Table 3.
Promising anti-ICH drugs that target microglial polarization
Drug | Mode of action | Effects on microglia | Development phase |
---|---|---|---|
Fingolimod | S1PR activator | Decreases M1-like microglial responses156,157,162 | Phase II165 |
Deferoxamine | Iron chelation and haematoma clearance | Decreases M1-like microglial responses121,200 | Phase II245 |
Minocycline | Iron chelation and haematoma clearance | Decreases M1-like microglial responses53 | Phase I and II246 |
Rosuvastatin | Lipid metabolism | Promotes M1-to-M2 phenotype shift247 | Phase II248 |
Erythropoietin | Anti-inflammatory response | Decreases M1-like microglial responses249,250 | Phase II251 |
Pinocembrin | TLR4 inhibitor | Decreases M1-like microglial responses62 | Preclinical |
Resatorvid | TLR4 inhibitor | Decreases M1-like microglial responses68,252 | Preclinical |
Sinomenine | Anti-inflammatory response | Enhances M2-like microglial responses199 | Preclinical |
Rapamycin | mTOR activator | Enhances M2-like microglial responses105 | Preclinical |
mTOR, mammalian target of rapamycin; S1PR, sphingosine-1-phosphate receptor; TLR4, Toll-like receptor 4.