INPP5D Upregulation by Minocycline Mitigates Sepsis-Associated Neuroinflammation and Neuronal Dysfunction Via

Yu-Jing Li1, Xiu Zhang2, Jing-Nan Fu3

  • 1Department of Neurology, Tianjin Medical University General Hospital, Tianjin, 300052, China.

Inflammation
|January 18, 2026
PubMed

Insights

Minocycline (Mino) protects against sepsis-induced brain injury by increasing INPP5D, which calms overactive brain cells. This discovery offers a new therapeutic approach for sepsis-associated encephalopathy.

Area of Science:

  • Neuroscience
  • Immunology
  • Pharmacology

Background:

  • Sepsis-induced neuroinflammation leads to lasting neurological damage.
  • Current treatments for sepsis-associated encephalopathy are limited.

Purpose of the Study:

  • To investigate the neuroprotective mechanisms of minocycline (Mino) in sepsis.
  • To identify key molecular targets of Mino's therapeutic effects.

Main Methods:

  • Cecal ligation and puncture (CLP) sepsis model in mice.
  • Minocycline treatment and in vivo/in vitro assays.
  • Multi-omics analysis, microglia-neuron co-cultures, gene silencing, and autophagy blockade.

Main Results:

  • Minocycline treatment improved behavioral deficits and reduced neuroinflammation in septic mice.
  • INPP5D was identified as a critical downstream target of minocycline's neuroprotective effects.
  • Minocycline upregulated INPP5D in microglia, suppressing inflammation, enhancing autophagy, and restoring mitochondrial function, which protected neurons.

Conclusions:

  • Minocycline exerts neuroprotection against sepsis-induced injury through the INPP5D-autophagy pathway.
  • Upregulation of INPP5D in microglia is key to mitigating neuroinflammation and neuronal dysfunction.
  • This pathway presents a novel therapeutic target for sepsis-associated encephalopathy.

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