P2Y6 receptor inhibition aggravates ischemic brain injury by reducing microglial phagocytosis

Ruo-Xue Wen1, Hui Shen1, Shu-Xian Huang1

  • 1Shanghai JiaoTong Affiliated Sixth People's Hospital, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.

Abstract

Insights

The P2Y6 receptor facilitates microglial phagocytosis, crucial for clearing debris after ischemic stroke. Inhibiting this receptor worsens brain injury and neurological deficits, highlighting its therapeutic potential.

Area of Science:

  • Neuroscience
  • Immunology
  • Cell Biology

Background:

  • Clearance of cellular debris is vital for recovery following ischemic brain injury.
  • The specific microglial phagocytic receptor involved in post-stroke debris clearance remains unidentified.

Purpose of the Study:

  • To investigate the role of the P2Y6 receptor in microglial phagocytosis after ischemic stroke.
  • To determine if P2Y6 receptor-mediated phagocytosis benefits debris clearance and functional recovery.

Main Methods:

  • Transient middle cerebral artery occlusion model in mice.
  • Administration of a selective P2Y6 receptor inhibitor (MRS2578).
  • Assessment of brain atrophy, edema, neurological function, and inflammatory markers.

Main Results:

  • P2Y6 receptor expression increased in microglia within 3 days post-occlusion.
  • Inhibition of microglial phagocytosis via MRS2578 exacerbated brain atrophy, edema, and neurological deficits.
  • Myosin light chain kinase expression decreased upon phagocytosis inhibition, suggesting its involvement in P2Y6-mediated phagocytosis.

Conclusions:

  • P2Y6 receptor-mediated microglial phagocytosis plays a beneficial role in the acute phase of ischemic stroke.
  • Targeting the P2Y6 receptor presents a potential therapeutic strategy for ischemic stroke treatment.