Parthanatos is a new form of programmed cell death. It has been recognized to be critical in
cerebral ischemia-
reperfusion injury, and
reactive oxygen species (ROS) can induce parthanatos. Recent studies found that
propofol, a widely used
intravenous anesthetic agent, has an inhibitory effect on ROS and has neuroprotective in many neurological diseases. However, the functional roles and mechanisms of
propofol in parthanatos remain unclear. Here, we discovered that the ROS-ER-
calcium-mitochondria signal pathway mediated parthanatos and the significance of
propofol in parthanatos. Next, we found that ROS overproduction would cause endoplasmic reticulum (ER)
calcium release, leading to mitochondria depolarization with the loss of mitochondrial membrane potential. Mitochondria depolarization caused mitochondria to release more ROS, which, in turn, contributed to parthanatos. Also, we found that
propofol inhibited parthanatos through impeding ROS overproduction,
calcium release from ER, and mitochondrial depolarization in parthanatos. Importantly, our results indicated that
propofol protected
cerebral ischemia-reperfusion via parthanatos suppression, amelioration of mitochondria, and ER swelling. Our findings provide new insights into the mechanisms of how ER and mitochondria contribute to parthanatos. Furthermore, our studies elucidated that
propofol has a vital role in parthanatos prevention in vivo and in vitro, and
propofol can be a promising therapeutic approach for nerve injury patients.