Cited by 1,042Barrier Structure and Function StudiesTryptophan and brain disordersStress Responses and Cortisol

The DOI matches its Crossref record; 53 of the 53 references it cites were found in a registry or an index; 36 of the 43 sources its claims cite were checked for support.

Social stress induces neurovascular pathology promoting depression

Open access

Abstract

Studies suggest that heightened peripheral inflammation contributes to the pathogenesis of major depressive disorder. We investigated the effect of chronic social defeat stress, a mouse model of depression, on blood–brain barrier (BBB) permeability and infiltration of peripheral immune signals. We found reduced expression of the endothelial cell tight junction protein claudin-5 (Cldn5) and abnormal blood vessel morphology in nucleus accumbens (NAc) of stress-susceptible but not resilient mice. CLDN5 expression was also decreased in NAc of depressed patients. Cldn5 downregulation was sufficient to induce depression-like behaviors following subthreshold social stress whereas chronic antidepressant treatment rescued Cldn5 loss and promoted resilience. Reduced BBB integrity in NAc of stress-susceptible or mice injected with adeno-associated virus expressing shRNA against Cldn5 caused infiltration of the peripheral cytokine interleukin-6 (IL-6) into brain parenchyma and subsequent expression of depression-like behaviors. These findings suggest that chronic social stress alters BBB integrity through loss of tight junction protein Cldn5, promoting peripheral IL-6 passage across the BBB and depression. Chronic social defeat stress induces loss of protein claudin-5, leading to abnormalities in blood vessel morphology, increased blood brain barrier permeability, infiltration of immune signals and depression-like behaviors.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

Chronic social defeat in mice reduces the endothelial tight-junction protein cldn5 in nucleus accumbens, compromises blood-brain barrier integrity, and allows circulating IL-6 to enter brain tissue, promoting depression-like behavior. Postmortem nucleus accumbens tissue from depressed patients also shows lower CLDN5 expression, linking stress-related neurovascular pathology to inflammation and depression.

Key findings

  • In nucleus accumbens of stress-susceptible but not resilient mice after 10-day chronic social defeat, cldn5 mRNA and protein were reduced; normalization to endothelial marker pecam1 indicated about 40% loss (*p = 0.0009), and cldn5 levels correlated with social avoidance (p = 0.0014). Electron microscopy showed discontinuous tight junctions in susceptible mice (*p < 0.0001).
  • Human postmortem nucleus accumbens CLDN5 mRNA was lower in major depressive disorder: Montreal non-medicated cases (*p = 0.0117) and Texas cases (*p = 0.0435); no significant changes were seen in hippocampus or prefrontal cortex, and cocaine users showed no change.
  • Viral cldn5 knockdown in nucleus accumbens combined with subthreshold microdefeat produced depression-like behaviors: less grooming (*p = 0.0356), lower sucrose preference (p = 0.0063), more forced-swim immobility (p = 0.0015), and lower social interaction ratio (*p = 0.0386); restoring cldn5 reversed anhedonia and promoted resilience.
  • Blood-brain barrier permeability increased in susceptible mice by Gd-DTPA MRI (nucleus accumbens *p = 0.0237; hippocampus p = 0.0085) and Evans blue in nucleus accumbens (p = 0.0014); IL-6 was elevated in nucleus accumbens (*p = 0.0321), biotinylated IL-6 entered nucleus accumbens parenchyma only in susceptible or cldn5-knockdown mice, and intra-nucleus accumbens IL-6 before subthreshold defeat caused social avoidance (*p = 0.0405).

Methods

  • Male C57BL/6J mice underwent 10-day chronic social defeat by CD-1 aggressors and were classified as stress-susceptible or resilient by social interaction ratio (<1 vs >1); additional experiments used microdefeat, chronic variable stress, imipramine, AAV-shRNA-cldn5, tracers, MRI, transmission electron microscopy, flow cytometry, and ELISA.
  • Molecular and histological work included qPCR for blood-brain barrier and cytokine genes, immunohistochemistry for cldn5/CD31, Western blot, capillary extraction, and human postmortem nucleus accumbens, hippocampus, and prefrontal cortex samples from McGill and University of Texas Southwestern cohorts.
  • Analyses used t-tests, one-way and two-way ANOVA with Bonferroni post hoc tests, and Pearson correlations, with significance set at p < 0.05; quantitative assays were performed in duplicate across two cohorts.

