Cited by 1,788Multiple Sclerosis Research StudiesNeuroinflammation and Neurodegeneration MechanismsNeurogenesis and neuroplasticity mechanisms

M2 microglia and macrophages drive oligodendrocyte differentiation during CNS remyelination

Open access
Miron, Veronique E, Boyd, Amanda, Zhao, Jing-Wei, Yuen, Tracy J, Ruckh, Julia M, Shadrach, Jennifer L, van Wijngaarden, Peter, Wagers, Amy J +3 more·2013·Nature Neuroscience

Abstract

The lack of therapies for progressive multiple sclerosis highlights the need to understand the regenerative process of remyelination that can follow CNS demyelination. This involves an innate immune response consisting of microglia and macrophages, which can be polarized to distinct functional phenotypes: pro-inflammatory (M1) and anti-inflammatory or immunoregulatory (M2). We found that a switch from an M1- to an M2-dominant response occurred in microglia and peripherally derived macrophages as remyelination started. Oligodendrocyte differentiation was enhanced in vitro with M2 cell conditioned media and impaired in vivo following intra-lesional M2 cell depletion. M2 cell densities were increased in lesions of aged mice in which remyelination was enhanced by parabiotic coupling to a younger mouse and in multiple sclerosis lesions that normally show remyelination. Blocking M2 cell-derived activin-A inhibited oligodendrocyte differentiation during remyelination in cerebellar slice cultures. Thus, our results indicate that M2 cell polarization is essential for efficient remyelination and identify activin-A as a therapeutic target for CNS regeneration.

Integrity signals

Registry

Crossref · 10.1038/nn.3469

Cites

48 of 48 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

19 of 29 cited sources checked · 11 supported · 0 flagged · accuracy not yet measured

  • Findingown data

    Pairing of an old animal with a young animal (Y/O) led to increased densities of M2 microglia/macrophages in the lesions in the older animal relative to O/O pairings.

    “Pairing of an old animal with a young animal (Y/O), a manipulation that restores remyelination efficiency in the older animal4, led to increased densities of M2 microglia/macrophages in the lesions in the older animal relative to those seen in the O/O pairings (Fig. 6b, c).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [4] Ruckh, J.M. et al. Rejuvenation of regeneration in the aging central nervous system. Cell Stem Cell 10, 96–103 (2012). source
  • Findingown data

    M2 depletion decreased the number of nodes of Ranvier, shown by reduced paranodal Caspr localization flanking nodal Ankyrin-G.

    “Second, we demonstrated a decrease in the number of nodes of Ranvier normally indicative of compact myelin27, 28 by showing reduced paranodal Caspr localization (flanking nodal Ankyrin-G) (Fig. 5g, h).”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites [27] Fancy, S.P. et al. Axin2 as regulatory and therapeutic target in newborn brain injury and remyelination. Nat. Neurosci. 14, 1009–1016 (2011). source
    • cites [28] Yuen, T.J. et al. Identification of endothelin 2 as an inflammatory factor that promotes central nervous system remyelination. Brain 136, 1035–1047 (2013). source
  • Premisecitation

    A block in oligodendrocyte differentiation is a feature of chronic MS lesions.

    “Our results showing that M2 cells are required for oligodendrocyte differentiation are of particular interest given that a block in oligodendrocyte differentiation is a feature of chronic MS lesions46.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [46] Kuhlmann, T. et al. Differentiation block of oligodendroglial progenitor cells as a cause for remyelination failure in chronic multiple sclerosis. Brain 131, 1749–1758 (2008). source
  • Findingown data

    The absence of peripherally-derived macrophages in CCR2−/− lesions led to a reduction in total numbers of Arg-1+ M2 cells to 8 ± 8 and 40 ± 13 % of wildtype controls at 3 and 10 dpl, respectively.

    “and Arg-1+ M2 cells (to 8 ± 8 and 40 ± 13 % of wildtype controls at 3 and 10 dpl, respectively).”
    Quote in the paperSubstantial claim
  • Findingown data

    M2 densities were increased in lesions of aged mice in which remyelination was enhanced by parabiotic coupling to a younger animal.

