Evidence map›Paper›PMID 42159828›Full record

ArticleMetabolic brain disease2026

Mild hypothermia inhibits the inflammatory response and microglial M1 polarization in ischemic stroke via the EFNB2/EphB4 pathway.

Ganghua Feng, Yabin Hu, Qiuli Li, Jibao Wu, Yuanbiao Lei, Hao Wang, Xiaoxi Yao

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Article in Metabolic brain disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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7 authors.

Ganghua FengDepartment of Neurology, Chenzhou First People's Hospital, Chenzhou, 424499, China.ORCID 0000-0001-8539-0236
Yabin HuTranslational Medicine Institute, Chenzhou First People's Hospital, Chenzhou, 424499, China.
Qiuli LiDepartment of Neurology, Chenzhou First People's Hospital, Chenzhou, 424499, China.
Jibao WuDepartment of Neurology, Chenzhou First People's Hospital, Chenzhou, 424499, China.
Yuanbiao LeiDepartment of Neurology, Chenzhou First People's Hospital, Chenzhou, 424499, China.
Hao WangDepartment of Neurology, Linyi People's Hospital, Shandong Second Medical University, Linyi, 276034, China.
Xiaoxi YaoDepartment of Neurology, Chenzhou First People's Hospital, Chenzhou, 424499, China. yaoxxtt@126.com.ORCID 0000-0002-8852-4655

Funding

Mechanistic Study of IRAK-M Inhibition of Neuroinflammation for Protection against Early Brain Injury After Subarachnoid Hemorrhage 2025JJ70530the Efficacy and safety analysis of mild hypothermia therapy for reperfusion injury after thrombectomy in patients with anterior circulation large vessel occlusion with large infarction core Z2023140the mechanism study of CXCL12 promoting the re-occlusion after the rescue intracranial arterial angioplasty combined with mechanical thrombectomy and re-opening 2025JJ70540
6 · The paper itself

Abstract

backgroundMild hypothermia (MH) has been reported to ameliorate cerebral damage and neurofunctional deficits in ischemic stroke, but its molecular mechanisms remain unclear. This study focuses on exploring the neuroprotective regulatory mechanisms mediated by MH in ischemic stroke.

methodsA middle cerebral artery occlusion (MCAO) model in vivo was established. MCAO model and LPS-induced microglial cell model were treated with EphB4 kinase inhibitor NVP-BHG712. Brain tissue damage was assessed through 2,3,5-triphenyl tetrazolium chloride (TTC) staining, infarct volume measurement, and brain edema evaluation. Neurological and behavioral functions were evaluated via the rotarod test, grip test, Elevated body swing test (EBST) and neurological deficit scores. Immunofluorescence staining was employed to quantify M1 microglial polarization in brain tissues. The expression of M1 microglial markers and pro-inflammatory cytokines were analyzed by qRT-PCR. Furthermore, qRT-PCR and Western blotting were utilized to quantify key components of the EFNB2/EphB4 signaling axis.

resultsMH significantly attenuated cerebral infarct volume, ameliorated neuromotor deficits, and alleviated cerebral edema in MCAO mice model. Histopathological analyses revealed that MH suppressed neuroinflammation by reducing M1-polarized microglial infiltration and downregulating M1-specific markers (CD16, IBA-1, CD32, CD86). Concurrently, MH inhibited the release of pro-inflammatory cytokines IL-1β and IL-18. In vitro, MH attenuated (LPS)-induced microglial M1 polarization and inflammation. Moreover, hypothermia upregulated EFNB2/EphB4 signaling pathways in both models. Importantly, pharmacological inhibition of EFNB2 abrogated the anti-inflammatory function and neuroprotective effects.

conclusionMH exerts neuroprotective effects by modulating the EFNB2/EphB4 signaling pathway, attenuating post-ischemic neuroinflammation and ameliorating secondary brain injury in ischemic stroke.

Indexed as

Ephrin-B2Hypothermia, InducedInflammationIschemic StrokeMicrogliaReceptor, EphB4AnimalsBrain EdemaInfarction, Middle Cerebral ArteryMaleMiceMice, Inbred C57BLNeuroinflammatory DiseasesSignal TransductionEFNB2 protein, mouseEphrin-B2Receptor, EphB4EFNB2/EphB4 pathwayInflammationIschemic strokeMicroglial M1 polarizationMild hypothermia

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.