Microglial cells contribute to endogenous brain defenses after acute neonatal focal stroke

Joel V Faustino1, Xia Wang, Cali E Johnson

  • 1Department of Neurology, University of California, San Francisco, San Francisco, California 94143-0663, USA.

Insights

Microglia protect the neonatal brain after stroke, contrary to previous beliefs. However, high levels of glutathione in microglia can paradoxically increase injury by promoting inflammation and oxidative stress.

Area of Science:

  • Neuroscience
  • Immunology
  • Stroke Research

Background:

  • Macrophages are implicated in amplifying ischemic brain injury, but their origin and role, particularly resident microglial cells, remain debated.
  • The specific contribution of microglial cells to injury or protection following neonatal stroke requires clarification.

Purpose of the Study:

  • To investigate the role of microglial cells in neonatal focal stroke injury.
  • To determine if microglial cells exert injurious effects or provide endogenous protection.
  • To examine the impact of altered intracellular glutathione levels in microglia on stroke outcomes.

Main Methods:

  • Selective depletion of microglial cells using intracerebral injection of liposome-encapsulated clodronate before inducing transient middle cerebral artery occlusion in P7 rats.
  • Assessment of phagocytosis of apoptotic neurons by microglia.
  • Measurement of cytokine and chemokine levels.
  • Delivery of reduced glutathione (GSH) into microglia via liposomes to investigate the effects of elevated intracellular GSH.

Main Results:

  • Microglial depletion did not increase the number of apoptotic neurons, indicating poor phagocytosis in unmanipulated microglia.
  • Lack of microglia exacerbated stroke severity and injury volume, suggesting a protective role during the subacute phase.
  • Increased intracellular GSH in microglia led to superoxide accumulation, enhanced chemoattractant levels, and worsened brain injury.

Conclusions:

  • Microglial cells function as endogenous defense mechanisms in the subacute phase of neonatal stroke.
  • While antioxidants may protect the injured brain, excessive levels of reduced glutathione (GSH) in activated microglia can paradoxically amplify inflammation and exacerbate injury.
  • Targeting microglial function requires careful consideration of intracellular redox balance to avoid adverse effects.