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Updated: May 17, 2025

Improved Rodent Model of Myocardial Ischemia and Reperfusion Injury
Published on: March 7, 2022
NRF1 coordinates mitochondrial adaptations to dampen intracellular ROS and inflammatory responses during ischemia
Jiakun Li1,2, Jiawei Yan3, Guowei Tu4
1Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China.
Abstract:
Ischemia reperfusion injury (IRI) is commonly seen in surgical procedures involving cardiopulmonary bypass and post-shock reperfusion. Sudden restoration of blood flow after a period of ischemia triggers a rapid accumulation of reactive oxygen species (ROS) and oxidative stress that promote pathological injury. Macrophage-derived inflammatory responses are also thought to contribute to such injury, but how ROS influences tissue macrophages and their elaboration of inflammatory cytokines in IRI remains poorly understood. In this study, we showed that macrophages mobilize mitochondrial adaptations during reoxygenation, including mitochondrial fission and ubiquitin proteasome system (UPS) flux. Furthermore, the transcription factor Nuclear Factor Erythroid 2 Like 1 (NRF1) is rapidly induced during reoxygenation in response to rising levels of ROS. Induction of NRF1 upregulates ubiquitin proteasome system (UPS) and mitophagy pathways to mediate mitochondrial fusion/fission dynamics and dampen ROS production, allowing for alleviation of oxidative stress and the inflammatory response. Conversely, the absence of myeloid NRF1 leads to increased ROS, driving enhanced inflammation and kidney injury in a mouse model of IRI. We thus identify macrophage NRF1 as a master regulator of mitochondrial homeostasis, antioxidant defense, and inflammatory responses in IRI.
Insights
Nuclear Factor Erythroid 2 Like 1 (NRF1) in macrophages mitigates ischemia reperfusion injury (IRI) by controlling mitochondrial function and reducing oxidative stress. Its absence exacerbates kidney injury and inflammation during IRI.
Area of Science:
- Immunology
- Cellular Biology
- Physiology
Background:
- Ischemia reperfusion injury (IRI) involves oxidative stress and inflammation, with macrophages playing a key role.
- The precise mechanisms by which reactive oxygen species (ROS) influence macrophage responses in IRI are not fully understood.
Purpose of the Study:
- To investigate the role of ROS and macrophage adaptations in IRI.
- To identify key regulators of mitochondrial homeostasis and inflammatory responses in IRI.
Main Methods:
- Analysis of macrophage mitochondrial dynamics (fission, fusion) and ubiquitin proteasome system (UPS) flux during reoxygenation.
- Investigating the induction and function of transcription factor Nuclear Factor Erythroid 2 Like 1 (NRF1) in response to ROS.
- Utilizing a mouse model of IRI to assess the impact of myeloid NRF1 deficiency on kidney injury and inflammation.
Main Results:
- Macrophages exhibit mitochondrial fission and increased UPS flux during reoxygenation in IRI.
- ROS rapidly induce NRF1, which upregulates UPS and mitophagy pathways, promoting mitochondrial fusion/fission dynamics and reducing ROS.
- Absence of myeloid NRF1 in mice leads to elevated ROS, heightened inflammation, and exacerbated kidney injury in an IRI model.
Conclusions:
- Macrophage NRF1 is a critical regulator of mitochondrial homeostasis and antioxidant defense during IRI.
- NRF1 activation in macrophages alleviates oxidative stress and dampens inflammatory responses, thereby protecting against IRI.
- Targeting macrophage NRF1 may offer a therapeutic strategy for mitigating IRI and associated organ damage.
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