Background: The process of aggregation of brain amyloid-b peptides (Ab) is thought to be associated with the pathogenesis of Alzheimer's disease (AD). Amyloid-b peptides are produced by sequential endoproteolysis by b-site amyloid-b protein precursor-cleaving enzyme (BACE) followed by presenilin (PS)/g-secretase. There are several species of Ab due to cleavage diversity of PS/g-secretase. The predominant species in human cerebrospinal fluid (CSF) or plasma is Ab40, whereas Ab42 is much more aggregatable and accumulated in senile plaques. The level of Ab in the brain is determined by the balance between the generation and clearance of Ab, including transport across the brain-blood barrier (BBB). Although the processes of Ab generation and degradation have been studied in some detail, knowledge of the Ab transport process across the BBB is limited. So far, low-density lipoprotein receptor-related protein (LRP1), P-glycoprotein (P-gp), and insulin-like growth factor-1 (IGF-1) have been identified to modify the excretion of brain Ab to the blood. Methods: To investigate whether macrophage colony stimulating factor (M-CSF) has a role in the Ab transport process, human Ab was injected into the lateral ventricle of the brain of M-CSF-deficient (op/op) mice. Then, plasma and brain Ab levels were measured by ELISA to determine the time-course of Ab movement from the brain to the plasma. Result: When human Ab40 was injected into mouse lateral ventricles, the efflux of Ab from the CSF to the blood was transiently decreased and delayed in M-CSF-deficient mice. Moreover, endogenous plasma Ab40 levels were lower in M-CSF-deficient mice.
Conclusion:The results indicate that M-CSF deficiency impairs excretion of human-type Ab40 from the CSF to blood. We propose that M-CSF may be a novel factor that facilitates the excretion of Ab from the CSF to the blood via the BBB.