Related Experiment Video
Updated: Feb 24, 2026

Determining Immune System Suppression versus CNS Protection for Pharmacological Interventions in Autoimmune Demyelination
Published on: September 12, 2016
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.
Abstract:
The activation of microglia, which are the resident immune cells of the central nervous system (CNS), underpins the pathogenesis of neuroinflammatory and neurodegenerative diseases. Metabolic reprogramming has recently been recognized as a critical mechanism that regulates microglial activation because distinct activation phenotypes are tightly coupled to specific metabolic profiles that shape their functional and inflammatory responses. Accumulating evidence indicates that microglia produce itaconate through the tricarboxylic acid cycle, and itaconate and its derivatives play key antioxidant and anti-inflammatory roles. Mechanistically, itaconate has a major impact on the metabolic processes and functional state of microglia by blocking the NF-κB signaling route, activating the Nrf2 signaling pathway, and inhibiting succinate dehydrogenase synthesis as well as NLRP3 inflammatory vesicle activation. Collectively, these actions confer significant protection against CNS disorders, including ischemic stroke, Alzheimer's disease, Parkinson's disease, and cerebral hemorrhage. Furthermore, structurally optimized itaconate derivatives exhibit enhanced pharmacokinetics and bioactivity. This review highlights the pivotal role of itaconate and its derivatives in microglial regulation, explores their therapeutic potential in neurological diseases, and outlines future research directions, with the aim of providing a theoretical foundation for novel metabolic interventions.
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.
Related Concept Videos
Inflammatory Bowel Disease IV: Pharmacological Management
Pharmacologic...
Drug Delivery: Parenteral Route
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
Ligand-Gated Ion Channel Receptor: Gating Mechanism
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
Neurochemical Transmission: Sites of Drug Action