Limitations

  • The paper states that no compound currently exists to enhance Cldn5 expression, that peripheral ccr2+ monocytes were not detected infiltrating brain parenchyma unlike some prior reports, that local IL-6 production in nucleus accumbens could not be ruled out, and that human medication effects were partial or absent while most MDD subjects died by suicide.
  • Evident from the text: rodent experiments used male mice only, leaving sex differences untested; human evidence is postmortem mRNA and correlational, not direct measurement of blood-brain barrier permeability or IL-6 passage in patients; the causal chain is established mainly in mouse models.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1038/s41593-017-0010-3

Cites

53 of 53 references verified0 citation errors · 0 not checkable

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Claims the paper makes

65 Own result · 16 Own method · 15 Own interpretation · 11 Supported · 10 Partly supported · 4 No full text of the sources · 1 Couldn’t confirm · accuracy not yet measured

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  • It may state two separate claims as one. 28
  • Probably not a substantial claim. 27
  • The quote only partly states this claim. 1
50 of 50
  • The paper relies on this without support.

    Evans blue cannot readily cross the BBB in the absence of neurovascular damage.

    “which cannot readily cross the BBB in the absence of neurovascular damage”
  • The paper relies on this without support.

    The biotinylated IL-6 signal detected in the NAc parenchyma reflects passage of peripheral IL-6 rather than local production or altered trafficking due to tagging.

    “we tagged mouse recombinant IL-6 with biotin (~0.45 kDa) and injected it retro-orbitally into the blood of CTRL, SS or RES mice”
2 of 2

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Metadata

Authors
Menard, C., Pfau, M. L., Hodes, G. E., Kana, V., Wang, V. X., Bouchard, S., Takahashi, A., Flanigan, M. E., Aleyasin, H., LeClair, K. B., Janssen, W. G., Labonté, B., Parise, E. M., Lorsch, Z. S., Golden, S. A., Heshmati, M., Tamminga, C., Turecki, G., Campbell, M., Fayad, Z. A., Tang, C. Y., Merad, M., & Russo, S. J.
Affiliations
  • Icahn School of Medicine at Mount Sinai (US)
  • Tisch Cancer Institute (US)
  • University of Tsukuba (JP)
  • The University of Texas Southwestern Medical Center (US)
  • Douglas Mental Health University Institute (CA)
  • Trinity College Dublin (IE)
Corresponding author
Russo, Scott J.
Venue
Nature Neuroscience
Published
2017-11-13
Volume
20
Issue
12
Pages
1752-1760
ISSN
  • 1097-6256 (ISSN-L)
  • 1546-1726
OpenAlex
W2767440265
Cited by
1,028
References
53
Citations by year
2026: 132 · 2025: 152 · 2024: 147 · 2023: 122 · 2022: 137 · 2021: 110 · 2020: 90 · 2019: 80 · 2018: 50 · 2017: 5
FWCI
30.52
Type
journal article
Language
en
Open access
Locations
  • Nature Neuroscience (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Sunderland Repository (University of Sunderland) (submittedVersion)
Funders
  • Health Research Board (HRA-POR-2015-1077)
  • Japan Society for the Promotion of Science (17H04766, 15K12773)
  • National Institute of Mental Health (F31MH105217, F30MH100835, R01MH090264, F30MH110073, P50MH096890, T32MH096678, R01MH114882, F31MH111108, R01MH104559, T32MH087004)
  • National Center for Complementary and Integrative Health (P50AT008661)
Topics
  • Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
  • Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Keywords
chronic social defeat stress, major depressive disorder, blood-brain barrier permeability, claudin-5, tight junctions, nucleus accumbens, peripheral inflammation, interleukin-6, antidepressant treatment, stress resilience, neurovascular pathology
MeSH terms
Animals, Anxiety, Behavior, Animal, Blood-Brain Barrier, Depression, Feeding Behavior, Food Preferences, Imipramine, Male, Mice, Inbred C57BL, Nucleus Accumbens, Social Environment, Stress, Psychological, Swimming, Interleukin-6, Adrenergic Uptake Inhibitors, Mice, Claudin-5, Tight Junction Proteins

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