RIPK3/MLKL-Mediated Neuronal Necroptosis Modulates the M1/M2 Polarization of Microglia/Macrophages in the Ischemic

Jiping Yang1,2, Youyi Zhao1,3, Li Zhang1,2

  • 1Department of Neurobiology and Institute of Neurosciences, School of Basic Medicine, Fourth Military Medical University, 169 Chang Le Xi Road, Xi'an, Shaanxi, China.

Insights

Necrotic brain cells from stroke trigger inflammatory M1 microglia. Blocking programmed necrosis (RIPK3/MLKL) promotes anti-inflammatory M2 microglia, offering neuroprotection via Myd88 signaling.

Area of Science:

  • Neuroscience
  • Immunology
  • Cell Biology

Background:

  • Cerebral ischemia causes cell death and inflammation, involving microglia/macrophages with dual M1/M2 roles.
  • The influence of necrotic cells on microglia/macrophage polarization in ischemic stroke is poorly understood.

Purpose of the Study:

  • Investigate how necroptosis in neurons affects microglia/macrophage polarization in cerebral ischemia.
  • Elucidate the molecular mechanisms linking necroptosis to immune cell responses and neuroprotection.

Main Methods:

  • Utilized mouse models of cerebral ischemia with genetic ablation of RIPK3 or MLKL.
  • Employed oxygen-glucose deprivation (OGD) on primary neurons and conditioned medium experiments.
  • Analyzed M1/M2 polarization markers, cytokine profiles (IL-18, TNFα, IL-4, IL-10), and Myd88 expression.
  • Assessed neuroprotection by antagonizing Myd88 function.

Main Results:

  • Ischemia induced RIPK3/MLKL-dependent necroptosis in neurons.
  • Ablating RIPK3 or MLKL shifted microglia/macrophages towards M2 polarization.
  • Neuron-derived IL-18 and TNFα promoted M1 polarization, while RIPK3 deficiency led to M2 polarization.
  • Myd88 signaling in microglia/macrophages was upregulated in ischemic conditions and blocking it conferred neuroprotection.

Conclusions:

  • Necroptotic neurons play a significant role in directing M1/M2 polarization of microglia/macrophages in the ischemic brain.
  • The RIPK3/MLKL-Myd88 pathway represents a novel mechanism linking necroptosis to neuroinflammation and neuroprotection in stroke.

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