ArticleMolecular neurobiology2026
Microglial Metabolic Reprogramming Regulated by HIF-1α/HK2 Positive Feedback Inhibits Adult Hippocampal Neurogenesis in Diabetes-Associated Cognitive Dysfunction.
Article in Molecular neurobiology, 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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Abstract
Diabetes-associated cognitive dysfunction (DACD) is a significant complication with few effective treatments and unclear underlying mechanism. The aim of this study was to investigate how hyperglycemia disrupts adult hippocampal neurogenesis (AHN) through metabolic-immune interactions, seeking to identify potential treatment targets for DACD. DACD models were developed using db/db mice or streptozotocin-induced mice, and their cognitive function was assessed through behavioral tests. Next, we integrated multi-omics analyses (transcriptomic, single-cell, and lactylome profiling) with metabolic studies in BV2 cells exposed to diabetic conditions. Pharmacological modulators (3-BP, C646, TSA) were used to clarify the underlying mechanisms. The mice with DACD demonstrated cognitive deficits, impaired AHN, and activation of hippocampal microglia. Transcriptomic analysis revealed glycolysis as the primary dysregulated pathway. Mechanistically, hyperglycemia/AGEs induced glycolytic reprogramming and increased lactate levels, which promoted HIF-1α lactylation at lysine residues-a modification catalyzed by p300 and opposed by histone deacetylases. This posttranslational modification was associated with HIF-1α stabilisation and with enhanced transcriptional occupancy at the HK2 promoter. This established a self-amplifying feedback loop, perpetuating microglial activation and disrupting the blood-brain barrier via CXCL10 secretion, which led to CD8
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