Brioschi Simone, Han Claudia Z, Colonna Marco
Department of Pathology and Immunology, Washington University School of Medicine in Saint Louis, Saint Louis, MO 63110, USA.
Department of Pathology and Immunology, Washington University School of Medicine in Saint Louis, Saint Louis, MO 63110, USA; Brain Immunology and Glia (BIG) Center, Washington University School of Medicine in Saint Louis, Saint Louis, MO 63110, USA.
Curr Opin Immunol. 2025 Jun;94:102558. doi: 10.1016/j.coi.2025.102558. Epub 2025 Apr 15.
The brain harbors two major macrophage populations: microglia reside within the brain parenchyma, while border-associated macrophages (BAMs) are situated at central nervous system (CNS) interfaces. BAMs can be further classified into distinct subsets based on their localization: perivascular macrophages surround blood vessels, meningeal macrophages reside in the leptomeninges, dura macrophages in the dura mater, and choroid plexus macrophages are confined to the choroid plexus. The environmental factors and molecular mechanisms driving the specification of these macrophage populations are still being elucidated. Deciphering the communication pathways between CNS macrophages and their tissue niches during development, homeostasis, and pathologic conditions offers significant potential for treating a wide range of brain disorders, from neurodevelopmental and neuroinflammatory diseases to neurovascular and neurodegenerative conditions. With this short review, we will address the current understanding and knowledge gaps in the field, as well as the future directions for the upcoming years.
小胶质细胞位于脑实质内,而边界相关巨噬细胞(BAM)则位于中枢神经系统(CNS)的界面处。根据其定位,BAM可进一步分为不同的亚群:血管周围巨噬细胞围绕血管,脑膜巨噬细胞位于软脑膜,硬脑膜巨噬细胞位于硬脑膜,脉络丛巨噬细胞局限于脉络丛。驱动这些巨噬细胞群体特化的环境因素和分子机制仍在阐明之中。在发育、稳态和病理状态下,解析中枢神经系统巨噬细胞与其组织微环境之间的通信途径,对于治疗从神经发育和神经炎症性疾病到神经血管和神经退行性疾病等广泛的脑部疾病具有巨大潜力。在这篇简短的综述中,我们将阐述该领域目前的认识和知识空白,以及未来几年的发展方向。