血脑屏障基因破坏导致胶质界形成保护性屏障。

Blood-brain barrier genetic disruption leads to protective barrier formation at the Glia Limitans.

机构信息

Univ. Bordeaux, INSERM, Biology of Cardiovascular Diseases, Pessac, France.

Department of Neurology and Neuroscience, Icahn School of Medicine at Mount Sinai, New York City, New York, United States of America.

出版信息

PLoS Biol. 2020 Nov 30;18(11):e3000946. doi: 10.1371/journal.pbio.3000946. eCollection 2020 Nov.

Abstract

Inflammation of the central nervous system (CNS) induces endothelial blood-brain barrier (BBB) opening as well as the formation of a tight junction barrier between reactive astrocytes at the Glia Limitans. We hypothesized that the CNS parenchyma may acquire protection from the reactive astrocytic Glia Limitans not only during neuroinflammation but also when BBB integrity is compromised in the resting state. Previous studies found that astrocyte-derived Sonic hedgehog (SHH) stabilizes the BBB during CNS inflammatory disease, while endothelial-derived desert hedgehog (DHH) is expressed at the BBB under resting conditions. Here, we investigated the effects of endothelial Dhh on the integrity of the BBB and Glia Limitans. We first characterized DHH expression within endothelial cells at the BBB, then demonstrated that DHH is down-regulated during experimental autoimmune encephalomyelitis (EAE). Using a mouse model in which endothelial Dhh is inducibly deleted, we found that endothelial Dhh both opens the BBB via the modulation of forkhead box O1 (FoxO1) transcriptional activity and induces a tight junctional barrier at the Glia Limitans. We confirmed the relevance of this glial barrier system in human multiple sclerosis active lesions. These results provide evidence for the novel concept of "chronic neuroinflammatory tolerance" in which BBB opening in the resting state is sufficient to stimulate a protective barrier at the Glia Limitans that limits the severity of subsequent neuroinflammatory disease. In summary, genetic disruption of the BBB generates endothelial signals that drive the formation under resting conditions of a secondary barrier at the Glia Limitans with protective effects against subsequent CNS inflammation. The concept of a reciprocally regulated CNS double barrier system has implications for treatment strategies in both the acute and chronic phases of multiple sclerosis pathophysiology.

摘要

中枢神经系统(CNS)的炎症会诱导内皮血脑屏障(BBB)的开放,以及反应性星形胶质细胞在神经胶质界膜(Glia Limitans)之间形成紧密连接屏障。我们假设,中枢神经系统实质不仅在神经炎症期间,而且在 BBB 完整性在静息状态下受到损害时,也可能从反应性星形胶质细胞的神经胶质界膜获得保护。先前的研究发现,星形胶质细胞衍生的 Sonic hedgehog(SHH)在中枢神经系统炎症性疾病期间稳定 BBB,而内皮细胞衍生的 Desert hedgehog(DHH)在静息状态下表达于 BBB。在这里,我们研究了内皮细胞 Dhh 对 BBB 和神经胶质界膜完整性的影响。我们首先描述了 BBB 内皮细胞中 DHH 的表达特征,然后证明在实验性自身免疫性脑脊髓炎(EAE)期间 DHH 下调。使用内皮细胞 Dhh 可诱导缺失的小鼠模型,我们发现内皮细胞 Dhh 通过调节叉头框 O1(FoxO1)转录活性来打开 BBB,并诱导神经胶质界膜的紧密连接屏障。我们在人类多发性硬化症活动病变中证实了这种神经胶质屏障系统的相关性。这些结果为“慢性神经炎症耐受”的新概念提供了证据,即在静息状态下 BBB 的开放足以刺激神经胶质界膜形成一种保护屏障,从而限制随后神经炎症性疾病的严重程度。总之,BBB 的遗传破坏会产生内皮信号,在静息条件下驱动神经胶质界膜形成一种二级屏障,对随后的中枢神经系统炎症具有保护作用。中枢神经系统双屏障系统的相互调节概念对多发性硬化症病理生理学的急性和慢性阶段的治疗策略具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cac/7728400/5e9cc04c4381/pbio.3000946.g001.jpg

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