Abstract

Bone marrow-derived cells (BMDCs) are capable of migrating across the blood–brain barrier (BBB) and accumulating in the central nervous system (CNS) when transplanted into recipients conditioned with whole-body irradiation or chemotherapy. We used the chemotherapeutic agents busulfan and treosulfan to condition recipient mice for transplantation with bone marrow (BM) cells isolated from donor mice ubiquitously expressing green fluorescent protein. We attempted to increase the accumulation of BMDCs in the CNS by mobilization of BMDCs using either, or both, granulocyte colony-stimulating factor (GCSF) or plerixafor (AMD3100). We also used several concentrations of busulfan. We hypothesized that higher concentrations of busulfan and BMDC mobilization would increase numbers of GFP+ cells in the CNS. The doses of busulfan employed (60–125 mg/kg) all resulted in high levels of sustained chimerism (>85% 1 year post-transplant) in both the blood and BM of wild-type (WT) mice and an amyotrophic lateral sclerosis (ALS) mouse model. Moreover, cells accumulated within the CNS in a dose-, time-, and disease-dependent manner. Conditioning with the hydrophilic busulfan analog treosulfan, which is unable to cross the BBB efficiently, also resulted in a high degree of BM chimerism. However, few GFP+ BMDCs were found within the CNS of WT or ALS mice of treosulfan-conditioned mice. Mobilization of BMDCs into the circulation using GCSF and/or AMD3100 did not lead to increased accumulation of GFP+ BMDCs within the CNS of WT or ALS mice. Weekly analysis of BMDC accumulation revealed that BMDCs accumulated more rapidly and to a greater extent in the CNS of ALS mice conditioned with a high dose (125 mg/kg) of busulfan compared to a lower dose (80 mg/kg). The number of GFP+ BMDCs in the CNS labeling with the proliferation marker Ki67 increased in parallel with BMDC accumulation within the CNS. Our results indicate that establishment of high levels of blood and BM chimerism alone is not sufficient to induce BMDC accumulation within the CNS and that CNS conditioning is a crucial requirement for BMDC accumulation to occur. Moreover, it appears that proliferation of BMDCs that infiltrate the CNS is partly responsible for cell accumulation in busulfan-conditioned ALS mice.

Highlights

  • Following bone marrow (BM) transplantation (BMT), donor BM-derived cells (BMDCs) can migrate to various sites in the recipient including the BM and the central nervous system (CNS) [1]

  • BU conditioning led to a much greater accumulation of BMDCs within the lumbar spinal cord of mutant SOD1 (mSOD) mice compared to controls, when mice were conditioned with 125 mg/kg BU (Figure 3; Table 1)

  • BMDCs will need to be administered with conditioning agents that are mild enough to be tolerated, yet permit long-term BM chimerism

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Summary

Introduction

Following bone marrow (BM) transplantation (BMT), donor BM-derived cells (BMDCs) can migrate to various sites in the recipient including the BM and the central nervous system (CNS) [1]. It is generally believed that the BMDCs that accumulate within the CNS are predominantly of monocytic lineage [2,3,4] These BM-derived monocytic lineage cells integrate within the CNS, exhibit several microglial markers, and have morphologies reminiscent of endogenous microglia and perivascular macrophages associated with blood vessels [2]. For successful BMT, niche space must be generated within the recipient BM compartment to allow for donor cell engraftment. While this is most commonly achieved using myeloablative irradiation, this procedure can lead to lethal damage and inflammation in the CNS as well as immunosuppression that increases the potential for secondary infections [6]. Wilkinson et al have claimed that BU conditioning enhances engraftment of BMDCs compared to whole-body lethal irradiation when using a higher dose of BU (125 mg/kg), than we and others have used previously [4]

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