    “M2 densities were increased in lesions of aged mice in which remyelination was enhanced by parabiotic coupling to a younger animal”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. 19
  • May combine two claims. 10
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    M1 'classically activated' phenotypes are associated with enhanced antigen presentation properties and secretion of pro-inflammatory cytokines and reactive oxygen/nitrogen species.

    “In contrast, M1 ‘classically activated’ phenotypes are associated with enhanced antigen presentation properties and secretion of pro-inflammatory cytokines and reactive oxygen/nitrogen species9.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [9] Edwards, J.P., Zhang, X., Frauwirth, K.A. & Mosser, D.M. Biochemical and functional characterization of three activated macrophage populations. J. Leukoc. Biol. 80, 1298–1307 (2006). source
  • Classified as probably not a substantial claim.

    Premisecitation

    M2-polarized phenotypes secrete anti-inflammatory cytokines/growth factors.

    “which secrete anti-inflammatory cytokines/growth factors9.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [9] Edwards, J.P., Zhang, X., Frauwirth, K.A. & Mosser, D.M. Biochemical and functional characterization of three activated macrophage populations. J. Leukoc. Biol. 80, 1298–1307 (2006). source

      The Introduction identifies both type II-activated and alternatively activated macrophages as M2 phenotypes, and the Results report that type II-activated macrophages secrete high levels of the anti-inflammatory cytokine IL-10. But the Results also report that alternatively activated macrophages secreted no detectable IL-10 under the tested conditions; the cited passages do not establish growth-factor secretion. The claim therefore overgeneralizes across M2 phenotypes. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Microglia/macrophages exhibit regenerative properties through the phagocytosis of myelin debris and secretion of growth/neurotrophic factors.

    “they also exhibit regenerative properties through the phagocytosis of myelin debris3, 4 and secretion of growth/neurotrophic factors5.”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites [3] Kotter, M.R., Li, W.W., Zhao, C. & Franklin, R.J.M. Myelin impairs CNS remyelination by inhibiting oligodendrocyte precursor cell differentiation. J. Neurosci. 26, 328–332 (2006). source
    • cites [4] Ruckh, J.M. et al. Rejuvenation of regeneration in the aging central nervous system. Cell Stem Cell 10, 96–103 (2012). source
    • cites [5] Kotter, M.R., Zhao, C., van, R.N. & Franklin, R.J.M. Macrophage-depletion induced impairment of experimental CNS remyelination is associated with a reduced oligodendrocyte progenitor cell response and altered growth factor expression. Neurobiol. Dis. 18, 166–175 (2005). source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Regenerative properties of microglia/macrophages following injury to muscle and skin are associated with alternative or deactivation to M2-polarized phenotypes (M2a and M2c, respectively).

    “Regenerative properties of microglia/macrophages following injury to muscle6, 7 and skin8 are associated with alternative or deactivation to M2-polarized phenotypes (M2a and M2c, respectively), which secrete anti-inflammatory cytokines/growth factors9.”
    Quote in the paperNot a substantial claim3 of 4 sources checked
    • cites [6] Ruffell, D. et al. A CREB-C/EBPbeta cascade induces M2 macrophage–specific gene expression and promotes muscle injury repair. Proc. Natl. Acad. Sci. USA 106, 17475–17480 (2009). source

      The Discussion (page unavailable) links muscle regeneration to macrophages acquiring an anti-inflammatory M2 phenotype, and the paper reports impaired muscle repair when M2-specific gene expression is disrupted. It does not identify the muscle-associated phenotype specifically as M2a. The skin/M2c portion is attached to a different citation in the citing sentence, so it is not assessed against this source. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
    • cites [7] Dayan, V. et al. Mesenchymal stromal cells mediate a switch to alternatively activated monocytes/macrophages after acute myocardial infarction. Basic Res. Cardiol. 106, 1299–1310 (2011). source
    • cites [8] Deonarine, K. et al. Gene expression profiling of cutaneous wound healing. J. Transl. Med. 5, 11 (2007). source

