Department of Neurosurgery, Bijie Traditional Chinese Medical Hospital, Bijie, Guizhou.
Department of Central Laboratory, Xi'an Peihua University, Xi'an, Shaanxi.
Int J Surg. 2024 Sep 1;110(9):5396-5408. doi: 10.1097/JS9.0000000000001794.
Traumatic brain injury (TBI) is a common complication of acute and severe neurosurgery. Remodeling of N6-methyladenosine (m6A) stabilization may be an attractive treatment option for neurological dysfunction after TBI. In the present study, the authors explored the epigenetic methylation of RNA-mediated NLRP3 inflammasome activation after TBI.
Neurological dysfunction, histopathology, and associated molecules were examined in conditional knockout (CKO) WTAP [flox/flox, Camk2a-cre] , WTAP flox/flox , and pAAV-U6-shRNA-YTHDF1-transfected mice. Primary neurons were used in vitro to further explore the molecular mechanisms of action of WTAP/YTHDF1 following neural damage.
The authors found that WTAP and m6A levels were upregulated at an early stage after TBI, and conditional deletion of WTAP in neurons did not affect neurological function but promoted functional recovery after TBI. Conditional deletion of WTAP in neurons suppressed neuroinflammation at the TBI early phase: WTAP could directly act on NLRP3 mRNA, regulate NLRP3 mRNA m6A level, and promote NLRP3 expression after neuronal injury. Further investigation found that YTH domain of YTHDF1 could directly bind to NLRP3 mRNA and regulate NLRP3 protein expression. YTHDF1 mutation or silencing improved neuronal injury, inhibited Caspase-1 activation, and decreased IL-1β levels. This effect was mediated via suppression of NLRP3 protein translation, which also reversed the stimulative effect of WTAP overexpression on NLRP3 expression and inflammation.
Our results indicate that WTAP participates in neuronal damage by protein translation of NLRP3 in an m6A-YTHDF1-dependent manner after TBI and that WTAP/m6A/YTHDF1 downregulation therapeutics is a viable and promising approach for preserving neuronal function after TBI, which can provide support for targeted drug development.
创伤性脑损伤(TBI)是急性和严重神经外科的常见并发症。N6-甲基腺苷(m6A)稳定的重塑可能是 TBI 后神经功能障碍的一种有吸引力的治疗选择。在本研究中,作者探讨了 TBI 后 RNA 介导的 NLRP3 炎性小体激活的表观遗传甲基化。
在条件性敲除(CKO)WTAP [flox/flox,Camk2a-cre]、WTAP flox/flox 和 pAAV-U6-shRNA-YTHDF1 转染小鼠中检查神经功能障碍、组织病理学和相关分子。体外使用原代神经元进一步探讨 WTAP/YTHDF1 神经损伤后的分子作用机制。
作者发现 WTAP 和 m6A 水平在 TBI 后早期上调,神经元中 WTAP 的条件性缺失不影响神经功能,但促进了 TBI 后的功能恢复。神经元中 WTAP 的条件性缺失在 TBI 早期抑制神经炎症:WTAP 可直接作用于 NLRP3 mRNA,调节 NLRP3 mRNA m6A 水平,并促进神经元损伤后的 NLRP3 表达。进一步研究发现,YTHDF1 的 YTH 结构域可直接与 NLRP3 mRNA 结合并调节 NLRP3 蛋白表达。YTHDF1 突变或沉默改善神经元损伤,抑制 Caspase-1 激活,降低 IL-1β 水平。这种作用是通过抑制 NLRP3 蛋白翻译介导的,这也逆转了 WTAP 过表达对 NLRP3 表达和炎症的刺激作用。
我们的结果表明,WTAP 通过 m6A-YTHDF1 依赖性方式参与 TBI 后神经元损伤的 NLRP3 蛋白翻译,WTAP/m6A/YTHDF1 下调治疗是保护 TBI 后神经元功能的一种可行且有前途的方法,可为靶向药物开发提供支持。