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Pericyte response to ischemic stroke precedes endothelial cell death and blood-brain barrier breakdown

Roth, Michaela LU ; Carlsson, Robert LU orcid ; Buizza, Carolina LU ; Enström, Andreas LU orcid and Paul-Visse, Gesine LU orcid (2025) In Journal of Cerebral Blood Flow and Metabolism 45(4). p.617-629
Abstract
Stroke is one of the leading causes of death and disability, yet the cellular response to the ischemic insult is poorly understood limiting therapeutic options. Brain pericytes are crucial for maintaining blood-brain barrier (BBB) integrity and are known to be one of the first responders to ischemic stroke. The exact timeline of cellular events after stroke, however, remains elusive. Using the permanent middle cerebral artery occlusion stroke model, we established a detailed timeline of microvascular events after experimental stroke. Our results show that pericytes respond already within 1 hour after the ischemic insult. We find that approximately 30% of the pericyte population dies as early as 1 hour after stroke, while ca 50% express... (More)
Stroke is one of the leading causes of death and disability, yet the cellular response to the ischemic insult is poorly understood limiting therapeutic options. Brain pericytes are crucial for maintaining blood-brain barrier (BBB) integrity and are known to be one of the first responders to ischemic stroke. The exact timeline of cellular events after stroke, however, remains elusive. Using the permanent middle cerebral artery occlusion stroke model, we established a detailed timeline of microvascular events after experimental stroke. Our results show that pericytes respond already within 1 hour after the ischemic insult. We find that approximately 30% of the pericyte population dies as early as 1 hour after stroke, while ca 50% express markers that indicate activation. A decrease of endothelial tight junctions, signs of endothelial cell death and reduction in blood vessel length are only detected at time points after the initial pericyte response. Consistently, markers of BBB leakage are observed several hours after pericyte cell death and/or vascular detachment. Our results suggest that the pericyte response to stroke occurs early and precedes both the endothelial response and the BBB breakdown. This highlights pericytes as an important target cell type to develop new diagnostic and therapeutic tools.
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Cerebral Blood Flow and Metabolism
volume
45
issue
4
pages
617 - 629
publisher
Nature Publishing Group
external identifiers
  • pmid:39053491
  • scopus:85199984264
ISSN
1559-7016
DOI
10.1177/0271678X241261946
language
English
LU publication?
yes
id
a9694e4a-783d-4668-9385-31d0efbcff0f
date added to LUP
2024-10-28 13:08:01
date last changed
2025-07-01 04:02:32
@article{a9694e4a-783d-4668-9385-31d0efbcff0f,
  abstract     = {{Stroke is one of the leading causes of death and disability, yet the cellular response to the ischemic insult is poorly understood limiting therapeutic options. Brain pericytes are crucial for maintaining blood-brain barrier (BBB) integrity and are known to be one of the first responders to ischemic stroke. The exact timeline of cellular events after stroke, however, remains elusive. Using the permanent middle cerebral artery occlusion stroke model, we established a detailed timeline of microvascular events after experimental stroke. Our results show that pericytes respond already within 1 hour after the ischemic insult. We find that approximately 30% of the pericyte population dies as early as 1 hour after stroke, while ca 50% express markers that indicate activation. A decrease of endothelial tight junctions, signs of endothelial cell death and reduction in blood vessel length are only detected at time points after the initial pericyte response. Consistently, markers of BBB leakage are observed several hours after pericyte cell death and/or vascular detachment. Our results suggest that the pericyte response to stroke occurs early and precedes both the endothelial response and the BBB breakdown. This highlights pericytes as an important target cell type to develop new diagnostic and therapeutic tools.<br/>}},
  author       = {{Roth, Michaela and Carlsson, Robert and Buizza, Carolina and Enström, Andreas and Paul-Visse, Gesine}},
  issn         = {{1559-7016}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{617--629}},
  publisher    = {{Nature Publishing Group}},
  series       = {{Journal of Cerebral Blood Flow and Metabolism}},
  title        = {{Pericyte response to ischemic stroke precedes endothelial cell death and blood-brain barrier breakdown}},
  url          = {{http://dx.doi.org/10.1177/0271678X241261946}},
  doi          = {{10.1177/0271678X241261946}},
  volume       = {{45}},
  year         = {{2025}},
}