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The NFATC2/Nrf2 cascade regulates spinal cord ischemia-reperfusion injury by controlling inflammation, apoptosis and
Kunbin Li1, Liming Lu2, Xianli Yao1
1Department of Neurorehabilitation, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou 450007, China.
Abstract:
Spinal cord ischemia/reperfusion (IR) injury (SCII) can cause major autonomic, sensory, and motor damage and loss. The upregulation of Nrf2, a primary orchestrator of the oxidative stress response, has beneficial effects in SCII. Here, we aimed to uncover a SCII-related transcription factor that is able to elevate Nrf2 expression. Rat PC12 cells were subjected to treatment with oxygen-glucose deprivation/reoxygenation (OGD/R) to induce an in vitro neuronal IR injury model. A rat model of SCII was established by blocking the left common carotid artery and aortic arch in SD rats. Cell viability and apoptosis were assessed by the CCK-8 assay and flow cytometry, respectively. IL-1β and TNF-α levels were detected by ELISA. The oxidative stress was tested by assessing ROS and MDA contents and SOD and GSH-Px activity. The NFATC2/Nrf2 relationship was predicted by bioinformatic analysis and validated by ChIP and luciferase reporter assays. Nrf2 and NFATC2 levels were reduced in PC12 cells after OGD/R treatment. Nrf2 increase significantly attenuated OGD/R-triggered inflammation, apoptosis and oxidative stress in PC12 cells. Moreover, Nrf2 increase alleviated spinal cord pathological changes, inflammation, apoptosis and oxidative stress in rats after SCII. Mechanistically, NFATC2 could activate Nrf2 transcription and promote its expression. Nrf2 reduction exerted a counteracting impact on NFATC2's anti-inflammation, anti-apoptosis and anti-oxidative stress functions in PC12 cells under OGD/R conditions. Our study demonstrates that the NFATC2/Nrf2 cascade has a regulatory capacity in inflammation, apoptosis and oxidative stress after SCII.
Insights
The NFATC2/Nrf2 pathway regulates spinal cord ischemia/reperfusion (SCII) injury by controlling inflammation, apoptosis, and oxidative stress. NFATC2 activates Nrf2, offering a potential therapeutic target for SCII.
Area of Science:
- Neuroscience
- Molecular Biology
- Pathology
Background:
- Spinal cord ischemia/reperfusion (SCII) injury causes significant neurological deficits.
- Nuclear factor erythroid 2-related factor 2 (Nrf2) upregulation shows promise in mitigating SCII.
- Identifying upstream regulators of Nrf2 in SCII is crucial for therapeutic development.
Purpose of the Study:
- To identify a transcription factor that enhances Nrf2 expression in the context of SCII.
- To elucidate the regulatory mechanism of this transcription factor on Nrf2.
- To evaluate the therapeutic potential of the identified pathway in SCII models.
Main Methods:
- Established *in vitro* (PC12 cells with oxygen-glucose deprivation/reoxygenation) and *in vivo* (rat SCII model) injury models.
- Assessed cell viability, apoptosis, inflammation (IL-1β, TNF-α), and oxidative stress (ROS, MDA, SOD, GSH-Px).
- Utilized bioinformatic analysis, chromatin immunoprecipitation (ChIP), and luciferase reporter assays to validate the NFATC2/Nrf2 interaction.
Main Results:
- Nrf2 and NFATC2 levels were decreased in SCII models.
- Increased Nrf2 expression significantly reduced inflammation, apoptosis, and oxidative stress in both *in vitro* and *in vivo* models.
- NFATC2 was identified as a transcription factor that activates Nrf2 expression.
- Reduced Nrf2 counteracted the protective effects of NFATC2.
Conclusions:
- The NFATC2/Nrf2 signaling pathway plays a critical role in regulating inflammation, apoptosis, and oxidative stress following SCII.
- NFATC2 acts as a positive regulator of Nrf2 transcription in SCII.
- Targeting the NFATC2/Nrf2 cascade presents a promising therapeutic strategy for SCII.
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