Department of Pathology, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan.
Department of Cell Signaling, Institute of Biomedical Sciences, Kansai Medical University, 2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan.
Sci Rep. 2021 Sep 29;11(1):19391. doi: 10.1038/s41598-021-98163-w.
Neural vasculature forms the blood-brain barrier against the delivery of systemically administered therapeutic drugs into parenchyma of neural tissues. Therefore, procedures to open the blood-brain barrier with minimal damage to tissues would lead to the great progress in therapeutic strategy for intractable neural diseases. In this study, through analyses with mouse in vitro brain microvascular endothelial cells and in vivo neural vasculature, we demonstrate that the administration of cyclophilin A (CypA), a ligand of basigin which is expressed in barrier-forming endothelial cells, realizes the artificial opening of blood-brain barrier. Monolayers of endothelial cells lost their barrier properties through the disappearance of claudin-5, an integral tight junction molecule, from cell membranes in a transient and reversible manner. Furthermore, the intravenous injection of a single dose of CypA into mice resulted in the opening of blood-brain barrier for a certain period which enabled the enhanced delivery of systemically administered doxorubicin into the parenchyma of neural tissues. These findings that the pre-injection of a single dose of CypA realizes an artificial, transient as well as reversible opening of blood-brain barrier are considered to be a great step toward the establishment of therapeutic protocols to overcome the intractability of neural diseases.
神经脉管系统形成血脑屏障,阻止全身性给予的治疗药物进入神经组织实质。因此,以最小的组织损伤来打开血脑屏障的程序将导致治疗难治性神经疾病的策略取得重大进展。在这项研究中,通过对体外培养的小鼠脑微血管内皮细胞和体内神经脉管系统的分析,我们证明了亲环素 A(CypA)的给药,即表达在形成屏障的内皮细胞中的 basigin 的配体,实现了血脑屏障的人工开放。内皮细胞单层通过质膜上紧密连接分子 Claudin-5 的瞬时和可逆消失失去了其屏障特性。此外,单次静脉注射 CypA 可使血脑屏障在一定时间内开放,使全身性给予的阿霉素更有效地递送至神经组织实质。这些发现表明,单次预注射 CypA 可实现血脑屏障的人工、短暂和可逆开放,这被认为是克服神经疾病难治性的治疗方案的重大进展。