CNS Border-Associated Macrophages: Ontogeny and Potential Implication in Disease

Iasonas Dermitzakis1, Paschalis Theotokis1, Paschalis Evangelidis1

  • 1Department of Histology-Embryology, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

Insights

Border-associated macrophages (BAMs) are crucial for central nervous system (CNS) health but their origins and roles are not fully understood. This review explores BAM development and involvement in CNS diseases for targeted therapies.

Area of Science:

  • Neuroimmunology
  • Cellular Biology
  • Neuroscience

Background:

  • The central nervous system (CNS) possesses unique immune cells, including microglia and border-associated macrophages (BAMs).
  • BAMs reside in specific CNS compartments (choroid plexus, meningeal, perivascular spaces) and are distinct from microglia.
  • While microglial ontogeny is well-studied, BAMs require further investigation due to their recent discovery and unique characteristics.

Purpose of the Study:

  • To review the current understanding of border-associated macrophage (BAM) ontogeny.
  • To explore the role of BAMs in the context of central nervous system (CNS) diseases.
  • To highlight the potential of BAMs in developing targeted therapeutic strategies and precision medicine.

Main Methods:

  • Review of recent scientific literature and emerging techniques.
  • Analysis of data on BAM cellular heterogeneity and diversity.
  • Examination of ontogenetic origins and repopulation patterns of BAMs.

Main Results:

  • Recent findings indicate BAMs originate from yolk sac progenitors, distinct from bone marrow-derived monocytes.
  • Advanced techniques reveal significant cellular heterogeneity and diversity within BAM populations.
  • BAMs are increasingly recognized for their involvement in neurodegenerative and neuroinflammatory disease processes.

Conclusions:

  • Further research into BAM ontogeny and molecular drivers is essential for defining their cellular identity.
  • Understanding BAMs is critical for advancing therapeutic strategies in CNS diseases.
  • BAMs represent a promising target for precision medicine approaches in neurological disorders.