• Therapeutic B-cell depletion reverses progression of Alzheimer's disease

      Kim, Ki; Wang, Xin; Ragonnaud, Emeline; Bodogai, Monica; Illouz, Tomer; DeLuca, Marisa; McDevitt, Ross A.; Gusev, Fedor; Okun, Eitan; Rogaev, Evgeny I.; et al. (2021-04-12)
      The function of B cells in Alzheimer's disease (AD) is not fully understood. While immunoglobulins that target amyloid beta (Abeta) may interfere with plaque formation and hence progression of the disease, B cells may contribute beyond merely producing immunoglobulins. Here we show that AD is associated with accumulation of activated B cells in circulation, and with infiltration of B cells into the brain parenchyma, resulting in immunoglobulin deposits around Abeta plaques. Using three different murine transgenic models, we provide counterintuitive evidence that the AD progression requires B cells. Despite expression of the AD-fostering transgenes, the loss of B cells alone is sufficient to reduce Abeta plaque burden and disease-associated microglia. It reverses behavioral and memory deficits and restores TGFbeta(+) microglia, respectively. Moreover, therapeutic depletion of B cells at the onset of the disease retards AD progression in mice, suggesting that targeting B cells may also benefit AD patients.