C-kit controls blood-brain barrier permeability by regulating caveolae-mediated transcytosis after chronic cerebral

Junkui Shang1, Wei Li1, Huiwen Zhang1

  • 1Department of Neurology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, Henan 450003, China.

Insights

Chronic cerebral hypoperfusion causes blood-brain barrier dysfunction. C-kit receptor tyrosine kinase drives this by increasing transcytosis in endothelial cells, offering a therapeutic target for neurodegenerative diseases.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Pathology

Background:

  • Blood-brain barrier (BBB) dysfunction is central to chronic cerebral hypoperfusion (CCH)-related neurodegenerative diseases.
  • Endothelial cells (EC) form the BBB, but mechanisms of CCH-induced dysfunction remain unclear.

Purpose of the Study:

  • To elucidate molecular mechanisms of EC-induced BBB dysfunction following CCH.
  • To identify and validate C-kit as a key regulator of BBB integrity in CCH.

Main Methods:

  • Immunostaining and transmission electron microscopy assessed BBB function.
  • EC enrichment followed by RNA sequencing identified C-kit.
  • Pharmacological inhibition (imatinib) and genetic downregulation (AAV-BR1-C-kit shRNA) of C-kit were used.
  • C-kit activation with stem cell factor (SCF) was investigated.

Main Results:

  • Macromolecular protein entry via EC transcytosis after CCH led to neuronal loss.
  • Receptor tyrosine kinase C-kit was identified as a key EC dysfunction molecule.
  • C-kit inhibition (imatinib, AAV-BR1-C-kit shRNA) reduced BBB leakage by decreasing caveolae-mediated transcytosis.
  • SCF treatment increased BBB permeability by enhancing caveolae-mediated transcytosis.

Conclusions:

  • C-kit is a critical regulator of BBB permeability in CCH.
  • Targeting C-kit-mediated caveolae transcytosis offers a therapeutic strategy for CCH-related neurodegeneration.