Selective loss of cortical endothelial tight junction proteins during Alzheimer’s disease progression
Open accessAbstract
While the accumulation and aggregation of amyloid-β and tau are central events in the pathogenesis of Alzheimer’s disease, there is increasing evidence that cerebrovascular pathology is also abundant in Alzheimer’s disease brains. In brain capillaries, endothelial cells are connected closely with one another through transmembrane tight junction proteins forming the blood–brain barrier. Because the blood–brain barrier tightly regulates the exchange of molecules between brain and blood and maintains brain homeostasis, its impairment is increasingly recognized as a critical factor contributing to Alzheimer’s disease pathogenesis. However, the pathological relationship between blood–brain barrier properties and Alzheimer’s disease progression in the human brain is not fully understood. In this study, we show that the loss of cortical tight junction proteins is a common event in Alzheimer’s disease, and is correlated with synaptic degeneration. By quantifying the amounts of major tight junction proteins, claudin-5 and occludin, in 12 brain regions dissected from post-mortem brains of normal ageing (n = 10), pathological ageing (n = 14) and Alzheimer’s disease patients (n = 19), we found that they were selectively decreased in cortical areas in Alzheimer’s disease. Cortical tight junction proteins were decreased in association with the Braak neurofibrillary tangle stage. There was also a negative correlation between the amount of tight junction proteins and the amounts of insoluble Alzheimer’s disease-related proteins, in particular amyloid-β40, in cortical areas. In addition, the amount of tight junction proteins in these areas correlated positively with those of synaptic markers. Thus, loss of cortical tight junction proteins in Alzheimer’s disease is associated with insoluble amyloid-β40 and loss of synaptic markers. Importantly, the positive correlation between claudin-5 and synaptic markers, in particular synaptophysin, was present independent of insoluble amyloid-β40, amyloid-β42 and tau values, suggesting that loss of cortical tight junction proteins and synaptic degeneration is present, at least in part, independent of insoluble Alzheimer’s disease-related proteins. Collectively, these results indicate that loss of tight junction proteins occurs predominantly in the neocortex during Alzheimer’s disease progression. Further, our findings provide a neuropathological clue as to how endothelial tight junction pathology may contribute to Alzheimer’s disease pathogenesis in both synergistic and additive manners to typical amyloid-β and tau pathologies.
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Ezr and Cldn5 are associated with maintenance of actin cytoskeletal structure, synapse and tight junctions, respectively.
“Interestingly, long term infection also induced expressions of Ezr91 and Cldn592 which are associated with maintenance of actin cytoskeletal structure, synapse and tight junctions, respectively.”
From Chlamydia pneumoniae can infect the central nervous system via the olfactory and trigeminal nerves and contributes to Alzheimer’s disease risk (2022) · cites this paper as [92]
Long-term infection induced expressions of Ezr and Cldn5.
“Interestingly, long term infection also induced expressions of Ezr91 and Cldn592 which are associated with maintenance of actin cytoskeletal structure, synapse and tight junctions, respectively.”
From Chlamydia pneumoniae can infect the central nervous system via the olfactory and trigeminal nerves and contributes to Alzheimer’s disease risk (2022) · cites this paper as [92]
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- Authors
- Yamazaki, Y., Shinohara, M., Shinohara, M., Yamazaki, A., Murray, M. E., Liesinger, A. M., Heckman, M. G., Lesser, E. R., Parisi, J. E., Petersen, R. C., Dickson, D. W., Kanekiyo, T., & Bu, G.
- Affiliations
- Mayo Clinic in Florida (US)
- Mayo Clinic (US)
- Corresponding author
- Kanekiyo, Takahisa
- Bu, Guojun
- ORCID
- Venue
- Brain
- Publisher
- Oxford University Press (OUP)
- Published
- 2019-02-15
- Volume
- 142
- Issue
- 4
- Pages
- 1077-1092
- ISSN
- 0006-8950 (ISSN-L)
- 1460-2156
- PMC
- PMC6439325
- OpenAlex
- W2912592608
- Cited by
- 202
- References
- 20
- Citations by year
- 2026: 26 · 2025: 38 · 2024: 27 · 2023: 23 · 2022: 27 · 2021: 30 · 2020: 22 · 2019: 7 · 2015: 1 · 2012: 1
- FWCI
- 9.32
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Brain (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Rare & Special e-Zone (The Hong Kong University of Science and Technology) (submittedVersion)
- Funders
- National Institutes of Health
- NIH (RF1AG051504, P50AG016574, R37AG027924, R01AG035355, R01AG046205, U01AG006786, R01AG054449, R01AG051574)
- Cure Alzheimer’s Fund
- GHR Foundation
- American Heart Association (15SDG22460003)
- Florida Department of Health Ed and Ethel Moore
- Alzheimer’s Disease Research (7AZ22)
- Japan Society for the Promotion of Science
- JSPS
- Mochida Memorial Foundation for Medical & Pharmaceutical Research
- Mayo Clinic Alzheimer's Disease Research Center and American Heart Association
- Topics
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- Alzheimer's disease, blood-brain barrier, tight junction proteins, claudin-5, occludin, synaptic degeneration, synaptophysin, Aβ40, cerebrovascular pathology, postmortem brain
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Blood-Brain Barrier, Brain, Female, Humans, Male, Middle Aged, Peptide Fragments, Amyloid beta-Peptides, Neurofibrillary Tangles, tau Proteins, Disease Progression, Tight Junctions, Neocortex, Endothelial Cells, Tight Junction Proteins
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