Cited by 582Neuroinflammation and Neurodegeneration MechanismsPhagocytosis and Immune RegulationAutophagy in Disease and Therapy

The DOI matches its Crossref record; 247 of the 266 references it cites were found in a registry or an index; none of the 225 sources its claims cite is checked for support yet.

Janus-faced microglia: beneficial and detrimental consequences of microglial phagocytosis

Open access
Sierra, Amanda, Abiega, Oihane, Shahraz, Anahita, Neumann, Harald·2013·Frontiers in Cellular Neuroscience

Abstract

Microglia are the resident brain macrophages and they have been traditionally studied as orchestrators of the brain inflammatory response during infections and disease. In addition, microglia has a more benign, less explored role as the brain professional phagocytes. Phagocytosis is a term coined from the Greek to describe the receptor-mediated engulfment and degradation of dead cells and microbes. In addition, microglia phagocytoses brain-specific cargo, such as axonal and myelin debris in spinal cord injury or multiple sclerosis, amyloid-β deposits in Alzheimer's disease, and supernumerary synapses in postnatal development. Common mechanisms of recognition, engulfment, and degradation of the different types of cargo are assumed, but very little is known about the shared and specific molecules involved in the phagocytosis of each target by microglia. More importantly, the functional consequences of microglial phagocytosis remain largely unexplored. Overall, phagocytosis is considered a beneficial phenomenon, since it eliminates dead cells and induces an anti-inflammatory response. However, phagocytosis can also activate the respiratory burst, which produces toxic reactive oxygen species (ROS). Phagocytosis has been traditionally studied in pathological conditions, leading to the assumption that microglia have to be activated in order to become efficient phagocytes. Recent data, however, has shown that unchallenged microglia phagocytose apoptotic cells during development and in adult neurogenic niches, suggesting an overlooked role in brain remodeling throughout the normal lifespan. The present review will summarize the current state of the literature regarding the role of microglial phagocytosis in maintaining tissue homeostasis in health as in disease.

Overview

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Written from the paper’s full text.

TL;DR

This review argues that microglial phagocytosis is Janus-faced: it clears apoptotic cells, synapses, myelin/axonal debris, and pathogens to maintain brain homeostasis, but can also trigger respiratory burst, inflammation, or kill live neurons. It synthesizes receptor mechanisms and physiological/pathological roles while emphasizing that in vivo consequences and quantification remain largely unresolved.

Key findings

  • Microglia are yolk sac-derived brain macrophages that phagocytose apoptotic cells, supernumerary synapses, axonal and myelin debris, amyloid-β (Aβ), and microorganisms; in physiological conditions, unchallenged/ramified microglia are efficient phagocytes, challenging the assumption that they must be preactivated to phagocytose.
  • Phagocytic clearance is rapid: in vitro microglial clearance of an apoptotic cell is 25–95 min; in vivo clearance is estimated at 70–90 min, consistent with a general 1–2 h macrophage clearance time. During development, microglia phagocytose 97% of apoptotic cells in the fimbria (E18), 88% and 100% in hippocampal CA (E16 and P0), 18% and 86% in cerebral cortex (E16 and P0), and 93% in dentate gyrus (P0); in adult dentate gyrus from 1–12 months, >90%; but only 50% at peak cell death (P3) in developing cerebellum.
  • Consequences can be beneficial or detrimental: apoptotic-cell phagocytosis is largely anti-inflammatory and can promote neuronal survival/neurogenesis, while phagocytosis can activate NADPH oxidase/respiratory burst producing reactive oxygen species; under inflammatory conditions, microglial phagocytosis can kill viable neurons (“phagoptosis”), e.g., via TLR2/TLR4, peroxynitrite, MFG-E8, and vitronectin receptor.
  • In disease, microglial phagocytosis is context-dependent: bacteria injected into the corpus callosum of early postnatal rats are engulfed in large numbers 1–3 h after injection and completely eliminated in 24 h, though phagosomes persist up to 7 days; Aβ plaques are not clearly phagocytosed in vivo; CNS myelin debris clearance is inefficient and can be increased by LPS without axonal regeneration.

Methods

  • Design: narrative review; no primary experiments. It synthesizes current literature on microglial phagocytosis in health and disease.
  • Data/sample: referenced studies include in vitro microglial/macrophage cultures, co-cultures, mouse models (development, EAE/MS, Rett syndrome, Alzheimer’s disease, prion disease, Parkinson’s disease, stroke, glioma), human patient samples, and C. elegans live imaging; includes Table 1 of receptors and Figures 1–4.
  • Main analysis: conceptual synthesis organized around the three-step model (find-me, eat-me, digest-me), functional consequences (antigen presentation, respiratory burst, inflammatory modulation), and target-specific sections (spines, apoptotic cells, pathogens, tumor cells, Aβ, myelin/axonal debris).

Limitations

  • Stated: most studies assess microglial phagocytosis exclusively in vitro; lack of molecular tools to specifically block recognition, engulfment, and degradation has precluded understanding the global impact of microglial phagocytosis in vivo; many in vivo experiments rely on phagocytosis markers such as CD68/ED1 whose function is unknown; few studies quantify microglial phagocytosis in vivo, and many rely on qualitative observation.
  • Stated: basic phagocytic mechanisms are extrapolated from bone marrow-derived tissue macrophages to yolk sac-derived microglia, but these assumed similarities might not fully hold true.
  • Evident: as a review, it does not provide new primary data or a systematic meta-analysis; many conclusions about in vivo consequences, especially anti-inflammatory effects and Aβ clearance, are described as unresolved or controversial.

