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Publication : Microglial CMPK2 promotes neuroinflammation and brain injury after ischemic stroke.

First Author  Guan X Year  2024
Journal  Cell Rep Med Volume  5
Issue  5 Pages  101522
PubMed ID  38701781 Mgi Jnum  J:357566
Mgi Id  MGI:7657959 Doi  10.1016/j.xcrm.2024.101522
Citation  Guan X, et al. (2024) Microglial CMPK2 promotes neuroinflammation and brain injury after ischemic stroke. Cell Rep Med 5(5):101522
abstractText  Neuroinflammation plays a significant role in ischemic injury, which can be promoted by oxidized mitochondrial DNA (Ox-mtDNA). Cytidine/uridine monophosphate kinase 2 (CMPK2) regulates mtDNA replication, but its role in neuroinflammation and ischemic injury remains unknown. Here, we report that CMPK2 expression is upregulated in monocytes/macrophages and microglia post-stroke in humans and mice, respectively. Microglia/macrophage CMPK2 knockdown using the Cre recombination-dependent adeno-associated virus suppresses the inflammatory responses in the brain, reduces infarcts, and improves neurological outcomes in ischemic CX(3)CR1(Cre/ERT2) mice. Mechanistically, CMPK2 knockdown limits newly synthesized mtDNA and Ox-mtDNA formation and subsequently blocks NLRP3 inflammasome activation in microglia/macrophages. Nordihydroguaiaretic acid (NDGA), as a CMPK2 inhibitor, is discovered to reduce neuroinflammation and ischemic injury in mice and prevent the inflammatory responses in primary human monocytes from ischemic patients. Thus, these findings identify CMPK2 as a promising therapeutic target for ischemic stroke and other brain disorders associated with neuroinflammation.
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