Evidence map›Paper›PMID 41459500›Full record

ReviewFrontiers in immunology2025

Targeting glial cell pyroptosis and neuroinflammation in post-stroke depression: from molecular mechanisms to therapeutic strategies.

Xinyao Li, Yuanyuan Wei, Yuqing She, Wenjuan Long, Sitong Zhou, Mingqin Shi, Zihui Wang, Xuelian Zou, Jianqin Mao, Xiangdian Xiao and 2 more

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Xinyao Li *School of Basic Medical Sciences, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Yuanyuan Wei *School of Basic Medical Sciences, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Yuqing She *School of Basic Medical Sciences, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Wenjuan LongSchool of Basic Medical Sciences, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Sitong ZhouSchool of Basic Medical Sciences, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Mingqin ShiSchool of Basic Medical Sciences, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Zihui WangSchool of Basic Medical Sciences, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Xuelian ZouSchool of Basic Medical Sciences, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Jianqin MaoSchool of Basic Medical Sciences, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.
Xiangdian XiaoSchool of Traditional Chinese Medicine, Qujing University of Medicine & Health Sciences, Qujing, Yunnan, China.
Hongling ShiDepartment of Rehabilitation Medicine, The Third People's Hospital of Yunnan Province, Kunming, Yunnan, China.
Dongdong QinSchool of Basic Medical Sciences, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-stroke depression (PSD) represents a prevalent and debilitating sequela following cerebrovascular accidents, with its underlying pathophysiology intricately linked to neuroinflammatory processes. Emerging evidence implicates glial cell pyroptosis depending on Caspase-gasdermin D (Casp-GSDMD), orchestrated by the NLR family pyrin domain containing 3 (NLRP3) inflammasome-mediated inflammatory cascades, as a central mechanism in PSD pathogenesis. This review provides a comprehensive analysis of the molecular mechanisms governing glial cell pyroptosis and its dual role in PSD. Specifically, ischemia and hypoxia induce mitochondrial dysfunction and reactive oxygen species (ROS) accumulation, thereby promoting the release of pro-inflammatory cytokines, including IL-1β and IL-18, via the NLRP3/Caspase-1/GSDMD axis. This subsequently exacerbates neuroinflammation and disrupts the blood-brain barrier (BBB) integrity. Furthermore, aberrant activation of pyroptosis-related molecules can trigger neuronal death and impair synaptic plasticity, directly contributing to depressive symptoms. Consequently, therapeutic interventions targeting key nodes within the pyroptosis pathway, such as NLRP3, Caspase-1/4/11, and GSDMD, hold considerable promise, encompassing small molecule inhibitors, natural compounds, and combination therapies. This review synthesizes the multifaceted mechanisms of glial cell pyroptosis in PSD, highlighting the unique therapeutic potential of targeting the pyroptosis pathway to enhance post-stroke neurorepair and mitigate emotional disturbances. These findings may facilitate the identification of novel therapeutic targets and strategies for the diagnosis and management of PSD.

Indexed as

DepressionNeurogliaNeuroinflammatory DiseasesPyroptosisStrokeAnimalsHumansInflammasomesNLR Family, Pyrin Domain-Containing 3 ProteinInflammasomesNLR Family, Pyrin Domain-Containing 3 Proteinglial cell pyroptosismolecular mechanismsneuroinflammationpost-stroke depressiontherapeutic strategies

Identifiers

PMID41459500
PMCPMC12738342

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Registered trials

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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.