Cell Reports (May 2024)

Astrocytic Slc4a4 regulates blood-brain barrier integrity in healthy and stroke brains via a CCL2-CCR2 pathway and NO dysregulation

  • Qi Ye,
  • Juyeon Jo,
  • Chih-Yen Wang,
  • Heavin Oh,
  • Jiangshan Zhan,
  • Tiffany J. Choy,
  • Kyoung In Kim,
  • Angelo D’Alessandro,
  • Yana K. Reshetnyak,
  • Sung Yun Jung,
  • Zheng Chen,
  • Sean P. Marrelli,
  • Hyun Kyoung Lee

Journal volume & issue
Vol. 43, no. 5
p. 114193

Abstract

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Summary: Astrocytes play vital roles in blood-brain barrier (BBB) maintenance, yet how they support BBB integrity under normal or pathological conditions remains poorly defined. Recent evidence suggests that ion homeostasis is a cellular mechanism important for BBB integrity. In the current study, we investigated the function of an astrocyte-specific pH regulator, Slc4a4, in BBB maintenance and repair. We show that astrocytic Slc4a4 is required for normal astrocyte morphological complexity and BBB function. Multi-omics analyses identified increased astrocytic secretion of CCL2 coupled with dysregulated arginine-NO metabolism after Slc4a4 deletion. Using a model of ischemic stroke, we found that loss of Slc4a4 exacerbates BBB disruption, which was rescued by pharmacological or genetic inhibition of the CCL2-CCR2 pathway in vivo. Together, our study identifies the astrocytic Slc4a4-CCL2 and endothelial CCR2 axis as a mechanism controlling BBB integrity and repair, while providing insights for a therapeutic approach against BBB-related CNS disorders.

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