Brain microvascular endothelial cell dysfunction in an isogenic juvenile iPSC model of Huntington's disease

Raleigh M Linville1,2, Renée F Nerenberg1,2, Gabrielle Grifno1,2

  • 1Institute for Nanobiotechnology, Johns Hopkins University, Baltimore, MD, USA.

Insights

Huntington's disease (HD) CAG repeat expansion impairs brain microvascular endothelial-like cell (iBMEC) differentiation and function, contributing to blood-brain barrier (BBB) dysfunction. This research highlights BBB changes in HD progression.

Area of Science:

  • Neuroscience
  • Genetics
  • Cell Biology

Background:

  • Huntington's disease (HD) is an inherited neurodegenerative disorder linked to CAG repeat expansion in the huntingtin gene.
  • Blood-brain barrier (BBB) dysfunction is increasingly implicated in HD progression, with studies noting microvascular changes and altered barrier function.

Purpose of the Study:

  • To investigate the impact of CAG repeat expansion on the phenotype of brain microvascular endothelial-like cells (iBMECs) derived from induced pluripotent stem cells (iPSCs).
  • To understand how CAG expansion affects BBB integrity and cellular responses in an in vitro model relevant to Huntington's disease.

Main Methods:

  • Utilized an isogenic pair of iPSCs differentiated into iBMECs to model CAG repeat expansion effects.
  • Assessed iBMEC differentiation, barrier function (transendothelial electrical resistance, permeability), protein expression, and transcriptional profiles.
  • Examined iBMEC responses to pathological and therapeutic perturbations in a tissue-engineered BBB model.

Main Results:

  • CAG expansion significantly altered iBMEC differentiation, reducing adherent endothelial cell percentage.
  • HD iBMECs exhibited diminished transendothelial electrical resistance and reduced tight junction protein expression, but not increased paracellular permeability.
  • Widespread transcriptional dysregulation was observed in HD iBMECs, alongside distinct cellular responses to stress and angiogenic factors.

Conclusions:

  • CAG repeat expansion directly impacts brain microvascular endothelial cell phenotype and function, contributing to BBB dysfunction in Huntington's disease.
  • The study provides cellular evidence supporting the role of BBB alterations in HD pathogenesis, independent of mutant huntingtin protein aggregation in these cells.