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Rab7a is required to degrade select blood-brain barrier junctional proteins after ischemic stroke
Azzurra Cottarelli1,2, Danny Jamoul1, Mary Claire Tuohy1
1Department of Neurology, Columbia University Irving Medical Center, New York, NY, 10032, USA.
Acta Neuropathologica Communications
|September 30, 2025
Summary
Rab7a deletion in brain endothelial cells preserves blood-brain barrier integrity after ischemic stroke. This reduces leakage and improves neuronal health by preventing junctional protein degradation.
Area of Science:
- Neuroscience
- Cell Biology
- Biochemistry
Background:
- The blood-brain barrier (BBB) maintains brain homeostasis through intact adherens and tight junctions.
- Ischemic stroke causes BBB dysfunction due to the degradation of junctional proteins, but the underlying mechanisms remain unclear.
Purpose of the Study:
- To investigate the role of Rab7a, a key regulator of endolysosomal degradation, in BBB integrity following ischemic stroke.
- To determine if targeting Rab7a can mitigate BBB dysfunction and improve neuronal outcomes after stroke.
Main Methods:
- Genetic deletion of Rab7a in mouse endothelial cells.
- Histopathological analysis of mouse brains post-ischemic stroke.
- Confocal and electron microscopy to assess tight junction morphology.
- In vitro studies using primary mouse brain endothelial cells (BECs) stimulated with TNFα and IL1β, or subjected to oxygen-glucose deprivation.
Main Results:
- Endothelial cell-specific deletion of Rab7a significantly reduced acute BBB leakage and improved neuronal health after ischemic stroke in mice.
- Rab7a deletion preserved the structural integrity of tight junctions.
- Pro-inflammatory cytokines TNFα and IL1β, upregulated post-stroke, activated Rab7a in BECs, while oxygen-glucose deprivation did not.
- Rab7a is essential for the degradation of specific BEC junctional proteins contributing to BBB permeability.
Conclusions:
- Rab7a plays a critical role in the degradation of endothelial cell junctional proteins, leading to BBB dysfunction after ischemic stroke.
- Targeting Rab7a presents a potential therapeutic strategy to protect the BBB and improve outcomes in ischemic stroke patients.

