M1 vs M2 microglia/macrophages


M2
M1classical activation      
Stimulated by
IFNy + TNF-a
Cytokine sources
CD4/Th1, CD8, NK cells --> IFN-y
Microglia/macrophage --> TNF-a
Response to activation
Inflammatory
Cytokines released
IL-1B, TNF-a, IL-6
Function
Microbicidial activity
Function
ROS and pro-inflammatory cytokine release
Function
Complement-mediated phagocytosis
Also stimulated by..
TNF-a + LPS & TLRs 
M1 phenotypes?     
M1 response is context dependent
Classic pheontypes: low IL-10
- can produce high IL-10 during peripheral immune challenge
    
EAE model
M1 is pathological as it responds to fibrinogen leaking into brain and strips away myelin
Classic M1 function
Viral/bacterial clearance using inflammatory cytokines & ROS
Can lead to..
BBB permeability, tissue death, demyelination
Models of Activation
Model 1: Linear model
Specific cytokines activate M1 vs M2
Model 2: Spectrum model
Tries to explain discrepancies in factors being present during both M1 and M2 activation
Model 3: Developmental Model
Develop from M0 (surveying) to M1 to M2 back to M0
- transition states exist between each state in which both markers are expressed
Wrong
Too many factors to determine specifics, and microglia can respond to similar factors differently based on environment
M2c
Classical Deactivation
M2b
Inflammatory and Homeostatic
M2a
Alternative Activation
Stimulating factors
IL-4
Functions:
Tissue repair
Angiogenesis
Clean up debris w/o inflammation
Wound healing
reduce Pro-inflammatory cytokines 
release of neurotrophins

Stimulating factors
Antibody + antigen and IL-1B or LPS     
Phenotype/Function     
High IL-1B and IL-10
- shows both inflammatory and homeostatic role (anti-inflame) of M2b
Phenotype/Function
Anti-inflammatory via IL-10, IL-4, and SOCS

Main function:
Inhibit Th1/M1 response
    
Stimulating factors
IL-10, TGF-B, and GCs
Via
CD4/Th2, neutrophils
Via
B cells provide immune complex
MGL/Mac provide IL-1B
Via
MGL/mac and regulatory T-cell --> IL-10
Astrocytes and MGL/MAC --> TGF-B
HPA axis --> GCs
Phenotype
High arginase, mannose receptor
Ym-1 + low NO
Consequence of main func.
Impaired clearance of bacteria/virus
T-cell anergy

Other processes that M1/M2 are involved in

Synaptic Pruning
Description
Axonal growth/Neurogenesis
Description
LTP
Description
Neuroprotection
Description
Cognition
Description
Sickness Behavior
Description
Repair
Description
Phenotype Plasticity
M1 can switch to M2 in vivo based on factors present (and vice-versa)
Aging
Description
M1 or M2
M1 necessary synaptic engulfment
M2 necessary to make sure not too much pruning
(Fractalkine)
M1 or M2
M1 provides IL-1B which promotes neurogenesis and axonal growth after injury
M1 or M2
M1 provides TNF-a which promotes AMPAR localization on dendrites for LTP
M1 or M2
Exogenous M1 IFN-y can buffer glutamate and reduce neurotoxicity and improve neuroprotection
M1 or M2
M2 provides IL-4 which promotes learning and memory
- Drives BDNF and reduces M1
M1 or M2
M1 causes sickness behavior
M1 inhibition reduces it      
M2 IL-4 before LPS improves sickness behavior
M2 IL-4 administered w/ LPS (causes sickness behavior) prolonged state

So which one is good? Most likely M2, but not 100%
M1 or M2
M2 arginase helps stimulate neurite growth

M2 associated with high CCL2 (monocytes) and IL-1B at damage site

Overall good for repair, but not anti-inflammatory
SCI
M1 TLR2 promote neurite growth after SCI

Prolonged M1 TLR2 lead to neuronal death
Role of Arginase
Help produces polyamines that support neurite growth

Polyamines also recruit monocytes (CCL2) by acting on astrocytes to areas of damage
Phagocytosis
M1 - dead/dying cells, clear debris
M2 - apoptotic cells, reduces inflammation
(TREM 2)
Shift towards M1
More MHCII, more inflammatory, produce more M1 cytokines

Prolonged sickness behavior     
Shift Away M2
Downregulation of CX3CRI - anti-M2 receptor
Impaired IL-4RA upregulation
???
Most likely correct
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