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  4. Emerging Roles of Microglia Depletion in the Treatment of Spinal Cord Injury

Emerging Roles of Microglia Depletion in the Treatment of Spinal Cord Injury

Cells, 2022 · DOI: 10.3390/cells11121871 · Published: June 9, 2022

Spinal Cord InjuryNeurologyGenetics

Simple Explanation

Microglia are immune cells in the spinal cord that play a complex role after an injury. Initially, they help protect the area, but later, they can worsen the damage by releasing harmful substances. The impact of removing microglia on spinal cord repair isn't fully understood. Different methods and timing of microglia removal can lead to varying outcomes after a spinal cord injury. This review discusses how microglia affect spinal cord injuries, focusing on how removing them can either worsen the injury or, in some cases, improve tissue repair and function.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    Sustained microglial depletion would aggravate injury and impair functional recovery after spinal cord injury.
  • 2
    Short-term depletion of microglial population in diseased conditions seems to improve tissue repair and promote functional improvement after spinal cord injury.
  • 3
    Different microglia depleting approaches, microglia depleting periods, and SCI models directly determine the positive or negative outcomes after SCI.

Research Summary

Microglia play a very important role in normal physiological processes and after SCI. Following SCI, on the one hand, microglia respond quickly and play a certain role in neuroprotection and repair by removing invading pathogens and cell debris through phagocytosis. On the other hand, continuous activated microglia often exert adverse effects on neuronal cells, promote inflammatory cell aggregation and infiltration, and further activate the inflammatory response in turn, thereby mediating secondary injury in the spinal cord. Current studies have found that continuous microglia depletion is not conducive to tissue repair after SCI, and selective short-term depletion of microglia could effectively improve tissue repair and promote functional recovery after injury.

Practical Implications

Targeted Therapies

Future treatments should aim for dynamic and selective regulation of microglia to improve outcomes after spinal cord injury.

Timing is Key

The timing of microglia depletion significantly affects the outcome; short-term removal may be more beneficial than continuous depletion.

Further Research Needed

More research is needed to identify optimal methods, timing, and duration of microglia depletion to enhance spinal cord injury treatment strategies.

Study Limitations

  • 1
    Lack of a unified paradigm for microglia depletion.
  • 2
    Contradictory findings regarding the effects of microglia depletion on SCI.
  • 3
    Need for more microglia-specific small molecule compounds.

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