Therapeutic vaccine for acute and chronic motor neuron diseases: implications for amyotrophic lateral sclerosis

Proc Natl Acad Sci U S A. 2003 Apr 15;100(8):4790-5. doi: 10.1073/pnas.0530191100. Epub 2003 Mar 31.

Abstract

Therapeutic vaccination with Copaxone (glatiramer acetate, Cop-1) protects motor neurons against acute and chronic degenerative conditions. In acute degeneration after facial nerve axotomy, the number of surviving motor neurons was almost two times higher in Cop-1-vaccinated mice than in nonvaccinated mice, or in mice injected with PBS emulsified in complete Freund's adjuvant (P < 0.05). In mice that express the mutant human gene Cu/Zn superoxide dismutase G93A (SOD1), and therefore simulate the chronic human motor neuron disease amyotrophic lateral sclerosis, Cop-1 vaccination prolonged life span compared to untreated matched controls, from 211 +/- 7 days (n = 15) to 263 +/- 8 days (n = 14; P < 0.0001). Our studies show that vaccination significantly improved motor activity. In line with the experimentally based concept of protective autoimmunity, these findings suggest that Cop-1 vaccination boosts the local immune response needed to combat destructive self-compounds associated with motor neuron death. Its differential action in CNS autoimmune diseases and neurodegenerative disorders, depending on the regimen used, allows its use as a therapy for either condition. Daily administration of Cop-1 is an approved treatment for multiple sclerosis. The protocol for non-autoimmune neurodegenerative diseases such as amyotrophic lateral sclerosis, remains to be established by future studies.

MeSH terms

  • Acute Disease
  • Amyotrophic Lateral Sclerosis / genetics
  • Amyotrophic Lateral Sclerosis / immunology
  • Amyotrophic Lateral Sclerosis / therapy*
  • Animals
  • Axotomy
  • Cell Death
  • Chronic Disease
  • Disease Models, Animal
  • Facial Nerve / immunology
  • Facial Nerve / pathology
  • Facial Nerve / physiopathology
  • Female
  • Glatiramer Acetate
  • Glutamic Acid / toxicity
  • Humans
  • Mice
  • Mice, Inbred C57BL
  • Mice, Mutant Strains
  • Motor Neuron Disease / genetics
  • Motor Neuron Disease / immunology
  • Motor Neuron Disease / therapy*
  • Motor Neurons / immunology
  • Motor Neurons / pathology
  • Motor Neurons / physiology
  • Nerve Degeneration / immunology
  • Nerve Degeneration / pathology
  • Nerve Degeneration / physiopathology
  • Nerve Degeneration / prevention & control
  • Peptides / immunology*
  • Peptides / therapeutic use
  • Superoxide Dismutase / genetics
  • Superoxide Dismutase-1
  • Vaccines / therapeutic use*

Substances

  • Peptides
  • SOD1 protein, human
  • Vaccines
  • Glutamic Acid
  • Glatiramer Acetate
  • Sod1 protein, mouse
  • Superoxide Dismutase
  • Superoxide Dismutase-1