Microglia replacement through transplantation of myeloid cells has emerged as a powerful strategy for probing microglia biology and as a potential therapeutic paradigm for neurological disease. Over the past several years, the field has advanced to strategies capable of widespread microglia replacement in the central nervous system1. Recent studies have demonstrated that donor-derived macrophages and progenitors can engraft the brain, adopt microglia-like transcriptional programs, and in some cases improve disease-associated phenotypes2,3,4,5,6,7,8. These findings support the concept that brain macrophage replacement can be leveraged to study and potentially modify neurological disease processes.
A central challenge in microglia transplantation is achieving robust engraftment while minimizing experimental confounds. Many established replacement strategies rely on irradiation, chemotherapy, or microglia depletion paradigms to generate an engraftable niche6,9,10,11,12,13. Despite their effectiveness, these approaches can induce microglia senescence, disrupt the blood-brain barrier, and alter inflammatory signaling, all of which can complicate the interpretation of donor cell behavior9,14. More recent work has begun to explore conditioning-independent or reduced toxicity approaches to microglia replacement5,8,15.
Developmental timing is an important determinant of transplantation success. The neonatal brain provides a permissive environment that supports donor cell expansion and long-term integration, likely due to reduced structural barriers and ongoing establishment of the endogenous microglia niche. Recent transplantation studies using early postnatal delivery (P0–P5) demonstrate robust parenchymal engraftment and acquisition of microglia-like identity, reinforcing the importance of developmental context for efficient replacement7,8,16,17.
Hoxb8 microglia provide a particularly informative system for studying lineage-specific contributions to microglia biology. These cells arise from embryonic hematopoietic progenitors and represent a defined subset of parenchymal microglia with behavioral consequences when dysfunctional17,18,19,20,21. Recent work using primary Hoxb8 progenitors and microglia and estrogen receptor (ER)-Hoxb8 progenitor systems demonstrates that these cells can be expanded, genetically manipulated, and successfully engrafted into the brain, where they adopt microglia-like transcriptional profiles and functional characteristics7,8,17. These advances further highlight the utility of transplantation approaches for dissecting microglia lineage and heterogeneity.
Here, we describe a neonatal intracerebral transplantation platform optimized for versatility across donor and recipient systems. In contrast to approaches that depend on irradiation or systemic conditioning, this method uses direct bilateral intracerebral delivery into neonatal mice, enabling donor cell placement in a developmentally permissive brain environment while minimizing systemic perturbation. The technique is compatible with multiple donor sources, including embryonic hematopoietic progenitors and postnatal brain-derived microglia, and can be applied across distinct recipient models with reduced or absent endogenous microglia. A major practical advantage is that the thin neonatal skull allows rapid manual injection with glass micropipettes, eliminating the need for drilling or stereotaxic fixation while still achieving broad parenchymal engraftment.
Together, this approach provides a robust, flexible, and scalable system for studying microglia ontogeny, heterogeneity, and in vivo integration across diverse experimental contexts. This positions neonatal intracerebral transplantation as a complementary and experimentally controlled alternative to systemic microglia replacement strategies.