The dual function of microglial polarization and its treatment targets in ischemic stroke

Yong Mo1, Weilin Xu2, Kaijing Fu1

  • 1Department of Neurosurgery, Guangxi Medical University Cancer Hospital, Nanning, China.

Frontiers in Neurology
|October 10, 2022
PubMed

Insights

Microglia and macrophages play a critical role in ischemic stroke recovery. Understanding their polarization is key to developing new therapeutic strategies for stroke treatment.

Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • Stroke is a leading global cause of death and disability.
  • Ischemic stroke affects approximately 5% of the world's population annually.
  • The inflammatory response post-stroke is a significant area of research.

Purpose of the Study:

  • To review the physiological characteristics and functions of microglia in the brain.
  • To explore microglial/macrophage activation and polarization after ischemic stroke.
  • To examine signaling mechanisms and the contribution of microglia to brain pathology and repair.

Main Methods:

  • Literature review of recent advances in stroke-related microglia research.
  • Analysis of microglial/macrophage polarization and its signaling pathways.
  • Synthesis of information on therapeutic strategies targeting microglial responses.

Main Results:

  • Microglial/macrophage polarization exhibits dual functions critical to ischemic stroke pathology.
  • Activated microglia/macrophages are vital for reducing neuronal apoptosis, enhancing neurogenesis, and promoting functional recovery.
  • Recent research highlights breakthroughs in modulating microglial responses for stroke treatment.

Conclusions:

  • Microglial/macrophage polarization is a crucial factor in ischemic stroke outcomes.
  • Targeting microglial responses offers promising therapeutic avenues for stroke treatment.
  • Further research into microglial functions can lead to innovative strategies for stroke recovery.

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