Introduction

Cerebrovascular disease is a common and frequently occurring disease that seriously endangers human health. The incidence rate of ischemic cerebrovascular disease accounts for 75% of all cerebrovascular diseases (Papadakis and Buchan 2009; Zhang 2019). Mechanisms underlying brain tissue damage in patients with ischemic cerebrovascular disease include ischemia and ischemia–reperfusion (I/R) injury. Cerebral I/R injury is frequently considered the primary cause of cerebral damage and is a vital clinical problem in cerebral injury treatment (Li et al. 2020a). Multiple studies have revealed that glucose/oxygen deprivation can be applied to generate a cerebral I/R injury model in vitro and have illustrated the mechanism of cerebral I/R injury. For instance, Wang et al. (2022) revealed that the overexpression of microRNA-149-5p attenuates cerebral I/R injury by targeting Notch2. Huang et al. (2019) have suggested that microRNA-34b protects against focal cerebral I/R injury by targeting Keap1. Therefore, reducing I/R injury is crucial in the treatment of ischemic cerebrovascular disease.

The maintenance of mitochondrial homeostasis plays an important role in cell growth, and damaged mitochondria may lead to oxidative stress and ATP depletion (Sun et al. 2022). A large body of evidence has confirmed that mitochondrial fission is an important regulator of mitochondrial homeostasis and that mitochondria have become potential targets for regulating the progression of cerebral IR injury (Guo et al. 2022). Excessive mitochondrial division impairs ATP production and promotes apoptosis (Ju et al. 2007). Mitochondrial fission has been found to be associated with cardiovascular disease (Jin et al. 2021), cancer metastasis and invasion (Bandopadhyay et al. 2022), as well as ischemia/reperfusion injury (Anzell et al. 2021). However, the involvement of mitochondrial fission in cerebral I/R injuries requires further investigation.

An increasing number of reports have confirmed that many factors have revealed protective effects on cerebral I/R injuries—such as vitexin compound B-1 (Hu et al. 2023), interleukin-11 (Zhang et al. 2019), and curcumin (Huang et al. 2021). Liquiritin (1), a flavonoid found in the roots of liquorice, has been shown to exert protective effects against polycystic ovary syndrome (Cui et al. 2022), Alzheimer’s disease (Huang et al. 2015), and bone cancer (Ni et al. 2020). Liu et al. (2020) have also shown that liquiritin protects against LPS-induced acute lung injury. However, whether liquiritin protects against cerebral I/R injury remains unclear.

figure b

Therefore, our study aimed to (i) explore the roles of liquiritin in glucose deprivation and reperfusion (OGD)-induced SH-SY5Y cells, (ii) illustrate the relationship between mitochondrial fission and cerebral I/R injury, and (iii) analyze whether liquiritin regulates cerebral I/R injury by regulating Nurr1 via the YAP-INF2-mitochondrial fission pathway, explaining the latent mechanism. Our findings may offer a theoretical basis for the diagnosis and treatment of cerebral I/R injury.

Materials and Methods

OGD/R Model Establishment

The SH-SY5Y cells were acquired from American Type Culture Collection (ATCC) and maintained in a Roswell Park Memorial Institute (RPMI)-1640 medium supplemented with 10% fetal bovine serum (FBS, Procell) and 1% penicillin/streptomycin (Procell) in an incubator containing 5% CO2 at 37 °C. An OGD/R model for SH-SY5Y cells was established. Briefly, SH-SY5Y cells were transferred to the cultural condition with 1% O2, 94% N2, 5% CO2, and glucose-free RPMI-1640 medium at 37 °C for 4 h. The cells were then placed in a normal medium containing 5% CO2 at 37 °C for 48 h. The SH-SY5Y cells were induced by different concentrations (20, 40, and 80 µM) of liquiritin (Lot No. CB-1004, purity > 98%, ChengDu Conbon Biotech Co., LTD, Chengdu, China) (Mou et al. 2021) or carbonyl cyanide 4-(trifluoromethoxy)phenylhydrazone (FCCP) in order to conduct follow-up experiments.

CCK-8 Assay

The CCK-8 assay was used to evaluate cell proliferation. SH-SY5Y cells were plated into 96-well plates and cultured for 24 h, and CCK-8 solution was added to each well. Absorbance (450 nm) was assessed via an ELISA reader (Thermo Fisher Scientific), according to the manufacturer’s protocol.

