Skip to main content

Advertisement

Log in

Blood-Brain Barrier Permeability Is Exacerbated in Experimental Model of Hepatic Encephalopathy via MMP-9 Activation and Downregulation of Tight Junction Proteins

  • Published:
Molecular Neurobiology Aims and scope Submit manuscript

Abstract

The present study was designed to investigate the mechanisms involved in blood-brain barrier (BBB) permeability in bile duct ligation (BDL) model of chronic hepatic encephalopathy (HE). Four weeks after BDL surgery, a significant increase was observed in serum bilirubin levels. Masson trichrome staining revealed severe hepatic fibrosis in the BDL rats. 99mTc-mebrofenin retention was increased in the liver of BDL rats suggesting impaired hepatobiliary transport. An increase in permeability to sodium fluorescein, Evans blue, and fluorescein isothiocyanate (FITC)-dextran along with increase in water and electrolyte content was observed in brain regions of BDL rats suggesting disrupted BBB. Increased brain water content can be attributed to increase in aquaporin-4 mRNA and protein expression in BDL rats. Matrix metalloproteinase-9 (MMP-9) mRNA and protein expression was increased in brain regions of BDL rats. Additionally, mRNA and protein expression of tissue inhibitor of matrix metalloproteinases (TIMPs) was also increased in different regions of brain. A significant decrease in mRNA expression and protein levels of tight junction proteins, viz., occludin, claudin-5, and zona occluden-1 (ZO-1) was observed in different brain regions of BDL rats. VCAM-1 mRNA and protein expression was also found to be significantly upregulated in different brain regions of BDL animals. The findings from the study suggest that increased BBB permeability in HE involves activation of MMP-9 and loss of tight junction proteins.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10

Similar content being viewed by others

Abbreviations

BBB:

Blood-brain barrier

BDL:

Bile duct ligation

FITC:

Fluorescein isothiocyanate

GAPDH:

Glyceraldehyde-3-phosphate dehydrogenase

HE:

Hepatic encephalopathy

HEPES:

4-(2-Hydroxyethyl)-1-piperazineethanesulfonic acid

HRP:

Horse radish peroxidase

ICAM-1:

Intercellular adhesion molecule-1

IgG:

Immunoglobulin G

LPS:

Lipolysaccharide

MMPs:

Matrix metalloproteinases

MMP-2:

Matrix metalloproteinase-2

MMP-9:

Matrix metalloproteinase-9

NKCC1:

Sodium potassium chloride-cotransporter 1

PBS:

Phosphate buffer saline

PMSF:

Phenylmethylsulfonyl fluoride

PVDF:

Polyvinylidene difluoride

SC:

Sham control

SDS-PAGE:

Sodium dodecyl sulfate-polyacrylamide gel electrophoresis

SEM:

Standard error mean

TCA:

Trichloroacetic acid

99mTc:

Technetium 99m

TIMPs:

Tissue inhibitor of matrix metalloproteinases

TIMP-1:

Tissue inhibitor of matrix metalloproteinase-1

TIMP-2:

Tissue inhibitor of matrix metalloproteinase-2

VCAM-1:

Vascular cell adhesion molecule-1

ZO-1:

Zona occluden-1

References

  1. Vilstrup H, Amodio P, Bajaj J, Cordoba J, Ferenci P, Mullen KD, Weissenborn K, Wong P (2014) Hepatic encephalopathy in chronic liver disease: 2014 Practice Guideline by the American Association for the Study of Liver Diseases and the European Association for the Study of the Liver. Hepatology 60:715–735

    Article  PubMed  Google Scholar 

  2. Hazell AS, Butterworth RF (1999) Hepatic encephalopathy: An update of pathophysiologic mechanisms. Proc Soc Exp Biol Med 222:99–112

    Article  CAS  PubMed  Google Scholar 

  3. Hawkins BT, Davis TP (2005) The blood-brain barrier/neurovascular unit in health and disease. Pharmacol Rev 57:173–185

