Evidence map›Paper›PMID 38077359›Full record

ArticleFrontiers in immunology2023

Limitations of PLX3397 as a microglial investigational tool: peripheral and off-target effects dictate the response to inflammation.

Wouter Claeys, Daan Verhaege, Griet Van Imschoot, Elien Van Wonterghem, Lore Van Acker, Laura Amelinck, Federico F De Ponti, Charlotte Scott, Anja Geerts, Christophe Van Steenkiste and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Lipid metabolism, microglia, and stroke.Neural regeneration research · 2026
    Article
  6. Article
  7. Article
  8. Immunity in Rodent Models of Stress.Biological psychiatry · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. CSF1R and IL1R1 inhibitors synergistically attenuate the early pathogenesis of traumatic brain injury in mice.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  14. Neonatal microglia replacement in mice modulates seizure severity in adulthood.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Wouter ClaeysDepartment of Internal Medicine and Paediatrics, Hepatology Research Unit, Ghent University, Ghent, Belgium.
Daan VerhaegeBarriers in Inflammation, VIB-UGent Center for Inflammation Research, VIB, Ghent, Belgium.
Griet Van ImschootBarriers in Inflammation, VIB-UGent Center for Inflammation Research, VIB, Ghent, Belgium.
Elien Van WonterghemBarriers in Inflammation, VIB-UGent Center for Inflammation Research, VIB, Ghent, Belgium.
Lore Van AckerBarriers in Inflammation, VIB-UGent Center for Inflammation Research, VIB, Ghent, Belgium.
Laura AmelinckBarriers in Inflammation, VIB-UGent Center for Inflammation Research, VIB, Ghent, Belgium.
Federico F De PontiDepartment of Biomedical Molecular Biology, Ghent University, Ghent, Belgium.
Charlotte ScottDepartment of Biomedical Molecular Biology, Ghent University, Ghent, Belgium.
Anja GeertsDepartment of Internal Medicine and Paediatrics, Hepatology Research Unit, Ghent University, Ghent, Belgium.
Christophe Van SteenkisteAntwerp University, Department of Gastroenterology and Hepatology, Antwerp, Belgium.
Lien Van Hoecke *Barriers in Inflammation, VIB-UGent Center for Inflammation Research, VIB, Ghent, Belgium.
Roosmarijn E Vandenbroucke *Barriers in Inflammation, VIB-UGent Center for Inflammation Research, VIB, Ghent, Belgium.
VIB-UGent Center for Inflammation Research · BEGhent University · BEGhent University Hospital · BEUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Microglia, the resident macrophages of the central nervous system (CNS), play a critical role in CNS homeostasis and neuroinflammation. Pexidartinib (PLX3397), a colony-stimulating factor 1 (CSF1) receptor inhibitor, is widely used to deplete microglia, offering flexible options for both long-term depletion and highly versatile depletion-repopulation cycles. However, the potential impact of PLX3397 on peripheral (immune) cells remains controversial. Until now, the microglia-specificity of this type of compounds has not been thoroughly evaluated, particularly in the context of peripherally derived neuroinflammation. Our study addresses this gap by examining the effects of PLX3397 on immune cells in the brain, liver, circulation and bone marrow, both in homeostasis and systemic inflammation models. Intriguingly, we demonstrate that PLX3397 treatment not only influences the levels of tissue-resident macrophages, but also affects circulating and bone marrow immune cells beyond the mononuclear phagocyte system (MPS). These alterations in peripheral immune cells disrupt the response to systemic inflammation, consequently impacting the phenotype irrespective of microglial depletion. Furthermore, we observed that a lower dose of PLX3397, which does not deplete microglia, demonstrates similar (non-)MPS effects, both in the periphery and the brain, but fails to fully replicate the peripheral alterations seen in the higher doses, questioning lower doses as a 'peripheral control' strategy. Overall, our data highlight the need for caution when interpreting studies employing this compound, as it may not be suitable for specific investigation of microglial function in the presence of systemic inflammation.

Indexed as

MicrogliaNeuroinflammatory DiseasesAminopyridinesBrainHumansInflammationPyrrolesAminopyridinespexidartinibPyrrolesbile duct ligation (BDL)endotoxemialipopolysaccharide (LPS)microglianeuroinflammationperipheral inflammationPLX3397

Identifiers

PMID38077359
PMCPMC10703484
OpenAlexW4388946606

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.