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Restoring cardiolipin homeostasis mitigates cerebral ischemia-reperfusion injury by suppressing ATG5-mediated neuronal autophagy-dependent ferroptosis - PubMed

5 hours ago
  • #Autophagy
  • #Ferroptosis
  • #Cardiolipin
  • Cardiolipin (CL) homeostasis is crucial in mitigating cerebral ischemia-reperfusion (I/R) injury.
  • CL depletion and acyl chain remodeling occur in peri-infarct brain tissues post I/R injury.
  • Extracellular vesicles (EVs) contribute to CL loss; inhibiting EV release restores neuronal CL levels.
  • SS-31 peptide inhibits CL release, preserves CL content, and restores CL homeostasis.
  • Restoring CL homeostasis attenuates I/R injury by suppressing neuronal ferroptosis.
  • SS-31 downregulates autophagy-associated genes, with ATG5 as a key target.
  • Activating autophagy or overexpressing ATG5 reverses SS-31's protective effects.
  • Plasma CL levels in stroke patients correlate with 90-day functional outcomes.
  • SS-31 offers a novel therapeutic avenue for stroke by targeting CL homeostasis and autophagy-dependent ferroptosis.