Ishida Hiroyuki, Takemori Kumiko, Dote Kensaku, Ito Hiroyuki
Department of Pathology, Kinki University School of Medicine, Osaka-sayama, Osaka 589-8511, Japan.
Am J Hypertens. 2006 Jan;19(1):33-9. doi: 10.1016/j.amjhyper.2005.06.023.
Cerebral edema is an important initial event in cases of stroke among humans. Although hypertension is a major risk factor for endothelial injury, the precise mechanisms regulating brain microvascular changes are still unknown. To elucidate the pathogenesis of increases in vascular permeability in the cerebral cortex, we investigated the expression of glucose transporter-1 (GLUT-1) in endothelial cells and aquaporin-4 (AQP4) in astrocytes in relation to blood-brain barrier (BBB) function.
Using male stroke-prone spontaneously hypertensive rats (SHRSP) and normotensive Wistar-Kyoto rats (WKY), the particular localization of both GLUT-1 and AQP4 was investigated by immunohistochemistry. Quantitative changes in these molecules were examined by Western blot analysis in these rats at 6 weeks and 20 weeks of age. Furthermore, to investigate the expression of these molecules at the mRNA level, reverse transcriptase-polymerase chain reaction (RT-PCR) analysis was carried out using 20-week-old SHRSP and age-matched WKY.
We confirmed the localization of GLUT-1 in endothelial cells and that of AQP4 in the end feet of astrocytes around microvessels, as determined by electron immunohistochemistry. No significant differences were found in the expression of these molecules in rats at 6 weeks of age, whereas GLUT-1 expression was lower, but that of AQP4 was higher, in SHRSP after the establishment of hypertension. Furthermore, GLUT-1 mRNA expression was lower in SHRSP, and AQP4 mRNA expression was also lower in SHRSP than in WKY at 20 weeks of age.
These results indicate that AQP4 may play a much more important role in BBB function than GLUT-1, and thereby also in water distribution in the cerebral cortex of SHRSP with severe hypertension.
脑水肿是人类中风病例中的一个重要初始事件。尽管高血压是内皮损伤的主要危险因素,但调节脑微血管变化的精确机制仍不清楚。为了阐明大脑皮质血管通透性增加的发病机制,我们研究了内皮细胞中葡萄糖转运蛋白1(GLUT-1)和星形胶质细胞中水通道蛋白4(AQP4)的表达与血脑屏障(BBB)功能的关系。
使用雄性易中风自发性高血压大鼠(SHRSP)和正常血压的Wistar-Kyoto大鼠(WKY),通过免疫组织化学研究GLUT-1和AQP4的特定定位。在这些大鼠6周和20周龄时,通过蛋白质印迹分析检查这些分子的定量变化。此外,为了研究这些分子在mRNA水平的表达,使用20周龄的SHRSP和年龄匹配的WKY进行逆转录聚合酶链反应(RT-PCR)分析。
通过电子免疫组织化学确定,我们证实了GLUT-1在内皮细胞中的定位以及AQP4在微血管周围星形胶质细胞终足中的定位。在6周龄的大鼠中,这些分子的表达没有显著差异,而在高血压形成后,SHRSP中GLUT-1的表达较低,但AQP4的表达较高。此外,在20周龄时,SHRSP中GLUT-1 mRNA的表达较低,SHRSP中AQP mRNA的表达也低于WKY。
这些结果表明,AQP4在BBB功能中可能比GLUT-1发挥更重要的作用,从而也在严重高血压的SHRSP大脑皮质的水分布中发挥更重要的作用。