Review Article

Tau-Reactive Endogenous Antibodies: Origin, Functionality, and Implications for the Pathophysiology of Alzheimer’s Disease

Table 1

Studies regarding natural antibodies reactive against tau protein in body fluids and IVIG preparations.
(a)

Serum and cerebrospinal fluid
Detection methodTau antigenBody fluidGroup of participantsMain resultsReferences

EIABovine tauCSF, serumControls, AD, PD, MS, ALS, ON, OND, SMN/CIDP, GBS, VDAnti-tau Abs detected above assay cut-off value only in sera of two controls (2/44) and one ALS (1/26)
Calculations of intrathecal synthesis
Terryberry et al. [63]
ELISA (IgG, IgM)Full-length human tau (1-441 aa)
Phosphorylated tau peptide (195-213 aa, pS202/pT205)
CSF, serumControls, AD, ONDHigher IgM titers of serum Abs against phosphorylated tau peptide detected in the AD group compared to the controlsRosenmann et al. [54]
ELISABovine tauCSF, serumControls, MSCSF anti-tau Abs levels: lower in MS patients receiving therapy than those without treatment
Measurements of avidity, calculations of intrathecal synthesis
Fialova et al. [55]
ELISABovine tauCSF, serumControls, MSMeasurements of avidityFialova et al. [104]
ELISABovine tauCSF, serumControls, AD, OD, ICCalculations of intrathecal synthesis
AD group: higher intrathecal anti-tau Abs than the other groups
Bartos et al. [61]
ELISAFull-length human tau (1-441 aa)SerumControls, PD, bvFTDPDD group: decreased serum anti-tau Abs compared to PDNDKronimus et al. [105]
ELISA (IgG, IgM)Tau peptide (196-207 aa): nonphosphorylated and phosphorylated at pS199/pS202SerumAD, MCI, NCIAnti-tau IgG Abs increased in MCI vs. AD and NCIKlaver et al. [62]
ELISA, WBFull-length human tau (1-441 aa)
Truncated form Tau155-421
Brain homogenates
Pooled plasmaControls, ADDifferent reactive profiles of anti-tau Abs isolated from pooled plasma samples (isolation procedure described in [106])Krestova et al. [64]
ELISAFull-length human tau (1-441 aa)
Truncated form Tau155-421
Bovine tau
CSF, serumControls, MCI, MCI-AD, ADSerum anti-tau Abs against bovine tau: lower in female MCI-AD vs. controls, higher in male MCI-AD vs. controls
Calculations of intrathecal synthesis
Krestova et al. [56]
ELISAFull-length human tau (1-441 aa)SerumChildren, adultsNo significant differences in anti-tau Abs levelsKuhn et al. [57]
ELISABovine tauSerumControls, ADLower anti-tau Abs in AD vs. controls, and their decrease over timeBartos et al. [60]

(b)

Intravenous immunoglobulin G (IVIG) preparations
Detection methodTau antigenSupplier of IVIGMain resultsReference

ELISAFull-length human tau (1-441 aa)Gamunex (Talecris Biotherapeutics Inc., Research Triangle Park, NC)
Gammagard (Baxter Healthcare Corp., Westlake Village, CA)
Flebogamma (Grifols Biologicals Inc., Los Angeles, CA)
Anti-tau bs detected in all three IVIG products
Mean Ab levels: 3.13 μg/mL for Gammagard, 2.48 μg/mL for Gamunex, 1.23 μg/mL for Flebogamma
Smith et al. [65]
ELISAFull-length human tau (1-441 aa)
Tau peptides: 45–73 aa, 244–274 aa, 275–305 aa, 306–336 aa, 337–368 aa, 422–441 aa
Gamunex (Talecris Biotherapeutics Inc., Research Triangle Park, NC)
Gammagard (Baxter Healthcare Corp., Westlake Village, CA)
Flebogamma (Grifols Biologicals Inc., Los Angeles, CA)
Anti-tau Abs detected in all three IVIG products
Differences in reactivity against various tau peptide sequences among IVIG products
Smith et al. [66]
ELISATau peptide of 196-207 aa, nonphosphorylated and phosphorylated at pS199/pS202Gamunex-C (Grifols Therapeutics Inc., Research Triangle Park, NC)
Gammagard Liquid (Baxter Healthcare Corp., Westlake Village, CA)
Gammaked (Talecris Biotherapeutics Inc., Research Triangle Park, NC)
Flebogamma (Grifols Biologicals Inc., Los Angeles, CA)
Privigen (CSL Behring AG, Bern, Switzerland)
Octagam (Octapharma AB, Stockholm, Sweden)
Anti-tau Abs present in all IVIG products
Differences in reactivity among IVIG products
Loeffler et al. [68]
ELISA, WBFull-length human tau (1-441 aa) and truncated forms Tau155-421, Tau13-391, nonphosphorylated and phosphorylatedFlebogamma (Grifols Biologicals Inc., Los Angeles, CA)Basic characterization of anti-tau Abs isolated from IVIG productHromadkova et al. [67]
ELISA, WBFull-length human tau (1-441 aa) and truncated form Tau155-421, nonphosphorylated and phosphorylated
Brain homogenates
Flebogamma (Grifols Biologicals Inc., Los Angeles, CA)Basic characterization of anti-tau Abs isolated from IVIG productKrestova et al. [64]

Abbreviations: aa: amino acids; Ab: antibody; AD: Alzheimer’s disease; ALS: amyotrophic lateral sclerosis; bvFTD: behavioral variant of frontotemporal dementia; CIDP: chronic inflammatory demyelinating polyradiculoneuropathy; CSF: cerebrospinal fluid; EIA: enzyme immunoassay; ELISA: enzyme-linked immunosorbent assay; GBS: Guillain-Barre’ syndrome; IC: neuroinflammatory diseases; MCI: mild cognitive impairment (MCI-AD: MCI due to AD); MS: multiple sclerosis; NCI: no cognitive impairment; OD: other dementias; ON: optic neuritis; OND: other neurologic disease; PD: Parkinson disease (PDD: PD with dementia; PDND: nondemented PD); SMN: sensorimotorneuropathy; VD: vascular dementia; WB: western blot.