Evidence map›Paper›PMID 39981761›Full record

ArticleCNS neuroscience & therapeutics2025

Metrnl/C-KIT Axis Attenuates Early Brain Injury Following Subarachnoid Hemorrhage by Inhibiting Neuronal Ferroptosis.

You Zhou, Jiani Li, Ye Yuan, Hao Zhang, Xu Luo, Feng Wang, Yihao Tao, Jianhe Yue, Luyi Huang, Lei Wu and 3 more

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Article in CNS neuroscience & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

You ZhouDepartment of Critical Care Medicine, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Jiani LiDepartment of Neurology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Ye YuanDepartment of Neurosurgery, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Hao ZhangDepartment of Neurosurgery, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Xu LuoDepartment of Neurosurgery, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Feng WangDepartment of Neurosurgery, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Yihao TaoDepartment of Neurosurgery, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Jianhe YueDepartment of Neurosurgery, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Luyi HuangKey Laboratory of Molecular Biology for Diseases (Ministry of Education), Department of Infectious Diseases, Institute for Viral Hepatitis, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Lei WuDepartment of Neurology, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, China.
Yunxing CaoDepartment of Critical Care Medicine, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Qian YuDepartment of Neurosurgery, School of Medicine, The Second Affiliated Hospital, Zhejiang University, Hangzhou, Zhejiang, China.
Qiuguang HeDepartment of Neurosurgery, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.ORCID 0000-0001-8680-7670

Funding

Chongqing Medical Scientific Research Project 2023WSJK015Chongqing Natural Science Foundation CSTB2022BSXM-JCX0049Chongqing Postdoctoral Science Foundation CSTB2023NSCQ-BHX0046Chongqing Postdoctoral Science Foundation CSTB2023NSCQ-BHX0068Medical Scientific Research Project of the Chongqing Municipal Health Commission 2024QNXMO43National Nature Science Foundation of China 82402983
6 · The paper itself

Abstract

background and purposeFerroptosis is a distinct form of cell death characterized by iron-dependent lipid peroxidation and plays a crucial role in the early brain injury (EBI) following subarachnoid hemorrhage (SAH). As a newly discovered endogenous ligand for the C-KIT receptor tyrosine kinase, meteorin-like protein (Metrnl) exerts regulatory functions in oxidative stress and protects against various diseases. However, the specific role of the Metrnl/C-KIT axis in neuronal ferroptosis during EBI following SAH remains to be elucidated.

methodsSprague Dawley rats were used to establish the SAH model through endovascular perforation. r-Metrnl was administered intranasally 1 h after SAH. Metrnl shRNA, C-KIT inhibitor ISCK03, AMPK inhibitor dorsomorphin, and Nrf2 inhibitor ML385 were administered intracerebroventricularly or intraperitoneally before r-Metrnl treatment to explore the underlying mechanisms. Neurobehavioral assessments, immunofluorescence, western blot, ELISA, Fluoro-Jade C staining, transmission electron microscopy, and Nissl staining were conducted to evaluate the effects. Additionally, primary neuron culture with hemoglobin (Hb) stimulation was used for in vitro studies.

resultsPhosphorylated C-KIT and endogenous Metrnl levels were upregulated after SAH. Knockdown of Metrnl aggravated neurobehavioral deficits and neuronal ferroptosis, whereas r-Metrnl treatment showed a protective effect. Mechanistically, r-Metrnl significantly increased the protein levels of SLC7A11, GPX4, FTH, FSP1, and GSH, whereas it decreased the levels of ACSL4, 4HNE, and MDA in the ipsilateral hemisphere 24 h after SAH. Also, r-Metrnl reduced mitochondrial shrinkage, increased mitochondrial crista, and decreased membrane density. However, the beneficial effects of r-Metrnl were partially reversed by ISCK03, dorsomorphin, or ML385 treatment both in vivo and in vitro.

conclusionsOur study demonstrated that r-Metrnl reduced neuronal ferroptosis and improved neurological outcomes after SAH by modulating the C-KIT/AMPK/Nrf2 signaling pathway.

Indexed as

Brain InjuriesFerroptosisNeuronsProto-Oncogene Proteins c-kitSubarachnoid HemorrhageAnimalsMaleRatsRats, Sprague-DawleySignal TransductionProto-Oncogene Proteins c-kitC‐KITferroptosisMetrnlsubarachnoid hemorrhage

Identifiers

PMID39981761
PMCPMC11843251

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.