Microvascular Environment Influences Brain Microvascular Heterogeneity: Relative Roles of Astrocytes and

Manjusha Thakar1, Midrelle E Noumbissi1,2, Monique F Stins1,3

  • 1Malaria Research Institute, Department Molecular Microbiology & Immunology, Johns Hopkins School Public Health, Baltimore, MD 21205, USA.

Insights

Brain white matter endothelial cells show varied protein C receptor expression compared to grey matter. This difference, influenced by oligodendrocyte cells, may explain regional brain disease pathology.

Area of Science:

  • Neuroscience
  • Pathology
  • Vascular Biology

Background:

  • Neuropathology reveals distinct regional differences in brain diseases, such as cerebral malaria (CM).
  • Cerebral malaria patients exhibit more hemorrhagic punctae in white matter (WM) than grey matter (GM), but the cause is unknown.
  • Understanding regional vascular differences is crucial for comprehending varied neuropathologies.

Purpose of the Study:

  • To investigate the impact of the vascular microenvironment on brain endothelial cell phenotype.
  • To focus on the expression of endothelial protein C receptor (EPCR) and its regional heterogeneity.
  • To explore the cellular and molecular basis for differential brain pathologies.

Main Methods:

  • Assessed EPCR expression in postmortem brain tissue, comparing WM and GM microvessels.
  • Utilized in vitro brain endothelial cell cultures.
  • Exposed endothelial cells to oligodendrocyte conditioned media (OCM) and astrocyte conditioned media (ACM) to study EPCR regulation.

Main Results:

  • Demonstrated heterogeneous basal EPCR expression in WM microvessels compared to GM.
  • Showed that oligodendrocyte conditioned media (OCM) significantly upregulates EPCR expression in brain endothelial cells.
  • Astrocyte conditioned media (ACM) did not induce the same level of EPCR upregulation.

Conclusions:

  • The study identifies oligodendrocyte-derived factors as key regulators of EPCR expression in brain endothelium.
  • Findings suggest that regional differences in the brain's vascular microenvironment, specifically EPCR levels, contribute to varied neuropathology.
  • This research provides insights into the origins of molecular heterogeneity in brain microvessels and its role in diseases like CM.