Brain-engrafted monocyte-derived macrophages from blood and skull-bone marrow exhibit distinct properties

Siling Du1, Feiya Ou2, Antoine Drieu3

  • 1Department of Pathology and Immunology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA; Brain Immunology and Glia (BIG) Center, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.

Neuron
|March 12, 2026
PubMed

Insights

This study reveals that monocyte-derived macrophages (MDMs) exist in the brain alongside microglia. These MDMs have distinct molecular features and influence central nervous system (CNS) pathology, particularly demyelination.

Area of Science:

  • Neuroimmunology
  • Cellular and Molecular Neuroscience
  • Hematopoiesis

Background:

  • Microglia, the brain's resident immune cells, originate from yolk sac progenitors and were traditionally considered long-lived with minimal adult hematopoietic contribution.
  • The presence, function, and distinct identity of monocyte-derived macrophages (MDMs) within the brain parenchyma at homeostasis and during turnover remain poorly understood relative to yolk-sac-derived microglia (YSMs).

Purpose of the Study:

  • To define the ontogeny, molecular identity, and functional roles of brain parenchymal macrophages, including both YSMs and infiltrating MDMs.
  • To investigate how MDMs interact with the microglial niche and contribute to central nervous system (CNS) pathology.

Main Methods:

  • Lineage tracing techniques to track cell origins.
  • Pharmacological depletion of microglia to assess compensatory mechanisms.
  • Multi-omics profiling (transcriptional and epigenetic) to compare macrophage populations.
  • Parabiosis and skull-flap transplantation models to study cell sourcing and niche dynamics.

Main Results:

  • Monocyte-derived macrophages (MDMs) exhibit distinct transcriptional and epigenetic profiles compared to yolk-sac-derived microglia (YSMs), despite sharing the brain environment.
  • Engrafted MDMs transiently express CD206, mirroring a developmental microglial precursor stage, and their engraftment/polarization are influenced by IL-34 and CCR2.
  • Both blood and skull marrow contribute to the macrophage pool, leading to origin-biased MDM states within the CNS niche.
  • MDM engraftment was found to exacerbate cuprizone-induced demyelination, highlighting their functional impact in CNS pathology.

Conclusions:

  • The study delineates the distinct origins, molecular characteristics, and functional contributions of brain parenchymal macrophages, including MDMs and YSMs.
  • MDMs play context-dependent roles in CNS homeostasis, turnover, and pathology, notably influencing demyelination processes.
  • This research refines our understanding of brain immune cell dynamics and their implications for neurological diseases.