Early exercise intervention alleviates neuroinflammation after ischemic stroke by regulating GSK-3β/HK2-associated

Nai Li1,2,3, Ya Wei1,2,3, Hongyi Wu4,5

  • 1Tianjin Medical University General Hospital, Department of Physical and Rehabilitation Medicine, No. 154 Anshan Road, Tianjin 300052, China.

Insights

Early exercise reduces brain damage after stroke by calming microglial inflammation. This intervention may modulate glycogen synthase kinase-3β (GSK-3β) and hexokinase 2 (HK2) signaling pathways in microglia.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Immunology

Background:

  • Microglia-driven inflammation is key in secondary brain injury post-ischemic stroke.
  • Glycogen synthase kinase-3β (GSK-3β) and hexokinase 2 (HK2) influence microglial inflammatory responses and exacerbate stroke damage.
  • The impact of early exercise on GSK-3β/HK2-mediated microglial signaling in stroke is not well understood.

Purpose of the Study:

  • To investigate the effects of early exercise on microglial inflammation following ischemic stroke.
  • To explore the potential involvement of GSK-3β/HK2 signaling in exercise-induced neuroprotection.

Main Methods:

  • A 28-day early exercise regimen was implemented in a rat model of middle cerebral artery occlusion (MCAO).
  • In vitro studies utilized BV2 microglial cells subjected to oxygen-glucose deprivation.
  • Key inflammatory markers (IL-6, TNF-α, CD86, iNOS, IL-10, Arg1) and GSK-3β activity were assessed.

Main Results:

  • Early exercise significantly improved neurological function and reduced brain tissue damage in MCAO rats.
  • Exercise decreased pro-inflammatory factors (IL-6, TNF-α, CD86, iNOS) and increased anti-inflammatory factors (IL-10, Arg1) in microglia.
  • Inhibition of GSK-3β in vitro attenuated inflammatory responses in microglial cells under hypoxic conditions.

Conclusions:

  • Early exercise intervention effectively reduces post-stroke neuroinflammation.
  • This neuroprotective effect may be mediated through the modulation of GSK-3β/HK2 signaling pathways in microglia.
  • Targeting GSK-3β/HK2 signaling presents a potential therapeutic strategy for stroke recovery.

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