Received:25 February 2019,
Published:15 August 2019
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Yidan LIANG, Wang QIN, Hao HUANG, et al. Autophagy promotes neuronal ferroptosis by degrading ferritin and induces early brain injury after subarachnoid hemorrhage in rats[J]. Journal of Third Military Medical University, 2019, 41(15): 1407-1414.
Yidan LIANG, Wang QIN, Hao HUANG, et al. Autophagy promotes neuronal ferroptosis by degrading ferritin and induces early brain injury after subarachnoid hemorrhage in rats[J]. Journal of Third Military Medical University, 2019, 41(15): 1407-1414. DOI: 10.16016/j.1000-5404.201902124.
Objective
2
To determine the effect of suppressing autophagy on the recovery of early brain injury (EBI) after subarachnoid hemorrhage (SAH) in rats
and to reveal the mechanism in which autophagy promotes neuronal ferroptosis and then affects EBI.
Methods
2
SD rats were randomly divided into control group
SAH group
SAH+LV-ATG5 group and SAH+LV-Scramble group
with 12 animals in each group. Rat model of SAH were established by intravascular puncture. Lentiviral vector LV-ATG5 targeting autophagy-related gene 5 (ATG5) was constructed to inhibit autophagy. Immunofluorescence assay was used to detect the expression and location of ATG5
ferritin heavy polypeptide 1 (FTH1) and glutathione peroxidase 4 (GPX4) in neurons in 24 h after SAH establishment. The mRNA expression of ATG5 was detected by PCR
and the protein expression of ATG5
LC3Ⅱ/Ⅰ
FTH1 and GPX4 were detected by Western blotting. The changes of neuronal morphology and function were detected by Nissl staining
and neurological score and brain water content were also detected. Intracellular iron deposition
iron content
malonaldehyde (MDA) content and GPX4 activity were measured to evaluate the ferroptosis.
Results
2
Immunofluorescence assay showed that ATG5
FTH1 and GPX4 were widely expressed in the cytoplasm of cortical neurons after SAH. The results of PCR and Western blotting indicated that the expression of ATG5 at mRNA and protein levels
and LC3Ⅱ/Ⅰ at protein level was significantly decreased (
P
<
0.05)
and autophagy was successfully inhibited. When autophagy was inhibited
Nissl staining showed improvements on neuronal morphology and function
neurological function score was improved (
P
<
0.05)
and brain water content was decreased (
P
<
0.05). Western blot assay indicated that the expression le
vels of FTH1 and GPX4 were decreased after SAH (
P
<
0.05)
however
the levels were increased when autophagy was inhibited (
P
<
0.05). Furthermore
autophagy inhibition also reduced iron deposition
and cellular labile iron and MDA contents (
P
<
0.05)
and also elevated GSH content and GPX4 activity (
P
<
0.05).
Conclusion
2
Autophagy may promote neuronal ferroptosis by degrading ferritin
result in cellular labile iron increase
and finally early brain injury.
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