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Blocking P2RX7 Attenuates Ferroptosis in Endothelium and Reduces HG-induced Hemorrhagic Transformation After MCAO by Inhibiting ERK1/2 and P53 Signaling Pathways

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A Correction to this article was published on 23 November 2022

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Abstract

Hyperglycemia is a risk factor for poor prognosis after acute ischemic stroke and promote the occurrence of hemorrhagic transformation (HT). The activation of P2RX7 play an important role in endotheliocyte damage and BBB disruption. Ferroptosis is a novel pattern of programmed cell death caused by the accumulation of intracellular iron and lipid peroxidation, resulting in ROS production and cell death. This study is to explore the mechanism of P2RX7 in reducing HT pathogenesis after acute ischemic stroke through regulating endotheliocyte ferroptosis. Male SD rats were performed to establish middle cerebral artery occlusion (MCAO) model injected with 50% high glucose (HG) and HUVECs were subjected to OGD/R treated with high glucose (30 mM) for establishing HT model in vivo and in vitro. P2RX7 inhibitor (BBG), and P2RX7 small interfering RNAs (siRNA) were used to investigate the role of P2RX7 in BBB after MCAO in vivo and OGD/R in vitro, respectively. The neurological deficits, infarct volume, degree of intracranial hemorrhage, integrity of the BBB, immunoblotting, and immunofluorescence were evaluated at 24 h after MCAO. Our study found that the level of P2RX7 was gradually increased after MCAO and/or treated with HG. Our results showed that treatment with HG after MCAO can aggravate neurological deficits, infarct volume, oxidative stress, iron accumulation, and BBB injury in HT model, and HG-induced HUVECs damage. The inhibition of P2RX7 reversed the damage effect of HG, significantly downregulated the expression level of P53, HO-1, and p-ERK1/2 and upregulated the level of SLC7A11 and GPX4, which implicated that P2RX7 inhibition could attenuate oxidative stress and ferroptosis of endothelium in vivo and in vitro. Our data provided evidence that the P2RX7 play an important role in HG-associated oxidative stress, endothelial damage, and BBB disruption, which regulates HG-induced HT by ERK1/2 and P53 signaling pathways after MCAO.

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Acknowledgements

We are grateful to Wei Wang at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology for the experimental advice.

Funding

This article was supported by grants from the National Natural Science Foundation of China (Nos. 81971870 and No. 82172173).

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  1. Chengli Liu and Qi Tian contributed equally to the manuscript.

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  1. Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, 430060, Hubei, People’s Republic of China

    Chengli Liu, Qi Tian, Jianfeng Wang, Peibang He, Shoumeng Han, Yujia Guo, Chen Yang, Guijun Wang, Heng Wei & Mingchang Li

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  9. Heng Wei
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Contributions

CL-L and QT designed and complete the study, conducted data analysis, and prepared the manuscript. JF-W, PB–H, YJ-G, CY, GJ-W, SM-H, and HW built MCAO models of rats and cultured HUVECs. MC-L reviewed and revised the manuscript.

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Correspondence to Mingchang Li.

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All institutional and national guidelines for the care and use of laboratory animals were followed during the experiments. All procedures performed in this study observed the ethical standards of the Renmin Hospital of Wuhan University.

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The authors declare no competing interests.

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Liu, C., Tian, Q., Wang, J. et al. Blocking P2RX7 Attenuates Ferroptosis in Endothelium and Reduces HG-induced Hemorrhagic Transformation After MCAO by Inhibiting ERK1/2 and P53 Signaling Pathways. Mol Neurobiol 60, 460–479 (2023). https://doi.org/10.1007/s12035-022-03092-y

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