TREM2-IGF1 Mediated Glucometabolic Enhancement Underlies Microglial Neuroprotective Properties During Ischemic Stroke

Sheng Yang1,2, Chuan Qin1,2, Man Chen1,2

  • 1Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

Insights

Microglia play a key role in ischemic stroke by reprogramming their metabolism. The Trem2-Igf1 signaling pathway enhances microglial neuroprotection, offering potential therapeutic strategies for stroke.

Area of Science:

  • Neuroscience
  • Immunology
  • Metabolism

Background:

  • Microglia are crucial immune cells in the central nervous system, responding to cerebral ischemic injuries.
  • Understanding microglial immunometabolism in ischemic stroke is essential for developing effective treatments.

Purpose of the Study:

  • To elucidate the signaling pathways regulating microglial immunometabolism in ischemic stroke.
  • To identify specific microglial phenotypes and their roles in neuroprotection.

Main Methods:

  • Single-nuclei RNA sequencing was employed to identify microglial subclusters in ischemic brain tissues.
  • Microglial depletion and repopulation experiments using PLX3397 were conducted.
  • Mechanistic studies investigated the role of Trem2-Igf1 signaling and the effects of Igf1 overexpression and cyclocreatine supplementation.

Main Results:

  • A specific microglial subcluster with high Igf1 and Trem2 expression, neuroprotective signature, and enhanced oxidative phosphorylation was identified in ischemic brains.
  • Microglial depletion worsened ischemic brain damage, while repopulation with the identified phenotype reversed this effect.
  • The Trem2-Igf1 signaling axis was found to regulate microglial function and metabolism, conferring neuroprotection. Igf1 and cyclocreatine restored function independently of Trem2.

Conclusions:

  • The Trem2-Igf1 signaling axis reprograms microglial immunometabolism towards a neuroprotective phenotype in ischemic stroke.
  • Targeting this pathway presents a promising therapeutic strategy for treating ischemic stroke.