      For the skin-injury portion cited to this paper, the Results (Comparison of markers of M1 and M2 macrophages; page not provided) report predominantly M2 markers later in cutaneous wound healing. The Discussion links M2 macrophages to tissue repair and angiogenesis, but does not identify the skin-associated phenotype as M2c or establish that a shift to M2 causes regeneration. The muscle-injury citations are separate from this source. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [9] Edwards, J.P., Zhang, X., Frauwirth, K.A. & Mosser, D.M. Biochemical and functional characterization of three activated macrophage populations. J. Leukoc. Biol. 80, 1298–1307 (2006). source

      The Introduction (page unavailable) says type II-activated macrophages secrete IL-10, making them anti-inflammatory. That supports the anti-inflammatory cytokine portion of the statement cited to this paper, but the cited passages do not establish secretion of growth factors or that both named M2 phenotypes secrete them. The muscle- and skin-injury portions carry different citations. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    A switch from M1- to M2-associated gene expression has been reported during cutaneous wound healing but has not been observed in studies of immune-mediated and toxin (cuprizone)-induced demyelination.

    “A switch from M1- to M2-associated gene expression has been reported during cutaneous wound healing8 but has not been observed in studies of immune-mediated36 and toxin (cuprizone)-induced demyelination37.”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites [8] Deonarine, K. et al. Gene expression profiling of cutaneous wound healing. J. Transl. Med. 5, 11 (2007). source
    • cites [36] Mikita, J. et al. Altered M1/M2 activation patterns of monocytes in severe relapsing experimental rat model of multiple sclerosis. Amelioration of clinical status by M2 activated monocyte administration. Mult. Scler. 17, 2–15 (2011). source
    • cites [37] Olah, M. et al. Identification of a microglia phenotype supportive of remyelination. Glia 60, 306–321 (2012). source
  • Classified as probably not a substantial claim.

    Premisecitation

    Acvr1B is required for subsequent functional downstream signalling following recruitment by ligand-bound Acvr2.

    “the receptor which is recruited by ligand-bound Acvr2 and which is required for subsequent functional downstream signalling33.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [33] Attisano, L., Wrana, J.L., Montalvo, E. & Massague, J. Activation of signaling by the activin receptor complex. Mol. Cell Biol. 16, 1066–1073 (1996). source

      The Abstract says ligand-bound ActR-IIB associates with ActR-IB, and that ActR-IB acts as a downstream transducer whose GS-domain mutations abrogate signal propagation. This supports the recruitment and signalling mechanism, but the studied type II receptor is ActR-IIB, not the specifically named Acvr2. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    TGFβ isoforms induce myelin protein expression.

    “Additionally, TGFβ isoforms have been shown to induce myelin protein expression42, 43.”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [42] Diemel, L.T., Jackson, S.J. & Cuzner, M.L. Role for TGF-beta1, FGF-2 and PDGF-AA in a myelination of CNS aggregate cultures enriched with macrophages. J. Neurosci. Res. 74, 858–867 (2003). source
    • cites [43] McKinnon, R.D., Piras, G., Ida, J.A. Jr. & Dubois-Dalcq, M. A role for TGF-beta in oligodendrocyte differentiation. J. Cell Biol. 121, 1397–1407 (1993). source

      The Results report that recombinant TGF-β1 increased the proportion of cultured O-2A cells expressing galactocerebroside, a marker of oligodendrocyte differentiation (Fig. 8). Galactocerebroside is not a protein, and the passages do not show that TGF-β isoforms induce myelin protein expression. The isoform-expression Results (p. 1399) identify TGF-β2 and TGF-β3 in oligodendrocytes but do not test their effect on myelin proteins. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    M1 and M2-associated genes were significantly upregulated in a microarray screen of a remyelinating lesion of the rat caudal cerebellar peduncles in vivo.

