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Controlled Cortical Impact Model for Traumatic Brain Injury
Published on: August 5, 2014
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Orexin-A Mitigates Traumatic Brain Injury by Inhibiting Neuronal Ferroptosis Through Orexin Receptor 1/Nuclear Factor
Junwei Kang1, Binkai Ren1, Jia Wang1
1Department of Rehabilitation Medicine, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi, P.R. China.
Molecular Neurobiology
|November 14, 2025
Summary
Orexin-A (OXA) protects against traumatic brain injury (TBI) by inhibiting neuronal ferroptosis. This neuroprotection is achieved through the orexin receptor 1 (OX1R)/Nrf2 pathway, reducing neurological deficits and oxidative stress.
Area of Science:
- Neuroscience
- Cell Biology
- Pathology
Background:
- Traumatic brain injury (TBI) is a leading cause of neurological disability.
- Neuronal ferroptosis is a significant contributor to TBI-induced damage.
- The therapeutic mechanisms of orexin-A (OXA) in TBI are not fully understood.
Purpose of the Study:
- To investigate the neuroprotective mechanisms of OXA in TBI.
- To determine if OXA exerts its effects via the orexin receptor 1 (OX1R)/nuclear factor erythroid 2-related factor 2 (Nrf2) signaling pathway.
- To evaluate the role of OXA in mitigating ferroptosis and oxidative stress post-TBI.
Main Methods:
- Established rat TBI and PC12 cell ferroptosis models.
- Administered OXA and pathway inhibitors (OX1R, Nrf2).
- Assessed neurological function, blood-brain barrier integrity, neuronal damage, oxidative stress, and ferroptosis markers using various assays and molecular techniques.
Main Results:
- OXA administration significantly improved neurological function and reduced neuronal damage in TBI rats.
- OXA suppressed oxidative stress, inhibited ferroptosis markers, and promoted Nrf2 nuclear translocation.
- In vitro studies showed OXA protected PC12 cells from ferroptosis and mitochondrial damage.
- The neuroprotective effects of OXA were dependent on OX1R and Nrf2 activation.
Conclusions:
- OXA mitigates neurological deficits and neuronal ferroptosis following TBI.
- The mechanism involves the activation of the OX1R/Nrf2 signaling pathway.
- Targeting ferroptosis via OXA presents a novel therapeutic strategy for TBI management.

