NLRP3 inflammasome inhibits mitophagy during the progression of temporal lobe epilepsy

Mengqian Wu1, Cong Yu1, Fuli Wen2

  • 1Department of Neurology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, Fuzhou University Affiliated Provincial Hospital, Fuzhou, 350001, China.

Scientific Reports
|May 10, 2025
PubMed

Insights

Epilepsy involves neuroinflammation and mitochondrial issues. Targeting NLRP3 inflammasome activation and restoring mitophagy shows promise for treating refractory epilepsy by reducing seizures and neuronal loss.

Area of Science:

  • Neuroscience
  • Immunology
  • Cell Biology

Background:

  • Epilepsy is a neurological disorder linked to mitochondrial dysfunction and neuroinflammation.
  • NLRP3 inflammasome activation and its role in epilepsy, particularly concerning mitophagy, remain under-investigated.

Purpose of the Study:

  • To investigate the relationship between NLRP3 inflammasome activation and mitophagy in temporal lobe epilepsy.
  • To explore the therapeutic potential of targeting the NLRP3 inflammasome pathway in epilepsy.

Main Methods:

  • Utilized a pilocarpine-induced epileptic rat model.
  • Assessed seizure activity, neuronal loss, pyroptosis markers (NLRP3, cleaved Gasdermin D, IL-1β/IL-18), and autophagy/mitophagy markers (LC3B-II/I, BNIP3, TOMM20/LC3B colocalization) via immunofluorescence, Western blot, and transmission electron microscopy.
  • Administered NLRP3 inhibitors and anti-IL-1β antibodies to evaluate therapeutic effects.

Main Results:

  • Epileptic rats showed progressive neuronal loss and aggravated seizures, associated with NLRP3 inflammasome activation and pyroptosis.
  • General autophagy was upregulated, but mitophagy was selectively impaired in the hippocampus.
  • NLRP3 activation led to IL-1β release, suppressing mitophagy via PPTC7 upregulation.
  • MCC950 (NLRP3 inhibitor) and anti-IL-1β treatment restored mitophagy and reduced seizure activity.

Conclusions:

  • NLRP3 inflammasome-driven pyroptosis exacerbates epilepsy by impairing mitophagy through the IL-1β/PPTC7 pathway.
  • Targeted NLRP3 inhibition represents a potential therapeutic strategy for refractory epilepsy.