Microglia M1/M2 polarization contributes to electromagnetic pulse-induced brain injury
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Updated: Jan 21, 2026

Polarization and Characterization of M1 and M2 Human Monocyte-Derived Macrophages on Implant Surfaces
Published on: December 6, 2024
X J Zhang1,2, M M Lv3, X Q Zhu4
1Department of Anesthesiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Abstract:
The development of electronic technology has attracted attention on the biological effects of electromagnetic fields (EMFs) and electromagnetic pulse (EMP). It remains controversial whether EMP irradiation is neurotoxic or beneficial for recovery from injuryies such as cerebral ischemia. Microglia is innate immune cells in the brain, exhibiting either neurotoxicity or neuroprotection effect during various central nervous system diseases, depending on their activation into a classical (M1) or alternative (M2) phenotype, respectively. The Toll-like receptor-4 (TLR4), myeloid differentiation factor 88 (MyD88) and nuclear factor kappa B (NFκB) pathway is important for microglia activation. In this study, we investigated the effect of EMP on neuronal apoptosis and microglia polarization in vivo and in vitro, using an EMP of 400 kV/m and 1 hertz for 200 pulses. Short EMP irradiation (≤24 h) resulted in microglial conversion from the resting to the M1-type state, activation of the TLR4/MyD88/NFκB pathway, higher levels of inflammatory cytokines including interleukin (IL)-6, IL-1β and tumor necrosis factor-α, as well as neuronal apoptosis induction. In contrast, long EMP irradiation (3 days) resulted in microglial activation into the M2-type, decreased apoptosis and inflammatory mediator production, and increased levels of the neuroprotective effectors IL-10, transforming growth factor beta, and brain-derived neurotrophic factor. EMP induces both neuronal damage and neuronal recovery by influencing the switch of M1/M2 polarization and the TLR4/MyD88/NFκB pathway.
Insights
Electromagnetic pulse (EMP) exposure can harm neurons short-term by activating inflammatory microglia. However, longer EMP exposure promotes neuroprotection by shifting microglia to a healing M2 state, aiding recovery.
Area of Science:
- Neuroscience
- Immunology
- Biophysics
Background:
- Electronic technology advancements raise concerns about electromagnetic fields (EMFs) and electromagnetic pulse (EMP) biological effects.
- The neurotoxic or neuroprotective impact of EMP on conditions like cerebral ischemia is debated.
- Microglia, brain's immune cells, can be either neurotoxic (M1 phenotype) or neuroprotective (M2 phenotype), influencing central nervous system diseases.
Purpose of the Study:
- To investigate the effects of EMP irradiation on neuronal apoptosis and microglia polarization.
- To elucidate the role of the Toll-like receptor-4 (TLR4)/MyD88/NFκB pathway in EMP-induced microglia activation.
- To differentiate the outcomes of short-term versus long-term EMP exposure on neural tissue.
Main Methods:
- In vivo and in vitro experiments were conducted using a specific EMP (400 kV/m, 1 Hz, 200 pulses).
- Microglia polarization (M1/M2 states) was assessed following EMP exposure.
- Neuronal apoptosis, inflammatory cytokine levels (IL-6, IL-1β, TNF-α), and neuroprotective factors (IL-10, TGF-β, BDNF) were measured.
Main Results:
- Short EMP irradiation (≤24 h) induced M1 microglia polarization, activated the TLR4/MyD88/NFκB pathway, increased inflammatory cytokines, and caused neuronal apoptosis.
- Long EMP irradiation (3 days) promoted M2 microglia polarization, reduced apoptosis and inflammation, and elevated neuroprotective factors.
- EMP exposure demonstrated a dual effect, inducing both neuronal damage and recovery by modulating M1/M2 microglia polarization.
Conclusions:
- EMP irradiation exhibits a dose-dependent effect on neural tissue, with short exposure being detrimental and long exposure potentially beneficial.
- The switch between M1 and M2 microglia polarization, mediated by the TLR4/MyD88/NFκB pathway, is a key mechanism in EMP's dual neurobiological effects.
- Understanding EMP's impact on microglia is crucial for developing therapeutic strategies for neurological injuries like cerebral ischemia.
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