Endothelial adenosine A2A receptor activation-mediated Tau hyperphosphorylation leads to blood-brain barrier

Ying Qian1, Meigui Hu2, Xingxing Xie3,4

  • 1Department of Pharmacy, Affiliated Hospital of Zunyi Medical University, Zunyi, China.

Frontiers in Medicine
|April 23, 2026
PubMed
Abstract

Insights

Methamphetamine (METH) causes blood-brain barrier (BBB) breakdown by activating the A2A-GSK3β pathway, leading to Tau phosphorylation in endothelial cells. Inhibiting this pathway or Tau reduces BBB damage and behavioral issues.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Cell Biology

Background:

  • Methamphetamine (METH) is a psychostimulant known to disrupt the blood-brain barrier (BBB).
  • Previous research indicated increased phosphorylated Tau (p-Tau) in neurons post-METH exposure, but its role in endothelial cells and BBB integrity remained unclear.

Purpose of the Study:

  • To investigate the mechanism of METH-induced BBB breakdown, focusing on p-Tau accumulation in endothelial cells.
  • To explore the role of the adenosine receptor subtype 2A (A2AR)-glycogen synthase kinase-3 beta (GSK3β) signaling pathway in METH-induced BBB damage.

Main Methods:

  • Evaluated protein levels in the A2AR-GSK3β signaling pathway in a chronic METH mouse model.
  • Assessed BBB integrity, endothelial p-Tau levels, and behavioral performance after A2AR inhibition, GSK3β inhibition, or p-Tau knockout.

Main Results:

  • METH upregulated A2AR, activating GSK3β and leading to Tau phosphorylation in BBB endothelial cells.
  • Chronic METH exposure caused BBB breakdown and behavioral abnormalities (anxiety, depression).
  • Inhibition of A2AR, GSK3β, or genetic knockout of Tau attenuated METH-induced BBB damage and behavioral deficits.

Conclusions:

  • Proposed an A2AR-GSK3β signaling-dependent mechanism for METH-induced BBB breakdown.
  • Identified p-Tau as a potential therapeutic target for mitigating BBB destruction and behavioral abnormalities in METH abuse.

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