Adult-onset leukoencephalopathy with axonal spheroids and pigmented glia (ALSP) is caused by dominant inactivating mutations in the
colony stimulating factor receptor 1 (CSF1R)
kinase domain. GM-CSF haploinsufficiency corrects olfactory, cognitive and emotional functions lost in Csf1r+ / − mice. This correlates with the correction of microgliosis and microglial functions resulting in improvement of myelination and rescue of
neurogenesis. However, GM-CSF haploinsufficiency fails to correct the motor deficits of Csf1r+ / − mice and cerebellar microgliosis. The present invention discloses methods and compositions using GM-CSF as a suitable therapeutic target to inhibit in amelioration of the cognitive impairments in ALSP and other in conditions involving inflammatory activation of
microglia and macrophages, such as AD, ALS,
multiple sclerosis, and hippocampal
inflammation following
radiation therapy. Treatment with GM-CSF inhibitors is beneficial in ALSP, as adult
neurogenesis is important for memory,
olfaction and prevention of
anxiety / depression and early
initiation of such treatment in carriers of CSF1R mutations may increase effectiveness. Balancing the actions of CSF-1R and GM-CSF signaling are necessary to preserve
olfaction,
cognition and emotional balance in aged mice. This balance is likely altered in many neurodegenerative diseases in which activated
microglia contribute to the
pathology.