[HTML][HTML] Endothelial C3a receptor mediates vascular inflammation and blood-brain barrier permeability during aging

NE Propson, ER Roy, A Litvinchuk… - The Journal of …, 2021 - Am Soc Clin Investig
NE Propson, ER Roy, A Litvinchuk, J Köhl, H Zheng
The Journal of clinical investigation, 2021Am Soc Clin Investig
Dysfunction of immune and vascular systems has been implicated in aging and Alzheimer
disease; however, their interrelatedness remains poorly understood. The complement
pathway is a well-established regulator of innate immunity in the brain. Here, we report
robust age-dependent increases in vascular inflammation, peripheral lymphocyte infiltration,
and blood-brain barrier (BBB) permeability. These phenotypes were subdued by global
inactivation and by endothelial cell–specific ablation of C3ar1. Using an in vitro model of the …
Dysfunction of immune and vascular systems has been implicated in aging and Alzheimer disease; however, their interrelatedness remains poorly understood. The complement pathway is a well-established regulator of innate immunity in the brain. Here, we report robust age-dependent increases in vascular inflammation, peripheral lymphocyte infiltration, and blood-brain barrier (BBB) permeability. These phenotypes were subdued by global inactivation and by endothelial cell–specific ablation of C3ar1. Using an in vitro model of the BBB, we identified intracellular Ca2+ as a downstream effector of C3a/C3aR signaling and a functional mediator of vascular endothelial cadherin junction and barrier integrity. Endothelial C3ar1 inactivation also dampened microglia reactivity and improved hippocampal and cortical volumes in the aging brain, demonstrating a crosstalk between brain vasculature dysfunction and immune cell activation and neurodegeneration. Further, prominent C3aR-dependent vascular inflammation was also observed in a tau-transgenic mouse model. Our studies suggest that heightened C3a/C3aR signaling through endothelial cells promotes vascular inflammation and BBB dysfunction and contributes to overall neuroinflammation in aging and neurodegenerative disease.
The Journal of Clinical Investigation