de Paula Le Sueur Luciana, Kalapothakis Evanguedes, da Cruz-Höfling Maria Alice
Departamento de Histologia e Embriologia, Instituto de Biologia, Caixa Postal 6109, Universidade Estadual de Campinas (UNICAMP), S.P., CEP 13083-970, Brasil.
Acta Neuropathol. 2003 Feb;105(2):125-34. doi: 10.1007/s00401-002-0623-8. Epub 2002 Oct 29.
The blood-brain barrier (BBB) is responsible for selective flux of substances between blood and brain. The selective permeability of the BBB is crucial for the maintenance of the brain microenvironment homeostasis, and alterations in the barrier may be involved in many pathophysiological processes. Phoneutria nigriventer armed spider venom produces excitatory signals and symptoms in humans, and its recognized neurotoxic action suggests a potential ability to alter BBB permeability. The aim of the present study was to investigate the capacity of P. nigriventer venom (PNV) in promoting BBB breakdown in adult rats. After intravenous injection of 850 micro g/kg of the whole venom, BBB lesions were evaluated after 18 h to 9 days by ultrastructural methods using the extracellular tracer lanthanum nitrate. Clinical signs and symptoms of rats showed acute neurotoxicity, with some of the animals presenting convulsions, but which were clinically resolved by 12 h post-envenoming. The results showed that PNV is able to increase BBB permeability, particularly in the hippocampus. Changes were first detected in arterioles and post-capillary venules 18 h to 5 days after venom inoculation. The increased permeation of the extracellular tracer peaked on day 1, representing about 42% of the examined vessels (P<0.01). This appeared to occur by both transendothelial and intercellular routes, i.e., by pinocytic transport and through interendothelial junctions. Concomitantly, the surrounding tissue showed vasogenic edema and swollen astrocytic processes, without inflammatory infiltrates. The peak of the edema occurrence was observed on day 3, in about 60% of the vessels (P<0.001). Enhanced capillary permeability was observed on day 9, and affected 36% of all capillaries (P<0.05). The affected capillaries were characterized by increased number of pinocytotic vesicles, which, in addition, were filled with the extracellular tracer, but without visible transport through the interendothelial pathway. This study demonstrates that systemic PNV inoculation induces BBB breakdown through trans- and paracellular routes. It is concluded that BBB breakdown is an event not associated with the acute neurotoxicity exhibited by the rats.
血脑屏障(BBB)负责血液与大脑之间物质的选择性流动。血脑屏障的选择性通透性对于维持脑微环境的稳态至关重要,并且该屏障的改变可能涉及许多病理生理过程。黑腹栉足蛛毒会在人类中产生兴奋信号和症状,其公认的神经毒性作用表明它具有改变血脑屏障通透性的潜在能力。本研究的目的是调查黑腹栉足蛛毒液(PNV)促使成年大鼠血脑屏障破坏的能力。静脉注射850微克/千克的全毒液后,在18小时至9天内,使用细胞外示踪剂硝酸镧通过超微结构方法评估血脑屏障损伤情况。大鼠的临床体征和症状显示出急性神经毒性,一些动物出现惊厥,但在中毒后12小时临床症状得到缓解。结果表明,PNV能够增加血脑屏障的通透性,尤其是在海马体中。在毒液接种后18小时至5天,首先在小动脉和毛细血管后微静脉中检测到变化。细胞外示踪剂的通透性增加在第1天达到峰值,约占所检查血管的42%(P<0.01)。这似乎是通过跨内皮和细胞间途径发生的,即通过胞饮转运和穿过内皮间连接实现。同时,周围组织出现血管源性水肿和星形胶质细胞突起肿胀,无炎症浸润。水肿出现的峰值在第3天观察到,约占所有血管的60%(P<0.001)。在第9天观察到毛细血管通透性增强,影响所有毛细血管的36%(P<0.05)。受影响的毛细血管的特征是胞饮小泡数量增加,此外,这些小泡充满了细胞外示踪剂,但没有通过内皮间途径的可见转运。本研究表明,全身接种PNV会通过跨细胞和细胞旁途径诱导血脑屏障破坏。得出的结论是,血脑屏障破坏是一个与大鼠表现出的急性神经毒性无关的事件。