Microglia in Prion Diseases: Angels or Demons?

Prion diseases are rare transmissible neurodegenerative disorders caused by the accumulation of a misfolded isoform (PrP<sup>Sc</sup>) of the cellular prion protein (PrP<sup>C</sup>) in the central nervous system (CNS). Neuropathological hallmarks of prion diseases are neuron...

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Bibliographic Details
Main Authors: Caterina Peggion, Roberto Stella, Paolo Lorenzon, Enzo Spisni, Alessandro Bertoli, Maria Lina Massimino
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/20/7765
Description
Summary:Prion diseases are rare transmissible neurodegenerative disorders caused by the accumulation of a misfolded isoform (PrP<sup>Sc</sup>) of the cellular prion protein (PrP<sup>C</sup>) in the central nervous system (CNS). Neuropathological hallmarks of prion diseases are neuronal loss, astrogliosis, and enhanced microglial proliferation and activation. As immune cells of the CNS, microglia participate both in the maintenance of the normal brain physiology and in driving the neuroinflammatory response to acute or chronic (e.g., neurodegenerative disorders) insults. Microglia involvement in prion diseases, however, is far from being clearly understood. During this review, we summarize and discuss controversial findings, both in patient and animal models, suggesting a neuroprotective role of microglia in prion disease pathogenesis and progression, or—conversely—a microglia-mediated exacerbation of neurotoxicity in later stages of disease. We also will consider the active participation of PrP<sup>C</sup> in microglial functions, by discussing previous reports, but also by presenting unpublished results that support a role for PrP<sup>C</sup> in cytokine secretion by activated primary microglia.
ISSN:1661-6596
1422-0067