Perivascular microglia promote blood vessel disintegration in the ischemic penumbra

Valérie Jolivel1, Frank Bicker, Fabien Binamé

  • 1Department of Neurology, Focus Program Translational Neuroscience (FTN), Rhine Main Neuroscience Network (rmn2), Johannes Gutenberg University, University Medical Center, Mainz, Germany.

Acta Neuropathologica
|December 16, 2014
PubMed

Insights

Microglia activation after ischemic stroke damages blood vessels in the brain penumbra. Inhibiting microglia may stabilize vessels, improve blood flow, and treat stroke.

Area of Science:

  • Neuroscience
  • Immunology
  • Vascular Biology

Background:

  • Microglia play a critical role in brain injury, particularly in the ischemic penumbra following stroke.
  • The survival of brain tissue in the penumbra is dependent on blood flow and vessel perfusion.
  • Understanding microglia's interaction with blood vessels is crucial for developing stroke therapies.

Purpose of the Study:

  • To investigate the role of microglia in cortical stroke and their impact on blood vessel stability.
  • To elucidate the mechanisms by which microglia affect the blood-brain barrier after ischemic injury.

Main Methods:

  • Transient middle cerebral artery occlusion in CX3CR1(+/GFP) mice.
  • In vivo time-lapse two-photon microscopy to observe microglia behavior.
  • In vitro migration assays using blood serum proteins.
  • Loss-of-function studies in CX3CR1(GFP/GFP) mice.
  • Magnetic Resonance Imaging (MRI) to assess stroke volume and blood-brain barrier integrity.

Main Results:

  • Activated microglia in the stroke penumbra extended protrusions towards and engulfed blood vessels within 24 hours post-reperfusion.
  • Blood serum proteins acted as chemoattractants, recruiting and activating microglia towards blood vessels.
  • Microglia phagocytosed endothelial cells, leading to blood vessel disintegration and blood-brain barrier breakdown.
  • Loss of microglia function reduced stroke size and decreased contrast agent extravasation in the penumbra.

Conclusions:

  • Microglia contribute to blood vessel instability and blood-brain barrier disruption after ischemic stroke.
  • Inhibiting microglia activation early after stroke could potentially stabilize blood vessels and improve outcomes.
  • Targeting microglia represents a promising therapeutic strategy for ischemic stroke treatment.