# Treatment of chronic traumatic encephalopathy in a mouse model with a side effect free erythropoietin derived immune modulator.

> **NIH VA I21** · VA NEW JERSEY HEALTH CARE SYSTEM · 2021 · —

## Abstract

This project seeks to examine a treatment for chronic traumatic encephalopathy (CTE).
CTE is a degenerative disease that afflicts individuals who have received multiple concussive
injuries such as soldiers or players of professional contact sports. It is often marked by
progressive neurological deterioration. The disease may lead to memory loss, mood problems,
suicidality and dementia and there is presently no known cure. Neuropathologically the disease
is associated with chronic neuroinflammation, axonal injury, brain atrophy and tauopathy.
 There is extensive evidence that long term inflammation worsens neurodegenerative
diseases, and specifically tauopathies. This study examines the hypothesis that downregulating
this inflammation will slow or arrest the progression of CTE. The proposal employs JM4, a novel
immune/inflammatory regulatory agent, to control neuroinflammation. JM4 is a short peptide
derived from the cytokine erythropoietin. Whole molecule erythropoietin has well established
neuroprotective and immune/inflammatory modulating effects. However, its use in clinical
settings is limited since it can lead to dangerous polycythemic levels of red blood cells. JM4 is a
short peptide fragment of erythropoietin that retains the cytokine's beneficial effects without the
side effect of hematopoiesis. Preliminary studies show that it is highly effective in reducing the
immune inflammatory responses in several models of experimental autoimmune
encephalomyelitis. Furthermore, in a mouse model of Alzheimer's disease it reduces clinical
signs, microglial and astrocytic activation and tauopathy. Preliminary data in a mouse model of
CTE indicates that it decreases the associated memory and anxiety deficits.
 The proposed studies will examine the ability of JM4 to treat CTE using the following
experiments:
 1) Establishing a model of CTE. Since there is presently no generally accepted animal
 model of CTE we will appraise two closed cranium models that have been reported
 in the literature. The first employs multiple direct impacts to the head of experimental
 mice over a 1 week period. The second model exposes the mice to blast like loading
 by placing them in the path of a simulated explosion. Both models have been
 reported to produce chronic neuroinflammation, tauopathy and behavioral deficits.
 Mice will be followed using tests of anxiety, memory and motor ability. After 6
 months, mice will be sacrificed to study neuroinflammation, proinflammatory
 cytokines and tauopathy using immunohistochemistry.
2) Examining the effect of JM4 in the treatment of CTE. The optimum model from
 experiment 1 will be selected and the efficacy of JM4 will be tested. Mice will be
 exposed to the selected injury and then treated with JM4 for 10 consecutive days,
 either immediately following the injury, or after a 1 month delay (to simulate the effect
 of delaying treatment until behavioral deficits become apparent). Mice will be
 examined using the same behavioral a...

## Key facts

- **NIH application ID:** 10322972
- **Project number:** 5I21RX002878-03
- **Recipient organization:** VA NEW JERSEY HEALTH CARE SYSTEM
- **Principal Investigator:** PETER C DOWLING
- **Activity code:** I21 (R01, R21, SBIR, etc.)
- **Funding institute:** VA
- **Fiscal year:** 2021
- **Award amount:** —
- **Award type:** 5
- **Project period:** 2018-10-01 → 2021-09-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10322972

## Citation

> US National Institutes of Health, RePORTER application 10322972, Treatment of chronic traumatic encephalopathy in a mouse model with a side effect free erythropoietin derived immune modulator. (5I21RX002878-03). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10322972. Licensed CC0.

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