Cited by 497Barrier Structure and Function StudiesNeurological Disease Mechanisms and TreatmentsNeuroinflammation and Neurodegeneration Mechanisms

Pericyte degeneration leads to neurovascular uncoupling and limits oxygen supply to brain

Open access
Kisler, Kassandra, Nelson, Amy R, Rege, Sanket V, Ramanathan, Anita, Wang, Yaoming, Ahuja, Ashim, Lazic, Divna, Tsai, Philbert S +5 more·2017·Nature Neuroscience

Abstract

Pericytes are perivascular mural cells of brain capillaries. They are positioned centrally in the neurovascular unit between endothelial cells, astrocytes and neurons. This position allows them to regulate key neurovascular functions of the brain. The role of pericytes in the regulation of cerebral blood flow (CBF) and neurovascular coupling remains, however, under debate. Using loss-of-function pericyte-deficient mice, here we show that pericyte degeneration diminishes global and individual capillary CBF responses to neuronal stimuli, resulting in neurovascular uncoupling, reduced oxygen supply to the brain and metabolic stress. Neurovascular deficits lead over time to impaired neuronal excitability and neurodegenerative changes. Thus, pericyte degeneration as seen in neurological disorders such as Alzheimer's disease may contribute to neurovascular dysfunction and neurodegeneration associated with human disease.

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Crossref · 10.1038/nn.4489

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  • Amyloid-induced vascular constriction, increased vascular resistance, and degeneration of pericytes may further contribute to hypoperfusion.

    “Amyloid-induced vascular constriction, increased vascular resistance, and degeneration of pericytes may further contribute to hypoperfusion (Kisler et al., 2017; Yew et al., 2017).”

    From White matter diffusion alterations precede symptom onset in autosomal dominant Alzheimer’s disease (2018) · cites this paper as Kisler et al., 2017

    The Discussion reports that pericyte degeneration reduces cerebral blood-flow responses and oxygen supply, and may contribute to neurovascular dysfunction in disorders such as Alzheimer’s disease. The cited paper does not establish the sentence’s separate claims about amyloid-induced vascular constriction or increased vascular resistance. (LLM, conf=0.87)

    Experimental — accuracy not yet measured
  • In the case of Pdgfrß deficiency, blood-brain barrier breakdown and vascular phenotype precede neuronal degeneration and loss.

    “In the case of Pdgfrß deficiency, BBB breakdown and vascular phenotype precede neuronal degeneration and loss (59, 319, 650), whereas pericyte-deficient Pdgfb ret/ret mice develop deep brain calcification at a later age resembling IBGC (309).”

    From Blood-Brain Barrier: From Physiology to Disease and Back (2019) · cites this paper as [319]

    The Results (‘Impaired neuronal function and secondary neurodegeneration’; page unavailable) show vascular-flow abnormalities in 1–2-month-old Pdgfrβ+/− mice without detectable neuronal loss, followed by neuronal loss at 6–8 months. The Discussion mentions blood–brain barrier breakdown as a possible contributor to later neurodegeneration, but does not establish when the barrier breaks down relative to neuronal loss. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • In the mammalian brain, cerebral arteries, arterioles, and capillaries supply CNS circuits with blood in response to neuronal stimuli by increasing the rate of CBF and oxygen delivery, a mechanism known as neurovascular coupling.

    “In the mammalian brain, cerebral arteries, arterioles, and capillaries supply CNS circuits with blood in response to neuronal stimuli by increasing the rate of CBF and oxygen delivery, a mechanism known as neurovascular coupling (271, 319).”

    From Blood-Brain Barrier: From Physiology to Disease and Back (2019) · cites this paper as [319]

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Research works printed but not linked: 2

  1. [57]Winkler EA Bell RD Zlokovic BV Pericyte-specific expression of PDGF beta receptor in mouse models with normal and deficient PDGF beta receptor signaling Mol. Neurodegener 2010 5 32 20738866 PMC2936891
  2. [60]Hesterberg T Bootstrap Wiley Interdiscip. Rev. Comput. Stat 2011 3 497 526

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Authors
Kisler, K., Nelson, A. R., Rege, S. V., Ramanathan, A., Wang, Y., Ahuja, A., Lazic, D., Tsai, P. S., Zhao, Z., Zhou, Y., Boas, D. A., Sakadžić, S., & Zlokovic, B. V.
Affiliations
  • University of Southern California (US)
  • University of California San Diego (US)
  • Army Medical University (CN)
  • Harvard University (US)
Venue
Nature Neuroscience
Published
2017-01-30
Volume
20
Issue
3
Pages
406-416
ISSN
  • 1097-6256 (ISSN-L)
  • 1546-1726
OpenAlex
W2582407848
Cited by
497
References
65
Citations by year
2026: 46 · 2025: 38 · 2024: 53 · 2023: 39 · 2022: 58 · 2021: 62 · 2020: 76 · 2019: 57 · 2018: 43 · 2017: 23
FWCI
27.11
Type
journal article
Language
en
Open access
Locations
  • Nature Neuroscience (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • OpenBU (Boston University) (submittedVersion)
Funders
  • National Institute on Aging (R01AG023084, R01AG039452, P50AG005142, RF1AG039452, P01AG052350)
  • National Institute of Mental Health (R01MH111359)
  • National Institute of Neurological Disorders and Stroke (R24NS092986, P01NS055104, R01NS100459, R01NS034467, R01NS091230)
  • National Institute of Biomedical Imaging and Bioengineering (R01EB000790, R01EB021018)
Topics
  • Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
  • Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
Keywords
pericytes, pericyte degeneration, neurovascular uncoupling, cerebral blood flow, cerebral oxygenation, neurovascular unit, capillary blood flow, neuronal excitability, neurodegeneration, Alzheimer's disease
MeSH terms
Animals, Brain, Capillaries, Female, Male, Mice, Transgenic, Nerve Degeneration, Neurons, Oxygen, Stress, Physiological, Vasodilation, Cell Death, Homeodomain Proteins, Pericytes, Receptor, Platelet-Derived Growth Factor beta, Mice

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