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Review
. 2022 Nov 2;110(21):3458-3483.
doi: 10.1016/j.neuron.2022.10.020.

Microglia states and nomenclature: A field at its crossroads

Rosa C Paolicelli  1 Amanda Sierra  2 Beth Stevens  3 Marie-Eve Tremblay  4 Adriano Aguzzi  5 Bahareh Ajami  6 Ido Amit  7 Etienne Audinat  8 Ingo Bechmann  9 Mariko Bennett  10 Frederick Bennett  11 Alain Bessis  12 Knut Biber  13 Staci Bilbo  14 Mathew Blurton-Jones  15 Erik Boddeke  16 Dora Brites  17 Bert Brône  18 Guy C Brown  19 Oleg Butovsky  20 Monica J Carson  21 Bernardo Castellano  22 Marco Colonna  23 Sally A Cowley  24 Colm Cunningham  25 Dimitrios Davalos  26 Philip L De Jager  27 Bart de Strooper  28 Adam Denes  29 Bart J L Eggen  30 Ukpong Eyo  31 Elena Galea  32 Sonia Garel  33 Florent Ginhoux  34 Christopher K Glass  35 Ozgun Gokce  36 Diego Gomez-Nicola  37 Berta González  38 Siamon Gordon  39 Manuel B Graeber  40 Andrew D Greenhalgh  41 Pierre Gressens  42 Melanie Greter  43 David H Gutmann  44 Christian Haass  45 Michael T Heneka  46 Frank L Heppner  47 Soyon Hong  48 David A Hume  49 Steffen Jung  50 Helmut Kettenmann  51 Jonathan Kipnis  52 Ryuta Koyama  53 Greg Lemke  54 Marina Lynch  55 Ania Majewska  56 Marzia Malcangio  57 Tarja Malm  58 Renzo Mancuso  59 Takahiro Masuda  60 Michela Matteoli  61 Barry W McColl  62 Veronique E Miron  63 Anna Victoria Molofsky  64 Michelle Monje  65 Eva Mracsko  66 Agnes Nadjar  67 Jonas J Neher  68 Urte Neniskyte  69 Harald Neumann  70 Mami Noda  71 Bo Peng  72 Francesca Peri  73 V Hugh Perry  74 Phillip G Popovich  75 Clare Pridans  76 Josef Priller  77 Marco Prinz  78 Davide Ragozzino  79 Richard M Ransohoff  80 Michael W Salter  81 Anne Schaefer  82 Dorothy P Schafer  83 Michal Schwartz  84 Mikael Simons  85 Cody J Smith  86 Wolfgang J Streit  87 Tuan Leng Tay  88 Li-Huei Tsai  89 Alexei Verkhratsky  90 Rommy von Bernhardi  91 Hiroaki Wake  92 Valérie Wittamer  93 Susanne A Wolf  94 Long-Jun Wu  95 Tony Wyss-Coray  96
Affiliations
Review

Microglia states and nomenclature: A field at its crossroads

Rosa C Paolicelli et al. Neuron. .

Abstract

Microglial research has advanced considerably in recent decades yet has been constrained by a rolling series of dichotomies such as "resting versus activated" and "M1 versus M2." This dualistic classification of good or bad microglia is inconsistent with the wide repertoire of microglial states and functions in development, plasticity, aging, and diseases that were elucidated in recent years. New designations continuously arising in an attempt to describe the different microglial states, notably defined using transcriptomics and proteomics, may easily lead to a misleading, although unintentional, coupling of categories and functions. To address these issues, we assembled a group of multidisciplinary experts to discuss our current understanding of microglial states as a dynamic concept and the importance of addressing microglial function. Here, we provide a conceptual framework and recommendations on the use of microglial nomenclature for researchers, reviewers, and editors, which will serve as the foundations for a future white paper.

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Conflict of interest statement

Declaration of interests B.A. is the shareholder and member of scientific advisory board of Tranquis Therapeutics. K.B. is an employee and shareholder of AbbVie. M.C. receives research support from Vigil, is a member of the scientific advisory board of Vigil, and has a patent on TREM2. S.C. is a recipient of research funding from Eli Lilly and Company. C.C. is a member of the advisory board of Exalys Therapeutics and is the recipient of a research grant from IONIS therapeutics. B.D.S. is occasionally consulting for different companies. He is founding scientist of Augustin TX and of Muna TX. He is also shareholder of Muna TX. C.H. collaborates with Denali Therapeutics. C.H. is chief advisor of ISAR Bioscience and a member of the advisory board of AviadoBio. J.K. is a scientific advisor and collaborator with PureTech. T.M. is a cofounder of REGAIN Therapeutics, owner of a provisional patent on compositions and methods for treatment and/or prophylaxis of proteinopathies, and owner of a provisional patent on preventing or reverting abnormal amyloid deposition. R.M. has scientific collaborations with Alector, Nodthera, and Alchemab and is a consultant for Sanofi. B.M. has received consultancy fees from AstraZeneca. A. Sierra is a recipient of a research grant from Hoffmann La Roche.

Figures

Figure 1.
Figure 1.. Microglial nomenclatures: Past and future
Microglia have been traditionally framed into dichotomic categories, but our current integration of epigenetic, transcriptomic, metabolomic, and proteomic data favors a multidimensional integration of coexisting states.
Figure 2.
Figure 2.. Microglial core properties and functions
Phagocytosis, surveillance, and capacity for releasing soluble factors (inner circle) are core properties through which microglia contribute to key biological functions (outer circle). Created with BioRender.com.
Figure 3.
Figure 3.. Microglial identity and states
The identity of microglia, compared to other CNS-associated macrophages in the perivascular space, choroid plexus, and leptomeninges, is established early on from yolk-sac-derived progenitors. Once they colonize the brain parenchyma and differentiate, they can adopt multiple states depending on the particular spatiotemporal context, as shown in more detail in Figure 5. Created with BioRender.com.
Figure 4.
Figure 4.. Microglial transcriptomic signatures
Recent scRNA-seq studies have identified many microglial transcriptional signatures including, but not limited to, PAM and ATM in development; DAM, MgnD, ARM, and MIMS in disease models of AD, MS, ALS, and PD; and WAM, LDAM, and HAM in aging, in both mice and human. The key upregulated (red) and downregulated (blue) genes in each signature are indicated. Created with BioRender.com.
Figure 5.
Figure 5.. Microglial states defined by their intrinsic and extrinsic determinants, spatiotemporal context, and layers of complexity
Microglial states depend on intrinsic determinants (such as species, ontogeny, sex, or genetic background) as well as the specific context they inhabit, including age, spatial location, and environmental factors (such as nutrition, microbiota, pathogens, drugs, etc.). All together, these factors impinge on microglia at multiple levels (i.e., epigenomic, transcriptomic, proteomic, metabolomics, ultrastructural, and phenomic), which ultimately determine microglial functions. Created with https://BioRender.com

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