The NRF2 activator RTA-408 ameliorates chronic alcohol exposure-induced cognitive impairment and NLRP3 inflammasome

Xinrou Lin1, Hongxuan Wang2, Lubin Zou1

  • 1Department of Neurology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, 510000, China; Nanhai Translational Innovation Center of Precision Immunology, Sun Yat-Sen Memorial Hospital, Foshan, 528200, China.

PubMed
Abstract

Insights

Chronic alcohol use impairs mitophagy, increasing neuroinflammation and cognitive deficits. Activating NRF2 (Nuclear factor erythroid 2-related factor 2) with RTA-408 can restore mitophagy, reduce inflammation, and improve alcohol-induced cognitive impairment.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Toxicology

Background:

  • Chronic alcohol exposure causes cognitive impairment and NLRP3 inflammasome activation in the medial prefrontal cortex (mPFC).
  • Mitophagy is vital for neuroinflammation; its dysregulation is linked to behavioral deficits.
  • The interplay between mitophagy, inflammation, and cognitive decline in alcohol use is understudied, as is NRF2's role in mitigating these effects.

Purpose of the Study:

  • To investigate the relationship between alcohol-induced mitophagy defects, neuroinflammation, and cognitive impairment.
  • To determine if NRF2 activation can ameliorate alcohol-induced mitophagy dysfunction and neuroinflammation.

Main Methods:

  • Assessed mitophagy, mitochondrial dysfunction, and NLRP3 inflammasome activation in alcohol-treated BV2 cells and microglia.
  • Utilized C57BL/6J mice subjected to chronic alcohol administration.
  • Employed BNIP3-siRNA, PINK1-siRNA, CCCP, bafilomycin A1 to modulate mitophagy, and RTA-408 as an NRF2 activator.

Main Results:

  • Alcohol impaired mitophagy initiation in the mPFC and microglia, exacerbating NLRP3 inflammasome activation when mitophagy genes were silenced.
  • Alcohol exposure reduced NRF2 expression both in vivo and in vitro.
  • NRF2 activation with RTA-408 improved mitophagy, reduced NLRP3 inflammasome activation, and ameliorated cognitive deficits in alcohol-exposed subjects.

Conclusions:

  • Impaired mitophagy initiation is a key factor in alcohol-induced neuroinflammation and cognitive deficits.
  • NRF2 activation presents a potential therapeutic strategy to counteract alcohol's detrimental effects on mitophagy and cognition.