Abstract
Abstract A149: Myeloid-Specific Deletion Of Pyruvate Kinase M2 Improves Neurological Recovery In a Murine Model Of Hemorrhagic Stroke
Stroke (1970), Vol.57(Suppl_1), A149
02/2026
DOI: 10.1161/str.57.suppl_1.A149
Abstract
Introduction: In intracerebral hemorrhage (ICH), inflammation driven by myeloid cells plays a major role in neuronal damage and poor neurological recovery. Current therapies primarily target hypertension and intracranial pressure, with limited focus on promoting hematoma resolution. The metabolic enzyme pyruvate kinase M2 (PKM2) is known to regulate inflammation, but its role in erythrophagocytosis-mediated hematoma clearance remains unclear.
Hypothesis: Targeting PKM2 in myeloid cells will promote hematoma clearance via enhanced erythrophagocytosis, thereby reducing inflammation and improving neurological recovery in an ICH model.
Methods: ICH was induced in 15-20-week-old male myeloid-specific PKM2-/- mice (PKM2fl/fl LysMCre+, referred to as PKM2Mye-KO) and littermate controls (PKM2fl/fl, referred to as PKM2WT) via striatal injection of collagenase IV. Structural brain changes were assessed using MRI. Functional outcomes were evaluated at week 1, 2, 3, and 4 post-injury using functional tests (mNSS, corner, rotarod, Y-maze, and novel object recognition). On day 4 post-ICH, expression of Il1β, Tnfα, Arg1, Cx3cr1, and p-STAT3 in microglia/macrophages isolated from the (peri)hematomal region was quantified by qPCR, while the expression of efferocytosis receptors AXL, CD36, and MERTK was evaluated by flow cytometry. In vitro erythrophagocytosis was assessed via immunohistochemistry.
Results: PKM2Mye-KO mice exhibited reduced brain edema and infarct volumes from day 2 to 28 post-ICH (P<0.05 vs. PKM2WT). By day 28, PKM2Mye-KO mice showed improved sensorimotor function and motor coordination (P<0.05 vs. PKM2WT), while no differences were observed in spatial or episodic memory. Post-ICH analysis of microglia/macrophages from the (peri)hematomal region of PKM2Mye-KO mice revealed decreased expression of IL-1β and TNF-α, along with increased expression of Cx3cr1, Arg1, and MERTK, suggesting a pro-resolving macrophage phenotype. AXL, CD36 expression levels were comparable. Additionally, PKM2-mediated p-STAT3 signaling was reduced in macrophages from these regions (P<0.05 vs. PKM2WT). Bone-marrow-derived macrophages from PKM2Mye-KO mice showed enhanced erythrophagocytosis (P<0.05 vs. PKM2WT), suggesting a mechanistic role for the PKM2-MERTK axis in regulating erythrophagocytosis.
Conclusion: Myeloid-specific deletion of PKM2 improves neurological recovery after ICH in mice, likely by attenuating neuroinflammation and promoting macrophage erythrophagocytosis activity.
Details
- Title: Subtitle
- Abstract A149: Myeloid-Specific Deletion Of Pyruvate Kinase M2 Improves Neurological Recovery In a Murine Model Of Hemorrhagic Stroke
- Creators
- Abhishek Jha - University of IowaMariia Kumskova - University of IowaTarun Barbhuyan - University of IowaRakeshkumar Patel - University of IowaIvan Budnik - University of IowaAnil Chauhan - University of Iowa
- Resource Type
- Abstract
- Publication Details
- Stroke (1970), Vol.57(Suppl_1), A149
- DOI
- 10.1161/str.57.suppl_1.A149
- ISSN
- 0039-2499
- eISSN
- 1524-4628
- Publisher
- Lippincott Williams & Wilkins
- Language
- English
- Date published
- 02/2026
- Academic Unit
- Hematology, Oncology, and Blood & Marrow Transplantation; Internal Medicine
- Record Identifier
- 9985132068702771
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