Phenotypic knockout of nerve growth factor (NGF) activity in transgenic anti-NGF mice (AD11 mice) results in a progressive neurodegenerative phenotype resembling Alzheimer's disease. In this article, we examine whether and how the progressive neurodegenerative phenotype of AD11 mice could be prevented or ameliorated by pharmacological treatments with NGF or the cholinergic agonist galantamine, at a relatively early phase of Alzheimer's disease-like neurodegeneration. We demonstrate that the neurodegeneration induced by the expression of anti-NGF antibodies in AD11 mice can be largely reversed by NGF delivery through an olfactory route.A loss of basal forebrain cholinergic neurons (BFCNs) underlies the behavioral and cognitive deficits observed in Alzheimer's disease (AD) (1). The cholinergic phenotype of BFCNs is influenced by nerve growth factor (NGF) (2-4), which promotes the survival and differentiation of BFCNs during development and adulthood (5-10). Consequently, it has been suggested that a decrease in NGF function could contribute to the onset of AD. In AD brains, the levels of NGF mRNA are unchanged (11, 12), whereas increased levels of NGF protein can be detected in the cortex and hippocampus (13-16), associated to a decreased amount of NGF in the BF (17). A deficit in NGF activity has been obtained in a transgenic model (AD11 mice) (18), in which a recombinant anti-NGF antibody is secreted by neuronal and glial cells and neutralizes the activity of NGF in the extracellular space. Aged AD11 mice display a neurodegenerative phenotype characterized by behavioral deficits linked to cholinergic atrophy, neuronal loss, tau hyperphosphorylation and insolubility, abnormalities of the neuronal cytoskeleton reminiscent of tangles (19), -amyloid plaques [from the endogenous amyloid precursor protein (APP) gene] (20), and deficits in cortical synaptic plasticity (21). AD11 mice recapitulate many of the neurodegenerative markers that characterize AD and therefore represent a comprehensive model for sporadic AD.To gain further insights into the mechanisms whereby blocking NGF activity with an antibody leads to an AD-like neurodegeneration and to further validate AD11 mice as a model for human sporadic AD, we investigated the extent to which the NGF deficit and the ensuing cholinergic deficit are causally linked to the observed neurodegeneration. We examined whether and how the neurodegenerative phenotype of AD11 mice could be prevented or ameliorated by pharmacological treatments with NGF or cholinergic agonists, at a relatively early phase of AD-like neurodegeneration.
MethodsAnti-NGF AD11 Mice. AD11 anti-NGF mice were produced as described (18). Double transgenic mice expressing functional anti-NGF antibodies were obtained by crossing single transgenic mice expressing only the light chain (CMV-VK ␣D11) with single transgenic mice expressing only the heavy chain (CMV-VH ␣D11) (18).Pharmacological Treatments. LT4 (L-thyroxine) was administered according to the schedule and dosages shown to produce the maximal incr...