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Updated: Feb 14, 2026

Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
Microglial Phenotypes and Functions in Multiple Sclerosis
Elaine O'Loughlin1, Charlotte Madore1, Hans Lassmann2
1Ann Romney Center for Neurologic Diseases, Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115.
Abstract:
Microglia are the resident immune cells that constantly survey the central nervous system. They can adapt to their environment and respond to injury or insult by altering their morphology, phenotype, and functions. It has long been debated whether microglial activation is detrimental or beneficial in multiple sclerosis (MS). Recently, the two opposing yet connected roles of microglial activation have been described with the aid of novel microglial markers, RNA profiling, and in vivo models. In this review, microglial phenotypes and functions in the context of MS will be discussed with evidence from both human pathological studies, in vitro and in vivo models. Microglial functional diversity-phagocytosis, antigen presentation, immunomodulation, support, and repair-will also be examined in detail. In addition, this review discusses the emerging evidence for microglia-related targets as biomarkers and therapeutic targets for MS.
Insights
Microglia, the brain's immune cells, play dual roles in multiple sclerosis (MS). Understanding their functions, like phagocytosis and repair, offers new therapeutic targets for MS treatment.
Area of Science:
- Neuroimmunology
- Cellular Biology
Background:
- Microglia are central nervous system immune cells that survey and respond to environmental changes.
- The role of microglial activation in multiple sclerosis (MS) remains debated, with evidence suggesting both detrimental and beneficial effects.
Purpose of the Study:
- To review microglial phenotypes and functions in the context of MS.
- To examine the diverse functions of microglia, including phagocytosis, antigen presentation, immunomodulation, support, and repair.
- To discuss microglia-related targets as potential biomarkers and therapeutics for MS.
Main Methods:
- Analysis of human pathological studies.
- Review of in vitro and in vivo experimental models.
- Examination of novel microglial markers and RNA profiling data.
Main Results:
- Microglial activation in MS exhibits opposing, yet interconnected, roles.
- Evidence from human studies and experimental models elucidates microglial functional diversity.
- Emerging data highlight microglia as potential targets for MS biomarkers and therapies.
Conclusions:
- Microglial functional diversity is critical in understanding MS pathogenesis.
- Targeting microglia offers promising avenues for developing novel MS biomarkers and therapeutic strategies.
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