Targeting CIRP and IL-6R-mediated microglial inflammation to improve outcomes in intracerebral hemorrhage

Lisha Ye1, Xiaoyan Tang2, Fangming Liu2

  • 1Department of Neurophysiology and Neuropharmacology, Institute of Special Environmental Medicine and Co-innovation Center of Neuroregeneration, Nantong University, 9 Seyuan Road, Nantong, Jiangsu 226019, China; Beijing Institute of Brain Disorders, No. 10 Xitoutiao, Beijing 100069, China.

Journal of Advanced Research
|September 11, 2025
PubMed

Insights

Cold-inducible RNA-binding protein (CIRP) drives neuroinflammation after intracerebral hemorrhage (ICH) by activating microglia. A novel peptide inhibitor targeting CIRP and IL-6 receptor (IL-6R) reduced inflammation and protected neurons, showing therapeutic potential.

Area of Science:

  • Neuroscience
  • Immunology
  • Molecular Biology

Background:

  • Cold-inducible RNA-binding protein (CIRP) is an emerging inflammatory mediator in neuronal injury.
  • Mechanisms of CIRP's contribution to neuroinflammation post-intracerebral hemorrhage (ICH) are not fully understood.

Purpose of the Study:

  • Investigate neuron-derived CIRP's role in microglial inflammation via IL-6 receptor (IL-6R) signaling after ICH.
  • Evaluate a peptide inhibitor targeting CIRP and IL-6R for therapeutic potential.

Main Methods:

  • Single-cell RNA sequencing to identify microglial response pathways.
  • In vitro and in vivo testing of Tat-CIRP-CMA (TCC) peptide inhibitor.
  • Assessment of TCC effects on neuronal CIRP, microglial activation, inflammation, and phagocytosis.
  • Utilized microglia-specific IL-6Rα knockout mice and clinical analysis of ICH patients.

Main Results:

  • Neuron-derived CIRP activates microglia via IL-6R/STAT3 signaling, promoting ICH neuroinflammation.
  • TCC treatment reduced CIRP release, suppressed microglial activation, and decreased inflammatory cytokines.
  • TCC enhanced microglial phagocytosis; IL-6Rα deletion mirrored TCC's neuroprotective effects.
  • Elevated peripheral CIRP correlated with infarct volume in human ICH patients.

Conclusions:

  • CIRP is pivotal in post-ICH neuroinflammation, acting on microglial IL-6R.
  • The TCC peptide inhibitor effectively mitigates CIRP-IL-6R mediated inflammation and offers neuroprotection.
  • CIRP is a promising therapeutic target and prognostic biomarker for ICH.
Abstract