Brain perivascular macrophages: Recent advances and implications in health and diseases

Tuo Yang1, Ruiming Guo1, Feng Zhang1

  • 1Department of Neurology, Pittsburgh Institute of Brain Disorders and Recovery, University of Pittsburgh, Pittsburgh, Pennsylvania.

Insights

Brain perivascular macrophages (PVMs) are crucial immune cells in the brain, supporting homeostasis and disease. Further research into PVMs could unlock new therapeutic strategies for various human conditions.

Area of Science:

  • Neuroimmunology
  • Cell Biology
  • Vascular Biology

Background:

  • Brain perivascular macrophages (PVMs) are specialized myeloid cells in the brain's perivascular space.
  • They play vital roles in maintaining brain homeostasis, including blood-brain barrier integrity and immune functions like phagocytosis.
  • PVMs are increasingly recognized for their involvement in neurological diseases.

Purpose of the Study:

  • To highlight the multifaceted roles of PVMs in the healthy and diseased brain.
  • To emphasize the need for further exploration of PVM functions.
  • To propose PVMs as a potential therapeutic target for human diseases.

Main Methods:

  • Characterization based on anatomical location, phagocytic capacity, and molecular markers.
  • Review of existing evidence on PVM functions in physiological and pathological conditions.
  • Analysis of PVM involvement in cerebrovascular diseases, Aβ pathologies, infections, and autoimmunity.

Main Results:

  • PVMs are integral to brain-resident immune system functions.
  • They actively participate in maintaining brain homeostasis and contribute to disease pathogenesis.
  • Their precise roles in various conditions are not yet fully understood.

Conclusions:

  • PVMs are key players in both normal brain function and disease states.
  • Targeting PVMs presents a promising avenue for developing novel therapeutic strategies.
  • Further research is essential to fully elucidate the complex functions of PVMs.