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Brain-Engrafted Monocyte-derived Macrophages from Blood and Skull-Bone Marrow Exhibit Distinct Identities from Microglia

25 okt. 2025

Du et al. (BioRxiv) DOI: 10.1101/2024.08.08.606900

Keywords

  • Yolk-sac derived microglia

  • Monocyte-derived macrophages

  • Cell origin

  • Brain immunology


Main Findings

Microglia are the primary resident myeloid cell in the brain and the primary immune cell type found in the central nervous system (CNS) [1]. Through constant environment sampling and surveillance, they support neuronal health and blood brain barrier (BBB) integrity [2–4]. Their complex morphology, high phagocytic ability and process motility enable them to quickly respond to insults and neuroinflammation within the brain, by clearing pathogens or debris, releasing pro- or anti- inflammatory cytokines, such as TNF-α or Interleukin 10 respectively, initiating the immune cell recruitment and immune response or dampening excessive inflammation [5–7]. However, chronically activated microglia can contribute to neuropathology and neurodegeneration. For example, in Alzheimer Disease, microglia cluster around amyloid β and attempt to clear plaques [8]; in Parkinson Disease microglia release neurotoxic factors contributing to neuronal death [9], and in Multiple Sclerosis they contribute to demyelination and axonal damage [10]. Replacement of these disease-associated, dysfunctional microglia with health homeostatic microglia could be an effective strategy to ameliorate disease, and motivates the search for the true origin of homeostatic versus disease-associated microglia in the adult brain.


Microglia, similarly to tissue resident macrophages, originate from yolk sac progenitor cells and colonize brain early in the development before the formation of the BBB [11,12]. Although microglia are fully differentiated cells, they retain the capacity for self-renew and repopulate brain parenchyma, with seemingly little contribution from circulating monocytes [13]. Pharmacological microglia ablation studies demonstrated that following treatment withdrawal, functional microglia repopulate the brain parenchyma at normal density [14]. The origin of these repopulated microglia cells remains poorly understood, which makes developing targeted replacement therapies challenging.


To address this question, in their preprint (not peer reviewed) Du et al compared yolk sac (YS) derived microglia with monocyte derived macrophages (MDM) that engrafted the brain parenchyma in homeostatic conditions, but after prolonged microglia depletion. To do so, the authors utilized genetic mouse models to selectively label and track cells derived from monocytes. They depleted endogenous microglia by placing mice on PLX5622 diet, a commonly used approach for pharmacological microglia depletion, and searched for the presence of cells derived from these two cell populations. The authors find that in the normal brain, MDM are present in only small quantities and in only a few brain regions. However, following prolonged microglial depletion, MDM repopulate the entire brain in significant number. Importantly, engrafted MDM acquire a morphology distinctly different from YS derived microglia and more reminiscent of activated microglia. Moreover, the engrafted cells show a as well as a unique transcriptional signature marked by upregulation of genes involved in cell adhesion, pathogen recognition and phagocytosis. Comparison to publicly available datasets suggested that MDM are more similar to peripherally derived macrophages or bone marrow derived cell rather than homeostatic YS derived microglia. Furthermore, transient expression of markers such as CD206 combined with epigenetic profiling analysis suggested that during the brain engraftment process MDM undergo tissue imprinting in the meningeal spaces. Lastly, to understand the anatomic sources of MDM, the authors performed a series of experiments utilizing either parabiotic mice or skull transplants that collectively show that both blood derived and skull derived monocytes are capable of engraftment within brain parenchyma and replenishment of microglia.


Limitations

Du and colleagues set out to address one of the central questions in the field of neuroimmunology: what is the origin and the identity of microglia within the adult brain parenchyma. Through rigorous and innovative experiments, the authors demonstrate that monocytes from two different sources can repopulate microglia after depletion of endogenous microglia, yet repopulated cells display a unique transcriptional profile, most comparable to MDMs. This unexpected finding significantly advances our understanding of microglia ontogeny and heterogeneity, and may guide the future development of therapeutic strategies aimed at replacing disease associated microglia with newly engrafted homeostatic microglia. While the study offers important and compelling insights, a few questions remain:

  1. While the authors convincingly demonstrate the ability of blood and skull derived cells to engraft within brain parenchyma, and that engrafted cells show a unique morphology, it remains to be shown whether these MDM cells can functionally replace YS-derived microglia in their homeostatic roles. It is also unclear whether engrafted cells persist long-term within the brain parenchyma.

