Blood Brain Barrier Flashcards

1
Q

Describe visually what blood brain barrier damage of mice infected with virus by Evan’s blue dye exclusion tests

A

Inclusion of blue colour dye n the brain indicated the increase permeability or damage of BBB.

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2
Q

Why do we need the BBB?

A

CNS neurons are intolerant to the fluctuations of metabolites, proteins and immune mediators present in the peripheral blood
Several amino acids such as glutamate are active as NTs and their conc in the extracellular space of the brain must be tightly regulated
Common plasma proteins such as serum albumin have been implicated in the provocation of epileptic seizures through the downstream alteration in astrocyte activity through downstream alteration in astrocyte activity induced by direct interaction with astrocyte TGFbeta Receptor-2 (TGFbR2)
Immune cells and inflammatory mediators may have destructive actions in the CNS

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3
Q

What is the barrier?

A

Non-fenestrated barrier endothelium of the blood brain vessels

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4
Q

Describe the lining of the BBB

A

Brain vessels are lined by continuous endothelial cells (ECs) that lack the small pores called fenestrated a found in vessels of many other tissues and organs
Importantly the tight junctions that join the ECs don’t permit leakage of even very small solute molecules, giving the ECs control of everything of everything that crosses the barrier

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5
Q

What gives the endothelial cells control over everything that crosses the barrier

A

Tight junctions that join the ECs don’t permit leakage of even very small solute molecules

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6
Q

Describe the choroidal capillary ultra structure

A

Fenestrated non-barrier endothelium typical of endocrine glands, small intestine and the renal glomerulus

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7
Q

Describe the dealing of the barrier

A

‘Tight’ junctions seal the barrier
The effective sealing of the gap between contiguous endothelial cells is maintained by extremely impermeable zonular occludes e belt-like tight junctions that completely seal the space between the ECs

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8
Q

Continuous endothelium and sealing tight junctions of the CNS blood vessels enables….

A

Them to act as. Continuous membrane

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9
Q

The tight junctions between BBB endothelial cells leads to …..

A

High endothelial electrical resistance and low paracellular permeability
The electrical resistance is in the range of 1500-2000 ohms/cm2 (pail vessels) compared to 3-33 ohms/cm2 in other tissues

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10
Q

Permeability of the BBB to different classes of small molecules is similar to that of….

A

An intact phospholipid membrane

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11
Q

What type of molecules can get through

A

Hydrophobic eg o2, co2, n2, steroid hormones

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12
Q

How do amino acids transported across

A

Active transport

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13
Q

Glucose crosses by….

A

Facilitated diffusion on the Glut-1 transporter

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14
Q

CNS endothelial cells have …… than non barrier vessels

A

Greater volume fraction of mitochrondria in their cytoplasm than those of non-barrier vessels, to meet the greater energy demands of the ATP driven active transport systems

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15
Q

Specific macromolecules such as carrier proteins are …..

A

Selectively transferred by receptor-mediated endocytosis and transcytosis

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16
Q

Where are Glut-1 and Glut 3

A

Glucose transporters
Glut-1 is present on the plasma membranes of retinal neurons, glia and the vascular endothelial cells at the Blood Retinal Barrier
Glut-3 is neuron-specific and absent from the endothelium

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17
Q

Glut-1 is expressed by ….

A

Retinal neurons, glia and by vascular endothelial cells at the BRB

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18
Q

What permits selective transport of carrier proteins

A

Receptor-mediated endocytosis

19
Q

Transcytosis can deliver..

A

Essential macromolecules such as carrier proteins, or therapeutic antibodies, across the BB in a biologically active state
In receptor-mediated transcytosis, macromolecules internalised by RME at the apical surface are re-routed from early recycling endoscopes to the base-lateral surface in biologically intact form

20
Q

Intravascular horseradish peroxidase MW 35-40K is…

A

Confined to the endosomal system of the endothelium of retinal capillary

21
Q

What are caveolae

A

pecialised cholesterol-rich microdomains of the plasma membrane, related to ‘lipid rafts’ in a wide variety of cells. However, when first described in endothelial cells by Palade et al over 40 years ago, they were interpreted as transport vesicles because of their spherical shape and the fact that due to their small size (60-80nM), their continuity with the cell surface was often not obvious. (see notes)
Caveolae often create apparent multi-chambered compartments at the luminal surface of vascular endothelial cells that have been associated with pathological activity of vascular endothelial growth factor (VEGF). However, they are present under normal conditions in retinal and choroidal vessels of the eye.

