Testing Potential Alzheimer Vaccines

In 1999, scientists at Elan Corp.'s South San Francisco, Calif. facility stunned the Alzheimer Disease (AD) research community: vaccination, they announced, reduces AD-like pathology in transgenic mice.1 Since then, dozens of labs have been working on vaccines to prevent, retard, or reverse AD's devastating symptoms. One clinical trial is finished, a second is under way, and others appear imminent. In animal studies, researchers are testing different types of vaccines and examining how the immun

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Before Elan's study, "there were a lot of reasons to think not only that [vaccines] shouldn't be done but that they would make things worse," says Dale B. Schenk, the company's vice president of discovery research. The prevailing wisdom was that disease-fighting antibodies, which vaccines stimulate, couldn't penetrate the blood-brain barrier. If antibodies did sneak into the brain, the fear was that they would trigger a massive, unhealthy immune response.

Schenk recalls that the vaccine study consequently had a "very low priority" at Dublin-based Elan. But he eventually mustered a large team that discovered the benefits to vaccinating an AD mouse model with b-amyloid (Ab), the peptide that aggregates into amyloid plaques in Alzheimer brains. Mice that started receiving intramuscular injections when six weeks old didn't develop plaques and other neuropathology. Vaccinations begun at 11 months of age sharply reduced pathology, with plaques in the frontal cortex plunging 84% compared ...

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