Flow Cytometry Analysis

Flow cytometry was used to analyze apoptosis. After OGD/R treatment, the SH-SY5Y cells were collected by centrifugation at 1000 × g at 4 °C for 5 min. The cells were then washed with PBS. Apoptosis was detected using the Annexin-V/propidium iodide Apoptosis Detection Kit (Thermo Fisher Scientific) according to the manufacturer’s instructions. Finally, apoptotic cells were quantified using a flow cytometer (BD Biosciences, USA) and analyzed using FlowJo.

Western Blot Assay

After OGD/R treatment, total proteins were extracted from SH-SY5Y cells using a RIPA lysis buffer (Beyotime) and measured using a bicinchoninic acid protein assay kit (Invitrogen, USA) following the manufacturer’s protocols. Average protein concentrations were separated by 10% sodium dodecyl sulfate–polyacrylamide gel electrophoresis (SDS-PAGE) and transferred onto a polyvinylidene fluoride membrane. After blocking with 5% skim milk in phosphate buffer solution-Tween-20 (PBST) for 2 h, the membranes were cultured in primary antibodies against Glyceraldehyde-3-phosphate dehydrogenase (GAPDH) (ab181602, 1:10000, Abcam, Cambridge, MA, USA), Fis1 (10956-1-AP, 1:1000, Wuhan Sanying Biotechnology, Wuhan, China), Drp1 (ab184247, 1:3000, Abcam, Cambridge, MA, USA), Mfn2 (#9482, 1:1000, Cell signalling Technology, Danvers, MA, USA), Opa1 (ab157457, 1:500, Abcam, Cambridge, MA, USA), nuclear receptor-related 1 (Nurr1, 10975-2-AP, 1:2000, Wuan Sanying Biotechnology, Wuhan, China), yes-associated protein (YAP, ab245286, 1:500, Abcam, Cambridge, MA, USA), or inverted formin-2 (INF2, 20466-1-AP, 1:1000, Wuan Sanying Biotechnology, Wuhan, China) overnight at 4 °C. After washing thrice with TBST, the membranes were cultivated with secondary antibodies for 2 h. Protein signals were visualized using enhanced chemiluminescence detection system reagents (Pierce, Rockford, IL, USA) and quantified using ImageJ software.

qRT-PCR Analysis

The levels of GAPDH, Fis1, Drp1, Mfn2, Opa1, Nurr1, and YAP-INF2 were measured using qRT-PCR. RNA was isolated from cells using the TRIzol reagent (ELK Biotechnology) according to the manufacturer’s protocol. Total RNA was reverse transcribed to cDNA using the PrimeScript RT Reagent Kit (TaKaRa, China), and qRT-PCR analysis was conducted using the SYBR PrimeScript RT-PCR Kit (TaKaRa) with an ABI 7500 Real-Time PCR System (Applied Biosystems). Target gene expressions were calculated using the 2−ΔΔCT method (Livak and Schmittgen 2001). Primer sequences for PCR were listed in Table S1.

Mitochondrial Isolation

To isolate enriched mitochondria, SH-SY5Y cells were washed with cold PBS and incubated in a lysis buffer for 30 min. The cells were then centrifuged at 2000 × g at 4 °C to remove insoluble matter. The supernatant was treated according to the instructions of the Cell Mitochondria Isolation Kit (C3601, Beyotime). The absorbance at 520 nm was measured for 10 min in accordance with the manufacturer’s instructions. To measure mitochondrial swelling, the decrease in absorbance was used as the standard, indicating an inversely proportional relationship between absorbance and mitochondrial swelling.

ATP Production Assay

To measure the ATP levels, SH-SY5Y cells were washed with cold PBS and incubated in a lysis buffer for 30 min. The cells were then centrifuged at 2000 × g at 4 °C. ATP levels were measured using a firefly luciferase-based ATP assay kit (Nanjing Jiancheng Bioengineering Institute). A hybrid luminometer multimode microplate reader (BioTek, VT, USA) was used to analyze the results.

Mitochondrial Potential Assay

To measure mitochondrial potential, the cells were centrifuged at 300 × g at 4 °C. After removing the supernatant, the sample was washed three times with PBS, with fresh culture medium being subsequently added. A JC-1 kit (Beyotime, China) was used to measure the mitochondrial potential. Flow cytometry was performed to analyze the results. After OGD/R treatment, the SH-SY5Y cells were seeded in 96-well plates.

