Endothelial HOXB9/SDC4 signaling exacerbates post-ischemic blood-brain and blood-spinal cord barrier disruption by

Li-Qing Wang1, Xiao-Yi Wang2, Zuo-Xu Fan2

  • 1Department of Anesthesiology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China.

PubMed

Insights

Homeobox B9 (HOXB9) upregulates Syndecan-4 (SDC4), disrupting the blood-brain barrier (BBB). Inhibiting HOXB9 reduces SDC4, protecting against stroke and spinal cord injury.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Pathology

Background:

  • Ischemic stroke is a leading cause of death, causing damage to the blood-brain barrier (BBB) and blood-spinal cord barrier (BSCB).
  • Syndecan-4 (SDC4) plays a role in BBB integrity, but its precise mechanism remains unclear.

Purpose of the Study:

  • To elucidate the mechanism by which SDC4 affects BBB integrity and function following ischemic stroke.
  • To investigate the regulatory role of Homeobox B9 (HOXB9) in SDC4 expression and its downstream effects.

Main Methods:

  • Established middle cerebral artery occlusion (MCAO) rat and oxygen-glucose deprivation/reoxygenation (OGD/R) cell models.
  • Assessed BBB integrity using TEER, immunofluorescence, and Evans Blue assays.
  • Investigated SDC4's effect on PKCα activation and HOXB9's transcriptional regulation of SDC4 via ChIP and dual-luciferase assays.

Main Results:

  • SDC4 was upregulated in response to MCAO and OGD/R, leading to reduced cell viability, TEER, and tight junction proteins, while promoting PKCα activation.
  • SDC4 interference improved BBB integrity, protected neuronal structure, and reduced inflammatory markers (IL-6, TNF-α).
  • HOXB9, a transcription factor, was upregulated by OGD/R and directly targeted the SDC4 promoter, increasing SDC4 expression and exacerbating BBB damage.

Conclusions:

  • HOXB9 acts as a key regulator of SDC4 transcription.
  • Inhibiting HOXB9 reduces SDC4 expression, attenuates PKCα activation, and alleviates BBB disruption, spinal cord injury, and BSCB damage.
Abstract