Sepsis-associated encephalopathy (SAE) often manifests in severe diffuse cerebral dysfunction due to an aberrant systemic immune response to infection. The underlying pathophysiology of SAE is not entirely understood but is likely a multifactorial process that involves disruption in cell death mechanism. Ferroptosis is a novel form of programmed cell death characterized by iron accumulation and lipid peroxidation, leading to inflammatory cascade and glutamate release. We hypothesized that ferroptosis is involved in the glutamate-mediated excitotoxic neuron injury during the uncontrolled neural inflammatory process of SAE. Inhibiting ferroptosis with ferrostatin-1 (Fer-1) could alleviate glutamate excitotoxicity and reduce neuron death of SAE, potentially improving prognosis. We found that in the cecal ligation and puncture (CLP) sepsis model, ferroptosis occurred increasingly in the cerebrum, characterized by glutathione-dependent antioxidant enzyme glutathione peroxidase 4 (GPX4) inactivation, transferrin upregulation, mitochondria shrink and malondialdehyde (MDA) increased. Fer-1 treatment downregulated cerebral ferroptosis and alleviated glutamate excitotoxicity via dampening system xc-(SXC) and glutamate receptor N-methyl-D-asperate receptor subunit 2. Combined with an observed reduction in calcium transporter PLCG and PLCB activation, these processes ultimately protected the integrities of synapses and neurons during SAE. Fer-1 treatment also rescued sepsis-induced nuclear autophagy and improved the behaviors of tail suspension test and novel object recognition test in septic mice. Conclusively, our results suggested that inhibition of ferroptosis could attenuate glutamate excitotoxicity and SAE outcomes.
基金:
National Natural Science Foundation of China [81772129, 81571891, 81801072]
语种:
外文
高被引:
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2021]版:
大类|2 区医学
小类|2 区外科3 区危重病医学3 区血液学3 区外周血管病
最新[2025]版:
大类|3 区医学
小类|3 区血液学3 区外周血管病3 区外科4 区危重病医学
JCR分区:
出版当年[2020]版:
Q2HEMATOLOGYQ2PERIPHERAL VASCULAR DISEASEQ2CRITICAL CARE MEDICINEQ2SURGERY
最新[2023]版:
Q1SURGERYQ2CRITICAL CARE MEDICINEQ2HEMATOLOGYQ2PERIPHERAL VASCULAR DISEASE
第一作者单位:[1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Emergency & Trauma Surg,Trauma Ctr, 1095,Jiefang Ave, Wuhan, Hubei, Peoples R China
通讯作者:
通讯机构:[1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Emergency & Trauma Surg,Trauma Ctr, 1095,Jiefang Ave, Wuhan, Hubei, Peoples R China[*1]HUST, Tongji Med Coll, Tongji Hosp, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China[*2]HUST, Tongji Med Coll, Tongji Hosp, Dept Emergency & Trauma Surg, 13 Hangkong Rd, Wuhan 430030, Hubei, Peoples R China
推荐引用方式(GB/T 7714):
Xie Zhenxing,Xu Mang,Xie Jie,et al.Inhibition of Ferroptosis Attenuates Glutamate Excitotoxicity and Nuclear Autophagy in a CLP Septic Mouse Model[J].SHOCK.2022,57(5):694-702.doi:10.1097/SHK.0000000000001893.
APA:
Xie, Zhenxing,Xu, Mang,Xie, Jie,Liu, Tao,Xu, Xie...&Liu, Xinghua.(2022).Inhibition of Ferroptosis Attenuates Glutamate Excitotoxicity and Nuclear Autophagy in a CLP Septic Mouse Model.SHOCK,57,(5)
MLA:
Xie, Zhenxing,et al."Inhibition of Ferroptosis Attenuates Glutamate Excitotoxicity and Nuclear Autophagy in a CLP Septic Mouse Model".SHOCK 57..5(2022):694-702