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22q11.2 缺失综合征中血脑屏障的破坏。

Disruption of the blood-brain barrier in 22q11.2 deletion syndrome.

机构信息

Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.

Department of Child and Adolescent Psychiatry, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.

出版信息

Brain. 2021 Jun 22;144(5):1351-1360. doi: 10.1093/brain/awab055.


DOI:10.1093/brain/awab055
PMID:33876226
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8219368/
Abstract

Neuroimmune dysregulation is implicated in neuropsychiatric disorders including schizophrenia. As the blood-brain barrier is the immunological interface between the brain and the periphery, we investigated whether this vascular phenotype is intrinsically compromised in the most common genetic risk factor for schizophrenia, the 22q11.2 deletion syndrome (22qDS). Blood-brain barrier like endothelium differentiated from human 22qDS+schizophrenia-induced pluripotent stem cells exhibited impaired barrier integrity, a phenotype substantiated in a mouse model of 22qDS. The proinflammatory intercellular adhesion molecule-1 was upregulated in 22qDS+schizophrenia-induced blood-brain barrier and in 22qDS mice, indicating compromise of the blood-brain barrier immune privilege. This immune imbalance resulted in increased migration/activation of leucocytes crossing the 22qDS+schizophrenia blood-brain barrier. We also found heightened astrocyte activation in murine 22qDS, suggesting that the blood-brain barrier promotes astrocyte-mediated neuroinflammation. Finally, we substantiated these findings in post-mortem 22qDS brain tissue. Overall, the barrier-promoting and immune privilege properties of the 22qDS blood-brain barrier are compromised, and this might increase the risk for neuropsychiatric disease.

摘要

神经免疫失调与包括精神分裂症在内的神经精神疾病有关。由于血脑屏障是大脑和外周之间的免疫界面,我们研究了最常见的精神分裂症遗传风险因素——22q11.2 缺失综合征(22qDS)是否会导致这种血管表型内在受损。从携带 22qDS 的精神分裂症患者诱导多能干细胞分化而来的类血脑屏障内皮细胞表现出屏障完整性受损的表型,在 22qDS 小鼠模型中得到了证实。22qDS+精神分裂症诱导的血脑屏障和 22qDS 小鼠中细胞间黏附分子-1 的促炎表达上调,表明血脑屏障免疫特权受损。这种免疫失衡导致穿过 22qDS+精神分裂症血脑屏障的白细胞迁移/激活增加。我们还在 22qDS 小鼠中发现了星形胶质细胞激活增加,表明血脑屏障促进了星形胶质细胞介导的神经炎症。最后,我们在 22qDS 脑组织的尸检样本中证实了这些发现。总的来说,22qDS 血脑屏障的促屏障和免疫特权特性受损,这可能会增加神经精神疾病的风险。

相似文献

[1]
Disruption of the blood-brain barrier in 22q11.2 deletion syndrome.

Brain. 2021-6-22

[2]
22q11.2 Deletion-Associated Blood-Brain Barrier Permeability Potentiates Systemic Capillary Leak Syndrome Neurologic Features.

J Clin Immunol. 2024-4-5

[3]
Schizophrenia and 22q11.2 deletion syndrome.

Curr Psychiatry Rep. 2008-4

[4]
The schizophrenia phenotype in 22q11 deletion syndrome.

Am J Psychiatry. 2003-9

[5]
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Schizophr Res. 2001-7-1

[6]
Brain and behaviour in children with 22q11.2 deletion syndrome: a volumetric and voxel-based morphometry MRI study.

Brain. 2006-5

[7]
Qualitative MRI findings in adults with 22q11 deletion syndrome and schizophrenia.

Biol Psychiatry. 1999-11-15

[8]
Neurobiological perspective of 22q11.2 deletion syndrome.

Lancet Psychiatry. 2019-11

[9]
Postmaturity in a genetic subtype of schizophrenia.

Acta Psychiatr Scand. 2003-10

[10]
Analysis of induced pluripotent stem cells carrying 22q11.2 deletion.

Transl Psychiatry. 2016-11-1

引用本文的文献

[1]
Blood‑brain barrier dysfunction in schizophrenia: Mechanisms and implications (Review).

Int J Mol Med. 2025-10

[2]
Restoring brain barriers: an innovative approach for treating neurological disorders.

Fluids Barriers CNS. 2025-7-10

[3]
Neuroimmune interactions: The bridge between inflammatory bowel disease and the gut microbiota.

Clin Transl Med. 2025-5

[4]
Blood-Brain Barrier Disruption in Schizophrenia: Insights, Mechanisms, and Future Directions.

Int J Mol Sci. 2025-1-21

[5]
Unique Functional Neuroimaging Signatures of Genetic Versus Clinical High Risk for Psychosis.

Biol Psychiatry. 2025-1-15

[6]
The Blood-Brain Barrier Is Unaffected in the Mouse Model of Leigh Syndrome.

Int J Mol Sci. 2024-4-29

[7]
22q11.2 Deletion-Associated Blood-Brain Barrier Permeability Potentiates Systemic Capillary Leak Syndrome Neurologic Features.

J Clin Immunol. 2024-4-5

[8]
Gastrointestinal and brain barriers: unlocking gates of communication across the microbiota-gut-brain axis.

Nat Rev Gastroenterol Hepatol. 2024-4

[9]
Linking enlarged choroid plexus with plasma analyte and structural phenotypes in clinical high risk for psychosis: A multisite neuroimaging study.

Brain Behav Immun. 2024-3

[10]
Disruption of blood-brain barrier: effects of HIV Tat on brain microvascular endothelial cells and tight junction proteins.

J Neurovirol. 2023-12

本文引用的文献

[1]
Modular, Circuit-Based Interventions Rescue Hippocampal-Dependent Social and Spatial Memory in a 22q11.2 Deletion Syndrome Mouse Model.

Biol Psychiatry. 2020-11-1

[2]
Serum zonulin and claudin-5 levels in patients with schizophrenia.

Eur Arch Psychiatry Clin Neurosci. 2021-6

[3]
Association of a functional Claudin-5 variant with schizophrenia in female patients with the 22q11.2 deletion syndrome.

Schizophr Res. 2020-1

[4]
Increased macrophages and changed brain endothelial cell gene expression in the frontal cortex of people with schizophrenia displaying inflammation.

Mol Psychiatry. 2020-4

[5]
Role of IL-6/RORC/IL-22 axis in driving Th17 pathway mediated immunopathogenesis of schizophrenia.

Cytokine. 2018-8-20

[6]
Cerebrospinal fluid markers of inflammation and infections in schizophrenia and affective disorders: a systematic review and meta-analysis.

Mol Psychiatry. 2018-8-16

[7]
Cytokines in cerebrospinal fluid of patients with schizophrenia spectrum disorders: New data and an updated meta-analysis.

Schizophr Res. 2018-7-17

[8]
Large-scale mapping of cortical alterations in 22q11.2 deletion syndrome: Convergence with idiopathic psychosis and effects of deletion size.

Mol Psychiatry. 2020-8

[9]
TNF-α and IL-6 are associated with the deficit syndrome and negative symptoms in patients with chronic schizophrenia.

Schizophr Res. 2018-2-28

[10]
Shared molecular neuropathology across major psychiatric disorders parallels polygenic overlap.

Science. 2018-2-9

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