Lupeol mitigates spinal cord injury by modulating microglial M1/M2 polarization via Na+/K+-ATPase-mediated mitophagy

Ruyin Liu1, Zongjin Yue1, Jia'an Dong1

  • 1Department of Spinal Surgery, Henan Provincial Hospital of Traditional Chinese Medicine (The Second Affiliated Hospital of Henan University of Traditional Chinese Medicine), Zhengzhou 450000, China.

Cellular Immunology
|April 25, 2025
PubMed

Insights

Lupeol, a natural compound, combats spinal cord injury (SCI) inflammation by boosting mitophagy and Na+/K+-ATPase activity. This reduces neuronal damage and improves motor function recovery in SCI models.

Area of Science:

  • Neuroscience
  • Immunology
  • Pharmacology

Background:

  • Spinal cord injury (SCI) leads to severe disability, with inflammation hindering recovery.
  • The anti-inflammatory potential of Lupeol in SCI is not well understood.

Purpose of the Study:

  • To investigate the therapeutic effects of Lupeol on SCI-induced inflammation and neuronal damage.
  • To elucidate the underlying mechanisms of Lupeol's action, focusing on mitophagy and microglial activation.

Main Methods:

  • In vitro: LPS-stimulated BV2 microglia model to assess Lupeol's effects on inflammation, NKA activity, mitophagy, and pyroptosis.
  • In vivo: Mouse SCI model treated with Lupeol to evaluate neuronal survival, microglial polarization, inflammation, and motor function.
  • Mechanistic studies involving the AMPKα2-mTOR-TFEB pathway.

Main Results:

  • Lupeol reversed LPS-induced inflammation, pyroptosis, and M1 microglial polarization in vitro.
  • Lupeol enhanced Na+/K+-ATPase (NKA) activity and mitophagy, activating the AMPKα2-mTOR-TFEB pathway.
  • In vivo, Lupeol reduced neuronal loss, shifted microglia to the M2 phenotype, decreased inflammation, and improved motor function in SCI mice.

Conclusions:

  • Lupeol mitigates SCI progression by enhancing NKA activity and mitophagy via the AMPK-mTOR-TFEB pathway.
  • Lupeol suppresses the pro-inflammatory microglial phenotype, offering a potential therapeutic strategy for spinal cord injury.