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ResearchIn-Press PreviewImmunologyInflammationNeuroscience
Open Access |
10.1172/JCI196112
1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
Find articles by Lu, Z. in: PubMed | Google Scholar
1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
Find articles by Shuai, Y. in: PubMed | Google Scholar
1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
Find articles by Wang, C. in: PubMed | Google Scholar
1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
Find articles by Liu, Z. in: PubMed | Google Scholar
1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
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Wang, Z.
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1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
Find articles by Liu, Q. in: PubMed | Google Scholar
1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
Find articles by Jiang, R. in: PubMed | Google Scholar
1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
Find articles by Zhu, J. in: PubMed | Google Scholar
1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
Find articles by Zhu, Y. in: PubMed | Google Scholar
1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
Find articles by Liao, W. in: PubMed | Google Scholar
1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
Find articles by Zhu, X. in: PubMed | Google Scholar
1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
Find articles by Zhao, J. in: PubMed | Google Scholar
1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
Find articles by Shi, K. in: PubMed | Google Scholar
1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
Find articles by Shi, W. in: PubMed | Google Scholar
1Department of Neurosurgery, Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
2Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
3Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine, Zhejiang, China
4MOE Frontier Science Centre for Precision Oncology, University of Macau, Macau, Macau
5Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China
6Department of Neurology, China National Clinical Research Center for Neurol, Capital Medical University, Beijing, China
Find articles by Gong, P. in: PubMed | Google Scholar
Published April 2, 2026 - More info
Traumatic brain injury (TBI) disproportionately affects the elderly, yet the underlying mechanisms remain unclear. Here, we demonstrate that aged TBI brains predominantly harbor pro-inflammatory NLRP3+ microglia, in stark contrast to the neuroprotective Lysozyme+ microglia prevalent in young TBI brains. This age-dependent microglial dichotomy correlates with elevated mortality and impaired recovery in aged TBI mice. By leveraging an integrative multi-omics approach combined with metabolomics and epigenome analysis, we identify a previously unrecognized link between enhanced glycolysis and pro-inflammatory chromatin landscape in NLRP3+ microglia. Further investigation identifies ELF1 as a key transcription factor driving NLRP3+ microglia formation. Importantly, ablation of ELF1 reverses age-associated microglial dysfunction and improves TBI outcomes. Finally, we discover that Imeglimin, a clinically approved antihyperglycemic agent capable of crossing the blood brain barrier, inhibits ELF1 and reverses microglial phenotype, reducing acute mortality rate and leading to improved functional recovery of aged TBI mice. Our work elucidates the mechanistic basis of age-dependent TBI outcomes, reveals the crosstalk between metabolic rewiring and epigenetic regulation in microglial aging, and identifies ELF1 as a promising therapeutic target for improving TBI outcome.