Lipid metabolism, microglia, and stroke

Lei Chen1, Minmin Zhang1, Wei Wei2

  • 1Department of Neurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.

PubMed

Insights

Microglia and lipids significantly impact brain immunity post-stroke. Understanding their interaction, influenced by diet and gut microbiome, offers new therapeutic targets for stroke treatment.

Area of Science:

  • Neuroscience
  • Immunology
  • Metabolism

Background:

  • Microglia are key immune cells in the brain, sensitive to injury and regulating immune responses post-stroke.
  • Lipids, including peripheral metabolism and lipid droplet biogenesis, critically control microglial functions like activation and inflammation.
  • The interplay between microglia and lipids is central to neuroinflammation following stroke.

Purpose of the Study:

  • To explore the roles of microglia and lipids in post-stroke immune regulation.
  • To discuss the implications of peripheral lipid metabolism and microglia-lipid interactions in stroke.
  • To highlight the influence of diet and gut microbiome on stroke risk and outcomes via the gut-brain axis.

Main Methods:

  • This review synthesizes current research on microglia-lipid interactions in the context of stroke.
  • It examines the impact of peripheral lipid metabolism and its regulation.
  • It analyzes the role of the gut-brain axis, diet, and microbiome in neuroinflammation and stroke.

Main Results:

  • Microglia activation and function are modulated by lipid metabolism and availability.
  • Peripheral lipid changes and lipid droplet accumulation affect microglial responses post-stroke.
  • Diet and gut microbiome composition influence neuroinflammation and stroke outcomes through the gut-brain axis.

Conclusions:

  • Targeting lipid metabolism and microglial pathways presents a promising therapeutic strategy for stroke.
  • Modulating the gut-brain axis, diet, and microbiome may offer novel approaches to stroke prevention and treatment.
  • A comprehensive understanding of microglia-lipid interactions is crucial for developing effective stroke therapies.