Antibodies that block the process of synapse disintegration in 
Alzheimer's disease have been identified, raising hopes for a treatment 
to combat early cognitive decline in the disease.
  
Alzheimer's disease is characterized by abnormal deposits in the 
brain of the protein Amyloid-ß, which induces the loss of connections 
between neurons, called synapses.
Now, scientists at UCL have discovered that specific antibodies
 that block the function of a related protein, called Dkk1, are able to 
completely suppress the toxic effect of Amyloid-ß on synapses. The 
findings are published today in the Journal of Neuroscience.
Dr Patricia Salinas, from the UCL Department of Cell & 
Developmental Biology, who led the study, said: "These novel findings 
raise the possibility that targeting this secreted Dkk1 protein could 
offer an effective treatment to protect synapses against the toxic 
effect of Amyloid-ß.
"Importantly, these results raise the hope for a treatment and perhaps the prevention of cognitive decline early in Alzheimer's disease."
Dkk1 is elevated in the brain biopsies of people with Alzheimer's 
disease but the significance of these findings was previously unknown. 
Scientists at UCL have found that Amyloid-ß causes the production of 
Dkk1, which in turn induces the dismantling of synapses (the connections
 between neurons) in the hippocampus, an area of the brain implicated in
 learning and memory.
In this paper, scientists conducted experiments to look at the 
progression of synapse disintegration of the hippocampus after exposure 
to Amyloid-ß, using brain slices from mice. They were able to monitor 
how many synapses survived in the presence of a specific antibody which 
targets Dkk1, compared to how many synapses were viable without the 
antibody. 
The results show that the neurons that were exposed to the antibody remained healthy, with no synaptic disintegration.
Dr Salinas said: "Despite significant advances in understanding the 
molecular mechanisms involved in Alzheimer's disease, no effective 
treatment is currently available to stop the progression of this 
devastating disease."
She added: "This research identifies Dkk1 as a potential therapeutic target for the treatment of Alzheimer's disease."
Alzheimer's represents 60% of all cases of dementia. Alzheimer's 
Research UK estimates that in the UK the annual national cost of all the
 dementias is around £23 billion, which represents double the costs for 
cancer and 3-5 times the costs for heart disease and stroke. New studies
 predict an increase in the number of Alzheimer's cases of epidemic 
proportions.
The research was funded by Alzheimer's Research UK, the UK's leading 
dementia research charity, and the Biotechnology and Biological Sciences
 Research Council, UK.
Dr Simon Ridley, Head of Research at Alzheimer's Research UK, said: 
"We're delighted to have supported this study, which sheds new light on 
the processes that occur as Alzheimer's develops. By understanding what 
happens in the brain
 during Alzheimer's, we stand a better chance of developing new 
treatments that could make a real difference to people with the disease.
"Studies like this are an essential part of that process, but more 
work is needed if we are to take these results from the lab bench to the
 clinic. Dementia can only be defeated through research, and with the 
numbers of people affected by the condition soaring, we urgently need to
 invest in research now."
 More information: 'The Secreted Wnt antagonist Dickkopf-1 is required for Amyloid B-mediated synaptic loss' is published in the Journal of Neuroscience.