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Publication : Therapeutic targeting of immunometabolism reveals a critical reliance on hexokinase 2 dosage for microglial activation and Alzheimer's progression.

First Author  Codocedo JF Year  2024
Journal  Cell Rep Volume  43
Issue  7 Pages  114488
PubMed ID  39002124 Mgi Jnum  J:352101
Mgi Id  MGI:7704229 Doi  10.1016/j.celrep.2024.114488
Citation  Codocedo JF, et al. (2024) Therapeutic targeting of immunometabolism reveals a critical reliance on hexokinase 2 dosage for microglial activation and Alzheimer's progression. Cell Rep 43(7):114488
abstractText  Neuroinflammation is a prominent feature of Alzheimer's disease (AD). Activated microglia undergo a reprogramming of cellular metabolism necessary to power their cellular activities during disease. Thus, selective targeting of microglial immunometabolism might be of therapeutic benefit for treating AD. In the AD brain, the levels of microglial hexokinase 2 (HK2), an enzyme that supports inflammatory responses by promoting glycolysis, are significantly increased. In addition, HK2 displays non-metabolic activities that extend its inflammatory role beyond glycolysis. The antagonism of HK2 affects microglial phenotypes and disease progression in a gene-dose-dependent manner. HK2 complete loss fails to improve pathology by exacerbating inflammation, while its haploinsufficiency reduces pathology in 5xFAD mice. We propose that the partial antagonism of HK2 is effective in slowing disease progression by modulating NF-kappaB signaling through its cytosolic target, IKBalpha. The complete loss of HK2 affects additional inflammatory mechanisms related to mitochondrial dysfunction.
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