Aβ42 production in brain capillary endothelial cells after oxygen and
glucose deprivation
Alessandra Bulbarelli
a
, Elena Lonati
a,
⁎, Anna Brambilla
a
, Antonina Orlando
a
, Emanuela Cazzaniga
a
,
Fabrizio Piazza
b
, Carlo Ferrarese
b, c
, Massimo Masserini
a
, Giulio Sancini
a
a
Department of Experimental Medicine, University of Milano-Bicocca via Cadore 48, 20900 Monza, MI, Italy
b
Department of Neuroscience and Biomedical Technologies, University of Milano-Bicocca via Cadore 48, 20900 Monza, MI, Italy
c
Department of Neurology, San Gerardo Hospital via Pergolesi 33, 20900 Monza, Italy
abstract article info
Article history:
Received 21 July 2011
Revised 6 December 2011
Accepted 25 January 2012
Available online 3 February 2012
Keywords:
Alzheimer's disease
Amyloid-β 1-42
Amyloid-β protein precursor
Blood brain barrier
Brain ischemia–anoxia
HIF-1alpha protein
Although the diverse triggers of AD are still under debate, the hypothesis of the contribution of cerebrovascu-
lar deficiencies has emerged in recent years. Cerebrovascular dysfunction may precede cognitive decline and
onset of neurodegeneration. Indeed, the toxic Aβ
42
aggregates constituting senile plaques, one of AD hall-
marks, is often detected as amorphous material or fine fibrils in the brain capillary of AD patients. Aβ
42
causing
cerebral microangiopathy might originate either from the circulating blood, the vessel wall itself or the brain
parenchyma. In the present investigation we show, for the first time, that in rat brain capillary endothelial cells
(RBE4), in vitro oxygen glucose deprivation treatment elicits 250% of Aβ
42
peptide production increase
through a mechanism that involves the hypoxia inducible factor-1-mediated β-secretase (BACE1) up-
regulation. Furthermore, we observed a time dependent increase of amyloid protein precursor (AβPP) gene
and protein expression, confirming previous reports which established the existence of AβPP in the cerebro-
vascular domain.
Our experimental evidences point out that ischemic events may directly contribute in brain capillary endo-
thelial cells to the enhancement of the amyloidogenic metabolism, leading to intracellular deposition of
Aβ
42
. This events may contribute to the impairment of Aβ brain clearance and AD related blood brain barrier
dysfunctions.
© 2012 Elsevier Inc. All rights reserved.
Introduction
Alzheimer's disease (AD) is a progressive neurodegenerative ill-
ness affecting the elderly population. The pathological hallmarks of
the disease are senile plaques consisting of amyloid-β (1-42) (Aβ
42
)
aggregates, neurofibrillary tangles (NFTs) and neuronal loss in the
patient's brain (Allsop, 2000; Swerdlow, 2007a,b).
The pathogenesis of sporadic late-onset AD has not been identi-
fied, but further studies support that the environmental risk factors
play an important role in its onset and development. The major risk
factors for AD include aging, atherosclerosis, diabetes mellitus and
stroke (Cechetto et al., 2008; Isik, 2010; Marques et al., 2011).
Although the etiology of neurodegenerative mechanisms are still
under elucidation, the possible contribution of cerebrovascular defi-
ciencies has been vigorously promoted in recent years (Farkas and
Luiten, 2001).
Various forms of cerebrovascular insufficiency, such as reduced
blood supply to the brain or disrupted microvascular integrity, may oc-
cupy an initiating or intermediate position in the chain of events of neu-
rodegenerative changes in AD onset, ending with cognitive failure (Bell
and Zlokovic, 2009; de la Torre, 2008). Moreover, the cerebrovascular
district is physiologically involved in Aβ clearance through perivascular
drainage (Preston et al., 2003) and receptor-mediated uptake or bidi-
rectional exchanges across the blood brain-barrier (BBB) (Tanzi et al.,
2004)(Wang et al., 2006). Cerebral imbalance between Aβ
42
peptide
production and clearance may play a causal role in AD, leading to in-
creased amounts of Aβ
42
in various aggregated forms in the central ner-
vous system.
Ultrastructural studies in humans and animal models suggest the
strong contribution of vascular deficiency in the distinctive AD neuro-
degenerative mechanisms, given that the toxic Aβ is often encoun-
tered as amorphous material or fine fibrils in the brain capillary of
Molecular and Cellular Neuroscience 49 (2012) 415–422
Abbreviations: AD, Alzheimer's disease; A β
42
, amyloid-β (1-42); BBB, Blood Brain
Barrier; AβPP, amyloid-β protein precursor; OGD, Oxygen Glucose Deprivation; HIF-1α,
Hypoxia Inducible Factor-1alpha; RBE4, rat brain capillary endothelial cells; BACE1, β-
secretase 1; VEGF, vascular endothelial growth factor.
⁎ Corresponding author. Fax: + 39 02 64488068.
E-mail addresses: alessandra.bulbarelli@unimib.it (A. Bulbarelli),
elena.lonati1@unimib.it (E. Lonati), a.brambilla18@campus.unimib.it (A. Brambilla),
a.orlando7@campus.unimib.it (A. Orlando), emanuela.cazzaniga@unimib.it
(E. Cazzaniga), fabrizio.piazza@unimib.it (F. Piazza), carlo.ferrarese@unimib.it
(C. Ferrarese), massimo.masserini@unimib.it (M. Masserini), giulio.sancini@unimib.it
(G. Sancini).
1044-7431/$ – see front matter © 2012 Elsevier Inc. All rights reserved.
doi:10.1016/j.mcn.2012.01.007
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