# Dysfunctional organelle-specific autophagy leads to brain ischemia-reperfusion injury

> **NIH NIH R01** · UNIVERSITY OF CALIFORNIA, SAN DIEGO · 2024 · $608,787

## Abstract

PROJECT SUMMARY: Transient cerebral ischemia occurs in various clinical scenarios, including transient
ischemic attack (TIA), cardiac arrest, hypovolemic shock, cardiac surgery, and medical conditions related to
brain edema or brain vasospasm. The majority of cerebral ischemia survivors experience long-term neurological
sequelae due to brain ischemia-reperfusion injury (IRI). The objective of the proposed research is to investigate
a novel mechanism of the dysfunctional mitophagy and the subsequent excessive accumulation of damaged
mitochondria (mito hereafter) after cerebral ischemia. These damaged mito release apoptotic factors and
reactive oxygen sciences (ROS) contributing to brain IRI.
 Mitophagy, a subtype of (macro)autophagy, selectively delivers damaged mito to lysosomes for
degradation. N-ethylmaleimide sensitive factor (NSF) is the sole ATPase for regulating cellular membrane fusion
events. We have found that NSF is deposited into inactive protein aggregates in neurons destined to die after
cerebral ischemia. These NSF-deficient neurons progressively accumulate with substantial amounts of damaged
mito and autophagic/mitophagic structures, suggesting that NSF is a crucial limiting factor for regulating
mitophagic degradation activity, i.e., mitophagic flux. Furthermore, we recently generated a novel neuron-specific
NSF-deficient mouse line. In the absence of brain ischemia, neurons of the NSF-deficient mice exhibit a
substantial accumulation of mitophagic structures and damaged mito, which subsequently leads to autonomous
neuronal death. This phenotype replicates major neuropathologic features observed in wildtype (wt) mice after
cerebral ischemia. Moreover, our recent studies have demonstrated that NSF-overexpression (overexp)
protected, while NSF-deficiency exacerbated brain IRI in the mouse model. Based on these discoveries, we
propose to test a novel hypothesis strongly supported by our data: NSF inactivation results in dysfunctional
mitophagy, leading to an excessive buildup of damaged mito after cerebral ischemia. These damaged mito
release apoptotic factors and ROS, contributing to brain IRI. We will test this hypothesis by investigating: (i)
whether, where, and why NSF inactivation disrupts the mitophagy pathway after cerebral ischemia using NSF-
deficient, NSF-overexp, and wt mice (Aim 1); and (ii) the mechanism responsible for the post-ischemic NSF
inactivation as well as the corresponding treatment strategies using pharmacological agents in the mouse
cerebral ischemia model. The proposed studies will help to: (i) determine if NSF inactivation induces brain IRI
via disrupting mitophagic degradation activity; (ii) distinguish the mitophagy-related and -unrelated impairments
that are explicitly caused by NSF inactivation from those affected by NSF-independent events; and (iii) discover
the mechanism and treatment strategies for alleviating NSF inactivation after cerebral ischemia. These studies
will provide the necessary foundati...

## Key facts

- **NIH application ID:** 10981122
- **Project number:** 1R01NS134895-01A1
- **Recipient organization:** UNIVERSITY OF CALIFORNIA, SAN DIEGO
- **Principal Investigator:** Bingren Hu
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $608,787
- **Award type:** 1
- **Project period:** 2024-08-01 → 2029-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10981122

## Citation

> US National Institutes of Health, RePORTER application 10981122, Dysfunctional organelle-specific autophagy leads to brain ischemia-reperfusion injury (1R01NS134895-01A1). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10981122. Licensed CC0.

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