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Published on: January 12, 2016
Pharmacological inhibition of cGAS ameliorates postoperative cognitive dysfunction by suppressing
Xueshan Bu1, Ping Gong2, Lei Zhang1
1Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, 430060, Hubei, China.
Abstract:
Neuroinflammation is a major driver of postoperative cognitive dysfunction (POCD). The cyclic GMP-AMP synthase-stimulator of interferon gene (cGAS-STING) signaling is a prominent alarming device for aberrant double-stranded DNA (dsDNA) that has emerged as a key mediator of neuroinflammation in cognitive-related diseases. However, the role of the cGAS-STING pathway in the pathogenesis of POCD remains unclear. A POCD model was developed in male C57BL/6J mice by laparotomy under isoflurane (Iso) anesthesia. The cGAS inhibitor RU.521 and caspase-3 agonist Raptinal were delivered by intraperitoneal administration. BV2 cells were exposed to Iso and lipopolysaccharide (LPS) in the absence or presence of RU.521, and then cocultured with HT22 cells in the absence or presence of Raptinal. Cognitive function was assessed using the Morris water maze test and novel object recognition test. Immunofluorescence assays were used to observe the colocalization of dsDNA and cGAS. The downstream proteins and pro-inflammatory cytokines were detected using the Western blot and enzyme-linked immunosorbent assay (ELISA). Terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) staining was used to assess the degree of cell death in the hippocampus following anesthesia/surgery treatment. Isoflurane/laparotomy and Iso + LPS significantly augmented the levels of cGAS in the hippocampus and BV2 cells, accompanied by mislocalized dsDNA accumulation in the cytoplasm. RU.521 alleviated cognitive impairment, diminished the levels of 2'3'-cGAMP, cGAS, STING, phosphorylated NF-κB p65 and NF-κB-pertinent pro-inflammatory cytokines (TNFα and IL-6), and repressed pyroptosis-associated elements containing cleaved caspase-3, N-GSDME, IL-1β and IL-18. These phenotypes could be rescued by Raptinal in vivo and in vitro. These findings suggest that pharmacological inhibition of cGAS mitigates neuroinflammatory burden of POCD by dampening caspase-3/GSDME-dependent pyroptosis, providing a potential therapeutic strategy for POCD.
Insights
Inhibiting the cGAS-STING pathway reduces neuroinflammation and cognitive decline after surgery. This approach dampens pyroptosis, offering a potential treatment for postoperative cognitive dysfunction (POCD).
Area of Science:
- Neuroscience
- Immunology
- Pharmacology
Background:
- Neuroinflammation significantly contributes to postoperative cognitive dysfunction (POCD).
- The cyclic GMP-AMP synthase-stimulator of interferon gene (cGAS-STING) pathway is implicated in neuroinflammation but its role in POCD is unclear.
Purpose of the Study:
- To investigate the role of the cGAS-STING pathway in POCD pathogenesis.
- To evaluate the therapeutic potential of cGAS inhibition in a mouse model of POCD.
Main Methods:
- A POCD mouse model was induced using isoflurane anesthesia and laparotomy.
- Mice and BV2 cells were treated with a cGAS inhibitor (RU.521) or a caspase-3 agonist (Raptinal).
- Cognitive function, neuroinflammation markers, and pyroptosis indicators were assessed using behavioral tests, Western blot, ELISA, and TUNEL staining.
Main Results:
- Isoflurane/laparotomy increased cGAS levels and cytoplasmic dsDNA accumulation.
- RU.521 treatment improved cognitive function, reduced inflammatory cytokines (TNFα, IL-6), and inhibited pyroptosis markers (cleaved caspase-3, N-GSDME, IL-1β, IL-18).
- The protective effects of RU.521 were reversed by Raptinal.
Conclusions:
- The cGAS-STING pathway plays a critical role in POCD development.
- Pharmacological inhibition of cGAS mitigates neuroinflammation and cognitive impairment in POCD by suppressing caspase-3/GSDME-dependent pyroptosis.
- Targeting the cGAS pathway presents a promising therapeutic strategy for POCD.
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