Spinal Cord Injury Induces Permanent Reprogramming of Microglia into a Disease-Associated State Which Contributes to

Ramil Hakim1, Vasilios Zachariadis2, Sreenivasa Raghavan Sankavaram1

  • 1Department of Clinical Neuroscience, Karolinska Institutet, Stockholm S-17177, Sweden.

Insights

Disease-associated microglia (DAM) arise from homeostatic microglia after spinal cord injury (SCI) and significantly improve locomotor recovery. These findings reveal DAM

Area of Science:

  • Neuroscience
  • Immunology
  • Cell Biology

Background:

  • Microglia are the primary immune cells in the central nervous system (CNS).
  • Disease-associated microglia (DAM) have been implicated in neurodegenerative diseases.
  • The origin and function of DAM in acute injury, like spinal cord injury (SCI), remain unclear.

Purpose of the Study:

  • To investigate the temporal dynamics of immune cells following traumatic SCI.
  • To characterize the origin and functional role of DAM in the context of SCI.
  • To explore the potential of DAM in promoting recovery after SCI.

Main Methods:

  • Single-cell RNA sequencing (scRNAseq) was employed to analyze immune cells from the epicenter of SCI in female mice.
  • A microglia depletion model was utilized to ascertain the lineage and function of DAM.
  • Transcriptional profiling was performed to identify microglial subtypes and their changes post-injury.

Main Results:

  • SCI induces permanent transcriptional reprogramming of baseline microglia into a novel subtype resembling DAM and developmental microglia.
  • DAM in SCI are derived from homeostatic microglia.
  • Depletion of DAM impairs hindlimb locomotor recovery, indicating their crucial role in functional improvement.

Conclusions:

  • Homeostatic microglia are reprogrammed into DAM following SCI, contributing to neuroprotection and repair.
  • DAM play a critical role in enhancing functional recovery after traumatic spinal cord injury.
  • This study provides a comprehensive dataset and insights into immune responses following SCI, with potential implications for human injury.