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Published on: May 21, 2018
Pathogenesis of acute stroke and the role of inflammasomes
David Yang-Wei Fann1, Seung-Yoon Lee, Silvia Manzanero
1Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; School of Biomedical Sciences, The University of Queensland, St Lucia, Queensland, Australia.
Abstract:
Inflammation is an innate immune response to infection or tissue damage that is designed to limit harm to the host, but contributes significantly to ischemic brain injury following stroke. The inflammatory response is initiated by the detection of acute damage via extracellular and intracellular pattern recognition receptors, which respond to conserved microbial structures, termed pathogen-associated molecular patterns or host-derived danger signals termed damage-associated molecular patterns. Multi-protein complexes known as inflammasomes (e.g. containing NLRP1, NLRP2, NLRP3, NLRP6, NLRP7, NLRP12, NLRC4, AIM2 and/or Pyrin), then process these signals to trigger an effector response. Briefly, signaling through NLRP1 and NLRP3 inflammasomes produces cleaved caspase-1, which cleaves both pro-IL-1β and pro-IL-18 into their biologically active mature pro-inflammatory cytokines that are released into the extracellular environment. This review will describe the molecular structure, cellular signaling pathways and current evidence for inflammasome activation following cerebral ischemia, and the potential for future treatments for stroke that may involve targeting inflammasome formation or its products in the ischemic brain.
Insights
Inflammasomes are key in the inflammatory response to stroke. Targeting inflammasome activation may offer new therapeutic strategies for ischemic brain injury.
Area of Science:
- Neuroscience
- Immunology
- Molecular Biology
Background:
- Inflammation is a critical immune response to injury, but it significantly worsens ischemic brain injury after stroke.
- Pattern recognition receptors detect pathogen-associated molecular patterns and damage-associated molecular patterns, initiating the inflammatory cascade.
- Multi-protein inflammasome complexes process these signals to trigger effector responses.
Purpose of the Study:
- To review the molecular structure and signaling pathways of inflammasomes.
- To examine the evidence for inflammasome activation in cerebral ischemia.
- To explore potential therapeutic strategies targeting inflammasomes for stroke treatment.
Main Methods:
- Review of scientific literature on inflammasome biology and cerebral ischemia.
- Analysis of signaling pathways involving pattern recognition receptors and inflammasome complexes.
- Examination of inflammasome components (e.g., NLRP1, NLRP3, caspase-1) and their roles in cytokine processing (IL-1β, IL-18).
Main Results:
- Inflammasomes, such as NLRP1 and NLRP3, are activated by damage signals following cerebral ischemia.
- Activated inflammasomes lead to caspase-1 activation, processing pro-inflammatory cytokines IL-1β and IL-18.
- This process contributes to the inflammatory response and exacerbates ischemic brain injury.
Conclusions:
- Inflammasome activation is a significant contributor to the pathophysiology of ischemic stroke.
- Targeting inflammasome formation or its downstream products presents a promising avenue for novel stroke therapies.
- Further research into inflammasome pathways could lead to effective treatments for limiting brain damage after stroke.
Related Concept Videos
Ischemic Stroke ll: Pathophysiology
Bacterial Meningitis II: Pathophysiology
Inflammation
Encephalitis ll: Pathophysiology
Acute Inflammation II: Local and Systemic Effects
Acute Inflammation I: Cellular Phase

