Abstract

Background: Subarachnoid hemorrhage (SAH) is a devastating disease which leads to high morbidity and mortality. Recent studies have indicated that, never in mitosis gene A-related expressed kinase 7 (NEK7), is involved in NLRP3 (NLR family, pyrin domain containing 3) associated inflammation, which may result in subsequent cellular and vascular damage. The aim of this study was to investigate whether NEK7 is involved in the pathophysiology of subarachnoid hemorrhage.Methods: 455 adult male C57B6J mice, weighing 22 to 30 g, were used to investigate the time course of NEK7 expression in the ipsilateral cortex after SAH, and to investigate the intrinsic function and mechanism of NEK7. A vascular puncture model was used to create the mouse SAH model, and intracerebroventricular injection was used to deliver NEK7 recombinant protein, NEK7 small interfering RNA, nigericin, and MCC950. Neurological score, brain water content, Evans blue extravasation, immunofluorescence, and western blot were evaluated for neurological outcome, neuronal apoptosis, blood-brain barrier damage, microglia accumulation, and the mechanism of NEK7 and NLRP3 activation.Results: Our results exhibited that intrinsic NEK7 was elevated after SAH in the cortex of the left/ipsilateral hemisphere and was colocalized with microglia, endothelial cells, neuron, astrocyte, and oligodendrocyte, and highly expressed in microglia and endothelial cells after SAH. NEK7 recombinant protein aggravated neurological deficits, brain edema, neuronal apoptosis, BBB permeability, microglial accumulation, and activated caspase-1 and IL-1β maturation, while NEK7 small interfering RNA injection reversed those effects. Nigericin administration enhanced ASC oligomerization, caspase-1 and IL-1β maturation without increasing the protein level of NLRP3, and ASC oligomerization and caspase-1 IL-1β maturation reduced when combined with NEK7 knockdown or MCC950 delivery. We found the level of NEK7 expression increased after SAH and could activate the downstream NLRP3 pathway to induce caspase-1, IL-1β expression and then increased the BBB opening, microglia accumulation and neuronal apoptosis after SAH.Conclusions: This study demonstrated for the first time that NEK7 mediated the harmful effects of neuronal apoptosis and BBB disruption after SAH, which may potentially be mediated by the NEK7/NLRP3 signal. NEK7 served as a co-component for NLRP3 inflammasome activation after SAH. NEK7 may be a promising target on the management of SAH patients.

Highlights

  • Despite years of efforts, early brain injury—the main contributor to the mortality and poor prognosis of patients after subarachnoid hemorrhage (SAH)—remains a catastrophic complication of a ruptured intracranial aneurysm [1]

  • Immunohistochemical staining in the sham group showed that NEK7 expression was colocalized with the NeuN, GFAP, Lectin, Iba-1, and nerve/glial antigen (NG) 2 in the left/ipsilateral cortex (Figure 1C)

  • We showed that NEK7 was expressed in microglia and was elevated after SAH, which in turn elicited neuronal apoptosis by activating NLRP3 and inducing Interleukin-1 beta (IL-1β) releasing

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Summary

Introduction

Early brain injury—the main contributor to the mortality and poor prognosis of patients after subarachnoid hemorrhage (SAH)—remains a catastrophic complication of a ruptured intracranial aneurysm [1]. The precise mechanism of neuronal apoptosis and BBB damage, remains elusive. The NLR family, pyrin domain containing 3 (NLRP3) inflammasome, consists of NLRP3, apoptosis-associated speck-like domain (ASC) and pro-caspase-1. It is a group of innate immune proteins considered to be sensors of pathogen- and damage- associated molecular patterns [3]. Our previous study showed NLRP3 activation increased BBB extravasation, tight junction protein degradation, as well as neuronal apoptosis after CNS injury [8, 9]. Recent studies have indicated that, never in mitosis gene A-related expressed kinase 7 (NEK7), is involved in NLRP3 (NLR family, pyrin domain containing 3) associated inflammation, which may result in subsequent cellular and vascular damage. The aim of this study was to investigate whether NEK7 is involved in the pathophysiology of subarachnoid hemorrhage

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