Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, China.
Central Laboratory, Renmin Hospital of Wuhan University, Wuhan, China.
Front Immunol. 2021 Jul 22;12:714943. doi: 10.3389/fimmu.2021.714943. eCollection 2021.
BACKGROUND: Inflammatory responses play a multiphase role in the pathogenesis of cerebral ischemic stroke (IS). Ruxolitinib (Rux), a selective oral JAK 1/2 inhibitor, reduces inflammatory responses the JAK2/STAT3 pathway. Based on its anti-inflammatory and immunosuppressive effects, we hypothesized that it may have a protective effect against stroke. The aim of this study was to investigate whether inhibition of JAK2 has a neuroprotective effect on ischemic stroke and to explore the potential molecular mechanisms. METHODS: Rux, MCC950 or vehicle was applied to middle cerebral artery occlusion (MCAO) mice and an oxygen-glucose deprivation/reoxygenation (OGD/R) model . After 3 days of reperfusion, neurological deficit scores, infarct volume and brain water content were assessed. Immunofluorescence staining and western blots were used to measure the expression of NLRP3 inflammasome components. The infiltrating cells were investigated by flow cytometry. Proinflammatory cytokines were assessed by RT-qPCR. The expression of the JAK2/STAT3 pathway was measured by western blots. Local STAT3 deficiency in brain tissue was established with a lentiviral vector carrying STAT3 shRNA, and chromatin immunoprecipitation (ChIP) assays were used to investigate the interplay between NLRP3 and STAT3 signaling. RESULTS: Rux treatment improved neurological scores, decreased the infarct size and ameliorated cerebral edema 3 days after stroke. In addition, immunofluorescence staining and western blots showed that Rux application inhibited the expression of proteins related to the NLRP3 inflammasome and phosphorylated STAT3 (P-STAT3) in neurons and microglia/macrophages. Furthermore, Rux administration inhibited the expression of proinflammatory cytokines, including TNF-α, IFN-γ, HMGB1, IL-1β, IL-2, and IL-6, suggesting that Rux may alleviate IS injury by inhibiting proinflammatory reactions JAK2/STAT3 signaling pathway regulation. Infiltrating macrophages, B, T, cells were also reduced by Rux. Local STAT3 deficiency in brain tissue decreased histone H3 and H4 acetylation on the NLRP3 promoter and NLRP3 inflammasome component expression, indicating that the NLRP3 inflammasome may be directly regulated by STAT3 signaling. Rux application suppressed lipopolysaccharide (LPS)-induced NLRP3 inflammasome secretion and JAK2/STAT3 pathway activation in the OGD/R model . CONCLUSION: JAK2 inhibition by Rux in MCAO mice decreased STAT3 phosphorylation, thus inhibiting the expression of downstream proinflammatory cytokines and the acetylation of histones H3 and H4 on the NLRP3 promoter, resulting in the downregulation of NLRP3 inflammasome expression.
背景:炎症反应在脑缺血性中风(IS)的发病机制中发挥多相作用。鲁索利替尼(Rux)是一种选择性口服 JAK1/2 抑制剂,可通过 JAK2/STAT3 通路减少炎症反应。基于其抗炎和免疫抑制作用,我们假设它可能对中风具有保护作用。本研究旨在探讨 JAK2 抑制是否对缺血性中风具有神经保护作用,并探讨其潜在的分子机制。
方法:鲁索利替尼(Rux)、MCC950 或载体应用于大脑中动脉闭塞(MCAO)小鼠和氧葡萄糖剥夺/再灌注(OGD/R)模型。再灌注 3 天后,评估神经功能缺损评分、梗死体积和脑水含量。免疫荧光染色和 Western blot 用于测量 NLRP3 炎性小体成分的表达。通过流式细胞术研究浸润细胞。通过 RT-qPCR 评估促炎细胞因子。Western blot 用于测量 JAK2/STAT3 通路的表达。使用携带 STAT3 shRNA 的慢病毒载体建立脑组织局部 STAT3 缺陷,并进行染色质免疫沉淀(ChIP)实验以研究 NLRP3 和 STAT3 信号之间的相互作用。
结果:Rux 治疗可改善中风后 3 天的神经评分,减少梗死面积并改善脑水肿。此外,免疫荧光染色和 Western blot 显示,Rux 应用抑制了神经元和小胶质细胞/巨噬细胞中与 NLRP3 炎性小体相关的蛋白和磷酸化 STAT3(P-STAT3)的表达。此外,Rux 处理还抑制了 TNF-α、IFN-γ、HMGB1、IL-1β、IL-2 和 IL-6 等促炎细胞因子的表达,提示 Rux 可能通过抑制 JAK2/STAT3 信号通路调节的促炎反应来减轻 IS 损伤。Rux 还减少了浸润的巨噬细胞、B、T 细胞。脑组织局部 STAT3 缺陷降低了 NLRP3 启动子上组蛋白 H3 和 H4 的乙酰化以及 NLRP3 炎性小体成分的表达,表明 NLRP3 炎性小体可能直接受 STAT3 信号的调节。Rux 在 OGD/R 模型中抑制 LPS 诱导的 NLRP3 炎性小体分泌和 JAK2/STAT3 通路激活。
结论:MCAO 小鼠中 JAK2 的抑制通过抑制下游促炎细胞因子的表达和 NLRP3 启动子上组蛋白 H3 和 H4 的乙酰化,导致 NLRP3 炎性小体表达下调,从而降低 STAT3 的磷酸化。
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