Mitochondrial Superoxide Assay

To measure mitochondrial superoxide, the cells were centrifuged at 300 × g at 4 °C. The growth medium was replaced with dihydroethidium (DHE) in serum-free RPMI-1640 medium, and the cells were cultured for 30 min. Flow cytometry was used to analyze the DHE fluorescence.

Mitochondrial Ultrastructure Assay

To observe mitochondrial ultrastructure, the cells were centrifuged at 300 × g at 4 °C. The culture medium was removed and the electron microscope fixative was added and fixed overnight at 4 °C. After dehydration, infiltration, embedding polymerization, sectioning, and staining, the cells were observed using transmission electron microscopy.

Statistical Analysis

All experiments were performed in triplicate. All results were presented as the mean ± standard deviation (SD) and analyzed via SPSS v.20.0 (IBM Corp., Armonk, NY, USA). Differences among groups were estimated using one-way analysis of variance (ANOVA) followed by Tukey’s post hoc test and Student’s t-test. *p < 0.05 and **p < 0.01 indicated statistically significant differences.

Results and Discussion

FCCP Reversed Liquiritin Protection

SH-SY5Y cells were cultured in an oxygen–glucose deprivation medium for 4 h and reoxygenated for another 18 h so as to induce cerebral I/R injury in vitro. Cell viability and apoptosis were determined using CCK-8 and flow cytometry analyses, respectively, to evaluate cerebral I/R injury. As shown in Fig. 1A, SH-SY5Y cell viability was remarkably reduced in the OGD/R group compared with that in the control group. Furthermore, compared with the OGD/R group, liquiritin relieved the degree of damage caused by OGD/R-induced cerebral I/R injury in a dose-dependent manner, as confirmed by increased cell viability. In addition, we analyzed apoptosis in the control, OGD/R-stimulated, and OGD/R + liquiritin groups. As shown in Fig. 1B, the percentage of apoptotic SH-SY5Y cells was higher in the OGD/R group than in the control group. We also found that cell apoptosis was remarkably increased in the OGD/R + liquiritin group in a dose-dependent manner compared to that in the OGD/R group (Fig. 1B and C). However, these findings were reversed by FCCP. In summary, our results revealed that OGD/R successfully stimulated a cerebral I/R injury model in vitro, and that FCCP reversed the effects of liquiritin on OGD/R-induced cerebral I/R injury.

Fig. 1
figure 1

Establishment of OGD/R-induced cerebral I/R injury model in vitro. SH-SY5Y cells were cultured in an oxygen–glucose deprivation medium and reoxygenated to stimulate cerebral I/R injury in vitro. A Cell viability was determined using a CCK-8 assay. B and C Flow cytometry was performed to detect apoptotic cells. **p < 0.01 vs Control; ##p < 0.01 vs OGD/R; &&p < 0.01 vs OGD/R + liquiritin-80

Reversion on OGD/R-Activated Mitochondrial Fission

Previous investigations have found that reperfusion-associated mitochondrial injury is caused by enhanced mitochondrial fragmentation, and that mitochondrial fission has been proven to be an inducer of mitochondrial apoptosis in heart reperfusions (Guo et al. 2021a). To determine whether liquiritin triggers mitochondrial damage through mitochondrial fragmentation, we measured the degree of mitochondrial membrane swelling in each group. As shown in Fig. 2, when compared with the control group, the degree of mitochondrial membrane swelling increased after OGD/R injury, indicating that OGD/R stress caused mitochondrial fragmentation. Moreover, liquiritin maintained the mitochondrial network and weakened some mitochondrial fragments in a dose-dependent manner. However, we observed the opposite results in the FCCP-treated group. Our findings confirmed that liquiritin blocked OGD/R-induced mitochondrial fission in a dose-dependent manner.

