Morphology of Cortical Microglia in the Hyperacute Phase of Subarachnoid Hemorrhage

Maksim Lyubomudrov1, Anastasiya Babkina1, Zoya Tsokolaeva1

  • 1Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow 107031, Russia.

Biology
|November 27, 2024
PubMed

Insights

Microglia, immune cells in the brain, rapidly change their shape and numbers in the cerebral cortex after subarachnoid hemorrhage (SAH), a severe stroke type. These early microglial changes indicate a significant injury response.

Area of Science:

  • Neuroscience
  • Pathology
  • Immunology

Background:

  • Hemorrhagic stroke, particularly subarachnoid hemorrhage (SAH), is a critical medical condition with high mortality.
  • Understanding the cellular and molecular mechanisms of stroke pathophysiology is crucial for developing effective treatments.
  • Microglia, the resident immune cells of the central nervous system, are implicated as key players in stroke but their early changes remain poorly understood.

Purpose of the Study:

  • To investigate the distribution and morphological phenotypes of microglia in the cerebral cortex during the hyperacute phase of non-traumatic subarachnoid hemorrhage (SAH).
  • To identify early microglial responses and their phenotypic changes in the human cortex following SAH.

Main Methods:

  • An immunohistochemical study was conducted using iba-1, a specific marker for microglia.
  • The distribution of microglial phenotypes was analyzed in the cerebral cortical layers of SAH non-survivors.
  • A control group, comprising individuals who died from coronary heart disease or sudden cardiac death, was used for comparison.

Main Results:

  • Significant differences in microglial distribution and morphology were observed between SAH non-survivors and the control group.
  • The study revealed rapid and distinct changes in microglial phenotypes within the cerebral cortex following SAH.
  • Quantitative and phenotypic alterations in microglia were evident in the early stages of SAH in the human cortex.

Conclusions:

  • Microglia exhibit a rapid and significant response to subarachnoid hemorrhage in the human cerebral cortex.
  • The observed quantitative and phenotypic changes in microglia suggest their critical role in the early pathophysiology of SAH.
  • Further research into microglial behavior can provide valuable insights into stroke mechanisms and potential therapeutic targets.