    Article  CAS  PubMed  Google Scholar 

  4. Abbott NJ, Patabendige AA, Dolman DE, Yusof SR, Begley DJ (2010) Structure and function of the blood-brain barrier. Neurobiol Dis 37:13–25

    Article  CAS  PubMed  Google Scholar 

  5. Lockwood AH, Yap EW, Wong WH (1991) Cerebral ammonia metabolism in patients with severe liver disease and minimal hepatic encephalopathy. J Cereb Blood Flow Metab 11:337–341

    Article  CAS  PubMed  Google Scholar 

  6. Wright G, Shawcross D, Olde Damink SWM, Jalan R (2007) Brain cytokine flux in acute liver failure and its relationship with intracranial hypertension. Metab Brain Dis 22:375–388

    Article  CAS  PubMed  Google Scholar 

  7. Sawara K, Desjardins P, Chatauret N, Kato A, Suzuki K, Butterworth RF (2009) Alterations in expression of genes coding for proteins of the neurovascular unit in ischemic liver failure. Neurochem Int 55:119–123

    Article  CAS  PubMed  Google Scholar 

  8. Rosenberg GA (2009) Matrix metalloproteinases and their multiple roles in neurodegenerative diseases. Lancet Neurol 8:205–216

    Article  CAS  PubMed  Google Scholar 

  9. Agrawal SM, Lau L, Yong VW (2008) MMPs in the central nervous system: where the good guys go bad. Semin Cell Dev Biol 19:42–51

    Article  CAS  PubMed  Google Scholar 

  10. Yang Y, Estrada EY, Thompson JF, Liu W, Rosenberg GA (2007) Matrix metalloproteinase mediated disruption of tight junction proteins in cerebral vessels is reversed by synthetic matrix metalloproteinase inhibitor in focal ischemia in rat. J Cereb Blood Flow Metab 27:697–709

    Article  CAS  PubMed  Google Scholar 

  11. Gasche Y, Copin JC, Sugawara T, Fujimura M, Chan PH (2001) Matrix metalloproteinase inhibition prevents oxidative stress-associated blood-brain barrier disruption after transient focal cerebral ischemia. J Cereb Blood Flow Metab 21:1393–1400

    Article  CAS  PubMed  Google Scholar 

  12. Crocker SJ, Milner R, Pham-Mitchell N, Campbell IL (2006) Cell and agonist-specific regulation of genes for matrix metalloproteinases and their tissue inhibitors by primary glial cells. J Neurochem 98:812–823

    Article  CAS  PubMed  Google Scholar 

  13. Butterworth RF, Norenberg MD, Felipo V, Ferenci P, Albrecht J, Blei AT, Members of the ISHEN Commission on Experimental Models of HE (2009) Experimental models of hepatic encephalopathy: ISHEN guidelines. Liver Int 29:783–788

    Article  PubMed  Google Scholar 

  14. Georgiev P, Jochum W, Heinrich S, Jang JH, Nocito A, Dahm F, Clavien PA (2008) Characterization of time-related changes after experimental bile duct ligation. Br J Surg 95:646–656

    Article  CAS  PubMed  Google Scholar 

  15. Dhanda S, Sandhir R (2015) Role of dopaminergic and serotonergic neurotransmitters in behavioral alterations observed in rodent model of hepatic encephalopathy. Behav Brain Res 286:222–235

    Article  CAS  PubMed  Google Scholar 

  16. Kountouras J, Billing BH, Scheuer PJ (1984) Prolonged bile duct obstruction: a new experimental model for cirrhosis in the rat. Br J Exp Pathol 65:305–311

    CAS  PubMed  PubMed Central  Google Scholar 

  17. de Graaf W, Häusler S, Heger M, van Ginhoven TM, van Cappellen G, Bennink RJ, Kullak-Ublick GA, Hesselmann R et al (2011) Transporters involved in the hepatic uptake of (99m)Tc-mebrofenin and indocyanine green. J Hepatol 54:738–745

    Article  PubMed  Google Scholar 

  18. Luna L (1968) In Manual of histologic staining methods of the Armed Forces Institute of Pathology, Third edn. McGraw-Hill, New York, p. 258

