Monocytes can efficiently replace all brain macrophages and fetal liver monocytes can generate bona fide SALL1+ microglia

Microglia and border-associated macrophages (BAMs) are critical for brain health, and their dysfunction is associated to disease. Replacing brain macrophages holds substantial therapeutic promise but remains challenging. Here, we demonstrate that monocytes can efficiently replace all brain macrophages. Monocytes readily replaced embryonal BAMs upon their depletion and engrafted as monocyte-derived microglia (Mo-Microglia) upon more sustained niche availability. Mo-Microglia expanded comparably to their embryonic counterparts and showed similar longevity. However, monocytes were unable to replicate the distinct identity of embryonically derived BAMs and microglia. Using xenotransplantation, we found that human monocytes exhibited similar behavior, enabling identification of putative Mo-Microglia in Alzheimer's disease individuals. In mice and humans, monocyte ontogeny shaped their identity as brain macrophages. Importantly, mouse fetal liver monocytes exhibited a distinct epigenetic landscape and could develop a bona fide microglial identity. Our results illuminate brain macrophage development and highlight monocytes as an abundant progenitor source for brain macrophage replacement therapies.

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Publication Details

Journal
Immunity
Published
2025-05-01
DOI
https://doi.org/10.1016/j.immuni.2025.04.006
Citations
41
Primary Topic
Neuroinflammation and Neurodegeneration Mechanisms
Type
article
Field-Weighted Citation Impact
34.53

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article

Monocytes can efficiently replace all brain macrophages and fetal liver monocytes can generate bona fide SALL1+ microglia

Hadis Shakeri, Carleigh A. O’Brien, Liam Barry-Carroll, Ria Roelandt et al.
41 citations
Immunity
Neuroinflammation and Neurodegeneration Mechanisms
34.53
article

Monocytes can efficiently replace all brain macrophages and fetal liver monocytes can generate bona fide SALL1+ microglia

Hadis Shakeri, Carleigh A. O’Brien, Liam Barry-Carroll, Ria Roelandt, Gilles Faron, Diego Gómez‐Nicola, Sophia Leduc, Kiavash Movahedi, Fazeela Yaqoob, Hannah Van Hove, Jonathan Bastos, Mónica Vara‐Pérez, David Gate, Maria Breugelmans, Leen Ali, Karen De Vlaminck, Myrthe Mampay, Sonia I Lombroso, Daliya Kancheva, F. Chris Bennett, Isabelle Scheyltjens, Lynn van Olst, Laura Meysman, Vladislav Vlasov, Ayla Line Lievens
article en
41 citations

Abstract

Microglia and border-associated macrophages (BAMs) are critical for brain health, and their dysfunction is associated to disease. Replacing brain macrophages holds substantial therapeutic promise but remains challenging. Here, we demonstrate that monocytes can efficiently replace all brain macrophages. Monocytes readily replaced embryonal BAMs upon their depletion and engrafted as monocyte-derived microglia (Mo-Microglia) upon more sustained niche availability. Mo-Microglia expanded comparably to their embryonic counterparts and showed similar longevity. However, monocytes were unable to replicate the distinct identity of embryonically derived BAMs and microglia. Using xenotransplantation, we found that human monocytes exhibited similar behavior, enabling identification of putative Mo-Microglia in Alzheimer's disease individuals. In mice and humans, monocyte ontogeny shaped their identity as brain macrophages. Importantly, mouse fetal liver monocytes exhibited a distinct epigenetic landscape and could develop a bona fide microglial identity. Our results illuminate brain macrophage development and highlight monocytes as an abundant progenitor source for brain macrophage replacement therapies.

ImmunityVol. 58(5)
Northwestern University (US), Children's Hospital of Philadelphia (US), Vrije Universiteit Brussel (BE), Southampton General Hospital (GB), Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement (FR), VIB-UGent Center for Plant Systems Biology (BE), Translational Therapeutics (United States) (US), Universitair Ziekenhuis Brussel (BE), NutriNeuro (FR), VIB-UGent Center for Inflammation Research (BE), Institut Polytechnique de Bordeaux (FR), University of Pennsylvania (US), Mathys (Netherlands) (NL)
Fonds Wetenschappelijk Onderzoek, H2020 European Research Council
Zero hunger
Openalex Percentile: Top 0%
Neuroinflammation and Neurodegeneration Mechanisms
34.53
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