas Haslinger Physiology and biochemistry ofthe interleukin-6 receptor complex~ Implications for CNS disorders and Alzheimer's disease 121 Ikuo Tooyama Interactions ofa2-macroglobulin and amyloid ~ peptide 145 vv. Steven Barger Proinflammatory actions of derivatives ofthe ~ amyloid precursor protein ..... 155 Douglas G. Walker, Lih-Fen Lue, Andis Klegeris andPatrick L. McGeer The involvement of glial cell-derived reactive oxygen and nitrogen species in Alzheimer's disease 173 Giulio Maria Pasinetti The role ofcydooxygenase in Alzheimer's disease neurodegeneration .. ... 197 Ian R.A. Mackenzie Microglia . . 209 Haruhiko Akiyama Neurons . .............225 Caleb E. Finch and Valter D. Longo The gero-inflammatory manifold . ..237 Index 257 List of contributors Haruhiko Akiyama, Tokyo Institute of Psychiatry, 2-1-8 Kamikitazawa, Setagaya ku, Tokyo, 156-8585,Japan; e-mail: [email protected] Steven W. Barger, Geriatric Research Education Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR 72205, USA; e-mail: [email protected] Bonnie M. Bradt, Department of Internal Medicine, University of California Davis Medical Center, 1508 Alhambra Blvd., Sacramento, CA 95816, USA; e-mail: [email protected] Neil R. Cooper, DepartmentofImmunology, The Scripps Research Institute, 10550 North Torrey Pines Road, LaJolla, CA 92037, USA; e-mail: [email protected] Piet Eikelenboom, Research Institute Neurosciences Vrije Universiteit, Department of Psychiatry, PCA Valeriuskliniek, Valeriusplein 9, 1075 BG Amsterdam, The Netherlands; e-mail: [email protected] Caleb E. Finch, Andrus Gerontology Center and Department ofBiological Sciences, University ofSouthern California, Los Angeles, CA 90089-0191, USA; e-mail: [email protected] C. Erik Hack, Department of Autoimmune Diseases, Central Laboratory of the Netherlands Red Cross Bloodtransfusion Service, Plesmanlaan 125, 1066 CX Ams terdam, The Netherlands; e-mail: [email protected] Harald Hampel, Dementia Research Section, Department of Psychiatry, Ludwig Maximilian University, Nussbaumstr. 7, 80336 Munich, Germany; e-mail: [email protected] Andreas Haslinger, Dementia Research Section, Department of Psychiatry, Ludwig Maximilian University, Nussbaumstr. 7,80336 Munich, Germany Listofcontributors Andis Klegeris, Kinsmen LaboratoryofNeurological Research, UniversityofBritish Columbia, 2255 Wesbrook Mall, Vancouver, B.C., V6T IZ3 Canada; e-mail: [email protected] Valter D. Longo, Andrus Gerontology Center and Department of Biological Sci ences, University of Southern California, Los Angeles, CA 90089-0191, USA; e-mail: [email protected] Lih-Fen Lue, Sun Health Research Institute, 10515 West Santa Fe Drive, Sun City, AZ 85351, USA; e-mail: [email protected] Ian R.A. Mackenzie, Department ofPathology and Laboratory Medicine, Universi ty ofBritish Columbia, Vancouver, B.C., V6T 2B5 Canada; e-mail: [email protected] Edith G. McGeer, Kinsmen Laboratory of Neurological Research, Department of Psychiatry, University of British Columbia, 2255 Wesbrook Mall, Vancouver, B.C., V6T 1Z3 Canada; e-mail: [email protected] Patrick L. McGeer, Kinsmen Laboratory of Neurological Research, Department of Psychiatry, University of British Columbia, 2255 Wesbrook Mall, Vancouver, B.C., V6T 1Z3 Canada; e-mail: [email protected] StephenA. O'Barr, College ofPharmacy,Western UniversityofHealth Sciences, 309 East Second Street, Pomona, CA 91766-1854, USA Giulio Maria Pasinetti, Neuroinflammation Research Laboratories, Department of Psychiatry, MountSinaiSchool ofMedicine, One Gustave L. LevyPlace,New York, NY 10029, USA; e-mail: [email protected] Harry E. Peery, Department of Pharmacology and Toxicology, College of Pharma cy, Arizona Health Sciences Center, University ofArizona, Tucson, AZ 85721, USA Joseph Rogers, Sun Health Research Institute, 10515WestSanta Fe Drive, Sun City, AZ 85351, USA; e-mail: [email protected] Michael Scheloske, Dementia Research Section, Department ofPsychiatry, Ludwig Maximilian University, Nussbaumstr. 