Wang Zhaoxia, Li Xinming, Shao Zhixing, Zhai Yueping
Neurology Department, Xi'an City Ninth Hospital Xi'an 710004 China.
Neurology Department, Xi'an Gaoxin Hospital No. 16 South Tuanjie Road Xi'an 710075 China
RSC Adv. 2019 Aug 1;9(41):23916-23924. doi: 10.1039/c9ra03614h. eCollection 2019 Jul 29.
An ischemic stroke is a devastating neurological disease with the typical occurrence of brain ischemia/reperfusion (I/R) injury, and it has high mortality and disability globally. Microglia activation after a stroke results in the release of pro-inflammatory cytokines that can further aggravate brain damage. A recent study confirmed the potential role of ubiquitin-specific peptidase 4 (USP4) in the injury process. Nevertheless, the role and mechanism of USP4 during an ischemic stroke remain elusive. In this research, we simulated an I/R injury by oxygen glucose deprivation/reoxygenation (OGD/R) and confirmed the obvious down-regulation of USP4 in microglia under OGD/R conditions. Moreover, USP4 elevation antagonized the OGD/R-induced microglia proliferation and activation by suppressing the NO levels and the expression of the microglial marker IBA-1. Additionally, the overexpression of USP4 suppressed the release of microglia activation-induced pro-inflammatory cytokines, including IL-1β, IL-6, and TNF-α. Intriguingly, incubation with the conditioned medium from the microglia under OGD/R conditions induced neurotoxicity by inhibiting cell viability and increasing the LDH release, apoptosis, and caspase-3 activity, which were reversed following USP4 overexpression. Mechanism analysis corroborated that USP4 up-regulation repressed the OGD/R-induced activation of TRAF6-NF-κB signaling. Notably, restoring the TRAF6 signaling ameliorated the suppressive effects of USP4 elevation on microglia activation, inflammation, and the subsequent neuron injury. These findings suggest that USP4 may alleviate ischemic stroke by restraining microglia-mediated neuro-inflammation and neurotoxicity the TRAF6-NF-κB pathway, due to which it is a promising therapeutic agent against strokes.
缺血性中风是一种毁灭性的神经系统疾病,典型地会发生脑缺血/再灌注(I/R)损伤,在全球范围内具有高死亡率和致残率。中风后小胶质细胞激活会导致促炎细胞因子释放,进而进一步加重脑损伤。最近一项研究证实了泛素特异性蛋白酶4(USP4)在损伤过程中的潜在作用。然而,USP4在缺血性中风期间的作用和机制仍不清楚。在本研究中,我们通过氧糖剥夺/复氧(OGD/R)模拟I/R损伤,并证实了在OGD/R条件下小胶质细胞中USP4明显下调。此外,USP4升高通过抑制NO水平和小胶质细胞标志物IBA-1的表达来拮抗OGD/R诱导的小胶质细胞增殖和激活。此外,USP4的过表达抑制了小胶质细胞激活诱导的促炎细胞因子的释放,包括IL-1β、IL-6和TNF-α。有趣的是,用OGD/R条件下小胶质细胞的条件培养基孵育会通过抑制细胞活力、增加LDH释放、凋亡和caspase-3活性诱导神经毒性,而USP4过表达后这些作用会被逆转。机制分析证实,USP4上调抑制了OGD/R诱导的TRAF6-NF-κB信号通路激活。值得注意的是,恢复TRAF6信号可改善USP4升高对小胶质细胞激活、炎症及随后神经元损伤的抑制作用。这些发现表明,USP4可能通过抑制小胶质细胞介导的神经炎症和神经毒性以及TRAF6-NF-κB途径来减轻缺血性中风,因此它是一种有前景的抗中风治疗药物。