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Updated: May 14, 2026

Visualization of Inflammatory Caspases Induced Proximity in Human Monocyte-Derived Macrophages
Published on: April 6, 2022
Caspase inhibitors protect neurons by enabling selective necroptosis of inflamed microglia
Michael Fricker1, Anna Vilalta, Aviva M Tolkovsky
1Department of Biochemistry, University of Cambridge, Cambridge, CB2 1QW, United Kingdom. michael.fricker@gmail.com
Abstract:
Microglia are resident brain macrophages, which can cause neuronal loss when activated in infectious, ischemic, traumatic, and neurodegenerative diseases. Caspase-8 has both prodeath and prosurvival roles, mediating apoptosis and/or preventing RIPK1-mediated necroptosis depending on cell type and stimulus. We found that inflammatory stimuli (LPS, lipoteichoic acid, or TNF-α) caused an increase in caspase-8 IETDase activity in primary rat microglia without inducing apoptosis. Inhibition of caspase-8 with either Z-VAD-fmk or IETD-fmk resulted in necrosis of activated microglia. Inhibition of caspases with Z-VAD-fmk did not kill non-activated microglia, or astrocytes and neurons in any condition. Necrostatin-1, a specific inhibitor of RIPK1, prevented microglial caspase inhibition-induced death, indicating death was by necroptosis. In mixed cerebellar cultures of primary neurons, astrocytes, and microglia, LPS induced neuronal loss that was prevented by inhibition of caspase-8 (resulting in microglial necroptosis), and neuronal death was restored by rescue of microglia with necrostatin-1. We conclude that the activation of caspase-8 in inflamed microglia prevents their death by necroptosis, and thus, caspase-8 inhibitors may protect neurons in the inflamed brain by selectively killing activated microglia.
Insights
Activated microglia, the brain's immune cells, can harm neurons. Caspase-8 inhibition triggers their death via necroptosis, protecting neurons in inflammatory brain conditions.
Area of Science:
- Neuroimmunology
- Cellular signaling
- Neuroinflammation
Background:
- Microglia, resident brain macrophages, contribute to neuronal damage in various brain diseases when activated.
- Caspase-8 plays dual roles in apoptosis and preventing RIPK1-dependent necroptosis, varying by cell type and stimulus.
- Understanding caspase-8's function in microglia is crucial for neuroprotective strategies.
Purpose of the Study:
- To investigate the role of caspase-8 in activated primary rat microglia.
- To determine the mechanism of microglial death upon caspase-8 inhibition.
- To evaluate the potential of targeting caspase-8 for neuroprotection in inflamed conditions.
Main Methods:
- Primary rat microglia were treated with inflammatory stimuli (LPS, lipoteichoic acid, TNF-α).
- Caspase-8 activity was measured; apoptosis and necrosis were assessed.
- Inhibitors of caspase-8 (Z-VAD-fmk, IETD-fmk) and RIPK1 (Necrostatin-1) were used.
- Mixed cerebellar cultures (neurons, astrocytes, microglia) were used to model neuroinflammation.
Main Results:
- Inflammatory stimuli increased caspase-8 activity in microglia without inducing apoptosis.
- Inhibiting caspase-8 led to microglial necrosis, identified as RIPK1-dependent necroptosis.
- This microglial necroptosis protected neurons from LPS-induced death in mixed cultures.
Conclusions:
- Caspase-8 activation in inflamed microglia prevents their death by necroptosis.
- Inhibiting caspase-8 selectively induces necroptosis in activated microglia.
- Targeting caspase-8 may offer a neuroprotective strategy by eliminating detrimental activated microglia.
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