Protective effects of microglia in multiple sclerosis
Review published in Exp Neurol (2009)
Abstract
The role of microglia in demyelinating neurodegenerative diseases such as multiple sclerosis (MS) and its animal model experimental autoimmune encephalomyelitis (EAE) is still controversial. Although microglial cells are known as the professional phagocytes and executer of innate immunity in the central nervous system (CNS), it is believed that microglia are rather neurotoxic in these diseases. However, there is recent evidence indicating that microglia could also exert a neuroprotective function in MS and EAE. First evidence for the protective effect of immune cells in CNS diseases emerged from studies in invertebrates. In the medicinal leech, the process of regeneration begins with rapid activation and accumulation of phagocytic glial cells at the lesion site followed by phagocytosis of damaged tissue by these cells which promoted robust neural regeneration. In vertebrates, several lines of evidence demonstrate that microglia are also involved in neuroprotection by the secretion of soluble mediators that trigger neural repair and usually contribute to the creation of an environment conductive for regeneration. The efficient removal of apoptotic cells and clearance of debris at the lesion site and the recruitment of stem cell populations as well as the induction of neurogenesis are directly correlated. These findings suggest that microglia play a major role in creating a microenvironment for repair and regenerative processes in demyelinating neuroinflammatory diseases.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Resumen
Reviews evidence from leech microglia studies and vertebrate models showing that microglia exert neuroprotection by secreting mediators that trigger neural repair, recruit stem cells, and remove apoptotic debris.
Por qué esto importa para la hirudoterapia
This review article discusses the potentially neuroprotective roles of microglia in multiple sclerosis (MS) and its animal model EAE, highlighting evidence that microglia contribute to neuroprotection through secretion of soluble mediators, clearance of debris, and recruitment of stem cells. The abstract notes that early evidence for protective immune cell function in CNS injury came from studies in the medicinal leech, where rapid activation and accumulation of phagocytic glial cells at lesion sites promoted robust neural regeneration. This review is primarily focused on vertebrate neuroimmunology and MS; the leech is mentioned only as a historical comparative model demonstrating glial-mediated repair. The study has no direct relevance to hirudotherapy, the leech secretome, or clinical leech application.
Citación
Protective effects of microglia in multiple sclerosis.
Napoli I, Neumann H · Experimental neurology, 2009
Contexto clínico relacionado
Explore cómo esta investigación se conecta con la práctica clínica
Añadido a la biblioteca ASH: May 26, 2026 · Última actualización del sitio: June 18, 2026