    “A custom qPCR array plate (SABiosciences) was designed to include primers for M1 and M2-associated genes that were detected as being significantly upregulated in a microarray screen of a remyelinating lesion of the rat caudal cerebellar peduncles in vivo18.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [18] Huang, J.K. et al. Retinoid X receptor gamma signaling accelerates CNS remyelination. Nat. Neurosci. 14, 45–53 (2011). source

      The Results section, “Increased Rxrg transcripts in CNS remyelinating lesions” (page unavailable), reports a microarray screen of rat caudal cerebellar peduncle lesions and identifies significantly differentially expressed genes, including inflammation-associated genes expressed more highly at 5 days post-lesion. Our copy does not identify those genes as M1- or M2-associated or establish that the genes selected for the citing paper’s qPCR plate were significantly upregulated. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Signalling pathways downstream of activin receptor activation include Rac/Cdc42 GTPases, Akt, and mTOR, all of which have been previously implicated in positively regulating oligodendrocyte differentiation and/or myelination.

    “In accordance with our finding, signalling pathways downstream of activin receptor activation include Rac/Cdc42 GTPases, Akt, and mammalian target of rapamycin (mTOR), all of which have been previously implicated in positively regulating oligodendrocyte differentiation and/or myelination38-41.”
    Quote in the paperNot a substantial claim4 of 4 sources checked
    • cites [38] Liang, X., Draghi, N.A. & Resh, M.D. Signaling from integrins to Fyn to Rho family GTPases regulates morphologic differentiation of oligodendrocytes. J. Neurosci. 24, 7140–7149 (2004). source
    • cites [39] Thurnherr, T. et al. Cdc42 and Rac1 signaling are both required for and act synergistically in the correct formation of myelin sheaths in the CNS. J. Neurosci. 26, 10110–10119 (2006). source
    • cites [40] Flores, A.I. et al. Constitutively active Akt induces enhanced myelination in the CNS. J. Neurosci. 28, 7174–7183 (2008). source
    • cites [41] Guardiola-Diaz, H.M., Ishii, A. & Bansal, R. Erk1/2 MAPK and mTOR signaling sequentially regulates progression through distinct stages of oligodendrocyte differentiation. Glia 60, 476–486 (2012). source

      The Discussion (page not supplied) reports that mTOR signaling is required for a late stage of oligodendrocyte differentiation and the onset of myelination, and discusses enhanced myelination with an overactive PI3K/Akt/mTOR pathway. It does not establish that Rac/Cdc42 positively regulate these processes or that the listed pathways act downstream of activin receptor activation. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data

    Microglia rapidly depolarize in the absence of polarizing factors, requiring polarizing factors to be present during conditioning of media.

    “The rapid depolarization of microglia in the absence of polarizing factors (data not shown) required these to be present during conditioning of media”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    GFP+ iNOS+ CD68+ M1 macrophages and GFP+ Arg-1+ CD68+ M2 macrophages present within the lesion contributed to 3.6 ± 1.6 % of iNOS+ M1 cells and 12.4 ± 5 % of Arg-1+ M2 cells.

    “GFP+ iNOS+ CD68+ M1 macrophages and GFP+ Arg-1+ CD68+ M2 macrophages present within the lesion (Fig. 6f) only contributed to 3.6 ± 1.6 % of iNOS+ M1 cells and 12.4 ± 5 % of Arg-1+ M2 cells.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Acvr2 is expressed by CC1+ oligodendrocytes (Acvr2B+) and CD68+ microglia/macrophages (Acvr2A+, Acvr2B+), but not by GFAP+ astrocytes or NF+ axons.

    “Assessment of activin-A binding capacity of other cell types within lesions indicates that Acvr2 is expressed by CC1+ oligodendrocytes (Acvr2B+) and CD68+ microglia/macrophages (Acvr2A+, Acvr2B+), but not by GFAP+ astrocytes or NF+ axons (Supplementary Fig. 9 online).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Contaminating astrocytes were less than 7% of the culture in all microglia polarization states.

    “Contaminating astrocytes were < 7% of the culture in all polarization states (data not shown).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    All manual cell counts were performed in a blinded manner.

    “All manual cell counts were performed in a blinded manner.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    Each transfilter microchemotaxis condition was performed in quadruplicate wells and repeated with 3 independent OPC samples and 3 conditioned media samples.

    “Each condition was performed in quadruplicate wells and the experiment was repeated with 3 independent OPC samples and 3 conditioned media samples.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductown data

    Diagnosis of MS was confirmed by neuropathological means and clinical history.

