RT Journal Article SR Electronic T1 AAV mediated delivery of a novel anti-BACE1 VHH reduces Abeta in an Alzheimer’s disease mouse model JF bioRxiv FD Cold Spring Harbor Laboratory SP 698506 DO 10.1101/698506 A1 Melvin Y. Rincon A1 Lujia Zhou A1 Catherine Marneffe A1 Iryna Voytyuk A1 Yessica Wouters A1 Maarten Dewilde A1 Sandra I. Duqué A1 Cécile Vincke A1 Yona Levites A1 Todd E. Golde A1 Serge Muyldermans A1 Bart De Strooper A1 Matthew G. Holt YR 2019 UL http://biorxiv.org/content/early/2019/07/13/698506.abstract AB Single domain antibodies (VHH) are potentially disruptive therapeutics, with important biological value for treatment of several diseases, including neurological disorders. However, VHH have not been widely used in the central nervous system (CNS), as it is hard to reach therapeutic levels, both because of their restricted blood-brain-barrier penetration and their apparent rapid clearance from the parenchyma. Here, we propose a gene transfer strategy based on adeno-associated virus (AAV)-based vectors to deliver VHH directly into the CNS, ensuring continuous production at therapeutic levels. As a proof-of-concept, we explored the potential of AAV-delivered VHH to inhibit BACE1, a well-characterized target in Alzheimer’s disease. First, we generated a panel of VHHs targeting BACE1. One of them, VHH-B9, showed high selectivity for BACE1 and efficacy in lowering BACE1 activity in vitro. We then went on to demonstrate significant reductions in amyloid beta (Aβ) levels after AAV-based delivery of VHH-B9 into the CNS of a mouse model of cerebral amyloidosis. These results constitute a novel therapeutic approach for neurodegenerative diseases, which is applicable to a range of CNS disease targets.