Restoring metabolism of myeloid cells reverses cognitive decline in ageing. Author Paras Minhas, Amira Latif-Hernandez, Melanie McReynolds, Aarooran Durairaj, Qian Wang, Amanda Rubin, Amit Joshi, Joy He, Esha Gauba, Ling Liu, Congcong Wang, Miles Linde, Yuki Sugiura, Peter Moon, Ravi Majeti, Makoto Suematsu, Daria Mochly-Rosen, Irving Weissman, Frank Longo, Joshua Rabinowitz, Katrin Andreasson Publication Year 2021 Type Journal Article Abstract Ageing is characterized by the development of persistent pro-inflammatory responses that contribute to atherosclerosis, metabolic syndrome, cancer and frailty. The ageing brain is also vulnerable to inflammation, as demonstrated by the high prevalence of age-associated cognitive decline and Alzheimer's disease. Systemically, circulating pro-inflammatory factors can promote cognitive decline, and in the brain, microglia lose the ability to clear misfolded proteins that are associated with neurodegeneration. However, the underlying mechanisms that initiate and sustain maladaptive inflammation with ageing are not well defined. Here we show that in ageing mice myeloid cell bioenergetics are suppressed in response to increased signalling by the lipid messenger prostaglandin E (PGE), a major modulator of inflammation. In ageing macrophages and microglia, PGE signalling through its EP2 receptor promotes the sequestration of glucose into glycogen, reducing glucose flux and mitochondrial respiration. This energy-deficient state, which drives maladaptive pro-inflammatory responses, is further augmented by a dependence of aged myeloid cells on glucose as a principal fuel source. In aged mice, inhibition of myeloid EP2 signalling rejuvenates cellular bioenergetics, systemic and brain inflammatory states, hippocampal synaptic plasticity and spatial memory. Moreover, blockade of peripheral myeloid EP2 signalling is sufficient to restore cognition in aged mice. Our study suggests that cognitive ageing is not a static or irrevocable condition but can be reversed by reprogramming myeloid glucose metabolism to restore youthful immune functions. Keywords Animals, Mice, Humans, Signal Transduction, Glucose, Energy Metabolism, Cells, Cultured, Aging, Adult, Mitochondria, Inflammation, Aged, Myeloid Cells, Macrophages, Microglia, Cell Respiration, Cognitive Dysfunction, Spatial Memory, Glycogen, Dinoprostone, Memory Disorders, Receptors, Prostaglandin E, EP2 Subtype Journal Nature Volume 590 Issue 7844 Pages 122-128 Date Published 2021 Feb ISSN Number 1476-4687 DOI 10.1038/s41586-020-03160-0 Alternate Journal Nature PMCID PMC8274816 PMID 33473210 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML