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The Ca2+-gated channel TMEM16A amplifies capillary pericyte contraction and reduces cerebral blood flow after ischemia
Nils Korte, … , David Attwell, Paolo Tammaro
Nils Korte, … , David Attwell, Paolo Tammaro
Published March 22, 2022
Citation Information: J Clin Invest. 2022;132(9):e154118. https://doi.org/10.1172/JCI154118.
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Research Article Cell biology Vascular biology

The Ca2+-gated channel TMEM16A amplifies capillary pericyte contraction and reduces cerebral blood flow after ischemia

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Abstract

Pericyte-mediated capillary constriction decreases cerebral blood flow in stroke after an occluded artery is unblocked. The determinants of pericyte tone are poorly understood. We show that a small rise in cytoplasmic Ca2+ concentration ([Ca2+]i) in pericytes activated chloride efflux through the Ca2+-gated anion channel TMEM16A, thus depolarizing the cell and opening voltage-gated calcium channels. This mechanism strongly amplified the pericyte [Ca2+]i rise and capillary constriction evoked by contractile agonists and ischemia. In a rodent stroke model, TMEM16A inhibition slowed the ischemia-evoked pericyte [Ca2+]i rise, capillary constriction, and pericyte death; reduced neutrophil stalling; and improved cerebrovascular reperfusion. Genetic analysis implicated altered TMEM16A expression in poor patient recovery from ischemic stroke. Thus, pericyte TMEM16A is a crucial regulator of cerebral capillary function and a potential therapeutic target for stroke and possibly other disorders of impaired microvascular flow, such as Alzheimer’s disease and vascular dementia.

Authors

Nils Korte, Zeki Ilkan, Claire L. Pearson, Thomas Pfeiffer, Prabhav Singhal, Jason R. Rock, Huma Sethi, Dipender Gill, David Attwell, Paolo Tammaro

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Figure 3

Pericyte contraction evoked by GqPCR activation requires Ca2+ entry via Cav channels.

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Pericyte contraction evoked by GqPCR activation requires Ca2+ entry via ...
(A) Two-photon microscopy images (maximum intensity projections) of pericytes on first- to third-order capillary branches from the PA in an acute cortical slice of a NG2-CreERT2-GCaMP5G mouse. Dashed white circles denote pericyte somata. Scale bar: 10 μm. (B) Removing extracellular Ca2+ abolished the ET-1–evoked [Ca2+]i rise. Time course of GCaMP5G fluorescence (F) in pericyte somata (red trace; n = 32) and processes (other traces; n = 79) normalized to mean baseline fluorescence with 2 mM [Ca2+]o (the last 10 minutes of 15 minutes in 0 [Ca2+]o are shown). [Ca2+]i changes in processes were quantified less than 5 μm from pericyte somata centers (“at soma”) and at 10 μm and 20 μm along the vessel from the soma center. (C) 15 minutes of 0 [Ca2+]o did not affect pericyte [Ca2+]i (compare bottom 2 plots). Reintroducing Ca2+ in the continuous presence of ET-1 raised pericyte [Ca2+]i in processes and somata (see also, B). (D) Capillary constriction at pericyte somata (n = 40) coincides with the [Ca2+]i rise upon 2 mM [Ca2+]o reperfusion in B. There was no significant change in capillary diameter away from pericyte somata at 10 μm (n = 18) or 20 μm (n = 11). (E) Capillary diameter is larger at baseline and constricts in response to 2 mM [Ca2+]o reperfusion at pericyte somata. In D and E, diameter is from tdTomato channel. (F) Time course of ET-1–evoked [Ca2+]i change in pericyte somata (n = 23), normalized to aCSF baseline. Nimodipine (3 μM) (n = 27) or vehicle (n = 17) were applied 15 minutes before ET-1 application. (G) Nimodipine greatly attenuated the ET-1–evoked pericyte [Ca2+]i rise (note that 0 [Ca2+]i is at 1 on the y axis) (Kruskal-Wallis test with Dunn’s post hoc test). The inset shows that in the presence of nimodipine, the ET-1–evoked [Ca2+]i rise was similar in pericytes on first-order (n = 9) versus second- and third-order branches (n = 10) (unpaired 2-tailed Student’s t test).

Copyright © 2022 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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