Table 4.
Immunotherapeutic approaches in neurodegenerative disorders
Treatment | Disease | Efficacy, expectations | References |
---|---|---|---|
Aβ antibody and T cells | AD | Clearance of Aβ aggregates | 96,98 |
PrPSc antibody | Prion diseases | Inhibition of PrPSc aggregates | 99 |
Αlpha synuclein antibody Modulation of microglial activation | PD | Inhibition of Lewy Body formation | 100 |
Combination therapy, Plasmapheresis, Removal of tumour. | Paraneoplastic neurological disorders | Removal of anti-neuronal antibodies | 101 |
Antibiotics Minocyclin | Neurodegeneration | Inhibition of inflammation and anti-apoptoic activity | 102 |
Immunotherapy, Copaxone, IFN-β, Natalizumab, Cladribine, Ritixumab, Alemtuzumab, FTY 720 | MS | Inhibition of specific T-cell and/or B-cell responses Inhibition of immune-cell entry into the CNS | 103 |
Non-steroidal anti-inflammatory | AD | Inhibition of COX1 and COX-2 | 104,105 |
RAGE antagonists | AD | Reduction of formation or activation of innate immune responses by inhibiting/blocking AGEs | 106 |
Glutamate antagonists | PD | Blocking glutamate | 107 |
Anti-oxidants | Neurodegeneration | Reduction of oxidative stress | 108,109 |
Complement inhibition | Stroke, TBI | Blocking complement-mediated neuronal damage | 110,111 |
Cannabinoids | Huntington’s disease, MS | Attenuates excitotoxic glutamatergic neurotransmission | 112,113 |
Diet, Calorific restriction | AD, PD | Antioxidant functions, Inhibits COX-2 and iNOS (Curcumin) Reduction in free radicals and oxidative stress | 114–116 |
Aβ, amyloid-beta; AD, Alzheimer’s disease; AGE, advanced glycation end-products; CNS, central nervous system; COX, cyclooxygenase; IFN-β, interferon-β; iNOS, inducible nitric oxide synthase; MS, multiple sclerosis; PD, Parkinson’s disease; RAGE, receptor for AGE; TBI, traumatic brain injury.