Evidence map›Paper›PMID 42222058›Full record

ReviewFrontiers in cellular neuroscience2026

Microglial state transitions are constrained by developmental and metabolic checkpoints.

Adil El Mesaoudi, Dong Won Kim

Abstract readReview
In one paragraph

Review in Frontiers in cellular neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Adil El MesaoudiDanish Research Institute of Translational Neuroscience (DANDRITE), Nordic EMBL Partnership for Molecular Medicine, Aarhus University, Aarhus, Denmark.
Dong Won KimDanish Research Institute of Translational Neuroscience (DANDRITE), Nordic EMBL Partnership for Molecular Medicine, Aarhus University, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Single-cell transcriptomic and epigenomic profiling has revealed extensive microglial heterogeneity across development, homeostasis, and disease. However, one recurring observation remains unexplained. Only subsets of microglia adopt expected transcriptional programs in a given context, and transcriptional activation often fails to translate into functional execution. Current frameworks describe microglial states, but they do not explain why individual cells differ in their ability to access, sustain, or complete state transitions. Here, we propose a checkpoint framework for microglial state transitions. In this model, transitions depend on prerequisite conditions that must be met before a response can proceed. We use the term checkpoint in the sense of cell-cycle biology, where progression depends on prior conditions, rather than in the signal-integration sense used for peripheral immune checkpoints. We first consider the peripheral checkpoint model, in which transitions are driven mainly by activating and inhibitory receptor signaling. In that system, continuous hematopoietic renewal buffers many individual cell-level constraints. We then argue that this logic is modified in microglia. Their embryonic origin, lifelong residence in the CNS, and limited replacement capacity make cellular history a more durable determinant of responsiveness. Within this framework, we define three non-redundant classes of checkpoint-like constraints. The first is developmental licensing, which establishes accessible response space through lineage specification, postnatal maturation, and age-dependent stabilization. The second is metabolic and proteostatic capacity, which determines whether cells can meet the energetic and protein-handling demands required for execution. The third is tissue-derived gating, in which neuronal, astrocytic, and extracellular matrix signals set permissive or non-permissive conditions for transition. Together, these constraints help explain why microglial responses are heterogeneous, why transcriptional state and functional output can diverge, and why disease-associated profiles may reflect stalled or incomplete transitions rather than stable functional identities. This framework shifts attention from descriptive states to constrained transitions. It also suggests that therapy should focus on restoring transition competence rather than simply suppressing or inducing specific microglial states.

Indexed as

checkpointdevelopmental licensingmetabolic capacitymicroglianeurodegenerationneuroimmunologystate transitionstissue gating

Identifiers

PMID42222058
PMCPMC13218877

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.