Fig. 2
figure 2

The effects of liquiritin (1) and FCCP on OGD/R-activated mitochondrial membrane swelling. The OGD/R model was then treated with liquiritin and the cells were divided into six groups: Control, OGD/R, OGD/R + 20 µM liquiritin, OGD/R + 40 µM liquiritin, OGD/R + 80 µM liquiritin, and OGD/R + 80 µM liquiritin + FCCP groups. The degree of mitochondrial membrane swelling was quantified by analyzing the value OD520. **p < 0.01 vs Control; ##p < 0.01 vs OGD/R; &&p < 0.01 vs OGD/R + liquiritin-80

Reversion on OGD/R-Induced Mitochondrial Dihydroethidium

We also used the fluorescent probe DHE to measure superoxide anion production in the cells. As shown in Fig. 3A, compared to the control group, OGD significantly increased intracellular superoxide anion-free radicals. All liquiritin treatments effectively inhibited OGD-induced production of superoxide anion-free radicals. When mitochondria are damaged, JC-1 aggregates decrease, and the accumulation of JC-1 monomers increases. As shown in Fig. 3B and C, compared to the control group, OGD caused significant damage to the mitochondria, and the mitochondrial membrane potential was significantly reduced. However, liquiritin improved OGD-induced mitochondrial damage in a dose-dependent manner, as confirmed by increased mitochondrial membrane potential.

Fig. 3
figure 3

Effects of liquiritin (1) and FCCP on OGD/R-activated mitochondrial DHE, mitochondrial membrane potential, and ATP. The OGD/R model was then treated with liquiritin and the cells were divided into six groups: Control, OGD/R, OGD/R + 20 µM liquiritin, OGD/R + 40 µM liquiritin, OGD/R + 80 µM liquiritin, and OGD/R + 80 µM liquiritin + FCCP groups. AC DHE and JC-1 fluorescence were analyzed by flow cytometry. D The ATP levels were determined using an ATP assay. **p < 0.01 vs Control; #, ##p < 0.05, 0.01 vs OGD/R; &&p < 0.01 vs OGD/R + liquiritin-80

Mitochondria are also the center of cellular ATP production (Wang et al. 2020). Thus, we measured ATP production in the mitochondria and found that OGD treatment reduced ATP production (Fig. 3D). However, liquiritin reversed the ATP production in a dose-dependent manner in OGD treatment cells. These effects were partially reversed by FCCP, indicating that liquiritin relieves cerebral I/R injury by regulating mitochondrial DHE, mitochondrial membrane potential, and ATP.

Reversion on Mitochondrial Fission-Related Proteins

Previous studies have suggested that Mfn2 is essential for maintaining mitochondrial morphology, and especially mitochondrial fusion (Huo et al. 2022). Therefore, we used qRT-PCR and western blotting to analyze the levels of mitochondrial division-associated genes. As presented in Fig. 4A–E, compared to the control group, the protein levels and mRNA expression of mitochondrial division-related genes, such as Fis1 and Drp1, were increased in the OGD/R treatment group. In contrast, the expression levels of the mitochondrial fusion proteins Mfn2 and Opa1 decreased due to OGD/R injury. Interestingly, liquiritin reversed the balance between fission- and fusion-related factors in a dose-dependent manner, suggesting that brain I/R injuries lead to excessive mitochondrial division and disruption of mitochondrial fusion. However, FCCP treatment increased Drp1 and Fis1 expression, reduced Mfn2 and Opa1 levels, and ameliorated the imbalance between mitochondrial fission and fusion. Taken together, these data confirm that liquiritin alleviates cerebral I/R injury through the mitochondrial fission pathway.

Fig. 4
figure 4

The effects of FCCP and liquiritin (1) on mitochondrial fission-related proteins and Nurr1-regulated YAP-INF2 pathways. The OGD/R model was then treated with liquiritin and the cells were divided into six groups: Control, OGD/R, OGD/R + 20 µM liquiritin, OGD/R + 40 µM liquiritin, OGD/R + 80 µM liquiritin, and OGD/R + 80 µM liquiritin + FCCP group. A Protein expression of Fis1, Drp1, Mfn2, Opa1, Nurr1, YAP, and INF2 was determined by western blotting. BH mRNA levels of Fis1, Drp1, Mfn2, Opa1, Nurr1, YAP, and INF2 in SH-SY5Y cells from each treatment group were assessed using qRT-PCR. **p < 0.01 vs Control; #, ##p < 0.05, 0.01 vs OGD/R; &&p < 0.01 vs OGD/R + liquiritin-80

Reversion by Regulating Nurr1

It has been reported that increased Nurr1 is detrimental to cell viability (Al-Nusaif et al. 2022). To understand the roles of Nurr1 in cerebral I/R injury, the expression of Nurr1 in SH-SY5Y cells was detected using qRT-PCR and western blotting. Compared to the control group, the protein levels of Nurr1 were significantly increased after OGD/R treatment (Fig. 4A). This finding was further supported by the determination of Nurr1 mRNA expression. Based on these results, we concluded that IRI may be associated with an increase in Nurr1 (Fig. 4F).

