Abstract
Brain microvascular endothelial cell (BMVEC) injury induced by ischemia–reperfusion (I/R) is the initial phase of blood–brain barrier (BBB) disruption, which results in a poor prognosis for ischemic stroke patients. Autophagy occurs in ischemic brain and has been shown to exhibit protective effects on endothelial cell against stress. However, the potential effects of BMVEC autophagy on BBB permeability during I/R and the mechanisms underlying these effects have yet to be elucidated. In the current study, we answered these questions by using chemical modulators of autophagy, including rapamycin and lithium carbonate acting, respectively, as mammalian target of rapamycin (mTOR)-dependent and mTOR-independent autophagy inducers and 3-methyladenine (3-MA) as an autophagy inhibitor. To mimic I/R injury, BMVECs were exposed to oxygen–glucose deprivation/reoxygenation (OGD/R), and a rat transient middle cerebral artery occlusion/reperfusion (MCAO/R) model was performed. All the drugs were given at 0.5 h before OGD/R or MCAO/R. First, enhancement of autophagy by rapamycin and lithium carbonate attenuated, whereas suppression of autophagy by 3-MA intensified BMVEC apoptosis and the high level of ROS induced by OGD/R. In addition, rapamycin and lithium carbonate pretreatments significantly reversed the decreased level of tight junction protein zonula occludens-1 (ZO-1) induced by OGD/R and promoted the distribution of ZO-1 on cell membranes. Finally, pretreatments with rapamycin and lithium carbonate reduced evans blue extravasation and brain water content in the ischemic hemisphere of the rat. In contrast, 3-MA pretreatment exerted opposite effects both in vitro and in vivo. These results may indicate a beneficial effect of BMVEC autophagy on BBB integrity during I/R injury.
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Acknowledgments
This work was supported by grants from the National Natural Science Foundation of China (No. 81171105, 81271300, and 81371279), Jiangsu Province’s Outstanding Medical Academic Leader program (No. LJ201139), the National Key Technology R&D program for the 12th Five-year plan of the People’s Republic of China (2011BAI08B05, 2011BAI08B06, and 2014BAZ04810), and grants from Scientific Department of Jiangsu Province (No. BL2014045) and Suzhou Government (No. LCZX201301, SZS201413 and SYS201332).
Conflict of Interest
All the authors, including Haiying Li, Anju Gao, Dongxia Feng, Yang Wang, Li Zhang, Yonghua Cui, Bo Li, Zhong Wang, and Gang Chen, declare that they have no conflicts of interest in the research. All institutional and national guidelines for the care and use of laboratory animals were followed.
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Haiying Li and Anju Gao contributed equally to this work.
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Li, H., Gao, A., Feng, D. et al. Evaluation of the Protective Potential of Brain Microvascular Endothelial Cell Autophagy on Blood–Brain Barrier Integrity During Experimental Cerebral Ischemia–Reperfusion Injury. Transl. Stroke Res. 5, 618–626 (2014). https://doi.org/10.1007/s12975-014-0354-x
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DOI: https://doi.org/10.1007/s12975-014-0354-x