Bone marrow transplantation causes peripheral cells to engraft the brain by an unclear mechanism. Microglia, the brain’s immune cells, lose their regenerative capacity when the bone marrow transplantation chemotherapy agent busulfan arrests their cell cycle. This causes a gradual decrease in microglial density, creating a niche for peripheral donor cells to engraft the brain and become resident macrophages.
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References
Cartier, N. et al. Hematopoietic stem cell gene therapy with a lentiviral vector in X-linked adrenoleukodystrophy. Science 326, 818–823 (2009). Clinical trial using autologous bone marrow transplantation of genetically corrected cells to treat adrenoleukodystrophy.
Mildner, A. et al. Microglia in the adult brain arise from Ly-6ChiCCR2+ monocytes only under defined host conditions. Nat. Neurosci. 10, 1544–1553 (2007). Study demonstrating lack of brain engraftment of bone marrow–derived cells when the brain was protected during total-body irradiation.
Peake, K. et al. Bone marrow-derived cell accumulation in the spinal cord is independent of peripheral mobilization in a mouse model of amyotrophic lateral sclerosis. Front. Neurol. 8, 75 (2017). Study showing a lack of engraftment of bone marrow–derived cells after myeloablation with treosulfan, a drug that cannot penetrate the central nervous system.
Shemer, A. et al. Engrafted parenchymal brain macrophages differ from microglia in transcriptome, chromatin landscape and response to challenge. Nat. Commun. 9, 5206 (2018). Study showing bone marrow–derived cells in the human brain after transplantation.
Buchbinder, D. et al. Neurocognitive dysfunction in hematopoietic cell transplant recipients: expert review from the Late Effects and Quality of Life Working Committee of the CIBMTR and Complications and Quality of Life Working Party of the EBMT. Bone Marrow Transpl. 53, 535–555 (2018). Study showing neurocognitive dysfunction is a complication of bone marrow transplantation.
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This is a summary of: Sailor, K. A. et al. Hematopoietic stem cell transplantation chemotherapy causes microglia senescence and peripheral macrophage engraftment in the brain. Nat. Med. https://doi.org/10.1038/s41591-022-01691-9 (2022).
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Bone marrow transplantation chemotherapy disrupts regenerative brain cell populations. Nat Med 28, 452–453 (2022). https://doi.org/10.1038/s41591-022-01722-5
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DOI: https://doi.org/10.1038/s41591-022-01722-5