VEGF-mediated disruption of endothelial CLN-5 promotes blood-brain barrier breakdown

Proc Natl Acad Sci U S A. 2009 Feb 10;106(6):1977-82. doi: 10.1073/pnas.0808698106. Epub 2009 Jan 27.

Abstract

Breakdown of the blood-brain barrier (BBB) is an early and significant event in CNS inflammation. Astrocyte-derived VEGF-A has been implicated in this response, but the underlying mechanisms remain unresolved. Here, we identify the endothelial transmembrane tight junction proteins claudin-5 (CLN-5) and occludin (OCLN) as targets of VEGF-A action. Down-regulation of CLN-5 and OCLN accompanied up-regulation of VEGF-A and correlated with BBB breakdown in experimental autoimmune encephalomyelitis, an animal model of CNS inflammatory disease. In cultures of brain microvascular endothelial cells, VEGF-A specifically down-regulated CLN-5 and OCLN protein and mRNA. In mouse cerebral cortex, microinjection of VEGF-A disrupted CLN-5 and OCLN and induced loss of barrier function. Importantly, functional studies revealed that expression of recombinant CLN-5 protected brain microvascular endothelial cell cultures from a VEGF-induced increase in paracellular permeability, whereas recombinant OCLN expressed under the same promoter was not protective. Previous studies have shown CLN-5 to be a key determinant of trans-endothelial resistance at the BBB. Our findings suggest that its down-regulation by VEGF-A constitutes a significant mechanism in BBB breakdown.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood-Brain Barrier / metabolism*
  • Blood-Brain Barrier / pathology
  • Cattle
  • Cell Membrane Permeability
  • Cells, Cultured
  • Central Nervous System / pathology
  • Cerebral Cortex
  • Disease Models, Animal
  • Down-Regulation / genetics
  • Encephalomyelitis, Autoimmune, Experimental / pathology
  • Endothelium, Vascular / cytology*
  • Humans
  • Inflammation
  • Lysosomal Membrane Proteins
  • Membrane Proteins / genetics*
  • Membrane Proteins / physiology
  • Mice
  • Occludin
  • Vascular Endothelial Growth Factor A / pharmacology*

Substances

  • CLN5 protein, human
  • Lysosomal Membrane Proteins
  • Membrane Proteins
  • OCLN protein, human
  • Occludin
  • Ocln protein, mouse
  • VEGFA protein, human
  • Vascular Endothelial Growth Factor A