Smurfit Institute of Genetics, Trinity College Dublin, Lincoln Place Gate, Dublin 2, Ireland.
Axoltis Pharma, 60 avenue Rockefeller, Lyon, 69008, France.
Fluids Barriers CNS. 2024 Sep 27;21(1):76. doi: 10.1186/s12987-024-00577-x.
Alterations of blood-brain barrier (BBB) and blood-spinal cord barrier have been documented in various animal models of neurodegenerative diseases and in patients. Correlations of these alterations with functional deficits suggest that repairing barriers integrity may represent a disease-modifying approach to prevent neuroinflammation and neurodegeneration induced by the extravasation of blood components into the parenchyma. Here, we screened the effect of a subcommissural organ-spondin-derived peptide (NX210c), known to promote functional recovery in several models of neurological disorders, on BBB integrity in vitro and in vivo.
In vitro, bEnd.3 endothelial cell (EC) monolayers and two different primary human BBB models containing EC, astrocytes and pericytes, in static and microfluidic conditions, were treated with NX210c (1-100 µM), or its vehicle, for 4 h and up to 5 days. Tight junction (TJ) protein levels, permeability to dextrans and transendothelial electrical resistance (TEER) were evaluated. In vivo, young and old mice (3- and 21-month-old, respectively) were treated daily intraperitoneally with NX210c at 10 mg/kg or its vehicle for 5 days and their brains collected at day 6 to measure TJ protein levels by immunohistochemistry.
NX210c induced an increase in claudin-5 protein expression after 24-h and 72-h treatments in mouse EC. Occludin level was also increased after a 24-h treatment. Accordingly, NX210c decreased by half the permeability of EC to a 40-kDa FITC-dextran and increased TEER. In the human static BBB model, NX210c increased by ∼ 25% the TEER from 3 to 5 days. NX210c also increased TEER in the human 3D dynamic BBB model after 4 h, which was associated with a reduced permeability to a 4-kDa FITC-dextran. In line with in vitro results, after only 5 days of daily treatments in mice, NX210c restored aging-induced reduction of claudin-5 and occludin levels in the hippocampus, and also in the cortex for occludin.
In summary, we have gathered preclinical data showing the capacity of NX210c to strengthen BBB integrity. Through this property, NX210c holds great promises of being a disease-modifying treatment for several neurological disorders with high unmet medical needs.
在各种神经退行性疾病的动物模型和患者中,已经发现血脑屏障(BBB)和血脊髓屏障的改变。这些改变与功能缺陷的相关性表明,修复屏障完整性可能是一种疾病修饰方法,可防止血液成分外渗到实质中引起的神经炎症和神经退行性变。在这里,我们筛选了 subcommissural organ-spondin 衍生肽(NX210c)的作用,该肽已知可促进几种神经障碍模型的功能恢复,以研究其对体外和体内 BBB 完整性的影响。
在体外,bEnd.3 内皮细胞(EC)单层和包含 EC、星形胶质细胞和周细胞的两种不同的原发性人 BBB 模型,在静态和微流条件下,用 NX210c(1-100 μM)或其载体处理 4 小时至 5 天。评估紧密连接(TJ)蛋白水平、葡聚糖通透性和跨内皮电阻(TEER)。在体内,年轻和老年小鼠(分别为 3 个月和 21 个月)每天腹膜内注射 NX210c 10mg/kg 或其载体 5 天,并在第 6 天收集大脑以通过免疫组织化学测量 TJ 蛋白水平。
在小鼠 EC 中,NX210c 在 24 小时和 72 小时处理后诱导 Claudin-5 蛋白表达增加。Occludin 水平在 24 小时处理后也增加。因此,NX210c 将 EC 对 40kDa FITC-葡聚糖的通透性降低了一半,并增加了 TEER。在人静态 BBB 模型中,NX210c 在 3 天至 5 天内使 TEER 增加了约 25%。在人 3D 动态 BBB 模型中,NX210c 在 4 小时后也增加了 TEER,这与 4kDa FITC-葡聚糖的通透性降低有关。与体外结果一致,在小鼠仅进行 5 天的每日治疗后,NX210c 恢复了衰老诱导的 Hippocampus 中 Claudin-5 和 Occludin 水平的降低,并且对 Occludin 也降低了皮层中的水平。
总之,我们收集了临床前数据,表明 NX210c 具有增强 BBB 完整性的能力。通过这种特性,NX210c 有望成为几种具有高度未满足医疗需求的神经退行性疾病的疾病修饰治疗方法。