TWEAK-Fn14 pathway inhibition protects the integrity of the neurovascular unit during cerebral ischemia

Xiaohui Zhang1, Jeffrey A Winkles, Maria C Gongora

  • 1Department of Neurology and Center for Neurodegenerative Disease, Emory University School of Medicine, Atlanta, GA 30322, USA.

Insights

Tumor necrosis factor-like weak inducer of apoptosis (TWEAK) disrupts the neurovascular unit during stroke. Inhibiting TWEAK signaling via Fn14 antagonism reduces brain damage and improves recovery after cerebral ischemia.

Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • Tumor necrosis factor-like weak inducer of apoptosis (TWEAK) is a cytokine.
  • TWEAK signals through the Fn14 receptor.
  • The role of TWEAK in cerebral ischemia and neurovascular unit (NVU) integrity is not fully understood.

Purpose of the Study:

  • To investigate the role of TWEAK in regulating NVU permeability during cerebral ischemia.
  • To evaluate the therapeutic potential of TWEAK antagonism in a mouse model of stroke.

Main Methods:

  • Inhibition of TWEAK activity using a soluble Fn14-Fc decoy receptor in wild-type mice subjected to middle cerebral artery occlusion (MCAO).
  • Assessment of motor function recovery and Evans blue dye extravasation to measure NVU permeability.
  • Evaluation of the effects of genetic Fn14 deficiency on ischemic lesion volume and NVU integrity.
  • Analysis of downstream signaling pathways including nuclear factor-kappaB (NF-κB) and matrix metalloproteinase-9 (MMP-9).

Main Results:

  • Administration of Fn14-Fc decoy receptor significantly reduced Evans blue dye extravasation and improved motor function recovery.
  • Genetic deficiency of Fn14 led to a marked decrease in ischemic lesion volume and NVU permeability.
  • TWEAK antagonism inhibited NF-κB activation, MMP-9 activation, and basement membrane laminin degradation.
  • Both pharmacological inhibition and genetic deficiency of Fn14 demonstrated protective effects against cerebral ischemia.

Conclusions:

  • The TWEAK/Fn14 pathway plays a critical role in the disruption of the NVU during cerebral ischemia.
  • TWEAK antagonism represents a promising therapeutic strategy for mitigating brain damage in acute ischemic stroke.
  • Targeting the TWEAK pathway may offer neuroprotective benefits by preserving NVU integrity.