Lactylation-driven YTHDF3 promotes microglial pyroptosis in sepsis-associated encephalopathy via the Usp9x/NLRP3 Axis

Fengzhen Huang1, Jiping Yi2, Tieqiao Zhou3

  • 1Department of Neurology, The First People's Hospital of Chenzhou, The First School of Clinical Medicine, Xiangnan University, Chenzhou, 423000, Hunan, China; Department of Functional Neurology, & Medical Research Center, The Affiliated Guangdong Second Provincial General Hospital of Jinan University, 510317, Guangzhou, China; Department of Neurology, The First People's Hospital of Chenzhou, Hengyang Medical School, University of South China, Chenzhou, 423000, Hunan, China.

Life Sciences
|August 5, 2026
PubMed
Abstract

Insights

YTHDF3 promotes microglial pyroptosis and cognitive decline in sepsis-associated encephalopathy (SAE) by activating the Usp9x/NLRP3 pathway. Targeting this axis offers a potential therapeutic strategy for SAE.

Area of Science:

  • Neuroscience
  • Immunology
  • Molecular Biology

Background:

  • Sepsis-associated encephalopathy (SAE) involves increased YTHDF3 expression, but its role in microglial pyroptosis is unclear.
  • Investigating YTHDF3's function in SAE microglial pyroptosis and its regulatory mechanisms is crucial.

Purpose of the Study:

  • To elucidate the role of YTHDF3 in microglial pyroptosis during SAE.
  • To identify upstream and downstream regulatory mechanisms of YTHDF3 in SAE.

Main Methods:

  • Established lipopolysaccharide (LPS)-induced SAE models in mice and primary microglia.
  • Assessed YTHDF3 and pyroptosis levels.
  • Identified YTHDF3 targets via RNA sequencing and RNA immunoprecipitation.
  • Confirmed H3K18la enrichment at the YTHDF3 promoter using ChIP-qPCR.

Main Results:

  • YTHDF3 expression was significantly upregulated in both in vitro and in vivo SAE models.
  • YTHDF3 knockdown attenuated NLRP3-mediated microglial pyroptosis, reducing neuroinflammation and improving cognitive function in SAE mice.
  • YTHDF3 targeted Usp9x, promoting NLRP3 deubiquitination and augmenting pyroptosis; H3K18la enrichment upregulated YTHDF3 transcription.
  • Inhibition of the lactylation-driven YTHDF3/Usp9x/NLRP3 axis ameliorated SAE-related cognitive dysfunction.

Conclusions:

  • Lactylation-driven YTHDF3 exacerbates microglial pyroptosis and cognitive impairment in SAE via the Usp9x/NLRP3 axis.
  • The YTHDF3/Usp9x/NLRP3 axis represents a promising therapeutic target for SAE.

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