The study, led by Dr David M. Holtzman and published on September 28 in the journal Neuron, focused on tauopathies, neurodegenerative conditions including Alzheimer's disease that involve the buildup of abnormal tangles of the protein tau inside brain cells.
Researchers used an antibody to block a protein called CXCR3 on T cells, which helps those immune cells enter the brain. After several months of treatment, the number of T cells inside the brains of mice with tau accumulation had fallen by approximately half.
Compared with untreated mice, treated animals retained roughly 40% more tissue in brain regions involved in memory and performed better on a memory test. These improvements occurred even though the amount of accumulated tau remained unchanged.
"In tauopathies, including Alzheimer's disease, there's no treatment right now that actually decreases neurodegeneration," said Holtzman, the study's senior author and a professor of neurology at WashU Medicine. "If we can show that we're really decreasing brain cell death, it's certainly worth trying to pursue that pathway to prevent the most devastating consequences of these diseases."
The researchers previously discovered that T cells enter the brains of mice with abnormal tau and contribute to neurodegeneration. The current study identified the CXCL10-CXCR3 signalling pathway as the mechanism guiding those T cells into the brain.
Notably, the antibody used in the study did not need to cross the blood-brain barrier to be effective. Holtzman said the approach, if proven safe, could avoid one of the major difficulties in developing neurological treatments.
The treatment has so far been tested only in mice. Holtzman noted that medications already used to control T cells in other diseases, such as multiple sclerosis, might provide a starting point for human studies.
"Tauopathies aren't thought of as autoimmune disorders, so they haven't been treated the same way, but this study shows for the first time in an animal model that these diseases respond to a specific T-cell therapy," Holtzman said.