Zileuton, a 5-Lipoxygenase Inhibitor, Attenuates Haemolysate-Induced BV-2 Cell Activation by Suppressing the MyD88/NF-κB Pathway
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Updated: Sep 23, 2025

Myeloid Innate Signaling Pathway Regulation by MALT1 Paracaspase Activity
Published on: January 7, 2019
Hui-Yuan Su1,2, Yi-Cheng Tsai2, Hung-Pei Tsai1,2
1Department of Surgery, Division of Neurosurgery, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan.
Abstract:
M1 microglia induce neuroinflammation-related neuronal death in animal models of spontaneous subarachnoid haemorrhage. Zileuton is a 5-lipoxygenase inhibitor that reduces the levels of downstream pro-inflammatory cytokines. This study aimed to investigate whether zileuton inhibits microglial activation and describe its underlying mechanisms. BV-2 cells were exposed to 1 mg/mL haemolysate for 30 min, followed by treatment with different concentrations (5, 10, 15, or 20 μM) of zileuton for 24 h. The cells were then assessed for viability, polarisation, and protein expression levels. Haemolysate increases the viability of BV-2 cells and induces M1 polarisation. Subsequent exposure to high concentrations of zileuton decreased the viability of BV-2 cells, shifted the polarisation to the M2 phenotype, suppressed the expression of 5-lipoxygenase, decreased tumour necrosis factor α levels, and increased interleukin-10 levels. Furthermore, high concentrations of zileuton suppressed the expression of myeloid differentiation primary response protein 88 and reduced the phosphorylated-nuclear factor-kappa B (NF-kB)/NF-kB ratio. Therefore, phenotype reversal from M1 to M2 is a possible mechanism by which zileuton attenuates haemolysate-induced neuroinflammation after spontaneous subarachnoid haemorrhage.
Insights
Zileuton, a 5-lipoxygenase inhibitor, was investigated for its effects on M1 microglia activation in subarachnoid hemorrhage models. High concentrations of zileuton reversed M1 polarization to M2, reducing neuroinflammation.
Area of Science:
- Neuroscience
- Immunology
- Pharmacology
Background:
- Microglia play a crucial role in neuroinflammation, with M1 polarization contributing to neuronal death in subarachnoid hemorrhage (SAH).
- Zileuton, a 5-lipoxygenase inhibitor, is known to reduce pro-inflammatory cytokines, but its effect on microglial activation in SAH is not well understood.
Purpose of the Study:
- To investigate the inhibitory effects of zileuton on microglial activation induced by SAH.
- To elucidate the underlying mechanisms by which zileuton modulates microglial polarization and neuroinflammation.
Main Methods:
- BV-2 microglial cells were exposed to haemolysate to induce M1 polarization.
- Cells were subsequently treated with varying concentrations of zileuton (5-20 μM).
- Cell viability, polarization status, and expression of key proteins (5-lipoxygenase, TNF-α, IL-10, MyD88, p-NF-κB/NF-κB) were assessed.
Main Results:
- Haemolysate increased BV-2 cell viability and induced M1 polarization.
- High concentrations of zileuton decreased cell viability but shifted polarization from M1 to M2 phenotype.
- Zileuton suppressed 5-lipoxygenase expression, reduced tumor necrosis factor-α, increased interleukin-10, and inhibited the MyD88/NF-κB signaling pathway.
Conclusions:
- Zileuton effectively attenuates SAH-induced neuroinflammation by suppressing M1 microglial activation.
- Phenotype reversal from M1 to M2 microglia is a key mechanism underlying zileuton's therapeutic potential in SAH.
- These findings highlight zileuton as a potential therapeutic agent for managing neuroinflammation in spontaneous subarachnoid hemorrhage.
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