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Loss of angiopoietin-2 leads to region-specific brain malformations and blood-brain barrier leakage
Weihan Li, Elisa Vázquez-Liébanas, Chanaëlle Fébrissy, Florent Sauvé, Jianhao Wang, Doğan E. Sayıner, Pia Buslaps, Amanda Norrén, Michael Vanlandewijck, Liqun He, Marie Jeansson, Lars Muhl, Maarja Andaloussi Mäe
Weihan Li, Elisa Vázquez-Liébanas, Chanaëlle Fébrissy, Florent Sauvé, Jianhao Wang, Doğan E. Sayıner, Pia Buslaps, Amanda Norrén, Michael Vanlandewijck, Liqun He, Marie Jeansson, Lars Muhl, Maarja Andaloussi Mäe
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Research Article Cell biology Vascular biology

Loss of angiopoietin-2 leads to region-specific brain malformations and blood-brain barrier leakage

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Abstract

Angiopoietin-2 (ANGPT2) is known to destabilize vascular barriers in most peripheral organs; however, its role in the brain vasculature remains poorly understood. To investigate its physiological function within the brain vasculature, we analyzed constitutive Angpt2-knockout mice in adulthood. We showed that loss of ANGPT2 leads to region-specific vascular malformations and blood-brain barrier (BBB) dysfunction, resulting in differential permeability to 1 kDa and 70 kDa fluorescent tracers. Notably, overt vascular malformations appeared only in select brain regions that allowed leakage of both tracers. These malformations were characterized by dilated, intertwined, and sprouting endothelial cells, surrounded by reactive perivascular cells, along with high levels of astrocyte- and neuron-derived vascular endothelial growth factor A (VEGFA) and elevated expression of the vascular receptors VEGF receptor 2 (KDR) and neuropilin-1 (NRP1). Other cortical areas without obvious malformations exhibited significant leakage of the 1 kDa tracer. We also demonstrated that different cell types took up the tracers after passing the BBB. Our findings identified ANGPT2 as an important factor involved in the regulation of cerebrovascular architecture, barrier integrity, and endothelial-parenchymal interactions, and uncovered surprising differences in the leakage patterns and cellular uptake of two widely used BBB tracers.

Authors

Weihan Li, Elisa Vázquez-Liébanas, Chanaëlle Fébrissy, Florent Sauvé, Jianhao Wang, Doğan E. Sayıner, Pia Buslaps, Amanda Norrén, Michael Vanlandewijck, Liqun He, Marie Jeansson, Lars Muhl, Maarja Andaloussi Mäe

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Figure 3

Phenotypes of brain perivascular cells in Angpt2-KO brains.

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Phenotypes of brain perivascular cells in Angpt2-KO brains.
(A) Represen...
(A) Representative images of ACE2 (cyan), ACTA2 (yellow), and PECAM1 (red) IF in CP from Angpt2 WT (n = 5) and KO (n = 6). Scale bars: 25 μm. (B and C) Representative images of ANPEP (cyan) and PECAM1 (yellow) IF with 70 kDa TMR-dextran (red) and 1 kDa A488-cadaverine (green) in SS4–6 (B) and CP (C) (n = 4). High-magnification images of 1 Z-plane of the tangled vasculature with parenchymal dextran leakage are shown. ANPEP+ cells with dextran uptake (white arrowheads); ANPEP– cells with dextran uptake (arrows). Parenchymal 70 kDa TMR-dextran leakage (yellow arrowheads). (D and E) Representative images of ANPEP (cyan) and PECAM1 (yellow) IF and 1 kDa A488-cadaverine (green) in ORB (D) and SS1–3 (E) (n = 4). Scale bars: 50 μm. (F) Representative tile scans of LAMA1 (yellow) and PECAM1 (red) IF on sagittal medial sections of Angpt2 WT (n = 5) and KO (n = 6). High-magnification images of malformed vasculature covered by LAMA1+ sleeves in KO (arrows) and big vessels covered by LAMA1+ sleeves in WT (arrowheads) are shown. Scale bars: 1 mm. (G) Representative images of LAMA1 (cyan) and PECAM1 (yellow) IF and 70 kDa TMR-dextran (red) in CP (n = 3). Parenchymal TMR-dextran leakage outside LAMA1 sleeve (arrowheads). High-magnification images of 1 Z-plane of malformed vasculature covered by LAMA1+ sleeves are shown. Scale bars: 25 μm. (H) IF of LAMA1 (yellow), PDGFRA (cyan), and PECAM1 (red) in CP from Angpt2 WT (n = 5) and KO (n = 6). Scale bars: 25 μm (B and C); 100 μm (F); 25 μm (G).

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