2020
DOI: 10.1186/s40478-020-01093-3
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Microglial replacement therapy: a potential therapeutic strategy for incurable CSF1R-related leukoencephalopathy

Abstract: CSF1R-related leukoencephalopathy is an adult-onset leukoencephalopathy with axonal spheroids and pigmented glia caused by colony stimulating factor 1 receptor (CSF1R) gene mutations. The disease has a global distribution and currently has no cure. Individuals with CSF1R-related leukoencephalopathy variably present clinical symptoms including cognitive impairment, progressive neuropsychiatric and motor symptoms. CSF1R is predominantly expressed on microglia within the central nervous system (CNS), and thus CSF… Show more

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Cited by 43 publications
(32 citation statements)
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References 106 publications
(192 reference statements)
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“…Colony-stimulating factor 1 receptor ( CSF1R )-related leukoencephalopathy, mainly caused by CSF1R gene mutations and regarded as the most common type of adult-onset leukoencephalopathy, currently without a cure, typically presents with progressive neuropsychiatric and motor symptoms [ 47 , 48 ]. CSF1R is predominately expressed on microglia within the CNS and thus CSF1R -related leukoencephalopathy is considered as a primary CNS microgliopathy with dystrophic microglia playing a pivotal role in disease pathogenesis [ 47 , 49 ]. Although there are no sex differences of CSF1R -related leukoencephalopathy in prevalence and disease duration, male patients develop disease significantly later than do females [ 50 ].…”
Section: Sex Bias In Neurological Diseasesmentioning
confidence: 99%
“…Colony-stimulating factor 1 receptor ( CSF1R )-related leukoencephalopathy, mainly caused by CSF1R gene mutations and regarded as the most common type of adult-onset leukoencephalopathy, currently without a cure, typically presents with progressive neuropsychiatric and motor symptoms [ 47 , 48 ]. CSF1R is predominately expressed on microglia within the CNS and thus CSF1R -related leukoencephalopathy is considered as a primary CNS microgliopathy with dystrophic microglia playing a pivotal role in disease pathogenesis [ 47 , 49 ]. Although there are no sex differences of CSF1R -related leukoencephalopathy in prevalence and disease duration, male patients develop disease significantly later than do females [ 50 ].…”
Section: Sex Bias In Neurological Diseasesmentioning
confidence: 99%
“…An alternative approach, of transplantation of genetically-engineered autologous hematopoietic stem cells, has proven to be beneficial in X-linked adrenoleukodystrophy [115,116]. Recently strategies for efficient microglial replacement therapy have been developed in mouse [117][118][119].…”
Section: Emerging Therapies For Crlmentioning
confidence: 99%
“…Successful examples include the use of chimeric antigen receptor (CAR) T cells to treat patients with acute lymphoid leukemia, lymphoma and multiple myeloma and natural killer cells for acute myeloid leukemia, as well as the treatment of post-transplant leukemia relapse with donor lymphocyte infusions (DLIs) [1][2][3][4][5][6]. Furthermore, stem cell transplantation has proven successful in the treatment of hematological malignancies, autoimmune diseases, immune deficiencies, metabolic syndromes and the regeneration of tissues [4,[7][8][9][10]. However, several of these cell therapies remain unpredictable in terms of efficacy and potential side effects.…”
Section: Introductionmentioning
confidence: 99%