Autopsy Exposes Adverse Effects Of Alzheimer's Vaccine
March, 17 2003 9:46
The only clinical trial
for an experimental Alzheimer disease (AD) vaccine was halted last
year when 15 of the trial participants developed severe brain
inflammation. In the April issue of
Nature Medicine,
James Nicoll and colleagues present the first analysis of the
vaccine's effects on the human brain.
In the US alone, AD affects nearly 4 million people, and the
number is expected to triple in the next 30 years. The brain of an
AD patient is characterized by tangled bundles of nerve fibers and
amyloid 'plaques' -- clusters of a sticky protein called
amyloid-beta. In mice, a vaccine directed against the amyloid-beta
peptide clears the plaques and alleviates the memory loss associated
with AD. Scientists had hoped it would do the same in people.
The autopsy of a patient from the halted trial reveals that in
people, too, the vaccine clears the amyloid-beta peptide from most
areas of the brain. The researchers also report evidence of
meningoencephailitis, which is not characteristic of AD patients'
brains, and suggest that it is a direct consequence of the vaccine.
The results do not dismiss the potential usefulness of a vaccine for
AD, they say, but should guide future experiments.
Author contact:
James A.R. Nicoll
Division of Clinical Neurosciences
Southampton General Hospital
Southampton, UK
Tel: +44 2380 796634
E-mail: j.nicoll@soton.ac.uk
Author of accompanying News & Views piece:
Bradley T. Hyman
Department of Neurology
Massachusetts General Hospital
Boston, MA, USA
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