  2. Given that MDM have upregulated genes involved in phagocytosis or pathogen recognition, it should be tested whether these cells are more adapt to respond to neuroinflammation or neurodegeneration. This could provide critical insights into their potential as a viable therapeutic strategy.

  3. Although the authors have demonstrated that the absence of microglia can trigger MDM engraftment, it would be important to identify molecular cues that are guiding those cells to engraft within brain.

Significance/Novelty

Du at al provide compelling evidence that in the absence of microglia, both circulating monocytes and skull derived cells can repopulate brain parenchyma and adopt a distinct transcriptional profile. There findings add a new layer of complexity to our understanding of microglia ontogeny. By focusing on cellular origin and molecular profiling in homeostatic conditions, the authors challenge the long-standing paradigm of yolk sac–derived microglial exclusivity and highlight more adaptable system than previously appreciated. While the functional capacity of these engrafted cells remains to be fully elucidated, their potential therapeutic utility in neuroinflammatory and neurodegenerative contexts is an exciting avenue for future investigation.


Credit

Reviewed by Katarzyna Stasiak and Harald Sontheimer as part of a cross-institutional journal club between the Max-Delbrück Center Berlin, the Ragon Institute Boston (Mass General, MIT, Harvard), the University of Virginia, the Medical University of Vienna and other life science institutes in Vienna.

The author declares no conflict of interests in relation to their involvement in the review.


References

1.  Sousa, C., Biber, K. & Michelucci, A. Cellular and molecular characterization of microglia: A unique immune cell population. Frontiers in Immunology vol. 8 Preprint at https://doi.org/10.3389/fimmu.2017.00198 (2017).

2.  Lago-Baldaia, I., Fernandes, V. M. & Ackerman, S. D. More Than Mortar: Glia as Architects of Nervous System Development and Disease. Frontiers in Cell and Developmental Biology vol. 8 Preprint at https://doi.org/10.3389/fcell.2020.611269 (2020).

3.  Paolicelli, R. C. et al. Synaptic pruning by microglia is necessary for normal brain development. Science (1979) 333, 1456–1458 (2011).

4.  Mayer, M. G. & Fischer, T. Microglia at the blood brain barrier in health and disease. Frontiers in Cellular Neuroscience vol. 18 Preprint at https://doi.org/10.3389/fncel.2024.1360195 (2024).

5.  Janda, E., Boi, L. & Carta, A. R. Microglial phagocytosis and its regulation: A therapeutic target in parkinson’s disease? Front Mol Neurosci 11, 1–8 (2018).

6.  Schetters, S. T. T., Gomez-Nicola, D., Garcia-Vallejo, J. J. & Van Kooyk, Y. Neuroinflammation: Microglia and T cells get ready to tango. Front Immunol 8, (2018).

7.  Qin J, Ma Z, Chen X & Shu S. Microglia activation in central nervous system disorders: A review of recent mechanistic investigations and development efforts. Front Neurol 14, . (2023).

8.  Condello, C., Yuan, P., Schain, A. & Grutzendler, J. Microglia constitute a barrier that prevents neurotoxic protofibrillar Aβ42 hotspots around plaques. Nat Commun 6, (2015).

9.  Trainor, A. R., MacDonald, D. S. & Penney, J. Microglia: roles and genetic risk in Parkinson’s disease. Frontiers in Neuroscience vol. 18 Preprint at https://doi.org/10.3389/fnins.2024.1506358 (2024).

10.  Zhang, X. et al. Microglia in the context of multiple sclerosis. Frontiers in Neurology vol. 14 Preprint at https://doi.org/10.3389/fneur.2023.1157287 (2023).

11.  Mass, E., Nimmerjahn, F., Kierdorf, K. & Schlitzer, A. Tissue-specific macrophages: how they develop and choreograph tissue biology. Nature Reviews Immunology vol. 23 563–579 Preprint at https://doi.org/10.1038/s41577-023-00848-y (2023).

12.  Silvin, A., Qian, J. & Ginhoux, F. Brain macrophage development, diversity and dysregulation in health and disease. Cellular and Molecular Immunology vol. 20 1277–1289 Preprint at https://doi.org/10.1038/s41423-023-01053-6 (2023).

13.  Rossi, F. & Lewis, C. Microglia’s heretical self-renewal. Nat Neurosci 21, 455–456 (2018).

14.  Spangenberg, E. et al. Sustained microglial depletion with CSF1R inhibitor impairs parenchymal plaque development in an Alzheimer’s disease model. Nat Commun 10, 1–21 (2019).


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