    Google Scholar 

  19. Morrey JD, Olsen AL, Siddharthan V, Motter NE, Wang H, Taro BS, Chen D, Ruffner D et al (2008) Increased blood-brain barrier permeability is not a primary determinant for lethality of West Nile virus infection in rodents. J Gen Virol 89:467–473

    Article  CAS  PubMed  Google Scholar 

  20. Weissman DE, Stewart C (1988) Experimental drug therapy of peritumoral brain edema. J Neuro-Oncol 6:339–342

    Article  CAS  Google Scholar 

  21. Hultström D, Tengvar C, Forssén M, Olsson Y (1984) Distribution of exudated FITC-dextrans in experimental vasogenic brain edema produced by a focal cryogenic injury. Acta Neuropathol 63:13–17

    Article  PubMed  Google Scholar 

  22. Hoda MN, Singh I, Singh AK, Khan M (2009) Reduction of lipoxidative load by secretory phospholipase A2 inhibition protects against neurovascular injury following experimental stroke in rat. J Neuroinflammation 6:21

    Article  PubMed  PubMed Central  Google Scholar 

  23. Young W, Rappaport ZH, Chalif DJ, Flamm ES (1987) Regional brain sodium, potassium, and water changes in the rat middle cerebral artery occlusion model of ischemia. Stroke 18:751–759

    Article  CAS  PubMed  Google Scholar 

  24. Pfaffl MW, Horgan GW, Dempfle L (2002) Relative expression software tool (REST) for group-wise comparison and statistical analysis of relative expression results in real-time PCR. Nucleic Acids Res 30:e36

    Article  PubMed  PubMed Central  Google Scholar 

  25. Vandooren J, Geurts N, Martens E, Van den Steen PE, Jonghe SD, Herdewijn P, Opdenakker G (2011) Gelatin degradation assay reveals MMP-9 inhibitors and function of O-glycosylated domain. World J Biol Chem 2:14–24

    Article  PubMed  PubMed Central  Google Scholar 

  26. Zhang JW, Gottschall PE (1997) Zymographic measurement of gelatinase activity in brain tissue after detergent extraction and affinity-support purification. J Neurosci Methods 76:15–20

    Article  CAS  PubMed  Google Scholar 

  27. Towbin H, Staehelin T, Gordon J (1992) Electrophoretic transfer of proteins from polyacrylamide gels to nitrocellulose sheets: procedure and some applications. 1979. Biotechnology 24:145–149

    CAS  PubMed  Google Scholar 

  28. Lowry OH, Rosebrough NJ, Farr AL, Randall RJ (1951) Protein measurement with the Folin phenol reagent. J Biol Chem 193:265–275

    CAS  PubMed  Google Scholar 

  29. Jover R, Rodrigo R, Felipo V, Insausti R, Sáez-Valero J, García-Ayllón MS, Suárez I, Candela A et al (2006) Brain edema and inflammatory activation in bile duct ligated rats with diet-induced hyperammonemia: a model of hepatic encephalopathy in cirrhosis. Hepatology 43:1257–1266

    Article  CAS  PubMed  Google Scholar 

  30. Buyck D, Bonnin F, Bernuau J, Belghiti J, Bok B (1997) Auxiliary liver transplantation in patients with fulminant hepatic failure: hepatobiliary scintigraphic follow-up. Eur J Nucl Med 24:138–142

    Article  CAS  PubMed  Google Scholar 

  31. Xia J-L, Dai C, Michalopoulos GK, Liu Y (2006) Hepatocyte growth factor attenuates liver fibrosis induced by bile duct ligation. Am J Pathol 168:1500–1512

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Kim HG, Han JM, Lee JS, Lee JS, Son CG (2015) Ethyl acetate fraction of Amomum xanthioides improves bile duct ligation-induced liver fibrosis of rat model via modulation of pro-fibrogenic cytokines. Sci Rep 5:14531

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Pellicoro A, Ramachandran P, Iredale JP (2012) Reversibility of liver fibrosis. Fibrogenesis Tissue Repair 5:S26

