α-微管蛋白的乙酰化可恢复小鼠脑出血后的内皮细胞损伤和血脑屏障破坏。

Acetylation of α-tubulin restores endothelial cell injury and blood-brain barrier disruption after intracerebral hemorrhage in mice.

作者信息

Lei Xuejiao, Sun Eryi, Ru Xufang, Quan Yulian, Chen Xuezhu, Zhang Qian, Lu Yougling, Huang Qianying, Chen Yujie, Li Wenyan, Feng Hua, Yang Yang, Hu Rong

机构信息

Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.

Department of Neurosurgery, The Affiliated People's Hospital of Jiangsu University, Zhenjiang, China.

出版信息

Exp Mol Med. 2025 May 7. doi: 10.1038/s12276-025-01454-9.

Abstract

Damage to endothelial cells (ECs) is a key factor in blood-brain barrier (BBB) disruption after intracerebral hemorrhage (ICH). While microtubules are essential for EC structure, their role in BBB injury remains unclear. Here we investigated the role of acetylated α-tubulin (α-Ac-Tub) in BBB integration after ICH. Using an autologous blood injection model in the striatum, we showed that the expression of α-Ac-Tub and MEC17, an α-tubulin acetyltransferase, significantly decreased along the vessels around the hematoma after ICH. Conditional MEC17 knockout in ECs further reduced α-Ac-Tub levels and exacerbated BBB leakage, brain edema, hematoma expansion, inflammation and motor dysfunction. Conversely, selective α-Ac-Tub upregulation in ECs via intravenous delivery of AAV-BI30-MEC17-GFP alleviated BBB dysfunction and improved motor recovery. Similarly, the HDAC6 inhibitor tubastatin A enhanced α-Ac-Tub levels, mitigating BBB damage and neurological deficits. Mechanistically, α-Ac-Tub deficiency in ECs reduced tight junction proteins (ZO-1 and Claudin5) and increased F-actin stress fibers through RhoA activation. Together, our findings highlighted α-Ac-Tub as a therapeutic target for restoring BBB function and reducing brain injury after ICH.

摘要

内皮细胞(ECs)损伤是脑出血(ICH)后血脑屏障(BBB)破坏的关键因素。虽然微管对EC结构至关重要,但其在BBB损伤中的作用仍不清楚。在此,我们研究了乙酰化α-微管蛋白(α-Ac-Tub)在ICH后BBB整合中的作用。使用纹状体自体血注射模型,我们发现ICH后血肿周围血管中α-Ac-Tub和α-微管蛋白乙酰转移酶MEC17的表达显著降低。ECs中条件性MEC17基因敲除进一步降低了α-Ac-Tub水平,并加剧了BBB渗漏、脑水肿、血肿扩大、炎症和运动功能障碍。相反,通过静脉注射AAV-BI30-MEC17-GFP在ECs中选择性上调α-Ac-Tub可减轻BBB功能障碍并改善运动恢复。同样,HDAC6抑制剂tubastatin A提高了α-Ac-Tub水平,减轻了BBB损伤和神经功能缺损。机制上,ECs中α-Ac-Tub缺乏通过RhoA激活降低紧密连接蛋白(ZO-1和Claudin5)并增加F-肌动蛋白应力纤维。总之,我们的研究结果突出了α-Ac-Tub作为恢复ICH后BBB功能和减少脑损伤的治疗靶点。

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