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In certain diseases, however, such as multiple sclerosis, the barrier can be improperly breached. These 鈥渓eaks鈥� can allow immune cells and inflammatory molecules to pass through, causing inflammation that leads to neuronal damage.

In a new study, researchers have made insights into how the blood-brain barrier, or BBB, is maintained, identifying a protein key to the process. Delivering this protein to mice with the rodent equivalent of MS improved their symptoms.

The research, led by the University of Pennsylvania鈥檚 Jorge Ivan Alvarez and Cornelia Podjaski of 捆绑SM社区 and Alexandre Prat of the University of Montreal, will appear in the journal Brain.

Alvarez is an assistant professor in Penn鈥檚 School of Veterinary Medicine. He conducted the study with Podjaski colleagues from 捆绑SM社区 and the University of Montreal, where he completed a postdoctoral fellowship under the direction of Prat. Prat聽 is a full professor at the University of Montreal鈥檚 Faculty of Medicine and directs the Neuroimmunology Laboratory at the Centre hospitalier de l鈥橴niversit茅 de Montr茅al Research Centre. Podjaski is currently a researcher with New Nordic Inc.

In 2011, Alvarez and Prat published a that identified that the protein sonic hedgehog, or Shh, is secreted by central nervous system cells called astrocytes and plays a key role in blood-brain barrier maintenance, in part by preventing immune cells from entering the brain.

But the researchers still didn鈥檛 have a complete picture of the signaling events downstream of Shh that mediated this effect. To find out more, they first used human cells in culture from the blood brain barrier, called endothelial cells. They found that applying Shh to the cells caused levels of a protein called netrin-1 to rise.

In mice bred to lack the molecular receptor for Shh, netrin-1 expression was reduced, indicating that netrin-1 expression depends on Shh.

鈥淣etrins are best known to play a role in guiding the direction of axon growth as well as morphogenesis and tissue formation,鈥� Alvarez said. 鈥淏ut our work suggested a new role for netrin-1 in the blood brain barrier.鈥�

Curious as to whether this might influence MS, they examined BBB cells from the brains of people who had died from the disease. Normal tissue from these individuals contained low levels of netrin-1, while the diseased lesions in the brain had higher levels. The researchers found similar results in a mouse model of MS called experimental autoimmune encephalomyelitis, or EAE.

Next, the team directly measured netrin-1鈥檚 effect on BBB permeability by labeling tracer molecules and found that netrin-1 significantly reduced the movement of molecules across cultures of human BBB endothelial cells. Further experiments showed that netrin regulates this process by promoting the expression of the so-called 鈥渢ight junction鈥� proteins, which are located between BBB endothelial cells and are responsible for controlling barrier function. The team also found that, when in an environment rife with inflammatory signaling molecules, which would normally compromise the integrity of the BBB, netrin-1 had a counteracting effect, preventing disruption to the BBB.鈥淚n mice bred to lack netrin-1, we observed that proteins normally found in the blood accumulated in the animals鈥� brain, another sign that netrin-1 ensured the integrity of the BBB,鈥� Podjaski explains.

Armed with these findings suggesting netrin-1 protects the BBB, the team tested the potential of netrin-1 in ameliorating EAE symptoms, which are similar to those of people with MS. 鈥淏y administering netrin-1 to mice before the EAE disease was induced, we found that animals had less severe disease, delayed disease onset, fewer lesions in their brain, fewer markers of inflammation and better maintenance of body weight compared to mice given a sham treatment,鈥� Podjaski says.

鈥淚n mice, we found the disease outcome is better when they鈥檙e treated with netrin-1, even when delivered after disease processes had begun,鈥� Alvarez says. 鈥淎nd all those observations held up in vitro as well.鈥�

Moving forward, the researchers hope to further elucidate the pathway through which Shh and netrin-1 operate, with an aim toward finding more effective ways to uphold the barrier 鈥� and perhaps one day treat diseases like MS.

鈥淲e now know that Sonic is above netrin-1 in the signaling pathway, but what else is Sonic hedgehog doing?鈥� Prat says. 鈥淲e need to complete the puzzle with Sonic first to give us better therapeutic strategies.鈥�

Additional researchers on the study were 聽the University of Montreal鈥檚 Lyne Bourbonniere, Sandra Larouche, Simon Terouz, Marc-Andre Lecuyer, Olivia Saint-Laurent, Catherine Larochelle, Nathalie Arbour and 捆绑SM社区鈥檚 Jenea Bin, Peter Darlington, Jack P. Antel and Timothy E. Kennedy.

The research was supported by the Canadian Institutes of Health Research and the Multiple Sclerosis Society of Canada. Prat holds the Canada Research Chair in Multiple Sclerosis. The University of Montreal is officially known as Universit茅 de Montr茅al.

Photo:

Inflammation in a multiple sclerosis lesion prompts the blood-brain barrier to enhance the expression of netrin-1 (green) to limit immune-related damage. Blood-brain barrier vessels were labeled red and cell nuclei were stained blue. Credit: University of Pennsylvania