    PubMed  PubMed Central  Google Scholar 

  34. Kaya M, Ahishali B (2011) Assessment of permeability in barrier type of endothelium in brain using tracers: Evans blue, sodium fluorescein, and horseradish peroxidase. Methods Mol Biol 763:369–382

    Article  CAS  PubMed  Google Scholar 

  35. Yen LF, Wei VC, Kuo EY, Lai TW (2013) Distinct patterns of cerebral extravasation by Evans blue and sodium fluorescein in rats. PLoS One 8:e68595

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Hoffmann A, Bredno J, Wendland M, Derugin N, Ohara P, Wintermark M (2011) High and low molecular weight fluorescein isothiocyanate (FITC)-dextrans to assess blood-brain barrier disruption: technical considerations. Transl Stroke Res 2:106–111

    Article  CAS  PubMed  Google Scholar 

  37. Ott P, Larsen FS (2004) Blood-brain barrier permeability to ammonia in liver failure: a critical reappraisal. Neurochem Int 44:185–198

    Article  CAS  PubMed  Google Scholar 

  38. Dixit V, Chang TM (1990) Brain edema and the blood brain barrier in galactosamine-induced fulminant hepatic failure rats. An animal model for evaluation of liver support systems. ASAIO Trans 36:21–27

    CAS  PubMed  Google Scholar 

  39. Chastre A, Bélanger M, Nguyen BN, Butterworth RF (2014) Lipopolysaccharide precipitates hepatic encephalopathy and increases blood-brain barrier permeability in mice with acute liver failure. Liver Int 34:353–361

    Article  CAS  PubMed  Google Scholar 

  40. Shimojima N, Eckman CB, McKinney M, Sevlever D, Yamamoto S, Lin W, Dickson DW, Nguyen JH (2008) Altered expression of zonula occludens-2 precedes increased blood-brain barrier permeability in a murine model of fulminant hepatic failure. J Investig Surg 21:101–108

    Article  Google Scholar 

  41. Lv S, Song HL, Zhou Y, Li LX, Cui W, Wang W, Liu P (2010) Tumour necrosis factor-alpha affects blood-brain barrier permeability and tight junction-associated occludin in acute liver failure. Liver Int 30:1198–1210

    Article  CAS  PubMed  Google Scholar 

  42. Quinn M, McMillin M, Galindo C, Frampton G, Pae HY, DeMorrow S (2014) Bile acids permeabilize the blood brain barrier after bile duct ligation in rats via Rac1-dependent mechanisms. Dig Liver Dis 46:527–534

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Skowrońska M, Zielińska M, Wójcik-Stanaszek L, Ruszkiewicz J, Milatovic D, Aschner M, Albrecht J (2012) Ammonia increases paracellular permeability of rat brain endothelial cells by a mechanism encompassing oxidative/nitrosative stress and activation of matrix metalloproteinases. J Neurochem 121:125–134

    Article  PubMed  PubMed Central  Google Scholar 

  44. Bosoi CR, Rose CF (2013) Brain edema in acute liver failure and chronic liver disease: similarities and differences. Neurochem Int 62:446–457

    Article  CAS  PubMed  Google Scholar 

  45. Bosoi CR, Yang X, Huynh J, Parent-Robitaille C, Jiang W, Tremblay M, Rose CF (2012) Systemic oxidative stress is implicated in the pathogenesis of brain edema in rats with chronic liver failure. Free Radic Biol Med 52:1228–1235

    Article  CAS  PubMed  Google Scholar 

  46. Häussinger D, Laubenberger J, vom Dahl S, Ernst T, Bayer S, Langer M, Gerok W, Hennig J (1994) Proton magnetic resonance spectroscopy studies on human brain myo-inositol in hypo-osmolarity and hepatic encephalopathy. Gastroenterology 107:1475–1480

