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2015 ; 95
(8
): 903-13
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gab.com Text
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English Wikipedia
TGF?1 exacerbates blood-brain barrier permeability in a mouse model of hepatic
encephalopathy via upregulation of MMP9 and downregulation of claudin-5
#MMPMID26006017
McMillin MA
; Frampton GA
; Seiwell AP
; Patel NS
; Jacobs AN
; DeMorrow S
Lab Invest
2015[Aug]; 95
(8
): 903-13
PMID26006017
show ga
Recent studies have found that vasogenic brain edema is present during hepatic
encephalopathy following acute liver failure and is dependent on increased matrix
metalloproteinase 9 (MMP9) activity and downregulation of tight junction
proteins. Furthermore, circulating transforming growth factor ?1 (TGF?1) is
increased following liver damage and may promote endothelial cell permeability.
This study aimed to assess whether increased circulating TGF?1 drives changes in
tight junction protein expression and MMP9 activity following acute liver
failure. Blood-brain barrier permeability was assessed in azoxymethane
(AOM)-treated mice at 6, 12, and 18?h post-injection via Evan's blue
extravasation. Monolayers of immortalized mouse brain endothelial cells (bEnd.3)
were treated with recombinant TGF?1 (rTGF?1) and permeability to fluorescein
isothiocyanate-dextran (FITC-dextran), MMP9 and claudin-5 expression was
assessed. Antagonism of TGF?1 signaling was performed in vivo to determine its
role in blood-brain barrier permeability. Blood-brain barrier permeability was
increased in mice at 18?h following AOM injection. Treatment of bEnd.3 cells with
rTGF?1 led to a dose-dependent increase of MMP9 expression as well as a
suppression of claudin-5 expression. These effects of rTGF?1 on MMP9 and
claudin-5 expression could be reversed following treatment with a SMAD3
inhibitor. AOM-treated mice injected with neutralizing antibodies against TGF?
demonstrated significantly reduced blood-brain barrier permeability. Blood-brain
barrier permeability is induced in AOM mice via a mechanism involving the
TGF?1-driven SMAD3-dependent upregulation of MMP9 expression and decrease of
claudin-5 expression. Therefore, treatment modalities aimed at reducing TGF?1
levels or SMAD3 activity may be beneficial in promoting blood-brain barrier
integrity following liver failure.