在中风模型中,VEGF-C预防有利于淋巴排水,并调节神经炎症
Ligia Simoes Braga Boisserand1, Luiz Henrique Geraldo2, Jean Bouchart1
1Department of Neurology, Yale University School of Medicine, New Haven, CT, USA.
The Journal of experimental medicine
|March 5, 2024
概括
过度表达血管内皮生长因子-C (VEGF-C) 通过促进淋巴生长和神经保护通路,增强了脑液排水,并通过促进淋巴生长和神经保护通路,保护小鼠免受缺血性中风.
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 血管生物学 血管生物学
背景情况:
- 脑膜淋巴血管 (MLVs) 对于中枢神经系统 (CNS) 的废物清除和免疫细胞贩运至关重要.
- 血管内皮生长因子-C (VEGF-C) 在淋巴血管的发育和功能中起着关键作用,包括MLVs.
- 由于其在淋巴细胞调节中的作用,VEGF-C对神经系统疾病具有治疗前景.
研究的目的:
- 在小鼠模型中研究VEGF-C过度表达对脑脊液 (CSF) 排水和缺血性中风后的结果的影响.
- 阐明潜在的机制,包括由VEGF-C.介导的淋巴增强和神经保护信号传递.
主要方法:
- 腺相关病毒表达小鼠全长VEGF-C (AAV-mVEGF-C) 在小鼠体内进行脑脊髓内注射.
- 评估了大脑脊髓液 (CSF) 到深淋巴结 (dCLNs) 的排水情况.
- 单核RNA测序用于分析脑细胞中的基因表达变化.
- 诱导了缺血性中风,并评估了中风损伤,运动性能,神经炎症和信号通路.
- 通过烧化测试dCLN淋巴细胞的作用,并调查了VEGF-C的时间.
主要成果:
- 通过促进MLV生长和增强dCLN的淋巴连接,AAV-mVEGF-C的使用增加了CSF排水.
- 过度表达VEGF-C可以调节大脑细胞中的神经保护信号通路.
- 使用AAV-mVEGF-C的预治疗显著减少了缺血性中风损伤,并在亚急性阶段改善了运动功能.
- 这些保护作用与微质介导炎症的减少和大脑衍生神经营养因子 (BDNF) 信号的增强有关.
- VEGF-C的神经保护性益处取决于功能性的dCLN淋巴细胞,并且没有观察到急性中风后给药.
结论:
- 预防性给予VEGF-C可增强MLV功能,改善脑液清除,并提供对缺血性中风的保护.
- VEGF-C通过血管,免疫和神经机制的结合来发挥其神经保护作用,突出显示了它对中风的治疗潜力.
- 这些发现强调了向脑膜淋巴管和VEGF-C信号传递对于在急性缺血性中风中管理神经损伤的重要性.
相关概念视频
Regulation of Angiogenesis and Blood Supply
Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits. Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl hydroxylase and factor...
Regulation of Stroke Volume
The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Ischemic Stroke l: Introduction
Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
Ischemic Stroke ll: Pathophysiology
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Cytotoxic Edema: Pathophysiology
Cytotoxic edema is a form of cerebral edema characterized by intracellular swelling of neurons, astrocytes, and other glial cells. It develops when the mechanisms responsible for maintaining ionic gradients across the cell membrane become impaired. Under normal physiological conditions, the sodium–potassium ATPase actively transports sodium ions out of the cell and potassium ions into the cell, preserving osmotic balance and enabling electrical signaling. This pump requires a continuous supply...


