ReviewMicroglial clearance function in health and disease
Section snippets
Microglial motility
Microglial cells are of hematopoietic origin and populate the CNS during early development. In the adult mouse approximately 10% of all brain cells are microglia. Microglial cells are responsible for the first line of immune defense in the CNS. To exert this task microglial cells are highly ramified. A multitude of microglial processes extend over non-overlapping territories, thus covering the entire CNS parenchyma. Microglia are found to be activated under several pathological conditions
Microglial phagocytosis
Microglial phagocytosis is a highly coordinated process, which is mainly regulated by signals that microglia receive from their environment. Microglia express distinct types of receptors which are either involved in the phagocytosis of pathogenic organisms such as TLRs or scavenger receptors for clearance of apoptotic cellular debris such as receptors recognizing phosphatidylserine (PtdSer) residues. As mentioned before, both reactions substantially differ in their inflammatory response in the
Restructuring of neuronal connections during development
Excess production of neurons and loss by apoptosis are evident in most regions of the developing CNS. Microglial cells have populated the CNS before this neuronal loss occurs and are involved in the removal of cellular debris and dead cell corpuses. It has been shown in the developing mouse cerebellum that apoptotic Purkinje cells were engulfed after being contacted by spreading processes of microglial cells (Marin-Teva et al., 2004). Interestingly apoptosis of Purkinje cells in cerebellar
Mechanical injury
Following acute lesion microglia respond to this trigger with a synchronized and dynamic immune response. They migrate toward the lesion site and remove the degenerated tissue. A study in an animal model of spinal cord transection supported the view that the innate immune system might beneficially contribute to the repair of the injured CNS (Rapalino et al., 1998). Rats partly regained their locomotor activity after local implantation of macrophages pre-stimulated on peripheral nerves. It was
Alzheimer’s disease (AD)
The role of microglia in the pathogenesis of AD is still controversial. Microglia play a neuroprotective role in AD by secreting proteolytic enzymes that degrade Aβ and expressing receptors which are involved in the clearance and phagocytosis of Aβ. However, microglia might also contribute to disease progression by producing neurotoxins including reactive oxygen species and pro-inflammatory cytokines. In a transgenic mouse model of AD bone marrow–derived cells were recruited to senile plaques
Conclusion
Microglia contribute to the homeostasis of the CNS by phagocytosis of apoptotic cells and degenerated tissue. Signals for attraction of microglia and engulfment of apoptotic cells are emerging and need to be identified further. When cells undergo apoptosis, PtdSer is translocated to the outer leaflet, where it becomes accessible to microglia. Microglia recognize PtdSer by specific microglial receptors and start clearance of apoptotic debris. The role of microglial phagocytosis in CNS
Acknowledgments
The Neural Regeneration Group at the University Bonn is supported by the Hertie-Foundation, the Walter-und-Ilse-Rose-Foundation, the DFG (SFB704, KFO177) and the EU (LSHM-CT-2005-018637).
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