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The role of microglia in central nervous system immunity and glioma immunology
Open accessAbstract
The central nervous system (CNS) historically has been considered an immune-privileged organ, lacking a lymphatic system and shielded from the circulatory system by the blood-brain barrier. Microglia are an abundant portion of the CNS cell population, comprising 5% to 20% of the total glial cell population, and are as numerous as neurons. A crucial function of microglia is the ability to generate significant innate and adaptive immune responses. Microglia are involved in first line innate immunity of the CNS. Proper antigen presentation is critical in the generation of specific, durable responses by the adaptive immune system, and requires interaction between the T cell receptor and processed antigen peptide presented on major histocompatibility complex (MHC) molecules by the antigen presenting cells (APC). Microglia also have a large regulatory role in CNS immunity. Histopathologic studies of glioma tissue have consistently shown high levels of infiltrating microglia. Microglia are also localized diffusely throughout the tumor, rather than to the areas of necrosis, and phagocytosis of glioma cells or debris by microglia is not observed. Recent evidence indicates that glioma-infiltrating microglia/macrophages might be promoting tumor growth by facilitating immunosuppression of the tumor microenvironment. When activated, microglia can be potent immune effector cells, able to perform a broad range of functions, and they mediate both innate and adaptive responses during CNS injury and disease while remaining quiescent in the steady state. Their versatility in bridging the gap between the immune-privileged CNS and the peripheral immune system, in addition to their significant numbers in gliomas, makes them an attractive candidate in immunotherapy for gliomas. An enhanced understanding of microglia-glioma interaction may provide better methods to manipulate the glioma microenvironment to allow the generation of a specific and durable anti-glioma immunity. The role of microglia in CNS immunity is reviewed, with a focus on key advances made in glioma immunology.
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“Microglia, the resident mononuclear phagocytes of the CNS, play key roles in immune surveillance and defense [39], synaptic remodeling [40], and homeostasis [41].”
From Untangling senescent and damage‐associated microglia in the aging and diseased brain (2023) · cites this paper as [39]
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BackgroundHart, O. B., & Reed, C. J. (2025) · Journal of Medical Sciences and Interdisciplinary Research · doi:10.51847/bmigiiu1tk · Cited by 5
Chen, B., Lu, H.-C., Huang, L., Wang, J., Bujold, M., Tang, L., Du, X., & Wang, Y. (2026) · Journal of Neuroinflammation · doi:10.1186/s12974-026-03733-2 · Cited by 5
Zonulin as Gatekeeper in Gut–Brain Axis: Dysregulation in Glioblastoma
Hagemeyer, H., Hellwinkel, O., & Bello, J. P. (2024) · Biomedicines · doi:10.3390/biomedicines12081649 · Cited by 5
Buren, E. V., Hu, M., Cheng, L., Wrobel, J. A., Wilhelmsen, K. C., Su, L., Li, Y., & Wu, D. (2022) · Briefings in Bioinformatics · doi:10.1093/bib/bbac084 · Cited by 3
Deilami, T., Kharazi, H. H., Seddighi, A. S., Tanzifi, P., Tayebivaljouzi, R., Zamani, F., & Tafti, A. C. (2015) · Iranian Journal of Radiology · doi:10.5812/iranjradiol.9567v2 · Cited by 5
Stem cells as cellular vehicles for gene therapy against glioblastoma.
Wang, W., Liu, F., Xiang, B., Xiang, C., & Mou, X. (2015) · PubMed Central · Cited by 5
Xia, H., Wang, M., Jiang, X., Wu, F., Xu, H., Lin, Z., & Qi, B. (2018) · Glioma · doi:10.4103/glioma.glioma_10_18 · Cited by 5
“Microglias have been found to have the function of antigen-presenting cells (APCs) and the existence of lymphatic vessels in the CNS have been discovered in recent years.[57,58] Immature T-cells can obtain antigens from the CNS in the cervical lymph nodes and nasal mucosa via cerebrospinal fluid”
BackgroundBiochemical events related to glial response in spinal cord injury
Lapuente-Chala, C., & Céspedes-Rubio, Á. E. (2018) · Revista de la Facultad de Medicina · doi:10.15446/revfacmed.v66n2.61701 · Cited by 5
“(31,32,34,35) This induces a cascade of biochemical events that lead to cell death caused by the mechanisms responsible for neurological deficit such as necrosis, aponecrosis, apoptosis or autophagy (Figure 2).”
