Cordycepin Mitigates Sepsis-Associated Encephalopathy by Promoting Microglial M2 Polarization via the

Ying Yuan1, Ganyue Fu2, Yunqiang Zhu2

  • 1Department of Neurosurgery, The Second Affiliated Hospital, Jiangxi Medical College, NanchangUniversity, Nanchang, Jiangxi, 330006, China.

Molecular Neurobiology
|November 18, 2025
PubMed

Insights

Cordycepin, a natural compound, shows promise in treating sepsis-associated encephalopathy (SAE). It improves cognitive function, reduces brain inflammation, and restores gut health in a mouse model of sepsis.

Area of Science:

  • Neuroscience
  • Immunology
  • Microbiology

Background:

  • Sepsis-associated encephalopathy (SAE) causes cognitive deficits and neuroinflammation.
  • Key factors in SAE include microglial activation and IL-17a/NF-κB signaling.
  • Cordycepin's effects on SAE are not well understood.

Purpose of the Study:

  • To investigate the neuroprotective potential of cordycepin in a mouse model of SAE.
  • To elucidate the mechanisms underlying cordycepin's effects on SAE.

Main Methods:

  • Cecal ligation and puncture (CLP) model in mice.
  • Behavioral tests for cognitive function.
  • 16S rRNA sequencing for gut microbiota analysis.
  • Immunofluorescence for neuronal integrity and neuroinflammation.
  • Analysis of cytokine levels (IL-17a) and signaling pathways (IL-17RA/NF-κB).

Main Results:

  • Cordycepin treatment improved cognitive performance in septic mice.
  • Cordycepin restored gut microbial diversity.
  • It reduced neuroinflammation, preserved hippocampal neurons, and suppressed peripheral Th17 cells.
  • Cordycepin decreased IL-17a levels and inhibited IL-17RA/NF-κB signaling in microglia.
  • It promoted M2 microglial polarization.

Conclusions:

  • Cordycepin alleviates SAE by modulating the gut-immune-brain axis.
  • It suppresses IL-17a/IL-17RA/NF-κB signaling and enhances M2 microglial polarization.
  • Cordycepin represents a potential therapeutic strategy for sepsis-related cognitive impairment.