1. Academic Validation
  2. Molecular mechanism of HDAC6-mediated pyroptosis in neurological function recovery after cardiopulmonary resuscitation in rats

Molecular mechanism of HDAC6-mediated pyroptosis in neurological function recovery after cardiopulmonary resuscitation in rats

  • Brain Res. 2024 Jul 10:1843:149121. doi: 10.1016/j.brainres.2024.149121.
Chunyan Chen 1 Zhuye Xia 2 Min Zhang 3 Yunshan Cao 4 Qingling Chen 5 Qinglian Cao 5 Xiang Li 2 Fan Jiang 6
Affiliations

Affiliations

  • 1 Department of Infectious Diseases, Minhang Hospital, Fudan University, Shanghai 201199, China.
  • 2 Department of Critical Care Medicine, Minhang Hospital, Fudan University, Shanghai 201199, China.
  • 3 Department of Pathology, Gansu Provincial Hospital, Lanzhou 730000, China.
  • 4 Department of Cardiology, Gansu Provincial Hospital, Lanzhou 730000, China.
  • 5 Department of Emergency Medicine, Minhang Hospital, Fudan University, Shanghai 201199, China.
  • 6 Department of Emergency Medicine, Minhang Hospital, Fudan University, Shanghai 201199, China. Electronic address: jiangfansh@163.com.
Abstract

Brain injury after cardiac arrest (CA) and cardiopulmonary resuscitation (CPR) is the leading cause of neurological dysfunction and death. This study aimed to explore the mechanism of histone deacetylase 6 (HDAC6) in neurofunctional recovery following CA/CPR in rats. A rat model was established by CA/CPR treatment. Adenovirus-packaged sh-HDAC6 was injected into the tail vein. To evaluate the neurofunction of rats, survival time, neurofunctional scores, serum NSE/S100B, and brain water content were measured and Morris water maze test was performed. HDAC6, MicroRNA (miR)-138-5p, Nod-like receptor protein 3 (NLRP3), and pyroptotic factor levels were determined by real-time quantitative polymerase chain reaction or Western blot assay. HDAC6 and H3K9ac enrichment on miR-138-5p promoter were examined by chromatin immunoprecipitation. miR-138-5p-NLRP3 binding was analyzed by dual-luciferase reporter assay. NLRP3 inflammasome was activated with nigericin sodium salt. After CPR treatment, HDAC6 was highly expressed, while miR-138-5p was downregulated. HDAC6 downregulation improved neurofunction and reduced Pyroptosis. HDAC6 enrichment on the miR-138-5p promoter deacetylated H3K9ac, inhibiting miR-138-5p, and promoting NLRP3-mediated Pyroptosis. Downregulating miR-138-5p partially reversed the protective effect of HDAC6 inhibition after CPR. In Conclusion, HDAC6 enrichment on miR-138-5p promoter deacetylated H3K9ac, inhibiting miR-138-5p expression and promoting NLRP3-mediated Pyroptosis, worsening neurological dysfunction in rats after CPR.

Keywords

Cardiopulmonary resuscitation; H3K9ac; HDAC6; NLRP3; Pyroptosis; miR-138-5p.

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