Activation of RKIP Binding ASC Attenuates Neuronal Pyroptosis and Brain Injury via Caspase-1/GSDMD Signaling Pathway

Lingui Gu1, Mingjiang Sun1, Ruihao Li1

  • 1Department of Neurosurgery, The Second Affiliated Hospital, Chongqing Medical University, 76 Linjiang Road, Chongqing, 400010, China.

Insights

Raf kinase inhibitor protein (RKIP) activation reduces brain injury after intracerebral hemorrhage (ICH) by inhibiting pyroptosis. RKIP may be a potential therapeutic target for ICH treatment.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Biochemistry

Background:

  • Pyroptosis contributes to secondary brain injury following intracerebral hemorrhage (ICH).
  • Raf kinase inhibitor protein (RKIP) has been shown to inhibit inflammasome assembly and activation in macrophages.

Purpose of the Study:

  • To investigate the effects of RKIP on inflammasome-mediated neuronal pyroptosis in experimental ICH.
  • To elucidate the underlying neuroprotective mechanisms of RKIP in ICH.

Main Methods:

  • Assessed RKIP expression in CSF from ICH patients and peri-hematoma tissues.
  • Utilized a mouse ICH model to evaluate RKIP activation effects on neurological deficits, brain water content, BBB disruption, and hematoma absorption.
  • Analyzed neuronal degeneration, membrane pore formation, and pyroptotic molecules (NLRP3, caspase-1, GSDMD-N, IL-1β).
  • Investigated RKIP's interaction with ASC and its effect on NLRP3 inflammasome assembly.
  • Examined the impact of caspase-1 inhibition (VX-765) on brain injury and pyroptosis.

Main Results:

  • RKIP expression was decreased in ICH patients and experimental ICH models.
  • RKIP activation improved neurological deficits, reduced brain edema and BBB disruption, and promoted hematoma absorption in mice.
  • RKIP activation alleviated neuronal degeneration, reduced membrane pore formation, and downregulated pyroptotic markers.
  • RKIP directly binds to ASC, inhibiting NLRP3 inflammasome assembly.
  • Inhibition of caspase-1 attenuated brain injury and pyroptosis in RKIP inhibitor-pretreated ICH models.

Conclusions:

  • RKIP activation attenuates neuronal pyroptosis and brain injury after ICH.
  • RKIP exerts its neuroprotective effects by targeting the ASC/Caspase-1/GSDMD pathway.
  • RKIP represents a potential therapeutic target for mitigating brain injury through its anti-pyroptosis effects in ICH.

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