BackgroundOchi, S., Yamada, K., Saito, T., Saido, T. C., Iinuma, M., Azuma, K., & Kubo, K. (2024) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2024.1361847 · Cited by 5
“Microglia play a major role in the immune function of the central nervous system against various pathogens and external invasion factors, and remove damaged or dead neurons (Yang et al., 2010).”
BackgroundTrazodone counteracts the response of microglial cells to inflammatory stimuli
Chelucci, E., Daniele, S., Vergassola, M., Ceccarelli, L., Zucchi, S., Boltri, L., & Martini, C. (2024) · European Journal of Neuroscience · doi:10.1111/ejn.16522 · Cited by 4
“…of CNS, which first rapidly proliferate and respond to pathological insults (e.g., phagocytose pathogens and dying cells) (Jia et al., 2021; Kwon & Koh, 2020; Yang et al., 2010), as such they become a main focus in cellular neuroimmunology and, therefore, in neuroinflammation (Streit et al., 2004).”
Characteristics of Phenotype and Pro-Tumorigenic Roles of Glioma Infiltrating Microglia/Macrophages
Kaminska, B. (2011) · Journal of Neurology & Neurophysiology · doi:10.4172/2155-9562.s5-001 · Cited by 4
“Once activated, they become immune effector cells mediating both innate and adaptive responses [13-16].”
BackgroundPetrošiūtė, A., Auletta, J. J., & Lazarus, H. M. (2012) · Immunotherapy · doi:10.2217/imt.12.96 · Cited by 4
Role of Kynurenine Pathway in Glioblastoma
Cervantes, G. I. V., Olascoaga, N. K., Ortega, D. R., Salazar, A., González‐Esquivel, D. F., Rı́os, C., Pineda, B., & de la Cruz, V. P. (2017) · InTech eBooks · doi:10.5772/intechopen.68939 · Cited by 4
Glioblastoma: a molecular genetic portrait and modern therapeutic strategies for drug treatment
Guens, G. P., Sanikovich, V. D., Mileyko, V., & Lebedeva, A. (2021) · Advances in molecular oncology · doi:10.17650/2313-805x-2021-8-3-60-76 · Cited by 4
“Однако открытие антигенпредставляющей роли макрофагов, микроглии, дендритных клеток в ЦНС и путей проникновения через ГЭБ иммунных клеток радикально изменили это предположение [72, 73].”
Anti-inflammatory activity of Kyungok-go on Lipopolysaccharide-Stimulated BV-2 Microglia Cells
Song, H.-S., An, J.-Y., Oh, J.-Y., Kim, D.-U., Kweon, B., Park, S., & Bae, G. (2022) · 대한한의학회지 · doi:10.13048/jkm.22044 · Cited by 4
Non-cellular immunotherapies in pediatric central nervous system tumors
Rumler, S. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1242911 · Cited by 4
A Much Convenient and Economical Method to Harvest a Great Number of Microglia
Qin, K., Li, Y., Tian, G., Xu, W., Li, P., Zhang, R., Li, Z., & Jiang, X. (2011) · Cellular and Molecular Neurobiology · doi:10.1007/s10571-011-9735-9 · Cited by 4
Koshizuka, T., Ishioka, K., Kobayashi, T., Ikuta, K., & Suzutani, T. (2016) · FUKUSHIMA JOURNAL OF MEDICAL SCIENCE · doi:10.5387/fms.2015-24 · Cited by 4
Potential connections between senescence and chemobrain: An early overview of literature
Melhem, N. Y., Qutifan, S., Alsalem, M., & Saleh, T. (2025) · Ageing Research Reviews · doi:10.1016/j.arr.2025.102896 · Cited by 4
Zou, X., Shi, M., Xiao, X., Lv, X., Yang, M., Tian, M., Xie, B., Wang, L., Wang, J., & Qin, D. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1775841 · Cited by 4
“Among these glial cells, microglia act as resident immune cells of the CNS, responsible for monitoring changes in the neural microenvironment and playing a crucial role in neuroimmune responses to injury or activation (13 – 15).”
