Edaravone, an
antioxidant protective agent, has anti-cerebral ischemic
reperfusion injury (CIRI) effects, but its anti-CIRI mechanism is unclear. The aim of this study is to investigate the anti-CIRI mechanism of
edaravone based on the nuclear factor-E2-related factor 2 (Nrf2)/
ferroportin (FPN) pathway that regulates ferroptosis-mediated
cerebral ischemia-
reperfusion injury. We evaluated the
brain injury by constructing a
middle cerebral artery occlusion and reperfusion (MCAO/R) model in rats. The results showed that
cerebral infarct volume and neurological impairment scores were increased in
cerebral ischemia-reperfusion rats, with impaired sensorimotor ability; furthermore, brain tissue
glutathione (GSH) content was decreased, Fe2+,
malondialdehyde (MDA) and lipide
peroxide (LPO) content were increased, and the expression level of
glutathione peroxidase 4 (GPX4), a key
protein of ferroptosis, was also decreased. Meanwhile, the Nrf2 expression level was increased and the FPN expression level was decreased after
cerebral ischemia-reperfusion, while the levels of
interleukin (IL)-6, IL-1β,
tumor necrosis factor (TNF)-α, and
myeloperoxidase (MPO) were increased. However,
edaravone exhibited a protective effect on
cerebral infarct and neurological and sensorimotor function in relevant tests. In addition, we also found that
edaravone decreased the contents of Fe2+, MDA, and LPO in the brain tissue of MCAO/R rats and increased GSH content to inhibit ferroptosis. Furthermore, Western blot showed that
after treatment with
edaravone, the expression of Nrf2, GPX4, and FPN was up-regulated, the nuclear location of Nrf2 was increased, and the levels of
inflammation-related indicators
IL-6, IL-1β, TNF-α, and MPO were lower than in the MCAO/R group. Our results demonstrated that
edaravone inhibits ferroptosis to attenuate CIRI, probably through the activation of the Nrf2/FPN pathway.