Delayed GM-CSF treatment stimulates axonal regeneration and functional recovery in paraplegic rats via an increased

Delphine Bouhy1, Brigitte Malgrange, Sylvie Multon

  • 1Research Center for Cellular and Molecular Neurobiology, University of Liège, Tour de Pathologie B36, 1étage, local 1/4A, CHU Sart-Tilman 4000 Liège, Belgium.

Insights

Granulocyte-macrophage colony stimulating factor (GM-CSF) improved locomotor recovery and axonal regeneration in spinal cord injury models. This suggests GM-CSF may be a viable treatment option, potentially mediated by brain-derived neurotrophic factor (BDNF).

Area of Science:

  • Neuroscience
  • Immunology
  • Regenerative Medicine

Background:

  • Macrophages are crucial for central nervous system repair.
  • Macrophage deactivation correlates with reduced axonal regeneration after spinal cord injury.
  • Investigating macrophage reactivation for therapeutic benefit is warranted.

Purpose of the Study:

  • To determine if granulocyte-macrophage colony stimulating factor (GM-CSF) can reactivate endogenous macrophages and promote spinal cord repair.
  • To assess the effects of GM-CSF on locomotor recovery, axonal regeneration, and macrophage activity in a rat spinal cord injury model.
  • To investigate the in vitro effects of GM-CSF on microglial cells and neuronal growth.

Main Methods:

  • A rat spinal cord compression-injury model was used.
  • Granulocyte-macrophage colony stimulating factor (GM-CSF) was administered intraperitoneally.
  • Locomotor recovery, axonal regeneration, macrophage marker expression (Cr3), and brain-derived neurotrophic factor (BDNF) levels were assessed.
  • In vitro studies involved BV2 microglial cells and neuronal co-cultures.

Main Results:

  • A single delayed GM-CSF injection led to transient improvement in locomotor recovery.
  • GM-CSF significantly increased Cr3 and BDNF expression by macrophages at the lesion site.
  • Axonal regeneration was significantly enhanced in GM-CSF treated rats at longer survival times.
  • In vitro, GM-CSF increased BDNF in microglial cells and promoted neurite outgrowth in co-cultures, an effect blocked by a BDNF antibody.

Conclusions:

  • GM-CSF shows potential as a treatment for spinal cord injury.
  • The beneficial effects of GM-CSF may be mediated by increased BDNF production.
  • Reactivating macrophages with GM-CSF could be a promising strategy for enhancing spinal cord repair.