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Table 1 Dual roles of astrocyte-derived factors in the BBB integrity after TBI

From: Dual roles of astrocytes in plasticity and reconstruction after traumatic brain injury

Astrocyte-derived factors

Characters

Receptors

Role in BBB post-TBI

Mechanisms

Related agents

Other functions

References

ANG-1

Glycoprotein

Tie-2

Protect

Promote endothelial cells, vascular remodeling, and stability; increase TJ-related proteins

Exogenous ANG-1 or ANG-1 mimetic peptides

Promote angiogenesis; suppress VEGF-induce expression of cell adhesion molecules and leukocyte infiltration

179-181

SHH

Glycoprotein

Patched-1

Protect

Attenuate endothelial cells apoptosis; increase TJ-related proteins

Exogenous SHH

Promote angiogenesis; promote normal pattern formation and cellular differentiation in the developing CNS; suppress cell adhesion molecules expression and leukocyte infiltration

182-185

GDNF

Neurotrophic factor

GDNF receptor α-1 and -2

Protect

Increase TJ-related proteins

Exogenous GDNF

Promote the normal postnatal development of BBB, neuronal survival and angiogenesis; axon guidance and synapse formation; control endothelial functions;

186-188

RA

Active metabolite synthesized from retinol by retinaldehyde dehydrogenase

Nuclear RA receptors

Protect

Increase TJ-related proteins and vascular endothelial cadherin

Exogenous RA

Promote growth and development in the CNS; regulate synaptic plasticity; suppress the expression of cell adhesion molecules

189-191

IGF-1

A member of insulin gene family

IGF-1 receptors

Protect

Attenuate endothelial cells apoptosis

Exogenous IGF-1

Promote neurogenesis; reduce cell death; support injury repair; regulate synaptic neuroplasticity

78, 192, 193

APOE

A member of the apolipoprotein family

\

Protect*

Suppress the activity of MMP-9; increase TJ-related proteins

APOE-mimetic peptide COG1410

Support lipid transport and injury repair

194-203

VEGF

An angiogenetic factor

VEGFR-1 and VEGFR-2

Damage

Decrease TJ-related proteins

SU5416 (VEGFR-2 inhibitor); cavtratin (a selective inhibitor of VEGF-A)

Promote endothelial proliferation and differentiation for angiogenesis; induce cell adhesion molecules expression and leukocyte infiltration

204-207

MMP

Zinc-endopeptidases

\

Damage

Enhance endothelial cell apoptosis; degrade TJ-related proteins and ECM molecules

Ro32–3555 (a broad spectrum MMP inhibitor)

Promote angiogenesis; regulate expression of cell adhesion molecules and subsequent leukocyte infiltration

208, 213, 214

NO

A potent vasodilator synthesized from L-arginine by NO synthase

\

Damage

Enhance MMPs activation; decrease TJ-related proteins; induce apoptosis through cGMP monophosphate-independent pathways, suppress apoptosis through cGMP pathway

Nomega-Nitro-L-arginine methyl ester (a non-specific NOS inhibitor)

Regulate blood flow for neuronal activity; exacerbate inflammatory reaction

78, 215, 216

Glutamate

A major excitatory transmitter and

NMDA receptor and the AMPA receptor

Damage

Induce excessive vascular permeability via activation of NMDA receptors; decrease TJ-related proteins

MK-801 (non-competitive NMDA receptor antagonist); CGS-19755 (competitive NMDA receptor antagonist); NBQX, DNQX (competitive AMPA receptor antagonists)**

Regulate synaptic plasticity and formation; induce vasodilatation; regulate neuronal survival

208-210

ETs

Potent endogenous vasoconstrictors

Endothelin receptor type A/B

Damage

Exacerbate BBB inflammation; enhance MMPs activation; degrade TJ-related proteins

S-0139 (selective ETA receptor antagonist); BQ788 (selective ETB receptor antagonist)

Induce expression of cell adhension molecules; regulate endothelial function

21, 211, 212

S1P

A biologically active lipid

S1PR 1-5

Dual

Regulate VEGF activation and TJ-related proteins

Siponimod, fingolimod, TASP0277308 (antagonists of S1PR 1); artesunate, isoflurane (agonists of S1PR 1)

Regulate synaptic plasticity

143, 222-226

  1. *APOE exerts its regulation of BBB integrity in an isoform-dependent manner, APOE4 activates the activity of MMP-9 and accelerates the BBB permeability195, 196
  2. **Some studies suggested that blockade of AMPA receptor did not promote glutamate-mediated BBB breakdown210
  3. Both the antagonists which suppress the activation of S1PR 1 and agonists which activate S1PR 1 have been demonstrated to preserve the BBB integrity143, 222-226
  4. Abbreviations: ANG-1 angiopoietin-1, TJ tight junction, VEGF vascular endothelial growth factor, BBB blood-brain barrier, TBI traumatic brain injury, SHH sonic hedgehog, GDNF glial-derived neurotrophic factor, RA retinoic acid, IGF-1 insulin-like growth factor-1, APOE apolipoprotein E, MMP matrix metalloproteinases, ECM extracellular matrix, NO nitric oxide, cGMP cyclic guanosine, NMDA N-methyl-D-aspartate, ETs endothelins, S1P sphingosine 1-phosphate, AMPA α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid, S1PR S1P receptor