1. Peritoneal dialysis reduces amyloid-beta plasma levels in humans and attenuates Alzheimer-associated phenotypes in an APP/PS1 mouse model
- Author
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Zhilin Huang, Zhian Hu, Wang-Sheng Jin, Jia-Xiang Xiong, Weihong Song, Wei-Wei Zhang, Yan-Jiang Wang, Xin-Fu Zhou, Ya-Ni He, Zhifang Dong, Chang-Yue Gao, Lin-Lin Shen, Si-Han Chen, Yi-Zheng Wang, Xian-Le Bu, Hua-Dong Zhou, Jin, Wang-Sheng, Shen, Lin-Lin, Bu, Xian-Le, Zhang, Wei-Wei, Chen, Si-Han, Huang, Zhi-Lin, Xiong, Jia-Xiang, Gao, Chang-Yue, Dong, Zhifang, He, Ya-Ni, Hu, Zhi-An, Zhou, Hua-Dong, Song, Weihong, Zhou, Xin-Fu, Wang, Yi-Zheng, and Wang, Yan-Jiang
- Subjects
0301 basic medicine ,Pathology ,medicine.medical_treatment ,Apoptosis ,Pharmacology ,Amyloid beta-Protein Precursor ,Mice ,0302 clinical medicine ,Aspartic Acid Endopeptidases ,Microglia ,biology ,Microfilament Proteins ,Neurodegeneration ,neurodegeneration ,Brain ,Long-term potentiation ,amyloid-beta ,DNA-Binding Proteins ,Phenotype ,medicine.anatomical_structure ,peritoneal dialysis ,Alzheimer’s disease ,Peritoneal Dialysis ,medicine.medical_specialty ,Microdialysis ,Amyloid beta ,Mice, Transgenic ,Nerve Tissue Proteins ,Pathology and Forensic Medicine ,Peritoneal dialysis ,peripheral clearance ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,Alzheimer Disease ,Presenilin-1 ,medicine ,Animals ,Humans ,Renal Insufficiency, Chronic ,Neuroinflammation ,Amyloid beta-Peptides ,business.industry ,Calcium-Binding Proteins ,Excitatory Postsynaptic Potentials ,medicine.disease ,Disease Models, Animal ,030104 developmental biology ,Case-Control Studies ,biology.protein ,Neurology (clinical) ,Amyloid Precursor Protein Secretases ,Cognition Disorders ,business ,030217 neurology & neurosurgery ,Kidney disease - Abstract
Clearance of amyloid-beta (Aβ) from the brain is an important therapeutic strategy for Alzheimer’s disease (AD). Current studies mainly focus on the central approach of Aβ clearance by introducing therapeutic agents into the brain. In a previous study, we found that peripheral tissues and organs play important roles in clearing brain-derived Aβ, suggesting that the peripheral approach of removing Aβ from the blood may also be effective for AD therapy. Here, we investigated whether peritoneal dialysis, a clinically available therapeutic method for chronic kidney disease (CKD), reduces brain Aβ burden and attenuates AD-type pathologies and cognitive impairments. Thirty patients with newly diagnosed CKD were enrolled. The plasma Aβ concentrations of the patients were measured before and after peritoneal dialysis. APP/PS1 mice were subjected to peritoneal dialysis once a day for 1 month from 6 months of age (prevention study) or 9 months of age (treatment study). The Aβ in the interstitial fluid (ISF) was collected using microdialysis. Behavioural performance, long-term potentiation (LTP), Aβ burden and other AD-type pathologies were measured after 1 month of peritoneal dialysis. Peritoneal dialysis significantly reduced plasma Aβ levels in both CKD patients and APP/PS1 mice. Aβ levels in the brain ISF of APP/PS1 mice immediately decreased after reduction of Aβ in the blood during peritoneal dialysis. In both prevention and treatment studies, peritoneal dialysis substantially reduced Aβ deposition, attenuated other AD-type pathologies, including Tau hyperphosphorylation, glial activation, neuroinflammation, neuronal loss, and synaptic dysfunction, and rescued the behavioural deficits of APPswe/PS1 mice. Importantly, the Aβ phagocytosis function of microglia was enhanced in APP/PS1 mice after peritoneal dialysis. Our study suggests that peritoneal dialysis is a promising therapeutic method for AD, and Aβ clearance using a peripheral approach could be a desirable therapeutic strategy for AD. Refereed/Peer-reviewed
- Published
- 2017
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