Evidence map›Paper›PMID 41742164›Full record

ArticleJournal of translational medicine2026

PARK7-Nrf2 axis mitigates NLRP3-driven inflammation to rescue neurovascular unit from hypoxia/reoxygenation-induced necroptosis.

Zhiyuan Xie, Meifang Yang, Zhihan Liu, Zixuan Zhou, Zhiren Chen, Xia Zhang, Wenjuan Huang, Weiwei Chen, Shuqun Hu

Abstract read
In one paragraph

Article in Journal of translational medicine, 2026. 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

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

9 authors.

Zhiyuan Xie *Department of Gastrointestinal Surgery, XuZhou Central Hospital/XuZhou Clinical School of Xuzhou Medical University/Xuzhou Central Hospital, Southeast University, Xuzhou, Jiangsu Province, 221002, China.
Meifang Yang *Department of Neurology, XuZhou Central Hospital/XuZhou Clinical School of Xuzhou Medical University/Xuzhou Central Hospital, Southeast University/The Xuzhou School of Clinical Medicine of Nanjing Medical University, 199 Jiefang South Road, Xuzhou, Jiangsu Province, 221000, China.
Zhihan Liu *Department of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu Province, 221002, China.
Zixuan ZhouDepartment of Neurology, XuZhou Central Hospital/XuZhou Clinical School of Xuzhou Medical University/Xuzhou Central Hospital, Southeast University/The Xuzhou School of Clinical Medicine of Nanjing Medical University, 199 Jiefang South Road, Xuzhou, Jiangsu Province, 221000, China.
Zhiren ChenDepartment of Neurology, XuZhou Central Hospital/XuZhou Clinical School of Xuzhou Medical University/Xuzhou Central Hospital, Southeast University/The Xuzhou School of Clinical Medicine of Nanjing Medical University, 199 Jiefang South Road, Xuzhou, Jiangsu Province, 221000, China.
Xia ZhangDepartment of Neurology, XuZhou Central Hospital/XuZhou Clinical School of Xuzhou Medical University/Xuzhou Central Hospital, Southeast University/The Xuzhou School of Clinical Medicine of Nanjing Medical University, 199 Jiefang South Road, Xuzhou, Jiangsu Province, 221000, China.
Wenjuan HuangDepartment of Neurology, XuZhou Central Hospital/XuZhou Clinical School of Xuzhou Medical University/Xuzhou Central Hospital, Southeast University/The Xuzhou School of Clinical Medicine of Nanjing Medical University, 199 Jiefang South Road, Xuzhou, Jiangsu Province, 221000, China.
Weiwei Chen *Department of Neurology, XuZhou Central Hospital/XuZhou Clinical School of Xuzhou Medical University/Xuzhou Central Hospital, Southeast University/The Xuzhou School of Clinical Medicine of Nanjing Medical University, 199 Jiefang South Road, Xuzhou, Jiangsu Province, 221000, China. 178508782@qq.com.ORCID 0000-0001-7694-2684
Shuqun Hu *Laboratory of Emergency Medicine, Second Clinical Medical College of Xuzhou Medical University, Xuzhou, Jiangsu Province, 221002, China. hushuqun88@xzhmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the ischemic penumbra, necroptosis-induced inflammation exacerbates neurovascular unit (NVU) injury, though neuronal self-regulatory mechanisms are poorly understood. This study examined whether the PARK7–Nrf2 axis, a key antioxidant pathway, alleviates NLRP3-driven inflammation during necroptosis to protect the NVU.

methodsThis study integrated a rat middle cerebral artery occlusion/reperfusion (MCAO/R) model in vivo and an in vitro model of primary cortical neuronal necroptosis induced by oxygen-glucose deprivation/reoxygenation (OGD/R) combined with the pan-caspase inhibitor Q-VD-Oph. Lentivirus-mediated gene knockdown and overexpression, pharmacological interventions including specific inhibitors (Nec-1), activators (tBHQ), and the protein translation inhibitor CHX were employed. These were combined with molecular biology techniques such as Western blot, immunofluorescence, co-immunoprecipitation, and RT-qPCR to systematically dissect the role and regulatory mechanisms of PARK7.

resultsHypoxia/reoxygenation injury robustly activated neuronal necroptosis, which subsequently triggered the assembly and activation of the NLRP3 inflammasome, leading to NVU disruption. Notably, PARK7 expression was significantly upregulated post-hypoxia/reoxygenation. Mechanistically, PARK7 directly enhanced Nrf2 activation through a dual mechanism: facilitating the dissociation of Nrf2 from Keap1 and promoting its nuclear translocation, while simultaneously stabilizing the Nrf2 protein and reducing its degradation. Activated Nrf2 subsequently upregulated the expression of downstream antioxidant proteins NQO1 and HO-1. This PARK7-Nrf2 signaling axis effectively suppressed the NLRP3 inflammasome and its associated inflammatory cascade. Consequently, PARK7 overexpression significantly alleviated NVU damage, reduced cerebral infarct volume, and improved neurological function, whereas PARK7 knockdown exacerbated these injuries. The detrimental effects caused by PARK7 deficiency were reversed by the Nrf2 activator tBHQ.

conclusionThis study reveals that PARK7 activates the Nrf2/ARE pathway, via promoting Nrf2-Keap1 dissociation and stabilizing Nrf2, to inhibit necroptosis-driven NLRP3 inflammasome overactivation in the ischemic penumbra. This mechanism provides a novel regulatory pathway for inflammation and highlights the PARK7/Nrf2 axis as a therapeutic target to mitigate neurovascular unit injury, thereby extending the treatment window and enabling a combined recanalization-cytoprotection strategy with significant translational promise.

Indexed as

InflammationNecroptosisNF-E2-Related Factor 2NLR Family, Pyrin Domain-Containing 3 ProteinOxygenAnimalsCell HypoxiaMaleNeuronsRatsRats, Sprague-DawleyReperfusion InjurySignal TransductionNfe2l2 protein, ratNF-E2-Related Factor 2NLR Family, Pyrin Domain-Containing 3 ProteinOxygenAcute ischemic strokeNecroptosisNeurovascular unitNLRP3 inflammasomeNrf21PARK7

Identifiers

PMID41742164
PMCPMC13040751

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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.