Furthermore, it was found that Nurr1 is the upstream activator of INF2 under I/R conditions and that INF2 plays a decisive role in initiating Nurr1-mediated mitochondrial fission (Zhang and Yu 2018). Previous studies identified the YAP pathway as an inhibitor of reperfusion-mediated mitochondrial fission (Xue et al. 2022). Based on this information, we investigated whether Nurr1 regulates INF2 and mitochondrial fission through the YAP signaling pathway. qRT-PCR and western blot analyses showed that OGD/R treatment decreased the expression of YAP1 and increased the expression of INF2 when compared to the control group (Fig. 4A, G, H). Liquiritin reversed INF2 and YAP1 expression in a dose-dependent manner, which was eliminated by FCCP. These findings suggest that the YAP pathway is involved in Nurr1-mediated mitochondrial division and neuronal mitochondrial apoptosis.

Reversion Effect on Mitochondrial Ultrastructure

Finally, we observed the ultrastructure of the mitochondria using transmission electron microscopy, with the results (Fig. 5) showing that mitochondrial fission increased, that the mean mitochondrial size decreased, and that the number of mitochondria increased after treatment with OGD/R (Fig. 5). The OGD/R-induced increase in mitochondrial fission was reversed by liquiritin treatment. However, we observed the opposite results in the FCCP-treated group, indicating that liquiritin has a protective effect on the mitochondria in cerebral ischemic cells.

Fig. 5
figure 5

Effects of FCCP and liquiritin (1) on mitochondrial ultrastructure. The OGD/R model was then treated with liquiritin and the cells were divided into six groups: Control, OGD/R, OGD/R + 20 µM liquiritin, OGD/R + 40 µM liquiritin, OGD/R + 80 µM liquiritin, and OGD/R + 80 µM liquiritin + FCCP group. Transmission electron microscopy revealed the mitochondrial morphology in each group of cells

Cerebral I/R injury is a major health problem in the treatment of cerebrovascular disease. Therefore, it is important to clarify the mechanisms underlying cerebral I/R injury for early prevention and therapy (Guo et al. 2021b). OGD/R exposure is often applied for inducing cells to cause I/R injury (Zhang et al. 2021). In our study, a cerebral I/R injury model was established using OGD/R, and cell damage was assessed by detecting cell viability and apoptosis. Our data revealed that OGD/R inhibited SH-SY5Y cell growth and induced apoptosis, indicating the successful establishment of an in vitro model of I/R injury.

Liquiritin, a natural inhibitor of aldo–keto reductase family one member C1 (AKR1C1), is the main antitussive component of flavonoids derived from liquorice and interferes with progesterone metabolism (Zeng et al. 2019). Wang et al. (2023) indicated that liquiritin reduces ferroptosis in doxorubicin-induced cardiotoxicity by targeting the SLC7A11/glutathione peroxidase 4 (GPX4) pathway. Moreover, Yang et al. (2021) demonstrated that liquiritin reduced LPS-induced inflammation in HaCaT cells via the regulation of microRNA-31/MyD88. Sun et al. (2010) also revealed the neuroprotective effects of liquiritin against focal cerebral I/R injuries in mice via its antioxidant and antiapoptotic properties. However, the specific mechanism of action of liquiritin in the OGD/R-induced injury model is not fully understood. Therefore, we analyzed the protective effects of liquiritin in OGD/R-stimulated injury models using CCK-8 and flow cytometry assays to assess the effects of liquiritin on SH-SY5Y cells after OGD/R exposure. Our findings indicated that liquiritin relieved cerebral I/R injury in OGD/R-induced cells in a dose-dependent manner.

