CCDC50 Alleviates Cerebral Ischemia-Reperfusion Injury via Enhancing Autophagy to Inhibit STING/IRF3-Mediated

Chunyan Lei1, Juan Yang2, Peng Bai3

  • 1Department of First Neurology, The First Affiliated Hospital of Kunming Medical University, 295 Xichang Road, Kunming City, Yunnan Province, 650032, China.

Molecular Neurobiology
|August 8, 2026
PubMed

Insights

The autophagy receptor CCDC50 protects against brain damage from ischemia-reperfusion injury (IRI) by enhancing autophagy and suppressing inflammation. The protein LL37 counteracts this effect, offering potential therapeutic targets for ischemic stroke.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Immunology

Background:

  • Ischemia-reperfusion injury (IRI) significantly worsens outcomes in ischemic stroke.
  • Multiple signaling pathways mediate the complex processes involved in cerebral IRI.
  • The role of the autophagy receptor CCDC50 in cerebral IRI remains largely unexplored.

Purpose of the Study:

  • To investigate the function of the novel autophagy receptor CCDC50 in cerebral IRI.
  • To elucidate the molecular mechanisms underlying CCDC50's role in IRI.
  • To identify potential therapeutic targets for mitigating stroke-related brain damage.

Main Methods:

  • Established cellular oxygen-glucose deprivation/reoxygenation and middle cerebral artery occlusion (MCAO) animal models.
  • Utilized quantitative real-time PCR, Western blot, immunofluorescence, and immunohistochemistry to assess protein expression and localization.
  • Employed co-immunoprecipitation, ELISA, flow cytometry, and TTC staining to analyze protein interactions, inflammatory markers, microglial polarization, and infarct volume.

Main Results:

  • LL37 directly binds and degrades CCDC50, disrupting CCDC50-STING interaction and activating the STING/IRF3 pathway.
  • CCDC50 enhances autophagy, suppresses the STING/IRF3 pathway, and promotes M2 microglial polarization.
  • CCDC50 alleviates neuronal damage by reducing inflammation and M1 microglial phenotype, an effect counteracted by LL37.

Conclusions:

  • CCDC50 exerts a protective role in cerebral IRI by enhancing autophagy and suppressing the STING/IRF3 pathway.
  • LL37 antagonizes CCDC50's protective effects through protein degradation, highlighting a novel regulatory axis.
  • Targeting the CCDC50-LL37 interaction presents a promising therapeutic strategy for ischemic stroke.

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