Metabolic control of neuroinflammation: focus on itaconate and its derivatives in CNS disorders

Ying Wang1,2, Shihui Liu1, Weijie Zhu1,2,3

  • 1Department of Neurosurgery, the 960th Hospital of PLA (General Hospital of Jinan Military Command), Jinan, Shandong, China.

Frontiers in Immunology
|February 23, 2026
PubMed

Insights

Itaconate, a metabolite produced by microglia (immune cells in the brain), offers antioxidant and anti-inflammatory benefits. This compound shows therapeutic potential for neurodegenerative diseases by regulating microglial activation.

Area of Science:

  • Neuroimmunology
  • Metabolic pathways in the central nervous system (CNS)

Background:

  • Microglial activation is central to neuroinflammation and neurodegeneration.
  • Metabolic reprogramming critically regulates microglial activation states and functions.
  • Itaconate is an endogenous metabolite produced by microglia with known antioxidant and anti-inflammatory properties.

Purpose of the Study:

  • To review the role of itaconate and its derivatives in regulating microglial function.
  • To explore the therapeutic potential of itaconate-based interventions for CNS disorders.
  • To outline future research directions in metabolic targeting of microglia.

Main Methods:

  • Literature review of studies on microglial metabolism, itaconate, and neurological diseases.
  • Analysis of mechanistic insights into how itaconate influences microglial signaling pathways (NF-κB, Nrf2, NLRP3).
  • Evaluation of the protective effects of itaconate and its derivatives in preclinical models of CNS disorders.

Main Results:

  • Itaconate production by microglia is linked to the tricarboxylic acid cycle.
  • Itaconate modulates microglial metabolism by inhibiting succinate dehydrogenase and NLRP3 inflammasome activation.
  • Itaconate and its derivatives demonstrate neuroprotective effects in models of ischemic stroke, Alzheimer's, Parkinson's, and cerebral hemorrhage.
  • Optimized itaconate derivatives show improved pharmacokinetic profiles and bioactivity.

Conclusions:

  • Itaconate plays a crucial role in regulating microglial activation and function.
  • Itaconate and its derivatives represent promising therapeutic agents for neuroinflammatory and neurodegenerative diseases.
  • Targeting microglial metabolism via itaconate offers a novel strategy for treating CNS disorders.

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