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Targeting gliovascular connexins prevents inflammatory blood-brain barrier leakage and astrogliosis
Marijke De Bock, … , Roosmarijn E. Vandenbroucke, Luc Leybaert
Marijke De Bock, … , Roosmarijn E. Vandenbroucke, Luc Leybaert
Published July 26, 2022
Citation Information: JCI Insight. 2022;7(16):e135263. https://doi.org/10.1172/jci.insight.135263.
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Research Article Inflammation Neuroscience

Targeting gliovascular connexins prevents inflammatory blood-brain barrier leakage and astrogliosis

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Abstract

The blood-brain barrier is formed by capillary endothelial cells expressing connexin 37 (Cx37), Cx40, and Cx43 and is joined by closely apposed astrocytes expressing Cx43 and Cx30. We investigated whether connexin-targeting peptides could limit barrier leakage triggered by LPS-induced systemic inflammation in mice. Intraperitoneal LPS administration increased endothelial and astrocytic Cx43 expression; elevated TNF-α, IL-1β, IFN-γ, and IL-6 in plasma and IL-6 in the brain; and induced barrier leakage recorded over 24 hours. Barrier leakage was largely prevented by global Cx43 knockdown and Cx43/Cx30 double knockout in astrocytes, slightly diminished by endothelial Cx43 knockout, and not protected by global Cx30 knockout. Intravenous administration of Gap27 or Tat-Gap19 peptides just before LPS also prevented barrier leakage, and intravenously administered BAPTA-AM to chelate intracellular calcium was equally effective. Patch-clamp experiments demonstrated LPS-induced Cx43 hemichannel opening in endothelial cells, which was suppressed by Gap27, Gap19, and BAPTA. LPS additionally triggered astrogliosis that was prevented by intravenous Tat-Gap19 or BAPTA-AM. Cortically applied Tat-Gap19 or BAPTA-AM to primarily target astrocytes also strongly diminished barrier leakage. In vivo dye uptake and in vitro patch-clamp showed Cx43 hemichannel opening in astrocytes that was induced by IL-6 in a calcium-dependent manner. We conclude that targeting endothelial and astrocytic connexins is a powerful approach to limit barrier failure and astrogliosis.

Authors

Marijke De Bock, Maarten De Smet, Stijn Verwaerde, Hanane Tahiri, Steffi Schumacher, Valérie Van Haver, Katja Witschas, Christian Steinhäuser, Nathalie Rouach, Roosmarijn E. Vandenbroucke, Luc Leybaert

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Figure 1

LPS-induced BBB leakage and inflammation in mice.

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LPS-induced BBB leakage and inflammation in mice.
(A) Kaplan-Meier plot ...
(A) Kaplan-Meier plot illustrating survival for increasing doses of IP injected LPS. With the exception of the highest dose (50 mg/kg), LPS did not affect survival (n = 3 for 1, 5, 12.5, and 25 mg/kg and n = 6 for 50 mg/kg; for the 1–25 mg/kg dose range, survival is 100% and data points therefore overlap). (B) Dose-response curve for BBB leakage of 3 kDa dextran fluorescein (DF) (IV 30 mg/kg), 24 hours post-LPS. Leakage increased with increasing LPS dose, reaching a plateau at 25–50 mg/kg. (Mean ± SEM with n = 3 for all concentrations, except for 50 mg/kg, where n = 1 due to high mortality; Dunnett test comparison with no LPS). Symbols correspond to A. The 25 mg/kg dose was used in all further experiments (marked in blue). (C) LPS-induced BBB leakage at 3, 6, and 24 hours post-LPS, determined with 3 kDa DF (30 mg/kg), 10 kDa dextran Texas red (DTR; 100 mg/kg), and FITC-albumin (66 kDa, 660 mg/kg). Stars compare with Ctrl (saline IP; 1-sample t test). Numbers in the bars indicate experiments on different animals. (D and E) Plasma and brain levels of IL-1β, TNF-α, IFN-γ, and IL-6 following LPS. In plasma (D), all tested cytokines were significantly elevated; IFN-γ showed a delayed response. In the brain (E), only IL-6 increased with a time course as in plasma; IL-1β and TNF-α were not increased, and IFN-γ was not detectable. Stars indicate significant difference with Ctrl (saline IP; 1-way ANOVA, Dunnett test except for IL-1β and TNF-α, where nonparametric Kruskal-Wallis testing was used). *P < 0.05, **P < 0.01, and ***P < 0.001.

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