Pericyte degeneration causes white matter dysfunction in the mouse central nervous system

Axel Montagne1,2, Angeliki M Nikolakopoulou1,2, Zhen Zhao1,2

  • 1Zilkha Neurogenetic Institute, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.

Nature Medicine
|February 6, 2018
PubMed

Insights

Pericyte degeneration disrupts white matter microcirculation, leading to myelin and axon loss in elderly dementia. Targeting fibrinogen may offer new therapeutic strategies for white matter diseases.

Area of Science:

  • Neuroscience
  • Vascular Biology
  • Cell Biology

Background:

  • Diffuse white-matter disease is common in elderly individuals with dementia.
  • The underlying biological mechanisms of white-matter disease remain unclear.
  • Small-vessel disease is a significant contributor to age-related cognitive decline.

Purpose of the Study:

  • To elucidate the biological mechanisms of diffuse white-matter disease.
  • To investigate the role of pericytes in white-matter integrity.
  • To explore potential therapeutic targets for white-matter disease.

Main Methods:

  • Utilized pericyte-deficient mouse models.
  • Employed magnetic resonance imaging (MRI) for in vivo assessment.
  • Conducted viral-based tract-tracing, behavioral tests, and tissue analysis.
  • Investigated fibrinogen's role in cell cultures and in vivo.

Main Results:

  • Pericyte degeneration led to disrupted white-matter microcirculation and reduced blood flow.
  • Accumulation of fibrin(ogen) deposits triggered myelin, axon, and oligodendrocyte loss.
  • Fibrinogen/fibrin initiated autophagy-dependent cell death in oligodendrocytes and pericytes.
  • Systemic fibrinogen manipulation affected white-matter pathology in pericyte-deficient mice.

Conclusions:

  • Pericytes are critical regulators of white-matter structure and function.
  • Pericyte dysfunction contributes to white-matter damage via fibrin(ogen) accumulation.
  • Findings suggest therapeutic potential in targeting fibrinogen for white-matter diseases.