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Bone marrow drives central nervous system regeneration after radiation injury
Jorg Dietrich, Ninib Baryawno, Naema Nayyar, Yannis K. Valtis, Betty Yang, Ina Ly, Antoine Besnard, Nicolas Severe, Karin U. Gustafsson, Ovidiu C. Andronesi, Tracy T. Batchelor, Amar Sahay, David T. Scadden
Jorg Dietrich, Ninib Baryawno, Naema Nayyar, Yannis K. Valtis, Betty Yang, Ina Ly, Antoine Besnard, Nicolas Severe, Karin U. Gustafsson, Ovidiu C. Andronesi, Tracy T. Batchelor, Amar Sahay, David T. Scadden
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Research Article Hematology Neuroscience

Bone marrow drives central nervous system regeneration after radiation injury

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Abstract

Nervous system injury is a frequent result of cancer therapy involving cranial irradiation, leaving patients with marked memory and other neurobehavioral disabilities. Here, we report an unanticipated link between bone marrow and brain in the setting of radiation injury. Specifically, we demonstrate that bone marrow–derived monocytes and macrophages are essential for structural and functional repair mechanisms, including regeneration of cerebral white matter and improvement in neurocognitive function. Using a granulocyte-colony stimulating factor (G-CSF) receptor knockout mouse model in combination with bone marrow cell transplantation, MRI, and neurocognitive functional assessments, we demonstrate that bone marrow–derived G-CSF–responsive cells home to the injured brain and are critical for altering neural progenitor cells and brain repair. Additionally, compared with untreated animals, animals that received G-CSF following radiation injury exhibited enhanced functional brain repair. Together, these results demonstrate that, in addition to its known role in defense and debris removal, the hematopoietic system provides critical regenerative drive to the brain that can be modulated by clinically available agents.

Authors

Jorg Dietrich, Ninib Baryawno, Naema Nayyar, Yannis K. Valtis, Betty Yang, Ina Ly, Antoine Besnard, Nicolas Severe, Karin U. Gustafsson, Ovidiu C. Andronesi, Tracy T. Batchelor, Amar Sahay, David T. Scadden

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Figure 7

G-CSF improves neurocognitive function and restores cerebral white matter following brain irradiation.

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G-CSF improves neurocognitive function and restores cerebral white matte...
Behavioral assessment of mice after fractionated focal brain irradiation (3 × 2 Gy) followed by G-CSF treatment administered on days 1, 3, 5, 7, 14, and 21 after irradiation. (A) Contextual learning and fear conditioning assay. Time spent “freezing” as a percentage of total time (180 seconds) in shock-associated context A on days 1, 2, and 3 of training (left graph); percentage of time spent freezing on day 4 in context A (conditioned context) and context B (dissimilar context) in the absence of foot shock (right graph). *P < 0.05, 2-way ANOVA. n = 10–12 independent biological replicates. (B) Morris water maze assay. Mean time (in seconds) for each group to learn and to swim to the hidden platform over 5 successive trial stages (left) and mean time (in seconds) for each group to swim to a hidden platform at a new location over 3 successive trial stages (right). Asterisks indicate significant change relative to control. *P < 0.05, 2-way ANOVA. n = 10–12 independent biological replicates. (C) MRI segmentation analysis of mice 12–14 months after focal brain irradiation. Quantitative analysis of brain volumes obtained from automated segmentation. Box plots of white matter volume (including CC, external capsule, internal capsule, anterior commissure, and fimbria) indicate a reduction of white matter volume in the group exposed to radiation alone. Both the groups exposed to irradiation with G-CSF and the untreated (nonirradiated) control group have similar white matter volumes with higher median values compared with the radiation-only group. **P < 0.01; ***P < 0.001, Student’s t test. n = 5 independent biological replicates. Data are presented as mean ± SEM of biological replicates.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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