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YAP Regulates Microglial Anti-Inflammatory Responses and Alleviates Cognitive Impairment Through the IL-33/ST2
Ran Zhao1, Sheng-Qing Gao1, Xue Wang1
1Department of Neurosurgery, Nanjing Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Journal of Neurotrauma
|December 10, 2025
Summary
Yes-associated protein (YAP) enhances interleukin-33 (IL-33) secretion in astrocytes, promoting anti-inflammatory responses in microglia and improving cognitive function after traumatic brain injury (TBI). This YAP/IL-33/ST2 pathway is crucial for neuroprotection post-TBI.
Area of Science:
- Neuroscience
- Cell Biology
- Immunology
Background:
- Traumatic brain injury (TBI) is a significant cause of mortality and morbidity.
- Neuroinflammation and microglial responses are critical factors influencing TBI outcomes.
- Interleukin-33 (IL-33) and Yes-associated protein (YAP) have been implicated in TBI pathogenesis and prognosis.
Purpose of the Study:
- To investigate the role of astrocyte-derived YAP in regulating IL-33 production and its impact on neuroinflammation and cognitive function after TBI.
- To elucidate the signaling pathway involving YAP, IL-33, and ST2 receptors in the context of TBI.
Main Methods:
- Assessed microglial inflammatory markers in vivo and in vitro.
- Overexpressed YAP in astrocytes using viral vectors (AAV and lentivirus).
- Evaluated protein expression via Western blotting and immunofluorescence, and gene regulation using ChIP-qPCR.
- Blocked IL-33/ST2 signaling with astegolimab.
- Assessed cognitive function using Morris water maze and Y-maze tests.
Main Results:
- YAP and IL-33 levels were decreased in the early phase of TBI, along with reduced anti-inflammatory markers (CD206) in microglia.
- YAP directly binds to the IL33 promoter, enhancing IL-33 secretion and activating the IL-33/ST2 pathway.
- Activation of this pathway promoted microglial anti-inflammatory responses via NF-κB signaling, improving cognitive function.
- Blocking ST2 receptors with astegolimab reversed the beneficial effects, confirming the mechanism's specificity.
Conclusions:
- Astrocyte-derived YAP plays a protective role in TBI by upregulating IL-33.
- The YAP/IL-33/ST2 signaling axis modulates microglial anti-inflammatory responses, leading to improved cognitive outcomes after TBI.
- Targeting the YAP/IL-33/ST2 pathway represents a potential therapeutic strategy for TBI treatment.
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