Delayed Infiltration of Peripheral Monocyte Contributes to Phagocytosis and Transneuronal Degeneration in Chronic

Keun Woo Park1,2, Hyunwoo Ju1, Il-Doo Kim1

  • 1Burke Neurological Institute, White Plains, NY (K.W.P., H.J., I.-d.K., Y.G., S.C.).

Stroke
|June 3, 2022
PubMed
Abstract

Insights

Monocyte-derived macrophages (MDMs) infiltrate the brain after stroke, exhibiting higher phagocytic activity than microglia and contributing to both injury and repair. Targeting MDM entry may offer a novel immune-based therapeutic strategy for chronic stroke.

Area of Science:

  • Neuroscience
  • Immunology
  • Stroke Research

Background:

  • Mononuclear phagocytes, including monocyte-derived macrophages (MDMs) and microglia, play dual roles in post-stroke brain injury and repair.
  • Understanding the specific contributions of MDMs is crucial for developing effective stroke therapies.

Purpose of the Study:

  • To investigate the origin and function of monocyte-derived macrophages (MDMs) in the brain during post-stroke repair.
  • To differentiate MDM roles from resident microglia in the context of ischemic stroke.

Main Methods:

  • Adult mice underwent transient middle cerebral artery occlusion to model stroke.
  • Adoptive transfer of GFP+ splenocytes distinguished MDMs from microglia.
  • Phagocytic activity was assessed using fluorescence beads.

Main Results:

  • Monocyte-derived macrophages (MDMs) infiltrated the ipsilateral hemisphere during chronic stroke, showing progressive atrophy and neuronal degeneration.
  • MDMs demonstrated significantly higher phagocytic activity compared to microglia.
  • MDM infiltration and phagocytosis were spatiotemporally regulated, occurring acutely in infarcts and delayed in remote areas.

Conclusions:

  • Monocyte-derived macrophages (MDMs) are involved in progressive stroke-induced injury and repair across multiple stages.
  • Targeting monocyte infiltration at different stroke phases could be a viable immune-based strategy to mitigate chronic stroke injury.