Perspectives on the mechanism of pyroptosis after intracerebral hemorrhage

Intracerebral hemorrhage (ICH) is a highly harmful neurological disorder with high rates of mortality, disability, and recurrence. However, effective therapies are not currently available. Secondary immune injury and cell death are the leading causes of brain injury and a poor prognosis. Pyroptosis...

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Main Authors: Dengpan Song, Chi-Tai Yeh, Jian Wang, Fuyou Guo
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.989503/full
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author Dengpan Song
Chi-Tai Yeh
Jian Wang
Jian Wang
Fuyou Guo
author_facet Dengpan Song
Chi-Tai Yeh
Jian Wang
Jian Wang
Fuyou Guo
author_sort Dengpan Song
collection DOAJ
description Intracerebral hemorrhage (ICH) is a highly harmful neurological disorder with high rates of mortality, disability, and recurrence. However, effective therapies are not currently available. Secondary immune injury and cell death are the leading causes of brain injury and a poor prognosis. Pyroptosis is a recently discovered form of programmed cell death that differs from apoptosis and necrosis and is mediated by gasdermin proteins. Pyroptosis is caused by multiple pathways that eventually form pores in the cell membrane, facilitating the release of inflammatory substances and causing the cell to rupture and die. Pyroptosis occurs in neurons, glial cells, and endothelial cells after ICH. Furthermore, pyroptosis causes cell death and releases inflammatory factors such as interleukin (IL)-1β and IL-18, leading to a secondary immune-inflammatory response and further brain damage. The NOD-like receptor protein 3 (NLRP3)/caspase-1/gasdermin D (GSDMD) pathway plays the most critical role in pyroptosis after ICH. Pyroptosis can be inhibited by directly targeting NLRP3 or its upstream molecules, or directly interfering with caspase-1 expression and GSDMD formation, thus significantly improving the prognosis of ICH. The present review discusses key pathological pathways and regulatory mechanisms of pyroptosis after ICH and suggests possible intervention strategies to mitigate pyroptosis and brain dysfunction after ICH.
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spelling doaj.art-d48ca5de22dd4bffb9d5d43a3cb5a6dd2022-12-22T03:20:58ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-09-011310.3389/fimmu.2022.989503989503Perspectives on the mechanism of pyroptosis after intracerebral hemorrhageDengpan Song0Chi-Tai Yeh1Jian Wang2Jian Wang3Fuyou Guo4Department of Neurosurgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Medical Research and Education, Shuang Ho Hospital, Taipei Medical University, New Taipei City, TaiwanDepartment of Pain Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Human Anatomy, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, ChinaDepartment of Neurosurgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaIntracerebral hemorrhage (ICH) is a highly harmful neurological disorder with high rates of mortality, disability, and recurrence. However, effective therapies are not currently available. Secondary immune injury and cell death are the leading causes of brain injury and a poor prognosis. Pyroptosis is a recently discovered form of programmed cell death that differs from apoptosis and necrosis and is mediated by gasdermin proteins. Pyroptosis is caused by multiple pathways that eventually form pores in the cell membrane, facilitating the release of inflammatory substances and causing the cell to rupture and die. Pyroptosis occurs in neurons, glial cells, and endothelial cells after ICH. Furthermore, pyroptosis causes cell death and releases inflammatory factors such as interleukin (IL)-1β and IL-18, leading to a secondary immune-inflammatory response and further brain damage. The NOD-like receptor protein 3 (NLRP3)/caspase-1/gasdermin D (GSDMD) pathway plays the most critical role in pyroptosis after ICH. Pyroptosis can be inhibited by directly targeting NLRP3 or its upstream molecules, or directly interfering with caspase-1 expression and GSDMD formation, thus significantly improving the prognosis of ICH. The present review discusses key pathological pathways and regulatory mechanisms of pyroptosis after ICH and suggests possible intervention strategies to mitigate pyroptosis and brain dysfunction after ICH.https://www.frontiersin.org/articles/10.3389/fimmu.2022.989503/fullintracerebral hemorrhagepyroptosisinflammasomesecondary immune-inflammatory responsecaspase-1NLRP3
spellingShingle Dengpan Song
Chi-Tai Yeh
Jian Wang
Jian Wang
Fuyou Guo
Perspectives on the mechanism of pyroptosis after intracerebral hemorrhage
Frontiers in Immunology
intracerebral hemorrhage
pyroptosis
inflammasome
secondary immune-inflammatory response
caspase-1
NLRP3
title Perspectives on the mechanism of pyroptosis after intracerebral hemorrhage
title_full Perspectives on the mechanism of pyroptosis after intracerebral hemorrhage
title_fullStr Perspectives on the mechanism of pyroptosis after intracerebral hemorrhage
title_full_unstemmed Perspectives on the mechanism of pyroptosis after intracerebral hemorrhage
title_short Perspectives on the mechanism of pyroptosis after intracerebral hemorrhage
title_sort perspectives on the mechanism of pyroptosis after intracerebral hemorrhage
topic intracerebral hemorrhage
pyroptosis
inflammasome
secondary immune-inflammatory response
caspase-1
NLRP3
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.989503/full
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AT jianwang perspectivesonthemechanismofpyroptosisafterintracerebralhemorrhage
AT jianwang perspectivesonthemechanismofpyroptosisafterintracerebralhemorrhage
AT fuyouguo perspectivesonthemechanismofpyroptosisafterintracerebralhemorrhage