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Secondary Spinal Cord Injury llI: Pathophysiology01:25

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Updated: Jul 1, 2026

The Hypoxic Ischemic Encephalopathy Model of Perinatal Ischemia
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ARG1 Inhibition after Neonatal Hypoxic-Ischemic Brain Injury.

Eesha Natarajan1, Jeffrey R Fineman2,3, Donna M Ferriero2,4

  • 1Department of Pediatrics, University of California San Francisco, San Francisco, California, USA, eesha.natarajan@ucsf.edu.

Developmental Neuroscience
|February 26, 2026
PubMed
Summary
This summary is machine-generated.

Arginase-1 (ARG1) expressing microglia are crucial for neonatal brain injury repair by clearing debris and remodeling tissue. Inhibiting ARG1 worsens injury, highlighting its protective role and therapeutic potential.

Keywords:
ArginaseBrainHypoxic-ischemic injuryMicrogliaNeonatal mice

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Area of Science:

  • Neuroscience
  • Immunology
  • Developmental Biology

Background:

  • Neonatal hypoxic-ischemic (HI) brain injury causes significant mortality and disability.
  • Effective neuroprotective strategies are limited.
  • Microglia, particularly arginase-1 (ARG1) expressing cells, play key roles in HI injury and repair, but their function in tissue remodeling is unclear.

Purpose of the Study:

  • To investigate the role of ARG1⁺ microglia in neonatal HI brain injury.
  • To determine the impact of ARG1 inhibition on microglial function and brain repair.

Main Methods:

  • Neonatal mice underwent HI (Vannucci procedure).
  • Pharmacological inhibition of ARG1 activity using Nor-NOHA.
  • Assessment of ARG1 expression, microglial morphology, efferocytosis, scar formation, and injury volume via immunohistochemistry, Western blotting, and enzyme assays.

Main Results:

  • ARG1⁺ microglia demonstrated phagocytic activity towards apoptotic neurons.
  • ARG1 inhibition impaired microglial efferocytosis and increased brain injury volume.
  • ARG1⁺ microglia were involved in extracellular matrix (ECM) deposition, indicated by co-localization with collagen I alpha 1 (Col1a1).
  • Inhibition of ARG1 reduced Col1a1 expression, impacting tissue remodeling.

Conclusions:

  • ARG1⁺ microglia are essential for neonatal HI brain injury repair, mediating efferocytosis and ECM remodeling.
  • Pharmacological inhibition of ARG1 exacerbates HI brain injury, confirming its reparative function.
  • ARG1 is a critical regulator of microglial neuroprotection and a potential therapeutic target for neonatal HI brain injury.