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Updated: Sep 10, 2026

Isolation of Cortical Microglia with Preserved Immunophenotype and Functionality From Murine Neonates
Published on: January 30, 2014
Microglial Activation: Key Players in Sepsis-Associated Encephalopathy
Jiyun Hu1,2,3, Shucai Xie1,2,3, Haisong Zhang1,2,3
1Department of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha 410008, China.
Abstract:
Sepsis-associated encephalopathy (SAE) is a common brain dysfunction, which results in severe cognitive and neurological sequelae and an increased mortality rate in patients with sepsis. Depending on the stimulus, microglia (resident macrophages in the brain that are involved in SAE pathology and physiology) can adopt two polarization states (M1/M2), corresponding to altered microglial morphology, gene expression, and function. We systematically described the pathogenesis, morphology, function, and phenotype of microglial activation in SAE and demonstrated that microglia are closely related to SAE occurrence and development, and concomitant cognitive impairment. Finally, some potential therapeutic approaches that can prime microglia and neuroinflammation toward the beneficial restorative microglial phenotype in SAE were outlined.
Insights
Sepsis-associated encephalopathy (SAE) involves brain dysfunction and cognitive issues. Microglia activation, with M1/M2 states, plays a key role in SAE development and offers therapeutic targets.
Area of Science:
- Neuroscience
- Immunology
- Pathology
Background:
- Sepsis-associated encephalopathy (SAE) is a frequent complication of sepsis, leading to significant cognitive deficits and mortality.
- Microglia, the brain's resident immune cells, are implicated in SAE's pathophysiology.
- Microglial activation involves distinct polarization states (M1/M2) affecting brain function.
Purpose of the Study:
- To systematically review the pathogenesis, morphology, function, and phenotype of microglial activation in SAE.
- To elucidate the relationship between microglial behavior and SAE occurrence, development, and cognitive impairment.
- To outline potential therapeutic strategies targeting microglial phenotypes in SAE.
Main Methods:
- Systematic review and description of existing literature on microglial activation in SAE.
- Analysis of microglial morphology, gene expression, and functional changes.
- Identification of therapeutic targets for modulating microglial responses.
Main Results:
- Microglial activation is integral to the development and progression of SAE.
- Distinct M1 and M2 microglial phenotypes are associated with SAE.
- Microglial dysfunction correlates with cognitive impairments observed in SAE patients.
Conclusions:
- Microglia are critically involved in SAE pathogenesis and associated cognitive sequelae.
- Targeting microglial polarization offers a promising therapeutic avenue for SAE.
- Modulating neuroinflammation toward beneficial microglial phenotypes may restore neurological function.
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