Journal of Cerebral Blood Flow & Metabolism · 2012 · 73 citations · 37 references
MedicineNeurobiologyNeuroscienceCell JunctionsMolecular NeurobiologyMolecular NeuroscienceAcute Ischemic StrokeBlood-brain Barrier BiologyBlood-brain Barrier DysfunctionHypoxic-ischemic Brain InjuryNeuroprotectionStrokeBlood-brain Barrier PermeabilityBlood-brain Barrier ProtectionCerebral Ischemia NeuroprotectionCerebral Ischemic ToleranceHypoxic PreconditioningIschemia-induced Barrier DisruptionSphingosine 1-Phosphate SignalingSphingosine-1-phosphate Signaling
Protection of the blood-brain barrier (BBB) is correlated with improved outcome in stroke. Sphingosine kinase (SphK)-directed production of sphingosine-1-phosphate, which we previously documented as being vital to preconditioning-induced stroke protection, mediates peripheral vascular integrity via junctional protein regulation. We used a hypoxic preconditioning (HPC) model in adult wild-type and SphK2-null mice to examine the isoform-specific role of SphK2 signaling for ischemic tolerance to transient middle cerebral artery occlusion and attendant BBB protection. Reductions in infarct volume and BBB permeability in HPC-treated mice were completely lost in SphK2-null mice. Hypoxic preconditioning-induced attenuation of postischemic BBB disruption in wild types, evidenced by reduced extravascular immunoglobulin G intensity, suggests direct protection of BBB integrity. Measurement of BBB junctional protein status in response to HPC revealed SphK2-dependent increases in triton-insoluble claudin-5 and VE-cadherin, which may serve to strengthen the BBB before stroke. Postischemic loss of VE-cadherin, occludin, and zona occludens-1 in SphK2-null mice with prior HPC suggests that SphK2-dependent protection of these adherens and tight junction proteins is compulsory for HPC to establish a vasculoprotective phenotype. Further elucidation of the mediators of this endogenous, HPC-activated lipid signaling pathway, and their role in protecting the ischemic BBB, may provide new therapeutic targets for cerebrovascular protection in stroke patients.
37
Size-selective loosening of the blood-brain barrier in claudin-5–deficient mice
Takehiro Nitta, Masaki Hata, Shimpei Gotoh et al. · The Journal of Cell Biology · 2003 · 1.9K citations
Early blood–brain barrier disruption in human focal brain ischemia
Lawrence L. Latour, Dong‐Wha Kang, Mustapha A. Ezzeddine et al. · Annals of Neurology · 2004 · 455 citations
Medicine, Neurology, Neuroscience +16