Preparation of Primary Mixed Glial Cultures from Adult Mouse Spinal Cord Tissue
Malon, J. T., & Cao, L. (2016) · Journal of Visualized Experiments · doi:10.3791/54801 · Cited by 3
NK cells in brain tumors: From biology to treatment
Fares, J., Gupta, S. K., Gopalakrishnan, V., & Khatua, S. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-824375-6.00021-7 · Cited by 3
Schröder, H., Moser, N., & Huggenberger, S. (2020) · Springer eBooks · doi:10.1007/978-3-030-19898-5_2 · Cited by 3
Dey, R., & Bishayi, B. (2022) · Inflammopharmacology · doi:10.1007/s10787-022-01012-z · Cited by 3
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Perspectives of Stem Cell-Derived Microglia for Medicine
Roy, K., Beutner, C., & Neum, H. (2011) · InTech eBooks · doi:10.5772/13850 · Cited by 3
“However, their phagocytic ability, antigen presentation and secretion of proinflammatory cytokines is suppressed by the tumor cells (Hanisch and Kettenmann, 2007; Komohara et al., 2008; Yang et al., 2010).”
Microglia: roles and rules in brain traumatic injury
Alvis-Miranda, H. R., Alcalá‐Cerra, G., & Moscote‐Salazar, L. R. (2013) · Romanian Neurosurgery · doi:10.2478/v10282-012-0019-9 · Cited by 3
Blood Vessels in the Brain: A Signaling Hub in Brain Tumor Inflammation
Guérit, S., & Liebner, S. (2017) · Springer eBooks · doi:10.1007/978-3-319-45514-3_11 · Cited by 3
Studies on the role of peroxisome proliferators: in liver growth and neurodegenerative disorders
Abushofa, F. A. (2014) · Nottingham ePrints (University of Nottingham) · Cited by 3
Immune Responses to Tumours in the CNS
Gielen, P. R., van der Valk, P., & Wesseling, P. (2014) · doi:10.1002/9781118406557.ch15 · Cited by 3
Correction: Propentofylline Targets TROY, a Novel Microglial Signaling Pathway
Jacobs, V. L., Liu, Y., & Leo, J. A. D. (2013) · PLoS ONE · doi:10.1371/annotation/d8f0ef0f-414e-49aa-92a8-fd8d838b611b · Cited by 3
Kim, K.-W., Shin, W. C., Jang, J., Kim, M., Yoon, D., Lee, Y., & Lee, D. (2025) · Applied Biological Chemistry · doi:10.1186/s13765-025-01015-8 · Cited by 2
Decoding the Gut-Brain Axis in Alzheimer’s Disease: Emerging Perspectives
Singh, V., Yadav, A., Taj, T., Islam, A., Mantry, S., Debnath, B., Kumar, B., & Ashique, S. (2025) · CNS & Neurological Disorders - Drug Targets · doi:10.2174/0118715273390442250805174841 · Cited by 2
Metadata
- Authors
- Yang, I., Han, S. J., Kaur, G., Crane, C., & Parsa, A. T.
- Affiliations
- University of California, San Francisco (US)
- Venue
- Journal of Clinical Neuroscience
- Publisher
- Elsevier BV
- Published
- 2010-01
- Volume
- 17
- Issue
- 1
- Pages
- 6-10
- ISSN
- 0967-5868 (ISSN-L)
- PMC
- PMC3786731
- OpenAlex
- W2161737261
- Cited by
- 410
- References
- 101
- Citations by year
- 2026: 13 · 2025: 21 · 2024: 26 · 2023: 33 · 2022: 41 · 2021: 26 · 2020: 23 · 2019: 24 · 2018: 15 · 2017: 19 · 2016: 22 · 2015: 23 · 2014: 23 · 2013: 27 · 2012: 27
- FWCI
- 1.92
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Clinical Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (P50CA097257)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Oncology › Glioma Diagnosis and Treatment
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Keywords
- microglia, central nervous system immunity, tumor microenvironment, immunosuppression, antigen presentation, T cell receptor, major histocompatibility complex, antigen-presenting cells, microglial activation, glioma immunotherapy, blood-brain barrier, immune privilege
- MeSH terms
- Animals, Brain Neoplasms, Cell Communication, Central Nervous System, Glioma, Humans, Immune Tolerance, Immunity, Innate, Immunologic Surveillance, Neuroimmunomodulation, Microglia, Adaptive Immunity
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