PECAM-1 stabilizes blood-brain barrier integrity and favors paracellular T-Cell diapedesis across the blood-brain barrier during neuroinflammation
      
      
        
      
      
      
      
        
          
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Wimmer, Isabella
  Theodor Kocher Institute, University of Bern, Switzerland - Department of Neuroimmunology, Center for Brain Research, Medical University of Vienna, Austria
          
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Tietz, Silvia
  Theodor Kocher Institute, University of Bern, Switzerland
          
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Nishihara, Hideaki
  Theodor Kocher Institute, University of Bern, Switzerland
          
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Deutsch, Urban
  Theodor Kocher Institute, University of Bern, Switzerland
          
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Sallusto, Federica
  Institute for Research in Biomedicine (IRB), Faculty of Biomedical Sciences, Università della Svizzera italiana, Switzerland - Institute of Microbiology, ETH Zürich, Switzerland
          
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Gosselet, Fabien
Blood-Brain Barrier Laboratory, Université d'Artois, Lens, France
          
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Lyck, Ruth
  Theodor Kocher Institute, University of Bern, Switzerland
          
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Muller, William A.
Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
          
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Lassmann, Hans
Department of Neuroimmunology, Center for Brain Research, Medical University of Vienna, Austria
          
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Engelhardt, Britta
  Theodor Kocher Institute, University of Bern, Switzerland
          
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        Published in:
        
          
            
            - Frontiers in immunology. - 2019, vol. 10, p. 711
 
       
      
      
      
      
      
       
      
      
      
        
        English
        
        
        
          Breakdown of the blood-brain barrier (BBB) and increased immune cell trafficking into the central nervous system  (CNS) are hallmarks of the pathogenesis of multiple sclerosis (MS). Platelet endothelial cell adhesion molecule-1  (PECAM-1; CD31) is expressed on cells of the vascular compartment and regulates vascular integrity and immune  cell trafficking. Involvement of PECAM-1 in MS pathogenesis has been suggested by the detection of increased  levels of soluble PECAM-1 (sPECAM-1) in the serum and CSF of MS patients. Here, we report profound  upregulation of cell-bound PECAM-1 in initial (pre-phagocytic) white matter as well as active cortical grey matter  MS lesions. Using a human in vitro BBB model we observed that PECAM-1 is not essential for the transmigration of  human CD4+ T-cell subsets (Th1, Th1*, Th2, and Th17) across the BBB. Employing an additional in vitro BBB  model based on primary mouse brain microvascular endothelial cells (pMBMECs) we show that the lack of  endothelial PECAM-1 impairs BBB properties as shown by reduced transendothelial electrical resistance (TEER)  and increases permeability for small molecular tracers. Investigating T-cell migration across the BBB under  physiological flow by in vitro live cell imaging revealed that absence of PECAM-1 in pMBMECs did not influence  arrest, polarization and crawling of effector/memory CD4+ T cells on the pMBMECs. Absence of endothelial  PECAM-1 also did not affect the number of T cells able to cross the pMBMEC monolayer under flow, but  surprisingly favored transcellular over paracellular T-cell diapedesis. Taken together, our data demonstrate that  PECAM-1 is critically involved in regulating BBB permeability and although not required for T-cell diapedesis itself,  its presence or absence influences the cellular route of T-cell diapedesis across the BBB. Upregulated expression  of cell-bound PECAM-1 in human MS lesions may thus reflect vascular repair mechanisms aiming to restore BBB  integrity and paracellular T-cell migration across the BBB as it occurs during CNS immune surveillance.
        
        
       
      
      
      
        
        
        
        
        
        
        
        
        
        
        
        
        
        
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                  Pathology, clinical medicine
                
              
            
          
        
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          Open access status
        
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          gold
        
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          Persistent URL
        
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          https://n2t.net/ark:/12658/srd1319145
        
 
   
  
  
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