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Updated: May 1, 2026

Intravital Imaging of Axonal Interactions with Microglia and Macrophages in a Mouse Dorsal Column Crush Injury
Published on: November 23, 2014
The role of the microglia in acute CNS injury
Masahito Kawabori1, Midori A Yenari
1Department of Neurology, University of California, San Francisco and the San Francisco Veterans Affairs Medical Center, 4150 Clement Street, San Francisco, CA, 94121, USA.
Abstract:
Microglia are considered the brain's resident immune cell involved in immune defense, immunocompetence, and phagocytosis. They maintain tissue homeostasis within the brain and spinal cord under normal condition and serves as its initial host defense system. However, when the central nervous system (CNS) faces injury, microglia respond through signaling molecules expressed or released by neighboring cells. Microglial responses are dual in nature. They induce a nonspecific immune response that may exacerbate CNS injury, especially in the acute stages, but are also essential to CNS recovery and repair. The full range of microglial mechanisms have yet to be clarified, but there is accumulating knowledge about microglial activation in acute CNS injury. Microglial responses require hours to days to fully develop, and may present a therapeutic target for intervention with a much longer window of opportunity compare to other neurological treatments. The challenge will be to find ways to selectively suppress the deleterious effects of microglial activation without compromising its beneficial functions. This review aims to provide an overview of the recent progress relating on the deleterious and beneficial effect of microglia in the setting of acute CNS injury and the potential therapeutic intervention against microglial activation to CNS injury.
Insights
Microglia, the brain's immune cells, have dual roles in central nervous system (CNS) injury. This review explores their harmful and helpful effects, and potential therapeutic targets for CNS repair.
Area of Science:
- Neuroscience
- Immunology
- Cell Biology
Background:
- Microglia are the primary immune cells in the central nervous system (CNS), maintaining homeostasis and providing defense.
- They play crucial roles in immune defense, immunocompetence, and phagocytosis within the brain and spinal cord.
- Microglia are essential for tissue homeostasis and act as the initial host defense system in the CNS.
Purpose of the Study:
- To review recent advancements concerning the dual effects of microglia in acute CNS injury.
- To explore the beneficial and deleterious impacts of microglial activation.
- To discuss potential therapeutic interventions targeting microglial activation for CNS injury.
Main Methods:
- Literature review of recent scientific publications.
- Analysis of microglial responses in the context of acute CNS injury.
- Synthesis of information on therapeutic strategies for modulating microglial activity.
Main Results:
- Microglial activation presents a dual response, potentially exacerbating acute CNS injury while also being vital for recovery.
- Microglial responses develop over hours to days, offering a therapeutic window.
- Selective suppression of detrimental microglial effects without compromising beneficial functions is a key challenge.
Conclusions:
- Microglia exhibit complex roles in acute CNS injury, necessitating a nuanced therapeutic approach.
- Understanding the full spectrum of microglial mechanisms is crucial for developing effective treatments.
- Targeting microglial activation holds promise for improving outcomes in CNS injury.
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