    Article  PubMed  Google Scholar 

  47. Córdoba J, Alonso J, Rovira A, Jacas C, Sanpedro F, Castells L, Vargas V, Margarit C et al (2001) The development of low-grade cerebral edema in cirrhosis is supported by the evolution of (1)H-magnetic resonance abnormalities after liver transplantation. J Hepatol 35:598–604

    Article  PubMed  Google Scholar 

  48. Kale RA, Gupta RK, Saraswat VA, Hasan KM, Trivedi R, Mishra AM, Ranjan P, Pandey CM et al (2006) Demonstration of interstitial cerebral edema with diffusion tensor MR imaging in type C hepatic encephalopathy. Hepatology 43:698–706

    Article  PubMed  Google Scholar 

  49. Shah NJ, Neeb H, Kircheis G, Haussinger D, Zilles K (2006) Quantitative T1 and water content mapping in hepatic encephalopathy. In: Haussinger D, Kircheis G, Schliess F (eds) Hepatic encephalopathy and Nitrogen metabolism. Springer, Verlag, Doordrecht, pp. 273–283

    Chapter  Google Scholar 

  50. Betz AL, Keep RF, Beer ME, Ren XD (1994) Blood-brain barrier permeability and brain concentration of sodium, potassium, and chloride during focal ischemia. J Cereb Blood Flow Metab 14:29–37

    Article  CAS  PubMed  Google Scholar 

  51. Hertz L, Peng L, Song D (2015) Ammonia, like K(+), stimulates the Na(+), K(+), 2 Cl(−) cotransporter NKCC1 and the Na(+),K(+)-ATPase and interacts with endogenous ouabain in astrocytes. Neurochem Res 40:241–257

    Article  CAS  PubMed  Google Scholar 

  52. Jayakumar AR, Liu M, Moriyama M, Ramakrishnan R, Forbush B 3rd, Reddy PV, Norenberg MD (2008) Na-K-Cl cotransporter-1 in the mechanism of ammonia-induced astrocyte swelling. J Biol Chem 283:33874–33882

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Kelly T, Rose CR (2010) Ammonium influx pathways into astrocytes and neurons of hippocampal slices. J Neurochem 115:1123–1136

    Article  CAS  PubMed  Google Scholar 

  54. Bernardi F, Gaggelli E, Molteni E, Porciatti E, Valensin D, Valensin G (2006) 1H and 13C-NMR and molecular dynamics studies of cyclosporin a interacting with magnesium(II) or cerium(III) in acetonitrile. Conformational changes and cis-trans conversion of peptide bonds. Biophys J 90:1350–1361

    Article  CAS  PubMed  Google Scholar 

  55. Trump BF, Berezesky IK (1995) Calcium-mediated cell injury and cell death. FASEB J 9:219–228

    Article  CAS  PubMed  Google Scholar 

  56. Rose C, Kresse W, Kettenmann H (2005) Acute insult of ammonia leads to calcium-dependent glutamate release from cultured astrocytes, an effect of pH. J Biol Chem 280:20937–20944

    Article  CAS  PubMed  Google Scholar 

  57. Nedergaard M, Verkhratsky A (2010) Calcium dyshomeostasis and pathological calcium signalling in neurological diseases. Cell Calcium 47:101–102

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Liang C, Du T, Zhou J, Verkhratsky A, Peng L (2014) Ammonium increases Ca(2+) signalling and up-regulates expression of TRPC1 gene in astrocytes in primary cultures and in the in vivo brain. Neurochem Res 39:2127–2135

    Article  CAS  PubMed  Google Scholar 

  59. Haack N, Dublin P, Rose CR (2014) Dysbalance of astrocyte calcium under hyperammonemic conditions. PLoS One 9:e105832

    Article  PubMed  PubMed Central  Google Scholar 

  60. Monfort P, Erceg S, Piedrafita B, Llansola M, Felipo V (2007) Chronic liver failure in rats impairs glutamatergic synaptic transmission and long-term potentiation in hippocampus and learning ability. Eur J Neurosci 25:2103–2111

    Article  PubMed  Google Scholar 

  61. Wen S, Schroeter A, Klöcker N (2013) Synaptic plasticity in hepatic encephalopathy - a molecular perspective. Arch Biochem Biophys 536:183–188