    “Diagnosis of MS was confirmed by neuropathological means by Dr F. Roncaroli (Consultant Neuropathologist, Imperial College London) and clinical history was provided by Dr R. Nicholas (Consultant Neurologist, Imperial College London)”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    ELISAs used 3-5 independent supernatant sets.

    “3-5 independent supernatant sets were used.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Study design and conductown data

    Microglia polarization under serum-free growth conditions was successful.

    “successful polarization under these growth conditions was confirmed (data not shown).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    No statistical methods were used to predetermine sample sizes, but sample sizes were similar to those generally employed in the field.

    “No statistical methods were used to predetermine sample sizes but these were similar to those generally employed in the field.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    All assays represent a minimum of 3 independent experiments treated with conditioned media from at least 3 microglial preparations.

    “All assays represent a minimum of 3 independent experiments treated with conditioned media from at least 3 microglial preparations.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Glatiramer acetate induces a peripheral M2 phenotype.

    “whereas glatiramer acetate induces a peripheral M2 phenotype48”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [48] Weber, M.S. et al. Type II monocytes modulate T cell–mediated central nervous system autoimmune disease. Nat. Med. 13, 935–943 (2007). source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The CNS-permeable therapy FTY720 decreases peripheral M1 and M2 polarization in rodents.

    “the CNS-permeable therapy FTY720 decreases peripheral M1 and M2 polarization in rodents47”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [47] Schaier, M. et al. Role of FTY720 on M1 and M2 macrophages, lymphocytes, and chemokines in 5/6 nephrectomized rats. Am. J. Physiol. Renal Physiol. 297, F769–F780 (2009). source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Antibody isotype controls added to sections at the same final concentration as the respective primary antibodies showed little or no non-specific staining.

    “Antibody isotype controls (Sigma) added to sections at the same final concentration as the respective primary antibodies showed little or no non-specific staining.”
    Quote in the paperNot a substantial claim
23 of 23
  • The paper relies on this without support.

    Remyelination can occur efficiently following CNS demyelination.

    “Remyelination, the formation of myelin sheaths around demyelinated axons by newly differentiated oligodendrocytes, can occur efficiently following central nervous system (CNS) demyelination.”
  • The paper relies on this without support.

    Microglia/macrophages are a major component of the innate immune response in CNS remyelination.

    “A major component of this regenerative process is a robust innate immune response consisting of peripherally-derived macrophages and their CNS-resident counterparts, microglia.”
  • The paper relies on this without support.

    M2 cell densities in MS lesions indicate areas of ongoing remyelination.

    “both areas of recent damage where ongoing remyelination would be expected.”
  • The paper relies on this without support.

    The ex vivo organotypic cerebellar slice culture model reflects in vivo remyelination sufficiently to test the role of activin-A in M2-driven oligodendrocyte differentiation.

    “we investigated the role of activin-A in M2-driven oligodendrocyte differentiation during remyelination in intact CNS using ex vivo organotypic cerebellar slice cultures”
4 of 4

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • In the lysolecithin-induced model of demyelination, Miron et al. (2013) identified a subset of microglia present during the remyelination stage that expressed ARG1 + IGF1 + CD206+; these microglia likely secrete factors that promote OPC differentiation as their conditioned media promoted OPC differentiation in vitro, and their selective depletion in vivo impaired remyelination.

    “For example, using the lysolecithin‐induced model of demyelination, Miron et al. (2013) identified a subset of microglia present during the remyelination stage that expressed ARG1 + IGF1 + CD206+; these microglia likely secrete factors that promote OPC differentiation as their conditioned media promoted OPC differentiation in vitro, and their selective depletion in vivo impaired remyelination.”

    From Depletion of Microglia Increases Cortical Oligodendrocyte Density During Remyelination (2026) · cites this paper as Miron et al. 2013

    Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

    Experimental — accuracy not yet measured
  • Multiple sclerosis, ALS, and spinal cord injury are associated with chronic activation of resident immune cells, microglia.

