- Alim, Ishraq;
- Caulfield, Joseph T;
- Chen, Yingxin;
- Swarup, Vivek;
- Geschwind, Daniel H;
- Ivanova, Elena;
- Seravalli, Javier;
- Ai, Youxi;
- Sansing, Lauren H;
- Ste Marie, Emma J;
- Hondal, Robert J;
- Mukherjee, Sushmita;
- Cave, John W;
- Sagdullaev, Botir T;
- Karuppagounder, Saravanan S;
- Ratan, Rajiv R
Ferroptosis, a non-apoptotic form of programmed cell death, is triggered by oxidative stress in cancer, heat stress in plants, and hemorrhagic stroke. A homeostatic transcriptional response to ferroptotic stimuli is unknown. We show that neurons respond to ferroptotic stimuli by induction of selenoproteins, including antioxidant glutathione peroxidase 4 (GPX4). Pharmacological selenium (Se) augments GPX4 and other genes in this transcriptional program, the selenome, via coordinated activation of the transcription factors TFAP2c and Sp1 to protect neurons. Remarkably, a single dose of Se delivered into the brain drives antioxidant GPX4 expression, protects neurons, and improves behavior in a hemorrhagic stroke model. Altogether, we show that pharmacological Se supplementation effectively inhibits GPX4-dependent ferroptotic death as well as cell death induced by excitotoxicity or ER stress, which are GPX4 independent. Systemic administration of a brain-penetrant selenopeptide activates homeostatic transcription to inhibit cell death and improves function when delivered after hemorrhagic or ischemic stroke.