Therapeutic potential of human microglia transplantation in a chimeric model of CSF1R-related leukoencephalopathy

Jean Paul Chadarevian1, Jonathan Hasselmann2, Alina Lahian1

  • 1Department of Neurobiology & Behavior, University of California, Irvine, Irvine, CA, USA; Institute for Memory Impairments and Neurological Disorders, University of California, Irvine, Irvine, CA, USA; Sue and Bill Gross Stem Cell Research Center, University of California, Irvine, Irvine, CA, USA.

Neuron
|June 19, 2024
PubMed

Insights

Developing a new mouse model for adult-onset leukoencephalopathy with axonal spheroids and pigmented glia (ALSP), this study shows human microglial transplantation can reverse ALSP pathologies. This offers a promising therapeutic avenue for microgliopathies.

Area of Science:

  • Neuroscience
  • Genetics
  • Stem Cell Biology

Background:

  • Primary microgliopathies, such as adult-onset leukoencephalopathy with axonal spheroids and pigmented glia (ALSP), are neurological disorders characterized by microglial dysfunction.
  • Current mouse models inadequately represent the complex neuropathologies and reduced microglial populations seen in human ALSP patients.

Purpose of the Study:

  • To develop a more accurate mouse model for ALSP by targeting the Csf1r gene.
  • To investigate the therapeutic potential of human induced pluripotent stem cell-derived microglial (iMG) transplantation for ALSP treatment.

Main Methods:

  • Generation of a xenotolerant mouse model lacking the fms-intronic regulatory element (FIRE) enhancer in Csf1r.
  • Transplantation of human iPSC-derived microglial progenitors into the developed mouse model.
  • Utilizing CRISPR-corrected ALSP-patient-derived iMG for transplantation studies.

Main Results:

  • The FIRE enhancer-deficient mouse model successfully recapitulated hallmark ALSP pathologies.
  • Transplantation of human iMG progenitors reversed ALSP-related pathologies, including axonal spheroids, white matter abnormalities, astrocytosis, and brain calcifications.
  • CRISPR-corrected iMG transplantation demonstrated reversal of pre-existing ALSP pathologies.

Conclusions:

  • The FIRE mouse model serves as a valuable tool for studying ALSP.
  • Human iMG transplantation presents a promising therapeutic strategy for ALSP and potentially other microglial disorders.

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