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Calretinin and Parvalbumin Trapping of TDP43 and XRCC1 Instructs Neocortical Interneuron Death in Neonatal Hypoxic-Ischemic Encephalopathy.

Overview

Authors: Lee J Martin1,2,3,4, Rebecca N Ichord5, Caitlin E O’Brien3, Sophie Yohannan1, Danay Fernandez1, Annalise Garrido1, Naya Amauri1,4, Dongseok Park1, Jordan Benderoth1, Jennifer K Lee3
  1. Department of Pathology, Division of Neuropathology, Johns Hopkins University School of Medicine, Baltimore, MD 21205, (D.F.); (A.G.); (N.A.); (D.P.)
  2. Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
  3. Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
  4. The Pathobiology Graduate Training Program, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
  5. Department of Neurology, The Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA
Institutions: Johns Hopkins University (United States); Johns Hopkins Medicine (United States); Children's Hospital of Philadelphia (United States)
Journal: Biomolecules, volume 16, issue 5, article 621
Dates: received 9 February 2026; accepted 15 April 2026; published online 22 April 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.3390/biom16050621 · PMID 42193971 · PMCID PMC13204630 · OpenAlex W7155200939
Open access: gold, a free copy (OpenAlex)
Status: data only
Categories: histology / microscopy (modality), human (organism), other (organism), other condition (population), epilepsy (population)
Methods: Statistics
Keywords: aggreosis, cell death, epilepsy, HIE, interneuron, protein nitration, seizure
MeSH: Calbindin 2*, DNA-Binding Proteins*, Hypoxia-Ischemia, Brain*, Interneurons*, Neocortex*, Parvalbumins*, X-ray Repair Cross Complementing Protein 1*, Animals, Animals, Newborn, Cell Death, Swine (* major topic)
Topic: Neonatal and fetal brain pathology (Pediatrics, Perinatology and Child Health, Medicine), according to OpenAlex
Funding: NIH HHS (NS113921)
Citations: not cited yet (Europe PMC); 104 references in the paper

Abstract

We examined neocortical pathology and interneuron degeneration in neonatal hypoxia-ischemic encephalopathy (HIE). Piglets in two age groups (2–3 or 7–10 days old, n = 4–12/group) underwent global cerebral hypoxia–ischemia (HI) or sham treatment. Piglets (2–3 days old) had epidural electrodes for continuous electroencephalography (cEEG) and were treated with hypothermia (HT) or remained at normothermia (NT). Older piglets, all NT, had scalp EEG. Piglets at both ages had seizures and survived for 1–7 days. Cortical damage was assessed by hematoxylin & eosin staining and immunohistochemistry; calretinin (CR), parvalbumin (PV), and vasoactive intestinal peptide (VIP) interneurons (INs) were counted. Cell injury was assessed by DNA fragmentation and protein nitration. TAR DNA binding protein-43 (TDP43) and the DNA repair scaffold protein X-ray repair cross complementing-1 (XRCC1) were examined for degeneration mechanisms. Cortical layers 3 and 4 showed high vulnerability; damage emerged as isolated cells, focal and laminar, and distributed as panlaminar throughout different cortical regions that correlated with seizure burden. HT protected strongly against cortical damage. CR- and PV-INs were severely depleted in HI-NT piglets compared to sham. VIP INs appeared invulnerable. HT partially rescued the loss of INs. CR and PV formed nuclear and cytoplasmic inclusions that colocalized with TDP43 and XRCC1; co-immunoprecipitation identified interactions among these proteins, and tyrosine nitration of CR. CR and PV INs accumulated DNA single- and double-strand breaks and appeared as attritional apoptosis variants with proteinopathy. This cell death is identified as aggreosis. IN loss correlated with seizure presence. Postmortem human neonatal HIE cases had a similar loss of CR and PV INs and nuclear depletion of TDP43 in the neocortex. Thus, neonatal HIE causes the loss of neocortical inhibitory IN subtypes with vulnerabilities instructed by their intrinsic calcium-binding protein signature and by mechanisms consistent with toxic sequestration and the nuclear depletion of XRCC1 and TDP43 underlying DNA damage accumulation. Early inhibitory IN deletion could drive seizure evolution in HIE; TDP43 and XRCC1 could be therapeutic targets for neonatal HIE.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

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Data

Datasets cited

Data Availability Statement

The original contributions presented in this study are included in the article/Supplementary Materials. Further inquiries can be directed to the Lee J. Martin.

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 29 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 10 authors, 7 keywords, 11 MeSH terms, 1 funder, 102 references.

Cite

This paper

Martin, L. J., Ichord, R. N., O’Brien, C. E., Yohannan, S., Fernandez, D., Garrido, A., Amauri, N., Park, D., Benderoth, J., & Lee, J. K. (2026). Calretinin and Parvalbumin Trapping of TDP43 and XRCC1 Instructs Neocortical Interneuron Death in Neonatal Hypoxic-Ischemic Encephalopathy. Biomolecules, 16(5), 621. https://doi.org/10.3390/biom16050621

BibTeX

@article{martin2026calretinin,
author = {Martin, Lee J and Ichord, Rebecca N and O’Brien, Caitlin E and Yohannan, Sophie and Fernandez, Danay and Garrido, Annalise and Amauri, Naya and Park, Dongseok and Benderoth, Jordan and Lee, Jennifer K},
title = {{Calretinin and Parvalbumin Trapping of TDP43 and XRCC1 Instructs Neocortical Interneuron Death in Neonatal Hypoxic-Ischemic Encephalopathy}},
journal = {Biomolecules},
year = {2026},
month = apr,
volume = {16},
number = {5},
pages = {621},
publisher = {Multidisciplinary Digital Publishing Institute (MDPI)},
issn = {2218-273X},
doi = {10.3390/biom16050621},
url = {https://doi.org/10.3390/biom16050621},
pmid = {42193971},
pmcid = {PMC13204630}
}

RIS

TY - JOUR
AU - Martin, Lee J
AU - Ichord, Rebecca N
AU - O’Brien, Caitlin E
AU - Yohannan, Sophie
AU - Fernandez, Danay
AU - Garrido, Annalise
AU - Amauri, Naya
AU - Park, Dongseok
AU - Benderoth, Jordan
AU - Lee, Jennifer K
TI - Calretinin and Parvalbumin Trapping of TDP43 and XRCC1 Instructs Neocortical Interneuron Death in Neonatal Hypoxic-Ischemic Encephalopathy
T2 - Biomolecules
J2 - Biomolecules
PY - 2026
DA - 2026/04/22
VL - 16
IS - 5
SP - 621
SN - 2218-273X
PB - Multidisciplinary Digital Publishing Institute (MDPI)
DO - 10.3390/biom16050621
UR - https://doi.org/10.3390/biom16050621
LA - en
ER -

CSL-JSON

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