Zhang Xuyang, Mao Jianchao, Li Huanhuan, Zhang Chao, Ge Hongfei, Zhong Jun
Department of Neurosurgery, Southwest Hospital, The Third Military Medical University (Army Medical University), Chongqing, 400038, China.
J Stroke Cerebrovasc Dis. 2025 Jun;34(6):108315. doi: 10.1016/j.jstrokecerebrovasdis.2025.108315. Epub 2025 Apr 12.
White matter injury (WMI) is a major pathophysiological process after intracerebral hemorrhage (ICH). G protein-coupled estrogen receptor 1 (GPER1) has been validated to exert a crucial role in regulating neuroinflammation and microglia polarization. Our previous report reveals activation of GPER1 improves the neurological deficits after ICH via inhibition of A1 astrocytes. However, the role of GPER1 on the protection of WMI and modulation of microglia polarization after ICH remains unclear.
In present study, ICH mice model was induced by autologous whole blood injection and in vitro ICH model was established via treatment BV2 cells with FeSO. Mice were treated with GPER1 agonist G1, antagonist G15 and BV2 cells were treated with G1, G15 or EGFR inhibitor AG1478. Besides, BV2 conditional medium was used to intervene MO3.13 oligodendrocytes. Immunostaining, immunoblots, transmission electron microscope and PI staining were used to determine the WMI, microglia polarization and potential molecular mechanism after ICH, respectively.
Our data showed treatment with G1 ameliorated the WMI on the day 3 after ICH. Besides, activation of GPER1 reduced the release of IL-1β, TNF-α and increased the produce of IL-4, IL-10 as well as shifting microglia from proinflammatory M1 to anti-inflammatory M2 phenotype in vivo and in vitro. Meanwhile, MO3.13 cells treated with BV2 conditional medium validated GPER1 alleviated oligodendrocytes death via mitigating neuroinflammation and modulating microglia polarization. Mechanistic study demonstrated EGFR/Stat3 signaling pathway was involved in the protection of WMI and modulation microglia polarization after ICH.
Collectively, our findings demonstrated activation of GPER1 alleviated WMI via modulating microglia M2 polarization after ICH through EGFR/Stat3 signaling pathway.
白质损伤(WMI)是脑出血(ICH)后的主要病理生理过程。G蛋白偶联雌激素受体1(GPER1)已被证实对调节神经炎症和小胶质细胞极化起关键作用。我们之前的报告显示,激活GPER1可通过抑制A1星形胶质细胞改善脑出血后的神经功能缺损。然而,GPER1在脑出血后对WMI的保护作用及对小胶质细胞极化的调节作用仍不清楚。
在本研究中,通过自体全血注射诱导ICH小鼠模型,并通过用硫酸亚铁处理BV2细胞建立体外ICH模型。用GPER1激动剂G1、拮抗剂G15处理小鼠,用G1、G15或表皮生长因子受体(EGFR)抑制剂AG1478处理BV2细胞。此外,用BV2条件培养基干预MO3.13少突胶质细胞。分别采用免疫染色、免疫印迹、透射电子显微镜和PI染色来确定脑出血后的WMI、小胶质细胞极化及潜在分子机制。
我们的数据显示,用G1处理可改善脑出血后第3天的WMI。此外,激活GPER1可减少白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)的释放,增加IL-4、IL-10的产生,并使体内和体外的小胶质细胞从促炎M1型转变为抗炎M2型。同时,用BV2条件培养基处理的MO3.13细胞证实,GPER1可通过减轻神经炎症和调节小胶质细胞极化减轻少突胶质细胞死亡。机制研究表明,EGFR/信号转导和转录激活因子3(Stat3)信号通路参与了脑出血后对WMI的保护及小胶质细胞极化的调节。
总体而言 ,我们的数据表明,激活GPER1可通过EGFR/Stat3信号通路调节脑出血后小胶质细胞M2极化,从而减轻WMI。