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Deubiquitination of RIPK3 by OTUB2 potentiates neuronal necroptosis after ischemic stroke

Fuqi Mei, Deyu Deng, Zi-Jun Cao, Liyan Lou, Kangmin Chen, Minjie Hu, Zhenhu Zhu, Jiangyun Shen, Jianzhao Zhang, Liang Jie, Jingyong Huang, Min Bao, Ari Waisman, Xu Wang

2025EMBO Molecular Medicine18 citationsDOIOpen Access PDF

Abstract

As a common and severe cerebrovascular disease, ischemic stroke casts a significant shadow over global health. Unfortunately, the mechanisms regulating neuronal death in the affected areas remain largely unclear. Here, we found that deletion of the deubiquitinating enzyme Otubain-2 (OTUB2) significantly alleviated ischemia-induced cerebral infarction and neurological deficits, accompanied by a reduction in neuronal loss, glial activation, and neuroinflammation. OTUB2 was predominantly expressed in neurons and its deletion decreased receptor-interacting protein kinase 3 (RIPK3)-mediated neuronal necroptosis. Moreover, OTUB2 increased RIPK3 protein abundance by inhibiting the proteasomal degradation of RIPK3. Mechanistically, OTUB2 removed K48-linked polyubiquitin chains from RIPK3 through its active site C51. Importantly, pharmacological inhibition of OTUB2 alleviated ischemic brain injury in mice and reduced oxygen-glucose deprivation-induced neuronal death in human brain organoids. These results demonstrate that OTUB2 critically regulates ischemic stroke injury by potentiating neuronal necroptosis, suggesting that OTUB2 inhibition may become a potential therapeutic approach for treating ischemic stroke.

Topics & Concepts

NecroptosisNeuroinflammationStroke (engine)Deubiquitinating enzymeIschemiaMedicineProgrammed cell deathNeuroscienceCell biologyPharmacologyCancer researchApoptosisChemistryBiologyUbiquitinInternal medicineDiseaseBiochemistryEngineeringMechanical engineeringGeneUbiquitin and proteasome pathwaysMitochondrial Function and PathologyS100 Proteins and Annexins