Netrin-1 protects blood-brain barrier (BBB) integrity after cerebral ischemia-reperfusion by activating the Kruppel-like factor 2 (KLF2)/occludin pathway

J Biochem Mol Toxicol. 2024 Jan;38(1):e23623. doi: 10.1002/jbt.23623.

Abstract

Ischemia/reperfusion (I/R)-induced neural damage and neuroinflammation have been associated with pathological progression during stroke. Netrin-1 is an important member of the family of laminin-related secreted proteins, which plays an important role in governing axon elongation. However, it is unknown whether Netrin-1 possesses a beneficial role in stroke. Here, we employed the middle cerebral artery occlusion (MCAO) model to study the function of Netrin-1 in alleviating brain injuries. Our results demonstrate that Netrin-1 rescued poststroke neurological deficits and inhibited production of the inflammatory cytokines such as interleukin 6 (IL-6) and endothelial chemokine (C-X-C motif) ligand 1 (Cxcl1). Importantly, Netrin-1 protected against MCAO-induced dysfunction of the blood-brain barrier (BBB) in mice and a reduction in the expression of the tight junction (TJ) protein occludin. Additionally, we report that Netrin-1 could ameliorate oxygen-glucose deprivation/reoxygenation (OGD/R)-induced injury and prevent aggravation in endothelial monolayer permeability in bEnd.3 human brain microvascular endothelial cells (HBMVECs). Mechanistically, Netrin-1 ameliorated OGD/R-induced decrease in occludin and Kruppel-like factor 2 (KLF2) in HBMVECs. Notably, silencing of KLF2 abolished the beneficial effects of Netrin-1 in protecting endothelial permeability and occludin expression, suggesting that these effects are mediated by KLF2. In conclusion, our findings suggest that Netrin-1 could constitute a novel therapeutic strategy for ischemic stroke.

Keywords: BBB; KLF2; Netrin-1; neuroinflammation; stroke.

MeSH terms

  • Animals
  • Blood-Brain Barrier* / metabolism
  • Brain Ischemia*
  • Endothelial Cells / metabolism
  • Humans
  • Infarction, Middle Cerebral Artery / metabolism
  • Infarction, Middle Cerebral Artery / pathology
  • Kruppel-Like Transcription Factors / metabolism
  • Mice
  • Netrin-1* / metabolism
  • Occludin / metabolism
  • Reperfusion
  • Reperfusion Injury* / metabolism
  • Stroke*
  • Transcription Factors / metabolism

Substances

  • KLF2 protein, human
  • Kruppel-Like Transcription Factors
  • Netrin-1
  • Occludin
  • Transcription Factors
  • NTN1 protein, human