PMID- 36632219 OWN - NLM STAT- MEDLINE DCOM- 20230215 LR - 20231213 IS - 1838-7640 (Electronic) IS - 1838-7640 (Linking) VI - 13 IP - 2 DP - 2023 TI - Sigma-1 receptor-regulated efferocytosis by infiltrating circulating macrophages/microglial cells protects against neuronal impairments and promotes functional recovery in cerebral ischemic stroke. PG - 543-559 LID - 10.7150/thno.77088 [doi] AB - Background: Efferocytosis of apoptotic neurons by macrophages is essential for the resolution of inflammation and for neuronal protection from secondary damage. It is known that alteration of the Sigma-1 receptor (Sig-1R) is involved in the pathological development of some neurological diseases, including ischemic stroke. The present study aimed to investigate whether and how Sig-1R regulates the phagocytic activity of macrophages/microglia and its significance in neuroprotection and neurological function in stroke. Methods: The roles of Sig-1R in the efferocytosis activity of microglia/macrophages using bone marrow-derived macrophages (BMDMs) or using Sig-1R knockout mice subjected to transient middle artery occlusion (tMCAO)-induced stroke were investigated. The molecular mechanism of Sig-1R in the regulation of efferocytosis was also explored. Adoptive transfer of Sig-1R intact macrophages to recipient Sig-1R knockout mice with tMCAO was developed to observe its effect on apoptotic neuron clearance and stroke outcomes. Results: Depletion of Sig-1R greatly impaired the phagocytic activity of macrophages/microglia, accordingly with worsened brain damage and neurological defects in Sig-1R knockout mice subjected to tMCAO. Adoptive transfer of Sig-1R intact bone marrow-derived macrophages (BMDMs) to Sig-1R knockout mice restored the clearance activity of dead/dying neurons, reduced infarct area and neuroinflammation, and improved long-term functional recovery after cerebral ischemia. Mechanistically, Sig-1R-mediated efferocytosis was dependent on Rac1 activation in macrophages, and a few key sites of Rac1 in its binding pocket responsible for the interaction with Sig-1R were identified. Conclusion: Our data provide the first evidence of the pivotal role of Sig-1R in macrophage/microglia-mediated efferocytosis and elucidate a novel mechanism for the neuroprotection of Sig-1R in ischemic stroke. CI - (c) The author(s). FAU - Zhang, Gufang AU - Zhang G AD - Jiangsu Key Laboratory of Neuropsychiatric Diseases and Department of Pharmacology, College of Pharmaceutical Sciences, Soochow University, Suzhou, Jiangsu 215123, China. FAU - Li, Qi AU - Li Q AD - Jiangsu Key Laboratory of Neuropsychiatric Diseases and Department of Pharmacology, College of Pharmaceutical Sciences, Soochow University, Suzhou, Jiangsu 215123, China. FAU - Tao, Weijie AU - Tao W AD - Jiangsu Key Laboratory of Neuropsychiatric Diseases and Department of Pharmacology, College of Pharmaceutical Sciences, Soochow University, Suzhou, Jiangsu 215123, China. FAU - Qin, Pingping AU - Qin P AD - Jiangsu Key Laboratory of Neuropsychiatric Diseases and Department of Pharmacology, College of Pharmaceutical Sciences, Soochow University, Suzhou, Jiangsu 215123, China. FAU - Chen, Jiali AU - Chen J AD - Jiangsu Key Laboratory of Neuropsychiatric Diseases and Department of Pharmacology, College of Pharmaceutical Sciences, Soochow University, Suzhou, Jiangsu 215123, China. FAU - Yang, Huicui AU - Yang H AD - Jiangsu Key Laboratory of Neuropsychiatric Diseases and Department of Pharmacology, College of Pharmaceutical Sciences, Soochow University, Suzhou, Jiangsu 215123, China. FAU - Chen, Jiaojiao AU - Chen J AD - Jiangsu Key Laboratory of Neuropsychiatric Diseases and Department of Pharmacology, College of Pharmaceutical Sciences, Soochow University, Suzhou, Jiangsu 215123, China. FAU - Liu, Hua AU - Liu H AD - Department of Neurobiology, Hai'an Hospital of Traditional Chinese Medicine, Hai'an 226600, China. FAU - Dai, Qijun AU - Dai Q AD - Department of Neurobiology, Hai'an Hospital of Traditional Chinese Medicine, Hai'an 226600, China. FAU - Zhen, Xuechu AU - Zhen X AD - Jiangsu Key Laboratory of Neuropsychiatric Diseases and Department of Pharmacology, College of Pharmaceutical Sciences, Soochow University, Suzhou, Jiangsu 215123, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230101 PL - Australia TA - Theranostics JT - Theranostics JID - 101552395 SB - IM MH - Animals MH - Mice MH - *Ischemic Stroke/pathology MH - Macrophages/metabolism MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Microglia/metabolism MH - Neurons/pathology MH - *Apoptosis MH - *Neuroprotection MH - Sigma-1 Receptor PMC - PMC9830433 OTO - NOTNLM OT - Efferocytosis OT - Ischemic stroke OT - Macrophage/microglia OT - Rac1 OT - Sigma-1 receptor COIS- Competing Interests: The authors have declared that no competing interest exists. EDAT- 2023/01/13 06:00 MHDA- 2023/01/14 06:00 PMCR- 2023/01/01 CRDT- 2023/01/12 01:56 PHST- 2022/07/13 00:00 [received] PHST- 2022/12/05 00:00 [accepted] PHST- 2023/01/12 01:56 [entrez] PHST- 2023/01/13 06:00 [pubmed] PHST- 2023/01/14 06:00 [medline] PHST- 2023/01/01 00:00 [pmc-release] AID - thnov13p0543 [pii] AID - 10.7150/thno.77088 [doi] PST - epublish SO - Theranostics. 2023 Jan 1;13(2):543-559. doi: 10.7150/thno.77088. eCollection 2023.