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Updated: Jul 31, 2025

A Human Blood-Brain Interface Model to Study Barrier Crossings by Pathogens or Medicines and Their Interactions with the Brain
Published on: April 9, 2019
High-mobility group box 1 (HMGB1) crosses the BBB bidirectionally.
William A Banks1, Kim M Hansen1, Michelle A Erickson1
1Geriatric Research Educational and Clinical Center, Veterans Affairs Puget Sound Health Care System, Seattle, WA, US State; Division of Gerontology and Geriatric Medicine, University of Washington School of Medicine, Seattle, WA, US State.
High-mobility group box 1 (HMGB1) protein crosses the blood-brain barrier (BBB) in both directions. Inflammation increases HMGB1 transport across the BBB, impacting neuroimmune signaling.
Area of Science:
- Neuroscience
- Immunology
- Molecular Biology
Background:
- High-mobility group box 1 (HMGB1) is a nuclear protein and a damage-associated molecular pattern molecule.
- HMGB1 activates innate immunity via TLR4 and RAGE receptors, influencing cytokine-like signals that can cross the blood-brain barrier (BBB).
- Blood HMGB1 levels are elevated in various conditions, including stroke, sepsis, and senescence.
Purpose of the Study:
- To investigate the bidirectional transport of HMGB1 across the BBB.
- To determine the influence of inflammation on HMGB1's BBB transport.
Main Methods:
- Radioactive labeling of HMGB1 with iodine (I-HMGB1) for tracking.
- Measurement of unidirectional influx rate of I-HMGB1 into the mouse brain.
- Assessment of transport inhibition using unlabeled HMGB1 and receptor inhibitors (TLR4, TLR2, RAGE, CXCR4).
- Investigation of transport mechanisms, including absorptive transcytosis.
- Evaluation of I-HMGB1 transport in the context of lipopolysaccharide (LPS)-induced inflammation.
Main Results:
- I-HMGB1 demonstrated ready entry into the mouse brain with a unidirectional influx rate of 0.654 μl/g-min.
- All brain regions showed I-HMGB1 uptake, with the olfactory bulb having the highest and the striatum the lowest.
- Transport was not significantly inhibited by unlabeled HMGB1 or specific receptor inhibitors.
- Wheat germ agglutinin enhanced uptake, suggesting absorptive transcytosis.
- LPS-induced inflammation increased I-HMGB1 transport into the brain.
- I-HMGB1 was also transported from brain to blood, with HMGB1 and LPS enhancing this efflux.
Conclusions:
- HMGB1 can bidirectionally cross the BBB.
- Inflammation significantly enhances HMGB1 transport across the BBB in both directions.
- HMGB1's ability to cross the BBB and be modulated by inflammation provides a mechanism for its impact on neuroimmune signaling in both the brain and periphery.
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