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Updated: Oct 29, 2025

Identifying Microglia and Peripheral Infiltrating Macrophages in the Injured Spinal Cords Using Flow Cytometry
Published on: June 24, 2025
Macrophage phagocytosis after spinal cord injury: when friends become foes
Jana Van Broeckhoven1, Daniela Sommer1, Dearbhaile Dooley2,3
1Department of Immunology and Infection, Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium.
Abstract:
After spinal cord injury, macrophages can exert either beneficial or detrimental effects depending on their phenotype. Aside from their critical role in inflammatory responses, macrophages are also specialized in the recognition, engulfment, and degradation of pathogens, apoptotic cells, and tissue debris. They promote remyelination and axonal regeneration by removing inhibitory myelin components and cellular debris. However, excessive intracellular presence of lipids and dysregulated intracellular lipid homeostasis result in the formation of foamy macrophages. These develop a pro-inflammatory phenotype that may contribute to further neurological decline. Additionally, myelin-activated macrophages play a crucial role in axonal dieback and retraction. Here, we review the opposing functional consequences of phagocytosis by macrophages in spinal cord injury, including remyelination and regeneration versus demyelination, degeneration, and axonal dieback. Furthermore, we discuss how targeting the phagocytic ability of macrophages may have therapeutic potential for the treatment of spinal cord injury.
Insights
Macrophages in spinal cord injury can aid recovery by clearing debris and promoting regeneration, but can also cause harm. Targeting their phagocytosis offers potential therapeutic strategies for neurological repair.
Area of Science:
- Neuroscience
- Immunology
- Regenerative Medicine
Background:
- Macrophages play a dual role following spinal cord injury (SCI), influencing both repair and damage.
- Their phagocytic activity is critical for clearing cellular debris and myelin, but can also lead to detrimental effects.
Purpose of the Study:
- To review the opposing roles of macrophage phagocytosis in SCI.
- To discuss the therapeutic potential of modulating macrophage phagocytic function for SCI treatment.
Main Methods:
- Literature review of studies investigating macrophage function in SCI.
- Analysis of the mechanisms underlying beneficial and detrimental phagocytosis by macrophages.
Main Results:
- Macrophages promote remyelination and axonal regeneration by clearing inhibitory myelin and debris.
- Foamy macrophages, resulting from lipid dysregulation, adopt a pro-inflammatory phenotype, exacerbating neurological damage.
- Myelin-activated macrophages contribute to axonal dieback and retraction.
Conclusions:
- Macrophage phagocytosis in SCI presents both pro-regenerative and pro-degenerative consequences.
- Targeting macrophage phagocytic capabilities may offer a promising therapeutic avenue for improving outcomes after spinal cord injury.
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