Experimental data suggest an involvement of immune cellular components
in the development of Alzheimer's disease (AD). Against this backgrou
nd, the spontaneous natural killer (NK) cell activity and the NK-induc
ed cytotoxicity after interleukin-2 (IL-2) were studied in healthy eld
erly subjects and in patients with dementia of Alzheimer type (SDAT) a
nd multi-infarct type (MID). Higher NK cytotoxicity (expressed as tota
l lysis and percent increase) at different IL-2 concentrations (50 and
100 IU/ml/cells) was demonstrated in patients with SDAT than in healt
hy elderly subjects (p < 0.001) and MID patients (p < 0.001). NK cell
activity of MID patients was similar to that of healthy elderly and he
althy young subjects. A negative correlation between the percent incre
ase in NK cytotoxicity after IL-2 and the Mini Mental State Examinatio
n Score was also found in SDAT patients (p < 0.01). Alterations of IL2
-mediated NK cytotoxicity may therefore support the neuroimmune hypoth
esis of AD.