Interleukin-18 interacts with NKCC1 to mediate brain injury after intracerebral hemorrhage

Interleukin 18 (IL-18), a proinflammatory cytokine, has been implicated in various neurological disorders, including cerebrovascular disease and psychiatric disorders. In a previous study, IL-18 was observed to activate microglia and enhance the inflammatory response following intracranial hemorrhag...

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Main Authors: Beibei Xu, Hao Li, He Zheng, Zhongyu Gao, Zhigang Miao, Xingshun Xu, Hao Yang, Yi Yang
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Brain, Behavior, & Immunity - Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666354624001686
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author Beibei Xu
Hao Li
He Zheng
Zhongyu Gao
Zhigang Miao
Xingshun Xu
Hao Yang
Yi Yang
author_facet Beibei Xu
Hao Li
He Zheng
Zhongyu Gao
Zhigang Miao
Xingshun Xu
Hao Yang
Yi Yang
author_sort Beibei Xu
collection DOAJ
description Interleukin 18 (IL-18), a proinflammatory cytokine, has been implicated in various neurological disorders, including cerebrovascular disease and psychiatric disorders. In a previous study, IL-18 was observed to activate microglia and enhance the inflammatory response following intracranial hemorrhage (ICH). However, the underlying mechanism remains unclear. In the present study, we found that IL-18 and IL-18 receptor (IL-18 R) are primarily secreted by neurons during the early stages after ICH, with microglia becoming the predominant source at 12–24 h after ICH. Meanwhile, the expression level of IL-18 R increased following ICH, along with an augmentation in the binding affinity of IL-18 R to IL-18. Subsequently, the deficiency of IL-18 R mitigated neurological impairment and subsequent activation of inflammatory pathways in mice post-ICH. Moreover, our findings suggest that IL-18-induced neurological injury after ICH may be mediated by the interaction between IL18R and NKCC1. Significantly, the NKCC1 inhibitor rescued the neurologic injury after ICH. In conclusion, our study suggests that targeting the IL-18/IL-18R/NKCC1 pathway could be an effective therapeutic strategy to attenuate secondary brain injury after ICH.
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issn 2666-3546
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publisher Elsevier
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series Brain, Behavior, & Immunity - Health
spelling doaj-art-fb00d284fd4b49019758d599740d1e6f2025-08-20T02:51:14ZengElsevierBrain, Behavior, & Immunity - Health2666-35462024-12-014210089010.1016/j.bbih.2024.100890Interleukin-18 interacts with NKCC1 to mediate brain injury after intracerebral hemorrhageBeibei Xu0Hao Li1He Zheng2Zhongyu Gao3Zhigang Miao4Xingshun Xu5Hao Yang6Yi Yang7Departments of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, ChinaDepartments of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China; Departments of Neurology, The Fourth Affiliated Hospital of Soochow University, Suzhou, Jiangsu, ChinaDepartments of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, ChinaComputer Science and Engineering, University of California Davis, One Shields Avenue, Davis, CA, 95616, USAInstitute of Neuroscience, Soochow University, Suzhou, Jiangsu, ChinaDepartments of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China; Institute of Neuroscience, Soochow University, Suzhou, Jiangsu, China; Corresponding author. Departments of Neurology, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.Department of Fetology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China; Corresponding author.Departments of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China; Corresponding author.Interleukin 18 (IL-18), a proinflammatory cytokine, has been implicated in various neurological disorders, including cerebrovascular disease and psychiatric disorders. In a previous study, IL-18 was observed to activate microglia and enhance the inflammatory response following intracranial hemorrhage (ICH). However, the underlying mechanism remains unclear. In the present study, we found that IL-18 and IL-18 receptor (IL-18 R) are primarily secreted by neurons during the early stages after ICH, with microglia becoming the predominant source at 12–24 h after ICH. Meanwhile, the expression level of IL-18 R increased following ICH, along with an augmentation in the binding affinity of IL-18 R to IL-18. Subsequently, the deficiency of IL-18 R mitigated neurological impairment and subsequent activation of inflammatory pathways in mice post-ICH. Moreover, our findings suggest that IL-18-induced neurological injury after ICH may be mediated by the interaction between IL18R and NKCC1. Significantly, the NKCC1 inhibitor rescued the neurologic injury after ICH. In conclusion, our study suggests that targeting the IL-18/IL-18R/NKCC1 pathway could be an effective therapeutic strategy to attenuate secondary brain injury after ICH.http://www.sciencedirect.com/science/article/pii/S2666354624001686Interleukin-18Intracerebral hemorrhageBrain injuryMicrogliaNKCC1
spellingShingle Beibei Xu
Hao Li
He Zheng
Zhongyu Gao
Zhigang Miao
Xingshun Xu
Hao Yang
Yi Yang
Interleukin-18 interacts with NKCC1 to mediate brain injury after intracerebral hemorrhage
Brain, Behavior, & Immunity - Health
Interleukin-18
Intracerebral hemorrhage
Brain injury
Microglia
NKCC1
title Interleukin-18 interacts with NKCC1 to mediate brain injury after intracerebral hemorrhage
title_full Interleukin-18 interacts with NKCC1 to mediate brain injury after intracerebral hemorrhage
title_fullStr Interleukin-18 interacts with NKCC1 to mediate brain injury after intracerebral hemorrhage
title_full_unstemmed Interleukin-18 interacts with NKCC1 to mediate brain injury after intracerebral hemorrhage
title_short Interleukin-18 interacts with NKCC1 to mediate brain injury after intracerebral hemorrhage
title_sort interleukin 18 interacts with nkcc1 to mediate brain injury after intracerebral hemorrhage
topic Interleukin-18
Intracerebral hemorrhage
Brain injury
Microglia
NKCC1
url http://www.sciencedirect.com/science/article/pii/S2666354624001686
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