Abstract
Background: Post-ischemic inflammation contributes to worsening of
ischemic brain injury and in this process, the inflammasomes play a key
role. Inflammasomes are cytosolic multiprotein complexes which upon
assembly activate the maturation and secretion of the inflammatory
cytokines IL-1β and IL-18. However, participation of the NLRP3
inflammasome in ischemic stroke remains controversial. Our aims were to
determine the role of NLRP3 in ischemia and to explore the mechanism
involved in the potential protective effect of the neurovascular unit.
Methods: WT and NLRP3 knock-out mice were subjected to ischemia by
middle cerebral artery occlusion (60 minutes) with or without treatment
with MCC950 at different time points post-stroke. Brain injury was
measured histologically with 2,3,5-triphenyltetrazolium chloride (TTC)
staining. Results: We identified a time-dependent dual effect of NLRP3.
While neither the pre-treatment with MCC950 nor the genetic approach
(NLRP3 KO) proved to be neuroprotective, post-reperfusion treatment with
MCC950 significantly reduced the infarct volume in a dose-dependent
manner. Importantly, MCC950 improved the neuro-motor function and
reduced the expression of different pro-inflammatory cytokines (IL-1β,
TNF-α), NLRP3 inflammasome components (NLRP3, pro-caspase-1), protease
expression (MMP9) and endothelial adhesion molecules (ICAM, VCAM). We
observed a marked protection of the blood-brain barrier (BBB), which was
also reflected in the recovery of the tight junctions proteins (ZO-1,
Claudin-5). Additionally, MCC950 produced a reduction of the CCL2
chemokine in blood serum and in brain tissue, which lead to a reduction
in the immune cell infiltration. Conclusions: These findings suggest
that post-reperfusion NLRP3 inhibition may be an effective acute therapy
for protecting the blood-brain barrier in cerebral ischemia with
potential clinical translation.