# Targeting the hematopoietic system: the role of hematopoietic growth factors in restricting A-beta accumulation in Alzheimers disease

> **NIH NIH R01** · UPSTATE MEDICAL UNIVERSITY · 2020 · $403,043

## Abstract

Abstract
Alzheimer's disease (AD), a rapidly growing health problem in the United States, has created serious public
and personal crises at both medical and financial levels. Developing therapeutic strategies for AD is of critical
importance, as no cure is currently available. Accumulation of β-amyloid (Aβ) in the CNS has been proposed
to play a causative role in the pathogenesis of AD. Dysfunction of the innate immune system for Aβ clearance
is crucially involved in cerebral Aβ deposition and in pathological progression. The resident microglia and bone
marrow-derived monocytes/macrophages (BMDMs) are the key innate immune cells to clear Aβ in the CNS.
During disease progression, microglia turn to a pathological phenotype and fail to clear Aβ. BMDMs show
robust effects in Aβ elimination, revealing a target for developing Aβ clearance therapies for AD. In fact, the
hematopoietic system for generating BMDMs is defective in AD patients. BMDMs as well as stem cell factor
(SCF) and granulocyte-colony stimulating factor (G-CSF) are significantly reduced in AD patients. SCF and G-
CSF are the essential hematopoietic growth factors that regulate blood cell generation. Critically, elucidating
the role of SCF and G-CSF in generating BMDMs and in restricting Aβ accumulation may help in developing a
cure for AD. We have recently discovered that SCF+G-CSF not only enhances BMDM generation but it also
increases BMDM recruitment and enhances BMDM phagocytosis of Aβ, and ultimately induces long-term
effects in Aβ reduction and cognitive improvement in APP/PS1 mice, a mouse model of cerebral amyloidosis.
The objective of this project is to define how SCF+G-CSF regulates BMDMs to restrict Aβ accumulation and
improve cognitive function in APP/PS1 mice. We hypothesize that the SCF+G-CSF-increased Aβ clearance in
the brain with amyloidosis is coordinated through the enhancement of BMDM generation, of BMDM
recruitment, and of BMDM function in Aβ removal. Using approaches ranging from molecular biology to live
brain imaging, this hypothesis will be tested through the following 3 Aims: Aim 1 will determine how SCF+G-
CSF enhances BMDM production in APP/PS1 mice, Aim 2 will examine how SCF+G-CSF regulates entry of
BMDMs into the brains of APP/PS1 mice, and Aim 3 will define how SCF+G-CSF increases BMDM uptake of
aggregated Aβ. Through these 3 Aims, the interaction between BMDM-related Aβ removal and
neuroinflammatory changes will also be examined. We expect these studies to define the mechanisms
underlying the SCF+G-CSF-increased Aβ clearance and cognitive improvement. This project is innovative in
the unique approach, originally developed by our group, of targeting the hematopoietic system to enhance
BMDM-mediated Aβ removal by SCF+G-CSF. This study is significant as it will shed light on how SCF+G-CSF
ameliorates the defective innate immune system in the AD-like condition to reduce Aβ load. Importantly, this
research could be readily translated into clinical trials bec...

## Key facts

- **NIH application ID:** 9930514
- **Project number:** 5R01AG051674-05
- **Recipient organization:** UPSTATE MEDICAL UNIVERSITY
- **Principal Investigator:** LI-RU ZHAO
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $403,043
- **Award type:** 5
- **Project period:** 2016-09-30 → 2022-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9930514

## Citation

> US National Institutes of Health, RePORTER application 9930514, Targeting the hematopoietic system: the role of hematopoietic growth factors in restricting A-beta accumulation in Alzheimers disease (5R01AG051674-05). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9930514. Licensed CC0.

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