Related Experiment Video
Updated: Jul 16, 2026

Isolation and Flow Cytometric Assessment of Neuroimmune Interactions in a Mini-Stroke Murine Model
Published on: June 20, 2025
A transmissible cytotoxic activity isolated from a patient with brain ischemia causes microglial cell activation and
F Beretti1, V Cenacchi, M Portolani
1Dipartimento Integrato dei Servizi Diagnostici, di Laboratorio e di Medicina Legale, Università degli Studi di Modena e Reggio Emilia, Via del Pozzo 87, 41100 Modena, Italy.
Abstract:
1. Microglial cell activation occurs during brain injury, ischemia, and in several neurologic disorders. Recently, we isolated a transmissible cytotoxic activity (TCA) from the cerebrospinal fluid of a patient with brain ischemia. Such a TCA, associated with one or more protein(s) that supposedly had undergone in vivo misfolding, causes apoptosis in vitro in different cell lines, including microglial cells. The TCA producing cells and the potential in vivo role of such cytotoxic activity remains to be elucidated. Here, we investigated the in vitro effects of TCA on microglial cell immune functions.2. The murine microglial cell line RR4 was exposed to TCA, and then its response was evaluated as: (a) phagocytosis and antifungal activity against Candida albicans; (b) secretory pattern; and (c) levels of p38 phosphorylation.3. Unlike mock-treated controls, microglial cells exposed to TCA showed an increase in phagocytic activity. Unexpectedly, their capability to kill the ingested fungi significantly diminished. Moreover, TCA-treated cells produced amounts of macrophage inflammatory protein 1-alpha, tumor necrosis factor-alpha, and nitric oxide significantly higher than mock-treated cells. Finally, phosphorylation of p38 mitogen-activated protein kinase (MAPK) was detected in TCA-treated but not in mock-treated controls as early as 30 min after treatment.4. Overall, these results indicate that TCA causes a rapid molecular response in microglial cells, by the time, leading to an intriguing effector and secretory dysfunction.
Insights
Transmissible cytotoxic activity (TCA) from ischemic brain injury enhances microglial phagocytosis but impairs fungal killing and alters immune secretions. This suggests TCA causes microglial dysfunction.
Area of Science:
- Neuroscience
- Immunology
- Cell Biology
Background:
- Microglial cells are crucial immune cells in the central nervous system, activated during brain injury and neurological disorders.
- Transmissible cytotoxic activity (TCA), potentially linked to misfolded proteins, has been identified in cerebrospinal fluid from ischemic stroke patients.
- TCA can induce apoptosis in various cell types, including microglial cells, but its specific effects on microglial immune functions are not fully understood.
Purpose of the Study:
- To investigate the in vitro effects of TCA on the immune functions of murine microglial cells.
- To evaluate changes in phagocytosis, antifungal activity, secretory patterns, and p38 MAPK phosphorylation in microglial cells exposed to TCA.
Main Methods:
- Murine microglial cell line RR4 was treated with TCA.
- Assessed phagocytosis and antifungal activity against Candida albicans.
- Analyzed the secretory profile, including cytokine and nitric oxide production.
- Measured the phosphorylation levels of p38 mitogen-activated protein kinase (MAPK).
Main Results:
- TCA-treated microglial cells exhibited increased phagocytic activity compared to controls.
- A significant decrease in the ability of TCA-treated cells to kill ingested Candida albicans was observed.
- TCA exposure led to elevated production of macrophage inflammatory protein 1-alpha, tumor necrosis factor-alpha, and nitric oxide.
- Phosphorylation of p38 MAPK was rapidly induced in TCA-treated cells within 30 minutes.
Conclusions:
- TCA rapidly triggers molecular responses in microglial cells.
- TCA exposure results in a functional impairment of microglial effector and secretory capabilities.
- These findings highlight a novel mechanism of microglial dysfunction potentially relevant to neurological disorders associated with TCA.
Related Concept Videos
Ischemic Stroke ll: Pathophysiology
Encephalitis ll: Pathophysiology
Cytotoxic Edema: Pathophysiology

