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Buwang Formula Regulates Microglial Metabolic Reprogramming and Modulates the mTOR/HIF-1α Pathway to Reduce
Tong Su1,2, Yinian Men1,2, Xiaochen Li2,3
1The Second Clinical Medical College, Beijing University of Chinese Medicine, Beijing 100078, China.
Pharmaceuticals (Basel, Switzerland)
|July 28, 2026
Summary
Buwang formula (BWF) reduces neuroinflammation in diabetes-associated cognitive dysfunction by regulating microglial metabolism. BWF modulates the mTOR/HIF-1α pathway, improving cognitive function and promoting an anti-inflammatory M2 phenotype.
Area of Science:
- Neuroscience
- Metabolic Research
- Pharmacology
Background:
- Microglial metabolic reprogramming is a key driver of neuroinflammation in diabetes-associated cognitive dysfunction (DACD).
- Understanding the impact of traditional formulas on microglial metabolism is crucial for developing novel therapeutic strategies.
Purpose of the Study:
- To evaluate the effects of Buwang formula (BWF) on neuroinflammation and microglial metabolism in DACD.
- To elucidate the underlying molecular mechanisms, including the mTOR/HIF-1α pathway.
Main Methods:
- Chemical profiling of BWF by UHPLC-MS/MS and network pharmacology for target prediction.
- In vivo studies in diabetic db/db mice and in vitro validation in BV2 microglial cells exposed to high glucose and palmitic acid.
- Assessment of behavioral, biochemical, histopathological, cellular energy metabolism, cell polarization, and protein expression.
Main Results:
- BWF treatment improved cognitive function in diabetic mice by suppressing pro-inflammatory factors and pathological protein accumulation.
- BWF modulated the mTOR/HIF-1α pathway, inhibiting glycolysis and promoting oxidative phosphorylation (OXPHOS) in microglial cells.
- In vitro, BWF promoted an M2 anti-inflammatory microglial phenotype.
Conclusions:
- BWF effectively attenuates neuroinflammation and improves cognitive deficits in DACD.
- The therapeutic effects of BWF are linked to the regulation of microglial metabolic reprogramming via the mTOR/HIF-1α pathway.
- BWF shows potential as a therapeutic agent for DACD, warranting further investigation.
