Cardiovascular

ADAR1 Inhibits ZBP1-Driven Neuronal Necroptosis After Intracerebral Hemorrhage.

TL;DR

ADAR1p150 is reduced after ICH and suppresses ZBP1-driven neuronal necroptosis in a manner that requires its Zα domain, although whether this depends on RNA editing or dsRNA binding alone remains unresolved.

Key Findings

ADAR1p150 expression is reduced after intracerebral hemorrhage in both human patients and mice.

  • Reduction was observed in ICH patients and in collagenase VII-induced ICH mice.
  • Expression was assessed using qPCR, western blot, immunofluorescence, and ELISA.
  • The abstract does not give sample sizes or effect sizes for this finding.

ZBP1 and ADAR1 both bind to dsRNA in the context of ICH.

  • Protein–RNA and protein–protein interactions were examined, including co-immunoprecipitation.
  • ZBP1 binds dsRNA and promotes RIPK3 activation, the pathway implicated in necroptosis.

ADAR1p150 suppresses ZBP1 activation, potentially through functional antagonism and dsRNA editing, but causality has not been established.

  • The authors explicitly state that causality remains to be established.
  • Proposed mechanisms are functional antagonism with ZBP1 and dsRNA editing.

Knockout of ZBP1 increased ADAR1p150 expression and reduced brain edema after ICH.

  • Experiments used ZBP1flox/flox/Thy1-Cre+/- mice (neuron-specific ZBP1 deletion) subjected to collagenase VII-induced ICH.
  • Brain edema and neurobehavioral deficits were assessed.

Etanercept and shRNA-mediated ADAR1 knockdown promoted ZBP1 expression.

  • ADAR1-knockdown mice were used.
  • The abstract does not report quantitative effect sizes.

Complementing ADAR1-knockdown cells with a Zα-truncated ADAR1 did not reduce ZBP1 expression.

  • This indicates the Zα domain is needed for ADAR1 to lower ZBP1.
  • Full-length complementation was the implied comparison.

The inhibitory effect of ADAR1 on ZBP1 was attenuated in ADAR1 Zα-/- cells.

  • This supports a requirement for the Zα domain in ADAR1-mediated ZBP1 suppression.
  • The authors state the data do not establish whether suppression depends on RNA editing or on dsRNA binding alone.

What This Means

After a hemorrhagic stroke (bleeding in the brain), nerve cells can die through a programmed form of cell death called necroptosis, which worsens damage after the initial bleed. This study looked at two proteins that interact with double-stranded RNA: ZBP1, which helps trigger necroptosis, and ADAR1, which may keep ZBP1 in check. The researchers found that a form of ADAR1 called ADAR1p150 is reduced in brain tissue from patients and mice after bleeding. In mice, lowering ADAR1 raised ZBP1 levels, while removing ZBP1 from neurons increased ADAR1p150 and reduced brain swelling. Experiments in cells showed that a specific part of ADAR1, the Zα domain, is needed for it to suppress ZBP1. This research suggests that ADAR1 acts as a brake on ZBP1-driven nerve cell death after brain bleeding, which could point to new treatment targets. However, the authors caution that they have not shown whether the effect works through RNA editing or just RNA binding, and the cause-and-effect relationship is not fully established. The work is in mice and cells, so it is not yet known whether it would translate into treatments for people.

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Citation

Wang S, Bai Q, Yu D, Wu X, Bao W, Xing X, et al.. (2026). ADAR1 Inhibits ZBP1-Driven Neuronal Necroptosis After Intracerebral Hemorrhage.. FASEB journal : official publication of the Federation of American Societies for Experimental Biology. https://doi.org/10.1096/fj.202504806RRRR