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Publication : Inhibition of the LRRC8A channel promotes microglia/macrophage phagocytosis and improves outcomes after intracerebral hemorrhagic stroke.

First Author  Liu J Year  2022
Journal  iScience Volume  25
Issue  12 Pages  105527
PubMed ID  36465125 Mgi Jnum  J:332006
Mgi Id  MGI:7407787 Doi  10.1016/j.isci.2022.105527
Citation  Liu J, et al. (2022) Inhibition of the LRRC8A channel promotes microglia/macrophage phagocytosis and improves outcomes after intracerebral hemorrhagic stroke. iScience 25(12):105527
abstractText  Promoting microglial/macrophage (M/Mphi) phagocytosis accelerates hematoma clearance and improves the prognosis of intracerebral hemorrhagic stroke (ICH). Cation channels such as Piezo1 modulate bacterial clearance by regulating M/Mphi. Whether LRRC8A, an anion channel, affects M/Mphi erythrophagocytosis and functional recovery after ICH was investigated here. We found that LRRC8A is highly expressed on M/Mphi in the perihematomal region of ICH mice. Conditional knockout of Lrrc8a in M/Mphi or treatment with an LRRC8A channel blocker accelerated hematoma clearance, reduced neuronal death, and improved functional recovery after ICH. Mechanistically, the LRRC8A channel inhibition promoted M/Mphi phagocytosis by activating AMP-activated protein kinase (AMPK), thereby inducing nuclear translocation of nuclear factor-erythroid 2 related factor 2 (Nrf2) and increasing Cd36 transcription. Our findings illuminate the regulation of M/Mphi phagocytosis by the LRRC8A channel via the AMPK-Nrf2-CD36 pathway after ICH, suggesting that LRRC8A is a potential target for hematoma clearance in ICH treatment.
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