Evidence map›Paper›PMID 42059866›Full record

ArticleCNS neuroscience & therapeutics2026

Sestrin2 Mitigates Neuronal Ferroptosis Following Subarachnoid Hemorrhage via Orchestration of the AMPK/PGC1α/Nrf2 Signaling Axis.

Yi Zhang, Xichen Wan, Hongyan Zhang, Zhaoyan Chen, Shining Xiao, Wansong Wang, Jun Wang, Renli Zheng, Xiuping Chen, Youqing Yang

Abstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yi ZhangRehabilitation Medicine Center, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Xichen WanDepartment of Neurosurgery, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.ORCID https://orcid.org/0000-0002-5150-0473
Hongyan ZhangJiangxi University of Technology, Nanchang, Jiangxi, China.
Zhaoyan ChenRehabilitation Medicine Center, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Shining XiaoRehabilitation Medicine Center, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Wansong WangRehabilitation Medicine Center, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Jun WangRehabilitation Medicine Center, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Renli ZhengRehabilitation Medicine Center, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Xiuping ChenRehabilitation Medicine Center, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.ORCID https://orcid.org/0000-0002-4959-5805
Youqing YangRehabilitation Medicine Center, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.ORCID https://orcid.org/0009-0003-1705-2739

Funding

Jiangxi Provincial Graduate Innovation Fund Special Project YC2024-S057Jiangxi Provincial Health Commission Science and Technology Plan Project 202410175Jiangxi Provincial Science and Technology Plan Project of Traditional Chinese Medicine 2023B0362Key Project of Postgraduate Research Topics of Jiangxi Science Education Society 2025KXJYS095National Natural Science Foundation of China 82002401Natural Science Foundation of Jiangxi Province 20232BAB206066The Youth Talent Cultivation Project of the First Affiliated Hospital of Nanchang University YFYPY202281
6 · The paper itself

Abstract

backgroundEarly brain injury after subarachnoid hemorrhage (SAH) involves oxidative stress and ferroptosis. Sestrin2 (SESN2) regulates redox homeostasis, but its role in SAH-induced ferroptosis remains unclear.

methodsSAH was induced by internal carotid puncture; HT22 cells were hemin-treated. We assessed neurological deficits, brain edema, BBB integrity, iron levels, mitochondrial ultrastructure, and ferroptosis and signaling proteins by Western blot and immunofluorescence. SESN2 function was probed using knockdown, recombinant human SESN2 (rh-SESN2), and pathway inhibitors.

resultsrh-SESN2 improved neurological outcomes, attenuated iron accumulation, and preserved mitochondrial morphology after SAH. In HT22 cells, rh-SESN2 increased viability, decreased ROS and MDA, and partially restored SOD activity. rh-SESN2 upregulated GPX4, SLC7A11, and Nrf2 and its nuclear translocation, whereas SESN2 knockdown exacerbated ferroptosis and reduced these proteins. Mechanistically, SESN2 activated AMPK and upregulated PGC1α, facilitating Nrf2 nuclear translocation and inducing antiferroptotic proteins. Pathway inhibition established an AMPK/PGC1α/Nrf2 hierarchy: AMPK inhibition suppressed PGC1α and Nrf2 activation, PGC1α inhibition reduced Nrf2 translocation, and ML385 abrogated SESN2's protective effects.

conclusionSESN2 activates AMPK, which in turn upregulates PGC1α and promotes Nrf2 nuclear translocation, ultimately inhibiting neuronal ferroptosis after SAH. Targeting this AMPK/PGC1α/Nrf2 axis may provide a novel therapeutic approach for post-SAH neuroprotection.

Indexed as

AMP-Activated Protein KinasesFerroptosisNeuronsNF-E2-Related Factor 2Nuclear ProteinsPeroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alphaSubarachnoid HemorrhageAnimalsBrain EdemaCell LineHumansMiceSestrinsSignal TransductionAMP-Activated Protein KinasesNfe2l2 protein, mouseNF-E2-Related Factor 2Nuclear ProteinsPeroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alphaPpargc1a protein, mouseSESN2 protein, humanSesn2 protein, mouseSestrinsearly brain injuryferroptosisoxidative stressSESN2subarachnoid hemorrhage

Identifiers

PMID42059866
PMCPMC13131070

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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.