Section on Developmental Genetics, Program on Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD 20892-1830, USA.
Hum Mol Genet. 2012 May 15;21(10):2233-44. doi: 10.1093/hmg/dds038. Epub 2012 Feb 13.
Disruption of the blood-brain barrier (BBB) is a serious complication frequently encountered in neurodegenerative disorders. Infantile neuronal ceroid lipofuscinosis (INCL) is a devastating childhood neurodegenerative lysosomal storage disorder caused by palmitoyl-protein thioesterase-1 (PPT1) deficiency. It remains unclear whether BBB is disrupted in INCL and if so, what might be the molecular mechanism(s) of this complication. We previously reported that the Ppt1-knockout (Ppt1-KO) mice that mimic INCL manifest high levels of oxidative stress and neuroinflammation. Recently, it has been reported that CD4(+) T-helper 17 (T(H)17) lymphocytes may mediate BBB disruption and neuroinflammation, although the precise molecular mechanism(s) remain unclear. We sought to determine: (i) whether the BBB is disrupted in Ppt1-KO mice, (ii) if so, do T(H)17-lymphocytes underlie this complication, and (iii) how might T(H)17 lymphocytes breach the BBB. Here, we report that the BBB is disrupted in Ppt1-KO mice and that T(H)17 lymphocytes producing IL-17A mediate disruption of the BBB by stimulating production of matrix metalloproteinases (MMPs), which degrade the tight junction proteins essential for maintaining BBB integrity. Importantly, dietary supplementation of resveratrol (RSV), a naturally occurring antioxidant/anti-inflammatory polyphenol, markedly reduced the levels of T(H)17 cells, IL-17A and MMPs, and elevated the levels of tight junction proteins, which improved the BBB integrity in Ppt1-KO mice. Intriguingly, we found that RSV suppressed the differentiation of CD4(+) T lymphocytes to IL-17A-positive T(H)17 cells. Our findings uncover a mechanism by which T(H)17 lymphocytes mediate BBB disruption and suggest that small molecules such as RSV that suppress T(H)17 differentiation are therapeutic targets for neurodegenerative disorders such as INCL.
血脑屏障(BBB)的破坏是神经退行性疾病中经常遇到的严重并发症。婴儿神经元蜡样脂褐质沉积症(INCL)是一种破坏性的儿童神经退行性溶酶体贮积症,由棕榈酰蛋白硫酯酶-1(PPT1)缺乏引起。目前尚不清楚 INCL 是否存在 BBB 破坏,如果存在,这种并发症的分子机制是什么。我们之前报道过,模拟 INCL 的 Ppt1 基因敲除(Ppt1-KO)小鼠表现出高水平的氧化应激和神经炎症。最近,有报道称 CD4(+) T 辅助 17(T(H)17)淋巴细胞可能介导 BBB 破坏和神经炎症,尽管确切的分子机制尚不清楚。我们试图确定:(i)Ppt1-KO 小鼠的 BBB 是否被破坏,(ii)如果是,T(H)17 淋巴细胞是否是这种并发症的基础,以及(iii)T(H)17 淋巴细胞如何穿透 BBB。在这里,我们报告 Ppt1-KO 小鼠的 BBB 被破坏,并且产生 IL-17A 的 T(H)17 淋巴细胞通过刺激基质金属蛋白酶(MMPs)的产生来介导 BBB 的破坏,MMPs 降解维持 BBB 完整性所必需的紧密连接蛋白。重要的是,白藜芦醇(RSV)的饮食补充,一种天然存在的抗氧化剂/抗炎多酚,显著降低了 T(H)17 细胞、IL-17A 和 MMPs 的水平,并升高了紧密连接蛋白的水平,从而改善了 Ppt1-KO 小鼠的 BBB 完整性。有趣的是,我们发现 RSV 抑制了 CD4(+) T 淋巴细胞向 IL-17A 阳性 T(H)17 细胞的分化。我们的研究结果揭示了 T(H)17 淋巴细胞介导 BBB 破坏的机制,并表明 RSV 等抑制 T(H)17 分化的小分子可能是 INCL 等神经退行性疾病的治疗靶点。