GPNMB modulates neutrophil extracellular trap formation: therapeutic implications for ischemic stroke

Ningning Zong1, Jian Chen1, Yang Geng1

  • 1Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210000, China.

Insights

Glycoprotein non-metastatic melanoma protein B (GPNMB) alleviates ischemic stroke injury by reducing neutrophil extracellular traps (NETs). This discovery highlights GPNMB as a potential therapeutic target for stroke neuroinflammation.

Area of Science:

  • Neuroscience
  • Immunology
  • Biochemistry

Background:

  • Microglia are crucial for post-stroke neuroinflammation and recovery.
  • Glycoprotein non-metastatic melanoma protein B (GPNMB) is upregulated after ischemic stroke, but its function is unclear.

Purpose of the Study:

  • To investigate the role of GPNMB in ischemic stroke and its underlying mechanisms.
  • To explore GPNMB's potential as a therapeutic target for stroke.

Main Methods:

  • Utilized GPNMB knockout mice and recombinant GPNMB protein administration.
  • Assessed neutrophil extracellular traps (NETs) formation, Rac-ROS pathway, and CD44 receptor interaction.
  • Investigated the effects of neutrophil depletion and DNase I inhibition.

Main Results:

  • GPNMB expression is elevated in ischemic brain regions, primarily in microglia.
  • GPNMB administration reduced ischemic brain injury and NET formation.
  • GPNMB's protective effects involve CD44 and the Rac-ROS pathway, and are dependent on neutrophils and NETs.
  • Delayed GPNMB administration also showed neuroprotective benefits.

Conclusions:

  • GPNMB plays a significant neuroprotective role in ischemic stroke by inhibiting NET formation.
  • GPNMB, via CD44 and the Rac-ROS pathway, modulates neuroinflammation.
  • GPNMB represents a promising therapeutic target for managing post-stroke neuroinflammation and improving outcomes.