    “These disorders (e.g. multiple sclerosis, ALS, spinal cord injury) are associated with chronic activation of resident immune cells, microglia2–4.”

    From Central nervous system regeneration is driven by microglia necroptosis and repopulation (2019) · cites this paper as [3]

    The Results section (“Increased M2 densities during efficient remyelination”; page unavailable) reports elevated microglia/macrophage and M1-cell densities in MS lesions, including chronic lesions, supporting the MS portion of the claim. The Discussion mentions studies of neuronal injury, and the references list ALS and injured-spinal-cord studies, but this paper does not establish chronic microglial activation in ALS or spinal cord injury. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Resolution of pro-inflammatory microglia activation via a transition to a pro-regenerative microglia state initiates remyelination.

    “Resolution of pro-inflammatory microglia activation (iNOS+ TNFα+ CCL2+) via a transition to a pro-regenerative microglia state (Arg-1+ CD206+ IGF-1+) initiates remyelination3.”

    From Central nervous system regeneration is driven by microglia necroptosis and repopulation (2019) · cites this paper as [3]

    The Results section, “An M1 to M2 switch at the initiation of remyelination” (page unavailable), reports an M1-to-M2 shift as remyelination begins and identifies iNOS and TNFα as M1 markers and Arg-1, mannose receptor, and IGF-1 as M2 markers. The Discussion says M2 microglia/macrophages drive oligodendrocyte differentiation. The copy does not identify CCL2 as a marker of the pro-inflammatory state, and it describes the switch as occurring at the initiation of remyelination rather than establishing that the switch itself initiates it. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Remyelination is impaired when the transition from pro-inflammatory to pro-regenerative microglia is prevented by depletion of pro-regenerative microglia, or when it fails, identified by prolonged pro-inflammatory microglia presence in aged mice and chronic human brain lesions.

    “Remyelination is impaired when this transition is prevented (by depletion of pro-regenerative microglia), or when it fails, identified by prolonged pro-inflammatory microglia presence in aged mice and chronic human brain lesions3.”

    From Central nervous system regeneration is driven by microglia necroptosis and repopulation (2019) · cites this paper as [3]

    Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

    Experimental — accuracy not yet measured
  • The differentiation of local oligodendrocyte progenitor cells into actively myelinating oligodendrocytes is stimulated by innate immune cells.

    “Recent data have indicated that the differentiation of local oligodendrocyte progenitor cells into actively myelinating oligodendrocytes is stimulated by innate immune cells.64-67”

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Authors
Miron, V. E., Boyd, A., Zhao, J.-W., Yuen, T. J., Ruckh, J. M., Shadrach, J. L., van Wijngaarden, P., Wagers, A. J., Williams, A., Franklin, R. J. M., & ffrench-Constant, C.
Affiliations
  • MRC Centre for Regenerative Medicine (GB)
  • Wellcome/MRC Cambridge Stem Cell Institute (GB)
  • Howard Hughes Medical Institute (US)
Venue
Nature Neuroscience
Published
2013-07-21
Volume
16
Issue
9
Pages
1211-1218
ISSN
  • 1097-6256 (ISSN-L)
  • 1546-1726
OpenAlex
W1977213877
Cited by
1,788
References
48
Citations by year
2026: 85 · 2025: 110 · 2024: 147 · 2023: 144 · 2022: 169 · 2021: 176 · 2020: 153 · 2019: 141 · 2018: 146 · 2017: 133 · 2016: 124 · 2015: 112 · 2014: 81 · 2013: 14
FWCI
73.96
Type
journal article
Language
en
Open access
Locations
  • Nature Neuroscience (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (submittedVersion)
  • PubMed Central (submittedVersion)
  • Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
  • UEA Digital Repository (University of East Anglia) (submittedVersion)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Life Sciences › Neuroscience › Developmental Neuroscience › Neurogenesis and neuroplasticity mechanisms
Keywords
M2 microglia, macrophage polarization, oligodendrocyte differentiation, activin A, TGF-beta, multiple sclerosis, demyelination, parabiosis
MeSH terms
Adult, Aged, Aged, 80 and over, Animals, Animals, Newborn, Cell Differentiation

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