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作者:胡敬龙
单位:Nanjing Drum Tower Hospital

摘要

Background:Microglial phagocytosis helps regulate inflammation after ischemic stroke, but its regulation by protein lactylation remains unclear. This study investigated whether Rac1 lactylation modulates microglial function and contributes to neuroprotection.

Methods:Brain lactate was assessed using magnetic resonance spectroscopy in patients with ischemic stroke and tissue measurements in mice. Bioinformatics characterized the subcellular localization and functional characteristics of post-stroke lactylated proteins. Rac1 lactylation sites were investigated in BV2 cells and primary microglia using lactylation/delactylation models, Flag-Rac1 wild-type/mutant constructs, ¹³C₃-labeled sodium lactate, and high-performance liquid chromatography–mass spectrometry. Rac1 site-mutant mice underwent transient middle cerebral artery occlusion (tMCAO). Immunofluorescence for cleaved caspase-3, TMEM119, CD68, and LAMP1 assessed microglial apoptosis, morphology, and phagocytosis; behavioral and histopathological analyses evaluated neurological function and infarct volume.

Results:Lactate levels were elevated in patients and MCAO mice. Peri-infarct protein lactylation increased after tMCAO, correlated positively with lactate levels, and was most pronounced 24 hours after ischemia–reperfusion. Proteomic analysis identified Rac1 as a candidate. Rac1 predominantly localized to Iba1-positive microglia, with limited neuronal expression, and was lactylated in vivo and in vitro. Rac1 lactylation increased GTP-bound Rac1 and enhanced microglial phagocytosis. Rac1 site-mutant mice showed reduced Rac1 lactylation, larger infarcts, worse neurological deficits, and higher TNF, IL-6, and IL-1β expression. Mechanistic analyses suggested that lactylation reduced ubiquitination-dependent Rac1 degradation and promoted actin cytoskeletal remodeling.

Conclusions:Rac1 lactylation may confer neuroprotection by limiting Rac1 degradation, enhancing Rac1 activation, and promoting microglial phagocytosis. These findings identify Rac1 lactylation as a potential therapeutic target for ischemic brain injury.

Keywords: Rac1; Lactylation; Microglia; Ischemic stroke


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