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    Area of Science:

    • Neuroscience
    • Biotechnology
    • Pharmacology

    Background:

    • Traumatic brain injury (TBI) disrupts the brain endothelial barrier, leading to edema and neurological deficits.
    • Current therapies for TBI lack mechanism-guided approaches to stabilize brain vessels.

    Purpose of the Study:

    • To develop and utilize a 3D human brain endothelial vessel platform for mechanistic analysis of blood-brain barrier (BBB) function.
    • To identify kinase pathways and drug candidates for stabilizing the BBB in TBI.

    Main Methods:

    • A 3D perfusable human brain endothelial vessel platform was used to assess responses to thrombin and TBI patient plasma.
    • Machine learning-guided kinase analysis identified key signaling pathways involved in BBB integrity.
    • Screening of kinase inhibitors to reverse TBI-induced endothelial barrier breakdown.

    Main Results:

    • The 3D platform enabled quantifiable assessment of macromolecular barrier function.
    • Specific kinase pathways associated with BBB stabilization and disruption were identified.
    • Kinase inhibitors that reversed TBI plasma-induced leakage and compounds that exacerbated endothelial loss were nominated.

    Conclusions:

    • The study establishes a novel platform for precision vascular therapeutics in TBI.
    • The approach links patient plasma phenotypes to endothelial barrier responses and kinase signaling.
    • This framework offers a versatile strategy for therapeutic discovery across neurovascular disorders.