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Updated: Jul 29, 2026

Three-dimensional Confocal Analysis of Microglia/macrophage Markers of Polarization in Experimental Brain Injury
Published on: September 4, 2013
Shh regulates M2 microglial polarization and fibrotic scar formation after ischemic stroke
Qinghuan Yang1, Peiran Jiang1, Hao Tang1
1Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Background:
Fibrotic scar formation is a critical pathological change impacting tissue reconstruction and functional recovery after ischemic stroke. The regulatory mechanisms behind fibrotic scarring in the central nervous system (CNS) remain largely unknown. While macrophages are known to play a role in fibrotic scar formation in peripheral tissues, the involvement of microglia, the resident immune cells of the CNS, in CNS fibrosis requires further exploration. The Sonic Hedgehog (Shh) signaling pathway, pivotal in embryonic development and tissue regeneration, is also crucial in modulating fibrosis in peripheral tissues. However, the impact and regulatory mechanisms of Shh on fibrotic scar formation post-ischemic stroke have not been thoroughly investigated.
Methods:
This study explores whether Shh can regulate fibrotic scar formation post-ischemic stroke and its underlying mechanisms through in vivo and in vitro manipulation of Shh expression.
Results:
Our results showed that Shh expression was upregulated in the serum of acute ischemic stroke patients, as well as in the serum, CSF, and ischemic regions of MCAO/R mice. Moreover, the upregulation of Shh expression was positively correlated with fibrotic scar formation and M2 microglial polarization. Shh knockdown inhibited fibrotic scar formation and M2 microglial polarization while aggravating neurological deficits in MCAO/R mice. In vitro, adenoviral knockdown or Smoothened Agonist (SAG) activation of Shh expression in BV2 cells following OGD/R regulated their polarization and influenced the expression of TGFβ1 and PDGFA, subsequently affecting fibroblast activation.
Conclusion:
These results suggest that Shh regulates M2 microglial polarization and fibrotic scar formation after cerebral ischemia.
Insights
Sonic Hedgehog (Shh) signaling regulates fibrotic scar formation and microglial polarization after ischemic stroke. This pathway impacts tissue repair and neurological recovery, offering potential therapeutic targets.
Area of Science:
- Neuroscience
- Immunology
- Regenerative Medicine
Background:
- Fibrotic scar formation impairs recovery after ischemic stroke.
- Mechanisms of central nervous system (CNS) fibrosis are poorly understood.
- Microglia's role in CNS fibrosis and the Sonic Hedgehog (Shh) pathway's impact require investigation.
Purpose of the Study:
- To investigate if Shh regulates fibrotic scar formation post-ischemic stroke.
- To elucidate the underlying mechanisms of Shh in CNS fibrosis.
- To explore Shh's interaction with microglial polarization.
Main Methods:
- In vivo and in vitro manipulation of Shh expression in mouse models and cell cultures.
- Analysis of Shh expression in stroke patients and MCAO/R mice.
- Assessment of microglial polarization and fibroblast activation.
Main Results:
- Shh was upregulated in stroke patients and MCAO/R mice, correlating with scar formation and M2 microglial polarization.
- Shh knockdown reduced scarring and M2 polarization but worsened neurological deficits.
- In vitro, Shh modulation affected microglial polarization and expression of TGFβ1 and PDGFA.
Conclusions:
- Shh signaling plays a key role in regulating M2 microglial polarization.
- Shh influences fibrotic scar formation following cerebral ischemia.
- Targeting Shh may offer a novel therapeutic strategy for stroke recovery.
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