PMID- 38230623 OWN - NLM STAT- MEDLINE DCOM- 20240222 LR - 20240417 IS - 1554-6578 (Electronic) IS - 0022-3069 (Print) IS - 0022-3069 (Linking) VI - 83 IP - 3 DP - 2024 Feb 21 TI - YTHDF2-regulated matrilin-3 mitigates post-reperfusion hemorrhagic transformation in ischemic stroke via the PI3K/AKT pathway. PG - 194-204 LID - 10.1093/jnen/nlad102 [doi] AB - Hemorrhagic transformation can complicate ischemic strokes after recanalization treatment within a time window that requires early intervention. To determine potential therapeutic effects of matrilin-3, rat cerebral ischemia-reperfusion was produced using transient middle cerebral artery occlusion (tMCAO); intracranial hemorrhage and infarct volumes were assayed through hemoglobin determination and 2,3,5-triphenyltetrazoliumchloride (TTC) staining, respectively. Oxygen-glucose deprivation (OGD) modeling of ischemia was performed on C8-D1A cells. Interactions between matrilin-3 and YTH N6-methyladenosine RNA binding protein F2 (YTHDF2) were determined using RNA immunoprecipitation assay and actinomycin D treatment. Reperfusion after tMCAO modeling increased hemorrhage, hemoglobin content, and infarct volumes; these were alleviated by matrilin treatment. Matrilin-3 was expressed at low levels and YTHDF2 was expressed at high levels in ischemic brains. In OGD-induced cells, matrilin-3 was negatively regulated by YTHDF2. Matrilin-3 overexpression downregulated p-PI3K/PI3K, p-AKT/AKT, ZO-1, VE-cadherin and occludin, and upregulated p-JNK/JNK in ischemic rat brains; these effects were reversed by LY294002 (a PI3K inhibitor). YTHDF2 knockdown inactivated the PI3K/AKT pathway, inhibited inflammation and decreased blood-brain barrier-related protein levels in cells; these effects were reversed by matrilin-3 deficiency. These results indicate that YTHDF2-regulated matrilin-3 protected ischemic rats against post-reperfusion hemorrhagic transformation via the PI3K/AKT pathway and that matrilin may have therapeutic potential in ischemic stroke. CI - (c) The Author(s) 2024. Published by Oxford University Press on behalf of American Association of Neuropathologists, Inc. FAU - Chen, Hanze AU - Chen H AD - Department of Neurology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou City, Zhejiang Province, China. FAU - Guo, Siping AU - Guo S AD - Department of Neurology, Dushu Lake Hospital Affiliated to Soochow University, Suzhou City, Jiangsu Province, China. FAU - Li, Runnan AU - Li R AD - Department of Neurology, Dushu Lake Hospital Affiliated to Soochow University, Suzhou City, Jiangsu Province, China. FAU - Yang, Lihui AU - Yang L AD - Department of Neurology, Dushu Lake Hospital Affiliated to Soochow University, Suzhou City, Jiangsu Province, China. FAU - Wang, Rui AU - Wang R AD - Department of Neurology, Dushu Lake Hospital Affiliated to Soochow University, Suzhou City, Jiangsu Province, China. FAU - Jiang, Yasi AU - Jiang Y AD - Department of Neurology, Dushu Lake Hospital Affiliated to Soochow University, Suzhou City, Jiangsu Province, China. FAU - Hao, Yonggang AU - Hao Y AD - Department of Neurology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou City, Zhejiang Province, China. AD - Department of Neurology, Dushu Lake Hospital Affiliated to Soochow University, Suzhou City, Jiangsu Province, China. LA - eng GR - LY19H090016/Zhejiang Provincial Natural Science Found/ PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Neuropathol Exp Neurol JT - Journal of neuropathology and experimental neurology JID - 2985192R RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - 0 (Matrilin Proteins) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - 0 (Transcription Factors) RN - 0 (Hemoglobins) RN - 0 (Neuroprotective Agents) SB - IM MH - Rats MH - Animals MH - Proto-Oncogene Proteins c-akt/metabolism MH - Matrilin Proteins/pharmacology/therapeutic use MH - Phosphatidylinositol 3-Kinases/metabolism MH - *Ischemic Stroke MH - Signal Transduction MH - Rats, Sprague-Dawley MH - *Brain Ischemia/metabolism MH - Hemorrhage MH - Infarction, Middle Cerebral Artery/complications/drug therapy/metabolism MH - *Reperfusion Injury/drug therapy/metabolism MH - Transcription Factors MH - Reperfusion MH - Hemoglobins/pharmacology/therapeutic use MH - *Neuroprotective Agents/therapeutic use PMC - PMC10880072 OTO - NOTNLM OT - Blood-brain barrier OT - Hemorrhagic transformation OT - Ischemic stroke OT - Matrilin-3 OT - PI3K/AKT signaling pathway OT - YTH N6-methyladenosine RNA binding protein F2 COIS- The authors have no duality or conflicts of interest to declare. EDAT- 2024/01/17 06:42 MHDA- 2024/02/22 06:42 PMCR- 2024/01/16 CRDT- 2024/01/17 05:54 PHST- 2024/02/22 06:42 [medline] PHST- 2024/01/17 06:42 [pubmed] PHST- 2024/01/17 05:54 [entrez] PHST- 2024/01/16 00:00 [pmc-release] AID - 7560304 [pii] AID - nlad102 [pii] AID - 10.1093/jnen/nlad102 [doi] PST - ppublish SO - J Neuropathol Exp Neurol. 2024 Feb 21;83(3):194-204. doi: 10.1093/jnen/nlad102.