Activation of the pentose phosphate pathway by microcurrent stimulation mediates antioxidant effects in

Mikiko Uemura1,2, Noriaki Maeshige1, Atomu Yamaguchi1,3

  • 1Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Kobe, Japan.

Frontiers in Physiology
|December 1, 2025
PubMed
Abstract

Insights

Electrical stimulation (ES) reduces oxidative stress and inflammation in macrophages by activating the Pentose Phosphate Pathway (PPP). This pathway is key to ES

Area of Science:

  • Cell Biology
  • Biochemistry
  • Immunology

Background:

  • Macrophage inflammatory responses drive oxidative stress and tissue damage, contributing to chronic diseases.
  • Controlling reactive oxygen species (ROS) and inflammation is vital for health.
  • Electrical stimulation (ES) shows promise for antioxidant and anti-inflammatory effects, but the underlying mechanisms are unclear.

Purpose of the Study:

  • To investigate the key pathway mediating the antioxidant and anti-inflammatory effects of ES on macrophages.
  • To elucidate the role of the Pentose Phosphate Pathway (PPP) in ES-induced cellular protection.

Main Methods:

  • Lipopolysaccharide (LPS)-stimulated macrophages were treated with ES.
  • ROS and 8-hydroxy-2'-deoxyguanosine (8-OHdG) production, inflammatory cytokine expression, and intracellular metabolites were analyzed.
  • Experiments included glucose-6-phosphate dehydrogenase (G6PD) knockdown to assess the Pentose Phosphate Pathway (PPP) involvement.

Main Results:

  • ES significantly increased sedoheptulose 7-phosphate (S7P), a PPP intermediate metabolite.
  • ES reduced ROS and 8-OHdG production and inflammatory cytokine expression in LPS-stimulated macrophages.
  • ES's antioxidant effects were abolished in G6PD-knockdown macrophages, indicating PPP dependence.

Conclusions:

  • The antioxidant effects of electrical stimulation (ES) on macrophages are mediated by the Pentose Phosphate Pathway (PPP).
  • Targeting the PPP could be a therapeutic strategy for conditions involving oxidative stress and inflammation.