    Article  CAS  PubMed  Google Scholar 

  62. Badaut J, Ashwal S, Obenaus A (2011) Aquaporins in cerebrovascular disease: a target for treatment of brain edema? Cerebrovasc Dis 31:521–531

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  63. Fukuda AM, Pop V, Spagnoli D, Ashwal S, Obenaus A, Badaut J (2012) Delayed increase of astrocytic aquaporin 4 after juvenile traumatic brain injury: possible role in edema resolution? Neuroscience 222:366–378

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Margulies JE, Thompson RC, Demitriou AA (1999) Aquaporin-4 water channel is up-regulated in the brain in fulminant hepatic failure. Hepatology 30:938

    Google Scholar 

  65. Rama Rao KV, Chen M, Simard JM, Norenberg MD (2003) Increased aquaporin-4 expression in ammonia-treated cultured astrocytes. Neuroreport 14:2379–2382

    Article  CAS  PubMed  Google Scholar 

  66. Wright G, Soper R, Brooks HF, Stadlbauer V, Vairappan B, Davies NA, Andreola F, Hodges S et al (2010) Role of aquaporin-4 in the development of brain oedema in liver failure. J Hepatol 53:91–97

    Article  CAS  PubMed  Google Scholar 

  67. Thumburu KK, Dhiman RK, Vasishta RK, Chakraborti A, Butterworth RF, Beauchesne E, Desjardins P, Goyal S et al (2014) Expression of astrocytic genes coding for proteins implicated in neural excitation and brain edema is altered after acute liver failure. J Neurochem 128:617–627

    Article  CAS  PubMed  Google Scholar 

  68. Rama Rao KV, Verkman AS, Curtis KM, Norenberg MD (2014) Aquaporin-4 deletion in mice reduces encephalopathy and brain edema in experimental acute liver failure. Neurobiol Dis 63:222–228

    Article  CAS  PubMed  Google Scholar 

  69. Arima H, Yamamoto N, Sobue K, Umenishi F, Tada T, Katsuya H, Asai K (2003) Hyperosmolar mannitol simulates expression of aquaporins 4 and 9 through a p38 mitogen-activated protein kinase-dependent pathway in rat astrocytes. J Biol Chem 278:44525–44534

    Article  CAS  PubMed  Google Scholar 

  70. Norenberg MD, Jayakumar AR, Rama Rao KV (2004) Oxidative stress in the pathogenesis of hepatic encephalopathy. Metab Brain Dis 19:313–329

    Article  CAS  PubMed  Google Scholar 

  71. Jayakumar AR, Panickar KS, Murthy CRK, Norenberg MD (2006) Oxidative stress and mitogen-activated protein kinase phosphorylation mediate ammonia-induced cell swelling and glutamate uptake inhibition in cultured astrocytes. J Neurosci 26:4774–4784

    Article  CAS  PubMed  Google Scholar 

  72. Akashi A, Miki A, Kanamori A, Nakamura M (2015) Aquaporin 9 expression is required for l-lactate to maintain retinal neuronal survival. Neurosci Lett 589:185–190

    Article  CAS  PubMed  Google Scholar 

  73. Calamita G, Ferri D, Gena P, Carreras FI, Liquori GE, Portincasa P, Marinelli RA, Svelto M (2008) Altered expression and distribution of aquaporin-9 in the liver of rat with obstructive extrahepatic cholestasis. Am J Physiol Gastrointest Liver Physiol 295:G682–G690

    Article  CAS  PubMed  Google Scholar 

  74. Sporer B, Koedel U, Paul R, Kohleisen B, Erfle V, Fontana A, Pfister HW (2000) Human immunodeficiency virus type-1 Nef protein induces blood-brain barrier disruption in the rat: role of matrix metalloproteinase-9. J Neuroimmunol 102:125–130

