Outgrowth endothelial cells form a functional cerebral barrier and restore its integrity after damage

Breakdown of blood-brain barrier, formed mainly by brain microvascular endothelial cells (BMECs), represents the major cause of mortality during early phases of ischemic strokes. Hence, discovery of novel agents that can effectively replace dead or dying endothelial cells to restore blood-brain barr...

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Main Authors: Rais Reskiawan Abdulkadir, Mansour Alwjwaj, Othman Ahmad Othman, Kamini Rakkar, Ulvi Bayraktutan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Neural Regeneration Research
Subjects:
Online Access:http://www.nrronline.org/article.asp?issn=1673-5374;year=2020;volume=15;issue=6;spage=1071;epage=1078;aulast=Abdulkadir
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author Rais Reskiawan Abdulkadir
Mansour Alwjwaj
Othman Ahmad Othman
Kamini Rakkar
Ulvi Bayraktutan
author_facet Rais Reskiawan Abdulkadir
Mansour Alwjwaj
Othman Ahmad Othman
Kamini Rakkar
Ulvi Bayraktutan
author_sort Rais Reskiawan Abdulkadir
collection DOAJ
description Breakdown of blood-brain barrier, formed mainly by brain microvascular endothelial cells (BMECs), represents the major cause of mortality during early phases of ischemic strokes. Hence, discovery of novel agents that can effectively replace dead or dying endothelial cells to restore blood-brain barrier integrity is of paramount importance in stroke medicine. Although endothelial progenitor cells (EPCs) represent one such agents, their rarity in peripheral blood severely limits their adequate isolation and therapeutic use for acute ischemic stroke which necessitate their ex vivo expansion and generate early EPCs and outgrowth endothelial cells (OECs) as a result. Functional analyses of these cells, in the present study, demonstrated that only OECs endocytosed DiI-labelled acetylated low-density lipoprotein and formed tubules on matrigel, prominent endothelial cell and angiogenesis markers, respectively. Further analyses by flow cytometry demonstrated that OECs expressed specific markers for stemness (CD34), immaturity (CD133) and endothelial cells (CD31) but not for hematopoietic cells (CD45). Like BMECs, OECs established an equally tight in vitro model of human BBB with astrocytes and pericytes, suggesting their capacity to form tight junctions. Ischemic injury mimicked by concurrent deprivation of oxygen and glucose (4 hours) or deprivation of oxygen and glucose followed by reperfusion (20 hours) affected both barrier integrity and function in a similar fashion as evidenced by decreases in transendothelial electrical resistance and increases in paracellular flux, respectively. Wound scratch assays comparing the vasculoreparative capacity of cells revealed that, compared to BMECs, OECs possessed a greater proliferative and directional migratory capacity. In a triple culture model of BBB established with astrocytes, pericytes and BMEC, exogenous addition of OECs effectively repaired the damage induced on endothelial layer in serum-free conditions. Taken together, these data demonstrate that OECs may effectively home to the site of vascular injury and repair the damage to maintain (neuro)vascular homeostasis during or after a cerebral ischemic injury.
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spelling doaj.art-689198e6cf614e6eb7ad650dc57578ed2022-12-21T19:19:17ZengWolters Kluwer Medknow PublicationsNeural Regeneration Research1673-53742020-01-011561071107810.4103/1673-5374.269029Outgrowth endothelial cells form a functional cerebral barrier and restore its integrity after damageRais Reskiawan AbdulkadirMansour AlwjwajOthman Ahmad OthmanKamini RakkarUlvi BayraktutanBreakdown of blood-brain barrier, formed mainly by brain microvascular endothelial cells (BMECs), represents the major cause of mortality during early phases of ischemic strokes. Hence, discovery of novel agents that can effectively replace dead or dying endothelial cells to restore blood-brain barrier integrity is of paramount importance in stroke medicine. Although endothelial progenitor cells (EPCs) represent one such agents, their rarity in peripheral blood severely limits their adequate isolation and therapeutic use for acute ischemic stroke which necessitate their ex vivo expansion and generate early EPCs and outgrowth endothelial cells (OECs) as a result. Functional analyses of these cells, in the present study, demonstrated that only OECs endocytosed DiI-labelled acetylated low-density lipoprotein and formed tubules on matrigel, prominent endothelial cell and angiogenesis markers, respectively. Further analyses by flow cytometry demonstrated that OECs expressed specific markers for stemness (CD34), immaturity (CD133) and endothelial cells (CD31) but not for hematopoietic cells (CD45). Like BMECs, OECs established an equally tight in vitro model of human BBB with astrocytes and pericytes, suggesting their capacity to form tight junctions. Ischemic injury mimicked by concurrent deprivation of oxygen and glucose (4 hours) or deprivation of oxygen and glucose followed by reperfusion (20 hours) affected both barrier integrity and function in a similar fashion as evidenced by decreases in transendothelial electrical resistance and increases in paracellular flux, respectively. Wound scratch assays comparing the vasculoreparative capacity of cells revealed that, compared to BMECs, OECs possessed a greater proliferative and directional migratory capacity. In a triple culture model of BBB established with astrocytes, pericytes and BMEC, exogenous addition of OECs effectively repaired the damage induced on endothelial layer in serum-free conditions. Taken together, these data demonstrate that OECs may effectively home to the site of vascular injury and repair the damage to maintain (neuro)vascular homeostasis during or after a cerebral ischemic injury.http://www.nrronline.org/article.asp?issn=1673-5374;year=2020;volume=15;issue=6;spage=1071;epage=1078;aulast=Abdulkadircell-based therapy; endothelial progenitor cells; endothelium; ischemic stroke; neurodegeneration; novel therapeutics; outgrowth endothelial cells; regenerative medicine; stem cells; translational medicine
spellingShingle Rais Reskiawan Abdulkadir
Mansour Alwjwaj
Othman Ahmad Othman
Kamini Rakkar
Ulvi Bayraktutan
Outgrowth endothelial cells form a functional cerebral barrier and restore its integrity after damage
Neural Regeneration Research
cell-based therapy; endothelial progenitor cells; endothelium; ischemic stroke; neurodegeneration; novel therapeutics; outgrowth endothelial cells; regenerative medicine; stem cells; translational medicine
title Outgrowth endothelial cells form a functional cerebral barrier and restore its integrity after damage
title_full Outgrowth endothelial cells form a functional cerebral barrier and restore its integrity after damage
title_fullStr Outgrowth endothelial cells form a functional cerebral barrier and restore its integrity after damage
title_full_unstemmed Outgrowth endothelial cells form a functional cerebral barrier and restore its integrity after damage
title_short Outgrowth endothelial cells form a functional cerebral barrier and restore its integrity after damage
title_sort outgrowth endothelial cells form a functional cerebral barrier and restore its integrity after damage
topic cell-based therapy; endothelial progenitor cells; endothelium; ischemic stroke; neurodegeneration; novel therapeutics; outgrowth endothelial cells; regenerative medicine; stem cells; translational medicine
url http://www.nrronline.org/article.asp?issn=1673-5374;year=2020;volume=15;issue=6;spage=1071;epage=1078;aulast=Abdulkadir
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AT othmanahmadothman outgrowthendothelialcellsformafunctionalcerebralbarrierandrestoreitsintegrityafterdamage
AT kaminirakkar outgrowthendothelialcellsformafunctionalcerebralbarrierandrestoreitsintegrityafterdamage
AT ulvibayraktutan outgrowthendothelialcellsformafunctionalcerebralbarrierandrestoreitsintegrityafterdamage