Microglial Fkbp5 Impairs Post-Stroke Vascular Integrity and Regeneration by Promoting Yap1-Mediated Glycolysis and

Yanan Li1, Yanmei Qiu1, Yunlei Yang2,3,4,5

  • 1Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Insights

Researchers identified stroke-activated vascular-associated microglia (stroke-VAM) that regulate blood-brain barrier leakage and blood vessel regrowth after stroke. Inhibiting Fkbp5 in these microglia improves outcomes by reducing leakage and promoting new blood vessel growth.

Area of Science:

  • Neuroscience
  • Immunology
  • Vascular Biology

Background:

  • The role of microglia in blood-brain barrier (BBB) integrity and neovascularization post-ischemic stroke is not fully understood.
  • Microglia near blood vessels form a unique niche with specific functional characteristics after stroke.

Purpose of the Study:

  • To investigate the function of a specific microglial subset, stroke-activated vascular-associated microglia (stroke-VAM), in BBB leakage and neovascularization.
  • To identify key regulators within stroke-VAM that influence cerebrovascular repair after ischemic injury.

Main Methods:

  • Single-nucleus RNA sequencing (snRNA-seq) was performed on Fkbp5 conditional knockout (cKO) mice post-stroke.
  • Analysis focused on microglia-endothelial cell interactions and signaling pathways, including the Hippo signaling pathway.

Main Results:

  • Fkbp5 was identified as a key regulator of BBB disruption and impaired neovascularization via stroke-VAM.
  • Fkbp5 inhibition in microglia (Fkbp5 cKO) led to decreased BBB leakage and enhanced angiogenesis.
  • Fkbp5 was found to inhibit Yap1 phosphorylation, affecting its nuclear translocation and altering the Hippo signaling pathway in stroke-VAM.

Conclusions:

  • Stroke-VAM plays a critical role in both the breakdown and regeneration of cerebral vasculature.
  • Targeting Fkbp5 within the perivascular microglial niche presents a potential therapeutic strategy for acute ischemic stroke.