22
Q

Caveolae of ten create

A

Apparent multi-chambered compartments at the luminal surface of vascular endothelial cells that have been associated with pathological activity of vascular endothelial GF (VEGF). However, they are present under normal conditions in retinal and choroidal vessels of the eye

23
Q

Where are caveolae predominantly located

A

At the albuminal plasma membrane of the endothelium in the brain and retinal vessels, but if they operated transcytosis there should e equivalent numbers on each side of the cell. The tracer HRP within the vessel lumen in this type of preparation is washed out by perfusion fixation showing that caveolae do not internalise the protein

24
Q

Caveolae in an endothelial cell process show…

A

Tight clustering around a mitochondrion consistent with their role in locating ATP dependent ion pumps in a protected micro environment at the surface of constantly moving cells

25
The entire albuminal surface of the vasculature in the CNS is enclosed by the
Foot-processes of astrocytes
26
Arterial character is determined by
The type of mural cells (either SMC or pericytes and not by the luminal diameter) highly granites basement membrane
27
Immature capillary shows
Scanty deposits of ECM material in the space of the developing Basement membrane
28
What acute vulnerability happens only in the neonatal period
Acute vulnerability to hyperoxia and VEGF down-regulation
29
Maturation is thought to be dependent on but is actually dependent on
Pericyte investment But maturation later found to be dependent on pericyte-derived angioprotien - 1 signalling via the endothelial specific Tie-2 receptor
30
Ang-1 is produced by
Both pericytes and astrocytes, both of which have direct access to the barrier endothelium
31
Pericytes essential for
Induction of the BBB
32
What is Norrie’s disease
A condition characterised by breakdown of the blood-brain barrier, was caused by mutations in either the unconventional Wnt ligand Norris, or its cognate receptor Frizzled-4
33
What is Norris secreted by and where
The Muller glia in the retina but not n the rest of the CNS
34
What fills in for Norrin in cerebral cortex
Alternative Wnt Lgands
35
What is neuron-derived Wnt signalling essential for
Induction of essential BBB associated genes Glut-1 and Claudin-3 in the vascular endothelium
36
Pathological conditions that are factors causing barrier-breakdown
Chronic hypoxia - vascular disease or altitude sickness Inflammation and/or infection Hyperglycaemia - in diabetes mellitus Tumour - induces fenestration in vasculature
37
Specific mediators that cause barrier breakdown
VEGF induced by hypoxia and/or inflammation Angiopoietin-2 (non-signalling ligand for tie-2 receptor - blocks effects of ang-1) ang2 release is initiated by pro-inflammatory cytokines such as TNF-alpha and also by persistent hypoxia Release of biogenic amines such as histamine and bradykinin during inflammation
38
Ang-1 induces
Vascular stabilisation via Tie-2 receptor signalling, an effect reversed by ang-2
39
Pericyte derived ang-1 induced …
VE-Catherine and associated cytoskeletal and survival signalling complexes
40
Endothelial cell derived ang 2…..
Destabilises EC junctions and matrix adhesion by altering beta 1 integrity associations Ang-2 also induces Pericyte detachment fro the EC tube or even apoptosis
41
VEGF induced vascular permeability
VEGF induces rapid phosphorylation and redistribution of the tight junction proteins occluding and ZO-1, as in diabetes retinopathy
42
What is an example of Trojan horse strategy
Transcytosis of therapeutic antibodies The transferrin receptor (TfR) can be used as a shuttle for antibodies across the BBB if the antibody binds to the TfR in a reversible mode
43
Describe Trojan-horse transcytosis of anti-amyloid-beta therapeutic antibodies
Binding sites for both the BBB carrier (transferrin receptor TfR) and the therapeutic target of the antibody (BACE1/beta-secretase) can be accommodated in a single engineered bispecific antibody. Lowering the affinity of the Ab for the transferrin receptor, facilitated the release f the Ab at the brain side of the barrier and increased its concentration and half life within neural tissue
44
Describe transient open-barrier approaches for the BBB
1. Hyper-osmolar infusions of agents such as mannitol 2. Inflammatory mediators such as bradykinin or histamine (require higher cones for CNS vessels) 3. Growth factor signalling (VEGF) that cases phosphorylation of junctional proteins such as beta-catenin 4. Activators of cytoskeletal modulators: Rho family of small GTPases and associated kinases such as ROCK 5. Physical agents: focused ultrasound (shown benefit in treatment of Alzheimer’s where treatment effect appears to be mediated by transient opening of the BBB)