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
PubMed

Insights

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.

Related Concept Videos