Physical Exercise Improves Cognitive Function Together with Microglia Phenotype Modulation and Remyelination in Chronic Cerebral Hypoperfusion
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Updated: Feb 15, 2026

A Rat Model of Mild Intrauterine Hypoperfusion with Microcoil Stenosis
Published on: January 7, 2018
Ting Jiang1, Liying Zhang1, Xiaona Pan1
1Department of Rehabilitation Medicine, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Abstract:
Myelin is closely associated with cognitive function and is extremely vulnerable to damage in ischemic cerebrovascular diseases. The failure of remyelination is mainly due to limitations in oligodendrocyte progenitor cells (OPCs) differentiation in the damaged area. Previous studies have shown that physical exercise can improve vascular cognitive impairment, but whether it can reverse the defect in remyelination during ischemic injury and the underlying mechanism remains unclear. In this study, we observed the effects of physical exercise on chronic cerebral hypoperfusion (CCH) established by bilateral carotid artery occlusion. The cognitive function, myelin integrity, OPCs proliferation and differentiation, as well as microglia polarization were analyzed at 28 days after CCH. Besides, the expression of CX3CL1/CX3CR1 axis and activation of mitogen-activated protein kinase (MAPK) signal cascades were also evaluated. We found that physical exercise improved the cognitive function of rats with CCH, alleviated myelin injury, triggered OPCs proliferation and differentiation, facilitated microglia polarization toward M2, augmented the expression of CX3CL1/CX3CR1 axis, and reduced ERK and JNK phosphorylation. The results indicated that physical exercise improved the cognitive function of rats with CCH, possibly through microglial phenotype modulation and enhancement of oligodendrocytegenesis and remyelination. Moreover, the CX3CL1/CX3CR1 axis played an important role in this process by mediating ERK- and JNK-dependent pathways.
Insights
Physical exercise enhances cognitive function and myelin repair in rats with chronic cerebral hypoperfusion. It promotes oligodendrocyte progenitor cell (OPC) differentiation and M2 microglia polarization via the CX3CL1/CX3CR1 axis.
Area of Science:
- Neuroscience
- Cell Biology
- Regenerative Medicine
Background:
- Myelin integrity is crucial for cognitive function and vulnerable to ischemic damage.
- Impaired oligodendrocyte progenitor cell (OPC) differentiation hinders remyelination in cerebrovascular diseases.
- Physical exercise shows potential for improving cognitive function, but its role in ischemic remyelination is unclear.
Purpose of the Study:
- To investigate the effects of physical exercise on cognitive function and remyelination following chronic cerebral hypoperfusion (CCH).
- To elucidate the underlying mechanisms, including OPCs behavior, microglia polarization, and molecular signaling pathways.
Main Methods:
- Rats underwent CCH via bilateral carotid artery occlusion.
- Physical exercise intervention was applied post-CCH.
- Evaluated cognitive function, myelin integrity, OPC proliferation/differentiation, microglia polarization (M1/M2), CX3CL1/CX3CR1 expression, and MAPK pathway activation (ERK, JNK).
Main Results:
- Physical exercise improved cognitive function and alleviated myelin injury in CCH rats.
- Exercise promoted OPC proliferation and differentiation, enhancing oligodendrocytegenesis.
- Exercise facilitated M2 microglia polarization and upregulated the CX3CL1/CX3CR1 axis, reducing ERK/JNK phosphorylation.
Conclusions:
- Physical exercise ameliorates cognitive deficits and promotes remyelination in CCH by modulating microglial phenotype and enhancing oligodendrocytegenesis.
- The CX3CL1/CX3CR1 axis is a key mediator in exercise-induced neuroprotection and remyelination, acting through ERK and JNK pathways.
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