Cardiovascular

Lipid Droplet-Associated Hsp70 Palmitoylation Drives Lysosomal Dysfunction in Ischemic Stroke.

TL;DR

Pathological lipid droplets interacting with lysosomes drive Hsp70 palmitoylation and redistribution, causing lysosomal impairment and astrogliosis in ischemic stroke, identifying Hsp70 palmitoylation as a potential drug target.

Key Findings

Lipid droplet signal and lysosomal cathepsin B leakage progressively increased after ischemia/reperfusion in mice.

  • Used a mouse middle cerebral artery occlusion ischemia/reperfusion (I/R) model and oxygen-glucose deprivation/reoxygenation (OGD/Re) cell models.
  • Both LD signal intensity and cathepsin B leakage rose from day 1 to day 14 after I/R.

Inhibiting fatty acid β-oxidation with etomoxir worsened I/R-induced LD accumulation and lysosomal damage in glial cells.

  • Etomoxir inhibits CPT1A, the rate-limiting enzyme for fatty acid β-oxidation.
  • Etomoxir aggravated both LD accumulation and lysosomal damage in glial cells.

Exogenous LDs derived from OGD/Re-treated glial cells aggravated lysosomal damage and promoted proliferation of astrocytes and microglia.

  • LDs were isolated from glial cells subjected to OGD/Re and applied to other glial cells.
  • Effects included increased lysosomal damage and glial proliferation.

LD accumulation was associated with Hsp70 palmitoylation and redistribution of Hsp70 from lysosomes to the extracellular space.

  • This redistribution was linked to lysosomal damage and reactive glial activation.

The LD surface protein Plin3 interacts with lysosomal Hsp70, causing its palmitoylation, redistribution, and lysosomal damage.

  • Validated using Plin3 knockdown, an Hsp70 palmitoylation-site mutant, recombinant human Hsp70 (rhHsp70), and a pan-palmitoylation inhibitor.
  • The authors state these approaches consistently supported the mechanism.

Extracellular Hsp70 activates TLR2/4 on glial cells, promoting proliferation and pro-inflammatory cytokine release.

  • Tested with a TLR2/4 antagonist and rhHsp70.
  • This pathway links Hsp70 redistribution to astrogliosis.

Hsp70 palmitoylation is proposed as a potential drug target for ischemic stroke therapy.

  • Pathological LD–lysosome interactions drive Hsp70 palmitoylation and redistribution, causing lysosomal impairment and astrogliosis.

What This Means

This study looked at why support cells in the brain (astrocytes and microglia) become damaged and overactive after a stroke. Using a mouse model of stroke and cell culture models that mimic oxygen and glucose loss, the researchers found that fat-storing structures called lipid droplets build up in these cells over two weeks after stroke. At the same time, lysosomes (the cell's recycling compartments) became leaky, releasing the enzyme cathepsin B. Blocking fat burning with etomoxir made both problems worse. The researchers traced a pathway linking the two. A protein on the lipid droplet surface, Plin3, interacts with a protective protein, Hsp70, in lysosomes. This leads to Hsp70 being chemically modified by palmitoylation (attachment of a fatty acid) and moved out of lysosomes into the space outside cells. Lysosomes are then damaged, and Hsp70 outside the cell activates immune receptors (TLR2/4) on glial cells, driving their proliferation and inflammatory signaling. This research suggests that Hsp70 palmitoylation could be a target for future stroke treatments. The work is based on mouse and cell models, so it does not show whether such an approach would work in people.

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Citation

Ma Y, Liu Y, Du H, Xu Y, Ni Y, Zhang H. (2026). Lipid Droplet-Associated Hsp70 Palmitoylation Drives Lysosomal Dysfunction in Ischemic Stroke.. Neurochemical research. https://doi.org/10.1007/s11064-026-04933-1