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Updated: Jan 19, 2026

Training Persons with Spinal Cord Injury to Ambulate Using a Powered Exoskeleton
Published on: June 16, 2016
Different Approaches to Modulation of Microglia Phenotypes After Spinal Cord Injury
Elvira Akhmetzyanova1, Konstantin Kletenkov1, Yana Mukhamedshina1,2
1OpenLab Gene and Cell Technologies, Institute of Fundamental Medicine and Biology, Kazan Federal University, Kazan, Russia.
Abstract:
Microglial cells, which are highly plastic, immediately respond to any change in the microenvironment by becoming activated and shifting the phenotype toward neurotoxicity or neuroprotection. The polarization of microglia/macrophages after spinal cord injury (SCI) seems to be a dynamic process and can change depending on the microenvironment, stage, course, and severity of the posttraumatic process. Effective methods to modulate microglia toward a neuroprotective phenotype in order to stimulate neuroregeneration are actively sought for. In this context, available approaches that can selectively impact the polarization of microglia/macrophages regulate synthesis of trophic factors and cytokines/chemokines in them, and their phagocytic function and effects on the course and outcome of SCI are discussed in this review.
Insights
Microglial cells rapidly adapt to spinal cord injury (SCI), shifting between neurotoxic and neuroprotective states. This review explores methods to guide microglia toward neuroprotection for enhanced spinal cord regeneration.
Area of Science:
- Neuroscience
- Immunology
- Regenerative Medicine
Background:
- Microglial cells are key immune cells in the central nervous system.
- These cells exhibit high plasticity, responding dynamically to injury by altering their phenotype.
- Microglial polarization is crucial in the context of spinal cord injury (SCI).
Purpose of the Study:
- To review current approaches for modulating microglial polarization after SCI.
- To highlight strategies that promote a neuroprotective microglial phenotype.
- To discuss the impact of these modulations on neuroregeneration and functional recovery.
Main Methods:
- Literature review of studies investigating microglial responses to SCI.
- Analysis of therapeutic strategies targeting microglial polarization.
- Discussion of factors influencing microglial phenotype plasticity.
Main Results:
- Microglial polarization is a dynamic process influenced by the injury microenvironment, stage, and severity.
- Specific approaches can selectively impact microglial polarization, trophic factor synthesis, and cytokine/chemokine production.
- Modulating microglial function affects their phagocytic activity and overall SCI outcomes.
Conclusions:
- Targeting microglial polarization offers a promising avenue for promoting neuroregeneration after SCI.
- Understanding the plasticity of microglia is essential for developing effective SCI therapies.
- Further research into selective modulation techniques is needed to optimize SCI treatment strategies.
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