Microglial activation without peripheral immune cell infiltration characterises mouse and human cerebral small vessel

Tushar Deshpande1, Melanie-Jane Hannocks1, Kishan Kapupara1

  • 1Institute of Physiological Chemistry and Pathobiochemistry and Cells-in-Motion Interfaculty Centre (CiMIC), University of Muenster, Muenster, Germany.

Abstract

Insights

Notch3 mutant and hypertensive mouse models show key features of human small vessel diseases (SVDs), including demyelination and blood-brain barrier leakage. These models mimic SVD pathology without peripheral immune cell involvement, aiding SVD research.

Area of Science:

  • Neuroscience
  • Pathology
  • Medical Imaging

Background:

  • Cerebral small vessel diseases (SVDs) are characterized by diverse pathologies affecting the brain's small blood vessels, often leading to cognitive impairment.
  • Cerebral MRI reveals markers like white matter hyperintensities (WMHs) and lacunes in SVD patients, but understanding disease progression requires better models.
  • Existing mouse models for SVDs vary in their resemblance to human conditions, necessitating comparative studies.

Purpose of the Study:

  • To compare similarities and differences between established mouse models of SVDs and human nonamyloid SVD specimens.
  • To evaluate the pathological changes in myelin, blood-brain barrier (BBB) integrity, and immune responses within these models and human tissues.

Main Methods:

  • Analysis of four SVD mouse models (hypertensive BPH, Col4a1, Notch3, and Htra1-/- mutants) for myelin, BBB markers, and immune cell activity.
  • Comparison of mouse model findings with human SVD brain specimens from various white matter regions.
  • Utilized postmortem MRI and myelin basic protein (MBP) immunostaining to identify white matter lesions (WMLs).

Main Results:

  • Notch3 mutants and hypertensive BPH mice exhibited significant myelin changes (MBP immunostaining) correlating with MRI findings.
  • These mice showed altered microglial morphology and focal plasma protein leakage around blood vessels, without peripheral immune cell infiltration.
  • Human SVD specimens, both normal-appearing white matter and WMLs, lacked peripheral immune cell infiltration but showed microglial changes, reduced myelin, and occasional fibrinogen staining.

Conclusions:

  • Notch3 mutants and hypertensive BPH/2J mice effectively recapitulate key aspects of human SVD.
  • These models demonstrate microglial activation, focal demyelination, and perivascular plasma leakage.
  • The models' lack of peripheral immune cell infiltration aligns with findings in human SVD tissues, making them valuable for SVD research.