Neural Regeneration Research ›› 2026, Vol. 21 ›› Issue (2): 730-741.doi: 10.4103/NRR.NRR-D-23-01854

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Fat mass and obesity–mediated N6 -methyladenosine modification modulates neuroinflammatory responses after traumatic brain injury

Xiangrong Chen1, *, #, Jinqing Lai1, #, Zhe Wu1, #, Jianlong Chen1 , Baoya Yang1 , Chunnuan Chen2 , Chenyu Ding3, *   

  1. 1 Department of Neurosurgery, Second Clinical Medical College, Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, China;  2 Department of Neurology, Second Clinical Medical College, Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, China;  3 Department of Neurosurgery, Neurosurgery Research Institute, National Regional Medical Center, Binhai Campus, First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian Province, China
  • Online:2026-02-15 Published:2025-05-24
  • Contact: Xiangrong Chen, MD, xiangrong_chen281@126.com; Chenyu Ding, MD, dingcydr@163.com.
  • Supported by:
    This study was supported by grants from the Major Projects of Health Science Research Foundation for Middle-Aged and Young Scientist of Fujian Province, China, No. 2022ZQNZD01010010; the National Natural Science Foundation of China, No. 82371390; and Fujian Province Scientific Foundation, No. 2023J01725 (all to XC).

Abstract: The neuroinflammatory response mediated by microglial activation plays an important role in the secondary nerve injury of traumatic brain injury. The posttranscriptional modification of N6 -methyladenosine is ubiquitous in the immune response of the central nervous system. The fat mass and obesity-related protein catalyzes the demethylation of N6 -methyladenosine modifications on mRNA and is widely expressed in various tissues, participating in the regulation of multiple diseases’ biological processes. However, the role of fat mass and obesity in microglial activation and the subsequent neuroinflammatory response after traumatic brain injury is unclear. In this study, we found that the expression of fat mass and obesity was significantly down-regulated in both lipopolysaccharidetreated BV2 cells and a traumatic brain injury mouse model. After fat mass and obesity interference, BV2 cells exhibited a pro-inflammatory phenotype as shown by the increased proportion of CD11b+ /CD86+ cells and the secretion of pro-inflammatory cytokines. Fat mass and obesity-mediated N6 -methyladenosine demethylation accelerated the degradation of ADAM17 mRNA, while silencing of fat mass and obesity enhanced the stability of ADAM17 mRNA. Therefore, down-regulation of fat mass and obesity expression leads to the abnormally high expression of ADAM17 in microglia. These results indicate that the activation of microglia and neuroinflammatory response regulated by fat mass and obesity-related N6 -methyladenosine modification plays an important role in the proinflammatory process of secondary injury following traumatic brain injury.

Key words: ADAM17, epigenetic modification, fat mass and obesity, N6 -methyladenosine, microglia, mRNA, nerve injury, neuroinflammation, traumatic brain injury, tumor necrosis factor α