7, 80336 Munich, Germany Michael Schulzer, Kinsmen Laboratory of Neurological Research, Departments of Medicine and Statistics, University ofBritish Columbia, 2255 Wesbrook Mall, Van couver, B.C., V6T 1Z3 Canada; e-mail: [email protected] viii Listofcontributors RonW. Strohmeyer, SunHealth Research Institute, 10515West SantaFeDrive, Sun City, AZ 85351, USA Ikuo Tooyama, Molecular Neuroscience Research Center, Shiga University ofMed ical Science, Otsu 520-2192,Japan; e-mail: [email protected] Freek L. Van Muiswinkel, Research Institute Neurosciences Vrije Universiteit, DepartmentofPharmacology,Van der Boechorststraat7, 1081 BTAmsterdam,The Netherlands; e-mail: [email protected] RobertVeerhuis, Research Institute NeurosciencesVrije Universiteit, Departmentof Pathology, De Boe1elaan 1117, 1081 HV Amsterdam, The Netherlands; e-mail: [email protected] Douglas G. Walker, Sun Health Research Institute, 10515 West Santa Fe Drive, Sun City, AZ 85351, USA; e-mail: [email protected] Scott D. Webster, Department of Molecular Biology and Biochemistry, 3205 Bio logical Sciences II, University of California, Irvine, CA 92697, USA; e-mail: [email protected] Jack X. Yu, Department of Immunology, The Scripps Research Institute, 10550 North Torrey Pines Road, La Jolla, CA 92037, USA ix Preface Research into inflammatory mechanisms that maycause damage to the Alzheimer's disease (AD) brain has now been ongoing for nearly two decades. Some two dozen clinical studies have strongly suggested that conventional anti-inflammatory drugs may be useful to delay the onset or slow the progression ofthe disorder. Moreover, virtually all the major systems ofthe innate immune response appear to be present, and most are upregulated, in pathologically-vulnerable regions of the AD brain. These new findings are described in this volume - first in overview form, followed by chapters on topics ofspecial interest. In many ways, to understand AD brain inflammation, one need only review a texton peripheral inflammation biology, leavingoutthe chapters on humoral medi ators and substituting microglia for macrophages. In several other key respects, however, AD brain inflammation is unique, due primarily to idiosyncratic interac tions of inflammatory mediators and mechanisms with classical AD pathology: amyloid ~ peptide (A~) deposits and neurofibrillary tangles (NFTs). Forthis reason, some key concepts about the inflammation that occurs in AD may warrant discus sion in preparation for the more detailed chapters that follow. AD brain inflammation does not appear to be humorally mediated. Although CD4- and CD8-immunoreactiveT cells areeasilydemonstrated in the AD brain, no rigorously measured quantitative difference with T cells in the non-demented elder ly (ND) brain has been reported. Immunoreactivity for antibodies is also similar in AD and ND cortical samples, and the staining itself is equivocal. Assays for serum antibodies directed at A~ reveal that approximately halfofAD patients and halfof ND patients have equivalent, low titers. Bcells and natural killer cells appear to be absent from the AD brain parenchyma. As negative results, these observations (J. Rogers, unpublishedobservations) have never been formally reported, butmaywar rant re-examination in light of the success of a vaccination approach to removing A~, implying some form of humoral mediation. The fact that AD inflammation uses innate rather than humoral mechanisms does notmean that itis unimportant. Neuroimmunology has become progressively dominated by lymphocyte biology, and remarkable progress has been made thereby
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