Evidence mapPaperPMID 42365125Full record

ArticleScientific reports2026

Epigallocatechin-3-gallate mitigates cerebral ischemia-reperfusion injury by promoting microglia toward M2 phenotype via Nrf2/HO-1 pathway.

Yan Zhang, Yalin Huang, Guanfeng Xie, Chao Qin, Shizhu Chen

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Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Yan Zhang *Department of Rehabilitation Medicine, Jiangbin Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China.
Yalin Huang *Department of Rehabilitation Medicine, The Second Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Guanfeng XieDepartment of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Chao QinDepartment of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Shizhu ChenDepartment of Rehabilitation Medicine, Jiangbin Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China. chenshizhu2022@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischemic stroke remains the leading disease in terms of global disability and fatality rates. Cerebral ischemia-reperfusion injury (CIRI) and neuroinflammation induced by CIRI represents a challenge for clinical therapy of ischemic stroke. Epigallocatechin-3-gallate (EGCG), the predominant catechin in green tea, is known to mitigate ischemic stroke and inflammation, while its role in regulating neuroinflammation post-recanalization remains unclear. This study aimed to explore the effect and mechanism of EGCG on the regulation of CIRI. The CIRI in vivo model was established by middle cerebral artery occlusion/reperfusion (MCAO/R) in rats and EGCG was administered via intracerebroventricular injection before MCAO/R. The neurological scores, infarct volume, neuronal injury, and microglial biomarkers were evaluated. BV2 cells subjected to oxygen-glucose deprivation/reoxygenation (OGD/R) were used to establish an in vitro CIRI model. After pretreatment with EGCG and/or ML385, OGD/R, cell viability, microglial biomarkers, pro-inflammatory and anti-inflammatory factors, and transcription factor nuclear factor erythroid 2-related factor 2 (Nrf2) and hemeoxygenase-1 (HO-1) were detected. Different conditioned media collected from BV2 cells were used for culturing the neuronal mimic cell line SH-SY5Y. EGCG administration in vivo significantly improved neurological deficits, infarct volume, and neuronal damage. Moreover, pretreatment with EGCG significantly increased BV2 cells viability and anti-inflammatory factors, and reduced toxicity and ferroptosis in SH-SY5Y cells. Furthermore, the upregulation of M2 markers was consistent with in vivo experiments. However, this protective effect was abolished by ML385, an Nrf2 inhibitor. EGCG upregulated Nrf2 and HO-1 protein expression, thus promoting microglial polarization toward the M2 phenotype. EGCG has a protective effect on CIRI by promoting the polarization of microglia toward the M2 phenotype via the Nrf2/HO-1 pathway to inhibit ferroptosis of neuron, which may provide a novel target for ischemic stroke treatment.

Indexed as

Brain IschemiaCatechinHeme Oxygenase-1MicrogliaNF-E2-Related Factor 2Reperfusion InjuryAnimalsDisease Models, AnimalInfarction, Middle Cerebral ArteryMaleNeuroprotective AgentsRatsRats, Sprague-DawleySignal TransductionCatechinepigallocatechin gallateHeme Oxygenase-1Neuroprotective AgentsNfe2l2 protein, ratNF-E2-Related Factor 2Cerebral ischemic-reperfusion injuryEpigallocatechin-3-gallateFerroptosisIschemic strokeMicroglia

Identifiers

PMID42365125
PMCPMC13373204

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.