iScience (Dec 2022)

Inhibition of the LRRC8A channel promotes microglia/macrophage phagocytosis and improves outcomes after intracerebral hemorrhagic stroke

  • Jing Liu,
  • Danmin Shen,
  • Chao Wei,
  • Weihua Wu,
  • Zhaoli Luo,
  • Liye Hu,
  • Zhongnan Xiao,
  • Tingting Hu,
  • Qingyu Sun,
  • Xiaotong Wang,
  • Yumeng Ding,
  • Meng Liu,
  • Miaoyi Pang,
  • Kaiyuan Gai,
  • Yiran Ma,
  • Yichen Tian,
  • Yan Yu,
  • Peipei Wang,
  • Yun Guan,
  • Meng Xu,
  • Fei Yang,
  • Qian Li

Journal volume & issue
Vol. 25, no. 12
p. 105527

Abstract

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Summary: Promoting microglial/macrophage (M/Mφ) phagocytosis accelerates hematoma clearance and improves the prognosis of intracerebral hemorrhagic stroke (ICH). Cation channels such as Piezo1 modulate bacterial clearance by regulating M/Mφ. Whether LRRC8A, an anion channel, affects M/Mφ erythrophagocytosis and functional recovery after ICH was investigated here. We found that LRRC8A is highly expressed on M/Mφ in the perihematomal region of ICH mice. Conditional knockout of Lrrc8a in M/Mφ or treatment with an LRRC8A channel blocker accelerated hematoma clearance, reduced neuronal death, and improved functional recovery after ICH. Mechanistically, the LRRC8A channel inhibition promoted M/Mφ phagocytosis by activating AMP-activated protein kinase (AMPK), thereby inducing nuclear translocation of nuclear factor-erythroid 2 related factor 2 (Nrf2) and increasing Cd36 transcription. Our findings illuminate the regulation of M/Mφ phagocytosis by the LRRC8A channel via the AMPK-Nrf2-CD36 pathway after ICH, suggesting that LRRC8A is a potential target for hematoma clearance in ICH treatment.

Keywords