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Published on: September 7, 2019
Multiple mechanisms of microglia: a gatekeeper's contribution to pain states
Manuel B Graeber1, MacDonald J Christie
1Brain Tumor Research Laboratories, The Brain and Mind Research Institute, University of Sydney, Sydney, Australia. manuel@graeber.net
Abstract:
Microglia are gatekeepers in the CNS for a wide range of pathological stimuli and they blow the whistle when things go wrong. Collectively, microglia form a CNS tissue alarm system (Kreutzberg's "sensor of pathology"), and their involvement in physiological pain is in line with this function. However, pathological neuropathic pain is characterized by microglial activation that is unwanted and considered to contribute to or even cause tactile allodynia, hyperalgesia and spontaneous pain. Such abnormal microglial behavior seems likely due to an as yet ill-understood disturbance of microglial functions unrelated to inflammation. The idea that microglia have roles in the CNS that differ from those of peripheral macrophages has gained momentum with the discovery of their separate, pre-hematopoietic lineage during embryonic development and their direct interactions with synapses.
Insights
Microglia act as the central nervous system's (CNS) alarm system. While involved in normal pain, their abnormal activation in neuropathic pain suggests a disturbance in their unique CNS functions.
Area of Science:
- Neuroscience
- Immunology
Background:
- Microglia function as the primary immune cells and
- gatekeepers
- in the central nervous system (CNS).
- They act as a
- sensor of pathology
- and are involved in physiological pain responses.
- Pathological neuropathic pain involves unwanted microglial activation.
Purpose of the Study:
- To explore the role of microglia in neuropathic pain.
- To understand the abnormal microglial activation in pathological pain conditions.
- To investigate the unique functions of microglia in the CNS.
Main Methods:
- Literature review and synthesis of existing research on microglia and pain.
- Analysis of studies investigating microglial activation in neuropathic pain models.
- Examination of research on microglial lineage and CNS-specific functions.
Main Results:
- Microglia are essential for detecting pathological stimuli in the CNS.
- Abnormal microglial activation contributes to neuropathic pain symptoms like allodynia and hyperalgesia.
- Microglial functions in the CNS may differ from peripheral macrophages, possibly due to their unique embryonic development and synapse interactions.
Conclusions:
- Microglia play a dual role in pain, being protective in physiological states but detrimental in neuropathic conditions.
- The disturbance in microglial function, rather than inflammation, is likely responsible for neuropathic pain.
- Further research into microglia's unique CNS roles is crucial for understanding and treating neuropathic pain.
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