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pmid:40624500

Vagus nerve stimulation inhibits pyroptosis and improves outcome of cerebral ischemic stroke by upregulating osteopontin (SPP1) to disturb ASC oligomerization.

Jun Wen · Hao Tang · Ling Wang · Qinghuan Yang · Yong Zhao · Yu Ren · Ting Qin · Xuemei Li · Jianfeng Xu · Gongwei Jia · Qin Yang

BMC medicine · 2025 doi:10.1186/s12916-025-04242-4

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Experiment

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Vagus nerve stimulation inhibits pyroptosis and improves outcome of cerebral ischemic stroke by upregulating osteopontin (SPP1) to disturb ASC oligomerization.
doi
10.1186/s12916-025-04242-4
pmid
40624500
authors array · 11 items
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Jun Wen
[1]
Hao Tang
[2]
Ling Wang
[3]
Qinghuan Yang
[4]
Yong Zhao
[5]
Yu Ren
[6]
Ting Qin
[7]
Xuemei Li
[8]
Jianfeng Xu
[9]
Gongwei Jia
[10]
Qin Yang
journal
BMC medicine
year
2025
abstract
BACKGROUND: Vagus nerve stimulation (VNS) brings new hope for handling stroke. Our previous study confirmed that VNS could reduce neuronal pyroptosis and improve stroke prognosis. However, how VNS suppresses pyroptosis remains poorly understood. Osteopontin (OPN,SPP1) plays a neuroprotective role. Therefore, this study aims to determine whether vagus nerve stimulation (VNS) inhibits pyroptosis and promotes recovery from cerebral ischemic injury through osteopontin (OPN), and to elucidate the mechanisms by which OPN regulates pyroptosis. METHODS: Acute ischemic stroke (AIS) patients and healthy controls were recruited. The middle cerebral artery ischemia-reperfusion (MCAO/R) model of rats in vivo, the oxygen-glucose deprivation and reperfusion (OGD/R) and lipopolysaccharide (LPS) + adenosine triphosphate (ATP) models of microglia in vitro were established. Gene analysis of GEO public dataset (GSE61616), analysis of proteomics, western blotting, Co-immunoprecipitation (Co-IP) analysis, immunofluorescence staining, ELISA, TTC staining, TUNEL staining, transmission electron microscopy (TEM), scanning electron microscopy (SEM) and neurological function score were used to examinate expressions or concentrations of osteopontin, pyroptosis-related molecules, OPN-ASC interaction, infarct volume, neurological function, cell membrane pore, respectively. RESULTS: In MCAO/R rats and AIS patients, osteopontin levels were elevated. Intranasally administered recombinant osteopontin (rOPN) and VNS reduced pyroptosis and improved neurological deficits. VNS upregulated osteopontin expression in MCAO/R rats and AIS patients. Small interfering OPN RNA (siOPN) reversed effects of VNS on pyroptosis and outcome of MCAO/R injury in rats. The binding energy of OPN and ASC was -11.7 kcal/mol. LPS + ATP enhanced OPN-ASC interaction, and rOPN interfered with ASC oligomerization. Conditioned medium of microglia treated with rOPN reversed LPS + ATP-induced neruonal injury. Collectively, OPN may serve as a potential mediator through which VNS inhibits pyroptosis and improves the outcome of ischemic stroke, thereby representing a promising therapeutic target for stroke treatment. CONCLUSIONS: These findings suggest that VNS alleviates pyroptosis and improves the outcome of cerebral ischemic stroke by upregulating osteopontin (OPN), which interferes with ASC oligomerization.
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Data normality was assessed using the Shapiro–Wilk test. For comparisons between two groups, a two-tailed unpaired Student’s t-test was applied. For comparisons involving more than two groups, one-way analysis of variance (ANOVA) was performed, followed by Tukey’s multiple comparisons test as the post-hoc analysis.
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sections[21] "Statistical analysis" paragraph 2
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Data normality was assessed using the Shapiro–Wilk test. For comparisons between two groups, a two-tailed unpaired Student’s t-test was applied. For comparisons involving more than two groups, one-way analysis of variance (ANOVA) was performed, followed by Tukey’s multiple comparisons test as the post-hoc analysis.
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We would like to clarify that the proteomics dataset generated in this study is currently being used in additional unpublished studies. As such, the data are not publicly available at this stage, but are available from the corresponding author upon reasonable request and will be made publicly accessible following the publication of those subsequent studies.
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We would like to clarify that the proteomics dataset generated in this study is currently being used in additional unpublished studies. As such, the data are not publicly available at this stage, but are available from the corresponding author upon reasonable request and will be made publicly accessible following the publication of those subsequent studies.
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These findings suggest that VNS alleviates pyroptosis and improves the outcome of cerebral ischemic stroke by upregulating osteopontin (OPN), which interferes with ASC oligomerization.
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These findings suggest that VNS alleviates pyroptosis and improves the outcome of cerebral ischemic stroke by upregulating osteopontin (OPN), which interferes with ASC oligomerization.
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Our previous study confirmed that VNS could reduce neuronal pyroptosis and improve stroke prognosis. However, how VNS suppresses pyroptosis remains poorly understood. Osteopontin (OPN,SPP1) plays a neuroprotective role. Therefore, this study aims to determine whether vagus nerve stimulation (VNS) inhibits pyroptosis and promotes recovery from cerebral ischemic injury through osteopontin (OPN), and to elucidate the mechanisms by which OPN regulates pyroptosis.\nMETHODS: Acute ischemic stroke (AIS) patients and healthy controls were recruited. The middle cerebral artery ischemia-reperfusion (MCAO/R) model of rats in vivo, the oxygen-glucose deprivation and reperfusion (OGD/R) and lipopolysaccharide (LPS) + adenosine triphosphate (ATP) models of microglia in vitro were established. Gene analysis of GEO public dataset (GSE61616), analysis of proteomics, western blotting, Co-immunoprecipitation (Co-IP) analysis, immunofluorescence staining, ELISA, TTC staining, TUNEL staining, transmission electron microscopy (TEM), scanning electron microscopy (SEM) and neurological function score were used to examinate expressions or concentrations of osteopontin, pyroptosis-related molecules, OPN-ASC interaction, infarct volume, neurological function, cell membrane pore, respectively.\nRESULTS: In MCAO/R rats and AIS patients, osteopontin levels were elevated. Intranasally administered recombinant osteopontin (rOPN) and VNS reduced pyroptosis and improved neurological deficits. VNS upregulated osteopontin expression in MCAO/R rats and AIS patients. Small interfering OPN RNA (siOPN) reversed effects of VNS on pyroptosis and outcome of MCAO/R injury in rats. The binding energy of OPN and ASC was -11.7 kcal/mol. LPS + ATP enhanced OPN-ASC interaction, and rOPN interfered with ASC oligomerization. Conditioned medium of microglia treated with rOPN reversed LPS + ATP-induced neruonal injury. Collectively, OPN may serve as a potential mediator through which VNS inhibits pyroptosis and improves the outcome of ischemic stroke, thereby representing a promising therapeutic target for stroke treatment.\nCONCLUSIONS: These findings suggest that VNS alleviates pyroptosis and improves the outcome of cerebral ischemic stroke by upregulating osteopontin (OPN), which interferes with ASC oligomerization.", "claims": [{"id": "claim-method", "statement": "Data normality was assessed using the Shapiro–Wilk test. For comparisons between two groups, a two-tailed unpaired Student’s t-test was applied. 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