Nature Communications (Sep 2024)

Therapeutic efficacy of intracerebral hematopoietic stem cell gene therapy in an Alzheimer’s disease mouse model

  • Rita Milazzo,
  • Annita Montepeloso,
  • Rajesh Kumar,
  • Francesca Ferro,
  • Eleonora Cavalca,
  • Pietro Rigoni,
  • Paolo Cabras,
  • Yuri Ciervo,
  • Sabyasachi Das,
  • Alessia Capotondo,
  • Danilo Pellin,
  • Marco Peviani,
  • Alessandra Biffi

DOI
https://doi.org/10.1038/s41467-024-52301-w
Journal volume & issue
Vol. 15, no. 1
pp. 1 – 20

Abstract

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Abstract The conditions supporting the generation of microglia-like cells in the central nervous system (CNS) after transplantation of hematopoietic stem/progenitor cells (HSPC) have been studied to advance the treatment of neurodegenerative disorders. Here, we explored the transplantation efficacy of different cell subsets and delivery routes with the goal of favoring the establishment of a stable and exclusive engraftment of HSPCs and their progeny in the CNS of female mice. In this setting, we show that the CNS environment drives the expansion, distribution and myeloid differentiation of the locally transplanted cells towards a microglia-like phenotype. Intra-CNS transplantation of HSPCs engineered to overexpress TREM2 decreased neuroinflammation, Aβ aggregation and improved memory in 5xFAD female mice. Our proof of concept study demonstrates the therapeutic potential of HSPC gene therapy for Alzheimer’s disease.