Metabolic reprogramming is critical to microglial activation in Huntington's disease
Abhishek Jauhari1, Adam C Monek1, Olena S Abakumova1
1Neuroapoptosis Laboratory, Department of Neurological Surgery, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, USA.
JCI Insight
|April 2, 2026
Summary
Metformin reduces neuroinflammation in Huntington's disease (HD) by inhibiting mitochondrial DNA release and reprogramming microglial metabolism. This drug shifts microglia to a protective state, offering potential therapeutic benefits for HD patients.
Area of Science:
- Neuroscience
- Immunology
- Pharmacology
Background:
- Huntington's disease (HD) is a fatal neurodegenerative disorder linked to expanded CAG repeats in the Huntingtin gene.
- Neuroinflammation, characterized by microglial activation and pro-inflammatory cytokines, is a hallmark of HD brains.
- The precise mechanisms governing neuroinflammation and microglial responses in HD remain unclear.
Purpose of the Study:
- To investigate the neuroprotective effects of metformin in a mouse model of Huntington's disease.
- To elucidate the mechanisms by which metformin modulates neuroinflammation and microglial activation in HD.
Main Methods:
- Utilized a transgenic mouse model of Huntington's disease.
- Administered metformin and assessed neuroinflammation markers, microglial activation states, and immunometabolism.
- Analyzed mitochondrial dynamics and cellular metabolism in brain tissue and primary microglia.
Main Results:
- Metformin significantly inhibited mitochondrial DNA release and subsequent neuroinflammation in the HD mouse brain.
- Metformin reduced pro-inflammatory cytokines and pathological microglial clustering, promoting a homeostatic microglial phenotype.
- The drug improved aberrant immunometabolism in HD microglia and reprogrammed deregulated cellular metabolism.
Conclusions:
- Metformin exerts neuroprotective effects in Huntington's disease by controlling microglial activation and neuroinflammation.
- The drug's mechanism involves regulating mitochondrial fission, restoring metabolic balance in microglia, and reducing inflammatory responses.
- Metformin demonstrates potential as a therapeutic agent for mitigating neuroinflammation in Huntington's disease.