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Integrity signals

Registry

Crossref · 10.3389/fncel.2013.00006

Cites

247 of 247 references verified0 citation errors · 0 not checkable

Statistics

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Claims the paper makes

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Show all 144 claims

  • Probably not a substantial claim. 37
  • It may state two separate claims as one. 54
  • The quote only partly states this claim. 1
86 of 86
  • The authors state this as an assumption.

    Basic phagocytic mechanisms from bone marrow-derived tissue macrophages can be extrapolated to microglia.

    “In this review we directly extrapolate basic phagocytic mechanisms from bone marrow-derived tissue macrophages to the less-known processes of microglia, but would like to point out that these assumed similarities might not fully hold true to the yolk sac-derived microglia.”
  • The authors state this as an assumption.

    Common mechanisms of recognition, engulfment, and degradation are shared across different types of cargo phagocytosed by microglia.

    “Common mechanisms of recognition, engulfment, and degradation of the different types of cargo are assumed, but very little is known about the shared and specific molecules involved in the phagocytosis of each target by microglia.”
  • The authors state this as an assumption.

    Microglial phagocytosis contributes to the maintenance of tissue homeostasis during development and in adult neurogenic niches by rapidly removing cellular debris.

    “Assumedly, microglial phagocytosis contributes to the maintenance of tissue homeostasis during development and in adult neurogenic niches by rapidly removing cellular debris.”
  • The authors state this as an assumption.

    Microglial phagocytosis of apoptotic cells in pathological conditions is highly efficient.

    “Microglial phagocytosis of apoptotic cells in pathological conditions is assumed to be highly efficient, possibly because of an extrapolation of the physiological phagocytosis during brain development, however this may not be always the case.”
  • The paper relies on this without support.

    Microglia are the professional brain phagocytes.

    “Microglia are considered the professional brain phagocytes.”
  • The authors state this as an assumption.

    Expression of phagocytic receptors is triggered by many inflammatory and neurodegenerative paradigms in vivo assumedly inducing an M1 phenotype.

    “In addition, expression of phagocytic receptors is triggered by many inflammatory and neurodegenerative paradigms in vivo assumedly inducing an M1 phenotype.”
  • The authors state this as an assumption.

    HMGB1 released during ischemia originates from the necrotic core.

    “HMGB1 is also released during ischemia (assumedly, from the necrotic core) in stroke patients and in mice subjected to MCAO”
  • The authors state this as an assumption.

    Apoptosis in AD patients and animal models occurs at low levels over a long period of time.

    “death by apoptosis has been documented in AD patients and in animal models of AD, although it is assumed to occur at low levels over a long period of time (Shimohama, 2000)”
  • The paper relies on this without support.

    Inflammation is the main trigger for phagoptosis.

    “diseases where inflammation, the main trigger for phagoptosis, occurs”
  • The paper relies on this without support.

    Macrophages and microglia are phenotypically indistinguishable by surface markers.

    “macrophages and microglia are phenotypically indistinguishable by surface markers”
  • The paper relies on this without support.

    Experimental interventions such as irradiation of mice lead to invasion of blood-monocytes into the brain parenchyma.

    “experimental interventions such as irradiation of mice lead to invasion of blood-monocytes into the brain parenchyma”
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  • Axonal-debris evidence described as exclusively in vitro despite an in vivo result

    Minor

    The section says the only available evidence on microglial phagocytosis of axonal debris comes from in vitro models, but it later reports an axotomy experiment in mice measuring microglia containing axonal material.

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Metadata

Authors
Sierra, A., Abiega, O., Shahraz, A., & Neumann, H.
Affiliations
  • Ikerbasque (ES)
  • University of Bonn (DE)
Corresponding author
  • Sierra, Amanda
  • Neumann, Harald
Venue
Frontiers in Cellular Neuroscience
Published
2013
Volume
7
Pages
6-6
ISSN
1662-5102 (ISSN-L)
OpenAlex
W2136123169
Cited by
574
References
266
Citations by year
2026: 18 · 2025: 30 · 2024: 47 · 2023: 44 · 2022: 48 · 2021: 59 · 2020: 47 · 2019: 52 · 2018: 40 · 2017: 44 · 2016: 38 · 2015: 48 · 2014: 43 · 2013: 15
FWCI
26.53
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Frontiers in Cellular Neuroscience (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Communities in ADDI (Universidad del Pais Vasco) (submittedVersion, cc-by)
  • Communities in ADDI (University of the Basque Country) (submittedVersion, other-oa)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Hispana (submittedVersion, other-oa)
Funders
Deutsche Forschungsgemeinschaft (KFO177, SFB 704, FOR1336)
Topics
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Life Sciences › Immunology and Microbiology › Immunology › Phagocytosis and Immune Regulation
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Autophagy in Disease and Therapy
Keywords
microglia, phagocytosis, brain homeostasis, efferocytosis, reactive oxygen species, neuroinflammation, myelin debris, amyloid-beta, synaptic pruning, microglial activation, tissue remodeling

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