KLF2-mediated activation of Nrf2-HO-1 pathway modulates microglia/macrophage polarization post-ischemic stroke

Gui-Yuan Huang1, Hong-Miao Tao1, Yuan-Yuan Wu1

  • 1Medical College, Jinhua University of Vocational Technology, Jinhua, China.

Neurological Research
|December 8, 2025
PubMed
Abstract

Insights

Krueppel-like factor 2 (KLF2) promotes neuroprotection in ischemic stroke (IS) by shifting microglia/macrophages to an anti-inflammatory M2 phenotype. This involves activating the Nrf2-HO-1 pathway, offering a promising therapeutic strategy for IS.

Area of Science:

  • Neuroscience
  • Immunology
  • Molecular Biology

Background:

  • Ischemic stroke (IS) treatment strategies aim to modulate microglia/macrophage polarization from pro-inflammatory M1 to anti-inflammatory M2 phenotypes.
  • Krueppel-like factor 2 (KLF2) is investigated for its role in regulating this polarization during IS.

Purpose of the Study:

  • To investigate the role of krueppel-like factor 2 (KLF2) in modulating microglia/macrophage polarization during ischemic stroke (IS).

Main Methods:

  • Ischemic stroke (IS)-like injury was induced in mice via middle cerebral artery occlusion (MCAO) and in BV-2 cells using oxygen-glucose deprivation/reperfusion (OGD/R).
  • Lentivirus-mediated KLF2 overexpression was employed in vivo and in vitro models.

Main Results:

  • MCAO mice showed impaired neurobehavior, reduced KLF2, Nrf2, and HO-1 expression.
  • KLF2 overexpression reduced infarct size, improved neurobehavioral recovery, and activated the Nrf2-HO-1 pathway.
  • KLF2 overexpression suppressed M1 and increased M2 phenotypes in OGD/R-treated BV-2 cells, an effect blunted by Nrf2 knockdown.

Conclusions:

  • KLF2 exhibits neuroprotective effects in ischemic stroke (IS).
  • KLF2 promotes microglia/macrophage polarization from M1 to M2 phenotypes via the Nrf2-HO-1 pathway.
  • KLF2 represents a potential therapeutic target for ischemic stroke.