Microglia play a crucial role in neuroinflammation and neurodegenerative diseases, as highlighted by several studies. Rao et al. demonstrated that microglial depletion in a chimeric Alzheimer's disease model significantly reduced human neuronal APOE4-related pathologies, suggesting that microglia interact closely with neuronal APOE4 in the pathogenesis of Alzheimer's disease (ref: Rao doi.org/10.1016/j.stem.2024.10.005/). Gruber et al. explored the role of Bruton's tyrosine kinase (BTK) in regulating microglial function and neuroinflammation in multiple sclerosis models, proposing that BTK inhibition could be a therapeutic strategy to mitigate neuroinflammation and disability (ref: Gruber doi.org/10.1038/s41467-024-54430-8/). Furthermore, Clarke et al. found that VCP mutant microglia displayed unique immune and lysosomal phenotypes, indicating that microglial responses can vary significantly depending on genetic factors (ref: Clarke doi.org/10.1186/s13024-024-00773-1/). These findings collectively underscore the importance of microglial activation states in various neurodegenerative contexts and their potential as therapeutic targets. In addition to these findings, Sobue et al. investigated the effects of cannabinoid receptor type II stimulation on microglial activation in Alzheimer's disease mice, revealing that this stimulation improved cognitive impairment and reduced neuroinflammation by modulating astrocyte activation (ref: Sobue doi.org/10.1038/s41419-024-07249-6/). Kong et al. further contributed to this theme by showing that STING orchestrates microglial polarization through autophagy regulation following ischemic injury, highlighting the dual role of autophagy in microglial function (ref: Kong doi.org/10.1038/s41419-024-07208-1/). Zhang et al. also provided insights into the role of the microglial receptor TREM2 in synaptic pruning, which is crucial for fear memory formation, indicating that microglia are integral to synaptic plasticity and cognitive functions (ref: Zhang doi.org/10.3389/fimmu.2024.1412699/). Overall, these studies illustrate the multifaceted roles of microglia in neuroinflammation and their potential as therapeutic targets in neurodegenerative diseases.