Melatonin regulates microglial M1/M2 polarization via AMPKα2-mediated mitophagy in attenuating sepsis-associated

Yang Yang1, Jinyong Ke1, Yang Cao1

  • 1Department of Anesthesiology, Nanfang Hospital, Southern Medical University; The key Laboratory of Precision Anesthesia & perioperative Organ Protection, Guangzhou, Guangdong, 510515, China.

Abstract

Insights

Melatonin protects the brain from sepsis by enhancing mitophagy, a cellular process that clears damaged mitochondria. This action shifts microglia towards an anti-inflammatory state, improving cognitive function and reducing neuroinflammation.

Area of Science:

  • Neuroscience
  • Immunology
  • Cell Biology

Background:

  • Sepsis-associated encephalopathy (SAE) involves neuroinflammation and cognitive decline, with microglial activation playing a key role.
  • Melatonin is known for its anti-inflammatory effects, but its precise mechanism in SAE remains unclear.

Purpose of the Study:

  • To elucidate the mechanism by which melatonin alleviates neuroinflammation and cognitive dysfunction in sepsis-associated encephalopathy.
  • To investigate the role of mitophagy and AMP-activated protein kinase α2 (AMPKα2) in melatonin's protective effects against SAE.

Main Methods:

  • Established sepsis-associated encephalopathy (SAE) cell and mouse models using lipopolysaccharide (LPS).
  • Assessed cognitive function via behavioral tests and analyzed microglial polarization (M1/M2 markers) using immunofluorescence.
  • Investigated mitophagy using western blot, mt-Keima, and transmission electron microscopy; examined protein interactions via immunoprecipitation assays.

Main Results:

  • Melatonin treatment suppressed LPS-induced M1 microglia polarization by enhancing mitophagy, reducing neuroinflammation and improving behavioral deficits.
  • AMPKα2 activation was crucial for melatonin's enhancement of mitophagy and subsequent M2 microglia polarization.
  • Melatonin promotes mitophagy via AMPKα2 activation and PINK1 phosphorylation, shifting microglia from M1 to M2 phenotype.

Conclusions:

  • Melatonin alleviates LPS-induced neuroinflammation in SAE by promoting M2 microglia polarization.
  • This protective effect is primarily mediated by AMPKα2-dependent enhancement of mitophagy.

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