Tsai Kuen-Jer, Tsai Yueh-Chiao, Shen Che-Kun James
Institute of Molecular Biology, Academia Sinica, Taipei 115, Taiwan, Republic of China.
J Exp Med. 2007 Jun 11;204(6):1273-80. doi: 10.1084/jem.20062481. Epub 2007 May 21.
Most of the current clinical treatments for Alzheimer's disease (AD) are largely symptomatic and can have serious side effects. We have tested the feasibility of using the granulocyte colony-stimulating factor (G-CSF), which is known to mobilize hematopoietic stem cells (HSCs) from the bone marrow into the peripheral blood, as a therapeutic agent for AD. Subcutaneous administration of G-CSF into two different beta-amyloid (Abeta)-induced AD mouse models substantially rescued their cognitive/memory functions. The rescue was accompanied by the accumulation of 5-bromo-2'deoxyuridine-positive HSCs, as well as local neurogenesis surrounding the Abeta aggregates. Furthermore, the level of acetylcholine in the brains of Tg2576 mice was considerably enhanced upon G-CSF treatment. We suggest that G-CSF, a drug already extensively used for treating chemotherapy-induced neutropenia, should be pursued as a novel, noninvasive therapeutic agent for the treatment of AD.
目前大多数针对阿尔茨海默病(AD)的临床治疗主要是对症治疗,且可能有严重的副作用。我们已经测试了使用粒细胞集落刺激因子(G-CSF)作为AD治疗药物的可行性,已知G-CSF可将骨髓中的造血干细胞(HSCs)动员到外周血中。向两种不同的β-淀粉样蛋白(Aβ)诱导的AD小鼠模型皮下注射G-CSF,显著挽救了它们的认知/记忆功能。这种挽救伴随着5-溴-2'-脱氧尿苷阳性HSCs的积累,以及Aβ聚集体周围的局部神经发生。此外,G-CSF治疗后,Tg2576小鼠大脑中的乙酰胆碱水平显著提高。我们建议,G-CSF这种已广泛用于治疗化疗引起的中性粒细胞减少症的药物,应作为一种新型的非侵入性治疗药物用于AD的治疗。