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Updated: Dec 3, 2025

Evaluating Cell Death Signaling by Immunofluorescence in a Rat Model of Ischemic Stroke
Published on: January 3, 2025
Circular RNA circCCDC9 alleviates ischaemic stroke ischaemia/reperfusion injury via the Notch pathway
Liquan Wu1, Haitao Xu1, Wenfei Zhang1
1Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, China.
Insights
Circular RNA CCDC9 (circCCDC9) protects against stroke by maintaining blood-brain barrier integrity and inhibiting apoptosis. Lower circCCDC9 levels worsen stroke outcomes, suggesting it as a therapeutic target for acute ischemic stroke.
Area of Science:
- Neuroscience
- Molecular Biology
- Genetics
Background:
- Stroke remains a primary cause of mortality and disability globally.
- The intricate pathophysiological mechanisms underlying stroke are not fully elucidated.
- Understanding novel molecular players is crucial for developing effective stroke therapies.
Purpose of the Study:
- To investigate the role of circular RNA CCDC9 (circCCDC9) in the pathogenesis of ischemic stroke.
- To explore the therapeutic potential of circCCDC9 in a mouse model of transient middle cerebral artery occlusion (tMCAO).
Main Methods:
- Utilized the tMCAO mouse model to induce ischemic stroke.
- Assessed the expression levels of circCCDC9 in brain tissues.
- Evaluated blood-brain barrier integrity using Evans blue and brain water content.
- Measured nitrite content and endothelial nitric oxide synthase (eNOS) expression.
- Quantified apoptosis markers (Caspase-3, Bax/Bcl-2 ratio) and Notch signaling pathway components (Notch1, NICD, Hes1).
Main Results:
- circCCDC9 expression was significantly reduced in tMCAO mouse brains.
- Overexpression of circCCDC9 ameliorated blood-brain barrier damage and reduced brain water content.
- circCCDC9 restoration normalized nitrite content and eNOS expression.
- Overexpression of circCCDC9 suppressed apoptosis and inhibited the Notch1 signaling pathway.
- Knockdown of circCCDC9 exacerbated apoptosis and activated the Notch1 pathway.
Conclusions:
- circCCDC9 plays a protective role in acute ischemic stroke.
- Overexpression of circCCDC9 safeguards the blood-brain barrier and inhibits apoptosis via Notch1 pathway suppression.
- circCCDC9 represents a promising therapeutic target for cerebrovascular protection in ischemic stroke.
Abstract:
Stroke is a leading cause of death and disability, while its pathophysiological mechanisms are not fully understood. In this study, we used the tMCAO mice model to investigate the role of circCCDC9 in the pathogenesis of stroke. We found that the expression of circCCDC9 was significantly decreased in the brains of tMCAO mice. The Evens blue and brain water content were significantly higher in the Pre-IR and Pre-IR+Vector mice, while these patterns were partially reversed by overexpression of circCCDC9. The nitrite content and eNOS expression were decreased in the Pre-IR and Pre-IR+Vector groups, which was restored by circCCDC9 overexpression. Overexpression of circCCDC9 also inhibited the expression of Caspase-3, Bax/Bcl-2 ratio and the expression of Notch1, NICD and Hes1 in tMCAO mice. Knockdown of circCCDC9 increased the expression of Caspase-3, Bax/Bcl-2 ratio and the expression of Notch1, NICD and Hes1. In summary, overexpression of circCCDC9 protected the blood-brain barrier and inhibited apoptosis by suppressing the Notch1 signalling pathway, while knockdown of circCCDC9 had the opposite effects. Our findings showed that circCCDC9 is a potential novel therapeutic target for cerebrovascular protection in acute ischaemic stroke.
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