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August 30, 2026Journal of NeuroinflammationOpen Access

Therapeutic targeting of microglial hexokinase-2 attenuates inflammasome activation and improves functional recovery after traumatic brain injury

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Authors

CMClaudia Mera-ReinaJCJuan F. CodocedoPFPaul B Fallen

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Implication

Preclinical study demonstrates that inhibiting microglial hexokinase-2 reduces inflammasome activation and improves motor recovery in mice, highlighting a metabolic therapy for brain trauma.

Key Points

  • To determine the role of hexokinase-2 in post-traumatic microglial activation and evaluate whether pharmacological or genetic inhibition of this metabolic enzyme improves functional recovery after traumatic brain injury.
  • Measured cortical hexokinase-2 (HK2) expression at 3, 7, and 15 days following severe controlled cortical impact (CCI) in mice.
  • Treated mice with the HK2 inhibitor lonidamine (50 mg/kg intraperitoneally daily for 7 days, starting 24 hours post-injury) or evaluated microglial-specific HK2-haplodeficient mice.
  • Assessed in vitro microglial metabolic flux, NF-κB signaling, and phagocytosis, alongside in vivo motor performance (rotarod) and inflammasome activation.
  • Cortical HK2 mRNA increased by day 3 and remained elevated through day 15 post-CCI, with prominent protein expression detected in IBA1-positive microglia.
  • Lonidamine restrained acute glycolysis, lowered total ATP production, and suppressed NF-κB reporter activity in vitro without impairing dead-cell phagocytosis.
  • Both pharmacological lonidamine treatment and genetic reduction of microglial HK2 significantly improved rotarod motor performance and reduced inflammasome-associated gene expression and ASC accumulation.

Cite This Study

Mera-Reina et al. (2026) studied this question.

synapsesocial.com/papers/6a93f0a36c1a8fb52e79cf68https://doi.org/10.1186/s12974-026-04014-8
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hexokinase 2 reduces aberrant neurogenesis by promoting TREM2-mediated microglial phagocytosis in epilepsy mouse model2026
  2. 2Disengaging the Engine: Histone Deacetylases 1 and 2‐Mediated Acetylation of Hexokinase‐2 Regulates Energy Metabolism in Microglia Following Intracerebral Hemorrhage2026
  3. 3HIPK2 protects neurons from oxidative stress and modulates central nervous system responses following traumatic brain injury.2026
  4. 4HK2 knockdown is associated with context-dependent inflammatory and angiogenesis-related transcriptional programmes in glioblastoma cells2026
  5. 5Impaired microglial glycolysis promotes inflammatory responses after intracerebral haemorrhage via HK2-dependent mitochondrial dysfunction2024 · 45 citations