Consistent with the recent characterization of microglial cells as mac
rophages, an overall picture for the unique function of these cells in
CNS tissue has developed. The microglia are derived from blood monocy
tes that migrate into the tissue during fetal development and subseque
ntly remain after complete formation of the blood-brain barrier. These
monocytes give rise to the ramified microglia of adult tissue through
the developmental intermediate of amoeboid microglia. Ramified microg
lia appear uniquely adapted in contrast to other tissue macrophages ba
sed on their stability or lack of turnover and mitotic capability. The
ramified cells, while usually downregulated, can convert into active
macrophages termed reactive microglia; this conversion appears to occu
r nonspecifically in response to any injury. Further, reactive microgl
ial cells can fuse to form giant multinucleated cells during viral inf
ections. Each microglial cell form possesses a characteristic morpholo
gy and differing functional state with regard to macrophage activity.
In their role as tissue macrophages, microglia are involved in immune
responses, tissue transplantation, and AIDS dementia complex, as well
as many other neurological mechanisms and diseases.