Curcumin Ameliorates White Matter Injury after Ischemic Stroke by Inhibiting Microglia/Macrophage Pyroptosis through

Yuanyuan Ran1, Wei Su2, Fuhai Gao1

  • 1Department of Rehabilitation, Beijing Rehabilitation Hospital, Capital Medical University, Xixiazhuang, Badachu Road, Shijingshan District, Beijing 100144, China.

Insights

Curcumin treatment reduced brain damage and improved function after stroke by inhibiting microglial pyroptosis, a key inflammatory cell death pathway, via the NF-κB/NLRP3 signaling pathway.

Area of Science:

  • Neuroscience
  • Immunology
  • Pharmacology

Background:

  • NLRP3 inflammasome-mediated pyroptosis is a pro-inflammatory programmed cell death pathway implicated in stroke outcomes.
  • Curcumin has shown neuroprotective effects in stroke models, but its impact on microglial pyroptosis was previously unknown.

Purpose of the Study:

  • To investigate the effect of curcumin on microglial pyroptosis and its role in stroke recovery.
  • To elucidate the underlying molecular mechanisms, specifically the NF-κB/NLRP3 signaling pathway.

Main Methods:

  • Stroke was induced in mice using middle cerebral artery occlusion (MCAO) and treated with curcumin.
  • Primary microglia were treated with lipopolysaccharide (LPS) and ATP in vitro to induce pyroptosis.
  • Western blot, immunohistochemistry, and siRNA/shRNA techniques were used to assess pyroptosis markers and signaling pathways.

Main Results:

  • Curcumin treatment significantly ameliorated white matter lesions, brain tissue loss, and improved sensorimotor function in MCAO mice.
  • Curcumin reduced the number of pyroptotic microglia/macrophages (GSDMD+, caspase-1+) and decreased pyroptosis-related proteins in vitro and in vivo.
  • Curcumin inhibited NF-κB pathway activation, and NLRP3 knockdown enhanced curcumin's inhibitory effects on pyroptosis.

Conclusions:

  • Curcumin attenuates stroke-induced white matter damage and improves functional outcomes by suppressing microglial pyroptosis.
  • The therapeutic effects of curcumin are mediated, at least partially, through the inhibition of the NF-κB/NLRP3 signaling pathway.
  • Curcumin demonstrates potential as a therapeutic agent for stroke.