The pathogenesis of cerebral I/R injury is linked to a series of complex processes, including cellular oxidation (Zhao et al. 2021), inflammatory responses (Zheng et al. 2020), and mitochondrial fission (Guo et al. 2022). Mitochondrial fission is a physiological response that occurs during many biological processes, including cell proliferation, migration, and metabolism (Li et al. 2019). In addition, the functions and upstream regulatory mechanisms of mitochondrial fission in cerebral I/R injury remain unclear. Thus, we evaluated the effects of FCCP on SH-SY5Y cell viability and apoptosis and found that FCCP reversed the effects of liquiritin on OGD/R-induced cerebral I/R injury, suggesting the involvement of mitochondrial fission in cerebral I/R injury. Mitochondrial homeostasis plays a vital role in cell viability and stress responses. Disordered mitophagy mediates neuronal oxidative stress, thereby causing cerebral I/R injury. Li et al. (2020b) suggested that liquiritin protects PC12 cells from corticosterone-induced neurotoxicity via the regulation of metabolic disorders, attenuation of the ERK1/2-NF-kappaB pathway, activation of the Nrf2-Keap1 pathway, and inhibition of the mitochondrial apoptosis pathway. In the present study, we observed concomitant mitochondrial damage following cerebral I/R injury, as confirmed by increased mitochondrial superoxide anion production, decreased mitochondrial membrane potential, and increased mitochondrial swelling. Our findings are similar to those of a previous study that showed that preserving mitochondrial homeostasis sends pro-survival signals to the reperfused brain. Mitochondria not only require ATP for movement, but also to maintain cell integrity and viability (Tang et al. 2022). Lu et al. (2018) demonstrated that artesunate suppresses oxidative and inflammatory processes by activating Nrf2 and ROS-dependent p38 MAPK, and protects against cerebral I/R injury. Moreover, Chen et al. (2008) suggested the effect of electroacupuncture on mitochondrial membrane potential and apoptosis in the cerebral cortex of rats with focal cerebral I/R injury. Yu and Gao (2017) suggested that propofol affects mitochondrial ATP content and ATPase activity in the hippocampus of rats with cerebral I/R injury. Our data suggested that FCCP reversed the effects of liquiritin on OGD/R-induced mitochondrial DHE, mitochondrial membrane potential, and ATP.

In addition, we used qRT-PCR and western blotting to analyze the expression levels of genes involved in mitochondrial fission, including Fis1, Drp1, Mfn2, and Opa1. Our results showed that liquiritin reversed the balance between fission- and fusion-related factors in a dose-dependent manner, whereas FCCP corrected the imbalance between mitochondrial fission and fusion, as confirmed by the increased Fis1 and Drp1 expression and decreased Mfn2 and Opa1 levels. Previous studies have shown that mitochondrial damage is caused by the upregulation of Nurr1. Nurr1 is an orphan nuclear receptor that regulates mitochondrial function via multiple mechanisms (Zhao et al. 2019). Wei et al. (2016) revealed that Nurr1 was found to trigger osteoarthritis by translocating to the mitochondrial membrane and inducing mitochondrial apoptosis. Our study provides further evidence that mitochondrial damage is caused by Nurr1 dysregulation. INF2 is a well-established factor involved in mitochondrial fragmentation (Zhao et al. 2018). Our results showed that Nurr1 controlled mitochondrial fission by increasing INF2 expression and inhibiting the YAP pathway. Meanwhile, a large body of evidence has confirmed the role of YAP in initiating mitochondrial fission and identified the YAP/INF2 axis as being responsible for mitochondrial fission during cerebral I/R injuries (Zhang and Yu 2018). In accordance with these findings, the results of qRT-PCR and western blot analysis in this study showed that liquiritin reversed INF2 and YAP1 expression in a dose-dependent manner, and that these effects were eliminated by FCCP. At the same time, compared with the control group, the OGD/R model group showed mitochondrial intraventricular edema and a significant reduction in the number of cristae, and that the cristae in the liquiritin treatment group were arranged in an orderly and stratified manner. However, the opposite result was observed in the FCCP-treated group, indicating that liquiritin has a protective effect on the mitochondria in cerebral ischemic cells.

There are also some limitations of this study. Firstly, this study did not conduct in vivo experiments. Other signaling pathways may be involved in the protective effect of liquiritin on cerebra I/R injury, which requires further exploration. We will conduct additional in-depth research in the future.

Conclusion

A novel understanding of the potential mechanism of liquiritin regulating Nurr1 to reduce cerebral I/R injury via the YAP-INF2-mitochondrial fission pathway was elucidated. These findings provide potential new targets to recognize the occurrence and development of cerebral I/R injury and may provide new methods for the treatment of ischemic stroke.