NLRP3 promotes radiation-induced brain injury by regulating microglial pyroptosis

Wan Zhang1, Qiheng Wu2, Xiaonan Zhang3

  • 1Department of Radiation Oncology, The Tenth Affiliated Hospital, Southern Medical University (Dongguan People's Hospital), Dongguan, China.

Abstract

Insights

Radiation exposure triggers pyroptosis in microglia, leading to brain injury and cognitive decline. Targeting NLRP3 inflammasome offers a potential therapeutic strategy for mitigating these effects.

Area of Science:

  • Neuroscience
  • Immunology
  • Oncology

Background:

  • Cranial radiotherapy can cause lasting cognitive deficits due to radiation-induced brain injury.
  • Microglia, the resident immune cells of the brain, play a crucial role in neuroinflammation.
  • The specific interactions between microglia and neurons in the context of radiation injury are not fully understood.

Purpose of the Study:

  • To investigate the role of microglia in radiation-induced brain injury.
  • To elucidate the mechanism of microglial pyroptosis following radiation exposure.
  • To evaluate the therapeutic potential of targeting the NLRP3 inflammasome pathway.

Main Methods:

  • Established a microglia-neuron indirect co-culture model to study their interaction.
  • Assessed microglial pyroptosis using LDH release, Annexin V/PI, SYTOX staining, and Western blot.
  • Investigated the NLRP3 inflammasome pathway using siRNA and inhibitors in vitro and in vivo models.
  • Evaluated cognitive function and cytokine levels in patients who underwent cranial irradiation.

Main Results:

  • Radiation induced neurotoxic effects in microglia, characterized by pyroptosis and inflammatory cytokine release.
  • NLRP3 inflammasome activation was identified as a key driver of radiation-induced microglial pyroptosis.
  • Inhibition of NLRP3 inflammasome attenuated neuronal damage and cognitive impairment in preclinical models.
  • Elevated IL-6 levels correlated with decreased cognitive scores (MMSE) in patients post-irradiation.

Conclusions:

  • Radiation-induced pyroptosis in microglia contributes to brain injury and cognitive dysfunction through cytokine secretion.
  • The NLRP3 inflammasome is a critical mediator of radiation-induced pyroptosis.
  • Targeting the NLRP3 inflammasome presents a promising therapeutic avenue for managing radiation-induced brain injury.

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