    Article  CAS  PubMed  Google Scholar 

  75. Fujimura M, Gasche Y, Morita-Fujimura Y, Massengale J, Kawase M, Chan PH (1999) Early appearance of activated matrix metalloproteinase-9 and blood-brain barrier disruption in mice after focal cerebral ischemia and reperfusion. Brain Res 842:92–100

    Article  CAS  PubMed  Google Scholar 

  76. Rosenberg GA (1995) Matrix metalloproteinases in brain injury. J Neurotrauma 12:833–842

    Article  CAS  PubMed  Google Scholar 

  77. McMillin MA, Frampton GA, Seiwell AP, Patel NS, Jacobs AN, DeMorrow S (2015) TGFβ1 exacerbates blood-brain barrier permeability in a mouse model of hepatic encephalopathy via upregulation of MMP9 and downregulation of claudin-5. Lab Investig 95:903–913

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  78. Brkic M, Balusu S, Libert C, Vandenbroucke RE (2015) Friends or foes: Matrix metalloproteinases and their multifaceted roles in neurodegenerative diseases. Mediat Inflamm 620581:1–27

    Article  Google Scholar 

  79. Jayakumar AR, Norenberg MD (2013) Endothelial-astrocytic interactions in acute liver failure. Metab Brain Dis 28:183–186

    Article  CAS  PubMed  Google Scholar 

  80. Faropoulos K, Chroni E, Assimakopoulos SF, Mavrakis A, Stamatopoulou V, Toumpeki C, Drainas D, Grintzalis K et al (2010) Altered occludin expression in brain capillaries induced by obstructive jaundice in rats. Brain Res 1325:121–127

    Article  CAS  PubMed  Google Scholar 

  81. Wright G, Davies NA, Shawcross DL, Hodges SJ, Zwingmann C, Brooks HF, Mani AR, Harry D et al (2007) Endotoxemia produces coma and brain swelling in bile duct ligated rats. Hepatology 45:1517–1526

    Article  CAS  PubMed  Google Scholar 

  82. Mavrakis AG, Havaki S, Marinos E, Chroni E, Konstantinou D (2012) Occludin dislocation in brain capillary endothelium of rats with bile duct ligation induced cholestasis. Neurosci Lett 528:180–184

    Article  CAS  PubMed  Google Scholar 

  83. Chen F, Ohashi N, Li W, Eckman C, Nguyen JH (2009) Disruptions of occludin and claudin-5 in brain endothelial cells in vitro and in brains of mice with acute liver failure. Hepatology 50:1914–1923

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  84. Shawcross DL, Shabbir SS, Taylor NJ, Hughes RD (2010) Ammonia and the neutrophil in the pathogenesis of hepatic encephalopathy in cirrhosis. Hepatology 51:1062–1069

    Article  CAS  PubMed  Google Scholar 

  85. Chen YC, Sheen JM, Tain YL, Chen CC, Tiao MM, Huang YH, Hsieh CS, Huang LT (2012) Alterations in NADPH oxidase expression and blood-brain barrier in bile duct ligation-treated young rats: Effects of melatonin. Neurochem Int 60:751–758

    Article  CAS  PubMed  Google Scholar 

  86. Defazio G, Nico B, Trojano M, Ribatti D, Giorelli M, Ricchiuti F, Martino D, Roncali L et al (2000) Inhibition of protein kinase C counteracts TNFα-induced intercellular adhesion molecule 1 expression and fluid phase endocytosis on brain microvascular endothelial cells. Brain Res 863:245–248

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This work was supported by financial assistance provided from the Department of Science and Technology (DST), New Delhi, under the Promotion of University Research and Scientific Excellence (PURSE) grant and University Grants Commission-Special Assistance Programme (UGC-SAP) Departmental Research Support-II (DRS-II).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rajat Sandhir.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dhanda, S., Sandhir, R. Blood-Brain Barrier Permeability Is Exacerbated in Experimental Model of Hepatic Encephalopathy via MMP-9 Activation and Downregulation of Tight Junction Proteins. Mol Neurobiol 55, 3642–3659 (2018). https://doi.org/10.1007/s12035-017-0521-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12035-017-0521-7

Keywords

Navigation