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Riluzole preserves brain endothelial integrity in ischemic stroke via SLC7A11-dependent GPX4 and HIF-1α/VEGFA signaling

Wang, Haipeng, Feng, Ying, Jiang, Wei, Wang, Han, Zhang, Ruolin, Li, Guangqiang, Duan, Chao, Zhou, Yuneng, Bao, Wendai, Shui, Ke, Zhang, Min, Ai, Zhibing, Yang, Xin ORCID: https://orcid.org/0000-0002-8429-7598, Zhou, Peiyang and Dong, Zhiqiang 2026. Riluzole preserves brain endothelial integrity in ischemic stroke via SLC7A11-dependent GPX4 and HIF-1α/VEGFA signaling. Cellular Signalling 142 , 112378. 10.1016/j.cellsig.2026.112378

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Abstract

Riluzole, an FDA-approved neuroprotective agent, was investigated for its therapeutic potential in ischemic stroke. Transcriptomic profiling of human brain microvascular endothelial cells (hBMECs) subjected to oxygen-glucose deprivation/reperfusion (OGD/R) identified a pivotal role for the cystine/glutamate antiporter SLC7A11. We found that riluzole activates SLC7A11, thereby triggering a dual protective mechanism: it strengthens cellular antioxidant capacity by upregulating GPX4 while simultaneously enhancing proangiogenic signaling through the HIF-1α/VEGFA pathway. Consequently, riluzole attenuated OGD/R-induced endothelial injury and, in a mouse stroke model, reduced blood–brain barrier disruption and improved neurological outcomes. Our study reveals a previously unrecognized cerebrovascular protective mechanism of riluzole, establishing SLC7A11 as its key mediator. This SLC7A11-dependent dual-pathway action represents a substantive advance in understanding riluzole's therapeutic biology beyond its established roles in the central nervous system.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Schools > Engineering
Publisher: Elsevier BV
ISSN: 0898-6568
Date of First Compliant Deposit: 13 February 2026
Date of Acceptance: 12 January 2026
Last Modified: 13 Feb 2026 10:00
URI: https://orca.cardiff.ac.uk/id/eprint/184533

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