Department of Neurology, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.
Department of Neurology, Qingpu Branch of Zhongshan Hospital, Fudan University, Shanghai, China.
Mol Neurobiol. 2024 Dec;61(12):11012-11025. doi: 10.1007/s12035-024-04203-7. Epub 2024 May 31.
Inflammation is an important pathogenic driving force in the genesis and development of epilepsy. The latest researches demonstrated that IL-17A mediated blood-brain barrier (BBB) dysfunction through disruption of tight junction protein expression. To investigate whether IL-17A is involved in BBB disruption after acute seizure attack, the pilocarpine model was established with C57BL/6 J (wild type, WT) and IL-17R-deficient mice in vivo and with primary cultured rat brain microvascular endothelial cells in vitro. The mortality rate and brain water content were evaluated at 24 h after status epilepticus, and IL-17A concentration, endothelial tight junction, adherens junction proteins, and albumin leakage were assessed at 0 h, 4 h, 12 h, and 24 h after status epilepticus (SE). IL-17R-deficient mice showed lessen severity of epilepsy than WT mice, accompanied by less albumin leakage, reduced brain water content, decreased IL-17A, and upregulated expression of target proteins (ZO-1, Occludin and VE-cadherin). IL-17R knockout abrogated abnormal upregulation of Src kinase and phosphorylated Src kinase in the setting of SE, and Src kinase inhibitor PP1 abrogated IL-17A-induced SE related endothelial injury in vitro. In conclusion, IL-17A inhibition might be a promising therapeutic option to attenuate endothelial cell injury and further BBB disruption by reducing Src kinase activation.
炎症是癫痫发生和发展的重要致病驱动力。最新研究表明,IL-17A 通过破坏紧密连接蛋白表达来介导血脑屏障 (BBB) 功能障碍。为了研究 IL-17A 是否参与急性癫痫发作后 BBB 的破坏,在体内使用 C57BL/6J(野生型,WT)和 IL-17R 缺陷型小鼠以及体外使用原代培养的大鼠脑微血管内皮细胞建立匹罗卡品模型。在癫痫持续状态后 24 小时评估死亡率和脑水含量,在癫痫持续状态后 0 小时、4 小时、12 小时和 24 小时评估 IL-17A 浓度、内皮紧密连接、黏附连接蛋白和白蛋白渗漏。与 WT 小鼠相比,IL-17R 缺陷型小鼠的癫痫严重程度较低,伴随白蛋白渗漏减少、脑水含量降低、IL-17A 减少和靶蛋白(ZO-1、Occludin 和 VE-cadherin)表达上调。在 SE 中,IL-17R 敲除消除了Src 激酶的异常上调和磷酸化 Src 激酶,并且 Src 激酶抑制剂 PP1 消除了 IL-17A 诱导的体外 SE 相关内皮细胞损伤。总之,抑制 IL-17A 可能是一种有前途的治疗选择,通过减少 Src 激酶激活来减轻内皮细胞损伤和进一步的 BBB 破坏。