RT Journal Article SR Electronic T1 Arginine Deprivation and Immune Suppression in a Mouse Model of Alzheimer's Disease JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 5969 OP 5982 DO 10.1523/JNEUROSCI.4668-14.2015 VO 35 IS 15 A1 Matthew J. Kan A1 Jennifer E. Lee A1 Joan G. Wilson A1 Angela L. Everhart A1 Candice M. Brown A1 Andrew N. Hoofnagle A1 Marilyn Jansen A1 Michael P. Vitek A1 Michael D. Gunn A1 Carol A. Colton YR 2015 UL http://www.jneurosci.org/content/35/15/5969.abstract AB The pathogenesis of Alzheimer's disease (AD) is a critical unsolved question; and although recent studies have demonstrated a strong association between altered brain immune responses and disease progression, the mechanistic cause of neuronal dysfunction and death is unknown. We have previously described the unique CVN-AD mouse model of AD, in which immune-mediated nitric oxide is lowered to mimic human levels, resulting in a mouse model that demonstrates the cardinal features of AD, including amyloid deposition, hyperphosphorylated and aggregated tau, behavioral changes, and age-dependent hippocampal neuronal loss. Using this mouse model, we studied longitudinal changes in brain immunity in relation to neuronal loss and, contrary to the predominant view that AD pathology is driven by proinflammatory factors, we find that the pathology in CVN-AD mice is driven by local immune suppression. Areas of hippocampal neuronal death are associated with the presence of immunosuppressive CD11c+ microglia and extracellular arginase, resulting in arginine catabolism and reduced levels of total brain arginine. Pharmacologic disruption of the arginine utilization pathway by an inhibitor of arginase and ornithine decarboxylase protected the mice from AD-like pathology and significantly decreased CD11c expression. Our findings strongly implicate local immune-mediated amino acid catabolism as a novel and potentially critical mechanism mediating the age-dependent and regional loss of neurons in humans with AD.