Liu Xianghong, Li Haifengqing, Zhang Fan, Zhang Cong, Zhou Min, Liu Qing, Zeng Guoyong
Department of Neurology, The Affiliated Ganzhou Hospital of Nanchang University, No. 16, Meiguan RD, Zhanggong District, Ganzhou City, 341000, Jiangxi Province, China.
Mol Neurobiol. 2025 Apr 24. doi: 10.1007/s12035-025-04966-7.
Ischemic stroke is a common event of cerebrovascular disease, and inhibiting ferroptosis is associated with improvement in ischemic stroke. The purpose was to evaluate the effects of activating transcription factor 3 (ATF3) knockdown on ferroptosis in ischemic stroke and to reveal its underlying mechanism. Ischemic condition was simulated in HT22 cells by oxygen glucose deprivation/reperfusion (OGD/R), and an ischemic stroke model was induced by middle cerebral artery occlusion (MCAo) in rats. ATF3 was knocked down to investigate its effects on cerebral infarct size, cell death, oxidative stress, Fe and ferroptosis, and the kelch-like ECH-Associating protein 1 (Keap1)/nuclear factor erythroid 2 related factor 2 (Nrf2)/heme oxygenase-1 (HO-1) pathway in HT22 cells and stroke rats. Knockdown of ATF3 decreased neurological score, increased duration on the rotarod, and decreased scores of balance beam test. Meanwhile, knockdown of ATF3 decreased infarct area, suppressed apoptosis, and improved brain structure in MCAo rats. Knockdown of ATF3 decreased the levels of malondialdehyde (MDA), reactive oxygen species (ROS) and Fe, increased glutathione (GSH), decreased cyclooxygenase 2 (COX2) and increased glutathione peroxidase 4 (GPX4). The levels of Nrf2 and HO-1 were upregulated while Keap1 was downregulated after knocking down ATF3. Similarly, knockdown of ATF3 alleviated ischemic condition, inhibited ferroptosis, reduced cell apoptosis, and activated the Keap1/Nrf2/HO-1 pathway in HT22 cells. ML385 reversed the effects of ATF3 knockdown on ferroptosis and Keap1/Nrf2/HO-1 pathway. Knockdown of ATF3 alleviates ischemic stroke and inhibits ferroptosis via activating the Keap1/Nrf2/HO-1 pathway, which provides theoretical supports for ischemic stroke.
缺血性中风是脑血管疾病的常见病症,抑制铁死亡与缺血性中风的改善相关。本研究旨在评估激活转录因子3(ATF3)基因敲低对缺血性中风中铁死亡的影响,并揭示其潜在机制。通过氧糖剥夺/复氧(OGD/R)在HT22细胞中模拟缺血条件,并通过大脑中动脉闭塞(MCAo)在大鼠中诱导缺血性中风模型。敲低ATF3以研究其对脑梗死面积、细胞死亡、氧化应激、铁和铁死亡的影响,以及对HT22细胞和中风大鼠中kelch样ECH相关蛋白1(Keap1)/核因子红细胞2相关因子2(Nrf2)/血红素加氧酶-1(HO-1)通路的影响。敲低ATF3可降低神经功能评分,增加转棒试验持续时间,并降低平衡木试验得分。同时,敲低ATF3可减小MCAo大鼠的梗死面积,抑制细胞凋亡,并改善脑结构。敲低ATF3可降低丙二醛(MDA)、活性氧(ROS)和铁的水平,增加谷胱甘肽(GSH),降低环氧化酶2(COX2)并增加谷胱甘肽过氧化物酶4(GPX4)。敲低ATF3后,Nrf2和HO-1的水平上调,而Keap1的水平下调。同样,敲低ATF3可减轻HT22细胞中的缺血状态,抑制铁死亡,减少细胞凋亡,并激活Keap1/Nrf2/HO-1通路。ML385可逆转ATF3基因敲低对铁死亡和Keap1/Nrf2/HO-1通路的影响。敲低ATF3可通过激活Keap1/Nrf2/HO-1通路减轻缺血性中风并抑制铁死亡,这为缺血性中风提供了理论支持。
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