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Publication : Modifying macrophages at the periphery has the capacity to change microglial reactivity and to extend ALS survival.

First Author  Chiot A Year  2020
Journal  Nat Neurosci Volume  23
Issue  11 Pages  1339-1351
PubMed ID  33077946 Mgi Jnum  J:299953
Mgi Id  MGI:6501418 Doi  10.1038/s41593-020-00718-z
Citation  Chiot A, et al. (2020) Modifying macrophages at the periphery has the capacity to change microglial reactivity and to extend ALS survival. Nat Neurosci 23(11):1339-1351
abstractText  Microglia and peripheral macrophages have both been implicated in amyotrophic lateral sclerosis (ALS), although their respective roles have yet to be determined. We now show that macrophages along peripheral motor neuron axons in mouse models and patients with ALS react to neurodegeneration. In ALS mice, peripheral myeloid cell infiltration into the spinal cord was limited and depended on disease duration. Targeted gene modulation of the reactive oxygen species pathway in peripheral myeloid cells of ALS mice, using cell replacement, reduced both peripheral macrophage and microglial activation, delayed symptoms and increased survival. Transcriptomics revealed that sciatic nerve macrophages and microglia reacted differently to neurodegeneration, with abrupt temporal changes in macrophages and progressive, unidirectional activation in microglia. Modifying peripheral macrophages suppressed proinflammatory microglial responses, with a shift toward neuronal support. Thus, modifying macrophages at the periphery has the capacity to influence disease progression and may be of therapeutic value for ALS.
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