An oral vaccine against NMDAR1 with efficacy in experimental stroke and epilepsy

Science. 2000 Feb 25;287(5457):1453-60. doi: 10.1126/science.287.5457.1453.

Abstract

The brain is generally considered immunoprivileged, although increasing examples of immunological responses to brain antigens, neuronal expression of major histocompatibility class I genes, and neurological autoimmunity have been recognized. An adeno-associated virus (AAV) vaccine generated autoantibodies that targeted a specific brain protein, the NR1 subunit of the N-methyl-D-aspartate (NMDA) receptor. After peroral administration of the AAV vaccine, transgene expression persisted for at least 5 months and was associated with a robust humoral response in the absence of a significant cell-mediated response. This single-dose vaccine was associated with strong anti-epileptic and neuroprotective activity in rats for both a kainate-induced seizure model and also a middle cerebral artery occlusion stroke model at 1 to 5 months following vaccination. Thus, a vaccination strategy targeting brain proteins is feasible and may have therapeutic potential for neurological disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Animals
  • Antibody Affinity
  • Autoantibodies / analysis
  • Autoantibodies / blood
  • Autoantibodies / cerebrospinal fluid
  • Autoantibodies / immunology*
  • Blood-Brain Barrier
  • Dependovirus / genetics
  • Epilepsy, Temporal Lobe / pathology
  • Epilepsy, Temporal Lobe / therapy*
  • Epitope Mapping
  • Epitopes
  • Genetic Vectors
  • Hippocampus / pathology
  • Intestinal Mucosa / immunology
  • Intestinal Mucosa / metabolism
  • Lymphocyte Activation
  • Motor Activity
  • Rats
  • Receptors, N-Methyl-D-Aspartate / antagonists & inhibitors
  • Receptors, N-Methyl-D-Aspartate / biosynthesis
  • Receptors, N-Methyl-D-Aspartate / genetics*
  • Receptors, N-Methyl-D-Aspartate / immunology*
  • Status Epilepticus / prevention & control
  • Stroke / therapy*
  • Transgenes
  • Vaccination
  • Vaccines, DNA / therapeutic use*

Substances

  • Autoantibodies
  • Epitopes
  • NMDA receptor A1
  • Receptors, N-Methyl-D-Aspartate
  • Vaccines, DNA